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Sleep-disordered breathing (SDB) causes burden to the sufferer, the healthcare system, and society. Most studies have focused on cardiovascular diseases (CVDs) after a diagnosis of obstructive sleep apnea (OSA) or obesity hypoventilation syndrome (OHS); however, the overall morbidity prior to an SDB diagnosis has not been evaluated. The aim of this study was to identify morbidity prior to a SDB diagnosis to identify patients at risk for having/developing SDB.
Using data from the Danish National Patient Registry (1998–2006), we identified all patients nationwide given a diagnosis of OSA (19,438) or OHS (755) in all hospitals and clinics. For each patient, we randomly selected 4 citizens matched for age, sex, and socioeconomic status from the Danish Civil Registration System Statistics.
Patients with OSA or OHS presented with increased morbidity at least 3 years prior to their SDB diagnosis. The most common contacts with the health system (odds ratio [OR]/confidence interval [CI]) for OSA/OHS were due to musculoskeletal system (1.36[1.29–1.42]/1.35[1.05–1.74]); CVD (1.38[1.30–1.46]/1.80[1.38–2.34]); endocrine, nutritional, and metabolic diseases (1.62[1.50–1.76]/4.10[2.90–5.78]); diseases of the nervous system (1.62[1.0–1.76]/3.54[2.56–4.88]); respiratory system (1.84[1.73–1.96]/2.83[2.07–3.89]); skin and subcutaneous tissue (1.18[1.07–1.30]/2.12[1.33–3.38]); gastrointestinal (1.17[1.10–1.24]/NS); infections (1.20[1.08–1.33]/NS); genitourinary system (1.21[1.13–1.30]/NS); and ear, nose, and throat (1.44[1.32–1.56]/NS).
Patients with SDB show significant morbidities several years prior to a diagnosis of OSA or OHS. OSA should be considered in all medical specialties as an important comorbidity. In our study, evidence points to particular emphasis for considering this diagnosis in endocrinology and metabolic specialties.
Jennum P; Ibsen R; Kjellberg J. Morbidity prior to a diagnosis of sleep-disordered breathing: a controlled national study. J Clin Sleep Med 2013;9(2):103–108.
Sleep related breathing disorders (SDBs) such as obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS) affect a significant proportion of the population. SDBs increase the risk of cardiovascular and cerebrovascular (CVD) morbidity and mortality. Because SDBs are chronic, they have deleterious effects on patients' social function, employment, and quality of life, and present a societal burden arising from increased direct and indirect costs.1 Significant progress has been made in developing the best methods to diagnose and manage SDBs; simpler diagnostic procedures and improved treatment procedures such as continuous positive airway pressure (CPAP) reduce associated CVD morbidity and mortality and improve social functioning difficulties and other consequences of SDB.2 Despite this progress, a significant number of patients with SDB remain undiagnosed or untreated.3–5 By the time a patient has been diagnosed, his or her social and morbid conditions are already affected to such a degree that the effect of intervention (e.g., CPAP) is limited. Therefore, earlier disease detection is needed to avoid the morbidity, mortality, and social consequences of SDB. There is evidence—an increased number of health care contacts and health care usage—that patients with OSA and OHS suffer from disease prior to SDB diagnosis.2,6,7 In addition, studies evaluating the consequences of OSA and OHS have focused on the total or CVD morbidity and mortality, and general disease manifestations prior to diagnosis with OSA or OHS have not been evaluated.
Current Knowledge/Study Rationale: Prior studies have presented evidence that sleep disordered breathing causes major morbidity and mortality after diagnosis, but pre-diagnostic morbidities are only sparsely evaluated. We aimed to describe total morbidities prior to diagnoses of obstructive sleep apnea and obesity hypoventilation.
Study Impact: Patients with sleep disordered breathing have major morbidities several years prior to a diagnosis. Sleep apnea and obesity hypovention should especially be considered in patients with endocrinological diseases, obesity and cardiovascular diseases, which calls for for screening programs in high risk patient groups.
In Denmark, a central database (the National Patient Registry [NPR]) makes it possible to evaluate the general disease pattern of all patients with specific diagnoses from hospitals and clinics in the secondary and primary care sectors. We utilized the NPR to evaluate morbidity prior to SDB diagnosis. The aim of this study was to identify patients' health and diseases prior to diagnosis with OSA or OHS. Such information may be useful for identifying health-related consequences of OSA, particularly for identifying groups of patients at high risk for SDB, where screening could be useful for earlier disease identification.
In Denmark, all hospital contacts are obliged to record to the National Patient Registry (NPR) in terms of the time of contact and with information about primary and secondary diagnoses. The NPR includes administrative information, diagnoses, and diagnostic (e.g., polysomnography [PSG], partial polygraphy) and treatment procedures (e.g., positive airway pressure [PAP], surgery) using several international classification systems, including the International Classification of Disorders (ICD-10). The NPR is a time-based national database that includes data from all inpatient and outpatient contacts, so the data we extracted are representative of all patients in Denmark who have received a diagnosis of SA or OHS, irrespective of other diagnoses. As data are available throughout the observation period, we can trace patients retrospectively and prospectively relative to the time of their diagnosis. Furthermore, all contacts in the primary sector (general practice and specialist care in the primary sector) and the use of medications are recorded in the databases of the National Health Security and the Danish Medicine Agency, respectively. There is a small risk of underestimation of the patients with SA or OHS, as patients with a contact in the primary sector but not the secondary sector are recorded as having had contact but not as having had a diagnosis. Beginning in 2009, a national quality database has been introduced to identify quality and set minimum standards for the management of SDB, based on registrations in the NPR. Specific clinical information, such as body mass index (BMI), apnea-hypopnea index (AHI) and blood pressure (BP), was not included in this analysis, as these data were incomplete in the database.
Using the NPR, we identified all patients diagnosed with SDB between 1998 and 2006. For SDB diagnoses, we used ICD-10 codes (G473 for OSA and E662 for OHS in Denmark); these codes are given after patient evaluation in each hospital (based on PSG/polygraphy). SDB severity is not evaluated—the database contains administrative information but not disease severity. Then, using data from Denmark's Civil Registration System Statistics, we randomly selected citizens who had the same age, sex, and marital status as the patients but did not have an SDB-related diagnosis, including snoring (R065). Parity in socioeconomic status (SES) was developed by selecting control subjects from the same part of the country in which the patient lived. The ratio of control subjects to patients was 4:1 in order to reduce variations among controls. Data from patients and matched control subjects that could not be identified in the Coherent Social Statistics database were excluded from the sample. More than 99% of the observations in both groups were successfully matched. The patients and matched control subjects were followed from their year of diagnosis until 2006.
The information prior to SDB diagnosis was extracted from the database for the years 1996–2006. Morbidity data were extracted as primary and secondary diagnoses and further subdivided into main disease groups, in accordance with the World Health Organization (WHO) ICD-10 criteria. Odds ratios (ORs), including 5%-95% confidence intervals (CIs), were calculated for the main diagnoses. For the main diagnostic groups that showed significant differences, we performed subgroup analyses to evaluate the most common diagnosis in each category associated with diagnosis of OSA or OHS. We used a limit > 1% to select disease, and odds ratios were calculated for each of these diseases.
The study was approved by the Danish Data Protection Agency. Because the data handling was anonymous, individual and ethical approval was not mandatory. Statistical analysis was performed using OSAS 9.1.3 (SAS, Inc., Cary, NC, USA). The statistical analysis is a conditional logit model, where the left hand side is the binary variable for case-control groups and the right hand side is dummy variables for the 21 diagnosis groups, omitting the group with no diagnosis 3 years prior to the diagnosis. The second analysis includes dummies for ICD-10 diagnoses with occurrence > 1% in either case or control group. ICD-10 diagnosis groups with < 1% are summed in the main diagnosis groups. Only estimates for the ICD-10 diagnosis are reported in the results for the second analysis, but the dummies for the main groups (including only the remaining diagnosis) are included in the regression. A patient can have > 1 diagnosis group or ICD-10 diagnosis in the 3 years prior the diagnosis.
Not all patients had an observation period as long as 3 years prior to diagnosis. Since this was true for both patients and controls, we have included these shorter periods in the analysis. The results are presented as OR with 5% to 95% CI and p-values. Extreme values were manually validated, and no errors were identified.
We identified 19,438 patients with OSA and 755 patients with OHS and compared their data with information from 77,752 and 3,020 control subjects, respectively. The age distribution of the patients and control subjects is shown in Table 1. As expected, most of the patients with an initial diagnosis of OSA were middle-aged; one-quarter were women and approximately one-tenth were children or adolescents. We included patients of all ages and both sexes in this study.
Age and gender distributions of patients and matched controls
(more ...)
The morbidities, subdivided into incidence (percent) and OR with 5% to 95% CI, are shown for main diagnosis groups for OSA (Table 2A) and OHS (Table 2B) and for diagnoses that occurred in > 1% of OSA patients (Table 3A) and OHS patients (Table 3B). OSA was positively associated with infections; endocrine, nutritional and metabolic diseases (diabetes); eye and ear-nose-throat (ENT) disorders (hearing loss); CVD (hypertension, angina and atrial fibrillation); respiratory system diseases (pneumonia, septum deviation, chronic obstructive pulmonary disease and asthma); gastrointestinal diseases (unspecified tumor); skin and musculoskeletal disease; genitourinary diseases (prostatic hypertrophy); abnormal clinical or laboratory findings; and other factors that influence health status (snoring). Mental and psychiatric diseases and pregnancy showed lower associations with later OSA development.
Morbidities 3 years prior to a diagnosis of sleep apnea, subgrouped into major disease groups
Morbidities 3 years prior to a diagnosis of obesity hypoventilation, subgrouped into major disease groups
Sleep apnea: morbidities 3 years prior to an OSA diagnosis
Obesity hypoventilation syndrome: morbidities 3 years prior to an OHS diagnosis
