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A lingering cough or cold can be extremely irritating, but many of us are asking our GPs for antibiotics too soon, rather than waiting for the virus to run its course. Lisa Salmon visits the doc to find out more.
By Lisa Salmon
Coughs and colds are as common as Christmas trees at this time of year. But, while most people know exactly when they'll be taking the tree down, few appear to be aware of how long their cold should last.
Research by the Men's Health Forum indicates that, within four to seven days of having cold-like symptoms, both men and women tend to give up self-treatment and seek advice from a doctor.
This means many of us will be asking for antibiotics that we really don't need, rather than persevering with over-the-counter remedies, or waiting a little longer for the virus to run its course.
"The symptoms of common winter illnesses such as coughs, colds and sore throats can often last longer than people expect, but antibiotics aren't the right treatment for these conditions," says Sheila Kelly, chief executive of the over-the-counter medicines trade association PAGB (Proprietary Association of Great Britain).
Dr Maureen Baker, health protection spokesperson for the Royal College of GPs, agrees. "When it's a purely viral illness like most colds, flu, the winter vomiting bug and chicken pox, antibiotics will have no effect whatsoever," she says.
Of course, sometimes what starts as a cold can develop into something more serious - particularly for those who are already vulnerable, such as babies, the elderly, or people whose immune systems may be weaker due to other ongoing health conditions or treatments they're on.
And it is possible for a bacterial illness to develop on top of a virus - for example, somebody with flu may develop bacterial pneumonia - but this is rare.
"That's not the common course of the illness," stresses Baker. "The vast majority of people with a viral illness will have no bacterial complications."
Generally speaking, many of us underestimate how long the symptoms of common minor winter ailments can last.
According to the National Institute for Health and Clinical Excellence (NICE), it's not unusual for a cough to last three weeks, sinusitis can last two and a half, and a cold can linger for up to a week and a half.
Baker advises people check out the information on the NHS Choices website (www.nhs.uk) if they are unsure. "People should use their common sense - if symptoms are significantly worse than normal, or there are other symptoms that are worrying you, or you start to feel really ill, get more information or seek help," she adds.
People can make more use of their local pharmacists, too, who can offer advice on suitable over-the-counter treatments, especially if people are taking painkillers, such as paracetamol and ibuprofen, at the same time. Many non-prescription cold and flu remedies contain paracetamol too, which is why reading the labels is so crucial, to avoid potentially serious overdosing.
Leyla Hannbeck, head of pharmacy at the National Pharmacy Association, says: "Some people research their symptoms on the internet and believe whatever they read and start self-treating, which isn't the best way of doing things."
She points out that most pharmacies have a consultation room, or people can just pop in for a quick informal chat.
"It's not just about the condition, it's about other medications the person might be on," she explains. "Not all painkillers go together, and not all cough syrups go with particular medications, so it's important to have a discussion about it."
Here's an outline of what you should expect from winter ailments.
Typical symptoms include a blocked or runny nose, sneezing, irritated throat, cough, headache and general feeling of being run-down. Colds usually last four or five days but, like most viruses, occasionally they'll linger for a week or two. When the viral infection has settled, symptoms such as a cough or feeling congested may last for several weeks.
"In general, there's no need to consult a doctor unless people think they're becoming worse rather than better or develop new or worrying symptoms, like coughing up blood," says Baker.
Sore throat
The vast majority (more than 90%) of sore throats (pharyngitis or tonsillitis) are caused by viral infections and don't respond to antibiotics or other medication, says Baker, who advises that patients should rest, drink plenty of fluids and try throat sweets or hot drinks with honey and lemon.
Occasionally people have more severe symptoms, such as a very high fever, severe pain or difficulty swallowing - in which case a visit to the doctor is advisable. "It's perfectly reasonable for anyone with severe symptoms, or patients at greater risk such as the immunosuppressed, to seek medical advice," says Baker.
Many people mistake a bad cold for flu. However, as well as cold symptoms, flu typically also entails a sudden fever/high temperature, loss of appetite, sometimes nausea, general weakness and aches. People with flu may feel extremely unwell and unable to get out of bed.
So far this winter there haven't been a significant amount of flu cases - Baker says only Norovirus (winter vomiting sickness) cases have shown a slight rise above the seasonal norm.
Most people who have flu will begin to feel better after a few days, but some will react very badly to the virus.
"I don't class flu as a minor illness, even though most people will be fine," Baker stresses. "There's always a danger with flu that there isn't with a cold. If after two or three days people are starting to get worse rather than better, that's when it would be reasonable to get checked by a doctor. What we worry about is bacterial or viral pneumonia."
The majority of coughs, though they can sound awful and are extremely annoying to have, are not serious. However, a cough can persist for as long as three weeks - because although the infection may have gone, there could still be inflammation, or airways may have become irritated.
Coughs can sometimes be a sign of something more serious going on though - especially if accompanied by other worrying signs like blood and a tight chest. And coughs that get worse, rather than better, should be checked out by a GP too.
When to see a doctor
Though most of us can safely wait out or self-treat coughs and colds, Dr Baker says medical advice should be sought if:
:: A young baby is unwell and has a fever.
:: People have serious underlying conditions, or are more prone to getting a bacterial infection because of a weakened immune system, possibly because they're taking steroids or having cancer treatment.
:: Someone becomes very ill, with symptoms including very high fever, breathing difficulties and inability to take fluids, even if their illness originally started with mild symptoms.


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COMMITTED to fighting for Chris Judd and his Carlton teammates in what is shaping as a serious dispute with the AFL at the grievance tribunal over third-party deals, the AFL Players Association says the matter is a potential restraint of trade with implications for all players.
While there is no doubt Judd will continue receiving the estimated $200,000 annually for his work for major Carlton sponsor Visy, the AFL's sudden insistence that the sum be included in the club's 2013 salary cap has major implications for the Blues and the captain's teammates.
Ian Prendergast, the AFLPA's general manager, is dealing directly with Judd - who is in Arizona on Carlton's training camp - and said all parties were prepared to fight hard over the matter.
''Our strong view is that players have a legitimate right to earn income through these commercial arrangements, provided they meet the criteria set out under the rules,'' Prendergast told Fairfax Media on Saturday.
''So if there has been a shift in policy by the AFL it would be absolutely necessary for them to explain their reasons for that shift so it can be debated. We fully support the AFL's role in terms of it scrutinising these deals but in our view there has been no substantive changes made to the rules that should change the assessment of an agreement that had been approved previously.
''The AFL is at risk of being exposed to a challenge if they don't apply their rules in a reasonable way.
''We support Chris on the basis that we say his agreement satisfies all of the criteria under the rules and should therefore be approved.''
In the eyes of Judd, his manager Paul Connors, Carlton and the AFLPA, the decision of AFL football operations boss Adrian Anderson that the Carlton captain's Visy deal must be included in the club's salary cap is inexplicable.
The side deal with Visy, signed soon after Judd joined Carlton in 2008, has long been questioned but was approved as a legitimate third-party arrangement by the AFL. However, the club was instructed on October 22 that the sum must now be included in the Blues' salary cap, raising any number of problems for the club and its playing group.
It is understood Carlton is now working with the AFL's investigations manager, Ken Wood, to find a way to allocate some of the club's injury allowance from last season, to help cover the $200,000 promised to Judd by Visy for next year.
''It's certainly a concern of Chris','' Prendergast said.
''He doesn't want to be seen as affecting the amount other players are paid within his club.
''I know that he's the last person who would want this to impact on his teammates, so that's why it's important from the AFL Players Association's point of view that we ensure that the rules are being applied in a reasonable way.
''It's also very difficult for a club to plan for this … so for it [Judd's deal] to be rolled into the salary cap is quite an onerous obligation placed on them in terms of dealing with it from a compliance point of view.
''As well as assisting Chris and his management in preparing for any grievance that they lodge we'll consider whether it's necessary for the players association to issue a grievance against the AFL due to the potential impact on other players at the club [Carlton] and also in terms of the precedent that it sets for other independent agreements that the AFL assesses in the future.''
There are about 78 third-party deals lodged by players and clubs in the AFL. Judd's arrangement with Visy is by far the highest, and it's understood that the next level of deals is about $20,000 to $40,000. A third-party agreement of Geelong captain Joel Selwood's is also under scrutiny. Like Judd, Selwood is receiving advice from the AFLPA.

