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ENN CommunityENN Community
Forget the Glass Ceiling, Women Still Have A Long Way To Go
October 16, 2007 03:46 PM -
EVANSTON, Ill. --- The glass ceiling -- the once ubiquitous metaphor referring to a subtle barrier built upon biases that block women from the highest positions of leadership -- doesn't apply today, according to a new book co-written by Alice Eagly, professor and chair of psychology in the Weinberg College of Arts and Sciences at Northwestern University.
"Through the Labyrinth: the Truth about How Women Become Leaders" (Harvard Business School Press, October 2007) draws upon a broad range of research from economics, political science, psychology and anthropology to offer a rich picture of how far women have come in recent decades and how far they have to go to achieve equality. The book outlines conditions that differ considerably from those of glass-ceiling days and obstacles women face today in becoming effective leaders. The book also provides guidance for overcoming challenges that keep women from rising at the same rate as men.
New Book: How Shyness Became a Mental Illness
October 16, 2007 03:30 PM -
EVANSTON, Ill. --- What's wrong with being shy, and just when and how did bashfulness and other ordinary human behaviors in children and adults become psychiatric disorders treatable with powerful, potentially dangerous drugs, asks a Northwestern University scholar in a new book that already is creating waves in the mental health community.
In "Shyness: How Normal Behavior Became a Sickness" (Yale University Press, October 2007), Northwestern's Christopher Lane chronicles the "highly unscientific and often arbitrary way" in which widespread revisions were made to "The Diagnostic and Statistical Manual of Mental Disorders" (DSM), a publication known as the bible of psychiatry that is consulted daily by insurance companies, courts, prisons and schools as well as by physicians and mental health workers.
Study: Big Tobacco's War On Linking Secondhand Smoke And Heart Disease
October 16, 2007 12:46 PM -
San Francisco, California - After combing through nearly 50 million pages of previously secret, internal tobacco-industry documents, UC Davis and UC San Francisco researchers say they have documented for the first time how the industry funded and used scientific studies to undermine evidence linking secondhand smoke to cardiovascular disease.
In a special report published in the Oct. 16 issue of the journal Circulation, authors Elisa K. Tong and Stanton A. Glantz say that the tobacco-related documents they reviewed show how the industry initially worked to question scientific evidence about the harmful effects of secondhand smoke as a way to fight smoke-free regulations. More recently, they suggest, tobacco-company-funded studies have been conducted to support the development of so-called "reduced-harm" cigarettes.
Wyeth Jury Awards $99 Million: HRT Drugs Blamed For Cancers
October 15, 2007 11:11 PM -
RENO, Nevada (Reuters) - A Nevada jury on Monday awarded $99 million in punitive damages to three women who blamed their breast cancer on Wyeth hormone replacement drugs.
Judge Robert Perry, presiding over the case in the Washoe County District Court, slashed the compensatory damages to $35 million from $134.5 million on Friday, after the jury said the original sum included some punitive damages.
The new total is about the same as the original figure.
Cancer death rates continue to fall
October 15, 2007 11:06 PM - Maggie Fox, Health and Science Editor, Reuters
WASHINGTON (Reuters) - Death rates from cancer continue to fall in the United States, dropping more than 2 percent per year from 2002 through 2004, cancer experts reported on Monday.
They found important declines in deaths from lung, prostate and colorectal cancers in men, as well as in breast and colon cancer among women. Lung cancer deaths were still on the rise among women but this increase slowed, according to the report.
"The significant decline in cancer death rates demonstrates important progress in the fight against cancer that has been achieved through effective tobacco control, screening, early detection, and appropriate treatment," U.S. Centers for Disease Control and Prevention Director Dr. Julie Gerberding said in a statement.
U.S. agencies stick to pregnancy fish-eating limits
October 15, 2007 10:29 PM - Will Dunham
WASHINGTON (Reuters) - The U.S. government said on Monday it was holding firm to its recommendations that pregnant and breast-feeding women limit how much fish and other seafood they eat and avoid certain types with high levels of mercury.
The two agencies that have set government policy on the subject -- the Food and Drug Administration and the Environmental Protection Agency -- have declined to alter their recommendations that these women eat no more than 12 ounces of fish weekly.
Their stance comes a week after a health advocacy coalition that received funding from the fish industry and 14 experts on October 4 urged these women to eat more fish.
The U.S. Centers for Disease Control and Prevention and other government agencies that are members of the National Healthy Mothers, Healthy Babies Coalition have actively distanced themselves from the coalition's new advice.
AOL to cut one-fifth of global work force
October 15, 2007 10:16 PM - Kenneth Li, Reuters
NEW YORK (Reuters) - Time Warner Inc's Internet unit AOL will eliminate 2,000 jobs as part of an ongoing restructuring to better focus on boosting online advertising, according to a memo obtained by Reuters on Monday.
The cuts, which begin on Tuesday, amount to about one-fifth of AOL's global work force and are spread across operations in the United States and in Europe, where the company has sold off its Internet access businesses.
AOL plans to boost investment in higher growth areas such as advertising and new international regions, AOL Chief Executive Randy Falco said in the memo to staff.
Scientists call for drastic cuts in EU cod fishing
October 15, 2007 10:59 AM -
BRUSSELS (Reuters) - Europe's trawlermen should cut back drastically next year on trawling for cod in the North Sea and aim to take less than half their 2006 catch from the sea, a group of international scientists said on Monday.
Cod, one of Europe's most threatened species due to years of chronic overfishing, has long risked a collapse in numbers. But matters seem to have improved slightly, the International Council for the Exploration of the Sea (ICES) said.
"Our scientific surveys show that the number of young fish has increased, although only to half of the long-term average," said Martin Pastoors, chairman of the ICES' main committee on compiling scientific advice on fish stocks and numbers.
Air Pollution Linked To Bronchitis In Preschoolers
October 15, 2007 10:04 AM -
Davis, California - In one of the first studies to examine air pollution in relation to infant and early childhood health, a UC Davis researcher has discovered a strong link between exposure to components of air pollution and acute bronchitis diagnoses in preschool-aged children. Those components - polycyclic aromatic hydrocarbons, or PAHs - contribute to air pollution from a variety of sources, including coal burning, vehicle exhaust, wood-burning stoves, tobacco smoke and grilling food.
Led by UC Davis environmental epidemiologist Irva Hertz-Picciotto, the Czech Early Childhood Health Study involved 1,133 children from birth to 4.5 years of age born in two districts of the Czech Republic between 1994 and 1998. One of those districts, Teplice (pronounced Tuh-PLEET-zuh), is known for its high levels of air pollution. The other, Prachatice (pronounced prah-kuh-TEET-zuh), has much lower levels of air pollution.
Global Imbalances and Developing Countries
October 15, 2007 07:46 AM - Jan Joost Teunissen, Global Policy Innovations Program
The abrupt unwinding of global imbalances is a major risk for the world economy; it affects countries across the globe, but is particularly harmful to developing countries.
This second volume on global imbalances includes an unorthodox, long-term view on global imbalances, an in-depth discussion about the role of the IMF, and a discussion about the need for reform of the international monetary and financial system. It pays special attention to Africa and East Asia.