OHS was positively associated with infections (erysipelas); endocrine, nutritional and metabolic diseases (diabetes and obesity); nervous system disorders (carpal tunnel syndrome and sleep apnea); eye disease (diabetic retinopathy); CVD (hypertension, angina, atrial fibrillation, heart failure, and varicose veins); respiratory system diseases (pneumonia, chronic obstructive pulmonary disease, and asthma); gastrointestinal disease (unspecified tumor); skin and musculoskeletal disease (arthritis or other diseases of the knee); genitourinary diseases (prostatic hypertrophy); abnormal clinical or laboratory findings (dyspnea, chest pain, lipothymia, and syncope); other factors that influence health status (observation for nervous disease, infarction, cardiac disease, urinary disorders, diabetes control, fractures or other diseases/contacts); and injuries (wounds and sprains). Mental and psychiatric diseases and pregnancy showed lower associations with later OSA development.
This study shows that patients diagnosed with OSA or OHS show a wide range of morbidities prior to their SDB diagnosis. These include such well-known risk associations as obesity, diabetes, and cardiovascular diseases, as well as a number of lesser-known risk associations.
A previously published paper evaluating the same population showed that morbidity was affected as long as 8 years before a diagnosis of OSA or OHS,1 which supports other studies.6,7 SDB is often diagnosed at a time when the disease has already affected the patient's social functioning and morbidity. Although CPAP treatment has reduced CVD-related morbidity and mortality,2 its potential effect is reduced by late diagnosis. Furthermore, a significant number of patients remain unidentified and untreated; diagnostic heterogeneities further complicate this issue.9 The societal effects of late-diagnosed or undiagnosed SBD are therefore potentially substantial, especially in the case of OHS, which has severe social consequences, morbidity, and mortality.
The current study was performed to evaluate potential (known and unidentified) comorbidities prior to OSA and OHS diagnosis and shows that many known risks are associated with a later SDB diagnosis: cardiovascular diseases (hypertension, atrial fibrillation, and heart failure), respiratory/pulmonary diseases (chronic obstructive lung diseases, asthma, and septum deviation), and endocrine and metabolic diseases (diabetes and obesity). However, other formerly unrecognized diseases seem to show a higher correlation with a later diagnosis of OSA or OHS (e.g., selected infections, genitourinary diseases, musculoskeletal diseases, arthrosis/knee problems and evaluation for a number of health-related problems, including cardiac problems, dyspnea, diabetic complications, carpal tunnel syndrome, and lipothymia). It is likely that certain health-related problems coexist or are associated with one another (e.g., obesity, CVD, and diabetes), but our study shows that patients with OSA and OHS contact the health care system for a wide range of health-related issues prior to their SDB diagnosis.
There are a number of weaknesses of this study: it is based on clinic/hospital reports to the NPR; the diagnostic accuracy depends on the clinic's presentation and reporting of the diagnosis and the comorbidities; confounder variables (e.g., BMI and other cardiovascular risk factors) were not recorded; symptoms and clinical evaluation results were not considered (e.g., PSG, limited channel polygraphy, and cardiac evaluations): thus we cannot relate the findings to disease severity. We have not excluded diseases, especially SDB among controls; it is to be expected that 2% to 7% or more of the control group have SDB, which are overlooked. The consequence of this factor is that the differences are larger than presented in this study. The strength of the NPR, is that it is a national database that includes all identified patients, it is time-locked (all reports must be associated with the patient contacts) and it includes a substantial follow-up time.
In the data presented, we included a total evaluation of all ages and gender adjusted for age, gender, and demographic variables, which all influence disease outcome. Women with OSA are more likely to be treated for depression, to have insomnia, and to have hypothyroidism than males with OSA10; women also have higher health care use.11 Age is also likely to have an effect on health care use and indirect costs.1 Cardiovascular disease and obesity are most present in young adults12 and middle age,7 whereas among elderly OSA patients, effects of medication and comorbid depression may add to disease burden.13 The data from this study suggest that health care usage include even more diagnoses. Furthermore social factors also influence occurrences of OSA and in particular OHS.1,4,5
To reduce the consequences of OSA and OHS, a number of issues should be considered: increased diagnostic capacity, improved treatment and management facilities, identification of high-risk groups for screening procedures, and general interventions for high-risk groups (e.g., weight reduction). OSA and OHS show strong associations with lifestyle factors14–17; however, there is currently no evidence that population-based lifestyle changes, including general weight reduction programs, have any effect on the occurrence and consequences of SDB (OSA/OHS). There is considerable evidence that CPAP use reduces cardiovascular morbidity, mortality, and road traffic accidents traffic consequences in patients with OSA.18–22 Despite the severity of the consequences of OHS, CPAP may improve the symptoms and selected clinical variables of the disease23–26; however, data showing positive effects on prospective cardiovascular or other variables are limited and prospective studies are awaited.
Consequently, there is a need for improved diagnostic capacity and treatment facilities, especially for OSA, but likely also for OHS, so that high-risk groups can be identified and effectively managed. Pre-diagnostic probability may be improved using information gleaned through questionnaires, although this also presents a risk of overlooking high-risk individuals.27 The current study suggests that OSA may be more likely to occur with certain disorders (e.g., obesity, structural abnormalities, diabetes, and CVD) in which OSA or OHS should be considered, but other symptoms (e.g., an abnormal metabolic profile) should also be considered.
Previous studies have established the significant consequences of OSA or OHS, including a high risk of CVD morbidity and mortality, road traffic accidents, and familial or social consequences. The current study shows that morbidity is affected at least 3 years prior to an SDB diagnosis, and possible comorbidities include obesity; diabetes; endocrine, cardiovascular, neurologic, pulmonary and selected genitourinary diseases; and abnormal laboratory findings. This implies that specialities within these areas should focus on the possibility of high-risk patients for screening for SDB.
This study was supported by an unrestricted grant from the Philips Respironics Foundation and the Centre for Healthy Aging, Faculty of Health Sciences, University of Copenhagen. The authors have indicated no financial conflicts of interest.
Author's contributions: Drs. Jennum and Kjellberg: creation, initiation, and management of the projects. Dr. Jennum is the main author. Drs. Kjellberg and Ibsen performed the statistical and economic analyses.
Jennum P, Kjellberg J, authors. Health, social and economic consequences of sleep-disordered breathing: a controlled national study. Thorax. 2011;J66:560–6
McNicholas WT, Bonsigore MR, authors. Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. Eur Respir J. 2007;29:156–78
Gibson GJ, author. Obstructive sleep apnoea syndrome: underestimated and undertreated. Br Med Bull. 2004;72:49–65. [PubMed]
Li X, Sundquist K, Sundquist J, authors. Socioeconomic status and occupation as risk factors for obstructive sleep apnea in Sweden: a population-based study. Sleep Med. 2008;9:129–36. [PubMed]
Tarasiuk A, Greenberg-Dotan S, Simon T, et al., authors. Low socioeconomic status is a risk factor for cardiovascular disease among adult obstructive sleep apnea syndrome patients requiring treatment. Chest. 2006;130:766–73
Banno K, Ramsey C, Walld R, Kryger MH, authors. Expenditure on health care in obese women with and without sleep apnea. Sleep. 2009;32:247–52. [PubMed Central][PubMed]
Smith R, Ronald J, Dalive K, Walid R, Manfreda J, Kryger HM, authors. What are obstructive sleep apnea patients being treated for prior to this diagnosis? Chest. 2002;121:164–72. [PubMed]
Efron B, Tibshirani RJ, authors. An introduction to the bootstrap. 1993. New York: Chapman – Hall;
Fietze I, Penzel T, Alonderis A, et al., authors. Management of obstructive sleep apnea in Europe. Sleep Med. 2011;12:190–7. [PubMed]
Shepertycky MR, Banno K, Kryger MH, authors. Differences between men and women in the clinical presentation of patients diagnosed with obstructive sleep apnea syndrome. Sleep. 2005;28:309–14. [PubMed]
Greenberg-Dotan S, Reuveni H, Simon-Tuval T, Oksenberg A, Tarasiuk A, authors. Gender differences in morbidity and health care utilization among adult obstructive sleep apnea patients. Sleep. 2007;30:1173–80. [PubMed Central][PubMed]
Reuveni H, Greenberg-Dotan S, Simon-Tuval T, Oksenberg A, Tarasiuk A, authors. Elevated healthcare utilisation in young adult males with obstructive sleep apnoea. Eur Respir J. 2008;31:273–9. [PubMed]
Tarasiuk A, Greenberg-Dotan S, Simon-Tuval T, Oksenberg A, Reuveni H, authors. The effect of obstructive sleep apnea on morbidity and health care utilization of middle-aged and older adults. J Am Geriatr Soc. 2008;56:247–54. [PubMed]
Romero-Corral A, Caples SM, Lopez-Jimenez F, et al., authors. Interactions between obesity and obstructive sleep apnea: implications for treatment. Chest. 2010;137:711–9. [PubMed Central][PubMed]
Murugan AT, Sharma G, authors. Obesity and respiratory diseases. Chron Respir Dis. 2008;5:233–42. [PubMed]
Olson AL, Zwillich C, authors. The obesity hypoventilation syndrome. Am J Med. 2005;118:948–56. [PubMed]
Shneerson J, Wright J, authors. Lifestyle modification for obstructive sleep apnoea. Cochrane Database Syst Rev. 2001;(1):CD002875[PubMed]
Sanchez AI, Martinez P, Miro E, Bardwell WA, Buela-Casal G, authors. CPAP and behavioral therapies in patients with obstructive sleep apnea: effects on daytime sleepiness, mood, and cognitive function. Sleep Med Rev. 2009;13:223–33
Bazzano LA, Khan Z, Reynolds K, et al., authors. Effect of nocturnal nasal continuous positive airway pressure on blood pressure in obstructive sleep apnea. Hypertension. 2007;50:417–23. [PubMed]
Chai CL, Pathinathan A, Smith B, authors. Continuous positive airway pressure delivery interfaces for obstructive sleep apnoea. Cochrane Database Syst Rev. 2006;(4):CD005308[PubMed]
Giles TL, Lasserson TJ, Smith BJ, et al., authors. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006;(1):CD001106[PubMed]
White J, Cates C, Wright J, authors. Continuous positive airways pressure for obstructive sleep apnoea. Cochrane Database Syst Rev. 2002;(2):CD001106[PubMed]
Mokhlesi B, author. Obesity hypoventilation syndrome: a state-of-the-art review. Respir Care. 2010;55:1347–62. [PubMed]
Piper AJ, Wang D, Yee BJ, Barnes DJ, Grunstein RR, authors. Randomised trial of CPAP vs bilevel support in the treatment of obesity hypoventilation syndrome without severe nocturnal desaturation. Thorax. 2008;63:395–401. [PubMed]
Banerjee D, Yee BJ, Piper AJ, et al., authors. Obesity hypoventilation syndrome: hypoxemia during continuous positive airway pressure. Chest. 2007;131:1678–84. [PubMed]
Storre JH, Seuthe B, Fiechter R, et al., authors. Average volume-assured pressure support in obesity hypoventilation: A randomized crossover trial. Chest. 2006;130:815–21. [PubMed]
Abrishami A, Khajehdehi A, Chung F, authors. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth. 2010;57:423–38. [PubMed]

