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If you're not a regular subscriber to the Central Kentucky News-Journal, we bet you're wondering why you've received a copy of today's issue. Well, we wanted to show you what you've been missing.
The News-Journal has the largest circulation in the community (see Editor Rebecca Cassell's column at right) of any printed material. And if you're not a regular subscriber, we believe it's only because you haven't realized just how important your community newspaper is.
And there's no better way to prove our point than to simply show it to you.
For weeks and weeks, OK ... make that months and months, we've been inundated with advertisements and speeches and photo ops from our national election candidates.
Well, we're down to the wire now. And history will be made - we will elect either a black President or a female Vice President.
But all of the hullabaloo of the past months aside, when you walk into the voting booth and close the curtain, it's important to ask yourself a few honest questions:
- When I choose a candidate, am I truly voting for the candidate I believe will do the best job?
High Social Security payroll taxes have contributed to yearly Social Security Trust Fund surpluses until the proclaimed surplus is now in excess of $2,140 billion ($2.14 trillion).
However, Congress has elected to sacrifice Social Security on the alter of corruption by spending the entire surplus, requiring the U.S. Treasury to cover the embezzlement by issuing non-negotiable IOU bonds to the Trust Fund. Such irresponsible and reprehensible behavior should alert voters that no member of Congress has the integrity to be our president.
Needless to say, after having read Calen McKinney's column in which it stated the Campbellsville High School band program has declined tremendously, as well as not having a marching band this year, it greatly affected me. It was at that moment that I began to reflect of my years in the band.
When Senators Mitch McConnell and Jim Bunning return to Washington, D.C. after the November election for a "lame duck" session, they will have a final opportunity to complete work and pass the Arthritis Prevention, Control and Cure Act (H.R. 1283).
October is Domestic Violence Awareness Month. It is sad that we must designate a month to highlight the problem of domestic violence, but this perverse, insidious malady is not going away.
Each September, the National Network to End Domestic Violence conducts a 24-hour census across the entire United States. Shelters and other agencies who work with victims of violence are asked to count the number of people they helped during that day.
Here are some of the statistics from September 2007 (2008 numbers are still being tabulated).
National Summary
Tomorrow evening, our community will be filled with ghosts, goblins, witches, princesses, all sorts of strange-looking animals - and just about any other character a child's imagination can invent.
Halloween shouldn't ever be a night of mischief, danger or evil. And the fun it provides for both children and adults shouldn't be lost because, like so many things, a few people choose to abuse the occasion.
The numbers aren't looking good.
Last year, victims' advocate Heather Barnes investigated 215 domestic violence complaints. This year, she has already investigated 296 ... and that's only through the end of September.
There were 273 days from January through September, which means that there has been more than one a day.
Like we said, the numbers aren't looking good.
And that's sad.
October is National Domestic Violence Awareness Month, a time when officials try their best to get the word out that it doesn't have to be this way.
Copyright © 2017
The Central Kentucky News-Journal is your source for local news, sports, events, and information in Campbellsville, KY and the surrounding area.


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Plying the waters since 1999 (!), Liquid Sound Lounge skipper Jeannie Hopper's annual summertime seafaring hoedown is back for another beautiful cruise featuring a top mix of soulful house and classics. DJ Carlton Rosebure spins as well, and the Super Dupers—Jay Rodriguez on reeds, and Pablo Vergara on keys) add live musical accompaniment. A portion of the proceeds go to support WBAI.
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Brian Knockin and Amero Tha Don are back live! 12 – 2 today! Tune in and get a dosage of their fuckery!
Brian Knockin and Amero Tha Don are back live! 12 – 2 today! Tune in and get a dosage of their fuckery!
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Fish Burps: Episode 84: Fight, Fight, a Progressive and a Right.
Dan Says: We're stoked to have Tommy Flynn back in the studio. Why? Because Doug and I are damaged people with questionable judgement when it comes to friendships. Re: Our own friendship.
Doug Says: Dan has 684 unread emails in his… [more]


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Vampire Bay(2011)
(The third book in the Hunters series)
A novel by Sandra Cox
My name is Zoe Tempest. Don't let this blonde-haired, blue-eyed Barbie Doll exterior fool you. I'm a vampire hunter. I have been ever since Dere, the king of bad-ass vamps murdered my parents and I went to live with my uncle, Julian Kilmer. Maybe you've heard of him. He's a renowned paranormal metaphysical author. But in the world of the undead, he's known and feared as a vampire slayer. Besides slaughtering my parents, Dere destroyed everyone that Uncle Julian ever loved. In doing so, Dere forged a bond between us thicker than blood. After I moved in with Uncle Julian, and learned to fight, I got my revenge and turned Dere's butt to dust. At least, I think I did. Since Uncle Julian and I came to Vampire Bay on a vamp hunting expedition I've begun to wonder...
Used availability for Sandra Cox's Vampire Bay
See all available used copies of this book at Abebooks UK or Abebooks US
Paperback Editions
June 2012 : USA Paperback
|Title: Vampire Bay (Volume 3)
Author(s): Sandra Cox
ISBN: 1-4776-9851-5 / 978-1-4776-9851-8 (USA edition)
Publisher: CreateSpace Independent Publishing Platform
Availability: Amazon Amazon UK Amazon CA
Kindle Editions
July 2011 : USA, Canada, UK Kindle edition
|Title: Vampire Bay (Hunter Series Book 3)
Author(s): Sandra Cox
Availability: Amazon Amazon UK Amazon CA
Genre Pages


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Dear Dean
Short Story by: Addictedtobooks
Status: Finished
Genre: Literary Fiction
Dear Dean,
It's 2am, where do I begin. It's been 3 months since you left me. 3 months since I felt whole. 3 months since I relapsed. 3 months. You'd think I would have started to heal but the truth is far more broken.
I'm Crying off my face again in the apartment we shared. Memories of who we used to be, of who we were. I remember the first time we met in our last year of school. The way you always wore your black shaggy hair so it flopped sexily over your eyes, the way you were never seen without your ipod quietly blaring My Chemical Romance and other various bands. You never cared about what people thought. Yet you always seemed to care about what I thought. You were always the dark guy people avoided but inside you were kind and saved me.
Sometimes I dream that you are still with me and that you are still there to hold and comfort me but every time I jolt awake to The silent sound of loneliness. Often I close my eyes and image you've captured me in your sweet embrace. The torturous fantasy Wants to follow me to bed so I won't feel so alone and the cold space next to me will be filled by you.
I'm the ghost of a girl who I no longer know. The girl who could smile and laugh, only you could fill her with such happiness. However, now I am but a shadow of the girl I was when with you.
There is only one thing That I want to be most and that is with you again.
I'm the shell of a girl That I used to know well. I no longer really live, each day a part of my soul withers away and dies painfully. Perhaps if you had chosen to stay I would not feel like the very air was poison and my food has turned toxic.
I like Dancing slowly in an empty room it lets me image it's you in my arms rather than the pillow there. It lets me feel close to you for even a torturous moment thatyou have mein your arms.
Can the lonely take the place of you?
I sing myself a quiet lullaby to myself at night to chase away the loneliness that creeps in when I wake and your quiet breath is not there to fill the deafening silence.
So I Let you go and let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the craving while my heart is slowly rebreaking.
I'm Too afraid, to go inside. I cannot leave this apartment behind because you have slept here and lived here with me. I cannot stay For the pain of one more loveless night where you are not beside me when I wake. For the loneliness will stay with me so I close my eyes
and let the ghost of your memory hold me till I fall asleep.
Dancing slowly in an empty room
Can the lonely take the place of you
I sing myself a quiet lullaby
So I Let you go and let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the
craving while my heart is slowly rebreaking
Broken pieces of heart break a little more. I am now A barely breathing story where my death is nigh. So I let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the craving while my heart is slowly rebreaking
Where there once was love
Now there's only me
And the lonely thought of you. You left me all alone with only a note to explain. To tell me you loved me so much but you could not stay. Now my heart is the one to pay. I let you fix my heart and build me up until I could find the strength to stay away from the blade. Why couldn't you let me in and let me return the favour? Then you left me here all alone with a broken heart and broken mind. My strength began to ebb away. So I Let you go and let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the craving while my heart is slowly rebreaking. Now I'm done and the last of me has lost its fight, I shall now join you. I shall join your eternal sleep side by side and my own name engraved on the headstone next to yours.
So now I'm Dancing slowly in an empty room for the last time.
The lonely can no longer take the place of you.
I sing myself a last quiet lullaby.
So I Let you go and let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the craving while my heart is slowly rebreaking, for my time is done and my will is broken. So now my last mind has spoken.
So for the last time I Let you go and let the lonely in as I drag the blade across my skin. To take my heart again and lose my mind to the craving while my heart is slowly rebreaking so I can rejoin you.
© Copyright 2017 Addictedtobooks. All rights reserved.
Add Your Comments:
That was good liked how you used the lyrics as sentences if that makes since loved the song you chose deffently fit well with the story
i loved it. very sad tho. great job.
that was really sad but it was also really good :)
That is one of my favourite songs and I have to say you have made it even more of a joy for me. It was a perfect fit to this story and you incorporated it well into the story.
Very sad but it's good!
This is very beautiful. That's all I can think to say.
I liked it! It was sad, but really well written and sooo good! :D
:O This piece is eerily stunning and haunting. Definitely haunting. But beautiful. The way in which you incorporated the lyrics is amazing. Your writing is different and meaningful. I love it. I spotted a couple of typos that you might want to check out? (I don't mean to make you annoyed or anything, I just noticed them and wanted to help out):
"...now I but a shadow of the girl I was when with you." did you mean either "I am" or "i'm"?
"and you quiet breath" I'm pretty sure you meant "your quiet breath"
I'm not too sure about the first one, but I hope you take it into consideration.
Your writing is beautiful, thanks for asking me to read but sorry I couldn't sooner! Keep writing =)
Thank you! No problems i don't mind it when people point out typos because I find it a bit irritating myself when your reading a really good bit of writing and you keep running into a million typos. Yeah I meant those things I'll go edit it now! Thank you!
very very sad but honest and open from top to end. This truly touched my heart, those dreadful memories still linger on, so hard to bare. Really, nothing is the same anymore because of crushed love. GREAT WORK!
good technique in narration. a wonderful piece. i just posted my last poem since january. please read. its called the dancing queen.
Seriously girl? Jeez I'm soooo jealous of your creativity. You literally rocked the socks off making the lyrics into sentences that make sense. You're just... wow! Crazy talented, I'm jealous but very proud of you honey :)
this is very good
that is so sad, but beautifully written... amazing work:)
Wow a beautiful epistolary, written in a creative way... I too have written stories based on song lyrics, but I never have written them creatively! This is so creative... I'll be using this style in the near future (plagiarism ha ha)... I'm so much impressed with this style of inserting the actual lines inside... Hats off... Creative person...
Kmu... Kmu of anything other than your novel. Because I can't follow your novel. Its out of my reach Haha... Keep writing and keep inspiring:)
EEEP! I'm so sorry for the incredible lateness of my comment :/ I hope you can gorgive me? *Puppy eyes*
SO let's get on with the comment, you've waited long enough ^.^
This has got the be the most original way to base a toy of a song! You actually used the lyrics INSIDE it, it's great! I've never seen something like this before :D
The story was very very sad, though :( Poor girl. She must've really been heart-wrecked - heart-broken is not enough - to do such a thing... Hurting yourself or suicide is never the solution, even though at times it might seem like it is.
This story really made me think about that kind of stuff ^.^
Awesome job! Good luck with the Booksievision :D
xx Paige
I liked the way that you put the lyrics as the sentences! Good luck in the competition! ? Rain
Heyy girly! I wanna comment on Booksie too hehe cuz i'll feel special ;). ANYWAY, i lovvvvvveeeeeee it. And of course you should never stop writing because all of your work is beautiful. Lol as you already know i cant wait to see what your amazing mind comes up with next :)
very emotional, im like you. i love writing tragic stuff.
This amazes me...Honestly, you have so much talent and your writing flows together so beautifully. This, my fellow writer, is art. *applause*
Other Content by Addictedtobooks
Book / Fantasy
Book / Fantasy
Short Story / Romance
Short Story / Mystery and Crime
Book / Thrillers
Short Story / Young Adult


