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Enhanced Human Dynamics(Enhanced HD) recognise the contribution human factors play, in the majority of accidents and near misses experienced across almost all industries. In a large proportion of investigations, a failure or weakness in communications and lack of situational awareness was considered to have played a major role in the chain of events. Enhancing the effectiveness of both the individual and team dynamics, has been proven to significantly reduce incidents, which have human performance cited as the primary trigger. Human Factors (Human Dynamics) training is now accepted by many as being the single most effective intervention in reducing human error. Mandated in various industries, including Aviation, Maritime and Health Care, the training approach utilised by Enhanced HD creates a culture that maximises operational effectiveness whilst complementing our client's own Safety Management systems.
Engaging individuals at all levels of an organization, from CEO to frontline staff, is the key advantage of Enhanced Human Dynamics' training programmes. Research has show that this type of intervention delivers a significant enhancement to productivity levels experienced and the safety culture present across the organisation. By helping the people within your business to recognise and acknowledge the mental processes that influence their behaviours, we are able to help you increase the self and situational awareness they possess. This awareness is a crucial requirement for sound decision making at both a strategic and operational level.

subset: commoncrawl


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It's just a few weeks before our new Sunday school year and I want to help you catch a big vision for what this year could mean for your child and your family. Here are my top 5 reasons:
1. No child is an island. God makes it abundantly clear that a healthy Christian can't grow alone. Kids need Christian adults, teens need Christian kids, adults need Christian kids. Sunday school is the biggest way children at Stone Hill connect together.
2. Learning the Big Story. For many of us, the Bible tells a series of events and stories, but we sometimes lose the main point - God's passionate rescue of sinners. Where will your child learn the big story? Sunday school's task is to do just that - see Psalm 78:5-6 - He commanded our ancestors to teach to their children, that the NEXT GENERATION might know them, the children yet unborn...so they should set their hope in God. Wow!
3. We all need a mentor. As parents, God has called you into a unique role to raise your children to love God. But we soon become keenly aware how limited we are in this role. Maybe we don't know much about the Bible, or maybe we never saw Christian parenting. Or maybe we just have limits, right? Either way, we NEED one another to help our children learn to love God, and Sunday school teachers can be that for your child. What a blessing!
4. You've got a friend. Kids can feel very isolated when they don't know of another Christian kid in their school. Last September, I asked a combined middle school and senior high Sunday school class how many had Christian friends at their schools. None said they did. This is tragic! Where can we find Christian friends? Each Sunday, your child is surrounded by children who MIGHT be one.
5. May you never stop growing. Do you remember the time you realized you'd stopped growing? Maybe it was a sad day - you so wished you'd be taller, or maybe you were relieved - please! not any taller!! But a human body that ceases to regenerate cells and thrive is a very unhealthy body.
Often we hear our SS children say - I KNOW that story already. So why don't we just check off the stories they know and never teach them again? Because the story isn't so much the point as learning more deeply about the God behind the story, and there is absolutely no end to the depth of knowledge of who God is - whether you're a really smart 4- year old or 94 years old.


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- 36 total posts
- 1 review
- 35 comments
Reviews & Stories
39 Yr Old 2 Kids 175 Lbs Later.....#MELTING! Dominican Republic
I am looking to get a whole body lift but dra. Duran said that is too much to to at one time for me. So we have discussed a tummy tuck, BBL, Lipo and maybe my thighs, ...but we will discuss when I get there she said. So that is what is included in my price. I had thyroid cancer about 4 years ago and I was already knocking on 400 pounds door. So after they removed all my thyroid and had to... READ MORE
Recent comments from Shy2BearAll
Thanks for the importantinof READ COMMENT
So happy for you.. do you know how many cc' s of fat he put in each cheek for you? READ COMMENT
Congrat to you.. thank you for putting your pictus up. I will be following your journey.. good luck. I am going to be a duran doll very soon and am excited for your results. READ COMMENT
You know what.... I thank you for you input dayna99232...I used to have a huge behind ..my mom used to call it huge and disrespectful!!! lol and it all fell down so maybe you are right ! I will stat to look into that ..I was so focused... READ COMMENT
Hat did the bella vista vip package include? READ COMMENT


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While trying to analyze curriculum for Environmental Biology Lab, I contemplated the starting point with much effort. In teaching nonmajors, one must contend with the fact that not everyone in the class is going to be automatically interested in the environmental concepts. The pressure of making a good grade is certainly helpful to induce study, but I do not find it to be reason enough for one to truly care about the concepts I teach in the long run. Learning for a test is temporary. I think we learn better when we have a more substantive reason to to do so. For numerous reasons, I think the Sustainability Garden has a better chance of harnessing true and long lasting interest in the students. Below are more specific reasons for starting this project.
At the end of the semester, we share a meal together that has been harvested from our garden. You may consider this trite, but meals bring us together, and togetherness will be needed in order to address the environmental challenges of the future. Indeed, this may be the most important lesson of all.
Special thanks are in order for the professors here in the division that were helpful in the setup. Jeff Lingfelt and his grounds crew have been incredibly patient with me. A local company donated our mulch, and we are grateful for their support. Most importantly, the students have worked hard to till this earth for perhaps the first time and I am PROUD of them.
I look forward to expanding and enhancing this project in semesters to come and watching as the students and the garden grow, together.
The views and opions expressed in this page are strictly those of R. Austin Jenkins. The contents of this page have not been reviewed or approved by the University of South Carolina.