subset: commoncrawl


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— Uncategorized —
Madaboutgenealogy has been a bit quiet of late due to a computer malfunction. I am awaiting Mr Dell to deliver a new all singing…all dancing computer shortly and then I shall be able to start working on the backlog of websites that I have found to share with you all!! Regards Linda


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VEAL & PROSCIUTTO POLPETTE with CREAMY POLENTA
Crusty Bread 6oz (about ½ loaf)
Prosciutto 4 Slices
Parsley Leaves, chopped ½ Cup
Kosher Salt 2 tsp.
Fresh Oregano leaves ½ Tbsp.
Porcini Powder 1 Tbsp.
Fennel Seed ½ Tbsp.
Crushed Red Pepper ½ tsp.
Fresh Ricotta 1 Cup
Parmesan, grated ¼ Cup
Whole Eggs 3 ea.
Whole Milk 2oz.
Ground Veal 2 ½ lbs.
1. Preheat the oven to 425°F with the fan on low.
2. Tear the bread and prosciutto into small chunks and grind them in a food processor.
3. Place the bread mixture, chopped parsley, salt, porcini powder, oregano, fennel seed, red pepper, ricotta, grated parmesan, eggs, and milk into a stainless steel mixing bowl and stir to combine.
4. Add the veal and fold it into the mixture.
5. Brush the blended oil onto a sheet pan.
6. Portion the veal mixture into 3 oz. polpette and place them into the oiled hotel pan.
7. Place the pan of polpette into the oven and cook for 20 minutes until they reach an internal temperature of 165°F.
8. Serve the polpette over the polenta and garnish with fresh ricotta and tomato sauce
VEAL & PROSCIUTTO POLPETTE with CREAMY POLENTA
Whole Milk 1 qt.
Heavy Cream 1 Cup
Kosher Salt 2 tsp.
White Vinegar 1 oz.
Extra Virgin Olive Oil 2 tsp.
1. In a medium saucepan, combine the milk, cream, and salt and place it over high heat
2. Allow the milk mixture to reach 180°F.
3. Remove the pan from the heat and whisk in the vinegar.
4. Allow the ricotta curds to form for 5 minutes.
5. Line a strainer with two layers of WET cheesecloth and place the strainer over a large container.
6. Pour the ricotta and remaining liquid into the strainer and the cheese to drain for 15 minutes.
7. Once the ricotta has drained completely, place it in a clean mixing bowl and fold the olive oil in.
VEAL & PROSCIUTTO POLPETTE with CREAMY POLENTA
Blended Oil 1 Tbsp.
Onion, 1/8 inch dice 2 Tbsp.
Garlic, minced 1 Tbsp.
Chicken Stock 3 Cups
Whole Milk 1 pint
Polenta 1 Cup
Kosher Salt 1 tsp.
Parmesan, finely grated ½ Cup
1. Warm a large sauce pan over medium heat. Add the oil, onion and garlic.
2. Sweat the onion and garlic over medium low heat for 2-3 minutes, until the onions are translucent.
3. Season with ½ tsp. of kosher salt and add the chicken stock and milk.
4. Bring the liquid to a boil and whisk in the polenta.
5. Reduce the heat to a simmer and cook the polenta, stirring regularly, for 20-25 minutes.
6. Whisk in the salt and grated parmesan.
VEAL & PROSCIUTTO POLPETTE with CREAMY POLENTA
Tomatoes, canned 2 ea., 28 oz.
Olive Oil ¼ Cup
Fresh Basil Leaves 1 Bunch
Kosher Salt 2 tsp.
1. Place the olive oil into a heavy bottom sauce pan over low heat.
2. Tear the basil leaves and stir them into the oil.
3. Add the tomatoes, salt and bring the sauce to a boil. Stir the sauce and remove it from the heat.
***The Sauce May Be Made A Day in Advance***
Copyright 2012 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Another one for the "Hey! Why Didn't I Think of That?!?" file. Bike Hugger's DL Byron shares this tip for using your toaster to warm hard taco shells. "Pop them up when they start to sizzle," he says on the site.
This would be a great idea for make-your-own taco nights. Simply prep all possible taco fixin's, line them up in serving dishes, and place the toaster at the start of the assembly line.
Now I wish I would have bought that four-slot toaster I had my eye on.


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The NSVRC's Mapping Prevention video podcast series highlights unique state and community approaches to the prevention of sexual violence. Mapping Evaluation is a video podcast series, highlighting innovative sexual violence prevention evaluation work happening across the country.
© 2016 National Sexual Violence Resource Center – Founded by the Pennsylvania Coalition Against Rape
This site is supported by Grant/ Cooperative Agreement No. 1UF2CE002359-04 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.


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Circuit Judge Glant retires amid battle with cancer
Published: Saturday, June 15, 2013 at 5:51 p.m.
Last Modified: Saturday, June 15, 2013 at 5:51 p.m.
Circuit Judge David A. Glant had only a Plan A — seek re-election next year and serve until his state-mandated retirement age of 70.
But Glant, 63, surprised everyone, including himself, by retiring Thursday. Glant, who has been dealing with cancer the last few years, said he could no longer meet his own high expectations.
"If I can't give 100 percent to life-and-death decisions, I don't have any business making them," Glant said. "With the death penalty case that I've got, you have to be sharp and on top of everything, and I knew I wouldn't be able to do that. I'm not going to dabble in somebody's life if I'm not 100 percent. I'd have to live with myself if I made a bad decision, and I didn't want to do that."
Gov. Rick Scott likely will name a replacement to fill out Glant's term, which ends in January 2015.
Glant graduated from the University of Florida College of Law in 1978. He was first elected to the circuit bench in 2002 after working 24 years as a private attorney and as a prosecutor.
As a judge, Glant presided over civil, criminal, dependency, domestic violence, family and juvenile cases in each of the circuit's six counties.
Glant also has served as the administrative judge of the circuit's criminal division since July 2009.
Until now, Glant said, he was able to continue his work at a high level through his cancer treatment. Glant said on days when he was not feeling his best, he would be energized as soon as he walked into a courtroom and sat on the bench.
However, Glant said he could tell with his latest round of treatment that he would not be able to do the job up to his own expectations and made a quick decision to resign, after speaking with his wife and doctors. He said he is going to miss the job.
"The death penalty cases are highly significant cases, which is a pressure cooker. When you jump into one of those, you are under a time deadline and the stakes are high. You can't make a mistake. I thrive on that," Glant said. "I love the excitement of the courtroom. I love trial work. I love the exchange with the lawyers. I love watching good lawyers work. The whole process excites me and energizes me."
State Attorney Bill Cervone, who worked with Glant when Glant was an assistant state attorney in the 1980s, described Glant as a throwback judge.
Cervone said Glant expected attorneys to be prepared and he expected defendants and those convicted to follow the rules and terms of their sentences, Cervone said.
"In a lot of ways, for at least our current judiciary, he's a throwback. He is hard in the sense of having expectations and he did not suffer fools well in terms of those expectations," Cervone said. "His detractors would tell you he was gruff. I don't think he was gruff at all. He simply expected people to do their jobs so that he could do his."
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


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For a little while it looked like things were looking up for Phorm, the internet advertising technology company. There had been a year of controversy about the company's technology which monitors internet users web surfing behaviour at the ISP level – a technique known as "deep packet inspection", which has raised accusations of spying with some privacy activists.
But at the beginning of the year, things went quiet. There were a few positive statements about targeted advertising from UK officials like Stephen Carter, and the company launched a trial with KT, the Korean broadband provider.
Now, suddenly, the controversy is raging again. Read more


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hydralazine/hydrochlorothiazide (generic name)
It is used to treat high blood pressure
(hye DRAL a zeen; hye droe klor oh THYE a zide)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?HYDRALAZINE; HYDROCHLOROTHIAZIDE, HCTZ (hye DRAL a zeen; hye droe klor oh THYE a zide) is a combination of a vasodilator and a diuretic. It is used to treat high blood pressure.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
What should I watch for while using this medicine?Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her.
You may need to be on a special diet while taking this medicine. Ask your doctor.
Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
This medicine may affect your blood sugar level. If you have diabetes, check with your doctor or health care professional before changing the dose of your diabetic medicine.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.


