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You can enjoy a cool breeze during those humid summer days and also reduce energy use in your home by installing a functional, decorative ceiling fan. They can even be used in the winter to gently pull heated air away from the ceiling where it tends to collect. Light kits can be added to increase the usefulness of many ceiling fans. A wide range of both fan and light kit styles is available, providing choices that will contribute to the beauty of any room.
Tools & Materials
Use this checklist when you go to the store and purchase your items.
- Ceiling Fan Mounting Kit
- Wire Connectors
- Downrod (Optional)
- Light Bulbs
- Ceiling Medallion (Optional)
- Electrical Tape
- Step Ladder
- Screwdriver
- Wire Cutters
- Electrical Tester
- Adjustable Wrench
- Pliers
- Safety Glasses
- Dust Mask
What Size Ceiling Fan Do You Need?
- Use a 36-inch diameter ceiling fan if the largest room dimension is 12 feet or less.
- Use a 42-inch diameter ceiling fan if the largest room dimension is 12 feet to 15 feet.
- Use a 52-inch diameter ceiling fan if the largest room dimension is 15 feet to 18 feet.
Prepare to Install Your Fan
To ensure that your fan is securely mounted to the ceiling and for your safety during installation, read all of the instructions packed with your fan. Since ceiling fans are usually used to replace existing light fixtures, the wiring to the fan should already be complete. Installation isn't difficult and only requires that you pay attention to the instructions. If additional wiring must be done to install your fan and you aren't familiar with wiring, consult a professional electrician. All wiring must conform to local and national codes.
When working with electricity always:
- Turn off the power.
- Test the wires to ensure the power is off.
- Lock the panel box, so no one can accidentally turn the power back on while you are working.
- Check with local authorities to see if a permit is required.
- Have your work checked by an inspector.
- Wear eye goggles and a dust mask.
- To avoid overloading the circuit, consult a licensed electrician.
Options for Mounting Your Ceiling Fan
Fan blades must be mounted at least 7 feet above the floor. For maximum efficiency, they shouldn't have any obstruction within 24 inches of the blade tips.
An appropriate junction or outlet box securely attached to the building structure is required. Replace the old box with one labeled as approved for ceiling fans or ceiling-suspended paddle fan installation. The box and its support must be able to support the moving weight of the fan. Use the installation hardware recommended by the junction box manufacturer. Fans over 35 pounds, with or without accessories, require additional support independent of the outlet box.
Secure the new box to a brace between ceiling joists. If there isn't a 2-by-4 wood brace between the joists but you have access to the framing through the attic, add a brace.
Otherwise, install an expandable metal ceiling-fan hanger bar. These may be positioned either from the attic or from below the ceiling, through the rough opening. Secure the box to the bracket with a U-bolt.
Installing the Mounting Bracket for Your Fan
Use the following steps to install the mounting bracket to support your fan.
Step 1
Remove the fan motor screws. These screws will be used later to secure the blade arms to the motor.
Step 2
Remove the mounting bracket from the fan canopy.
Step 3
Secure the mounting bracket to the ceiling electrical box with mounting screws and lock washers. If the fan comes with a J-hook, install the mounting bracket with the J-hook toward the floor. The hook will support the weight of the fan motor housing for a hands-free wiring installation.
Step 4
Pull the electrical wires through the center hole of the mounting bracket.
Step 5
At this point, if you have a fan with a three-position mount, you'll need to decide whether to use a close-mount or downrod installation. (Downrod installations are used for both standard and angled applications.)
Installing a Downrod for Your Fan
Use the following steps to install a downrod for your fan.
Step 1
Install the downrod into the mount with the ball end toward the ceiling.
Step 2
Thread the lead wires from the motor (black, white and blue) through both the canopy and downrod. Take extra care not to pull on the electrical wires.
Step 3
Insert the downrod into the collar yoke and rotate until the holes match. Insert the connector pin through the holes, and secure with a cotter pin. Be careful not to damage or cut the fan wires. Bend the two legs of the cotter pin to ensure that the connector pin doesn't slip out.
Step 4
Affix the hanger and downrod to the motor assembly by tightening the setscrew on the side of the downrod. Some fans have two setscrews, while others have lock nuts for the setscrews.
Step 5
Insert the ball into the hanger bracket. The tab opposite the hanger bracket opening should fit into the slot on the ball. Make the appropriate wire connections.
Step 6
After the connections are made and the wires are carefully tucked into the outlet box, make sure the tab in the bottom of the hanger bracket is seated in the groove of the hanger ball. Slide the canopy up the hanger bracket and permanently attach it with the supplied screws.
Close-Mount Fan Installation
Some fans allow mounting without the use of a downrod. This type of mount places the fan closer to the ceiling.
Step 1
Remove the larger screws and lock washers from the top of the decorative fan motor housing.
Step 2
Secure the canopy to the housing using the same screws.
Step 3
Hang the fan on the J-hook (if applicable) by using one of the holes at the top of the canopy.
Step 4
Make the appropriate wire connections. After the connections are made and the wires are carefully tucked into the outlet box, remove the canopy from the J-hook on the mounting plate.
Step 5
Permanently attach the canopy to the mounting plate with the provided screws.
Making Electrical Connections for Your Fan
Determine the hot and common wires by color: Black is hot for the fan; blue is hot for the light kit; white is common for the fan and light kit and green is ground. In all cases, make sure that all exposed wiring is secured inside the wire connectors. Once wiring is complete, gently push the wires into the electrical box.
Attaching Fan Blades
Attach the fan blades using the following steps.
Step 1
Mount each blade bracket to a fan; blade using the screws and washers supplied. Start all screws before tightening, then tighten each. Repeat for the remaining blades.
Step 2
Follow the same process to mount each blade / bracket assembly to the fan. Make sure all screws are tightened securely.
Adding a Light Kit to Your Fan
If your fan comes with a light kit, it may already be wired and in place, requiring only that you install the bulbs and globes. In some instances, however, you may need to wire the light kit yourself.
Step 1
Remove the switch-housing cover plate from the fan.
Step 2
Remove the plug from the center of the cover plate.
Step 3
Feed the light kit wires (black and white) through the holes in the cover plate, and screw the plate tightly to the light kit to prevent it from vibrating loose.
Step 4
Locate two wires within the switch housing labeled for light (white and blue). Connect them to the light kit wires with wire connectors — white to white and blue to black. Secure the connections with electrical tape to prevent the wire connectors from vibrating loose during operation.
Step 5
Carefully push the wires back into the switch housing, and attach the light kit to the switch housing with the provided screws.


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Shared my photos at the Sioux Empire Fair this past week. Check out how they look.
Source: Picture perfect!
Shared my photos at the Sioux Empire Fair this past week. Check out how they look.
Source: Picture perfect!
Earlier this week, I submitted a number of photos to the Arts Exhibit at the Sioux Empire Fair (Minnehaha's county fair). I am not a professional photographer, and I don't intend to become one. I have never submitted photos before, so I was not sure what they would be looking for. I just take pictures for the fun of it, and so that I have a photographic reference of my life and history for myself and my family.
It was fun taking the time looking at the photos and trying to choose which ones I would submit. I decided that I was only going to choose photos from the past year, nothing older (the fair requires that they be taken within the past two years). They have a variety of categories that you can submit your photos in, but you can only submit two per category. I had plenty of pictures to choose from, but had to narrow them down to a select few and place them in a category.
I chose my photos, get them printed and mounted, dropped them off at the fair office, and then I had to wait. I was surprised that I was a little more nervous and anxious than I thought I would be. Would they enjoy them? Would other people enjoy looking at them? Would they speak to anyone?
The fair opened two days later, and finally I get to see my photos on display in the Arts Center. We chose to go to the fair on one of the busiest days of the week, and traffic was a nightmare. It took us over an hour to park and walk into the fair. By the time we made it to the Arts Center, it was right at closing time (they actually had closed about 5 minutes earlier than when we got there). Sadly, I had resigned myself to the fact that I was not going to see my pictures this night.
Tiffany did not have the same thoughts though. She was going to see the pictures tonight. So, we went to the door and as others were leaving the building, we "snuck" in to see the pictures.
Although the lights had been turned down, we were able to find the pictures and sneak a quick look at the results that I had garnered. I had been awarded 2 blue ribbons, 3 red ribbons, and many white (participation) ribbons. Happily, we looked at the pictures, and quickly celebrated my small victory. It was nice to win a couple of ribbons to show that some of my photos had quality to them. I learned later that the judges had written critiques on the back of the entry forms, which I actually really enjoyed reading (although I may not fully agree with them all).
At the end of it all, I was happy that I submitted the photos. Not because I won ribbons, but because I participated in the fair. It was fun reliving the memories that the pictures brought back. It was fun getting the photos printed and mounting them. It was fun dropping them off and picking them up. I hope that my children see what I did and realize that they can do something similar. Hopefully they will have a hobby that they enjoy and share that with others. Tiffany was proud that I chose to share my photos with the rest of the Sioux Empire.
That was also fun!
Can you tell which of the photos were the two that won the blue ribbon? Comment your vote.
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subset: commoncrawl