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Among the Romans relegation was a banishment to a certain place, and consequently was an interdiction of all places except the one designated.
It differed from deportation. Relegation and deportation agree upon these particulars: 1. Neither could be in a Roman city or province. 2. Neither caused the party punished to lose his liberty. Relegation and deportation differed in this. 1. Because deportation deprived of the right of citizenship, which was preserved notwithstanding the relegation. 2. Because deportation was always perpetual, and relegation was generally for a limited time. 3. Because deportation was always attended with confiscation of property, although not mentioned in the sentence; while a loss of property was not a consequence of relegation unless it was perpetual, or made a part of the sentence.

subset: commoncrawl


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Newegg.com - A great place to buy computers, computer parts, electronics, software, accessories, and DVDs online. With great prices, fast shipping, and top-rated customer service - once you know, you Newegg.
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This review is from: Seagate Cheetah 15K.5 ST3146855SS 146GB 15000 RPM 16MB Cache SAS 3Gb/s 3.5" Internal Hard Drive Bare Drive
Pros: Nice when it worked. Newegg RMA process was fast and was very user friendly. Awaiting replacement
Cons: Died in about 3 weeks, RMA was for replacement only , Prefer refund,, Yet I see its out of stock. Have to wait and see if its replaced by a better quality sas driveREAD FULL REVIEW


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About jumperparty : Im homeless and I like pie ;)
About jumperparty : Im homeless and I like pie ;)
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Today, I went with my girlfriend to the gym for the first time. I knew I was in bad shape, but I bet her that I could lift more than her. Not only did I get my ass handed to me by a 5', 115lbs girl in front of the entire gym, I also have to attend Zumba in bright pink spandex. FML
by Dancing King / 08/07/2014 at 11:36am / Norway (Rogaland) / Health
Today, I woke up because of a weird noise. Scared, I turned on my bedside lamp. I saw my older, 17-year-old brother peeing in my bedroom doorway. He was hoping I'd step in it in the morning. FML
by whymyroomthough / 08/06/2014 at 6:18pm / United States (California) / Kids
Today, at the pool, I decided to face my fears and go off the high dive. I slipped off the edge and did a barrel roll into the pool while screaming like a little girl. FML
by poolfail / 08/06/2014 at 5:14pm / Miscellaneous
Today, I wore a tank top for the first time in a few years. It turned out even worse than the last time. I got insulted by several people over my "Never say never" upper chest tattoo, which I got years ago, before the words ever became associated with a certain douchy Canadian pop "singer". FML
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Today, my dad called me into the bathroom, saying "Get a load of this shit, son" and forcing me to look at the biggest, foulest-smelling turd I have ever seen in my life in the toilet. It's been three hours and I still feel physically ill. FML
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Today, my psycho neighbor finished building a cannon. An honest-to-god, on-wheels, could-be-on-a-pirate-ship cannon. And now he's testing it in the forest by my house. I'm pretty scared for my life, to be honest. FML
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Today, I clogged my girlfriend's toilet, so being a gentleman, I tried to rectify the situation. I plunged the holy fuck out of that damned toilet, only for her to accuse me of jacking off because I was taking so long. When she stormed in and the smell hit her, she called me a pig. I just can't win. FML
by shart up, your puns suck / 06/01/2014 at 2:34pm / United Kingdom (London, City of) / Miscellaneous
Today, I walked in on my 15 year old daughter and her boyfriend. They were standing in my bathroom, both naked from the waist down. Supposedly, he was trying to "teach her how to pee standing up." FML
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Today, I met my boyfriend's parents for the first time over dinner. I had to use the bathroom part way through, and ended up taking the foulest dump of my life. I cracked open a window on my way out, but my boyfriend's dad went in soon after, quickly retching and booming "What the fuck?!" FML
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- 1Today, someone stole my purse and phone while I was giving CPR to someone who had a heart attack on… 2Today, my boyfriend said I didn't give him enough attention because of my busy work life. So… he… 3Today, I was making the daily commute to work when suddenly my mother calls me, crying that there's…


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Andrew 28 Feb 1894 - 10 Sep 1981
Willie 25 Jan 1904 - 29 Jan 1990
Married: ca. 1921
Row 42
Contributed on 12/12/07 by denise.bratcher63
Email This Contributor
On this site you can upload gravestone photos, locate ancestors and perform genealogy research. If you have a relative buried in Arkansas, we encourage you to upload a digital image using our Submit a Photo page. Contributing to this geneology archive helps family historians and genealogy researchers locate their relatives and complete their family tree.
Submitted: 12/12/07 • Approved: 6/17/11 • Last Updated: 12/13/15 • R4604-G4602-S3


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Serving as the primary information clearinghouse for UTB, the IR component supports institutional decision making by providing information and diverse sources of data to explore topics of institutional interests.
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Mount Prospect Man Dies Trying To Rescue Grandson Off Virginia ShoreA Mt. Prospect man saved the life of his young grandson but couldn't save himself during a vacation in Virginia.
Burglary Reported At Home Of Slain Police OfficerPolice are investigating a burglary at the home where a Chicago Police officer was allegedly stabbed to death by her grandson last week.
Family Wishes Slain Officer's Grandson Had Been InstitutionalizedFamily members of a murdered Chicago Police officer say they begged her to put her troubled teenage grandson in an institution.
Woman Loses Nearly $10K In Scam Despite WarningA scam came between an elderly Northwest Indiana woman and nearly $10,000 of her money.


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We've gathered together Denmark's top attractions within an hour of the capital, Copenhagen, into one guide. Mix and match attractions as diverse as seaside art museums, royal castles and ancient Viking sites to explore on fun-filled day trips from Copenhagen!
West Zealand - Editorial
Showing 4 from 4 marked with "West Zealand"
The western part of Sealand is packed with Viking experiences. The area has great outdoor attractions with genuine Viking heritage, including a Viking-age fortress and the beautiful Åmosen Nature Reserve.
The Attractions of Zealand
Showing 4 from 4 marked with "West Zealand"


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Editor's Choice
The Rule and the RavenOut of the many things we lack.
I have no memory of what it is like to be unaware of my own mortality. This – along with basically no recollection of high school – is one of the lack of experiences that divides me most sharply from my students. I don't know what it is to be young and invincible. I never knew [Read More...]
Good LettersGlorying in Flawless Skin and God's Love
Driving in the car recently, my daughter pulled down the visor in front of her and opened the mirror. Her hair was in a side ponytail draped over her right shoulder. She wore a black and white plaid beret. "I really like this hat and hair thing I have going on today." "Yes, very cute," [Read More...]
Mackerel SnapperWhat The New Pro-Life Movement Stands For
Over the past couple months, I've laid out some thoughts on the concept of a new pro-life movement (specifically here and here) that reexamines the methods we use to fight abortion as well as what it truly means to call oneself pro-life. There has been a great deal of response, both positive and negative, along [Read More...]
Sick PilgrimBlessed, Bewildered: A Former Altar Boy Remembers Benediction
Of all the mysterious rites of Catholicism, perhaps the most mysterious is the Benediction of the Blessed Sacrament, known to the laity as 'Benediction'. As an altar boy for six years, I served at countless masses, funerals and weddings almost every week, but only a handful of Benedictions, and only one or two of them [Read More...]
Most Popular
Mackerel SnapperI'm Pro-Life, And I Don't Care About the Supreme Court
For many in the pro-life movement, a Republican/Conservative in the White House means more Conservatives on the SCOTUS bench, which—apparently—spells good news for the fight... [Read More]
Standing on my HeadCan a Catholic Vote for Hillary Clinton?
The question is very simple. Can a faithful Catholic vote for Hillary Clinton? But first, let's get some things straight: First, my opinion doesn't really matter. How I vote as... [Read More]
suspended in her jarshould you fear a clinton presidency because of the supreme court?
by guest writer H. Lillian Vogl What About the Supreme Court? I am hearing this question a lot these days. The next President will appoint at least one Justice to the Supreme... [Read More]
Bad CatholicChristian Voting in a Time Near the Apocalypse
The worst part about Trump is that, by being so obviously an ass, he has christened an entire population of thoughtless schmucks into politically-involved "liberals." Taking pride... [Read More]
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Matt Swaim will host a Third Party Debate tonight at 8 PM Eastern...
Standing on my Head


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On Tap for Today: A few laughs, a couple cream puffs and a beach party
The 2013 version of the Wisconsin State Fair beckons with its amusements, cute animals and its many food-on-a-stick options.
Of course, there's more. For instance, come to the island -- the Urban Island Beach Party, that is. »Read Full Blog Post
MSO chorus director arrested in undercover park-sex sting
The Milwaukee Symphony Orchestra's chorus director was arrested Monday on accusations of lewd behavior in Grant Park.
Lee E. Erickson, 58, of South Milwaukee followed an undercover Milwaukee County sheriff's deputy into a bathroom at Grant Park along Milwaukee's lakefront, exposed himself and began masturbating in front of the officer, according to the sheriff's department. »Read Full Article
Chicago chef Charlie Trotter dies at 54
Journal Sentinel files »Read Full Blog Post(3)
'Before I Die' wall installed at Sky High
Death has a way of clarifying life, or so say great philosophers and New Orleans artist Candy Chang. It has a way of making us examine the kind of person we want to be, the life we want to live, the people who are important to us.
On Tuesday, people in the Bay View neighborhood were confronted by the finiteness of their lives as a result of one of Chang's projects. A wall that reads "Before I die I want to..." and has little buckets of colored chalk so people can fill in the blanks was installed at the Sky High Skateboard Shop and Gallery, 2501 S. Howell Ave., and in cities across the U.S. on Tuesday. »Read Full Blog Post(2)
On Tap Today: Amos Lee at the Riverside Theater
Singer-songwriter Amos Lee performs at the Riverside Theater, and on RadioMilwaukee, Tuesday. Getty Images photo by Andrew H. Walker. »Read Full Blog Post


