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Flu Or Cold?: The Difference Between The Common Cold And Flu
The common cold and flu are caused by different viruses but can have some similar symptoms, making them tough to tell apart. In general, the flu is worse and symptoms are more intense.
COLDS: Usual symptoms include stuffy or runny nose, sore throat and sneezing. Coughs are hacking and productive. It's unusual to have fever, chills, headaches and body aches, and if they do occur, they are mild.
FLU: Fever is usually present, along with chills, headache and moderate-to-severe body aches and tiredness. Symptoms can come on rapidly, within three to six hours. Coughs are dry and unproductive, and sore throats are less common.
PREVENTION: To avoid colds and flu, wash your hands with warm water and soap after you've been out in public or around sick people. Don't share cups or utensils. And get a flu vaccination — officials say it's not too late, even in places where flu is raging.
TREATMENT: People with colds or mild cases of the flu should get plenty of rest and fluids. Those with severe symptoms, such as a high fever or difficulty breathing, should see a doctor and may be prescribed antiviral drugs or other medications. Children should not be given aspirin without a doctor's approval.
Sources: U.S. Centers for Disease Control and Prevention; Roche, maker of Tamiflu.
Also: 5 foods that fight the cold and flu:
Garlic's history as an infection fighter runs long (it was used as an antibiotic during both World Wars) thanks to the sulfur-containing compounds in each clove, including powerful allicin, ajoene and thiosulfinates. The anitmicrobial effects of the garlic compound allicin are well-documented, including in a 2004 study in the British Journal of Biomedical Science, where researchers found the sulfinate effective against powerful, antibiotic resistant bacterial infections from Methicillin-resistant Staphylococcus aureus (MRSA). The medical literature consistently shows that allicin is also active against drug-resistant E.coli infections, fungal infections (particularly oral and vaginal yeast infections), and parasites, including Giardia -- a common cause of traveler's diarrhea. Allicin also has antiviral properties. It's important to note that these findings have been on the cellular level in a lab setting, rather than observed from human diets. But at least one clinical trial found that dietary garlic was useful in preventing colds. Allicin is only released when garlic cells are damaged (cutting, crushing, chewing) and is heat sensitive. Try adding some minced, raw garlic to a salad dressing.
Wheat germ is one of the richest vegetarian sources of zinc -- an important mineral that is involved in nearly every aspect of immune system regulation. Zinc aids in the development of T-lymphocytes, a group of white blood cells that are central to fighting off infection. It also helps maintain healthy skin and mucus membranes -- the body's first barriers to infection. Wheat germ has 17 milligrams of zinc per 100 gram serving, more than the government's recommended daily allowance, which is 11 mg for men and eight for women. Animal protein is the best, most bioavailable form of zinc -- particularly oysters, lobster, beef and pork shoulder. But not only are these sources also high in cholesterol and saturated fat, they are not an option for vegetarians, vegans and those who keep religious diets, like kosher and halal traditions. According to the National Institutes of Health (NIH)'s Office of Dietary Supplements, the reason grain-derived zinc is less available to humans than meat sources is because grains also contain phytates, a compound that binds to zinc and inhibits its absorption by the body. Soaking or sprouting the wheat germ before eating it will help to break down the phytates, improving zinc absorption.
Brazil nuts are the richest source of selenium, a nutrient that helps to form selenoproteins -- a powerful antioxidant that helps prevent cellular damage from free radicals. That means selenium may help prevent chronic diseases like some cancers and heart disease, but selenoproteins also play a role in protecting the immune system by helping to form infection-fighting T-cells. One study in mice showed that the compound also helps regulate intestinal flora -- helping gut bacteria to defeat invading pathogens. But Brazil nuts are so high in selenium that a single nut has nearly twice the recommended daily dose, as determined by the Institute of Medicine. While adults require 55 microgams per day, a Brazil nut has 95 mcgs -- and a single ounce has 544 mcgs. Too much selenium can be bad for your health, so it's better to consider the nuts an occasional dietary source rather than a daily one.
Mushrooms and barley are both high in beta-glucan, a type of carbohydrate that's found on the cell walls of fungi, yeast, bacteria, algae, lichens, and plants. Researchers say that beta-glucan can stimulate the immune system by mimicking an invading pathogen, which in turn improves the function of two types of immune defense cells: natural killer cells and macrophages, a type of white blood cell found in human tissue. And veterinary studies, including a 2004 experiment involving five-day-old piglets that had been exposed to swine influenza virus (SIV), have found that a daily dose of 50 mg of beta-glucan protected the treated piglets from the virus, compared to a control group that received placebo. While those studies used a beta-glucan extract rather than dietary beta-glucan, food sources of the compound -- particularly those found in mushrooms -- have been used to boost immune response by practitioners of folk and Eastern medicine for centuries.
Raw kale is one of the best sources of vitamin C and has the added benefit of being low in sugar and high in fiber -- an overall healthy choice. Why raw? Vitamin C is very sensitive to heat, breaking down the nutrient and making it less effective. Stick to thinly cut ribbons of the veggie, which packs a bigger punch than salad greens. Each 100 gram serving of raw kale includes about 120 mg of vitamin C, well over the recommended dietary amounts for men (90 mg) and women (75 mg). Vitamin C, also known as ascorbic acid, is an antioxidant that helps prevent cell damage caused by free radicals. It is a very commonly used immune-boosting nutrient, though there is little clinical research that can explain how vitamin C helps boost immunity. But while studies prove that vitamin C won't help curtail a cold that's already in progress, observational data shows that people who have a vitamin C-rich diet tend to have shorter, more mild colds.


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BlackBerry Z10 should have been priced lower in India: Ivor Soans
Biztech2's managing editor Ivor Soans shared his perspective on BlackBerry Z10 with IBNLive readers.
Biztech2's managing editor Ivor Soans shared his perspective on BlackBerry Z10 with IBNLive readers.
Q. Hello, do you think that the price at which Z10 has been launched will lead to any footfalls? Secondly, what you expect of Q10's pricing now? Asked by: Remo
A. I just spoke to my local retailer in Powai, Mumbai. He's getting 15 units of the Z10 today and he's sure all will be sold out by tonight. I've spoken to other retailers too and they all think it will still sell well. Personally, I do not like the price point. I believe BlackBerry India should have priced it lower--I would have preferred a Rs 37-38K price point. But companies often think differently. How many units extra would be sold if it was priced at Rs 38000 versus the current price, considering both price points are at the highest end of the market? Perhaps there lies the answer and BlackBerry may have chosen to create aura which will help its cheaper upcoming BB10 smartphones (a total of 6 have been announced and we only know about two--the Z10 and Q10). Plus, if reports of sellouts in other markets are true then perhaps they want to make the most of this since better margins helps profitability. Also, India sometimes behaves weirdly--expensive stuff sells better because of the 'wanting to flaunt' factor. For instance, when BlackBerry was really big and the hottest smartphone 2-3 years ago, I came across many who had a BlackBerry but never used the BlackBerry service, which defeated the entire purpose of owning a BlackBerry. But yet, they just wanted the cool, 'I can flaunt it' factor. About Q10, I have no idea. But the Q10 is also a replacement for the Bold 9900 and one many of their users use and want a replacement for, and hence should sell strongly in India. So that may be priced more in tune for the India market.
Q. Is it too late for BlackBerry, I mean we will have Firefox os, the Tizen, Ubuntu, Windows 8 looking to strike back, Android not stopping, IOS still having a large fan following, where does BlackBerry stands now & in the near future? Asked by: sabir khan
A. How many users does the Firefox OS, Tizen and Ubuntu have? Let's not talk about things into the future. Do you know what tomorrow holds for yourself? Also, remember that BlackBerry still has an installed base of 80 million users. That's not insignificant. I think that with BlackBerry 10, BlackBerry has taken the discussion firmly away from specs and benchmarks. I don't know what the future holds for BlackBerry, but I firmly believe they are back in the race and have taken smartphone innovation to a new level. Where they go from here is up to them and for the market to decide.