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Border Riders Motorcycle Club News
Kick off the 2017 season with our premier Victoria Day ride to Entiat, WA at Pine Flats Campground May 19-22. Registration is now open but goes up after May 1st!
What is up this month....
This month's newsletter can be found here.
BRMC in the news.... article on page 30 in the premier issue of Toronto-based Gay Lifestyle Magazine
Recap of the 2015 Camping Season runs - May through October
Click here for some photos of the 2015 Anniversary Banquet
Recap of the 2016 Camping Runs
Your comments and suggestions about our website are appreciated
Use the "Contact Us" button at the top and select Web as the inquiry type


text: "'Sapientia potestas est' (Knowledge is power)" Welcome to the profile of the three incarnations of the Silver Hakala, of the Boundless and Immortal Hakalain Empire. Alternatively, we can be known as Captain Cat of the Scarbenders; Sarunara Surana, Harrowed Mage of the Fereldan Circle of Magi; Hannah, vampire and advocate of the power of knowledge; or simply as the Queen of Dreams, daughter of the god Guthix and Seren, crystal goddess of the Gielinorian elves. We live in a world of our own, far away from the dreary plane of twenty-first century Earth. I and my cousins Skulsvar and Maakir rule the most wonderful imperial continent created from the pure matter of our combined imaginations. We travel to many different worlds, and go by many different names, but we are always there, a guiding hand to the forces we stand beside. For example, I have recently visited the continent of Ferelden for the sole purpose of saving the kingdom from the hordes of ravening Darkspawn and the paranoia of the King's murderer and the Regent, Teyrn Loghain. I have also spent three centuries guiding the world of Aia, through the hands of the Pendragon family and their allies, lately masterminding the marriage of Mel Darkthrop and Edward Pendragon after their love blossomed as we raced to save the world from the plans of my ex-vampiric friend's brother. Cousin Skulsvar is a necromancer of great repute, and the Golden Hakala. He shadowed the boy who would become Belgarion, and observed the momentous events that unfolded culminating in the death of a god and the crowning of a new deity. Afterwards, he dragged the soul of Torak across the void between dimensions for what he calls 'a chat'. Maakir is the Bronze Hakala and the tactical genius behind the success of the New Scarbenders and the fall of the old and corrupt Empire to the chosen saviours on yet another world. His falcon form is an inspiration to thousands as he soars, and as the Jester of the Night he stealthily assassinates those who require inhumation.


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Fat transfer for temple area and cheeks?
I live in the Phoenix/Scottsdale area and have been looking for a surgeon that will do this procedure under local anesthetic rather than general? Is that a possibility?
Doctor Answers 3
Fat transfer for temple area and cheeks?
Dear pj23334,This is a fairly simple procedure to do under local, and while there will some pokes it is easily tolerated. Fat injections in the cheeks are very nice, and OK for the temples. I really like Sculptra in the temples and you could consider this to top off your results following the fat transfer. Remember that fat does not completely get rid of the need for fillers because some of the properties are more suited for different areas on the face.
Fat transfer under lcoal anesthesia
fat transfer is easily done under local anesthesia. The face and temples are locally anesthetized and then the fat that is liposuctioned is injected into the checks and temples.
Fat Transfer, Final Results? TEMPLES / FACE
This treatment needs an expert. Often more than one treatment is needed, however, I would suggest someone who uses puregraft and PRP with their fat. Please see an expert. Sculptra following the fat helps the fat survive. Best, Dr. Emer.
Web reference: https://www.youtube.com/channel/UCa6C2fuS-AgOnvBjr6_VSQg
You might also like...
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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17 November 2016,
New York, Rockefeller Center
Price realised USD 87,500
Estimate USD 70,000 - USD 100,000
Paul Cezanne (1839-1906)
Etudes d'après Madame Cézanne (recto and verso)
pencil on paper
12 7/8 x 9 7/8 in. (32.6 x 25.2 cm.)
Drawn circa 1879-1880 (recto); Drawn circa 1878-1880 (verso)
New York +1 212 636 2000
London +44 (0)20 7839 9060
Hong Kong +852 2760 1766
Shanghai +86 21 6355 1766
This drawing will be included in the online catalogue raisonné of Paul Cézanne's works on paper, under the direction of Walter Feilchenfeldt, David Nash and Jayne Warman.
Throughout his life Cézanne executed many portraits, primarily of his family members and close friends. Most frequently portrayed was Hortense Fiquet, the mother of his child and the woman he would marry in 1886. Cézanne met Hortense, a tall nineteen-year-old artist's model with brown hair and large black eyes, in 1869 in Paris. Over the course of his career, he painted twenty-seven oil portraits of his wife in addition to numerous works on paper. All the portraits of Hortense depict her motionless and quiet; the present sheet shows a group of intimate drawings of her, each one with her head bowed down slightly as if leaning over a book or needlepoint.
Ambroise Vollard, Paris.
Kenneth Clark, London (by 1936).
Sidney Nolan, London.
Acquired by the present owner, 1994.
L. Venturi, Cézanne, Son art–son oeuvre, Paris, 1936, p. 325, no. 1477 (recto illustrated, vol. II, pl. 378).
W. Andersen, Cézanne's Portrait Drawings, Cambridge, 1970, p. 90, no. 55 (recto) and p. 93, no. 62 (verso) (illustrated, vol. II; recto dated circa 1881-1882; verso dated circa 1882-1883).
A. Chappuis, The Drawings of Paul Cézanne, A Catalogue Raisonné, London, 1973, vol. I, pp. 190 and 193, no. 711 (verso) and no. 728 (recto) (illustrated).
Kunsthalle Basel, Paul Cézanne, August-October 1936, no. 159.
Vienna, Osterreichische Galerie Belvedere, Paul Cézanne, April-June 1961, p. 37, no. 106.
Aix-en-Provence, Pavillon de Vendôme, Paul Cézanne, 1961, no. 43.
Newcastle upon Tyne, Laing Art Gallery and London, Hayward Gallery, Watercolour and Pencil Drawings by Cézanne, September-December 1973, no. 33 (illustrated).
A library of catalogues presenting in-depth insights into our Post-War and Contemporary and Impressionist & Modern sales
When Greta Garbo left Hollywood for New York in 1941, she reinvented herself as a serious collector of contemporary art
A deep dive into the life of Impressionism's founding father, featuring upcoming works offered in New York
Tom Teodorzcuk on the remarkable restitution story behind one of Gustav Klimt's most iconic works, now the subject of a major H..


