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Nagy, Sándor MD; Bush, Melissa MD; Stone, Joanne MD; Lapinski, Robert H. PhD; Gardó, Sándor MD, DSci
Department of Obstetrics and Gynecology, Petz Aladár County Hospital, Győr, Hungary; and Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai Medical Center, New York, New York.
Address reprint request to: Sándor Nagy, MD, Department of Obstetrics and Gynecology, Petz Aladár County Hospital, Magyar u.8, Győr, Hungary H-9023; E-mail: email@example.com.
Received October 1, 2002. Received in revised form February 8, 2003. Accepted February 27, 2003.
OBJECTIVE: To evaluate the long-term clinical significance of intrauterine hematomas detected in the first trimester of pregnancy in a general obstetric population.
METHODS: A prospective study was designed to compare perinatal outcomes in 187 pregnant women with intrauterine hematomas and 6488 controls in whom hematomas were not detected at first-trimester ultrasonographic examination.
RESULTS: The incidence of intrauterine hematoma in the first trimester in a general obstetric population was 3.1%. A retroplacental position of the hematoma was significantly correlated with an increased risk for adverse maternal and neonatal complications. The presence or absence of symptoms of threatened abortion did not affect these outcomes. The rates of operative vaginal delivery (relative risk [RR] 1.9; confidence interval [CI] 1.1, 3.2) and cesarean delivery (RR 1.4; CI 1.1, 1.8), as well as the rates of pregnancy-induced hypertension (RR 2.1; CI 1.5, 2.9) and preeclampsia (RR 4.0; CI 2.4, 6.7), were significantly greater in the hematoma group. Placental abruption (RR 5.6; CI 2.8, 11.1) and placental separation abnormalities (RR 3.2; CI 2.2, 4.7) were also significantly more frequent in the hematoma group. Perinatal complications, including the rate of preterm delivery (RR 2.3; CI 1.6, 3.2), fetal growth restriction (RR 2.4; CI 1.4, 4.1), fetal distress (RR 2.6; CI 1.9, 3.5), meconium-stained amniotic fluid (RR 2.2; CI 1.7, 2.9), and neonatal intensive care unit admission (RR 5.6; CI 4.1, 7.6), were also significantly increased in this group. Furthermore, the frequency of intrauterine demise and perinatal mortality was increased in the hematoma group, but this difference did not reach statistical significance (Ps = .6 and .2).
CONCLUSION: Our study suggests that the presence of an intrauterine hematoma during the first trimester may identify a population of patients at increased risk for adverse pregnancy outcome.
Intrauterine hematomas are commonly observed features on ultrasound examinations, especially among patients with clinically evident bleeding in early pregnancy. The incidence of first-trimester hematomas diagnosed by ultrasound has been reported to be 4–22%, depending on the patient population studied.1 Since the initial description of this finding by Mantoni and Pedersen in 1981,2 the resolution of ultrasound equipment has improved dramatically.
The diagnosis of intrauterine hematomas is becoming more common as indications for first-trimester ultra-sonography, such as nuchal translucency measurement, increase. The clinical significance of intrauterine hematomas remains controversial. Three prior controlled studies have found an association between the presence of intrauterine hematomas and preterm delivery as well as spontaneous abortion, but two of those studies3,4 involved a high-risk population. This study aims to investigate the relationship between the presence of an intrauterine hematoma and perinatal outcome in a general obstetric population. We hypothesize that the presence of a first-trimester hematoma might serve as an early marker for adverse perinatal outcome.
This is a prospective, population-based study of the clinical significance of first-trimester intrauterine hematomas in a tertiary care hospital. Greater than 90% of women present in the first trimester for prenatal care at Petz Aladár County Hospital of Győr, Hungary, and all are offered a sonographic examination. All 7862 women who underwent routine first-trimester ultrasound examinations between January 1999 and December 2001 were recruited for participation. Inclusion criteria were the presence of a viable, singleton gestation between 5 and 12 weeks' gestation and delivery after 24 weeks' gestation. Patients with a nonviable fetus, multifetal pregnancy, or fetal abnormality diagnosed by ultra-sonography were excluded. Women who underwent elective abortion or subsequently miscarried before 24 weeks' gestation were also excluded from the study. We compared the clinical outcome in a cohort of 187 patients with intrauterine hematomas with that in 6488 controls in whom a hematoma was not detected.
Gestational age was calculated based on last menstrual period or was corrected when the crown–rump length measurements were more than 5 days different from the last menstrual period. The following sonographic factors were evaluated: crown–rump length, yolk sac diameter, fetal heart rate, nuchal translucency thickness (if the fetus' estimated gestational age was 10–12 weeks), and location of the chorion frondosum. The size of the gestational sac was recorded in all cases. A hematoma was defined as a crescent-shaped, sonolucent fluid collection behind the fetal membranes or the placenta. The position of the hematoma relative to the placental site was described as subchorionic or retroplacental. The subchorionic hematoma was defined as being located between the chorion and the uterine wall, whereas the retroplacental hematoma was located behind the placenta. The location of the hematoma was marked as anterior, posterior, fundal, or cervical. The sonographic evaluation also included the size of the hematoma relative to the gestational sac size and was characterized as small (less than 20%), medium (20–50%), or large (greater than 50%). Volumes of the hematoma and gestational sac were estimated by measuring the maximum transverse, anteroposterior, and longitudinal diameters and multiplying these values by the constant 0.52, as was suggested by Campbell.5 The correction factor of 0.52 is used to correct for the crescent shape of the hematoma. All measurements were performed with an ATL 3000 (Philips Medical Systems, Bothell, WA) by perinatologists in the department. When a hematoma was detected, it was reassessed every 7–14 days, depending on clinical symptoms, until it disappeared.
The departmental policy is to perform chorionic villus sampling (CVS) transabdominally between 13 and 14 weeks or amniocentesis at 16 weeks. As a result, no procedures were performed on any of these patients in the first trimester, and therefore the hematomas could not have been caused by an invasive procedure.
Patient demographic data and pregnancy data were obtained by a questionnaire, interview, and review of medical records. Specifically, symptoms of threatened abortion (eg, brownish discharge, spotting, bleeding, cramping) were documented. Maternal and neonatal outcome data were entered into a computerized perinatal database. Outcome variables analyzed included mode of delivery, birth weight, Apgar scores, occurrence of pregnancy-induced hypertension, preeclampsia, and placental abnormalities. Also analyzed were the incidences of meconium-stained amniotic fluid, fetal distress, preterm birth, fetal growth restriction, and neonatal intensive care unit (NICU) admission. Fetal distress was defined as persistent late decelerations or other heart rate patterns consistent with fetal hypoxia. The definition of preterm birth was a delivery at a gestational age of less than 37 weeks. Fetal growth restriction was defined by a birth weight of less than the tenth percentile for gestational age and sex according to Hungarian norms. The incidence of placental abnormalities was also evaluated and included placental abruption, cotyledon retention, and retained placenta requiring manual removal.
Categoric variables in the statistical analysis were assessed by χ2 analysis or two-tailed Fisher exact test in cases of small–expected cell frequencies. Apgar scores were assessed by the Mantel–Haenszel χ 2 test for trend. Differences in continuous variables were evaluated by a two-tailed Student t test or, if the data were not considered to be normally distributed, by the Mann–Whitney U test. P values less than .05 were considered statistically significant. In addition, the relative risk of adverse perinatal outcomes and the 95% confidence intervals were calculated. All statistical computations were performed with SAS statistical software (SAS Institute Inc., Cary, NC). The study was approved by the Petz Aladár County Hospital Ethics Committee, and informed consent was obtained from all participants.
During the study period from January 1999 to December 2001, 7862 patients underwent routine first-trimester obstetric ultrasonographic examination at our institution. Of these, 262 had an intrauterine hemorrhage documented. Twenty-seven of the 262 were excluded because of the presence of multiple gestation (nine), nonviable fetus (13), or termination due to major congenital malformation (five). Five patients were lost to follow-up, leaving 230 patients with hematomas. Seven thousand six hundred patients with singletons did not have intrauterine hemorrhage. Of these, 425 were excluded because of the above-mentioned exclusion criteria, leaving 7175 patients without hematomas. Thus the overall incidence of intrauterine hematoma in patients with singleton intrauterine pregnancies was 230 of 7405 (3.1%).
Of the 230 patients with intrauterine hematomas, 43 (18.7%) had subsequent pregnancy loss at less than 24 weeks, so 187 women were available for the study group. The 43 women with subsequent miscarriages were excluded from further analysis and will be the subject of another report. Of those without intrauterine hematomas, 687 (9.5%) spontaneously aborted. The control population is therefore comprised of 6488 women who delivered a singleton fetus at Petz Aladár County Hospital.
The most common location of the hematoma was anterior in 75 patients (40%). The other locations were cervical in 63 patients (34%), fundal in 30 (16%), and posterior in 19 (10%). The hematoma was subchorionic in 91 pregnancies (57%) and retroplacental in 68 of 159 pregnancies (43%). It was not possible to localize the hematoma in 28 cases because of early gestational age (less than 7 weeks). The size of the hematoma was characterized as small in 77 cases (41%), medium in 84 (45%), and large in 26 (14%), relative to the size of the gestational sac. Mean gestational ages were 9.8 weeks at detection of the hematoma and 10.8 weeks at the first ultrasound scan in the control group (P < .001).
Maternal characteristics are provided in Table 1. There were no significant differences between study and control groups with regard to maternal age, smoking history, and medical and reproductive history. The most frequent indications for prenatal diagnosis were advanced maternal age and ultrasound suspicion for chromosomal abnormality. In the study group 11 patients (5.8%) underwent amniocentesis, whereas none had CVS. Five hundred forty-one control patients had prenatal diagnostic procedures (8.3%), consisting of 462 amniocenteses and 79 CVSs.
The symptoms of threatened abortion, such as vaginal bleeding or discharge, with or without cramping were detected in 133 hematoma patients (71%), whereas 54 (29%) did not have any of these symptoms. The "silent hematoma" in these cases was diagnosed only by ultra-sonographic examination.
The rate of operative vaginal delivery (vacuum extraction in our institution) was significantly greater in the hematoma group than in the control group (7.5% versus 3.9% [P = .01]), and the frequencies of cesarean delivery were 27.3% and 19.6%, respectively (P = .009) (Table 2). Interestingly, most of the indications for operative delivery were due to fetal distress and placental abruption, conditions that may be related to placental insufficiency.