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Nationwide is on his side: Dale Jr. lands new sponsor
Nationwide Insurance will sponsor Dale Earnhardt Jr.'s No. 88 Hendrick Motorsports Chevrolet in the NASCAR Sprint Cup Series for the next three years.
Nationwide Insurance, which will drop title sponsorship of NASCAR's No. 2 series after this year, has found a new home in the sport: The insurance and financial services organization will sponsor Dale Earnhardt Jr.'s No. 88 Hendrick Motorsports Chevrolet in the NASCAR Sprint Cup Series for the next three years.
Under a deal announced by the team Friday morning, Nationwide will be Earnhardt's primary sponsor for 12 Sprint Cup races in 2015 and 13 events in both 2016 and 2017. It will be an associate sponsor on the No. 88 in all other Cup races over the next three seasons.
"The Earnhardt family has trusted Nationwide for their insurance needs for more than 35 years, and Dale Jr. has a positive impact on our brand's reputation, and brings pride to Nationwide members and our associates," said Matt Jauchius, chief marketing officer for Nationwide Insurance, in a statement released Friday morning. "Expanding that relationship to incorporate the prestigious operations at Hendrick Motorsports and collaborating with Rick Hendrick and his team is a great fit for Nationwide Insurance."
According to the team, NASCAR fans can obtain insurance discounts offered via the free JR Nation fan club. Membership is available now by visiting JrNation.com.
"Nationwide is always top of mind when you think of companies that truly leverage the power of NASCAR," said Rick Hendrick, owner of Hendrick Motorsports. "We're proud to welcome them to the No. 88 team and grow their relationship with Dale Jr. Working together, we'll build another program that moves the needle for their business. The opportunities are endless."
Earnhardt, 39, is a two-time Nationwide Series champion and two-time Daytona 500 winner. He is currently fifth in the Sprint Cup points standings.
"I've always enjoyed working with Nationwide and really believe in their products and services," said Earnhardt, who has been featured in Nationwide ads since 2009. "It'll be fun to work with them in a new way, and I know everyone on the team is looking forward to the partnership. They've invested in our sport and built a strong reputation with NASCAR fans, and this opens up doors to do even more great things."
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realmagick.com The shrine of knowledge.
Sinusitis Classification
A selection of articles related to sinusitis classification.
Original articles from our library related to the Sinusitis Classification. See Table of Contents for further available material (downloadable resources) on Sinusitis Classification.
- What is hypnotic trance? Does it provide unusual physical or mental capacities?
- 2.1 'Trance;' descriptive or misleading? Most of the classical notions of hypnosis have long held that hypnosis was special in some way from other types of interpersonal communication and that an induction (preparatory process considered by some to be...
Parapsychology >> Hypnosis
- Astral Beings and Wildlife
- The astral dimension contains a wide variety of what could be called non-physical subtle energy life-forms; or as Carlos Castenada so aptly calls them: inorganic beings. Some of these have a positive nature (nice) and some seem have a negative nature (not so...
Parapsychology >> Astral Projection
- What is Qabalah?
- Being Appendix A to Liber 777 Qabalah is: -- (a). A language fitted to describe certain classes of phenomena, and to express certain classes of ideas which excape regular phraseology. You might as well object to the technical terminology of chemistry. (b). An...
Magick >> Qabalah
- The Seven Deadly Sins
- According to the writings of the monk, the seven sins were: gastrimargia; porneia; philargyria; lupē: orgē; akedia; kenodoxia; and hyperephania which when translated to Latin for Roman Catholicism are as follows:
Religions >> Christianity & Paganism
Sinusitis Classification is described in multiple online sources, as addition to our editors' articles, see section below for printable documents, Sinusitis Classification books and related discussion.
Suggested News Resources
- Interstitial Cystitis: Causes, Symptoms and Treatment
- Interstitial cystitis (IC) is a chronic painful bladder syndrome in which there is the presence of pelvic pain, bladder pain or pressure, and urinary frequency or urgency. The pain can range in severity from mild to severe.
- Most restaurants serve oversized, high-calorie meals
- Eating healthily when dining out can be a mammoth challenge; with all the delicious - albeit high-fat - foods to choose from, a salad is not quite so tempting.
- Can cocoa help kidney patients?
- Consuming a cocoa product could help patients with kidney failure to improve their blood vessel function, according to research published in the Clinical Journal of the American Society of Nephrology.
- Rate of 2.6 million stillbirths a year is 'too high'
- Education, alleviation of poverty and improved access to health care, especially timely, culturally appropriate antenatal care, are recommended.
- Inconsistency in measures of breast density
- Joy Melnikow, director of the Center for Healthcare Policy and Research at UC Davis and first author on the paper, would like to see long-term, rigorous research to achieve better standardization of breast density classification and determine whether ...
Great care has been taken to prepare the information on this page. Elements of the content come from factual and lexical knowledge databases, realmagick.com library and third-party sources. We appreciate your suggestions and comments on further improvements of the site.
Sinusitis Classification Topics
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BirdTrax: Latest Sightings
Nonsuch Camp 2016 Award Winners
Freyja Kermode is the 2016 winner of the Mervyn White Shield, awarded annually to the student with the top marks on the Nonsuch Island Natural History Camp. The Nonsuch Camp Spirit Award was won by Maia Steele.
BELCO sponsors Yellowwood trees
To celebrate Earth Day and kick off its Occupational Health, Safety & Environment Week, BELCO has sponsored the planting of two rare, native Yellowwood trees on the Society's ABS Nature Reserve. Click here for Bernews article.


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<< Back - 2004 > Volvo > XC90 > Suspension > Strut Assembly
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Product arrived earlier than expected in great shape and I saved a ton of money if I had gone to a traditional repair shop. I encourage all women to order parts from this site and have them installed by a trusted repair man or woman. The parts are guaranteed to be correct because they are based on the year, make and model of your vehicle.
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Parts arrived sooner than I expected. The price was perfect, dealers wanted to charge me twice as much for the exact same part.
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- Welcome
- Paintings
- Studio
- Exhibitions
- Guestbook
- Contact
I am Marianne Gruetjen, I love the German coast and am a passionate painter. In my little studio in Henstedt-Ulzburg,
poetic images are created in very different styles. I prefer to paint maritime motives, because here in Schleswig-Holstein, I am especially close to the wind and the beloved wide skies over the blue Baltic Sea.
But teddy bears, animals and plants find their place on my canvas too!
You are very welcome to come and visit me and have a quiet look around my studio!
You are searching for a beautiful painting for your home or would like to give someone a very special present? Perhaps for a special celebration such as birthdays, anniversaries, weddings or christenings.
Then please come along to my studio, I can advise gladly, because all my paintings on display are for sale.
And should the motive you are seeking not be available, I will happily meet your needs and make a personal picture according to your own wishes and ideas.
Art need not be expensive!