Q. What was the phone you were using before the Z10? What are the top 4 reasons to compel you to switch to Z10? Asked by: Girish
A. I was using the Bold 9900 and a Sony Xperia. The Bold 9900 was my primary. For me the key reasons were the incredible keyboard (think about it, I switched from the best physical keyboard EVER--the 9900's, to an onscreen keyboard. And I type articles on my phone). Then there's battery life. At 16-17 hours for a screen so rich, it is incredible. Then BlackBerry Hub, which has made communication and multitasking so much easier and also the gestures, which are a far more intuitive way of using a smartphone as opposed to the open app, close app, click for homescreen kind of way.
Q. Has the smartphones got great future with lot of MNCs and Indians focussing more on tablets which are economical and with bigger screen size give better viewing experience? Asked by: Manush
A. Well, just yesterday we heard of a smartphone that docks into a tablet. I personally believe both are separate categories. But for those who want the best of both, phablets could the way forward. But personally, I think anything bigger than the size of the Z10/iPhone 5 is too big. And think about how convenient it would be to take calls on your iPad. Wouldn't be right?
Q. Some phones are giving battery of 3200 mah so 1800 might be drawback and 8 mp camera when some advanced phones are giving 13 mp so some things are on the negative for BlackBerry. Asked by: Shailesh
A. You shouldn't compare mAh to mAh. Rather each OS uses power differently. So, for all you know the Z10 could beat an Android with a 3200 mAh battery in actual usage. Since this chat is primarily about the BlackBerry Z10, I should say that I got 16-17 hours of use, which I found incredible. And I roam a lot, am constantly on 3G, use multimedia to some extent (car audio) and also use WiFi and Bluetooth. As far as camera is concerned, comparing again just by megapixel count isn't the right way. But having said that, some of the new tpp-end Android smartphones from reputed manufacturers that feature 13 MP definitely look like they have better cameras than the Z10, which is something for BlackBerry to think about, especially since some of those Android smartphones may be cheaper. However, do remember that unique Time Shift camera mode too, which is quite innovative and only Nokia Lumia has something similar since the same company's technology (Scalado) is being used in both cameras.
Q. Can the Screen share feature be the new web ex especially for SME's who get ad-hoc requests from clients to showcase products etc? Pity its limited only to BB. Asked by: Ashish Malhotra
A. You are absolutely right! But Cisco WebEx has much more too, at the desktop level, etc. But that's the first thing I thought of when I saw the screenshare feature. Yes, it's limited to BlackBerry, but that's what makes the Z10 unique, right?
Q. Will the touchscreen capability of the phone defeat the purpose of the phone as many people find it convenient to use BlackBerry's keyboard? Asked by: Ravi
A. You need to experience it to believe me that this keyboard is incredible and that there is nothing like it. I was a hardcore physical keyboard user. For me, coming from the Bold 9900, which has the best physical keyboard on any device, the Z10's keyboard has been an unbelievable surprise. I am not going back to physical keyboards and as a writer, I type articles on my smartphone. There's nothing like the Z10 keyboard available anywhere (and I don't even use the eerily precise word suggestions since I type with two thumbs). When I first heard BlackBerry's APAC head telling me in November that he preferred the keyboard on BB10 to the old physical keyboards, I sniggered. I was so wrong then.
Q. Blackberry has been taking things lightly in India when other MNCs have been marketing aggressively, Blackberry was focusing only on its brand to market itself so will it attract more buyers now? Asked by: Ravi
A. I think a new BlackBerry campaign is breaking soon. And I've also heard radio jingles last week about OS 7 BlackBerry devices. And many brand surveys rate the BlackBerry brand still very highly in India. I guess with the release of the Z10 and BlackBerry10, something that was 2 years in the making, you'll hear a lot more noise from BlackBerry India.
Q. Could BlackBerry have used quad core processor and higher HSDPA for better processor speed of the phone? Asked by: Arvind
A. You need to ask BlackBerry whether they could have. I believe it would have been possible, but smartphone makers who can differentiate on the basis of OS (Apple and BlackBerry) don't just go for quad cores just because everyone else is using it. Android makers have to go for the latest because they have no differentiation in the OS. BlackBerry and Apple don't play that game. Rather, I would look at if the existing dual-core is impacting performance in any way. And in my 27 days of use, I have not found anything of the sort.
Q. Application development on the Blackberry OS has been a pain point. How do you believe that will change in the BB Z10 or future BB phones with the immense popularity/ UI that Android or iOS have acquired? Asked by: Vandana
A. BlackBerry has been working on applications for BlackBerry 10 for far more than a year now. And surveys I've read now have developers rating BlackBerry very highly in terms of the ease to develop an app. They also have the highest ratings for HTML5. And with Android ports possible in as little as 20 minutes, I don't think application development is still a pain point on the BlackBerry. However, if you are a developer, you should try it yourself and tell us if you feel it is still tougher than Android or iOS. Also, when it comes to apps, while Android and iOS have stores that feature 700000 apps, etc, how many do you use? BlackBerry is focusing on the top apps and they've promised that almost all will come to BlackBerry10. And they're not letting go of numbers too. Their store opened with 70000 apps and reports say has crossed 100000 apps now. No other OS at the start has had so many. That is something to be considered.
Q. Is the screen resolution of 760 x1280 pixels best in Industry as other smart phones are coming up with features of better resolution in sunlight? Asked by: Arvind
A. Please remember that BlackBerry is not playing the specs game. That's for Android smartphone makers who have no other differentiator. But the Z10's display is incredible and just because it is slightly better than the iPhone 5's when looking at PPI, doesn't mean the iPhone 5 display is bad. Both are incredible, just one has slightly better PPI. Don't go by specs alone.
Q. What are the upcoming features to attract more users than Android & iOS? Asked by: Hari
A. More users than Android and iOS is a bit down the road, right, considering BlackBerry's market position today. First let them complete the Z10 rollout, which has many differentiators as compared to Android and iOS. BlackBerry has promised an exciting roadmap of announcements for the year ahead and I'm just as eager as you are to know more.
Q. How BB going to manage the millions of Android & iOS apps ? and how better than these OS? Asked by: Hari
A. Millions? On Oct 30, Google supposedly got on par with iOS with 700000 apps.
Q. Don't you think the phone is too expensive. Apart from a BB loyalist why would anyone spend Rs.44K on a dying brand? Asked by: Joe
A. Yes, I think the Z10 is very expensive. Whether it is too expensive is for the market to decide. And ditto with the dying brand bit. I wouldn't call a brand with 80 million users and which has just released a new OS that has received some great reviews and which is supposedly doing very well in the markets where it has been released a dying brand. The differentiation is there--the best keyboard, the best communication centre there is, incredible battery life for a smartphone, amazing capabilities for business use that is unmatched, etc.
Q. Hi, I think BB should encourage existing consumers to upgrade from their old BB phones to new one. This would help them to increase their user base many folds. What do you think? Asked by: Saurabh
A. Yes, I believe they will. During the launch they said upgrade offers would be coming. Any company would definitely look at getting its loyal user base to upgrade. And some reports from markets where the Z10 is being sold suggest that 50 percent of buyers are existing BlackBerry users and the remaining are Android and iOS users.
Q. Android got 700,000 apps same time BB os10 (70,000 apps) very much lack behind the android & iOS.., how its going to tackle this? Asked by: Hari
A. Android has got 700000 apps after years. And because of the lack of oversight, some of those apps have serious malware issues too. And compatability is also an issue. Blackberry had 70000 apps on Day 1 of BlackBerry 10 and that's gone to 100000 today. I guess as more users buy the Z10, more and more apps will come as happened with Android. And for the top apps, BlackBerry is going all out to ensure they are there. And users can also sideload Android apps themselves and many work fine.
Q. Now only 2 devises like Z10, Q10 running OS10, what abut old devices it can get updates or future devices only going to get OS10..,If no update means it may affect old models sales or not? Asked by: Hari
A. None of the old BlackBerry smartphones (OS 4, 5, 6, 7) can be updated to BlackBerry10. The older BlackBerry smartphones (OS 7) and the 8520, which runs OS 5 play at lower ends of the price spectrum. But they are definitely getting hit hard by cheap Android smartphones which offer far more capabilities than older BlackBerry smartphones. On older BB's the USPs are physical keyboards, BBM and E-mail.
