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Protect Yourself from Blood Clots »
"If you are currently or recently hospitalized, recovering from surgery, or being treated for cancer, you are at increased risk of developing serious and potentially deadly blood clots. This condition, called healthcare-associated venous thromboem"...
Tinzaparin sodium is a low molecular weight heparin with antithrombotic properties. Tinzaparin sodium inhibits reactions that lead to the clotting of blood including the formation of fibrin clots, both in vitro and in vivo. It acts as a potent co-inhibitor of several activated coagulation factors, especially Factors Xa and IIa (thrombin). The primary inhibitory activity is mediated through the plasma protease inhibitor, antithrombin.
Bleeding time is usually unaffected by tinzaparin sodium. Activated partial thromboplastin time (aPTT) is prolonged by therapeutic doses of tinzaparin sodium used in the treatment of deep vein thrombosis (DVT). Prothrombin time (PT) may be slightly prolonged with tinzaparin sodium treatment but usually remains within the normal range. Neither aPTT nor PT can be used for therapeutic monitoring of tinzaparin sodium.
Neither unfractionated heparin nor tinzaparin sodium have intrinsic fibrinolytic activity; therefore, they do not lyse existing clots. Tinzaparin sodium induces release of tissue factor pathway inhibitor, which may contribute to the antithrombotic effect. Heparin is also known to have a variety of actions that are independent of its anticoagulant effects. These include interactions with endothelial cell growth factors, inhibition of smooth muscle cell proliferation, activation of lipoprotein lipase, suppression of aldosterone secretion, and induction of platelet aggregation.
Anti-Xa and anti-IIa activities are the primary biomarkers for assessing tinzaparin sodium exposure because plasma concentrations of low molecular weight heparins cannot be measured directly. Because of analytical assay limitations, anti-Xa activity is the more widely used biomarker. The measurements of anti-Xa and anti-IIa activities in plasma serve as surrogates for the concentrations of molecules which contain the high-affinity binding site for antithrombin (anti-Xa and anti-IIa activities). Monitoring patients based on anti-Xa activity is generally not advised. The data are provided in Figure 1 and Table 2 below.
Studies with tinzaparin sodium in healthy volunteers and patients have been conducted with both fixed-and weight-adjusted dose administration. Recommended therapy with tinzaparin sodium is based on weight-adjusted dosing (see DOSAGE AND ADMINISTRATION).
Figure 1: Mean and Standard Deviation of Anti-Xa Activity
Following SC Administration of a Single 4,500 IU* dose and Once Daily Multiple
SC Dose of 175 IU/kg Tinzaparin Sodium to Healthy Volunteers
*Dosing based on single dose of 4,500 IU. Mean dose administered was 64.3 IU/kg.
Table 2 : Summary of Pharmacokinetic Parameters (Mean and
Standard Deviation) Based on Anti-Xa Activity Following Single and Once Daily
Multiple Dose SC Administration of Tinzaparin Sodium to Healthy Volunteers
|Parameter (Units)
|Single Dose (N=23)
|Multiple Dose (N=14)
|Day 1
175 IU/kg)
|Day 5
175 IU/kg)
|Cmax (IU/mL)
|0.25 (0.05)
|0.87 (0.15)
|0.93 (0.15)
|Tmax (hr)
|3.7 (0.9)
|4.4 (0.7)
|4.6 (1.0)
|2.0 (0.5)
|9.0 (1.1)
|9.7 (1.4)
|Half-life (hr)
|3.4 (1.7)
|3.3 (0.8)
|3.5 (0.6)
|*Dosing based on single dose of 4,500 IU. Mean dose administered was 64.3 IU/kg.
Plasma levels of anti-Xa activity increase in the first 2 to 3 hours following SC injection of tinzaparin sodium and reach a maximum within 4 to 5 hours. Maximum concentrations (Cmax) of 0.25 and 0.87 IU/mL are achieved following a single SC fixed dose of 4,500 IU (approximately 64.3 IU/kg) and weight-adjusted dose of 175 IU/kg of tinzaparin sodium, respectively. Based on the extent of absorption (AUC0-∞), a comparison of 4,500 IU and 12,250 IU single doses indicates that increases in anti-Xa activity are greater than dose proportional relative to the increase in dose. Following a single SC injection of tinzaparin sodium, the mean anti-Xa to anti-IIa activity ratio, based on the area under the anti-Xa and anti-IIa time profiles, is 2.8 and is higher than that of unfractionated heparin (approximately 1.2). The absolute bioavailability (following 4,500 IU SC and intravenous [IV] administrations) is 86.7% based on anti-Xa activity.
The volume of distribution of tinzaparin sodium ranges from 3.1 L to 5.0 L. These values are similar in magnitude to blood volume, suggesting that the distribution of anti-Xa activity is limited to the central compartment.
Low molecular weight heparins are partially metabolized by desulphation and depolymerization.
In healthy volunteers, the elimination half-life following SC administration of 4,500 IU or 175 IU/kg tinzaparin sodium is approximately 3-4 hours based on anti-Xa activity. Clearance following IV administration of 4,500 IU tinzaparin sodium is approximately 1.7 L/hr. The primary route of elimination is renal. Anti-Xa activity did not accumulate with once daily dosing of 175 IU/kg for five days in healthy volunteers. (See Figure 1 and Table 2.)
Special Populations
Population Pharmacokinetics
Anti-Xa concentrations from approximately 180 patients receiving SC tinzaparin sodium once daily (175 IU/kg body weight) as the treatment of proximal DVT and approximately 240 patients undergoing elective hip replacement surgery receiving SC tinzaparin sodium once daily (~65 IU/kg body weight) were analyzed by population pharmacokinetic methods. The results indicate that neither age nor gender significantly alter tinzaparin sodium clearance based on anti-Xa activity (see PRECAUTIONS, General). However, a reduction in tinzaparin sodium clearance was observed in patients with impaired renal function (reduced calculated creatinine clearance) (see Special Populations, Renal Impairment). Weight is also an important factor for the prediction of tinzaparin sodium clearance, consistent with the recommendation that INNOHEP® (tinzaparin) therapy be based on weight-adjusted dosing (see DOSAGE AND ADMINISTRATION).
Renal Impairment
Population Pharmacokinetics
In patients being treated with tinzaparin sodium (175 IU/kg) for DVT, a population pharmacokinetic (PK) analysis determined that tinzaparin sodium clearance based on anti-Xa activity was related to creatinine clearance calculated by the Cockcroft Gault equation. In this PK analysis, a reduction in tinzaparin sodium clearance in moderate (30-50 mL/min) and severe ( < 30 mL/min) renal impairment was observed. Patients with severe renal impairment exhibited a 24% reduction in tinzaparin sodium clearance relative to patients with normal renal function ( > 80 mL/min).
Hemodialysis Studies
In a study of 12 chronic renal failure patients undergoing hemodialysis, anti-Xa clearance was reduced 28%, consistent with estimates from the population PK analyses. In another study of 6 patients undergoing hemodialysis, the half-life of anti-Xa activity following a single IV dose of 75 IU/kg of tinzaparin sodium on an off-dialysis day was prolonged relative to that for healthy volunteers (5.2 versus 1.6 hours).
INNOHEP (tinzaparin) ® may increase the risk for death, compared to unfractionated heparin (UFH), when administered to elderly patients with renal insufficiency (see WARNINGS and PRECAUTIONS).
Hepatic Impairment
No prospective studies have assessed tinzaparin sodium pharmacokinetics or pharmacodynamics in hepatically-impaired patients. However, the hepatic route is not a major route of elimination of low molecular weight heparins (see WARNINGS, Hemorrhage).
In a controlled clinical study of elderly patients with renal insufficiency, more patients died after INNOHEP (tinzaparin) ® therapy, compared to patients who received therapy with UFH (see WARNINGS and PRECAUTIONS).
Since renal function declines with age, elimination of tinzaparin sodium may be reduced in elderly patients. In a prospective study of 30 elderly patients [6 men, 24 women; aged 87.0±5.9 years; mean body weight 62.7±14.6 kg; creatinine clearance 40.6±15.3 mL/min (range 20-72)] treated with tinzaparin sodium 175 IU/kg once daily for ten days for acute venous thromboembolism, there was no accumulation of anti-Xa activity based on peak anti-Xa activity levels.
Based on the results of a prospective clinical study and the population PK analyses, weight-based dosing is appropriate for heavy/obese patients. Tinzaparin sodium PK parameters based on anti-Xa activity are independent of body weight and body mass index (BMI) when tinzaparin sodium is dosed on a weight basis at 175 IU/kg or 75 IU/kg. In a prospective study of heavy/obese subjects (101 to 165 kg; BMI 26-61 kg/m²), anti-Xa activity time profiles were similar to those in normal-weight volunteer studies. Data at the 175 IU/kg dose are shown in Figure 2. Clinical trial experience is limited in patients with a BMI > 40 kg/m².
Figure 2 : Mean and Standard Deviation of Anti-Xa Activity
Following a Single SC Administration of 175 IU/kg Tinzaparin Sodium to Obese
Subjects and Normal-Weight Volunteers
The disposition of INNOHEP® (tinzaparin) was studied in 54 pregnant patients in any trimester. In this open-label, prospective, dose finding study, those treated with an INNOHEP® (tinzaparin) dose of 175 IU/kg had similar 24-hour anti-Xa curves at 28 (n=17) and 36 (n=20) weeks gestation. The 175 IU/kg dose resulted in a mean anti-Xa level of 0.3 to 1.0 IU/mL 4 hours after administration. Mean anti-Xa levels 4 hours post dose suggest that as pregnancy advances there is no clinically significant decrease in anti-Xa levels. Pregnancy has little or no influence on the pharmacokinetics of INNOHEP® (tinzaparin) and no dosing adjustment is needed for pregnancy. (See DOSAGE AND ADMINISTRATION.)
Clinical Studies
Treatment of Acute Deep Vein Thrombosis (DVT) With or Without Pulmonary Embolism (PE)
In a randomized, multicenter, double-blind trial INNOHEP® (tinzaparin sodium injection) was compared to unfractionated heparin in 435 hospitalized patients with symptomatic, proximal DVT. Six percent of the enrolled patients had symptomatic pulmonary embolism confirmed by segmental or greater lung scan defect. The study patients ranged in age from 19 to 92 years (mean 61±17 years), 55% were male, 88% were white and 8% black. Patients received either INNOHEP® (tinzaparin) SC once daily according to body weight (175 IU/kg) and a placebo IV bolus followed by continuous placebo IV infusion, or unfractionated heparin as an initial IV bolus dose (5,000 IU) followed by continuous IV infusion of unfractionated heparin with the rate adjusted according to the aPTT (1.5 to 2.5 times control value) and a once daily SC placebo injection. Treatment continued for approximately 6 days, and both treatment groups also received oral warfarin sodium starting on Day 2 which continued to Day 90 with doses titrated to a target INR of 2.0 to 3.0.
The 90-day cumulative thromboembolic (TE) rate [recurrent DVT or PE] with INNOHEP® (tinzaparin) was not significantly different than the rate with unfractionated heparin. The data are provided in Table 3.
Table 3 : Efficacy of Once Daily INNOHEP® (tinzaparin) in the Treatment
of Acute Deep Vein Thrombosis
|Dosing Regimen
|Treatment of Acute DVT
|INNOHEP (tinzaparin) 1® 175 IU/kg
Once Daily
n (%)
|Heparin1 5,000 IU Bolus
then aPTT Adjusted
Continuous Infusion
|Intent to Treat Population2
|216 (100%)
|219 (100%)
|Patient Outcome at 90 Days
|Total TE3 Events
|6 (2.8%)4
|15 (6.8%)4
|3 (1.4%)
|9 (4.1%)
|3 (1.4%)
|6 (2.7%)
|1 Patients were also treated with warfarin
sodium commencing within 24-48 hours of tinzaparin sodium or standard
heparin therapy.
2 All randomized patients who received at least one dose of active study drug.
3 TE = thromboembolic events (DVT and/or PE).
4 The 95% Confidence Interval (CI) for the total TE event rate difference (4.0%) was 0.07%, 8.07%.
Mortality with INNOHEP® (tinzaparin) was 4.6% (10 patients) and with heparin 9.6% (21 patients). The 95% confidence interval (CI) for the mortality difference was 0.16%, 9.76%.
In a multicenter, open-label, randomized clinical trial INNOHEP® (tinzaparin) was compared to unfractionated heparin as initial treatment for hospitalized patients with symptomatic PE not requiring thrombolytic therapy, embolectomy, or vena cava interruption. Patients were excluded if they carried an unusually high risk for thromboembolic and/or bleeding events or other complications. Of the 608 patients treated, 422 had documented DVT. Prior to determination of study eligibility and randomization, patients were allowed to receive unfractionated heparin; 78% of the patients received unfractionated heparin at therapeutic doses for up to 24 hours, and an additional 4% received heparin at therapeutic doses for greater than 24 hours. After randomization, INNOHEP® (tinzaparin) was administered SC once daily, 175 IU/kg body weight; heparin as an initial IV bolus (50 IU/kg) followed by continuous IV infusion with the rate adjusted according to the aPTT (2 to 3 times control value). For both groups, treatment continued for approximately 8 days. All patients also received oral anticoagulant treatment starting in the first 3 days which continued to Day 90.
Thromboembolic events were infrequent for both treatment groups. No difference was observed between the two treatment groups for incidence of recurrence of thromboembolic events.
Last reviewed on RxList: 1/30/2017
This monograph has been modified to include the generic and brand name in many instances.
Innohep FDA Prescribing Information
Additional Innohep Information
Innohep - User Reviews
Innohep User Reviews
Now you can gain knowledge and insight about a drug treatment with Patient Discussions.
Here is a collection of user reviews for the medication Innohep sorted by most helpful.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Women's Health
Find out what women really need.