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License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Hyun Myung Ha:
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- Dr. Hyun Myung Ha DDS is a male dentist and practices in Family Dentistry.
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- Dr. Hyun Myung Ha has 11 office locations.
Dr. Hyun Myung Ha practices Family Dentistry near Elmwood Park, IL.
Additional practice locations include: Chicago, IL and Aurora, IL.
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Tag Archives: Xylena nupera
American Swordgrass Moth (Xylena nupera)
Last July, Connor found a caterpillar which we thought we might try to rear by finding whatever food it wanted it. It didn't take too long to discover that what it really wanted to do was bury itself in dirt, … Continue reading
Posted in insects, kids and nature, Mystery Tagged Caterpillar, Moth, Mystery, Xylena nupera 1 Comment
Two Moths and a Bird
This entry is part 102 of 133 in the series 2011 PhotojournalWe've been catching moths in the bug napper, though the Xylena nupera was one that we got from a caterpillar Connor found. The Steller's Jays have been coming by … Continue reading
Posted in birds, insects, photojournal Tagged Oligia illicata, Steller's Jay, Xylena nupera Leave a comment
Grebes and a Caterpillar
This entry is part 91 of 133 in the series 2011 PhotojournalAt least three still-downy Pied-billed Grebes were hanging out on Swan Lake waiting to be fed by parents. Also today, Connor found a green caterpillar crawling on the sidewalk. … Continue reading
Posted in birds, insects, Mystery, photojournal Tagged Caterpillar, Pied-billed Grebe, Swan Lake, Xylena nupera 1 Comment


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Review Summary
- Historic hotel with elegant and romantic atmosphere
- Two blocks from a quieter part of the beach
- Bright, cozy, individually decorated rooms
- Sweet garden area with patio and small pool
- Charming perks, like fresh fruit on arrival
- Live evening music in the lobby
- Two blocks from drinking, dining, and shopping on Lincoln Road
- Free Wi-Fi throughout
- Rooms are smaller than at most SoBe hotels (with especially tiny bathrooms)
- Street noise can be a problem
- No fitness center, parking, or elevator
- Beach chairs for a fee
Bottom Line
The historic 34-room Cadet -- Clark Gable's World War II home base -- offers a different type of South Beach experience. The Art Deco oasis has a vibe that's more bed-and-breakfast quaint than SoBe cool. A number of charming little touches (welcome fruit, lovely garden, personalized notes, nighttime chocolates) compensate for the lack of ocean views and party scene. For a beachfront boutique, consider the Townhouse Hotel.
Oyster Hotel Photos
Oyster Hotel Review
Quiet, sophisticated, and classy hotel with a bed-and-breakfast feel thanks to its retro design, pleasant garden, and small, friendly staff
When it opened in 1941, the Cadet, like several other Art Deco hotels, was used by the Air Force to house one of its squadrons. (That group was led by Captain Clark Gable. Yes, that Clark Gable.) With classy, 40s-inspired decor -- light gray walls with wood trim, taupe velvet furnishings, large circle mirror, crystal chandelier, marble flooring with an inlaid compass -- this independently owned hotel has an intimacy that most of its counterparts over on Ocean Drive sorely lack. At the Cadet, it's all in the details: The fresh flowers, historical pictures and knickknacks, a seashell motif, and live evening music from the grand piano in the lobby add to the property's charm.
On a quiet, mostly residential street two blocks from Ocean Drive and the beach; also two blocks from shopping, dining, and drinking at the Lincoln Road Mall
The Cadet is tucked away a bit, on the corner of 17th Street and James Avenue, which runs parallel to the beach between two of Miami Beach's main drags, Washington and Collins. (The reason James is not also considered a main drag is that it's only three blocks long.) It's a short, three-minute stroll to Ocean Drive and Lummus Park (aka "the beach"), and to the Lincoln Road Mall, which is also great for people-watching.
The swank Delano hotel, two blocks away, is a popular (but expensive) place to grab a drink; there's a number of other high-end clubs and see-and-be-seen hotel lounges nearby. Espanola Way, five blocks south, is a great option for dinner. (It's worth noting, though, that Miami Beach's blocks are long, so if high heels or flip-flops are your footwear of choice, you might want to flag down a taxi if you choose the Cadet.)
Nearby Hotels
Homey rooms come with treats like evening chocolates and bathrobes -- but also tiny bathrooms and street or alley views (no beach in sight)
As at many Art Deco hotels, rooms (and especially bathrooms) are quite small. (There's only so much you can do with a building that dates from the first half of the last century.) Still, there's enough room on either side of the bed to maneuver around without difficulty. As with so much else at the Cadet, the charm of the rooms is in the details: personalized welcome notes, more fresh flowers, and fruit, chocolates, or macaroons. The white curtains are garlanded with dried lavender and most of the furniture and decor are antique. Other features include 32-inch flat-screen TVs (40-inch in some rooms) with HBO and ESPN, terry-cloth bathrobes, free cotton slippers, minibars, bamboo hardwood floors, and Lavish or L'Occitane bath products. There aren't any coffeemakers, but the kitchen will make coffee for guests upon request (and espresso drinks can be purchased at the lobby bar). Know that all rooms look out on a street or another building -- no beach views here.
Rooms and Rates
Lovely patio and garden, fancy French restaurant, free Wi-Fi
The Cadet's back garden -- lush with orchids, bougainvillea and starfruit trees -- has a dipping pool and a gazebo, where many guests enjoy the hotel's breakfast service (not included in room rates). Pied a Terre, the hotel's high-end and well-renowned restaurant, offers creative French fare and a 240-plus wine selection. Cocktails and Italian coffee are available in the four-seat lobby bar. Wi-Fi is free and reliable. There isn't any parking on the property, but there are lots next door and a municipal parking garage two blocks away.
|Key Features
|Hotel Services
Dry Cleaning
Rental Car Service Desk Onsite
Room Service
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Kids Allowed
|Things to Do
Located on the Beach
|Room Features
Air Conditioner
Separate Bedroom / Living Room Space
|1701 James Ave., Miami Beach, Florida 33139, United States
|(305) 672-6688
|Also Known As
|Room Types


