text:
Low Fat Apricot Muffins
Be the first to review
READY IN: 45mins
Recipe by BFit4U
These are low in calories, low in fat but NOT low in taste. You could use 1/2 cup chopped dried apricots instead of pecans or 1/4 cup of each. I eat mine warm and sprayed with Fat Free Parkay Butter Spray.
See Discussion:
Ingredients Nutrition
- 12 ounces apricot preserves
- 1⁄2 cup light butter
- 1⁄2 cup nonfat milk
- 1⁄2 cup Egg Beaters egg substitute
- 1⁄4 cup Splenda brown sugar blend
- 2 2⁄3 cups flour
- 2 teaspoons baking powder
- 1 teaspoon salt
- 1⁄2 teaspoon baking soda
- 1⁄2 cup chopped pecans
Directions See How It's Made
- Beat butter and Splenda Brown Sugar until light, somewhat fluffy and mixed together in mixer using the whisk/wire beater.
- Add Apricot Preserves, milk and egg beaters to mixer. Beat until well mixed.
- In another large bowl sift all dry ingredients except the pecans.
- Remove mixing bowl from mixer base and add the dry ingredients and pecans to the wet ingredients.
- Mix together with wooden spoon until the batter comes together and is moistened.
- Spray muffin pans with baking spray w/ flour (Crisco makes a good one.).
- Fill each cup 2/3 full.
- Bake at 350°F for 25-30 minutes or until lightly browned.
- Makes about 18 muffins or 12 massive ones!

subset: commoncrawl


text:
what is the difference between Novalog and Humalog?
Novolog is made my Novo Nordisk and Humalog is made by Eli Lilly. They are very similar, here is some dated(2007) info I found from another site. I've asked Health Central experts to see if they can give more updated material. If I find some that I have missed in our archives, I'll post that too.
"Insulin aspart (NovoLog, made by Novo Nordisk) and insulin lispro (Humalog, made by Eli Lilly) are rapid-acting insulin analogs indicated for treatment of type 1 and type 2 diabetes. Some institutions do substitute these agents for one another. Their pharmacokinetic parameters as reported in the product information are very similar.[1,2] A number of small clinical trials have been performed comparing their pharmacokinetic and pharmacodynamic profiles, which suggest that few meaningful differences exist between the 2 products.
A randomized, double-blind, cross-over trial of patients with type 1 diabetes was performed to determine differences in the pharmacokinetic and pharmacodynamic profiles of insulin aspart and insulin lispro. Twenty-four subjects were given a single prandial dose of each agent tailored to individual dosing needs. Blood samples drawn before and after insulin administration demonstrated no statistical differences in relative blood glucose concentrations between the 2 agents over a 6-hour period. Similarly, there were no statistical differences in pharmacokinetic parameters, including peak insulin concentrations, insulin area-under-the-curve (AUC) at 4 and 6 hours, and time to peak insulin concentrations. The authors concluded that the 2 agents were equally effective.[3]
However, an earlier study also performed in subjects with type 1 diabetes found some differences in pharmacokinetic parameters between the 2 agents. Fourteen subjects were randomized to a single dose of each agent before a standardized breakfast, with the alternate agent given to each subject after a 5- to 21-day washout period. While there were no statistically significant differences in glucose levels or insulin AUC between the agents over a 4-hour period, insulin lispro demonstrated more rapid absorption and elimination.[4] These differences were statistically significant, but the clinical importance remains questionable, given the similar effects seen on glucose values.
A third study done in healthy volunteers had contrasting results, with insulin aspart demonstrating more rapid absorption and higher peak insulin concentrations. Again, absolute differences in pharmacokinetic parameters were statistically significant but small, and likely insignificant from a clinical standpoint.[5]
Any differences in pharmacokinetic parameters are unlikely to be clinically relevant, and as such, these 2 agents may be interchanged. However, it is important to keep in mind that the pharmacokinetics and clinical response to all insulin products can vary between individuals due to a variety of factors. Individual patients switched from 1 agent to the other should be especially cautious about monitoring their blood glucose initially after the change."
FROM OUR COMMUNITYYou should know Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.DISPLAY TEXTLINK URL
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text:
Travel writer Philip Sweeney hobnobs with the locals, checks out the best places to eat and discovers why fishing for bouillabaisse isn't as easy as it once was . . .
Few people now throw up their hands in horror at the idea of matching red wine with fish. But how many realise just how often you can pair the two?
I'm a huge fan of Nigel Slater's. I buy the Observer every week just to read his recipes. Yes, I know I could read them online (as you can here) but you don't get the luscious Jonathan Lovekin photographs. Not that you need them. Slater's prose is so evocative you can taste the recipe as you read.
Few these days dispute that red wine goes with fish - it's just a question of which wine and how the fish is cooked. Most would accept 'meaty' steak lookalikes like grilled or spiced tuna or salmon work with Pinot Noir but would hesitate to take it much further than that but last week I found a couple of surprisingly good fish matches at one of my favourite new wine bars 28-50.
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text:
A tort is a wrong-doing by a medical provider that goes against regulations and could lead to legal actions against the provider.
Malpractice is professional negligence, which means a health care workers or their performance is not up to standards.
Negligence is when the care a person receives is not properly administered by the health care worker. The care does not follow standards or regulations that have been set.
Kaly & Alexis


text:
|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|"Mikhail Markov (JIRA)" <j...@apache.org>
|[jira] Commented: (HARMONY-4177) [classlib][io] Unnecessary data copying in BufferedOutputStream.write() method
|Fri, 15 Jun 2007 14:28:28 GMT
[ https://issues.apache.org/jira/browse/HARMONY-4177?page=com.atlassian.jira.plugin.system.issuetabpanels:comment-tabpanel#action_12505252 ] Mikhail Markov commented on HARMONY-4177: ----------------------------------------- The API specification stays that "If the requested length is at least as large as this stream's buffer, however, then this method will flush the buffer and write the bytes directly to the underlying output stream." - but the described test is not this case (although this situation also does not work properly on Harmony). The spec says that "Ordinarily this method stores bytes from the given array into this stream's buffer, flushing the buffer to the underlying output stream as needed." - this statement could be treated depending on implementation if free buffer space less aht data to write: RI first flush the buffer and then fill it again, Harmony fill the buffer till the end and then fill the buffer. Both implementations are correct, nevertheless i think it's easier to follow RI here that to argue why we should not do this :-). I'll provide the patch soon. > [classlib][io] Unnecessary data copying in BufferedOutputStream.write() method > ------------------------------------------------------------------------------- > > Key: HARMONY-4177 > URL: https://issues.apache.org/jira/browse/HARMONY-4177 > Project: Harmony > Issue Type: Bug > Components: Classlib > Reporter: Roman S. Bushmanov > Attachments: Test.java > > > According to specification, if the data to write is longer than the free buffer space than the buffer should be flushed first to avoid unnecessary data copying. > Harmony behaves differently. The buffer contents is written to underlying output stream only when it is full. > To reproduce the issue, please run the attached testcase. > The expected output is "ab" while harmony prints "abc". > Affected test: > functional/org/apache/harmony/test/func/api/java/io/BufferedOutputStream/BufferedOutputStreamTest.xml > (see HARMONY-3528) -- This message is automatically generated by JIRA. - You can reply to this email to add a comment to the issue online.
|View raw message


text:
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Hi, I'm Whimpy! I'm a healthy 4 year old dog with lots of young pup energy! I can be a little timid around the shelter and loud noises, but when I get out on the hiking trails, I am in my element! I love to play in the water and marvel at the sweet-smelling world. My hiking friends say I'm quiet, I don't bark or whine, and I get along with the other dogs I meet. I also ride well in my car crate. I would love to find a family to have fun with all the time! Come visit me today at the Brother Wolf Animal Rescue adoption center located at 31 Glendale Avenue!
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NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.