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Starting off his career as a teenage professional football player, until deciding to change his path by age 19, subsequently feeling a bit lost after university, Manny fell into stockbroking sparking his hunger for sales. Giving us his account all the way from sunny Dubai- where Manny's company's head office is based as well as being one of the many places around the world he calls Home. He is the Regional Head of an international broadcast and software company; which of course comes with its own set of unique challenges.
In charge of producing different platforms to service broadcast media, Manny's company have spread themselves far and wide over the last three years. Heavily focusing on international brands such as Red Bull, Adidas, PWC and Nike to name but a few; his quest to expand his pool of clients looks to be in full motion….
Tell us about your travels, I know you've travelled a lot
Well business travel is essentially pleasurable; I've lived and worked on every continent in the world, bar Antarctica. I've worked in New York, Sydney, Hong Kong, all across Europe lived and worked in Bristol, Wales, England, Africa and Brazil. I'm on a plane every two weeks. Whether it's Australia, Indonesia, Philipines, Kenya, Nairobi or Ethiopia- It's really far spread.
What would you say is the most interested place you've been?
That's very difficult to answer, every place has its own diversity, identity and cultural feel. I don't have that one particularly interesting place I prefer to work or live in, but I take a little something from everywhere I go.
Where have you travelled just for leisure?
I try to go where I haven't before so I last went to Turkey. Work takes me around quite a bit. Places I haven't got to work in, I make sure I go there when I can. I want to get around to as many countries as possible.
What were your steps towards getting to where you are today?
Aside from my football career which happened very young, my first 3-4 years of work were absolutely terrible (laughs). I bounced around different industries until I settled in to selling sponsorship for corporate events and things just took off. I think this was the point when the penny dropped for me. It was not easy to start with but I was quite determined to succeed; it was a highly competitive and meritocratic environment but the opportunity to make really good money was literally in my own hands.
When I joined the company, the CEO at the time was only 29 years old. I looked at him and others high up within the company, just thinking to myself "I can do that". I knew I could do that, better even. That mentality and that drive is what led me here.
And what inspires you?
A couple of things, Firstly I have an unyielding drive to succeed. I don't get inspired by money alone as such I just believe it comes along with you on the journey and I want to leave a legacy, I want someone to turn around and feel compelled to improve their life based upon my influence. I am inspired by God and my mother, I frankly don't want to fail either of the two. My mum came up from nowhere really and she brought me up with the help of siblings looking after me also and I'm now very blessed to be in a position where I can help her out financially. I can do things now for my loved ones that I couldn't do 10-15 years ago.
By heritage, you are Ghanian. Were you born here?
I was born in Ghana. Spent my first six years of life in Ghana and during that time, my mother was in the UK. I then joined her here. She was living in South London at the time when I came over.
What makes you as broad minded as you are?
For me, I think I've been touched by the culture I have encountered whilst travelling which has really opened my mind. Prior to that, I felt I was stuck in a psychological box in London. I guess because my drive to always put myself in a position to learn something new gets you on track to open / expand your mind. You know; being naturally curious, otherwise I don't see how you can ever be forward looking.
Tell us about your time as a pro footballer
That career kind of found me. My mother is a very typical African mother, all about education. So when I got to secondary school my head teacher is the one that pushed the idea. We had quite a few good footballers in the school playing at some big clubs. I guess he saw something in me and invested a lot of time, money and resources into myself, even driving me to training and convincing my mum that I have potential to make it. I signed my first pro contract at the age of 15.
Do you have permanent accommodation in the places you travel to?
Not anymore in Australia or Brazil. But I have houses in Kent, Ghana currently being expanded, one here in Dubai and in New York.
What would you say to others to compel them to push further to live and explore the way you have?
I think there's this mind-set of stagnation where individuals will see, hear and want this and that but will not take that initial step forward to actually go and get it. To anyone who wants to be broad minded I'd say: don't think about it for too long, don't really think about it at all, just do it. Be brave. Experience something. Whatever the dream is take that risk and when you have done so, apply yourself passionately. Don't ever do something that you don't want to wake up in the morning to do. I Wake up at 4:30 in the morning every day because there simply isn't enough time to do what I do. Because I'm so passionate about doing it, I'm willing to use all my time possible to do it. Do something you are passionate about, do something you love.
Click HERE to connect with Manny on LinkedIn


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Other name: カーストヘヴン, 格差天堂, Heaven of School Caste
Status: Ongoing
Viewed: 638
Summary: Ruled by a cruel and arbitrary ranking system, the school is a pool of jealousy, envy and lust. Azusa was the King for a long time but one day he falls to the very bottom. What now?


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New Zealand Institute of Sport works closely with schools like yours throughout New Zealand to help your students discover alternative pathways for a career in the Sports, Fitness and Recreation industry.
Career Expos
NZIS attends many careers expos around the country. Check this page to see where we are next and come to speak to one of our representatives.
NZIS representatives travel throughout the country to get to your school and reach out to your students.
Information Evenings
We hosts information evenings where you are invited to explore the NZIS campus, speak with tutors and find out what study options are available for your students.
Open Days
We hosts open days where you and your class are invited to explore the NZIS campus, speak with tutors and find out what study options are available for your students.
School Visits / Insight Programmes
We offer classroom presentations about NZIS and our courses, as well as practical sessions that will give students insight into studying with us.
NZIS offers Gateway programmes to give your students a feel for the sports industry so they can determine if it's right for them. Gateway gives your students an opportunity for hands-on experience while continuing to study at school.
The Huddle Newsletter
Keep up to date with what is happening at NZIS.


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Hello everyone!
I hope you're good and I hope you're ready for school…. Where I live school started yesterday. (except for me, because I'm off to Canada so I'm fine 😉 )
Anyways, I got a new school bag, because I will be going to school in Canada as well. My last one was really bad quality and broke mid through the year, but I was too lazy to buy a new one so I used it for the rest of the year as well. For the next school year, though I really wanted to get a new one, which is a real challenge because, let me tell ya, finding a rucksack of good quality, good size and which is pretty as well…. That's a challenge, it really is. Continue reading "A Perfect Every Day Rucksack"


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Progressive (ought to) Love Ralph Nader
Let me be up front here: I voted for Ralph Nader in 2000. So go ahead and blame me. In truth I've come to admire Al Gore and if the Gore of 2008 were running in 2000, well, I'd have had a more difficult choice. But at that time, Nader was the progressive voice – the only option – to choose from. It wasn't even a hard decision.
In the years since I've watched Nader vilified – not from the Right but from the so-called "Left". And this criticism is – it seems to me – short-sighted, narrow minded and ultimately reactionary. It does great damage to any progressive movement. And it plainly shows why need multi-parties and instant runoff elections.
Anyway, here we are in 2008, and Ralph is at again. And I won't vote for him this time around. We've seen what an out-of-control right-wing party can do; it's only the Bush Administration's bungling and ineptitude that limited their damage, and they've done plenty of damage regardless. So I'll vote for a Democrat because right now, the stakes are that high. But still, I'm damn glad Ralph's running.
That's because there is only one political and economic party in America, and that's the Corporate Party. We need progressive voices to raise the issues that the corporate media and the corporate-backed Republican-Democrats just won't.
Corporations have every right to exist and to make money – it's what they're supposed to do. They either earn profits or they die. So I'm not saying "smash the corporations". I work for corporate America. I buy products from corporate America. I'm not a hypocrite.
But the point that "liberals" who attack Nader ignore or don't understand is that relying on the Democratic party to function as the political counterbalance to corporate power is a waste of time. In truth, there is no national party to counter-balance corporate power. This is really not a difficult argument to make. American corporations wield a level of control over our society that rivals – and may even excel – any organized force in history.
That makes this a dangerous moment – after all, tyranny is not just for the history books, coming from Kings and the 18th century. It's a constant threat. The founding fathers understood this and gave us a country that prides itself – rightly so – on a system of Checks and Balances. This forward-thinking philosophy should – on paper – limit the chance for a single branch of government to dominate the others. What the founding fathers didn't count on is a situation where a single power is able to dominate ALL branches of government. And that's what we have today, a corporate government.
The democrats throw rhetorical anti-corporate bones to progressives every four years and then go right on working for corporate interests after the elections are done. Just check out Hillary sounding like a Wobbly as she barnstorms Rhode Island, "blasting companies shamelessly turning their backs on Americans by shipping jobs overseas." This isn't just disingenuous. It's dishonest. It was the Clinton administration that passed NAFTA, for crying out loud.
This is why Ralph Nader must run and hopefully even get into the debates, and this is why progressives need to stop whining about 2000 and start being more forward-thinking about the perils facing our democracy, or the dangerous state of the products we consume, the air we breath, the policies we pursue. Nader doesn't have a chance to win the election. And no individual, no matter how brilliant, can be effective without political support from Congress, something a Ralph Nader would never have without some kind of Green Party revival. But Ralph needs to run because no one else will be bringing up progressive points.
Show me the Democrat who's talking about Nader's issues, nicely shown here, and highlighted below:
- Adopt single payer national health insurance
- Cut the huge, bloated, wasteful military budget
- No to nuclear power, solar energy first
- Aggressive crackdown on corporate crime
and corporate welfare
- Reverse U.S. policy in the Middle East
- Impeach Bush/Cheney
- Work to end corporate personhood
There are no other candidates talking about these subjects, period. As Alternet puts it, "Run Ralph Run! But I won't vote for you."
Tags: corporate america, politics, progressive, progressive movement, ralph nader
February 25, 2008 | Filed Under Blog, Political | Permalink
1 comment
- 1 SystemsThinker { 02.25.08 at 11:51 pm }
You, like Nader on his own website, point out the issue he talks about that the other candidates don't. But check out The Key Issue Suspiciously Missing from Ralph Nader's "Table". There is one issue where Nader doesn't talk about it any more than them, and it's pretty telling.
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Give us a call to get our secret deals 1-800-468-3578
Property Location
With a stay at VR Takapuna in Bayswater (North Shore), you'll be close to Auckland University of Technology and Sky Tower. This 4.5-star apartment is within close proximity of Princes Wharf and Mount Victoria.
Make yourself at home in one of the 32 air-conditioned rooms featuring kitchens with full-sized refrigerators/freezers and stovetops. Your bed comes with down comforters, and all rooms are furnished with queen sofa beds. 32-inch LCD televisions with satellite programming provide entertainment, while complimentary wireless Internet access keeps you connected. Conveniences include phones, as well as laptop-compatible safes and desks.
Take advantage of recreation opportunities such as a fitness center or take in the view from a terrace and a garden. Additional amenities at this Art Deco apartment include complimentary wireless Internet access, concierge services, and wedding services.
Grab a bite to eat at the apartment's beachfront restaurant, which features a bar and a garden view. You can also stay in and take advantage of room service (during limited hours). Quench your thirst with your favorite drink at a bar/lounge.
Business, Other Amenities
Featured amenities include a business center, complimentary newspapers in the lobby, and dry cleaning/laundry services. Planning an event in Bayswater? This apartment has 300 square feet (28 square meters) of space consisting of a conference center and a meeting room. A ferry terminal shuttle is provided at no charge, and free self parking is available onsite.