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Relationship between left ventricular dysfunction and depression following myocardial infarction: data from the MIND-IT
Aims Depression in patients following myocardial infarction (MI) is associated with an increased risk of mortality, but this association may be confounded by cardiac disease severity. We explored the relationship between left ventricular ejection fraction (LVEF) and depression in MI patients.
Methods and results In the Myocardial Infarction and Depression—Intervention Trial (MIND-IT), 1989 MI patients were assessed for depressive symptoms [Beck Depression Inventory (BDI) t=0, 3, 6, 9, and 12 months post-MI]. Patients with BDI score ≥10 were assessed for the presence of International Classification of Diseases, 10th revision (ICD-10) depressive disorder (t=3, 6, 9, and 12 months post-MI). Patients were divided into categories according to their LVEF during hospitalization, i.e. LVEF <30%, LVEF 30–45%, LVEF 45–60%, and LVEF ≥60%. During hospitalization, presence of depressive symptoms was higher in patients with LV dysfunction. A relationship was found between LVEF and ICD-10 depressive disorder, i.e. a lower LVEF was associated with a higher rate of depression from 3–12 months post-MI (P<0.01). Levels of LVEF inversely correlated with the BDI score at 3 months post-MI. Associations persisted after adjustment for demographics, risk factors for coronary artery disease, co-morbidity, Killip class, and baseline BDI score.
Conclusion In MI patients, the rate of depression and the severity of depressive symptoms are significantly related to the severity of LV dysfunction. The association between depression and LV dysfunction must be acknowledged when evaluating the prognostic effects of depression in cardiac patients.
- Left ventricular ejection fraction
- Myocardial infarction
- Depression
- Risk factors
See page 2607 for the editorial comment on this article (doi:10.1093/eurheartj/ehi576)
A recent meta-analysis concluded that depression following myocardial infarction (MI) should be considered an important risk factor for impaired cardiac prognosis.1 The excess risk was found to be on average 2–2.5 fold for both mortality and morbidity. However, some studies failed to find an association, not even an univariate association,2,3 whereas other studies did report significant univariate associations, but failed to find a significant relationship after adjustment for markers of cardiac disease severity.4,5 Therefore, controversy continues whether depression has an adverse effect on cardiac prognosis independent of cardiac disease severity.6–8 Most studies support the claim that post-MI depression is related to a poor cardiac prognosis, independent of the severity of cardiac disease, because depression continues to be significantly associated with mortality after controlling for left ventricular ejection fraction (LVEF). However, given the association between LVEF and cardiac prognosis in MI patients, a thorough investigation of the prospective relationship between LVEF and depression is crucial. Unfortunately, data on this relationship are limited (Table 1) and therefore we set out to evaluate the relationship between cardiac disease severity, measured by LV function, and depression, breaking down the issue into three questions.
|First author
|Sample size (n)
|LVEF cut-off value (%)
|Prevalence of depression (%)
|Below cut-off
|Above cut-off
aMI patients ≥65 years.
bMale patients with first MI.
cPatients with first MI.
dComputed from data as presented in article (χ2 test).
eControls free of depression and social isolation.
First, it was investigated whether depressive symptoms and LV function, both assessed during hospitalization for MI, are cross-sectionally related to each other. Secondly, it was investigated whether the development of depressive disorder in the first year post-MI is related to the severity of in-hospital LV dysfunction. In other words, do patients with severe LV dysfunction have higher rates of prospective depressive disorder compared with patients with relatively preserved LV function? Finally, it was explored whether the severity of prospective depressive symptoms as assessed at 3 months post-MI is related to LV function at hospitalization.
The present study is a pre-defined substudy to a large, multi-centre trial in the Netherlands: the Myocardial Infarction and Depression—Intervention Trial (MIND-IT).15 MIND-IT prospectively investigates the prognostic influence of anti-depressive treatment for a depressive disorder following MI. The MIND-IT data allowed the investigation of the relationship between LV function and depressive disorders in the first year post-MI in a large, representative sample of MI patients.
Study participants
Inclusion and exclusion criteria have been described previously.15 In short, we recruited consecutive patients (September 1999 to November 2002), hospitalized for acute MI, in 10 hospitals (including three tertiary centres) located in different parts of The Netherlands. Patients were enrolled if they met the WHO MONICA criteria16 for definite MI: increased cardiac enzymes and either electrocardiographic changes and/or chest pain. Exclusion criteria were the occurrence of MI while the patient was hospitalized for another reason (except for unstable angina pectoris), lacking capability to participate in study procedures (e.g. patients not able to communicate and patients not available for follow-up), any disease likely to influence short-term survival, patients already receiving psychiatric treatment for depression, and participation in another clinical trial. The study complies with the Declaration of Helsinki. The institutional review board at each centre approved the study protocol, and study patients provided written informed consent before enrolment.
Design of the study
Demographics, medical history, clinical variables, and information about medication at discharge were collected in a prospective manner. Data management was performed by the Trial Coordination Centre in Groningen, The Netherlands. Severity of index MI was assessed by maximum values of serum aspartate transaminase during hospitalization (ASATmax) and LVEF after MI, as measured by either echocardiography or radio-nuclide ventriculography. Before study participation, study sites had to agree to perform echocardiographic assessments in accordance with the recommendations of the American Society of Echocardiography.17 An echocardiographic core lab checked the quality of randomly selected echocardiographic assessments. The presence of heart failure at admission was assessed by the Killip class. During hospitalization, the cumulative burden of medical co-morbidity was assessed with a modified version of the Charlson co-morbidity index.18 Higher scores on this scale indicate more co-morbidity (i.e. rheumatological disease, chronic pulmonary disease, congestive heart failure (CHF), peripheral vascular disease, cerebrovascular disease, diabetes, renal disease, malignancies, liver disease).
All study patients were screened for depressive symptoms during hospitalization and at 3, 6, 9, and 12 months post-MI with the Beck Depression Inventory (BDI).19 The BDI is a self-report instrument consisting of 21 questions (total score ranging from 0 to 63), higher BDI scores indicating more severe depressive symptoms. It is the most commonly used measure of depression, and its reliability and validity has been assessed in a variety of patients.20 MI patients with depressive symptoms (i.e. BDI score ≥10, at any time point; and in case of more than one successive positive BDI: only if the BDI score was higher than the previous one) underwent an additional psychiatric evaluation with a standardized psychiatric interview by trained interviewers [Composite International Diagnostic Interview (CIDI); auto version 2.1].21 This interview provides diagnoses according to criteria of the International Classification of Diseases, 10th revision (ICD-10). In the present study, 'diagnosis of depression' refers to a positive CIDI interview according to these criteria. The first interviews were performed not earlier than 3 months post-MI to allow natural recovery of depressive symptoms following a major life event. Of note, only patients who screened positive based on the BDI underwent a CIDI interview. Therefore, the term 'depressive disorder' denotes a positive CIDI interview in those patients who already scored positive on their BDI.
Statistical analysis
The aim of the study was to assess the relationship between the severity of LV dysfunction (as assessed shortly after MI) and (i) the severity of in-hospital depressive symptoms (ii) the rate of prospective depressive disorder (3–12 months post-MI), and (iii) the severity of prospective depressive symptoms (3 months post-MI). We used LVEF as a measure of LV (dys)function. We categorized the study sample into four groups: MI patients with LVEF <30%, LVEF 30–45%, LVEF 45–60%, and LVEF ≥60%. In principle, dividing LVEF into categories is arbitrary. Because we investigated a graded response between LVEF and depression, cut-off values were chosen resulting in comparable increases in LVEF without having too many categories. This categorization may have resulted in an overestimation of the association between LVEF and depression.22 However, it was not possible to implement an uniform procedure for assessing LVEF as a continuous variable across the centres that participated in MIND-IT.
First, the BDI scores during hospitalization were used. Secondly, the interview data as obtained from the CIDI (3–12 months post-MI) were used. The bivariate association between LVEF and ICD-10 depressive disorder was assessed by means of logistic regression analysis. We conducted multiple logistic regression analysis using a hierarchical approach with pre-specified potential confounders of the relationship between LVEF and depression. All multiple regression models included LVEF as a categorical independent variable and depression as the dependent variable. The first model also included demographic factors (age, sex), the second model added risk factors of coronary artery disease (CAD) (smoking, hypertension, family history of CAD, and dyslipidaemia), and the third model added co-morbidity (modified Charlson co-morbidity index). Although adjustment for the Charlson co-morbidity index implies that diabetes and CHF are controlled, it is a rather diffuse measure to adjust because co-morbidities other than diabetes and CHF may also contribute to the co-morbidity score. Given the strong relationship between LV function and CHF as well as diabetes,23 we made an additional adjustment for the presence of heart failure at admission (Killip class) and diabetes in the fourth model. In the fifth model, we adjusted for baseline BDI score ≥10.
Finally, mean BDI scores were compared between groups with different LVEF using a one-way analysis of variance (ANOVA). To study whether there is a gradual increase in depressive symptoms and decrease in LVEF levels, we added a polynomial contrast that mimics a linear relationship between LVEF levels and BDI scores. Of note, we used the data as obtained from the 3 months BDI, because we were interested in discharged, stable MI patients. To adjust for potential confounders, we entered the variables from model 5 into a multiple regression model and obtained the unstandardized beta for the change in BDI score across LVEF categories. All tests are two-sided.
MIND-IT investigates the effects of anti-depressive treatment for post-MI depression on cardiac prognosis. However, any study treatment was started after a positive CIDI diagnosis of depression.
In MIND-IT, 4780 MI patients were assessed for eligibility, of whom 1403 (29%) met the exclusion criteria. Of the 3377 remaining patients, 2177 (64%) were included (mean age 61.2 years, SD 11.9). From the 2177 included patients, 1989 patients (91.4%) had an evaluation of LVEF. These patients did not differ on any of the baseline variables from those patients of whom no LVEF assessment was available, except for the administration of thrombolysis during hospitalization (35.9 vs. 45.4% for patients with and without LVEF assessment, respectively; P=0.01). In addition, the occurrence of depressive disorder (3–12 months post-MI) was not significantly different in both samples (17.1 vs. 18.6%, respectively; P=0.60). We therefore confined analyses to the 1989 patients with LVEF assessment. Table 2 shows the baseline characteristics of the participants according to their LVEF. Differences between patients with different levels of LV function were found with respect to BDI scores at hospitalization (P<0.01). In addition, age, diabetes mellitus, hypertension, family history of CAD, smoking, previous MI, ASATmax, Killip class, Charlson-score, Q-wave infarction, thrombolysis, and prescribed post-MI cardiac medication were related to levels of LV function (P≤0.05).
|LVEF >60% (n=627) (%)
|LVEF 45–60% (n=846) (%)
|LVEF 30–45% (n=369) (%)
|LVEF <30% (n=147) (%)
|Mean age in years (SD)
|59.4 (11.7)
|61 (12.0)
|62.8 (11.3)
|63.9 (11.8)
|Sex (male)
|473 (75)
|670 (79)
|290 (79)
|114 (78)
|BDI score ≥10
|117 (21)
|198 (25)
|98 (30)
|52 (40)
|393 (63)
|524 (64)
|228 (63)
|77 (54)
|Diabetes mellitus
|67 (11)
|79 (9)
|61 (17)
|39 (27)
|228 (36)
|254 (30)
|136 (37)
|50 (35)
|475 (76)
|648 (77)
|282 (77)
|103 (71)
|Family history of CAD
|305 (49)
|370 (44)
|152 (42)
|57 (40)
|315 (51)
|420 (50)
|153 (42)
|65 (45)
|Previous MI
|60 (10)
|91 (11)
|70 (19)
|53 (37)
|ASATmax (U/L)
|First quartile
|214 (40)
|166 (20)
|57 (17)
|27 (21)
|Second quartile
|162 (30)
|217 (27)
|48 (14)
|23 (18)
|Third quartile
|104 (19)
|234 (29)
|90 (26)
|33 (25)
|Fourth quartile
|61 (11)
|197 (24)
|149 (43)
|47 (36)
|Killip class ≥2
|33 (5)
|89 (11)
|51 (14)
|48 (33)
|Charlson18 category ≥3
|53 (9)
|85 (10)
|64 (18)
|43 (30)
|Q-wave MI
|355 (58)
|587 (71)
|281 (78)
|87 (65)
|179 (29)
|352 (42)
|132 (36)
|46 (32)
|258 (41)
|302 (36)
|154 (42)
|53 (37)
|30 (5)
|46 (6)
|21 (6)
|7 (5)
|Medication at discharge
|Acetylsalicylic acid
|583 (93)
|747 (89)
|282 (77)
|83 (57)
|25 (4)
|66 (8)
|78 (21)
|61 (42)
