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Sasha the great!
This is my awesome dog, Sasha.
Sasha is such a beautiful name, yet we have this weird thing in our family that makes us want to call Sasha everything but Sasha. Don't ask me how it started, or even to explain some of our crazy nicknames for her because I wouldn't know where to begin.
So, meet Sasha. Her aliases include: Sasha-Bean, Bean, Schroeder, Shrewd, Shrewd-a-Bunk (again, please don't ask — clearly we are a little crazy) Biz, and the list could really go on! Anyway, isn't she lovely
Keep reading to find out how you can share a video of YOUR great dog for a chance at some amazing prizes from Purina!
Sasha has been a member of our family since before we had Evan and Kara, and it's been so fun watching both of the kids have the opportunity to meet and play with her as they grow up. Sasha is a constant source of entertainment for my 3-year-old, which is great since they both have the same high level of energy!
So, what makes my dog so great? Well, aside from being a gorgeous animal (who happens to possess a lot of funny nicknames), she is also just a great friend and protector to our family. She keeps a close watch on our home, and that is invaluable to me.
She is also just so much fun to play with! I love that the kids will have such a great dog to run, jump and play with as they grow and mature. She is truly an amazing pup.
Enter to win!
I'd love to hear why your dog is great! Purina® Pro Plan® is asking passionate pet owners like you to put their dog's greatness on display in the "How is Your Dog Great?" video contest! Between now and August 27th, you can upload a short film featuring your awesome pooch to the Pro Plan YouTube channel. Giveaway has ended.
Your entry should show moments of your dog's journey toward greatness that inspire others to discover greatness in their dog — how sweet is that? The grand prize winner who best captures their dog's inherent greatness will have their winning video featured in a Purina Pro Plan commercial. The commercial will be unveiled at the 2013 Westminster Dog Show, presented by Purina Pro Plan.
Oh, and the winner will also receive a year's supply of Pro Plan brand dog food, and what pet owner couldn't use some free chow! For additional information and full contest entry details and rules, you can visit the Pro Plan YouTube channel.
I was compensated for this sponsored post made possible by Mom Spark Media. Thoughts are my own.


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Data from: Individual consistency and phenotypic plasticity in rockhopper penguins: female but not male body mass links environmental conditions to reproductive investment
Date Published: June 4, 2015
DOI: http://dx.doi.org/10.5061/dryad.s6f0p
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|22 times
|Body mass, body condition and egg mass data of individually marked male and female southern rockhopper penguins breeding on New Island, Falkland / Malvinas Islands. Analyses in Dehnhard et al. 2015 PLoS ONE were based on this dataset.
|Dehnhard_2015_PLoS_ONE_data.xlsx (53.76 Kb)
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subset: commoncrawl


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|Lorry Driver
|First appearance
|23rd November 1977
|Number of appearances
|Played by
|Ced Beaumont
The unnamed Lorry Driver unwittingly came to the aid of Deirdre Langton as she stood on a bridge over the bypass in November 1977, contemplating suicide after her rape ordeal several weeks before. Deirdre at first seemed insensible to his shouts as he requested to know the whereabouts of Dingley Road which he had been unable to find, despite several attempts. She came out of her reverie enough to give him directions and then to make her way back home to husband Ray.


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Question: Of the environmental pressures for change discussed in this chapter fashion
Of the environmental pressures for change discussed in this chapter—fashion, mandates, geopolitical, declining markets, hypercompetition, and corporate reputation—which ones were experienced by Intel?
View Solution:
View Solution:
Answer to relevant QuestionsOf the internal organizational pressures for change discussed in this chapter that are associated with organizational change—growth, integration and collaboration, reestablishment of organizational identities, new broom, ...What new pressures for change faced Barrett in the last half of his tenure? Brabeck-Letmathe emphasizes the need for an incremental approach to change. Do you agree that this is what he has done? Discuss the differences and similarities between his view and your view of what has occurred at Nestlé, ...Select one or more diagnostic models that you believe provide a framework that succinctly identifies the key factors at the center of the Boeing situation. Explain your choice of model. What follow-up actions would you plan to ensure that actions and decisions flowed from it?
Post your question


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Go to Advanced Search
What Is Synthetic Biology:
The engineering of biological systems has the potential to reshape the world and solve a number of major global challenges in various fields such as healthcare, energy and the environment. Synthetic biology is the engineering of biology, i.e. the synthesis of complex, biologically based or inspired systems which display functions that do not exist in nature. This engineering perspective may be applied at all levels of the hierarchy of biological structures – from individual molecules to whole cells, tissues and organisms.
Problem Statements:
Synthetic Biology has great potential to address challenging problems in many areas including energy, healthcare, and environment.
Relevance to Singapore:
Synthetic Biology can make a very significant impact on a number of industries in Singapore, e.g. food processing, water technology, chemical/petrochemical, and bio-medical, etc.
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Data Protection and Privacy
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My third trimester is almost up and I write this final update as I eagerly await the arrival of our little one.
Upon reflection I've really enjoyed being pregnant (minus the first trimester), I've loved my bump and I've loved the transition into another phase of my life. I've definitely developed more respect for my body, it's amazing abilities and deepened a connection with myself - all sounds terribly cheesy, but it's true!
I've also enjoyed how happy being pregnant makes other people. People in the street smile at you and look at you with a sort of fondness. It's been nice!


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Gum Arabic/gum Tragacanth, Can Someone Explain
Decorating By lucysmam Updated 7 Mar 2009 , 9:15pm by lucysmam
their uses, please?
I have been trying to find out all afternoon, using various search engines but the best I am coming up with is where they come from & where I can buy them.
It's only curiosity as I've seen them on the website I have been ordering from & wondered what they both do.
Thank-you [smile]
Then google gum tragacanth uses of.
Tragacanth is a powdered vegetable gum often used in gumpaste (as well as dental products, medications, etc) to provide flexibility, strength and superb elasticity to the gumpaste to such a degree that it enables you to ruffle extremely thin flower petals, butterfly wings, etc... so thin in fact that you can see through it/them. This can make the artwork more realistic-looking.
Other gums are available which are nearly as good (Tylose, Gum-Tex, Magic Gum to name a few) but Tragacanth is thought to be the 'cadillac' of gums. There are, however, a few drawbacks to using Gum Tragacanth. #1) It is very expensive #2) Need to use more (appx 1/3) than other gums #3) Can be hard to find (most pharmacies no longer carry it) #4) Gumpaste will be slightly less white.
I hope this helps!
Right, so gum tragacanth makes the paste easier to work with in a sense?
Thanks for explaining, I'm still learning was getting very frustrated with myself not understanding/being able to find what I was looking for


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im a working artist..and now that ive found someone more important than my art, im not happy. id rather be depressed, or bored and create things that mean something than be in an actual loving relatonship. art is my true love...its more satisfying than my husband.
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individual people buy my art....and ive made a good life for myself.


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Justin Bieber ignoring Selena Gomez?
Justin Bieber is reportedly ignoring Selena Gomez's calls.
The 'Hands To Myself' hitmaker has tried to make contact with the 'What Do You Mean' singer since he deleted Instagram after their very public spat but he won't pick up.
Sources close to the 22-year-old singer told TMZ that he is fed up of constantly being at war with Selena and claims she is always trying to get involved in his business.
And the whole situation is also said to have amused Justin because Selena herself threatened to quit Instagram earlier this year because of the constant "drama". However, the 'Sorry' hitmaker has helped him get completely over their on off relationship, which they called off in late 2014.
Meanwhile, Selena seems repentant for her actions, which led to the singer quitting the photo sharing site.
Taking to Snapchat, she wrote: "What I said was selfish and pointless."
The feud began when Justin threatened to quit Instagram after his fans started to hate on his rumoured girlfriend Sofia Richie.
He wrote: "I'm gonna make my Instagram private if you guys don't stop the hate this is getting out of hand, if you guys are really fans you wouldn't be so mean to people that I like. (sic)"
To which Selena swiftly replied: "If you can't handle the hate then stop posting pictures of your girlfriend lol - it should be special between you two only. Don't be mad at your fans. They love you (sic)."
Justin then fired back: "It's funny to see people that used me for attention and still try to point the finger this way. Sad. All love. I'm not one for anyone receiving hate. Hope u all can be kind to my friends and each other. And yes I love my beliebers (sic)."