text:
|By Bersarker
|Part of the Avengers: The Earth's Mightiest Heroes continuity.
Exiled from the North
After her and her brother were discovered as mutants, they were be hunted by order of the vizier of the Chief Zeng of the Northern Water Tribe. They both had a lucky escape by help that accidentally the snow storm that caused by the Snow Queen. After the events, they go to lived in the Republic City.
Joined the X-Men
After came to Republic City, they both go to live in the part of Downtown of the city to hiding from people. One day, they accident met ninjas of Tong and defeated them without knowing that the X-Men are watching them. Later, they revealed themselves and invite them to join them.
She is a cold-hearted girl, but when she see a handsome men, she go to flirt at them with her beautiful look and her slender body.
As she was born in the Northern Water Tribe, she can use waterbending.
She can bloodbending herself to transform into another person.
- She is a girl that very desperate for love.
- She is older sister of Nightcrawler.
- She is the sexiest girl in Northern Water Tribe.
- In Japanese, Hayai means "fast".
See more
For the collective works of the author, go here.


text:
by K.L. Heong
Insect Ecologist
International Rice Research Institute, Los Baños, Philippines
When partners of the Rice Planthopper project met at the Inception meeting in November 2008, they designed the project logo (see above). The background of the logo is the yin-yang symbol. In Oriental philosophy, the concept of yin yang (yin – 陰; yang – 陽 ) is often used to describe how opposing forces are interconnected and interdependent in the natural world. The concept is the primary guideline of traditional Chinese medicine and a central principle of Chinese martial arts and exercise, such as taijiquan, and qigong.
Yin and Yang are complementary opposites within a greater whole thus most things have both yin and yang aspects that constantly interact. For instance, winter is yin to summer's yang over the course of a year, and femininity is yin to masculinity's yang in human relationships. Yin–yang is a dynamic equilibrium and is a universal way of describing the interactions and interrelations of the natural forces that occur in the world.
It is becoming evident that rice planthopper problems are not just a pest problem but a symptom of ecological breakdown. Typically r – strategists, planthoppers tend to multiply exponentially leading to outbreak conditions when released from natural enemy control or the yang forces. Thus rice production systems with compromised biological control ecosystem services, such as pest invasion resistance and pest regulation, become vulnerability to invading adults. Since planthoppers are generally monophagous, invading adults are likely to come from rice fields in the neighborhood or from long distances. Planthopper outbreaks tend to occur when the yin-yang equilibrium is shifted favoring the yin forces, such as biodiversity loss and excessive pesticide use. The yin-yang imbalance is usually caused by yin favoring structural systems and policies, such as weak pesticide regulation, incentives favoring short term gains and lack of incentives for sustainability and lacking in policies to support the conservation of ecosystem services. Such imbalance weakens many of the yang elements introduced by research, such as planthopper tolerant varieties, ecological engineering techniques, IPM, farmer training and pesticide reduction campaigns (see below). In some cases, the yang elements are cancelled out. For instance in Long An province where insecticide use was reduced by a media campaign, about 9 years later, farmers here had increased their applications.
Sustainable management of planthoppers in the future will require adjustments in structural systems to balance the yin and yang elements, which will include policy, structure and social reforms, introducing payment for environmental services (PES), pro green policies and regulations to prevent pesticide misuse. (see below). These adjustments will then be able to facilitate the implementation of yang elements, such as pest resistant varieties, ecological engineering approaches to enhance ecosystem services and IPM. In some countries, where the yin forces are in extremes, like China where pesticides are very cheap, some of them sold in > 500 trade names and extension officials earn their incomes from pesticide sales, rather drastic reforms might be needed.


text:
Centre de Prière et de Guérison AMENUVEVE
[HOT] all of duty black ops download file XYH0 free now
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11/5/2010 · The Call of Duty: Black Ops Commercial "There Is A Soldier In All Of Us". Call of Duty: Black Ops launches Nov 9th, 2010.Call of Duty: Black Ops has received generally positive reviews from critics. GameSpot awarded it 9.0 out of ten and wrote "Call of Duty: Black Ops bears the series ...© 2015 Activision Publishing, Inc. ACTIVISION, CALL OF DUTY, CALL OF DUTY GHOSTS, CALL OF DUTY MODERN WARFARE, CALL OF DUTY MW3, CALL OF DUTY BLACK OPS …This review is just for the extras that come with the LTO edition of Black Ops. I thought it would include the first 2 map packs (First Strike & Escalation) but was ...Inspired by the experiences of real Black Ops soldiers of the era, the missions of Call of Duty: Black Ops take the player to a wide variety of settings, ranging from ...The AK-47 is a Russian assault rifle featured in Call of Duty 4: Modern Warfare, Call of Duty 4...The Inner Circle was a terrorist faction in Call of Duty: Modern Warfare 2 and Call of Duty: Modern Warfare 3, serving as an antagonist faction of Call of Duty ...Номер концовки Условие События после финальной битвы; Первая: Хлоя мертва/жива, Алекс ...Call of Duty is a computer/video game based on the Quake III Arena engine (id Tech 3), and was released on October 29, 2003. The game was developed by Infinity Ward ...Get the latest Call of Duty: Black Ops cheats, codes, unlockables, hints, Easter eggs, glitches, tips, tricks, hacks, downloads, achievements, guides, FAQs ...
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With just two rounds remaining, 5 of the 10 A-League clubs are in contention for the minor premiership.
Online bookmaker sportsbet.com.au has competition frontrunners Melbourne City as the $2.70 favourites just ahead of Brisbane at $2.80.
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Perth are a whopping $151 but are less than two wins off first place with two games to play.
"We're holding more than twice as much money on Melbourne City to win the Premiers' Plate compared to the Wanderers, who are the next most popular side," said sportsbet.com.au's Christian Jantzen.
Markets courtesy of sportsbet.com.au
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How often are your questions rated one star on here?
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Maybe 30-40% of the time. I try to ask good questions but sometimes I don't do a good job of communicating the question and people read it wrong or take it wrong and think I'm a bitch lol. And sometimes I just don't feel like actually thinking about an answer for myself and so it's just genuinely a stupid question.10|10|0


text:
Calcutta, May 20: Taking forward chief minister Buddhadeb Bhattacharjees call for cleansing the party, the CPM leadership today said it would move against activists guilty of violence in the panchayat poll.
The punitive measures will be firmed up at the CPM state committee meeting scheduled for May 30.
State CPM secretary Anil Biswas said the coming measures would be an extension of a rectification programme under way for the past several years.
It is not known to many that our drive actually began after the partys Salkia (in Howrah) plenum in 1978. Ever since, every three years, we have been adopting resolutions putting in campaigns against elements engaged in anti-party activities, Biswas told a news conference.
He termed Bhattacharjees observation that the CPM has unwanted elements as an amplification of the partys concern.
The chief ministers observation is truly in keeping with the party line. We have no hesitation to admit that such types have indeed managed to penetrate the organisation despite the entry barrier and monitoring which no other party in India can boast.
Unlike in China, where a party-backed rectification programme was faster and more effective because of the socio-legal environment, the CPM in Bengal found it difficult to pursue an aggressive programme because of legal implications, Biswas said.
The two-day state committee meeting will discuss measures against those involved in anti-party activities during the panchayat election.
Echoing Bhattacharjee, the CPM state chief attributed the infiltration of corrupt elements to the partys growth in 26 years. In the current year, we have 35 lakh party members against 38,000 in 1978. It is physically impossible to monitor such a sprawling institution. So, lapses are bound to occur despite our serious efforts.
He said over 900 persons were expelled for anti-party activities in 2001-02. The drive was intensified after the party realised that many new comrades were more interested in self-aggrandisement than in ideology, he added.