Table 2 presents maternal complications during pregnancy and delivery. Pregnancy-induced hypertension was more common in the study group than in the control group (15.5% versus 7.5% [P < .001]), as was preeclampsia (8% versus 2% [P < .001]). Placental abruption was also significantly more frequent in the hematoma group (4.8% versus 0.9% [P < .001]). The incidence of manual uterine exploration or curettage because of postpartum bleeding or cotyledon retention was also more frequent in the hematoma group (13.9% versus 4.9% [P < .001]). Finally, manual removal of retained placenta was more common in the study group (8% versus 2.3% [P < .001]).
The neonatal birth characteristics are listed in Table 3. Mean gestational ages at delivery were similar in the two groups. Mean birth weights (3272 g versus 3740 g) and Apgar scores were statistically significantly lower in the study group (P < .001).
Perinatal outcomes are also shown in Table 3. The rate of preterm delivery was increased significantly in the study group (16%) relative to the control group (7.1%) (P < .001). The average gestational age of the preterm infants in the study group was 32.9 ± 3.2 weeks (range 24 1/7–36 4/7). Forty-three percent of the patients who delivered preterm were younger than 34 weeks, and 10% delivered at less than 28 weeks. Spontaneous preterm labor presented in 11 women (37%), and preterm premature rupture of membranes in seven (23%). Twelve preterm deliveries were indicated, in cases of placental abruption (four), fetal distress (five), and preeclampsia (three). Twelve of 30 women with preterm deliveries had cesarean deliveries (40%).
Fetal growth restriction was significantly more common among the hematoma group (7% versus 3% [P = .002]). The rate of fetal distress in the hematoma group was also significantly higher than that in the control group (19.2% versus 7.5% [P < .001]). There were also greater frequencies of meconium-stained amniotic fluid (24.6% versus 11.1% [P < .001]) and NICU admission (20.9% versus 3.7% [P < .001]) in the hematoma group.
The frequencies of intrauterine death (1.1% versus 0.7% [P = .6]) and perinatal mortality (2.1% versus 1.2% [P = .2]) were also increased in the study group, but these differences did not reach statistical significance. There was also no difference in the incidence of congenital fetal anomalies between the two groups (1.6% versus 1% [P = .4]).
An analysis of perinatal outcomes by hematoma characteristics and clinical symptoms of threatened abortion revealed that there was no association between the presence of clinical symptoms at the time of detection of the hematoma and poor perinatal outcome. Interestingly, a retroplacental position of the hematoma was significantly correlated with an increased risk for adverse maternal and neonatal complications, such as fetal distress in labor, meconium-stained amniotic fluid, NICU admission (P < .001), preterm delivery (P = .001), preeclampsia (P = .007), and fetal growth restriction (P = .04). Although neither the size of the hematoma nor its location was associated with adverse outcome, fetal distress was significantly more frequent when the hematoma was located posteriorly (P = .04).
The clinical significance of intrauterine hematomas in patients with threatened abortion is relatively well documented. A review conducted in 1993, however, found no information available in the English language literature on the incidence or significance of either subchorionic or retroplacental hematomas in a population of normal pregnant women. Early studies of subchorionic hemorrhages focused on very selected populations (ie, women with threatened abortion or recurrent miscarriage) and reported incidences that varied between 4% and 22% (Table 4). Possible reasons for the discrepancy in these rates include variable patient populations, a wide range of gestational ages, and lack of a standard definition of intrauterine hematomas.
In 1996, Ball et al14 reported that 317 of 24,291 low-risk patients were noted to have a subchorionic hemorrhage (1.3%). The overall incidence of intrauterine hematoma (3.1% [230 of 7405 singleton pregnancies]) in this series and that when those who subsequently aborted are excluded (2.8%; 187/6675 singleton live births) are similar to that found by Ball and colleagues and may represent an accurate incidence of intrauterine hematomas in a general obstetric population.
Although hematomas vary significantly in shape and size, most follow the arch of the uterus and form a crescent-shaped fluid collection between the uterine wall and the membranes. Published opinions on the clinical significance of the volume of intrauterine hematomas are controversial. Several authors have attempted to relate the size of the hematoma directly to pregnancy outcome and to determine whether this factor has predictive significance.2,8,9 In most of the studies, including ours, the estimated volume of the hematoma did not correlate with the outcome of the pregnancy.4,6,14 Perhaps it is the presence or absence of a hematoma as a marker of the integrity of placentation and not its size that is important.
We found that intrauterine hematoma identifies a gestation at risk for a number of complications including preeclampsia, pregnancy-induced hypertension, and placental abnormalities. Many of these complications fall under the rubric of impaired placentation. Our study confirms the findings of Tower and Regan3 that the presence of a hematoma is associated with an increased risk for preeclampsia. The hematoma may be an early ultrasound marker of abnormal placentation or of pre-eclampsia, which is known to result from abnormal trophoblast invasion.15
We found a 5.8-fold increased risk of placental abruption in the hematoma group. It is possible that the initial cause of the hematoma and not the presence of the hematoma itself may be responsible for placental abruption in these patients. Support for that hypothesis is derived from the length of time between diagnosis of a hematoma in the first trimester and a third-trimester abruption.14 Interestingly, not only premature separation but also abnormally adherent placentation was increased in our hematoma group. Our finding of an increase in the incidence of manually removed placentas in patients with hematomas is in accordance with previously published reports.7,11 This may reflect the ability of a hematoma to impair normal placentation, or the hematoma could be a result of impaired placentation. Our study also demonstrates that patients with intrauterine hematomas are at a much higher risk for fetal growth restriction. Again, this supports the theory that abnormal placentation may be related to both the development of intrauterine hematomas and fetal growth restriction. Lastly, our findings of an increased risk of cesarean delivery in the hematoma group primarily due to fetal distress also support the theory of abnormal placental development and function in these women.
Preterm delivery is the most frequently investigated outcome in patients with subchorionic and retroplacental hematomas. Our report of a 16% rate of preterm delivery is consistent with the 12% reported by Pearl-stone1 but lower than the 32% preterm delivery rate reported by Tower.3 It is important to emphasize that our preterm delivery rate of 16% occurred in a general obstetric population as opposed to the high-risk population studied by Tower. Despite the increased rate of preterm delivery, mean gestational ages at delivery were the same in our intrauterine hematoma and control groups because more intrauterine hematoma patients also delivered after their dates. It has been suggested that a localized accumulation of blood causes mechanical uterine irritation and therefore stimulates contractions.3 Another possible mechanism for the preterm uterine activity is bacterial colonization of the hematoma and endotoxin release with subsequent prostaglandin synthesis. Seki et al16 found that 77% of pregnancies with a persistent subchorionic hematoma had delivery before 37 weeks, and six of their 22 cases (27.3%) had chorioamnionitis. The fact that all of those patients had hematomas that persisted until the time of delivery might explain this extremely high rate of preterm delivery and chorioamnionitis.
The frequency of fetal asphyxia, abnormal heart rate patterns, meconium-stained amniotic fluid, and low Apgar scores seen in the patients with intrauterine hematomas may be due to the increased rates of preterm delivery, fetal growth restriction, and placental abruption. In any event, the presence of intrauterine hematomas in the first trimester identifies a group of patients at higher risk for pregnancy complications.
Perinatal mortality can be thought of as the ultimate manifestation of disordered placentation. Our findings of an increased risk of intrauterine demise and perinatal mortality are consistent with previous reports11,14; however, mortality is a rare event, so the difference did not reach statistical significance.
Limitations of our study include the lack of a separate analysis of persistent hematomas versus those that resolved over time. Although most subchorionic hematomas, approximately 70%, resolve spontaneously by the end of the second trimester, some may persist until the end of the pregnancy, and it has been suggested that these have the potential to cause problems or complications for the mother or fetus.16 Stratification of our data in this fashion would enable more precise prognostic information with which to counsel patients. We also did not compare the incidence of chorioamnionitis between the two groups, which is a possible confounding factor influencing the rate of preterm birth.
The presence of the hematoma could bias physician management of labor, in theory. Although physicians were aware of the presence of first-trimester hematomas, labor management was affected by obstetric factors like the course of labor, the pelvis, and the fetal heart rate tracing. It is not common knowledge that the presence of a hematoma 6 months before might serve as a marker for adverse perinatal outcome. No patient is currently offered third-trimester antenatal testing for this indication, and physicians are not likely to base labor management decisions on this finding.
Lastly, pathologic examination of the placentas might have added to our understanding of the role of intrauterine hematomas in abnormal placentation. Further understanding of the etiology of the hematoma might direct a workup for other medical conditions that can lead to adverse outcome, including lupus erythematosus and one or more of the thrombophilias.
Intrauterine hematomas occur in 3.1% of a general obstetric population and are associated with adverse pregnancy outcome. Our study suggests that the presence of a first-trimester intrauterine hematoma may be a useful sign to identify a population of patients at greater risk for adverse pregnancy outcome. Based on our findings, the presence of intrauterine hematomas might be an indication for sonographic evaluation for fetal growth later in pregnancy as well as third-trimester antenatal testing. Indeed, the ultimate goal of triaging patients into low-risk and high-risk populations is to more accurately target our available forms of surveillance and therapy.
This article has been cited 1 time(s).
© 2003 The American College of Obstetricians and Gynecologists
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The Allora AAEU-204 Series 4-Valve Euphonium is designed to meet the needs of the intermediate player looking for an affordable 4-valve instrument. T...Read More
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A glorious first euphonium.
The Allora AAEU-204 Series 4-Valve Euphonium is designed to meet the needs of the intermediate player looking for an affordable 4-valve instrument. The AAEU-204 is a non-compensating instrument that features 4 top-action, nickel piston valves with smooth action plus a gold brass leadpipe for proper note placement.
- Key: Bb
- Bore: .590-inch
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subset: commoncrawl