text:
The Economist cites Inglehart in piece on strength of populists
Ela and Budnick find higher unintended pregnancy risk among non-heterosexual women
Patrick, Schulenberg et al. find trends in frequent binge drinking among teens vary by race, sex, SES
Bailey, Eisenberg , and Fomby promoted at PSC
Former PSC trainee Eric Chyn wins PAA's Dorothy S. Thomas Award for best paper
Celebrating departing PSC trainees
Bloome finds children raised outside stable 2-parent families more likely to become low-income adults, regardless of parents' income
Pfeiffer, P.N., J. Glass, K. Austin, M. Valenstein, J. McCarthy, and Kara Zivin. 2011. "Impact of Distance and Facility of Initial Diagnosis on Depression Treatment." Health Services Research, 46(3): 768-786.
Objective To assess whether distance to services or diagnosis at a hospital-based medical center compared with a community clinic influences the receipt of psychotherapy versus pharmacotherapy for depression. Data Source Veterans Affairs (VA) administrative data for 132,329 depressed veterans between October 2003 and September 2004. Study Design Multivariable logistic and multinomial regression models were used to examine the relationship between distance to the nearest mental health facility and the facility of initial depression diagnosis on receipt of any and adequate psychotherapy and/or pharmacotherapy, adjusted for patient characteristics. Principal Findings Compared with those living within 30 miles of the nearest mental health treatment facility, depressed patients living between 30 and 60 miles away had a decreased likelihood of receiving psychotherapy (OR=0.71; 95 percent CI: 0.66, 0.76) and a greater likelihood of receiving antidepressant treatment (OR=1.27; 95 percent CI: 1.22, 1.33). Initial diagnosis at a small community clinic compared with a VA medical center was not associated with a difference in receipt of any psychotherapy (OR=0.95; 95 percent CI: 0.83, 1.09), but it was associated with decreased likelihood of receiving eight or more psychotherapy visits (OR=0.46; 95 percent CI: 0.35, 0.61) or any antidepressant treatment (OR=0.69; 95 percent CI: 0.63, 0.75). Conclusions The VA and similar health systems should make efforts to insure adequate psychotherapy is provided to patients who initiate treatment at small community clinics and provide psychotherapy alternatives that may be less sensitive to travel barriers for patients living remote distances from mental health treatment. Extending services to small community clinics that support antidepressant treatment should also be considered.
DOI:10.1111/j.1475-6773.2010.01228.x (Full Text)
Country of focus: United States of America.
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subset: commoncrawl


text:
Erik Pieters scored his first goal in six years in any competition and it was enough to secure a home win for Stoke against Newcastle.
Tottenham finished the season on a very positive note as Harry Kane scored a hat trick for the second time in three days and Spurs got goal-happy, ripping apart Hull City 1-7.
Burnley's strong season came to a poor end as they were defeat 2-1 by West Ham at Turf Moor.
Liverpool are headed back to the Champions League after securing a top-four finish by defeating Middlesbrough 3-0 at Anfield.
West Ham United's bumpy campaign came to an end with a positive result as Andre Ayew headed the Hammers to a 2-1 victory over Burnley.
Southampton's struggles continued as they dropped a 1-0 decision to Stoke City on the season's final day.
Leicester City came from behind to draw 1-1 with Bournemouth at the King Power Stadium.
John Terry lifted his fifth Premier League trophy on his final day in Chelsea blue following a 5-1 win against Sunderland.
Romelu Lukaku scored from the penalty spot in the 58th minute as Everton lost 3-1 to Arsenal at the Emirates to wrap up the 2016-17 season.
Like much of its season, Sunderland's final match of the season ended in disaster with a 5-1 loss to Chelsea.
Hull City's fate was already sealed but it was still a bitter pill to swallow in their final top flight match, getting manhandled 1-7 by Tottenham.
Manchester United's inexperienced team overcame Crystal Palace comfortably at Old Trafford in a 2-0 win.