Q. Z10 is priced same as an iphone 5, but what is superior in Z10 than iphone5, can you elaborate.At this price customers may choose iphone5 over an Z10, just for the flaunt factor. Asked by: Sanjeev
A. The Z10 has a better display, microSD card support (with 16 GB internal and 64 GB microSD you can reach 80 GB), a removable battery and a better one, Adobe Flash support, NFC suppport, a better browser.
Q. Hi, frankly other then BBM, what other Ace's are left with Blackberry? Asked by: sabir khan
A. A whole new OS that is innovative, 80 million users. I honestly don't believe that BBM is such an USP. BBM is the BEST mobile IM out there, period. But it isn't the most popular. And in IMs I will use more of the one that has more of my friends on it. I would want BlackBerry to make BBM cross platform.
Q. What is the main features in OS 10 in Blackberry? Asked by: Hari
A. BlackBerry Hub, which is an outstanding communications centre that is unmatched; BlackBerry Flow, which is so much more intuitive than other UI approaches; BBM with video and screenshare (no other mobile OS offers screenshare); the best keyboard among touchscreens and one which has converted a physical keyboard lover like me; outstanding battery life, a very cool Time Shift camera feature that literally enables me to get a perfect picture even if your smile has turned into a frown, BlackBerry Balance, which is the most elegant solution for corporates who want to allow smartphone access securely.
Q. How its Z10 different from other smart phone & what is the special feature other than BBM, Camera, Touch, Os 10? Asked by: Hari
A. BlackBerry 10 has many key differentiators that I've dealt with in the previous answer. Also, remember that BBM now comes with video chat and screenshare (no other mobile OS offers screenshare); the best keyboard among touchscreens and one which has converted a physical keyboard lover like me; outstanding battery life, and BlackBerry Balance, which is the most elegant solution for corporates who want to allow smartphone access securely.
Q. Today People changing cheap android phones every 3 months but every BB will hold at least more than year, iPhone, Samsung, Sony, HTC puts all efforts in 1 model (iPhone 2, 3, 4, 5.,Galaxy S, S2, S3) with new feature the same Idea going to adopt by BB also Asked by: Hari
A. Other than Apple, I don't think Samsung and Sony put all their efforts into one model. They all have excellent options at various price points. While it is rumoured that Apple will also launch a cheaper Apple smartphone later this year, BlackBerry is surely launching at least 6 models on BlackBerry10.
Q. How does Blackberry hope to solve the problem with the number of apps? Will Android apps be converted to BB World? Asked by: Raj
A. Android apps can be easily ported to BlackBerry 10, some in less than 20 mins. You can check our own apps (Firstpost.com, Moneycontrol.com and soon the IBNLive.com app too, which are all Android ports--and they all work brilliantly. Also, when it comes to apps, while Android and iOS have stores that feature 700000 apps, etc, how many do you use? BlackBerry is focusing on the top apps and they've promised that almost all will come to BlackBerry10. And they're not letting go of numbers too. Their store opened with 70000 apps and reports say has crossed 100000 apps now. No other OS at the start has had so many.
Q. Will the Indians be interested enough for this phone when companies like Micromax, Lava are giving advanced phones with jelly bean features at less than 10K so will it worth spending 4 times of this amount? Asked by: Shailesh
A. Well, why would you buy a Samsung Galaxy SIII then when Micromax and the others have similar specs at lower price points? Clearly brand matters. Service matters. And that is when both Samsung Galaxy and Micromax are both offering the same basic OS. This one has many differentiators that are not available anywhere. BlackBerry Hub, which is an outstanding communications centre that is unmatched; BlackBerry Flow, which is so much more intuitive than other UI approaches; BBM with video and screenshare (no other mobile OS offers screenshare); the best keyboard among touchscreens and one which has converted a physical keyboard lover like me; outstanding battery life, a very cool Time Shift camera feature that literally enables me to get a perfect picture even if your smile has turned into a frown, BlackBerry Balance, which is the most elegant solution for corporates who want to allow smartphone access securely.
Q. Is Blackberry trying to change the image of the company from email based security phone which means it fills needs of few people to a true smartphone with advanced features? Asked by: Manush
A. BlackBerry invented smartphones. I think BlackBerry has been trying to move away from the secure e-mail bit for years and finally with the Z10 they have a real answer. Something that appeals to consumers and corporates who are focused on security.
Q. The price of Z10 is quite high at above 40K in India so it might prove to be an negative from sales perspective so the phone will not do well in India. Asked by: Manush
A. I don't like the Rs 43450 MRP sticker too. But I honestly can't say for sure whether it will do well or not. Leave that for the market to decide. And we will know soon. BlackBerry will announce quarterly results on March 28, which should reveal the truth about sales numbers.
Q. Why has blackberry changed the name of company from RIM to Blackberry and what difference will it make in fortunes for the company? Asked by: Manav
A. I think BlackBerry wanted to be seen as one brand and didn't want the confusion in name, though Research in Motion is a beautiful name with a lot of meaning behind it. But times change and BlackBerry obviously wanted to move on. I'm no marketing expert, so I can't tell you what difference just a change in name means. All I can say is that it is easier for a journalist like me. Earlier, I had to type, BlackBerry-maker, Research in Motion. Now, it's just BlackBerry. :)
Q. Can BlackBerry Z10 change the fortunes when android and apple are doing so well in the market? Asked by: Hitesh
A. Going by market reports of sellouts, etc, and the share price of BlackBerry, the Z10 may have already have begun the change of fortunes. Most experts believe that there is room for a third player. And especially so when Apple seems to be slowing down and Android has significant malware issues and fragmentation issues. Also, remember that BlackBerry still has an installed base of 80 million users. That's not insignificant. I think that with BlackBerry 10, BlackBerry has taken the discussion firmly away from specs and benchmarks. I don't know what the future holds for BlackBerry, but I firmly believe they are back in the race and have taken smartphone innovation to a new level. Where they go from here is up to them and for the market to decide.
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subset: commoncrawl


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End of Third Year Assessment
If you are not redirected automatically, follow the link to the End of Third Year Assessment
Click to move to:
Assessment Objectives | Overview | Grading | What to Bring | Directions | Faculty | Ethics Form | Sample Case | Student Comments
Assessment Objectives
The assessment objectives are to:
- evaluate the students' ability to interview and communicate with patients
- assess the students' physical examination skills
- gauge the students' ability to synthesize data and present it in written format
- provide feedback to students on their clinical skills
- measure the skills of the class as a whole such that individual and curricular deficiencies can be addressed
- create the opportunity to experience a timed clinical skills examination that is similar to the USMLE Step 2 CS exam
In 2004 Boston University School of Medicine instituted a clinical skills examination call the "End of Third Year Assessment", or EOTYA.
The End of Third Year Assessment is scheduled on a series of dates in April and May. During the EOTYA students will receive performance-based feedback on clinical skills from both standardized patients and faculty members. This should promote their educational planning and self-assessment, and help them prepare for the USMLE Step 2 CS exam.
The End of Third Year Assessment (EOTYA) is a six station clinical skills evaluation that is similar to the End of Second Year Assessment (EOSYA). Students interview and perform targeted physical examinations on standardized patients. They verbalize to the patients what they think is going on and offer a diagnostic work up and treatment plan. They may provide counseling to the patient, and at times they may be asked to interpret data. After the patient encounter, students enter their write-up online.
After each interaction students receive feedback from the standardized patient. After at least one interaction a faculty observer (watching on closed-circuit TV) also provide feedback. At least half of the cases will be videotaped.
Upon completion of the EOTYA students receive a report comparing their performance to that of the overall class.
Anatomy of a Patient Encounter
Each patient interaction lasts 35 minutes. The time is divided as follows:
- PATIENT INTERACTION (15 minutes) Read the opening scenarios (Pay close attention to any student tasks listed.)Interview +/- physical exam
- WRITE-UP (10 minutes) Complete on-line post-encounter paperwork (PEP). The PEP is not usually a full write-up. There will be specific information requested. (See Sample Case)
- FEEDBACK (10 minutes) A faculty person will observe each student at least once and will give direct feedback. Students will receive feedback from each standardized patient as well.