text:
- Self
- Self Self (s[e^]lf), a. [AS. self, seolf, sylf; akin to OS.
self, OFries. self, D. zelf, G. selb, selber, selbst, Dan.
selv. Sw. sjelf, Icel. sj[=a]lfr, Goth. silba. Cf.
1. Same; particular; very; identical. [Obs., except in the
compound selfsame.] ``On these self hills.'' --Sir. W.
[1913 Webster]
To shoot another arrow that self way Which you did shoot the first. --Shak. [1913 Webster]
At that self moment enters Palamon. --Dryden. [1913 Webster]
2. Having its own or a single nature or character, as in color, composition, etc., without addition or change; unmixed; as, a self bow, one made from a single piece of wood; self flower or plant, one which is wholly of one color; self-colored. [Webster 1913 Suppl.]
The Collaborative International Dictionary of English. 2000.


text:
On October 4, 1996, the Lord did something special in my life to bring about a true change in me. This change is so radical that I will never be the same. I would like to take this opportunity to share with you how God brought this about in my life.
Pride in Christ
-Diane Hegedus
-Diane Hegedus
Originally, my family and I are from Albania, a country in Europe. During the time my parents were growing up, there was religious anarchy, and the nation was predominantly split into two denominations, Catholic and Muslim. Catholics didn't associate with Muslims, and Muslims didn't associate with Catholics. If you were anything other than Catholic or Muslim, neither would associate with you! My parents were more than lost when it came to what and who God was, so they decided to just believe there was a God, but not follow a particular religion.
Everything Looked Great…
At Least on the Outside
-Chris Gable
At Least on the Outside
-Chris Gable
I grew up in a small town, the second child to two typical, middle class parents. My dad was a civil engineer, and my mom volunteered in various capacities along with being a stay-at-home mother. Both of my parents were very religious, and were consistent in taking their children to church and teaching them about God and the Bible. They even sacrificed financially so that all of their children could attend a private, Christian school.
From Daily Dissection to Divine Direction
– Lino Zarrillo
– Lino Zarrillo
There have been, on occasion in my life, and I am sure in yours, certain moments in time when a word or group of words cannot be uttered. Oh, we may attempt to muster the effort – maybe even use facial expressions as a type of "visual aid," but try as we might, words fail us from time to time! In my life it happened twice. My name is Lino Zarrillo, and this is my story.
I Was an Abortion Clinic Nurse.
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Would God Let Me Into Heaven?
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Most people think that they will get to Heaven because they are good people and have not done anything "really" bad, like murder someone. In my case, however, as a registered nurse working in an abortion clinic, I was responsible for assisting in the abortion of several hundred babies. I had personally convinced many of these girls/women that this was their best option and was directly responsible for pushing them forward in having the abortion. I WAS AN ACCOMPLICE TO MURDER.
God Finally Got My Attention
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-Randy Frederick
My name is Randy Frederick, and this is my story. I was raised in a church-going family. Mom and Dad were very strict. They never missed a service and were very active in church. Until I was 13 years of age, I never questioned the rituals and teaching.
I Just Said "Yes!"
-Brian Fetterman
-Brian Fetterman
My name is Brian Fetterman, and this is my story. I had been feeling dissatisfied for a while. By anyone's account, I should have been happy. I had a good job, a nice house, and a loving wife, and was by most measures successful. But I was becoming more and more discontented, not with my situation or status, but with myself.
Whatever Satan Told Me To Do, I Did
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I was a man filled with sin until I invited the Lord Jesus Christ into my heart when I was 72 years old, and my life was changed forever. I was saved by his precious blood, and I know I have been forgiven of my sins and, by his grace, I will spend eternity with him.
Half of All Marriages End in Divorce:
Were We just Lucky?
-Rod and Sue Gable
Were We just Lucky?
-Rod and Sue Gable
Both of us were raised in what most Americans would call a Christian home. We were taken to Sunday School and church regularly, and we had both finished the Catechism classes offered by our religious denomination.
Episcopal Church, Russian Orthodox,
United Church of Christ:
All Are Empty Labels
-Michael Brooks
United Church of Christ:
All Are Empty Labels
-Michael Brooks
My name is Michael Brooks, and this is my story. I was baptized as an infant in the Episcopal Church. My mother and my aunt served on the Altar Guild. They were both key in the coffee hour following services each Sunday. My uncle Roy sang in the choir and was the church sextant. So, as a boy, I thought I was well connected, and due to my family's contributions to the church, we were good people, and of course, heaven-bound due to our good works.


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TRANSPORTATION, TREASURY, AND INDEPENDENT AGENCIES APPROPRIATIONS ACT, 2005 -- (House of Representatives - September 15, 2004)
The SPEAKER pro tempore (Mr. Bradley of New Hampshire). Pursuant to House Resolution 770 and rule XVIII, the Chair declares the House in the Committee of the Whole House on the State of the Union for the further consideration of the bill, H.R. 5025.