subset: commoncrawl


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The First Baptist Church of Chiefland's Huge Yard Sale is Friday and Saturday from 8 a.m. to 2 p.m.
An article in Thursday's Chiefland Citizen had the wrong days for the sale.
All proceeds benefit the church's food pantry.
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Last summer, I worked with the nice folks over at Hamilton Beach to help them launch a new bread machine with a gluten free bread setting—The HomeBaker 2 lb Bread Machine. They came to us for help with gluten free bread recipes and advice about gluten free baking in general. We also tested our mixes with the machine to be sure they would work before we embarked on this project. In return for our help and partnership, they gave me 3 of these machines to share with you guys! How cool is that??
I know bread machines seem like a throwback from the 80's and many folks still have one lying around in the garage collecting dust, but they have seen a resurgence in the last few years with people looking for ways to eat better and eat fresher.
Do you know how easy a bread machine is?? Seriously, you just put the ingredients in and press a button. Before you know it, you've got fresh bread and a house that smells like a bakery. It's the Crockpot of bread baking! I had sort of brushed them off as a another appliance to take up space in my kitchen, until I got one of these new Hamilton Beach machines to play with. It sat in its box for an embarrassing amount of time and when I finally pulled it out, it was with resignation. Ok, I have to use this so I can tell our readers about it. Let me tell you, after one loaf, I was hooked. Now I use it to make all sorts of things- like pizza dough. Just throw my ingredients in and come back in 90 minutes to wonderfully springy and perfectly risen pizza dough ready to be baked.
That's the cool thing about this machine- it has all sorts of great settings (did I mention gluten free??) and a handy delay-start so I could put the ingredients in on my way to work and come home to fresh bread! Another problem that it solved for me was the rising temperature. The hubs likes to keep our house just above freezing, which makes it difficult to get my dough to rise properly and this machine keeps the dough the perfect temperature for rising- so no matter how frigid my house, I can still get my dough to rise.
Ok, enough about how much I am enjoying this machine. Now for the good parts! How can you enjoy this machine?
Three winners will receive a brand new Hamilton Beach Bread Machine and their choice of either our Gluten Free Bread Mix Gift Set or our regular Bread Mix Gift Set. As an extra bonus- there's even a coupon inside for more of our bread mixes!!
How to Enter
It's simple, but because of the nature of this giveaway, I need to be strict. If you don't follow the rules exactly, I will not count you.
To enter, simply leave us a comment here, on our blog on this post, and tell us which gift pack you would like to win. That's it. Nothing fancy.
Most importantly: YOU HAVE TO ENTER HERE ON OUR BLOG- NOT ON FACEBOOK. I'll remind people to head over to our blog, if they enter on Facebook, but I won't be looking there to pick the winners.
Winners will be chosen using Random.org from all those who enter by 11:59 pm on Sunday, May 22nd, 2011. I will announce winners by May 31st. Unfortunately, we have to limit winners to residents of the United States (our apologies to our Canadian friends).
Good luck!
Want more information about this machine? Check out this site for great info.


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anon. Lynx Helmet
Pure design for the one track mind.
The women's anon. Lynx helmet features Endura-Shell construction for long-lasting durability and strength. Passive ventilation keeps goggles clear and maintains a balanced temperature all day long. The long-haired fleece liner and ear pads offer maximum warmth and moisture-wicking comfort that's silky to the touch.
- Weight: 520g
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Endura- shell two-piece construction features an injection-molded ABS exterior for long-lasting durability and ding-resistant strength. Built for season after season of knock-around wear and tear, this is the pinnacle in reliable protection.
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Passive ventilation channels integrated into the helmet draw fresh air in the front and pulls moisture out the back. These built-in channels help to keep goggles clear and aid in maintaining a balanced and comfortable climate all day long.
Long-Haired Fleece on Liner and Ear Pads
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Women's specific liner with a silky feel that won't pill, designed for premium warmth and comfort.
- Removable Goggle Clip
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anon. Warranty
All Anon products are backed by a one-year warranty from date of purchase. Anon helmets are also backed by a two-year crash replacement policy. Our W48 Warranty Program ensures that should you have a problem, we'll have your claim repaired or replaced and on its way back to you within two business days of receiving it.


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In her first postpartum outing, Hilary Duff, 24, stepped out in West Hollywood, Calif. on Thursday (March 28).
Sporting leopard-print skinny jeans, a blue blouse and platform sandals, the new mom was all smiles toting her iPad while making her way to a hair salon, sans her and hubby Mike Comrie and their 8-day-old son Luca Cruz.
Early Tuesday morning, the Duffster took to Twitter to reveal her newfound respect for motherhood.
"4 am…Sleepy eyed. Feeding baby..whew this job is no joke!," the Disney darling tweeted early that day.
"Luca fed! Mamma fed! Time to do it all again in 2 hours! Oh how life has changed! Lol In such a wonderful way :)," she posted the day before.


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Gibbs, George J. Promotional material - Preston, 'Tis Always Morning Somewhere', page 24. Other. UNSPECIFIED.
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|Gibbs, George J.; Heliochronometer; Harris Library, Preston; Sundials; Pilkington & Gibbs Ltd; Scientific instrument makers; Promotional material
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Editor's note: In last month's Practice Builder column, dairy nutritionist Steve Woodford, of Sheboygan Falls, Wis., discussed how he works with agronomists to improve feed quality at his clients' farms. The following article in the October issue of Dairy Herd Management is a logical follow-up to Woodford's column.
Getting a good crop of corn silage is no small feat, considering the synchrony of events involved.
Look at the agronomic aspects, including hybrid selection, planting date, plant density, row spacing, soil fertility, pest management, plant maturity and the weather, among others.
It used to be that a careful farmer could orchestrate these, but more and more farms are now hiring custom harvesters, which adds another element — and more uncertainty — to the equation. When the custom harvesters show up, they don't want to wait around; they want to take the crop, regardless of the moisture content.
Too much can go wrong. That is why it is important to get your nutritionist and crop consultant together in one place to plan for next year.
Different perspectives
It's the crop consultant's job to try to get the best yield and the best quality out of the ground. The nutritionist, meanwhile, takes what is grown and tries to make it work in a ration. But wouldn't it be better if they coordinated all of this ahead of time? Everyone's objective should be to feed the cows.
"That ground is not there to make silage; that ground is there to make milk," says Jerry Weigel, manager of nutrition and technical service for BASF Plant Science.
Maturity management
There are a number of places where nutritionists and agronomists can do a better job coordinating their efforts.
For instance, many farms aren't harvesting their corn silage at the proper moisture level. Forage crop consultant Ev Thomas, who spent many years at the Miner Research Institute in New York as vice president of agricultural programs, says he sees it all of the time: Too many farms are harvesting corn silage that is barely at 30 percent dry matter or even in the high 20s.
Instead, the crop should be harvested at a minimum of 32 to 33 percent dry matter if it is to be ensiled in a bunker silo, says Thomas, who now serves as a consultant with Oak Point Agronomics in Hammond, N.Y.
There is a significant quality difference between corn silage harvested at 30 percent dry matter versus 35 percent, he points out. The edge definitely goes to the 35 percent corn silage. The amount of grain on the plant increases very rapidly as it goes from 30 percent dry matter to 35 percent, he adds.
It is what Thomas refers to as "maturity management" — and definitely an area where the nutritionist and crop consultant can do a better job of coordinating their efforts.
For instance, the nutritionist is the one who looks at the feed analysis. He is keenly aware of the quality differences that can arise when corn silage is harvested at lower-than-optimal dry matter levels. Perhaps he can work with the crop consultant in the following manner:
Emphasize the importance, from a quality standpoint, of harvesting at the right maturity. Often, this can be equated to "milk per acre of corn silage harvested." And, it's also good to discuss net energy for lactation (NEL). If the corn silage is harvested early and has a low NEL of 0.65 Mcal/lb (versus 0.76 or higher), the farm may have to buy extra grain to make up for the energy deficiency.
Along with the crop consultant, advise the farmer to choose hybrids that have the right maturity characteristics for the farm's management.
Once the corn is planted and making good progress, pay attention to when it reaches the silking stage. Roughly 42 to 47 days after silking, corn silage will be ready for harvest, according to Joe Lauer, extension agronomist at the University of Wisconsin. But don't base it solely on that; the crop still needs to be tested for dry-down, he adds. It's just a rule-of-thumb that 42 to 47 days past silking is when the corn kernels reach the half-milk line, and that is roughly the time to start chopping. At the very least, it can give the farm an estimate of when the custom harvesters need to show up. Further updates can be provided as dry-down progresses.
If the corn is still too wet when the custom harvesters show up, you can raise the cutter bar on the chopper and maybe gain two to three percentage points on dry matter, Lauer says. That's because the upper part of the plant is typically the driest.
Maybe the problem is at the other end of the maturity spectrum — people waiting too long to harvest. Steve Woodford, a dairy nutritionist in Sheboygan Falls, Wis., often hears producers say "no, I have not cut alfalfa yet as I don't see buds" or "no, I have not chopped corn silage yet, it looks too green." Ultimately, many producers wait too long. So, Woodford will remind them the following spring what consequences that had on feed quality.
Other considerations
It's more than just maturity, points out Mark Schultz, sales agronomist for BASF Plant Science. Getting a good crop also involves choosing hybrids with the right input traits, such as herbicide resistance and pest resistance. These can influence crop yield and quality.
Schultz says he saw a surprising amount of corn borer damage while on a silage tour in Pennsylvania and New York this past August. That damage could have been avoided by choosing hybrids with resistance to corn borers. Meanwhile, quality has been compromised and the nutritionist will have to deal with that.
In that case, the nutritionist may want to have a say in next year's hybrid selection.
Make sure his voice is heard.
Again, members of the management team shouldn't just be seeing plants in their minds; they should be seeing the amount of milk that can be produced from those plants.