Clerkship Excuse
All third-year clerkship directors are involved in preparing cases for the EOTYA. They are aware that students will miss a day of their clerkship in order to take the assessment. Students should make sure that their preceptors are aware of their EOTYA date, but do not need to ask permission to leave the clerkship that day. Students should not take overnight call the night before the EOTYA. Likewise, students should not round on their patients the morning of the EOTYA. Students who feel pressured to do so should contact their clerkship director or Dr. Stanfield.
Each EOTYA case represents one of the required third year clinical clerkships, but the majority of students have not yet completed all of them by the time they take the EOTYA. Therefore students receive a summative grade in each of four skill areas:
- Interview
- Physical Examination
- Communication Skills
- Write-up
For grading purposes a minimum passing level is identified for each skill area. This level is set at two standard deviations below the class mean.
Students with scores above the minimum passing level on all sections of the EOTYA are defined as having "Met the BUSM Standard of Clinical Competence".
Students who have difficulty with interview, physical exam, or write-up skill areas are defined as having "Marginally Passed the EOTYA". They will be informed of the area of deficiency and required to review their materials. Then they will be offered a retake of the EOTYA.
Students are defined as having "Failed the EOTYA" if they receive a score less than the minimum passing level on two or more skill areas of the EOTYA or if they fail the communications skills area. Those students are required to review their test materials and to retake the examination (see below).
Upon completion of the EOTYA grades will be forwarded to the Registrar, OAA and OSA, but will not appear on the student's transcript.
Retaking the Exam
Those students who marginally pass the standard will have a grade of "Met" the standard recorded on their transcripts.
All students who fail the EOTYA must retake the examination before their Dean's letter can be sent. Students who need to retake the EOTYA will be required to review all records of their performance with an appropriate faculty member and receive feedback before retaking the examination. Any student who does not perform well on the second attempt will be referred to the 3rd and 4th Year Promotions Committee.
What to Bring
What students need to bring:
- Stethoscope
- Watch with a second hand.
- White lab coat with name tag
- Penlight
- Reflex hammer
Reference materials are not allowed during the exam.
Lunch and snacks will be provided.
The Clinical Skills and Simulation Center (CSSC) is located in the basement of the Evans Building. Take the elevator or stairs down one flight and follow signs to the CSSC.
Standardized Patients
The Standardized Patients (SPs) are trained patient educators from UMass Medical School. Some of them are the same standardized patients students met in ICM-2.
Faculty from all six required third-year clerkships are involved in observing and providing feedback for the EOTYA. In addition, faculty members and OME staff review cases with students at the end of each EOTYA session. Students receive feedback from at least one faculty member during the course of the EOTYA.
OME Staff
Lorraine Stanfield, M.D.
Nanette Harvey, M.D.
Ethics Form
Please review this ethics form before attending your EOTYA Session.
Sample Case
Click here to view the EOTYA Sample Case.
Student Comments
What past students say they learned from the evaluation:
- This is a learning opportunity, not just an evaluation (though I would not have believe it if you had told me that before hand).
- The more open-ended questions I use the more information I obtain.
- If an open-ended question yields some information, then you should follow it with another open-ended question.
- Multiple questions should be avoided.
- Summarization is useful.
- Using transitional statements is useful.
- It is useful to ask a patient about his or her concerns.
- I know more medicine then I thought I did.
- I should think about differential diagnoses while I am interviewing and examining the patient.
- I was worrying more about the science but the patient was commenting on my way of communicating.
- There is a tension between "connecting with the patient" and gathering data efficiently.
- I do not come across the way that I think I do.
- There is a natural tension between "following the thread" and conducting the interview in an orderly fashion.
- I should always ask about family history and medications.
- I found the feedback from the standardized patients to be constructive. In addition, they reinforced ways in which I do well.
- I feel more comfortable taking the Step 2CS exam after having done the EOTYA.
Click to move to:
Assessment Objectives | Overview | Grading | What to Bring | Directions | Faculty | Ethics Form | Sample Case | Student Comments


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The theme was water
The Expo Zaragoza 2008 was the international exhibition that took place in Zaragoza, the theme was water and its integration into sustainable development. 100 countries participated, there were many other activities such as the celebration of the country. The 100 participating countries each had a day when they got to meet and celebrate. The exhibition was held between two expositions, such as Sevilla, 1992. The fair was located on the banks of Rivergate, a bend of the river Ebro, not far from the city center. Every country built a "home", a representative building, with water environments, their savings and optimizing it. Countries generally opted for smart homes that saved energy or were solar powered. This international exhibition is like the Olympics and a committee selects a city where the exposition is to be held. Zaragoza was commemorating the bicentennial of the Siege of Zaragoza, a battle that took place in 1808 against Napoleon's French army who wanted to invade Spain and the centennial of the Spanish Franco Exhibition 1908.


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Jerusalem (CNSNews.com) - Israel apparently is changing the way it plans to handle continuing clashes with Palestinian rioters, as Palestinian Authority Chairman Yasser Arafat vowed the confrontation would continue until a Palestinian flag flies over the disputed Temple Mount.
Violent clashes continued over the weekend, with Israel sending tanks into the Gaza Strip after a fierce gun battles between Israeli soldiers and Palestinians.
Another five Palestinians were killed in clashes on Sunday, bringing the death toll since the campaign of violence began late last month to at least 145, including eight Israeli Jews and 13 Israeli Arabs.
Two Israeli fatalities were reported over the weekend, although the circumstances surrounding their deaths remain unclear. The body of an apparently orthodox Jew
was found near PA-ruled Beit Jalla, south of Jerusalem. PA police transferred the body to the Israelis Monday.
The burnt body of a 25-year-old Israeli, bearing gunshot wounds, was also found at the weekend, although Israeli authorities are not certain the killing was politically-motivated.
In other incident, a bomb was detonated alongside an Israeli civilian bus in the Gaza Strip but failed to harm anyone. Shooting attacks continued in various parts of the West Bank and Gaza Strip.
The Israeli army chief, Lt.-Gen. Shaul Mofaz, announced that Israel would begin to use a new strategy aimed at quelling the violence.
Mofaz said Israel needed to "move to a level where [its] operations are more initiated and less retaliatory."
Until now, Israel says it has pursued a policy of firing or responding only when its troops and civilians have come under attack.
Details of how the new action would work are being kept under wraps, but military sources are quoted as saying there would be quiet, initiated actions such as seeking out those responsible for live fire attacks.
But Arafat has pledging that the uprising, or intifada, will continue until the Palestinians rule over the Temple Mount and eastern Jerusalem.
"Our people will remain steadfast until a boy or a girl holds the flag of Palestine over Jerusalem, the capital of our Palestinian state," a grinning Arafat told reporters after dedicating a hospital in Gaza City on Sunday.
In speech read on Arafat's behalf in Gaza, the general-secretary of the PA presidency, Tayeb Abdel-Rahim, said the Palestinians were able to continue the "confrontation" for years.
"We are not afraid of your warnings, and the blessed intifada of our people will continue," he said. "They claim that we send our children to face tanks, but they don't know that the anger has even reached our children ...We are insisting on independence."
National unity
Prime Minister Ehud Barak, who continues his efforts to form a national emergency government with opposition leader Ariel Sharon to cope with the crisis, faces the opening Monday of what is predicted to be a stormy winter session of the Israeli parliament.
Lawmakers from both parties succeeded in formulating a draft agreement in weekend talks.
President Clinton has reportedly been eager to block Sharon's entrance into the government, fearing it would lead to the final collapse of the seven-year negotiating process he has overseen.
A government including the Likud would make it more difficult for Barak to reach an agreement with the Palestinians. The agreement reportedly gives Sharon the right to veto any decision regarding the peace process.
He also wants a say in the decision on how Israel should respond to a unilateral declaration of a Palestinian state, which after several prior postponements Arafat is now expected possibly to make before the end of the year.
Sharon said he told Barak this was his "last chance."
"Yasser Arafat goes back on every agreement. This is your chance to say, 'I am adopting a new line of policy,'" Sharon reportedly told Barak.