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More Manifesto Excerpts Reveal Ex-LAPD Cop-Killer Chris Dorner Has Love For Bill Cosby, Hillary Clinton, Michelle Obama And Hates George Zimmerman!
He loves Michelle Obama's bangs and would eff George Zimmerman up… Does that make this killer likable?
As the LAPD continues to search for Christopher Dorner, more excerpts from his rambling manifesto have reached the media.
Via The Conservative Treehouse:
I'm not an aspiring rapper, I'm not a gang member, I'm not a dope dealer, I don't have multiple babies momma's. I am an American by choice, I am a son, I am a brother, I am a military service member, I am a man who has lost complete faith in the system, when the system betrayed, slandered, and libeled me. I lived a good life and though not a religious man I always stuck to my own personal code of ethics, ethos and always stuck to my shoreline and true North. I didn't need the US Navy to instill Honor, Courage, and Commitment in me but I thank them for re-enforcing it. It's in my DNA.
In addition to his mission to reform the culture of corruption within the LAPD, Dorner is also striving for a ban on assault weapons:
Mia Farrow said it best. "Gun control is no longer debatable, it's not a conversation, its a moral mandate."
Sen. Feinstein, you are doing the right thing in leading the re-institution of a national AWB. Never again should any public official state that their prayers and thoughts are with the family. That has become cliche' and meaningless. Its time for action. Let this be your legacy that you bestow to America. Do not be swayed by obstacles, antagaonist, and naysayers. Remember the innocent children at Austin, Kent, Stockton, Fullerton, San Diego, Iowa City, Jonesboro, Columbine, Nickel Mines, Blacksburg, Springfield, Red Lake, Chardon, Aurora, and Newtown. Make sure this never happens again!!!
In my cache you will find several small arms. In the cache, Bushmaster firearms, Remington precision rifles, and AAC Suppressors (silencers). All of these small arms are manufactured by Cerberus/Freedom Group. The same company responsible for the Portland mall shooting, Webster , NY, and Sandy Hook massacre.
And conservative publications are already clamoring to accuse the press of failure to cover Dorner because of so-called leftist leanings, which they feel are made apparent towards the end of the manifesto where he rips into critics of the President:
You disrespect the office of the POTUS/Presidency and Commander in Chief. You call him Kenyan, mongroid, halfrican, muslim, and FBHO when in essence you are to address him as simply, President. The same as you did to President George W. Bush and all those in the highest ranking position of our land before him. Just as I always have. You question his birth certificate, his educational and professional accomplishments, and his judeo-christian beliefs. You make disparaging remarks about his dead parents. You never questioned the fact that his former opponent, the honorable Senator John McCain, was not born in the CONUS or that Bush had a C average in his undergrad. Electoral Candidates children (Romney) state they want to punch the president in the face during debates with no formal repercussions. No one even questioned the fact that the son just made a criminal threat toward the President. You call his wife a Wookie. Off the record, I love your new bangs, Mrs. Obama. A woman whose professional and educational accomplishments are second to none when compared to recent First wives. You call his supporters, whether black, brown, yellow, or white, leeches, FSA, welfare recipients, and ni$&er lovers. You say this openly without any discretion. Before you start with your argument that you believe I would vote for Obama because he has the same skin color as me, f**k you. I didn't vote in this last election as my choice of candidate, John Huntsman, didn't win the primary candidacy for his party. Mr. President, I haven't agreed with all of your decisions but of course I haven't agreed with all of your predecessors decisions. I think you've done a hell of a job with what you have been dealt and how you have managed it. I shed a tear the night you were initially elected President in 2008. I never thought that day would occur. A black man elected president in the U.S. in my lifetime. I cracked a smiled when you were re-elected in 2012 because I really didn't think you were going to pull that one off. Romney, stop being a sore loser. You could've exited graciously and still contributed significantly to public service, not now. Mr. President, get back to work. Many want to see you fail as they have stated so many times previously. Unfortunately, if you fail, the U.S. fails but your opponents do not concern themselves about the big picture. Do not forget your commitment to transparency in your administration. Sometimes I believe your administration forgets that. America, you will realize today and tomorrow that this world is made up of all human beings who have the same general needs and wants in life for themselves, their kin, community, and state. That is the freedom to LIVE and LOVE. They may eat different foods, enjoy different music, have different dialects, or speak a second language, but in essence are no different from you and I. This is America. We are not a perfect sovereign country as we have our own flaws but we are the closest that will ever exist.
Dorner also delves into his personal tastes in film and in women:
I thank my friends for the awesome shared experiences. I thank the unnamed women I dated over my lifetime for the great and sometimes not so great sex.
It's kind of sad I won't be around to view and enjoy The Hangover III. What an awesome trilogy. Todd Phillips, don't make anymore Hangovers after the third, takes away the originality of its foundation. World War Z looks good and The Walking Dead season 3 (second half) looked intriguing. Damn, gonna miss shark week.
Mr. Vice President, do your due diligence when formulating a concise and permanent national AWB plan. Future generations of Americans depend on your plan and advisement to the president. I've always been a fan of yours and consider you one of the few genuine and charismatic politicians. Damn, sounds like an oxymoron calling you an honest politician. It's the truth.
Hillary Clinton. You'll make one hell of a president in 2016. Much like your husband, Bill, you will be one of the greatest. Look at Castro in San Antonio as a running mate or possible secretary of state. He's (good people) and I have faith and confidence in him. Look after Bill. He was always my favorite President. Chelsea grew up to be one hell of an attractive woman. No disrespect to her husband.
Gov. Chris Christie. What can I say? You're the only person I would like to see in the White House in 2016 other than Hillary. You're America's no sh*t taking uncle. Do one thing for your wife, kids, and supporters. Start walking at night and eat a little less, not a lot less, just a little. We want to see you around for a long time. Your leadership is greatly needed.
Wayne LaPierre, President of the NRA, you're a vile and inhumane piece of sh*t. You never even showed 30 seconds of empathy for the children, teachers, and families of Sandy Hook. You deflected any type of blame/responsibility and directed it toward the influence of movies and the media. You are a failure of a human being. May all of your immediate and distant family die horrific deaths in front of you.
Chris Matthews, Joe Scarborough, Pat Harvey, Brian Williams, Soledad Obrien, Wolf Blitzer, Meredith Viera, Tavis Smiley, and Anderson Cooper, keep up the great work and follow Cronkite's lead. I hold many of you in the same regard as Tom Brokaw and the late Peter Jennings. Cooper, stop nagging and berating your guest, they're your (guest). Mr. Scarborough, we met at McGuire's pub in P-cola in 2002 when I was stationed there. It was an honor conversing with you about politics, family, and life.
Willie Geist, you're a talented and charismatic journalist. Stop with all the talk show shenanigans and get back to your core of reporting. Your future is brighter than most.
Revoke the citizenship of Fareed Zakaria and deport him. I've never heard a positive word about America or its interest from his mouth, ever. On the same day, give Piers Morgan an indefinite resident alien and Visa card. Mr. Morgan, the problem that many American gun owners have with you and your continuous discussion of gun control is that you are not an American citizen and have an accent that is distinct and clarifies that you are a foreigner. I want you to know that I agree with you 100% on enacting stricter firearm laws but you must understand that your critics will always have in the back of their mind that you are native to a country that we won our sovereignty from while using firearms as a last resort in defense and you come from a country that has no legal private ownership of firearms. That is disheartening to American gun owners and rightfully so.
The honorable President George H.W. Bush, they never give you enough credit for your successful Presidency. You were always one of my favorite Presidents (2nd favorite). I hope your health improves greatly. You are the epitome of an American and service to country.
General Petraeus, you made a mistake that the majority of men make once, twice, or unfortunately many times in a lifetime. You are human. You thought with your p***s. It's okay.I personally believe you should have never resigned and told your critics to shove it. You only answer to two people regarding the affair, your wife and children, period. I hope you return to government service to your country as it is visibly in your DNA.
General Colin Powell, your book "My American Journey" solidified my decision to join the military after college. I had always intended to serve, but your book and journey motivated me. You are an inspiration to all Americans and influenced me greatly.
To all SEA's (senior enlisted advisers), you are just as important if not a greater viability to large and small commands. It's time you take a more active role in leading your enlisted and advising officers. These are not your twilight years or time to relax. You can either strengthen the tip of the spear, or make it brittle. You decide.
Pat Harvey, I've always thought you carried yourself professionally and personally the way a strong black woman should. Your articulation and speech is second to none. You are the epitome of a journalist/anchor. You are America.
Ellen Degeneres, continue your excellent contribution to entertaining America and bringing the human factor to entertainment. You changed the perception of your gay community and how we as Americans view the LGBT community. I congratulate you on your success and opening my eyes as a young adult, and my generation to the fact that you are know different from us other than who you choose to love. Oh, and you Prop 8 supporters, why the f**k do you care who your neighbor marries. Hypocritical pieces of shit.
Westboro Baptist Church, may you all burn slowly in a fire, not from smoke inhalation, but from the flames and only the flames.
Tebow, I really wanted to see you take charge of an offense again and the game. You are not a good QB by todays standards, but you are a great football player who knows how to lead a team and WIN. You will be "Tebowing" when you reach your next team. I have faith in you. Get out of that circus they call the Jets and away from the reality TV star, Rex Ryan, and Mark Rapist Sanchez.
Christopher Walz, you impressed me in Inglorious Basterds. After viewing Django Unchained, I was sold. I have come to the conclusion that you are well on your way to becoming one of the greats if not already and show glimpses of Daniel Day Lewis and Morgan Freeman-esque type qualities of greatness. Trust me when I say that you will be one of the greatest ever.
Jennifer Beals, Serena Williams, Grae Drake, Lisa Nicole-Carson, Diana Taurasi, N'bushe Wright, Brenda Villa, Kate Winslet, Ashley Graham, Erika Christensen, Gabrielle Union, Isabella Soprano, Zain Verjee, Tamron Hall, Gina Carano, America Ferrara, Giana Michaels, Nene, Natalie Portman, Queen Latifah, Michelle Rodriguez, Anjelah Johnson, Kelly Clarkson, Nora Jones, Laura Prepon, Margaret Cho, and Rutina Wesley, you are THE MOST beautiful women on this planet, period. Never settle, professionally or personally.
Dave Brubeck's "Take Five" is the greatest piece of music ever, period. Hanz Zimmer, William Bell, Eric Clapton, BB King, Bob Marley, Sam Cooke, Metallica, Rob Zombie, Nora Jones, Marvin Gaye, Jay-Z, and the King (Louis Armstrong) are musical prodigies.
Jeffrey Toobin and David Gergen, you are political geniuses and modern scholars. Hopefully Toobin is nominated for the Supreme Court and implements some damn common sense and reasoning instead of partisan bickering. But in true Toobin fashion, we all know he would not accept the nomination.
John and Ken from KFI, never mute your facts and personal opinions. You are one of the few media personalities who speak the truth, even when the truth is not popular. I will miss listening to your discussions.
Bill Handel, your effin awesome. For years I enjoyed your show.
Anthony Bourdain, you're a modern renaissance man who epitomizes the saying "too cool for school".
Larry David, Kevin Hart, the late Patrice Oneal, Lisa Lampanelli, Chris Rock, Jerry Seinfeld, Louis CK, Dave Chapelle, Jon Stewart, Wanda Sykes, Dennis Miller, and Jeff Ross are pure geniuses. I'm a big fan of all of your work. As a child my mom caught me watching Def Jam comedy at midnight when I should have been asleep. Instead of scolding me, the next night she let me stay up late and watch George Carlin, Eddie Murphy and Richard Pryor comedy specials with her for hours. My sides were sore for days.
Larry David, I agree. 72-82 degrees is way to hot in a residence. 68 , degrees is perfect.
Cyclist, I have no problem sharing the road with you. But, at least go the f**king speed limit posted or get off the road!!! That is a feasible request. Livestrong you fraudulent a$$holes.
Cardinal Mahoney, you are in essence a predator yourself as you enabled your subordinates to molest multiple children in the church over many decades. May you die a long and slow painful death.
If you continuously followed me while I was walking at dusk/night I would confront you as well. Too bad Trayvon didn't smash your skull completely open, Zim. While Trayvon's body erodes to bones 6 feet under, Zimmerman has put on no less than 40 pounds while out on bail. Zimmerman was arrested for battery on a Peace officer and avoided jail/prison because he completed a diversion program. Thats a history of being an a$$hole. Zimmerman couldn't get hired by a LE agency because of poor credit/and a history of violence/restraining orders with women. So what does he do? Designate himself, neighborhood watch captain and make complaints to his city council about the horrible work ethic and laziness of the officers patrolling his neighborhood. Good one Zim. How classy that your father attempts to use his veterans status "disabled veteran" during your bail hearing but doesn't state what his disability percentage is. Prior service personnel know it can be 5% disability to 100%. You and your attorneys always avoid mentioning your fathers occupation as a magistrate/judge because I'm sure he's utilized his position to get you out of way more jams then the public has discovered and that your family is not indigent. Oh, tell your wife to stop perjuring herself in court.
Anonymous, you are hated, vilified, and considered an enemy to the state. I personally view you as a culture and a necessity that brings truth to a cloaked world. Forge ahead!
Charlie Sheen, you're effin awesome.
My opinion on women in combat MOS', Designators, Rates, and AFSC's. I wish all of you who attempt to pursue combat occupational roles the greatest success in completing, graduating, and qualifying in their respective schools/courses. Many want to see you fail. Remember, everyone of you is a pioneer. There was a time when they didn't allow blacks to fight the good fight. This is your civil rights. Don't quit!!!
It's time to allow gay service member's spouses to utilize the same benefits that all heterosexual dependents are eligible for. Medical, Dental, Tricare, Deers, SGLI, BX, Commissary, Milstar, MWR, etc. Flag officers, lets be honest. You can't really give a valid argument to as why gays shouldn't be eligible as every month a new state enacts laws that allow same sex marriage.
LGBT community and supporters, the same way you have the right to voice your opinion on acceptance of gay marriage, Chick Fil-A has a right to voice their beliefs as well. That's what makes America so great. Freedom of expression. Don't be assholes and boycott/degrade their business and customers who patronize the locations. They make some damn good chicken! Vandalizing (graffiti) their locations does not help any cause.
Mr. Bill Cosby, you are a reasonable and talented man who has spoken the truth of the cultural anomalies within the black communities that need to change now. The black communities' resentment toward you is because they don't like hearing the truth or having their clear and evident dirty laundry aired to the nation. The problem is, the country is not blind nor dumb. They believe we are animals. Do not mute your unvarnished truthful speech or moral compass. Blacks must strive for more in life than bling, hoes, and cars. The current culture is an epidemic that leaves them with no discernible future. They're suffocating and don't even know it. MLK Jr. Would be mortified at what he worked so hard for in our acceptance as equal beings and how unfortunately we stopped progressing and began digressing. Chicago's youth violence is a prime example of how our black communities values have declined. We can not address this nation's intolerant issues until we address our own communities morality issues first. Accountability."
We know that's a lot to digest — but do these parts of Dorner's manifesto make him "likeable"? Do you think the American public are more sympathetic toward him because he shares many of the "common folk" tastes? Killing people is wrong period — but does Dorner have redeemable qualities that are protecting him from full persecution by the media? What do you think? Please Discuss!!!
There's also a petition up asking the White House investigate the LAPD corruption Dorner refers to and actually do something about it.