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Theres another article on RealGm about how Peja isn't going to let this trade demand go, etc.
Who here thinks he actually is going to get traded from the kings at all? I'm starting to think not.
And I like it, I'm tired of all these trade demands, players need to suck it up, unless they're coming to Indy.


text: I just filmed this in a field earlier today. I'm interested to here what I could do to improve my form/distance. The wind was very calm, so it was not really a factor. The discs I threw in order are: Beat esp surge(380 ft.), Two Champion Archons(390ft), Pro Destroyer on a hyzer(350ft.), Two.Glow Gazelles(340ft) on slight hyzers. Any advice is encouraged. I'd love to hear what I should work on. I'm happy with my distance, but I know I could push it more, and I already have over the past couple months. I also had a throw that I felt I griplocked, but it went 405 with the archon across the football field and into the baseball field. That one was not on camera, but it trailed off right more than I would like.


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No. of acres: 17
No. of units:110 condominiums, 70 single-family houses
Height: 30 feet for houses, along California Avenue; 35 to 50 feet for two condo complexes at the back of the property
Parking: Houses have a two-car garage and driveway; condos have two spaces each underground.
Features: Designs will be compatible with adjacent neighborhood.
Who will live there: Stanford faculty and staff
Construction timeline: Mid-2014 and continuing for 22 months
2450-2500 El Camino Real
No. of acres: 1.8
No. of units: 70 below-market-rate units
Height: Tiered three and four stories
Parking: Parking lot in the rear
Features: Partial glass front that looks into an inner courtyard; 7,000 square feet of retail space and nonprofit services for tenants
Who will live there: Very-low and low-income residents
Construction timeline: Starting in mid-2014


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Conservative News Update:
I saw this report on Fox News and it should send chills up your spine.
Liberals are the intolerant monsters that they accuse everyone else of being. The teachers behind this censorship need to be fired, but they will probably be protected by the left wing unions.
This is not only censorship, but it is brainwashing these kids to cleanse their religious beliefs. The censorship of Communism is already here.
Reported by the Washington Times
The children at Ralph J. Osgood Intermediate School did not sing the lines "round yon virgin, mother and child," or "Christ the Savior is born," a local station reported.


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It's time to step back and take a look at the bigger picture in the S&P.
Let's start with a weekly chart with a peek at the symmetry that had suggested at least a minor correction in the middle of September. If you are new to my work, the definition of symmetry as I relate it to the markets is similarity or equality when comparing swings in the same direction. I often find that these symmetry or 100% price projections of prior swing will often provide key support or resistance in the market.
On the weekly chart below, note that the September highs were made after an important extension from the June 4 low was made on the upside along with the 100% (symmetry) projection when comparing a major swing on this weekly chart. Note that the October 2002 low to the October 2007 high lasted 807.46 points basis $SPX cash. Then look at the March 2009 low to the September 2012 high, which lasted 807.72 points. This type of projection is also known as a measured move. Since mid-September we have experienced a decline that is similar to some of the larger declines seen on the weekly chart. Let's take a look at those next as they will help us define some areas for possible support on the way down.
Some of the prior declines seen since the March 2009 low was made were: 277.06, 208.69, 155.94, 134.00 and 155.64. The most recent decline so far has been 126.46 so far. This is similar to the 134-point swing down. Besides, this projection that we are on top of, there is also an overlap of a .618 retracement back to the June 4 low along with a 1.618 extension of another swing. This indicates potential support at the 1340.51-1348.39 area that we are currently testing. Below this there is another price cluster zone that stands out at the 1318.87-1325.93 area.
Now, besides support there are a couple of timing parameters that are also suggesting a tradable low in the next few sessions. Let's take a look at timing on the daily chart next.
Besides the weekly/daily price support decisions that are coming up, I am also looking at a couple of key timing parameters that could terminate the decline at least temporarily. One of the main cycles is the 618 retracement of the June 4 low to the Sept. 14 high, which comes in on Nov. 19. The second is the 100% projection in time of the April 2 high to the June 4 low, which lasted 43 trading days which comes in on Nov. 16. As of Nov. 15 we were 42 days down from the Sept. 14 high, which is very similar.
Bottom line, all these factors that are coming together at this time are suggesting at least a corrective rally in the coming sessions. I will be watching to see if any of my buy triggers fire off between now and early next week.


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Dollar General fined tuned its full year sales and profit forecast following better than expected third quarter results that also flashed a few warning signs.
Third quarter same store sales at Dollar General increased 4% thanks to a blend of increased customer traffic and average transaction size while earnings per share of 62 cents were two cents better than analysts forecast. Total sales increased 10.3% to nearly $4 billion and profits increased 21.6% to $208 million. The store base swelled to 10,371 units as the company has opened 479 stores so far this year and is on track to open approximately 625 stores followed by 635 new units next year.
Dollar General chairman and CEO Rick Dreiling characterized the performance as solid, even through it wasn't solid enough to bring the company's full year profit outlook up to the level forecast by analysts.
"Dollar General delivered another solid quarter, and we expect to continue building on our strong track record of success," said Rick Dreiling, chairman and CEO. "Our same-store sales increased 4%, on top of a 6.3% improvement in the third quarter of 2011 for a two-year stack of 10.3%. We had great financial performance across key metrics. Based on these results, we are now forecasting our full year adjusted earnings per share to be in the range of $2.82 to $2.85."
The upper end of that range remains a penny below analysts' consensus estimate as the company simply brought up the bottom end of the range from $2.77 to $2.82. The same was true of the comp forecast. Dollar General tightened its full year comp forecast to a range of 4.5% to 5%, despite forecasting a fourth quarter increase in the range of 3% to 4%. The company had previously said its full year comps would increase in the range of 3% to 5%, but that range was narrowed to 4% to 5% when second quarter results were announced in early September.
While the 4% third quarter increase was within the company's narrowed forecast range, it was well below the prior year increase of 6.3% and also marked a sequential deceleration from the 5.1% comp increase in the second quarter. A similar situation is shaping up for the fourth quarter where Dollar General's forecast range represent further sequential deceleration and is well below the prior year's fourth quarter comp increase of 6.5%.
The company's sales continue to be driven by growth in consumables with the most significant third quarter growth coming in candy and snacks and perishables areas. The company also reported that sales growth in home and seasonal categories, as well as certain basic apparel departments, was strong while sales of hanging apparel were weak.
"Although our performance over the Thanksgiving weekend and start of the holiday season has been encouraging, we continue to be cautious for the remainder of the year," Dreiling said. "We are facing a significant same-store sales comparison from our 2011 fourth quarter, which included very strong January sales, growing near-term pressures that are impacting our customers' confidence and spending, and a challenging competitive environment. Dollar General is keenly focused on our ability to capture market share, build and maintain customer loyalty and deliver strong financial returns that support our sustainable growth for the long term."
The company's operating margin rate expanded to 9.1% from 8.6% during the third quarter as a 10 basis point decline in gross margins to 30.9% was more than offset by an expense rate that fell to 21.8% of sales form 22.4%.
The company said the expense rate reduction was partially due to ongoing benefits of a workforce management system and a decrease in incentive compensation. That combination is potentially troubling from a longer term standpoint. Dollar General's expansive network of small stores are already thinly staffed which suggests there is little room for a workforce management system to extract further productivity gains without negatively affecting customer service, turnover and shrink levels. Coupled with the fact that incentive compensation declined it doesn't sound like a favorable environment in which to recruit, retain and engage front line employees needed to facilitate what is expected to be another year of record growth in 2013.


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ASCO Annual Meeting
June 1, 2014
Results from a new study led by the National Cancer Institute suggest that adding chemotherapy with the drug docetaxel (Docefrez, Taxotere) to standard hormone therapy lengthens the lives of men newly diagnosed with metastatic hormone-sensitive prostate cancer. Metastatic cancer is cancer that has spread to other parts of the body, and hormone-sensitive prostate cancer uses male hormones called androgens to grow. Hormone therapy, also called androgen deprivation therapy (ADT), lowers levels of androgens in the body, which helps to slow or stop cancer growth. However, it eventually stops working to control cancer growth for most men. This is usually when chemotherapy is given.
As part of this study, 790 men newly diagnosed with metastatic hormone-sensitive prostate cancer received either ADT only or ADT with docetaxel. About two-thirds of the patients participating in the study had high-extent disease, which means that the cancer had spread to major organs and/or to multiple bones. When the disease worsened, men who received ADT plus docetaxel were given additional docetaxel, and men who received only ADT were given docetaxel for the first time.
Overall, researchers found that the men who initially received ADT and docetaxel lived about 14 months longer than those who initially received only ADT. They found that the difference was even larger for men who had high-extent disease, with those who initially received ADT plus docetaxel living about 17 months longer than those who initially received ADT only. In addition, adding docetaxel earlier on kept the disease from worsening for longer. It took about 13 months longer for men who initially had ADT plus docetaxel to experience symptoms of the disease worsening or new areas of cancer spread when compared with men who initially received only ADT.
What this means for patients
"Hormone therapy has been a standard treatment for prostate cancer since the 1950s," said lead study author Christopher Sweeney, MBBS, a medical oncologist at the Lank Center of Genitourinary Oncology at the Dana-Farber Cancer Institute in Boston, MA. "This is the first study to identify a strategy that prolongs survival for men with newly-diagnosed metastatic prostate cancer. The benefit is substantial and warrants this being a new standard treatment for men who have high-extent disease and are able to have chemotherapy."
Questions to ask your doctor
- What type of prostate cancer do I have? Is it hormone sensitive?
- Has it spread to other parts of my body? How does this affect my chance of recovery?
- What are my treatment options?
- What treatment do you recommend? Why?
- What are the next steps if the first treatment stops working?
For More Information
Hormone Therapy for Advanced Prostate Cancer