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Hey there, time traveller!
This article was published 18/8/2013 (1465 days ago), so information in it may no longer be current.
During every pound lost, every pound gained and every forbidden thought about devouring her favourite junk food, Winnipegger Tammy Ducharme knows people are watching.
And that's how she likes it.
That's what keeps the 30-year-old blogger -- who has shed 130 pounds and counting -- motivated.
For nearly two years, Ducharme has blogged about her weight loss on the website One Fit City. She admits the idea of airing her private battle with the scale was embarrassing at first, but it didn't take her long to find her groove and learn she was even inspiring others to stay on track of their fitness goals. She's garnered as many as 300 views for a post, but says she averages about 40 "on a good day."
"It helped me open up a lot. I had a lot of good feedback from it. Because I would have people at the gym say, 'I read your blog. I like that you connect. I can relate to you. Don't stop,' says the St. Vital resident, who took up blogging 70 pounds into her weight loss at the urging of her trainer, Jordan Cieciwa, who operates onefitcity.com.
Ducharme, an account co-ordinator at a plumbing and heating company, has even worked up the courage to blog about the end of a relationship -- what she calls "her first dumping." For such highly personal entries, the Glenlawn Collegiate graduate prefers to bypass the video blogs she has posted since January and opt for the conventional written post. That way she can be "more emotional" without revealing too much.
Blogs are one of the newest trends in weight loss.
Proving their popularity, a Google search of "weight loss blogs" yields 344 million results.
Why so many?
In the fitness blogosphere, everyday people have the chance to share their workout routines, weight-loss setbacks, and whatever else they feel like revealing, with perfect strangers. In the process, they get feedback, along with support.
And, like a rock star, they get an audience.
For the past few years, University of Massachusetts clinical psychologist Sherry Pagoto has researched the effects of social media on weight loss.
"There is this trend where people are not just going to the Internet for health information, but they are going there to connect with other people who have the same condition," says the associate professor.
Pagoto is in the midst of analyzing data she collected from weight loss bloggers and the people who read them to figure out their role in helping them get fit.
Her previous research, comparing the role Facebook and Twitter play in weight loss, came up with some surprising results: People trying to lose weight get the most motivation from their Twitter followers -- most of whom tend to be strangers.
Facebook followers tend to be family and friends, says Pagoto.
"(Twitter is) the loosest tie socially, but it seems to be the one that's most supportive around their weight loss efforts," says Pagoto, noting that her patients often tell her they aren't getting the support they need from friends and family, whether that's on purpose or inadvertently.
"I agree with that," says Ducharme, whose family and friends are proud of her progress, but still make the odd, accidental verbal "jab" -- perhaps questioning her about what she's eating in a way she perceives as negative.
"Even family, they think they are supportive, but there is that sense of negativity. They are still completely on a different wavelength."
University of Connecticut graduate student Martinus Evans, 27, started his blog last year after an orthopedist called him "fat" and challenged him to buy a pair of running shoes and start walking.
A feisty Evans, who weighed 340 pounds at the time, had an off-the-cuff reply: "'Forget walking. I'll run a marathon and I'll blog about it.' (The doctor) said, 'Maybe you should do that.'
"From there, it just went downhill," says Evans who is 60 pounds lighter. Meanwhile, he's gained 11,500 followers from around the world who relish the posts on his blog, 300poundsandrunning.com.
"When I started, I was just a no-name guy just trying to lose weight. This thing has definitely taken on a (life) of its own," says Evans, who works with Pagoto, helping with her research.
What makes the type of blogging he does different from the fitness blogs of five years ago?
"I'm a morbidly obese man. I'm not talking about (getting) buff or getting muscles. I'm talking about getting healthy and losing weight for life," says Evans, who has shared everything from his diet regimen to his sadness over his relationship with his ill father. ("It hurt to write that. I was crying when I wrote that," he says.)
Winnipegger Aaron Epp, who has lost more than 100 pounds since 2011, started his weight-loss blog, Aaron At Large, only a couple of months ago.
"The biggest thing that stopped me was (blogging about yourself) sounds a little bit, maybe, self-indulgent," says Epp, a communications specialist at Canadian Mennonite University. "I thought, 'Who would really care?'"
Epp, who lives downtown, admits he has a small community of blog followers -- all people he knows.
But the size of his following doesn't matter. In June, he lost 24 pounds -- more weight than he's ever lost in one month. He credits the new record to his blog and the accountability it provided.
He even mustered up the courage to post some personal tidbits, such as the fact that he sees a counsellor. "And that this whole process has kind of given me the confidence to start dating again," says Epp, 29, who wouldn't change anything he's blogged about. "I may be a little bit uncomfortable about some of the things I've posted, but at the same time, I don't know if I regret them."
While blogging seems to be mostly beneficial to bloggers and followers, those planning on going public with their weight-loss journey need to consider all the consequences, Pagoto says.
One possibility is receiving negative comments from judgmental "trolls" that can make bloggers "self-conscious about putting it all out there."
Another risk, says Pagoto: potential employers "might have certain biases around online content."
And bloggers need to be careful not to make fitness promises they can't keep -- doing so can discourage not only followers, but the bloggers themselves.
Pagoto says the notion of helping others is the leading force driving successful weight-loss bloggers.
"That can be very powerful. When you know this isn't just for you anymore. You're kind of changing and inspiring other people," says the psychologist. "I think that makes your weight-loss journey more meaningful."
Have an interesting story idea you'd like Shamona to write about? Contact her at email@example.com.


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Discussion in 'Fan Zone' started by goshan, Dec 31, 2012.
I thought they should have gone for it. 3rd and 9 right? That's doable.
That was pathetic, I agree! Collinsworth's head almost exploded when he saw that
They needed to think beforehand so that 3rd and 9 could be 4th and 4. Or the 52 yarder was 47 instead. I would have treated that position on the field as 4 down territory myself, and acted thusly on 3rd down, making a play to get a better 4th down or FG opportunity.
This is the same guy who settled for a 50+ yarder in Baltimore with the game on the line and ran one play in the last 40 seconds with a timeout. This guy obviously has no clue what he is doing at all. The playcalling was horrendous all game long, especially right there. 3rd and 9, and you throw an 18 yard out down the field when nothing has been open down there at all?
How about a good 6 yard pass somewhere and get a closer FG?
He's a moron who is in way over his head. But hey, it's a process right. We'll evaluate and move on.
Bingo. I have no problem with passing on a long fg in that situation, but if we had been more alert we could have caught the Skins w/13-14 guys on the field.
This. The guy has no feel for the game. He gives Drew Brees the ball back with plenty of time to march down the field when we should have been in a commanding position at the end of the half.
Same last night. I think we went into the half with two time outs. You don't need to get pass happy from that part of the field. We had enough time on the clock and two time outs to use the whole playbook and use the whole field. The guy is just a horrible play caller...plain and simple.
All Moorman had to do when he saw that they had 14 men on the field was wait until we were set, then call for the snap.
Flag. Bring in Bailey for 3 points.
My favorite with Garrett is how he always runs on 2nd and 1. Always!
Also, I know Tony's more of a scrambler than runner but how do you not design a few plays for him to swing out of the pocket a game? The guy was probably the best passer on the run in the league at 1 point. He also used to get us a 1st down or 2 a game with his legs. Adds another dimension to the game.
How do you not make an ascerted effort to run more play action, screens and more than 1 throw beyond intermediate routes all game? How about a reverse or trick play once every game to a few? Especially when you have an opposing defense being so 1 dimensionally aggressive all night in a playoff implicating game.
I don't know what Garrett has positively demonstrated offensively over his coaching career in the NFL prior to 2007 that warranted him being gifted play calling responsibilities in the first place? I can assure you he has done absolutely squat since 2007 to continue to be gifted his play calling responsibilities. I'm also a firm believer that to be awarded a HC position you would have had to at least demonstrate success at a coordinator level somewhere in this league. Possible be a successful HC at the collegiate level. Otherwise how can you substantiate managing any type of coordinator while being a HC?
Bottom line is that Garrett, as the majority of the fans not wearing rose colored glasses would know, has been gifted an incredible opportunity solely based on speculative potential and currently innacurately perceived brightness.
This...you can predict him so easy.
Sad, but true.
What you are all missing is Romo threw a bad 7 yard pass to Hanna on 2nd down. Hanna was open and it was an easy pass and Romo blew it. If it were a 45 yard field goal we would have kicked it.
Yes Sir.
Fundamental ST's preparation throughout the week, along with being a vet in the league, would surely contribute to 2 things.
1) Be alert to the oppositions gameplay transgressions and provoke penalization of them.
2) Know that we did not attempt a 52 yard FG and opted to punt so that we could pin our opponent into the 20 yard line and hopefully inside the 10.
This guy and Joe D have to hit the bricks.
Romo was stiff and off all game. The o-line actually had one of their best games yesterday and was picking up the blitz rather well.
Romo was getting rid of the ball either to soon when he had time or was very inaccurate where he was throwing the ball towards all routes when pressure did get to him. Early on he was not hot routing well and when he did we were not winning the battles while being blitzed. All of this was contributive to his lack of timing, accuracy and at times poor decision making.
3 things as usual sum it up. (1) The play calling throughout the games circumstances (adjustments), (2) Romo being stiff and not trusting his o-line (bad decisions and throws) (3) offensive starters going down in key downs which hindered the next play execution.
His HC was even stiffer than him.
You think a team is a model of its coach?
With the time on the clock, any reasonable analysis would favor kicking that field goal. That this play was followed by yet another example of poor awareness - not snapping when the Redskins were out of position with >11 on the field - shouldn't be surprising to anyone. The team isn't prepared by our coaches for those types of situations.
The wind was coming from that end zone and Bailey.couldn't get it there. Notice how short the kickoffs were going that way. The radio broadcast said it took about 10 yards off Baileys distance, making it about a 62 yarder..
Romo messes up the 3rd down play. He throws a poor pass (throw away?) down the right sideline to a double covered Dez. He had time to throw to Witten for short gain (5 yes?) to the left and even Harris? looked more open coming across from the left. He gets us those 5yds and we likely get 3 pts.
The Skins had like 20 men on the field, the FG and punt team at the same time. It was Joe D'ish
What's worse is that he did it again in the second half. On the verge of a makeable FG, we need maybe 5 or 6 yards and he plays it like he needs 30. Surprise, surprise, Romo gets sacked and we punt. :bang2:
...practice something very good with this team.
Unusual situations. Things like 4th and forever with the game on the line what do you do?
It's all about preparation. The players only know how to react when they have been presented with the information beofre so they can act accordingly.
Knowing to catch the other team with too many men on the field is a learned behavior. You need to practice it.
It's no secret that the best time to catch a team with too many men on the field is when:
1. They are changing from a run defence to to a nickel or dime package. Teach you team to take advantage of those situations.
2. Going from a 3rd down to a 4th down. Especially when you can go from a place kick to a punt or vice versa.
Being able to take recognize and then take advantage is extra yards. Yards that could make all the difference. Too bad Moorman missed it along with Ladouceur. They should be better considering they are multi year vets.
That's Romo.... he is always trying to make a big play. Sometimes it works, sometimes it doesn't.


