text:
Oatmeal Chocolate Cinnamon Cookies
These cookies make me sad. Not because they're bad. Quite the opposite. They're really good. They make me sad because they remind me that I missed out on some fun last weekend. You see, I made these cookies to take to a cookie swap hosted by Shannon of Tri to Cook. I came down with a nasty cold late on Friday and didn't want to spread my germs to the other Boston area bloggers who were going to be there. I'm sure it was a blast.
When it comes to a cookie swap in January, I feel like most people are over the holiday flavors. Even though I am still enjoying some peppermint and gingerbread goodies on a regular basis, I don't think that's the norm. So I opted for a non-holiday cookie.
Since I have an abundance of cinnamon chips in the house, I decided to scope out a recipe using cinnamon chips. I wasn't sure how I'd like the combination of chocolate and cinnamon, but these cookies are amazing. I used a mix of bittersweet and semisweet chocolate chips because I had a couple opened and nearly empty bags of chips.
Three Years Ago: White Chocolate Mocha Cupcakes
Oatmeal Chocolate Cinnamon Cookies
Yield: 5 dozen
2 cups flour
1 tsp baking soda
3/4 tsp baking powder
1 tsp salt
1 cup butter, at room temperature
1 cup sugar
1 cup brown sugar, packed
2 eggs, at room temperature
2 tsp vanilla
2 2/3 cups oats
1 cup chocolate chips
1 cup cinnamon chips
Preheat oven to 350 degrees. Line two baking sheets with silicone baking mats.
In a large bowl, combine flour, baking soda, baking powder and salt. Set aside. In a large mixer bowl, combine butter, sugar and brown sugar. Beat on medium speed for 3-5 minutes, until light and fluffy. Crack the eggs into a small bowl and add the vanilla. While the mixer is running, add one egg and beat until incorporated. Add the second egg and mix to combine.
Gradually add the dry ingredients to the butter mixture. In the same bowl used for the flour mixture, combine the oats, chocolate chips and cinnamon chips. With the mixer on low, gradually add the oat mixture. You may need to finish mixing by hand with a sturdy spatula.
Drop the dough by cookie scoop and shape into rounds; flatten to about ½" thick with your hands. Bake for 10 minutes; cookies should be golden brown on the edges and may look slightly undercooked in the center. Allow to cool on the baking sheet before removing to a wire rack.
Recipe from Cookies on Friday, originally from The Grand Central Bakery Cookbook
11 Responses to "Oatmeal Chocolate Cinnamon Cookies"
These cookies look great! Hope you feel better soon Jen!
These look awesome. I love chocolate and cinnamon together.
Feel better!
Love oatmeal cookies! Hope you're feeling better 🙂
Aw, I didn't realize you hadn't gone to the swap! What a bummer. But then at least you didn't have to share these cookies. 😉
Yum. I really love the combo of chocolate and cinnamon! Glad they came out well.
Feel better!!
hope you were able to get some rest and are feeling better! we missed you, but hopefully we'll have another chance to catch up soon. these look great, and i've got some cinnamon chips in my house too 😉
I'm not sure I've had chocolate & cinnamon together before but I bet the combination is great! And if it's in an oatmeal cookie, you can't really go wrong.
I love cinnamon chips and put them in oatmeal cookies. I never thought of putting them in chocolate chip oatmeal cookies-they look amazing!
Jenn, these sound awesome, and I have some cinnamon chips to use!
These look wonderful! I'm sure being stuck in the house with a whole batch of them made you feel a little bit better, right? I love cookies with cinnamon chips in them!
These look so delicious. Getting sick on important (dessert related!) events is the absolute worst. I think another cookie swap is in your future.


text:
Infant Severe Sepsis and Bacterial Meningitis in Malawi (Infaseme)
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
This study aims to improve the outcome of infants (<2 months) with severe sepsis and meningitis at the Queen Elizabeth Central Hospital, Blantyre, Malawi.
Currently WHO recommends the treatment of infant severe sepsis and bacterial meningitis with 14 to 21 day course of penicillin and gentamicin as first line. The second line treatment is cefotaxime or ceftriaxone.
Severe bacterial infections are common in infants under 2 months of age and the mortality is very high (~50%). There are several reasons for this; one is that the first line antibiotics used are no longer as effective as they used to be. Bacterial resistance to the first line antibiotics has increased and some infections especially of the central nervous system may only be partly treated and not eradicated by present therapy. First line treatment is cheap and available but requires 4 injections a day, for at least 14 days, a total of 58 injections. Many mothers find this number too much and abscond. The investigators second line therapy is ceftriaxone which is also available and cheap and the advantage of being given as a daily injection. The disadvantage is that it can cause (reversible) jaundice particularly in premature babies and it must not be given with calcium products. The investigators do not give calcium to the investigators infants as the investigators cannot routinely check electrolytes. All the most common causes of bacterial meningitis in this age group in the investigators setting are sensitive to ceftriaxone.
The investigators wish to undertake an open randomized trial of penicillin and gentamicin v ceftriaxone as first line treatment for infant meningitis. The investigators are able to monitor for side effects.
The investigators hypothesise that the ceftriaxone arm will have 20% less deaths that the penicillin and gentamicin group.
|Infant Bacterial Meningitis
|Drug: Ceftriaxone v penicillin and gentamicin
|Phase 4
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|An Open Randomised Trial of Ceftriaxone v Penicillin and Gentamicin in Infant Severe Sepsis and Bacterial Meningitis in Malawi
- Recovery v death or severe residual neurological sequelae at hospital discharge, 1 month and 6 months post discharge. [ Time Frame: 3 years ]
- Outcome by causative bacterial agent, recovery v death or severe residual neurological sequelae at hospital discharge, 1 month and 6 months post discharge. [ Time Frame: 3 years ]
|Study Start Date:
|April 2010
|Study Completion Date:
|April 2015
|Primary Completion Date:
|February 2015 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: Ceftriaxone
Ceftriaxone in infants with sepsis and bacterial meningitis
Drug: Ceftriaxone v penicillin and gentamicin
Ceftriaxone v the standard treatment of infant meningitis (penicillin and gentamicin). Ceftriaxone will be given at a dose of 80mg/kg once a day for at least 14 days.
Active Comparator: Penicillin and gentamicin
Penicillin and Gentamicin in infants with sepsis and bacterial meningitis
Drug: Ceftriaxone v penicillin and gentamicin
Ceftriaxone v the standard treatment of infant meningitis (penicillin and gentamicin). Ceftriaxone will be given at a dose of 80mg/kg once a day for at least 14 days.
|Ages Eligible for Study:
|up to 2 Months (Child)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Children less than 2 months
- Suspicion of bacterial meningitis
- Parental/guardian informed consent
Exclusion Criteria:
- Infant with hyperbilirubinaemia
- Infant requiring calcium
- Infant know to be hypersensitive to any of the three drugs
- Infant who has been an inpatient for more than 72 hours
- Infant with congenital central nervous system abnormalities
Please refer to this study by its ClinicalTrials.gov identifier: NCT01247909
|Queen Elizabeth Central Hospital/ College of Medicne
|Private Bag 360 Blantyre, Malawi, 3
|Principal Investigator:
|Elizabeth Molyneux, FRCPCH
|Malawi College of Medicine, Paediatrics Department
|Responsible Party:
|Elizabeth Molyneux, Professor of Paediatircs, University of Malawi College of Medicine
|ClinicalTrials.gov Identifier:
|NCT01247909 History of Changes
|Other Study ID Numbers:
|Study First Received:
|January 14, 2010
|Last Updated:
|October 24, 2016
Additional relevant MeSH terms:
Meningitis, Bacterial
Central Nervous System Diseases
Nervous System Diseases
Systemic Inflammatory Response Syndrome
Pathologic Processes
Central Nervous System Bacterial Infections
Bacterial Infections
Central Nervous System Infections
Anti-Bacterial Agents
Anti-Infective Agents
Protein Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
ClinicalTrials.gov processed this record on September 21, 2017

subset: commoncrawl


text:
StrengthsQuest for Student Employees
- When:
- Location:
- The Career Center - Student Center
- Description:
Wednesday, April 10
3-5 p.m.
In celebration of Student Employee Appreciation Week, join us for this event:
Being able to do what you do best every day builds confidence, engagement and satisfaction. Using the StrengthsQuest program, we'll help you discover your natural talents and maximize your potential for greater success on the job and elsewhere. Students who have not yet taken the Clifton StrengthsFinder to learn their top five strengths can do so before the workshop.
Contact Meredith Barr, firstname.lastname@example.com, 410.837.5476 to register.
- Contact Name:
- Meredith Barr
- Contact Email:
- firstname.lastname@example.com
- Contact Phone:
- 410.837.5476
If you need accommodations to participate in this event, please contact the person listed above at least 10 days prior to the event.


text:
So I've been playing for about 6 months 3 times a week. So I am still new but I understand the game. So I'm finally getting enough power behind my shots for the discs to do what they are supposed to. But the problem I have is that I throw them so high. I can't throw anything flat. Also I cant really hyzer I can anhyzer great but cant get that hyzer. Im looking to learn the hyzer flip shot and just throw straighter and farther.
Im scared I need a full overhaul from grip on... Let me know what you think.


text:
Meeting Dates for Legislative Committee
Fairfax County Office of Public
12000 Government Center Parkway, Suite 551
Fairfax, VA 22035-0065
Dec. 5, 2005
New Meeting Dates for
Board of Supervisors Legislative Committee
The Fairfax County Board of Supervisors' Legislative Committee has added two additional dates to its meeting schedule — Feb. 10 and March 24.
In 2006, the committee will meet at the Fairfax County Government Center, 12000 Government Center Parkway, Fairfax, in Conference Rooms 9-10 at 4 p.m. on Fridays, Jan. 20, Jan. 27, Feb. 3, Feb. 10 (new date), Feb. 17, Feb. 24, March 3 and March 24 (new date). All meetings are open to the public.
The board's Legislative Committee, chaired by Board of Supervisors Chairman Gerald E. Connolly, meets throughout the Virginia General Assembly's legislative session to monitor issues that have potential impact on Fairfax County.
For more information, please contact Merni Fitzgerald, director of the Fairfax County Office of Public Affairs, at 703-324-3187, TTY 711.