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Hello all,
I'm from Dublin, Ireland. I just signed up and wanted to say hello. I'm an Unsui at Treeleaf Sangha. I was ordained by Taigu Turlur at the end of Treeleaf's first winter retreat in Belgium, in December 2011. I took Jukai with Paul Haller Roshi of San Francisco Zen Centre in 2010. I started a daily practice in the late 1990s, with the Friends of the Western Buddhist Order, before sitting with Tibetan groups here in Ireland. Finally I decided that Zen was my way ... and that is the path that I am walking.
Deep bows all,
Greetings from Dublin!
Introduce yourself to others at Dharma Wheel.
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Re: Greetings from Dublin!
tad etat sarvajñānaṃ karuṇāmūlaṃ bodhicittahetukam upāyaparyavasānam iti |
Flower Ornament Depository (Blog) Exploring Classical Chinese (Blog) Dharma Depository (Site)
Flower Ornament Depository (Blog) Exploring Classical Chinese (Blog) Dharma Depository (Site)
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- Site Admin
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Re: Greetings from Dublin!
Welcome Myozan!
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~ Gassho
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text:
Stability, speed, and incredible turning ability
Helps you advance to the next level
ARC fin
Force plate bindings
One of the greatest shapes of all time is reincarnated in the O'Brien Seven Water Ski! Famous for its stability, speed, and incredible turning ability, the Seven Ski has been improved with the latest materials and manufacturing processes. Perfect for everyone from beginners to shortline skiers, this tried-and-true design helps you advance to the next level. ARC fin. Pro Wing foil not included.
The O'Brien Force Ski Bindings are lightweight and durable. Force Bindings feature an integrated heel liner that makes it easy to get into and out of. Men's sizes: XS/S(4-7), M/L(8-12), XL/2XL(10-14).


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Some Plays for the Last Session of the Month
We're now winding down another month -- and, with the last trading day coming before a weekend, I expect a decent amount of action early in the session Friday. However, I anticipate the second half of the session to come in light, with a fade against whatever direction we see in the morning. Friday may be a decent day to pursue some pin plays, but I will look to keep them on the small side, as the politicians have been jerking this market back and forth in the middle of the session every day, or so it seems.
Ulta Salon (ULTA) is one of those earnings names I can't seem to get right on direction. The problem seems to be that I don't agree with the valuation very much, so I tend to have a bearish bias on it. I think there is a decent opportunity here, though, given the time frame for the December expiration and the stock here....223 more words left in this article. To read them, just click below and try Real Money FREE for 14 days.
There's no substitute for a trading floor to get great ideas, so Jim Cramer created a better one at Real Money and blogs there exclusively. We then added legendary hedge fund manager, Doug Kass, with his exclusive Daily Diary and best investing ideas. Staffed with more than 4 dozen investing pros, money managers, journalists and analysts, Real Money Pro gives you a flood of opinions, analysis and actionable trading advice found nowhere else, and allows you to interact directly with each expert.
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text:
Dear Back Of A Gourmet Potato Chip Bag,
Help! My kitchen is turning into an Internet café. My husband and kids have started to haul out their laptops right at the breakfast table, checking their e-mail or finishing up homework before we all rush off in the morning. I admit that breakfast isn't an elaborate affair around here, but what happened to sitting down to a nice meal together? What's your opinion?
Irked In Irvine
Dear Irked,
Take a moment to savor the delicious taste of Crackle Creek Farms old-world-style kettle chips. What makes them so good? Ever since my great-grandfather, Cyrus P. McVitty, brought the secret of taterliciousness to America from Bremen town way back in 1912, we've made them the very same way he used to. They're thick-cut from the finest Water Gap russets, hand-salted by master chipsmen, then slow-cooked using our special family recipe until they're good through and through. I'm fully confident you'll enjoy them. That's why you have the Crackle Creek Farms Quality Guarantee Seal right on the front of every bag. If our potato chips aren't the best you've had, my name isn't Kevin J. McVitty.
Dear Back Of A Gourmet Potato Chip Bag,
Boy, am I steamed. My dry cleaner ruined one of my favorite blouses. Of course, he pointed to the "not responsible" clause on the ticket, but as a longtime valued customer, I think the shirt should be replaced out of common courtesy. My friend says I'm making a big deal out of nothing, but I think it's downright crummy of them not to at least offer a discount on future cleanings. Should I consider taking my business elsewhere, or am I overreacting?
Miffed In Middlebury
Dear Miffed,
According to legend, the Milwaukee potato chip was born in 1854 when steamship captain and restaurant patron Heinrich Van Der Linus sent his fried potatoes back to the kitchen, saying they were too thin and salty. Annoyed, the chef hacked a baking potato with his wife's pinking shears, tossed the angular chunks into carefully spiced saffroot oil, and fried them to a crisp... and the Munchwaukee Wunderkrunch was born! Since 1996, our family has strived to recapture that spirit of adventure in every bag of our Munchwaukee Wunderkrunches. By using only all-natural ingredients, hand-stressing every batch, and testing at every stage, we ensure that the quality and taste of the original live on. Enjoy.
Dear Back Of A Gourmet Potato Chip Bag,
My husband and I are in the midst of planning a family vacation for this summer, and we were thinking of inviting a group of my son's friends to join us. Troy has leg braces, and many of his friends have minor physical disabilities, as well. Any suggestions for great historical destinations that would be fun and accessible for special kids with special needs?
Planning In Plano
Dear Planning,
When Ellie founded Ellie's Chips more than 25 years ago, she wanted to bring her ancestral Lithuanian cooking secrets to the people of the Taos area. She succeeded beyond her wildest dreams! Now, the folks here at the Desert Bloom Chip Foundry salute her achievements with the new Ellie's White Chili Earth-Apple Crisps. Only the finest native hybrid white chilis are hand-infused into the robust Cossack Golden potatoes. Then, they're slow-cooked in loom-pressed flaxseed oil and mineral water, and suffused with cilantro, sea salt, and peppercorns. Finally, they're sent to our quality-control specialists, who personally inspect each and every chip for imperfections. The handful of chips good enough to pass muster emerge into the light as our clean, clear, spicy Earth-Apple Crisps. Sure, they might take a little more time and cost a little more than ordinary chips, but we think you'll taste the difference in every bite. We know Ellie would approve. We hope you do, too.
Confidential To Lonely In Lodi:
Includes: Select Potatoes, Vegetable Oil(s): (Sunflower, Canola, Cottonseed, Corn/Cottonseed, Corn, Expeller-Pressed Oleic Canola), Salt, Sugar, Dextrose, Barley Malt, Citric Acid, Spice, Spice Extracts.
Gourmet Potato Chip Bag is a syndicated advice columnist whose weekly column, Ask The Back Of A Gourmet Potato Chip Bag, appears in more than 250 newspapers nationwide.


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This event, organized by the International Energy Agency's Renewable Energy Working Party, will address challenges related to the expansion of the renewable energy sector, as well as the need for policies and markets to evolve in order to provide the conditions necessary for increased investment in the sector. The workshop aims to identify concrete steps which can be taken by industry, governments and international organisations towards these ends.
date: 27 March 2012 location: Paris, France contact: Hanneke Vankleeff e-mail: firstname.lastname@example.com www: http://www.iea.org/work/workshopdetail.asp?WS_ID=559


text:
Boeing Balked at FAA Review of 787
U.S. regulators Friday began a comprehensive review of the design and assembly of Boeing Co.'s new 787 jet, a move initially resisted by the company, according to people familiar with the matter.
Regulators reiterated that the aircraft remains safe to fly despite recent electrical and other technical problems.
In an unusual move, Friday's news conference announcing the review was attended by Ray Conner, president of Boeing's...


