text:
(Translation of "turn your back on sb" from the Cambridge English-Chinese (Simplified) Dictionary © Cambridge University Press)
Get a quick, free translation!
- turn to sb/sth
- turn to sth
- turn up
- turn up (somewhere)
- turn your back on sb idiom
- turn your back on sth idiom
- turn your hand to sth idiom
- turn your nose up idiom
- turn-off
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lend a helping hand
to help someone


text: Ilja -Visser- is a Dutch brand designer launched in 2005 and based in Amsterdam, NL. Fall 2012 "SkinFonie" CollectionEdit (Dec 14, 2012)Add a photo to this galleryAW14 "Lumina" CollectionEdit (Sep 30, 2014)Add a photo to this galleryLinkEdit Official website Retrieved from "http://ladygaga.wikia.com/wiki/ILJA?oldid=168687" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Designers Add category Cancel Save

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- HubPages»
- Books, Literature, and Writing
You Are Here With Me
A love that demands undivided attention
When my body melts in the sight of you
When all my emotions are cut like live electrical wires moving vigorously
I have a love that never goes away
That never feels left out and alone
Even if it is just for the moment
I gather up my composer and dignity that has been shaken
My search has ended for the love that is never broken
I live the flip side of life when everything is moving on automatic
No unresolved thoughts
Just passion that won't rest
A love that can be explained in ten words or less
It is like....
free falling
a hot bubble bath
Moving up from honerable mention to leader of the pack
Having a women you never want to let go
No more lonelines for me
Only excitement that bubbles when I think
I can live a life that is special and sweet
That opens up my eyes to every emotion I lost
I can feel everything will be alright in the next moment
Let go of all the things that aggrivate me
I can feel your presence where ever I go
I know it is not just another day
It is my way of saying my love has bound us happily together at the wrists
I am so happy to be understood
It started and has never has stopped like a motor running indefinitely
Come and feel the love that is so deep
It makes us hurt if we ever forget
Living and seeing the art of a masterpiece
That has been carefully sculpured
With two people in mind
Always testing and enjoying like a fine wine
That gives you that happy reoccuring feeling
Time after time
Lovely! Captures so many fine-tuned emotions and senses. Rated up and beautiful!


text:
08. Jewellery is exquisitely elegant and finished with a fine hand.
Made locally in Auckland, New Zealand by Priya Patel.
SIZING (inside diameter)
small: 16mm | medium: 17mm | large: 17.5mm
*custom sizing, a charge of extra$10 and will take up to 7days.
__ Sachiyo Dress - White Elegant silk and silk-organza maxi-dress with a slitted centre seam. One-size. Also available in black/Tan / white kimono pattern. __ Yuka&Tristan's aesthetic sensibilities...
__ French Artisan's Shirt - Tan Understated oversized silk shirt with copper buttons and the collar stand's detail like the man's tailored shirt. Versatile style. Comes with sash for styling. Can be...
A designer by training, artist by nature; Daniel Kamp describes himself as an obsessive futurist who feels compelled to contribute to evolution through creativity. He received a number of awards in...
18 ct gold plated Sterling Silver and smoky quartz. Made locally in Auckland, New Zealand by Priya Patel, 08. Jewellery is exquisitely elegant and finished with a fine hand. Our collection at AAA is dark...


text: 3. As of noon trading, Best Buy ( BBY) is down $1.56 (-5.2%) to $28.17 on heavy volume. Thus far, 7.0 million shares of Best Buy exchanged hands as compared to its average daily volume of 6.4 million shares. The stock has ranged in price between $28.03-$29.53 after having opened the day at $29.46 as compared to the previous trading day's close of $29.73. Best Buy Co., Inc. operates as a retailer of consumer electronics, computing and mobile phone products, entertainment products, appliances, and related services primarily in the United States, Europe, Canada, and China. Best Buy has a market cap of $10.2 billion and is part of the retail industry. Shares are up 150.9% year to date as of the close of trading on Tuesday. Currently there are 10 analysts that rate Best Buy a buy, 2 analysts rate it a sell, and 9 rate it a hold. TheStreet Ratings rates Best Buy as a sell. The company's weaknesses can be seen in multiple areas, such as its deteriorating net income, disappointing return on equity, poor profit margins, weak operating cash flow and generally high debt management risk. Get the full Best Buy Ratings Report now. STOCKS TO BUY: TheStreet Quant Ratings has identified a handful of stocks that can potentially TRIPLE in the next 12-months. Learn more.


text:
Master Meter Systems (formerly Greentree Applied Systems)
A developer of business management software.Speak with a Master Meter Systems (formerly Greentree Applied Systems) provider
Master Meter Systems changed their corporate name from Greentree Applied Systems to better reflect their product focus - providing quality solutions for utilities.
HISTORY of Master Meter (formerly GREENTREE)
Greentree Applied Systems, Inc. has been providing independent professional consulting and programming services since 1982. This year, 1999, we are celebrating our seventeenth year in business. Most of our work has been within the state of Kentucky. However, we have client software solutions installed in virtually every state in the United States. Don Putnam, President, began his data processing career in 1961.
To meet the office automation needs of those we serve by providing high quality computer products and related services including pre-sales planning, industry specific software solutions, custom programming, equipment and software selection, installation, training, and exceptional on-going support.
Master Meter Systems is based in Lexington, Kentucky. Our design, programming and support staff resides in Lexington. When necessary, we can be immediately available to management for unscheduled meetings or emergency situations. We have been supporting out-of-state programming and systems clients for several years.
Product Lines
Greentree Church Office Software
A software system designed by Greentree Applied Systems for non-profit organizations.
Greentree Utility Management Software
A software system designed by Greentree Applied Systems for utilities companies.
Market Focus
Evaluations of Master Meter Systems (formerly Greentree Applied Systems) products by market segment:
Get Software Recommendations
For over 15 years, independent software experts have helped more than 200,000 businesses find the right software for their needs. We'd love to help you, too.