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By the way those balloons got ripped out of that netting and blew across the sky you knew we'd have a good race to watch!
Richie can't wipe that grin off his face. It's the same as his TT grimace. Can you believe his in 2nd on GC now!?
As Cadel said on Twitter "enjoying the benefits of the maglia rosa.". Indeed…
You gotta love Yolanthe's healthy pink Giro-gums
You guys won't be smiling for long. Did you see how fast those balloons got blown away?
Final Kilometers
Don't scroll down beyond video – spoiler below
Greipel didn't hold back with his feelings towards Weylandt after the stage. "You didn't do anything at all, you rotten dumbass,". Yes, I'm pissed too André. I tipped you to win last night!
Cadel will now be enjoying the benefits of not defending the jersey. I think that loosing the jersey will take a lot of weight off his shoulders. Only 43 seconds down.
Yet another Aussie on the podium. Great to see Brownie up there!
This will raise some heated emotions in cycling fans.
(Courtesy of our Master Quiz Curator, Sam)
1. Who has the fastest recorded top speed for the Giro of 73 km's/hr?
a) Cippolini
b) Petacchi
c) Contador?
2. What are the green, white and red stripes on Graeme Brown's armband indicitive of? (see final sprint photo)
a) He is a former Italian national champion
b) He is the Italo-Australia club champion (decided by a poker game)
c) It's Rabobank's special edition Giro d'Italia jersey
3. What colour is the Giro KOM jersey?
a) Green
b) Red/white poka dot
c) Purple


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California Watch examined three years' worth of state Medicare billing data showing that Chino Valley Medical Center owned by Prime Healthcare Services had the highest rate in the state of acute heart failure cases.
The analysis looked at every general hospital in California that treated at least 300 Medicare patients age 65 and older per year – 273 hospitals in all. Hospitals in the Kaiser Permanente managed care chain were excluded because the chain bills Medicare differently, making it difficult to compare apples to apples.
The data also shows:
- Although Chino Valley's rate stands out, other facilities owned by Prime Healthcare Services also reported a big problem with acute heart failure among Medicare patients. The combined rate for 13 Prime hospitals was 12.9 percent, more than double the state rate of 5.1 percent. Of the 10 hospitals with the highest rates in California, eight were owned by Prime. (Alvarado Hospital, acquired by Prime in 2010, was excluded from the analysis.)
- The spike in acute heart failure cases wasn't readily explained by geography or demographics. While Prime hospitals reported high rates, non-Prime hospitals only a few miles away saw far fewer cases. The rate at Pomona Valley Hospital Medical Center, eight miles from the Chino Valley hospital, was 28 percentage points lower. Corona Regional Medical Center, 16 miles away, had a rate that was 32.7 percentage points lower.
- Prime reports far more acute heart failure among older patients than California hospitals that are nationally known for specializing in cardiac care. The Ronald Reagan UCLA Medical Center, which U.S. News & World Report ranked tops in California and ninth in the U.S. for cardiac care, reported only 2.2 percent of its Medicare patients had acute heart failure. Prime's rate, chainwide, was nearly six times higher.