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Phone: 503-823-5185
Fax: 503-823-7576
1120 SW Fifth Ave, Suite 800, Portland, OR 97204
Phone: 503-823-5185
Fax: 503-823-7576
1120 SW Fifth Ave, Suite 800, Portland, OR 97204
C-Tran's website recently added an easy-to-use feature that makes planning your Clark County transit trip easier than ever. Simply enter your starting and ending addresses and click "plan trip" - the site will then give you step-by-step instruction on how to get to your nearest transit stop and to your final destination (see below). TriMet.org also has a great trip planning feature as well.
trip planer not very easy to use dosent reconize portland or battleground addresses WTF
Sorry its not working for you. Email me directly at scott[dot]cohen[at]pdxtrans[dot]org and I'll see if I can help.
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text:
Recurrence of Dislocation Following Total Hip Arthroplasty Revision Using Dual Mobility Cups Was Rare in 180 Hips Followed Over 7 Years
- First Online:
- Received:
- Accepted:
DOI: 10.1007/s11420-012-9301-0
- Cite this article as:
- Mertl, P., Combes, A., Leiber-Wackenheim, F. et al. HSS Jrnl (2012) 8: 251. doi:10.1007/s11420-012-9301-0
- Citations
- 1.3k Downloads
Dual mobility (DM) cups of mobile polyethylene were introduced to prevent total hip arthroplasty (THA) dislocation, but no large series with this design to treat recurrent instability have been reported.
Our retrospective investigation ascertained the efficiency of DM cups in correction of recurrent dislocation and assessed any adverse effects.
One hundred eighty THAs with recurrent instability were revised to DM cups in 180 patients (mean age, 67.4 ± 11.7 years; range, 19 to 92 years). Thirty-one patients (17.2%) underwent at least one earlier THA revision, and 15 (10.3%) incurred non-union of the greater trochanter. Of the initial group in 2009, 145 patients had completed evaluations which included assessment of the Harris Hip Score and a radiographic assessment at a mean follow-up of 7.7 ± 2.2 years (range, 4 to 14 years). The rate of survival was calculated considering any reason for revision as failure.
At follow-up, Harris hip score was 83.9 ± 16.1 (range, 21 to 100). Dislocation of the large articulation occurred in seven hips (4.8%), and only two recurred (1.4%) (one requiring additional revision). In addition, two intra-prosthetic dislocations of the small articulation (1.4%) were observed and needed revision surgery. The large number of earlier surgeries and non-union of the greater trochanter were related to recurrent instability. Two cups (1.4%) showed signs of definite loosening; six (4.1%) presented signs of possible loosening. Twenty-nine hips manifested femoral or acetabular osteolysis (20%), but only three were severe. Eight-year survival rate considering revision for any reason was 92.6% (95% CI, 85.5–96.4%).
This series indicates that DM cups are a viable option to treat recurrent THA instability. Their design provides a low risk of recurrent instability without increasing mechanical complications.
Keywordship arthroplasty instability dual mobility revision bearing wear polyethylene
Managing recurrent total hip arthroplasty (THA) instability is a difficult challenge because most of these patients are elderly and have undergone multiple earlier procedures, resulting in muscular lesions that compromise the stability of subsequent revision(s) [22, 24]. The reasons for recurrent instability are many and include component mal-orientation, inadequate restoration of leg length or the abductor lever arm, impingement, and muscular lesions. No consensus exists for the treatment of this complication as evidenced by the number of procedures recommended for correction of the problem [15, 22, 23, 35]. Current methods of dealing with recurrent instability have not proven to be significantly effective in large series, and none of them is considered to be the gold standard [22, 35, 37]. Among these procedures, use of constrained or tripolar cups is deemed to be successful but can be associated with a high rate of mechanical complications [15, 28] requiring revision with rates ranging from 2.3% to 20% [2, 3, 5, 7, 10, 36].
The goals of the current retrospective, multicenter study were: (1) to ascertain the efficiency of DM cup design to prevent recurrent dislocation, (2) to assess the clinical function of these revised hips using the Merle d'Aubigné and Harris Hip Scores, and (3) to analyze survivorship as well as adverse effects that were observed including loosening and osteolysis.
Materials and Methods
All ethics boards of the institutions involved in this multicenter study gave their approval. From 1995 to 2003, ten centers managed recurrent THA instability by revision with 180 DM cups. The latter were inserted in 180 patients (108 women and 72 men) with a mean age of 67.4 ± 11.7 years (range, 19 to 92 years). These 180 patients were assessed retrospectively in 2009. Of the initial group, 21 patients died (after a mean of 2.2 years, 6 months to 3.6 years), and 14 were lost to follow-up (after a mean of 1.8 years, range 2 months to 2.9 years), leaving 145 patients with complete clinical and radiological analyses in 2009. Mean body mass index (BMI) was 27.7 ± 4.9 (range, 15.4 to 59.2), and 44 patients (24%) were overweight with BMI >30 kg/m2. The initial diagnosis was primary osteoarthritis in 129 hips (71.6%), femoral head osteonecrosis in 19 hips (10.5%), arthritis secondary to hip dysplasia in ten hips (5.5%), and replacement because of various etiologies (inflammatory arthritis, post-infection, post-trauma) in 22 hips (12.2%). Thirty-two hips (17.7%) had at least one earlier THA revision, 16 hips had two earlier THA revisions, ten hips had three earlier THA revisions, and, finally, four hips and one hip respectively had four and five earlier THA revisions. Non-union of the greater trochanter was seen in 15 hips (8.3%) at the time of DM insertion. The time period from the earlier THA to the index procedure was 43 months (range, 1 to 228 months). Before the index procedure, 88 patients were rated according to Charnley's categorization [8] as class A (one hip involved), 50 as class B (both hips involved), and 30 as class C (multi-articular disease) (the status of 12 patients was unknown). Likewise, according to Devane scores [11], the majority of patients were not active—seven were rated as grade 5 (heavy profession and/or contact sports), 23 as grade 4 (light job and/or noncontact sports), 51 as grade 3 (leisure activities), 67 as grade 2 (semi-sedentary), and 19 as grade 1 (sedentary) (the status of 13 patients was unknown).
All patients received hemispherical DM cups with a 3-mm-thick metal shell and a mobile polyethylene insert (mobile with respect to the metal back) (Fig. 1). The polyethylene insert was hemispherical, of ultra-high molecular weight, variable in thickness, but always greater than or equal to 6 mm (variable according to cup and femoral head diameter). Polyethylene insert concavity was articulated with the femoral head after its impaction by force over a polyethylene rim designed for retention (Fig. 1). Its design theoretically reduces the risk of dislocation according to two principles: The mobile insert prevents prosthetic neck impingement over the polyethylene rim, and the large articulation between the insert and the metal back increases range of motion before dislocation. At the time of insertion, unstable THAs were revised without cup loosening in 119 hips. In the remaining 61 hips, the cups were loose with varying degrees of bone loss judged according to the criteria proposed by Paprosky and Burnett [34]. Forty-six hips were assessed as grade 1; 12 hips were judged as grade 2 and two hips as grade 3.
Full weight bearing was permitted the day after surgery in 160 hips (88.9%) but not for 20 of 21 hips that underwent previously mentioned acetabular bone grafting; these hips were allowed full weight bearing after a mean of 6 weeks (4–12 weeks) following the index procedure.
The results were analyzed in 145 patients (145 hips) who underwent complete clinical and radiological assessment in 2009. Categorical variables were expressed as frequency and percentage and numerical variables as mean, standard deviation, and range. Percentages were compared by the chi-square test or Fisher's exact test. The evolution of functional scores was analyzed by the Wilcoxon test (comparison of distribution). Survivorship was measured according to the Kaplan–Meier test with three types of endpoints: (a) cup revision for any reason, (b) cup revision because of fixation failure or polyethylene insert exchange with intra-prosthetic dislocation or recurrent dislocation, and (c) cup revision for fixation failure. The 95% confidence intervals (95% CI) were reported. Statistical analysis was performed with SAS™ version 9.1 (SAS Institute, Inc., Campus Drive, Cary, NC, USA). The level of significance was set at p = 0.05.
The DM cup was successful in preventing recurrent dislocation in the majority of these THAs. Only seven hips (4.8%) suffered dislocation of the large articulation, and only two recurred (1.4%) (with one needing repeated revision). In addition, two intra-prosthetic dislocations of the small articulation (1.4%) were observed and required revision surgery (Fig. 3). A larger number of prior THA revisions and non-union of the greater trochanter were correlated with recurrent instability (p < 0.05). Four hips had dislocation among the 15 hips that had non-union of the greater trochanter (26.6%) versus three of the 130 hips that had intact greater trochanter (2.3%) (p = 0.002; F exact test). Likewise, the number of former THA revisions was 1.85 among recurrently unstable hips versus 1.2 in those without recurrence (Mann–Whitney's test, p = 0.002). The small number of events did not allow us to identify a reliable cutoff using a ROC curve analysis. Nevertheless, we computed the odds ratio between the groups of patients without previous THA revisions versus those with at least one THA revision. The value of the odds ratio was 14.7 (95% CI, 2.7–79.9, p = 0.002), indicating a higher risk of recurrent dislocation when the hip had multiple former THA revisions. On the other hand, cup inclination was not related to recurrence of dislocation. Mean inclination was 44.4° (range, 40° to 60°) in the group that suffered recurrent dislocation, versus 50° (range, 10° to 80°) in those without recurrence (p = 0.7).
The Harris hip score increased from a mean of 76.9 ± 23.1 (range, 4 to 100) to 83.9 ± 16.1 (range, 21 to 100). The Merle d'Aubigné functional score rose from 14.1 ± 3.8 (range, 2 to 18) to 15.7 ± 2.5 (range, 7 to 18). One hundred twenty-seven hips (87.6%) had no pain or rare or mild pain. In particular, according to Merle d'Aubigné's hip rating, mean pain score climbed from 4.7 ± 1.8 (range, 0 to 6) to 5.3 ± 1.1 (range, 1 to 6), mean mobility score, from 5.4 ± 1.1 (range, 0 to 6) to 5.7 ± 0.7 (range, 2 to 6), and mean walking score, from 4.1 ± 1.8 (range, 0 to 6) to 4.7 ± 1.6 (range, 0 to 6). According to Charnley's classification [8], at follow-up, 53 patients (36.5%) were rated as grade A, 41 patients (28.3%) as grade B, and 51 patients (35.2%) as grade C. According to the Devane's scoring system [11], patients had lower activity scores than before the index procedure: at follow-up, 2 (1.4%) were rated as grade V, 11 (7,6%) as grade IV, 69 (47.6%) as grade III, 48 (33.1%) as grade II, and 15 (10.3%) as grade I.
Rate of osteolysis according to the shape and surface finish of the femoral neck in 145 hips at follow-up
No osteolysis
Shape of femoral neck (n = 109)a
3 (10.3%)
15 (18.7%)
Surface finish of femoral neck (n = 119)a
2 (4.2%)
15 (21.4%)
Surgical management of recurrent total hip instability is a demanding procedure. Tripolar or constrained cups, currently recommended for this indication, give an acceptable rate of recurrent dislocation but at the cost of revisions related to mechanical complexity [2, 3, 7, 10, 32, 36, 37]. Using DM cups for the same indication, few studies are reporting a low rate of recurrent dislocation (ranging from 1.7% to 5.5%), but these were based on populations of limited size [16, 18, 27]. We therefore designed the current study based on a large population to accurately assess the efficiency of DM cups to prevent recurrent dislocation as well as clinical function, potential adverse effects (loosening and osteolysis), and survivorship. The main finding in this large cohort was the low rate of recurrent dislocation (4.8%) with DM cups to revise THA instability. It represented a non-selected population with a high rate of earlier THA revisions (17.7%) and trochanter non-union (8.3%), considered to be factors promoting recurrent instability [7, 22, 35]. In addition, two intra-prosthetic dislocations of the small articulation (1.4%) required revision surgery. In summary, the rate of instability (large and small articulations) was 6.2% (nine cases), but only three (2%) needed revision surgery.
Our series had some limitations due to its retrospective nature and lack of a control group. In addition, almost 6.7% of patients died, and 11.7% were lost to follow-up, but the majority remained for minimum 1-year follow-up, allowing short-term assessment of recurrent dislocation. On the other hand, the large patient population with recurrent instability after THA strengthened the conclusions and gave us an opportunity to measure the efficiency of DM cups in preventing dislocation in revision. Moreover, most revisions in the current study were limited to cup exchange (151 cases, 83.8%), allowing us to estimate the isolated effect of DM cups in managing recurrent THA dislocation.
The rate of recurrent instability in this study is higher than that reported, also with DM cups, by Guyen et al. [16] (5.5% at a mean of 4 years), Leiber-Wackenheim et al. [27] (1.7% at a mean of 8 years), and Hamadouche et al. [18] (4% at a mean of 4.2 years). In contrast, the current series was larger (almost double), had a higher number of former THA revisions and a higher proportion of greater trochanter non-union. In addition, the current rate of recurrent dislocation requiring repeated revision (1.4%) was similar to that observed by Guyen et al. [16] and Leiber-Wackenheim et al. [27]. These results were obtained without an increase in adverse effects involving mechanical failure. In total, the two cup loosenings (1.4%) (both revised) were much lower than with constrained or tripolar cups for the same indication [7, 36]. Particular attention should be paid when DM cups are inserted to treat unstable THAs that have undergone multiple earlier revisions or in case of greater trochanter non-union. The current study underlines DM cups have a higher rate of failure in stabilizing the THA in these situations. This last result advocates for the repair of greater trochanter at the time of revision and may suggest the use of constrained cups despite that this design has no specific report for these particular indications [2, 3, 5, 7, 10, 28, 36].
Outcome of treatment of recurrent unstable hips revised by constrained and tripolar cup versus the DM cups in the current series
Number of hips
Mean follow-up (years)
Recurrence of dislocation or failure of constrain mechanism
Revision for dislocation or failure of constrain mechanism
Beaulé et al. [2]
Tripolar constrained
Berend et al. [3]
Constrained liner
Bremner et al. [5]
Tripolar constrained
Carter et al. [7]
Constrained liner
Della Valle et al. [10]
Constrained liner
Shapiro et al. [36]
Tripolar constrained
Current series
Dual mobility
In former studies as well as in the current one, DM cups guarantee clinical results and survivorship similar to modern THAs with a low rate of revision related to mechanical failure (2.1%) [16, 18, 23, 27]. DM cups simplify revisions, as they do not require femoral exchange, being compatible with 28- and 22.2-mm femoral heads. In addition, they can be fixed by cement to cages when acetabular reconstructions are necessary during revision related to recurrent instability, giving an opportunity to improve hip centering and subsequently downsize the risk of instability [18]. One of the limitations of DM cups is the risk of intra-prosthetic dislocation [26]. The rate of this specific and rare complication is below 1% and was reported as 0% for Leclercq et al. [25] at 5-year follow-up, 3.7% for Guyen et al. [14], and 0% for Leiber-Wackenheim et al. [27]). Whenever intra-prosthetic dislocation occurs, it requires revision that is usually a simple liner exchange, unless damage to the metal back's inner face warrants cup exchange. It is possible that this can be prevented by head–neck-junction designs that are smooth because the neck behaves as a third articulation [25, 26, 27]. In the current study, 83.9% of stems were not revised, exposing the polyethylene rim to old head–neck junctions that were not fully compatible (round, polished, without extraction hole) with DM cups (Fig. 3). Similarly, the shape and finish of the head–neck-junction was incriminated in osteolysis occurrence that was rare (20%) and mainly not extensive (Table 1). This last result confirms that the neck behaves as a third articulation with regard to mobile polyethylene insert [25, 26, 27].
Our series indicates that DM cups are a viable option to treat recurrent THA instability. The design provides a low risk of recurrent instability without increasing mechanical complications, particularly when compared with constrained or tripolar cups. DM cups have the advantage of decreasing the need for stem exchange in complex revisions, as they can be used with 22- or 28-mm heads, especially if the head–neck junction is properly designed to interact with DM components. Particular attention should be paid when inserting DM cups after multiple earlier THA revisions or in case of greater trochanter non-union. These encouraging outcomes should be confirmed by longer follow-up.
The authors thank Alain Duhamel for help with managing study statistics. They are indebted to the French Society of Orthopaedics and Traumatology (SOFCOT) for allowing publication of the data.
JG certifies that he has or may receive payments or benefits from a commercial entity (Zimmer Educational and Wright Research) that may be perceived as a potential conflict of interest. PM certifies that he has or may receive payments or benefits from a commercial entity (Zimmer Educational) that may be perceived as a potential conflict of interest. HM certifies that he has or may receive payments or benefits from a commercial entity (Zimmer Educational and Tornier) that may be perceived as a potential conflict of interest. All other authors have no potential conflicts.
Each author certifies that his or her institution has approved the reporting of these cases, that all investigations were conducted in conformity with ethical principles of research.
Open Access
This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.