text:
We are a network of successful REALTORS®, advancing women
as professionals and leaders in business, the industry and the communities we serve.
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Women's Council is your connection to the top professionals in real estate, as well as great education and opportunities to promote your business online through your free Member Expertise Profile. Don't miss out. Renew Today »
New! Women's Council Promotional Video:
We are pleased to share our new Women's Council promotional videos that were created at the National Conference in Orlando, FL. Many thanks to all of our members that volunteered their time to be filmed. Please feel free to use these videos at your upcoming local & state events to showcase "Why Women's Council?". You'll note that our YouTube channel has a 5-minute version and a 1.5-minute version to meet the varying needs of state & local networks. Watch Now »
DO NOT OPEN Emails With "Member Index Update" as Subject Line:
You may have received an email with the subject line "Member Index Update" that asks to "update your contact information" and to "open the attached PDF". This is a typical phishing scam and is not an official communication from Women's Council of REALTORS®. Note that last month in response to other phishing scams, we re-distributed an eConnect article about avoiding these types of scams, we are re-posting it again for your information. Please contact firstname.lastname@example.com for additional questions. We apologize in advance for phishing scam emails, which are unrelated to Women's Council, but know we are taking appropriate measures to combat nuisances like this. Read More »
Become a PMN Designee:
The Performance Management Network (PMN) is the flagship REALTOR® business leadership designation designed to give you practical and implementable tools, and access a nationwide peer network of the industry's finest business leaders. Enhance your career. Grow your business. Expand your sphere of influence. Get Started Today »
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Be sure and follow Women's Council on Facebook. In addition to the latest news about the Council, the page includes practical and usable real estate tips shared by our members, plus other fun content daily designed to make you smile or inspire you. The depth and variety has resulted in one of the largest followings in the REALTOR® family. With over 61,000 "fans" and growing daily, Women's Council is one of the most influential real estate communities on social media. Join Today & Enjoy! »


text:
Jane Rowe Realty
As a real estate broker for 9 years and a realtor for 12, Jane Rowe was ready to open her own real estate agency. An online search for resources available for small business owners led her to the West Central ISBDC in September 2007 for assistance in analyzing financial statements in order to obtain operational capital. The office helped Jane put together a business plan as well as financial projections, after the development of which she obtained an SBA-guaranteed loan through First Financial Bank in the amount of $22,494. In August 2007, Jane Rowe Realty opened for business in an office on 6th Street near downtown Terre Haute. Jane Rowe Realty has already hired 6 agents and the company was the recipient of the 2008 Image Award from the Terre Haute Area Association of Realtors.
"The West Central ISBDC helped me put together a proper business plan and introduced me to Rainmakers, where I now serve on the advisory board for Terre Haute. This group has been an incredible source of support, along with the ISBDC." – Jane Rowe


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Re: Multiplayer gameplay VIDEO
In this interview it says that "both the main modes" are TDM variants so it leaves some space for speculation that there are other modes beside the two as well. That and the fact there are no Co-Op modes yet announced which is strange. However, these two modes (Supply Raid and Survivors) are the only ones confirmed so far so it is possible they are the only MP modes in the game.
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Re: Multiplayer gameplay VIDEO
Mmh, a survial game nowadays without a nazi-zombie like mode would be...meh, very meh.
DeFy Sushi
Re: Multiplayer gameplay VIDEO
It looks terrific, I can't wait to finally get in there and try it for myself!
However, a few "little" things do seem kinda off. Are we sure this is the final build?
Re: Multiplayer gameplay VIDEO
I also thought of dark environments.
But would have been a bit too dull.
And. The environment and character model look good (against what we saw in UC3)
Re: Multiplayer gameplay VIDEO
Pannta wrote:
is a f*cking bullet sponge fest just like U3, please ND dont ruint like you did with U3!
3 bullets is a lot? That's a lot less than both Uncharted 3 AND Uncharted 2 in terms of bullets to kill.
The player didn't hit every single bullet. Why everyone is throwing out the "bullet sponge" argument when not nearly enough bullets are hitting I don't know.
Re: Multiplayer gameplay VIDEO
The Brony is right.
These are not bullet sponges.
EyeCue86 is a symbol of free speech. Any attempt to censor EyeCue86 is an act of evil.
"It's that time of the month again, Joel"
-Ellie, The Last of Us
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How Kaiser's Cost Slashing Nicked Its Image
In its 51 years, Kaiser Permanente, the nation's oldest health maintenance organization, has prided itself on providing quality care. Indeed, the Oakland (Calif.) nonprofit spends 98% of every health-care dollar it receives on patient care. That has helped the $13 billion behemoth sign up some 7.9 million members nationwide, more than any other HMO. But these days, Kaiser's sterling reputation is being tarnished.
In recent months, state and federal authorities have launched investigations into Kaiser practices in Texas and California. The probes examine issues ranging from inadequate staffing at hospitals to poor emergency-care service and, in Texas, a high number of wrongful-death suits. They follow sweeping efforts initiated by Kaiser to control costs, raising the question of whether Kaiser may be cutting too deeply. "That's a big concern we've had with HMOs in general," says Reggie James, the Southwest regional director for the Consumers Union. "In an effort to be more competitive and cut costs, they are cutting services." Kaiser vehemently denies any wrongdoing.
PRIME TARGET? Kaiser's biggest woes are in the Lone Star State, where it's among the top 10 HMOs and is in a nasty legal battle with the Texas Insurance Dept., which regulates HMOs. In a yet-to-be-released report, Texas officials are highly critical of Kaiser. Court papers filed in a dispute over releasing the report indicate that the review stemmed from numerous complaints about poor-quality care, allegations that Kaiser improperly discourages emergency-room care, and the filing of at least 20 wrongful-death suits against the HMO in the Dallas-Fort Worth area. Insurance Dept. records also indicate that Kaiser has lost some $71 million since 1991 in Texas.
One wrongful-death suit was brought in 1995 by Tracey M. Almany, whose husband, Trevor, died in December, 1993. The suit alleges that Kaiser's network physician and its Texas subsidiary were grossly negligent in improperly diagnosing her husband's heart condition and failing to get him admitted to the closest emergency room. Kaiser declined to comment on the suit, which is pending in U.S. District Court in Dallas. But Kaiser's Texas spokesman, David O'Grady, says that because Kaiser is the only HMO in Texas to assume legal liability for its doctors, it is named in a disproportionate amount of malpractice suits. As a result, O'Grady says, Kaiser is a more likely litigation target than competitors.
Kaiser recently won a state court order sealing the Texas report, which O'Grady calls "flawed through and through" and "loaded with inaccuracies and erroneous conclusions." Kaiser contends that officials botched the investigation, misapplied the law, contradicted reports by their own consultants, and attempted to release confidential information. On Apr. 18, Kaiser will ask the court to continue the injunction sealing the report.
SHUTTERED HOSPITALS. Meanwhile, Texas State Attorney General Dan Morales says there are "sufficient grounds and justification" for the state to yank Kaiser's HMO license. Morales says those grounds are separate from findings in the report. He says his office has received complaints about Kaiser skimping on emergency-room services--even though the company in 1995 settled a lawsuit with Morales' office over denial of benefits to Kaiser members who received emergency care at non-Kaiser facilities. "We now have indications that, essentially, Kaiser is going back to their old practices," he says. O'Grady says that there is no basis for shuttering the HMO's Texas operations.
Back in its home state, Kaiser faces a probe by California's Health Services Dept. In conjunction with the federal Health Care Financing Administration, California is looking into four patient deaths in the emergency room at a Kaiser hospital in Richmond. On Apr. 3, Kaiser Chairman David Lawrence conceded that Kaiser's own investigation showed that the emergency room does not meet federal standards. Problems included inadequate medical documentation and staffing.
Again, cost-cutting may be to blame. The complaints about the Richmond facility arose after Kaiser scaled back services there and set plans to shutter two of its five hospitals in the East Bay, near San Francisco. That move has infuriated the California Nurses Assn. In a complaint lodged with the California Corporations Dept., which oversees HMOs operating in the state, the nurses charge that quality of care has fallen since the hospital closings. The union, which represents about 25,000 nurses in Northern California, plans a one-day strike against Kaiser on Apr. 16.
Kaiser says it is working diligently to clean up its act. "There's been a lot of bashing. But the fact is, we have acknowledged the problems, and we are correcting them," says spokeswoman Beverly Hayon. That may offer little comfort to the likes of Tracey Almany.


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"Too many Washington politicians clearly hope middle-class Americans simply won't notice billions of dollars in Social Security benefit cuts included in proposals changing the current cost of living allowance formula to a stingier chained CPI. I promise you, seniors and their families will notice.
If news reports are correct and the White House is considering this benefit cut, then President Obama has broken faith with seniors and his commitment to keep Social Security out of the deficit debate. The chained CPI would mean an immediate benefit cut of $130 per year for the typical 65-year old retiree and would grow exponentially to a $1,400 cut after 30 years of retirement.
Contrary to the political spin, this chained CPI proposal isn't a "tweak" or an "adjustment," it's designed to cut benefits and raises taxes, largely on the poor and middle class, totaling $208 billion over ten years. $112 billion of those benefits cuts come from Social Security alone with up to $24 billion coming from VA benefits and civilian and military retirement pay cuts.
Seniors will have received an average COLA of 1.3% over 4 years with no increases in two of those years. Arguing that is too generous shows how out of touch some our political leaders have become with the real-world economic realities facing average Americans. Adopting the chained CPI is nothing more than a political slight of hand targeting our nation's middle class and poor and should be rejected by the President." Max Richtman, NCPSSM President/CEO
The National Committee, a nonprofit, nonpartisan organization acts in the interests of its membership through advocacy, education, services, grassroots efforts and the leadership of the Board of Directors and professional staff. The work of the National Committee is directed toward developing better-informed citizens and voters.
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Oh, yes: the Trump Budget Definitely Does Cut Meals on Wheels
Would the Trump administration and its acolytes please stop saying that the President's budget does not cut funding for Meals on Wheels?
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text: On Thu, Sep 01, 2011 at 09:14:23AM +0200, Christophe Varoqui wrote: > On mer., 2011-08-31 at 21:55 -0500, Benjamin Marzinski wrote: > > This adds a new default feature, find_multipaths. When this is set to yes, > > multipath will no longer try to create a multipath device for every > > non-blacklisted device. Instead, it will only create a device when one of > > three conditions are met. > > > > 1. Three are at least two non-blacklisted paths with the same wwid > > 2. The user manually forces the creation, by specifying a device with the > > multipath command. > > 3. A path has the same wwid as a multipath device that was previously crreated > > (even if that multipath device doesn't currently exist). > > > Hannes, > > this patch implements complex semantics and mis-use /etc to store > variable data (/run was suggested as a replacement). Though I realize > the benefits, I'm not at ease merging it. This will add wwids to the wwids file at the same times that new bindings get added to the bindings file. We decided to move the bindings file to /etc/multipath/bindings because it caused problems during bootup, if /var/run was not mounted. This will have the same problems where you will be writing to a file that eventually gets mounted over. So I am against using /var/run -Ben > > Mike Snitzer pushed for its inclusion, but I don't remember your > commenting. Would your care to ? > > Regards, > > -- > Christophe Varoqui > OpenSVC - Tools to scale > http://www.opensvc.com/ > > -- > dm-devel mailing list > dm-devel redhat com > https://www.redhat.com/mailman/listinfo/dm-devel