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Life Of A Tree
by Aaron Reed
Life Of A Tree by Aaron Reed was photo of the day on Tuesday, 29th January 2013. It is tagged Trees. You can leave a comment below.
13 Comments
this colors are really beautiful
AMAZING COLOURS, great shot congratulations
Sure doesn't look like it was raining. Pic is bright and crisp and clear just a really beautiful fall pic!
Wonderful to see another maple than the most famous one Aaron!! Congrats on the recognition.
Beautiful. Your web site is wonderful!
Wonderful classic photo. I've always loved the Japanese maples, and thanks for reminding me how gorgeous they are. I used to live Long Island, NY, and had many of them, but don't see them here in Texas very often.
Wow! What a pop of color against all that glorious green! Julst lovely! And I love your title as well.
Very pretty colour and nice shape to boot.


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Please view our 45-minute webinar to learn from our technologists about the recently (May 2009) launched IC Validator, an ideal add-on to IC Compiler for In-Design physical verification. In-Design physical verification helps place and route engineers significantly reduce time to tapeout and improves DFM, by enabling physical verification within the implementation flow.
Overview:Modifying your layout after implementation can affect other design targets such as timing, power and signal integrity. In-Design physical verification provides a push-button flow for signoff quality metal fill and Design Rule Checking (DRC) inside IC Compiler where timing can still be considered. Our physical design and verification technologists will show you how new IC Validator In-Design physical verification combines timing awareness and signoff accuracy to speed up your tapeout schedule.
Kerstin McKay is CAE director for Synopsys' Physical Verification products and has been with Synopsys since 2002. Kerstin received her Master of Science degree in Physics with Advanced Studies in Biomedical Engineering from the University of North Carolina at Chapel Hill.
Frank Tseng is R&D director for IC Compiler routing technology and has been with Synopsys since 2002. Frank received his Ph.D. degree in computer engineering from Syracuse University in 1996. Frank will be available to answer questions during the Q&A.


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Everyone is hurting. The economic situation our country is going through right now has caused companies of all shapes and sizes to adjust their production plans.
In this week's Soapbox, Adam takes the time out of his busy schedule to talk directly to the gaming companies and give them some advice on how to make it through this economic downturn. While I'm sure most publishers will listen to their financial analysts before they listen to Adam, he lays out some plans that not only would keep gamers happy, but also help some companies avoid a few pit falls.
Do you think this will be the year of safe sequels? Or will downloadable content and smaller, downloadable games make a big splash?
Subscribe to G4's Sessler's Soapbox Podcast by clicking your preferred service:


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Medicaid Satisfaction Survey Report - February 2012
Consumer Satisfaction Survey of Medicaid Managed Care Health Plan Enrollees
As part of its charge to monitor managed care plan performance and improve the quality of care provided to New York State residents, the New York State Department of Health (NYSDOH) sponsors a satisfaction survey every other year for adults enrolled in Medicaid managed care plans. The Department uses the results from this biannual survey to determine variation in member satisfaction among the plans.
In New York City, Medicaid enrollees living with HIV/AIDS may be enrolled in a type of Medicaid managed care plan called a Special Needs Plan (SNP). These plans are designed to specifically address the needs of members living with HIV/AIDS by providing access to providers experienced in HIV/AIDS care and offering services specialized for HIV patients. While members enrolled in Medicaid managed care plans have been surveyed about their experience of care since 2000, this was the first time that members enrolled in SNPs were surveyed. While SNPs are a type of Medicaid managed care plan, the benefit package for SNP members differs significantly from the mainstream plans. The instrument and administration of the satisfaction survey was the same for both the mainstream and SNP plans, however results between the two plan types were analyzed separately for fair comparison.
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey is a comprehensive tool designed to assess consumers' experience with health care and health plans. CAHPS® is the survey instrument that asks health plan members about experiences with access to care, health care providers, and health plans. DataStat, Inc. conducted the survey on behalf of the NYSDOH in 2011. The instrument used for the administration of the survey was the CAHPS® 4.0 Adult Medicaid core survey, developed and tested nationally for assessing the performance of health plans.
The majority of question items address domains of member experience, such as getting care quickly, communication with doctors, and overall satisfaction with health care and with the health plan. The survey was expanded to include 23 supplemental questions addressing areas of particular interest to the NYSDOH. The final section of the instrument contains a set of questions collecting demographic data. In total, the survey instrument consists of 63 questions. A copy of the modified CAHPS® questionnaire can be found in Appendix A of the report.
Adult Medicaid Health Plan Survey - CAHPS - February 2012
- Affinity Health Plan (PDF, 1.31MB, 102pg.)
- Amerigroup New York (PDF, 1.32MB, 102pg.)
- CDPHP (PDF, 1.27MB, 102pg.)
- Excellus BlueCross BlueShield (PDF, 1.33MB, 101pg.)
- Fidelis Care New York (PDF, 1.32MB, 101pg.)
- Health Plus (PDF, 1.30MB, 102pg.)
- Healthfirst PHSP (PDF, 1.31MB, 102pg.)
- HealthNow New York (PDF, 843.5KB, 101pg.)
- HIP (PDF, 1.30MB, 102pg.)
- Hudson Health Plan (PDF,1.30MB, 101pg.)
- Independent Health's MediSource (PDF, 1.33MB, 102pg.)
- MetroPlus Health Plan (PDF, 845KB, 102pg.)
- MVP (PDF, 1.26MB, 101pg.)
- Neighborhood Health Providers (PDF, 1.33MB, 102pg.)
- Total Care (PDF, 1.28MB, 101pg.)
- UnitedHealthcare Community Plan (PDF, 1.32MB, 102pg.)
- Univera Community Health (PDF, 1.31MB, 102pg.)
- WellCare of New York (PDF, 1.31MB, 102pg.)
HIV Special Needs Plans
- AmidaCare (PDF, 1.10MB, 97pg.)
- Metroplus Select (PDF, 1.14MB, 98pg.)
- New York Presbyterian Select (PDF, 1.14MB, 98pg.)


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Adam Yauch Restarting Work On 'Hot Sauce Committee'
Cancer-struck Beastie Boys rapper Adam Yauch is planning to restart work on the band's latest album now he's recovering from the illness - but the record's release is still dependent on his health. Hot Sauce Committee, Part 1 was indefinitely postponed after Yauch was diagnosed with a salivary gland tumor last year.
He underwent surgery to remove the growth and kick-started a health drive with a trip to Tibet. Yauch recently announced he's feeling much better in his ongoing battle against cancer, and now hopes to restart work on the new record which could be released in September as long as he remains healthy.
He tells EW.com, "I feel better. It was touch and go there for a while, but I am finally getting my energy back. It was really disappointing to have to hold the record and postpone the tour, but doctor's orders. We may or may not (release the album) depending on how my health is come September. We want to but we have to play it by ear. We were talking about working on it a bit. We finished the record over a year ago, so we want to take a look at it and re-evaluate and make sure it is what we want to put out there and that we are still happy with it. I don't think we will change it up too much."
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I saw the Desire for the first time today...and I was impressed
I want to share something I discovered. I was at Best Buy today in the Magnolia Theater section. They had a setup that demonstrated how certain entertainment devices can be controlled through an Android or IOS device. I looked closer and saw they had an HTC phone (I'd never seen before) in the console. I was caught off guard by the display quality, physical buttons, optical trackpad, and the fact that this phone looked brand new (condition). It was running Sense, but was responsive even though it was using a live wallpaper. Navigating with the optical trackpad was something I had never seen before. I could tell it was an older phone, because it was running Android 2.2, but no one was around to verify the model. So, after a web search I found out it was an HTC Desire and that it had very high review ratings. I was just tickled that they chose the HTC Desire as the centerpiece for that Demo they were running
- 02-10-2013, 06:20 PM Thread Author #2
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Harriet Sherwood Misleads on Religious Significance of the Kotel
Harriet Sherwood's June 25 report on the upcoming visit to Israel and the Palestinian territories by the Archbishop of Canterbury, Justin Welby, devoted some text to outlining his itinerary while in the Holy Land, and included this passage:
During his three days in the Holy Land, he is scheduled to visit the Church of the Holy Sepulchre, believed to be the site of Jesus's crucifixion and resurrection; the Western Wall, the most revered site in Judaism; and the Haram al-Sharif, the site of the Dome of the Rock and the al-Aqsa mosque and the third-holiest place in Islam. All three sites are inside the walls of Jerusalem's Old City.
However, Sherwood gets the significance of the Western Wall and Haram al-Sharif wrong – an error which she has made previously and which has been made (and at times corrected) by other media outlets as well.
Haram al-Sharif is known in Judaism as 'The Temple Mount' (Har Habayit), and is identified in Jewish (and Islamic) tradition as the area of Mount Moriah where Abraham offered his son in sacrifice. It is where the Second Temple stood between roughly 515 BCE until 70 CE and – while it is true, per Sherwood, that it is the third holiest place in Islam – it is recognized as the holiest site in Judaism. While the Western Wall is the holiest site where Jews are permitted to regularly pray, it derives its holiness from its proximity to the Temple site.
Though we have credited Sherwood recently on her progress towards more fair and accurate coverage of the region, this report on the Archbishop's upcoming visit to Jerusalem includes clearly misleading information about the significance of these Jewish and Muslim holy sites which is simply not open to interpretation.
(We recommend you consider reading a great CAMERA backgrounder on the issues surrounding the Temple Mount, here.)
Visit CIFWatch.Adam Levick
About the Author: Adam Levick serves as Managing Editor of CiF Watch, an affiliate of the Committee for Accuracy in Middle East Reporting in America (CAMERA), and is a member of the Online Antisemitism Working Group for the Global Forum to Combat Antisemitism. Adam made Aliyah from Philadelphia in 2009 and lives with his wife in Modi'in.The author's opinion does not necessarily reflect the opinion of The Jewish Press.
If you don't see your comment after publishing it, refresh the page.
Our comments section is intended for meaningful responses and debates in a civilized manner. We ask that you respect the fact that we are a religious Jewish website and avoid inappropriate language at all cost.
If you promote any foreign religions, gods or messiahs, lies about Israel, anti-Semitism, or advocate violence (except against terrorists), your permission to comment may be revoked.
Imported and Older Comments:
Hopes for a two-state solution fade as Palestinian official says 'If we had nukes we'd use them on Israel tomorrow.
Harriet Sherwood in Jerusalem Monday June 17, 2013.
The story reflected in the fake headline above is based on a very real report by Palestinian Media Watch, and coveredelsewhere in the media:
A official, Jibril Rajoub…praised the use of violence against Israel. During an interview on a Lebanese TV channel [on May 2], the host referred to "the negotiations game" with Israel, and Rajoub expressed the view that negotiations are held because the Palestinians lack military strength: "I swear that if we had a nuke, we'd have used it this very morning.".
The Los Angeles Times, like the Guardian, completely ignored Rajoub's statement.