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A SCHOOLGIRL is hoping to scale the heights after winning her way through to the finals of a teen talent competition.
Amy Colvin's rendition of Turning Tables, by one of her idols Adele, was enough to secure a spot in the TeenStar regional finals, at the Royal Northern College of Music, on April 7.
And if the Colne Sacred Heart RC Primary School pupil can impress judges in her pre-teen category at the Manchester venue, she will qualify for the national finals at the O2 Arena, in London.
The audition performance by Amy, from Barnoldswick, was all the more remarkable as she had only lost her great-grandmother, Kitty Colvin, three days earlier.
Her 'nanna' also inspired the 11-year-old to pen her own musical tribute 'Memories Of You', days later.
Her grandfather Vincent Colvin said: "She sings all the time, in the shower, and around the house. The only time she doesn't is when she's asleep."
Mum Sharon and little brother Francis, and grandmother Peggy, will also be cheering on Amy in Manchester.
The final stages of the TeenStar will give performers the chance to prove their worth in front of leading agents and promoters.
And there is a £2,000 cash prize for the winner to develop their fledgling career.
Amy, who is a keen Irish dancer, is also learning to play the guitar, and is currently entering karaoke competitions to finetune her voice for the TeenStar event.


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Accu-Type was written by Ben Friman and launched as a product back in 1983. Since then there have been many new versions and enhancements - a process which is ongoing today. To contact Ben:Telephone: +44 (0) 7780 708 780


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text: Canton, Mass., Consumer electronics retailer Tweeter Home Entertainment Group named Joe McGuire as president and CEO. McGuire has been serving as interim CEO since March 15. He said today that the company would soon release its third quarter earnings report. "We need an extra day or two to complete the review of our accruals and reserves around our restructuring charges and discontinued operations allocation from our store closing plan," he said. "Many of these constitute significant estimates on the company's part, and we want to be sure that we are comfortable with them."


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ST. CLOUD, Fla. - A 73-year-old St. Cloud daycare owner was arrested Wednesday on suspicion of raping a girl under the age of 18.
James Ferguson, the owner and president of Rocking Horse Preschool Academy on Tennessee Avenue, was arrested on charges of sexual battery of a victim under the age of 18, lewd or lascivious molestation and domestic violence child abuse.
According to St. Cloud police, Ferguson sexually battered a relative, who did not attend the day care, during a two-week period.
Ferguson was being held at the Osceola County Jail on no bond.
St. Cloud police said parents of students who attend the day care can speak with a detective at the St. Cloud Missionary Baptist Church at 2400 10th Street from 3 p.m. to 6 p.m. Wednesday.
Parent Carol Anderson said she was shocked to learn Ferguson's charges.
"Was my son safe while he was there? I don't know what I think," said Anderson. "I'm so confused because every morning I see Mr. Ferguson and he's happy, and very personable."
An investigation is ongoing. The Department of Children and Families has the authority to shut down the daycare and says the center will remain open but Ferguson can't have contact with the children and the status of the license is under review.
Watch Local 6 News and stay with ClickOrlando.com for more on this story.
Copyright 2013 by ClickOrlando.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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From Our 2013 Archives
Alzheimer's 'Epidemic' Straining Caregiver, Community Resources: Report
Latest Alzheimers News
THURSDAY, Sept. 19 (HealthDay News) -- The so-called global Alzheimer's epidemic is leading to a shortage of caregivers for seniors and a lack of support for family members who look after elderly relatives, according to a new report.
Released Thursday, the report said the number of dependent older adults will increase to 277 million by 2050, and half of seniors who require personal care have dementia.
As the world's population ages, the traditional system of informal care provided by family, friends and the community will require much greater support from governments. This means leaders worldwide need to make dementia a priority by implementing national plans and having discussions about future strategies for long-term care, according to the World Alzheimer's 2013 report.
Worldwide, 13 percent of people 60 and older require long-term care, the report said. Between 2010 and 2050, the number of older adults with care needs will nearly triple, from 101 million to 277 million.
Long-term care is mainly about care for people with dementia, according to the report. About half of all older people who need personal care have dementia, and 80 percent of seniors in nursing homes have dementia. The worldwide cost of dementia is currently more than $600 billion.
More attention needs to be paid to helping dementia patients and their families "live well with dementia," the report said. It also called for a 10-fold increase in research funding to "re-energize" the work on dementia prevention, treatment and care.
Among specific recommendations are the following:
"People with dementia have special needs. Compared with other long-term-care users they need more personal care, more hours of care and more supervision, all of which is associated with greater strain on caregivers, and higher costs," report author Martin Prince, a professor at the Institute of Psychiatry at King's College London, said in a college news release. "Their needs for care start early in the disease course, and evolve constantly over time, requiring advanced planning, monitoring and coordination."
"We need to value the unpaid contribution of family caregivers more, and reward paid caregivers better," Prince said. "We can build quality into our care systems, but to do so while containing costs and achieving equity of access for all will be a challenge."
-- Robert Preidt
SOURCE: King's College London, news release, Sept. 19, 2013


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Dominic Hayhoe of Forces War Records sent me an email to let me know that they have a new addition to their collection. They have transcribed the British Jewry Book of Honour that records the details of 50,000 Jews who served in the British & Colonial forces during WW1.
This important book was published in London in 1922 and gives details of enlistment, casualties, military honours as well as Jewish units, hospitals, institutions and agencies. So if you have Jewish ancestry you will want to access this publication.


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NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Monday, August 21, 2017
Head and Neck Cancer
Small lump on the back of the neck
I have a small, painless lump beneath the surface of the skin on the back of my neck, about an inch and a half below the base of my skull and an inch away from my spinal cord. It feels smooth and has a regular, spherical shape. The diameter is no greater than an eighth of an inch. It is not visible; I can only notice it by touch. I can roll it around without difficulty. I`m not entirely sure how long I`ve had it, at least several months and possibly a couple of years. During that period it has never changed size or become tender. About five years ago a slightly larger lump on my jaw was diagnosed as a sebaceous cyst, which is what I assumed this was, though I recently decided to seek an expert opinion. Thank you for your assistance.
This could be a sebaceous cyst, but it could also be a lot of other things. Lymph nodes are often found in that location. Fatty tumors as well as other tumors are also possible. It's always a good idea to get any lumps or bumps checked out. It's our recommendation that you make an appointment with your health care provider for evaluation.
Cheryl Koliha-Brandt, MSN, RN, CNS, CORLN
Clinical Nurse Specialist and Instructor of
Head and Neck Surgery and Oncology
Frances Payne Bolton School of Nursing
Case Western Reserve University
Pierre Lavertu, MD, FRCS(C), FACS
Professor of Otolaryngology-Head and Neck Surgery
School of Medicine
Case Western Reserve University