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I have decided to celebrate my approaching 60th birthday by walking the Camino Francis from St Jean Pied de Port in France to Santiago de Compostela in Spain, a distance of approximately 800 kilometres. I am in training doing weights 3 days a week and my longest walk so far is 22 kilometres, with my good friend Greg. I aim to reach Santiago on my birthday and I'm allowing 5 weeks to cover the 800 kilometres. I have read that to walk a long distance, one should walk light, so I intend to deploy a three pronged attack. I need to unburden my mind, unburden my body and carry the barest minimum in my pack. This will be the first of what I hope will be many posts.
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Check out my poem 'Cloud Dancer' over at Mark of the Stars today.
Jessica is a regular participant in Six Sentence Sunday and writes reviews. Go show her some love!
She even put up a real picture of me. Wow. It's big.
Happy Friday!
Check out my poem 'Cloud Dancer' over at Mark of the Stars today.
Jessica is a regular participant in Six Sentence Sunday and writes reviews. Go show her some love!
She even put up a real picture of me. Wow. It's big.
Happy Friday!
In Celebration of Contagion's release two days ago – here are six more from this story. Our heroine Tessa is having a tough day and she doesn't want to hear anymore.
Kyl followed her. "It's true. You know I would not lie to you."
"If you tell me I just have to believe, or I can tap my heels together, I'm getting the fly swatter, fairy-man." Her chest nearly burned with the rapid breaths. The dizziness would have knocked her over, but the sharp pain of loss and betrayal somehow kept her spine straight. She leaned on the nearest counter to keep from passing out.
There are lines I love no matter how often I go through the story. Mine is in that snippet. Still makes me laugh!
Remember to check out the other offerings – http://sixsunday.blogspot.com.
Today I'm celebrating the release of Contagion. It is the first in a series I will be writing, Summer Fae Series.
The blurb and and excerpt of the story are available here. You can purchase the story from my Publishers site: http://ow.ly/4ATwt.
Thanks for all of my lovely writer friends who support me!
You can find little snippets of this story on this site. I have posted 6 sentences from it each sunday for the last month!
Killing became easier when her survival dependent on it. She, Kyl, and his oldest four children hunted every Sunday just before dawn at the lake a hundred yards into the back woods. She wouldn't kill rabbits or the horses that were now wild. Kyl never understood it and she never quite explained who Thumper was; only that she could kill Bambi to survive, but not Thumper. He simply shook his head and sent his sons to kill any rabbits they needed to make winter clothing.
My personal take on the plight of the homeless. This image was really driven home by the background shots in New Orleans after Katrina. I watched the haunted faces in the background, not the painted faces on camera.
Averted Eyes
We see their faces staring at us
From alleyways and behind doors
Eyes darting up and down the street
They see more on our faces
Than we see on theirs
Our pity and guilt written on our souls
The children cannot go to school
They cannot play in the park
Yet we never stop to give a hug
To a young soul growing old too quickly
They ask their parents not for toys
Not for games nor parties
But simply a roof to sleep under
The same roof we curse for leaking
To them is a glorious indoor shower
The furniture we throw out on the street
Is their playground and bedroom
Young eyes turn to you on the street
with one question in the air
Can you spare a smile?
Or as close as we can get in the freezing cold!
I want to be HERE!
*cough* How'd HE get in here? Well, if the beach alone isn't warm enough for you, Daniel Craig should raise the temperature!
Here is a snippet from my story that released yesterday:
Quietly Elden came in and tucked her in for the night, as Lyn called for her husband and child in her sleep.
He returned to the kitchen to meet Isla, who greeted him with a warm hug.
"Honey, you look terrible," she said.
"She is still mourning her family. Her glow has faded so much it is hard to recognize." Tears formed in the small brownie's eyes, concern for the child he helped raise overshadowed his fear of losing the land and house he had loved for a century.
"Did she eat?" asked his wife, ever the worried mother.
Click the image to go to the Decadent Publishing site to purchase the book.
If you have a Kindle – You can find the book on Amazon RIGHT HERE.


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Life has it's way rolling right along, with no sensitivities to all the things that still remain on the to-do list from yesterday. And I just realized that this little announcement had never made it's way to the blog (along with A LOT of other belated posts)! Now I had made this up in the […]
Heather Meyers Photography
Heather Meyers Photography | Contemporary Portraits & International Photojournalism
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I'm based in South-Central Pennsylvania, but I travel a lot, so I specialize in contemporary portraits wherever you are!
So grab a cup of coffee and sit back and browse through past posts or peruse a category of interest. And you can always learn more About Me, , Friend me on Facebook, Follow me on Twitter, or Join the Fan Page. The portfolio websites below should be going live soon, so check back!!!


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It was with regret that I accepted Alex Nichipor's resignation from the position of Pre-school/ Kindergarten Lead Teacher week before last. Alex has been a wonderful asset to the CRE program since October. She has provided the consistency that our very youngest children require to be comfortable in the classroom each week. Alex recently accepted a full-time position with a non-profit in Wellesley and, although she very much wanted to keep teaching our pre-k/k classes, it soon became apparent that it didn't allow her much needed time for adjusting to several concurrent changes in her life. Alex's last Sunday on the job will be April 3rd, please stop in and thank her for her service to our community and wish her well that day.
The timing of Alex's departure coincides with the conclusion of the Chalice Children curriculum. The following week, April 10th, the pre-k/k classes start "Spirit Play" and this runs for 10 weeks through June 12th. As in the past, Eleanor Sugarman will lead Spirit Play at 9 am, ably assisted by her husband Jim in the "door-keeper" role. Obviously, since Alex is no longer our lead teacher, we have a very desperate need for two additional people from the congregation to step-up and fill the roles of story-leader and door-keeper at 11 a.m. Both Charlotte and Eleanor will serve as a resource to the other teacher-volunteers. There is also a manual that you can use as a reference guide.
Spirit Play is a Montessori-based curriculum with a specific structure centered around story-telling and "work" time. Eleanor Sugarman has produced the "baskets" for each of the lessons in the series. If you want to learn more about Spirit Play, talk to Eleanor or Charlotte. Kate Searle and Melissa Irion have also helped to teach these lessons to the children last year and can tell you about their experience with the curriculum and its structure.
Please contact me ASAP, if you can teach these last ten weeks of the church-year.
Mark Your Calendars – Events of Interest to Families
- Forty to None Day, April 27th. According to True Colors, "approximately 40% of youth experiencing homelessness identify as lesbian, gay, bisexual, or transgender (LGBT), yet LGBT young people make up less than 7% of the general youth population." The goal of True Colors is to reduce the disproportionate percentage from 40% to none (truecolorsfund.org/40tononeday). If you are interested in helping to organize an event at FCB, contact Jess Hicks.
CRE Volunteer Opportunities for All at FCB
- Sign up to teach in any of the CRE classes on Sunday mornings: tinyurl.com/teachCRE. You will need to have recent background check (done by FCB in the last 2 years) or submit a new one using the form on-line: http://uubelmont.org/coriandsori/.
- Would your family like to lead the Chalice Lighting during the worship service one Sunday this year? CRE is coordinating this effort to involve families in this element of the worship service on the 2nd and 4th Sundays of each month. Click to sign-up: tinyurl.com/chalicelighting. You will receive an e-mail reminder.
- Non-parent teacher-volunteers are needed to assist our Childcare Provider, Denise Azar, in the Nursery at 9 and 11 am each Sunday. You can easily sign-up for this volunteer opportunity here: tinyurl.com/sundaynursery. You will receive an e-mail reminder.
Children's Religious Education Program Registration and Information:
If you haven't registered your children for CRE, please do so ASAP using the registration link found on the Children's Religious Education page of the FCB website (www.uubelmont.org/childrens-re/) which allows you to register children from birth through 12thgrade. All children must be registered for CRE.
~ Charlotte Lehmann, Acting Director of Children's Religious Education
Office hours: Tues-Weds, 10am-6pm. E-mail: firstname.lastname@example.com.