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February 19, 2014
Baseball stadium a key to stemming Columbias brain drainCourtney Young's letter to the public:
At a recent Columbia City Council hearing, several young professionals spoke in favor of adding a multi-use facility that includes baseball to Bull Street development. When detractors cautioned against it, they expressed concern about financial obligations in the future.
With due respect, we are the future.
We love Columbia, and we see in the Bull Street development a future of hope and opportunity. Our message: We gladly embrace it because the public-private partnership represents a vision that will transform.
Politicians and business leaders for years have bemoaned the brain drain of so many talented young people leaving Columbia, partly because they are seeking an unlimited future in a city that appeared limited in vision. The city grew by chance, not choice, with too many dissenting voices that made planned progress impossible.
You only have to go to Greenville and Charleston to see how business and political leaders form partnerships that work for the betterment of all their citizens.
Happily, the perception of Columbia is slowly changing, with improvements on Main Street and in the Vista.
The Bull Street vision gives us an opportunity to continue that change.
The question before City Council really is not about baseball. It is about a public entertainment park that contractually commits to be open 30 years, providing inexpensive entertainment to hundreds of thousands of families. It gives parents a safe place for their children, businesses a venue to have conferences and all of us a place to enjoy.
This park is not the end game; it is a launching pad for everything that will follow, including high-end retail, an upscale cinema, boutique and conference hotels, business offices, green space and residences of all types.
Some say Columbia cant afford to do its share in a partnership with the private sector. We say Columbia cant afford to let the opportunity pass by. For a very small percentage of its budget, Columbia can help create thousands of jobs and billions of dollars in economic activity and improve the quality of life that will extend to every part of the city and beyond.
We pledge our support to this effort, and support for our elected leaders who share this vision.
Courtney Young
ForeSight Communications, LLC
Read more here.


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The number one goal of the Globe University-Woodbury campus is to deliver relevant, quality educational experiences that engage students and lead them to graduation and overall career success. For this reason, the campus sends out an annual survey to students to measure areas of success as well as opportunities to change.
To illustrate the "We Care" philosophy, we had the manager from each department answer a few of the responses received from the students. For the next month, we will be sending out the responses from each of the managers via the blog.
Responses by Brian Raiche, Dean of Students
"Students should be able to take only the classes needed for our program, and not have to take generals or other classes that pertain to our career choice just to make credit to be full-time. I do not like having to take prerequisites for all the classes. Globe should make it so that we can take full-time credits that are just in our program. It makes me feel like the school is money hungry."
Raiche's Response: We offer a variety of programs at Globe University, ranging from a diploma program through Associate in Applied Science (AAS), and Bachelor of Science (BS).
If a student has chosen a degree (AAS or BS) then general education and elective courses are required in order to earn those degrees. This is a requirement of accreditation rather than school choice. A certain percentage of credits are required to be general education for each level of degree.
General education courses are designed to give you a well-rounded education with a global perspective in your career and life.
General education courses are limited for a diploma program. If a student is interested in switching to a diploma program, please see the Education Department. We attempt to limit the number of non-related classes so that students can complete their degree in a timely manner.
Courses with prerequisites are designed to take the knowledge gained in one course and apply it in the next course in your sequence. Our programs are designed to teach you for career preparedness. In order to do this, we start with basic skills and move to more advanced skills and knowledge as your education progresses. Taking these courses out of order would reduce student success in the courses.
Common Scheduling Responses:
- "I'm a day student and a class I need is only at night."
- "I cannot take day classes and all the classes I need are during the day."
- "The Education Department needs to work on scheduling."
- "We need more options for night students."
- "It is hard to find classes that I need to graduate because I took a quarter off."
- "I've been forced to take classes at times that are inconvenient for me."
- "There is never a class I need at my home campus."
Raiche's Response: Scheduling seems to be the biggest area for improvement within the Academic Services department. We do take your feedback seriously and will take measures to improve this area if at all possible. Please stay tuned for a roundtable discussion/training on scheduling and creating the master schedule. If you have any suggestions for improving our processes, we certainly welcome your feedback.
Our master schedule is a rotating sequence of classes based on student need. As you're aware, we do not offer every class, every quarter both day and evening. The quickest way to complete a degree is to attend full-time and be flexible with your schedule.
We do realize that students have jobs, families, and other outside commitments that restrict scheduling availability and we do our best to be efficient with our course offerings, but also mindful of each of the 500+ unique students that attend here and their respective programs. Unfortunately, there will be times that students may need to alter their schedule, travel to another campus, or opt to take online classes in order to complete their degree on time.
"I wasn't aware that I would need a personal computer, although I suspected I would."
Raiche's Response: Students are not required to purchase their own personal computer while attending Globe University. We offer multiple computers on campus for our students; student commons, computer labs, resource center, and the library. Even if a student is only taking online classes, they are welcome to come to campus and use the computers.
Please note that if you do elect to purchase a computer for school use, please make sure to pick up an Online Learning Information (OLI) packet from the education department. It lists course specific software requirements as well as suggested computer capabilities. Also, please be on the lookout for training on the new 'Apps' feature of Campus Connect.
Stay tuned for the Director of Admissions responding to students in the next blog.