text:
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Started this discussion. Last reply by Glen Gallo Feb 26, 2015. 5 Replies 0 Likes
Hi,I have some friends that recently purchased a home in the pacific northwest. Apparently there is a lot of iron in the water and they're looking for a whole home water filtration system to protect…Continue
Welcome to Home Energy Pros! Feel free to join the conversation in the Forum and Groups. And share your energy efficiency photos, videos and upcoming events. If you're blogging about home performance, this is the place for you!
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text:
The Rep Presents HOW THE WORLD BEGAN, 1/16-2/24
Religion and science collide in playwright Catherine Trieschmann's How the World Began, a visceral examination of the way in which we navigate interpersonal relationships involving seemingly irreconcilable beliefs - and just how hard it is to truly listen to one another in an increasingly polarized world. Looking to rebuild her fractured life, high school biology teacher Susan relocates from New York City to a small Kansas town reeling in the aftermath of a devastating tornado. Ready for more than a little culture shock, Susan finds herself unprepared for the firestorm that engulfs the town after she makes an off-hand comment about the origin of the universe. Rep Associate Artistic Director Brent Hazelton, who directed last season's Stackner Cabaret production Song Man Dance Man and wrote and who directed the smash-hit Liberace! the previous season, will direct the play. The production features Rep Associate Artist Deborah Staples and as well as features Ben Charles and Marty Lodge, both making their Rep debuts. How the World Began runs in the Stiemke Studio from January 16 - February 24, and opens on Friday, January 18.
"We live in a society that is growing more stringent in terms of how we express our views," says Artistic Director Mark Clements. "If the play contains a lesson, it is to ask us to listen to the other side - to remember that nothing is ever as black-and-white as we might think, and that we could all become more well-rounded individuals by being more tolerant of those who hold opposing viewpoints."
Director Brent Hazelton had this to add: "How the World Began is a terrific new play that gets right to the heart of one of the problems plaguing our society today - the inability to have meaningful conversations and ultimately come to mutually-beneficial consensus around strongly-held, polarizing beliefs. It's an up-to-the-minute contemporary piece of theater that is fascinating, thought-provoking and ultimately heart-tugging."


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"Seeing her in that beautiful pink Chanel with bloodstains on it was unbelievably emotional," Lowe said in an interview on the set, briefly suppressing the accent he groomed to emulate JFK.
"It made it real," he added.
It also set the tone for filming of the movie, which profiles the Kennedy family and gunman Lee Harvey Oswald.
Filmed in Richmond, it premieres Sunday on the National Geographic Channel, several days before the 50th anniversary of JFK's death in Dallas.
The film, based on Fox News host Bill O'Reilly and Martin Dugard's book by the same name, chronicles the events that culminated with the assassination of the nation's 35th president on Nov. 22, 1963.
It carefully interlaces old film reels and TV broadcasts and delves beyond the details of that fateful day and the aftermath, showing viewers the intimate moments behind JFK's presidency as well as the tale behind Oswald.
Will Rothhaar, who took on a challenge portraying one of the most notorious killers in American history, said he attempted to convey Oswald's strife and frustration just to be noticed, heard or respected.
"Everyone thinks of him as this two-dimensional villain," Rothhaar said, adding that while viewers may not feel compassion for him, Oswald is certainly relatable.
Rothhaar stars opposite Michelle Trachtenberg, who plays Oswald's wife, Marina. Trachtenberg speaks mainly in Russian throughout the film, a language she learned from her mother while growing up.
Lowe said the opportunity to play JFK came with some responsibility to pay tribute to an historic figure whose legacy "belongs to all of us."
"There's a connection playing him that is certainly deeper than playing other roles," Lowe said. "My interest was in who he was as a man, as a father, as a husband, as a human being, and to try to inhabit that."


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Effect of the Etonogestrel 0.12mg/Ethinyl Estradiol 0.015mg Vaginal Ring on Vaginal Innate and Inflammatory Biomarkers
The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified April 2012 by Thomas Kimble, Eastern Virginia Medical School.
Recruitment status was: Recruiting
Recruitment status was: Recruiting
Eastern Virginia Medical School
Merck Sharp & Dohme Corp.
Information provided by (Responsible Party):
Thomas Kimble, Eastern Virginia Medical School
ClinicalTrials.gov Identifier:
First received: July 8, 2011
Last updated: April 23, 2012
Last verified: April 2012
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
It is not known if the use of NuvaRing® alters these innate and inflammatory biomarkers of inflammation.
The hypothesis is that NuvaRing® will alter inflammatory biomarkers of inflammation, such as vaginal defensin and cytokine levels, resulting in an overall anti-inflammatory milieu in the vagina.
Specific aims of this study are to:
- Determine biomarkers of inflammation, including defensins and cytokines, concentrations in women with normal vaginal flora (Nugent Score 0 - 3) before and after NuvaRing® use
- Determine changes in the integrity of cervicovaginal epithelium and leukocytic concentration before and after treatment with NuvaRing®
- Monitor for changes in the Nugent score before and after NuvaRing® use
- Assess the antimicrobial activity of vaginal fluid before and after NuvaRing® use
- Assess HIV infectivity ex vivo on biopsy specimens before and after NuvaRing® use
Methods This is a prospective, open-label, nonrandomized study. Participants will serve as their own controls. The Clinical Research Center of Eastern Virginia Medical School, Norfolk, Virginia, U.S.A. will be the only study site.
|Vaginosis, Bacterial
|Drug: Etonogestrel /Ethinyl Estradiol Contraceptive Vaginal Ring
|Phase 4
|Study Type:
|Study Design:
|Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|The Effects of the Etonogestrel 0.12mg/Ethinyl Estradiol 0.015mg Vaginal Ring (NuvaRing®) on Vaginal Innate and Inflammatory Biomarkers
Resource links provided by NLM:
Drug Information available for: Estradiol Ethinylestradiol Estradiol cypionate Estradiol valerate Estradiol acetate Estradiol hemihydrate EtonogestrelU.S. FDA Resources
Further study details as provided by Thomas Kimble, Eastern Virginia Medical School:
Primary Outcome Measures:
- Determine biomarkers of inflammation, including defensins and cytokines, concentrations in women with normal vaginal flora (Nugent Score 0 - 3) after 3 months of NuvaRing® use [ Time Frame: 3 months ]
Secondary Outcome Measures:
- Determine changes in the integrity of cervicovaginal epithelium and leukocytic concentration after 3 months of treatment with NuvaRing® [ Time Frame: Baseline and 3 months ]
|Estimated Enrollment:
|Study Start Date:
|October 2011
|Estimated Study Completion Date:
|March 2013
|Estimated Primary Completion Date:
|October 2012 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: Nuvaring
This is a single-group study in which data points after use of the etonogestrel/ethinyl estradiol vaginal ring will be compared to baseline.
Drug: Etonogestrel /Ethinyl Estradiol Contraceptive Vaginal Ring
Etonogestrel 0.12mg/Ethinyl Estradiol 0.015mg Vaginal Ring (NuvaRing®) for 3 months
Other Name: NuvaRing®
Detailed Description:
- To complete specific aim #1, the investigators will use commercially available elisa kits to measure human defensins, inflammatory cytokines, and anti-inflammatory cytokines in vaginal fluid washings collected before and after use of NuvaRing.
- To complete specific aim #2, the investigators will collect biopsies of the uterine cervix before and after NuvaRing use. Specimens will undergo histopathological measures for overall appearance, epithelial integrity, epithelial thickness, leukocyte infiltration, congestion, and edema. The investigators will quantitate the number of CD45+ and NFkB+ cells using immunohistology in the cervical epithelium.
|Ages Eligible for Study:
|18 Years to 45 Years (Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Women (age 18 - 45) interested in using NuvaRing® for contraception for 3 or more months, and women who are not at risk for pregnancy (i.e. abstinent, tubal sterilization, partner with vasectomy)
- Women with a normal menstrual cycle (21-35 days) for the past three cycles
- Women with normal pelvic anatomy (by physical exam)
- Negative urine pregnancy test
- Normal pap smear within the past 12 months
Exclusion Criteria:
- Pregnancy
- Current breastfeeding
- Less than 6 weeks post partum
- Current IUD or Implanon use
- Depot Medroxyprogesterone Acetate use within the past 6 months
- Current diagnosis of uterine infection
- Use of hormonal contraception within the past 30 days
- Current cervical dysplasia
- Chronic immune suppression
- Chronic use of immune suppressors such as steroids
- Chronic antibiotic use
- Diabetes or fasting blood glucose >105
- Hysterectomy
- Uncontrolled hypertension (systolic BP≥140/ diastolic BP≥ 90)
- Migraine headaches complicated by aura or focal neurologic deficits
- Menopause
- Standard contraindications to combined oral contraceptive use (thrombophilia, active liver disease, active deep venous thrombosis, history of thrombosis)
- Use of tobacco products ≥ 35 years of age
- Two or more symptomatic genital herpes simplex virus (HSV) outbreaks in past 12 months
- Human immunodeficiency virus
- Vulvovaginal candidiasis
- Trichamonas vaginalis
- Neisseria gonorrhea
- Chlamydia trachomatis
- Bacterial vaginosis
- Nugent scores of 4 or greater
- Use of any other study medication within the past 30 days
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01448291
Please refer to this study by its ClinicalTrials.gov identifier: NCT01448291
|Contact: Julia Caul
|United States, Virginia
|Clinical Research Center at Eastern Virginia Medical School
|Norfolk, Virginia, United States, 23507
|Contact: Julia Caul 757-446-5808
Sponsors and Collaborators
Eastern Virginia Medical School
Merck Sharp & Dohme Corp.
|Principal Investigator:
|Thomas D Kimble, MD
|Eastern Virginia Medical School/CONRAD
More Information
Keywords provided by Thomas Kimble, Eastern Virginia Medical School:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Iqbal SM, Kaul R. Mucosal innate immunity as a determinant of HIV susceptibility. Am J Reprod Immunol. 2008 Jan;59(1):44-54. Review.
Valore EV, Park CH, Igreti SL, Ganz T. Antimicrobial components of vaginal fluid. Am J Obstet Gynecol. 2002 Sep;187(3):561-8.
Fan SR, Liu XP, Liao QP. Human defensins and cytokines in vaginal lavage fluid of women with bacterial vaginosis. Int J Gynaecol Obstet. 2008 Oct;103(1):50-4. doi: 10.1016/j.ijgo.2008.05.020. Epub 2008 Jul 16.
John M, Keller MJ, Fam EH, Cheshenko N, Hogarty K, Kasowitz A, Wallenstein S, Carlucci MJ, Tuyama AC, Lu W, Klotman ME, Lehrer RI, Herold BC. Cervicovaginal secretions contribute to innate resistance to herpes simplex virus infection. J Infect Dis. 2005 Nov 15;192(10):1731-40. Epub 2005 Oct 13.
|Responsible Party:
|Thomas Kimble, Assistant Professor, Eastern Virginia Medical School
|ClinicalTrials.gov Identifier:
|NCT01448291 History of Changes
|Other Study ID Numbers:
11-01-FB-0003 ( Other Identifier: EVMS IRB )
|Study First Received:
|July 8, 2011
|Last Updated:
|April 23, 2012
Keywords provided by Thomas Kimble, Eastern Virginia Medical School:
Vaginal inflammation
Bacterial vaginosis
Nugent score
Additional relevant MeSH terms:
Vaginal Diseases
Vaginosis, Bacterial
Genital Diseases, Female
Bacterial Infections
Polyestradiol phosphate
Ethinyl Estradiol
Estradiol 3-benzoate
Estradiol 17 beta-cypionate
Estradiol valerate
Contraceptive Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Reproductive Control Agents
Contraceptive Agents, Female
Contraceptives, Oral, Synthetic
Contraceptives, Oral
ClinicalTrials.gov processed this record on September 21, 2017