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India vs Pakistan Match Live Streaming Online: Sunday will be a unique day in the history of the sports for India and Pakistan. Heathrow is expected to be teeming with Indian and Pakistani jerseys. On the other, the arch-rivals will also clash at the Olympic Park in a match of the FIH World Hockey League semi-finals.
India's remarkable consistency will be high up against Pakistan's legendary volatility when the rivals clash in what is expected to be an exciting finale to the ICC Champions Trophy. Defending Champions India had got the better of the rivals in the league stage of the ongoing tournament. And captain Virat Kohli has already declared that nothing extra is needed to get the same result despite the turnaround by Sarfraz Ahmed's men since then. It is nonetheless a battle of attrition, where one needs to hold the nerve till the very end.
Not many would have thought this edition of the Champions Trophy would end the long wait, especially on the back of how comprehensively India humbled their arch rivals two Sundays ago at Edgbaston. But while India has, save the upset against Sri Lanka, cruised into the final as defending champions, Pakistan has defied all expectations with exceptional cricket.
"As the tournament goes on, at some point we will reach the final stage. We will still take it as another match. We haven't spoken about this game in any different way. We have practiced the same way from the first day we came here. There's no over-excitement," the Indian captain confessed to media.
India vs Pakistan Final Match Squads
India VS Pakistan Match Score Board Live Updates
6:15 – Pakistan's brilliance in the middle overs took them to set big target for India. Pakistan – 338/4 after 50 overs.
6:30 – Wicket !! Babar Azam tried to hit out of the ground but finds Yuvraj at long off. While Attacking Hafeez Takes Pakistan Past 300. Pakistan – 313/4 after 47 overs
6:00 – Wicket!! Bhuvi came in and provided India with a breakthrough. Takes Malik out for 12(16). Pakistan are 257/3 after 41 overs.
5:50 – Bhuvaneshwar back into the attack in 40th over to complete his remaining 5 overs.
5:40 – As the good run continues for Pakistan and Aswin, Pandya bowled out their 10 overs quota, Kohli brings Kedar Jadhav into the attack. Pakistan are 239/2 after 38 overs
5:30 – Wicket!! Hardik Pandya gets the breakthrough taking out the dangerous Fakhar Zaman who scored 114 off 106 balls. Ravi Jadeja has taken good catch which brings Malik into the crease.
5:20 – Fakhar Zaman continues his hitting as Pakistan reaches 200 after 33 overs with the loss of 1 wicket. Ashwin completed his 10 overs and gave away 70 runs.
5:15 – Fakhar Zaman reaches his century with a four, between mid wicket and fine leg. He didn't play against India in the first game and the second game he played, he has shown good temperment. Kohli has to do something to get the wicket like the semi-final. Pakistan are now 186/1 after 31 Overs, scoring at 6 Per Over.
4:45 – Wicket !! India gets first breakthrough as Babar Azam miscommunication with Fakhar Zaman cost Pakistan and awarded India with first wicket. Pakistan are now 128/1.
4:30 – Both the openers reached their 50's and playing a steady game which takes Pakistan to 100+.
4:00 – Babar Azam and Fakhar Zaman set the platform well for Pakistan with a 50 run partnership.
3:24 – Another four for Pakistan. It's been given as a leg bye. Fakhar with another four. Eight from the over. Pakistan 27/0, 5 over (Ali 7, Fakhar 12)
3:20 – Bumrah with another wide to start off his second over and he follows hat up with a wicket. Fakhar is out. And it is a no ball. Fakhar is back. What is going on???? Fakhar gets the first four of the match. Ali also finds the boundary. Will that no-ball from Bumrah come to haunt team India later on??? Not a good over from Bumrah. Three extras conceded. 12 from the over Pakistan 19/0, 4 over (Ali 7, Fakhar 8)
3.6 Bumrah to Azhar Ali, no run
3.6 Bumrah to Azhar Ali, wide, wide down the leg-side as Bumrah tries the inswinging yorker
3.4 Bumrah to Azhar Ali, FOUR, straight down the ground
3.3 Bumrah to Fakhar Zaman, 1 run, to mid off
3.2 Bumrah to Fakhar Zaman, FOUR, oh the inside edge escapes past the sticks. Good length delivery from Bumrah, Fakhar Zaman tries to push at it and gets away with a thick edge that beats fine leg comfortably
3.1 Bumrah to Fakhar Zaman, no run, that's an excellent free-hit ball. Fakhar Zaman went leg-side
3.1 Bumrah to Fakhar Zaman, no ball, look at the smile on Fakhar Zaman's face. Is this the bit of luck that gets him going? "Well they certainly need some divine help," says Rameez Raja on air. This was the first delivery that Bumrah bowled outside off stump to Fakhar Zaman and the batsman, who was kept calm with India's leg stump lines, tries to break the shackles immediately and threw his bat at it. This was full and angled across
Fakhar Zaman has been caught behind, but they are checking for the no-ball. Can he get lucky? Oh yes, Bumrah has crossed the line
3.1 Bumrah to Fakhar Zaman, wide, another wide down the leg-side
Overs- 03
Runs Scored: 4
1 1 1 1 0 0
Score after 3 overs
Azhar Ali 3(11)
Fakhar Zaman 3(7)
2.6 Bhuvneshwar to Azhar Ali, no run, just shaping back in was this length ball, Azhar Ali was calm in his push back to the bowler
2.5 Bhuvneshwar to Azhar Ali, no run, short of length delivery outside off stump, Azhar Ali defends
2.4 Bhuvneshwar to Fakhar Zaman, 1 run, to mid wicket
2.3 Bhuvneshwar to Azhar Ali, 1 run, inside edge onto pad saves Azhar Ali. Inswinging good length delivery on the stumps, Azhar Ali wanted to flick, failed to connect properly, just about saved by the bit of wood on the bat as that was heading to the sticks
2.2 Bhuvneshwar to Fakhar Zaman, 1 run, "yeah, yeah," is the shout from Fakhar Zaman for a quick single and a direct-hit would have been curtains for him. He's been cramped for room and he is desperate for runs. Just taps this short of length delivery that swung away slightly to short cover and set off, Kedar attacked the ball and had a shy at the bowler's end but missed
2.1 Bhuvneshwar to Azhar Ali, 1 run, edgedddd and no one at gully. Short of a length delivery outside off stump, Azhar Ali tries to defend away from the body, the ball nips away just a touch to trouble the batsman and take the edge to third man
Runs Scored: 3
0 0 Wd 1 1 0 0
Score after 2 overs
Fakhar Zaman 1(5)
Azhar Ali 1(7)
1.6 Bumrah to Fakhar Zaman, no run, fullish and on the stumps, Fakhar Zaman defends to the left of the bowler, who runs and stops the ball
1.5 Bumrah to Fakhar Zaman, no run, lovely yorker from Bumrah, right at the base of leg stump and Fakhar Zaman managed to dig it out into the on-side
1.4 Bumrah to Azhar Ali, 1 run, easy short of length delivery for Azhar Ali to work with and he works it wide of mid-on to drag Ashwin to his right
1.3 Bumrah to Fakhar Zaman, 1 run, oh the inside edge and almost dragged on. Good length delivery just outside off stump, bowled at 145kph, Fakhar Zaman was clearly late on the shot, the ball took the edge and luckily for Pakistan missed the sticks and ran away to fine leg
1.3 Bumrah to Fakhar Zaman, wide, tries the inswinging yorker, but Bumrah sprays it down the leg-side
1.2 Bumrah to Fakhar Zaman, no run, good length delivery on the stumps, blocked
1.1 Bumrah to Fakhar Zaman, no run, oh that's a bit of a freebie from Bumrah but the batsman has missed out. It's a full toss, just swinging in, Fakhar Zaman was late on the flick and it hit him on the pad, clearly missing the leg stump though
Runs Scored: 0
0 0 0 0 0 0
Score after 1 overs
Azhar Ali 0(6)
Fakhar Zaman 0(0)
0.6 Bhuvneshwar to Azhar Ali, no run, that's a maiden over to begin with. Good start from India. Bhuvi bowls a fullish delivery outside off stump, Azhar Ali lifts his bat and lets it go
0.5 Bhuvneshwar to Azhar Ali, no run, this time Azhar Ali drives to the left of mid-off, can't get a run yet
0.4 Bhuvneshwar to Azhar Ali, no run, short cover in place, a good looking drive from Azhar Ali as Bhuvneshwar bowls a fuller length, but straight to Hardik Pandya
0.3 Bhuvneshwar to Azhar Ali, no run, fullish and outside off stump, Azhar Ali drives it to mid-off
0.2 Bhuvneshwar to Azhar Ali, no run, oh brilliant follow up ball. The outswinger is followed by the incoming full ball this time, almost had Azhar Ali is trouble. Hurriedly manages to work it into the on-side off the inside edge of the bat
0.1 Bhuvneshwar to Azhar Ali, no run, decent pace from Bhuvi first up and he gets decent amount of outswing. The perfect delivery with two slips waiting for the edge. Fullish and outside off stump, Azhar Ali didn't want to chase that ball, left it alone and Dhoni collected
Azhar Ali and Fakhar Zaman are at the crease. Azhar Ali is on strike. Bhuvneshwar will open the attack
02:58 PM-Now it's the time for the national anthems. India's "Jana Gana Mana," is followed by Pakistan's "Qaumi Taranah."
02:57 PM- The teams are observing a minute's silence to mourn the people who lost their lives in the devastating fire at Grenfell Tower, London
02:55 PM – Three appearances in CT finals: Brian Lara & S Chanderpaul (1998, 2004&2006)
Yuvraj Singh (2000, 2002 & 2017)
We are just minutes away from the start of the big final.
Pakistan (Playing XI): Azhar Ali, Fakhar Zaman, Babar Azam, Mohammad Hafeez, Shoaib Malik, Sarfraz Ahmed(w/c), Imad Wasim, Mohammad Amir, Shadab Khan, Hasan Ali, Junaid Khan
India (Playing XI): Rohit Sharma, Shikhar Dhawan, Virat Kohli(c), Yuvraj Singh, MS Dhoni(w), Hardik Pandya, Kedar Jadhav, Ravindra Jadeja, Ravichandran Ashwin, Bhuvneshwar Kumar, Jasprit Bumrah
Sarfraz Ahmed: We would have wanted to bowl but the toss is not in our hands. Looks like a good batting pitch. I am very proud of my boys. When we arrived here we were number eight. We had nothing to lose. Today as well we have nothing to lose. He (Mohammad Amir) is back and is now playing today.
Virat Kohli: We will bowl first. Looks like a decent hard wicket, should stay true. I think it will stay true, whatever there is something for the bowlers we would like to utilize. We are a side who like chasing. We have played some cricket here. No matter what the conditions are, you have to come out and play good cricket. One more effort to go. If you make the final it means you have played some great cricket to come here. We don't take any team for granted, we have not taken any team so far. No matter what the opposition brings, we believe in our abilities. It's same, it is unchanged (the team).
India have won the toss and have opted to field
2:04 PM – There is still a long time to go for the start of the match and with both India and Pakistan tied at 2-2 in the head to head record in Champions Trophy, who will take the lead today??
India: Virat Kohli (captain), Shikhar Dhawan, Rohit Sharma, Yuvraj Singh, MS Dhoni (wk), Kedar Jadhav, Hardik Pandya, Ravichandran Ashwin, Ravindra Jadeja, Jasprit Bumrah, Bhuvneshwar Kumar, Dinesh Karthik, Mohammed Shami, Ajinkya Rahane, Umesh Yadav.
Pakistan: Sarfraz Ahmed (captain), Ahmed Shahzad, Azhar Ali, Babar Azam, Mohammed Hafeez, Shoaib Malik, Hasan Ali, Mohammed Amir, Rumman Raees, Junaid Khan, Imad Wasim, Faheem Ashraf, Shadab Khan, Fakhar Zaman, Haris Sohail.
Umpires: Marais Erasmus (South Africa) and Richard Kettleborough (England)
Where to Watch the India vs Pakistan Final Match Online?
The India vs Pakistan Champions Trophy final will be played today at The Oval, London. The final will be broadcast live on Star Sports 1, Star Sports HD 1, Star Sports 1 Hindi, Star Sports 1 Hindi HD and DD National and will start at 9.30 am GMT (3 pm IST). The India vs Pakistan Champions Trophy final will be streamed online on Hotstar.
- Australia: Channel 9, Fox Sports
- Afghanistan: Lemar TV, Star Sports India
- Bangladesh: GTV, Star Sports India
- India: DD National (Only India matches), STAR Sports 1, STAR Sports HD 1, STAR Sports 2, STAR Sports HD 2, STAR Sports 3, STAR Sports HD 3
- New Zealand: Sky Sports, Sky Sports NZ
- United Kingdom: ITV 1 & 4, SkySports
- USA: ESPN3, Willow TV
- Sri Lanka: SLRC Channel Eye, Star Sports India
- Pakistan: PTV Sports, Ten Sports, Star Sports India
- Carribbeans, South America, Central America: ESPN
- South Africa: SuperSports
- Middle East: OSN Sports
- Canada: SportsNet, WillowTV
- Pacific Islands, Papua New Guinea: Fiji TV, SKY Pacific
- Singapore: Star Cricket Starhub & Singtel
- Hong Kong: Star Cricket – PCCW
- Netherlands: Fox Sports
- Wales, Scotland and Republic of Ireland: Sky Sports 2
Rest of the World: Hotstar
Who will win today's match ?
For More Latest Updates: Follow PressKS


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Principal Financial Group Inc. (NYSE: PFG), is firmly in the large market cap category with market cap of 14787.88. To be considered a large market cap stock companies have to be valued at more than $10 billion. The current price for Principal Financial Group Inc. is 51.42 (with a change from open of 1.42%), this in conjunction with a target price of 48.82. Volume today has so far reached 1923600, with an average volume of about 1304.44. The GAP for this stock, is 0.56%.
The P/E ratio is 12.2, bringing the forward P/E to a value of 10.93. The current EPS for Principal Financial Group Inc., is 4.21, with a EPS growth for this year coming to a value of 9.10%. Performance has been interesting with performance year to date coming to 17.43%.
Looking further into the growth statistics for Principal Financial Group Inc., EPS is looking like it will grow 7.79% in the next year. Looking even further it is projected to be 7.51%. Quarter over quarter is 36.30% for EPS growth and for sales growth quarter over quarter it is -7.00%. Looking at past EPS growth statistics we see that for the past five years it has been 16.20%. Sales growth for the past five years has in fact been 8.70%.
Looking at the ownership, we see that the insider ownership is at 0.50% and institutional ownership is 68.20%. Shares outstanding is 287.59, while shares float is at a value of 286.41. Float short for Principal Financial Group Inc. is 1.64% and the short ratio is 3.6.
In terms of debt, long term debt/equity is 0.31, while the total debt/equity comes to 0.31. The ability to meet these debts, means that the current ratio is *TBA, and the quick ratio is *TBA. The most recent gross margin is *TBA and their operating margin is 12.50%. The profit margin is 10.20%.
Principal Financial Group Inc. has seen returns on assets of 0.60%, and on investment, 9.80%. Return on equity is 12.60%. Price/Earnings to growth ratio is 1.63. Price/Sales ratio is at a value of 1.21, with Price/book ratio coming to 1.42 and Price/cash is 6.56, and finally Price/Free cash Flow is 3.9.
The simple moving averages are 8.75% and 22.48% for 20 day and 200 day simple moving average respectively. For the 52 week high and low the 52 week high is 1.60% and the 52 week low is 59.62%.
Principal Financial Group Inc. has a dividend yield of 3.19%, with a current price of 51.42. The ability to pay this means the payout ratio is 36.00%. This is in an industry, Life Insurance, with equally high dividends from other companies in this sector, which it is Financial. Principal Financial Group Inc. is based in USA.
Performance in the Life Insurance industry means that Principal Financial Group Inc. has seen performance for the past week of 3.32%, with performance for the month coming to 5.54%. Looking at the data for the quarter it is at a value of 28.66%, and for the half year the performance is 13.73%. Volatility for this week is 1.86% and for the month this is 1.65%.
Disclaimer: Remember there is a risk to your investment, this is not a recommendation, nor personal advice, never invest more than you are able too loose.