Sharon says he favors talks with the Palestinians, but opposes the continuation of the current process. He rejects completely understandings reached at a U.S-sponsored summit at Camp David last July.
Barak went way beyond his own stated red lines, and beyond what many Israelis could swallow, in saying what Israel was prepared to concede to Arafat.
Although Camp David collapsed after Arafat turned down the Israeli offer as inadequate, it was widely believed that any further negotiations would pick up where those talks left off.
But Barak himself has said that those proposals had been nullified by Arafat's rejection.
Syrian Foreign Minister Farouk Shara on Sunday accused Barak of killing the peace process by trying to form a government with Sharon.
He accused the Israeli government of "threatening Syria and Lebanon, escalating tension in the region, and moving toward extremism and cooperation with extremists."
War fears
Shara's remarks came as Israel's security establishment warned that conflict along Israel's northern border could escalate into war with Syria, the Hizballah terrorist organization, and Iraq.
According to deputy army chief, Maj.-Gen. Moshe Ya'alon, Hizballah has received a green light from Damascus to escalate confrontations along Israel's northern border.
The Israeli army is preparing for attacks along the northern border, following a series of shooting attacks across the border and a massive demonstration on the Lebanese side.
The war warnings come less than six months after Israel redeployed its forces in May outside of a buffer zone it had maintained within Lebanon for more than 15 years.


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Evolve IP (News - Alert), The Cloud Services Company, announced DCT Telecom Group, a provider of telecommunications services and support, as the newest member of its Private Label program. As a member of the Private Label program, DCT customers can now avail Evolve IP's entire array of cloud services.
Evolve IP customers upgrade technologies without capital expense, accomplish more with enhanced features, increase stability and control with an award-winning portal, and reduce their carbon footprint, which, in turn, allows them to focus on their core business and reduce costs. Evolve IP has built world-class data centers on best-of-breed technologies from Cisco, EMC (News - Alert), VMware, and Broadsoft, and connected various tier-one carriers to create its Private Cloud.
"We evaluated many cloud service providers (CSP (News - Alert)), and Evolve IP had the right products, the right support, and the kind of high customer satisfaction that we were looking for in a Private Label partner," says Anthony Romano, CEO of DCT. "We know that Evolve IP will meet our dedication to customer service."
DCT assists the businesses in developing a more systematic approach to managing their communications and enabling total integration of voice, data, and internet services for maximum efficiency through a single source. The company serves customers across the U.S., including the NFL's Cleveland Browns. Earlier this year, DCT earned a spot on the Weatherhead 100, a prestigious list outlining Ohio's fastest-growing companies, for the fifth consecutive year.
"We're very excited to be working with such a respected, growing, and talented organization," says Tim Allen, Chief Sales Officer for Evolve IP. "Coupling its great client relations and account teams with our award-winning hosted cloud solutions was a natural fit. Time and time again, we have seen our Private Label resellers double or even triple their revenue by capitalizing on the full scope of cloud services and expertise that Evolve IP offers."


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FOX 39's Person You Should Know: Socks That Rock
What started out as an artistic vision, turned into a business for Joelene Chinn.
"I made my
first doll and my family and friends, they laughed it made them smile and I
really liked that reaction" said Chinn.
Chinn's dolls are
unique because they are made entirely out of socks. And she says about 75
percent of the socks she uses are made in
"I basically make a doll for all walks of life," Chinn said.
Chinn draws a lot of her artistic inspiration from her family
"My son's now 18... but he was like 'no offense mom, I really really like them and I really think they're cute, but can I have one that looks more like me?' So... I made the punk rocker one with the Mohawk," said Chinn, "and that's kind of what started the whole look of thses, a little more out-going, a little more twisted."
Chinn also draws inspiration for her art from music.
"Everybody listens to music," said Chinn, "so that's kinda how I came up with the name 'Socks That Rock'."
Her studio might be small, but Chinn's "Socks that Rock" dolls have reached Rachael Ray and of course have buyers from all over the Stateline area.
"I do what makes me feel good, what makes me happy and then as far as success for the business," said Chinn, "I think that just comes with whatever I'm doing."
And while business is great, it's not the best part of Chinn's job.
"The biggest gift from people is when they come and see my work or they have a doll the stories behind them... incredible."
More Stories
A Wisconsin man is arrested for his 6th OWI after officers find him…
Rockford Police are investigating an armed robbery that took place at…
A man is recovering after getting shot in Rockford on Sunday.


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H.R. 3581, The Budget and Accounting Transparency Act of 2011 (6 wiki edits)
- This item is from the 112th Congress (2011-2012) and is no longer current. Comments, voting, and wiki editing have been disabled, and the cost/savings estimate has been frozen.
H.R. 3581 would amend the Balanced Budget and Emergency Deficit Control Act of 1985 to increase transparency in Federal budgeting.
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I have a real treat for y'all this week. It's something a little different from the usual Tiki Hut fare.
My guest is Sean McLachlan. He's the handsome hunk sitting in that comfy wicker chair near the Margarita machine, so drop by and say hi.
All photos by Sean McLachlan
A gunslinging mother longs to find a safe refuge for her son.
A frustrated revolutionary delivers water to villagers living on a toxic waste dump.
The assistant mayor of humanity's last city hopes he will never have to take command.
One thing gives them the promise of a better future--Radio Hope, a mysterious station that broadcasts vital information about surviving in a blighted world. But when a mad prophet and his army of fanatics march out of the wildlands on a crusade to purify the land with blood and fire, all three will find their lives intertwining, and changing forever.
Purchase RADIO HOPE here:


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Fire ants coming into house through pipes in foundation -- need advice
Hi Everyone,
I really hope I've come to a good place to get some advice from the pros or those who know more about this than I do. We just moved into our newly built home in April 2010 (8 months ago), and I think we've built on top of a monolithic fire-ant colony.
Long story short about 10 weeks ago our house was literally invaded by fire ants, coming out in every room and even from one of our HVAC vents in the living room ceiling. Our house is on a slab (one story), and after calling a local exterminator who sprayed a few times we found a large stream of fire ants coming up from the sand trap in the master bath. He sprayed Termidor under it, the shower, under the front bathroom tub (through wall), plus inside the wall in our laundry room since they were coming up those pipes as well (note these are on completely opposite sides of the house).
That was 3 weeks ago and last weekend we started seeing more fire ants in the front bathroom. The bug guy game out once more and sprayed termidor inside the wall behind our sink and toilet, and thus far I've not seen any there, but tonight I killed two in the master bathroom. I removed the cover on the tub and didn't see anything there, so I'm guessing they're coming from the sink there as well.
So questions... Should I ask that he use Termidor inside the walls every place where pipes come through the foundation? I did some research and even though Termidor is labeled for outdoor use only I did read a few places where it's used inside the walls like our bug guy is doing, and luckily it seems to be working for the most part.
And with this, since it's not a repellent how long until we see zero ants? I just killed two in our master bath and I've seen a few dead ones, so I know they're still coming indoors. With two toddlers it only takes one ant to get in a diaper or bed to cause major harm. So being ants are under the foundation I'm guessing we have a huge colony under the house, so how's the best way to treat them? I've read that for subterranean termites the solution is often drilling into the foundation and treating that way, but that seems drastic for fire ants.
I'm at my wits end, and I'm meeting with the bug guy again tomorrow to tell him whatever it takes and costs. I just don't know what to expect or request.
Edit: Also I forgot to mention, after the bug guy sprayed and baited the yard and outside of house, we've seen zero ants or bugs of any type really -- other than dead crickets on the front porch. So treating outside isn't really doing much good here... the ants are subterranean and under the foundation.
Thanks for any advice...
An update on this...
Mid-December our bug guy came in and sprayed inside the wall voids where the plumbing comes in plus heavily baited the yard with a granular bait, and though we saw a few come in the first week of January we've been ant free until this week. Two months was NICE with seeing no critters, but now that it's warming up I noticed a fire ant bed in the back yard yesterday and we've seen three ants in the bath room also in the last two days.