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Mental Health
Have Mental Health Questions? Ask a Psychiatrist Online
Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.
Dear friend,
I believe that I can help with your situation.
When you had trouble leaving this morning was is because you were feeling depressed or did you feel anxious about going outside?
If you do not feel anxiety about going out, then this is all due to depression. I was hoping you would respond so that I can confirm this.
I have taught at the college level for a number of years and I know that there is a policy at just about all schools to give special accommodations to students with any kind of disability, physical, mental, or emotional.
With your diagnosis in hand, your professor would not only make accommodations for your absences (perhaps give you home assignments) but could not penalize you for missing classes.
You would still have to make the grade, of course, but absence because of dysthymic disorder, would be excused.
You would, in fact, report this to the dean or other responsible administrator, and it would be noted and you would be given a statement to give to your professor who would also be notified by administration.
It is because of depression
I do not like to be in public when I feel so emotional and prone to crying
I want to talk to my teacher but I feel as though I am just making it more difficult for her to teach and it isn't fair to her or the other students
Line your appointments up with your therapist and get the paperwork. These teachers are used to getting such requests and it is part of their responsibility to make accommodations for those students in need.
She will not be annoyed.
Are you taking any medications for your Dysthymia?
I do not want to set up a life style where I am dependent on drugs to feel "normal"
but I am starting to think they might help
There are medications, such as bupropion, which will help you, energize you, not cause weight gain (as other antidepressants do) and not cause sexual dysfunction, as others do.
You now have a lifestyle that is dysfunctional and that will keep you held down.
how will it affect my athletics?
Often the best approach to any kind of depression is a combination of therapy and medication.
It should not affect your athletics.
In fact, engaging in athletics is one of the best things you can do to resist your depressive moods, as it creates hormones in your body that will resist the depression.
I am also curious about how to deal with my "highs and lows"
because I have been feeling good and productive lately (the past week or so)
Get plenty of sunshine and fresh air, and supplements of Omega 3-6-9 and vitamin D3.
but I will have triggers (last night I had a nightmare) that make it impossible for me to start my day
Tell me about your highs.
my highs are when I am busy
like when I have water polo games
and spend time with friends
I used to experience them with my girlfriend but we aren't together anymore
I feel like I know why I am alive, which I think is just to experience whatever it is I want at that moment
because sometimes I feel like I won't feel right again, or that feeling good is a lie
Have you ever suffered any trauma in the past?
I was never sexually abused
or beaten
What about emotional abuse, neglect, or abandonment?
my ex-girlfriend and I were incredibly close and she cheated on me often before breaking up with me and then secretly hooking up with my 'bestfriend' and now she doesn't talk to me
also I guess I have no real relationship with my father, but he tries in his own way
I was bullied by my older brother in our youth, and possibly my dad to an extent, which contributes to my lack of self-worth
early on I established a feeling to needing to fit in and feeling unwanted in social situations
Were you late in developing socially?
what do you mean late?
like it took me a while to pick up on social cues?
Yes exactly.
Do you also have trouble making eye contact?
I guess I hadn't thought of that in a way aside from how I used to be weird
and I taught myself how to fit in
I do not think so
You are adaptable and that is good.
I feel as if I thrive in social situations now
Do you engage in any repetitive motions such as rocking, or hand flapping?
a lot
Describe these events.
I tap my leg
and pick my finger nails
or cross my arms
if I can't pick anymore
my public speaking teacher said my speech last class was good but that I tapped my foot
in an awkward leaning way
Are you fascinated with the details of an object?
and music
I obsess over specific people and all of the little things that make them whole
Do you focus on the parts of objects?
not in an abnormal way
because everything else I said yes to was an instant correct for me
What do you mean by that last statement, if you don't mind explaining?
i mean that the other yes or no questions you asked me were simple yes's
like the social development
even though I don't think about it too much
your question immediately triggered memories and an answer
and I do not consider myself unusually asphyxiated with objects other that people and sounds
oops not asphyxiated
Actually, asphyxiated is a good descriptive term.
oh okay
I have already asked this question but let me ask it again. Think carefully if you ever have trouble holding eye contact with others.
lol on phew
yes I do
good sense of humor
Can you expand that answer?
I just thought about how sometimes in therapy when I feel overwhelmed I look at the ground
overwhelmed or embarrassed by my emotions
And in other situations?
and I probably do it in other situations
but I tend to feel comfortable when I am engaged with somebody
it is when I am alone that I tend to trap myself
Thank you so much for answering my questions. You have revealed a lot to me which I would like to share with you.
I know that I always would look deeply into my ex-girlfriend's eyes often
okay thank you very much
and thank you for saying I have a good sense of humor, I will try to keep it up because it helps with a lot of things
Yes, we must always try to keep our sunny side up.
do you think that taking a medication such as bupropion might have a crippling effect if I stop taking it?
You have very strong indications from several things you have said: the late social development, the bullying, the eye contact, and repetitive motions, and your dysthymia add up to something else, and that is a mild case of Apserger's Syndrome.
I have worked with a number of children and adults with this hard to diagnose condition, and I believe that you may fit into this category.
I am clumsy
I can be too! :)
It can also be an indicator.
I feel as though conditions such as apserger's tend to accompany an inability to feel empathy
which I know I sometimes feel too much
Very often they do. You feel too much empathy?
I am very apt at putting myself in other's shoes and feeling how they must feel
I do not know if feeling too much empathy is possible but I try my very best to understand fully where somebody is coming from and to understand that I probably cannot relate to everything
That is NOT characteristic of Asperger's, but you do have other symptoms.
seeing my girlfriend cut herself, sometimes thinking about it even after it has but many many months, I could feel pain
so having apserger's doesn't remove the possibility of being empathetic?
You may have have been slow to develop socially because you were not given enough attention and you may have been so put down as to suffer from very low self-esteem manifested as dysthymia.
However, it is not a requirement for diagnosis if you feel empathy, so I would certainly urge you to have this checked out by a competent developmental psychologist.
Lots of therapists miss this diagnosis. I seem to be able to diagnose accurately, but you cannot consider this a diagnosis on JustAnswer because it is officially not acceptable, even if I am correct.
I will bring up your thoughts with my therapist
because I have never considered this possibility myself and it is sort of eye opening
That would be the wisest thing to do.
Here are the "official" diagnostic criteria from the DSM-IV for Aspergers Disorder:
The following criterion are from the DSM-IV. Asperger's disorder is one of five specific "Pervasive Developmental Disorders" listed:
A. Qualitative impairment in social interaction, as manifested by at least two of the following:
B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.
D. There is no clinically significant general delay in language e.g., single words used by age two years, communicative phrases used by age three years).
E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood.
F. Criteria are not met for another specific pervasive developmental disorder or schizophrenia.
So, if you have two criteria from part A, one from Part B, and if these factors cause significant impairment in your functioning, then you are diagnosable.as having this disorder.
Some clues are inability to maintain eye contact, inability to form strong emotional bonds, social phobia or anxiety, physical mannerisms or rituals. The guide above is your true indicator of whether or not you have this disorder.
what about approaching my teachers? I feel as though I should try asap and I do not know the appropriate procedure
Go to the school administration and they will facilitate the process. Bring in documentation from your therapist for which you will have to sign a release to him so that he does not run afoul of HIPAA privacy laws.
the only thing is that I form overly strong emotional bonds with specific people
and have extreme difficultly letting go
Such as your girlfriend.
or other girls in the past
but mostly my girlfriend because she was the first to reciprocate
Get rid of pictures, objects, mementos. Write her a letter saying that your are through with her forever and then just burn it.
Don't forget the ex.
I am not ready to let go
especially because I have a very close relationship with her family
and I do not want to lie to myself
and I would take her back in a second
Let her and her family go so that you can heal. You must work on it and not hang on to impossible dreams. THAT is lying to yourself.
She is apparently done so you MUST move on with your life.
Think about it.
but she might come back
There will be another.
she broke up with me once and came back
She has broken up with you twice. This is a pattern already.
I am afraid that I will never find another person I can be that close to
I do not relate well with many people
and those that I do tend to be disinterested
What is most important for you now is to get your school affairs in order. There will be no problem getting special accommodations and many schools have a special office of accommodations.
and I cripple myself by not taking risks socially
thank you
As you progress in therapy you will learn to take more risks.
You are very welcome.
I shall keep you in my prayers.
I hate being something people have to make accommodations for. I want to help society not take away from it and the kind people who want to help but shouldn't be burdened by me. I wish I could inform my teachers of the reasons for my disappearances without forcing them to take special notice of me in a negative way
I am not used to initiating my professional relationships with "hi, I am emotionally damaged and I will make your job more difficult."
Nobody has asked you to do that and you are creating a totally false situation.
This is a bureaucratic matter, You go to the office, where they are REQUIRED BY LAW to make accommodations and do so quite willingly. This is a normal procedure. You do not discuss this with your teachers and they do not make value judgments on you.
It you had impaired hearing, instead, you would be accommodated.
This has become a core American value so you should not try to make it something other than it is.
You have gone silent.
sorry i am just thinking
but you are right
my therapist is teaching me to analyze my thoughts and to see when I am lying to myself so that I can see what is really true
but sometimes I feel like my initial thoughts are there for a reason and that it is lying to run away from how my brain wants to react
It is named after a river in Egypt: Denial
the thing that really gets me is how sometimes I feel good enough to make good choices for myself and be manageable, and at these times I do not search out help because I think I do not need it
and when I feel as if I need help, I do not have the energy, drive, and value to search it out
and that is a good one
i will use the river joke later and pretend I came up with it
Make the help available and benefit from it when you can. YOU must force yourself to act.
Discuss this with your therapist who is hopefully well-versed in understand the complexities of Asperger's, and see what he says about that, and about the antidepressant bupropion.
Okay, that sounds like a great idea
I hope I can manage myself before then
but I feel as if I can
Great. I wish you great success and self-motivation.
I have something to say about my attachment to my exgirlfriend
she was raped about 3-4 years ago and during the course of our love I saw a great deal of pain and learn a great deal of what it takes to be a woman and how much anxiety comes with the unique struggles a person in her situation and with her level of genius can experience
I made many promises to her and never leaving her and never abandoning her, the kinds of promises she made back but has been unable to hold (which I understandP)
I want to let go of her but I do not want to break the things I said and I do not want to abandon a person I consider worth a lifetime of waiting but I know that I need to do something to help myself
That surely has affected and hurt her. Broken promises end the ties that bind.
It is your choice to hang on, but it is dysfunctional to your life.
especially because on a selfish level, she makes me feel more right in the world than anything ever came close to
but even before her i felt dysfunctional emotionally
it is just that now is has an affect on my life professionally as well
She is not the only one who can do this, and you are the one that makes the choices for yourself. You don't have to rationalize this to anyojne.
is emotional instability typical of apserger's?
in the way that i feel extreme happiness sometimes, which competes with incredible sadness
Asperger people have difficulty processing emotion and may therefore display abnormal emotional reactions to various stimuli.
We have been chatting for nearly an hour and a half. Is there any other way that I can help you? I cannot solve all of your problems here and now but I hope that I have given you good guidance and comfort.
Sorry about that
and yes you have
My pleasure to help you.
you have given my another perspective in addition to a helpful way for me to release the angst I've been feeling this morning
Wonderful. I shall continue to keep you in my prayers.
I tend to close myself off from people in a self defeating way because conversation always helps me to feel better. Have a great day/life
whoever your significant other is must be very lucky
You too. I am here if you need me in future.
If I had one she would be, alas. LOL.
I hope I can help people one day.Thank you :)