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January 5, 2017 • Good Girls Marry Doctors is on NBC's list of literary achievements of 2016!
December 15, 2016 • Aunt Lute's offices will be closed from December 16, 2016 to January 2, 2017. If you'd like to order our books during that time, please contact SPD (Small Press Distribution).
December 13, 2016 • New reviews of Good Girls Marry Doctors in The Huffington Post, Elle Magazine, and more.
December 8, 2016 • Check out this recent interview with LeAnne on how Native stories have shaped the culture of the South.
December 8, 2016 • Mourning those we have lost, and supporting those who have survived.
November 30, 2016 • Check out what some of our authors are doing in December!
November 17, 2016 • What does it look like when 27 south Asian immigrant women writers turn their gaze inward, reach deep inside themselves for their hidden truths, and produce the stories of their lives and those of their families?
November 10, 2016 • We are accepting internship applications for two positions!
November 3, 2016 • Here's what's happening in November.
November 2, 2016 • We're pleased to announce the release of Imaniman: Poets Writing in the Anzaldúan Borderlands, edited by ire'ne lara silva and Dan Vera!
Borderlands/La Frontera: The New Mestiza. Celebrate this foundational text with each sip from our limited edition Borderlands mug.
Now sold exclusively in white.
54 writers reflect on the complex terrain—the deeply felt psychic, social, and geopolitical borderlands—that Gloria Anzaldúa inhabited, theorized, explored, and invented.
El Mundo Zurdo 5 is a collection of diverse essays and poetry that offer scholarly and creative responses inspired by the life and work of Gloria Anzaldúa.
Good Girls Marry Doctors: South Asian American Daughters on Obedience and Rebellion, edited by Piyali Bhattacharya, is the first anthology to examine the multiple facets of daughterhood in South Asian American Families.


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ED Magedson – Founder
Ripoff Report
Ebexten's consignorsInternet, Select State/Province USA
Ebexten's consignors Aka, egoldenclub consignors Scams money from people by saying they are a trust company holding your funds until you receive the merchandise Internet Nationwide
Does your business have a bad reputation?
Fix it the right way.
Corporate Advocacy Program™
This is a internet scam company. Tells you they hold your money until you check out the vehicle for 10 days. Which they never do, instead they take your money and in a couple days they take their website down. They also falsify forum comments about the validity of their company. Which they will take these down too in a few days. Leaving you which no means to get your money back. Don't fall victim to this. Stay away
This report was posted on Ripoff Report on 10/14/2013 06:46 AM and is a permanent record located here: http://www.ripoffreport.com/reports/ebextens-consignors/internet-select-stateprovince/ebextens-consignors-aka-egoldenclub-consignors-scams-money-from-people-by-saying-they-a-1091776. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Patti LaBelle will be among the celebrities commemorating the 10th anniversary of the 9/11 attacks at the "Concert of Hope."
PHOTOS: Patti LaBelle's Style Evolution
Ms. Patti will join President Obama and First Lady Michelle Obama at the Washington National Cathedral in D.C., where the concert will be held. Mezzo soprano Denyce Graves and country singer Alan Jackson will also take part in the televised program.
PHOTOS: Patti LaBelle's Style File
President Obama will spend the day visiting 9/11 memorial sites in Washington D.C. (the Pentagon), New York and Pennsylvania.


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Safety Data Sheets
The following resources provide access to Safety Data Sheet (SDS) sites. If you are unable to find an SDS feel free to call the Technical Safety Office at (208) 282-2310 and we will be happy to assist in locating it.
Because of the unstable nature of phone lines and Internet infrastructure, you should not rely on the Internet for emergency access to MSDS information.
Physical Location:
Technical Safety Office
Physical Sciences Building, Room 101B
785 South 8th Ave.
Pocatello, ID 83209
Mailing Address:
921 South 8th Ave Stop 8106
Pocatello, ID 83209
Phone: (208) 282-2310
Fax: (208) 282-4649 (shared with Physics)
Radiation Safety Officer:
Peter Farina