I've called our bug guy who's coming by today to bait the yard again and hopefully the ants we're seeing inside are from the nest outside. Unfortunately they're trickling in (no lines, just sporadic one or two here and there) from around the plumbing in the concrete foundation so it's not an easy task to reach that location.
I've read that fire ants don't hibernate and are always active, and though we've had a few bouts of cold weather we've had a few weeks of warmer weather in the 70's and 80's as well. I really hoped not seeing any for two months was a sign that they were gone, but I guess we'll just have to stay diligent on keeping the yard baited. The bug guy comes by every three months (last time in mid-December) to bait so I might have to do it more often then that.
Any suggestions or thoughts??? I want to do whatever we can to avoid a full on infestation like we had last September which was horrible. I'm also getting some quotes on a Termidor trench around the house, but not sure how much that'd set us back.
Take care --
Pro's & Cons
Now "Fire-Ants" is somethings I don't have to deal with,( Sounds Horrid)
But I do have to go out & shovel snow from Nov.until March
Good Luck with your Extermination Plans. Ken:huh:
Thanks for the update. I'm glad you're having success with the bug guys help. Good luck in getting rid of them permanently.
Best of luck to ya'll. Fire ants bring the suck!
I've never experienced fire ants, just regular ones, but I imagine they exist in the same fashion. In order to be rid of them for good, you need to get the queen of the coloney, or in your case sounds like mulitple colonies. Boric acid, also known as Borax- the twenty mule team- is very effective. Gone for good. It can be found in the laundry section. Mix a scoop with a scoop of white sugar, place in a mound on the floor near where you suspect they are coming in. Soon there will be a steady stream of traffic eating and taking it back to the nest for her highness. Resist the urge to stamp on the ones who are clearly feeding and heading home, because they are taking this delicious but deadly poison home to the demise of themselves. Vacuum up the leftovers. If you continue to see them after a few days, then there is another queen and colony and start the process again. Best of luck to you
Fire ants can be very nasty and difficult.
When I traveled in Southern India, you would never find a cobra in an area with fire ants. The people there would rather have a cobra because there not as many and they can be easier to see.
We have a few colonies every other year.
Can't help with inside the home. But next time you refill your push mower with gas, place it over the fire ant bed and look away when the tank is nearly full. Only takes a few ounces.
Thank-you! I've had excellent past results with the regular ants.
Right! Boric and sugar...thats whats in a tube at Home Depot- a few oz for $5 or so. And that does not go very far.
Exactly! so for a fraction of the price you get dead ants AND extra clean laundry
Actually Borax is NOT THE SAME as Boric Acid. They make boric acid FROM borax (not Borax the brand name, but the chemical compound). However, that's nit picking.
Buy Boric Acid in the form of products like "Roach Prufe" at the hardware store.
For normal ants, I mix one teaspoon boric acid and one teaspoon of sugar (as bait) and dissolve in a cup of boiling water. I soak a paper towel with it and leave it for the ants to find. It will kill off the colony.
Do fire ants go after sugar?
I currently am having my house treated for TERMITES, using a "green"-ish product called Altriset. It's similar to Termidor. Those would work on fire ants, but some pro has to inject it around the house. It makes a non-repellent barrier that termites/ants crawl through and bring back to the colony. It kills them in a couple of days ... enough time to kill of most or all of the colony.
But try the boric acid first. It's amazing how well it works, and how cheap it is ($8 or so for a pound if not cheaper ... will last you a very long time). $8 vs $1000 for termidor ... no brainer!
Oh yeah, as a powder, you can distribute the powder directly on the ground in problem areas.
Vincer: Good explanation on the difference tween Borax and boric acid. I think Borax could actually repel ants away from the bait, therefore not getting to the colony.
Next time you're in your lab (or kitchen) mixing up ant bait, consider mixing boric acid with apple or mint apple jelly. I think thats what our favorite ant gel bait is mixed with. The gel has active ingredient of 6% boric acid.
Also, as you may know but we should advise others of, is to never spray insecticide or even use cleaners near the bait placements as you may repel the ants from the bait and their usual paths. Let them think it is business as usual.
Altriset is a new and very effective and very safe termiticide. Went to a training seminar last Tuesday about it. Termidor works great on ants; altriset will not work on anything but termites for reasons that are hard to understand, but I believe them. Dupont won't even ask for labeling permission for other insects as it is so specific to termites.
You can read this page for a lot of useful information:
Basically, slow acting bait is the best control.
They do have an upside: fire ants eat termites.
Anyway, if you just bought the house ask the closing attorney (who you paid to represent you) if you had a pest infestation report, and if it should have covered fire ants, and if you did and if it did, then is there an appropriate remedy.
One more thing that might help you long term: ants need food. Get rid of the food and the ants go away. Also work on sealing whatever openings they're using to get into the house. Put something toxic in the gaps first, and then seal them
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Owners version Leopard 39 for Sale. She is in immaculate condition and extremely lightly used. Bigger engine option chosen 29HP with Sail Drive and Folding Gori Props. Extensive Raymarine colour instrument package. She has been fit "for" but not "with" Aircon and Generator, i.e. aircon ducting, air vents and cooling and for the Genset, fuel supply, exhaust system with thru hull fittings and cooling water - an easy retrofit for both. Electric Sheet Winch, Electric Toilets, Solar Panels, custom stainless steel davit system with tackle system complete with electric winch. Custom teak decking: Cockpit, helm platform and transom steps. Square Top Mainsail in lieu of standard.
The performance driven Leopard 39 is at the heart of the Leopard line. With her generous sail plan and stepped hull design, this yacht provides excellent performance.
On deck, the space is well thought out and useable; from the large transoms to the open and spacious aft, side and forward decks, getting around this yacht is easy and safe. The integral hardtop bimini over the cockpit provides superior protection from the elements and also offers a stable working platform, providing space to easily walk around the boom and plenty of room for solar panels.
Large vertical windows in the saloon offer panoramic views and excellent ventilation with forward facing opening hatches. The wraparound galley is accentuated by stainless steel appliances and a Corian counter. Down below to starboard, the owner's cabin features a double berth aft and en-suite head forward with walk-in shower. To port, you will find two guest cabins and an additional head with shower.
With her generous sail plan and hull design she provides high performance yet is highly practical and easy-to-use. Environmental considerations were also central to the design, with solar panels installed as standard on the helm hardtop to charge the onboard batteries
2 x 29hp with Sail Drive and Folding Gori Props
David Abromowitz & Associates (Pty) Ltd offers the details of this vessel in good faith but cannot guarantee or warrant the accuracy of this information nor warrant the condition of the vessel. A buyer should instruct his agents, or his surveyors, to investigate such details as the buyer desires validated. This vessel is offered subject to prior sale, price change, or withdrawal without notice.
Marina Centre, West Quay Road
South Africa


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Fabric and color of this item may vary in our showroom.
Belfort Furniture offers White Glove in-home delivery and set-up by professionally trained personnel who will unwrap, place, and assemble your furniture in the appropriate room. Delivery is available Tuesday - Saturday. Once your delivery date is scheduled, you will receive a three hour delivery timeframe the day prior to your delivery.
Furniture may be picked up at our warehouse Monday-Saturday from 10AM to 6PM or Sunday from Noon to 5PM. Furniture that is picked-up may require assembly.
For delivery outside of our local metropolitan area, please contact us with your item(s) of interest for a delivery quote! 703-406-7600 or firstname.lastname@example.com
This contemporary styled living room sofa will provide families with a comfortable place to lay back and recline. Crafted for comfort by a US manufacturer, this American made furniture item features a contemporary style with smooth rounded sides, padded track arms and channeled seat backs. Crafted for comfort as well as design, this double reclining family room couch can be paired with its coordinating loveseat and recliners for a complete collection the whole family can enjoy.
The Parker Contemporary Styled Double Reclining Sofa for Family Rooms by Belfort Motion from Belfort Furniture. We proudly serve the Washington DC, Northern Virginia, Maryland and Fairfax VA area. Product availability may vary. Contact us for the most current availability on this product.
Enhance the level of comfort and personalized support with the addition of an inch-thick memory foam wrap to your seat cushion. The Reclina-Pedic recliner models use the body-hugging foam to provide support where you need it most.