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See Figures 1, 2 and 3
- Disconnect the negative battery cable.
- Remove the dome lamp, courtesy lamp, coat hooks and sunvisors. On wagons remove the rear courtesy lamp.
- Remove the quarter upper trim finishing panels using tool J-24595-C.
- Remove the rear seat roof mounted shoulder belt retainers, as needed.
- Remove the windshield pillar upper side roof rail and garnish moldings.
- Remove the headlining hook and loop strips along the front and on the rear using tool J-2772-C.
- Remove the push-in retainers. On wagons, remove the retainers from the rear of the headliner.
- Remove the assembly through the right front door opening.
- Care must be taken not to overflex the new liner when installing. Load the rear portion of the lining diagonally through the right front door opening.
- Align the headlining with holes for the sunvisors and the interior lamps. Press into place, along the areas with hook and loop strips.
- Install the retainers and the push-in retainers, to the rear of the headlining, on wagons.
- Install the sunvisors and the interior lamps.
- Install the windshield pillar upper and side roof rail garnish moldings.
- Install the rear shoulder belt retainers, on the wagon, if needed.
- Install the quarter trim finishing panels.
- Install the coat hooks.
- Make certain no wires for the lamps are pinched or installed incorrectly.
- Connect the negative battery cable, then reset the clock and radio.


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A power failure inside a subway tunnel stopped E and F trains from running under the East River for more than an hour yesterday evening, transit officials said. Three trains full of passengers were stranded in the tunnel for up to 35 minutes, said Melissa Farley, a spokeswoman for New York City Transit.
The power failure, the cause of which had not been determined by midnight, happened at 6:11 P.M., Ms. Farley said. It halted service on the E and F lines between the Lexington Avenue station at 53d Street in Manhattan and the 23d Street-Ely Avenue station in Long Island City, Queens.
E and F trains were rerouted, slowing the system down considerably. Limited service resumed in the E and F tunnel at 7:13 P.M., and service was back to normal about a half-hour later.Continue reading the main story


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music / Reviews
Grimes – "SCREAM" Review
Grimes is back, for real this time. "Flesh without Blood" was deposited onto the Internet on Monday, following "Realiti" to become the second track to be taken from the Canadian starlet's forthcoming Art Angels LP. After the boorish bro-friendly thrills of 2014's "Go", these two tasters feel like palette cleansers. Sublime slices of ethereally pixie pop that boarder on the feathery and transparent, but avoid feeling insubstantial by adamantly refusing to sit still. Grimes skips and glides as divinely as ever, but the beat bangs as a taut riff buzzes incessantly.
Few could complain, but there was reason to worry. Had Grimes simply regressed in the face of criticism? Was she becoming conventional, snuggling up to her own wispy comfort blanket and retreating towards the critical approved sound of Visions? Well "SCREAM" is here to assure us the Grimes is still a weirdo; a glorious, alluring, infectious oddball shot straight from the avant garde fringe.
Driven by another resolutely elastic riff, "SCREAM" sees Grimes hiding in the background, beefing up the slight industrial and tribal undercurrents of "Flesh without Blood" to a farcical extent. Perfect for Halloween, Grimes has constructed a menacing beat that explodes into a seething instrumental scream (in lieu of any conventional chorus).
So what kind of agile and elegiac magic has Grimes summoned for the verse this time? Well, in a shocking turn, Claire Boucher stands aside to let Taiwanese rapper Aristophanes do her thing. For all I know the MC may be spitting rhymes about buttercups and rainbows, but those breathy Asian syllables convey a lurking horror. She sounds assured and confident, defiantly in control before adding to Grimes' cyber screams with some vampiric pants and tigerish growls.
"SCREAM" is no bog-standard single, but that's the entirely the point – this track has been released to serve one purpose – to remind the world that however sweet she may sound: Grimes is anything but conventional.


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[TSLxBKn] Pen Holder Clip is Baum-kuchen original artifact made in collaboration with The Superior Labor.
This artifact was inspired by our constant need to travel with a few of our favorite pens so we could jot down ideas and thoughts wherever we are while keeping the writing instruments safe and secure. The leather sleeve fits two LAMY fountain pens or other compatible sized pens nicely. The sleeve works the best with pens with clips so your pens are in place no matter which orientation you are holding your Pen Holder Clip. The backside of the Pen Holder Clip features a custom designed brass money clip which you can use to attach the Pen Holder Clip to your pocket, to your notebook leather cover (works perfectly with Traveler's Notebook!) or wherever most accessible to you!
The brass clip is engraved with a custom graphic by Baum-kuchen with a quote "Amazing things can happen when two elements come together." This was designed with a hope that this Pen Holder Clip will bring a perfect companionship to your writing experience.
Material: Brass & Leather
Designed By: Baum-kuchen in Los Angeles & The Superior Labor in Okayama, Japan
Made By: The Superior Labor in Okayama, Japan
Condition: New
More Photos & Inspiration on Our Blog:


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The HHR's rather high seating positions and low roofline might feel odd to some when they first sit in this boxy wagon. If you're average-sized or shorter, you might come to like it, but taller drivers will find themselves pushing up against the headliner and wedging themselves a bit. In any case, the pushed-upward driving position is an acquired taste. Unfortunately in back seating is also a bit tight, lacking in both legroom and headroom, and the rear bench seat feels somewhat stiff.
Fold the back seats forward, and the HHR's design makes a lot more sense. There's a nice, neat cargo space capable of swallowing small pieces of furniture or even the largest Costco runs. And the cargo floor is flat. Although we haven't driven the HHR Panel Van, these observations would suggest that its cargo-centric purpose would be right in line with the HHR's strengths.
Interior appointments aren't anything special; there's a lot of drab plastic trim, and upholstery and materials are rental-car anonymous, a reminder of the switchgear and trim GM was using on nearly all its vehicles five or more years ago. On the bright side, the HHR feels tight and refined most of the time, with surprisingly little road or wind noise. Ride quality is one negative though; the HHR can get quite bouncy on some highway surfaces.


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I'm 6 foot 5 inches tall and was curious about this
Most Helpful Girl
I am 5'4", and I have a guy that I like whom I believe is around 6'4". I think that his height and build is fascinating, makes me feel safe and protected when he's with me. Makes me feels feminine around him. So I think if you have not so skinny body, you should be fine :)10|10|0
Nice to know :D


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Void Beauty
Void Beauty is a certified cruelty free, vegan, 5-free nail polish brand that I received for review. Their motto is great: "Beauty doesn't have to be toxic." I previously reviewed the shades Hissy Fit and Kiss Me. It's great that it's also eco-friendly, and is USA based.
Wanting our beauty products void of the things that, as the company writes, "aren't so good for us," Void Beauty is free of the harmful chemicals Toluene, Dibutyl Phthalate (DBP), Formaldehyde, Formaldehyde Resin and Camphor. Also, they do not have the toxic ingredients of Lead, Parabens, Xylene, and Ethyl Tosylamide.
Void Beauty is certified cruelty free from both Leaping Bunny and PETA!
You will find a great variety of nail polish shades in a 0.5 fl oz-15 ml, beautiful, glass bottle.
My goal for this post was to show how beautiful combining the two shades, Kiss Fit and Kiss Me, were on my nails. They were both gorgeous shades and worked well with my summer wardrobe.
Void Beauty
I have two coats of polish, and a top coat, on all my nails. All were taken at various times during a sunny day!
Void Beauty Pros and Cons
The only suggestion is that something–the nail polish bottle, or the website, should have a list of ingredients used in the polish. Otherwise, I highly recommend, and love that Void Beauty is free of so many harmful chemicals! There is no nail polish box, but both my polishes were very safely and securely wrapped, and shipped from Amazon. If for some reason you don't want to place an online order, they have a list of stockists on their website. For the current price, and other information about the polish that is void of many of the awful chemicals that may be in your current nail polish, check out the Void Beauty website.
Disclosure: I received the polish for possible review. All links are for your convenience only.
Moxie Reviews: Twitter , Facebook , Google+, Bloglovin', Instagram, Pinterest
Moxie Reviews 2011-2016. Content copyright. Unauthorized use and/or duplication of this material without express and written permission from this blog's author/owner, Moxie, is strictly prohibited.