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Sap BPC/BW Consultant - 4 to 8 years - Bangalore
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Sound knowledge of optimizer and other features of BPC as to resolve issues
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Spinal deformity, a common problem in children with myelodysplasia, is associated with alterations in pulmonary function and sitting balance. Sitting imbalance causes areas of high pressure in patients already at high risk for developing pressure ulcers due to insensate skin.
We asked: Does spinal deformity affect pulmonary function tests in children with myelodysplasia? Does the magnitude of spinal curvatures and pelvic obliquity affect seating pressures? Does spinal deformity and seated pressures correlate with a history of pressure ulcers?
We retrospectively reviewed 32 patients with myelodysplasia and scoliosis (mean age, 14 years). The mean thoracic scoliosis was 64° with a mean pelvic obliquity of 15°. The mean forced vital capacity was 59% of predicted. The mean of the average and peak seated pressures were 24 and 137 mm Hg, respectively. We examined spinal radiographs, pulmonary function tests, and seated pressure maps and evaluated correlations of spinal deformity measures, pulmonary function, and seated pressures.
The thoracic scoliosis inversely correlated with lung volume and weakly related with only the forced midexpiratory volume parameter (R2 = 31%). The curve magnitude was associated with % seated area with pressures of 38 to 70 mm Hg while lesser degrees of pelvic obliquity were associated with % seating area with pressures of less than 38 mm Hg (R2 = 25% and 24%, respectively). A history of pressure ulcers did not correlate with any spinal deformity or seated pressure measures.
All patients displayed a reduced forced vital capacity, but this reduction was not related to increasing scoliosis. The smaller scoliosis curves and lesser degrees of pelvic obliquity were associated with larger areas of low seated pressures.
Scoliosis is common in patients with myelodysplasia. The incidence varies with the age of the child, but the major factor related to the occurrence of scoliosis is the level of spinal dysraphism [8]. Trivedi et al. [17] defined scoliosis in patients with myelomeningocele as a curve with a Cobb angle of more than 20°. Prevalence ranges from 50% to 88% [7, 11, 13, 14]. Shurtleff et al. [14] reported, by the age of 20 years, scoliosis was found in 88% of patients with thoracic paralysis, 81% with high lumbar paralysis, and 23% in the low lumbar area. More than 80% of patients older than 10 years will have a diagnosis of scoliosis [5].
Pulmonary function studies in patients with idiopathic scoliosis show a direct correlation between increasing thoracic curve severity and decreasing pulmonary function [9, 18]. In neuromuscular scoliosis, pulmonary function testing is complicated by inability of the patient to perform spirometry and the additional effects of the particular neuromuscular disorder on breathing mechanics. Children with thoracic and thoracolumbar levels of paralysis may have impaired function of the accessory respiratory muscles. Whether the degree of scoliosis and pulmonary function tests (PFTs) correlate in patients with myelomeningocele is unknown. Identifying patients at risk for pulmonary compromise would be important for timing and planning of surgical treatment.
Proper sitting balance is reflected by a center of gravity located between the ischial tuberosities so they experience equal pressure [15]. Many children with myelomeningocele have altered sitting balance due to paralysis of abdominal and thoracic and lumbar extensor musculature [12]. Lack of sensation in the buttock region puts children with myelomeningocele at risk for pressure ulceration when they spend all day sitting in a wheelchair, which can be difficult to avoid and provide relief for [6]. Scoliosis can also result in pelvic obliquity, which contributes to unequal pressure during sitting, often leading to skin breakdown [3]. Drummond et al. [2] defined four criteria for risk of ulcer formation in patients with paralysis, including more than 30% of weight distributed under one ischium, more than 11% distributed under the sacrum/coccyx, more than 55% of total weight distributed posteriorly, and nonambulatory status.
Assessing children with myelodysplasia, we determined how the magnitude of their scoliosis and kyphosis affects their PFTs as an aid to treatment planning for the deformities, how the magnitude of their spinal curvatures and pelvic obliquity affected their seating pressures because of their risk for pressure ulcers, and how these spinal deformity measures and seated pressures correlated with a history of pressure ulcers to identify those children who are at highest risk.
We retrospectively reviewed all 386 patients with myelodysplasia at the Shriners Hospital for Children–Lexington. Patients were identified by diagnosis from the hospital database as having been seen between 1998 and 2006 when seat maps became available at our center. Charts and radiographs were reviewed to identify those patients with myelomeningocele and spinal deformity. We identified 32 patients (mean age, 168 months [14 years]) who had a seated pressure map performed as part of their wheelchair evaluation and screening PFTs. Spinal radiographic examinations within 6 months of these seated pressure and PFTs were also required for study inclusion. Twenty-two of the 32 patients (70%) had a prior history of at least one pressure ulcer to the buttocks or back. No patient had thoracic congenital anomalies. Ten of the patients ultimately had spine fusions. Seven of these patients had their PFTs and seated pressure measurements after their spinal fusions. No patient had any history of pulmonary disease. No patients were recalled specifically for this study. All data came from the medical records.
Parameters evaluated were age, ambulatory status, and history of ulcer formation in either the sacral or back region. One of us (JP) analyzed sitting AP and lateral spine radiographs (taken within 6 months of measured seated pressures and PFTs). The radiographs were obtained with the child sitting on a level seat and the radiographic cassette resting level on this seat. The largest scoliotic curve involving the thoracic region was chosen as a parameter for statistical analysis as it should have the most effect on the lung function. Many of the patients had truncal obesity and lumbar anomalies that made imaging the lumbar spine difficult. Measurements of the lumbar curves were so variable that they were not included in the statistical analysis. Pelvic obliquity was more easily visualized and measured. Therefore, it was chosen as the radiographic parameter for analysis, reflecting the final alignment of the buttock to the seating surface, regardless of the spinal curvatures above it. The largest curves involving the thoracic region were noted and the magnitude of the scoliosis and the kyphosis was determined using the Cobb technique. Pelvic obliquity was determined using the method described by Osebold et al. [10] for use in spinal deformity in myelodysplasia. This method measures the angle of inclination of a line drawn between both posterior iliac crests to the horizontal edge of the radiograph and should relate to seating pressures measured from a horizontal seat (Fig. 1A). The maximal thoracic scoliotic curve had a mean Cobb angle of 63.8º of scoliosis (range, 14º–116º). The apex of curves chosen ranged from T5 to T12. The thoracic kyphosis measured from T4 to T12 in the sagittal plane was 66.5º (range, 12º–166º). The average pelvic obliquity measured 14.9º (range, 0º– 44º).
Pulmonary function data were collected using the Puritan-Bennett Renaissance PB100 spirometer (Nellcor Puritan Bennett LLC, Boulder, CO) and flow was validated to comply with the American Thoracic Society Standard for Spirometry 1994 [16]. The percentage of predicted values for age, arm span as an assessment of height, weight, gender, race, barometric pressure, and temperature was used for analysis. We measured forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), ratio of FEV1:FVC, maximal midexpiratory volume (FEV 25%–75%), and peak expiratory flow.
A Seating Pressure Mapping system (X-36 Pad; Xsensor Technology Corp, Calgary, Alberta, Canada) was used to collect data on 29 of the patients. The system is based on measuring contact pressures between two opposing forces/surfaces. The sensor is a 48- × 48-cm pad with 1296 transducers placed between the patient and a 1-inch foam pad on the same wooden chair, using a computer to collect and analyze the recordings. The pressure and distribution curves are represented on the monitor via colors defining different levels of pressure measured in millimeters of mercury (Fig. 1B–C). The following data were then recorded: mean and peak pressures, total contact area, and % area with pressure distribution of less than 38 mm Hg and between 38 and 70 mm Hg.
In an effort to convert our pressure measuring systems to the same compatible software in our motion laboratory, we switched to a Pliance-HS wheelchair (Novel, St Paul, MN). Three patients had seating pressures using a new system. The pressure was measured on a 150- × 100- × 40-cm flexible elastic mat that connects from 256 to up to 1024 sensors and uses a Windows® XP application (Microsoft Corp, Redmond, WA) to analyze pressure distribution and record mean pressures, peak pressures, and total contact areas. Pressure in the new system was measured in kilopascals and contact area in square centimeters, which was converted to millimeters of mercury and square inches, respectively, to compare to the other system. Calculation of % seating area within a pressure range was not available with this system; thus, these three patients were excluded from calculations involving % area in high (38–70 mm Hg) or low (< 38 mm Hg) pressure. As seat maps were performed during a wheelchair evaluation, 80% of patients in this study used wheelchairs for all mobility; 20% were household ambulators and used wheelchairs for community mobility.
The parameters were first placed in a correlation analysis and relevant data were then placed in a stepwise regression analysis to determine whether the spinal deformity parameters predicted the changes observed in PFTs and seated pressures. An ANOVA was used to assess the association of magnitude of the scoliosis curve, kyphosis, pelvic obliquity, and all measures of seated pressures with the history of ulcers versus no ulcers. Statistical comparisons were assessed using StatView® Version 2.0 software (SAS Institute Inc, Cary, NC).
The PFTs in patients with myelomeningocele demonstrated a restrictive pattern of lung function, and larger degrees of thoracic spinal deformity were correlated with lower measures of lung volume and peak expiratory flow (Table 1). The regression analysis identified only a relationship (R2 = 31%) between scoliosis curve magnitude and FEV 25%–75%.