text:
It did get eaten, but that experiment made me realize that this recipe is really all about the chickpeas, with the meat being just kind of a flavoring, and who was I to be second-guessing Mark Bittman anyway? So trust me (and Mark) on this one and just use the tiniest amount of meat in this dish. If you're a garbanzo bean fan like I am, this may become a regular feature on your dinner rotation.
Spicy Sauteed Chickpeas with Beef and Cilantro
(Makes 4 main dish servings, recipe slightly adapted from Mark Bittman's Quick and Easy Recipes from the New York Times.)
1/2 lb. low fat ground beef (or Bittman says use other meat)
1 tsp. plus 1 T extra virgin olive oil
1/2 tsp Spike Seasoning (0ptional, or use your favorite seasoning for ground beef)
2 cans chickpeas (garbanzo beans), drain and save liquid (or use 4 cups cooked chickpeas and save 2 cups cooking water)
chicken stock to add to chickpea liquid if needed to make 2 cups
1 1/2 tsp. ground cumin
1/2 tsp. ground chipotle chile powder, more or less to taste (I get chipotle chile powder from Penzeys, or use a diced chipotle chile from a can or other hot sauce)
1 1/2 tsp. minced garlic
salt and fresh ground black pepper to taste
1/2 cup finely chopped cilantro, plus more for garnish if desired
South Beach Suggestions:
Nutritional Information?
I chose the South Beach Diet to manage my weight partly so I wouldn't have to count calories, carbs, points, or fat grams, but if you want nutritional information for a recipe, I recommend entering the recipe into Calorie Count, which will calculate it for you.
More Tasty Chickpea Love:
(Recipes from other blogs may not always be South Beach Diet friendly, check ingredients.)
Catalan Chickpeas with Tomatoes And Almonds ~ The Traveler's Lunchbox
Garbanzo, Tomato, And Cilantro Salad with Lime and Chile Dressing ~ Kalyn's Kitchen
Chickpea Hot Pot from 101 Cookbooks
Garbanzo Salad with Olives and Herbs ~ Kalyn's Kitchen
Tamarind Chickpea Curry ~ Treat a Week Recipes
(I find these recipes from other blogs using Food Blog Search.)
Blogger Disclosure:


text:
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Sunday, September 24, 2017
COPD (Chronic Obstructive Pulmonary Disease)
My question is this... Is it possible that my mother at age 57 that weighs 308lbs with Emphysema and irregular heart beat get a lung transplant? I don`t want to lose my mother.. What can I do and How do I get help? Who can Help me?
Chronic Obstructive Pulmonary Disease (COPD) remains one of the most common indications for lung transplantation. While there are clearly outlined national standards with respect to the indications and contraindications for lung transplant that are accepted at all centers, there remains some flexibility from program to program as to who can be considered a suitable candidate and placed on an active waiting list. In this particular case, the age of 57 is not a contraindication, as lung transplant for patients with COPD is generally performed up through age 65. However, the irregular heart rhythm may be a contraindication if it is secondary to significant organic heart disease and would certainly have to be better characterized before transplantation could be offered. The excessive weight is certainly a contraindication at all centers in the US, as obesity has been associated with poorer surgical outcomes following lung transplant. Additionally, the excessive weight would not allow for the necessary affective physical and pulmonary rehabilitation following the lung transplant procedure.
David R Nunley, MD, FCCP
Former Associate Professor
College of Medicine
The Ohio State University


text:
More details are emerging about the imminent closure of The Lodge at The Woods assisted living facility, with the outlook grim for affected employees, residents and their families. However, there is at least one idea being floated that could transform the facility into a co-housing arrangement that might benefit existing and future residents in the larger Woods community, and the Mendocino Coast.
For now, residents of The Lodge, an assisted living facility owned and operated by Northern California Presbyterian Homes and Services, received letters dated March 12 giving them 60 days to vacate, by May 12.
The Lodge is part of The Woods, a manufactured housing development for persons aged 55 and older on 37 acres near the Little River Airport. The Woods is also owned and operated by NCPHS, a not-for-profit business based in San Francisco.
Losses unsustainable
According to Ron Meritt, NCPHS spokesman, the facility has had six-figure losses for each of the past three years. The income declines are a direct result of declining numbers of residents, which have averaged only 13 over that same three-year period. By contrast, the 24-bed facility was almost full five or six years ago, said Meritt.
Complicating the low residency numbers is the fact that the facility must be maintained at a level that can provide the same quality of care whether the patients number 13 or 24. Despite The Lodge's best efforts, they have been unable to increase the number of residents, he said.
According to the termination notices sent to Lodge residents, the closure results from "... losses in all years of operations and particularly in the last two years; pool of available staff in the marketplace; and low census ..." Census is the number of Lodge residents, Meritt said.
Closure plan
As required by California law, NCPHS submitted a closure plan to the Department of Social Services, and the plan was approved on Feb. 26, according to an NCPHS press release. However, DSS has not yet confirmed the approval, said Michael Weston, a spokesperson for the Department of Social Services.
The closure plan describes how Lodge staff will help residents with relocation, and provides a list of care communities in the area and referral agencies. As part of this plan, NCPHS recently increased nursing resources to provide each resident a transition needs assessment and care plan to find the right care community to fit their individual needs, the release said.
However, there is at least one report of a Lodge resident receiving a termination notice with an incomplete and unsigned resident assessment summary that is intended to inform prospective facilities about the level of care the resident requires.
Weston said persons who have a complaint about the operation of a licensed care facility can contact the DSS licensing division at 707-588-5026.
Another part of the closure plan NCPHS submitted to the Department of Social Services is a required list of facilities within 60 miles of The Lodge, said Meritt. He said the list NCPHS submitted to DSS includes 22 facilities that offer some aspect of independent living, assisted living, or nursing care, including some with memory care assistance for residents with dementia. The closest facility with care equivalent to The Lodge is Mountain View Assisted Living, in Ukiah, he said.
However, at least one of the facilities listed is much farther than 60 miles. Green Acres Manor in Kenwood is 109 miles away. There are four other facilities on the list located in Kenwood, as well.
A check with the Department of Social Services shows that three of the facilities on the list are currently on probation. Those facilities are the three Holy Child Residential Care Homes (not to be confused with the Holy Spirit Residential Care Homes), all in Ukiah.
It is currently unknown whether relocation assistance will be offered to residents for moving expenses or other costs they may incur from the time they leave The Lodge until they settle into a new facility, wrote Meritt.
Looking ahead
Despite the upheaval facing current Lodge residents and their families, NCPHS does not plan to sell the building, and hopes to repurpose it. There is no current plan or proposal, but NCPHS might want to renovate the building as low-income apartments, said Meritt.
Woods resident Syd Balows has something similar in mind. Balows has lived in The Woods community for 15 years, is a licensed real estate broker specializing in sales of homes at The Woods, and is also a member of the Redwood Coast Senior Center Board of Directors.
Balows thinks The Lodge's 24 rooms might be convertible to affordable co-housing apartments that would share the existing kitchen, along with dining and recreation areas. Each 200-square-foot room has a bathroom and deck. Adding a microwave oven, a refrigerator and counter space would make the rooms into functional and efficient apartments, he said.
Mendocino County has no facility like this now, but the idea has caught on in many other places statewide, including Cotati, Sacramento, Arcata, Sebastopol, Davis, San Francisco and many other locations. It is an idea that started in Denmark in the "70s and "80s, he said.
A co-housing option would benefit not just Woods residents who want to downsize, but all Mendocino Coast residents who may be living alone in large homes they do not need and can no longer take care of. Co-housing might be especially attractive to Woods residents who may need cash for their living expenses, but who cannot obtain reverse mortgages for their homes because they cannot sell the land their houses sit on, which NCPHS owns.
Balows said co-housing at The Woods also would tie in nicely with senior center services that could provide transportation to the senior center in Fort Bragg where staff know the memory challenges elders face and offer focused activities.
NCPHS history
Incorporated in 1958, NCPHS owns and operates continuing care retirement communities, affordable housing residential communities, and community services in Northern California, according to its website, www.ncphs.org.
The Woods retirement community was conceived and developed by architect Paul Tay and his wife, Ruth, in 1972. It was a manufactured home community for seniors age 62 and above until 1993 when NCPHS assumed ownership.
With the help of a donation from the senior housing committee of the Mendocino Presbyterian Church, NCPHS built The Lodge at The Woods, which opened in September 1995.
The Lodge provides residents with one-room apartments with decks, meals in a common dining room, and a variety of activities and support services.
Balows does not fault NCPHS for closing The Lodge, which they have operated for 20 years, absorbing losses for many of those years. NCPHS has been successful in providing affordable housing in other locations, he said, it just did not work out here.