text:
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Sweet Dreams (edition 2011)
by Kristen Ashley
Work details
Sweet Dreams by Kristen Ashley
No current Talk conversations about this book.
KA sure does know how to pull off an alpha. I know this man in particular is the favorite for many KA readers. I thought he was an ass sometimes, but he definitely grew on me. There was a lot of murder mystery and such going on also that I had no idea would be in this book. It's more serious that some of her titles. Great read!
Sweet Dreams
4 Stars
Lauren Grahame arrives in Carnal, Colorado with nothing more than a desire to find the perfect nowhere town to call home. As Lauren finds a job and begins to make friends and settle down, her equanimity is soon shaken when Tate Jackson, her gorgeous, and unfortunately, obnoxious, new boss takes an interest and a serial killer begins targeting women in the sleepy town.
Suffice it to say that Kristen Ashley's writing is not for everyone. That said, her characters, settings and storylines are so engaging that they more than compensate for any shortcomings of her unpolished style.
More often than not, Ashley's heroes make terrible first impressions. They are rude, dictatorial and domineering to say the least, but Tate Jackson surpasses even the most offensive in his insulting attitude toward Lauren. It is a testament to her characterization, that Ashley is able to rehabilitate him as well as he does because by the end of the book he is as swoonworthy as they come.
Lauren is a particularly engaging heroine on a journey toward self discovery. She really comes into her own as she transitions from a lonely and insecure divorcee into a strong, vibrant and determined woman capable of bringing a man like Tate, one who is so disillusioned by life and women, to his knees.
The serial killer plot adds tension and suspense. It is difficult to pin down the culprit due to the dearth of clues (one of the disadvantages of 1st person narration). Nevertheless, it is possible to figure it out and the climax and resolution are excellent.
All in all, a wonderful story with characters who are both down to earth yet larger than life.
Favorite quote:
Seemed Tate had bonded with his cat even more than it appeared he'd bonded with his cat and it was pretty clear he'd seriously bonded.
That kind of nonsense is what kept pulling me out of the story. Same as the first book with the massive amount of interjections and bad grammar. Another annoying tenancy Ms Ashley has:
He had a point.
"You have a point," I told him.
Do we really need to write all that out? Only happens about 5 times, but it made me fume at every occurrence.
One more thing about the interjections... At least this heroine had the guts to tell him to shut it... Once...
"Tate..." He opened his mouth to speak and my hand clamped over it. "Let me talk."
One recurring theme I noticed was how all the major events in people's lives had happened ten years previously. Krys had been with Bubba teen years. Heroine had been with husband ten years. Tate and Neet had Jonas ten years ago. There might have even been others that I missed...
I'll also admit that I was rather disappointed that the story was so similar to the first book of this series. Most of the major elements and plot points were the same and after a while I was able to guess what was coming up next. Not crazy about the random crime story that was thrown into both books. They could have both done without them as it did nothing for either story and just seemed thrown in to have something going on besides the romance. I also wasn't crazy about Tate. Where Max seemed to realize he was being an ass and try to compromise, Tate also knew how ridiculous he was being but told the heroine to deal with it cause it wasn't changing. His alpha-hole basically had no redeeming qualities... He was just an ass.
Overall, I just didn't like this book nearly has much as I did the last one. I feel like I would love Kristen Ashley's stories more if she sought the help of an editor or two.
There are times when editing mistakes and run on sentences bother me but there are times when I say: Who Cares? and the book draws me in so much that I want to stay there forever.
This book was amazing.
It captivated my heart, my soul, and every part of my body and mind.
Lauren -- An amazing character who wasn't too whiny but real and likable.
Tate -- I need me a Tate Enough Said!
This book captured me and I really really felt the emotions which is hard as hell for a person to do! I needed tissues and my family looked at me funny when I busted out laughing.
What was different then Kristen's other books? You can read this one first because it does not include the other characters from the other books.
It took awhile to get through this, but good grief I enjoyed it.. Lauren arrives in Carnal, CO after leaving a miserable marriage. Her husband cheated on her with a so-called best friend, but she comes to realize there were deeper scars on her soul. She could be a bit goofy, or slow to catch on, but her determination to change her life and find inner peace remained a constant. Bounty hunter Tate was everything I'd expect of an alpha-male and then some. He was foul mouthed, possessive, and raunchy, but there was a heart of gold under all that bluster and over-protective possessiveness.
This wasn't a case of insta-love and I enjoyed watching the relationship develop. Ms. Ashley has a talent for getting right down to the bone to squeeze out the rawest emotion. I cried. In several places. It wasn't just the story, it was how it unfolded. She also writes super-nova hot sex scenes. They fit Tate's raunchy side perfectly. Although, I'd prefer the couple did NOT discuss and compare their respective "bedroom skills" to their ex's. It seems weird to me and IMHO cheapens the scene.
I did like how Tate took care of Lauren, especially after
There were many standout characters in this book. Bubba surprised me, Lauren's dad was amazing, Krystal would be a great heroine for another book, and Shambles was a lovable guy who adored his wife. It was also neat to see a connection to Mac and Nina from [b:The Gamble|18453269|The Gamble (Colorado Mountain, #1)|Kristen Ashley|https://d.gr-assets.com/books/1381589856s/18453269.jpg|16152936].
Just like it's predecessor, [b:Sweet Dreams|18656253|Sweet Dreams (Colorado Mountain, #2)|Kristen Ashley|https://d.gr-assets.com/books/1381589939s/18656253.jpg|16152935] was too long and many scenes were overly detailed and drawn out. Others only added an "Awwww" factor and did nothing to move the plot, but I still liked it. I was expecting excitement at the end and more tears, so I kept going. It delivered. There is a split-second "look" between Tate and Lauren that is branded on my mind. The image and emotions blended to leap off the page. Awesomeness...
So here I am...headed for book three.
References to this work on external resources.
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Lauren Grahame is looking to reinvent herself. After leaving her cheating husband, Lauren moves to Carnal, Colorado, and gets a job as a waitress in a biker bar called Bubba's. It's a nothing job in a nowhere joint . . . until Tatum Jackson walks in. Lauren has never seen a man with such good looks, muscles, and attitude. But when he insults her, Lauren doesn't want anything to do with him. Too bad for Lauren he's also the bar's part owner and bartender. When the rough-around-the-edges Tate meets the high-class Lauren, he thinks she won't fit in at Bubba's. Yet there's more to Lauren than meets the eye, and Tate soon sets his mind on claiming her as his own. Before long, the desire burning between them is heating up the cold mountain air. But when violence strikes the town, Tate must reveal a dark secret to Lauren-one that may put an end to their sweet dreams.… (more)
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08/16/15 FOHS Farm Report
Aug 16th, 2015 by fohs
On this week's Farm Report, Scotty talks about one market that could be out of the running for a new minor league team and one that is just looking for the right suitor. Eetu Laurikainen is back in North America, but just how will he fit into the Edmonton Oilers' farm system?? The AHL schedule is about to be released, but the process is probably one of the most painstaking in all of sports. These stories, plus News and Notes and We Hardly Knew Ye.
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What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you're getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you'd like help immediately, feel free to search for a similar question, or submit your question or concern.
JotForm Developer
Hello Chasep,
I assume you are asking if the connection to the server is safe. We do have a SSL submission feature, which allows your users to send submissions over a secure socket layer (SSL) connection.
This way no one on the network can see the data that is being sent to the form.
If you have any other questions, feel free to ask. We are here to help.
Thank you!