|172 (28)
|263 (31)
|107 (29)
|56 (38)
|531 (85)
|740 (88)
|312 (85)
|112 (77)
|Calcium antagonist
|116 (19)
|139 (17)
|61 (17)
|29 (20)
|15 (2)
|14 (2)
|13 (4)
|19 (13)
|50 (8)
|98 (12)
|84 (23)
|68 (47)
|200 (32)
|306 (36)
|224 (61)
|97 (66)
|45 (7)
|29 (3)
|15 (4)
|12 (8)
|465 (75)
|653 (78)
|273 (74)
|95 (65)
BMI, body mass index (kg/m2); PTCA, percutaneous transluminal coronary angioplasty; CABG, coronary artery bypass grafting.
aP-values refer to the trend across the four groups with the use of χ2 tests for categorical data and ANOVA for continuous data.
bCurrent smoker or stopped smoking <3 months.
Severity of depressive symptoms during hospitalization
In regression analysis, when compared with individuals with preserved LV function (>60%), patients with an LV function of 45–60% had the same mean BDI score during admission (95% CI −0.64–0.60; P=0.96), patients with an LV function of 30–45% had 0.99 points higher BDI scores (95% CI 0.19–1.79; P=0.02), and patients with an LV function <30% had 3.00 points higher BDI scores (95% CI 1.83–4.17; P<0.01). After controlling for demographics, risk factors of CAD, co-morbidity, diabetes, and Killip class, these results were 0.14 (−0.49–0.77; P=0.66) for LV function 45–60%, 1.13 (0.32–1.94; P<0.01) for LV function 30–45%, and 2.96 (1.73–4.18; P<0.01) for LV function <30%.
Rate of depressive disorder
During the follow-up period from 3 to 12 months post-MI, 17% (340/1989) of all patients met the criteria of depressive disorder according to ICD-10 criteria. The distribution of the positive CIDI interviews during the post-MI year was skewed, with the majority identified at 3 months (72.4%) and a minority identified at 6 (15.0%), 9 (7.4%), and 12 months (5.3%). The unadjusted logistic regression analysis indicated that MI patients with severe LV dysfunction (LVEF <30%) had 4.46 times the odds (95% CI 2.91–6.83) of being depressed compared with individuals with preserved LV function (LVEF >60%) (Table 3). The relationship between LVEF and depression remained significant and did not diminish when adjusting for demographic factors (model 1), risk factors of CAD (model 2), co-morbidity (model 3), diabetes and Killip class (model 4), and baseline BDI score ≥10 (model 5). To take into account the higher percentage of patients receiving thrombolysis in those patients with LVEF assessment, we conducted a sensitivity analysis and forced the administration of thrombolysis into multiple regression analysis. Adjustment for thrombolysis did not alter the association between LVEF and depression (LVEF 45–60%: OR 1.81, 95% CI 1.31–2.52; LVEF 30–45%: OR 2.91, 95% CI 2.01–4.21; LVEF <30%: OR 4.80, 95% CI 3.02–7.63). Figure 1 shows the rate of depressive disorder in the first year following MI in patients with different LVEF. For men and women together, rates of depression (percentage±SE) were 10.4 (1.2), 16.3 (1.3), 23.6 (2.2), and 34 (3.9) for patients with LVEF ≥60%, LVEF 45–60%, LVEF 30–45%, and LVEF <30%, respectively, (P<0.01). When compared with women, men showed a tendency towards a stronger increase in rates of depression across the different LVEF categories (P=0.07). Age did not affect the relationship between LVEF and depression (P=0.94). In patients without significant depressive symptoms at baseline (BDI<10), level of LV dysfunction was still prospectively associated with the rate of depressive disorder: 4.6% (LVEF ≥60%), 8.2% (LVEF 45–60%), 13.3% (LVEF 30–45%), and 24.4% (LVEF <30%) (P<0.01).
|Odds ratio (95% CI)
|Model 1
|Model 2
|Model 3
|Model 4
|Model 5
|1.69 (1.23–2.31)
|1.83 (1.33–2.52)
|1.82 (1.32–2.51)
|1.81 (1.31–2.50)
|1.78 (1.29–2.45)
|1.73 (1.20–2.48)
|2.67 (1.88–3.79)
|3.14 (2.19–4.50)
|2.95 (2.05–4.26)
|2.89 (2.00–4.17)
|2.87 (1.98–4.14)
|2.69 (1.73–4.02)
|4.46 (2.91–6.83)
|5.46 (3.52–8.49)
|5.66 (3.64–8.82)
|4.84 (3.06–7.65)
|4.73 (2.97–7.53)
|4.68 (2.77–7.92)
|0.97 (0.96–0.98)
|0.97 (0.96–0.98)
|0.97 (0.96–0.98)
|0.97 (0.96–0.98)
|0.97 (0.95–0.98)
|0.97 (0.95–0.98)
|Sex (female)
|1.21 (0.93–1.56)
|1.53 (1.15–2.03)
|1.51 (1.13–2.01)
|1.51 (1.13–2.02)
|1.52 (1.14–2.03)
|1.51 (1.08–2.09)
|Risk factors of CAD
|1.36 (1.08–1.69)
|1.04 (0.79–1.35)
|1.08 (0.83–1.42)
|1.06 (0.81–1.39)
|1.04 (0.77–1.42)
|1.02 (0.86–1.29)
|1.08 (0.83–1.40)
|1.01 (0.78–1.33)
|1.03 (0.79–1.34)
|0.98 (0.72–1.33)
|Family history CAD
|1.25 (1.00–1.57)
|1.14 (0.88–1.46)
|1.13 (0.88–1.46)
|1.12 (0.87–1.44)
|1.21 (0.91–1.61)
|1.63 (1.22–2.18)
|1.47 (1.06–2.02)
|1.49 (1.07–2.06)
|1.53 (1.10–2.13)
|1.59 (1.10–2.31)
|1.08 (1.00–1.17)
|1.13 (1.03–1.22)
|1.20 (1.07–1.35)
|1.11 (0.97–1.27)
|1.04 (0.88–1.22)
|0.76 (0.60–0.98)
|0.76 (0.58–1.01)
|Killip class
|1.22 (1.00–1.49)
|1.20 (0.80–1.79)
|1.37 (0.87–2.16)
|BDI score ≥10
|7.02 (5.47–9.00)
|8.10 (6.10–10.74)
aCurrent smoker or stopped smoking <3 months.
Severity of depressive symptoms at 3 months post-MI
The mean (standard error of mean) BDI scores, assessed at 3 months post-MI, in the four LVEF categories (LVEF ≥60%, LVEF 45–60%, LVEF 30–45%, and LVEF <30%) were 6.1 (0.3), 6.3 (0.2), 7.3 (0.3), and 9.4 (0.6), respectively. Significant differences in the mean BDI score were found across different levels of LV function, with higher scores reported in patients with lower LVEF (F 32.6; P<0.01). In regression analysis, when compared with individuals with preserved LV function (>60%), patients with an LVEF 45–60% had 0.2 points higher mean BDI scores during admission (95% CI −0.39–0.85; P=0.47), patients with an LVEF 30–45% had 1.00 point higher BDI scores (95% CI 0.20–1.80; P=0.01), and patients with an LVEF <30% had 2.66 points higher BDI scores (95% CI 1.52–3.81; P<0.01). After controlling for demographics, risk factors of CAD, co-morbidity, diabetes, and Killip class, these results were 0.43 (−0.20–1.06; P=0.18) for LVEF 45–60%, 1.03 (0.22–1.85; P=0.01) for LVEF 30–45%, and 2.62 (1.42–3.82; P<0.01) for LVEF <30%.
Although it is generally accepted that depression is independently associated with a worse cardiac prognosis, controversy persists whether this association is a reflection of cardiac disease severity.6–8 In the present study, evidence is presented for a graded relationship between LV dysfunction and depression. The observed association with LVEF held true for both the rate of depressive disorder (3–12 months post-MI) and the severity of depressive symptoms (during hospitalization and 3 months post-MI). Thus, the lower the LVEF, the higher the rate of post-MI depressive disorder and the more severe the depressive symptoms. Importantly, this relationship remained significant after adjustment for other known covariates of depression, including the presence of heart failure at hospitalization for index MI.
This study demonstrates a relationship between LV dysfunction and the presence of depressive symptoms during hospitalization. Although the number of studies on the effects of post-MI depression is rapidly increasing, the majority of studies did not assess LVEF. As far as we know, only six studies9–14 examined the association between LVEF (dichotomized) and post-MI depression (Table 1). In these studies, prevalence of depression was assessed shortly after MI. Carney et al.14 (n=766) found no relationship between LVEF and depression, whereas Frasure-Smith et al.10 (n=896) described a significant association between LVEF (categorized as ≤35% and >35%) and BDI scores (P=0.03). Although the study by Carney et al.14 found no association between LVEF and depression, the analysis is limited by the fact that controls were free from social isolation. Because social isolation and depression often go together in patients with acute coronary syndromes,24 this may be important. The smaller studies9,11–13 did not report statistically significant associations between LVEF and depression, but a trend towards higher rates of depression in patients with low LVEF is discernable in most studies. Hence, the statistical non-significance may be due to a type II error resulting from the relatively small sample size when compared with our study. In addition, we included consecutive MI patients without excluding female MI patients,12 patients <65 years,11 and MI patients with previous MI.12,13 Only in one study,25 LVEF was analysed as a continuous variable, which resulted in no difference in LVEF in those with and without depression (45.8 vs. 46.8%; P=0.39). Taken together, the available data, including our study, point to a possible relationship between LV dysfunction and depression during hospitalization for MI, although further research is warranted.
The present study shows, for the first time, that LVEF, as assessed shortly after MI, is also prospectively associated with the development of depression in the year post-MI. It was shown that the lower the LVEF, the higher the rate of post-MI depressive disorder. This association remained significant, even after adjustment for important correlates of depression. The presence of depressive symptoms during hospitalization did not alter this association. The association tended to be stronger for men when compared with women.
As far as we know, our study is the first to show the relationship between LVEF and the severity of depressive symptoms in post-MI patients. Previous studies have shown that patients with a clinical diagnosis of CHF have higher depression scores than their counterparts without CHF.26,27 One may argue that our results merely reproduce these findings in CHF patients; however, we observed that the relationship between LVEF and depression remained significant after adjustment for CHF at admission (i.e. Killip class). Moreover, it must be taken into account that we included only MI patients, making the comparison with CHF patients at least speculative. In this connection, it is of relevance that, in CHF patients, a substantial part is free from CAD. As evidence is growing that depression is more prevalent in the context of clinical manifestations of vascular disease ('vascular depression' hypothesis28), the absence of clinically overt vascular disease in some CHF patients might be important.
As to the mechanism underlying the strong link between LV function and both rate and severity of depression, two pathways could be involved, i.e. a psychological and a biological pathway. First, extrapolating from the comprehensive literature on CHF, the association might be due to poor quality of life as a result of worse overall health status,29 more co-morbidity,30 higher rehospitalization rate,31 worse social functioning,32 and more non-employment.30 All of these factors may result in higher rates of depression as they represent or lead to increased depressogenic stress. Alternatively, the association between LV dysfunction and depression might be the result of biological adaptations that accompany LV dysfunction.33–35 It was surmised that the increased cytokine levels in CHF, such as interleukin-1, interleukin-6, and tumour necrosis factor-alpha, play a mediating role in the genesis of depression. A similar mechanism may be operative in patients with severe LV dysfunction. Because the associations we have found do not elucidate causal mechanisms, it is also possible that depression leads to LV dysfunction. In this connection, a study by Williams et al.36 is of interest in which depression was an independent risk factor for CHF among elderly women. The observed relationship between LV dysfunction and depression would support both possibilities, but further research is warranted before causal inferences can be made.
Several limitations of our study deserve comment. First, we have no data on two potential confounders, namely, pre-MI psychiatric morbidity36 and alcohol abuse.37 Secondly, only MI patients with BDI scores≥10 had a psychiatric interview. Therefore, we cannot exclude that MI patients with low BDI scores had a depressive disorder if they would have been interviewed. However, the probability of false-negatives is low, because of the high specificity of the BDI.38 Finally, to feed the debate on depression and cardiac disease severity, we focused on the relationship between depression and LVEF. Another important determinant of cardiac disease severity in the post-MI setting is the extent of CAD. Although a substantial part of the study population underwent coronary angiography, our data set lacks systematical information on the extent of CAD.
This study provides evidence for a strong relationship between LVEF and depression in MI patients. These findings add to the ongoing discussion6–8 whether depression and cardiac disease severity are related. If anything, our data clearly show that the relationship between depression and LVEF must be taken into account, when evaluating the effect of depression on cardiac prognosis.
We thank the anonymous reviewers for their valuable comments. MIND-IT is supported by a grant of The Netherlands Heart Foundation (97.016) to Professor J.O. Professor D.J.v.V. is Established Investigator of the Netherlands Heart Foundation (D97.017). The MIND-IT received educational grants from Organon (Oss, The Netherlands) and Lundbeck (Amsterdam, The Netherlands).
Conflict of interest: we have no conflict of interest to state.
The following investigators en institutions in The Netherlands participated in the MIND-IT study.
Steering committee: J. Ormel (principal investigator), A.H. Schene, A. Honig, H.J.G.M. Crijns.
Study coordination: P. de Jonge, J.P. van Melle.
Data management: Trial Coordination Centre (TCC), Groningen, The Netherlands.
Clinical centres: Flevo Hospital, Almere: A.S.J.M. Sadee, L.M. Konijnenberg. Academic Medical Centre, Amsterdam: G. Casteelen, A.M.G. Kuyper, R.J.G. Peters. Slotervaart Hospital, Amsterdam: M. Bax. Nij Smellinghe Hospital, Drachten: M. van der Linde, H. Teunenbroek. Medical Spectrum Twente, Enschede: D.G. Buiten, G.P. Molhoek. University Medical Centre Groningen: J.A. den Boer, J.F. May. Tjongerschans Hospital, Heerenveen: H.P. den Daas, D.G. Jochemsen. Atrium Medical Centre, Heerlen: L.H.B. Baur, C.J.M. van den Berg. Medical Centre Leeuwarden: D.M. Tulner, C.J. de Vries. University Hospital Maastricht: A. Honig, P.M.J.C. Kuijpers, A. Schins.
- © The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: email@example.com