text:
Video via Deadspin which originally was from CBS Boston no comments
I've only seen hightlights so far since I was taking in another NHL game last night, but can we have this every night?
no comments
Enemy Blog: Head over to Days of Y'Orr for your opposition blog coverage
Record: Lightning (17-23-4) Bruins (29-12-1)
Previous games: October 8, 2011 Bruins win 4-1
Game time: 7:30pm on SUN (HD)
Before the puck has even dropped, I feel like I've given up on this game. The Bruins are in town for the 2nd of four meetings this season and while we sit in last in our conference, the Bruins are in 2nd just 1 point back from the Rangers.
Predicting how the last couple of games have gone, I predict that the Bruins will get out to a 2-0 lead after the first. Of course we'll make some bad turnovers and the Bruins will get some chances off of these mistakes. We may then score a goal or two, one of which will be by Stamkos, only to end up losing the game like 4-2.
Frack. So this is how good the season is going huh?
How about winning boys?
As for what the Bruins bloggers are saying:
Yes Greg, I'd love to have your fantastic problem...
On the other hand, the Bruins are still winning hockey games and the Tim Thomas/Tuuka Rask breakfast combo is still the best in the NHL. Tuukka Rask leads the NHL in both save percentage (.946) and GAA(1.61). Tim Thomas is second in the NHL in SV% (9.37) and 6th in the NHL in GAA (1.99). They're the NHL's version of Batman and Robin. It seems that Rask may pull a Dick Grayson and become Batman in the near future.
Either way you look at it, Boston has a fantastic problem that most NHL clubs would love to have. They have two All-Star caliber goalies who could should contend for a Vezina Trophy if they're able to keep this up at the end of the season.
Go bolts
Line-up Notes:
Bruins injuries: Rich Peverly + Brad Marchand is suspended
Lightning injuries: Ryan Shannon, Victor Hedman, Adam Hall, JT Wyman, Mattias Ohlund, Dana Tyrell, Marc-Andre BergeronLinks:
Official Lightning preview
no comments
Missed the incident? You can find the video here. no comments
Lecavalier did end up with a four minute roughing call and a 10 minute misconduct for the incident.
Lecavalier left today without speaking to media but here is what Boucher said of the incident (via tbo.com):
"Vinny felt that Malkin tried to go for his knees,'' Boucher said. "In those situations, he's the captain and he wants to show that we are not going to just take everything and be little poodles and wait for things to happen.
"For me, there is absolutely no blame on his part there. He's emotional and he's trying to make this team win and that was his way of showing that we are not going to take it. I don't blame him at all.''What Malkin did was nothing compared to what Brach Marchand did on Sami Salo, so no blame on Malkin here. He just plainly avoided the check. Lecavalier just misread what happened and let his emotions take over. We've seen this happen before and we know that once Lecavalier is steamed about something, there is really no stopping him.
And let's hear it again for that jersey foul of a Venetian Dental. So bad..... no comments
1st Period:
Just as the Root sports commentators are talking about Stamkos and Malkin, Stamkos takes a slashing penalty on Malkin early in the 1st period. James Neal capitalizes with a sharp angle shot from the goal line past Garon to put the Pens up 1-0.
Engelland and Pierre-Cedric Labrie go at it.
Engelland has the edge in the fight but we get an appearance of Labrie's hair.
At this point in the game, the Lightning only have 1 shot on net.
Rest of the recap after the jump...
no comments
Is letting opposition go up by two goals in the 1st the M.O.? Then clawing your way back only to still lose the game?
This is our sixth straight loss.
Quote from Boucher postgame:
"I can't fault anything we've done. Our players have played hard in ridiculous situations where the other team waits for you at home while you go to bed at 4 o'clock and you played the last night," he said. "We can't ask more from our players."
no comments


text:
Air Quality Monitoring
Air Monitor Map - Sarasota County
Return to Air Monitor Map
The county map to the right shows you the general location of the Air Monitor stations for this county.
Air quality data is available for the following sites:
The air monitors are operated by Sarasota County .
Last updated: April 29, 2016
2600 Blair Stone Road, M.S. 5500
Tallahassee, Florida 32399-2400
850-717-9000 (phone) / 850-717-9001 (fax)
Questions & Comments Form
Accessibility Statement Privacy Statement


text:
A recent comment got me thinking about probability and risk factors for being a victim of cyberbullying. So I did a Google search to learn more about trends when it comes to this phenomenon.
What I found was enlightening, but also pretty frightening.
About half of adolescents and teens have been cyberbullied and about half have engaged in cyberbullying.
About 1 in 10 kids have had embarrassing or damaging pictures taken without their permission (although I don't know the number of these being posted—but still, pretty scary).
But what was really alarming to learn is that most kids don't even tell their parents when cyberbullying happens.
Not sure if this silence is tied to shame, concern about revealing online practices that violates rules, or even fear of the process that parents will take to confront the aggressor and his/her parents.
But cyberbullying, cybersafety, and even cyberpractices should probably be topics of frequent discussions between parents and kids. And since kids are not initiating these conversations, parents need to take the lead. Sure, these may not be the most comfortable or even natural discussions to have. But consider what your intervention might prevent--1 in 5 teens have posted or sent sexually suggestive or nude picture of themselves to other (talk to those kids about cyberpractices!) and sadly, victims of cyberbulling are more likely to have low self-esteem and consider suicide.
I was inspired by Mark's posting and his pro-active approach to protect his child from cyberbullying.
I'll do some digging to find other strategies parents can take to helping their kids safely navigate online activity.
In the meantime, click here for the stats included in this post, and to learn more about trends on cyber-activity.
Copyright 2013 by ClickOnDetroit.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
All About Indices
No doubt you've seen headlines reporting that a particular index is up or down. But do you know how an index works, and why understanding the nuts and bolts of a specific index can make a difference to your portfolio?
An index is simply a way to measure and report the fluctuations of a securities market or a particular segment of a market. An index is developed by a company that sets specific criteria to determine which securities are included in the index--factors such as a company's size or location, or the liquidity of its stock. For example, the S&P 500 is a collection of large-cap U.S.-based companies that Standard and Poor's considers to be leading representatives of a cross section of industries.
The company that develops the index tracks the performance of its components and aggregates the data to produce a single figure that represents the index as a whole. Virtually every asset class has at least one index that tracks it, but because of the size and variety of the stock market, there are more stock indexes than any other type.
How indices are used
In addition to providing valuable information needed to monitor how a particular market is faring, an index can serve as the basis for mutual funds or exchange-traded funds that attempt to replicate its performance; that process is known as indexing. An index also can be used as a benchmark for funds that invest in the same asset class, regardless of whether a fund includes the same specific securities. Finally, some investment products do not attempt to replicate an index's performance but represent a bet on the index's general movements, though such investments can be challenging and are not appropriate for every investor.
You can't invest in an index
You cannot invest directly in an index. You could always purchase each and every security in the index and do the necessary trading to ensure that the portfolio continues to mirror the index, but the financial services industry has saved you the trouble. As noted above, investment products such as index mutual funds and exchange-traded funds are used by investors to try to capture a particular market's performance.
However, an index-based investment may not match the return of an index exactly. One reason is what's known as "tracking error." Costs such as taxes, operating expenses (even minimal ones), and transaction costs can differ among mutual funds. As a result, your return may be slightly different from that of the index or even other funds based on the same index, even though most index funds try to keep tracking error to a minimum.
Before investing in a mutual fund, you should carefully consider its investment objectives, risks, fees, and expenses, which can be found in the prospectus available from the fund. Read it carefully before investing. And don't forget that any investment involves risk, including the possible loss of principal, and there can be no assurance that any investment strategy will be successful.
Indices don't stay static
Though an index adheres to a set of guidelines for selection of the securities it includes, the company that oversees the index generally reviews the security selection periodically. For example, some indices are rebalanced if an individual security grows so large that it dominates the index. Others have a limit on how much of the index can be devoted to a particular sector or industry, and rebalance if the proportion gets skewed. And in some cases, an index is altered because of serious problems with one of its components (for example, Flowserve Corp. replaced Washington Mutual Inc. in the S&P 500 after WaMu was closed by the Office of Thrift Supervision in 2008).
Weight watching
Even indices that include the same securities may not operate in precisely the same way. Why? Because different indices may weight the relative importance of the same securities in different ways. The way an index is weighted determines how much of each individual security is included in it--for example, how many shares of stock. That weighting in turn can affect the overall index's performance.
Some indices are weighted based on market capitalization; the companies with the highest market cap (total value of stock outstanding) make up a larger share of the index than companies with a smaller market cap. As a result, those companies can have a disproportionate impact on the performance of an index weighted by market cap. For example, a 10% decline in the price of the largest company in the S&P 500 index would affect the index's overall return more dramatically than a 10% drop in the price of a much smaller company, because the S&P 500 is weighted by market cap.
To produce a figure that indicates the value of the aggregated securities, an index divisor is typically applied to produce a more manageable figure that is easier to quote than the index's actual value.
Other indices are weighted by price; the most expensive stocks receive greater weight than lower-priced stocks. The Dow Jones Industrial Average, which includes 30 large, blue-chip industrial stocks and is commonly referred to as the Dow even though there are several Dow indices, is price-weighted. A relatively new approach to weighting an index is to use certain fundamental attributes, such as dividends or cash flow, as the basis for weighting the stocks that comprise the index.


text:
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Monday, September 25, 2017
Corticosteroids and Bone Loss
I am a non-smoking, 40 year old female who eats a healthy diet, exercises regularly, and takes the proper supplements. I was recently diagnosed with osteopenia. I assume this was caused by my 15 year use of inhaled corticosteroids to control my asthma. I take four puffs of AeroBid per day, and one puff of Proventil each day, so my asthma is pretty mild.
A few years ago, I tried Singulair to see if it would potentially decrease the amount of other asthma drugs I needed to take. However, this drug caused me ear pain, which I still have, so I discontinued it and would be cautious of trying another drug in its class.
The osteopenia has me worried and upset:
1. Are there any current drugs, or ones on the horizon, that might replace corticosteroids for asthma control? It seems that minimizing my use of this type of medicine is my best shot at keeping my osteopenia from progressing into osteoporosis...
2. Cincinnati is a maligned allergy/asthma capital. I'm retiring within the decade -- can you recommend any areas that are consistently rated as good for asthma, or what type of climate works best to potentially minimize need for inhalers?
Osteopenia (reduced bone density) and osteoporosis (severely reduced bone density) can be caused by steroids like prednisone. Inhaled steroids used for the treatment of asthma are less likely (than oral steroids) to cause bone loss but can, especially in high doses.
Other factors that increase your risk of bone density loss includes: family history, race (Caucasian and Asians are at higher risk), low calcium intake, lack of physical activity, cigarette smoking, excessive alcohol intake, low body weight (being thin), low estrogen conditions like menopause.
Prevention is the key! Staying active, not smoking, avoiding alcohol, eating calcium rich foods totaling more than 1000mg per day are important for prevention. When you have persistent asthma, inhaled steroids are the drug of choice to reduce inflammation in the airways and keep asthma controlled.
Ideally you should be on the least amount of medication to keep your asthma controlled. If your asthma has been stable (no flare-ups) for at least 4-6 months it is reasonable to talk to your doctor about reducing the asthma medication you are on.
There are several non-steroid drug classes that can be used alone in those with mild persistent asthma or combined with inhaled steroids for those with moderate persistent asthma. These include: "leukotriene receptor antagonist" like Singulair and Accolate, "mast cell stabilizers", or theophylline. Talk to your doctor about possible alternatives.
I would encourage those with asthma and other lung diseases who are relocating to review the recently published air quality report by the American Lung Association which includes a list of the 100 worst cities.
Cathy Benninger, RN, MS, APRN, C-AE
Clinical Assistant Professor
Director, OSU Asthma Center Educational Program
College of Medicine
The Ohio State University