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How can we help?
Multi-user login FAQ
What is it?Arrow down icon
In order to help advertisers manage Twitter Ads campaigns more effectively and more securely, we allow for different levels of access to individuals affiliated with a brand or Twitter handle. Multiple users may be given access to an advertising account. Each user will log in with his or her own username and and will be able to access the advertising accounts to which he or she has access. If you're managing multiple accounts, you'll need to log in directly to ads.twitter.com to update billing information.
This feature can reduce risk of malicious or erroneous mishaps with your business/brand @handles by granting access to more of your team without sharing the password to your main account(s). In addition, it can reduce friction for users who manage ads for more than one ads account on Twitter.
How does it work?Arrow down icon
Each advertiser's actual handle, by default, will become the account administrator. As a result, this user can grant varying degrees of access to other Twitter users. The option to access the accounts you have the ability to manage is available in the drop-down menu when an account name is clicked.
You must be logged in to an account administrator handle in order to grant other users access to the account. Once you are logged in, find the account dropdown and click the Edit access to account button.
To begin adding more users, click the Add more users… button.
Next, enter the @username of another Twitter user, and indicate if this user should be an Account Administrator, Ad Manager or Analyst. These roles are defined as follows:
Account Administrator: User has full access to ads.twitter.com, including the ability to create new account administrators and ad managers, edit account access for administrators and ad managers, make changes to advertiser campaigns and view performance data. Account administrators cannot post organic tweets but have the ability to create promoted-only (aka limited delivery) Tweets. Please note that Account Administrators have access to credit card and billing information.
Ad Manager: User can access ads.twitter.com and make changes to campaigns and view performance data. Ad managers cannot create new accounts. Ad managers cannot post organic tweets but have the ability to create promoted-only (aka limited delivery) Tweets
- Analyst: User can access analytics.twitter.com and view analytics, but does not have access to (paid) campaigns.
Next, choose whether you would like to allow this user to create limited delivery Tweets for use in campaigns.
After picking a role and clicking save, this user will have access to the advertiser's dashboards on ads.twitter.com or analytics.twitter.com.
Only the user whose Tweets are used in the advertiser's campaigns OR Account Administrators/Ad Managers with the promoted-only Tweet compose permission will have access to create a promoted Tweet from ads.twitter.com. For all other users, Tweeting will be be disabled.
TipsArrow down icon
- At this time, only the user whose Tweets are used in the advertiser's campaigns or users with Account Administrator/Ad Manager access can Tweet from ads.twitter.com. For all other users, Tweeting will be be disabled.
- If a user only has access to one account, the default account will automatically display. If the user has access to more than one ads account at any level, he or she can select which account to use by clicking on the account name in the upper-right corner and clicking "Switch accounts" in the drop-down.
- If a promotable user is protected, no user will be able to see his or her tweets.


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Dale Tiffany Lighting
Rich and glamorous, Art Nouveau style has stood the test of time for over a century. Now, you can get the luxurious look for your home with this collection of Tiffany-style lamps. From elegant floral motifs and geometric patterns to a statement-making rooster, these must-haves are the perfect way to add a dash of personality and a pop of color to any room.


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The CRE classes are wrapping up their exploration of Unitarian Universalism — the values, actions and people that exemplify the meaning of our 7 UU Principles – at the end of this month. You could check out the favorite principle of some of them or read the "footstep" and "wheel-chair" messages left by the 3rd and 4th graders on the path of their "Faithful Journey" over the past four months. Wander down the hall of the CRE Wing to appreciate these visual reminders of who we are as UUs.
The 7th grade Building Bridges class continues its chronological journey through our neighboring faith traditions. They will visit different types of Christian congregations and the Islamic Center in Wayland during the second half of the year.
Grades 1 through 6 classes will be starting the Judeo-Christian Heritage pillar on February 7th, with a visit from Moses, of Bible-fame. They will have one other set of time-traveling visitors from the Fertile Crescent and plenty of other interesting activities and lessons between February and June. Classes hear Bible stories and learn about ethical and theological questions raised in Judaism and Christianity. Judeo-Christian heritage is one of our six sources from which we embark on our search for truth and meaning. Stay tuned, but even better, sign-up to volunteer in our classes as a teacher. See below to sign up to teach.
Our "Chalice Children" pre-school and kindergarten classes recently have been learning about some time honored rituals and rites of passage: memorial services, marriages, child dedications, and other special worship services. They will continue to learn about what it means to be a Unitarian Universalist during the next two months.
Special Activities of interest this winter:
- January 26, 7-9 p.m. in the FCB Library: Parents and Caregivers as Sexuality Educators It continues on the 2nd and 4th Tuesdays of each month through May 24th. This program is especially helpful for parents/caregivers of tweens and teens but we welcome anyone who wishes to participate. Offered by CRE. FMI, and to register for the class, click here.
- January 31: "Children and Technology" program for parents and other interested adults, between services (10:15 – 11 a.m.); childcare provided. Facilitated by Diana Dill. Offered by Adult Programs.
- February 6: "All-Church Potluck and Game Night," 5:30-8:30 p.m. Fellowship Event. Sign-up on bulletin board near church office.
Children's Religious Education Program Registration and Information:
If you haven't registered your children for CRE, please do so ASAP using the registration link found on the Children's Religious Education page of the FCB website (www.uubelmont.org/childrens-re/) which allows you to register children from birth through 12thgrade. All children must be registered for CRE.
CRE Volunteer Opportunities for All at FCB
- Sign up to teach in any of the CRE classes on Sunday mornings. You will need to have recent background check (done by FCB in the last 2 years) or submit a new one using the form on-line: uubelmont.org/coriandsori/.
- Would your family like to lead the Chalice Lighting during the worship service one Sunday this year? CRE is coordinating this effort to involve families in this element of the worship service on the 2nd and 4th Sundays of each month. Click on this link to sign-up. You will receive an e-mail reminder.
- Non-parent teacher-volunteers are needed to assist our Childcare Provider, Denise Azar, in the Nursery at 9 and 11 am each Sunday. You can easily sign-up for this volunteer opportunity here. You will receive an e-mail reminder.
Are your kids interested in traditional English dancing?
CRE received notice of two opportunities to learn and participate in Morris dancing and other traditional English ritual dances at First Parish of Sudbury, one of our neighboring UU congregations. Hop Brook Morris is for 4th-8th graders interested in learning Morris and sword dancing basics; first meeting is Sunday, January 31st from 11:45 am – 1 pm at First Parish in Sudbury. Great Meadows Morris & Sword is a rapper sword and Morris dance performance team for teens, age 13-18 meeting Sunday evenings from 4:45-6:45 pm. FMI go to: www.gmms.org. Flyers are posted on the CRE bulletin board. Contact Tom Kruskal, email@example.com or 978-443-8940 to ask questions or register your child(ren).
~ Charlotte Lehmann, Acting Director of Children's Religious Education
Office hours: Tues-Weds, 10am-6pm. E-mail: email@example.com.


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Thu., June 14, 2012
Parks department needs to act on big ideas
On May 31, The Voice had an article about the future of Riverfront Park. All the Parks Department has been doing for 30 years is talk, talk, talk. There were plans for a People Mover along Howard from the Arena to downtown and a 300-foot mini Space Needle-Disney type attraction. Nothing ever comes to pass.
But, in the mean time, the U.S. Pavilion is deteriorating. The citizens were conned by the Parks Department, told that there wasn't enough money to maintain Riverfront Park. So, in 1999, we voted to buy the north bank and put in revenue by generating attractions. Here it is, 13 years later and it sits empty. A small scale, classy amusement park could be put there, or more land could be acquired. And, a downtown destination could be built, similar to the Elitch Gardens in Denver.
It took big ideas and motivation to get Expo off the ground and it was a success. Since then, Spokane has been dominated by small-minded naysayers. Set a goal for the 40th anniversary of Expo, in May 2014. Have the Pavilion refurbished, with a permanent roof and a tourist destination on the north bank, along with a replacement for Natatorium Park. Don't think small, think big and make it happen.
Richard Trerise


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Back To School.
That simple phrase brings dread and fright to mothers. It consists of:
Registration = $$$
Gearing up for sports season= $$$
School supplies= $
School clothes shopping with your daughter= $$$$$$$$$$$$$$$$$$
This is a similar system to those restaurant guides where one $ means a reasonable meal and $$$ means you just ate the smallest piece of meat you've ever seen for $69.00, and veggies were extra.
Today Emily and I spent part of the day shopping for school clothes. This is a particularly painful process for me because of my inability to jump in and enjoy it. She shops and I mope around, sometimes pretending I'm a horse in need of blinders. Ive made this commitment not to shop, and that just takes all the fun out of it. Tomorrow, double the torture, because we are continuing our quest with her older sister. So double the trouble, double the fun, and double the bill. Yikes.


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We welcome patients' friends and family to our facility, and believe that having loved ones nearby lifts spirits, brightens moods and improves healing. However, everyone's safety, there are a few things to consider when coming by to say hello.
9 a.m. to p.m. daily
8 a.m. to 9 p.m. daily (only one visitor is allowed to spend the night with the mother; no children are allowed to spend the night).
6 a.m., 9 a.m., 12 p.m., 2 p.m., 6 p.m. and 8 p.m.
Monday - Friday: 12:30 p.m. to 1:30 p.m., 5:30 p.m. to 7:30 p.m.
Weekends and holidays: 1 p.m. to 5:30 p.m.
DeTar Healthcare System
DeTar Navarro - 506 E. San Antonio St.
Victoria, TX 77901


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How To Make A Claim
Claiming under your MyRecoveryCheque policy is simple
1. Call us on 0800 319 6048 before you have treatment or within 90 days of receiving treatment.
2. We will then explain the claims process and send you a claim form.
3. We will then assess your claim and, if it is approved, send you your benefit.
Tips when making a claim
►You should always contact the claims Helpline as soon as you are aware that you are due to have an operation. This will help us to pay your benefit as soon as possible after your operation.
►We sometimes require a report from your GP. Please remember to state on your claim form whether you wish to see any report before it is viewed by us.
►Further information can be found on Page 6 of your Policy Document.