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Bella Italy Fall 2013
A Bucket List Come True
Four Coins in the Trevi Fountain
(to make sure we come back)
From San Antonio, TX to Milan to Cinque Terre to Tuscany (including Chianti, Siena, Greve, Castello Verrazzano, the Abbey of Saint'Antimo for Mass and the Gregorian Chant, Pienza, Montepulciano, Monte Oliveto and Panzo), then on to Florence for shopping, a train to Naples for pizza, then Sorrento for some lemons (including side trips to Capri by jetfoil and the Amalfi Coast by bus), then a bus to Rome to see the Vatican, the Trevi Fountain, the Pantheon, the Spanish Steps, Piazza Navona and more shopping before heading home to San Antonio, TX. And did I mention the wine and food along the way? A lifetime of beautiful memories with 35 of your closest friends to share it with - what could be more Bellissimo?


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With First Tutors: Music you can find a Ramsey bassoon teacher. Bassoon lessons are an excellent way to begin a fun new hobby, pick up a new talent and gain confidence with bassoon. Try our service to search for Ramsey bassoon tutors and select which best suits your requirements so you can start your bassoon lessons in Ramsey today!
This is the fastest way to find Ramsey bassoon tutors in the UK, helping you find Ramsey bassoon lessons close to home and Ramsey tutors to help with any instrument like piano, violin or guitar. We can help you find Ramsey bassoon lessons or a one-to-one Ramsey bassoon teacher to prepare for bassoon exams and improve your bassoon skills! Our search will order Ramsey bassoon teachers local to you by their lesson charges and proximity to you.
If you are a bassoon teacher and would like to offer bassoon lessons in Ramsey or throughout the UK, please register with First Tutors: Music or learn about us here. Becoming a Ramsey bassoon tutor is a great way to re-affirm your own knowledge by giving bassoon tuition while assisting others, all in Ramsey!


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This is one of those soups that whole family enjoys because it can be customized by toppings. It's also a crock pot soup so it makes for an easy dinner. I even prep my toppings in the morning while the meat is browning and put them in the fridge. That way, at dinner time, everyone is eating in less than 10 minutes!
It starts with browning some ground beef, then adding onions. Beyond that you dump in a bunch of canned goods from the pantry and you're set!
A note – I use my own ranch seasoning in this recipe. I like the recipe for the dry mix from The Crafty Blog Stalker. I make my actual ranch dressing from this mix slightly different than her version. The dry mix, though, is something I've now used a couple of years.
- 1 pound ground beef
- 1 medium onion, diced
- 1 can black beans
- 1 can kidney beans
- 1 28 oz. can diced tomatoes
- 1 8 oz. diced green chiles
- 1 package taco seasoning mix (or your own mix)
- 2 Tablespoons dry ranch mix
- Toppings you like: shredded lettuce, corn chips, sour cream, grated cheddar, sliced olives, chopped green onions, hot sauce, etc...
- Brown ground beef in a large skillet. When almost brown, add diced onions and continue to saute until the onion is tender.
- Place the beef and onion mixture into a crock pot and add in the other ingredients, except the toppings.
- Cook on low 6-8 hours.
- Serve with topping bar.


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Till Our Lips are Stained Purple
A soft rain stole in, unhelped by any breeze,
And when I saw the silver glaze on the windows,
I started with A…
-The Names, Billy Collins
My mouth gaping open-
When you've tipped your chair,
after teetering it on the edge.
And gravity drops you at dead weight,
And the air you're breathing pounces off the inside of your lungs,
And the ocean of oxygen surrounding you hides…
My fingers scurry, reaching in
cannot grasp my sounds-
The vibrations of swears, so desolate.
used to be a circle of understanding
spiral until it boulders
into my gut, stomach
infecting numb tissue.
The salt taste caught and carried in
from my lips enhances and pokes my gag reflex-
(if I could puke the words I would)
The rape of the world has been dubbed
by consistent repetitive
war poetry pounding, raging on my brain,
pushing my eyes wide and forward.
Tonight we drink wine till our lips are stained purple.


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Ariadna - Smooching On The Massage Table
Released: January 28, 2014
Being seduced by a handsome massagist and having dirty sex right on the massage table is surely in top ten sexual fantasies list of every girl. In this amazing erotic pornography video you'll see a gorgeous babe making her secret fantasy come true with a well-hung massage therapist. His hands are both strong and tender, the way he rubs and touches her skin makes her so excited, and his obvious hard-on gets the girl even more turned on. So the lusty couple goes for wild lovemaking not giving a damn that someone might hear them. Real porn art for you to enjoy!


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|VegetablesWA represents the interests of vegetable
growers in WA and is the trading name for the former Western Australian
Vegetable Growers Association and the Potato Growers Association of
Western Australia. vegetablesWA provides vegetable and potato growers
with industry representation and development services to ensure they
remain internationally competitive and at the forefront of best
business practices.
For more information, please visit the Vegetable WA website.


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The American Kidney Fund is our nation's leading non-profit organization working on behalf of 30 million Americans with chronic kidney disease. AKF's dynamic, team-oriented environment is fast-paced and provides employees with the opportunity to make a real difference in the fight against kidney disease. AKF offers competitive salaries and excellent benefits. Our national office is located in Rockville, Maryland, with easy access to Metro. If you are interested in advancing your career at AKF, please browse the listings below.
Current job openings
We wish to thank all applicants for their interest and effort in applying for a position with the American Kidney Fund; however, only candidates selected for interviews will be contacted. No unsolicited agency referrals, please.
Position: Senior Director of Community Engagement
Date posted: June 23, 2017
Position Summary: In 2016, more than 98,000 people—1 out of every 5 U.S. dialysis patients—received assistance from the American Kidney Fund for health insurance premiums and other treatment-related expenses. Ninety-seven cents ($0.97) of every dollar spent by the American Kidney Fund went directly to programs and services. Additionally, millions of people nationwide benefit annually from the American Kidney Fund's efforts to fight kidney disease through health education and prevention efforts. Under the direction of the VP of Development and Field Operations, the Senior Director of Community Engagement is responsible for developing the vision and implementing a national fundraising strategy focused, but not limited to, special events, grassroots and peer to peer fundraising; including the oversight of KIDNEYNATION, the American Kidney Fund's national fundraising platform that engages supporters in individual, group and corporate fundraising efforts across the country. He/ She supervises the Community Engagement team (2) in the implementation of all community fundraising efforts. In addition, the Senior Director oversees the Northeast Regional office and staff (2), located in Melville, NY. He/ She supervises all functions of the regional office, including strategic direction and ultimately meeting revenue goals. The Senior Director works collaboratively with all colleagues overseeing giving areas to maximize revenue for the American Kidney Fund. He/ She will participate in the development and implementation of the department's strategic plan, including alignment of team goals; identification of key opportunities of engagement for leadership and management of the Development Department's strategic initiatives.
Salary: $100,000 to $115,000 depending upon experience
Email resume to: firstname.lastname@example.com
Position: Director of State Policy and Advocacy
Date posted: March 22, 2017
Position Summary: The Director of State Policy and Advocacy supports and enhances effective State advocacy related to End Stage Renal Disease (ESRD) and kidney care policy at the American Kidney Fund (AKF), including private insurance coverage, Medigap and Medicaid through strategic issue assessment, policy development and analysis, timely production of advocacy materials and comment letters, thought leader development and coalition building. The Director of State Policy and Advocacy must be an excellent communicator, both written and verbal, and able to translate complex policy issues into useful information for AKF employees and key constituents, including AKF patient advocates.
Salary: $110,000 - $115,000 depending upon experience
Email resume to: firstname.lastname@example.com
Benefits overview
The American Kidney Fund offers a comprehensive benefits plan designed to meet the needs of all our employees.
- Health insurance
- Dental insurance
- Vision insurance
- 403(b) retirement plan with matching contributions
- Short-term & long-term disability coverage
- Twelve days paid vacation
- Twelve days paid sick leave
- Three paid personal days
- Flex-time
- Nine paid holidays
- Life insurance
- Flexible spending accounts
- Free parking/Metro passes
- NIH Credit Union benefits
- Staff appreciation events
Why is the American Kidney Fund a great place to work?
- Dynamic people
- Team-oriented environment
- Excellent benefits
- Competitive salaries
- Opportunity for advancement
- Working for a great cause
- Metro accessible location
Our credo
We must put the patients we serve and the public we are accountable to first; provide superior education, outreach and services, and always act with the highest level of integrity.
We must provide outstanding people the best opportunity to realize their potential. We must treat our teammates with respect, champion our diversity, share the responsibility of our successes, and accept accountability for our failures.
We must provide compensation that is fair and adequate, and working conditions that are clean, orderly and safe. We must be mindful of ways to help our employees fulfill their family responsibilities. We must have an environment where people feel free to make suggestions and complaints. There must be equal opportunity for employment, development and advancement for those qualified. We must provide competent management, and the actions of management must be just and ethical.
We are the employees of the American Kidney Fund and we "Reach Out, Give Hope, and Improve Lives!"