With unpredictable weather, kids, and pets, you will need a more durable and stain-resistant seating solution. A wide range of fabric options, including outdoor and performance fabrics, are available to help your upholstery stand up to the toughest treatment.
The Parker reclining family room collection features casual comfort with an up-to-date style. Contemporary in design with a plush cushioned comfort, the items in this collection feature smooth pulled upholstery with sleek track arms and channeled seat backs. Comprised of a reclining sofa, reclining loveseat, rocker recliner and wall hugger recliner, this American made furniture collection will bring modern comfort into your home.
The Parker collection is a great option if you are looking for Contemporary furniture in the Washington DC, Northern Virginia, Maryland and Fairfax VA area.
These images are representative of this group as a whole and may differ from this item.
Browse other items in the Parker collection from Belfort Furniture in the Washington DC, Northern Virginia, Maryland and Fairfax VA area.
This item has been tagged as: Sectional with Recliner, Recliner Sectional, Reclining Sectional, Seating, Couches, Couch, Sofa, Reclining Home Theater Furniture, Living Room Furniture, Accent Furniture, Reclining Love Seat, Loveseat Recliner, Reclining Couch, Reclining Sofa, Couch with Recliner, Sofa with Recliner, Motion Furniture, Moving Furniture, Living Room Furniture, Family Room Furniture, Great Room Furniture, Den Furniture, Home Furnishing
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Fireplace construction question
2 Attachment(s)
I had a fire in my fireplace on a Sunday afternoon, quit feeding it around 4pm, embers burned out around 7pm or so. I swept the ash into the ash box in the floor of the fireplace around 9. I shut the flue at about 6 the next morning after checking that everything was cooled down. Sometime after midnight Monday night (Tuesday morning I guess), we had some sort of flare up because the house filled with a strong smoke smell, but not enough smoke to set off the smoke/CO detectors. I always noticed our fireplace has a decent draft even when the flue is closed. I was cleaning it out and noticed something I thought was strange. There appears to be a gap between the steel frame surrounding the opening of the fireplace and the stone on the outside of the fireplace. I felt around, and the draft is actually coming from the gap, not the flue door. Is that gap supposed to be there? My concern is that an ember popped up in there and smoldered for the next day or so, creating the smoke (and luckily nothing worse). The other thought on the re-ignition was an ember in the ash box, but everything was cool when I cleaned it out. Anyone have experience with this?
The first picture shows the outside of the fireplace. The stone extend floor to ceiling. The second picture is looking up and out from the inside of the fireplace. It shows the top of the frame and the gap between the frame and the metal "roof" of the inside of the fireplace. I don't know the technical terms so you'll have to forgive me there.
A little follow up: In addition to the draft coming in through that gap, I also noticed that there is a 1/2" to 1" gap between the stone and the drywall on the sides of the fireplace. There is a draft coming in from there too that is bringing in the smoke smell as well. The previous owner stuffed some fiberglass insulation in the stone/drywall gap but it still lets a draft in. What is the right way to seal that up?
I noticed I'm not getting any replies in this forum, would I have been better off posting somewhere else, building/construction maybe?
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My grandson had to get kitchen utensils, so I took him shopping. When we got back, I noticed he had a toilet brush but was horrified when I saw he was using it to wash the dishes! He said he couldn't find the kitchen brushes, so that one would do. And it did, until I couldn't face it any more and bought him a proper brush.
R Pera, Whangarei
This week's winner receives a set of teacups from the wide range at Farmers.How to enter:
Submit your Teacups story by emailing firstname.lastname@example.com or mail it (with your name and address on the back of the envelope) to: Over the Teacups, NZWW, PO Box 90119, Victoria St West, Auckland 1142.Teacups submissions must be original. Please allow up to eight weeks for delivery of prizes.


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Extended contact lens wear enhances Pseudomonas aeruginosa adherence to human corneal epithelium
Fleiszig, Suzanne M., Efron, Nathan, & Pier, Gerald B. (1992) Extended contact lens wear enhances Pseudomonas aeruginosa adherence to human corneal epithelium. Investigative Ophthalmology and Visual Science, 33(10), pp. 2908-2916.
Extended wear of soft contact lenses is associated with an increased risk of Pseudomonas aeruginosa infection of the cornea. To assess the role of bacterial adherence in the pathogenesis of these infections, superficial corneal epithelial cells and leukocytes from ten patients who use extended-wear soft lenses and ten control eyes were compared for their propensity to attach P. aeruginosa in vitro. Cells were washed from the cornea by saline irrigation, incubated with a 10-ml solution containing 10(7) colony-forming units/ml of bacteria at 35 degrees C for 30 min, collected on a filter, and prepared using a modified acridine orange staining method. Fluorescence microscopy showed bacterial adherence to corneal epithelial cells, leukocytes, and ocular mucus. The mean number of bacteria adhering to epithelial cells was 2.6 for control eyes and 6.6 for the lens-wearing eyes (P = 0.002). The percentage of epithelial cells attaching greater than or equal to four bacteria was higher for lens-wearing eyes than control eyes (57.4% versus 26.0%, P = 0.0005). There was no significant difference between contact lens-wearing eyes and control eyes in the number of leukocytes collected or in the number of bacteria attached to these cells. These results show that P. aeruginosa adherence to epithelial cells is enhanced in those who use extended-wear soft contact lenses, and this may contribute to the increased incidence of P. aeruginosa keratitis for this population.
Impact and interest:
Citation counts are sourced monthly from Scopus and Web of Science® citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.
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|Journal Article
|Additional Information:
|For more information, please refer to the journal's website (see link) or contact the author. Author contact details: email@example.com
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|Bacterial Adhesion, Contact Lenses, Extended, Wear/, adverse effects, Cornea/, microbiology, Pseudomonas aeruginosa/, physiology, Acridine Orange, Adult, Colony Count, Microbial, Contact Lenses, Hydrophilic/adverse effects, Cornea/cytology, Epithelial Cells, Epithelium/microbiology, Female, Humans, Leukocytes, Male, Microscopy, Fluorescence, Research Support, Non, U, S, Gov't, Research Support, U, S, Gov't, P, H, S
|Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
|Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:
|Copyright 1992 Association for Research in Vision and Ophthalmology
|Deposited On:
|15 Feb 2006 00:00
|Last Modified:
|10 Aug 2011 14:07
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Preferences - Rendering Panel
From Planetside Software Wiki
The Rendering preference panel lets you set preferences pertaining to rendering.
On render completion: This popup lets you choose what action is taken when a rendering completes. Here is a list of the settings with a description of each:
- Do nothing: There is notification when the rendering completes. This is the default setting for this preference.
- Beep: TG2 will beep when a rendering has completed.
- Bounce Dock icon (Mac only): TG2 will bounce its icon in the Dock when rendering has completed. If you have TG2 in front when the render completes you will need to click on the Dock icon to stop it bouncing, otherwise the bouncing will stop automatically when you bring TG2 forward.
- Stop screensaver and sleep while rendering: Checking this setting will prevent your screensaver from activating or the system from sleeping while TG2 is rendering. Some screensavers can consume a lot of processor power themselves (the SETI one being a good example) and this can slow rendering down. The default for this setting is unchecked.


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Hall Kathryn Hall Cabernet Sauvignon 2010
Cabernet Sauvignon from Napa Valley, California
Winemaker's Notes
Inky purple in color, this wine teems with a mosaic of aromas that forge into the lavish palate: black spice, melted black licorice, black plum jam, black currants, dark cocoa, crushed rocks, coconut, freshly turned earth and cigar box. The wine succeeds on both a hedonistic and intellectual level: balanced, complex and luxuriant, unfolding and evolving with each sip. With Sacrashe tannins as its backbone, our Katherine Hall holds 15+ years of aging potential.