text:
We had a great summer and have been swimming, camping and hanging out with friends. Nina is swimming underwater now and loves it. She also just started a hip hop class for 4 year olds and is loving learning new moves. Isaac has about 25 words now and is such a happy guy but definitely lets you know when he doesn't get his way. Here are some pics of our tahoe trip with friends and other random summer activities.
We had a great trip to the Big Island of Hawaii in March. It was so relaxing and beautiful. I got to swim with dolphins (about 30 of them came right into the bay, amazing). We did have get evacuated with the tsunami but luckily it was much less than they thought by the time it reached Hawaii but still caused damage (see beach pic of Isaac with uprooted coconut trees). Can't wait to go back to Hawaii and see our new friends. Such a great trip!
Nina went roller skating for the 2nd time. She loved it! She was really good at it and determined to do it by herself. She learned how to get up by herself and went all the way across the floor without help. In fact, she sent me and Grandpa to the sidelines so she could practice. So amazing to see her growing and changing.
Okay, a bit late for posting this but we had a fun St. Patty's Day party back on the actual day and the kids loved the hat Grandma and Grandpa brought over. Isaac is practicing standing at the party and dancing with Grandma Pat. Nina had a blast with her buddies and dancing with all the guests. Great food of course as always when this group gets together.
Isaac is now crawling on his belly all over the house and is pulling up on the furniture. He loves to move! He also just learned how to clap and wave goodbye. It is adorable. Nina is still loving school and has been taking a tiny tots hip hop class. She is a great dancer and loves her friends. The superbowl party was a blast and Nina loved wearing her cheesehead and cheering for the Packers.
We had a great Christmas with friends and family. Isaac loved the wrapping paper and Nina enjoyed getting presents from Santa. She was funny and after about 3 or 4 presents she said "I'm done mom, can we save the rest?" So we did. It was Christmas for a few days at our house;) We are definitely blessed to be a family and to have such wonderful friends and relatives in our life.
January was also exciting with a trip to Safari west to see african animals. Nina loved the wildebeasts and the giraffes. It was pretty amazing. We also had a great New Year with friends at the cabin and the children ran wild for 2 days. Lots of food, lots of dancing, lots of fun;)
We've had a fun-filled December but it seems it is flying by. Nina is so excited about Christmas and was really ready to see Santa this year. She told him she wanted a pony (previously she said strawberry shortcake movie but then someone suggested she ask for a pony so she decided to take them up on it!). She also went back and told him that she hoped Isaac would have a Christmas diaper on Christmas day. I guess I'll be doing some decorating on Christmas Eve so Isaac gets his diaper surprise. No idea where she came up with that one. Thanksgiving was also great with friends and family and tons of food. Nina is doing great in school and now very into writing letters. every piece of paper I find is covered in "N" and attempts to write the other letters of her name. Isaac is sitting on his own very well now and beginning to scoot along the floor more and more. He enjoyed decorating the tree and found his way over to the ornament box. He is also babbling more and said "dadada" the other day. He loves to eat and is feeding himself crackers. Looking forward to a quiet but fun holiday season.


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Running Time: 106 minutes
Released: 03/2007
Studio Name: DNA
Series: Up Your Ass - DNA
Categories: All Sex
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text:
The three-time F1 world champion has welcomed Bottas with open arms to the Mercedes fold since being appointed as Rosberg's replacement after the German driver announced his shock retirement from the sport just days after clinching the 2016 world drivers' title.
Bottas has been keen to learn and watch Hamilton in action to get up to speed at Mercedes, while also trying to find any performance edge.
The British driver says he's not looked over his team-mate's data but he is pleased to see the Finn working well with the engineers to find key early gains on the development path with the new Mercedes F1 car.
"It's been great so far," Hamilton said. "Valtteri seems to have settled really well into the team. He's given great feedback, he's working hard with his engineers to get up to date. He's very forthcoming with the information from the car, so the engineers in the team can move forward."
When quizzed on early comparisons to Rosberg, Hamilton underlined the fact 'nothing is being hled back' by Bottas which points towards the turbulent relationship he endured with Rosberg while battling for F1 world titles.
Hamilton has stated when he has retired from F1 he will 'reveal all' from what happened behind closed doors at Mercedes.
"I think we're working at full capacity in terms of how we're developing," he said. "Nothing is being held back which is fantastic."
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text:
Thank G-d that only like two of those apply to me and I've been here 3 years.
Oh and you forgot that Israelis think nothing of personal space – it's a non-concept here.
I can't wait to get out of here!
In celebration of Israel's 69th birthday this week, we've come up with a little list of signs that you've spent too long in Israel.
We originally wrote this list as a series of posts a while back, but have remixed and edited the list in honor of the old lady reaching the big 6-9.
Yes, just a little humor for those of you who have spent a little longer than a week's holiday here in Israel, and who have in fact made Israel their home. And feel free to add any more to the list in the comments below!
In no particular order…
Pingback: Leesvoer: 65 tekens dat je al te lang in Israël bent | Tom en Machteld
Thank G-d that only like two of those apply to me and I've been here 3 years.
Oh and you forgot that Israelis think nothing of personal space – it's a non-concept here.
I can't wait to get out of here!
So true!!
Such a shame that the commenter above me had to share the negativity. I loved this list, just like I love the country, and living here. Living in Israel is amazing and frustrating, obvious and anathema, a land of contradictions and difficulty, and of warmth, love and hospitality. I have never felt more at home in any place on earth — this is not to say that I don't miss the UK, but I would never leave, this is where I belong.
You complain that the drive from kiryat-Ata to Haifa is way too far but used to commute daily from Laurel, MD to Arlington, VA just to go to work…
You take a bus from Jabotinski to Binkas because it is too hot to walk…
Lived in Kiryat-Ata and Kfar Hammacabi for a short while as a youth; loved it. Not allowed to travel out of US now because I pay child support arrears and the Judge denied my request because he thought I would not return to this hell whole. He was right that I would not return, even tho I would still pay my child support as an expat. Be grateful to live in a free country like Israel.
I remember JP's Dry Bones coming up with a list when I'd only been here a few years (a lifetime ago). My favourite one was "….you use floor tiles as a form of measurement." Maybe someone has/can find Kirschen's list and can post it, please?
Ruth, I thought I was the only one who did that. Oy va voy!
Pingback: DAY 30: Mazal Tov! | albeitmenot
Ha Ha. #54
…you know enough Hebrew to make Israelis laugh their socks off.
Nonsens, You can't spent to long time in Israel. Every visit I have made has been just way to short!
I'll be back!