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One Rebel That Even The Empire Will Love January 15, 2015
You don't have to travel to Hoth to find the hottest Rebel going, and while Princes Leia might look better in a bikini, the new Ram Rebel has a new grill and styling that make it hard to not love.
Star Wars jokes aside, this is definitely the truck you're looking for (ok, last Star Wars joke, I promise this time). While the truck might look like the new Ford Raptor, the truck isn't being marketed as one, but instead it's being touted as a sharp looking and off-road capable upgrade to the Ram 1500, which in of itself is a fairly capable truck in its own right.
Starting with the power plant, the new Rebel has two choices: a base 3.6-liter V6 as well as the upgraded (and necessary in our opinion) 5.7-liter HEMI V8. While Ram gives you a choice, the only useful option for drivetrain is 4x4, but there is a 4x2 option available.
The Ram Rebel features an air suspension that gives the truck a one-inch lift over the stock 1500 thanks to Bilstein shocks that have a specific off-road setting for use when tire leaves pavement as well as on-road settings for a more comfortable ride between the lines. The tires also received an upgrade on the Rebel with 285/70R17 Toyo Open Country mounted on new Ram wheels.
The Looks
For starters, you probably noticed there isn't any chrome showing on the Rebel, something that's done on purpose to keep the truck's low-key yet tough look. The front grill is all new, and has a unique no crosshair look with RAM right in the middle.
The truck also received powder-coated skid plates, a Mopar aluminum hood, and even flared wheel arches that resemble those of the Ram 2500 Power Wagon. All of this combined give the truck an aggressive stance that has power to back the look up.
The truck is finished off with a new tailgate design that features oversized graphics with a giant RAM across most of the rear. This is probably the only feature that's not near perfect, and honestly takes a little away from the overall package.
The truck also shines inside with a totally refreshed interior that's built around the amazing custom seats. Both front seats feature a tire tread pattern in the center of all-leather seats that are black with red highlights. The seats also feature the Rebel logo embroidered on the inside of each.
Past the seats, the rest of the interior features the same red highlights. The sound system is Ram's infotainment setup that features a touchscreen and upgraded speakers as well as an 8" sub under the rear seats.
The look and feel of the Ram Rebel is great. The reason this isn't competition for the Raptor is because while the truck has the looks and some performance upgrades, it just can't match the off-road prowess of trucks like the Raptor.
This isn't a bad thing, but it's worth noting that there is a definite difference, and it's not fair to compare the two. The Rebel looks great, has decent power, and overall seems like a great package.


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H.11013 - This 2003 former model is over 2100 SF and has an open floor plan with a heated pool surrounded by a brick paver lanai and screened cage on a private lot. Uniquely designed as either a 3 bedroom plus a den OR 2 bedrooms plus 2 dens with abundant space for guests, separate TV areas or dual home offices. There is also formal dining, a breakfast nook and covered patio space with summer kitchen. Distinctive features include tray ceilings, recessed and cove lighting, a lead glass front door, a newer electric pool heater, wood blinds, plantation shutters, two 250 gallon propane tanks to heat the stainless steel gas range, Jenn Aire grille, tankless water heater and dryer. The hurricane shutters and propane gas make this a "generator ready" worry free home! And after a long day you'll retreat to a spacious master suite with a beautiful landscape view, oversized closet, master bath with two vanities, a soaking tub and lg shower enclosed with an updated frameless shower door. Perfect for empty nesters or a growing family within the lush and gated community of Longshore Lake known for its 88 acres of lake, USTA tennis program, clubhouse with restaurant and community pool.
The source of this real property information is the copyrighted and proprietary database compilation of the Southwest Florida MLS organizations Copyright 2015 Southwest Florida MLS organizations. All rights reserved. The accuracy of this information is not warranted or guaranteed. This information should be independently verified if any person intends to engage in a transaction in reliance upon it. The data relating to real estate for sale on this limited electronic display come in part from the Broker Reciprocity Program (BR Program) of M.L.S. of Naples, Inc. Properties listed with brokerage firms other than Equity Realty are marked with the BR Program Icon or the BR House Icon and detailed information about them includes the name of the Listing Brokers. The properties displayed may not be all the properties available through the BR Program.


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196 pages, Illus, figs
This book represents an evolutionary approach to defense mechanisms of all living organisms. The results achieved in developmental and comparative immunology are among the most interesting data in immunology. These results have great impact on our understanding fundamental problems of the pathology of the human immune system. At the same time, the field of evolutionary immunology provides not only inspiration for further investigation in biomedicine, but also a number of results applicable in clinical and commercial practice. This book evaluates the advantages and limitations of studying the development of defense reactions. In addition to reviewing the major and crucial achievements of the past, the book offers a comprehensive state-of-the-art treatise focused primarily on the latest experiments described in the last few years.
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Out hiking with my Asian wife, it was too nice weather to wear clothes.
Haven't been in this site in awhile , but Lami you're still the hottest !! Kissed Jamie
Oh wow Lami, you never fail to impress. You have such a hot body and obviously don't mind showing it off, great. I have one complaint. You wait too long between adding new posts.
Beautiful as always! Thanks for posting new pics!