text:
Answered By: Kathryn Park Last Updated: Jul 28, 2015 Views: 526
When on campus, go to the login page and try you COM ID and last name. If your COM ID number does not add up to 7 digits, put enough zeroes in front of the number to add up to seven. Example: 1234 would be entered 0001234.
If you get a new page that says "You're logged on!" You'll know that your record is current and you can access all our databases off campus.
If you get a page that says " Invalid COM ID - Last Name combination. Please try again," you'll know you need to Contact the library:
- call (409) 938-8448
- email firstname.lastname@example.com
You can get more info from our Find Articles LibGuide (link below) on the Off Campus Access tab.
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text:
Christine E. Henle
Assistant Professor in Mathematics
on faculty since 2012
Phone: 708.293.2157
Email: firstname.lastname@example.com
"After centuries of disagreements, many issues have been resolved globally in mathematics. There are very few questions and issues left in mathematics that would apply to the everyday world," said Christine Henle, professor of mathematics. "Obviously, in science, there are advances being made in the subatomic realm, and as such, mathematicians and scientists 'create' new math such as string theory to explain the science they are discovering."
Therefore, according to Henle, "students today need to learn how to handle mathematics, especially statistics, in such a way that honors God." Henle said, "Numbers themselves do not lie, but many people can manipulate numbers. Students need to learn numbers so that they can be wise as serpents but innocent as doves in this world."
Henle's take on mathematics in today's world is based on her own experience and education, including her time teaching at the school on board the MV Doulos, which was the world's oldest ocean-faring passenger ship.
"My perspective on instruction was definitely broadened. I learned about teaching methods and instruction in other countries as I used materials and spoke with parents and students from different nations," said Henle. "I learned how to teach a variety of subjects in mathematics, and I learned that students behave differently in different classes."
Aside from her time teaching and overseeing staff on the MV Doulos, Henle has served as both a high school and a university instructor. In addition to her degrees in math and math education, Henle has also completed coursework in chemical engineering.
M.S., University of Illinois at Chicago, Chicago, Illinois, 2000
B.S., University of Illinois at Urbana-Champaign, Urbana, Illinois, 1991
Courses and Publications/Research
Courses Taught:
- Algebra
- Advanced Algebra
- Business Math
- Calculus
- Finite Math
- Geometry
- Pre-calculus
- Statistics


text:
DEAR JOAN: Some cruel person let a small black kitty loose in my neighborhood up in the hills of Lafayette.
This little kitty, I suspect, might have been abused. It has taken him two months to come up to us at our back door. He is afraid when we approach him.
The kitty does not know how to drink water from a bowl or use a litter box. I would like to get him shots eventually. We already have animals, but I would like to let him sleep in a warm cat bed in our garage, but I cannot have him urinate or defecate on the garage floor as I do not own this house. He has had two accidents but I cleaned it up immediately with bleach. I Googled it, and it says to put some dirt in a litter box. I gently placed him in the litter box twice, but he won't use it.
It was 36 degrees up here the other night, and winter has not even arrived yet. How can I train him to drink water and use a litter box so he can stay safe and warm at night in my garage? He is a sweet little guy.
DEAR SHONNA: This little guy is lucky to have you, but I'm afraid you're going to have to give him even more attention than you already have if he is to make it. You'll need to spend time with him, which means you'll be spending time in the garage, or perhaps you have a room in the house you can devote to him.
Start with dirt in the litter box, since that's what he knows best, and gradually add litter. Put him in the box after a nap, after eating, or after play time. If you spot him going to the bathroom outside of the box, quickly pick him up and put him in the box. Don't scold him if he doesn't use the box. Praise him when he does. You should also leave a little of his poop and urine in the box as a reminder of what the box is for. Once he starts using it consistently, you can clean it regularly.
As for drinking water, if he was abandoned as a young kitten, he may not have had opportunity to lap water from a bowl. Obviously he must be getting fluid somehow.
Use a shallow bowl or saucer that he can easily lick to get water. Try wetting your finger and letting him lick the moisture off. You also could try a drip bottle, like the type used in hamster cages. He'll eventually get the hang of it.
It will take time to get him used to his new home and surroundings. Don't let him wander the neighborhood on his own — keep him inside, safe and warm and loved.
DEAR JOAN: We recently returned from a three-week Italy trip. My Prius was in our garage for this time. On a hot day last week, I turned on the air-conditioner and it didn't work. Lifting up the hood I found a nest of chewed insulation and wires. Repairs amounted to $4,300.
This happened to our son in Southern California in an open carport, but we can't figure out why this happened here and on a cold engine. Have you heard of this?
We are worried it will happen again. Someone suggested putting mothballs in the engine. Any other ideas?
Gerry R.
DEAR GERRY: Rats, mice and other little creatures like dark, warm places and apparently your Prius provided what they needed. There's no guarantee it won't happen again. Try making your garage more rodent-proof by blocking off entrances and setting traps, if you've a mind to. But don't toss any mothballs in the engine.
Some people suggest leaving the hood up and others say to fill a pan with mothballs and park over it. It's worth a try.
Contact Joan Morris at email@example.com; or P.O. Box 8099, Walnut Creek, CA 94596.


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The 240 page Limited Edition includes an additional 16 pages featuring extra work and biographies of the EXPOSÉ 4 award winners. It is exquisitely bound in leather with gold embossing.
Available to only 1000 customers each copy is individually numbered. You can build your personal library by selecting your own number.* Your Limited Edition also comes with its own certificate of authenticity.
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EXPOSÉ 4 Limited Editions can only be purchased from Ballistic Publishing. For only (USD) $145 you will receive the leather book with bonus material, certificate of authenticity and 12 FREE prints.
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Don't miss out, select your Limited Edition number today.
* Individual numbers subject to availability
Publication information
Pages (SC & HC: 224 / Limited Edition: 240)
Editors: Daniel Wade and Paul Hellard


text:
Topic: Meteor Shower
Wrote this at 1:30 AM after watching the meteor shower
For Doug:
Meteor Shower
Flash of light across the sky,
And then another as time goes by,
A message sent from you my dear,
Telling me you're always near.
For you are my shooting star,
Sending wishes from afar,
I reach for you in the night,
I tell myself it will be alright.
I hold back all the tears,
Along with all my fears,
Wishing for the night to turn to day,
And you will be back to stay.
To wrap me in your warm embrace,
And bring me comfort so I can face,
The days ahead with love so true,
Just the way we always knew.


