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Rutgers Cancer Institute of New Jersey
195 Little Albany Street
New Brunswick, NJ 08903-2681
Story by Maryann Brinley • Portraits by Nick Romanenko View the complete magazine | Subscribe to Cancer Connection
The diagnosis of a rare and highly aggressive type of skin cancer anywhere on your body is frightening enough but when it is found inside your nose, the road to a cure can look ghastly.
This was the situation for Tony Spadora of Union Township, New Jersey, in the summer of 2015. "Timing is everything," admits this happy, 62-year-old father, husband, grandfather and business executive. He's been with L'Oréal USA for 32 years where he is vice-president of corporate compensation. As he tells his story, he still can't put the word cancer front and center. "I don't even like typing the word when I'm saving files on my computer. I never thought of myself as being sick." But his wife Cathy interjects, "It didn't immediately sink in how serious this was."
There was a tiny bump, less than a quarter inch, inside his left nostril and when his regular dermatologist wasn't available last May (2015) for his annual checkup, Spadora found another doctor. "This person didn't think it was remarkable but told me I'd need to see an ear, nose and throat (ENT) specialist to have it removed." A week after the bump was excised, the call came with the lab results. "The doctor was honestly surprised," recalls Spadora. "He wasn't that familiar with Merkel cell carcinoma, but he had researched it and found Dr. Howard Kaufman, chief surgical officer at Rutgers Cancer Institute of New Jersey, who is a leader in the field doing clinical trials on this condition." The words "rare and aggressive skin cancer tumor" were all that Spadora heard. A visit to Howard L. Kaufman, MD, FACS, who is also a professor of surgery and a professor of medicine at Rutgers Robert Wood Johnson Medical School, was the next stop.
Spadora's cancer journey hinges on a series of what-ifs so intricately timed that as he looks back, he is amazed. "As we get older, all sorts of things can happen to us. I am realizing just how lucky I am," he says. For six months, each medical step he took looks perfectly logical and predictable in hindsight but what if they hadn't occurred just when they did? His wife shares the scariest thought, "Some doctors told us that if it weren't for our specially trained surgeon, a part of Tony's nose might have been taken off." The timing was so perfect that when the couple first sat down to discuss Spadora's case with Kianoush Sheykholeslami, MD, PhD, FACS in August 2015 after meeting with Kaufman, this doctor was so new to Rutgers Cancer Institute that his business cards hadn't been printed yet. A few weeks earlier and the two lives might not have crossed.
"Dr. Shey," as he is affectionately known, is the new Director of Head and Neck Surgery, Director of Trans-Oral Robotic Surgery and Co-Director of Skull Base Surgery at Rutgers Cancer Institute. He is also an associate professor of surgery at Rutgers Robert Wood Johnson Medical School and an attending physician at Robert Wood Johnson University Hospital (RWJ), which is the flagship hospital of Rutgers Cancer Institute. One of the few specialists in the world who is board-certified in otolaryngology / head and neck surgery as well as facial plastics and reconstructive surgery, along with sleep medicine, Sheykholeslami has taken a career path from Iran to New Jersey so long and winding that it includes a PhD in neuroscience studies from Tokyo University School of Medicine. It was a pursuit he began despite knowing hardly a word of Japanese.
A graduate of Shabid Babai Ghazvin Medical University where he earned his MD, Sheykholeslami was the emergency room chief at one of the busiest Iranian hospitals by the time he was in his early 20s. But emergency medicine didn't interest him for the long-term. "I wanted to know what happened to my patients and be able to follow up on them," he explains. So Sheykholeslami went looking for an international program that would include patient care as well as research.
Putting Patients First
Every day, Robert D. Aiken, MD, the new Director of Neuro-Oncology at Rutgers Cancer Institute of New Jersey, walks over to the labs. "There are so many evolving therapies in germination now. In the past, it wasn't really clear that treatment apart from radiation was substantially better than chemotherapy plus radiation, but that has changed." Though the majority of his time is devoted to patient care and clinical trials, "my real interest is in the early developmental therapies, the really new ideas, being translated out of the labs."
A recognized leader in brain cancer and neuro-oncology, Dr. Aiken joined Rutgers Cancer Institute in August 2015 for the opportunity to develop a comprehensive program within a National Cancer Institute (NCI)-designated center. He says when it comes to treating patients, it is important to remember "that a patient is part of a larger whole. There is the patient. There are his or her wishes and aspirations. And there is his or her network of family and friends. My objective is to improve life and to make the quality of that life commensurately better." Aiken can't stress this kind of patient support and care enough. "I don't want people out there floundering. I want them to have a whole network available with the best of standard care as well as the best of investigational care."
Aiken was the Director of the Comprehensive Brain and Spine Tumor Program and Director of the Section of Neuro-Oncology at Rush University Medical Center in Chicago before joining Rutgers Cancer Institute. Happy to be back on the East Coast now, he spent 20 years in Philadelphia at Jefferson Medical College and was also on the faculty at Mount Sinai School of Medicine in New York. Here in New Brunswick, he is an associate professor of medicine at Rutgers Robert Wood Johnson Medical School. He's closer to family now and proximity to the cluster of pharmaceutical companies in New Jersey is also key. "I'm trying to develop a thrust in the brain tumor arena. A lot of cancers are more common and profitable but that doesn't mean it's not worthwhile to consider working on orphan brain tumors like glioblastomas. So part of my job is to convince these companies that developing strategies for orphan tumor therapies is potentially promising. Having them nearby makes it easier to follow up a telephone call with a personal visit." For him, Rutgers Cancer Institute means being "in the right place at the right time."
Aiken's research is supported by numerous philanthropic and health entities including Gateway for Cancer Research, Voices Against Brain Cancer and a recent $10,000 gift from inVentiv Health.
When a friend in Japan studying for a PhD in ophthalmology opened a door there, Sheykholeslami left home for a three to six month observership in the ENT department of Tokyo University School of Medicine. He is fluent in Farsi, Azeri and Turkish. The woman sitting next to him on the airplane taught him, "Have a good day" and "Good afternoon" in Japanese. That was the sum of his Japanese language skills. But he persevered and taught himself Japanese and English by listening to the radio. Eventually he won a graduate scholarship and later earned another to continue his studies in neuroscience, neuro-otology and neurophysiology.
In Japan, Sheykholeslami earned his PhD in 2001, and continued with postdoctoral research on the auditory vestibular system and the metaphysiology of balance. "Hearing and balance were my areas and I actually invented a new technique called VEMP using bone-conducted clicks delivered to the ears and recorded from the sternocleidomastoid muscle. We published extensively on that." Other international research brought him into contact with the Case Western Reserve University Medical Center in Ohio, where he applied for a prestigious medical residency in otolaryngology, head and neck surgery and was told, "Good luck. Foreigners never get in." But, Sheykholeslami was successful. "It was very hard surgical training and I got really good hands-on experience. I ended up chief resident." Later, he added courses to his medical - surgical repertoire in Pittsburgh doing skull base work as well as obtaining board certification in sleep medicine.
Along the way, he got frustrated. "I could take cancer out of my patients but I had to ask another surgeon to do the reconstruction for them." So in July 2014, he decided to add reconstructive and plastic surgery to his expertise. This brought him to New Jersey where he studied at Robert Wood Johnson. Shey had just completed that training in June 2015 when he got the opportunity to build the head and neck cancer program at Rutgers Cancer Institute.
"I call it one stop shopping," he jokes describing the surgical experience at Rutgers Cancer Institute for patients with any kind of head or neck pathology. "In the past, patients would leave their first surgery with a big bandage for at least two to three weeks until they could get back in for reconstruction. I am equally good in all these specialties. My work is difficult, complex, time-consuming and there aren't a lot of people interested in doing this kind of thing. Here we have a team of multi-disciplinary oncologists and reconstructive surgeons." This includes neuro-oncologists, medical and radiation oncologists, rehabilitation specialists for speaking, hearing, swallowing or eating and "we are also bringing a psychiatrist on board," he adds.
Among his first lucky patients at Rutgers Cancer Institute was Spadora, who recalls, "I was given three alternatives: Do nothing. Go immediately to radiation and chemotherapy. Or opt for surgery to remove the tissue that would be extensive. This surprised me. It was just common sense to have surgery first but I guess some patients are scared." Spadora, on the other hand, "just wanted to get this thing out." Sheykholeslami explained that it looked like the cancer had been caught early but the nature of skin inside the nose, which is mucosal and sensitive, made this a special case. "Merkel cell carcinoma is not supposed to be there," the doctor explains, "but once it happens, it's like melanoma and though it might be tiny, it can spread across your body. This is frightening for both patients and pathologists." Everyone has Merkel cells in their body. Exposure to sun is what usually makes them cancerous and they look like a flesh-colored or bluish-red nodule then. In addition to sun exposure, many, if not all, Merkel cell cancers are associated with the presence of a virus that has been called the Merkel cell polyomavirus.
Before the surgery, Sheykholeslami described his plan. "Tell me again," Spadora remembers asking. His wife recalls, "A lot of doctors can be stiff and cold but you just feel Dr. Shey's compassion and patience. He told us that one reason he became a surgeon is that he used to sew his socks when he was a kid," she laughs. This doctor also promised to do his very best to preserve Tony's nose. "He was very serious about that," she says. "People often tell me that I don't look my age, but frankly, that was the least of my concerns," Spadora adds. The couple has two sons: Dan, 30, is a social media manager and married to Maggie, a financial services manager. They have two young children, Michael and Abigail. Their son David is 25 and lives in New York City pursuing a career in the entertainment industry as an actor/musician. "What a pleasant, supportive family," Shey says. "His wife was always there for him."
On August 30, 2015, before the procedure, Spadora's nose was injected four times, twice inside and twice outside, with a chemical to track cancer cells that might have spread. "That was painful," he recalls. Sheykholeslami planned to take out nodes in Spadora's neck if needed. The good news: there was no spread. So in a four and half hour procedure, Sheykholeslami cleared the original area of the tumor cutting away any remaining cancer and then reconstructed the nose. "The nose needs cartilage so I borrowed some from his ear to put inside. Then I took skin from his shoulder to reconstruct his ear."
In recovery later that afternoon, Spadora awoke to a labyrinth of plastic tubes inside and outside his nose, packing stitched and stuffed everywhere, swelling, and the outside of his ear stapled to a bunch of gauze bandages. "The nurses mentioned they had never seen anything like it before," he laughs. He spent several uncomfortable weeks recovering. He didn't really sleep well those first few nights. And two months later, he was still sore. But Cathy Spadora says, "He looks so good that no one would ever understand how bad it was."
At the follow-up appointment, Spadora was told that there was no need for radiation or chemotherapy. He was cured. "I am tremendously grateful to Dr. Shey and the oncology team at Rutgers Cancer Institute for their skills and to my family and friends for their prayers and support," he shares.
"Dr. Shey is a big guy and I asked him, 'How did you get inside my nose to do everything in there?' His response, 'Would you like to see the pictures I took?'" but this patient respectfully declined. "I'll continue to get regular scans for a couple of years and there will always be a little bit of doubt in the back of my mind whispering, 'Is this thing going to come back?'" he admits, "but I trust these doctors." ■