text:
But what is it and what does it do? BBC News Online investigates.
The Healthcare Commission is the new name for the new all-singing, all-dancing health watchdog.
The name bestowed on it by politicians - the Commission for Healthcare Audit and Inspection - was deemed too confusing by staff.
The new watchdog replaces the Commission for Health Improvement and the National Care Standards Commission.
It is responsible for inspecting NHS and private healthcare facilities.
The watchdog showed it meant business on its first day by announcing plans to take legal action against 33 plastic surgery clinics for failing to comply with the regulations.
The watchdog will also carry out studies to ensure the health service is getting value for money in key areas - taking over some of the work currently done by the Audit Commission.
The Healthcare Commission hopes to be more patient and staff-orientated than some of its predecessors.
"We aim to focus on the issues of most concern to patients and those who work in health services," says Anna Walker, its chief executive.
To that end, it will have new powers to investigate patient complaints, where they feel unhappy with how their case has been dealt with at a local level.
The most significant aspect of the new watchdog is that it brings the inspection of NHS and private healthcare facilities under the one roof for the first time.
"It is the first time an organisation has been brought together which can put public, private sector and the voluntary sector all under one roof," says Sir Ian Kennedy, its chairman.
"The intention is to harmonise them, to bring them all together, so that wherever you're treated you can say I'm entitled to the same level and quality of care."
Broad support
The move has broad support. "There was a slightly idiotic thing in CHI whereby they had no control over the private healthcare market," says Niall Dickson, chief executive of the health think tank The King's Fund.
"They are bringing public and private health together under the same inspection regime, and I think that makes sense."
The Healthcare Commission will also be more independent of government than its predecessors. It will report to Parliament rather than ministers.
"It is very important that patients, professionals and the service generally see us as independent," says Sir Ian.
"I think the key to that is whether we say what we see and tell it as it is. We are determined to do that."
The watchdog will have to be seen to be independent of government if it is to be taken seriously be patients and staff.
"I think Sir Ian's job will be to keep it as independent as possible so that the credibility of what it says and its ability to review things like foundation hospitals really are seen to be effective," says Niall Dickson.
The establishment of the new watchdog has been seen as an opportunity to streamline the inspection process while driving up standards in both the NHS and private sectors.
"There is a major opportunity in this to simplify the inspection regime and focus on the essentials; value-for-money, driving up clinical standards across all healthcare sectors and ensuring quality information to support patient choice," says Shadow Health Secretary Andrew Lansley.


text:
ENG-LIN-AXHOLME-L ArchivesArchiver > ENG-LIN-AXHOLME > 2003-02 > 1044790008
From: "Sheila Wilson" <>
Subject: [AXHOLME] ALTERNATIVES TO GIVEN NAMES
Date: Sun, 9 Feb 2003 11:27:00 -0000
References: <email@example.com>
Hi Foax,
I have kept this offering from Pauline on my hard drive, tidied it up a bit
to make it a little more presentable as a word document. I will also add to
it as and when any of you point out that you have another 'alias' or
'endearment' to add to the list. I too have added a couple of my own, from
what I know from my own family. I would imagine that many terms of
endearment may well be regional too. For example my own grandmother's name
was Ellen (not Helen) but was known as Nellie or Nell, a sister of her's was
named Frances but was known as Fanny and not Fran. Their mother was called
Amanda but was never referred to as Mandy, which I suspect is fairly
modern.One thing that did strike me was that the list of male names of
endearment was much shorter than the female list.
Sheila Wilson
North Lincolnshire U.K.
Listowner for ENG-LIN-AXHOLME
This thread:
|[AXHOLME] ALTERNATIVES TO GIVEN NAMES by "Sheila Wilson" <>


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text:
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Thinking of starting an Affordable Learning initiative at your own university or library? This page contains links to useful resources that can help you get started.
Resources at Dominguez Hills
- Making Textbooks Affordable: A Successful Initiative at a University Library - Powerpoint Presentation from ALA Annual 2012 (file available soon)
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text:
This afternoon's storms have failed to put a dampener on the Woodford Folk Festival.
After a warm, sticky day, dark clouds and thunder around 3.30pm heralded the arrival of the traditional festival downpour over Woodfordia.
Dirt paths have turned into puddles and streams, perfect for little feet - and some big ones - to stomp in.
Street performers - including giant chip-pinching seagulls and a life-size elephant operated by stilt-walkers - are still out there, despite the wet, interacting with chilled festival-goers.
Some patrons rushed for plastic ponchos, umbrellas or windcheaters, but many just embraced the rain, figuring they would dry off sooner or later.
Festival director Bill Hauritz says so far, crowds are up.
"We're predicting a 15 per cent increase in attendance from last year, which is really good."
Most venues at Woodford are undercover, allowing music, dance, talks and debates to carry on as planned, with no alterations to the program.
Julia Stone and Kate Miller-Heidke are two of the big-name acts playing the Woodford Amphitheatre tonight.