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SAN FRANCISCO (Reuters Life!) - Writer, director Ryan Murphy has built a Hollywood career making dark movies and television shows, including cosmetic surgery drama "Nip/Tuck."
But in 2009, Murphy's career kicked into high gear with the upbeat TV comedy "Glee," and now he's taken his career even higher by writing and directing mainstream, big-budget movie "Eat Pray Love," starring Julia Roberts and Javier Bardem.
Murphy spoke to Reuters about "Eat Pray Love," which is based on a best-selling book, his fast-changing career and why he may only have two more years on "Glee."
Q. You've said "Eat Pray Love" changed your life. How?
A. "I had gone through a horrible break up -- the world's worst -- and I was just sort of sad and looking for direction or something. I read this book, and I was a fan. Then I got the offer. I wrote it (the screenplay), and it forced me to sort of get out my comfort zone and travel around the world ... In my personal life I feel a sense contentment and balance. I don't think I would have gotten there without doing the movie."
Q. Did you pray?
A. "I tried to pray. I tried to be spiritual. I've always wanted to be a spiritual person, and I've failed miserably. You know I can't do yoga, I can't meditate. I have what (author Elizabeth Gilbert) calls in the book, monkey mind."
Q. How is directing a movie different than a TV series?
A. "I feel like it's the same thing. I'm a show runner (on TV) and that means you choose (everything) if you want. And I've liked to do that. I approve every piece of wardrobe. I'm in charge of the look, the casting, the music, the editing. So it's almost like directing a movie. This (the film) took a lot of pre-production. I had to fly around the world three times to go to Bali before we started shooting to pick the locations and the actors and all that stuff. I was also doing "Nip/Tuck" and "Glee" at the same time. It was a little bit of a difficulty.
Q. How did you balance the three?
A. "I have no idea. I had a really rough year. I smoked a lot and drank a lot. I feel like I'm coming out of it. I was shocked that everything was happening at once. I was like, 'I can't do this' but I did. I had a lot of good people behind me, and I had a lot of love behind me and I just said, 'yes. And If I die, I guess I die.' What am I going to do? I'm not going to turn down a Julia Roberts movie, I'm not going to turn down the chance to do "Glee," and I'm not going to turn down the chance to finish "Nip/Tuck" the way I wanted to. So, I went with it.
Q. And your career has changed a lot.
A. "I've had some mainstream success. I've always done very well and I've been very lucky, but my work has been mostly dark and edgy and quiet and what they call 'culty,' which is code for, 'no one will watch that.' The fact 'Glee' was such a big, international, mainstream success is shocking to me. I don't really understand it because I still write it for myself.
"With this ('Eat Pray') I was like, 'I want to do a mainstream movie, I want to do a movie star movie, I want to do a movie with Julia Roberts. I want to see if I can do it.'"
Q. Are you looking at anything else to adapt into a movie?
A. "No. I have to love it. It has to mean something to me. The message of 'Eat Pray Love' means something to me. It tells people it's never too late to change your life. It's never too late to be happy. And I think that's a very powerful message that I really wanted to put out there. The message of "Glee" is very powerful, which is the most different thing about you is the most beautiful thing. Too many people are afraid of that."
Q. Javier Bardem will appear on "Glee." What role?
A. "I don't know. He wants to play a Spanish rock star. I guess I should try that. Although I might be mean and make him a singing janitor. I'm just going to write something and send it to him and say, 'Here it is,' and see if he shows up."
Q. Do you have concerns about "Glee" losing momentum?
A. "When you start worrying about that is when (audiences) do leave because then you start trying to second guess them ...They can smell it a mile away.
"The only thing you can do is you have to write it for yourself ... We still are in that we're in love phase. I won't do that show forever. I'm probably only going to do it for two more years after this and I'll do something else."
Editing by Bob Tourtellotte and Patricia Reaney


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Colors of El Raul makes you think of ocean with sun rays hitting to the surface! El Raul tote bag is a perfect company for the day on the yacht or walk by the pier.. It is spacious enough to fit in all your picnic gear as well as couple of the blankets to have space for whole group of friends.
The same colors can be found from the La Alicia and La Madai beach blankets. Choose your favourite or whole kit!
Size: 2,2' x 1,5' x 0,8 ft.
Fabrics: 40% recycled cotton, 30% polyester, 30% acrylic


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Fantastic Negrito
"[He] has returned as a modern blues singer, somewhere between Al Green and Jack White, making a raw electric sound with tinges of nightclub jazz and a fantastically unhinged energy." —The Sunday Times
The Oxford American magazine is excited to welcome Fantastic Negrito to the South on Main stage! This is the second show in their 2017-18 Archetypes & Troubadours Series. Doors open at 6:00 PM, with dinner and drinks available for purchase at that time. The series is made possible in part by presenting sponsors Chris Harkins of Raymond James and J. Mark & Christy Davis.
Fantastic Negrito is a man's truth told in the form of black roots music. Each song is a real story about a musician from Oakland who experienced the highs of a million dollar record deal, the lows of a near fatal car accident that put him in a four-week coma, and is now in the phase of rebirth despite his playing hand being mangled. Negrito's music emphasizes rawness and space. Slide guitar, drums, piano. Rather than update the Delta Blues, Fantastic Negrito leaves the original sounds of Lead Belly and Skip James intact, building bridges to a modern sound with loops and samples of his own live instruments. But the primary element that drives Fantastic Negrito's music is uncut realness and zero concern for "pop" anything.
While his rebirth began on the streets of Oakland a couple years ago, Fantastic Negrito arrived on the national stage in 2015 when he won the NPR Tiny Desk Contest and watched his self-titled EP ascend to #1 in Blues in the US, UK, Germany, and Asia. He followed that up in 2016 with the release of his debut full-length album The Last Days of Oakland, national television appearances on hit show Empire and Jimmy Kimmel Live, several performances at rallies for Presidential candidate Bernie Sanders, and tours throughout Europe and North America with Chris Cornell, and legendary Seattle super group Temple of the Dog. The year culminated when his debut album won the Best Contemporary Blues Album at the 59th Annual GRAMMY Awards.
Date Information
November 9, 2017 - 8:00 PM
Pricing Info
$40 = Premium Reserved Table
$38 = Reserved Table
$30 = General Admission
GROUP DISCOUNT: Save 15% when you purchase 15 or more General Admission tickets! (Not valid on reserved table seating)
Other Info
- Becoming a subscriber guarantees the same table for every performance in the series.
- Doors open 2 hours prior to each show.
- Tickets are available for pickup only on the night of the show when doors open.
- The venue does not have an on-site box office. Tickets are only sold via Metrotix, or, on the night of the show when the doors open (if tickets remain.)
- Buying a reserved or premium reserved ticket guarantees you that specific seat. Seating at tables and countertops is "family style." If you do not purchase all the seats at your table, you will be seated with other patrons.
- General Admission Ticketholders - You may sit at stools at the bar, perimeter chairs not at tables, or you may stand. You are not guaranteed a seat, as seating is limited and only available first-come-first-seated when the doors open. Once all General Admission chairs are taken, there will only be standing room for all other General Admission ticketholders.
- South on Main does not take reservations for ticketed concerts.
- Food is served before and throughout the concert.
- Shows are all ages. Everyone must have a ticket to attend.
- Free surface lot parking is available.
- Additional Info: http://southonmain.com/pages/faq-ticketing-seating/
METROTIX SALES END: Noon day of show
Venue Information
South on Main
1304 Main Street , Little Rock, Arkansas 72202