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It is hard to believe that almost 12 weeks have passed since Ohio State loss a heartbreaking game to the Michigan Wolverines up in Ann Arbor.
Needless to say, a lot of activity has been happening surrounding the Buckeye football program since that day. Ohio State hired one of the most successful college football head coaches, NCAA punishments were handed down after the scandal from 2010-2011 and the recruiting process has come and gone for the 2012 season.
Clearly this has been one of the busiest and most hyped offseasons in recent Ohio State history. Here is what we have learned so far.


text: McCreary Modern Matches Employee's Fund Raising Efforts For Ronald McDonald House Furniture Industry News Update - Furniture World Magazine Posted: 4/21/2012 The Ronald McDonald House of Winston Salem "Sport a Shirt, Share a Night" campaign received a donation of $10,000.00 from the employees and management of McCreary Modern. As in past years, McCreary Modern matched each contribution dollar in support of this most worthy organization. During the workday, on Friday April 20th, all participants sported their "Sport a Shirt, Share a Night" tee shirt. Mindy P. Bloom, Director of Development for the Ronald McDonald House of Winston Salem, stated "What the people of McCreary Modern have done for us is unbelievable. We are so grateful to your organization for the generosity and heart of the folks at McCreary Modern… Your kindness is remarkable". 100% of these donations support the Ronald McDonald House of Winston Salem's efforts to provide a "home away from home" for families of critically ill children. McCreary Modern's President, Rick Coffey, indicated "a number of employees, family members and friends have been touched by the kindness and resources of this facility. We are proud of our employee's selflessness and generosity. Their participation since 2005 has allowed us to contribute over $60,000.00 to this most worthy organization." Upholstery and Occasional Manufacturer McCreary Modern Inc. is an Employee and Family owned Company which maintains six manufacturing facilities in Newton, Conover, Lenoir, and Maiden North Carolina. Furniture World Magazine-Business solutions for furniture retailers


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EDIT: I have figured out the problem and solved it, mods please close this thread
Well if those didn't solve your problem what I did was let my M8 run out of battery and then plugged it into my computer holding power+volume down and that allowed me to get into the boot loader and then into fast boot. I then erased the cache and entered recovery where I had a backup ready.
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Dear Guitar Hero: Nancy Wilson
I always thought of myself as a "magic man," but I want to ask you your definition of "magic man." —L.R.
[laughs] Well, I think a "magic man," a man who's truly magic, is someone who's quite romantic and spiritual and has that special…I don't know…"thing" that would attract a "rockin' girl." [laughs] There are a lot of magic men out there, so if you consider yourself one, well, all right!
Although your sister, Ann, sings lead on most Heart songs, you've sung quite a few yourself. Do you feel as though you don't get your due as a singer? —Les Gorney
I really love singing. I love singing harmony, mostly. Generally, I think of myself as a guitar player, but when I do find the right song to sing lead on, I try to do my best. I mean, Ann has such an incredible voice—her gift just dropped out of the sky. I don't pretend to compete with that. So I feel no sense of imbalance there. I'm happy to do whatever singing is needed on my part.
Heart have some amazing riffs. "Barracuda" is my all-time favorite. If you had to pick your favorite Heart riff, which would it be, and why? —Joel Holland
One of my favorites is the intro to "Mistral Wind" [from 1978's Dog & Butterfly]. It's not one of our better-known songs, but I've always liked it a lot. When I wrote that part, it sounded very dissonant and odd to me, but it really worked with the words. I'm very proud of the way the riff married with the lyrics.
I understand that Heart have a new album coming out soon. What can we expect? Are there any radical changes to the band's sound? —T. Cecere
Yes, we do have a new album out soon called Red Velvet Car. I wouldn't describe it as having any radical changes, but I think the acoustic guitars are more aggressive than ever. The way we recorded the acoustics, you get every inch of the wood sonically. I think when people hear this album they'll be surprised at how acoustic guitars can almost out-rock electrics when they're played and recorded in certain ways. But there are a lot of electrics on it, too.
Even though you've done some ballads, Heart have always been a rock band, and a cool one at that. Why do you think you managed to stay cool when so many other bands started to get cheesy? —Jack Foster
[laughs] That's a really well-worded question! I think we've managed to avoid cheesiness by remaining authentic. By that, I mean, we've always tried to stay creative in our own way. We don't always go out and do the summer tours where you play the hits; rather, we'll stay off the road and write and make new albums. We never tried to follow trends; we always tried to stay vital.
Because [director] Cameron Crowe is your husband, does that make it harder or easier to work on his soundtracks? Do you ever tell him, "I'll stick to the music, you stick to the filmmaking"? —Gary Kanopka
In some ways, it's been very hard for me to be involved in his films. A lot of people assume it's kind of a "teacher's pet" syndrome going on. It's a drag when you get that sense that people are thinking, Oh, of course the guy's wife gets to score the film. They don't know that I had to work three times harder to prove that I was qualified. And Cameron is pretty hard to please. He has very specific ideas of what he wants on a musical level, which is probably more than a lot of directors and writers.


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Burglars take copper from vacant homes
Police asking homeowners to secure properties
Published On: Jan 11 2013 12:18:58 PM CST
Police in Milton are investigating two burglary cases where copper was taken from vacant homes.
The burglaries occurred between Saturday and Sunday at a home on West Elizabeth Street and another home in the 900 block of Hilltop Drive, according to police.
Police are asking the owners of vacant homes, real estate agents and neighbors near vacant homes to make sure properties are secured and suspicious activities are reported.
Anyone with information is asked to call the Milton Police Department at 608-757-2244 or Janesville Area Crimestoppers at 608-756-3636.
Copyright 2013 by Channel 3000. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Leslie Bilderback
Stories by Leslie Bilderback
The Jitter Bug
Coffee has been waking up aficionados for centuries.
Erster Slurpin'
Yes, raw oysters taste meh and look worse. So why bother?
Rites of Spring
Take a tip from the Aztecs and welcome the season with a hearty thanks to the nature gods.
Big Glove
Winter Ice
The only snowy stuff you're likely to find in L.A. this month is sweet and surprising.
Sammie Time
Don't be fooled by dropping temps — there's always room for ice cream sandwiches in SoCal.
You say Potato, I Say Potato Lefse
Carb load Norwegian-style with this holiday treat and family tradition.
A Guy Walks into a Bar -- and Orders Cheesecake
Great cheesecake is no joke to aficionados of the venerable dessert.
On Top of the World
Are you taking too much food or too little on life's journey? You be the judge.
A Mission of Mercy
A Navy-borne voyage into the third world alters this columnist's view of home.
Every Girl's a Princess
Sugar and spice — and marzipan too — that's what princesses are made of.
Culinary Art?
Why not? It's certainly tastier than a bowl of Cézanne's apples.
April Showers Bring May Flower Sandwiches
Adorn your palate with these lovely mainstays of traditional cooking.
Et tu, Gluten?
Avoiding the latest bête noire of the bakery has some downsides you may not have considered.


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There are several grilling accessories every outdoor cook needs. Here we have put our collection of Top 10 Grilling Accessories every backyard griller needs to make life a little easier.
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What is Forgiveness?
Once a victim of horrendous sexual, physical and emotional abuse, Sylane Mack shares with passion, vulnerability and even with humor, about the unfailing love of Jesus that has completely, outrageously transformed her into living freely as "more than a conqueror."Continue Reading ›
Measuring with Mercy
With a very broken heart, Nancy's life-changing journey began. The Lord revealed to her that she used two very different yardsticks to measure His gifts of mercy and grace.Continue Reading ›
Pray for Your Sponsored Child: Growth in Grace
Thank God for the church members and ministry staff who can take part in discipling our sponsored children. Pray that your sponsored child will grow in their knowledge of Christ, as well as grow deeper and deeper in His grace.
A Great Finish from a Slow Start
Are you discouraged because the work that God has called you to do is off to a slow start? Remember some of our most wonderful inventions got off to slow starts.
The Gift of Grace
God, in His mercy and grace, grants us salvation through His Son's sacrifice, and the one and only thing we have to do is believe.
Scholarship and Spirituality
Live out the very nature of God's character in an excellent manner. Be the summa cum laude of godliness, kindness, and humility.
Actively Extend Grace
Be challenged today to extend grace to someone. Don't just pray. Do something. It can be the difference between life and death for a hurting soul.
His Grace: My Doorway to Compassion Ministry
Compassion is my name, my pride, my rope, and my hope for many. Joyous? Yes. Blessed? Indeed, just because of His grace.
Nam Jai (Water From the Heart)
The term nam jai (water + heart) means "water from the heart" and is used to describe genuine acts of kindness. It implies that these acts of kindness are done without any expectations — with no strings attached.
Grace Stops Violence and Heals the Wounds of History
As the gospel exemplifies the power of redemptive grace, people are given the power to break not only the cycle of poverty, but also the cycle of violence.
Confessing to Something That Probably Means I'm Human
The poverty in my life is emotional and spiritual. The poverty in the lives of the kids you sponsor and the kids we're meeting here in Kenya is that and more.