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Home › Forums › General Forums › General Lightweight Backpacking Discussion › sleeping cold..need help
Apr 26, 2009 at 10:22 am #1235891
Joseph ScaliaMember
@jscaliaLocale: NorthEast
I need some guidance/advice.
This season I have slept out 4 nights so far using two different Big Agnes down bags/pad combinations rated for 15 and 20 degrees. Temperatures have ranged from 35F to 47 F with calm to moderate winds, on each separate occassion using hammock, tarp, and large car camping tent. I slept with one bottom layer and one or two top layers along with cap or hoodie. I was not able to sleep comfortably through part of the night due to feeling cold (but no shiver). The only night I was able to stay comfortable the whole night was when the low temp was only in upper 50s. Why am I sleeping cold with 20 degree rated bag?Apr 26, 2009 at 10:27 am #1497076
John S.BPL Member
So you have full length pads under you?
What shelter are you using?
Is the sleeping bag very room inside versus your size?
Does the sleeping bag have a hood?Apr 26, 2009 at 10:41 am #1497080
Mark MendellBPL Member
@mmendellLocale: Midwest
Most likely bottom insulation.
Sleeping warmly in a hammock can be done, but takes some experimenting.
What specifically did you have beneath you in these set-ups?Apr 26, 2009 at 11:11 am #1497081
Joseph ScaliaMember
@jscaliaLocale: NorthEast
On the first night, I used a Hennessey Hammock with BA Zirkel (800 down 20F)and full lengthy mummy isulated aircore Pad (15F rating) temp went to 40F and 20-30mph winds: was somewhat comfortable but slightly chilled around 3AM.
Second night: BA Zirkel, aircore pad, slept on ground with only Tarp, Temp 35F, winds 10-20mph, wool underwear, two layers on torso, hat: Felt very uncomfortably cold most of night but no shivers.
Third night: In a large canvas, wall tent, BA Lone Ranger (15deg,large roomy regtangular bag), 47F, 5-10mph, same clothes as above: Very cold most of night, was able to sleep only from 3-7AM.
Fourth nigh: same as above, temp 57F, no wind, Slept comfortably 8 hours straight, no awakenings.Apr 26, 2009 at 11:31 am #1497084
Richard MatthewsMember
@foodLocale: Colorado Rockies
When I get cold the likely casues are:
Bottom insulation,
Head insulation,
Foot insulation, or
Hand insulation.
I am guessing that you are using an Insulated Air Core. The rating on that pad is … um…. optimistic. Try putting a Gossamer Gear ThinLight 1/8" pad on top of the Insulated Air Core inside the sleeve.
I switched to a hoodie base layer mostly to secure my hat. No more waking up cold and hunting for my hat. For a side sleepers like me a sleeping bag hood is a cruel hoax.
I use a vapor barrier sandwich on my feet. Liner socks then grocery store produce bags then fleece socks.
The BPL Possum Down gloves are great.
I have a BA Cross Mountain and used to have a Zirkel. The top insulation rating is accurate. The rating for the Insulated Air Core is exaggerated.Apr 26, 2009 at 12:31 pm #1497100
Justin ChausseeMember
@judachLocale: Earth
I have a BA lone ranger. I have found that the regular air core pad works well down to about 50ish degrees. Beyond that, the insulated air core pad works very well for me. The insulated pad is a little heavier and bulkier though. Also, if the pad you are using doesn't fit the full length of the sleeping bag, it tends to get really cold. I had to switch to a full size pad for that reason. Other than that, I've had no problem staying warm in my BA lone ranger. Good luck!Apr 26, 2009 at 1:04 pm #1497112
Greg MihalikBPL Member
@greg23Locale: Colorado
IMHO I think it's the lack a bottom insulation.
First convince yourself that the sleeping bag is adequate.
Find enough bottom insulation – RidgeRest, Thermarest, generic, to have a convincing R-8, or more. Strap them together so you're not sliding around. Then try the 15° bag. If you wake up sweating, (my bet) go to the 20° bag. If you wake up sweating again you have your answer. Next try the 20° bag with "just enough" Known bottom insulation – say R5.
I do this on the back porch so I have ready access to all possible combinations of pads and bags. Getting a good nights sleep isn't the point. Learning what works means getting up, changing gear, sensing what is cold or hot, up or down, and then adjusting and trying again. You'll get it.Apr 26, 2009 at 3:22 pm #1497129
Roger CaffinModerator
@rcaffinLocale: Wollemi & Kosciusko NPs, Europe
As has been already suggested, lack of adequate bottom insulation and head insulation are likely culprits. You haven't mentioned your head at all.
Another thing to check is whether you had a good meal before going to bed.
CheersApr 26, 2009 at 4:47 pm #1497138
Joe KusterBPL Member
@slacklinejoeLocale: Flatirons
As a cold sleeper I can relate. However, an BA insulated aircore pad should keep you insulated into the 30s. Perhaps I've had different experiences as the other posting saying it was optimistic but I sleep pretty cold and haven't found it to be the weak link in my systems.
If on the other hand you have the standard aircore, 30's is pushing it and you need to upgrade or pair it with a foam pad. The cheap blue foam pads are a cheap way of extending the range of any inflatable pad to determine if they are your weak link. Put the foam on top of the inflatable one.
For any cold sleeper, these things are very important:
Metabolism: have snacks handy during the night and have a good meal right before bed time. My money is that this is your problem. Even with a good bag, your metabolism may crash during the night without keeping it stoked and leave you feeling quite cold (mine sure does).
Hydration: Gotta digest that food, so make sure you're adequately hydrated. Over-indulging will lead to mid-night pit stops though…
Don't go to bed sweaty/wet, when you chill off, it makes you considerably colder. If your layers are damp, change out for sleeping. Don't over layer until you are sweating either.
Head insulation: even with a well designed sleeping bag, some form of head insulation is highly recommended. Balaclavas are great for the whole face and neck work. Wool hats are good to keep your ears warm. If you sleep cold, these should be on your list for most of the year.
Foot insulation: doesn't sound like your problem but make sure you have dry socks.
Hand insulation: when the temps drop to below 50F consider bringing a light pair of gloves into your sleeping bag.
Avoid constricting clothing: constrictive clothing can lead to decreases in circulation and make you cold. Too many layers can cause this so some find a single base layer to be warmer than piling all the clothing.
Avoid drafts: make sure you spend the time to adjust your hood closures and make sure the draft stopper along your bag's zipper is oriented correctly. If your bag's hood isn't snuggling up well, bring a scarf to fill the void.
Bottom insulation: gear for the weather first, comfort second. When you get all over chill but your top still feels fine that's usually the culprit.
Bag fitment: If your bag is too tight, you may be compressing the loft from the inside. I've had that happen with some slimmer fit bags as I am not built like a twig.
Sleep routines: Realize that some people don't sleep well in the woods until it becomes more routine. When sleeping in the woods you are usually going to sleep earlier and waking up earlier. This is hard to adjust to at home, much less in a foreign area on unusual bedding. Melatonin seems to help many to drift off gently without being a sedative. Benadryl works as well and doubles as antihistamines. Try to integrate some of your home routines if you can. For instance, hot chocolate at 9pm, read a bit before bed or whatever you'd normally do can help you ease into the mood to sleep.
If the cold does come calling:
Grab a snack
Get a bit to drink
Move around a bit and adjust any insulation as necessary
Do not throw clothing on top of your sleeping bag, it just ends up reducing its loft and leaves you with cold spots.
If you are still cold, start doing sleeping bag exercises like crunches or isometric muscle flexing of your big muscles like your quads.
If you are still having problems try carrying a chemical hand warmer to throw in your bag. They work wonders and are relatively lightweight insurance when dialing in your system.Apr 26, 2009 at 8:18 pm #1497193
Tony WongBPL Member
@valsharLocale: San Francisco Bay Area
Great and detailed answer.
My quick two cents is that the air mattress might be actings as a heat sink and pulling the heat off of his body.
Air is a conductor of heat/cold and could be pulling away heat and giving him the chill.
A Gossamer Gear Thinlight foam pad or any foam pad might retain the heat that is being drawn off his body.
-TonyApr 26, 2009 at 9:14 pm #1497204
Joe KusterBPL Member
@slacklinejoeLocale: Flatirons
>My quick two cents is that the air mattress might be actings as a heat sink and pulling the heat off of his body.
The Big Agnes Insulated Air-core pad is an inflatable that has a Primaloft core. That significantly reduces convection currents inside the pad, thus the difference in R value. The non-insulated aircore is only R=1 and I only find it useful on the warmer half of the year. My insulated air-core on the other hand has a much higher R value of 4.1 and I've slept on snow many times with it without feeling cool on the back.
The rated temp range for the BA Insul-aircore is 15F vs 35F for the non-insulated aircore. Both of those numbers are the uncomfortable limit for me as I've pushed it below in the past for either.Apr 27, 2009 at 12:58 am #1497227
Mark McLauchlinBPL Member
@markmclauchlinLocale: Western Australia
On top of all the recommendations/suggestion so far I would have to agree with Roger.
If you have ALL your bases covers in terms of insulation and sleeping arrangements, the single biggest differentiator in warm vs cold sleeping from my experiences has been the type and timing of your evening meal.
Nice and big serving, plenty of carbs, and about 30- 1hr before bed time. The theory being that as the body starts to break the meal down (time depends on your metabolism) it exerts energy, this creates heat keeping you warm. It works….try it at home.
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Photos of Mercure Rennes Cesson
Travelers also recommend:
- Restaurant
- Bar/lounge
- Free High-Speed Internet
- Wheelchair accessibility
- Free parking
- Pets allowed
- Suites
- Room service
- Business Services
TripAdvisor Reviews Mercure Rennes Cesson Cesson-Sevigne
Travel Blogs from Cesson-Sevigne
Rennes and the Mont Saint Michel
... 1 day. Thursday is a travel day, a bus to Paris. I have been to Paris a few years ago, but made the mistake of not seeing the Palace of Versailles.
Rennes is a very quaint little town. A great mixture of some really old preserved buildings to lots of new apartments going up around the city. It has nothing famous to see, which makes it a nice place to just walk the streets.
Nice Route-ish. Shame about the weather
... take a 60 degree left hand blind bend with a reasonable sweep on it.****! As the bend opens up there's a red Peugeot 205 belting towards us with some ruddy faced pisshead with a greybeard heading straight towards me on my side of the road. He sees me at the last second and swerves over to his side of the road - nobhead!
Metaphoric wipe of brow. F**k, that was close. Karma - what will be, will be.
Need a ...
Welcome to Royston Vasey. You'll never leave!
... one of these blokes had a tennis ball on the side of his head, most people would call it a growth, I'll stick with tennis ball. The other was like Elmer Fudd with bottle bottom glasses and cross eyed to boot! Perhaps they were checking us out for defects! Perhaps they were aliens in a Men In Black safe house and Tommy Lee was their minder.
It was the most uncomfortable cup of coffee I've had for a long while. If Bucko had've been there he ...
September 2015 - Runaround in the Rapido
... of an alley. By the end of the evening we had three French, two British and one German registered vans. One of the British vans belonged to the "Blue Hand Gang" a Facebook Motorhome group, so we went and said hello. They were a nice friendly couple but the other Brits on our alley never even showed their faces. There was also another British van on the next alley and they didn't speak ...
Departed Sarlat about 9.30 am and spent the best part of the next 8 hours or so getting to Rennes, approx 570 Klms north of Sarlat.
Had our first taste of Toll fees on the A84, €14.50 for a stretch of about 100 Kim's, it was worth it to zip along at 130 kph for a while.
Once we arrived in Rennes dumped our gear at the hotel and went for a 2 Klm walk into town to stretch the legs after being in the car for so long. Back to the hotel and had a quiet ...


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You missed it This great deal for 2 in 1 Japanese Bakery is over. But don't despair, we've got more great deals every day.
The Japanese are renowned for taking an existing invention and improving it beyond the Western world's wildest dreams. This time, they've worked their magic on the humble cake. And with today's deal from 2 in 1 Japanese Bakery, you get one of their showstopping 6", $33 cakes for just $16. Cute and funky designs include Hello Kitty, Choc Ruby Mousse, Green Tea Garden, Tropical Broadway and the see-it-to-believe-it Pufferfish! 2 In 1 Japanese Bakery is the first natural yeast bakery in Australia, a technique that is free of phosphoric acid and nitrogen, making the cakes delicious and safe to consume. Thanks to their ingenuity, now you truly can have your cake and eat it too!
Enjoy By October 1, 2012
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Chapter LXI
Keiran didn't come to say goodbye. It was only Moll and Gideon who waved them off, and even then there was an awkwardness in the air. Beatrix said nothing, expecting Carla to use words for both of them. And then they were off, leaving the rebel camp for the first, and most probably the last time. Would she ever look upon it again? She thought not.
And what of the people who lived there? It was best to put them out of her mind. She was doing the right thing for Disnarta. But was it the right thing for her?
She shook her head to clear it of such thoughts. They were no use to her - there was no going back now. She'd successfully burnt all her bridges. Her relationship with Keiran lay in tatters. Aaron had more to answer for by the day.
It took them only a few minutes to get out of sight of the camp. There was no obvious path through the trees, only the one Carla had memorised on her journey outwards with Gideon. They would never find their way back through the tangle of trees to the idyllic haven she'd left behind. Keiran was resolutely in her past now.
And what lay ahead? Who knows?


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Residential Tenancies Law and Practice
€ 96,99
Bisher € 98,49
Lieferbar innert 2 Wochen
Oktober 2014
BeschreibungIncorporates the Residential Tenancies Act 2010 which took effect in February 2011. This book reviews the changes brought about by the 2010 Act, updates the case annotations and surveys all the cases.
InhaltsverzeichnisAcknowledgements About the authors Table of Cases Table of Statutes
1. Introduction
2. Residential Tenancies Act 2010
3. Residential Tenancies Regulation 2010 Appendix 1. Table of Equivalent Provisions in Other Jurisdictions Index
PortraitAllan Anforth is a barrister at the ACT Bar who practises nationally in federal administrative law, employment law, human rights and welfare law generally. Peter Christensen is currently a Lecturer in the Legal Workshop, ANU College of Law. Sophie Bentwood completed a Bachelor of Commerce at the University of Sydney and was awarded first class Honours and the University Medal in accounting. Her thesis was published in Abacus: a Journal of Accounting, Finance and Business Studies.
Untertitel: New South Wales. 6 Rev ed. Sprache: Englisch.
Verlag: Federation Press
Erscheinungsdatum: Oktober 2014
Seitenanzahl: 480 Seiten
Format: kartoniert