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Institutul de Cercetãri Electrotehnice®
Being an active presence in the scientific community ever since its foundation in 1950 "Institutul de Cercetãri Electrotehnice®" continuously pursued the development of new research paths.It currently has highly qualified specialists, experienced scientific researchers and young researchers who are training and are eager to assert themselves.
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Published byJavion Albert Modified over 2 years ago
Sponsored by National Lipid Association Comprehensive Cardiometabolic Risk-Reduction Program Phase 2 2009
Special Considerations for the Overweight/Obese Patient Case Study
Overview A 46-year-old male lawyer is referred by his physician for persistent weight gain and high cardiomyopathy risk Patient has hyperlipidemia and hypertension; comorbidities include asthma, attention- deficit/hyperactivity disorder (ADHD), chronic fatigue, and depression Family history of obesity, type 1 and 2 diabetes Current weight of 305.7 pounds is his highest – Admits poor nutritional habits and a low activity level Reports waking up "snorting" from snoring at night – Experiences morning headaches and daytime somnolence Case Study
Brain Central Signals Stimulate NPY AGRP Galanin Orexin-A Dynorphin Inhibit -MSH CRH/UCN GLP-I CART NE 5-HT External Factors Emotions Food characteristics Lifestyle behaviors Environmental cues Peripheral SignalsPeripheral Organs Food Intake Glucose CCK, GLP-1, Apo A-IV Vagal afferents Insulin Leptin Cortisol – – + Gastrointestinal tract Adipose tissue Adrenal glands Ghrelin + The Regulation of Food Intake Is a Complex Process Zhang Y, et al. Nature. 1994;372:425-432; Schwartz MW, et al. Nature. 2000;404:661-671. NPY=neuropeptide Y, AGRP=agouti-related protein, α-MSH=alpha-melanocyte-stimulating hormone, CRH/UCN=corticotropin-releasing hormone/urocortin, GLP-1=glucagon-like peptide-1, CART=cocaine- and amphetamine- regulated transcript, NE=norepinephrine, 5-HT= seratonin, CCK=cholecystokinin, Apo A-IV= apolipoprotein A-IV.
Overview Medications – Metoprolol 100-mg BID – Atorvastatin 10-mg QD – Niacin 1500-mg BID – Paroxetine 40-mg QD – Lithium 900-mg QD – Amphetamine/ dextroamphetamine 40-mg QD Case Study
Starting Your Investigation Look for – Obstructive sleep apnea (OSA) – Medications causing weight-gain – Depression – Metabolic syndrome, prediabetes The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. October 2000. NIH Publication No. 00-4084.
Weight Gain Sleep Apnea DepressionDepression A Vicious Cycle Clinical Pearl
© 2007 Cardiometabolic Support Network Drug-Associated Weight-Change Reference Remember to keep this list in your office!
Medications That May Be Contributing to This Patient's Excess Body Weight MAOIs=monoamine oxidase inhibitors, TCAs=tricyclic antidepressants, ACE=angiotensin-converting enzyme Case Study
Laboratory Results Glucose: 106 mg/dL TC: 184 mg/dL HDL-C: 33 mg/dL LDL-C: 103 mg/dL TG: 240 mg/dL Non–HDL-C: 151 mg/dL EKG: sinus bradycardia, rate 56 hs-CRP: 8.2 mg/L=high risk A1 c : 5.9% Creatinine: 1.2 mg/dL AST: 27 U/L ALT: 43 U/L eGFR: >60 mL/min TC=total cholesterol, HDL-C=high-density lipoprotein cholesterol, LDL-C=low-density lipoprotein cholesterol, TG=triglycerides, AST=aspartate aminotransferase, ALT=alanine aminotranferase, hs- CRP=high-sensitivity C-reactive protein Case Study
Initial Registered-Dietitian Appointment Weight: 305.1 pounds, height: 72 inches, BMI: 41.4 kg/m 2, waist: 48 inches Former athlete with low activity level Volume eater with little sense of satiety "when he gets started" Daytime fatigue noted, being treated for ADHD Diet – Little fast food/red meat – Eats before bed and sometimes wakes up in the middle of the night to eat – Breakfast: nothing, lunch: salad, snack: fruit, dinner: Greek salad with chicken or stir- fry, snack: "bad" Plan – Keep food records – Begin to eat breakfast – Eat higher lean-protein lunches and dinners and begin to reduce refined carbohydrates – Goal of 30 minutes of walking/day ADHD=attention-deficit/hyperactivity disorder, BMI=body mass index Case Study
High-frequency telephone- and web-based nutritional counseling can be effective ways to help patients lose weight Clinical Pearl
Breakfast and Nighttime Eating Skipping breakfast can drive nighttime eating – Breakfast=none – Lunch=breakfast – Dinner=lunch – Nighttime snack=dinner Nighttime eating drives skipping breakfast The cycle continues… Clinical Pearl
A.Low protein B.Low fat C.Low glycemic Which may be the best diet for someone with a lack of satiety? ARS Question
Glycemic Index (GI) Although data vary, a low-GI meal may reduce subsequent energy intake 1 Cochrane systematic review indicates that decreasing the GI* of a diet may be an effective way to promote weight-loss and improve lipid profiles 2 1. Flint A, et al. Am J Clin Nutr. 2006;84:1365-73. 2. Thomas DE, et al. Cochrane Database Syst Rev. 2009;(1):CD005105.pub2. *GI=area under the curve (AUC) of the 2-hour blood glucose response curve divided by the AUC of an equal amount of glucose, multiplied by 100 Low GI food/meal = 55 or less
Diet: What Is Most Important? Calorie restriction, with high macronutrient quality* *High quality indicates more than 5 servings of fruits and vegetables/day, lean protein sources including some vegetarian sources, nuts, healthy oils, nonfat dairy products, whole grains, low in sweets and refined carbohydrates, low in fat Clinical Pearl
Favorable Option for This Patient Low refined-carbohydrate diet with increased fiber intake – Patient has prediabetes – Rapid weight-loss is desirable – Patient's snacks tend to be refined carbohydrates – Lower refined-carbohydrates reduce hunger in some patients – Higher fiber associated with satiety Higher protein intake – Protein increases satiety – Lean protein has little fat and saturated fat, making it a healthy option for weight loss
Practical Tips: Increasing Fiber and Lean Protein Fiber – Fiber One ® bran cereal Sprinkle it on low-fat yogurt as a bedtime snack – Whole grains, fruits, and vegetables Lean protein – Ham, turkey, and roast beef are the leanest sandwich meats Have 1/2 sandwich, but double the thickness – Carnation ® Instant Breakfast ® No Sugar Added with skim milk=inexpensive, low-GI meal replacement – Modified pastas that are no longer "refined carbohydrates" Barilla ® PLUS ® (2-cups cooked)=17-g protein, 7-g fiber, 360- mg omega-3 fatty acid
Initial MD Appointment Weight: 305.7 lbs, height: 72 inches, BMI: 41.5 kg/m 2, blood pressure: 138/90, heart rate: 68 bpm, waist: 48 inches Patient is at his highest weight – Several prior weight-loss attempts: no significant progress, has been steadily gaining weight – Admits poor nutritional habits and a low activity level Reports waking up "snorting" from snoring at night – Has morning headaches and daytime somnolence Food records show nighttime eating pattern, with large quantities consumed after 6:00 PM Case Study
Medications – Metoprolol 100-mg BID – Atorvastatin 10-mg QD – Niacin 1500-mg BID – Paroxetine 40-mg QD – Lithium 900-mg QD – Amphetamine/dextroamphetamine 40-mg QD Action plan – Reinforce importance of continued dietitian visits – Sleep study to evaluate for obstructive sleep apnea – Stop metoprolol; initiate ramipril, titrate ↑ to 5-mg BID – Begin metformin ER 500-mg QD, with goal to increase Case Study
What if β-Blockers Are Necessary? If a β-blocker is necessary as part of a multi-agent antihypertensive regimen, an agent that does not aggravate insulin resistance (eg, carvedilol) may be a favorable choice Clinical Pearl
Metformin is appropriate for use in patients with IFG, IGT, and A.A1 c ≥5.0% B.Hypertension C.BMI ≥35 kg/m 2 D.Family history of diabetes in first-degree relative According to the 2007 ADA Consensus Statement on impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), which of the following is not true? ADA=American Diabetes Association, BMI=body mass index ARS Question
Pharmacological Intervention in the Progression to Diabetes: Recent Statements ADA 2007 Consensus Statement – Metformin as an adjunct/alternative to lifestyle in patients with IFG and IGT, and any of the following 35 kg/m 2, family history of type 2 diabetes in first-degree relative, ↑ triglycerides, ↓ HDL-C, hypertension, A1 C >6.0% ACE 2008 Consensus Statement – Metformin or acarbose as an adjunct to lifestyle in patients with prediabetes at particularly high risk Nathan DM, et al. Diabetes Care. 2007;30:753-759. American College of Endocrinology Task Force on Pre-Diabetes. Available at: www.aace.com/meetings/consensus/hyperglycemia/hyperglycemia.pdf. Accessed November 1, 2008. ADA=American Diabetes Association, IFG=impaired fasting glucose, IGT=impaired glucose tolerance, BMI=body mass index, HDL-C=high-density lipoprotein cholesterol, ACE=American College of Endocrinology
0 10 20 30 40 Cumulative Incidence of Diabetes (%) Years 01234 Placebo Lifestyle Metformin Weight loss Decrease in risk* 0.1 kg 2.1 kg31% 5.6 kg58% P<0.001 for each comparison. *Decrease in risk of developing diabetes compared to placebo group. Diabetes Prevention Program Research Group. N Engl J Med. 2002;346:393-403. Diabetes Prevention Program Don't Forget: Lifestyle Is More Effective Than Metformin
Month 2—MD Visit 2 Weight: 294.5 lbs, blood pressure: 140/90, heart rate: 64 bpm, waist: 47 inches Followed diet very strictly for first few weeks – Now on diet ≈70% of the time – Still skips breakfast Patient rescheduled sleep study, reminded of importance by MD – Reports being very fatigued and realizes he eats to stay awake Action plan – Increase metformin 500-mg to BID, eat protein breakfast instead of skipping the meal Case Study
Sleep-Study Results Apnea-hypopnea index (AHI) of 57.8 – Diagnosis: severe obstructive sleep apnea- hypopnea syndrome Action plan – Began continuous positive airway pressure (CPAP) treatment with 12 cm H 2 0 Follow-up AHI of 5.0 Case Study
Many patients won't tolerate CPAP… Risk of erectile dysfunction can be a strong motivator Clinical Pearl
Month 3—Registered-Dietitian Visit 2 Weight: 290.6 lbs Not eating breakfast – "No time, no interest, not hungry" Eating less at night Patient hurt his back and is going to physical therapy, but little aerobic activity secondary to fatigue Seeing new psychiatrist who will evaluate medical regimen Plan – Meal replacements for breakfast – Continue low-glycemic index diet (increase vegetables, steak only 1x/week) Case Study
Meal Replacements Important for patients who have – Little time for food shopping and preparation – Hit a weight plateau – Persistent difficulty managing food and social cues related to overeating Advantages – Provide adequate and consistent nutrition as a low-fat, calorie-controlled replacement for 1 or 2 meals per day – Eliminate food choices and temptations – Simplify food shopping and preparation – Convenient to carry and store
*1200–1500 kcal/d diet prescription CF=conventional foods; MR-2=replacements for 2 meals, 2 snacks daily; MR-1=replacements for 1 meal, 1 snack daily 15 10 5 0 Time (mo) Phase 2 Phase 1* MR-2 0246810121824303645 51 MR-1 Weight Loss (%) CF Fletchner-Mors, et al. Obes Res. 2000;8:399. Meal Replacements Promote Short- and Long-Term Weight Loss
Month 5—MD Visit 3 Weight: 277.7 lbs (-28 lbs), BMI: 37.7 kg/m 2 ; blood pressure: 130/80, heart rate: 64 bpm, waist: 44 inches Now on CPAP at 12 cm H 2 0 – Notes that he feels much better, with more energy and focus Since sleep study and CPAP use, psychiatrist decreased lithium to 600-mg QD, paroxetine to 20-mg QD, and amphetamine/ dextroamphetamine to 20-mg QD DHA/EPA=docosahexaenoic acid/eicosapentaenoic acid Case Study
Lab Results Glucose: 92 mg/dL TC: 176 mg/dL HDL-C: 30 mg/dL LDL-C: 106 mg/dL TG: 200 mg/dL Non–HDL-C: 146 mg/dL hs-CRP: 3.1 mg/L A1 c : 5.6% Creatinine: 1.2 mg/dL AST: 25 U/L ALT: 40 U/L TC=total cholesterol, HDL-C=high-density lipoprotein cholesterol, LDL-C=low-density lipoprotein cholesterol, TG=triglycerides, hs- CRP=high-sensitivity C-reactive protein, AST=aspartate aminotransferase, ALT=alanine aminotranferase Case Study Month 5—MD Visit 3
A.Increase statin dosage B.Switch to a different statin C.Add a fibrate D.Discontinue niacin and add omega-3 FAs Which of the following would you be most likely to consider as part of the action plan for this visit? ARS Question
TC=total cholesterol, HDL-C=high-density lipoprotein cholesterol, LDL-C=low-density lipoprotein cholesterol, TG=triglycerides, hs- CRP=high-sensitivity C-reactive protein, AST=aspartate aminotransferase, ALT=alanine aminotranferase Case Study Action plan Discontinue niacin Start omega-3 (DHA/EPA) fatty acids (FA) 2000-mg QD, to BID Increase metformin to 850-mg BID Month 5—MD Visit 3 Due to the negative effect of niacin on glucose control and insulin resistance 1,2, omega-3 fatty acids may be a preferred alternative in patients at risk for diabetes* Clinical Pearl *Reflects opinion of program Steering Committee. 1. Vittone F, et al. J Clin Lipidol. 2007;1:203-210. 2. Goldberg RB, et al. Mayo Clin Proc. 2008; 83:470-8.
Month 6—Registered-Dietitian Visit 3 Weight: 274.6 lbs Patient has been doing well with breakfast meal replacements, but is bored with diet and feels he has hit a weight plateau Plan – Congratulate him on losing 30 lbs! – Continue low-glycemic index diet, but brainstorm alternative breakfast and snack options – Food records 3 days/week, self-monitor weight every day for next 2 weeks – Reinforce need for physical activity Case Study
Month 8—MD Visit 4 Weight: 270.7 lbs (-35 lbs [-11%]), blood pressure: 124/82, heart rate: 68 bpm, waist: 43 inches Current meds: atorvastatin 10-mg QD, metformin 850- mg BID, omega-3 fatty acids (DHA/EPA) 2000-mg BID, ramipril 5-mg BID, amphetamine/dextroamphetamine 20-mg QD, paroxetine 20-mg QD, lithium 600-mg QD Using CPAP regularly and has good energy level Fair compliance to diet secondary to stress/family – Has some night eating, but generally minimizing sugar and carbohydrates He now feels active enough to exercise and is walking 20 min/day 4x/week Case Study
Month 8—MD Visit 4, Laboratory Results Glucose: 90 mg/dL TC: 157 mg/dL HDL-C: 42 mg/dL LDL-C: 91 mg/dL TG: 120 mg/dL Non–HDL-c: 115 mg/dL A1 c : 5.2% hs-CRP: 1.2 mg/L TC=total cholesterol, HDL-C=high-density lipoprotein cholesterol, LDL-C=low-density lipoprotein cholesterol, TG=triglycerides, hs-CRP=high-sensitivity C-reactive protein Case Study
Month 8—MD Visit 4, Action Plan Psychiatrist stopped lithium, reduced paroxetine to 10-mg QD and reduced amphetamine/dextroamphetamine to 10- mg QD Continue metformin 850-mg BID and use of CPAP Prescribe exercise regimen Case Study
In addition to lifestyle factors, biology favors weight regain Eckel RH. N Engl J Med. 2008;358:1941-1950. Clinical Pearl
A.60 B.120 C.180 D. >300 US Department of Health and Human Services. Available at: http://www.health.gov/paguidelines/guidelines/default.aspx. Accessed February 6, 2009. According to the US Department of Health and Human Services 2008 guidelines, how many minutes per week of moderate-intensity exercise do many people need to maintain their weight after a significant amount of weight loss? ARS Question
Although caloric restriction is the key to weight loss, regular physical activity is crucial to maintaining a lower body weight Clinical Pearl
National Weight Control Registry: Cardinal Behaviors of Successful Long-Term Weight Management Self-monitoring – Diet: record food intake daily, limit certain foods or food quantity – Weight: check body weight >1x/week Low-calorie, low-fat diet – Total energy intake: 1300–1400 kcal/day – Energy intake from fat: 20%–25% Eat breakfast daily Regular physical activity: 2500–3000 kcal/week (eg, walk 4 miles/day) Klem, et al. Am J Clin Nutr. 1997;66:239. McGuire, et al. Int J Obes Relat Metab Disord.1998;22:572.
Look for sleep apnea and treat it Get your patients off drugs that cause obesity (when possible) Consider insulin sensitizers Assess medications for aggravation of comorbidities Ask patients how well they are sticking to their intended lifestyle changes Key Learnings: Medical
Adapt the diet to your patient Inform patients that breakfast is associated with weight loss/lower body- weight Encourage self-monitoring – Food records – Regular "weigh-ins" Reinforce that exercise is critical for the maintenance of weight loss Key Learnings: Behavioral
Laboratory Test Results TC: 184 mg/dL HDL-C: 33 mg/dL LDL-C: 103 mg/dL TG: 240 mg/dL Non–HDL-C: 151 mg/dL Glucose: 106 mg/dL A1 c : 5.9% hs-CRP: 8.2 mg/L At the initial clinical presentation, would this patient have been a candidate for bariatric surgery? Weight: 305.7 lbs, BMI: 41.5 kg/m 2, waist: 48 inches, blood pressure: 138/90, heart rate: 68 bpm Patient at his highest weight and gaining – Several weight-loss attempts without significant progress Hyperlipidemia, hypertension, asthma, attention- deficit/hyperactivity disorder, fatigue, depression, obstructive sleep apnea Family history of obesity, type 1 and 2 diabetes BMI=body mass index
Bariatric Surgery Indications – BMI >40 kg/m 2 or BMI 35–39.9 kg/m 2 and life- threatening cardiopulmonary disease, severe diabetes, or lifestyle impairment – Failure to achieve adequate weight-loss with nonsurgical treatment Contraindications – History of noncompliance with medical care – Certain psychiatric illnesses: personality disorder, uncontrolled depression, suicidal ideation, substance abuse – Unlikely to survive surgery Adapted from www.obesityonline.org. NIH Consensus Development Panel. Ann Intern Med. 1991;115:956.
Surgeon experience is the single best predictor of success To locate an ASMBS Center of Excellence http://www.surgicalreview.org/ ASMBS=American Society of Metabolic and Bariatric Surgery. Clinical Pearl
A.It has not yet been associated with a significant improvement in overall mortality B.At 10-years postprocedure, it is associated with a decrease in the incidence of hypertension C.At 10-years postprocedure, over 1/3 of patients with diabetes at baseline no longer had the disease Which of the following is true about the effects of bariatric surgery? ARS Question
Bariatric Surgery: Long-Term Effects on Weight and Cardiovascular Risk Factors Prospective, controlled intervention trial of 4047 obese subjects (age=48 years, BMI=41 kg/m 2 ); gastric surgery* vs conventional treatmentProspective, controlled intervention trial of 4047 obese subjects (age=48 years, BMI=41 kg/m 2 ); gastric surgery* vs conventional treatment At 10 yearsAt 10 years – Weight change—surgery: 16.1% – Weight change—control: 1.6% (P<0.001) – Lower incidence of diabetes, hypertriglyceridemia, and hyperuricemia (P<0.05 for each) Sjostrom L, et al. N Engl J Med. 2004;351:2683-2693. Hypertri- glyceridemia Rate of Recovery (% of Subjects) 2410060 20 0 40 80 46 Low HDL Cholesterol 53 73 Diabetes 13 36 Hypertension 11 19 Hyperuricemia 27 48 Control Surgery *Banding, vertical-banded gastroplasty, gastric bypass † P≤0.001 ‡ P=0.02 ‡ † † † † Swedish Obese Subjects Study
Years 01234681015 0 10 -20 -30 Change in Weight (%) Control Banding Vertical-Banded Gastroplasty Gastric Bypass Years 0246810 16 14 0 2 4 6 8 10 12 1214 Cumulative Mortality (%) Control Surgery P=0.04 Sjostrom L, et al. N Engl J Med. 2007;357:741-752. *Surgical group vs control group at 16 years Swedish Obese Subjects Study Up to 16 years follow-upUp to 16 years follow-up Overall mortalityOverall mortality – Hazard ratio*=0.76 (95% CI: 0.59–0.99), P=0.04 Bariatric Surgery: Long-Term Weight Loss and Decreased Mortality
Advantages – "Forced" lifestyle changes – Improved cardiometabolic risk-factors – Decrease in diabetes Both recovery and incidence – Decrease in mortality Pitfalls – Surgical complications – "Forced" lifestyle changes – Patients can "get around" the surgery Key Learnings: Bariatric Surgery
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With a lot controversy surrounding the pet meals trade, and so many buzzwords adorning the snazzy packaging of pet merchandise, deciding what to purchase can be confusing! Although kindness shouldn't be exactly what I would name a life skill," I'm including it because, of all the issues pets can train youngsters, I assume it might be an important. Mammals traded as unique pets are 3 times more more likely to be listed on the IUCN Redlist than could be anticipated at random (Bush, Baker, and MacDonald, 2012). You can say goodbye to him within the morning, go to work, come house eight or ten hours later, and every thing is ok. He would do greatest in a home with out young children below the age of 6. He would not do properly being locked up for eight or extra hours a day and we wish to discover him a house willing to enroll him in coaching courses. Tammy and Sky get very connected to their grooming dogs and love them very much. Pets will help children be taught to precise emotions of affection, compassion, caring and concern.
My canine went blind a number of weeks in the past and I would like to start grooming her at residence. Some people may argue that cockatiels take up quite a lot of area, but compared to most different pets its not an excessive amount of. With years of expertise, passion for the humanities and love for animals, we are very excited to offer a full range of cellular home grooming companies for the little ones. I'm not looking to do something professional, only a routine monthly/bimonthly grooming for my yorkiepoo (~10lbs). You may view the past locations of your pet to determine a sample of their actions.
I like Pampered Pets in Dubai Marina (see Grooming, above) as a result of it is my local posh pet store and the team are so friendly. I need something that makes grooming quite a bit quicker and far less irritating for me and the dogs. A clothes and shoe recycling program is a enjoyable and easy manner to help others plus fundraise for Pets Alive on the similar time! So you see, pets can educate youngsters a fantastic many skills that can assist them develop as much as develop into nicely-adjusted members of our society.
Here within the Netherlands (and the rest of Europe) they are very common pets and you'll go to any vet with them. Even though most pets may have their own leashes and toys, you should all the time be ready with extras. You'll be required to stop by shoppers properties and feed, play, and let out their pets for potty breaks. I too am seeking to save a bit of cash with canine grooming – Goldendoodle – every eight weeks! I normally take them to the groomer however I am planning to start grooming them on a regular basis myself. My mother thought he was lifeless and put him in a zip-lock bag, i awakened 2 hours later and held him in the bag and he started moving.!! While having a pet ties you down greater than not having a pet would, you'll be able to depart a pet for hours on end and never have to worry about him. Try testing some canine grooming forums or a discussion board with other Pyrenees homeowners that groom at house.
I was working for a movie theatre on the time and we had Jungle Terry's animals are available for a movie promotion (George of the Jungle, if I bear in mind accurately!). Because they do interact with impounded pets, Sky and Tammy could be glad to debate adoptable pets with fascinated potential mother and father. I agree that hermit crabs, and lots of other pet retailer animals, make horrible first, second, or third pets for kids. Hay is an important element for digestion, and it needs to be obtainable 24 hours a day.