text:
NEW YORK Barnes & Noble reported that total sales for the second quarter were $1.9 billion, including sales of Barnes & Noble College Booksellers ("College") of $798 million. Excluding College, total sales increased 1% over the prior year period. Comparable sales at Barnes & Noble.com increased 59% driven by increases in core products and sales of digital devices and digital content, the company reported. Barnes & Noble comparable-store sales decreased by 3.3% and College's comparable-store sales decreased by 1.5%.
The consolidated second quarter net loss was $12.6 million, or 22 cents per share, in-line with previously issued guidance of earnings of 5 cents per share to a loss of 25 cents per share, according to the company.
During the three-day post-Thanksgiving weekend, the company said it experienced a strong comparable-store sales increase of 17.2% at Barnes & Noble stores and a comparable sales increase of 105.7% online.
Barnes & Noble.com's comparable sales are expected to increase by approximately 75% for both the third quarter and the full year. The company believes these sales increases will be driven primarily by growing sales in core products and the exploding digital content business. By fiscal year end, the company expects that digital content sales will achieve a $400 million full-year run-rate.
Barnes & Noble comparable-store sales are expected to increase between 5% and 7% for the third quarter, and to be in a range of flat to 3% for the full year.
College's comparable store sales are expected to be in a range of flat to a decrease of 2% for the third quarter and the full year.
Third quarter earnings per share are expected to be in a range of 90 cents to $1.20. Full-year fiscal 2011 losses per share are expected to be in a range of 75 cents to $1.15.


text:
A handful of organizations serving Marin County are getting a financial boost of more than $500,000 from the state as part of a grant focused on homelessness.
Homeward Bound of Marin will receive $106,250, the Center for Domestic Peace will receive $167,250 and Ritter Center will get $230,000 from the state Department of Housing and Community Development. The funding is part of an emergency solutions grant that is distributing $11.5 million to various organizations in 30 California counties.
Mary Kay Sweeney, executive director of Homeward Bound, said her organization has been a recipient of the grant before and is thrilled to receive it again. She said it will be used to provide housing and services at a San Rafael transitional housing facility for up to nine families at a time.
"Eighty-five percent of our families move on into housing," Sweeney said. "We're trying to assist families to get back up on their feet and out of homelessness."
Homeward Bound operates 14 programs for homeless men, women and children that provide housing, job training, mental health services and more. Sweeney said the state grant is extremely competitive and Marin organizations are lucky to receive funding.
Benjamin Leroi, deputy director at Ritter Center, said this is the second year the center has received money from the grant. He said it will be used to help keep people in their current homes or help them get into new housing.
The center provides food, health services, clothing, showers and more to homeless residents from its downtown San Rafael location.
Leroi said the majority of the grant funding will go to rental assistance, paying for security deposits and case management by center employees.
"It's so much more cost effective to prevent people from becoming homeless than to do triage after they've become homeless," Leroi said.
A representative from the Center for Domestic Peace could not be reached for comment, but the organization typically uses its funds to help those wishing to escape domestic violence. The center provides an emergency shelter, 24-hour hotlines, transitional housing, support groups and legal advocacy services for men and women affected by violence.
The grant funding comes at a time when Marin County is struggling with ways to reduce its homeless population, especially in San Rafael. About 1,220 homeless people live in the county with 45 percent residing in San Rafael, according to the county's biennial 2011 "Point-in-Time Count."
The San Rafael City Council recently allocated funds allowing the police department to hire an additional employee to conduct foot patrols in the downtown area and be a liaison to homeless people.
In addition, the Downtown Streets Team — a Palo Alto-based nonprofit that temporarily employs homeless people by having them clean city streets — is expected to begin recruiting homeless people for its program next month. The team's efforts are being funded by San Rafael, the county, the Marin Community Foundation, Marin General Hospital and Kaiser Permanente San Rafael.
Contact Megan Hansen via email at email@example.com or via Twitter at http://twitter.com/hansenmegan. Follow her blog at http://blogs.marinij.com/bureaucratsandbaking.


text:
This game was classified by the community with the following category scores - Violence=2/3, Sex=3/3, Mature Content=3/3. Are you extreme enough for Baby Maker Extreme? Experience the most extreme embryonic event enhanced by your electronic entertainment equipment. Simulate the miracle of life in a way only video games can. Download Baby Maker Extreme and be prepared to be blown away.
Buy Xbox content on Xbox.com. Your Xbox 360 console will automatically download the content next time you turn it on and connect to Xbox Live.Learn More


text:
Bimetal Thermom, 3 In Dial, 50 to 550F
DWYER INSTRUMENTS| Zoro #: G0117643| Mfr #: BTO34071
Zoro #: G0117643Mfr. Part #: BTO34071
$772.73 /ea
This item ships free. DetailsStandard ground shipping
Technical Specifications
|Zoro #: G0117643 Mfr #: BTO34071
|Connection Size: 1/2" NPT
|Output: 4 to 20ma DC
|Case Material: Stainless Steel
|Manufacturers Warranty Length: 5 yr.
|Case: Hermetically Sealed
|Item: Dial Thermometer With Process Output
|Accuracy: +/-1%
|Loop Resistance: 1045 Ohms
|Vertical Adjustment Range: 0 Degrees to 90 Degrees
|Stem Dia.: 1/4"
|Connection Location: Adjustable
|Window Material: Glass
|Stem Material: Stainless Steel
|Power Required: 10 to 33VDC
|Sensing Element: Bimetal
|Dial Size: 3"
|Stem Length: 4"
|Temp. Range (F): 50 Degrees to 550 Degrees
|Country of Origin (subject to change): United States
Product Description
Dial Thermometer With Process Output, Bimetal, Dial Size 3 In., Connection Size 1/2 In. NPT, Connection Location Adjustable, Stem Length 4 In., Temp. Range (F) 50 Degrees to 550 Degrees , Accuracy +/-1 Percent, Stem Dia. 1/4 In., Vertical Adjustment Range 0 Degrees to 90 Degrees , Case Hermetically Sealed, Case Material Stainless Steel, Stem Material Stainless Steel, Window Material Glass, Output 4 to 20mA DC, Manufacturers Warranty Length 5 yr.


text:
(Mountain Hydrangea) If you are looking for a Hydrangea that is as strong as its name, take a look at Tuff Stuff™ Lacy! Tuff Stuff™ Lacy is a Mountain Hydrangea, with improved hardiness in the stems and buds. Lacy blooms on both new and old wood giving it twice the flower power. Tuff Stuff™ Lacy has reddish -pink lace cap flowers that begin to start blooming in the early summer and continue to give you more blooms up until frost. The flower florets are a semi double deep pink bloom with a cream centers that fill in as the flower matures. Flower color may vary to a blue shade depending on the pH of your soil. Standing 2-3' tall, Tuff Stuff™ Lacy grows best in full sun to part shade, hardy down to zone 5. If your Hydrangea macrophyllas have not been giving you the blooms you had hoped for, give Tuff Stuff™ a try, it is sure to not disappoint. As a young plant it is best to prune or pinch your plant in order to build a full-bodied, well-branched plant. If the plant is leggy when you purchased it, shear the plant back hard by 1/3 to 1/2 its original size. Once it puts on an inch or two of growth, pinch the branch tips to remove just the growing tips, these tips control branching. Once growing tips are removed the buds below it will turn into stems. Once these new branches grow an inch or two, pinch the tips out again. You can repeat this throughout the first growing season as you are tending your garden. Although you will sacrifice blooms, this technique results in a well-branched, full-bodied plant that will have more flowers in subsequent years.
Characteristics & Attributes
Plant Type
- Shrub
Sun Exposure
- Full Sun (+6 hrs.)
- Part Shade (4-6 hrs.)
Soil Moisture Needs
- Moderate
- Moist
- Compact Shrub
- Cut Flower or Foliage
- Deciduous
- Dried Flower
Season of Interest (Flowering)
- Late Summer
- Summer
Season of Interest (Foliage)
- Fall
Design Use
- Border
- Combination Containers
- Container
- Massing
- Specimen
Container Design
- Thriller
Blooms On
- Last Year's Growth
- This Year's Growth
Growth Habit
- Mounding
You may also be interested in the following product(s)
Tiny Tuff Stuff™
Starting at: $16.99