text:
Martijn Kerst. Stadium I testis carcinoom. Gevorderd stadium.
- Ethelbert Patterson
- 1 years ago
- Views:
1 Martijn Kerst Stadium I testis carcinoom en dan Gevorderd stadium. En dan
2 Dutch registry 24% of all tumors in male yr Rising incidence % seminoma 45 % non-seminoma 2/3 presenting in clinical stage I iknl 2013
3 Diagnosis and Clinical staging Histology WHO classification Lab including AFP, ßHCG and LDH CT scanning Abdomen & Chest Ultrasound contra-lateral testis MRI CNS on indication Skeletal scan on indication PET scan not indicated
4 Klinisch Stadium I Seminoma testis Prognostic factors Therapy Active Surveillance / Radio-Th- / Chemo-Th Non-Seminoma testis Prognostic factors Therapy Active Surveillance / RPLND / Chemo-Th
5 Seminoma Prognostic factors/surveillance Profylactic radiotherapy Standard for several decades Surveillance Pooled analysis (638 patients 4 centers Europe&Canada) : 2 factors independently associated with relapse Tumor size > 4 cm (Rel.Risk 2.0) Tumor-invasion in rete testis (RR 1.7) Median FU 7 years: 0 factors; 5 year Rel.Rate 12% 1 factor 16% 2 factors 31% Additional factors: Age < 30 and elevated HCG. Warde. JCO 2002; Aparicio. JCO 2005
6 Seminoma Profylactic radiotherapy Two multi-center phase III trials: Reduced field: dog leg Para-Aortal Reduced dose: 30 gy 20 Gy Positive Low relapse rate (overall Relapse-Rate <5%) Salvage safe & effective (cure rate 98-99%) Risk of chemotherapy minimized Negative 80% unnecessary treated Early and late toxicity Fossa JCO 1999; Jones JCO 2005
7 Seminoma Adjuvant chemotherapy Randomized trial of carboplatin versus radiotherapy for stage I seminoma: Mature results on relapse and contra-lateral testis cancer rates 1 e endpoint. Non-inferiority (to exclude absolute difference in 2 yr RR of more than 3%) MRC TE19/EORTC Oliver. Lancet 2005; JCO 2011
8 Flowchart Carboplatin AUC 7 Oliver R T D et al. JCO 2011;29:
9 Relapse-free survival by allocated treatment. Carbo non-inferior to RT 5 year RFS: 94.7% Carbo 96.0% RT HR 1.25 (90% ci ) Oliver R T D et al. JCO 2011;29:
10 Contra-lateral GCT rates by allocated treatment Carboplatin: A significant risk-reduction Contra-lateral GCT free survival RT 98,8% C 99,8% HR 0.22 (95% ci ) Oliver R T D et al. JCO 2011;29:
11 Seminoma Adjuvant chemotherapy Conclusions MRC/EORTC trial In the adjuvant setting for stage I seminoma testis is carboplatin AUC 7 non-inferior to adjuvant radiotherapy Carboplatin results in a significant reduction in the medium term of risk of second GCT Carboplatin should be dosed at AUC 7 according to GFR measuring EDTA or comparable isotope technique (or a urinary 24 hour creatinine clearance) Oliver JCO 2011
12 Risk-adapted treatment in seminoma stage I The Third Spanish Germ Cell Cancer Group Study Aparicio et al JCO 2005; JCO N=227 No or One Risk Factor:Active Surveillance Two Risk Factors: 2 cycles of carboplatin Median Follow-up 34 months
13 Aparicio J et al. JCO 2011;29: Risk-adapted treatment in stage I seminoma testis Flowchart
14 Disease-free survival for 153 patients undergoing active surveillance According to Risk factor No risk factor-84: Relapse Rate 4,8% Tumor>4 cm-44: Relapse Rate 13,6% Rete testis inv-25: Relapse Rate 20% Aparicio J et al. JCO 2011;29:
15 Disease-free survival for the entire study population: Adjuvant carboplatin versus Surveillance C AS Median FU 34m Active Surveillance (n-153) RR 9.9% Adj Carboplatin (n=74) RR 1.4% Aparicio J et al. JCO 2011;29:
16 Seminoma Adjuvant chemotherapy Conclusions Spanish trial With the limitations of the short follow-up and the small numbers, the study shows that a risk-adaptive approach is effective for stage I seminoma The presence of a risk factor is related with higher recurrence rate (p=.048) 3 yr DFS 88% (surveillance) vs 98% (carboplatin) 3 yr OS 100% (effective salvage)
18 Clinical practice guideline Surveillance is considered the preferred strategy The risk-adaped approach is controversial Risk-factors not validated in an independent set of patients One or Two cycles carboplatin Short follow-up Some concern about late toxicity N=199; median FU 9 years; no mortality/death (Powles JCO 2008) Adjuvant carboplatin is as effective as adjuvant RT and less toxic (limited follow-up) Oldenburg Ann Oncol 2013
19 Non-Seminoma stage I
20 Non-Seminoma Prognostic factors Lympho-vascular invasion (LVI) is the main independent prognostic factor for relapse (ECC inconsistent in multifactorial analysis) 3 year Relapse-Rate LVI Neg / Low-Risk 15-20% LVI Pos / High-Risk 40-50% Immunohistochemical parameters not usefull Vergouwe JCO 2003
21 Non-Seminoma Active surveillance Several studies (> 2000 patients). 95% of relapses within 2 year 99% of relapses within 3-4 years Virtually all relapses are low-volume and good-prognosis disease Overall survival 98-99% Advantage Best means to avoid overtreatment Excellent survival Disadvantage Access to dedicated hospital (and staff) Patiënts compliance May require post-chemotherapy surgery De Wit & Fizazi JCO 2006
22 Non-Seminoma Retroperitoneal Lymph node dissection RPLND is technically demanding (complications ) Published series on RPLND reveal.. RPLND is no definitive treatment 30-50% of deemed clinical stage I harbor occult metastatic disease In case of pathologic stage 1: 10% occult metastatic disease Follow-up! BEP 3x at relapse In case of pathologic stage 2: Follow-up Adjuvant 2xBEP in case of a) six or more T+ Lnn b) node size > 2 cm pn2-n3 c) extra-nodal spread De Wit & Fizazi JCO 2006
23 Non-Seminoma Retroperitoneal Lymph node dissection Advantage Pathological staging Reduces the need for chemotherapy Eradicates mature teratoma Disadvantage Overtreatment Surgical complications Not a definite treatment De Wit & Fizazi JCO 2006
24 Non-Seminoma Adjuvant chemotherapy Several studies* with 1-2 cycles of adjuvant BEP (like) chemotherapy result in relapse-rates around 2-5% ASCO 2013: Tandstad et al. SWENOTECA group Clinical stage I; median FU 8 year. One course of BEP 247 LVI Pos 3,4% relapse 239 LVI Neg 1,3% relapse 5 and 10 year OS: 98,9 and 96,8% 5 and 10 year disease specific survival: 100 and 99,6% * Klepp. Eur J Can 1997; Chevreau. Eur Urol 2004; Bohlen. J Urol 1999; Amato. Urol 2004; De Cullen. JCO 1996; Oliver. Urol 2004; Dearnaley. Br J Can 2005; Albers JCO 2008; Tandstad JCO 2009
25 Non-Seminoma Adjuvant chemotherapy Advantage Reduction of the risk of recurrence to <5% Disadvantage Overtreatment. Not a definitive treatment No very long-term follow-up data Concern about Acute and Late toxicity. De Wit & Fizazi JCO 2006
26 .
27 Clinical practice guideline Low-Risk Surveillance is the standard If not feasible: adjuvant chemotherapy (1-2 cycles) If not suitable for Surveillance and Chemotherapy: RPLND High Risk: Two standards 1. Active surveillance; BEP at relapse 2. Adjuvant chemotherapy (1-2 cycles BEP) RPLND in case of contra-indications to standards Oldenburg Ann Oncol 2013
28 Sentinel node biopsy in germ cell tumours Prof. dr Simon Horenblas Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital Amsterdam The Netherlands
30 Adagium Law no XIII: The delivery of medical care is to do as much nothing as possible
32 Gevorderd stadium
33 Klinische stadiëring IIa: regionale LN < 2cm IIb: regionale LN > 2cm and < 5 cm IIc: regionale LN > 5cm IIIa: niet-regionale LN en/of pulmonale metastasen (=M1a) (en bij nonseminoom lage markers) IIIb: niet-regionale LN en/of pulmonale metastasen (=M1a)(en bij nonseminoom intermediaire markers) IIIc: metastasen buiten de long (=M1b)/primair mediastinaal (of bij non-seminoom M1a met hoge markers)
34 Prognosis definition of advanced germ cell tumors (stadium IIbc-III)
35 Bleomycine- Etoposide cisplatin
36 Good prognosis group Standard of care: 3xBEP
37 * Williams, NEJM 1987 Intermediate/Poor prognosis: standard of care: 4xBEP*
38 Carboplatin-Etop-Bleo in seminoma Retrospective cohort study NKI-AvL 18 pts with stage IIa-IIIc seminoma, treated with CEB 5 yr PFS 86.6%, 10 yr OS 85.7% No grade III-IV neuropathy, ototoxicity or nefrotoxicity Giesen et all, Urologic Oncology 2013
39 Bleomycine 1966 Hamao Umezawa vond antikankeractiviteit tijdens screening van cultuurfiltraat van Streptomyces verticullus 1969 Launched in Japan 1973 Goedkeuring FDA
40 Toxiciteit Na infusie griepachtige verschijnselen Met name longtoxiciteit ( pneumonitis ) Huidtoxiciteit Raynaud s syndroom Vaatschade Niet hematotoxisch!
42 Toxiciteit: long Let op respiratoire klachten Laagdrempelig diagnostiek X-Th respectievelijk CT-scan longfunctie BAL Tijdig stoppen en tijdig starten steroïden
43 Cumulatieve dosering Risicofactoren: leeftijd cumulatieve dosis roken gebruik G-CSF Testiscarcinoom good prognosis: 3 x BEP (270 IU) interm/poor prognosis: 4 x BEP (360 IU)
44 Van tevoren inlichten Toxiciteit: huid
45 Toxiciteit cisplatin ᴥ Nefro-toxisch ᴥ Oto-toxisch ᴥ Neuro-toxisch
46 Late toxiciteit ᴥ Raynaud Sub-klinisch hypogonadisme ᴥ Gehoorsverlies ᴥ Sensorische neuropathie
47 Salvage chemotherapie Conventionele chemotherapie TIP Taxol / Ifos / cisplatin Hoge dosis chemotherapie TIGER Remissie-inductie Consolidatie met hoge dosis chemotherapie en stamcel-transplantatie
48 Prognostische indeling voor salvage CT Lorch 2010
49 Salvage CT: Retrospectieve analysis of CDCT vs HDCT Lorch 2011
50 Tiger Trial
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Mental Health
Have Mental Health Questions? Ask a Psychiatrist Online
Hi JayCoulboum,
Thank you for submitting your question. Your friend has a difficult situation here. The treatment for pulmonary fibrosis involves drugs that are toxic to the liver. Depending on his HepC viral titer and liver enzyme levels, he may have serious side effects from the treatment.
As you probably know, many drugs are metabolized by the liver. If his liver functions worsen, he may not be able to tolerate his psychiatric medications. He will also be given steroid as part of the PF treatment. Steroids are known to cause psychosis.
The key is how bad his Hep C is. He may be able to tolerate the treatment if his liver is still in good shape.
I hope this answers your question.