Greater degrees of thoracic scoliosis and pelvic obliquity were correlated with greater average and peak seated pressures and larger % areas of high pressure (38–70 mm Hg) (Table 2). Smaller spinal deformities correlated with larger % areas of low pressure (< 38 mm Hg). The thoracic kyphosis was also directly correlated to average and peak seated pressures and % area of high pressure and inversely to % area of low pressure (Table 2). However, stepwise regression indicated the relationship of the spinal deformity parameters and seated pressures had a coefficient of determination of R2 = 25% or less.
The magnitude of the thoracic scoliosis curve, kyphosis, pelvic obliquity, and all measures of seated pressures were all similar in patients with and without a history of ulcer.
Children with myelodysplasia are at high risk for developing spinal deformity. In addition to their impaired muscular effort, that deformity compromises the thoracic cage and reduces their lung volumes. The spinal deformity also alters their sitting balance and puts them at risk for uneven pressure loading on insensate skin and resultant skin ulcers. Assessing children with myelodysplasia, we determined how the magnitude of their scoliosis and kyphosis affects their PFTs, how the magnitude of their spinal curvatures and pelvic obliquity affected their seating pressures, and how these spinal deformity measures and seated pressures correlated with a history of pressure ulcers.
We acknowledge limitations to our study. First, the retrospective nature of our study of existing data means full documentation of location of ulcers, seating system modification, and how they correlated to seating pressure measurements could not be made. A prospective study would have also allowed measurements of PFTs and seated pressures over time. Retrospectively, we were unable to evaluate how these parameters changed with increasing spinal deformity in an individual child. Second, the small number of subjects in this study did not allow for comparative analysis of PFTs and seated pressures with the more variable parameters of spinal deformity among a group of children with myelodysplasia, such as the apex and extent of their scoliosis or kyphosis, congenital/fused versus neuromuscular components, and the flexibility of their deformities. Third, the techniques used for measurement of seated pressures changed during our study. This meant three of our patients could not be used for analysis of the % area in high or low pressure. However, they were included because the two seat map systems were comparable in the measurement of average and peak pressures. Unfortunately, neither system could perform pressure localization calculations for comparison with the prior study on ulcers by Drummond et al. [2]. This may explain why we did not find strong relationships with seating pressures and history of ulcers. Fourth, while the static-positioned orthogonal radiographs and seated pressures are easy to measure and reproduce, they cannot fully describe how a three-dimensional spinal deformity affects the buttock skin of a child moving throughout the day. This may also explain the weak relationship between spinal curve measurements, seating pressures, and ulcers.
Most patients with myelomeningocele have a restrictive lung pattern, a finding we were able to support in our study. The PFT most related to thoracic scoliosis curve magnitude was FEV 25%–75% with 57.6% explained. For this correlation, as the Cobb angle increased, the FEV 25%–75% decreased. Previous studies in idiopathic scoliosis suggest FVC and FEV1 are minimally affected by magnitude of the thoracic curve, number of vertebrae, thoracic hypokyphosis, and coronal balance [9, 18]. Our regression analysis also showed a slight relationship between Cobb angle and FEV 25%–75%. No other PFT was related to curve magnitude. Our data suggest, unlike idiopathic scoliosis, pulmonary function in children with myelomeningocele does not change substantially with progressive Cobb angles. The effects of truncal and accessory respiratory muscle weakness, collapse of the abdominal region in sitting, and restricted movement due to lumbar scoliosis on PFTs were not studied. Additional studies to evaluate apex and extent of curve and coronal balance may show some association with pulmonary function.
We found kyphosis inversely correlated with FVC such that, as the kyphosis progressed, the FVC decreased. However, regression analysis involving all variables showed the two factors were not related. Kyphosis also inversely correlated with FEV1. While FEV1 is best for assessing asthma progression, it can also be decreased in patients with restrictive lung disease [4]. Similar findings have not been seen in idiopathic scoliosis.
Overall, the measured seating pressures were not correlated to spinal curve magnitude in our study. There was, however, a weak relationship in regard to % area with pressure of less than 38 mm Hg and % area with pressure of between 38 and 70 mm Hg. We found, as the scoliotic curve magnitude increased, there was a decrease in % area with low pressure but an increase in % area with higher pressures. Drummond et al. [1] studied the relationship between spinal deformity and pelvic obliquity on the distribution of seating pressure. Their study included a sitting pressure, but they did not specify at what magnitude of curve or pelvic obliquity they found ulcer formation or sitting imbalance. Our study showed, as the magnitude of the curve increased, we had an increase in % area with pressure of between 38 and 70 mm Hg. An assumption is, as the scoliotic curve progresses, acting through pelvic obliquity, there is sitting imbalance, leading to increasing seated pressure and ultimately to skin breakdown and ulcer formation. We did not determine where on the seat area (ischium, sacrum, or posterior) the pressure was highest. Therefore, we were not able to use the criteria of Drummond et al. [2] to define children with increased risk of ulcer formation. We found pelvic obliquity inversely correlated with % area with pressure of less than 38 mm Hg; as pelvic obliquity increased, % area with pressure of less than 38 mm Hg decreased, meaning, as pelvic obliquity progressed, seating pressures increased, which could in turn lead to increased skin breakdown. While the two are related, the relationship is weak.
History of ulcer formation in this study was not related to scoliosis, kyphosis, pelvic obliquity, or seated pressures. The causes of pressure ulcers are often multifactorial. Due to the limitations of this retrospective study regarding location of ulcers compared to areas of excessive pressure, the wheelchair seat modifications performed to prevent them, and other temporally related factors, such as nutritional status, hygiene, and changes in social or physical environment, we cannot provide any further conclusions on the variables causing ulcers in this patient population.
A larger-scale prospective study would allow us to draw conclusions about the changes occurring in pulmonary function and seated pressures over time with progressive spinal deformity and in response to spinal fusion in myelodysplasia. Nonetheless, we found restrictive lung function in patients with myelodysplasia only weakly related to the magnitude of their scoliosis or kyphosis, unlike what is documented in adolescents with idiopathic scoliosis. We also demonstrated, while seated pressure measures did not correlate with scoliosis or pelvic obliquity, smaller degrees of spinal deformity were associated with larger areas of low pressure. We observed no correlation between any of the seating pressure measures and history of ulcer formation. Seat pressure maps may have some clinical value in determining whether different seating options or adjustments reduce overall pressures or unload specific high pressure areas, thereby preventing ulcers for a particular patient (Fig. 1B–C).
The authors acknowledge the assistance of Dr. James Gardiner in study design, data collection, and data analysis. We additionally recognize the efforts of Christin Minter, MA, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, for her work in managing the clinical study, data analysis, manuscript, and revision.
The institutions of one or more the authors (JLW, VRT, HJI, TAM) have received research funding from Kosair Charities and Shriners Hospitals research grants for projects unrelated to this study. The institutions of one or more of the authors (JP, JLW, VRT, HJI, TAM) have also received research funding from DePuy Orthopaedics, Inc (Warsaw, IN), Smith and Nephew, Inc (Memphis, TN), and Zimmer Inc (Warsaw, IN) for projects unrelated to this study.
Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.
This work was performed at the Shriners Hospital for Children–Lexington.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Phyllis Marie Hughes
Phyllis Marie Hughes
May 13, 1930 – February 4, 2017
Eddyville, Iowa | Age 86
Phyllis M. Hughes, age 86, of Eddyville, Iowa passed away peacefully surrounded by family Saturday evening, February 4, 2017, at the Serenity House of Oskaloosa, Iowa. Phyllis was born on May 13, 1930, in rural Eddyville, Iowa to William and Esther Hulda (Hornbeck) Foster.
Phyllis was raised in Eddyville and graduated from Eddyville High School, Class of 1948. On April 3, 1948 Phyllis and William Hughes were united in marriage at St. Patrick Rectory in Ottumwa. To this union four sons were born: Howard, Paul, Jim and Phil.
Phyllis worked at several stores in Eddyville while growing up. She worked for 23 years at Cargill as a janitor after retiring from farming.
Phyllis loved to cook, bake and decorate cakes, do embroidery work and help her family with whatever they were doing. She will be remembered for her smile and helping anyone she could.
Phyllis is survived by three sons; Paul (& Pam) Hughes of Eddyville, Jim (& Peggy) Hughes of Eddyville, and Phil (& Valerie) Hughes of Lovilia; 14 grandchildren; 36 great grandchildren; and many nieces, nephews, and friends.
Phyllis is proceeded in death by her parents, William & Hulda (Hornbeck) Foster; her husband, Bill; a son, Howard Eugene Hughes; a granddaughter, Amy (Hughes) Pettyjohn; an infant sister, Lucille Foster; and a brother, Keith Foster.
Funeral services will be held at 10:00 A.M., on Wednesday, February 8, 2017 at the First Christian Church of Eddyville with Rev. Dan Visser, Pastor Nick Hughes, and Rev. Paul Hughes officiating. The Eddyville Funeral Chapel is assisting Phyllis' family with services.
Burial will follow services at Highland Cemetery of Eddyville.
Visitation for Phyllis will be held from 11:00 A.M. to 8:00 P.M., Tuesday, February 7, 2017, at the Eddyville Funeral Chapel. Phyllis' family will be greeting friends from 6:00 P.M. to 8:00 P.M., Tuesday evening.
A memorial has been established in Phyllis' name which the family will determine later.