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Julia Roberts Talks About Her Role In HBO's 'The Normal Heart'
The cast of HBO's upcoming movie The Normal Heart met the Television Critics Association on Thursday. Based on the play by Larry Kramer, it tells the story of the beginning of the AIDS epidemic from the point of view Ned Weeks (Mark Ruffalo), a gay activist raising awareness about the then unknown disease afflicting, at that time, predominantly gay men. Roberts plays Dr. Emma Brookner, a polio survivor fighting for the medical community to study this disease.
Roberts initially thought she couldn't play Brookner, until director Ryan Murphy, with whom she worked on Eat Pray Love, convinced her. "Interestingly enough, my relationship with Ryan has provided me an incredible education," Roberts said. "This was another stone on that path we shared together. I've been asked twice before to play this part. Not only because of just conflict of time but my inability to fully understand who this character was, when Ryan asked me to play this character, and I said no, I didn't think he heard me. So I was like, 'I don't think I can.' He just said, 'Well, call me back.' I thought let me just ruminate about it a little bit."
In the time spent considering the role, it was further research into Brookner's condition that gave Roberts the key. "I ended up watching a documentary on polio, which I'm too young to remember what that experience was like for the world," she said. "It unlocked the door to who this woman is to me and where her ferocious, relentless pursuit of correctness comes from. It was just such a beautiful experience to get to play her and get to play tribute to a person who never let anything stand between her and the right thing to do for someone else."
Characters in The Normal Heart are based on people from Kramer's life, and their struggles as relevant today and in the future as they ever were. "I think one of the great elements of any good conversation is to find a commonality with people that you don't know and find a oneness that really does travel from each of us to the next of us, no matter what you believe is your higher purpose or calling," Roberts said. "That the thread really does connect us all. If we are connected by a true thread, it's impossible physically to turn your back on somebody. That's the real point of storytelling is to nurture that idea. This movie does it in such a profound way, because it's dealing with a moment that's so desperate and mysterious. We as a humanity failed each other in that time and that's always a great reminder to do better and to stay together."
The Normal Heart premieres in the Spring on HBO.


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Girl Next Door: Elody Gamarra
Innocence and curves, sensuality and charm
Click for Elody's Photo Gallery
This Peruvian beauty was the winner of the Most Beautiful Latina Pageant in Las Vegas. It's easy to see why with her dangerous combination of curves and charm, innocence and sensuality. Check out her hot gallery and see why she was a Bullz-Eye.com Girl Next Door.
For more hot photos galleries, check out Bullz-Eye.com


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What's for Dinner? Day 27 of Babystep Challenge To A Peaceful Home
Do those words fill you with dread? What about when it's 5 o'clock and you still have no idea what the answer is as you're standing in front of the refrigerator just hoping something will assemble itself and jump out at you? Now do you feel stressed out?
At this point, many of us would feel tempted to pick up a phone and order in. Or tell the kids to hop in the car for a "treat". These choices will cost LOTS more money and give you much less nutrition, and much more chemicals and fat. Which you know you don't want to do.
3 Reasons to Make a Menu Plan
1. Save Your Brain
I don't know about you, but my brain is……hibernating. It started with my first pregnancy. You know: Pregnancy Brain. And then it was New Mommy Brain. And then it was Living With Little Children Brain, then more Pregnancy Brain, and so on. So while I used to consider myself an intelligent, thinking person, that person has been sliiiiippppiiing away, and I want to conserve whatever intelligence I have left so that I might be able to write coherent blog posts. In other words, the fewer decisions I must make on a daily basis, the better! It's much easier to decide in one sitting what we will be having for dinner each night than to have to do it every day. And in doing so, I can plan to actually have the ingredients when I go to make the meal. Who would've thunk it?
2. Save Your Money
We'd all like to save money and use it for more important things. When you eat out, you spend MUCH more money than you do when you eat home. When you buy last minute items at the corner convenience store, you also spend much more money than you would for those same items at the supermarket, if you'd known you would want them. And when you buy random things at the grocery store, things spoil because you don't have a plan to use them. What a waste!
3. Eat More Healthfully
When you make your own food at home, you are (hopefully) not going to fill it with MSG and other poisonous preservatives. You can be sure that convenience foods are toxic to your bodies, and with a little bit of planning, you can avoid these and know you are helping your family to be healthier. And it's really easy!
So Here's What You Need To Do.
- Pick an amount of time you'd like to plan. I usually do 1 or 2 weeks at a time, but if you're new to this and it seems too much, try 3 days.
- Write down a dinner meal for each of the days you are planning for. Dinner is the most important meal to plan, so focus on that meal first. Remember to include side dishes.
- On your shopping list, write down each of the ingredients you'll need to make your meal. $5dinner.com has some nice printable planning sheets for menus and grocery lists.
- Go shopping and save money because you're not buying things you don't need or won't use.
It really is that simple.
And if you really don't want to do all of this, you can go to SavingDinner.com and buy their menus, complete with grocery lists. They're very inexpensive and will still save you lots of time and money.
What's For Dinner is the theme of Day 27 of the Flylady's babysteps. I'm so glad I've made this a habit because it's really helped me. I even aspire to plan a whole month at a time and get into more freezer cooking….but I'm not there yet. One step at a time!
I usually post my weekly menu on Mondays. Doing this has helped me be accountable for getting it done. I love linking up to others' menus; if you post one, let me know!
Do you menu plan? Why or why not? How long? I want to know what works for you.
3 Responses to "What's for Dinner? Day 27 of Babystep Challenge To A Peaceful Home"
I always want to have a menu plan and then cannot get around to doing it! Well you picked a very good moment to give me a kick, thanks FlutterDoc! I just went to the freezer now in my nice tidy kitchen with its shiny sink and grabbed a pn and paper and wrote down what is in the freezer and what side dishes can go with what, and Now i have a rough menu plan for the week! I just need to buy broccoli and sweetcorn and then I can make everything on my list. It's mainly using the frozen processed foods, but we'll be having it with salads or carrots, broccoli and carrots and cous cous, rice or pasta instead of chips (fries)
What a great article. You are absolutely right. Although I do plan our meals on a monthly basis its kind of informal. I am going to try writing it all down. Makes it fun because you can take special requests from your hubby and kids for special dinner nights. Very Cool! Thanks.
i can't tell you how much i really enjoy your blog! i'm a fellow fly baby, i think i'm on baby step 5? lol. i keep having to go back and start over LMAO! somewhere along the line the stuff was supposed to become a habit and my body forgot to memorize lol! actually it's more of a i do really good then get side tracked for one day an dmy whole house explodes type of thing. But i actually do this!!


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Midfield Man Gera Here To Stay
By Robert Hicks
Updated Thursday, 4th November 2010
Views: 145
Hungarian international, and Fulham fan favourite, Zoltan Gera has confirmed that he would like to extend his stay at the Cottage beyond the end of the current campaign.With his contract running out next summer he will be hoping to follow the likes of Bobby Zamora, Dickson Etuhu, Simon Davies and Chris Baird who have all been offered new deals recently.
Gera has only managed to appear four times this season under Mark Hughes despite picking up last year but, he insists, he is happy as ever.
Speaking to the Ealing Gazette Gera said: "I haven't spoken to the club yet. We will see what happens but I'm happy at Fulham."
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text: Blue Moon Entertainment, a Colorado Springs DJ Service, specializes in weddings and special events for people who want to know their entertainment personally. We have over 20 years experience in Colorado Springs, providing quality music entertainment. Our experience allows us to customize your event with just the right music for your occasion. We guarantee an entertaining personality along with first class equipment at every event.