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Detailed Conference Schedule
The Autism Society of Minnesota invites you to participate in the 22nd Annual Minnesota Autism Conference. During this event, we will join our voices as a passionate community to inspire learning, hope, and innovation. Here experts, parents, caregivers, educators, paraprofessionals, mental health professionals, service providers, and individuals on the spectrum will have a platform to connect, collaborate, advocate, and educate.
Conference participants will be issued certificates of attendance at the conference. AuSM has secured Continuing Education Units (CEUs) from the Minnesota Board of Marriage and Family Therapy, the Minnesota Board of Social Work, and the Minnesota Board of Psychology.
Audience-Specific Conference Session Attendance Planning Guides
Parents and Caregivers
Therapy Professionals
Transition-Age Individuals and Adults with Autism
NEW in 2017: Because the loud noise of applause can be a challenge for those with sensory sensitivities, we are asking audience members to show their appreciation for conference speakers by using American Sign Language clap, which looks a little bit like jazz hands but is silent. We appreciate your understanding and your willingness to make this minor adjustment to help make the conference more inclusive for our community.
Sessions marked (*) are eligible for CEUs from the Minnesota Board of Social Work. Sessions marked (**) are eligible for CEUs from the Minnesota Board of Marriage and Family Therapy. Sessions marked (***) are eligible for CEUs from the Minnesota Board of Psychology.
(4/4/17) NOTE: Thursday, April 27 of the 22nd Annual Minnesota Autism Conference is SOLD OUT as of April 4. We are no longer accepting Thursday full day or full conference registrations. Registrations are being accepted for Steve Silberman's keynote on April 26, Kerry Magro's keynote on April 27, Chris Ulmer's keynote on April 28, Friday all day, and Saturday morning. We look forward to seeing you at this exciting event at the DoubleTree by Hilton Hotel Minneapolis-Park Place at the end of April.
(3/29/17) NOTE: Temple Grandin's keynote presentation on April 27 is SOLD OUT as of March 29. We are no longer accepting registrations for Dr. Grandin's keynote presentation. Full conference and Thursday registrations purchased after March 29 will NOT include Dr. Grandin's presentation, and registration fees have been reduced to reflect this fact. Thank you for your excitement for this year's conference. We look forward to seeing you at the other information-packed conference sessions April 26-29 at the DoubleTree by Hilton Hotel Minneapolis-Park Place.
Wednesday, April 26, 2017
6-7 p.m. Registration and AuSM Bookstore Open
7-9 p.m. Keynote Presentation Sponsored by Minnesota Life College
Steve Silberman
Great Minds Don't Always Think Alike (***)
During this presentation, take a deep look at the hidden history of autism and the promise of a future in which everyone is given the support needed to reach maximum potential.
Steve Silberman is an award-winning science writer and author of the New York Times
best-selling NeuroTribes: The Legacy of Autism and the Future of Neurodiversity, which unearths the secret history of autism, long suppressed by the same clinicians who first became famous for discovering it, while also uncovering surprising answers to the crucial question of why the number of diagnoses has soared in recent years.
9-10 p.m. Steve Silberman Book Signing
Thursday, April 27, 2017
7:30 a.m.-3 p.m. Registration, AuSM Bookstore, Exhibits Open
8:30-10:30 a.m. Keynote Presentation Sponsored by St. David's Center for Child & Family Development - SOLD OUT
Temple Grandin, PhD
Autism and My Path Through Life(*)(**)(***) - SOLD OUT
Dr. Grandin, one of the world's most accomplished and well-known adults with autism, will talk about how her mind works, sharing her ability to "think in pictures", which helps her solve problems that neurotypical brains might miss. Her presentation topics will include sensory problems, how people with autism think, and careers.
Temple Grandin, PhD, is a Professor of Animal Science at Colorado State University where she researches and teaches. Dr. Grandin's popular books include Thinking in Pictures, Emergence Labeled Autistic, The Way I See It, and The Autistic Brain. Dr. Grandin is a past member of the board of directors of the Autism Society of America. In 2010, Dr. Grandin was honored on Time Magazine's list of "The 100 Most Influential People in the World." She was inducted into the Colorado Women's Hall of Fame in 2012, and in 2017 was inducted into the National Women's Hall of Fame.
10:30 a.m. Break – AuSM Bookstore and Exhibits Open, Dr. Temple Grandin Book Signing in the AuSM Bookstore
11 a.m.-12 p.m. Breakout Sessions I
1. Neurotypical Syndrome 101: Jillian Nelson, Lucas Scott
Understand common traits and behaviors of neurotypicals (NT) and learn applicable strategies for successfully working with the NT population.
2. Understanding Executive Functioning(*)(**)(***): Amy Carrison, PsyD
Learn about the Barkley Deficits in Executive Functioning Scale (BDEFS). The scale defines "executive functioning" as self-regulation across time for the attainment of one's goals (self-interests), often in the context of others. Review the five scales measured by BDEFS: Self Management to Time, Self Organization/Problem Solving, Self Restraint or Inhibition, Self-Motivation, Self Regulation of Emotions.
3. The Social Times: Using Systems, Narratives, and Fun to Teach Social Information(*)(**)(***): Kari Dunn Buron, MS
This presentation is based on the premise that challenging social problems are the natural consequences of a developmental issue, therefore best addressed through the teaching and practice of specific skills. The Social Times Curriculum will be used to illustrate the use of systems and narratives to teach these skills.
4. Alexithymia and ASD: Eric Ringgenberg, BS
Alexithymia is a sub-clinical construct related to difficulty identifying and describing emotions. Recent research has shown that while nearly half of individuals with autism spectrum disorder (ASD) have co-occurring alexithymia, the two are separate but related conditions, impacting assessment and treatment of ASD.
12-1 p.m. Lunch – AuSM Bookstore and Exhibits Open
1-2 p.m. Breakout Sessions II
1. Circles of Comfort: A Framework to Support Anxiety in ASD(*)(**)(***): Connie Persike, MS, SLP-CCC; Jessica Nichols, BA
Students with autism are at a higher risk for developing anxiety disorders. Learn about theories explaining why there is an increased prevalence. Through real world examples, learn how to proactively support students experiencing anxiety.
2. The Imagery-Language Connection: Improving Comprehension for Children with Autism: Dana Kernik
Imagery is a primary factor in cognition, word reading, and language comprehension. Instruction to develop the interplay between imagery and language aligns with Dual Coding Theory. Neurological and behavioral research validates the imagery-language connection resulting in improvements in comprehension, and in the interconnectivity of specific brain areas in children with ASD.
3. From Chaos to Calm: Yoga-Based Interventions for Peace(**)(***): Chrissy Mignogna, RYT
Calm the chaos with interventions for self-regulation, de-escalation, focusing, sleep, and overall well-being. Use Yoga Calm's social/emotional activities; emotional guidance; and mind/body interventions to cultivate a more peaceful home. Using lecture, hands-on learning, reflection and discussion, learn self-regulation practices for the whole family.
4. Positive Parenting Strategies for Individuals with Autism(*)(**)(***): Mitch Lepicello, MSW, LICSW
Parents, care providers, teachers, and others who need a new perspective, gain new strategies, and solid "take-aways" for parenting and coaching young people, from elementary-age youth to young adults with autism. Assess your own ASD Parenting Wheel and leave the presentation with more than 10 parenting strategies and tools.
2 p.m. Break – AuSM Bookstore and Exhibits Open
2:30-3:30 p.m. Breakout Sessions III
1. Requests and Protests: Understanding Behavior as Communication(*)(**)(***): Glenis Benson, PhD
The inability to communicate conventionally, is often replaced by "behaviors". Children need a way to communicate functional needs. The form needs to change; the function is legitimate. Learn about functional assessments and subsequent strategies for replacement behaviors.
2. 8 Pillars of Parenting for Peace at Home(**): Samantha Moe, MA, SLP
Are you stressed out and exhausted? Discover why children with autism want things their way, and how to transform your home into an enjoyable space rather than a war zone. Receive solutions from the Mad2Glad Blueprint that are key to having a calmer, more cooperative child and restoring your sanity.
3. How Does Personality Type Affect Autism?: Nellie Moore, Curly Hair Project
Personality type affects a person's behavior and overall experience of life just as much as autism. Look at introversion and extroversion and the way each affects the way autism is expressed. The needs of an introvert versus an extrovert also will be different and so life will need to be managed differently.
6-7 p.m. Registration and AuSM Bookstore Open
7-9 p.m. Keynote Presentation
Kerry Magro
I Used to Be Bullied for Having Autism: Here's When It Stopped(*)(**)(***)
Obtain a first-hand account of a young man on the autism spectrum who was bullied as he grew up. Magro will share the difficulties of having autism and not being able to express and defend himself. Learn about the causes and effects of bullying on our community and in our schools, as well as which behaviors are considered bullying, including in cyberspace. Self-advocates, families, and professionals, obtain a seven-step plan for taking a stand against bullying.
Kerry Magro is an award-winning disability advocate, best-selling author of two books (Defining Autism From The Heart, Autism and Falling in Love); movie consultant, non-profit founder that has given more than 30 college scholarships to students with autism, and is a full-time employee at Autism Speaks. Magro was completely non-verbal until the age of 2 and was diagnosed with autism at 4 years old. He travels around the country as a motivational speaker and disability advocate. In the past six years, Magro has spoken at more than 600 events about his journey on the autism spectrum.
9-10 p.m. Kerry Magro Book Signing
Friday, April 28, 2017
7:30 a.m.-3 p.m. Registration, AuSM Bookstore, Exhibits Open
8:30-10:30 a.m. Keynote Presentation Sponsored by Lindamood-Bell Learning Processes
Chris Ulmer
Unlocking Student Potential Through Empowerment
Learn to embrace each day in your classroom with fresh enthusiasm and a dedication to making it a great day for each student. Meet students where they are, empowering them and motivating them by acknowledging what makes them unique and appreciated. Ulmer will invite several local teachers to share how they make their learning environments positive and supportive.
Chris Ulmer began his career as a special education teacher in Jacksonville, Fla. After spending three years with the same students, he observed a disconnect between his pupils and society. For this reason, Ulmer started Special Books by Special Kids (SBSK), a multi-media non-profit that is spearheading a worldwide acceptance movement. Chris dedicates his time to traveling around the world and teaching others about neurodiversity, performing speaking engagements, and interviewing neurodiverse individuals for feature on SBSK.
10:30 a.m. Break – AuSM Bookstore, Exhibits Open; Chris Ulmer Meet and Greet
11 a.m.-12 p.m. Breakout Sessions I
1. Engaging Students in Their Individual Education Programs: Allana Walsh, MA; Jessica Metke, MA
Greater student involvement in the Individual Education Program (IEP) and process has been advocated by many; however, teachers and families may be unaware of the materials that can assist them in preparing students for this involvement. Learn how to increase student self-advocacy and self-confidence by providing resources to engage students with a wide range of ability levels in their IEPs.
2. There's a Crocodile in the Corner! Tales of Terror and Heroism in the Classroom: Erin Dilley-Jones, MSW, LISW
When our students become stressed or overwhelmed, they begin to use the "crocodile" part of their brain, making it difficult for them to process, plan, and reason. This frequently leads to meltdowns and other rough moments, turning our students into crocodiles. Learn about what causes crocodile brain, what to do when it happens, and how to prevent it.
3. Maximizing the Potential of Shared Book Reading with Young Children with Autism(*): Maria Lemler Hugh; Andrea Boh, MS, CCC-SLP; Kelsey Young, MA; Veronica Fleury, PhD, BCBA-D
Shared book reading is a developmentally appropriate activity that can support oral language and other early literacy skills. Many children with ASD require supports to actively participate in shared reading activities. Learn about strategies that can be implemented to build routines and support engagement during book reading.
4. Building Self-Determination: Adults with Autism Mentoring High School Students with Autism: Kelly Kautz, MS, ED; Dianna Michels, MS, ED
Learn about an innovative program in Minnetonka in which adults on the autism spectrum mentor high school students with autism to help develop the students' self-determination skills. Mentors share their own experiences, challenges and strategies, and provide support for the students as the students navigate high school and beyond.
12-1 p.m. Lunch Sponsored by Autism Advocacy & Law Center, LLC - AuSM Bookstore and Exhibits Open
1-2 p.m. Breakout Sessions II
1. Using ABA to Improve Quality of Life in Home and School Environments(*)(**)(***): L. Lynn Stansberry-Brusnahan, PhD; Erin Farrell, MA, BCaBA; Hamad Al Arbi
Obtain a definition of Applied Behavior Analysis (ABA). Learn examples of ABA principles that can be used in the home and school environment to improve quality of life.
2. Maximizing the Learning Potential(*)(**): Michael Zaccariello, PhD, LP; Katherine Nickels, MD
Learn about specific learning disorders and how epilepsy and medications affect learning. Understand how to work with schools to maximize learning potential.
3. Supporting the Sexual Health of People with Disabilities in the Classroom: Katie Thune, MA, ED
People with disabilities want friendships and relationships as much as anyone else. Unfortunately, there is a lack of appropriate education out there to support safe and healthy relationships. The rate of sexual assault is 40 percent higher for individuals with disabilities than for those without. We can work together to lower that statistic by supporting the sexual health for this population through conversations, education, and awareness.
4. Understanding the Parent Perspective(**)(***): Theresa Namie, Parent, ANSWER Founder
Communicate better by understanding the parent perspective when raising children and adults on the spectrum.
2 p.m. Break - AuSM Bookstore and Exhibits Open
2:30-3:30 p.m. Breakout Sessions III
1. Executive Functioning for Teachers: Amy Carrison, PsyD
Learn about the Barkley Deficits in Executive Functioning Scale (BDEFS). The scale defines "executive functioning" as self-regulation across time for the attainment of one's goals (self-interests), often in the context of others. Review the five scales measured by BDEFS: Self Management to Time, Self Organization/Problem Solving, Self Restraint or Inhibition, Self-Motivation, Self Regulation of Emotions, and learn how BDEFS can assist in the classroom.
2. Success in Life Through Self-Management: Teaching Students to Manage Their Learning and Behavior: Michele Glynn, MA; Kathy Healy, MA
Self management interventions help students learn to independently regulate their behaviors and act appropriately in a variety of home, school and community situations. Self-management interventions can be used to target skills in all domains including language/communication; social; behavioral; and adaptive. The ability to use self-management techniques increases student independence and reduces student over reliance on adult supports. Receive examples and step-by-step procedures to implement this intervention with students.
3. A Collaborative Approach to Sensory Integration in Physical Education and Recreation Activities - SESSION IS CANCELED
4. Career Planning and Person Centered Practices: Promoting Valued Social Roles(*): Joe Timmons, MSW; Rebecca Dosch-Brown
Adolescents and adults on the autism spectrum benefit from a strengths-based approach to career planning and work. Learn how person-centered thinking leads to valued social roles and to greater opportunity.
6-10 p.m. Oh, the AuSM Places We'll Go! AuSM Gala Celebration
Join AuSM for an exciting evening bringing the community together for fantastic food, drinks, games, prizes, a silent auction, and a celebration of those serving as true inspirations to individuals affected by autism. Click here for more information.
Saturday, April 29, 2017
7:30 a.m.-12 p.m. Registration, AuSM Bookstore and Exhibits Open
8:30-9:30 a.m. Breakout Sessions I
1. Developing Individualized, Thorough, and Effective Transition Plans: Maria McGinley, JD, MST
Learn about two transition-related scenarios. Analyze corresponding vocational assessments, discuss students' strengths, areas of need, interests and preferences, and create an outline of an appropriate transition plan for each student.
2. Secure Your Own Mask First: Self-Care, a Necessary Part of Transition(**)(***): Nina Jonson, BS, ED; Gretchen Peck, BA
Parenting individuals with autism is exhilarating, life-changing ... and exhausting! Trying to fill every role takes a toll on one's well-being, relationships with others, and overall happiness in life. It is impossible to be the best parent when your cup is empty; self-care is vital to providing quality support. Re-imagine your identity as a happier, healthier parent.
3. In-Home Positive Behavior Support: Functional Communication for Children Via Telehealth(**)(***): Joe Reichle, PhD; Jessica Simacek, PhD; Adele Dimian, MA; Quannah Parker McGowan, PhD; Marianne Elmquist, BA
Examine case studies describing family-implemented strategies (who are the recipients of coaching via internet applications) to teach communicative alternatives to idiosyncratic and/or problem behaviors with children experiencing moderate to severe neurodevelopmental disabilities.
9:30 a.m. Break - AuSM Bookstore and Exhibits Open
9:45-10:45 a.m. Breakout Sessions II
1. Supporting the Sexual Health of Young Adults with ASD(*)(**): Katie Thune, MA ED
People with disabilities want friendships and relationships as much as anyone else. Unfortunately, there is a lack of appropriate education available to support safe and healthy relationships. The work to increase awareness begins with parents, caregivers, and trusted adults who are a part of a young person's life.
2. Autistic Darwinism: Mitch Potter
Traditional workplaces often have been unfriendly to people with autism. As workplaces rapidly evolve, opportunities exist for people with autism to be a better fit with the brave new work world. Learn how autistic qualities can be adapted to emerging needs for self-directed expertise, learned empathy, logical decisions, and virtual team readiness.
3. EIDBI: Navigating Your Minnesota State Health Benefits: Sirad Shirdon, Nicole Berning, Britannia Martinez-Dixon, Linda Monchamp
Learn how the Autism Benefit (Early Intensive Developmental and Behavioral Intervention) works with a child who may have autism or a related condition through medical determination.
10:45 a.m. Break - AuSM Bookstore and Exhibits Open
11 a.m.-12 p.m. Breakout Sessions III
1. Finding Best Fit Colleges for Students with Autism - SESSION IS CANCELED
2. Common Mental Health Challenges(*)(**)(***): Jennifer Reinke, PhD, LAMFT, CFLE
Individuals with autism often struggle with anxiety, depression, ADHD, and other mental health challenges. Diagnostic confusion with mental health issues can occur and be attributed to the ASD or to the ASD not being recognized due to other symptoms. Learn about common mental health diagnoses that frequently co-occur with autism and strategies for coping with these symptoms.
3. Future Planning for Special Needs: Understanding Supplemental Needs Trusts: Jason Schellack, Esq.
Many individuals with disabilities can benefit from an array of government programs, including Social Security, Medical Assistance, and Waivers. Adults with disabilities, however, must meet strict asset limits to be eligible for these programs. Explore how a supplemental needs trust can avoid the asset limit problem.
The 22nd Annual Minnesota Autism Conference is sponsored by Autism Advocacy & Law Center, LLC; the Institute on Community Integration (ICI); Leadership Education in Neurodevelopmental and Related Disabilities (LEND); Lindamood-Bell Learning Processes; the Minnesota Governor's Council on Developmental Disabilities (GCDD); Minnesota Life College; and St. David's Center for Child & Family Development. Thank you for your support!
Conference Registration Policy