text:
- Business Office
- Email email@example.com
- Phone (940) 397-4101
- Fax (940) 397-4302
Everything you need to know about understanding your bill, making your payments, and getting refunds is available through this site. As students and parents, you will be conducting business with our office over the next several years. We would like to make your experience a pleasant one. In order to alleviate confusion about payment schedules, payment methods, and other important issues, we have created a web-site packed with useful information.
The business office is responsible for billing and collecting tuition, fees, campus housing, and other university-related charges. The office also invoices third-party agencies, audits MSU student accounts, and processes student refunds. Our office is also responsible for processing deposits for university departments. We hope you find the information here useful. We are also interested in your experiences and welcome any feedback.
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Teller Windows: 8:15 a.m. to 4:30 p.m.
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text: Final SaleA pair of trousers featuring an ornate geo print. Zip fly with button closure. Self-tie sash at the waist. Back welt pockets. Cuffed leg openings. Woven. Lightweight. DETAILS:27" approx. inseam, 28" waist, 10" leg opening, 12" rise, 20" thigh circumferenceMeasured from Small100% rayonHand wash cold, dry flatImported Product Code : 2000126811


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Naught for our comfort in the state of the north's traditional regional media: The Liverpool Daily Post is to go weekly in January.
This bears out a forecast run by our London colleague Roy Greenslade in March when the former editor of the Birmingham Evening Mail, Steve Dyson, predicted precisely this, and got the date right. He had seen the Mail's sister paper the Birmingham Post take the same step a year previously.
Roy has more on today's decision over on his blog here. Note that the 156-year-old Post's website will continue to be updated every day; but the change to the 'paper' paper is going to see the loss of six journalists' jobs.
The new weekly Post sounds to be more of a features magazine than a breaking news source, with energy expected to go on background analysis, the arts and lifestyle subjects. The evening Echo will keep flying the daily news flag and let's hope that it thrives. Unbelievably to a journo of my age, the Post was down in October to only around 6,500 full-price sales a day (8217 overall).
The paper had the chagrin last year of reporting that the city centre population was ten times bigger than in 1990, and there are approaching half a million people in the wider metropolitan area. Alas, they don't seem to want to curl up in their armchairs with a paper paper. Digital world, here we continue to come.


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New Ford Vehicles | Used Cars | Service | Specials
From the sparkling new to the tried-and-true used vehicles in our lineup, the aesthetic experts over in our service center and body shop, to our enthusiastic rate-reducers in financing, there's no shortage of things to love at McCombs Ford West. We know your time is valuable, so let us do all the hard work for you; superb service and friendly folks are what you'll find here at 7111 NW Loop 410 in San Antonio, Texas.
No matter your preference, McCombs Ford West has plenty of Ford options to choose from. Our online inventory is constantly being updated with listings of new 2016-2017 Ford vehicles available in our showroom, including the F-150, Super Duty, Escape, Mustang and Fusion.What matters most, though, is your opinion, and which model grabs your attention. We believe the process should be as stress-free as possible, so relax, keep an open mind and try to picture yourself behind the wheel of a Ford vehicle.
If you're looking for value, but perhaps aren't looking for a new car, that's perfectly fine. We certainly understand. You might be looking to head on a big trip, or want to treat yourself to something different. No matter what it is, the savings can be had via our collection of used cars. They come in many trims and variants, and will keep you, and your bank account, happy.
If you can already picture the Escape, F-150, Focus, Super Duty or Fusion you've had your eye on in your driveway, remember you can always ask McCombs Ford West for help. Our financing team is prepared to explain your car loan and lease options in detail after you've gone for a test drive. That way, you can know exactly what it will cost to get back behind the wheel and cruise the streets of Atascosa, Castroville TX, Helotes and Hondo in style.
Once you drive your new Ford vehicle out of our showroom, that doesn't mean our relationship ends. Far from it, in fact. Our goal is to make sure your levels of satisfaction remain high for many miles, and we support you by offering Ford parts. If you need something that isn't currently here, we'll place an order for you. In addition, we also provide auto service as our team of maintenance pros aim to keep your vehicle in the most pristine condition possible with routine repairs, checkups, and much more.
McCombs Ford West doesn't expect you to simply take our word that we offer excellent service, however. Sometimes, seeing truly is believing. That's why we invite you to visit us at 7111 Nw Loop 410San Antonio, Texas 78238 at your earliest convenience.
McCombs Ford West
7111 NW Loop 410
Directions San Antonio, TX 78238


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One of our favorite ways to document all the cool things to do in DFW each year is by asking you to smile for our cameras. Each week, DFW.com's tireless photographers cover concerts and the club scene, sporting events and beloved annual events.
Here are the most-viewed photo galleries from 2012.
1. Crowne Plaza Invitational at Colonial: The annual party on the pristine fairways at Colonial is Fort Worth's favorite outdoor party. And it always produces terrific photos.
2. The Larry Joe Taylor Music Festival: This weekend-long outdoor concert rocked long and hard.
3. DFW.com's Hot Issue: Our annual summer celebration of all things sizzling got your attention.
4. Main Street Arts Festival: The food, the art and the quintessential Fort Worth atmosphere makes Main Street one of our favorites.
5. Twin Peaks calendar shoot: The behind-the-scenes look "peaked" your interest.
6. HP Byron Nelson Tournament: The scene at the Pavilion must be seen to be believed.
7. Rockin' the River: The summer tubing/concert series on the Trinity was
8. Halloween 2012: Nothing like costumes and club parties to produce great photos.
9. New Year's Eve 2012: Cheers!
10. TCU's season opener: The Horned Frogs christened a newly renovated stadium and joined the Big 12.


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Lee's Summit got to end an odd week on a positive note Feb. 8.
The Tigers raced off to a 21-7 lead and Raymore-Peculiar could never recover as they claimed a 72-54 victory at Lee's Summit.
Last week's snowstorm kept both Lee's Summit and Ray-Pec out of school and out of the gym most of the week and forced both teams to play on back-to-back nights. Lee's Summit broke even in its two games, but the Panthers suffered losses to two Lee's Summit teams, having lost to Lee's Summit North the night before.
"(Not practicing) makes a difference," Ray-Pec coach Scott Jermain said. "We don't have a lot of guys and legs get tired, not to make excuses because they had a game last night, too. … Something you just got to push through."
Both outside shooting and getting to the paint fueled the Tigers' hot start against the Panthers. Of the Tigers' 21 first-quarter points, 12 came on long-range baskets from three different players. As an indication of how things were going, Lee's Summit's Bruce Bias pulled up from about 30 feet for a buzzer-beater at the end of the first quarter.
Ray-Pec, 6-15, overall and 0-3 in the Suburban Conference Big Six, made two runs at the Tigers (13-5, 3-1), one in each half.
"The biggest thing is they're a very well-coached team," Tigers' coach Blake Little said. "They play hard. We knew they were going to make a run at us. We had to respond to that run."
Using a 10-3 run started by a three-pointer from Nate Janssen, Ray-Pec closed the gap in the second quarter, getting to within 27-19. The Tigers closed the half on an 8-2 run for a 35-21 halftime lead.
With four points from Jordan Hill, the Panthers pulled to within 40-32. After a quiet first half, Drew Lock answered for the Tigers.
In transition after Jason Chambers hit a jumper to make the score 40-32, Lock knocked down an open three. After a stop, Lock converted on an old-fashioned thee-point play after Chambers fouled him on a transition layup.
"Drew Lock came through in a pretty clutch time," Jermain said. "He made some big plays there when we got it to eight. Good players do that. He did."
Lock scored just three points in the first half, all from the charity stripe, but finished the game with 19 points.
"People who haven't seen us play much don't understand how balanced we really are," Little said. "Drew gets a lot of the headlines because Drew is great player. Drew's averaging 20 a game, but we have other guys that can do it and we've got three other guys who are averaging 10 points a game.
"When we share the ball, we're really good. And that's what we did early in the game."
Nick Larkin followed up with a transition layup to push the lead to 48-32 with 1:02 left in the third quarter and the Panthers didn't threaten again.
James Sappington led the Panthers with 13 points and Hill added 10.
Free throws hurt the Panthers throughout the game, as they went 17-for-29 from the stripe. The game wouldn't have gotten so out of hand early had the Panthers not started 4-of-10 from the line, a stark contrast from their 10-for-11 effort Friday.
"It pulls you closer at the end," Jermain said. "It makes a big difference. Their free-throw defense was good tonight."
After not playing for two weeks, Ray-Pec had to play back-to-back nights. The Panthers fell to Lee's Summit North 67-61 at home on Feb. 7. Lee's Summit was also coming off a loss, falling to Blue Springs South 64-54 in a key Big Six match.
"I think you lose a little bit of your swagger, a little bit of your rhythm, so to speak," Jermain said.
As well as getting to the line more often and the Panthers, the Broncos knocked down eight from long distance.
"That's a big, big difference," Jermain said. "We were kind of counting on them not shooting as well. Obviously, you've got to knock down some shots, but they shot the ball really well. That's what good teams do."