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Thank you to Colonial Knife Company
for their generous donation to the Herreshoff Classic Regatta
The Herreshoff Marine Museum presents,
Receive 20% off your entire gift store purchase when you renew or sign up for a Museum Membership at Fall Family Free Day.
Frost Biters Bash
The 2013 Herreshoff Classic Regatta - August 23rd-25th
The Herreshoff Classic Regatta is an annual event drawing hundreds of participants from around the world. Classic and Herreshoff boat owners gather for a weekend of challenging races and social events. The weekend includes the Living Boat Show, the race for the prestigious Bill Swan Memorial Trophy, the Livingston's Wind Hill Trophy for Herreshoff 12 1/2s, and a barbeque style dinner.
Racing Classes include:
CRF Classic (pre-1971)
We welcome classic power yachts to join us as part of our spectator fleet. For information on how to participate please email email@example.com
Event registration is currently closed
The Living Boat Show - August 23rd, 5-7pm.
The show welcomes participants in the Herreshoff Classic Regatta and members of the general public to come together in celebration of classic yachts and our nation's yachting history.
Guests commence in the waterfront tent for food, drink, and sunset viewing. The Museum's mooring field and docks will be filled with lovely, historically significant yachts. Join Museum Staff, Classic Boat Owners, and Regatta participants to hear of the history of the boats, the people and the place.
Guests who wish to attend the Living Boat Show do not need to register in advance. Tickets will be sold at the entrance to the tent. Tickets are free for regatta registrants, $7 for Museum members who are not registered for the regatta, and $15 for non-members who are not registered for the regatta.
Tickets will be available shortly for our primary regatta event and celebration. Join us for dinner under the tent as we welcome the sailors, owners, and restorers of these beautiful classic yachts. Hear remarks from Museum staff and the race committee and join us in congratulating the winners of the day's races.
Halsey Herreshoff addresses the crowd at the 2012 Living Boat Show
Please enjoy these great pictures of the 2012 regatta from the Providence Journal.
Thank you to our 2013 Sponsors:
|© 2016 Herreshoff Marine Museum | Copyright Policy


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Check out prior to 12h
Hotel De Londres Schweizerhof: Find photos, reviews, information, amenities and compare prices for 3 stars hotels in Brig, Switzerland.
Hotel De Londres Schweizerhof is situated amongst Brig's popular restaurants and eateries, just a brief stroll from Brig Railway Station. It offers a terrace, and is a brief walk from Stockalper Palace.
Hotel description
The hotel offers comfortable rooms, designed to fit the requirements of any traveller.
Hotel De Londres serves a daily breakfast, and has a bar where guests can unwind with a drink.
The position of Hotel De Londres Brig permits convenient access to many tourist attractions.
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text:
Play Therapy Disclosure
Gainful Employment Disclosure Statement for Play Therapy Certificate Program
The U.S. Department of Education requires colleges to disclose a variety of information for any financial aid eligible program that "prepares students for gainful employment in a recognized occupation." To see the official US Department of Education disclosure statement, click here: Gainful Employment Disclosure Statement
JBU Federal School Code (or OPEID): 00110000
Program Name
Graduate Certificate in Play Therapy
Classification of Instructional Programs (CIP)
The graduate certificate program in Play Therapy is designed to meet the course work and supervision requirements for individuals who hold master's degrees in counseling, social work, or related fields seeking to obtain the Registered Play Therapist certification. For more information, visit http://www.jbu.edu/grad/counseling/play_therapy/.
Level of Program
Program Length
15 credits; approximately 24 months to complete
Cost of Program
- Application fee: $35
- Total in-state tuition and required fees for the entire program completed in normal time: $8,220
- Total estimated costs for books and supplies for the entire program: $400
Debt at Program Completion
This information represents the median cumulative debt for students completing the program between July 1, 2014, and June 30, 2015.
- Number of students completing the program between July 1, 2013, and June 30, 2014: 1
- Number completing the program with any student debt (Not required to report (less than 10 students)
- Federal student loan debt (Not required to report (less than 10 students)
- Private loan debt (Not required to report (less than 10 students)
- Institutional financing plan debt: Not offered
- Normal time in months to complete program as published in program catalog: 24 months
- Of the students completing the program between July 1, 2014 and June 30, 2015, number who completed the program within the normal time reported above: 1


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Luxury Vacation Homes
A place where time for real conversations and fun seems to grow on trees and the natural beauty takes your breath away, Suncadia is perfect for family, romantic, or small group vacations in Washington State. Suncadia, a premier all-season mountain resort offers luxury vacation homes in Washington State.
Beautiful 4 bedroom mountain Lodge located in Suncadia Resort. This home has a beautiful view of the golf course and is great for entertaining!
A lovely view on the 7th fairway of Sundacia's Prospector Golf Course, this 2009 custom home sleeps 16 and features four bedrooms + a sleeping loft, 3.5 baths. Vaulted master suite with a fireplace, flat screen TV, and 8' French Doors leading to a private patio, features luxurious five piece bath with Jacuzzi jetted tub, tiled shower, and walk in closet. Second bedroom features two queen bunk beds with extended twins on top. The third bedroom has a king bed, as well as a wardrobe leading to the secret "Narnia" Fourth bedroom. "Narnia", the fourth bedroom includes two twin bunks, a hide-a-bed single, another flat screen TV, Xbox 360, and its own private 3/4 bath. Another hide-a-bed single is on the sleeping loft, and an additional window seat single bed off the great room.
The great room boasts a dramatic lodge style vaulted ceiling, a stone fireplace with log mantle and large flat screen with surround sound. The kitchen has a chef's gourmet island kitchen with slab granite counters, rich hardwoods, and upscale Electrolux appliances, including a 48" 6 burner gas stove with two ovens. This warmly decorated open plan is the perfect place for family gathering, with french door access to the covered barbeque patio and fire pit.
The home is complete with a front loader washer and dryer in the laundry room.
41 Bunchberry Court
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NOTE: A minimum length of stay is required on all homes. The dates shown as available in the calendar are dependent on actual stay dates.


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Fans of katanas, machine guns, and sexy babes have a lot to look forward to in Onechanbara. Coming out for the Xbox 360 and Wii in February, these games offer a ridiculously bloody, action-packed experience. I recently caught up with Josh Austin, the producer of Onechanbara: Bikini Zombie Slayers (Wii) and Onechanbara : Bikini Samurai Squad (Xbox 360), to talk about the games. Josh and I chatted about the game's price point, the use of blood, poking, and...wait for it..."February 27th!!!!!!".
Raymond Padilla: Josh, this is going to be a big year for you! You've got two Onechanbara games coming out in February and in March, your brother -- "Stone Cold" Steve Austin -- is being inducted into the WWE Hall of Fame!
Josh Austin: He's not my brother. I don't even think that's his real name.
R.Pad: What?!? I need a minute to pretend you didn't say that.
[Gets another Oronoco and soda.]
R.Piddy: Anyway Josh -- Onechanbara! You've got girls, you've got guns, you've got katanas -- what's going on here?!?
JA: Onechanbara is a big deal in Japan. There's like seven of them over there. It has a big following in Japan, but in America, it has a smaller,cult following. So we're going to bring these great games to America. We're making them acceptable for the American audience while keeping the Japanese flavor. We're going to keep the original Japanese VO and give it English subtitles. We want to make sure that American gamers will get to experience that crazy, over-the-top style Onechanbara has. It's like a B-horror movie meets Kill Bill. It's totally gory and bloody. Gamers will feel like they're playing a samurai movie with sexy girls. It's a really crazy title that we think will stand out on the Wii and 360.
R2P2: When you say "acceptable for the American audience", what do you mean? You have guns! You have girls! What American gamer isn't going to accept that?!? [Yes, I was actually yelling this question.]
JA: [Laughs] Is it really acceptable to have girls that are barely dressed, running around, and chopping up zombies with blood squirting everywhere? [Laughs] On the Wii, you have a lot of titles that are kid friendly and stuff like that. You have a bunch of adults that are playing these titles with kids and at the end of the night they want to play something that's more mature. I think Onechanbara will fit that bill. It's $20 on the Wii and $30 on the 360, so it's not a very expensive title, but there's a lot there. There's a lot of experimenting you can do with each character. There are four characters on the Wii and seven on the 360. Each of them have their own story elements. So you'll play with one sister and play with another sister -- you'll figure out how they interact and flow with the story elements. So there's a lot of depth in this inexpensive title.
R 2 the Izzo: A lot of people are going to be drawn to this game simply because of its sex appeal. What do each of these sexy ladies have to offer?
JA: Onechanbara means "sisters in blood". So there's a lot of blood on the screen. All of the girls get covered in blood. There's blood everywhere! You've got girls that use swords to chop zombies up and cover themselves in blood. You've got girls that have machine guns and stuff like that to shoot zombies and cover themselves in blood. So basically, the whole thing is about blood! Blood is squirting everywhere and as you collect more blood, you get more more powerful. So if you get covered in blood and your rage meter goes all the way up, you'll enter this mode where you can chop the crap out of everyone or shoot the crap out of everyone -- and everyone is disintegrating! It's just over-the-top and crazy. Best of all, it's not a hard game to play. So basically, you have this title that doesn't cost a lot of money and you just get to have fun and play it.
R-Pad: So it's visceral and sexy. Who doesn't love that?
JA: Exactly! Gamers can just pick up the title, learn it really quickly, and just dive into it.
R_Pad: How are you taking advantage of the Wii's motion-sensitive controls?
JA: In the Wii version, you feel like you're wielding a sword. The controls are interactive with the sword play. Up-down motions are one slash. Left-right motions are another slash. Poking at the screen is like a forward thrust. So you've got really cool controls on the Wii. On the 360, you have more graphical enhancements.
R*Pad: But not as much poking?
JA: Yeah, but not as much poking.
RPad: And the guys love poking.
JA: [Laughs] Yeah, totally! The 360 version has better graphical features. You can also change the characters' outfits. You can change their tops, their bottoms, and whatever. On the Wii version, you can only change full costumes. Both versions have unique gameplay and story elements. They're completely different versions.
Raymond: Josh, I have to ask you, do you know what's happening on...let me get this right..."February 27th!!!!!!"?
JA: Yeah, both these games will be out by then. Is there anything else happening? I don't know what games are coming out on February 27th.
Ray: Don't worry. It's not important, but a few readers of TheFeed might explode or something.
JA: They should stay tuned for Onechanbara! Both versions of the game will be out next month.
R|Pad: Okay, so why should somebody by one of these games instead of something that might be coming out on February 27th?
JA: Well, the price point is fantastic. If you've played Earth Defense Force or any of our Japanese titles, you'll find out that there's a lot of depth there and there's a lot of things going on there. Onechanbara is over-the-top. It's different. It's a lot of fun.
R 2 the Izzay: And who doesn't love chopping up tons of zombies with sexy girls?
JA: Right! Nobody can argue against running around and chopping up zombies with naked girls while blood is flying everywhere. Nobody.