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Being Christ's BodyMon 19 September 2016
In September 2015, the Synod of the Anglican Diocese of Canberra and Goulburn began a conversation about revisions proposed for the Marriage Act to include people in same-sex relationships.
In September 2016, the Public Issues Commission released a set of resources to further develop the conversation. These resources, Being Christ's Body, are now available and can be downloaded here.
Our conversation was focussed on the potential pastoral implications that might arise from such changes to federal law. The conversation proved thoughtful, prayerful and respectful. A majority of Synod members agreed that a set of resources designed help our members talk about these issues would be helpful. Synod members wanted to talk further about such things as:
- the nature of marriage;
- the power of government;
- the nature of religious conscience; and
- how LGBTQI people belong in the church.
Nevertheless, it was also apparent that Anglicans were not of a common mind about how our church should respond to the proposed change to the legal definition of marriage. Many were concerned about what potential impact recognition might have on our life as a church and the practice of pastoral ministry across our varied parishes.
Being Christ's Body is designed to do three things. First, encourage Christians to explore the issues surrounding same-sex relationships and marriage thoughtfully. Second, to encourage people to listen to each other carefully. Third, to focus attention on the pastoral implications associated with same-sex marriage.
The resources utilise a kitchen-table format because of its capacity to produce the outcomes of learning, listening and praying together. The format is designed to bring a small group of people together with a host and a faciliator. It is designed to build trust through hospitality in a relaxed and respectful manner.
The format is a deeply Scriptural and provides a theological framework designed to help people talk about difficult things, especially when opinion and viewpoints are sharply polarised. It is designed to help people be responsible – not only for what they say but for how the respond to each other and to God.
Consequently, the format doesn't tell people what to think, what to do or what needs to be done. Rather, it provides a framework that helps people take ownership for what happens with each other. It asks them to put the needs of someone else first in order to find acceptance, not necessarily agreement.
There are six conversations in the series. The resource begins by putting issues that typically sidelined or ignored right up front. These are the issues that we're called to grapple with. These resources are designed to be downloaded and printed locally.
The first conversation is about the words we use and it asks us to think about whether we use them to wound or heal. It is designed to open up for us the world of sexually and gender diverse in some small way.
The next conversation draws out attention to our life together as the church. It explores how Christians can disagree with each other in a respectful way and the challenges of finding reconciliation in a space where people disagree sharply.
The third conversation draws attention to the matter as to why the Federal government has been asked to revise the legal definition within the Marriage Act of 1961. It sets out how the Marriage Act affects same-sex couples and how discrimination is defined and addressed in law.
Three more conversations are yet to come.
The fourth conversation explores what Christians mean by marriage (October 2016).
The fifth conversation explores the nature of religious liberty and the freedom of conscience (November 2016).
The final conversation explores how sexually and gender diverse people belong in the church (December 2016).
The order is designed to help people build trust and generosity by starting with the issues that feature most prominently in the public domain before moving to those that most important for us as God's people.
This ordering gives space for people to explore the conversations and whether they really want to talk, listen and pray together about the public issues before us. Our hope is that by pursuing a less familiar route, using a less used method, that Being Christ's Body might help us to build new pastoral ploughshares that will better equip us all to live as Christ's body in a changing world.


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The Lake of the Evil Water God
InuYasha Season 1 - Episode 27
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Episode information
Suijin ga Shihai suru Yami no Mizuumi
Change the World
Fukai Mori
|Original Airdate
May 21, 2001
Episode Statistics
The Beads of Subjugation
The Lake of the Evil Water God is the twenty-seventh episode of the InuYasha anime.
- As the group searches for Naraku's castle, they come across a group of villagers taking a boy to be sacrificed to a water god.
- Inuyasha and the others soon find out that the water god is actually an imposter, and he has sealed away the real water god.
SummaryEditAs Inuyasha and his friends are looking for Naraku's castle, they come across a shrine in the middle of a lake. Coming closer, they see signs of a recent flood, then a procession which they learn is meant to be a sacrificial procession : the water god of the lake seems angry, so they want to sacrifice a boy to him to pacify him. Inuyasha interrupts them, saying this must be a demon with a Shikon Jewel shard, and Miroku offers to exorcise the village, but the leader refuse, saying that he cannot justify risking the wrath of the water god now, when it's his own son's turn to be killed, or else the sacrifices of all the other children who died before him would be made meaningless. Kagome glimpses a masked child in the palanquin, then the procession resume. As Inuyasha wonders what they should do, Kagome heatedly states that they must save the child. A boy overhear them, ask if they are serious, and leads them to a place where he "hires" them in exchange for some valuable stuff such as silk and potteries that he took from his village. He wants them to destroy the water god. Inuyasha takes badly being so treated, but ends up agreeing to the plan : taking the water god down as he comes to claim the sacrifice. Kagome guesses that the boy is the real son of the leader of the village, and the masked child a stand-in. The leader urged every parents designated by the white arrow of the water god to give up their child for the sake of the village, but couldn't do it when his turn came. But the son doesn't want a friend of his to be sacrificed in his place. Sango offers to take the demon by herself, for the honor of the slayers, but Inuyasha is angry at her aloofness, and say that she hasn't recovered enough yet anyway, that she's acting tough but couldn't slay the demon in the state she's in.
As the night come, Inuyasha and his friends, with the son of the leader of the village, go on a boat to the shrine at the center of the lake. The son advise caution but Inuyasha just barge in, claiming to the guards that they "stand in the way" and entering by force. The guards are revealed to be fish and crab under an illusion. The strength of Inuyasha impress the son of the headman, and they go on to find the water god angry at the substitution of his sacrifice. Inuyasha claims he's a filthy demon and strikes with Tessaiga, but he is repulsed and the Tessaiga transforms back upon touching the trident of the water god, who then proceeds to drown them. He fails, but they are separated.
Shippō, Kagome and the two children end up together with the demon, who tries to eat them, only to be wounded by Kagome's sacred arrow. They escape. Sango and Miroku, with Kirara, are together on a very, very small and rocky island. Inuyasha, unconscious, drifts there with the help of two strange fishes. Those are servants of the true water god, whose place has been usurped by a local sprite. The true water god has been sealed. Miroku instantly decides to help free the god, but Inuyasha, waking, snaps at him to get his priorities right : saving Kagome has to come first, and he returns at the shrine, where Kagome is indeed in trouble. Meanwhile, Miroku answer to Sango's concern about Inuyasha's safety that he is very strong and fully able to deal with the fake water god by himself. Miroku elaborates by saying that Inuyasha's rough manners toward Sango stem from his concern about her : he seeks vengeance for her. Inuyasha attacks the water demon head on while Miroku and Sango unseal the true water god, who turns out to be a water goddess. They then join Kagome and the water goddess helps Inuyasha, who was being drowned again, by parting the water. Sango attacks the giant snake-like water demon, but can't hurt him. The demon wields the goddess's trident, which allows him to control the weather. He brews a thunderstorm. Inuyasha retrieves the trident, but it falls in the water and the headman's son goes after it. Inuyasha, with Sango's help, goes for the demon, kills him, saves the child and retrieves the trident again, allowing the goddess to work her miracle and disperse the threatening clouds.
The episode ends as Inuyasha chides Miroku for blackmailing the headman into giving him a bounty.
Characters in Order of AppearanceEdit
- This is the first time Miroku acted lecherous to Sango. By this point, she was fully healed.
- This is the last time Miroku swindled a cartload of goods.