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|1,291 sq. ft.
|Property type
|Minimum Stay
|3 nights
Apt. A boasts a stylish/comfortable interior with superb sea views from it's 2 balconies. Sleeps 4/5 guests.
Bedroom 1 - sleeps up to 3. Kingsize bed and Z bed for child, en-suite bathroom and patio doors leading to a private balcony.
Bedroom 2 - has 2 single beds, patio doors leading to the main balcony. Both bedrooms have built in wardrobes and are fully air-conditioned. The balconies both have uninterrupted views over the communal pools/gardens and sea.
Lounge/Dining room with internet TV for all UK channels, DVD player, stereo, free Wi-Fi, sofas and highchair and dining table.
Kitchen fully fitted with dishwasher, washing machine, fridge/freezer, electric oven, gas hob, microwave, toaster, kettle.
Both the Kitchen and Lounge/diner have patio doors to the main balcony for alfresco dining and additional seating area.
Shower room with shower, w/c and washbasin.
The apartment is strictly non-smoking. It is AL certified and approved with the local council
We have 3 holiday apartments available to rent in the relaxing resort of Galé (10 minutes from Albufeira). We can accommodate 4/5 guests in our 2 bedroom apartments and 6/7 guests in our 3 bedroom apartment. They are situated in the Galé-Mar Apartments, a secure, well maintained gated complex with large family pool and separate children's pool set in beautiful communal gardens. If the pool is not for you, the beach is within easy walking distance, 200m away is the beautiful sandy beach of Sao Lourenco and 500m is the bigger beach of Praia Da Gale both offering beach restaurants for a spot of lunch or evening meal.
Our apartments are very well furnished and maintained to a high standard. We try to make them "home from home". They are fully air-conditioned (which is serviced annually) and the 2 bedroom apartments have free Wi-Fi and internet TV for all UK channels. The 3 bedroom apartment only has local television and no wi-fi. We have registered the apartments with the local council and and have smoke alarms fitted.
The sleeping..........
The 2 bedroom apartments sleep 4/5 comfortably. The master bedroom has a king-size bed with en-suite bathroom and patio doors to a private balcony. A z-bed is available in this bedroom for a child (up to 12 years) and a travel cot is available on request. The second bedroom has 2 single beds with patio doors leading to the main balcony.
The 3 bedroom apartment sleeps 6/7 comfortably. The master bedroom has 2 single beds with en-suite bathroom. A z-bed is available in this room for a child (up to 12 years) and a travel cot is available on request. It has patio doors leading to the balcony. The second bedroom has 2 single beds with patio doors leading to the balcony and the third bedroom has 2 single beds with patio doors leading to the balcony.
The cooking..........
All the apartments have a fully fitted kitchen with dishwasher, fridge/freezer, electric oven, gas hob, microwave, toaster, kettle and washing machine.
The relaxing..........
The lounge/diner boasts 2 sofas and dining table, DVD player, internet TV for all UK channels, free Wi-Fi, a selection of games, books and DVD's. Please note the UK TV and Wi-fi is not available in the 3 bedroom apartment.
The views..........
Due to their proximity to the sea, the apartments boast excellent sea views which are taken advantage of from alfresco dining on the balconies. The 2 bedroom apartments have 2 balconies and the 3 bedroom apartment has 1 large balcony, all have views over the communal gardens, pools and the sea and are furnished with dining tables, parasols and rattan outdoor seating ideal for lounging or reading a book.
The bathrooms..........
In the 2 bedroom apartments, the en-suite bathroom(accessible from the master bedroom) is fitted with bath/shower over, basin, WC, bidet and hairdryer. Accessible from the main hallway, there is also an additional shower room with shower enclosure, WC and basin.
In the 3 bedroom apartment, the en-suite bathroom(accessible from the master bedroom) is fitted with bath/shower over, basin, WC, bidet and hairdryer. Accessible from the main hallway, is an additional main bathroom and a separate shower room with shower enclosure, WC and basin.
The swimming and beaches..........
The apartments are 200m from Sao Lourenco beach (approx. 4 min. walk) and 500m from Galé beach (approx. 8 min. walk). There is a large communal swimming pool with diving board and children's pool. Sun loungers and parasols are available to use free of charge around the pool area.
More about Galé...........
Galé is the ideal location for a peaceful and relaxed holiday. It is only 40 minutes from Faro airport. It suits families looking for a beach holiday without the hustle and bustle of busier, more commercialised resorts.
It offers some of the prettiest and secluded coves and beaches on the Algarve (Sao Lourenco, Galé beach, Sao Rafael, Castillo etc....) all Blue flag beaches, each with their own beach bars, cafes and restaurants.
500m from the apartments is the well known Apolonia supermarket, the Portuguese version of Waitrose. There is lot's of choice of Portuguese foods as well as a good selection of UK products,also a cash dispenser inside the store. There is also an Ali-Super supermarket just 7 minutes walk away. If, however, you do not want to cook whilst on holiday, there is a good choice of restaurants within walking distance, ranging from beachfront cafes to the upmarket Michelin starred Vila Joya restaurant.
It is not essential to hire a car. We can arrange a transfer for you from the airport to the apartment (extra cost). There is a bus stop outside the apartments and the taxi rank is just a 5 minute walk, so unless you are planning to do lot's of sightseeing, a car is not strictly necessary. Albufeira, with it's more lively nightlife, is only a 10 minute taxi or bus ride away. The main bus station in Albufeira links all the major resorts along the Algarve, going east or west.
The parking..........
There is plenty of free parking available in the car park outside the apartments and underground parking with one allocated space.
Out and about..........
Guia, well known as the birthplace of the famous chicken Piri-Piri and the location of Sir Cliff Richard's vineyard, is just 10 minutes away by car. Also here is the Algarve shopping complex where you can find factory outlet shops and large supermarkets. For families, various attractions such as Zoomarine and Aqualand are all approximately 15 to 20 minutes by car. Salgados golf course is very close, just 5 minutes by car. Numerous golf courses can be found close to Albufeira and Vilamoura, golfers are spoilt for choice. Birdwatchers will find plenty of interest at the nearby Salgados lagoon, including flamingos. This is easily accessible by car or by walking along a series of wooden walkways along Galé beach to Salgados.
All in all, Galé has something to offer for everyone.........
Please visit us on facebook for more photo's www.facebook.com/gale mar or email us at email@example.com.
I am a Training Analyst for a local healtcare organisation and run the Gale Mar Apartments with my father, Geoff. I have a family who love to visit Portugal and Gale Mar and spend hours splashing in the pool and playing on the beaches. We love the restaurants and have spent many happy family holidays in the Algarve. In the evening, we love to stroll to a local restaurant and try some new local cuisine with a glass vihno verde or try some cocktails at the local beach bar. Tracey Richards - email@example.com
Tracey or Geoff purchased this apartment in 2011
We decided on Gale as it is close to all local attractions, shops and towns, but quieter so you can "get away from it all" if you want to. The beaches in this area are stunning and the apartments are well looked after. As a family, we love to explore local areas, try different restaurants and relax by the pool and on the beach - the doughnut sellers on the beach are an added bonus......!
All our apartments have excellent views over the swimming pool and out to sea.
Bookings are from 3.30pm on day of arrival to 10 am on day of departure.
If the dates you require are not available, please check availability for our adjoining apartment B or email us at firstname.lastname@example.com
Really spacious , very clean and the owners have totally thought of everything u could possibly need during your stay . Bundles of information on hand about the local area etc .. will defiantly be going back. 😃
We really enjoyed our stay at the apartment and look forward to returning.
Very lovely and comfortable apartment. Beautifully clean and we'll equipped. I would wholeheartedly recommend.
We have stayed in Gale before and this apartment lived up to all our expectations
Great location close to beautiful beach and amenities
Everything you need for a perfect holiday
Would definitely recommend this apartment
Helpful instructions from the owners to ensure a comfortable stay
We stayed in apartment 6 for a week. The apartment is lovely, very well equipped and ideally located within walking distance of two beaches. We had a great time and will definitely return.
We spent a fantastic 2 weeks in this excellent apartment. Everything was as listed and met or exceeded expectation in respect of comfort and specification. The underground parking was a real bonus given that we drove down. The swimming pool and communal areas are great (and new/extra sunbeds were delivered during our first week!). Gale is our favourite resort and as usual did not disappoint; everything you need for a relaxing holiday is available on your doorstep whilst there is plenty to do an see in the surrounding area. Communication with Tracey was first class and could not have been made any easier. The level of information provided both before the holiday and whilst in the apartment could not be better. Our safety deposit cheque even got home before we did (it probably had a smoother journey than we did between Santander and Portsmouth!!). We would recommend this apartment without hesitation and hope to return in the near future.
Ideally situated for all local attractions and an excellent base for discovering the Algarve coastline.
For more photographs and information, please visit us on www.facebook.com/gale mar apartments.
Free Wi-Fi and internet TV is available for all your UK television programmes in apartments A and B (2 bed apartments), there is no wi-fi or UK TV in apartment C (3 bed apartment)
We know that traveling with extra luggage can be expensive so the apartments are supplied with a travel cot and highchair free of charge.
To take further stress away from you - we can arrange a return transfer for your party to the apartments from Faro airport, please email us for details and a quote.
An end stay clean is included in your rental charge, however, for a small charge we can organise extra cleaning.
If you wanted to book more than one apartment, please email us and we will happily check availability for you:-
Galé is the ideal location to unwind and relax and watch the world go by, contact us today on firstname.lastname@example.com.