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Small cap residential housing stocks are expected to deliver decent numbers in the coming reporting season, but many will struggle to provide guidance for the coming year in light of the floods. Some could benefit in the long term as rebuilding begins.
The Australian dollar averaged US94.6¢ in the first half of fiscal 2011, helping importers but hurting domestic manufacturers. Housing starts are forecast to have peaked at about 163,000, as first home buyers fell from 21 per cent to 17 per cent of housing financing commitments.
The company, which is often seen as a good bellwether for the broader economy, has indicated it expects first half of 2011 net profit after tax to be down about 30 per cent, almost entirely due to its Orrcon tubular steel business (high steel prices, customer de-stocking).
Hills also delayed its first half of 2011 earnings result by more than two weeks from early February to the last week of February "to have more visibility for the fiscal 2011 outlook".
Citigroup said this was understandable; it didn't think an extra couple of weeks were likely to materially change an outlook statement. Nevertheless, Hills is one of the broker's top stock picks. It thinks the company could benefit in the longer term from the rebuilding in Queensland, for example in the replacement of infrastructure such as sign posts, street signs and cattle yards. Hills also makes corrugated iron roofs and fences.
Citigroup reckons
The Brivis and Gliderol acquisitions are expected to add incremental value, while GWA is deriving about 17 per cent of its annual revenues from new product development. Citigroup reckons a re-rating of GWA's price-to-earnings ratio could be justified with the stock subsequently breaking out above its $2.80-$3.40 trading range.
Industrial and household products supplier
Earnings were up, but below expectations. A slower than expected start to the first three weeks of the second quarter of 2011 also gave investors pause.
Alesco was largely unaffected by the floods, but given 25 per cent of group's revenue comes from Queensland, the impact will take time to quantify.
Citigroup has a "buy" call on Alesco on valuation grounds, but the broker warned that patience may be required.
The Australian Financial Review


text:
|From: Eli Barzilay (eli at barzilay.org)
Date: Wed May 25 22:57:32 EDT 2011
7 hours ago, Shriram Krishnamurthi wrote: > My understanding is that Eli has all these things for his PL course, > right? I do. > So it's just a matter of making them more widely accessible? But I don't want to do this... instead, I'd like TR to have some better support for this. The main thing that is bad about my thing is that you need to know `match' and `cases', and they look very similar (esp. now that `match' mostly caught up with handling struct names easily) -- but you can't mix them. So I'd really love to just get rid of all my `cases' and replace them with `match' if it would do the same. The thing is that last time we talked about it, it wasn't clear what's the best way to do so. One rough sketch I had was: (define-type FOO (Bar String) (Baz Integer)) translates to (pseudo syntax, I can never remember the TR syntax without looking at the docs): (struct: Bar (gensym123 String)) ; the slot names are (struct: Baz (gensym876 Integer)) ; not important (declare-disjoint-union FOO Bar Baz) where that last imaginary thing defines FOO as (U Bar Baz), and tells TR that if it sees Bar or Baz by themselves, then it should throw an error. This way you could only write a function that uses both as an input, and never produce both as an output. But now I wonder if it's enough to just avoid Bar and Baz from being bound type names, so they can't be used directly -- in the above, you won't be able to use `Bar' by itself, only `FOO', which will force you to always consider the `Baz' case too. Clearly, one missing link is a `match' form that can throw a type error if the matched value has some non `None' type at the end. -- ((lambda (x) (x x)) (lambda (x) (x x))) Eli Barzilay: http://barzilay.org/ Maze is Life!
|Posted on the dev mailing list.


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From: email@example.com
Date: Thu Dec 21 2000 - 08:59:08 PST
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A nursery which is challenging the findings of a critical Ofsted inspection has been described by parents as 'amazing'.
Last week, a report published by the education watchdog found Valley Hill Nursery, Pre-School and Kid's Club in Loughton to be 'inadequate' .
Parents and staff at the centre however reject claims that it is below standards and have spoken out in gavour owner Keiley Pedro.
Kim Bennet, 27, says she was shocked by the report and praised the nursery for the support it has given her son.
Warren. 7, who has behavioural issues, has previously struggled to build relationships with nursery staff.
Ms Bennet said: "I travel from Woodford to take my kids there.
"It is an amazing place and Keiley is great at what she does.
"Warren loves the staff there. If he's had a bad day they will phone to make sure he is ok afterwards and make sure that I am ok.
"I have tried him with quite a few babysitters and kids clubs but he has only ever settled here.
"The report is totally wrong."
Keiley Pedro, who opened the centre 10 months ago, is challenging Ofsted's findings.
She said: "I have put in a complaint.
"I feel like we have been hung, drawn and quartered before a fair trial.
"I was not there on the day of the inspection but my staff were not happy with it.
"There are things in it that are totally wrong."
"I was a primary school teacher for ten years. I am in this because I care about children."
The latest report found the nursery, based at The Football Academy in Langston Road, is not meeting safeguarding standards.
Lisa Paisley, lead inspector, said that staff had "poor understanding" of how to manage children's behaviour and staff attendance records are not accurate.
The quality of the building was also questioned.
The centre, which opened in summer 2013 and cares for children up to the age of 17, has been ordered to make improvements.


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Is this the most evil parenting book ever written?
A Christian parenting guide still on sale at Amazon.com has been blamed for three child deaths. Pip Lincolne takes a look at the "discipline" on offer and has her say.
Michael and Debi Pearl head up the No Greater Joy Ministries, a religious ministry of their own making, and are parents to five children. They are based in Pleasantville, Tennessee which seems rather odd as they've got less than pleasant ideas on child rearing and they're keen to spread them about.
Together, they've written To Train Up A Child, a book preaching their preferred abusive parenting techniques to hundreds of thousands of families.
Shockingly, you can pop over to Amazon right now and pick up a copy of their grubby and downright dangerous text. But here are a whole bunch of reasons why you shouldn't:
1. The Pearls will teach you how to make a rather savage looking knife. I don't know. I just find this generally alarming from parenting educators. Maybe I'm being skittish.
2. Mr Pearl calls himself 'The Big Boss' and provides advice on what to do when your spouse misbehaves socially. Shut up.
3. Mr Pearl advocates beating children with plastic tubing to encourage obedience. Not any old plastic tubing, though, you need the correct dimensions to avoid creating marks that might alert the authorities:
'The rod we speak of is a plumbing supply line that can be bought at any hardware store or large department store. It is a slim, flexible, plastic tubing that supplies water to sinks, and toilets. Ask for "¼ inch supply line." They cost less than one dollar. I always give myself one swat before I swat the child to remind myself how much force to exert. It stings the skin without bruising or damaging tissue. It's a real attention-getter.'
4. He also suggests getting your little liars to cut their own punishment device straight from the willow tree:
'…I finally told Nathan that I realized he was a liar… I informed him that everyday for the next seven days, I was going to give him 10 licks at noon. He was to bring me the switch and I would spank him for being a liar. If he failed to provide the switch at noon, he got additional licks. He was timely with the switch. It forced him to spend his mornings considering which branch to cut from the willow tree and how long he had left before the hour of chastisement was at hand.'
5. The Pearls recommend 'blanket training' babies as young as six months old. This involves placing them on a blanket and hitting them if they try to crawl off. Um… that's not training. That's assault.
6. They want to train baby flesh. Because 'flesh' is the enemy. Baby flesh training seems to be an odd rationale for being pointlessly mean to very young children to establish WHO IS IN CONTROL . Or something. Go directly to jail. Do not pass go.
There are other things too. Other life threatening things. Denying children food and water. Giving them cold water baths on icy days. Hosing children down. All kinds of humiliation and degradation in the name of compliance and winning.
Mr Pearl is a hands-on ministry leader and doles out advice on his website, advising one mother: "I could break his anger in two days. He would be too scared to get angry. On the third day he would draw into a quiet shell and obey."
Obviously, this is all nuts and yet some people are blinded to 'To Train Up A Child's' dangerous stupidity, perhaps by their own fundamentalist religious compliance. Tragically, several child fatalities have been directly linked to the Pearl's book To Train Up A Child. Alarmingly they all involve adopted children:
- Seven year old Lydia Schatz died in 2010 at the hands of her adoptive parents.
- Thirteen year old Hana Williams also died in 2012 at home as a result of her adoptive parents' abuse.
- Four year old Sean Paddock died after being disciplined by his adoptive mother To Train Up A Child style.
The Pearls have sold a reported 670 000+ copies of this book. Their Ministry makes $1.7million per annum. And despite three deaths (that we know of), the book continues to be sold on Amazon.
The Pearls will not be swayed on the use of abusive forms of discipline against small children saying, "To give up the use of the rod is to give up our views of human nature, God, eternity" and posting this statement on their blog about the death of Hana Williams.
What can you do to help?
Go here. Sign the petition to have this book and others like it removed from Amazon.
Contact Amazon directly and register your protest:
410 Terry Ave N,
Seattle, WA 98109
What are your thoughts on this? Will you be signing the petition or letting Amazon know how you feel?
Find more related reading on Kidspot:
Find more related reading:
- The tragic story of Hana Williams from news.com.au
- Williams parents get maximum sentence from the Daily Mail
- Washington couple weep as they are sentence to 30 years prison from NY Daily