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split sides
Also found in: Dictionary, Thesaurus, Medical, Legal, Financial, Encyclopedia.
split one's sides (with laughter)
Fig. to laugh so hard that one's sides almost split. (Always an exaggeration.) The members of the audience almost split their sides with laughter. When I heard what happened to Patricia, I almost split my sides.
split your sides (laughing)
to laugh a lot at something We nearly split our sides laughing watching Paul trying to give the rabbit a bath.

subset: commoncrawl


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Nicholas Kwiatkowski <nicho...@spoon.as>
|Re: Preparing for JIRA
|Fri, 13 Jan 2012 21:10:44 GMT
Alex, I think that going forward as you stated would be ok. At this point I think it's most important to know what the bugs are (and get issue numbers assigned so we can manage them), then to worry about the neuances of some of the history from the old repository. I do think the version numbers and steps to reproduce are extremely important however. If the steps-to-reproduce end up as a comment, I think that is acceptable (I just don't want to loose the content), but the version number is something very important to filter on, esp. if we will eventually be working with multiple versions in our trunk. -Nick On Fri, Jan 13, 2012 at 3:12 PM, Alex Harui <email@example.com> wrote: > We're still waiting for JIRA to get set up (and yes, we are still waiting > for legal to clear the source code). But in investigating what it will > take to transfer the current JIRA issues to Apache, I found this article > [1]. > It talks about username conflicts as being a major pain. To try to reduce > pain and expedite the JIRA transfer, I am seriously considering changing > the authors of all current issues to something like "AdobeFlexSDK". If I > can, I will take the original author and add it to the comments or a custom > field or something like that. I'm also looking for a field to store the > original Adobe issue number as well. Doing so might then invalidate the > way comments are managed, so I might also take all current comments and > concatenate them into one long comment submitted by AdobeFlexSDK as well. > Similarly, the person who submitted attachments may also become > AdobeFlexSDK with no reference to who submitted it. > > Also, Flex JIRA issues have lots of custom fields that I expect Apache > JIRA won't have. I don't know if we'll be able to get the same fields and > we probably don't really need most of them. Let me know if you feel like > there is some field other than the obvious (steps to reproduce, date, > version) that needs to be preserved. > > [1] https://cwiki.apache.org/INFRA/merging-jiras.html > -- > Alex Harui > Flex SDK Team > Adobe Systems, Inc. > http://blogs.adobe.com/aharui >
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I do most all household handyman work such as, drywall installation and repair, fencing, interior house painting, install doors and windows etc, window curtain rods, shower rods and towel bars etc, shelving, doggy doors and concrete doggy baths , bath room shower and tub tile work, build wood decks. I do high pressure deck washing and re-staining, toilet installs and repairs, interior trim work, and much more to list.
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Fire Destroys Difused Leisure Centre
It started at the building in Northfleet just after 6.30pm
Film and TV fans can download a new guide to 28 sites in Kent that have appeared in or inspired Tudor-themed productions.
Since 2006 the productions are thought to have generated around £50 million for the local economy.
The heritage trail coincides with the release of BBC Two's The Hollow Crown: The War of the Roses, a large portion of which was filmed in Kent.
The three-part series, an adaptation of Shakespeare's Henry VI Part One, Henry VI Part Two and Richard III stars Benedict Cumberbatch, Judi Dench and Hugh Bonneville.
Many of Cumberbatch's key scenes for Richard III were shot on location in Kent - including the famous opening soliloquy on the moat of Leeds Castle, and interior and exterior scenes at Dover Castle and Penshurst Place.
Visit Kent chief executive Sandra Matthews-Marsh MBE said: "Whether you are a history lover, a film buff or you're just crazy about Cumberbatch, we hope this new guide will inspire you to discover The Garden of England's glitzy, gory and glorious film heritage.
"Not only can you visit your favourite period locations frequented by the likes of Benedict Cumberbatch and Scarlett Johansson, but you can also spend the night there! Leeds Castle, Dover Castle and Hever Castle all offer unique accommodation, so visitors can truly lose themselves in Kent's cinematic past.
"We hope this new guide by Kent Film Office will further inspire people to visit Kent and the gorgeous locations that have dazzled them on screen."
The Tudor(ish) Trail was created by the Kent County Council Film Office, in collaboration with Visit Kent, Explore Kent, Produced in Kent and the attractions featured.
The Film Office supports dozens of big and small screen productions in Kent every year, which have brought in an estimated £25 million of direct spend - £50 million in wider economic benefits - to the Kent economy since its formation in 2006.
Other Kent film themed trails include Austen, Bond, Dickens and the Darling Buds of May, as well as the Kent Movie Map which details more than 200 productions filmed across nearly 300 Kent locations.
It started at the building in Northfleet just after 6.30pm
He was discovered in Tunbridge Wells this morning
7 year old Julian Cadman, who was born in Kent was confirmed among the victims yesterday
Two men have been arrested as police investigate the death of a man in Folkestone.
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Just as India's master batsman Sachin Tendulkar created history in 1992 by becoming the first overseas cricketer to play for Yorkshire, England's off-spinner Laura Marsh has broken new ground as the first overseas player to represent the NSW Breakers.
Marsh made her mark in Australia during England's triumphant 2009 World Cup campaign when she finished as the tournament's leading wicket-taker with 16 scalps.
The 28-year-old, who has scored half-centuries in all three formats for her nation, was aware of the significance of being an overseas player joining the most successful team in the history of the Women's National Cricket League.
NSW have won 17 of the 19 WNCL tournaments staged since 1995-96. The Breakers aim to win their 11th consecutive crown and Marsh's spin was identified as a weapon that could add an extra edge to the competition's traditional pace-setters.
"The Breakers are a very successful side, they've won the competition over the last 10 years, and hopefully I can contribute to some success this year," said Marsh, who has 85 wickets from 72 one-day internationals.
"[Breakers captain] Alex Blackwell asked me if I would like to come over and play in the 50-over competition and I jumped at the opportunity. It's been a brilliant experience so far, the girls have been very accommodating.
"Playing in Australia is something I've wanted to do for quite a number of years. I'm expecting it will be a tough competition, there's world-class players and some really good overseas players in it, and I believe it will be a really good challenge for my game."
Apart from her 2009 World Cup success, the pick of the tournament being her 5-15 against Pakistan, Marsh has enjoyed tremendous career highlights in Australia.
In 2009 she struck the winning runs off the last ball of the match to secure England's first victory over Australia in a ODI series in 33 years. One year later she opened both the batting and bowling in the T20 series against the Australians, and was named player of the match for her efforts in the second match.
"I have some good memories from playing in Australia and that will hopefully give me extra confidence in upcoming games," she said.
As a member of the English team that lost the Ashes to the Southern Stars over the winter Marsh intends to absorb as much as she can about the Australian game from new teammates such as Blackwell, Ellyse Perry, Rene Farrell, Alyssa Healy and Erin Osborne, who were fierce rivals only a few short months ago.
"It was an even contest, some good battles, but in the end I think we were outplayed," said Marsh. "Australia won the critical moments more often than we did and it was disappointing for us to lose the second T20 played at Hove . . . not being able to reach what was a gettable [107]. I think we were frustrated because we felt we could have won but ultimately Australia held their nerve and were the better team."


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Riddles and jokes are an ideal way to get kids laughing while helping to get their brains thinking at the same time. Here are some great autumn riddles and jokes for kids. Q: How do you fix a flat pumpkin? A: With a pumpkin patch. Q: How does an elephant get out of a tree? A: It sits on a … [Read more...]
Autumn Riddles and Jokes for Kids
October 6, 2015 by Leave a Comment
Free Fall Themed Printables for Kids
September 22, 2015 by Leave a Comment
Fall is a great time for kids because of all the fun things like pumpkins, apples and Halloween. Kids love to color, do crafts and work on puzzles. Here are some places to find free fall themed printables online for kids. Free Fall Themed Printables for Kids Activity Village- Activity … [Read more...]