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Benchmark Report on NH Climate Plan Notes Progress and Challenges
New Hampshire reduced its energy use and emissions of heat-trapping gasses between 2005 and 2009, a new report from the NH Energy and Climate Collaborative finds. Yet despite what the report calls "real progress," the state is challenged by rising energy expenditures and continued dependence on out-of-state energy sources.
New Hampshire's Energy, Environmental, and Economic Development Benchmark Report was released today by the NH Energy and Climate Collaborative, a group of volunteers comprised of business and industry, non-profit, and public-sector leaders who have taken on the challenge of guiding implementation of the 67 recommendations of the 2009 New Hampshire Climate Action Plan.
The benchmark report, which evaluates baseline conditions over the period 2005-2009 and recent trends based on the broad, overarching goals recommended in the Climate Action Plan, provides a foundation upon which to track and grade future progress relative to strategies recommended in the plan.
"Development of a benchmark report is critical to evaluating the success of efforts around the state to reduce energy use and associated emissions," says Thomas Burack, commissioner of the Department of Environmental Services and current chair of the Collaborative. "This report will help the Collaborative focus on those areas most in need of our attention and effort," he adds.
The Climate Action Plan expresses a vision for the state's energy, environmental, and economic development future and includes recommendations for maximizing energy efficiency, increasing use of renewable fuels, protecting natural resources, and adapting to existing impacts of our changing climate. The plan recommends a goal of reducing greenhouse gas emissions to 80 percent below 1990 levels by 2050 while providing significant economic opportunities across the state.
Prepared under the leadership of Cameron Wake, research associate professor at the University of New Hampshire Institute for the Study of Earth, Oceans, and Space, the benchmark report examines trends over the five-year period from 2005 to 2009 of 24 specific indicators across six categories: economy, jobs and emissions; efficient buildings; sustainable energy; smart growth; government leadership and action; and adaptation. Where data was available beyond 2009 (nine indicators) the report also evaluates progress.
"The report shows that our economic success and a healthy environment are closely integrated and that every sector of society can and needs to contribute to New Hampshire's energy, environmental and economic development future," says Wake. "While we can't control the price of oil and gasoline, we can exert considerable influence on the amount of money we spend on energy by improving the efficiency of energy use in buildings and in transportation networks. And we can generate jobs and grow our economy by increasing the amount of energy we produce within the state and region instead of exporting energy dollars to other regions of the country or around the globe."
From 2005 to 2009, 67 percent of the indicators showed positive trends (e.g., emissions per unit of economic activity, clean economy jobs, renewable power, and land preservation), 25 percent showed no change (e.g., household energy expenditures, energy consumption and greenhouse gas emissions from transportation), and 8 percent showed negative trends (energy expenditures, and per capita expenditure on energy for transportation). While the benchmark report shows encouraging trends up to the release of the Climate Action Plan in 2009, some limited data for more recent years indicate additional efforts will be needed to ensure positive trends continue in the future.
Some of the progress can be attributed to the fact that the state's economy and energy use since 2005 has been influenced by two significant global trends – the increase in the price of gasoline, diesel, and heating oil that began in 2004 and the global economic recession that began in 2008. Both of these influences have served to reduce energy use and greenhouse gas emissions across the state.
The report emphasizes that as the economy emerges from recession and global energy demand increases, key challenges remain. Energy users in the state must learn from previous actions and efforts and engage the financial resources and human capital necessary to scale up efforts to meet the energy, environmental and economic vision expressed in the Climate Action Plan.
"This report tells me we have room for improvement across the public and private sectors," says Collaborative Steering Committee member Taylor Caswell, managing director of CleanGen Partners LLC. "In a volatile global energy market, New Hampshire must be smarter about its energy use and control its own economic and environmental destiny. Choosing to import more oil from the Middle East and South America when there are proven alternatives makes no sense. The 21st century is here and New Hampshire needs to join it."
To view the report, visit http://nhcollaborative.org/benchmarkreport
Originally published by:
UNH Media Relations
Written by David Sims, Institute for the Study of Earth, Oceans, and Space


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Scottsdale Leadership partnered with Valley experts last Saturday to host a one-day workshop featuring topics that directly impact the youth at the Boys & Girls Club of Greater Scottsdale. Because of the initial success of the one-day workshop, organizers are using their diverse experience to create a legacy model to help encourage other nonprofits.
Professionals with an inspiring story that resonates with children were recruited by Scottsdale Leadership's Class 27 for their "Life in a Box" workshop. The workshop empowered youth at the Boys & Girls Club of Greater Scottsdale with real-life skills they will need as they enter adulthood. Topics included financial literacy, self-defense, social media skills, interview skills and healthy eating habits.
The first "Life in a Box" workshop was headlined by keynote speaker Andrew Walter, former NFL quarterback for the Oakland Raiders and Arizona State University star athlete.
Scottsdale Leadership also partnered with other Scottsdale leaders – Founders of Why Teens Fail, Goodwill of Central Arizona, Scottsdale Healthcare and City of Scottsdale Teen Employment Program – to guide the Valley's youth as efficiently and effectively as possible.
"We were thrilled with the attendance and engaged participation from the youth of the Boys & Girls Club of Greater Scottsdale," stated Mike Binder of Scottsdale Leadership Class 27. "Our 'Life in a Box' workshop fills the gaps in specific skills sets for young adults who may not receive this instruction at home or in school. By bringing in a role model like Andrew Walter, who is committed to giving back to young people, workshops like this can make a monumental difference in a teenager's life. It is our goal to provide a program that will also inspire other nonprofits to expand their outreach to teens in need."
"Life in a Box" is one example of the many inspirational endeavors that Scottsdale Leadership's Class 27 has established and fostered. Consisting of up-and-coming leaders, Scottsdale Leadership's goal is to create legacy models for similar workshops and other initiatives for additional non-profits.
For more information about the difference Scottsdale Leadership is making for Valley youth and other nonprofits, visit scottsdaleleadership.org.


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The Eventual PlayFramework-AngularJS-Bootstrap-MongoDB Seed Project is a seed project that provides a CRUD implementation. It uses the Play Framework and MongoDB on the backend, and AngularJS and Bootstrap on the front-end. It is designed to underpin the development of future applications that adopt the same combination of technologies.
Smooth Build is a build tool which provides a functional language which lets you describe a build process in a simple and readable way. A build script for a simple Java program can be as simple as "app.jar: files("src") | javac | jar;" All built artifacts are cached and indexed (hashed) using the sha1 of the expression (function name and its arguments) which returned a given artifact. This way, Smooth never builds the same artifact twice.
SBuild is a Scala-based build system. It features platform independence, multi project support, automatic detection of needed actions, automatic up-to-date detection, a flexible scheme handler mechanism, Maven repository support, Ant task integration, automatic cross-project resolving of dependencies, high speed, a simple "syntax" that requires almost no Scala knowledge, behind-the-sceens compilation of build script to bytecode for fast execution time, and built-in scheme handlers for HTTP and Maven.
Template Data Interface (TDI, /ʹtedɪ/) is a markup templating system written in Python with (optional but recommended) speedup code written in C. Unlike most templating systems, TDI does not invent its own language to provide functionality. Instead, you simply mark the nodes you want to manipulate within the template document. The template is parsed, and the marked nodes are presented to your Python code, where they can be modified in any way you want.
Piggydb is a flexible and scalable knowledge building platform that supports a heuristic or bottom-up approach to discover new concepts or ideas based on your input. You can begin with using it as a flexible outliner, diary or notebook, and as your database grows, Piggydb helps you to shape or elaborate your own knowledge. Piggydb is a Web application provided as a self-contained package that contains a Web server and database engine.
MASTIFF is a static analysis framework which automates the process of extracting key characteristics from a number of different file formats. To ensure the framework remains flexible and extensible, a community-driven set of plugins is used to perform file analysis and data extraction. While originally designed to support malware, intrusion, and forensic analysis, the framework is well-suited to support a broader range of analytic needs. In a nutshell, MASTIFF allows analysts to focus on analysis rather than figuring out how to parse files.
wro4j is a project that will help you to easily improve your Web application page loading time. It can help you to keep your static resources (JavaScript and CSS) well organized, merge and minify them at run-time (using a simple filter) or build-time (using a Maven plugin), and has several features you may find useful when dealing with Web resources.


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THE Clitheroe group behind a project to refurbish a pinnacle from the Houses of Parliament after it fell into disrepair is waiting to hear the outcome of its funding application.
The Grade II listed structure was presented to Clitheroe in 1937 and dates from the 1840s.
It is sited in the castle grounds and was given to the Ribble Valley town by Clitheroe MP Sir William Brass to mark the coronation of King George VI.
The Clitheroe Civic Society submitted grant applications recently help to restore the crumbling turret and is expecting to hear back soon.
Pauline Wood, chairman of Clitheroe Civic Society, said that she was hopeful that decision would be announced soon.
The octagonal stone turret has four lions with shields at its base and is complete with cusped heads, gargoyles and crocketed finials.
The inscription records the presentation of the turret, which originally formed part of the parapet of the Houses of Parliament that were erected between 1840 and 1854.