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text: NEW YORK ( TheStreet) - Vera Bradley ( VRA) shares tanked in post-markets trading as the company tempered investor expectations for the remainder of the year despite beating Wall Street expectations in the second quarter. Shares were falling 10% to $17.47 as investors shunned the handbag and luggage maker's stock. The Fort Wayne, Ind.-based company said profit rose 12% to $15 million, or earnings of 37 cents a share. Net revenue rose 1.9% to $125.4 million. Analysts were expecting the company to earn 32 cents in the quarter, down 4% from the year-earlier period. Revenue was expected to rise 1% to $125 million, compared to 2012. "We managed through considerable headwinds in the second quarter, yet delivered results in line with our expectations," CEO Michael Ray said in a statement. "Nonetheless, our product offering under-performed in the midst of an uncertain consumer environment, which affected traffic in our retail stores. While we are encouraged by our strategic progress and remain optimistic about our long-term prospects, we continue to have a cautious outlook for the remainder of the year." Vera Bradley lowered its third-quarter revenue guidance to a range of $128 million to $130 million, compared to revenue of $138 million in last year's third quarter, it said. The company expects gross margin in the third quarter to decline by 280 to 300 basis points over the prior year "primarily due to a shift in sales mix between the full-price and discount channels and increased promotional activity," it said. It expects third-quarter earnings in a range of 33 cents to 35 cents a share. Wall Street was expecting earnings of 48 cents a share, on average, for the third quarter. For the full year, it expects earnings of $1.47 to $1.52 a share compared to the consensus estimate of $1.71 a share. -- Written by Laurie Kulikowski in New York. Follow @LKulikowski To contact Laurie Kulikowski, send an email to: firstname.lastname@example.com. >To submit a news tip, email: firstname.lastname@example.com. Follow TheStreet on Twitter and become a fan on Facebook.