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Welcome to the Quilting Board!
very colorful! love the use of stash!
Make it a scrappy happy day!
Wonderful use of stash!
Four things you can't recover: The stone.....after the throw. The word......after its said. The occasion.....after its missed. The time......after its gone
A beautiful scrappy quilt!
Helen T.
lucky brother
Terrific use of your bright stash!!
Be a blessing to others, as you may entertain angels unaware!
nicely done
Nancy in western NY
before you speak THINK
T is it True? H is it Helpful? I is it Inspiring? N is it Necessary? K is it Kind?
What a wonderful result from the stash!
The colors are great. The quilt looks wonderful.
stash quilts are free quilts bonus


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I am 16 years old with droopy eyelids that make me look older than what i look. i was born with this condition both of my eyelids are droopy i get migraine headaches and is effecting my vision i am wanting to get this taking care of this bothers me alot i worry every single day will medicate pay for this situation
I am 16 years old I was born with droopy eyelids that make me look older tired and sleepy angry etc? (photo)
Doctor Answers 1
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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You are hereBlogs / davidswanson's blog / When Irving Berlin Called Warmakers Worse Than the Devil, and Everybody Sang
When Irving Berlin Called Warmakers Worse Than the Devil, and Everybody Sang
From this wonderful song book:
By Irving Berlin in 1914 (100 years ago):
Stay Down Here Where You Belong
Down below
Down below
Sat the Devil talking to his son
Who wanted to go
Up above
Up above
He cried, "It's getting too warm for me down here and so
I'm going up on Earth where I can have a little fun".
The Devil simply shook his head and answered his son:
Stay down here where you belong
The folks who live above you don't know right from wrong.
To please their kings they've all gone out to war
And not a one of them knows what he's fighting for.
Way up above they say that I'm a Devil and I'm bad
Kings up there are bigger devils than your dad.
They're breaking the hearts of mothers
Making butchers out of brothers
You'll find more hell up there than there is
down below.
Kings up there
They don't care
For the mothers who must stay at home
Their sorrows to bear
Stay at home
Don't you roam
Although it's warm down below,
you'll find it's warmer up there
If e'er you went up there, my son,
I know you'd be surprised
You'd find a lot of people are not civilized.
Another one:
The Battle Hymn of the Republic, Updated
Mine eyes have seen the orgy of the launching of the Sword;
He is searching out the hoardings where the stranger's wealth is stored;
He hath loosed his fateful lightnings, and with woe and death has scored;
His lust is marching on.
I have seen him in the watch-fires of a hundred circling camps;
They have builded him an altar in the Eastern dews and damps;
I have read his doomful mission by the dim and flaring lamps—
His night is marching on.
I have read his bandit gospel writ in burnished rows of steel:
"As ye deal with my pretensions, so with you my wrath shall deal;
Let the faithless son of Freedom crush the patriot with his heel;
Lo, Greed is marching on!"
We have legalized the strumpet and are guarding her retreat;
Greed is seeking out commercial souls before his judgement seat;
O, be swift, ye clods, to answer him! be jubilant my feet!
Our god is marching on!
In a sordid slime harmonious Greed was born in yonder ditch,
With a longing in his bosom—and for others' goods an itch.
As Christ died to make men holy, let men die to make us rich—
Our god is marching on.
And one more:
Bring Back My Daddy To Me
A sweet little girl, with bright golden curls,
Sat playing with toys on the floor,
Her dad went away, to enter the fray,
At the start of this long bitter war;
Her mother said, "Dear your birthday is near,
Tomorrow your presents I'll buy."
The dear little child, quickly looked up and smiled,
And said with a tear in her eye:
"I don't want a dress or a do-ly,
'Cause dollies get broken 'round here,
I don't want the skates, the books or the slates,
You bought for my birthday last year;
If you'll bring the present I ask for,
Dear Mother, how happy I'll be;
You can give all my toys To some poor girls and boys,
But bring back my Daddy to me!"
- davidswanson's blog
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Category: unique baby name
Unusual baby names are becoming more and more, well, common these days. A mere one percent of babies are named Emma or Jacob, the most popular names, and only about ten percent are given one of the Top Ten names. Compare that to a hundred years ago, when FIVE percent of babies were given the most popular names John or Mary, and 30 percent of boys and 20 percent of girls received one of the Top Ten Names. For the first time, less than half of all babies get one of the Top 50 names.
And it's not only American parents who are choosing unusual baby names. Chinese parents, seeking individuality in a country with 1.3 billion people sharing only 129 surnames, are turning to unconventional combinations of letters, numbers and symbols for their children's names. One couple wanted to name their baby 1A while others use the @ symbol, pronounced "aita" and meaning "love him" in Chinese.
Many European countries restrict the pool of possible names, though many parents are testing the centuries-old boundaries. But Belgium, with no such laws, over half of children receive such unique names as Testimony, Cherub, and Edelweiss.
If you're considering giving your baby an unusual name, your biggest question may be: How will an unusual name affect my child for better and worse throughout his or her life?
When the latest unusual starbaby name hit the headlines last week–extreme adventurer Bear Grylls' son Huckleberry–maybe we shouldn't have been so surprised. After all, a previous celebrity couple, Kimberly Williams and Brad Paisley had named their son William Huckleberry, and are known to call him Huck. But with people still commenting on Apple, maybe it's time to look at the whole category of fruit names.
APPLE. Unlike some other starbabies, Apple Martin has not inspired many namesakes, probably because of all the ridicule it received and despite mom Gwyneth Paltrow's defensive statement that "apples are so sweet and they're wholesome and it's biblical..I just thought it sounded so lovely and clean." In fact, since Apple's godfather Simon Pegg was quoted as saying she'd be using her middle name when she starts school, we don't see much chance of it ever catching on.
BANANA. Even less likely. Japanese novelist Mahoko Yoshimoto adopted the pseudonym of Banana because she considered it "cute and purposely andgrogynous"–which it is–but for pen name purposes only.
BERRY. Has long been used as a unisex name, reaching a high of #435 in 1909 and staying in the Top 1000 till 1971, having two famous namesakes–Motown founder Berry Gordy, Jr. and Berry Berenson (born Berinthia), photographer/actress and widow of Tony Perkins who died tragically on 9/11. It's a choice that just might come back as a green name which is less elaborate than the other berry names.
CHERRY. Another fruit name that's had some popularity before it disappeared in the 70s, along with Merry, Kerry, Sherri and Terry–possibly because of its embarassment potential for a teenage girl. Don't see this one coming back.
CLEMENTINE. Partly because you wouldn't immediately tag it as a fruit name, Clementine is a real winner, which could return to popularity for the first time in over a century, helped by its usage by celebs Claudia Schiffer and Ethan Hawke. Pronounced with either a teen or tyne ending, it has historical ties to Mrs. Winston Churchill, is feminine, stylish and substantive ,and has long since shed its clunky 'Oh my darlin' image.
HUCKLEBERRY. Has two main obstacles—the close association with Huckleberry Finn and with the cartoonish Huckleberry Hound. Mark Twain told an interviewer that he picked it to describe "a boy of lower extraction" Huck is a pretty cool nickname though.
LEMON. You wouldn't guess it now, but Lemon was once a fairly well used male name–as in the legendary blues singer Blind Lemon Jefferson, and it still has some potential as a unisex name. When Alex Baldwin's character on 30 Rock calls Tina Fey's Liz Lemon by her last name, it makes it sound like a very plausible first. LIME might be a middle name possibility.
MANGO. Bizarre Chris Kattan SNL character. Let's leave it there. Papaya and Kiwi too.
PEACHES. Old-time chorus-girly nickname name revived by rocker Bob Geldof for his daughter Peaches Honeyblossom Michelle Charlotte Angel Vanessa, who has been adament in her resentment of it, saying "My weird name has haunted me all my life." Let that be a lesson.
PLUM. A lot prettier and more usable than Peaches, associated with British-born writer Plum Sykes, whose birth name was actually Victoria–the nickname arising from the species known as the Victoria Plum.
STRAWBERRY. This cousin of Huckleberry is another rarity, given to the granddaughter of writer William Saroyan, who says grew up in a community of kids named Shelter, Wonder and Raspberry, and with a sister named Cream. After changing her name briefly, she came to see the advantages of its uniqueness.
And how do we feel about fruit names? Well, we did call our site Nameberry!