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In the 50 - 65 group.
Under 18
18 to 25
26 to 30
30 to 40
40 to 50
50 to 65
I'll be 21 in a few months. I suspect most people on here are mid-career, but I could be wrong.
In the 50 - 65 group.
28 here
***My favourite from my collection***
-------- Amouage: Tribute Attar, Jubilation XXV, GoldMan
------ Serge Lutens: Chêne, Tubéreuse Criminell, Ambre Sultan
-------- Les Exclusifs de Chanel: Sycamore, Coromandel
------ Tom Ford Private Blend: Noir de Noir, Tobacco Vanille
------- Hermès: Terre D'Hermès Parfum, Ambre Narguilé
------ EDP Frederic Malle: Carnal Flower
-------- Neela Vermire Creations: Trayee
------ Parfum MDCI: Invasion Barbare
40-50 (50 next month)
ointments and perfume delight the heart....
Double post
Quote Originally Posted by hednic View Post
In the 50 - 65 group.
Ditto that.
19 physically, 30 mentally. I make frequent trips to the fragrance counter, yet my friends have yet to "get" me and my crazy hobby. People are even more blown away when they ask about my personal collection and quantity -- something that seems normal and only valid Having tackled one job as a Perfume SA, it's a slow journey and a scintillating, actualizing excursion that will forever be in my character.
Fragrance is my alter ego, hell, it is my constant companion in life!
"The most beautiful sea hasnt been crossed yet. The most beautiful child hasnt grown up yet. The most beautiful days we havent seen yet. And the most beautiful words I wanted to tell you... I havent said yet "
-Nazim Hikmet Ran
Hello noirdrakkar Which company do you work for?
Are you going to grant us with samples?
I'm 45, been playing with collecting since I was 22.
I don't have a signature fragrance. My signature changes a little bit every day, why shouldn't my fragrance?
28 here too
i'm getting up in age 41, i remember when there was no internet and i watched the chargers in a super bowl
"Facts do not cease to exist because they are ignored."
29 closing in on 30 with alarming speed and clarity. I've only been properly interested in fragrances for less than a year, though. Before that it was all a blur on buying something when I was out of the old one - and only basing it on top-notes on paper. Oh, how I don not miss those days.
18 here, and where I'm from (New Zealand) the words men and fragrance/perfume are almost never associated with eachother, regardless of age. So no matter how old I am, people don't understand my interest in fragrance. Also, there is such little availability for fragrances here- especially niche probably due to the fact that there just isn't a market for them.
It does have its upsides though, I can wear ADG and not smell like anyone else
"Facts do not cease to exist because they are ignored."
23 going 24!
Current Top 5:
1. Frederic Malle L'eau d'Hiver
2. Tom Ford Noir de Noir
3. Dior Homme / Dior Homme Intense
4. Thierry Mugler A*Men Pure Havane / Pure Malt
5. Creed Aventus / Tom Ford Tobacco Vanille
27, but I act like I'm 11.
I'll be 17 in just over a week
24 years and I haven't bought anything since April.
37 here, but mentally stuck in my 27s!
SOLOMON saith: There is no new thing upon the earth. So that as Plato had an imagination, That all knowledge was but remembrance; so Solomon giveth his sentence, That all novelty is but oblivion.
29 here - and no, I don't accept that I am becoming 30 in few months! LOL


text:
Dollar and Yen Make Most of Downbeat Data
NEW YORK—The dollar and yen piled on gains against their rivals Tuesday as disappointing global economic data and renewed worries over fiscally stressed Greece triggered a flight from riskier assets.
Higher-yielding, commodity-backed currencies, such as the Australian, Canadian and New Zealand dollars, were among the biggest losers of the day as oil, precious metals and U.S. stocks all headed lower.
A gauge of U.S. consumer...


text: Poverty & DevelopmentMobile school helps Mumbai homeless Al Jazeera follows Rehana, a child living with her family on the streets of Mumbai. 25 Dec 2009 06:35 GMT | Poverty & Development, Asia The United Nations estimates that there are at least 140 million children living on less than a dollar a day in India, a large proportion of them on the streets of India's major cities. While education can be a way out of poverty, the United Nations Children's Fund believes that only about 60 per cent of children get the most basic primary schooling. Al Jazeera's Casey Kauffman travelled to Mumbai to meet one of the city's thousands of street children.Source: Al Jazeera


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Download Toddler Farm Maze apk 1.0.8 free for Android smartphone
Posted by TliTliTli Apps in Puzzle | March 9, 2015 | 5 Comments
Apk file size: 19.0 MB
Ad free maze game for children with hand drawn illustrations.
Toddler Farm Maze is a visual tracking app especially designed for toddlers and preschoolers, to develop concentration and visual focus.
- No language required
- No Ads (even in the free version)
- 3 difficulty levels (1, 2 or 3 line turns), so your child can grow with the game
- randomly generated maze lines for infinite gaming
- develops concentration and visual focus
- pretty hand drawn illustrations and soothing visuals for 2+ year olds
- farm animal sounds
- simple interface with childproof design
- optimized for tablets and mobile devices
- interactive reward
- sound button
The eyes and neck are the first body parts that develop control. Nuna the Sheep helps your kids improve their concentration skills, ocular motor control, scanning and visual perceptual differentiation. Developing these parts of the brain increases the overall ability to learn and grow.
How to play
Each farm animal has his own story board. Pick one of the animals to enter the maze game. Find the correct match by following the maze path. If you get it wrong, the path will highlight. So focus on getting it right.
If you experience any problems with the app or have any suggestions, feel free to contact us at [email protected], or on Facebook, facebook.com/TliTliTliapps
TliTliTli Apps part of our Puzzle and have average installs from 100 to 500. Last Update March 9, 2015. Google play rating is 90.7692. Current verison is 1.0.8. Actual size 19.0 MB.
Similar applications
5 Comments
Vera Olevskaya
Nice Very interesting puzzle for the little ones. My daughter loves it!
Great puzzle for kids! I love the smooth graphics, the characters are very cute! This is a nice puzzle for anyone really!
Master Jflow
Kids love it Nice and clean interface. Kids love it. Fun and educational.


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Vegetarian Stew
READY IN: 6hrs 25mins
Recipe by Studentchef
This is a nice fall stew for when the weather calls for something to warm you up inside. Since it's vegetarian and chock full of vegetables it can't go wrong for those seeking a healthier diet. What's also good is that you can take the peelings and use them to make your own vegetable broth or stock.
Ingredients Nutrition
- 2 cups apple cider
- 2 cups vegetable broth
- 3 cups butternut squash, cut into large pieces
- 4 red mcintosh apples, chopped into large pieces
- 3 parsnips, peeled, and cut into large pieces
- 3 celery, diced into large pieces
- 4 potatoes, peeled and roughly chopped
- 1 celeriac, peeled
- carrot, peeled and chopped
- 2 medium onions, chopped into large pieces
- 2 large garlic cloves, smashed
- salt and pepper
Directions See How It's Made
- Set a 4 quart crockpot on high.
- Add the ingredients and let it come to a boil. Set on low and continue to cook for 6 hours. Eat while warm.


text:
Personalized Baby in a Carriage Christmas Ornament - Boy
Shipping to Canada Available
Sale Price: $16.95
Regular Price $19.95
Need More Info? No Problem. Just Click "Ask A Question" Below and Submit Your Question. Previous Purchasers or Dibsies Customer Service will respond!
Peek-a-boo... I see you! Our cute and fun New Baby Ornament is a wonderful gift for the new parents. Having a new Baby this holidays deserves more than just a celebration, it is a blessing that you will be sharing with everyone. It is a keepsake for your little one that will last a long time. Celebrate the Holidays, with a Personalized Baby in a Carriage Christmas Ornament. Dibsies will add any name FOR FREE up to 9 Letters Max.
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Is 5'8 considered short for a guy?
I just want to know what women consider short?
- YesVote A
- NoVote B
Is 5'8 considered short for a guy?
I just want to know what women consider short?
Have an opinion?
I don't think so. Short is like... 5'4". Don't tie your life up in numbers. Just be the best you, you can be :)
US average is 5'9... So anything under that is short. Claiming that it's basically the same is like saying second place is the same as first.
You're the average height. I mean, I like guys around the range of 5'10" to 6', but really, as long as he's a good bit taller than me then I'm fine. I mean, I'm 5'2" so almost every guy is taller than me.
Third time I write this.
For those who didn't know, human world's average height is 5 feet and 3.7795 inches (162 cm) for both genders; 5 feet and 2.2047 inches (158 cm) for females; and 5 feet and 7.7165 inches (172 cm) for males.
Now, stop wondering if you are short, when your height is over the averages given. If you aren under those heights, then you can complain.
Nope, that's pretty average
It's the perfect height for me!
what height are you?
5'2 (filler)
considered short? its pretty normal.
Depends on your race. No, I am not trying to be racist. Race actually DOES play a role in height.
For white and black men, 5'8" would be considered below average. But for Latino and Asian men, that would be considered above average.
It depends upon the country...
But in most its pretty normal or average height...
Not tall and not short...
Pretty average to be honest.
Nah, it's okay and average. It's out of topic but I suddenly reminded that I have a 4'10 friend who dates 6'0 guy. Ridiculous.
If US average is 5'9", then I'm taller than average (6'1").
I'm taller than that and I'm shorter than most men. So that's a yes.
No, it's not.
that's like the perfect height in my opinion
I hope I can at least reach 5'7
I've always wondered about this, im 6'2, is that a good height? I guess its a decent bit above average.
The average height worldwide is 5'7 so you're above average!
You cannot undo this action. The opinion owner is going to be notified and earn 7 XPER points.