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text: Agriculture, Hydrology and Water Quality by P. Haygarth (Editor), S. Jarvis Product Details Hardcover: 416 pages Publisher: CABI; 1st edition (December 19, 2002) Language: English ISBN-10: 0851995454 ISBN-13: 978-0851995458 Product Dimensions: 9.7 x 6.9 x 1.5 inches Product Description This book is a collection of state-of-the-art reviews on the global problems of diffuse water pollution from agriculture, which affects the water quality of rivers, lakes, reservoirs and the oceans. It includes chapters on eutrophication, phosphorus, nitrogen, manure, heavy metals, carbon/persistent organic pollutants and soil/siltation problems. The book reflects the opinions of the world's experts in these subjects, and is suitable as a reference book for researchers and advanced level students. Download


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Nollywood actor, Chidi Mokeme, has said he has no plan to relocate his wife to Nigeria anytime soon. According to him, his wife, a medical personnel, is too advanced for hospitals in Nigeria and would be a "disservice to uproot her and throw her into the chaotic Nigerian system."
The actor's wife, who is based in the United States, has been married to him for over three years. They welcomed their first child together some months ago. Chidi Mokeme, while speaking with Encomium on the possibility of relocating his wife to Nigeria, said, "Soon is relative. Hopefully, the imminent wind of change inspired by the new administration, will become enduring and sustainable. And our socio-economic climate will change for the better. If that happens, then relocation will be considered. "Otherwise, you know for someone to work and consult for the highest regulatory body in the world, FDA, and also working for one of the best hospitals in the world, Johns Hopkins, it really will be a disservice to uproot her and throw her into the chaotic Nigerian system." "I bet we'll have chronic and extensive issues of culture shock. My wife probably hasn't had to write down anything in the office for over five years. Everything is electronically synced and networked across the whole organization. "Every information is a push of a button away. How do you expect someone like her to function in our system? That Tory go get k-leg be that o."
Check this out!!!
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Chidi is so right
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If you'd like to participate in our contest, please check out the details.
The next deadline (for Contemporary/Women's Fiction entries) is February 10. But if your story in that category isn't quite finished, don't despair; you can catch it the second time around, in August.
Ready to give it a whirl right now? Download the entry form.
The schedule for the remainder of the contest is:Email your submissions, or any questions you may have, to firstname.lastname@example.com.
We're grateful for all the interest we've had so far, and we look forward to seeing more great entries!


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The future stars of Ohio State football officially begin their college careers, as standouts from all over the country put pens to their National Letters of Intent.
Ohio State identified Miamisburg five-star offensive tackle Josh Myers very early in the process as someone who could help protect former prized quarterback recruit Danny Clark, and offered him a scholarship in March 2014.
The Buckeyes rarely offer offensive linemen they've not seen in person at on-campus camps, but Myers' talent isn't typical, so his recruitment won't be either. He was the first player in the 2017 class offered by Michigan, and he's got offers from Kentucky, Tennessee, Cincinnati, Ohio, Indiana and Illinois, as well. This is not a player to wait on, and Ohio State is one of the handful of schools to recognize it.
Myers visited and earned scholarship offers from Alabama and Michigan State before he finally camped at Ohio State over the summer, where he was one of the youngest prospects at Friday Night Lights. He then took an unofficial visit during the Buckeyes' 50-28 win against Cincinnati that fall.
The Myers File
SIZE: 6-foot-6, 306 pounds
SCHOOL: Miamisburg (OH)
"The visit went really well. Everything definitely lived up to the expectations," Myers said. "The Buckeyes always treat me really well, and we've got great relationships with the coaching staff there … I would say there's a different comfort level [right now] with Ohio State. I enjoyed getting the chance to watch them coach up close."
Myers also traveled to Michigan, Notre Dame and Tennessee during the season, but it was already clear Ohio State was going to be the team to beat. Myers agreed and committed to the Buckeyes during Junior Day in January 2015.
"It's not often a sophomore is a 'must get,' but Myers is," a source close to the program said. "He's got All-American written all over him and might be the best tackle to come out of Ohio since [Hall of Famer Orlando] Pace. He's got that kind of potential … He's a great kid, too. He comes from a great family and he's the type of person that others will want to line up with. [He's] everything you want in a football player."
Myers shut down his recruitment from there. He returned to Ohio State several times, of course, over the next two years for numerous camps and official and unofficial visits but never once wavered in his commitment.
The only flip fans had to worry about came when Myers wanted to show off his ridiculous strength. Exhibit A:
Why use two arms when you only need one... (via @BR_TheFuture)https://t.co/fxfX0W4uWO
— Bleacher Report (@BleacherReport) May 10, 2016
"Power snatching 155 pounds with one hand? That's the kind of strength that turns an abnormally large teenager into a five-star, can't-miss offensive line prospect, which is what Josh Myers is."
Exhibit B:
In his preparations [for the U.S. Army All-American Bowl], the offensive tackle prospect pulled off a feat that those running the Renegade Warehouse previously thought impossible. He flipped a 1,000-pound industrial tire the gym bought from a concrete plant in Troy. No other patron of the gym, let alone an 18-year-old, had accomplished that.
The 6-foot-6, 306-pound Myers is expected to compete for a starting spot along the offensive line this coming season. He'll shift over to guard in an attempt to replace starter Billy Price, who will transition to center next season.
Though he showed his versatility at the Army Bowl, it certainly won't be easy for Myers to start as a true freshman. There's a reason Michael Jordan last year became the first true freshman to start on the Ohio State offensive line since the aforementioned Pace more than 20 years ago.
Myers notably has to improve in pass protection — something he's openly admitted — but he doesn't think he'll have difficulty transitioning to the next level.
"I have learned and spent a lot of time working on technique in run and pass blocking. I think for me it is more of just perfecting that technique, more specifically in my pass protection."
Welcome to Buckeye Nation @joshmyers58! #Select17 coming together! pic.twitter.com/NOQ99Rrcaq
— Ohio State Football (@OhioStateFB) January 9, 2017