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I am trying to figure out why I have 66 of 1000 submissions used and my account just renewed on the 14th or March. There is NO WAY that many submissions have been used in 4 days. I have a record and around 20 were used. Is the Stat section slow to update? Please let me know as I also question the amount of form views also (2804 of 10000 used) ... this is impossible...lol.
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Doctor insights on:
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Should one on chemo (xeloda+eloxatin+zometa) take multivitamins, calcium, antioxidants, resveratrol, digestive enzymes, fish oils, curcumin etc?
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In rats or humans?: Check out http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4277004/ for data of resveratrol on bone growth in rats but we still don't have any human data regarding either benefit or safety ...Read more
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Still unclear: So there is a ton of crap (excuse my language, but i cannot find another suitable word) regarding resveratrol and gout. There are antedotal reports littering the internet, but following up on those reports leads to dead ends in my opinion. I would say the effects are still unclear, and it does not hurt or help gout based on our current understanding. ...Read more
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This is a purine: Resveratrol is a the antioxidant benefit that is found in red wine which is good for your heart. Unfortunately alcohol in any shape or form is broken down into purines that can cause in increase in purines and thereby increasing your uric acid leading to gout. ...Read moreSee 1 more doctor answer
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HealthTap Doctors: are not allowed to recommend any specific brands of products. Best of luck! ...Read more
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No proven benefits: From studies in yeast, sirtuins (sir2 proteins) are believed to have some effects on aging, on cell death, on stress resistance (such as in situations of food scarcity), etc... Researchers are trying to find out if there are anti-aging effects in mammals. Some believe resveratrol activates a sirtuin and possibly extends lifespan, but so far research with mammals has not shown any such benefit. ...Read moreSee 2 more doctor answers
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Oct 24, 2012
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Author has written 9 stories for Fullmetal Alchemist, Yu Yu Hakusho, Beyblade, Shaman King, D.Gray-Man, Fairy Tail, and Supernatural.
First of all, I want you to know that Im from Finland so I dont speak the perfect english so please dont nag me about it!
I dont have a beta and Im not getting one. My stories, my mistakes.
Im too lazy to write disclaimers in my fics so here it is: I dont own any of the shows that Im writing a fiction! Except I own my own character on some of the fics.