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I had open rhinoplasty a month ago. My right nostril is half size of my left nostrils. My right profile my nose looks long (which I like) and sits high on my face (which I hate) From my left profile my nose looks shorter and sits a little lower on my face. Also from the left side too much columella showing, but from the right side there is no columella showing. I don't have any noticeable swelling. Does the cartilage graft has anything to do with this? Is it an easy fix.
Nostrils Two Different Sizes After Rhinoplasty
Doctor Answers 8
Nostril asymmetry is unfortunately common after open rhinoplasty
Nostril asymmetries and columellar distortions are unfortunately much more common after open rhinoplasty than closed procedures because of the placement of incisions and the dissection required for exposure, Even the best open rhinoplasty surgeons sometimes create nostril asymmetries without meaning to do so--I see them at meetings and on panels. These asymmetries occur after closed operations but less often. The paper I gave at the Aesthetic Society meeting last month on 100 consecutive revision patients that I had operated on made this point. Unfortunately not enough outcome studies have been done in rhinoplasty.
Nostril deformities are correctable. I cannot picture exactly what you are describing, but I expect that one nostril is higher than the other. These types of asymmetries can be improved or corrected, but the tissues have to heal first. Find a surgeon who can show you how he or she has made these corrections, and make sure that you like and trust the surgeon.
Asymmetrical Nostrils 1 Month after Rhinoplasty
You do have swelling 1 month after rhinoplasty, especially if cartilage grafts were placed. You will see many changes over the next year; hopefully symmetry will improve. It is too soon to evaluate your result.
What to do with asymmetrical nostrils
It is difficult to render a professional opinion without examining your nose or having a picture to visualize it. Based on your descriptions, there remains some degree of symmetry in your nostrils after your recent rhinoplasty surgery. I would recommend you to wait for at least one month until majority of swelling has subsided, then if there is any asymmetry talk to your rhinoplasty surgeon. Good luck and good healing.
Dr. Kevin Sadati
Learn more: http://www.orangecountynosejob.com
You might also like...
Uneven nostrils 1 month after open Rhinoplasty.
I have performed Open and Closed Rhinoplasty for over 20 years and although the nose can be swollen for 6 months or longer, there should not be a dramatic difference between the size and position of the nostrils, IMHO. Nostril size and orientation is determined by the size and shape of the lower crural cartilages of the nasal tip. If these are fairly even and symmetric (no one's are perfect), then the tip and nostrils will be fairly even and symmetric as well.
If, on the other hand, one nostril is vertically oriented and the other is more horizontally shaped, this indicates a downward rotation (weakness) of the tip cartilage on the side with the horizontally shaped nostril. You should discuss this with your Rhinoplasty surgeon and bring up your concerns. One of the benefits of an Open Rhinoplasty, over a Closed Rhinoplasty is the ability to see, modify and sew the tip cartilages together to make the nostrils more symmetric and even.
Learn more: http://www.drfpalmer.com
Different nostril size after open rhinoplasty
It is impossible to visualize what your concerns are. I would strongly recommend you voice all these concerns with your surgeon. When photos are available it is also a good idea to review your before and after photos with your surgeon. Best wishes.
Unequal nostrils
From what i can see your result seems good. It is very common for nose surgery patients to be over critical in the post op period. You need to wait perhaps as long a a year. Please return to your surgeon with these questions>
Nostril asymmetry after open rhinoplasty
It is entirely possible that the swelling you are experiencing after your rhinoplasty is normal. However, very disparate nostrils may need to be addressed although no revision surgery should be performed until approximately one year after your initial surgery if it is indeed necessary. I would discuss your concerns with your rhinoplasty surgeon.
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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S&W bodyguard 38
Been lurking for awhile and finally decided it was time to post.
Mistake 1. Bought my wife a S&W bodyguard 38 revolver for her to carry when our conceal and carry comes in. Yup. She hates it.
She likes a more full size revolver, but has not shot one yet. She has her eyes on the Ruger SP 101 357.
I plan on selling the 38, but am not sure what to ask for it. I've looked online and prices seem to be all over the place. Can anyone tell me what to expect to get out of it realistically?
Does it have the laser?
Yes it does. Sorry. 40 rounds through it as well.
New is $400 or so so I think you would be alright asking $300-$325 to move it maybe a little more depending on the person but you won't get that from a shop. That would be you selling it yourself.
That's where I was thinking it would fall. Thanks for the info. Better sell quick. I just got on a short waiting list for the shield!
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Luxury Hotels in Miami Beach
Featured Hotels
The following luxury hotels in New York have received excellent ratings from former clients over the past 12 months.
Updated: January 24, 2016
Updated: January 24, 2016
Delano South BeachWith the legendary design of Phillipe Starck, the Delano South Beach transfixes in Miami's South Beach neighborhood, presenting luxury accommodations for travelers in the area. Right in the heart of South Beach, the property lends rooms and suites with ocean and city views, adding a touch of luxury to every stay. Guests can enjoy a wealth of amenities at the Delano South Beach. The hotel includes a fitness center, complimentary bikes for guests to use, a 3,500 square foot private rooftop spa, the signature restaurant Bianca and the Delano Beach Club with its iconic swimming pool with a seaside location.
The Setai Miami BeachPerched on famous Collins Avenue in Miami Beach, the Setai Miami Beach hotel takes pride in welcoming guests to a serene and intimate environment. The property lends an element of calm and tranquility amidst the often high energy of South Beach. Built between 1936 and 1938, the property maintains an Art Deco style. The design is in keeping with the Art Deco District, adding a rich architectural history for every stay. Guests can enjoy ocean and Art Deco themed suites ranging in size from one bedroom to four bedrooms. Travelers staying at the Setai Miami Beach are also placed in close proximity to notable Miami Beach neighborhoods such as Ocean Drive, Lincoln Road and Coral Gables.
Fontainebleau Miami BeachThe massive and world-renewed Fontainebleau Miami Beach lends guests the true Miami experience. With 1,504 guestrooms, the property sits on the oceanfront Collins Avenue right in the heart of Millionaire's Row. Guests can feel like millionaires with a wealth of services on site including 12 fine dining and casual restaurants, a spa space overlooking the Atlantic Ocean and a collection of luxurious stores. Rooms and suites are outfitted with flat screen TVs, robes, 20 inch iMacs and in room bars. The Fontainebleau Miami Beach remains one of the most architecturally and historically significant hotels in the area. With its modern and sophisticated design, guests are treated to not just a legendary looking property but also jaw-dropping views of the Atlantic Ocean.
Your Benefits
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Need a gift for a new or advanced yarn-addict?
Try one of these:
400 Knitting Stitches
by Potter Craft
The subtitle of this book, "A Complete Dictionary of Essential Stitch Patterns," says it all. Chapters include patterns for basic knit-purl stitches, lacy stitches, cables, symbols, and more, and all patterns are both written and presented in chart form. There's something for everyone here.
Oneskein: 30 Quick Projects to Knit and Crochet
by Leigh Radford
From tank tops to pillows to baby bibs, you'll find plenty here to use up that stray skein (or the very expensive one you couldn't resist buying at the fiber festival). Patterns range from very easy to moderately difficult. See also, One More Skein.
The Yarn Girls' Guide to Beyond the Basics
by Julie Carles and Jordana Jacobs
This oldie but goodie provides a whole host of patterns for a wide range of items, all accompanied by plenty of pictures and diagrams. Perhaps most helpful of all is the introductory chapter that explains (with pictures) basic knitting terms, finishing touches, and fixes.
Pop Knitting
by Britt-Marie Christofferson
One of the library's newest additions, this book offers the more advanced knitter will have loads of fun with the graphic and often three dimensional patterns offered in this book.
Did You Know. . .
You can find knit & crochet groups at the Glencarlyn Branch Library and the Westover Branch Library?
Come knit for fun, finish up your works-in-progress, start something new, help out a charity, or make some pieces to contribute to Artisphere's Guerilla Stitch Brigade project (we provide the yarn and patterns for the Artisphere project).