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Are you getting the bit rate you signed up for? Take this quick and easy test and find out. We know its from Speakeasy (which doesn't have an unbiased interest in showing your speed as slow…) but it's better than the one by Ookla because you can select a nearby server to do it at.
How Fast Is Your Internet, Really?
By August 1, 2006
HOWTO: Get Internet On The Cheap
By July 17, 2006
How does $500 extra a year sound? And it doesn't even require stuffing envelopes.


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Hot Springs, NC fishing
Hello all,
I will be spending a few days in Hot Springs, NC this weekend. any word on good fishing in that area?
thanks ;)
Re: Hot Springs, NC fishing
Spring Creek is a stocked stream that runs all through Hot springs. The Big Laurel holds nice trout and smallmouth.
Re: Hot Springs, NC fishing
I just noticed the date of your post. Little late on the info.
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In Greek mythology, Xuthus /ˈzuːθəs/ or /ˈzjuːθəs/ (Ancient Greek: Ξοῦθος) was a son of Hellen and Orseis and founder (through his sons) of the Achaean and Ionian nations. He had two sons by Creusa: Ion and Achaeus and a daughter named Diomede.
According to the Hesiodic Catalogue of Women on the origin of the Greeks, Hellen's three sons Dorus, Xuthus (with his sons Ion and Achaeus) and Aeolus, comprised the set of progenitors of the major ancient tribes that formed the Greek nation.[1]
Aiclus and Cothus are sometimes described as being his children. Euripides's play, Ion, provides an unusual alternate version, according to which Xuthus is son of Aeolus and Cyane and Ion has in fact been begotten on Xuthus's wife Creusa by Apollo. Xuthus and Creusa visited the Oracle at Delphi to ask the god if they could hope for a child. Xuthus will later father Dorus with Creusa, though Dorus is normally presented as Xuthus's brother.
- ^ Hesiod, Catalogue frr. 9, 10(a).
- Hesiod (probably), "Eoiae" or "Catalogue of Women", c. 650 BC.
- Hamilton, Edith (1942). Mythology. Little, Brown and Company. ISBN 0-316-34114-2.


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International Relations Graduate Programs incorporate many liberal arts subjects, including political science, economics, history and geography. Some programs also require students to learn a foreign language in the geographical area they are studying about.
An International Relations Degree might be a way for students who are interested in political science and public policy to develop essential analytical, professional, and leadership skills that may prepare them to take on a wide range of potential roles in the public, private, and non-profit sectors.
International Relations Graduate Programs Basics
International relations, or international affairs as an academic subject, studies relationships among countries, the roles of sovereign states, intergovernmental organizations, non-governmental organizations, and multinational corporations. A graduate degree in International Relations tends to be research-focused, and students often have an opportunity to choose a specialization in subjects such as foreign policy, global security, conflict resolution or diplomacy.
How to Find International Relations Graduate Programs
GradSchools.com has search tools to help you simplify your search for the best schools for international relations graduate degree programs. If you are hoping to study in a specific location, use the city, state or country tabs to determine where these programs are offered. Then filter by program format. Campus study offers the chance to enjoy the college experience, and the opportunity to interact with classmates and professors. Busy working professionals might prefer to pursue an online degree, or look into a hybrid program which is low residency combined with the convenience of distance-learning.
Narrow Your Search for International Relations Graduate Programs
Next, filter your results by degree level. Usually students may complete a master's degree in 1-2 years, while a PhD in International Relations may take about 3 years and involve a dissertation. Some of the listings you might find may include a graduate Certificate in Advanced International Affairs- Diplomacy, Masters in International Relations such as Master of Arts - Masters in International Relations and a PhD in Public Law and International Relations.
Find International Relations Graduate Programs that align with your career and educational goals by reviewing your options today!


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A STRANGE smell across Oxford was last night and this morning reported by residents.
The warm weather caused many to open windows last night, only to be greeted by what one Twitter user described "a stench of raw sewage."
A spokeswoman for Thames Water has said it's not aware of any problems with its sewage network.
She said: "I've spoken to the teams at Oxford sewage treatment works and all our equipment is working as usual and there have been no operational problems."
More than 75 readers have now contacted the Oxford Mail to say they smelt the odour in areas including Old Marston, Headington, Risinghurst, Wood Farm, East Oxford, Cowley and even Jericho and Osney.
Here's a map of reports of reports of the pong so far:
- This is indicative of areas only, not specific street locations
Gerry Vickers, who last night was visiting his elderly mum in Headington Quarry, said the smell had made it "impossible to go out of the house".
He said: "The smell lingered from the afternoon until well into the early hours. At first we thought it was the food bin as it had been hot, but it was soon clear that this was not the case."
Mr Vickers said his family called Thames Water but when an engineer visited this morning, no problems could be found.
He added: "He was insistent that nothing was untoward and left a leaflet saying 'no bad smell, no blockage'.
"But my sister also returned from London last night and said that the smell was nauseating all the way from the Green Road Roundabout.
"I am glad we were not the only ones to have noticed this and I will be interested to find out the reason."
Oxford City Council is also understood to be making enquiries and the Oxford Mail has asked the Environment Agency and Oxfordshire County Council for information as well.
More to follow.
- Do you want alerts delivered straight to your phone via our WhatsApp service? Text NEWS or SPORT or NEWS AND SPORT, depending on which services you want, and your full name to 07767 417704. Save our number into your phone's contacts as Oxford Mail WhatsApp and ensure you have WhatsApp installed.
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- Oxford United send match tickets to fans caught up in season ticket delay


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How to Roast Beets
Once you learn how to roast beets, you'll never eat the canned version again. Jewel-toned, earthy and sugary sweet, beets offer a wealth of nutrients, including folate and potassium. Roasting beets enhances their flavor. Make sure they're scrubbed well--beets can be extra-dirty since they're grown in the ground. You'll know the beets are properly roasted when they can be easily pierced with a knife. Once they're out of the oven, it's wise to have a pair of kitchen gloves (or a clean old towel) on hand for removing the skins, otherwise your fingers and cutting board will be temporarily stained red. Red beets are most common in supermarkets, but there are other varieties as well: Golden beets are a bit less sweet and earthier than red beets. Chioggia beets, also known as striped beets, come in both yellow-orange and red-white. And baby beets are simply young beets that can be whole roasted. Don't think all the flavor is in the bulb--large, leafy beet greens are delicious sauteed with a bit of olive oil and garlic. Plus, they're packed with a different set of nutrients than the beets themselves.
-Hey everyone, I'm Judith. Well today, we're making Roasted Baby Beets, one of my favorite side dishes to go along a nice fish or entree. So, what you'll need for this is 2 pounds of trimmed red or yellow baby beets or small beet, today we're using red small beet; 2 tablespoons of olive oil; 1/4 teaspoon of salt; 1/4 teaspoon of freshly ground black pepper; 1 large orange; 3 tablespoons of white wine vinegar; 2 tablespoons of thinly sliced shallots; and 2 teaspoons of Dijon style mustard. All right, so in a shallow baking pan, we're gonna place 1 single layer of beets. Now, with our small beet, we we've done is peel them and cut them into about 1/2 inch wedges. So, they are all ready prepared, which was first stem off, trim them, already done that. So, our beets, obviously be careful because your hands will be stained after doing all that quite some time, but don't worry. So, layer our beets into the bottom of our baking pan. Trying to do just 1 thing there, fantastic, really, really good for beets, full of vitamins and minerals. Alright beautiful. Now, we're gonna drizzle that with 1 tablespoon of our olive oil, olive oil there and of course some salt and pepper, nice generous amount. So, salt and pepper in there, olive oil in there, and we're just gonna give it a good toss. So, it's covered in that olive oil, beautiful. So now, our beets are ready for roasting. So, we're gonna roast these, covered with foil. We preheated or oven to 425 degrees Fahrenheit. So, these are gonna roast for 25 minutes covered. After 25 minutes, we'll take the foil off, and we'll roast them for further 15 minutes until the beets are nice and tender. So, we're gonna make up this wonderful citrusy lovely marinade to go with our roasted beets. Now, with our orange, we have already prepared, we have taken the juice or about 1/3 cup of juice from that orange, and we've also peeled it with a grater or you can use a knife if you want. We've peeled the very lightly, long shreds of it about 2 tablespoons. Make sure you don't get any of the white piece on there. So, we've got that prepared now from the orange. So, into our glass bowl, we're gonna add our remaining 1 tablespoon of olive oil. Our shallots go in there, our vinegar, our salt, and our Dijon style mustard is gonna go in there too, and of course our orange juice will in there. So, we wanna give that a good whisk together and get all those flavors going nicely and that is just gonna be perfect complement with our roasted beets. So, once our roasted beets ready, and they're cool, and we're gonna add that to our marinade with our orange peel. Alright, so we've taken our beets from out of the oven and let them cool. So, now we're gonna add our marinade, which we made earlier that lovely orangey mustard marinade. We're just gonna pull that on top of there, and we'll also gonna add in a little orange peel too and that's gonna give some extra citrusy beautiful flavor and really great color as well. Stir that around, fantastic. Well great flavors and colors. So, we're gonna cover that, and let that marinade all those lovely juices sync into the beets for about 30 minutes of room temperate. Otherwise, you can put in the refrigerator and you can refrigerate it for up to 8 hours and eat it with anything. You eat fish, chicken just like that will be perfect too. So, there you go, that's how you make roasted baby beets.
What You'll Need
- 2 pounds trimmed red and/or yellow baby beets or small beets (about 3-1/2 pounds untrimmed with tops)
- 2 tablespoons olive oil
- 1/4 teaspoon salt
- 1/4 teaspoon freshly ground black pepper
- 1 large orange
- 3 tablespoons white wine vinegar
- 2 tablespoons thinly sliced shallot
- 2 teaspoons Dijon-style mustard
Step By Step
Preheat oven to 425 degrees F. If using small beets, cut them into 1- to 1-1/2-inch wedges. Place beets in a single layer in a shallow baking pan. Drizzle with 1 tablespoon of the oil; toss to coat. Sprinkle with salt and pepper; toss to combine. Cover with foil and roast for 25 minutes. Uncover and roast about 15 minutes more or until beets are tender; cool. If using small beets, peel the beets. (Baby beets do not need to be peeled.)
Meanwhile, using a small sharp knife or citrus tool, remove long shreds of peel from the orange, taking care not to remove the white pith; measure 2 tablespoons peel. Squeeze juice from orange; measure 1/3 cup juice.
In a glass dish, whisk together the 1/3 cup orange juice, the remaining 1 tablespoon oil, vinegar, shallot, and Dijon mustard. Add beets and orange peel; toss gently to combine. Cover and marinate at room temperature for 30 minutes or in the refrigerator for up to 8 hours. Makes 8 servings.
nutrition information
Per Serving: cal. (kcal) 90, Fat, total (g) 4, chol. (mg) 0, sat. fat (g) 1, carb. (g) 13, fiber (g) 3, pro. (g) 2, vit. A (IU) 97.18, vit. C (mg) 10.63, sodium (mg) 188, calcium (mg) 20.19, iron (mg) 1.08, Percent Daily Values are based on a 2,000 calorie diet