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you know you are a mom when.... you put the word NO to a song such as row row your boat or are you sleeping.
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Saints beat reeling Falcons; Brees eclipses Moon on passing listNov 22, 2013 - 5:48 AM
Brees completed 23-of-33 passes and eclipsed Warren Moon (49,325) for fifth place on the NFL's all-time passing list in the process. Brees finished the game with 49,564 career yards.
Jimmy Graham grabbed five passes for 100 yards and a touchdown for the Saints (9-2), who have won three straight and sit 1 1/2 games ahead of the Carolina Panthers atop the NFC South.
Atlanta (2-9), on the other hand, has dropped five straight games and owns the worst record in the division despite an efficient effort from Matt Ryan.
Ryan finished 30-of-39 passing for 292 yards, while Steven Jackson racked up 63 yards on 16 carries and scored the Falcons' lone touchdown in the loss.
New Orleans held a 14-13 edge at halftime and neither offense managed much in the third quarter until late in the frame when Graham got the Saints deep into Atlanta territory with a 35-yard pickup on 3rd-and-5.
The Saints failed to pick up another first down, though, and settled for a 41- yard field goal from Garrett Hartley that made it 17-13 with 4:42 left in the quarter.
Ryan scrambled for six yards on 3rd-and-2 from the New Orleans 46 to extend Atlanta's ensuing drive before back-to-back completions moved the team to the 24-yard line.
However, the Falcons turned the ball over two plays later, as defensive end Keyunta Dawson stripped rookie wideout Darius Johnson just after he secured a catch and cornerback Corey White pounced on the loose ball at his own 13-yard line to give possession back to New Orleans.
After forcing the Saints to punt, Atlanta took over at its own 9-yard line before Ryan completed his next five passes to move the Falcons to the New Orleans 37.
Ryan had his string of 12 consecutive completions snapped two plays later before being dropped for a 5-yard loss to leave the Falcons facing 3rd-and-15.
Following another Ryan incompletion with 2:24 to play, Matt Bryant appeared to bury a 52-yard field goal, but the Saints called timeout just before the snap.
Bryant trotted out to try the kick again, but this time his attempt missed wide left to keep the margin at four.
"If we would have gotten some yardage on third down, it opens up your playbook," Falcons head coach Mike Smith said of his decision to try a field goal. "There is not a whole lot of great 4th-and-15 plays."
New Orleans then picked up a pair of first downs on its ensuing touch and forced the Falcons to use all three of their timeouts.
Atlanta eventually got the ball back at its own 38 with five seconds left, but it was too little, too late.
"I thought that it was a real good, hard-fought win," Saints head coach Sean Payton said. "I thought both teams played hard. We knew it was going to be a challenge. It is every time we play them."
Early on, the Falcons found the end zone for the only time on their opening possession of the game, with the big play of the drive coming on Jacquizz Rogers' 22-yard catch-and-run on 3rd-and-3 from the New Orleans 31.
Two plays later, Ryan fired a quick slant to Johnson, who stretched the ball across the goal line for what was originally deemed a touchdown, but video review showed the wideout's knee on the ground just before the tip of the ball broke the plane of the goal line.
Facing 3rd-and-goal from less than a yard out, Jackson surged over the pile on the next play to give the Falcons a 7-0 lead with 8:51 left in the first.
The Saints responded with a 15-play touchdown trek that featured five third down conversions and ate up over 7 1/2 minutes off the clock.
"We needed to come back," Brees said of responding to Atlanta's touchdown. "We put together a great drive. It was 15 plays. That was a great way to answer."
Brees accounted for four of the five conversions, including the final one that saw the Saints' signal-caller find tight end Benjamin Watson dragging across the back of the end zone for a 1-yard score with 1:23 left in the first.
Bryant knocked down a 39-yard field goal early in the second to give Atlanta a 10-7 lead, but the Saints countered with a quick 5-play sequence to take the lead for good.
Graham notched the go-ahead score, as he beat his defender on an out-and-up down the left sideline and hauled in the pass before carrying a defender into the end zone for a 44-yard TD that made it 14-10 with 10:21 left in the half.
Bryant buried a 24-yard field goal on Atlanta's next touch to bring the Falcons within one.
Game Notes
The Saints have won 13 of the last 16 meetings between the teams but trails 46-43 in the all-time series ... Atlanta's losing streak is the team's longest since a six-game hiccup in 2007 ... Atlanta's Harry Douglas finished with a team-high nine catches for 79 yards ... Thomas totaled 73 yards on 10 rushes and 57 yards on five catches ... Atlanta's touchdown on its first series of the game was the team's first points on an opening drive in its last seven games ... Ryan was sacked a season-high five times.
- Matt Ryan pass to Harry Douglas to the New Orleans 46 for 16 yards. Harry Douglas fumble recovered by Jacquizz Rodgers at the New Orleans 46 returned for no gain.
Nov 21 11:27 PM
End of Regulation
Nov 21 11:27 PM
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End of 3rd
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- 41-yarder by Garrett Hartley.
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- 24-yarder by Matt Bryant.
Saints 14, Falcons 13 2nd - 2:41Nov 21 9:36 PM
- Garrett Hartley extra point is good.
Saints 14, Falcons 10 2nd - 10:12Nov 21 9:21 PM
- Drew Brees pass to Jimmy Graham for 44 yards.
Saints 13, Falcons 10 2nd - 10:12Nov 21 9:20 PM
- 39-yarder by Matt Bryant.
Saints 7, Falcons 10 2nd - 12:20Nov 21 9:10 PM
End of 1st
Nov 21 9:05 PM
- Garrett Hartley extra point is good.
Saints 7, Falcons 7 1st - 1:17Nov 21 8:58 PM
- Drew Brees pass to Benjamin Watson for 1 yard.
Saints 6, Falcons 7 1st - 1:17Nov 21 8:58 PM
- Matt Bryant extra point is good.
Saints 0, Falcons 7 1st - 8:48Nov 21 8:45 PM
- Steven Jackson rushed left for 1 yard.
Saints 0, Falcons 6 1st - 8:48Nov 21 8:44 PM
1st Quarter - 15:00
Nov 21 8:31 PM
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- David Irthum I will be at work but I will depend on Are You Watching This to keep me posted! GO SAINTS!
Saints vs. FalconsNov 21 8:21 AM
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Saints vs. FalconsApr 19 8:12 AM
Related News
- NFL Note - New Orleans Saints Breaux, Delvin Wed
- Chargers defense turning up the volume after slow start Wed
- Saints fire orthopedists after misdiagnosis of Breaux injury Wed
- Falcons looking for more decisive runs from rookie Hill Wed
- Saints coach: Breaux needs surgery, club changing doctors Wed
- NFL Note - Atlanta Falcons Freeman, Devonta Mon
- Saints' Unger showing progress in return from foot surgery Mon
- Falcons' Devonta Freeman ruled out with concussion symptoms Mon
- Falcons place RB Freeman in concussion protocol Mon
- Jets sign safety Therezie, waive fullback Brown Sun
- Saints' Thomas primed to thrive in Colston's former role Aug 12
- NFL Note - Atlanta Falcons Neal, Keanu Aug 12


text:
November 21, 2005
Tony Stewart:
Wins the 2005 NASCAR points championship by finishing 15th. If only Joe Gibbs had the same success managing the Redskins as he does his NASCAR teams.
The Lead Item
Two Words For You:
Indianapolis . . .
Since every team has played 10 games and the Colts have outgunned their nearest competitor on the road (the Bengals in Cincy), everyone else is playing for second.
For the first half of the season, the top of the AFC appeared to have some contenders:
Lost to the RAVENS.
Uh, refer to Week 9.
Still too green.
Only if you've forgotten their recent record against the Colts in the playoffs.
(I'll take the 6-4 Chargers as the AFC's next-best contender; they've got the offense to keep up and have navigated a punishing schedule. But not without injured TE Antonio Gates.)
Over in the NFC,
the Panthers looked like the most serious challenger; they were just overwhelmed by the Bears D.
(But who can take the Bears seriously, even at 7-3, as the
in the NFC?)
Just lost their second straight game at home.
Have yet to win a playoff game in the Holmgren Era. They're suddenly going to win a couple in a row? (Nearly lost to the 49ers!)
Bucs? Cowboys?
Still can't believe in either of 'em, despite two coaches who have proven to be playoff winners.
Let's make them the front-runner in the NFC (despite only one quality win, over Denver), but reserve judgment until after next week's prove-it game at Seattle. And would you really believe in them vs. Indy?
So at 10-0, the Colts
aren't simply the only unbeaten; they're the only team without obvious flaws.
And as of today, that makes them the only obvious contender for the Super Bowl title.
More from Week 11
The Eagles are finished
for the season, but Mike McMahon is not the tomato can that his critics said he was (298 yds, 2 TD).
Dump the Redskins
in the "done" pile, too. Yet another close loss. Yet more turnovers. (Insult/injury: Beaten by ex-coach Norv Turner.)
Wait: So Vick threw for 300
(quiet, critics) but the Falcons
lost? Either Tampa owns them or ATL has an issue.
The Bears (6 straight Ws)
might be a first-weekend playoff loss waiting to happen, but with that sick D, they'll be in every game.
Ravens off the schneid:
When Kyle Boller outplays you, you know you have QB problems. Steelers can't get Big Ben back soon enough.
Thanksgiving preview:
Easy wins by Dallas and Denver should help in a short week before they meet on Thursday. (Lions? Not so much.)
Peyton Manning: 365 yards, 3 TDs leading IND to W in Cincy
Larry Johnson: 211 yards breaks Chiefs rushing record
Nathan Vasher: Bears' "Mr. 108" extends hot streak: 2 INTs
Miami: Curse of "7th Floor Crew"? 'Canes lose to GA Tech
Roger Federer: Nalbandian breaks his 35-match win streak
Hawks: Atlanta becomes NBA's only winless team. It's ugly.
MNF: Vikings at Packers.
Unbelievably, the Vikings can reach .500 with a win at Lambeau. Pack simply looking for respectability. (9 ET, ABC)
Is USC No. 1?
Fresno State was underrated:
Fresno proved that, by giving USC as much of a game as it has had at home in its entire dynastic run.
The Trojans, however, might be slightly
Definitely arguable whether they should be ranked No. 1 ahead of Texas. Not with
(Of course, Fresno State is so fearless, I'm not sure that would-be No. 1 Texas would have fared much better against them.)
But Reggie Bush for Heisman:
And no one else is even close (sorry, Vince Young). 513 all-purpose yards? 294 rushing? That's cartoonish.
Penn St: BCS-Bound
This season was the best
coaching job of Joe Paterno's career (and, yes, that takes into account his two national-title seasons).
Factoring in his age, all the offseason criticism, the youth of his team and the competitiveness of the Big Ten, for him to go 10-1 is astounding.
BCS At-Large Bids
Without a title-game dispute,
the new drama is which teams should get the two BCS at-large bids.
Notre Dame is a no-brainer,
and it has nothing to do with their on-field performance (although that helps); it's all about the money.
Ohio State is the favorite
for the other spot: Two Ls are glaring, but they were to Texas and Penn State (No shame.) Fans travel. Big TV draw.
Other At-Large Contenders:
LSU will likely win the SEC's auto-BCS bid, but Auburn is playing as well as anyone right now. And isn't it due for a little payback from last year's screw-job?
Ha, yeah right. Remember, this is a discretionary pick. Ohio State is a high bar to hurdle. And the Ducks don't do it.
Fresno State?
Why not? Fresno gave USC its toughest game of the season, vindicated my Lead Item prediction from Friday and provide the Cinderella element the BCS cabal desperately needs (yet strenuously avoids).
College Hoops Wrap
Rising: Florida.
Beat two ranked teams (Wake, 'Cuse) en route to Coaches/Cancer title. (Saw it up close: PG Taurean Green legit.)
Falling: Michigan State
Preseason Final Four fave loses at Hawaii -- uh, and that was BEFORE the competitive Maui Classic. (ESPN2, 2:30 p.m.)
NBA Wrap
Clippers still sizzling:
In a head-to-head battle of the Pacific's best, the Clips ran past the Warriors. (Wait ... did I just write those names?)
Knicks win first at home:
Marbury scores season-high 27 (with 8 assists), allowing both him and Larry Brown to feel like they're
Here's the Lakers' season
in a nutshell: Kobe scores 43, but the team still loses (96-93, at home, to the Bulls).
Congrats to the Raptors,
who won their first game of the season in style, over the Heat. Chris Bosh (27 pts, 12 reb) could be this season's Amare -- and should be an All-Star.
Tennessee football:
The Vols are the new Vanderbilt: SEC punching bag and bowl-ineligible (and even losing to Vandy!) Fire Fulmer? Maybe not, but what's his excuse?
Today on ESPN.com
Quickie: Live!
Page 2 Index
Page 2 Critics
NFL Power Ranking
Toughest W of season
Brees getting hot
Beating Jets? Yawn.
Rebounds from L to MIN
Half-team better than most
MLB Hot Stove: The Marlins have '03 World Series ace Josh Beckett on the block. Rangers are hot-n-heavy for him, but the Red Sox are involved, too.
Did the Browns actually manage to have their most impressive win of the season AND start a QB controversy? How does a team pull THAT off?
NFL Injury Watch: Foot (Antonio Gates); Shoulder (Zach Thomas, Marc Bulger, Tatum Bell); Ankle (Dan Morgan, Lito Sheppard).
Table your jokes about Florida State's academics: Track star Garrett Johnson won a Rhodes Scholarship. School should celebrate that more than any NCAA CFB All-American or NFL draft pick.
Former H.S. slam-dunk champ Candace Parker made her debut for Tennessee women's hoops with a double-double (19/10) in a win for the Vols.
The Young 'uns might be the LPGA's future, but "oldie" Annika showed she's still the alpha player, with her 10th '05 win in the season finale.
Condolences to the Belichick family on the loss of Steve, Bill's father and coaching mentor. He was 86.