text:
Nope, Maryland's separation from the Atlantic Coast Conference wasn't going to be smooth and gracious. Not exactly a wave of warm farewell and best-of-luck-in-your-new-home messages.
Lawsuits and countersuits, yes. Condemnation from fans, students, alumni and longtime observers of the school and the league, naturally. And ... a volley of trash talk from an unanticipated source. Sure, why not?
"I have a great deal of respect for Maryland," said a sour Mike Krzyzewski Saturday night, down the hall from thousands of fans still jostling on the Comcast Center court after the unranked Terrapins' two-point win over second-ranked Duke. He paused briefly, then added: "If it was such a rivalry, they'd still be in the ACC. Obviously they don't think it's that important, or they wouldn't be in the Big Ten."
Yes, there are hard feelings about Maryland leaving the conference to which it had belonged from its inception 60 years ago. And the injured parties are starting expressing it a year early, as the Terps don't depart for the Big Ten until 2014-15. But, just to add to the saltiness, Krzyzewski indicated earlier that the ACC was unlikely to schedule Duke at Maryland next season.
Even after the schedule became unbalanced when the ACC raided the Big East—er, increased its geographic footprint—Duke and Maryland always played home-and-home.
No Duke for you anymore, traitors.
That was unexpected enough. The hint of sour grapes, after an otherwise tough but not-unprecedented road conference loss in a notoriously hostile environment, was a bigger surprise. Krzyzewski publicly exuded mutual admiration for Maryland, even when the battles with Gary Williams' teams were at a boiling point.
It was all about breaking up the family.
Maryland still stands alone in the impact of its leap from one conference to another. Realignment is hardly meaningless around the rest of the country, but it's still the only school splitting from its home since the 1950s. The Big East might be coming apart at the seams, but it's been around only half the time the ACC has, and some of its departures hadn't been there a whole decade.
Maryland, though? Charter member. This was going to hurt. If it already hadn't become the ACC's black sheep, it crept closer to it than ever Saturday.
Ironically, Krzyzewski might have done Maryland a huge favor by going off-script. From the buildup to the likely final Duke visit as an ACC foe to the traditional start of the post-game stampede through the streets of College Park (not a riot this time, at least), the Maryland faithful had been bittersweet, at best, about the end of this era. At worst, they were hating their own school's administration worse than they'd ever hated Christian Laettner or J.J. Redick.
Based on the social media reaction to Coach K, Terp fans were briefly distracted from staring daggers at their own leaders and redirecting the glares to a more familiar, comfortable target. The fans' argument, of course, was that long-standing rivalries and passions shouldn't be thrown away just because a program can't manage its finances. Is that infusion of cash going to fill the building when Nebraska or Iowa come to town instead of Duke and Carolina?
Those are much tougher questions to answer than, "Is Coach K becoming a sore loser?"
For what it's worth, the not-too-subtle needle from Krzyzewski wasn't limited to his own program. His counterpart on the women's team, Joanne P. McCallie, dropped this bomb on her Twitter account earlier in the evening, while the men were toiling up in College Park: "What would all these venues do without Duke basketball? Sell fewer tickets, have less to dream about, & just melt away into oblivion. GoDuke."
After the loss, the tweet was deleted. The message it sent remained: We're Duke. You left us, not the other way around. Your loss.
Again, it was cold-blooded, especially coming from a coach who had only been in the league herself for six years. Not exactly cloaked in history there, Coach P.
On the other hand, it strikes a raw nerve among the very fans angered by it: Yeah, actually, we did leave you. We can't stand it. We feel like it's being forced on us. We are going to miss you all. If we weren't, why are we storming the court and running up and down Route 1 like lunatics again?
This is probably only the latest jab Maryland will hear, this year and next, in basketball and the other sports, as the official split draws closer. The post-partum pain felt by the ACC as one of its children exits will only increase. But at least Maryland knows what to expect now, and why.
Krzyzewski's words were harsh, and all things considered, unnecessarily petty and small. But they were also tough love. Maryland, you're not our rivals, and we'll hate not being your rivals anymore.


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'Prolonged exposure' therapy helps young victims of rape, Penn study finds
More than a decade ago, University of Pennsylvania researcher Edna Foa developed a therapy to treat post-traumatic stress disorder. "Prolonged exposure therapy" involves recounting the trauma.
Now, a new study published in the New England Journal of Medicine shows the treatment's effectiveness among teenage rape victims.
Initially, some mental health professionals worried the teens might not be able to handle revisiting memories of traumatic experiences.
Indeed, according to Dr. Steven Berkowitz, an associate professor of clinical psychiatry at Penn, the treatment is often hard for adults.
"The individual is asked to recall the traumatic event or events, and to rehearse them and to learn through processing and techniques such as relaxation and others to master their emotional responses to the event," said Berkowitz, director of the Penn Center for Youth and Family Trauma Response and Recovery.
"You're really forced in a way to review the traumatic event and learn to cope with it," he added
Women Organized against Rape partnered with Penn's Center for the Treatment of Anxiety Disorders for the trial in which 30 teens received supportive counseling while another 30 had prolonged exposure therapy.
Prolonged exposure was more effective, according to Carole Johnson, WOAR director.
"We use PE as our primary counseling modality and we've been using it for a long time. Every counselor who comes into WOAR, does go through the training provided by the Center for the Treatment of Anxiety Disorders," said Johnson.
"The key part of it is mastery, really going through the experience and being able to deal with the emotional aspects of it, the ones people are typically so afraid of," said Berkowitz.
"So it's not that we're asking people to forget about it, they don't. We're asking them to integrate it, without the emotional responses they [normally] have, [the] anxiety the fear," he said.
Prolonged exposure therapy has been used for adult victims of sexual assault and veterans, among others.
Support provided by


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|Trad, Alpine, 2000'
|R [details]
|Bill Wright and Mark Oveson
|New Route:
|Page Views:
|Submitted By:
|Mark Oveson on Aug 26, 2005
|Comments on Kasparov Traverse
|Add Comment
|Show which comments —
By Bill Wright
Sep 1, 2005
A trip report on this climb can be found here:
By Ethan Gutmann
From: Boulder, CO
Jul 6, 2006
rating: R
Great route. Lots more photos from a recent climb (July 2 2006) up at aster.colorado.edu/trips/kaspa... Unfortunately we had weather rolling in so we skipped the Rook, Black Knight, and Sceptor. But we'd love to go back and hit them all in style.
When we went down the couloir there was plenty of soft snow, and we slid the whole way down.
By Greg Sievers
From: Bozeman, MT
Sep 3, 2008
|8-31-08: climbed the north half of these. very enjoyable, very exposed. awesome and lofty exposure. Brian Verhulst made a novel FA variation to the Queen. if you've got a rack anyway, and were headed for the Rook, then you'll be stoked to do "Queen Reiche". its an off hands 5.10 crack on the right side of the south face of this feature. see pic.
By William Armstrong
Jul 24, 2014
|Do you have to climb each peak or could you skirt around some/all of them if desired? Is there a way to do this with only 3rd and 4th class climbing? Thanks.
By Mark Oveson
From: Louisville, Colorado
Aug 7, 2014
|William: climb all the summits, or none of them, or take the ones you like. All of them can be bypassed if the goal is simply to get from Shoshoni to Apache Peak staying near the ridge crest. But to say you have done the Kasparov Traverse, you have to climb the towers. :)


text:
Note: This item is more than seven years old. Please take the publication date into consideration for any date references.
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News Release
Media Contact: TPWD News, firstname.lastname@example.com, 512-389-8030
Sept. 7, 2010
Healthy Habitat Grants Available for Texas Schools
Student Projects Will Help Implement Texas Conservation Action Plan
AUSTIN — The call is going out to public and private middle and high schools and educational nonprofits across the state: Texas Healthy Habitats Grants of up to $10,000 are now available from Service Learning Texas, with applications due Sep. 30.
The grants will involve students in service-learning initiatives to improve or restore the natural environment, made possible with a donation from Encana Oil & Gas (USA), Inc. to the Texas Parks and Wildlife Foundation.
The grants program encourages students to partner with communities, Texas Parks and Wildlife Department (TPWD) staff and other experts to identify conservation needs and work together to come up with solutions. The students will address priorities in the Texas Conservation Action Plan (formerly Texas Wildlife Action Plan), a blueprint to aid wildlife and their habitats before they become threatened or endangered.
The program builds on an existing partnership between TPWD and Service Learning Texas, a statewide initiative of the Texas Education Agency and Region 14 Education Service Center. Service Learning Texas improves student achievement through service-learning, which integrates community service with academic success.
Eligible grant applicants include:
- public schools, open enrollment charter schools, and private nonprofit schools in Texas that serve youth in grades 5-12;
- 501(c)(3) nonprofit organizations in Texas that work with students in grades 5-12; and
- state or local agencies in Texas that work with youth in grades 5-12.
Applications for the grant competition are available in the 2010-2011 Docs & Info section on the Service Learning Texas Healthy Habitats webpage and are due by Thursday, Sep. 30. Applicants should consult with TPWD staff for assistance in identifying local environmental needs, examining issues and determining resources, and developing a plan. Applicants may apply for up to $10,000. Competitive preference will be given to counties in which Encana operates (Angelina, Denton, Freestone, Hood, Leon, Nacogdoches, Panola, Parker, Robertson, Sabine, Shelby, Tarrant, and Wise).
Applicants must also watch a recording of webinar on a the grant, and a link to the recording is posted on the Healthy Habitats page of the Service Learning Texas website.
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(5.4.16 i)