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I knew it had to end the way it did ;)
Ahmad the lion-hearted. Giant forever!
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I knew it had to end the way it did ;)
Ahmad the lion-hearted. Giant forever!
I agree.......if others shy away from his foot injuries AB will come back to the Giants for the Vet min before signing elsewhere.........he is far moe loyal to the Giants than the Giants were to him
20+ minutes of awesome!
Seeing a healthy Bradshaw with decent blocking was an absolute thing of beauty.
Pretty good stuff. Holding out on making mine until he for sure puts on another uniform.
My favorite Giant over the past few years. I sincerely hope that he comes back for less money because I think that he still brings lots of value (even with his busted feet) and leadership to this team.
"And they're not going to catch the rookie outta Marshall!"
I believe that was Papa but I was watching on FOX and it was more of Kenny Albert's:
"Ahmad Bradshaw the rookie from Marshall is going to take it 88 yards for a touchdown.."
Man was he such a spark plug for us that year and in following. This guy played through his injuries, real tough guy.
Will enjoy watching this :D
Thanks for the memories.....and rings
O'Hara at 8:45 is one of my favorite things ever
but damn that song got old fast.


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Just got an email back from Jeff at Hall's. The 530 kit is due end of March. This in itself is borderline but lets look at the pros and cons.
Is this going to be straight bolt and go or am I going to have to re-map and change fueling again?
Is there really much of a gain with the 530? Any losses?
I am really interested in gaining some bottom end because I honestly wasnt too impressed during my whopping total of maybe 7 miles on the bike. The top end is definitely strong but I think my dizzer has more grunt at low rpm. The front end just didnt want to come off the ground very easily (even in 2nd gear).


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The French major embraces the cultural past of France and the French-speaking world. It also explores the dynamic present of all French-speaking peoples and cultures of the 21st century. Because of the dual focus on the historical and the contemporary, students can engage in the world as global citizens.
French Major
Students who major in French at Hollins gain a strong foundation in all aspects of French language and culture. A French major can complete her degree requirements by taking courses in language and literature. Or, she can focus on business, international relations, and current events. Another track of study leads to certification to teach French at the secondary school level.
French Minor
The French minor only requires six courses of intermediate and advanced work. French minors also still have the option of living in the French House.
What You'll Learn
The Value of Knowing Another Language
Through literature, film, and yes, even pop music classes, the professors at Hollins taught me to thoughtfully consider and accurately articulate my views on the political, social, and cultural landscape of the francophone world. Professionally, my language skills and cultural awareness have come to my aid when interacting with French-speaking visitors, whether it be a tourist at our information desk or the French ambassador on an official visit. Knowing a language is a valuable skill indeed!Gwen Fernandez, French major, who has worked for the U.S. Supreme Court and the National Gallery of Art
Learning Other Languages Opened Up an Entire World
For me, the value of knowing another language is two-fold. On the one hand, knowing other languages greatly facilitates my work as a researcher in West Africa as I rely on both French and Arabic to conduct interviews and access colonial and local archives. On the other, learning other languages opened up an entire world of travel, cultural understanding, and social interaction. Not only am I able to read through documents and exchange with other scholars abroad but, more importantly, I have developed and maintained meaningful friendships across time and space. My courses and learning experiences at Hollins and in Paris established an important framework and base from which I could then explore these career aspirations and personal interests.Erin Pettigrew, Assistant Professor of History and Arab Crossroads Studies, New York University - Abu Dhabi


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Best Western Hotel Ascot
Select your stay dates to check availability at Best Western Hotel Ascot
Best Western Hotel Ascot
About the Hotel
Property Location
A stay at Best Western Hotel Ascot places you in the heart of Milan, walking distance from Chiesa di Sant'Eufemia and Ancient City Wall. This 4-star hotel is within close proximity of University of Milan and Palazzo Reale.
Make yourself at home in one of the 67 air-conditioned rooms featuring kitchenettes. Complimentary wireless Internet access keeps you connected, and satellite programming is available for your entertainment. Conveniences include phones, as well as safes and desks.
Make use of convenient amenities such as complimentary wireless Internet access, babysitting/childcare, and a hair salon.
Quench your thirst with your favorite drink at a bar/lounge. Buffet breakfasts are available for a fee.
Business, Other Amenities
Featured amenities include a business center, express check-in, and express check-out.
Hotel Facilities
- Elevator/lift
- Smoke-free property
- Airport transportation
- Laundry facilities
- Free parking nearby
- Express check-in
- 24-hour front desk
- Bar/lounge
- Luggage storage
- Breakfast available (surcharge)
- Business center
- Express check-out
- Hair salon
- Total number of rooms - 67
- Number of floors - 5
- Free WiFi
- Multilingual staff
- Tours/ticket assistance
- Babysitting or childcare
Room Facilities
- Air conditioning
- Private bathroom
- Kitchenette
- Free WiFi
- Phone
- Bathtub or shower
- In-room climate control (air conditioning)
- Minibar
- Room service
- Desk
- In-room safe
- Satellite TV service
- Hair dryer
Hotel Policy
Know Before You Go
- All guests, including children, must be present at check-in and show their government-issued photo ID card or passport.
- Cash transactions at this property cannot exceed EUR 2999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation.
- Children 3 years old and younger stay free when occupying the parent or guardian's room, using existing bedding.
The following fees and deposits are charged by the property at time of service, check-in, or check-out.
- Fee for buffet breakfast: EUR 3 for adults and EUR 3 for children (approximately)
The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.
Mandatory Fees and Taxes
You'll be asked to pay the following charges at the property:
- A tax is imposed by the city: EUR 5 per person, per night, up to 14 nights. This tax does not apply to children under 18 years of age.
We have included all charges provided to us by the property. However, charges can vary, for example, based on length of stay or the room you book.A tax is imposed by the city and will be collected at the property. The amount has been determined by the local administration and depends on the length of stay, property classification, and room price. This tax does not apply to residents of Milan or children under 18 years of age. Please note that further exemptions may apply. For more details, please contact the property using the information on the reservation confirmation received after booking. Show all hotel policy Show less hotel policy


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France's Economic Plan: Hope for Miracles
Any time a European government announces tax cuts without saying where all the money will come from, or mentions the word "efficiencies," hold on to your wallet.
So it is with the recent announcement from new French Prime Minister Manuel Valls of lower taxes on labor and corporations. He has proposed adding something in the region of 11 billion euros ($15 billion) to the tax cuts already promised under President Francois Hollande's existing "Responsibility Pact," without upping the 50 billion euros of spending reductions (20 billion euros of which would come from efficiencies) that were outlined for that deal.
Failing a miraculous spurt in growth and tax revenue, Valls is unlikely to be able to pay for this and at the same time reduce the budget deficit to its target of 3 percent in 2015, from last year's 4.3 percent. He said he'll be asking the European Commission to reconsider the balance between deficit control and growth. He also called on the European Central Bank to loosen up on monetary policy.
So plus ca change, plus c'est la meme chose: France once again looks as if it will try to wriggle out of deficit obligations mandated by the European Union.
Valls is right, though, on both deficit targets and monetary policy. For European economies that suffer from 10 percent unemployment, as France does, and essentially stagnant growth, as France does, and are lumbered with an overvalued currency, as France is, structural reform is what matters. Growth will follow effective reform and help to solve the deficit problem -- so long as the global recovery continues and the attempt to chase the tail of deficit reduction doesn't kill any expansion at birth.
Valls is right, too, about the ECB. Regardless of France's particular issues, the ECB should be loosening its monetary policy. It is undershooting its inflation target by a wide margin and producing an overvalued currency that is helping to weigh down economic recovery.
The question for the Commission and France's euro area partners is whether they believe Valls when he says he'll deliver the structural reform and spending cuts that France needs to make the economy competitive. They need to believe, too, that when growth returns France will keep slimming the size of the state, and run a budget surplus. I doubt either will happen, but they should suspend their disbelief for lack of better options.
Valls, like his Italian equivalent Matteo Renzi, is a maverick within his Socialist Party, and he probably wants to do the right thing. His proposal to add to cuts in labor taxes is a good move, as is promising to cut the corporation tax to 28 percent from 33 percent (the EU average is 22.75 percent). Slimming down France's regional bureaucracies as proposed is also a good step. Yet most of this is projected to take effect in two years or more, and there wasn't a word in Valls's speech yesterday to parliament on increasing the flexibility of the French labor market, or its service sector, the heart of any meaningful reform.
Renzi and Valls are the slight but fresh hopes for the euro area's two biggest economic delinquents. Neither has the political backing from within their parties to do everything it would take to fix those economies. And yet both are the best available options in an age of rising voter discontent with mainstream political parties.
This column does not necessarily reflect the opinion of Bloomberg View's editorial board or Bloomberg LP, its owners and investors.
Marc Champion is a member of the Bloomberg View editorial board. Follow him on Twitter at @MarcChampion1
To contact the author on this story:
Marc Champion at firstname.lastname@example.com