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Joseph S. Nye
Harvard University Distinguished Service Professor
Member of the Board, Belfer Center for Science and International Affairs
Telephone: (617) 495-1123
Fax: (617)-496-3337
Email: email@example.com
Cyber Security Project
December 6, 2016
"The Kremlin and the US Election"
Op-Ed, Aljazeera
By Joseph S. Nye, Harvard University Distinguished Service Professor
"But what about deterring operations that are not equivalent to an armed attack? There are grey areas in which important targets, say, a free political process, are not strategically vital in the same way as the electrical grid or the financial system. Destroying the latter two could damage lives and property; interference with the former threatens deeply held political values."
February 3, 2016
"Can China Be Deterred in Cyber Space?"
Op-Ed, The Diplomat
By Joseph S. Nye, Harvard University Distinguished Service Professor
"Along with punishment and denial, entanglement is an important means of making an actor perceive that the costs of an action will exceed the benefits. Entanglement refers to the existence of interdependences which makes a successful attack simultaneously impose serious costs on the attacker as well as the victim. This is not unique to cyber. For example, in 2009, when the People's Liberation Army urged the Chinese government to dump some of China's massive holdings of dollar reserves to punish the United States for selling arms to Taiwan, the Central Bank pointed out that this would impose large costs on China as well and the government decided against it."
October 1, 2015
"The World Needs an Arms-control Treaty for Cybersecurity"
Op-Ed, The Washington Post
By Joseph S. Nye, Harvard University Distinguished Service Professor
"...[I]t is worth remembering that the first nuclear-arms control agreements the Test Ban Treaty of 1963 and the Non-Proliferation Treaty of 1968 did not solve all of the problems of controlling nuclear weapons. Rather, they started a process. Perhaps Obama and Xi's modest beginning will do something similar."
May 18, 2015
"Is Cybersecurity Like Arms Control?"
Op-Ed, The Huffington Post
By Joseph S. Nye, Harvard University Distinguished Service Professor
"In little more than a generation, the Internet has become the substrate of the global economy and governance worldwide. Several billion more human users will be added in the next decade, as will tens of billions of devices, ranging from thermostats to industrial control systems (the 'Internet of Things'). All of this burgeoning interdependence implies vulnerabilities that governments and non-governmental actors can exploit. At the same time, we are only beginning to come to terms with the national-security implications of this. Strategic studies of the cyber domain resemble nuclear strategy in the 1950s: analysts are still not clear about the meaning of offense, defense, deterrence, escalation, norms, and arms control."
November 2014
"The Regime Complex for Managing Global Cyber Activities"
By Joseph S. Nye, Harvard University Distinguished Service Professor
In 1992, there were only a million users on the Internet; today, there are nearly three billion, and the Internet has become a substrate of modern economic, social and political life. And the volatility continues. Analysts are now trying to understand the implications of ubiquitous mobility, the "Internet of everything" and analysis of "big data." Over the past 15 years, the advances in technology have far outstripped the ability of institutions of governance to respond, as well as our thinking about governance.
May 9, 2014
"Safeguarding Cyberspace"
Op-Ed, New Europe
By Joseph S. Nye, Harvard University Distinguished Service Professor
"The governance challenge stems from the fact that cyberspace is a combination of virtual properties, which defy geographical boundaries, and physical infrastructure, which fall under sovereign jurisdictions. Control of the physical layer can have both territorial and extraterritorial effects on the virtual layers. At the same time, attacks can be launched from the low-cost virtual realm against the physical domain, where resources are scarce and expensive."
December 13, 2013
"Governance in the Information Age"
Op-Ed, The Korea Times
By Joseph S. Nye, Harvard University Distinguished Service Professor
"The WEF's Global Agenda Council on the Future of Government...has considered ways in which information technology can improve governance and reduce feelings of alienation among the governed. The most effective initiatives, the council observed, often arise from partnerships between government and the private sector."
September 13, 2013
"The Mouse Click That Roared"
Op-Ed, The Korea Times
By Joseph S. Nye, Harvard University Distinguished Service Professor
"Cyber war and cyber espionage are largely associated with states, while cyber crime and cyber terrorism are mostly associated with non-state actors. The highest costs currently stem from espionage and crime; but, over the next decade or so, cyber war and cyber terrorism may become greater threats than they are today. Moreover, as alliances and tactics evolve, the categories may increasingly overlap. Terrorists might buy malware from criminals, and governments might find it useful to hide behind both."
August 26, 2013
"By Way of Power"
Op-Ed, Mark News
By Joseph S. Nye, Harvard University Distinguished Service Professor
"As for the perceived loss of America's much-vaunted superpower status, we simply need to come to terms with the changing reality of international relations, and accept that the United States will have to work with others to achieve its global aims. The changes of a global information age mean that even the world's only superpower can't go it alone."
August 12, 2013
"Surveillance and American Liberty"
Op-Ed, Today's Zaman
By Joseph S. Nye, Harvard University Distinguished Service Professor
"American policy is not to steal intellectual property, while China's policy appears to be the opposite. At the same time, both governments constantly hack into each other's computers to steal traditional political and military secrets. Spying is not a violation of international law (though it often violates various domestic laws), but the US argues that theft of intellectual property violates both the spirit and letter of international trade agreements."


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If you want to put some sizzle back into your sex life, food can help you set the mood this Valentine's Day. There's nothing better than a romantic, home-cooked dinner, featuring some R-rated foods to help turn up the heat.
"There's a growing body of evidence that some of the vitamins and components in foods can enhance sexual function and sexual experience," says Jennifer R. Berman, MD, director of the Berman Women's Wellness Center in Beverly Hills, Calif.
And if you're sporting a little extra pudge, incorporating these in-the-mood-foods into a healthy, plant-based diet is one of the best ways to help you get back to your sexy self. If you're overweight, research shows losing just 10% of your body weight can improve the quality of your sex life, explains Martin Binks, PhD, of the Duke University Diet and Fitness Center. "We find that among overweight women, they bring their negative self-talk and body image issues to the bedroom, and it negatively impacts their sexual well-being."
Here are some of the food ingredients (and my own favorite recipes) that have been major players in aphrodisiac history and lore—and also have modern-day science to help back up their claims.
Topping my of feisty foods, almonds have long been purported to increase passion, act as a sexual stimulant, and aid with fertility. Like asparagus (another one of my favorite sexy foods), almonds are nutrient-dense and rich in several trace minerals that are important for sexual health and reproduction, such as zinc, selenium, and vitamin E. "Zinc helps enhance libido and sexual desire," says Dr. Berman. "We don't really understand the mechanisms behind it, but we know it works."
The Aztecs referred to avocados as, ahem, testicles, because of their physical shape. But the scientific reason why avocados make sense as an aphrodisiac is that they are rich in unsaturated fats and low in saturated fat, making them good for your heart and your arteries. Anything that keeps the heart beating strong helps keep blood flowing to all the right places; in fact, men with underlying heart disease are twice as likely to suffer from erectile dysfunction (ED).
The color red is known to help stoke the fire: A 2008 study found that men find women sexier if they're wearing red, as opposed to "cool" colors such as blue or green. Strawberries are also an excellent source of folic acid, a B vitamin that helps ward off birth defects in women and, according to a University of California, Berkley study, may be tied to high sperm counts in men. This Valentine's Day, try making dark chocolate–dipped strawberries. And while we're on the subject, there's a reason we give chocolate on Valentine's Day: It's full of libido-boosting methylzanthines.
Next page: Seafood and citrus and figs, oh my!


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Jennifer Lopez Has 'the Music in Her' in New Commercial
Jennifer Lopez is gearing up to launch the latest of her Kohl's clothing line. Fans caught a small glimpse of some of the fashionable items with the release of a new behind-the-scenes video. The clip shows J. Lo as she shoots a new series of commercials to coincide with the launch of her fresh collection.
"Every look in this collection and even in this commercial is something that people know that I would wear, even though they are all very different," Lopez says in the BTS video. "We really broke down what I love for this collection and for springtime. It was very kind of '60s and '70s inspired."
In addition to seeing some of the new line, fans can also hear a piece of new music from Lopez in the commercial, as the song being played is titled 'I've Got the Music in Me.' Could this be the singer and actresses forthcoming single?
According to her website, there will be "big music news" coming soon. Rumors of what the announcement will entail have included new music and new tours. Stay tuned with PopCrush, as we will have everything J.Lo related that you will need to know!
Watch Jennifer Lopez Behind the Scenes of Her New Kohl's Commercial
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