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Ant & Dec's Tel Aviv Takeaway
May 2, 2014
There was great excitement among some post-Pesach travellers on the tarmac of Ben Gurion Airport last Thursday.
When they saw the Monarch aircraft to take them to Luton, it sported the logo Ant & Dec's Saturday Night Takeaway.
The aircraft was the one used to transport competition winners on the ITV show to a prize holiday in Florida. So what it was doing in Israel?
Could a surprise be in store for lucky passengers? Might the Tyneside pair be waiting in the aisles to help hand out trays of kosher chicken?
Alas, a more prosaic explanation. Monarch said the plane had ended its showbiz run but the logo was not due for removal until it went for maintenance later this month.
Last updated: 4:45pm, May 2 2014


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Insurance Business Glossary R
A selection of articles related to insurance business glossary r.
Original articles from our library related to the Insurance Business Glossary R. See Table of Contents for further available material (downloadable resources) on Insurance Business Glossary R.
- What day are you born on?
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- Lynne, Carol
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- Basics of Magick: The Use of Color in Magick
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Blackcurrant Backpackers
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TravelPod Member ReviewsBlackcurrant Backpackers Taupo
welcome was a breath of fresh air, could not be more helpful. Room big and clean and there was outdoor space to sit and chat. Overall very friendly and hospitable
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really clean bathrooms and rooms. nice staff, ok size kitchen cheap laundry!
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Blackcurrant Backpackers is an amazing place to stay. I was given the most amazing welcome out of all the hostels I stayed in during my two months moving around NZ. Everyone is very friendly and they geniunely want to make your stay more pleasurable for you. I had a booked for a dorm bed in a 6 bed dorm I think but was given a double bed within a dorm which I think was a 5 bed dorm. The facilties were all quite new, clean and well looked after.
The hostel had a really friendly feel to it and the staff would introduce you to other guests quite often.......also due to the friendly welcome everyone is given I found that made the backpackers more open to chatting to others.....I met loads of people here and stayed for over a week, split by about a month.
This hostel got 'top pick' for in the 2010 Lonely Planet and I can truly see why, it was fab.
This review is the subjective opinion of a TravelPod member and not of TravelPod.com.
TripAdvisor Reviews Blackcurrant Backpackers Taupo
Travel Blogs from Taupo
What an experience, what a week!
After yet another a early start popular with these pesky bus companies we were northbound for Taupo, diverted the long way round due to snow on the route we wanted to take and then made even longer because we got lost! Oops! (It did, however, give me more time to consider my activities in Taupo!)
So I was very grateful when we finally arrived …
Today has been strange - not unpleasant but a bit weird. Despite the day being generally fine, and even hot this afternoon, there has been a watery theme. I got caught in a torrential thunderstorm this morning so now even the van is decked out with wet damp clothes.
I started off the day at the Craters of the Moon. I still haven't got b...