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You won't be able to dismiss this by usual means (escape or click button), but you can close it programatically based on user choices or actions.
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text:
The trustees present the annual report and accounts for Helensburgh Parish Church for the year ended 31 December 2015.
The congregation of Helensburgh Parish Church was formed on 26 February 2015 by the union of the former congregations of St. Andrew's Kirk, Helensburgh (SC012053) and Park Church of Scotland, Helensburgh (SC007801).
View the Trustees' annual report and accounts for the year ended 31st December 2015
To View the Document, you will require a PDF Viewer. Download Adobe Reader Here


text:
Palmyra, NJ Acrylic Painting Lessons
Looking for private in-home or in-studio Acrylic Painting lessons? Our Palmyra teachers are ready to get you started. Find your teacher today!
Our online tools make booking, managing your schedule and paying for lessons easy and hassle-free.
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If you're not completely satisfied, we'll help you find a new teacher or refund any unused lesson credits.
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Popular Acrylic Painting Teachers near Palmyra, NJ
Check out some of our most popular teachers near Palmyra, NJ including Riverside, Merchantville, Maple Shade, Riverton and Pennsauken.
About Layla M. H.Close
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Dedicated artist with over a decade of experience. I enjoy working in a variety of mediums and in abstract styles. Also have experience with 3-D mediums such as ceramic sculpting and metal work.
About Layla M.
*** Lesson Details ***
College professor available to tutor students in a variety of social science disciplines as well as basic math. Also available for music and dance lessons both online and in person.
· SAT · In studio
· SAT · In studio
· Dance · In home
Layla M. H.
Layla M. H.
About Manhei C.Close
Lessons depend on student's level
About Manhei
1.First a brief introduction to some basic elements in the art of drawing and painting, including perception, color theories, and pictorial design.
2.Second part will be practice, where the fun begins! Students try to apply what they learn.
3.Once the student is comfortable with the lessons hitherto, he or she will be encouraged to develop his or her own voice and narrative.
Students are encouraged to explore the rationale and sensational aspect of creative visual art.
. Nothing is more satisfying then hearing my students going home with new pieces of knowledge that he or she is unaware of before. Maybe a new idea, a new way of thinking, new perspective at perceiving. I had never cease to be amazed by the creativity of my students as every single one of them is also my teacher.
. I shou
1999-2006 Evergreen Studio in Hong Kong
2013-Present Pennyslvania Academy of Fine Art
2012 Summer Intern with Professional Painters, Beijing
2009-2013 Ruth Asawa San Francisco School of the Art High School
Grands and Awards
2014 Merit Scholarship, Pennsylvania Academy of Fine Art
2013 National Congressional Award Gold Medal, 1st place in California's 12th District
2013 Artistic Scholarship Nominee for Robert Squeri's Fine Artist Award
2017 - PAFA North West Exhibition, PA
2016 - Annual Student Exhibition, Pennsylvania Academy of Fine Arts, Philadelphia, PA
"Portrait of Kaitlyn Basta" Summer show at Pennsylvania Academy of Fine Arts
2013 - "Portrait of a Friend", Cannon Tunnel, US Capitol, Washington DC
Senior Visual Arts Show, Ruth Asawa San Francisco School of the Arts High School
Painting "Hands" collected in the book Umlaunt
2012 - Junior Visual Arts Show, Ruth Asawa San Francisco School of the Arts High School
"Self Portrait", De Young Museum, San Francisco, CA
"Still Life", Asian Art Museum, San Franciscio, CA
2011 - Student Exhibtition, SFO, San Francisco, CA
Sophomore Visual Arts Show, Ruth Asawa San Francsico School of the Arts High School
2010 - Freshman Visual Arts Show, San Francisco School of the Arts
Professional Experiences
2015 Private Fine Art Instructor, Self Employed
2014 Art Instructor in a Summer Art Program
2012-2013 Intern at the San Francisco DeYoung Museum
· ·
· Abstract Painting · In home
· Oil Painting · In home
Manhei C.
Manhei C.
About Dovile R.Close
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About Dovile
My philosophy about teaching is that everybody can learn, it is only the way how we learn is different for different people. Another very important thing - I strive to be creative, respectful and approachable.
· Sewing · In home
· Sewing · In home
· Jewelry Design · In home
Dovile R.
Dovile R.
About Melissa M.Close
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Lessons would be individualized to focus on areas that need the most guidance.
I have been painting for several years and I have studied many techniques.
About Melissa
I've taught all age groups from age 2 up to retirees. My teaching experience includes one-on-one and group classes in a variety of settings. I've taught corporate classes, private lessons, small groups, and traditional classroom lessons.
We have a student-centric philosophy of learning. Lessons are generally relaxed and designed to work towards accomplishing student determined goals. While all students will study similar fundamentals regarding technique, theory, and performance, every lesson is as different as every person. Special focus on topics like music theory, self-accompaniment, composition, song writing, and home recording are available as well.
What are your personal goals? We'll tell you what you need to do to get there, and help you take the steps to achieve your aspirations.
Lessons with small children are more focused on just having fun while developing a good musical foundation, but we prefer for them to have as much personal ownership of their lesson as possible.
· Chess · In studio
· Vocal Training · In studio
· Watercolor Painting · In home
Melissa M.
Melissa M.
About Tiffany S.Close
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I've been teaching art - painting for 4+ years and my students have gone on to be art majors. Within the first few lessons, you'll be able to create basic acrylic paintings. You must have access to the following tools available for your lessons: acrylics, canvas, paintbrushes. I love working with students of all ages and experience levels and I can't wait to meet you!
About Tiffany
· Drawing · Online
· Photography · Online
· Acrylic Painting · Online
Tiffany S.
Tiffany S.
About Megan J.Close
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I have taught over 500 students how to paint! Each painting lesson is tailored to your interest and where you want to develop skill. My schooling background is in figure painting, modern painting techniques, color theory and composition. I have been trained by masterful painters from all over the world and look forward to sharing all that I have learned with you.
About Megan
· Acrylic Painting · In studio
· Painting · In studio
Megan J.
Megan J.
About mostafa D.Close
My main medium is Oil,though i use all mediums( currently gouache and other aqeuos mixed mediums.)My goal is to help student in understanding how to approach a painting, manipulate paint and understand both abstraction and paint application, for all levels ofcourse. For each level my teaching and philosophy will drastically differ, all depend on the student's capability to understand, practice and apply.
About mostafa
I have multiple Years of experience in teaching Art. Recently taught Elementary school in an after school program, and the experience was wonderful.
I currently preform Professional demos(color theories, drawing and painting) and display in galleries. Currently working on new projects.
A quick summary and points of what i will be teach
-How to See and measure correctly
-Perspective and how to perceive and apply basic to advance understanding
-Technicality / application and drafting for Painting and drawing
-Understanding Portraits, human figure/ Anatomy
-Understanding how light work, and how to take control of Value to create forms
-Color Theories
-Art Critique and Helping in portfolio's for high school and college level
-From Basic to Advance understanding of Oil Painting Techniques.
-Subject matter, narration and subjectivity in Art
-Intellectual art theories and History
-Narrative and sequential. Focusing on subject matter, Narrative/narrting and sequentially creating strips,comics or ideas.
- Illustration and comics ( subject matter and narrating and brush works/ techniques.)
· Drawing · In studio
· Painting · In studio
· ·
mostafa D.
mostafa D.
About Zoe B.Close
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I understand and honor everyone has a unique way of approaching and looking at things...which doesn't mean I won't challenge you to try another way! Bob Ross to Salvador Dali. Open medium and maybe we'll try some new ones to find your unique method. Realistic to stylized. (Sorry Boo, no abstract)
...and it will be fun doing it (bad dad jokes at no additional charge)
About Zoe
Zoe has always been an innovator of process and assisting peers, colleges and clients in more efficient ways to create art. Not your typical shy artist, she has been a regular of sci-fi, comic and similar circuit conv
She uses Illustrator and Photoshop nearly every day for the past 13 years along with her lifetime of skills as a traditional artist to accomplish a WIDE variety of tasks from more artistic to technical layouts.
...and you will have fun!
Zoe B.
Zoe B.
About Ako E.Close
View Full Profile
We start and finish painting during every lesson. We both start off with identical materials. We do a step by step process which allows the student to practice, experience, and understand the theories and formulae behind the processes. My students are usually blown away by the end result.
About Ako
Ako E.
Ako E.
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Your teacher will welcome you with a personalized curriculum to meet your specific goals and you'll be able to manage your entire schedule through our free online account.
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344 Thomas L. Berkley Way
Suite 220
Oakland, CA 94612 USA
For media inquaries: firstname.lastname@example.com
Send Us a Message
Do you have a question about the CCR website, general feedback, or want to request a speaker? We welcome your comments and do our best to respond to specific inquiries.
Thank you!


text:
Not Accepting Guests
- Last login almost 2 years ago
Join Couchsurfing to see Donna's full profile. It's free!
About Me
Hey there, took me long enough to set up my profile. I'm a carefree, simple, happy person who enjoys traveling. I prefer budget friendly vacations hence the reason I'm on here also to experience staying with locals. I'm accustomed to staying in hotels AND hostels. I'm pretty easy to get along with :)
Why I'm on Couchsurfing
Hopefully to be brave enough to try sleeping on someones couch lol
Nature, culture, people, music, food, shopping...
- culture
- dining
- shopping
- traveling
- music
Music, Movies, and Books
Reggae, hip hop, pretty much anything i can move to
One Amazing Thing I've Done
Embarked on first solo trip to Paris. It was pretty scary especially not knowing the language.
Countries I've Visited
Bahamas, Cayman Islands, France, Greece, Italy, Netherlands, Spain, Turkey
Countries I've Lived In