text:
Governance, regulatory and risk
Governance, regulatory and risk (GR&R) services are designed to help you create and protect value and enhance effective management of strategic, regulatory, financial, operational, and compliance risks on a sustained basis.
Explore Content
- Enterprise risk management and governance
- Regulatory and risk strategies
- Regulatory, safety & environment
- Risk transformation
- Predictive project analytics
On the board's agenda
Organizational Culture: Would you recognize the warning signs of a toxic culture?
Determining whether your organization's culture poses a risk to your organization raises many challenges, but it is so critical to your success that some are calling it "The Next Frontier for Boards."
Directors' Alert
Is your board ready to take advantage of disruption?
Disruption—a topic the entire business world is talking about. While many organizations fear it, others realize the many opportunities that disruptive technologies, processes, and social norms present. But with every opportunity comes an element of risk—not every disruption will positively impact your enterprise.
Enterprise risk management and governance
In the wake of high-profile incidents such as privacy and data breaches, corporate scandals and regulatory investigations, stakeholders expect more proactive board oversight and enhanced management practices.
This extends beyond transparency and financial integrity to encompass a company's ethics, culture and tone at the top. By benchmarking your governance practices against those of your peers, Deloitte can help you establish a competitive edge and gain the insights you need to align your executives' expectations with your employees' actions. We also help you identify and close governance gaps, enhance compliance and adopt a structure appropriate to your needs with three primary solutions:
- Board and management assessment and design. Ensure you have the appropriate board members, board structure, management governance practices and leadership in place to support your organization's performance objectives.
- Board and management education. We can help you mitigate liability and strengthen your decision-making abilities by reviewing and assessing your board education programs, identifying gaps and conducting training sessions and workshops for both your board members and management.
- Board and management mandates, charters and policies. Whether you are starting up a board or want to improve your existing governance practices, we can help you establish and enhance your board and management mandates, committee charters and policies, and define roles and accountabilities to strengthen your governance structure.
Regulatory and risk strategies
In risk, there is opportunity. In opportunity, there is risk. Recognizing and addressing this dual nature of risk and opportunity sets Deloitte apart from other business consultants who operate under a more traditional and limited view.
The Regulatory & Risk Strategies service provides consultative services to executives and boards that are designed to help create and protect value and enhance effective management of strategic, regulatory, financial, operational, and compliance risks on a sustained basis.
We work with organizations to develop sustainable governance, compliance, and risk management programs by helping them identify, remediate, monitor, exploit, and manage enterprise risks. Additionally, Regulatory and Risk Strategies supports the coordination and utilization of people, processes, and technology to improve effectiveness and help manage costs.
Regulatory, safety & environment
Companies in the energy sector must comply with a wide range of safety and environmental regulations. Failure to meet legislated safety standards can jeopardize business operations. More importantly, inattention to federal, provincial or regional regulations can put your organization at risk, increase employee health and safety risk, and increase the likelihood of experiencing safety or environmental events — which can put everyone at risk.
To reduce your risk and ensure compliance, you need people with experience. Our safety and regulatory compliance professionals have a long track record of serving energy companies in Western Canada. They can develop customized emergency response plans; develop and implement practical personal, process and on-site safety programs; develop pipeline integrity management plans and facilitate surface land transactions. We help you navigate the complexities of regulatory requirements, so you can maintain focus on your top priorities: managing your business. Our regulatory, safety and environmental services include the following:
- Emergency response planning
- Pipeline integrity
- Regulatory and environmental compliance
- Safety services
- Surface land solutions
- Waste tracking and management
Risk transformation
As risks evolve, the processes of identifying, mitigating and managing them must evolve too. From risk strategy formulation through to implementation, organizations can benefit from risk transformation initiatives in areas across the organization, including finance, operations, financial crime, compliance, risk management, treasury and commodity trading.
Deloitte Risk Transformation (RT) draws on operations, technology, compliance and analytics competencies from across our Enterprise Risk services (ERS) practice. This means we can address all aspects of both business and technology risk environments. We also leverage other practice areas as required to bring Deloitte's full cross-functional capabilities to your risk transformation needs.
Whether related to processes, people or technology, we can help you transform your risk capabilities.
Finance: Enable organizations to improve financial integrity by creating efficiencies and increasing confidence over financial processes and reporting.
Operations: Assists organizations in designing and implementing solutions to improve the efficiency and effectiveness of their business operations
Financial Crime: Assists financial institutions in improving the effectiveness of compliance surveillance, anti-money laundering and anti-fraud initiatives by integrating and consolidating processes across the organization.
Predictive project analytics
Research shows more than 60% of companies have experienced project failure. Predictive project analytics (PPA) helps you avert challenges by leveraging our unique algorithm to determine the likelihood of project success. No matter where you are in the project lifecycle, predictive analytics can improve capital efficiency, contain project costs and provide insights into your organization's level of manageable project complexity and risk given your current capabilities.
Did you know?
- 60% of companies experience project failure
- 44% fail to meet time, budget or quality goals; 15% fail to meet all of these objectives — or stop projects altogether
- 71% of projects are late, over budget or fail to deliver to their specifications
- 21% of projects are cancelled or never deployed
- An average cost overrun of 46% for all system development projects
How we can help
Our approach strengthens the connection between project risks and key success factors to deliver a holistic and deep view of the project.
Benchmarking the results
Our database contains more than 2,000 successful projects ranging in size and complexity to compare your project against.
Predictive Project Analytics in Action
Learn how predictive project analytics helped a large investment corporation complete a project nine months ahead of schedule and 15% under budget


text:
The Open Society Georgia Foundation was established in 1994 to help the country pursue the development of a democratic and open society after Georgia gained independence from the Soviet Union in 1991. For almost two decades, we have used donor funding, partnerships, and training to help Georgia's transition process move forward and to meet the economic, political, and social challenges it has faced.
The foundation is committed to the development of a free and democratic society where government is accountable to its citizens and the political system serves people. We promote a society marked by ethnic, religious, and intellectual tolerance where human rights are protected.
We operate several national programs focusing on human rights and good governance, civil society, media, public health, and academic fellowships. We have used these programs and our grant making to develop civil institutions and the media, promote civil society values, improve the election process, and increase access to education and health care. The foundation has also provided major support to European and national integration programs.


text:
Topic: Liz here, would like to share some memories
Hello to my new friends,
Hope everyone is doing as well as can be expected. I wanted to talk about some family issues as well as the aftermath of my mothers passing.
My older sister and I are VERY different. When my mother was diagnosed, my (27 yr. old) sister decided to take on the mother hen role. We all, including my mom wanted her at home, and we would share the duties are taking care of her while she was bed-ridden. As she lay in our parents room, my sister would read books trying to find high-alkaline recipes, giving my mom cantelope, acai berries, watermelon, anything that my sister thought would, "save her life". My mom really didnt have an appetite.
With her "bile bag" (As we called it, and my mom and us all made jokes about the bag on her side we had to drain. Does anyone know what Im talking about?) We had to keep track of her bili-rubin levels and write it down. It was quite gross and whoever had to drain it was gutsy. I didn't like doing it, and my mom knew and she said it was fine that my sister did it. My sister seemed to WANT to take on the roles of nurse/mother/cook!
If I would try to do somthing, my sister, would say, Liz you're not doing it right! etc.. etc...
Also, my mother had to have TPN through an IV. We did this at our house and had to be taught how to give it to my mom. It was a milky-white bag and we had to heat it up before giving it to mom, so it was a process. Everything my mom ate tasted acidic to her and she could only have about 2 bites before saying she didnt want anymore. That is why we had to give her the TPN.
I was in my sophmore year of college at the time. I had been commuting, so it worked out that I was able to come home after school and be with my mom. I asked her if I should stop going to school and was willing to do so, but my mom told me to keep going. And we had a special connection. I knew she knew I didn;t want to stop going to school and she enjoyed hearing my stories about what I learned during the day. She often said, "I just enjoy hearing about what you did today.." It made me happy.
The next room over, my sister and father cringed at me, because they had been home all day taking care of her. They would give me dirty looks and say, "Liz, now YOUR going to stay home the rest of the night and take care of mom, WE'VE been home all day!!!
The guilt they put on me was awful. I hated the way I felt. One day, I came home with a cold ( which meant I had to wear a mask and gloves, the risk of mom getting sick was too high). My sister said and I quote, "Liz, you probably are faking it just so you don't have to take care of mom"..
This went on for so long! Thinking about it now, makes me so angry at my dad and sister. They were like 2 peas in a pod, tag teaming *but also doing a good job of taking care of my mom* But making me feel like absolute shit!
I did what I was good at! Reading stories to my mom, adding voices to the stories... she laughed and smiled. I would watch TV with her and just be "sunny self" which she said.
My sister also left a cruel note on my bed one day that said, "You are going to regret this when Mom dies, I don't know how you can go to school while mom is dying!" And I couldnt even read it. I can tell you this, I didn;t know at the time if My guilt was real or not. None of this came from my mom, was it because she didnt have the energy? I felt so trapped and sad..
I went to a psychologist a few times and brought the note with me and she told me never to look at it, it was so awful. I knew deep down it was not true. But when the only people you are about to have left in your family are telling you that you are selfish, not a part of the family, useless... What are you to believe?
Mom had a visiting nurse that came over, she was so nice, also a reiki lady whom my mother enjoyed thouroghly. And I knew while I was gone during the day my sister would tell them I was never there... And honestly it seemed like a whirlwind of activity went on that it made me feel out of the loop when I got home at about 5:00 pm.
I would come home and my mom would have a fever. Conversation with sister would go a little somthing like this:
ME: When did mom come down with this fever?
Sis: About 12:00 this afternoon, maybe if you were home you would have known.
ME: Its really not my fault that I am at school during the day, I am in a different place right now, I'm only 21 and mom wants me to go to school.
Sis: You know mom isn't going to tell you to drop out of school, you should know better, I would NEVER be able to go to school knowing mom is here dying, you'll see it when shes gone.
Sis: That's right Liz, go be selfish in your room...)
This went on for about 6 months. Trying to know the moral difference of manipulation and reality was hard, but I know whats right and wrong.
Now, 2 years after my moms passing, my relationship with my sister is not the same, and never will be. We've talked about the things she said to me, and she says, "Liz you know I was stressed out at the time and said things I didn't mean. I WAS THE ONE WHO WAS AROUND MOM ALL THE TIME" NO ONE SAW WHAT I SAW. I WAS THE ONE WHO CHANGED MOMS DAIPERS WHILE YOU WERE AT SCHOOL"
So obviously she still can't let it go.
I feel like my relationship is fake. And granted my sister is a paranoid hypochondriac and anxiety ridden and I never even explained that, that is a whole other story.
I can't even be around my sister because we just butt heads. Even my dad makes excuses for her and doesnt see my point of view the way my mom would have.
I am not looking for anyone to tell me that she was wrong in what she said, I already know that. I don't regret anything about my time with my mom. I just have this terrible relationship with my sister from the time of my moms passing and I just dont ever think it can get better. For someone to say such hurtful things to me and then blame it on stress. I can TRY to forget but I cant forgive.
It makes me so mad at NOTHING (WHO CAN I GET MAT AT???) to think that this evil cancer took away the one person in my family that could see through everything. Who could understand all of us and how to make our family work. Now I am left with 2 irrational people and I am prospering with my life and all they can do is make me feel guilty for graduating school and going on in the right direction. My sister has no job, and my dad can't afford to keep the hot water turned on.
The love of my life, the man I am going to marry is the only one who understands me. He is so nice to my dad and sister when I cry to him about how they made me feel. He offers to take care of my dads house and plant flowers the way my mom did.
He is amazing and I am so thankful to have him. His mom died of a bad blood transfusion when he was 9 years old in 1993.
It is just a whirlwind of a change in my life. I wish things could have been different, and why her?
Im sorry if I have dragged this on, but I have a newfound respect for you all and feel like i can write to you.
Thanks for listening.