text:
|Find A Doctor:
|Online or call:1-800-247-9580
|Contact Us:
Cancer Types
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Morristown Medical Center
It's natural to feel a sense of urgency when diagnosed with breast cancer, but most doctors recommend that patients take some extra time to weigh their options and choose the treatment that's right for them. That's why the Carol G. Simon Cancer Centers have created a Breast Cancer Second Opinion Program that educates and empowers patients, so they fully understand their diagnosis and consider all possible care options.
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Newly diagnosed breast cancer patients, as well as those who may be facing a recurrence or entering another phase of treatment, are eligible for the Breast Cancer Second Opinion Program. Loved ones are also welcome to attend.
Please note that while most insurance companies extend coverage for second opinions, we recommend that patients check with their provider to verify the plan's benefits before scheduling an appointment.


text:
Southern California High Tech Event Calendar
|View By:
|View By:
|IEEE GameSIG Intercollegiate Computer Game Showcase
|Date: May 07, 2016
|Fifth Annual GameSIG Intercollegiate Computer Game Showcase to be held at the UCI Applied Innovation building beginning at 1:00 PM on Saturday May 7, 2016. Following the competition, there will be a reception with game demos from 4:00 to 6:00 PM. The Orange County Big Three Universities and many other local colleges and high schools will be competing. Submissions are open from 8:00 AM April 11th to 11:59 PM April 17th. Contact Dr. Don Black at email@example.com
|More information: mailto: email@example.com
|Download to Calendar


text:
Author | exchange4media Mumbai Bureau | Friday, Apr 02,2010 8:24 AM
The latest edition of Characters India Loves (CIL) has sprung a few surprises for the Hindi GEC environment. For the first time, across the three CIL tracks, negative characters have made it to the list of the top 10 most liked characters. While Ammaji ('Na Aana Iss Des Laado') and Tapasya ('Uttaran') share the rank at No. 7 with a 2.6 per cent share, Krishna ('Pratigya') makes it to No. 10 with a share of 2.4 per cent. Secondly, with Dharmesh (DID 2) coming in at No. 6 with a 3.1 per cent share, this is the first time that a contestant has rated higher than a jury member.
This time there has been an increased fragmentation in the likeability shares. Consequently, the share of the top three characters has dropped from 29 per cent in the last track (November 2009) to 16 per cent. While Anandi retains her hold on the No. 1 position, her share drops from 11.8 per cent to 6.9 per cent. Also, for the first time in CIL, Akshara gets displaced from the No. 2 position and is replaced by Sadhana with a share of 4.7 per cent.
Characters India Loves is a quarterly study to measure the popularity of characters on Indian television. The study has been created and conducted by Ormax Media. This edition reports the ranking of the 217 most liked characters across various channels on Indian television. The report also lists the top characters across gender, age, SEC and market segments. Further, a section of the report illustrates reasons for likeability of the top characters.
The third track for Characters India Loves was conducted during February-March this year. Interviews were conducted among 2,500 respondents (70 per cent females, 30 per cent males) in SEC ABC 15-44 years, across six cities – Mumbai, Delhi, Ahmedabad, Lucknow, Indore, and Jalandhar.
The top 10 characters are:
Programming HeadRadio Mango


text:
Dr. Sachin Kale
Knee Pain Treatment
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Acl Reconstruction Procedure
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Treatment Of Herniated Disc
Submit Feedback
Submit a review for Dr. R.N. Patil's Suraj Neurological & Multispeciality Hospital ( Suraj Hospital)Your feedback matters!
With the monotonous workimg shifts of 9-5pm, we often forget to take care of our back which is an integral part of our body. As per the statistics, nearly 65% of the working individuals or it professionals suffer from tremendous back pain (low back pain) being the commonest. It is seen in young as well as middle aged population who sit on a chair without a good low back support and work on their desktops and laptops which are not even at a good level of their eyes thus causing repetitive stress and strain in their eyes leading to low back pain and neck pain. The main reasons are unsupported sitting on the office chair, improper position of the laptop, not taking enough breaks in between work schedule, not drinking enough water to stay hydrated which provides good nutrition to the discs of our spine!
Follow this simple step to relieve the constant stress and strain on the back
1. Mandatory to take short breaks in between work to ease out the stress on the spine
2. Stand near the table/desk to perform back bending with hands behind the hips and gently bend your back behind without any jerks or discomfort. Move till the point of pain or discomfort and come back to your starting position. By doing so, you are reducing the pressure on your disc which is a red flag sign for spondylosis, disc herniation or other low back pain problems.
3. Hydrate yourself properly with at least 10-12 glasses of water daily in order to maintain the nutrition of the discs between the bones of the spine called vertebrae.
(this maintains the height of the vertebrae and does not produce friction between the two causing symptoms)
4. Always identify your symptoms like pain, discomfort, stress, tightness around the back, inability to do complete movements, stiffness, difficulty in walking or working on a laptop for long hours. Consult a physiotherapist for the same as exercises are the best way to heal any problem of the spine
Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-
- Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
- Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
- Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
- Opiates, for example, hydrocodone, for pain relief
- Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
- Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
- Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
- Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
- Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
- Exercise routinely to help you recover quickly.
- Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
- Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
- Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
- Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
- Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.
Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.
NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. "In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:
- Dural fibrosis
- Arachnoidal adhesions
- Muscles and fascial fibrosis
- Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
- Presence of Neuropathy.
- Multifactorial aetiologies of back & leg pain, some left unaddressed surgically.
EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.
Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding "Balloon Neuroplasty" to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers.
PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.
PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.
OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises.
DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used.
DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.
LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers.
SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments.
Joint pains can be a cluttered affair and believe it or not 9 out of the 10 cases have to live with the pain despite all the treatment options aiming to reduce the agony. There may be several instances where you might be coming across the term "joint replacement surgery". No, no need to panic! We are not living in the 1960's anymore. We are living in the age of cut throat medical innovations that is actually hard to keep up. To sum up in a layman's turn joint replacements have become as easy as dressing a wound. 90% of the cases are carried out within few hours and the patient is required to stay not more than a day or two at the hospital. the patients no longer have to dedicate a part of our lives for the recovery. Let us have an in-depth look at it.
One shouldn't wait for the condition of knee joints to get worse and visit a well-known orthopaedic and go ahead for the procedure. Since, it involves the portion of your knee cartilage or a portion of the joint being scrapped/cut to pave way for the artificial joint parts to be attached getting the best treatment is a must. So, make no mistakes!
Knee replacement has always been a complex procedure but with the advancements in the field, the process has become much more simple and easy. Discuss the procedure in detail with your doctor and also ensure that you choose a clinic with a good reputation for such a course of action. Joint replacements in today's time last much longer and with proper maintenance and care, they can in some cases, last for a life time.
Once you have decided to go for the treatment get a detailed list of activities that can be carried out for a speedy recovery. Usually, these would involve medications and physiotherapy exercises. Also, the recovery period is minimal and once completely cured, you can get back to normal day to day activities. Do note that you go in for an authentic and established replacement center and avoid falling prey to the fly by wire clinics that have mushroomed in every street corner. Also, ensure that you choose the procedure that fits your budget and insurance plan.
Joint replacement procedures usually do not require any maintenance and if needed you might have to go for regular checkups to make sure that the joints carry on well. Choose the best clinic for the replacements and live a healthy and fruitful life.
I am having legs and back pain only at night please let me know what's the cause I have alcohol daily at night.
After going through all types of treatment for Spur in the heel, I had to take 3 steroid injections in a span of 27 months. Still I have not been cured. Long distance walking is my hobby but I have stopped walking for long distances for the last 8 months. It has become depressing for me. Good shoes, avoiding meat, reduced Uric acid (5.3),all these not working. I have no Diabetes. I take Tetan Beta 50 daily I tab for BP. Now tell me how these steroid injection had negative effects on me? How can reduce it? Is these any solution to this problem of pain in the heel?
My mother's age is 48. Nowadays she feels pain in her leg. We did an MRI scan. It showed that the L4, L5 nerve is pressed from the bottom of leg to her waist. The doctor has suggested to admit her for 7 days on medication through injections and there isn't any need fir any operation. I request the learned people on this platform to suggest which treatment should we go with further for complete end to this pain? And if we should also consult an orthopedic doctor for this? Thanks in advance for the help.
Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to shoulder. Taking Ultracet SOS and tryptomer 20 mg at night. Pls advice duration of this pain and advice other effective medicine to recover from pain and herpes Zoster.
The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication.
While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones!
- The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
- Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
- Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
- Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
I am having low back pain - nerve stimulation pain (not able to sleep or sit) if I stand some relaxation. This is happening on and off multiple times a day Please advise me on the treatment.
A broken bone or a fracture can be painful and it requires medical attention for the fracture to heal properly. Proper healing is necessary for the right alignment of the bone. A doctor chooses to either reduce or set the bone in terms of new alignment. The bone reduction can happen manually or surgically depending on the severity of the injury. A Surgical procedure known as the open reduction internal fixation is performed for serious fractures. It ensures that the all the broken pieces are fixed together and the injury can heal properly.
Post the fracture, the bone need to be immobilised for proper healing. This is generally achieved by imposing a cast. For fractures that are not severe in nature, a doctor might choose to impose a temporary cast so that simple motion can happen around the site of the injury. For serious fractures, a permanent cast is placed around the injury site. In the case of a shoulder injury, a patient is required to wear a sling so that the bones are immobilised.
Time Duration of a Therapy Session:
While the exact duration of physiotherapy can vary from individual to individual, it takes a minimum of 2-8 weeks for the fracture to completely heal. Certain fractures take more time to heal. The rate of healing also depends on the severity of the injury, pain threshold level of the patient, extent of work with the physiotherapist, the robustness of the physiotherapy program, extent of the injury of the soft tissue and certain other factors. Typically shoulder and neck injuries heal quicker than a fracture of the legs. The time duration of fracture healing also depends on the type of bone that has been affected.
Physiotherapy in a Hospital:
If the fracture happens in the ankle or leg, a physiotherapist might have to intervene in the hospital in order to teach patient about using assistive devices such as crutches and cane. Things that are taught during this time include using the device in order to climb stairs, right walking posture, getting into a car, taking the device off while sitting and such other techniques.
Physiotherapy at Home:
Physiotherapy can also happen from home if the doctor specifically instructs to do the same. This is typically done for people where the condition is too serious to go outside and get the physiotherapy done. Certain weight bearing restrictions are imposed around this time. The training remains the same as in the case with a hospital.
In the Clinic:
Once the patient becomes mobile enough, a doctor might suggest a patient go to a clinic to get the physiotherapy done. A physiotherapist evaluates certain things such as pain, range of motion, gait, flexibility etc. of the patient before suggesting a certain exercise plan.
Adhesive capsulitis: an overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.
Factors leading to Adhesive capsulitis
- This condition is prevalent amongst patients of diabetes.
- Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
- Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.
How is Adhesive Capsulitis Treated?
There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:
- Physical therapy
- Heat
- Corticosteroid injections
- Anti-inflammatory medications
Surgery can be performed for patients who see no improvement after non-surgical measures are taken.
How is subacromial bursitis different from Adhesive capsulitis?
While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.
How is Subacromial Bursitis Treated?
Subacromial Bursitis can be treated in a number of ways, including:
- Avoiding activities that aggravate the problem
- Resting the injured area
- Icing the area the day of the injury
- Taking over-the-counter anti-inflammatory medicines
- What do you mean by rotator cuff tear?
Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.
What's the Treatment for a Rotator Cuff Tear?
As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:
- Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.
- Ice your shoulder two to three times a day to reduce pain and swelling.
- Perform range-of-motion exercises, if your doctor recommends them.
- Consider physical therapy to strengthen the joint.
- Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.
More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure.
Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.
Here are some common Ayurvedic remedies, which help reduce knee pain:
- Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.
- Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains.
- Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications.
- Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.
- Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.
- Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.
- Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
- Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.