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The Liberty Global Technology Summit is a premier, invite only event that brings together our employees and trusted technology partners from around the world for an unforgettable and inspiring day of knowledge sharing, collaboration and networking. The Summit features industry-leading speakers, hands-on product demos, thought-provoking panels and immersive breakout sessions. This year we will also host our fourth 'Appathon' with over 100 developers competing in a 36-hour sprint to create the next breakthrough app for our Horizon TV platform.View Gallery
The Liberty Global Technology Summit is a great platform to learn, first hand, from the leaders and influencers about the latest trends, challenges and the future roadmap of the cable industry. It also offers a dynamic yet intimate environment to power network with the Liberty Global Technology & Innovation Team, senior management and trusted technology partners from across the world. With over 1800 attendees, the Technology Summit provides insight into the Liberty Global Technology & Innovation strategy and the opportunity to experience our existing and pre-launch products.
The Technology Summit features a rich line-up of plenary and breakout sessions, while leaving plenty of room for networking and experiencing the latest innovations with live demos at the Liberty Global Connected Home booth as well as our partners' booths. Check out the day and evening program to learn more.
Program subject to change
Sessions will be updated soon
Sessions will be updated soon
Sessions will be updated soon
Sessions will be updated soon
Sessions will be updated soon
Sessions will be updated soon
Sessions will be updated soon
Be inspired and gain new perspectives on technology and innovation through sessions led by our senior executives and engineers, industry experts and luminaries.
We offer a range of sponsorship opportunities to allow all our partners to gain exposure and enhance their profile at the Liberty Global Technology Summit 2017.
The Liberty Global Technology Summit Vendor Awards are honours awarded to our trusted technology partners in recognition of their outstanding achievements in service, quality, delivery and innovation. This year's categories are:
The Liberty Global Technology Summit Employee Awards honour teams from across the Technology & Innovation department whose hard work and exemplary accomplishments have personified the very best of the Organisation. This year's categories include:
The Liberty Global fourth annual Appathon is here again. The 36-hour coding battle of 100 coders and designers offers a creative platform to talented developers to generate innovative apps for our Horizon TV platform, deployed across 2.6 million homes. This year's Appathon theme is the "Internet of Things". Apps that can fully leverage our Horizon TV platform to provide the greatest Smart Home experience will be shortlisted for the Appathon award.
Want to get the most out of the Liberty Global Technology Summit 2017? Our Event App gives you instant access to all the information you need to make the Summit even more engaging and fun. From managing your registration to navigating the event, connecting with the right people and providing feedback, the Event App puts it all at your fingertips. Coming soon.
To register for the Liberty Global Technology Summit, simply enter your personal invitation code in the designated box below.
We look forward to seeing you on 20 September!
* The Technology Summit is an invite only event.
Lessons for Life (LFL) is a children's charity that funds education projects in some of the toughest parts of the world. Liberty Global is the founding corporate partner of Lessons for Life.
Watch Balan Nair raffle off his famous Big Ride for Africa Bike at this year's event to raise funds for the charity. Visit the LFL booth at the Summit to buy the raffle tickets and for more information about Lessons for Life.


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PGE911 Bio
I have been rendering 3-D images for about 5 years. I like to create images which I can use in a wide variety of venues. I use the images as a basis for cross-stitch designs, latch hook rug designs, greeting card designs, and bookmark designs. I also have several images imprinted on t-shirts, sweat shirts and coffee mugs. I even have one imprinted on an apron :-D
Many of the cross-stitch designs which I have actually stitched, have earned ribbons at the Maryland State Fair and Anne Arundel County Fair. The highest award I received was for "Mary Treasured All These Things in Her Heart". It earned a "Best in Show" for the 2008 Anne Arundel County Fair's Christmas corner.
In 2011, I designed and latched a latch hook rug, entitled, "Creative Support Staff". It earned several blue ribbons and a Best in Show. To see my work, feel free to visit my Picture Trail website, http://www.picturetrail.com/pge911 . My 3-D images are in the "Cartoons" album, and "Holidays and Celebrations".


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Behold the ShareRoller, a portable motor for Citi Bikes
The invention, which is seeking funding via Kickstarter, is an electric motor that you can attach to your Citi Bike for more speed and less pedaling
Wed Mar 5 2014
Photograph via Kickstarter
One Kickstarter wants to help accelerate your Citi Bike (and eliminate all the pesky benefits of exercise). ShareRoller, a creation by New Yorker Jeff Guida, is essentially a portable electric motor; hook it on to your rented blue bike and you can zoom off at speeds of around 18 miles per hour. The battery-driven mechanism weighs about seven pounds, and according to Gizmodo, who gave it a test ride, it sure does give those heavy Citi Bikes a boost. (It also works on kick scooters and nonshare bikes.)
Sounds cool, but…electronic bikes are actually illegal in New York City, and you could just buy yourself an actual scooter for the ShareRoller price of $1,195. Guida is sourcing funds via Kickstarter to make his creation come to life, and he already has over a fifth of the $100,000 he needs. We anticipate success for his fund-raiser, and catastrophes when the turbo kits are unleashed.
(h/t Gothamist)
You might also like
Send tips and cat photos to:
Editor: Marley Lynch (@marleyasinbob)