text:
- Overview
- Contact Us
- Anger
- Bibliography
- Caring for One's Self
- Children Coping
- Coping with Grief
- Fathers and Grief
- Feeling Out of Control
- Helping a Spouse
- Holiday Letter
- Letting Go of an Only Child
- Letting Go of Illusions
- Moms
- Poems
- Revisiting Grief
- Surviving the 1st Year
- Unanswered Prayers
- What Others Can Do
- Support Groups
- Website Links
Contact Information
Women & Children's Hospital of Buffalo
219 Bryant Street
Buffalo, NY 14222
- (716) 878-7920
- Map & Directions
Bereavement Support Services
Feeling Out of Control
I Wasn't Going Crazy…..I Was Grieving
On August 21, 1977 my husband and I were sleeping peacefully at our camp. We were awakened by the ringing of the phone at 2:00 a.m. I could tell by my husband's responses that something was wrong. He turned from the phone and told me that our daughter, Mary, had been in an accident and was in Community Hospital. We threw on our clothes. As we were rushing out of camp I grabbed a book to read. I envisioned that she would have to stay in the hospital so I brought the book to read as I sat by her bed.
When we arrived at the hospital they ushered us into a room. My heart sank. I knew the news was going to be bad when they didn't bring us to her. Then the nurse told us Mary had been killed in a car accident—her neck was broken when the car hit a telephone pole. The nurse asked if we wanted to see her. I went in first. It was so hard to believe. She only had a little bandage on her head. It just looked as if she was asleep. She had on a plaid shirt, jeans and her favorite boots. I kissed her and told her that we loved her and I knew she would go to God. My interest in life after death plus my faith helped me as I stood in that hospital room. I reasoned that Mary might still hear me, as our hearing is the last to go, or she was in heaven; and either way she would hear me.
That fateful night began one of the most painful journeys of my life. I was not prepared for the strong feelings that slammed into me. At first I didn't believe it. I thought that it was a bad dream and I would wake up any minute. Much of the days surrounding the wake and funeral are a blur. Many people came to the wake but I only remember what two of them said. In each instance they said, "I know just how you feel." I screamed inside—"Oh no you don't!" Then they told me that they had a child die. I had worked with the first man for five years. His son had died six years before. The other couple's son had died ten years ago but we had only known them through church for five years. I remember thinking—they eat, go to work, look normal—somehow we will too—it was my first glimmer of HOPE.
I tried to be strong. With hindsight I now realize that such strength is not realistic and not helpful to you or your family. I would sob in the shower so my family wouldn't hear me. I started to swim a lot because I could cry in the lake and no one would know. Food no longer appealed to me. At first I lived on tea and Italian cookies. A week later I returned to work because I wanted to be busy—I didn't want time to think. Yet there were times that I would stop right in the middle of a sentence. I would forget what I was talking about. I would leave my desk and then forget what I was getting. It was difficult to concentrate.
In early October we went to a meeting in Denver. I slept, ate and felt so much better; I realized that I was removed from the reality of Mary's death. I wasn't expecting her to call or some through the door as I did when I was home. After we returned the reality hit. It scared me as I thought that I was getting worse—going backwards. I didn't think that I could feel any worse, but I did. When I really hit the pits I finally talked to two friends. It helped so much. I would be handling things fairly well for about three weeks and then I would start "sliding" down into the pits. After three weeks of "sliding" I would reach out for help. Talking about my feelings helped me to understand what aspect of grief was giving me trouble. This became a pattern that developed and was more acute at holidays and special family events. I hurt so much when I was in the pits that when I started to feel that I was going "down" again I would panic. Looking back it would seem that I should have realized that the "bad days" always passed and that I did feel better again. But grief wears you out. You don't think clearly. I figure out my anxious feelings and the pure panic of feeling se devastated. I remember thinking that not only had Mary died, but now I was going crazy. My family didn't need that too.
I couldn't believe the physical symptoms of grief. I lost my appetite and eventually lost 20 pounds. I had shaky legs, a knot in my stomach, sleeplessness and my throat felt like it had a carrot going sideways. I felt like the ad on television where the gorilla slams the suitcase all over his cage. It seemed that the feelings of grief were slamming me from wall to wall. I would drop exhausted until the next onslaught—the next feeling slammed into me. No matter what I was doing—working, driving, cleaning—Mary seemed to "sit over my left eye." I could think or work on other things but I also thought about Mary and her death. I eventually shared with my sister-in-law Carol and faithful friends Peggy that I didn't like the person I had become. I couldn't understand. I wasn't being a witch to my family and friends; if anything I was being nicer because I had become more aware of how important my family and friends were to me. Later, when I learned that a low self-esteem goes with the territory of grief, I felt my self-esteem rise.
In the years since Mary's death I have learned so much about grief and about life. I now know that I wasn't going crazy. I was experiencing the range of strong emotions that accompany the death of a loved one. I learned to "lean into my pain." I hated that advice because I didn't like to hurt, but I realized I had no choice. If I didn't lean into my pain I would become better and cold. It is called grief work and the term is so true. It was the hardest work that I have ever done.
After Mary's death I wanted so much to talk with others who had survived the death of their child. I would have gone hundreds of miles to be with people who had a similar experience. I hoped that maybe they had a magic formula to take the pain away or at least some ideas for coping. Our first Thanksgiving and Christmas had been so painful, even though as a family we had many caring people in our lives. Fifteen months after Mary's death, as Christmas was approaching, I suggested to my boss and friend, Fr. Joe Philips, Director of Family Life Education, that I thought it would be helpful to hold a meeting for bereaved parents to talk about ways of coping with the holidays. During the meeting someone asked if we could meet the next month. That was the beginning of our HOPE FOR THR BEREAVED PARENT(S) monthly support group meetings. I was fortunate to work at Family life Education (a department of the Diocese of Syracuse) and therefore was able to use the meeting rooms, office equipment and mailing permit.
I held the first meeting in order to help other bereaved parents. I never realized how much it would help me. Since I was one of the coordinators I had to be prepared to speak on a different topic each month. In order to do this I had to face my own feelings about anger, depression, expectations, etc. I also read a lot to gain more understanding. In talking and listening to other parents I learned that so many of my feelings were normal. It is really true that in helping others we ourselves are helped.
I never envisioned all the various support groups that would be formed or the many services that we would be able to offer. We would never be able to accomplish all this without our beautiful, dedicated volunteers. About four months after our first meeting, Donna Kalb offered to help. Her son had died four years before. Seeing how well she was doing gave me great hope that someday I would do as well. Donna's volunteering set a tone for the encouragement of other bereaved people to join us and for the shared decision making that holds true today. Currently over 200 volunteers help in so many ways: completing monthly mailings; typing; processing labels; coordinating groups; writing articles; coordinating publicity; collating; recording; wrapping and mailing handbooks; providing telephone help; providing hospitality; sending condolence notes; doing fund-raising; providing community education, etc. Due to the greatly expanded requests for our services, in May, 1985 Christine Beattie became coordinator. The Rosamond Gifford Charitable Corporation funded this much-needed position.
HOPE FOR THE BEREAVED, INC. 4500 Onondaga Blvd., Syracuse, N.Y. 13219. This article and others are available through above address for $16.00 plus $3.00 postage and handling. Phone: 315-475-9675, website: www.hopeforthebereaved.com


text:
Sign into our member site to view your information online.Forget your username or password? Not registered? Register here
dipyridamole (generic name)
It is used in patients who have had heart valve replacements
(dye peer ID a mole)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?DIPYRIDAMOLE (dye peer ID a mole) is used in patients who have had heart valve replacements. It prevents blood clots and reduces the risk of complications.
What should I tell my health care provider before I take this medicine?They need to know if you have any of the following conditions:
How should I use this medicine?Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
What should I watch for while using this medicine?Visit your doctor or health care professional for regular checks on your progress. Check your heart rate and blood pressure regularly while you are taking this medicine. Ask your doctor or health care professional what your heart rate and blood pressure should be, and when you should contact him or her.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Ask your doctor or health care professional before you take non-prescription pain relievers. Avoid aspirin and aspirin-containing products.
If you are going to have surgery, tell your doctor or health care professional that you are taking this medicine.
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
Where should I keep my medicine?Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