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Is Sunday's game in Buffalo a "must win" game for New England?
Jason: Even though the Pats are coming off two straight losses, Buffalo still needs this win way more than New England. The Pats are a game behind the division leaders. It's way too early to call any game a must-win for a team that hasn't missed the playoffs with Brady under center in a decade. I'm not sure whether the Bills are the next best team in the division, so it's hard the fathom this one being a make-or-break game for the Pats. Even if they lose this one, would you bet against them making the playoffs?.
Stephen: Because the Patriots play in a rather weak division, I don't see Sunday as a must-win. The Jets will falter without Revis and the Dolphins don't pose much of a threat with their underwhelming offense. The Bills are a solid team, but I don't see them truly posing a threat to the Patriots winning the division. New England could, and maybe should, be 3-0 at this point, if not for a few plays going the other way. As long as they continue to get the offense rolling and put some more heat on the quarterback, they should be okay on Sunday.
Derek: In terms of making the playoffs, this match against the Bills is not a must-win scenario. The AFC East is very weak this season and a 9-7 record may be all that's needed to take home the title and secure a post-season appearance. However, from the perspective of capturing a first-round bye-week, it is critical that the Patriots defeat the Bills. A 1-3 start would put the Pats in a nearly insurmountable hole. Baltimore and Houston are simply too good, and a loss here would put New England in a position where they would likely need to run the table the next twelve weeks to earn one of the two coveted spots.


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This restaurant has long been a favourite hangout for Stockholmers. And no wonder. The food - Swedish classic and international fare - is superb, and the service splendid: swift and friendly but with personality. Tables fill up fast so you can have a hard time getting in, but waiting at the bar is pleasant too. Serves one of the city's best burgers, and is particularly good for Saturday brunch.
Area Stockholm
Transport T-bana Östermalmstorg/bus 2, 47, 55, 62, 65.
Telephone 611 08 45
Open 5pm-midnight daily.
Main courses 95kr-250kr.


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GNOME Mascot?
It's the GNOME Project Day at foss.in!
Máirín Duffy talking about getting involved in art, marketing and branding in GNOME … question from the audience: we have the GNOME foot logo, but why doesn't GNOME have a mascot?
I asked quickly in
#gnome-hackers and James Henstridge suggested that the mascot was:
"whatever made the footprint"
It's a giant invisible beast!


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We loved Canon's HG20, even if it does lack one or two features which the video enthusiast could require. But Canon also offers an even more jam-packed model in the shape of the HG21. We put a sample through its paces to see how it compared.
There are essentially two extra features which the HG21 has that the HG20 doesn't. The most obvious is the viewfinder. Whereas the HG20 relies entirely on its flip-out LCD, the HG21 has a 0.27in eyepiece as well with a 123,000 pixel resolution. You won't find yourself using this very often, but it can still be useful if sunlight is washing the LCD out. It also extends for more comfortable use, unlike the viewfinder on Panasonic's HDC-SD100 and HS100. On the other hand, the HG21's LCD is the Multiangle Vivid version found on the HF10 and HF11, but not the HG20. This is brighter with wider angles of vision than the standard screen, making it easier to see in most conditions anyway.
The other major difference is the size of the internal hard disk. Where the HG20 offers 60GB of storage, the HG21 doubles this to 120GB. So where the HG20 can record a little over five hours of footage at the top image quality, the HG21 has room for over ten. You will probably find you can shoot multiple holidays and family events before ever having to consider clearing footage off - although we would recommend backing up sooner than that, as you don't want to lose cherished shots along with a lost camcorder.
A final difference is that the HG21 is black where the HG20 is silver, which is Canon's usual way of distinguishing a higher-end model from its more lowly but very similar sibling. Despite the viewfinder and larger hard disk, the HG21 hasn't increased in size over the HG20, but its weight is up by 25g. You probably wouldn't be able to tell the difference.
Other than these upgrades, the HG21 has identical features to the HG20 and HF11. It's built around a sizeable 1/3.2in CMOS sensor with a gross 3.31-megapixels, 2.07 megapixels of which are used when shooting video and 2.76 megapixels for photography. So footage is captured at a native Full HD resolution of 1,920 x 1,080, with digital stills up to 2,048 x 1,536 (with a bit of interpolation and a 4:3 aspect). The optical zoom is the same 12x, and Canon's excellent Super Range Optical Image Stabilizer is incorporated.
Hi James.
I'm no expert in camcorders and this is actually the first time I'm going to buy one. I like my gadgets being at semi-pro or slightly below - even dough skills don't always match ambitions. Now I went to a store to do some "tire kicking" and compared the HG20 and the HG21 - except the larger memory the biggest difference is the quality of the LCD display - which is evidently better in HG21. That together with the larger memory makes me favor the HG21. The HG20 LCD gives me a feeling of "cheap" compact (still-image) camera, while the HG21 is at Nikon D300 level.
Hi James:
This is the first time I read your reviews. They help me a lot. Please advise me which canon camcorder I should buy. I like Canon HG21 but it's rather expensive. I like one camcorder which can work well in low light. Thank you.
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Here is a picture of my house and how much snow we got last night!
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Here is a picture of my house and how much snow we got last night!
LOL cute
My bird house that is! It is actually one of my mom's birdhouses she put in my front yard. She thought it was so cute looking like a real house with all that snow.
thats so cute! ~minus the snow. =)
Sprinkle some bird seed for the babies.
Blessings to you and yours,
That is so cute!
awwww be careful --- need to shovel the roof off before it caves in!!!!! Course, you might have a 20 oz snow load limit on it... :) :)
:mrgreen: :mrgreen:Quote:
Originally Posted by amandasgramma
There are mini quilts inside to keep the residents warm???right???
that's a thought! They may prefer the thread and bits of scraps for their nests to the actual quilt tho!! I'm sure they would love it!Quote:
Originally Posted by erstan947


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Here's the scenario – a customer or designer sends a file, usually an ad book or something with sponsors and the logos used are pixilated and fuzzy. Often the person who created the piece grabbed a gif or a jpeg from the sponsor or advertiser's website. In almost every case – these images are low-res and I am asked the question "Can you do something to make it look better?" The answer is usually yes, but it may take some time.
Here is where I look when I am asked to find a good logo:
- The first thing I do is look in a folder we keep on our server where we store commonly used logos.
- If it's not there, the next place I look is in our DVD archives. If we have printed something with that logo before, it should show up on a search – providing that the image file was given a name that I can easily find, not something ambiguous like "logo.tif".
- If I have no luck with the first two options, then I go online. There are a couple very good sites that offer high quality vector logos for free.
- The fourth place I look, and this one is my personal favorite, is on the advertiser's website. I don't go after the low-res jpegs and gifs, but I search newsletters, catalogs, or press releases. In many cases companies post PDFs of printed pieces online, which have high-quality logos on them. If I can find a good logo (preferably vector art) I extract it with either Illustrator or Pitstop.
- As a last resort, we can recreate a logo from scratch in Illustrator. This is the most time consuming and therefore most costly alternative.
So, don't settle for poor quality logos for your printed project, there is almost always a way to make a low-quality piece look sharper and more professional.


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NCI Dictionary of Cancer Terms
The NCI Dictionary of Cancer Terms features 8,084 terms related to cancer and medicine.
- biostatistics
- listen (BY-oh-stuh-TIS-tix)
The science of collecting and analyzing biologic or health data using statistical methods. Biostatistics may be used to help learn the possible causes of a cancer or how often a cancer occurs in a certain group of people. Also called biometrics and biometry.


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Lennox Furnace Model #: 90UGFA3-75-6
Lennox Elite Series Furnace is about 7 years old. Thermostat is programmed to turn the furnace on during the day to higher temperature before we get home. Today, came home and the house was very cold and the thermostat showed that the heat is on. But there was no air coming through the vents. Went down to furnace and looked for the flashing lights. 2 green lights were flashing at equal intervals (both together). I would say normal flashing. Ventor motor is not running at all. No sounds either. Checked the diagnostic sheet on the furnace, and according to it, furnace is operating normally
Took the covers off, preset the button and held it, Ventor motor turned on for a few seconds and then it turned off again. after multiple attempts, i as able to get the ventor motor to work. Soon after furnace started working and could feel warm air blowing through the vents.
Note: Furnace maintenance was done recently, Was told to replace the ventor motor as the technician said that it may go any time.
I have also replaced the batteries in the thermostat.
We recently purchased the house. Don't know what the problem is. I would appreciate if someone could guide me to diagnose the problem.
Thank you in advance.
Should be both lights flashing fast with a call for heat. Check for loose wires at the thermostat and low voltage connections in the furnace.
Hello Marty S
the first chance I get, I will look into it. I am not very handy so if you can guide me where to look for the loose wires at the thermostat and voltage at the furnace. thanks
The two leds should flash together but rather fast on a call of heat.
I had one just like this the other day. Taped on the inducing motor and she took off.
I since then have replaced the motor. Shoulds like you have an induced motor issue
On the motor if it is made by fasco you can google the number and find it on the internet.
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