Critical Acclaim
The Wine Advocate - "The 2010 Kathryn Hall Cabernet Sauvignon is another big, beautifully pure, multidimensional, textured and impressive effort revealing lots of creme de cassis and spring flowers, full body and long, sweet tannins. Again, brilliant winemaking has turned out a terrific 2010 that should evolve for two decades or more. Readers should not miss this portfolio of compelling 2010s. Kudos to former Ambassador to Austria, Kathryn Hall. "
Vinous / Antonio Galloni - "A flamboyant wine, the 2010 Cabernet Sauvignon Kathryn Hall flows across the palate with the essence of raspberry jam, spices, licorice, flowers and crushed rocks. This voluptuous, totally sexy Cabernet Sauvignon captivates all the senses with its sumptuous fruit and fabulous overall balance. The style is rich and opulent but also beautifully balanced at the same time. With time in the glass, the wine fleshes out a bit more, showing its considerable power and intensity."
Wine Spectator - "Offers bold, ripe tiers of dark berry fruit, plum, currant and blackberry flavors, with oak shadings and hints of anise, cigar box and cedar. The finish is long."
International Wine Cellar - "Good bright medium ruby. Sexy high-toned aromas of cassis, licorice, dark chocolate and minerals. Sweet, suave and pliant, offering a captivating combination of generosity of texture and underlying power. Broader than the Jack's Masterpiece but less sweet in the early going, showing a firm acid/tannin underpinning. Finishes with substantial dusty, ripe, seamless tannins and a chocolatey quality."
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Hall Winery
HALL Wines is located in Napa Valley and employs organic small-vine viticulture, precision winemaking, wild-yeast fermentation and micro-block blending to fully extract the purity and quintessence of Napa Valley Cabernet Sauvignon. Their estate and partner vineyards are made up of classic Bordeaux varietals: Cabernet Sauvignon, Merlot and Sauvignon Blanc. HALL Wines has a strong respect for the environment and a commitment to cutting edge technology to yield the highest quality grapes. Through meticulous attention to detail in the vineyards, HALL wines express the unique and diverse character of Napa Valley's soils and climate. View all Hall Wines
About Napa ValleyView a map of Napa Valley wineries
It's hard not to think of Napa Valley when thinking of California wines. The region is, after all, the one that brought world recognition to California wine making. The area was settled by a few choice wine families in the 1960's who bet that the wines of the area would grow and flourish. They were right. The Napa wine industry really took off in the 1980's, when vineyard lands were scooped up and vines were planted throughout the county. A number of wineries emerged, from large conglomerates to small boutiques to cult classics. Cabernet Sauvignon is definitely the grape of choice here, with many winemakers also focusing on Bordeaux Blends. Whites are usually Chardonnay and Sauvignon Blanc.
Notable FactsWithin the Napa Valley lie smaller sub-AVAs that lend even more character specifics to the wines. Furthest south is Carneros, followed by Yountville, Oakville & Rutherford. Above those two is St.-Helena and finally, just granted an AVA, Calistoga. These areas are situated on the valley floor and are known for creating rich, smooth Cabernet Sauvignon, Merlot and Chardonnay. There are a few mountain regions as well, nestled on the slopes overlooking the valley AVAs. Those include Howell Mountain, Stags Leap and Mount Veeder. Wines from the mountain regions are often more structured and firm, benefiting from more time in the bottle to evolve and soften.
About CaliforniaIt's not rare to see a wine's country of origin listed as "California." A country into itself in the wine world, California makes enough varieties and styles to match many European wine countries. It produces a diverse range of wines that span the quality spectrum.
The most famous of the California wine regions is Napa Valley, and these wines are certainly outstanding – but it's not as broad and diverse as its larger neighbor, Sonoma County. Down south, Santa Barbara's Santa Maria Valley is well-known for its Rhône blends, as well as cool-climate varieties like Pinot and Chardonnay. The Central Coast, the largest California AVA, has many different microclimates that lead to a wide range of wines with many sub-AVAs.
Customer ReviewsSign In to Add Your Review44 out of 5 stars
2 ratings, 1 with reviewAnonymous - Palatine, IL45/19/2016webbaker - Austin, TX48/11/2014
I had enjoyed the 2009 Kathryn Hall and with the high rating from WA, figured this would be a winner too. Really too young to tell if it will earn Parker's stratospheric rating, but nice fruit flavors and good aromatic balance. I really liked it and may buy more.
- Style
- Big & Bold


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Home Plan Detail
Upper Level Living
Plan ID Number: AR-007
Designed by: R. Wayne Rainey Jr., AIA
Addison Rainey Architects
Square FootageTotal living area: 3,863
Main Level:1,630
Upper Level:2,233
Footprint: 54' 10" W x 48' 8" D
RoomsBedrooms: 4
Bathrooms: 4.0
Master suite: Upper Floor
AttributesLevels: 2
Parking: Garage
Number of car stalls: 2
House Height: 35' 3"
Ceiling Heights:
Main level 10' 0"
Upper level 10' 0" Vaulted Ceilings in the:
- Study
- Skylights
- Screened Porch
- Elevator
- Master Sitting Rm.
- 2 Fireplaces
The front entryway at ground level sits beneath a small balcony of the sitting room in the master suite. Upon entering the foyer, there is a room to the right that could serve several purposes. While described on the plans as the "study", it would make a great space for entertainment (with its built–in wet bar and refrigerator), a den (with a fireplace and a patio), or a guest room or in–law suite.
Straight ahead from the foyer is a curving stairwell to the upper level, and access to the other rooms on the lower level. There are two bedrooms here in addition to the "study", each with its own full bath. Bedroom 3 features a laundry room in the bathroom, and Bedroom 4 looks and walks out to a screened room. A two–car garage with side entry is located on this level, as is the mechanical room, and there is room for an optional elevator that the original homeowners planned to install in the future.
At the top of the stairs, there is a door to Bedroom 2's full bath straight ahead, with the kitchen on your right and the great room on your left. The great room features a cathedral ceiling, a centrally–located fireplace, and a long wall of windows and a pair of glazed doors that look out to the porch and the view beyond. It also has built–ins and a wet bar along the wall shared with the master bedroom, and built–in window seats with storage below flanking the fireplace. The kitchen is quite spacious, and full of light from two skylights in the ceiling. The large center island has built–in warming and freezing drawers, a microwave, and an ice–maker. Next to it is a light–filled breakfast area with double doors leading to the porch.
The master suite features a large bedroom with built–ins and shelving flanking the bed and views to the front and side, a sitting room with its own balcony and separate vanity that accesses a large walk–in closet, a private toilet, and the master bath. And the bathroom has a Jacuzzi tub, a separate shower, and a second walk–in closet. Another bedroom with a full bath is located on this level, which has its own private balcony. The ceilings on both levels are a dramatic 10'.
Please Note:
The exterior of this house looks mottled in the photographs because the surface had not dried completely yet.
Floor Plans
(click to enlarge and view measurements)
(click to enlarge)


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i changed this from my old version a little all based on the comments i recieved from it. I like this one a lot better, i think the message gets across a lot better, and the placement of the shirt is less awkward. Hope you like it.
Derby #40: Motherhood
Mothering the Queen (v.2)
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- Apr 26, 2008 10:30 PM
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- Apr 26, 2008 10:53 PM
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Re: Mothering the Queen (v.2)
I think this works very well! No trying to figure it out at all. The best part is that it could really work for anyone as a t-shirt. Totally cool. Nice job!
- Apr 26, 2008 11:52 PM
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Re: Mothering the Queen (v.2)
Man, this shirt (and the original as well) is just great. I don't know why, but on this version the W-Y jumped out at me and I caught it this time, really nice touch there!
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The best building land in Port Maquarie Vacant house and land packages
Port Macquarie's best residential building blocks are selling fast at beautiful Ascot Park, an outstanding estate of larger-than-average home sites, thoughtfully integrated within a magnificent bushland setting.
Located an easy six-minute drive from town centre, along the Oxley Highway then left into Philip Charley Drive, Ascot Park promises exclusive living in sublimely natural surrounds.
- Carefully designed estate
- Finest-quality infrastructure
- Unique setting, amid nature itself
- Quiet location
- Show homes on site
- Walking pathways and cycle tracks
- Meandering parklands, playgrounds
- Many blocks have no rear neighbours
Want to Get in Touch?
Call us on 0418 112 025
Want to Get in Touch?
Call us on 0418 112 025