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what is this anime title/name?
Recent comments by ラブプラス:
- Korean President: "The Emperor Should Kneel Before Us":
You coined that well. And he will start to blame everyone who oppose his opinion are white weaboos lol. We just can't understand his weird 'world' like lol. PS; @mod: the lack of surveillance in this site really bad. cmon fix it! duh..
- Comiket 82 Day 1 Cosplay Scorchingly Hot:
lool blonde Asian.
- Police Tell Bullying Victim To "Forget" Broken Bones:
The stupidity of you people really amaze me. Blaming a country for an unclear reason? The hell with your inferior complexity. Just keep your non valuable argument in yourself, bro.
- Police Tell Bullying Victim To "Forget" Broken Bones:
They never touch foreigner. I mean "White People".
- Sengoku Basara Drama "So Bad It's Good":
They look like the winners of a cosplay contest. The costumes do look really great, but I'm not sure how I will feel seeing them in motion as a TV series. xD


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PhoneArena Awards 2012: Best Innovation
0. phoneArena posted on 03 Dec 2012, 12:24
We have to admit it, folks, we aren't that easy to impress. We are a well-trained team of geeks that has laid hands on much more phones than an average Joe can even name. Simply put, we've all been there and we've all done that, as far as phones are concerned. Every once in a while, however, a new product or technology gets announced - something that really make us go "wow". And today, we'll talk about several such solutions: this year's PhoneArena awards begin with the Best Innovation category...
This is a discussion for a news. To read the whole news, click here
* Some comments have been hidden, because they don't meet the discussions rules.
Comments for : PhoneArena Awards 2012: Best Innovation - page 6


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Skip to Main Content »
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Please check the measurements carefully as it is not possible to return one-of-a-kind vintage items.
Approximate shipping time for Europe is: 4-8 working days and for the rest of the world: 8-14 working days. All parcels will be delivered priority by Austrian Postal Service or DHL for international shipping. Shipping fees depend on the weight of the item. For more information have a look at Shipping & Delivery in our help section.
In most cases vintage items do show some signs of age, any damages are listed in the product description. All one-of-a-kind items can not be returned. In case we made a major mistake in the description of an item it is of course return- or exchangeable. For more information have a look at our Size Guide Size Guide and Help Section.
Sizing varies considerably on vintage clothing. To help you choosing the best size, please check the detailed measurements carefully and have a look at our
Size Guide. Estimated sizes such as (S, M and L) are meant only as a guideline, to allow you a quick size check when browsing products.


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Assessment |
Biopsychology |
Comparative |
Cognitive |
Developmental |
Language |
Individual differences |
Personality |
Philosophy |
Social |
Methods | Statistics | Clinical | Educational | Industrial | Professional items | World psychology |
Biological: Behavioural genetics · Evolutionary psychology · Neuroanatomy · Neurochemistry · Neuroendocrinology · Neuroscience · Psychoneuroimmunology · Physiological Psychology · Psychopharmacology (Index, Outline)
In genetics, a reading frame is a contiguous and non-overlapping set of three-nucleotide codons in DNA or RNA. There are 3 possible reading frames in a mRNA strand and six in a double stranded DNA molecule due to the two strands from which transcription is possible. This leads to the possibility of overlapping genes and there may be many of these in bacteria.[1] Some viruses e.g. HBV and BYDV use several overlapping genes in different reading frames.
In rare cases a translating ribosome may shift from one frame to another, a translational frameshift. It is distinct from a frameshift mutation as the nucleotide sequence (DNA or RNA) is not altered only the frame in which it is read.
An open reading frame (ORF) is a reading frame that contains a start codon and the subsequent translated region, but no stop codon.
- ↑ Johnson Z, Chisholm S (2004). Properties of overlapping genes are conserved across microbial genomes.. Genome Res 14 (11): 2268-72. PMID 15520290.
See alsoEdit
Protein biosynthesis: translation (prokaryotic, eukaryotic)
|Ribosomal proteins
|Other concepts
Aminoacyl tRNA synthetase · Reading frame · Start codon · Stop codon · Shine-Dalgarno sequence/Kozak consensus sequence
| see also disorders of translation and posttranslational modification
Template:Protein biosynthesis navs
|This page uses Creative Commons Licensed content from Wikipedia (view authors).


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Teardrop GlassScience brain teasers require understanding of the physical or biological world and the laws that govern it.
You are in a teardrop-shaped enclosure made of glass. The enclosure is floating in a vat of warm oil. In the enclosure with you is a fan, a dead bee and a banana. Your captors will set you free if you can make something travel faster than 3,000 miles per hour. The oxygen in the enclosure will last for one day. What should you do to help you escape?
AnswerMake a crack in the glass enclosure. A crack propagates in glass faster than 3,000 miles per hour.
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See another brain teaser just like this one...
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The Talk Fusion Competitive Advantage
- chevron_right All-in-one video marketing solution
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Talk Fusion makes it fun, fast, and easy to create eye-catching Video Emails for personal, business, or charity. Choose from thousands of professionally designed templates in many languages, record or upload your video, then click Send.
Video Newsletters
Design high-impact Video Newsletters with our drag-and-drop interface! Easily add text and photos. Put in your logo and use your favorite colors and fonts. Increase open rates, click-throughs, replies and forwards faster than you can say, "Just press play."
Live Meetings
Organize and host a full-featured global presentation within minutes! Stream video; upload PowerPoint slides; participate in the live chat; share files and your desktop with up to 500 guests. Even record your presentations for future use.
Video Chat
Move over, Skype and FaceTime: our award-winning Video Chat connects any device to every device! Chat face-to-face with friends, family, and customers no matter which smartphone, PC, or tablet they're on.
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Engage new contacts and customers in a whole new way—automatically. Building your email list has never been easier! Choose from hundreds of unique Sign-up Form designs or customize your own in seconds. Video auto responders do the follow-up for you.
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Real-time reports let you see who's watching, sharing, and opening your Video Emails and Video Newsletters. Even track who attends your Live Meetings!
Customer Success Stories
Talk Fusion helps companies of all sizes, nonprofit organizations, and people all around the world get REAL results. You could be next!
Talk Fusion changed our e-newsletter to a high quality format with crisp, fresh images. Every day we're looking for new ways to use Talk Fusion, including using video to train volunteers and help new pet owners with behavior issues. Events and promotions are equally affected. [Talk Fusion] also allows us to add video … the ability to market a feeling to our supporters … leaving them with a greater sense of what our organization is doing for the community's pets.
- Adam Lamb, CEO, Brandywine Valley SPCA – Pennsylvania, USASee more customer testimonials.


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It is always dangerous for a senior churchman to stray into political matters, just as it is risky for politicians to stray into religion. (Thus the firm advice from Alastair Campbell to Tony Blair that he shouldn't 'do God'.)
And the criticism of the coalition by the Archbishop of Canterbury, Rowan Williams, has already prompted a backlash from senior cabinet ministers. Dr Williams has signalled his displeasure with the cuts programme before but this intervention (most notably November) in the New Statesman, is the most passionate and extensive – arguing that "nobody voted for" the coalition's policies. He also dismissed the Big Society idea as "painfully stale". It is the most outspoken attack on the government by the church since Robert Runcie criticised Margaret Thatcher in the mid-1980s. Read more


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OCALA, Fla. - An investigation continues into the death of a 1-year-old boy who died Saturday, a day after an apparent fall at an unlicensed Ocala day care, officials said.
The incident occurred Friday night at a home on Northeast 50th Avenue in Ocala.
According to the Florida Department of Children and Families, the day care operator, Kim Blanchette, told investigators that she let her dog out of the home when the boy fell from a chair and hit his head.
The child was airlifted to Shands Hospital in Gainesville and later died.
Blanchette was denied a license to operate a day care because of someone living in the home, the DCF said. Blanchette's husband, Oliver, was arrested on robbery charges in 1998.
The DCF said Blanchette ran the day care despite the denial from the state, and she watched up to five children.
It's not known if charges will be filed in the case.
Watch Local 6 News and stay with ClickOrlando.com for more on this story.
Copyright 2013 by ClickOrlando.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Take a Breather
Yale OISS
Wednesday, March 27, 2013 from 7:00 PM to 8:00 PM (EDT)
NOTE: This is a rescheduled program from February 28.
Haley McCarthy, Health Educator for Student Wellness, provides a basic intro to stress and its effects along with a group demonstration of stress reduction techniques. Utilizing breathing and guided meditation, Haley demonstrates two ways that stress reduction can be incorporated as a wellness tool.
Light refreshments will be provided. Free, but advance registration is appreciated.
Office of International Students & Scholars at Yale University
Join millions of people on Eventbrite.
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.


text: The premiere pictures from The Vampire Diaries' fourth season were pretty enticing, but wait 'til you sink your teeth into this clip from the first episode. It's when Damon and Stefan have to explain to Elena that the car accident she was in with Matt actually killed her. And now she's a vampire. NBD. Find out how Elena handles the traumatic turn of events, and make sure to subscribe to our friends at ClevverTV for more celeb news! Watch The Vampire Diaries, Season 3 Bloopers! 5 Comments | Leave Your Comment by: Kaitlin Cubria on September 18, 2012 at 8:00 pm EDT | in The Vampire Diaries Spread the Word Tagged: Clevver, The Vampire Diaries Olger When Elena told Jeremy that he couldn\'t stay in love with a ghost I was so upset! I was tkihning who are you to talk! I\'m really glad they addressed that at the end of the episode. I was hoping that Jeremy cheating on Bonnie with Anna would be more serious than one kiss. They\'re so good together I hope that they show more of Jeremy\'s power and that he doesn\'t stay heart broken for too long! I totally agree with both of you that Bonnie\'s character needs more development. There\'s been a lot of opportunities for the writers to do that but it just doesn\'t seem to be a priority for them right now. I can totally see her and Matt getting closer. Let\'s see if it leads up to something. Alaric finally has something to do (deciphering those writings on the wall) I can\'t wait till next episode allie i want damon to love elena as much as stefan did melissa October11,2012 applepie when is it cmng bak?? Sarah Though it will be emotional initially, I hope that Elena adjusts quickly to the idea of being a vampire. Stefan only saved Matt at her insistence to do so; she must have known that there would be consequences. A co-worker at DISH and I also agree that with all of the trouble she's constantly in, it will be better with her as a vampire. I am excited to see the true affect of her transition when I watch the premiere with my Hopper. My late train ride coincides with this and many other premieres, but with 2,000 hours of recording space, I can spend my weekends as a total couch potato. Last season was all about Elena learning to defend herself, I hope she quickly realizes that now she actually can.