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Print advertisment created by Labase, Mexico for La Vela, within the category: Food.
You know you love it
Seafood Festival 2010
Creative Directors: Candy Crudele, Andrés Cedillo, Walter Malo
Art Directors: Walter Malo, Luis Amador
Copywriter: Andrés Cedillo
Photographer: Carlos Arnaus
Hecho en Ecuador el 2009
hecho en Ecuador en el 2009
oh well... i can't see how a customer will go to a restaurant because a seagull or anything like that is there.... i think it would be a bit more fun if it is selling sashimi!
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Contact Intellispring
High-Performing Services Organization: Technical Infrastructure IT Refresh Design and Deployment
Client: Grady Hospital
Challenge: Grady Health System is one of the largest public health systems in the United States. Grady consists of the 953-bed Grady Memorial Hospital, neighborhood health centers, Crestview Health & Rehabilitation Center and Children's Healthcare of Atlanta at Hughes Spalding, which is operated as a Children's affiliate. Client requirements required a completely new, state of the art IT Infrastructure. This new network infrastructure would include a complete overall through the entire hospital and satellite clinics encompassing Voice, Data, and Wireless. The network had to be intelligently rolled out in an ultra detailed systematic approach as to not impact life impacting hospital 24/7 functions.
Solutions: Intellispring designed, staged all equipment, transported, implemented and deployed the technology to meet the needs of the client.
Business Impact: Our solution provided the following benefits to the client:


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