text:
Call us, we'd love to hear from you!
Call us, we'd love to hear from you! (888) 390-5571
Our large, high end European style Aluminum and POLYWOOD® Dining Table measures 36" Wide x 72" Long. This modern outdoor Euro dining table is finely crafted of sturdy, powder-coated aluminum metal frames with a colorful POLYWOOD® table top. Create your own truly custom look with black, white or silver aluminum frames paired with a bright vibrant colored POLYWOOD® table top in blue, teak, tangerine, red, sand, mahogany, lime, lemon, green, black, aruba, slate grey or white POLYWOOD® slats. Great for casual or formal sophisticated Outdoor Deck and Patio dinners and parties. Super durable, maintenance free and best for the beach, patio, pool or deck. It includes free shipping and carries a Vermont Woods Studios backed lifetime guarantee. This luxury high end European style patio dining table is part of a new generation of light-weight outdoor dining furniture. Our POLYWOOD® outdoor designer patio dining furniture collection, is durable, weather-resistant and affordable. To learn more about American made POLYWOOD® Outdoor Furniture or buying from Vermont Woods Studios please contact us at 888-390-5571.
Textured Black
Textured Silver
Satin White
Textured Bronze
Samples of Polywood material are available here.
Slate Grey
Pacific Blue
Sunset Red
All colors should be ready to ship within 10 business days of placing your order. Because of the size and/or weight of this product, it must be shipped via common freight carrier and will be a curbside delivery. Total time before delivery will vary from 3-5 weeks, depending on destination distance from Indiana.
The shipping method used for your order will ultimately be decided by POLYWOOD and not by Vermont Woods Studios, therefore all shipping times quoted are approximate only and are not guaranteed.
POLYWOOD furniture is made from recycled plastic lumber (RPL). It is both durable, environmentally friendly, and requires little maintenance. All you need is a sponge or soft bristle brush, and gentle soap and warm water. Make it even easier by using a high pressure washer! To read more detailed instructions, visit our care & maintenance page:
Polywood Care & Maintenance »
We provide wood samples for $5 each. You may keep them or return them for store credit.
Select Samples


text:
Land Records General Information
Background Information
Land Records Research
Land Records Forms
Obtaining Copies of Land Records
Certificate of Satisfaction for Trust/Mortgage
Civil Judgment Information
Court Public Access Network (CPAN)
Background Information
The Land Records Division is located on the 3rd floor of the Fairfax County Courthouse at 4110 Chain Bridge Road in Fairfax. The Land Records Division records documents for property transactions in Fairfax County and the City of Fairfax. Customers submit over-the-counter land documents (separated into batches of no more than 20 sets) for recording from 8 a.m. to 3 p.m. The recording line closes promptly at 3 p.m. Documents received prior to 3 p.m. will continue to be processed until 4 p.m. at which time any unrecorded portion will be returned to the customer. Over-the-counter documents cannot be left overnight and customers must be present when their documents are being recorded in case any questions arise. All documents must include the Fairfax Land Records' cover sheet.
The Division is open to the public for research from 8 a.m. to 4:30 p.m., Monday through Friday and is designed for the public to perform its own research. For Land Records questions, call (703) 691-7320 and press 3 and then 4 (TTY 711).
The mailing address for the Land Records Division is:
Fairfax Circuit Court
4110 Chain Bridge Road
Suite 317
Fairfax, VA 22030
Attention: Land Records Division
All documents presented for recordation must be the original, signed and notarized documents. Forms for Certificates of Satisfaction, Certificates of Partial Satisfaction, Certificates of Transfer, Authorizations for Partial or Full Releases of Judgment Liens and Releases of Lis Pendens are available in the Land Records Division and some are available in the Land Records Forms section below.
Real property transactions involving property located within the City of Falls Church must be recorded with the Arlington County Circuit Court. Real property transactions involving property located in the City of Alexandria must be recorded with the Alexandria Circuit Court.
Land Records Research
Land records are public documents and individuals who need information must perform their own research. Clerks are available to assist you with your research, but they cannot perform it for you. For assistance with extensive land record's research, you should consider hiring a local title company or an attorney familiar with Land Records.
All of the land records documents have been converted from microfilm and books into digital images. These images may be retrieved and researched at public computer terminals in the Research Room or via the web by subscription to the Court Public Access Network (CPAN - see below for subscription information). The Research Room is open to the public from 8:00 a.m. until 4:30 p.m., Monday through Friday. Documents from 1742 to the present are available for retrieval and deed books prior to 1945 are maintained in the Historic Records Center located at 4000 Chain Bridge Road, Suite 1600.
The Land Records Division of the Circuit Court does not record nor maintain information regarding the assessed value of real estate. Real estate information is available via the Internet at iCare website or with a subscription to CPAN. Any questions regarding real property taxes, assessments, or property owners, should be directed to the Department of Tax Administration, Real Estate Division at 703-222-8234 or their website.
Land Records Forms
You may download the forms below from the Virginia Judicial System Web site:
Obtaining Copies of Land Records
To order copies of deeds and other land records, you must know the instrument number or deed book and page number of the document. You may obtain the deed book and page number by searching the land records in the Land Records Research Room or through a subscription to CPAN (see below for subscription information). Subscribers to CPAN are able to make non-certified copies from their own computer.
To obtain a copy in person, go to the Land Records Division on the third floor of the Fairfax County Courthouse, Suite 317. The fee for a certified copy is $2.00 per document and $0.50 per page. The court does not accept personal checks. Acceptable forms of payment: cash, Circuit Court debit or credit card, business check, law firm/attorney check, cashier's check or money order payable to Clerk of the Court. Visa and MasterCard are also accepted with a 4% processing fee.
To obtain a copy by mail, the customer must either complete the Land Records Copy Request Form or prepare a written request providing the instrument number and/or deed book and page number of the document. The fee for a certified copy is $2.00 per document and $0.50 per page. Mail the form/request, payment and a self-addressed, stamped envelope of sufficient size to the address listed below. The court does not accept personal checks and cash and credit card payments are not accepted through the mail. Acceptable forms of payment: business check, attorney/law firm check, money order or cashier's check made payable to Clerk of the Court. The copy will be mailed within two weeks from receipt of the request. Mail the request to:
Fairfax Circuit Court
4110 Chain Bridge Road, Suite 317
Fairfax, VA 22030
Attn: Land Records Copies
Certificate of Satisfaction for Trust/Mortgage
To release a trust or mortgage from record, an original, notarized Certificate of Satisfaction signed by the lender or the settlement agent who has paid the obligation must be recorded in the Land Records Division. All information on the form must be completed in full. Most lenders will mail the Certificate of Satisfaction form directly to the Land Records Division; however, some will mail the form to the borrowers with instructions on how to record the document. It is then the borrower's responsibility to ensure the document is recorded.
Certificate of Satisfaction forms are available from the Land Records Division or may be downloaded from the link above.
A return address or box number should be inserted in the margin of the first page of the Certificate of Satisfaction as well as a tax map number. The tax map number can be obtained from a current tax assessment notice or you can call the Department of Tax Administration at 703-222-8234 or visit their website. Please provide a self-addressed, stamped envelope of sufficient size for return of the recorded document(s). Documents will be returned to the address or box provided.
Court Public Access Network (CPAN)
Internet access to Land Records' documents is available through the Court's Public Access Network (CPAN). All information pertaining to the CPAN (Court Public Access Network) subscription service is available on the CPAN Application page.
If you have questions about CPAN, you may call the Circuit Court IT Department at (703) 246-2366 (TTY 711) or send e-mail inquiries to email@example.com.
- Alpha Book Conversion Chart
The conversion chart is used to help Land Records' patrons research documents in CPAN recorded prior to 1943.
- Land Records Recordation Taxes and Fees
Please click here for the recordation taxes and fees for land records. These taxes and fees are established by the Code of Virginia. §58.1-801 et. seq.
In order to view PDF files, you must have Adobe Acrobat Reader installed on your computer. To obtain a free copy, follow this link:


text:
SANTA CRUZ -- With the second concrete pour set for Thursday morning on the new La Fonda Avenue bridge, the $21 million project to expand one of the county's busiest sections of highway is entering the home stretch.
"It will start to look more like a bridge," said Karena Pushnik of the Santa Cruz County Regional Transportation Commission. "But we still have more work to do -- the sidewalks, railings, lighting."
Concrete trucks will line up on the ocean side of La Fonda Avenue to pour the concrete with little congestion expected in the neighborhood near Oak Way because Harbor High School is closed for summer break, Pushnik said.
The concrete must cure for 10 days before crews can continue working on the deck and remove the temporary structures known as "falsework" that form the bridge.
The new bridge is part of a project to widen the lanes between the Soquel and Morrissey exits for cars entering and exiting the highway between those two exits.
La Fonda Avenue bridge is expected to be ready for traffic again by the end of August, and the new auxiliary lanes should be open in late September, Pushnik said.
The highway will be closed from late night to early morning in one direction between Soquel and Morrissey around mid-July while construction crews take down the falsework.
Crews are installing rebar and the concrete footing for structural support of a sound wall west of the bridge, and blocks for the stretch of sound wall on the northbound side of the highway will be set during the next month.
Landscaping has started with irrigation lines placed near the Morrissey Boulevard interchange.
It's expected to take at least one year to establish the new plants, including 100 new redwoods through the area.
The regional transportation commission plans to hold a ribbon-cutting to celebrate the completed project in October.
Follow Sentinel reporter Shanna McCord at Twitter.com/scnewsmom
Mid-July: Highway will be closed in one direction from late night to early morning for removal of temporary steel and wood support beams for La Fonda Avenue bridge.
Late August: Bridge is expected to be open.
September: New lanes between Soquel Drive and Morrissey Boulevard should be complete.