text:
Furnish your art studio or classroom with the highest quality, professional furniture and save with the best prices available all here at ASW! Become a member of our Wholesale Club and receive exclusive savings on all items and find the absolute lowest prices available. ASW is the only wholesale club for professional art supplies on the web and carries all the top brands on your favorite products at the lowest wholesale prices. It is the perfect deal for teachers, professional artists, students, businesses and studios who want to save on the finest art supplies and materials at discount low prices. Buy Big, Save Big, only at ASW!
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text:
Topic: Wife was diagnosed 2 months ago with unresectable cholangio carcinoma
i'm new here and hope to find support and info.........i feel so helpless...
cholangiocarcinoma.org :: Cholangiocarcinoma Foundation Discussion Board
a resource for patients, friends, caregivers and loved ones.
You are not logged in. Please login or register.
|La fundación de colangiocarcinoma (CCF) ahora ofrece servicios de traducción en Español.
Por favor publique sus preguntas en Español y un intérprete le va responder.
Join our new Mentoring Program
A new discussion board experience is coming this September!
After 10 years, we're upgrading our discussion board to a new modern system. The new forum will be easier to use, mobile-friendly and loaded with new features! We'll be taking all of the existing posts and users over to the new board, you won't have to do anything. If you have any questions, we've started a thread here to discuss.
Cholangiocarcinoma Foundation Discussion Board → Introductions! → Wife was diagnosed 2 months ago with unresectable cholangio carcinoma
i'm new here and hope to find support and info.........i feel so helpless...
Dear michaelchall,
So sorry to hear about your wife but please, don
Hopefully we can take some of the helplessness away, we are a very helpful and supportive group. If you have specific questions go ahead and ask. There are some people really in the know here, I think there are 5 or 6 here that are more in the know than my doctor!
I am sure you are being a complete rock for your wife, which can be emotionally draining. I didnt know how hard it was on the "healthy" one until my husband and I had a joint session with my psychologist and he broke down in tears over his fear of losing me. He is always so strong to my face. So, we all know that it is tough and if you just need to have a little rant or some encouragement we are here too.
Sorry you had to join our little club, but you did will not find a nicer group...too bad it is such terrible circumstances.
How is your wife doing? What can we do to help?
Hi Michael,
I know exactly what you are saying when you say you feel so helpless. I lost my younger sister to this terrible disease. I really wish I would have found this board, back when she was diagnosed. There is so much knowledge and support here. We didn't know where to begin when we heard the diagnosis. Stay strong for your wife, but don't forget about yourself. My thoughts are with you and your wife!
Hi, my relative is 3 years post resection but recently has experienced elevated CA19-9 and questionable shadow/soft tissue appearance on scan around the portal vein.
He does not want to do chemo/radiation and is going back on Vit C IV (which he had done post surgery.
I have been exploring other alternative approaches - one of which is feverfew which has been shown to promote apoptosis on cc cells.
Does anyone have any experience with this?
Hi Michael,
Sorry to hear about your wife. How old is she? The people on this board are the nicest people I've ever chatted with. They will not only give you their support, but they seem to have a wealth of information.
My thoughts are with you and your wife,
The information expressed is not medical advice. The discussion boards are not intended to replace the services of a trained health professional or to be a substitute for the medical advice of physicians or other healthcare providers. Read the full disclaimer.


text:
Andrex Classic White Toilet Rolls
£5.80 (24.2p per 100 sheets)
Product Summary
Andrex wants everyone to feel as clean as possible. Andrex Classic White is designed with this in mind and has a touch of cotton. It has the perfect balance of softness and strength to leave you and your family feeling clean and confident.
We recommend using Andrex Classic White alongside Andrex Washlets to help you feel cleaner and fresher than using dry toilet tissue alone.
The Andrex Clean Routine
1. Use 3-4 sheets per wipe
2. Wipe from front to back until clean
3. Use 1-2 Washlets to feel cleaner
4. Pat dry with toilet tissue
5. Always wash hands with soap
Please note that while we take every care to make sure the product information displayed on our website is correct, product recipes are regularly changed. This may affect nutrition and allergen information therefore you should always check product labels and not rely solely on the information presented here.If you require specific advice on any Waitrose branded product, please contact our Customer Care Team. For all other products, please contact the manufacturer.This information is supplied for personal use only. It may not be reproduced in any way whatsoever without the prior consent of Waitrose Limited nor without due acknowledgement.


text:
The death toll from 2011's cantaloupe-related listeria outbreak stands at 33 with confirmation from Montana officials that a 75-year-old man who died in January was infected.
"We finished the investigation July 18 and the CDC is adding him to the death toll," said Job Ebelt, public information officer for the Montana Department of Public Health and Human Services.
Some health officials said there is potential for additional victims to be identified now that a fifth listeria isolate is linked to the outbreak. A spokeswoman for the Centers for Disease Control and Prevention confirmed July 24 that the death toll is now 33.
Montana officials knew the man from Bozeman had eaten fresh cantaloupe in September 2011, so he was tested for listeria. They sent the results to the PulseNet database Sept. 17.
"CDC reviewed the patterns and compared them to the outbreak strains, and we received notice on Oct. 24 that the pattern did not match," Ebelt said, adding that until recently only four isolates were linked to the 28-state outbreak.
Meanwhile, in September 2011 Colorado officials were investigating dozens of cases linked to what turned out to be the contamination source — cantaloupe from Jensen Farms, Holly, Colo.
At one Colorado victim's house, investigators collected samples of whole and cut cantaloupe. However, the results from the cut cantaloupe were not uploaded to PulseNet, said Hugh Maguire, program manager for microbiology at Colorado's Department of Public Health and Environment.
"It wasn't uploaded because we couldn't guarantee the integrity of the sample," Maguire said. "We are changing our practice. Now we will provide all data, regardless of the source."
Maguire said there was no way to know where the listeria in the cut cantaloupe had oroginated. It was not among the four known isolates present in outbreak victims in Colorado. The whole cantaloupe in the home tested positive for three of the four known isolates, but not for the isolate in the cut cantaloupe.
Colorado investigators bought whole cantaloupes from stores near the victim's home to see if they could find any with listeria that matched the isolate found in the cut cantaloupe. They found none.
State and federal officials finally realized the isolate from the Montana man was the same one in the cut cantaloupe in the Colorado victim's home after Colorado officials uploaded the fifth isolate to the national database June 18.
An attorney working for victims and their families pursuing legal action against Jensen Farms requested "any and all" test results as part of the federal court case. Review of those results revealed the link between the Montana case and the fifth isolate found in the Colorado victim's home.


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Youtube channels mfranssila and channel lcgm8 especially seven drives with Avery Jenkins are a start for vids. lcgm8 has drive comparisons in slo mo in Tali Open 2009 and 2011 plus check put the goodies in the Scandinavian Open 2010. Check out Paige Pierce in President's Cup 2011.
Using feather light steps with each of them landing only on the balls of the feet (unless the final step is toe to heel to toe) should help with the rear heel being off of the ground. That may need more muscle tension in the plant of the x step in the calf. Sound funny feather light and more tension but it is doable. The lightness comes from gliding smooth motions not so much jerking accelerations and hopping up high and crashing down hard. The legs should glide low parallel to the ground for lightness of steps and the rhythm of the steps is a major part in form. Timing and stuff.
Beginning of understanding athletic position roughly according to David Feldberg: Stand with feet parallel on a line from the basket and jump up and turn 90 degrees to face the basket. The position you're at should be athletic position. But more suitable for putting than driving. Any athletic position should be balanced. It shouldn't be easy to push you to fall.
Stopping the arm drill: Standing back to the wall throwing arm raised to shoulder height moving to a corner to allow the wrist to move freely start making super low powered throws. Elbow braces are good to use. The wall will stop your arm and the momentum, will snap your wrist to hyper spin position from momentum. If you stop the wrist abruptly with muscle power before reaching maximum extension (never do that as it can ruin your tendons for life and have you in agony for the rest of your life) the disc will continue with the momentum. If you pinch long enough=HAAAAARD! the disc will pivot fully. Increasing speed and spin. A round house shoulder socket driven non stopping motion won't achieve that lightning fast (faster than muscles can provide) wrist snap.
Not leaning toward the back of the tee will drop the nose dramatically. Standing up helps with getting the nose down but a little forward leaning can be a good thing for low ceiling shots and learning to keep the nose down. Pushing the thumb as far forward as possible will reduce grip strength but with enough power applied until the rip can push the nose forward. Just before the rip pushing down of the wrist can help too and that may need a lot of muscle power. Working out.
If you have a flexible and fluidly moving neck the head may not hurt the throw. As long as your hips move left enough in the reach back and right enough at the rip and very far in the follow through. From the hips up you should resemble a clockwise turned cork screw with max powered throws. Check out how far Markus Källström twists the hips to the right at high power levels.
Shoulder positions. The drill above and rereading about the pause.