text:
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Most Helpful Girl
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text:
Tall Coffee Mug with Decal 800ml 4 Asstd
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|"Amine AMAR" <a.a...@dns1.caciopee.com>
|Re: How stable is Tomcat on Windows ?
|Sat, 05 Jan 2002 09:09:40 GMT
Hi, We have been using TC on a Win2k Prof. for a year now for a couple of applications and it works fine. You just need to restart the server from time to time (~once a quarter) to free unused memory by windows. We are quite happy with it. Amine ----- Original Message ----- From: <firstname.lastname@example.com> To: <firstname.lastname@example.com> Sent: Friday, January 04, 2002 9:32 PM Subject: How stable is Tomcat on Windows ? > Hi, > Anyone who is using Tomcat on Windows 9x/NT/2000 for JSPs please let > me know how stable you have found it to be. > > Thanks, > Sumit. > The information contained in this e-mail and any files transmitted with it > may be privileged and confidential. If the reader of this message, > regardless of the address or routing, is not an intended recipient, you are > hereby notified that you have received this transmittal in error and any > review, use, distribution, dissemination or copying is strictly prohibited. > If you have received this message in error, please delete this e-mail and > all files transmitted with it from your system and notify the sender by > reply e-mail or by calling 1-888-338-6076. > > -- > To unsubscribe: <mailto:email@example.com> > For additional commands: <mailto:firstname.lastname@example.com> > Troubles with the list: <mailto:firstname.lastname@example.com> > > -- To unsubscribe: <mailto:email@example.com> For additional commands: <mailto:firstname.lastname@example.com> Troubles with the list: <mailto:firstname.lastname@example.com>
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text:
Public stigma against family members of people with mental illness: findings from the Gilgel Gibe Field Research Center (GGFRC), Southwest Ethiopia
Health and human rights of marginalized populations
Public stigma against family members of people with mental illness is a negative attitude by the public which blame family members for the mental illness of their relatives. Family stigma can result in self social restrictions, delay in treatment seeking and poor quality of life. This study aimed at investigating the degree and correlates of family stigma.
A quantitative cross-sectional house to house survey was conducted among 845 randomly selected urban and rural community members in the Gilgel Gibe Field Research Center, Southwest Ethiopia. An interviewer administered and pre-tested questionnaire adapted from other studies was used to measure the degree of family stigma and to determine its correlates. Data entry was done by using EPI-DATA and the analysis was performed using STATA software. Unadjusted and adjusted linear regression analysis was done to identify the correlates of family stigma.
Among the total 845 respondents, 81.18% were female. On a range of 1 to 5 score, the mean family stigma score was 2.16 (±0.49). In a multivariate analysis, rural residents had significantly higher stigma scores (std. β = 0.43, P < 0.001) than urban residents. As the number of perceived signs (std. β = -0.07, P < 0.05), perceived supernatural (std. β = -0.12, P < 0.01) and psychosocial and biological (std. β = -0.11, P < 0.01) explanations of mental illness increased, the stigma scores decreased significantly. High supernatural explanation of mental illness was significantly correlated with lower stigma among individuals with lower level of exposure to people with mental illness (PWMI). On the other hand, high exposure to PWMI was significantly associated with lower stigma among respondents who had high education. Stigma scores increased with increasing income among respondents who had lower educational status.
Our findings revealed moderate level of family stigma. Place of residence, perceived signs and explanations of mental illness were independent correlates of public stigma against family members of people with mental illness. Therefore, mental health communication programs to inform explanations and signs of mental illness need to be implemented.
In the work of Goffman, the stigma against family members of people with mental illness (PWMI) is described as "courtesy or associative stigma, which is the process by which a person is stigmatized by virtue of association with another stigmatized individual"
A frequently observed reason for stigma against family members of PWMI was related to the explanations for mental illnesses
Both supernatural and non-supernatural explanations of mental illness may lead to family stigma. As a result, the public may develop less contact to the patients. Less contact of the public with the patients and not disclosing about the mental illness situation of the patient were found to be associated with stigmatization of the patients
Quantitative and qualitative findings suggested that when the public holds negative attitude towards the family members of PWMI, the family may resort to social self restrictions. The family may also hide their sick relative, which in turns may lead to delay in treatment seeking, and discrimination from getting services. All of these may result in poor quality of life, depression and increased emotional burden on families
To combat such consequences and challenges, there are effective interventions such as educating the public, contact to the patients (not hiding the patients from the community and integrating them to the community system) and empowering the patients and families in order to reduce stigma associated with patients and family members
Although the key role of family members in care provision in mental health is well appreciated and an accepted concept, family stigma is under researched and this study is the first of its kind in Ethiopia. Therefore, this study has attempted to generate baseline data on the situation of stigma for further studies and interventions in the Gilgel Gibe Field Research Center (GGFRC), Southwest Ethiopia. The study aimed at investigating the extent and correlates of public stigma against family members of PWMI in the study area. It was hypothesized that the study population mean stigma would be more than the mean stigma (2.5) score and the psychographic (such as perceived explanations, signs, etc.) and socio-demographic (example: age, sex, residency, etc.) were expected correlates of family stigma.
The cross-sectional house to house survey was conducted among randomly selected 845 urban and rural community members in the GGFRC, Southwest Ethiopia. The GGFRC is Demographic Surveillance Site (DSS) and has been recording and storing data on vital events and socioeconomic parameters since its establishment in May 2005. Studies ranging from molecular level to population surveys have been conducted in GGFRC by Jimma University in collaboration with other partners. In 2011, 54, 538 persons were living in the center
Family stigma was measured using 10 items with Likert scale (1 = strongly disagree to 5 = strongly agree) responses adapted from Devaluation of Consumer Families Scale and other two previous studies
In addition to the scale of stigma against family members of PWMI, measures on socio-demographic and psychographic characteristics were included in the questionnaire. The psychographic characteristics included (a) 3 items measuring perceived supernatural (example: evil spirit), (b) 6 items measuring non-supernatural (biological and psychosocial) explanations of mental illness (example: stress and drug addiction), (c) 8 items measuring exposure to people with mental illness (PWMI) (example: message from TV/radio, ever worked or lived with people with mental illness) and (d) 12 items measuring perceived signs (example: suicide attempt, self neglect and sleep disturbance) of mental illness, and were measured as yes = 1 and no = 0 scores. After summing up scores on the respective psychographic characteristic, higher values indicated higher perceived supernatural, psychosocial and biological explanations, perceived signs, and exposure to PWMI. The questionnaire was translated into Amharic and Afaan Oromo languages and then back translated into English. Translation and back-translation was done to ensure semantic equivalence. After pre-testing, the final questionnaire was administered either in Amharic or Afaan Oromo languages based on the respondents language ability.
Before data entry, each questionnaire was checked for completeness and consistency. Data entry was done by using EPI-DATA version 3.1. The data was then exported to STATA version 10.0 for analysis. Normality of the stigma against family members of people with mental illness score was checked using histograms and kernel density. Since the stigma score was not normally distributed, logarithmic transformation was done. After the transformation, the distribution of stigma score was normal. Then, for categorical independent variables, the mean stigma scores were compared using ANOVA and
Ethical approval was obtained from Research Ethics Review Board of Jimma University. Written permission was granted by Health Sciences Research Institute, Jimma University. Finally, written informed consent was obtained from the individual participants before the interviews.
Socio-demographic characteristics
A response rate of 100% was achieved in this study. Among the total 845 respondents, 517 (81.18%) were female and 638 (75.50%) of them ever been married. The mean age (standard deviation) was 37.4 (±14.8) years. The majority of respondents were Muslims (88.99%) and members of Oromo ethnic group (91.12%). Nearly two-thirds of the respondents (62.72%) were illiterate. Most of the respondents (80.00%) were farmers. The households' average monthly income (standard deviation) was 377.3 (±392.5) ETHB (1USD ≈ 18.5ETHB) and the average family size (standard deviation) was 5.2 (±2.2) (Table
Belief and perception about mental illness
Six hundred thirty-six (75.27%) believed that mental illnesses can be cured. A very small proportion (1.66%) of the respondents ever had a history of mental illness, and 9.70% ever had a relative with a history of mental illness. On a range of 0–8 scores, the mean exposure to PWMI was 1.9 (±1.2). The mean number of reported signs of mental illness was 2.8 (±1.2) on a 0–12 range. The average number of perceived supernatural explanations of mental illness score was 0.6 (±0.7) on a 0–3 range while the average number of perceived psychosocial and biological explanations of mental illness score was 1.7 (±0.9) on a 0–6 range.
Stigma against family members of people with mental illness scores
As depicted in Table
The overall mean family stigma score was 2.16 (±0.49) on a range of 1 to 5 score (Table
Predictors of public stigma against family members of people with mental illness
All the variables that showed statistically significant association in the bivariate analyses (
Rural residents exhibited significantly higher stigma scores (std. β = 0.43, P < 0.001) than urban residents. Residency was also the strongest predictor of public stigma against family members of PWMI. As the number of reported perceived signs of mental illness increased, family stigma decreased significantly (std. β = -0.07, P < 0.05). Both higher perceived supernatural (std. β = -0.12, P < 0.01), and psychosocial and biological (std. β = -0.11, P < 0.01) explanations of mental illness were significantly associated with lower family stigma (Table
Interaction effects
After checking the presence of multicollinearity among predictor variables, interaction analysis was performed. Accordingly, significant interaction was found between education and income, education and exposure to PWMI, and exposure to PWMI and perceived supernatural explanations of mental illness. Then, a separate analysis was done after controlling the effects of other variables. As the income of a respondent increased, the perceived family stigma increased significantly at both medium (std. β = 0.15, P < 0.01) and low education (std. β = 0.29, P < 0.001) levels. As education increased, significant lower family stigma (std. β = -0.16, P < 0.01) was found at high exposure to PWMI. At both medium (std. β = -0.13, P < 0.01) and lower (std. β = -0.23, P < 0.001) levels of exposure to PWMI, significant lower public stigma was scored as the supernatural explanation of mental illness increased (Figure
Figure 1
Family stigma score at different levels of education and exposure to mental illness with respect to income, education and perceived supernatural explanation of mental illness scores in the Gilgel Gibe Field Research Center, Southwest Ethiopia, 2012
Family stigma score at different levels of education and exposure to mental illness with respect to income, education and perceived supernatural explanation of mental illness scores in the Gilgel Gibe Field Research Center, Southwest Ethiopia, 2012.
We found the overall family stigma in the community to be of moderate level. Furthermore, living in rural place, explanations regarding the cause of mental illness, perceived signs of mental illness were associated with family stigma. However, living in rural place was the strongest predictor of high family stigma.
The moderate level of family stigma in the current study can be directly or indirectly associated with the public stigma against PWMI or due to low mental illness information as found in the current study. A previous study in the same study area reported that there was high public sigma against PWMI
Rural residents have shown significantly high stigma than urban residents which may be due to low mental health literacy and rural respondents may be disadvantaged of other underlying causes such as high illiteracy, low media and mental health service access which implies that reducing the gap on such determinants may enhance reducing of stigma against family members of PWMI.
One of the reasons of stigma development is lack of explanation and fear about a given illness
High supernatural explanation of mental illness was associated with lower stigma at lower level of exposure to PWMI. This can be related to the type of explanation and sympathy that people with high supernatural but lower exposure to PWMI might have i.e. they may be less likely to blame the family for the relatives' mental illness. Similarly, significantly lower stigma was obtained when individuals scored high on exposure to people with mental illness at high education level. This may be due to the combination of high education level which can facilitate exposure to diverse media on mental illness and enhance the ability to understand messages related to PWMI.
High number of reported signs of mental illness by the public was significantly correlated with lower stigma against family members of PWMI. Similarly, stigma against PWMI was lower among people who were familiar to the illness, and those who had previous contact to persons with mental illness
Respondents who had high income but low education showed significantly high family stigma. Such type of respondents may be in a disadvantage to get more information about mental illness from other sources like print and visual media. In addition, they may also have limited opportunity to get awareness and knowledge about mental illness from the school environment.
Generally, in the current study there was a high tendency of blaming family members for the illness of the patients. The belief among the public for the need to restrict the patients by the family members to avoid contact to the community may be associated with the type of explanation of mental illness and perceived dangerousness of people with mental illness. On the other hand, a low score was observed on restricting family members from being a member of social gatherings. In the multivariate analysis, no significant correlation was scored between many socio-demographic characteristics (i.e., age, sex, marital status, religion, ethnicity and occupation) and stigma against PWMI. Exposure to PWMI was very low in the current study which calls for mental health awareness interventions in the study community.
This study is the first of its kind exploring family stigma in Ethiopia. The relatively large randomly selected community sample representing diverse social and economic background adds to the robustness of our data. Although we have achieved semantic equivalence of the measurement, the lack of other aspects of validation could be potential limitation. In addition, the face-to-face interviews, which were most appropriate in the context of high level of illiteracy, may have resulted in social desirability bias while responding stigma items. Nevertheless, our findings contribute to the existing body of knowledge regarding the correlates of family stigma in low-income setting.
There is a moderate level of family stigma in the southwest Ethiopia (GGFRC). Explanations of mental illness held by the public whether supernatural or non-supernatural predict lower level of public stigma against family members of PWMI. Supernatural explanations can reduce stigma significantly at lower level of exposure to PWMI and persons with mental illness. Previous exposure to PWMI reduces stigma significantly among people with high level of education. Similarly, being familiar to the signs and symptoms of mental illness also may reduce public stigma against family members of PWMI. Since public stigma may affect the family members and the patients negatively, mental health communication programs aimed at raising awareness about the causes and signs of mental illness need to be implemented with special focus on rural communities. Increasing contact to PWMI as well as their family members also may be helpful in reducing public stigma against family members of PWMI.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
EG, SD and MT designed the study, involved in the data collection, analysis and drafting of the manuscript. NM, GF, AML were involved in the design of the study, analysis of the data and critically reviewed the manuscript. All authors read and approved the final manuscript.
We appreciate the support from Health Education and Behavioral Sciences Department, Jimma University in Ethiopia. We are thankful to the data collectors, data entry clerks, supervisors, and respondents. It would have been difficult to realize this work without the support of the CIHLMU Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany, and its funding agencies, the German Academic Exchange Service (DAAD), the DAAD-Exceed Program, and the German Ministry for Economic Cooperation and Development. This study was supported by the Köhler foundation.
The stigma of families with mental illness
Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia
Psychiatric illness and family stigma
The impact of professional and social network support on the burden of families of patients with schizophrenia in Italy
Family caregiving in schizophrenia: domains and distress
Caregiver burden and psychotic patients' perception of social support in a Nigerian setting
An experimental investigation of the impact of biological and psychological causal explanations on anxious and depressed patients' perception of a person with panic disorder
Mental Illness Stigma and Causal Beliefs: Among Potential Mental Health Professionals
The stigma of psychiatric disorders and the gender, ethnicity, and education of the perceiver
The relationship of multiple aspects of stigma and personal contact with someone hospitalized for mental illness, in a nationally representative sample
Public attitudes towards people with mental illness in six German cities: results of a public survey under special consideration of schizophrenia
Challenging two mental illness stigmas: personal responsibility and dangerousness
The opinion of caregivers on aspects of schizophrenia and major affective disorders in a Nigerian setting
Stigma by association: psychological factors in relatives of people with mental illness
Stigma and expressed emotion: a study of people with schizophrenia and their family members in China
Stigma and discrimination towards people with schizophrenia and their family members. A qualitative study with focus groups
Family stigma and caregiver burden in Alzheimer's disease
Reducing stigma and discrimination: candidate interventions
Tackling the attitude problem. The achievements to date of Scotland's 'see me' anti-stigma campaign
Like Minds, Like Mine
The impact of beyondblue: the national depression initiative on the Australian public's recognition of depression and beliefs about treatments
Effects of an educational program on public attitudes towards mental illness
Implications of educating the public on mental illness, violence, and stigma
Outcomes of a randomized study of a peer-taught Family-to-Family Education Program for mental illness
Destigmatizing day-to-day practices: what developed countries can learn from developing countries
Gilgel Gibe Field Research Center
Public Stigma against People with Mental Illness in the Gilgel Gibe Field Research Center (GGFRC) in Southwest Ethiopia
A Modified Labeling Theory Approach to Mental Disorders: An Empirical Assessment
Stigma as a barrier to recovery: the extent to which caregivers believe most people devalue consumers and their families
Familiarity with and social distance from people who have serious mental illness
Interpersonal contact and the stigma of mental illness: a review of the literature
Changing mental illness stigma as it exists in the real world
Pre-publication history
The pre-publication history for this paper can be accessed here:


text:
|Curt Schilling
Updated to reflect added media reports of federal, state inquiries NEW YORK ( TheStreet) -- After hanging up the cleats, former Boston Red Sox pitcher Curt Schilling is throwing in the towel on 38 Studios, the video game developer he founded and received millions in government aid to grow. Schilling's company, a maker of role-playing video games like Kingdoms of Amalur, filed for bankruptcy on Thursday in a quick demise that's likely to cost Rhode Island taxpayers millions of dollars in losses. As part of the filing, the company entered a Chapter 7 liquidation in a Delaware bankruptcy court, listing debts in excess of $100 million but assets of just between $10 million and $50 million. Much of that debt is likely owed to taxpayers after 38 Studios took $75 million in government financing to move from Massachusetts to Rhode Island, as part of what was to be a job-creating investment in the struggling state.
For the former right-handed hurler, the red ink he's bled on New England may be a stinging memory after he previously won a critical American League Championship Series game against the New York Yankees in the Sox's 2004 World Series run on what looked to be a bleeding ankle. Under the liquidation filing, a court-appointed trustee will sell off the video game software company's assets and distribute the proceeds to creditors such as the State of Rhode Island, which had an 11.2% unemployment rate as of April, the second highest in the U.S. In 2011, with the backing of cash and bonds from the Rhode Island Economic Development Corp., Schilling moved 38 Studios from Massachusetts to the state's capital Providence and spent all of the near $50 million received in debt financing, according to Bloomberg reports citing Rosemary Booth Gallogly, the state director of revenue. The remaining $25 million in debt and cash are currently held in reserve accounts, Gallogly said. The company, founded in 2006 and which released its first game "Kingdoms of Amalur" through video games giant Electronic Arts ( EA) in 2012, had pledged its video-game assets as collateral to repay the bonds. In its bankrutpcy filing, 38 Studios Providence-based unit listed claims of $151 million and assets of $21.7 million. Its Baltimore division, called Big Huge Games listed $121.4 million of liability and under $1 million of assets. Debt, interest and other liabilities to the State of Rhode Island amount to $115.9 million, the filing shows. To develop role playing games like Amalur and what was to be a new release called Copernicus, 38 Studios hired fantasy writer R.A. Salvatore and graphic novelist Todd McFarlane to work on the design of games.