text: The Chicago Purchasing Managers Index reflecting business conditions in the Chicago area increased to 53 in August, as expected by economists, from 52.3 in July. Friday marks the last trading session of the month. Major U.S. stock indices logged their worst one-month in more than a year, weighed down by concerns about potential Federal Reserve tapering of bond purchases in September, the U.S. fiscal budget negotiations coming up in the fall, and worries about any devastating global impact that could arise from an attack on Syria. The benchmark 10-year Treasury was down 4/32, pushing the yield to 2.779%. Follow @atwtse -- Written by Andrea Tse and Joe Deaux in New York >To contact the writer of this article, click here: Andrea Tse.>


text:
Projects & Events
Tag, Poke and Follow
to your heart's content.
Value Increase by Visual Design
VIVID (Value Increase by Visual Design) is a cross-border network in which a number of leading parties in this field have joined forces to give the sector an economic boost. A cross-sectoral approach has been chosen in which education, industry and local government work closely together.
The VIVID project has nine partners:
- The municipality of Breda (NL),
- Avans Hogeschool (NL),
- Huis voor Beeldcultuur (House of Visual Culture) (NL),
- Strategische Projectorganisatie Kempen (Strategic Project Organisation Kempen) (B),
- Les Rencontres Audiovisuelles (F),
- CRRAV/Pole Images (F),
- Southampton Solent University (UK)
- Anglia Ruskin University (UK).
The Cooperation between the nine partners is aimed at combining skills in the field of visual design through the interchange of knowledge and research, promoting creative entrepreneurship and showcasing visual design to a broad public. The project is supported by the European Interreg IV A Programme "2 Mers Seas Zeeën". With a strong track record of harnessing creative talent, entrepreneurship, future-thinking, knowledge transfer and connections between industry and academia, Anglia Ruskin will promote and profile the diverse range of creativity within the visual design sector in our region. Focusing on 3 key areas, we will:
- Build dynamic and sustainable relationships with local schools and education providers, in order to stimulate and encourage the understanding of study and work in the Visual Design sector;
- Our creative industries network, Creative Front, will provide sector-specific advice and establish a virtual 'creative incubator';


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I've mentioned before how Crisis on Infinite Earths brought the Warlord (originally conceived as existing in his on universe) into the DC Multiverse. Not only has Morgan made some trips to the outer earth of the DC heroes, those guys have visited Skartaris. And sometimes, it ain't pretty. Case in point:
Justice League Task Force #35-36 (1996) couldn't be more nineties if Martian Manhunter was listening to "Smells Like Teen Spirit" and Shakira moved into Melrose Place. The visit of this proactive (i.e. extreme) version of the Justice League to Skataris is just so...extreme.
Maybe this extreme-ness was why it ended the very next issue.
A couple of years earlier, Warlord had an appearance in a better book, albeit only a cameo. 1991's Books of Magic #4 saw him rubbing shoulders with Vertigo charcters to be, and beautifully illustrated by Charles Vess:
The Teen Titans visit I've chronicled before. The next superhero to vacation beneath the eternal orb of Skartaris' sun was Wonder Woman. Writer/artist Phil Jimenez sent her there after a cabal of super-villainesses for a five part arc in 2002 beginning in #179. Jimenez's rendering of Skartaris and its people is different, but interesting, and several of the Warlord cast make appearances. The hitch is those appearances are pretty limited. Morgan and Jennifer are off the stage early so Wonder Woman and her supporting cast can be the stars:
The DCU isn't done with the Warlord. The internet tells me the new Flashpoint: Deathstroke and the Curse of the Ravager limited features an alternate history version of Travis Morgan, a pirate (clever given that Grell named him after a pirate).
Who know's where he'll turn up next or who will be making a visit to the inner world?
47 minutes ago


text:
After getting dropped on the second ball he faced, Weston Creek Molonglo's John Rogers knew he needed to cash in. And that's exactly what he did.
The former Western Australia and Tasmanian batsman went to town on the Ginninderra bowling attack, posting the first double century of his career in his side's Douglas Cup game on Saturday.
Rogers finished unbeaten on 204 and teammate Sam Taylor (107 not out) posted his first century for Creek in a dominant batting display of 4-359 declared.
Ginninderra will resume at Stirling Oval on Sunday at 3-45, trying to conjure up a miracle run chase for first-innings points on a perfect deck for batting.
It appeared Rogers had blown his chance when he nicked his second ball, only for the regulation chance to go down in the slips.
"I've never scored a double hundred before so it's a first for everything," Rogers said.
"I've probably learnt after making several mistakes over the years that you cash in when you get dropped.
"Dropped second ball and made the most of it."
Rogers rejoined Creek in December after spending the past several years playing first-class cricket for Tasmania and WA.
He moved back to Canberra this year for a work opportunity after losing his state contract with WA.
Rogers narrowly missed out on making a first-class century, caught by Victorian wicketkeeper Peter Handscomb for 95 at the MCG.
He adds plenty of experience to a Creek side that is without captain Jono Dean, who is on Big Bash duties with the Adelaide Strikers, and Blake Dean, sidelined with a shoulder injury.
"It was a slow outfield here at Stirling so there was lots of running, not what you want the first week after the Christmas break," Rogers said.
"It's a beautiful batting wicket, I've not batted on a wicket like that for a very long time, even back in Perth. It's an absolute road."
Creek were in a spot of trouble at 4-91 before Rogers and Taylor turned the innings on its head with an unbeaten stand of 268 for the fifth wicket.
Meanwhile, a sensational six-wicket haul from Tim Catlin helped Eastlake restrict Queanbeyan to 212 at Kingston Oval.
Eastlake will resume at 3-91 after Catlin claimed 6-39 from 16 overs.
ANU will push towards an outright victory against North Canberra Gungahlin, leading by 112 runs with five wickets in hand.
From 0-20, Norths crumbled to be all out for just 59, with Alrick Campbell the pick of the bowlers with 4-12.
Talented youngster Daniel Leerdam is unbeaten on 58 with ANU 5-171 in its first innings.
Wests/UC (223) need just two wickets to take first-innings points against Tuggeranong (8-92) at Chisholm Oval.
DOUGLAS CUP: Weston Creek Molonglo 4-359 (dec) v Ginninderra 3-45 at Stirling Oval. Queanbeyan 212 v Eastlake 3-91 at Kingston Oval. North Canberra Gungahlin 59 v ANU 5-171 at Harrison No 2 Oval. Wests/UC 223 v Tuggeranong 8-92 at Chisholm Oval. Play resumes on Sunday at 11am.