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What goes up must come down. That was the mantra for Wall Street on Tuesday, as big gains achieved Monday were swiftly erased.
Stocks fell to session lows in the final hour. The S&P 500 was down 1.3%, the Dow Jones Industrial Average fell 1.1%, and the Nasdaq slid 1.5%. Benchmark indexes had surged more than 1% on Monday.
Likewise, crude oil gave back the majority of its gains from the previous day, as commodity traders grew impatient over negotiations among members of the Organization of Petroleum Exporting Countries.
"In order for oil prices to experience a sustained lift, traders will likely want to see indications that Saudi Arabia and other key actors are prepared to consider actual production cuts, rather than merely freezing production at levels that already outpace global demand," said Robbie Fraser, commodity analyst at Schneider Electric.
In a speech earlier Tuesday, Saudi Arabian Oil Minister Ali Al-Naimi dismissed the possibility of production cuts, instead arguing that by maintaining output, the market will rebalance over time as demand improves. Negotiations over a production freeze started last week as oil producers grapple with a global surplus. WTI crude fell 4.6% to $31.87 a barrel after jumping 6% a day earlier.
The energy sector was the worst performer in U.S. markets Tuesday. Major oilers Exxon Mobil (XOM) , PetroChina (PTR) , Royal Dutch Shell (RDS.A) , Chevron (CVX) and Total (TOT) were lower, while the Energy Select Sector SPDR ETF (XLE) fell 2.8%.
BHP Billiton (BHP) fell more than 5% after cutting its dividend for the first time in 15 years as profits declined. The mining giant had said that action would be unlikely six months ago, though a continued rough commodities environment had made it necessary. The company said it had suffered a $5.67 billion loss in the first half of its fiscal year.


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| About the International Excellence
in Retail Financial Services Awards 2017
The International Excellence in Retail Financial Services programme is the most rigorous, prestigious and transparent awards programme for consumer banking in Asia Pacific, Central Asia, the Middle East and Africa. We evaluate more than 250 banks in 42 countries in a thorough evaluation process.
The programme has been built on the premise that an outstanding institution in consumer banking demonstrates a long-term sustainable franchise, based on strong business processes that lead to a consistent and profitable performance. It recognises financial institutions for their vision, execution and market leading propositions that can make a real impact to the bank and its consumers.
Since 2015, we have established an audit-based approach in the evaluation process. This involves compiling completed submissions in a comprehensive data sheet where basic quantitative figures are collated and compared with peers in the industry. Some of the figures will be used to build a comprehensive analysis involving best practices and benchmarks that the industry can use on a generic basis, without compromising the confidentiality and competitive data. The programme also takes into consideration feedback from consumers in www.bankquality.com, a premier site that consumers can rate and submit comments of their banks. We encourage you to draw the attention of your customers to this site in order to gather their genuine feedback.
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The Asian Banker maintains a comprehensive library of data of all retail banks in the areas we cover in The Retail Banking Working Group (www.retailbanking.theasianbanker.com). It contains the profile of all the retail banks, data and trends in the industry, as well as case studies and interviews. It also includes templates and assertions that are rigorously tested and used to benchmark the industry worldwide. The Retail Banking Working Group has become an invaluable tool for decision makers and banks to stay ahead of the competition at all times.
With this in mind, we are able to focus on the changes in our yearly review without losing sight of the detailed profiles and players in the industry. Your completion of the audit report will ensure that any assessment we make will be based on the updated version.
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We will not only extend the coverage of new countries in the programme, we will also monitor global best practices more closely through the introduction of an international category for the product and special awards. This will allow us to expand our body of knowledge as well as provide case studies and benchmarks of leading global retail banks.
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