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Clarica Arena
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Orthogonal Matrix Canonical Form
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Magick >> Qabalah
- A Treatise on Astral Projection
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- Enochian Temples: The Lower Temple
- The previous sections dealt with the Temple primarily in its relation to the macrocosmic world. The Servient squares were considered only in their formation as the floor, and were largely ignored otherwise. But they can also be grouped to form altars of the...
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- Raising the World Mind (GM10-11)
- Part 1 | Part 2 Part 1 The wise live in accord with natural laws. It is they who understand that the laws of nature are much higher than the laws of man, because breaking them implies penalties far greater than a fine or prison sentence. When a person...
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ALPENA - Business owners and employees from around Alpena participated in the first Business After Hours at the APlex Friday night. The event gave businesses a chance to connect with other businesses, something they don't have much of an opportunity to do during the Business Expo.
"This is for business to business interaction and networking because that doesn't tend to happen a lot on the actual day of the Expo," Jackie Krawczak, executive director of the Alpena Area Chamber of Commerce said. "Some of our members really wanted more of that interaction. A lot of businesses have customers that are another business, so this is an opportunity for them to talk to each other and find that potential business client."
The event was invite-only to area businesses, and Krawczak said she was excited about the number of people in attendance.
"For this being our first year we were really surprised and pleased with the turnout," she said. "The number of people came showed us there really is interest in doing this."
Staples assistant manager David Powierski thought the Business After Hours event was a great opportunity and said he enjoyed talking with other businesses.
"I think it's a great idea," Powierski said. "We tend to lose the ability to talk to the businesses when we have the large groups of people showing up during the Expo. This gives us some time to talk to each other and be able to network. With Staples, for example, we get to talk to people about how we can help with their business and maybe share some ideas on how we all can help each other."
Pete Wilson, co-owner of Alpena Agency, said he thinks the event is a good opportunity for other business owners to talk with each other about what's happening in the community and where things are going with Alpena in the future, all while in a relaxed environment.
"In the regular show, you're consumed with talking to other potential customers, so this gives us the opportunity to meet everybody and take a few minutes to talk with each other," Wilson said. "From a community standpoint, anytime the local businesses get together and work together and understand each other better gives the opportunity for the community to go forward. We're all in this together. All these businesses are in the same environment trying to do the same thing; carve out a living, provide a good product to the community and see the community grow."
Business owners had a chance to get ideas for growth from one another, and find common ground with similar businesses in the area.
"In my eyes, this reduces some of the barriers we might otherwise have from a competition type standpoint," State Farm Agent, Neil Seabase, said. "There's a lot of us that have similar businesses here whether its the cellular phone business to the insurance world to whatever. It allows us to communicate in a non-competitive situation."
Hal Neiman, owner of Neiman's Family Market, said the event had been in the works for a while, and he was glad to see the number of businesses present. Neiman agrees with the idea there is a need to communicate with other businesses and appreciates the opportunity to shop locally for needed goods and services.
"This is a new idea, and I think it's always tough to get something new going like this, but ultimately I think this was a great idea," Neiman said. "Renewing connections to the local community is important. We're big on trying to shop locally and I think we'll find more businesses working with other businesses through events like these and working one-on-one with members and customers to lay the groundwork for a better community."
Nicole Grulke can be reached via email at firstname.lastname@example.com or by phone at 358-5687. Follow Nicole on Twitter @ng_alpenanews.


text: Asus VivoBook X202E-DH31T-PK 11.6" Touchscreen Notebook - Pink Intel Core i3 | 4GB | 500GB | Windows 8 Flag this deal What's the matter? Choose a reason Dead deal Duplicate Bad link Spam Inaccurate No value Alive again Edit deal newguy Dec 15, 2013 Price drop Reply 1 like Dexterous Dec 15, 2013 @newguy Sweet Reply 1 like newguy Dec 15, 2013 @praveensapkota: thanks :) Reply branie May 06, 2013 Pink is such a girly color, love it and love Asus laptops. I am enjoying my newly purchases Asus laptop. Reply LisaNtom08 Mar 04, 2013 Love the pink!! This is a really good deal too Reply 1 like Load More Comments


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St.John Flynn chats with Andrew Kozma, K.C. Scharnberg and Chris Thompson.
The Front Row
A Night of Inky Improv
We preview A Night of Inky Improv, coming up tomorrow night at Spacetaker. NANO Fiction writer, Andrew Kozma, artist Chris Thompson of the Sketchy Neighbors collective and K.C. Scharnberg, Program and Marketing Manager of Spacetaker, chat with us about creating stories, poems and illustrations on the spot, in response to suggestions from the audience!


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We'd just turned at the cemetery there at Johnston's Corners, towards the chapel and Sunday morning worship. And there, across from the Wood's farm, the…More
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He's out in the deep vast white, a hooded smudge of color trudging through the deep. I watch from the window, watch the golden lab…More
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text:
Back (Stand Not Included)
Front Without Barndoors
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Price: $39.95
Instant Savings: $10.00
Offer ends: Oct 31 '16 at 11:59 PM EDT
You Pay: $29.95
Questions? Ask our experts:
800.606.6969 Live Chat
This light is compact, with vertical barndoors. It comes with a AC lamp and has a standard shoe adapter. The lamp protecter is diffused for a soft effect and the head tilts for a ceiling bounce if needed.
Note: Unit as sold is AC-powered only. To use the unit with DC battery power, you need a Bescor ACTODC adapter, a 12V bulb, and a 12V battery.
|Lamp Type
|100 Watt, 110 VAC (ESY100)
|Mount Type
|Universal Shoe Mount
|Power Source
|Power Consumption
|100 Watts
|Power Connector
|Standard AC Plug
|Dimensions (WxDxH)
|Not Specified by Manufacturer
|Not Specified by Manufacturer
|Packaging Info
|Package Weight
|0.8 lb
|Box Dimensions (LxWxH)
|6.8 x 3.9 x 3.4"


text:
This business is not BBB accredited.
Stephens & Moore, PLLC
Phone: (989) 672-4255 215 N. State St. Suite 1, Caro , MI 48723 http://www.stephensandmoorepllc.com
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