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Limitations - Can be an expensive channel when it comes to buying hardware and software. This raise in prices comes from them purchasing the products from distributors and all the things they do to help you get what you need when you are there at the location.
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Limitations - Might provide limited service and support to unexperienced purchasers.
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Limitations - Manufacturer must provide customers with technical support. Can be costly hiring large numbers of technical support people.
Benefits - Often the only source for specialized computer systems. Offers complete hardware and software packaging for purchasers. VAR's have great expertise in ensuring that the hardware and software you are looking to purchase will work for you.
Limitations - Charge for their expertise. Without them you'd have to buy computer components piece by piece but they are the most expensive channel.


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The total amount of a booking is paid in the local currency of the hotel. The conversion rates are taken from Google. Rates are for information purposes only and are subject to change without notice. Rates for actual transactions may vary according to the issuer of your credit card.
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First Hotel Petit Palace Savoy Alfonso XII enjoys a prime location in Madrid's most fashionable district. The luxurious property faces the stunning Retiro, Madrid's main park with glorious gardens perfect for taking a stroll.
A 19th-century palace with park views, the hotel offers the highest quality in service and comfort in an exclusive atmosphere. The elegant hotel is ideal for business trips, conferences, romantic getaways and family holidays.
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First Hotel Petit Palace Savoy Alfonso XII is located in one of Madrid's most splendid streets facing the famous Retiro Park and close to the historic Puerta de Alcalá, the great Prado Museum and the best shopping areas. The Adolfo Suarez Madrid Barajas Airport is located 14km away, the distance to the Atocha Railway Station is 1.3km, and there are only 300m to the Retiro Metro Station.
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First Hotel Petit Palace Savoy Alfonso XII has free bicycle hire for you to enjoy the city in an ecological way.
Upon request you can use an iPad for free when staying at First Hotel Petit Palace Savoy Alfonso XII.
Keep contact with the world. At First Hotel Petit Palace Savoy Alfonso XII you have access to free WiFi throughout the hotel.
When staying at our hotel you are able to use MIFI. MIFI is a small device that allows you to stay connected in all the points of the city. The cost of the MIFI device is 5€ per day.
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