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"Art and Soul of Sacred Heart of Jesus Catholic Church" will be presented in a community lecture in the church at 6:30 p.m. Thursday, Oct. 9.
The lecture, which is open to the public, will feature speakers on the architectural design of the church and its historically significant murals and artifacts, as well as the guidance for its creation by its founding pastor and congregants. The church is located at 2250 Main St., Baton Rouge.
The Rev. Miles Walsh, pastor at Sacred Heart, will serve as master of ceremonies for the event, which will include mural artist Dom Gregory DeWit, presented by the Rev. Aelred Kavanagh, of St. Joseph's Abbey in Covington, who has written extensively about the work of the renowned artist whose work is embodied throughout Sacred Heart.
Kavanagh will show examples of the artist's work as well as those in St. Joseph's Abby, St. John the Baptist in New Orleans and others in San Diego and Indiana.
Other special lecturers will be New Orleans architect John Bendernagel, who will discuss the work of his great grandfather in a presentation entitled, "Albert Bendernagel, Architect of Sacred Heart."
Three nieces — Marti Blasco Didier, Catherine Blasco Gueho, and Mary Blasco Nola — will present insights into their uncle, "Msgr. Dominic Blasco, Founding Pastor," and his dedication to the building project and formation of the parish. All three nieces are from Baton Rouge and attended Sacred Heart of Jesus School.
Mary Lee Eggart, a third-generation parishioner and archivist of the parish since 1999, will share "A Brief History of Sacred Heart Parish." Eggart has developed the program along with a group of dedicated parishioners to celebrate the rich history of the parish.
"The renowned murals, the design and significance of the structure, and the astounding will of the parish to create a truly magnificent place is worthy of sharing. Indeed, it is what embodies Sacred Heart. I hope that community members, art enthusiasts, preservationists and neighbors near and far will attend this special lecture," said FHL Executive Director Carolyn Bennett. "Sacred Heart Church is a Baton Rouge landmark worthy of being on the National Register of Historic Places."
Guests are invited to tour the church before the lecture from 5:30 p.m. to 6:30 p.m. A reception will follow the lecture in the Parish Hall.
The lecture is sponsored by the church, The Foundation for Historical Louisiana and the Mid City Redevelopment Alliance. For information call (225) 387-6671.


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Rina Limor18K White Gold and Blue Chalcedony Crystal Diamond Cocktail Ring
Dazzling cocktail ring features faceted blue chalcedony crystal surrounded by pave set diamonds Size: 8.5
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Dr. David Stephens, PsyD
Dr. David Stephens, PsyD
|Professions: Psychologist, Marriage & Family Therapist, Mental Health Counselor
|License Status: I'm a licensed professional.
|Primary Credential: Psychologist
Billing and Insurance
Fees: $110 per session. $250 for a concussion and/or cognitive assessment.
See other therapists in Colorado Springs, CO.
My approach to helping is to work collaboratively with you to identify the source of the problem, and help you be set free from it as quickly as possible. I will work to earn your trust, and make therapy not only productive, but as enjoyable as possible. You will learn about yourself, how you function, and how to get the most out of your life and relationships.
Email or Call Dr. David Stephens, PsyD at 1-800-651-8085 ext. 21489
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Evening and Weekend Appointments.
Specific Issue(s) I'm Skilled at Helping With
*Alcohol and Drug Abuse and Addiction
*Panic Attacks
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*Anxiety, Including Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder
*Anger Management
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*Identity Issues
*Severe Mental Illness
How Psychotherapy Can Help
Therapy helps because you are able to develop a trusting relationship with your therapist, who listens to you and respects you. A good therapist listens to how the problem has developed, what you have tried to resolve it, and what you want to change as a result of therapy, and utilizes all this information in the therapy process. The therapist should use proven techniques to help you make the changes you want to make and achieve the solutions you are wanting. I work this way, because of my respect for you, your life, and your ability to grow and make positive changes in your life.
Services I Provide
- Individual Therapy & Counseling
- Marriage, Couples, or Relationship Counseling
- Family Therapy
- Group Therapy
- Consultation
- Clinical Supervision
- Online Counseling / Phone Therapy
- Psychological Evaluation
Ages I Work With
- Teens
- Adults
- Elders
- English
Client Concerns I Treat
- Abuse / Abuse Survivor Issues
- Addictions and Compulsions
- Adjusting to Change / Life Transitions
- Aggression and Violence
- Aging and Geriatric Issues
- Agoraphobia
- Anger
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- Gambling Addiction
- Grief, Loss, and Bereavement
- Health / Illness / Medical Issues
- Hoarding
- Identity Issues
- Inadequacy
- Inattention, Impulsivity, and Hyperactivity (ADHD)
- Individuation
- Infidelity / Affair Recovery
- Intellectual Disability
- Irritability
- Life Purpose / Meaning / Inner-Guidance
- Men's Issues
- Mood Swings / Mood Disturbance
- Multicultural Concerns
- Obsessions and Compulsions (OCD)
- Panic
- Parenting
- Perfectionism
- Phobias
- Physical Abuse
- Posttraumatic Stress / Trauma
- Pre-Marital Counseling
- Psychosis
- Rejection
- Relationships and Marriage
- Religious Issues
- Schizophrenia
- Self-Actualization
- Self-Care
- Self-Confidence
- Self-Criticism
- Self-Doubt
- Self-Esteem
- Self-Harm
- Self-Love
- Sex Addiction
- Sexual Assault / Abuse
- Shame
- Sleep Disorders
- Social Anxiety / Phobia
- Spirituality
- Stress
- Suicidal Ideation and Behavior
- Suspiciousness / Paranoia
- Trust Issues
- Values Clarification
- Women's Issues
- Worry
- Worthlessness
- Young Adult Issues
Types of Therapy
- Anger Management
- Cognitive Behavioral Therapy /REBT
- Collaborative Couple Therapy
- Family Systems Therapy
- Integration of different therapy models
- Motivational Enhancement Therapy
- Person Centered / Rogerian
- Psychodynamic
- Self Psychology
- Solution Focused Therapy
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