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SME is unleashing its breadth and depth of manufacturing content into a powerful, user-friendly, 24-7 online resource. Everything you want to know about manufacturing is available when you want it, where you want it.
NOW AVAILABLE! The former Tool & Manufacturing Engineer's Handbook (TMEH) has been digitized and is now available in a new peer-reviewed and validated WIKI environment.
SME is always looking to expand our list of book titles and video programs relevant to manufacturing technologies, processes, and business improvement practices that are at the forefront of innovation, sustainability, and workforce development.
As a publisher of authoritative manufacturing knowledge and content, SME provides assistance in all stages of book and video publishing from manuscript and script editing to marketing and distribution. All SME books and videos are actively promoted in national and international markets through our distributor network, trade shows, conferences, and targeted marketing promotions.
We want to hear your publication suggestions and writing ideas. If you have questions, email us or call SME Customer Care at 800.733.4763 or 313.425.3000.


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A 15-year-old youth charged over the stabbing of another 15-year-old boy in a schoolyard attack in Melbourne's south-east has been remanded in custody.
Police were called to a secondary school in Melbourne's east at 8.40am on Friday after a boy received stab wounds to the upper body.
He was taken to the Royal Children's Hospital where he underwent surgery.
The injuries are not believed to be life-threatening.
Police arrested another 15-year-old boy at a house in Chadstone shortly after. He was later charged with intentionally cause serious injury, recklessly cause serious injury, assault with a weapon and possess a controlled weapon.
At a brief hearing at the Children's Court on Friday the youth was remanded in custody to re-appear at the same court on Monday for a bail application.
The school's principal condemned the attack and has assured parents the school is safe.
"There is no place for such an appalling incident of this type at our school," she told radio station 3AW.
"I want to reassure everybody that this is a safe school."


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Contact Mercy College at:
the Dobbs Ferry Campus at:
555 Broadway
Dobbs Ferry, NY 10522
The Dobbs Ferry campus overlooks the Hudson River and features five modern, air-conditioned buildings. Numerous parking lots that are both safe and conveniently located. Hot and cold meals are available on campus.
The College's athletic facilities are located at the Dobbs Ferry campus, and include five outdoor tennis courts, a swimming pool, a soccer/baseball field and a running track.
The library at the main campus serves as the nucleus of the Mercy College network. Students attending classes at any of Mercy's campus locations have access to the main library, which houses a total collection of more than 215,000 volumes as well as extensive audio-visual materials.


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The first match of the day was against the UMKC Kangaroos. After winning set one, the Red and Blue dropped the following three sets for a final score of 3-1 (22-25, 25-15, 25-22, 25-19).
Penn had to rally in the first set as UMKC started hot with seven of the first eight points. The Quakers fought to stay alive, rallying to take a 17-16 lead. As a back-and-forth battle ensued, a kill from freshman Arielle Winfield tied the opening set at 22 points. After a UMKC timeout, a kill from sophomore Jasmine DeSilva and attack error by Kangaroo Morgan Voorhes set up the win. Freshman Rachel Baader went behind the line for the game point and served her first ace as a Quaker.
Unfortunately for Penn, they could not keep up with the Kangaroos, who claimed the next three victories.
Three Quakers posted double digits in kills: DeSilva (17), sophomore Alex Caldwell (14), senior Kristen Etterbeek (11). Topping the leader board in digs was senior Dani Shepherd with 33.
Penn rested for a few hours before battling host Maryland.
The Quakers hung tight with the Terps for the early stages of the first set, straying within four until a five-point Maryland run resulted in a 24-15 deficit. It was too much to overcome for the Red and Blue and the Terps took set one, 25-17.
The Quakers turned the tables in set two and started the game 3-1. The teams found themselves tied at 11 and sophomore Michellie McDonald-O'Brien took matters into her hands with an attack to push the score in Penn's favor. This time, it was Maryland's turn to struggle. Four unanswered points followed, resulting in the Red and Blue pushing ahead, 15-11. Penn ended the set with four points in a row -- the last one a kill by Caldwell for a 25-18 first-set win.
The momentum from the second set win could not be sustained. The Quakers were again in a tough battle to regain ground and could not prevail, ending the match with a third and fourth set loss and a final score of 17-25, 25-18, 15-25, 11-25.
Shepherd once again led the team in digs with 20, finished the weekend with a total of 75, and was named to the All-Tournament Team.
Penn will host Delaware on Tuesday September, 10 (7 p.m.) for its first home appearance in the Palestra.
Download: Maryland Box Score.pdf


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SAINT LEO, Fla. – Entering into their second season, Saint Leo University Head Coach Lesley Graham has released the official schedule for the Lions' second year of competition.
Graham has prepared a schedule that will prove to be both challenging and exciting for Saint Leo's sophomore campaign. The Lions will match up against an ideal mix of strength and skill, which proved to be a solid combination in their opening season, as well.
Squaring off against nine new opponents, the 16-game slate features just three North Region teams and 13 South Region competitors. The schedule contains 10 home games and six road contests, highlighted by four challengers that finished 2012 ranked within the IWLCA Division II Coaches Poll, including three that saw time in the NCAA Division II Women's Lacrosse Tournament bracket.
"We are looking to really elevate our game in our second season of competition," Graham said. "It will challenge us, but by adding nationally-ranked teams to our schedule this year, it will help us showcase all of our improvements from our first season."
The Lions' schedule is stacked with tough competition right from the start, taking on two well-known North Region opponents for the first time in program history. Saint Leo opens the season at home on Friday, February 15 against Molloy College, marking the first official competition the women's lacrosse team will play on the new turf field.
Two days later, the Lions host five-time NCAA Division II national champion Adelphi University, who open their season against the Lions on Sunday, February 17.
Saint Leo opens the busy month of March on the road, traveling to North Carolina to take on regional opponents Pfeiffer University and Queens University of Charlotte. The Green and Gold faces the Pfeiffer Falcons on Saturday, March 2 in Misenheimer, N.C. before making the quick skip over to Charlotte to take on the Royals on Monday, March 4.
The Green and Gold return home for a Thursday, March 7 matchup against first-year program Mount Olive College from North Carolina. The Trojans, who will play as a member of the Conference Carolinas, is just one of two first-year teams that the Lions will compete against in 2013.
The game against Mount Olive kicks off an eight-game home stand throughout the remainder of March, featuring games against Belmont Abbey (March 9), Tiffin (March 11), South Region giant Limestone (March 13), first-year program Chowan (March 15), Colorado Mesa (March 17), Shippensburg (March 21), and finally Seton Hill on Monday, March 25.
April will see the Lions on the road once again, beginning with a trip to South Carolina where Saint Leo will take on Erskine on Friday, April 5, followed by a game against fellow second-year team Newberry on April 6.
Two games wrap up the month of April, as well as the regular season schedule, and while they are on the road, Saint Leo does not have to travel far. The Lions travel the short distance to cross-town rival Florida Southern for a second-year program showdown on Friday, April 12, and then wrap-up the regular season on Wednesday, April 17 when they travel to Winter Park to take on South Region powerhouse Rollins College.
With a challenging schedule ahead of them, the Saint Leo women's lacrosse team is sure to have another exciting, though demanding, season. With a new, state-of-the-art facility, new talent, and a core group of returning strength, the Lions will set their sights on 2013 with high hopes. For more on the women's lacrosse program, visit SaintLeoLions.com. Also, be sure to 'Like' the Lions on Facebook at Facebook.com/SaintLeoLions.com, and 'Follow' the Lions on Twitter at Twitter.com/SaintLeoLions.


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Health, Homegrown: The Island's Herbal Remedies
It's no secret that taking an island vacation soothes the stressed, but not many trip-takers are aware of the physical healing powers hidden in the tropical surroundings of places like Paradise Point. Home to over 600 types of exotic specimens from over 20 countries, the 44-acre San Diego island resort has many plants with natural medicinal properties that make them helpful herbal remedies.
A short walk along Paradise Point's lush gardens, tranquil lagoons, and one mile of sandy beach provides the perfect opportunity for an up-close look at the therapeutic properties of plants in their raw, natural form. Keep an eye out for these trees, bushes, and blooms that are used for a variety of herbal remedies:
Blue Agave
A natural sweetener and the base ingredient in tequila, this plant is also used as a herbal remedy to reduce burning and itching.
White Lotus
These white lilies that bloom in summer can be used as a chest decongestant, sedative, and antiseptic.
Silk Tree
A popular ornamental tree in Asia, this specimen is currently being researched for antidepressant use.
The most common flower on the island can be applied to the skin and hair as an herbal remedy for softness, or ingested to reduce blood pressure.
Learn more about Paradise Point's diverse flora and experience the island's herbal remedies for yourself with The Spa at Paradise Point's new Island Origins experience. Part botanical tour, part spa treatment, this unique program provides a guided look at the ancient medicinal properties of our plants and how they are used today.
*Always consult your physician before trying any type of new treatment, including the above herbal remedies.