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"This is a great class with a lot of valuable information. I am very thankful for the flash drive as I want to keep learning and I would never have been able to write all [the information] from the class down. Thank you Nancy! Great job!"
Fawn Galvin
"I had always dreamed of owning my own home but I really had no idea where to begin with the process... One of my friends told me about NeighborWorks so I got online and saw that they regularly hold a Home Buyer education class. The class was totally worth the time and the money. I
"Dear Gregg, It occurred to me the other day that I never formally thanked you for everything you've done for my family. THANK YOU!! The struggle to get by is not so overwhelming anymore thanks to you."
Card from homeowner Home Repair
"I learned that there is a lot of work and time going into buying a home. I'm a bit scared, but excited!"
Homebuyer Education Class at Middlebury College
"I do feel like this is a good start for us. I look forward to meeting with Nancy and learning even more. Thank you!"
Homebuyer Education Class in West Rutland
"I'm hoping the worksheets will help me to better understand budgeting and saving."
Homebuyer Education Class in West Rutland
"Very informative. I will continue to recommend [this class] to our clients."
Homebuyer Education Class in West Rutland
"A phone call and a meeting was the beginning of a wonderful relationship with professionals in every aspect of the process. Starting with a loan I could really afford, all my questions answered quickly and explained in a way I could understand. A well deserved big thumbs up from this client!"
Home Repair Customer in Rutland
"Now, my house is safer and warmer than ever! Thank you NeighborWorks for being available, affordable and always professional."
Home Repair Customer in Rutland
"My RealtyWorks Realtor Gene was really helpful because he pointed out a lot of things in the properties that were really helpful that I wouldn't have noticed or thought to consider. He was amazing, every time I had a question, he had an answer- even at 11 at night!"
Jennifer Yakunovich in Rutland
"I took Homebuyer Education because I felt like I needed a little more information about the process to feel confident and to be able to talk to lenders and know what they were talking about."
Jennifer Yakunovich in Rutland
"I was renting a great apartment and landlords here in Rutland but I was getting frustrated that I was essentially paying for their kids to go to college, and I have my own student loans. I am now paying about the same, and making an investment in my future."
Jennifer Yakunovich in Rutland
"You folks worked with us on the financing and your home repair specialist Ron worked with us through every stage of home repair. Ron has been very understanding and you folks have been very good to us."
Susan and Rod Patch Crandall in West Rupert
"I'm glad to know NeighborWorks is out there helping people. It seems like everyone else is out there to get you. It's a miracle there are people out there like NeighborWorks."
"Without NeighborWorks, I wouldn't have known where to turn. I'm so appreciative."
Charlotte in Rutland
"When I noticed the rupture in the foundation, I had to go through the "crisis piece"- what am I going to do!- for about three days, and then I said, wait a minute, NeighborWorks! I knew you guys were the right ones to call."
Charlotte in Rutland
"Amanda was the most helpful, and we worked out a loan that was manageable for me and that covered the repairs that were absolutely necessary for my house- I have more on my list to tackle but these were the ones Ron helped me prioritize,"
Charlotte in Rutland
NeighborWorks of Western Vermont has been named the recipient of a Northern Border Grant. The funds will be used to expand our HEAT Squad program to Orleans, Essex, and Caledonia counties, helping #Vermont #homeowners complete 660 audits and 233 #energyefficiency projects while creating 36 jobs!
Read more about us and the other grant recipients here: goo.gl/kfH9Ks
#weareallthingshome ... See MoreSee Less
Congratulations to Rutland Regional Medical Center for being named as a best regional hospital, the only hospital in #Vermont to achieve this status! #GoRutland!
#RutlandVT #RutlandVermont ... See MoreSee Less
Rutland Regional named a 'Best Regional Hospital' by U.S. News | Vermont Business Magazine
Tue, 08/08/2017 - 4:33pm -- tim Related Company: Rutland Regional Medical CenterVermont Business Magazine U.S. News & World Report has named Rutland Regional Medical Center a "Best Regional Hospital" for 2017-2018. Out of 4500 hospitals evaluated nationwide, only 545 achieved "Best Regional Hospita...
Youth engagement, promoting healthy lifestyles, building #communities, and more! NeighborWorks America explains why communal #gardens are an amazing source for so much more than just fresh tomatoes and carrots, although we'll admit that's certainly a perk!
#Vermont #RutlandVT #Gardening ... See MoreSee Less
Five ways gardening feeds the soul
You've heard about community gardening, right? You may think it's just a nice way to socialize and use vacant lots, while maybe getting some fresh vegetables for dinner. But it can be so much more than that. Read how gardening together benefits both individuals and communities.
We're thrilled to have the opportunity to work with #Vermonters to make their homes healthy, sustainable, and comfortable!
See how we can help YOU by visiting our website: goo.gl/APyLHQ
#WeAreAllThingsHome #RutlandVT #Rutland ... See MoreSee Less
3D printers, a laser cutter, a wood shop, a metal shop, and MORE! Where can you find all of these useful and exciting tools? At The MINT - Rutland's Makerspace!
The grand opening is TODAY, August 12, from 12pm - 5pm.
#RutlandVT #VermontbyVermonters #MadeInVermont ... See MoreSee Less
Rutland Makerspace The MINT Grand Opening
An annual career and tech expo showcasing Vermont's most innovative technology companies. Powered by Seven Days, this site is a year-round resource for Vermont tech jobs, news and events.


text: Basically I met this guy at camp and we liked each other, but I Haven't seen him in almost a month now. But I can see him every month NOW because we both go to this social event every month and we're gonna meet up there, but do you think he still likes me? Do guys move on when they haven't seen a girl in a while?


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Shadows of the Damned was one of those games that made a big splash with those who picked it up, but barely a dent in market sales. It was unsure whether there would be a sequel or anything done with the franchise after the end of the first game. With Goichi Suda announcing yesterday that he and his company — Grasshopper Manufacture – would be pursuing Chainsaw Lollipop as their next IP, it seems that chances for another Shadows of the Damned are slim.
And now those chances have been lessened further as director of the game, Massimo Guarini, has left Grasshopper Manufacture to set up shop for his own. Naming the new company Ovosonico Productions, Guarini says that the fledgling company will not only focus on games, but also "Games, Music, Films with an attitude," and cites that phrase as their slogan.
Guarini has seen himself on several projects over the years, from the espionage-laden series that is Tom Clancy Splinter Cell and Rainbow Six series, along with recently touching on the ninja-wielding Naruto: Rise of a Ninja. Not only that, he's also been known to dabble in photography and film as well, which serves to explain why he would focus on additional arts with his new company.
Potentially one of the reasons why Guarini left Grasshopper Manufacture is because much of his work done on Shadows of the Damned was shadowed and instead shuttled over to Suda 51, who has been more of an icon for the company. When you work for so long on a product, and neither the fans nor the sales reflect what you did, it's as good a time as any to head in a new direction.
Then again, nothing official has been said on the matter, yet it's always something worth thinking about. As for Guarini's new company, they currently have a placeholder page sitting until the world is ready for a reveal. In the meantime, you can see what Guarini has had his hands on, and keep an eye out for what he's working on next.
Shadows of the Damned is out now for the Xbox 360 and PS3.
Follow Will on his Facebook and [email protected]Ayreesfoxx.


text:
CIRCLEVILLE - A pair of art students from Teays Valley High School recently pitched in to help brighten up a southside neighborhood.
Sienna Titler and Alexandra Virostko took on the challenge of creating a mural at the Discount Grocery Outlet on South Pickaway Street to reflect the mission of the store in the community, according to owner Susan Armstrong.
"We were able to make a connection with Cheryl Cherry, the Teays Valley High School art teacher, who said she had two students she thought would be perfect for the job," Armstrong said. "I thought maybe it was too big of a project for two young people, but they didn't think that at all. They stepped right up to bat."
The mural, just recently completed, uses panels over existing windows in the building at 900 S. Pickaway St. near the railroad tracks to create storefront scenes for various products sold inside the store. Each storefront, including a produce market, a butcher shop, a snack and candy shop and more, features fun little details Armstrong said they hope to expand upon in the future.
The snack and candy shop, for instance, features a bag of Circleville's own Dean's Potato Chips.
"Dean's Potato Chips used to be in this building," Armstrong said. "I wanted to make sure we included that in the mural out of respect for where it was, how well-loved Dean's Potato Chips were and how remembered they are."
Another feature of the mural is the figure of a man, whom Armstrong said is her father, now retired, who started the Discount Grocery Outlet in 1986.
"I really hope this is an ongoing process," Armstrong said. "I would love to see Teays Valley come back year after year and do additions to the project, even maybe enlarging it in future years."
Armstrong said she got the inspiration for the mural after looking around in downtown Circleville with all the different colors of the buildings and the various revitalization efforts there.
"We were originally just going to paint the building all these different colors, but then we had these kids who were willing to step up and do the murals," she said. "I think it's important for these kids who are artistic and interested in the arts to be able to show their work in the community, so we gave them a piece of the building to display their art."
Armstrong said she also hopes the mural reflects what the Discount Grocery Outlet provides for the community, which is name-brand products at deep discount prices that help families stretch their food budgets.
"I've had people tell me it made their lives better because of our store," Armstrong said. "That's huge. Someone recently told me they were having a hard time at a period in their lives, and this store made a difference in how they fed their family. That really does make an impact, and it makes all the hard work pay off."
The Discount Grocery Outlet buys company overages and products nearing their expiration dates and sells them at a discount of 50 percent or more for the same products that are sold in the big retail chains, she said.
The store also gets meat within a few days of its "sell by" date and immediately freezes it, extending its shelf life while providing it at a 50 percent discount to customers.
"It's a great little store," Armstrong said. "It's a small little thing, but it obviously works. Here we are going on 30 years and how many blocks from Walmart, and we're still surviving. Obviously something is working. It's going well."
Armstrong said she will continue to work on improvements at the store, both inside and outside, in the years to come.
"This is like our home, so we always have something going on," she said. "We're excited about what we're doing, and I think we're making a positive impact on our community."