text:
Monte Design Grano Glider Recliner
why it's a giggle pick
product overview
details & dimensions
- Hidden footrest handle to maintain clean esthetic.
- High head rest for maximum comfort.
- Removable lumbar support pillow included.
- Ergonomic design.
- Smooth steel gliding mechanism is made from recycled materials. (Note: Does not glide when reclined.)
- Made in Canada.
- the Heather Grey color is made out of microfiber fabric, the remaining colors are a microsuede fabric material
- Glue is water-based and biodegradable
- Wood is certified by the Forest Stewardship Council (FSC)
- Fabrics are manufactured according to Oeko-Tex Standard 100
- 38" H x 28" W x 32" D (overall)
- 18" H x 21" W x 19" D (seat)
- Back height (from seat to top of chair): 27"
- Arm height (from floor): 23"
Weight:105 lbs.
Age:Newborn & Up
Care Instructions:Spot clean with a damp cloth
Country of origin:Made in Canada
Shipping & Delivery Details
- Expedited and express shipping options are not available for this item
- giggle currently only ships to locations within the 48 contiguous states. Unfortunately, we are unable to ship internationally or to PO Boxes, APO/FPO addresses, Hawaii, Alaska, or US Territories.
- National nursery furniture delivery services are available for single chair orders. Delivery will be the front door of your home. Assembly services are not available where we do not have local giggle White Glove Nursery Delivery Services. See shipping info page for full rates and details.


text:
I'm starting this thread to have a place to discuss the Broncos and/or Manning this season. It seems to me that will be a topic that will overwhelm any other 'around the NFL' type threads.
And on that note let me start by saying... Manning looked pretty good carving up the Steeler defense.


text:
There is a cliché that comes up just about every time an NBA team packs up and hits the road for a stretch — you know, that being at home maybe allows players to get a little too comfortable, that some hard time in luxury hotels and on cushy team jets can really take a team and make it come together. What better way to bond with your teammates than grousing over the fact that your lobster fricassee comes from room service rather than one's personal chef?
OK, so life on the road isn't what it used to be, back when players traveled by bus and had — gulp — roommates in their hotels. But the idea is the same: Going on the road is supposed to take players out of their elements and, in doing so, bring them together as a team. It doesn't do a team much good in terms of winning, not when only eight of 30 teams are over .500 on the road, and the combined league road winning percentage is .390. As team-building goes, though, most allege it's a good thing.
And for the Lakers, the road might be the last hope. It is true that they're only 5-15 away from their home floor, but they also have not yet given the road much of a chance — they have played the fewest road games of any team in the Western Conference and, in the league as a whole, only the Bulls have been on the road fewer times. The Lakers have not taken a trip of more than three games yet this year, and they've only taken three-game trips three times. They won one of the three games on their first two trips, and then got swept by Toronto, Chicago and Memphis last week.
Linemakers: Lakers look to continue turnaround
It was in Memphis, of course, that the Lakers had their much-discussed team meeting, the one in which just about every player was testy, but is best known for Kobe Bryant challenging Dwight Howard without Howard offering much of a response. The Lakers went out and lost that night, but when they returned to Staples Center, they posted back-to-back wins over the Jazz and Thunder — one a playoff contender, one a championship contender.
While Howard has seemed dazed at times as this season has slipped past him, he was upbeat after the win over Oklahoma City, and he had the road chat in Memphis to thank for it.
"I'm very excited to see our progress," he said. "We're going to continue to work, continue to talk to each other. The biggest difference is we're holding each other accountable for everything. We had a great talk in Memphis, and it has carried over."
Certainly, for the Lakers, the time for chatting has passed. We've passed the midpoint of the season, and the Lakers are not rustling with the other Western Conference disappointments — Dallas and Minnesota — who are hoping a midseason surge can put them in position to sneak into the playoffs with a strong stretch run. This is where the Lakers are: Hoping to play well enough to have a chance to be one of the teams that slips into the back end of the playoffs.
NBA trade rumors: Paul Pierce on the move?
This trip has the potential to vault them back into the mix, just as easily as it could snuff their good intentions out altogether. They'll be gone for 12 days, and will play seven games. Four are winnable, and three of those come at the outset of the trip, which begins with Phoenix, Minnesota and Detroit (though it should be pointed out that the Suns changed coaches and have played better, and Detroit has been surprisingly good lately). If the Lakers get off to a good start, it takes some pressure off the next two games, in Brooklyn and Boston, where the Rajon Rondo-less Celtics remain an unknown commodity.
That is followed by a gotta-have game in Charlotte, and the trip wraps with a splash of cold water for those who thought there was a chance of seeing Bryant and LeBron James in the Finals (guilty here!), when the Lakers play the Heat on Febr. 10.
It's easy enough to imagine the Lakers winning the first three games, splitting the next two, beating the Bobcats and guaranteeing themselves at least 5-2 when they go into Miami. That kind of trip would resuscitate the season, maybe create some of that good will toward each other that has been entirely lacking for this bunch. It's just as easy to imagine the team getting flattened from start to finish and coming back with their playoff hopes up in smoke and their hands at each other's throats.
Either way, this road trip represents the Lakers' last chance. Buckle in.


text:
Matching: 7501 X
- Sort by:
- Date
- Title ▼
- Likes/Votes
- Comments
- Views
Lost in translation in the Maximo Asset Management 75 Information Center Community Blog
Sandra.Gannon Tags: information_center 7501 ibmeam translation 7503 maximo 6,443 Views
Do you ever feel like Bill Murray or Scarlet Johansson in the film Lost in Translation and consider the Maximo Asset Management 7.5 Information Center your equivalent Toyko? If you use secondary languages in your product, you will notice that regardless...
from Blog: Asset Management
Want To Know More About Maximo Changes in View Manage Queries? Community Blog
ChristaBarker Tags: 7502 ibmeam queries management asset 7503 manage view 7501 1 Comment 9,798 Views
Changes in the Maximo "View Manage Queries" functionality will be explained. This article highlights the differences in the functionality. There are three new security sigoptions that have been added. These are not automatically granted. The...
from Blog: Asset Management


text:
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Sunday, September 24, 2017
What is the blood test for Pseudocholinestera
My daughter`s dentist recommended sedation for a procedure she needs and I mentioned my mother has Pseudocholinesterase Deficiency. He recommended she be tested for this before the procedure. I contacted her Dr. and she said she has to have a blood test and recommended me to a genetics doctor. They were no help. Do you know what blood test she needs to have so I can ask her doctor for a script for this?
Pseudocholinesterase deficiency is an enzyme deficiency that does not allow certain drugs, including an important anesthesia emergency drug, to be metabolized. There are alternative drugs that can be used by an anesthesiologist, but your dentist's concern is legitimate as he or she likely does not have these alternative drugs and is not trained in their use. This may not be an issue depending on the type of sedation planned.
It is also good for your daughter to know if she has inherited this deficiency (as well as her grandmother's children). If I have a patient with this condition, I simply modify my anesthetic technique slightly regardless of whether they have been tested or not.
There is a simple blood test call an Acholest test where a drop of blood is placed on a special paper and a color change occurs, detecting if a deficiency is present. I am not sure which labs in your area test for this, but you may be able to call the ones your insurance covers and find out so that your physician can order it.
Steven I Ganzberg, SB, DMD, MS
Formerly, Clinical Professor of Dentistry
College of Dentistry
The Ohio State University


text:
- Doctors
- Rhode Island
- North Kingstown
- Chiropractors
- Dr. Vincent E. Brunelle
You may also like
Ratings for Dr. Vincent E. Brunelle
Dr Brunelle has now helped me several times when I hurt myself so badly I couldn't even move. He is very skilled and enabled me to be able to move freely without pain after a serious neck injury. He is very experienced and extremely knowledgable. If you follow his instructions, you WILL get back to pain free movement. He also is very knowlegable about supplements and health and wellness in general. He can always tell precisely right where I injured myself, even when I don't describe to him what happened. I can't say enough about this Doc.
Dr. Brunelle is the most compassionate amazing doctor I have yet to encounter. Listened without being biased and attended to my needs correctly. Saw him for the Webster Technique, as my baby was breech at 37 weeks. After 3 visits and at 39 weeks, arrived at the hospital for my scheduled c section. Ultrasound given before surgery and we heard, the baby is head down!!! All thanks to Dr. Brunelle. We were told by our ob that there was no way the baby would turn. HUGE thank you Dr. Brunelle!
Dr. Vincent Brunelle is an incredibly knowledgeable doctor. He will listen to you and get to the root of the issue. He spends a lot of time with you, if you have questions, and he keeps up with all the latest treatments. He is also extremely kind. You won't find a better chiropractor ANYWHERE! :)
Dr. Brunelle is the most caring and competent doctor I've ever encountered. He will listen you, treat you holistically, target the real problem, AND give you gentle, accurate, and effective adjustments. His staff is always helpful and professional. It's always very simple to get an appt. right away and if your insurance does not cover chiropractic, his cash price is VERY fair and affordable. He's truly a wonderful man and healer.
Dr. Vincent E. Brunelle's Credentials
Facility Affiliations
Accepting New Patients
Other Specialties
Areas of Expertise
Awards & Recognitions
Publications & Research
Insurance accepted by this Doctor
Top Urgent Care Centers in North Kingstown, RI
Find a Doctor by Specialty
Featured News
You may also like
Top Chiropractors
#1 of 9
#2 of 9
#3 of 9
#4 of 9
#5 of 9


text:
wimp whamp from Nick Ciontea on Vimeo.
Nick Ciontea is living in Chicago, IL. Here he happily performs a sequence using some very nice modules. I like how the rack is a little too high for him as he twists dials. That, the beard and the sound make this a good Saturday synth video.
"all modular, beat repeat and reverb in ableton, tip top oscillators, harvestman, tiptop, makenoise filters/lpg, rene and z8000 sequencers" – Nick Ciontea
photo credit: analoguehaven.com


text:
Sign into our member site to view your information online.Forget your username or password? Not registered? Register here
ibutilide (generic name)
This medicine can help your heart beat regularly
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?IBUTILIDE is an antiarrhythmic agent. This medicine can help your heart beat regularly.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?This medicine is for infusion into a vein. It is given by a health-care professional in a hospital or clinic setting.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?This does not apply.
What may interact with this medicine?Do not take this medicine with any of the following medications:
What should I watch for while using this medicine?Your condition will be monitored carefully while you are receiving this medicine.
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
Where should I keep my medicine?This drug is given in a hospital or clinic and will not be stored at home.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.