text:
- fright
I. noun
Etymology: Middle English, from Old English fyrhto, fryhto; akin to Old High German forhta fear
Date: before 12th century
1. fear excited by sudden danger ; alarm <gave me quite a fright> 2. something strange, ugly, or shocking Synonyms: see fear II. transitive verb Date: before 12th century to alarm suddenly ; frighten
New Collegiate Dictionary. 2001.


text:
Fossil Mélange Classic Fit Towelling Hoodie
Select Size
Select Color
About the product
Worn under an overcoat or alone, the fossil mélange hue works well with everything you team it with.
Our towelling hoodie works on or off holiday. Great for throwing on after a dip in the pool or heading out for coffee.
- Raglan sleeve construction
- Large kangaroo pocket at front
Size & Fit
- True to size


text:
This webpage is reserved for the State of Arizona
employees (non-university) in Maricopa County.
State of Arizona Telework Program
Office of Travel Reduction
100 N. 15th Avenue,
Suite 431
Phoenix, Arizona 85007
(602) 542-7433
Are You A Supervisor?
Managing Telework
State of Arizona Telework Program
Policies and Procedures
Critical Function Telework
Tools & Resources
Determining Who Should Telework
opportunity to telework is a management option;
teleworking is not a universal employee benefit.
Supervisors will determine those candidates who
are best-suited to telework, have a viable
telework job and the appropriate home
environment for successful teleworking.
employee self-assessment
tool was designed to help you and your
employees determine if telework would be a
practical work option. Those employees who are
highly focused, self-sufficient, flexible, have
great organization skills and enjoy the solitude
of working at home may be the most adaptable to
teleworking.* Employees interested in
telework may complete the self-assessment and
schedule to meet with you to review their
assessment results.
addition to determining if an employee possesses
the right skills to handle a telework
arrangement, managers also need to consider the
position or job this person has within the
organization. Telework may be feasible for work
that requires thinking and writing, such as data
analysis, reviewing grants or cases, and writing
regulations, decisions, or reports. Whereas
telework would not be viable for a position or
job that requires extensive face-to-face contact
with their supervisor, other employees, clients,
or the public.*
If you determine that both the
employee and his/her position/job is suitable for
teleworking, visit the
Telework Training page together and print out a copy of the
Telework Training Workbook. Each workbook
contains a copy of the
State's Telework
Policies and a blank Telework
Agreement. There is also an
Agreement which can be completed and
saved. A companion
will help you both quickly navigate the
workbook, identify any unresolved concerns and
decide together how those issues will be
When you are both satisfied,
the employee's
resolved items will be transferred into a formal
Telework Agreement that you both will sign and
adhere to. Remember if it is not working out,
either the supervisor or employee may cancel the
agreement at any time without notice.
you disagree with an interested employee on
specific criteria in his/her self-assessment,
consider working with the candidate for
improvement. Our research reveals that employees
are willing to work for the opportunity to work
at home. Telework can be very powerful
management tool.
Telework offers many
benefits for the State, the employee and the
community, but telework will require a shift of
focus from whether an employee looks busy, to
how much work an employee actually is
here for a brief review of
managing teleworkers.
* VIACK Corporation -
Implementing & Managing a Telework Program
Additional Resource:
Valley Metro - Telework Program Selection
Click for Frequently
Asked Questions.


text:
Auto Upholstery Repair
We have all type of material you need or any foams you can think of and any material for any make and model of truck, boat, or automobile.
The business is located at
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Always welcomes if you have any upholstery project please visit our store or call u.
If your looking for quality and excellence in service, choose Yosemite foams Upholstery supply for your next project, foam cuts, or material purchase.


text:
22 pieces for making friends of "Herself the Elf" 22" dolls (Woodpink, Meadow Morn, Snowdrop, and Willow Song), wings, friends and costume wardrobe.
Links to reviews/blog posts Edit
Sources/Vendors Edit
- The Perfect Pattern Uncut
Gallery Edit
[insert your photos of this pattern made up]
Wishlist Edit
[insert your username, and make sure your preferences allow for people to contact you via e-mail. Do not list your email address here!]


text:
Stop The Car!
A Kat GOOD Boy Production
A Kat GOOD Boy Production
This good boy scenario is adapted from this link: http://www.huffingtonpost.com/2015/02/19/teen-stops-car-to-shovel_n_6715212.html?utm_hp_ref=teen
You are driving with your seventeen year old son, Tommy, in the car. There has been a recent heavy snow storm. All of a sudden Tommy yells out, "Stop the car."
Tommy has seen an elderly gentleman with a walker out shoveling snow from his driveway. You stop the car and Tommy gets out and shovels the gentleman's driveway for him.
Tommy - 17 (In Action)
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[You must be registered and logged in to see this image.]
What do you do about your good boy's actions?


text:
Author | exchange4media News Service | Saturday, Dec 28,2002 7:16 AM
Reliance Infocomm promises to take Indians to the futuristic world through its digital TV services and chain of webstores. A subsidiary company, Innomedia Technologies, will offer high-speed Internet, digital TV channels and video-on-demand through its fibre-optic network wiring buildings.
Consumers will only have to buy a digital set-top box. The company plans to wire buildings initially across 115 cities in April. It plans to offer content servers for broadcasters and distribute their channels. With the direct last mile access to consumer homes, cable operators will face hot competition from Reliance.
By the second half of 2003, consumers will also be able to check in to a Reliance webstore and download a movie or watch it in a home theatre. Besides, they could simply speak to a friend who is out for a vacation in Goa on a video conferencing facility.
The webstore will also offer you a mug of cold coffee or some hot beverages. This service would come to the consumer from Reliance under its Java Green food and beverages (F&B) outlet. Java Green will be a part of each webstore that Reliance will install.
The company plans to have at least 270 stores in 104 cities initially — 25 of these will start in Mumbai, by January. The company finally wants at least 777 stores in 588 cities.
Programming HeadRadio Mango


text:
Aberdeen-based production data solutions specialist, Aventa Systems (Aventa), has joined the TIBCO Spotfire Partner Network; a global program that helps partners resell, deploy and develop solutions that include or embed the TIBCO Spotfire Analytics Platform.
TIBCO Software Inc. is a global leader in infrastructure and business intelligence software, including TIBCO Spotfire analytics software to help professionals quickly discover new and actionable insights from data sets.
Aventa Systems Limited
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text:
Dolls from these cities are some of the best made in Russia. Sergiyev Posad has a long history of toy manufacture. Tver also produced many interesting toys and dolls and its name shifted from Tver (1135-1930), to Kalinin (1931-1991), and back to Tver. Located north of Moscow, Tver was formerly the capital of a powerful medieval state and a model provincial town in the Russian Empire. Sergiyev Posad grew in the 15th century around one of the greatest of Russian monasteries, the rinity Lavra established by St. Sergius of Radonezh. It was named Sergiyev (1919-1930) and Zagorsk (1930-1991).
All prices are in USD.


text:
Jersey Shore University Medical Center (JSUMC) president, Steven G. Littleson said that "Traditionally, hospitals have earned unflattering reputations for being drab and dismal, noisy, confusing, and uncomfortable," After a century of operations on this campus, JSUMC decided that it was the right time to renovate and refocus—to transform their practice and redefine the hospital care experience.
Our job? Project managers for the master facility plan. The new addition includes an emergency department (with 55 patient bays and five trauma rooms), a sterile processing department, six operating rooms, and much more. The renovated areas include a new NICU, MRI, morgue, pediatric unit, and lab space.
Also, a new parking garage includes a rooftop heliport, dedicated ambulance access, and direct connection to the atrium lobby. But one challenge we faced was location. The parking garage needed to be built on top of a solid waste landfill. Working closely with the New Jersey Department of Environmental Protection, we installed a methane extraction system below the floor slab.
The Jersey Shore University Medical Center transformation is the first LEED Gold certified healthcare project in the state of New Jersey and the third in the country. With its new, increased focus on patient wellbeing and care, this transformation will redefine the hospital experience for years to come.