text:
Mr Photographer Photographer
Carmen Marie DModel Female FORT HUACHUCA, Arizona, US
Mayhem # 473822
About Me
Hello MM, I am not new to the modeling scene. I have done some projects here and there. I Love being photographed because I feel I can be whoever I want behind the camera and not be judged. For me modeling is fun and just a hobby. I am petite (5 ft) so I am not looking to become "americas next top model"! Write to me with your ideas and we will go from there!
Have you worked with Carmen Marie D? Add Credits for Carmen Marie D! >>
Mr Photographer Photographer
All Beauty Photographer
Steven Santana Photographer
privilegenyc Photographer
Dragon Concepts Photographer
BE Photo-Grap... Photographer
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text:
Continued: Cultural calendar
Oct. 2 --- Real Quiet: Davis Cossin, percussion; Felix Fan, cello; Andrew Russo, piano. 7:30 p.m. Real Quiet is a three-man band dedicated to an exclusive repertoire of hard-edge acoustic and electric music created by today's leading composers. The three members are each highly accomplished soloists and chamber musicians, whose careers have been dedicated to the advancement of contemporary music.
Nov. 13 --- Wu Man, solo pipa. 7:30 p.m. The pipa is a 2000-year-old traditional Chinese instrument, much like a lute. Virtuoso Wu Man is the world's best-known player of this instrument and has twice been nominated for Grammy awards. She is a member of the Silk Road ensemble and will be performing with the South Carolina Philharmonic while in Columbia.
Feb. 27 --- Exposed Wiring IV with Odd Appetite and Susan Fancher, saxophone. 7:30 p.m. Based in New York City, Odd Appetite is the duo of performers/composers Ha-Yang Kim, cello and Nathan Davis, percussion. Both classically trained in American and European conservatories, Odd Appetite composes, collaborates and performs its own music, written for this unique instrumentation, as well as performing commissioned works by select composers. Susan Fancher is one of the pioneers of her generation of saxophonists. Her work has produced dozens of commissioned works by contemporary composers, as well as published transcriptions of music by composers as diverse as Josquin Desprez, Ben Johnston and Steve Reich.
April 16 --- Los Angeles Piano Quartet. 7:30 p.m. The Los Angeles Piano Quartet, with Michi Wiancki (violin), Katherine Murdoch (viola), Steven Doane (cello) and Xak Bjerken (piano), made its debut at The Music Center in Los Angeles in 1977 and earned a reputation as America's premier piano quartet. Performing extensively nationally and internationally, the quartet has been an active force in the creation of new works for piano quartet, commissioning works from such prominent contemporary composers as Stephen Hartke, Gerard Schurmann and Steven Stucky.
"Cornelia Freeman University September Concert Series" -- The "Cornelia Freeman University September Concert Series" is presented by University of South Carolina School of Music faculty and staff. For more than two decades, this series has raised scholarship funds for worthy university music students. All earnings from the concerts are placed in a fund to award scholarships to music majors in honor of the faculty members who perform in the concerts. Concerts are held at 3 p.m. in the School of Music recital hall. Single-concert tickets are as follows: adults, $12; senior citizens, university faculty and staff, $10; students, $5. Series tickets are as follows: adults, $50 and senior citizens, $40. Contact Laveta Gibson at 803-777-4280 or email@example.com for more information.
Sept. 6 --- Program No. 1. The program will include "Jauchzet Gott in allen Landen, from BWV 51" by Johann Sebastian Bach, "From Arie con Tromba Solo" by Alessandro Scarlatti, "Zigeunerweisen" by Pablo de Sarasate, "Arabesque, Op. 18" by Robert Schumann, "I Never Saw Another Butterfly" by Elwood Derr, and "Slavonic Dances" by Antonin Dvorak. Performers will include Tina Millhorn Stallard (soprano), James Ackley (trumpet), Michael Harley (bassoon), Jerry Curry (harpsichord), Craig Butterfield (double bass), Bert Ligon (guitar), Joseph Rackers (piano), Clifford Leaman (saxophone), Lynn Kompass (piano) and Marina Lomazov (piano).
Sept. 13 --- Program No. 2. The program will include "Quartet in C major" by Franz Krommer, "Arias from The Barber of Seville" by Gioacchino Rossini, and "Quartet in E-flat major, Op. 87" by Antonin Dvorak. Performers will include Rebecca Nagel (oboe), William Terwilliger (violin), Constance Gee (viola), Robert Jesselson (cello), Michael Harley (bassoon), Peter Kolkay (bassoon) and Charles Fugo (piano).
Sept. 20 --- Program No. 3. The program will include "Hard Fairy (1994)" by Graham Fitkin, "Two Rags" by Arthur Frackenpohl, "Trio" by Chick Corea, "From Six Strokes" (2000) by Carter Pann, "In anticipation" by Sonia Jacobsen, "Garden of Eden Suite" (1969) by William Bolcom, and "Sextet for piano and winds, H. 174 (1929)" by Bohuslav Martinu. Performers will include Clifford Leaman (saxophone), Marina Lomazov (piano), Joseph Rackers (piano), Peter Kolkay (bassoon), Robert Jesselson (cello), Jennifer Parker-Harley (flute), Michael Harley (bassoon), Rebecca Nagel (oboe) and Joseph Eller (clarinet).
Sept. 27 --- Program No. 4. The program will include "Pastorale" by Igor Stravinsky, "Chorale Fantasy, Op. 93" by Jan Koetsier, "Summer Journey" by Eric Ewazen, "Glint" by Roshanne Etezady, and "Music for Brass Instruments" by Ingolf Dahl. Performers will include Janet Hopkins (mezzo-soprano), Rebecca Nagel (oboe), Petrea Warneck (English horn), Joseph Eller (clarinet), Peter Kolkay (bassoon), Ronald Davis (tuba), William Bates (organ), Tina Millhorn Stallard (soprano), Bradley Edwards (trombone), Joseph Rackers (piano), Clifford Leaman (saxophone), James Ackley (trumpet), John Bryant (trumpet) and Robert Pruzin (horn).
Oct. 4 --- Program No. 5. The program will include "Jet Whistle" by Heitor Villa-Lobos, "I have attained to Power from Boris Godunov" by Modest Mussorgsky, "Songs Without Words," "Rondo Capriccioso, Op. 14" by Felix Mendelssohn-Bartholdy and Jazz Selections. Performers will include Jennifer Parker-Harley (flute), Robert Jesselson (cello), Richard Conant (bass), Charles Fugo (piano), John Williams (piano), Bert Ligon (piano), Craig Butterfield (bass), Kevin Jones (saxophone and trombone) and Tony Buzzella (drums).