text:
Welcome to the GradCafe
Hello! Welcome to The GradCafe Forums.You're welcome to look around the forums and view posts. However, like most online communities you must register before you can create your own posts. This is a simple, free process that requires minimal information. Benefits of membership:
- Participate in discussions
- Subscribe to topics and forums to get automatic updates
- Search forums
- Removes some advertisements (including this one!)
Search the Community
Showing results for tags 'disabilities'.
Found 1 result
GradGirl90 posted a topic in The LobbyThis is a question I am trying to get legitimate, non judgment answers to. I'm not trying to debate anything. I just want kind, honest opinions. I have two medical conditions that qualified me for medical marijuana in the last state I lived in. It really helped me when I needed it (for the severe migraines especially). I've tried several medications from my doctors, but they did not help me. Now that I am looking into getting a PhD in criminal justice/criminology (yes, ironic, isn't it?) I'm wondering what percentage of college professors and researchers ever use marijuana. What do you think would be the likelihood of a PhD holder getting drug tested, (assuming they are not licensed in the medical field or something similar). I am by no means letting this impact my decision of applying for PhD programs, but it would be a comfort for me to know that if i once again obtained a medical card, I could use it and not worry a ton about my job. I am aware if I was a researcher for any major government departments I'd likely be drug tested initially. But what about professors? Thank you all!


text:
Carlisle's POV.
My Daughter.
It made sense that I had to return.
Someone had to finish the paperwork concerning the house, and I don't think poor Esme could do that knowing full well what she was leaving behind. She had been so happy thinking she was receiving another daughter, one who could finally make her son happy, after centuries of being alone.
Also someone had to drive Edward's Volvo to the new house in Oregon, seeing as he had insisted upon running there. However I could see that my eldest son needed time on his own – I didn't need to be a mind-reader to know that.
Alice didn't want to come back, she was upset enough knowing full well she was leaving her best friend behind. Wherever we had gone she had never had a friend like Bella. She loved Bella like her own sister. Jasper wouldn't come back – Alice needed him right now and he wasn't about to abandon her. I knew Jasper would miss her also. Of course this would take a great deal of his shoulders but still he would miss feeling her embarrassment, her uncondictionally love she felt towards everyone in our family.
Rosalie wouldn't return. This was her favourite place we have ever settled. She was mad enough that a human girl had forced her to leave and Emmett was staying with her just incase her temper got the better or her. Even though his wife wouldn't miss Bella, Emmett sure would. He liked having Bella around, her simple clumsiness gave him atleast a years worth jokes material. He loved making her blush seeing as he couldn't do that with any other member of the family. All joking aside he loved Bella like a little sister and would protect her with his life.
So it was just me who would be the one to go back to the house.
I had just had the final meeting with the Estate Agent and signed over the house to a young couple expecting a child. They would be very happy.
I was running back to the house through the woods when I caught a whiff of Bella's scent. She had returned to the house. Why hadn't I thought of this? Of course she would return to the house. As I got within half a mile of the house I could hear her steady breathing. She's asleep I thought to myself.
I silently opened the front door and saw Bella asleep on the sofa. By her posture it was obvious she never intended to fall asleep. Her head was leant on the back of the sofa and her arms clutching at the sides of her torso. As if she was holding herself together. Her face was wrinkled into a frown. She was waiting for us to return.
I can't leave her there I decided. I walked towards the sofa and gently gathered Bella into my arms. She weighed practically nothing. I walked slowly, well slowly for vampires, up the stairs towards Edwards's room careful not to disturb her. The bed, which had been bought for Bella's sake, took up most of the room.
She would hate that we had spent money on her. That was so Bella.
I held Bella with one hand and pulled the cover back with the other. I placed Bella under the gold silk duvet and tucked her in. She looked so peaceful, sleeping. I had to leave now; Esme and Edward would get suspicious if I took to long.
I took one last look at Bella. I would miss her greatly. Her big brown eyes, her curly chocolate brown hair, her need to stay out of the spotlight, the love she had given my son, the love she had given my whole family – even if she didn't receive it back in some cases.
I gently pushed back her hair off her forehead and gave her chaste kiss on her brow.
I loved her.
My daughter.
AN: Just a little bit of fluff. This is my first story so go easy on me please. It's just a one shot. I don't think that Meyer really expressed Carlisle and Bella's relationship.
Please, please, please review. Thank you.


text:
Tiyul B'Aretzhttp://www.tiyulbaretz.org/
Tiyul B'Aretz is a program provider offering 2 abroad programs. Programs offered include Study Abroad abroad programs in 1 country such as Israel.
Tiyul B'Aretz is a collective of administrators, educators, madrichim and staff members who share the vision of a new approach to college study abroad in Israel. Each member of our team brings their unique life experience and expertise to the program, enabling us to provide students with a transformative experiences during their time of study with Tiyul B'Aretz.
Study Abroad with Tiyul B'Aretz
Tiyul B'Aretz ("Journey in the Land" in Hebrew) is an accredited semester study abroad program that gives you a hands-on and up-close exploration of Jewish thought, the la...
Our summer program offers the best of Tiyul B'Aretz's unique approach to Israel study abroad in a 7-week experience for college students looking for something different an...


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Twin Star International, Inc. 28MM6240-O128 + 28II300GRA Belmont TV Stand in Caramel Oak
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text: Protective Shield's Token VIII Mouse-Over Enhances Resistance altering effects of a skill by 8%. Obtained byEdit Unknown Usable WithEdit Breakthrough Hardened Scars Ignore Pain Spectral Shield Retrieved from "http://spellborn.wikia.com/wiki/Protective_Shield%27s_Token_VIII?oldid=12539" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Sigils Skill Sigils Add category Cancel Save


text:
Last month, Google acquired the reMail, and also decided to remove reMail from the App Store. The company decided to open source the code, which's now available on Google Code as remail-iphone under the Apache 2.0 License. "As someone who is passionate about mobile email, my hope is that developers interested in making email-related apps can use reMail code as a starting point. Part of the reason email apps are hard is because you have to pay the tax of figuring out how to download email via IMAP, parse MIME messages, handle attachments, and store data. reMail has already solved these problems. If you have a great mobile email idea, I hope you will find reMail's source code helpful in your quest. I've also created the group remail-iphone on Google Groups, which is a great place to ask questions. Best of luck with your projects!"
Download: Google Code: remail-iphone


text: In this article, we tried to analyze the importance of water, its role in building civilizations, its religious significance, human conflict because of it and finally methods of controlling its use and disbursement. Economies, plants, animals and even humans will always be in need of it. Scientists in their labs will need it as a solvent, and farmers at their ranches for watering crops, but most importantly, all need it for drinking. In science, in building nations and in everything related to life you find water as a crucial element needed for production and survival. The role of water in science is rather interesting. It has included itself in almost every aspect of technology, from electronics and nanotechnology to centrifuging machines and chemistry labs. Small transistors to large machinery all contain water or liquids to help sustain acceptable operational temperatures. Furthermore, water molecules shape according to the grouping of the dissolved molecules in a solvent, thus, the traits of the dissolved material is not lost. For example, antifreeze once mixed with water, the resulted mixture will still hold the characteristics of an all antifreeze liquid; therefore, we mix antifreeze with water prior to pouring it in our vehicles and with such measures it becomes economically feasible. The privilege of mixing water with anything and still keep the traits of the compound makes it economically cheaper to consume almost anything and one major example is medicine, not to forget that only a certain amount of water with respect to the dissolved material to keep a relatively desired concentration is allowed. Water's role in building nations and transforming history is clear to the human eye. The steam revolution that enabled humankind to build cars, trains and plains, completely altering the face of the earth and taking transportation to a different level; thus, connecting the world and making it a small village traveling from the far west to the Far East in less than a day is because of water. Engineers and scientists believe that steam, used by early scientists to drive pistons or turbines by expanding it to perform a mechanical work or condensed back to water in boilers under high pressure, is vaporized water. Evidently, water had its impact on nature and life not only in its liquid phase, but in the gaseous phase as well. Civilizations built around it, and legendary dynasties flourishing because of it. It holds dissolved nutrients important for survival inside it, and it keeps treasures of pearls and caviar within it. It fertile the soil for a better harvest and it keeps the temperature down to what our bodies can tolerate. Religions have talked about it and synchronized it in its daily practices. Humankind understood its importance for not only food and energy, but also its role in cleaning and purifying our bodies and personal hygiene. Yet it is being corrupted by continuous misuse, and unfortunately, no serious measures and initiatives taken to preserve it. Water wells are being damaged everyday through dumping toxicants in rivers and lakes killing thousands of fish, penguins, and marine life as a whole. Finally, Earth is covered with water, rivers, creeks, lakes, seas, and oceans. It separates villages, towns, cities, countries and continents; it separates people and induces them to fight over it. Yet no life could continue without it, not only for humans but also for animals, birds, fish, and plants. It is not substitutable and neither is it negligible. It is something that we all need regardless of age or sex; it is involved in our lives in every aspect, way, shape and form. Water is life and life is water.