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|May 21, 1999
Volume 1, Issue 21
|Midwifery Today E-News
"Premature Rupture of Membranes (PROM)"
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In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"Life shrinks or expands in proportion to one's courage."
- Anais Nin
2) The Art of Midwifery
I incorporate the amniotic fluid thrill check at each prenatal visit past 34 weeks so I have a baseline for each woman. When a woman's water breaks prematurely, I have strict protocols, and among them is to check daily for fluid thrill. Have the woman relax in a semi-sitting or almost flat position. Put your hand on one side of her abdomen, flat against it. With your other hand, very gently flick your finger against her tummy. You should be able to feel the ripple of the water against the hand that is flat on her tummy. Do this all around, feeling for pockets of water, until you have a general sense of how much water is around the baby.
- Patty Sherman, Midwifery Today Issue 31
If a primip thinks she has ruptured membranes, find out when she took your class on labor with ruptured membranes. Odds are she has it "on the brain" because you emphasized it in class, and wants to make sure the mucus she is seeing is not ruptured membranes. Once you check these women, you'll find that most of them don't have ROM.
- Sister Angela Murdaugh, CNM, Wisdom of the Midwives: Tricks of the Trade Vol. II
At Midwifery Today, we have lots of
tricks up our sleeves! Purchase our two volumes of Tricks of the Trade and you'll see what we mean: Save $5 when you purchase both Tricks of The Trade. Volume I and Volume II. Only $40 plus shipping! Call today to order: 800-743-0974. Please
3) News Flashes
Management for PROM
A retrospective cohort study of women delivering at two New York City hospitals
between 1988 and 1990 was conducted to assess the outcomes of two kinds of management
for PROM. The patient populations of the two hospitals were similar. One institution
practiced induction of labor if spontaneous labor had not begun within 12 hours
of rupture of the bag of waters; the other hospital, with nurse-midwifery management,
admitted the women but did not induce unless signs of infection occurred.
- Journal of Nurse-Midwifery, Vol. 38 No. 3, May/June 1993
4) The Problems of PROM
A study of the association between time of rupture and time of day found that not all cases of PROM are alike [Cooperstock, England and Wolfe in Obstet Gynecol 1987; 69(6)]. Women who began spontaneous labor within a day or so after membrane rupture were highly likely to have had membranes rupture late at night. Women with infected membranes did not show this circadian rhythm. Neither did women who were not infected but who did not begin labor within that time frame. Observing that labor onset shows the identical circadian pattern, the authors theorized that in the first case, hormones regulating the onset of labor were probably responsible. The second case suggests that infection precipitated membrane rupture. In the third case, some as yet unknown mechanism appeared to be at work.
The study illuminates the problems of PROM. It explains why inductions often fail: women whose uteruses are not primed for labor--that is, women in categories two and three--will not labor effectively no matter how much oxytocin is given [Steer, Carter and Beard, Br J Obstet Gynaecol 1985; 92].
It explains the seeming relationship between length of time postrupture and infection. Women in the second category (comprising very few term pregnancies) have an incipient infection. They are not ready to labor and will have a long latency period, which will allow that infection to blossom. In women of the third category, vaginal exams and internal monitoring start infective processes that, as with the second case, have time to take hold because these women too have a long latency period.
Finally, it explains why almost all studies of PROM management at term done since the 1960s show major benefits for expectant management (watching and waiting) in women with no signs of infection: women who are not infected are not likely to develop infections--provided people keep their fingers and monitoring devices out of the vagina--and will do best if left alone.
Not only does leaving women alone do best for most women, but standard management could hardly do worse if it were intentionally designed that way. Standard management causes infections and fetal distress, the very things it is supposed to prevent.
One might think that the deleterious effects of the 24-hour rule have been so thoroughly documented that expectant management would replace it. But doing nothing is anathema to mainstream obstetricians, so the expense and frustration of prolonged antenatal admission for observation became justification for induction, even though waiting for labor does not extend hospital stay by much [see above].
- Henci Goer, Obstetric Myths Versus
Learn more from these Midwifery Today issues:
No. 18, The Challenging Birth (Regular price $7.00)
Save $1.00 on each of these back issues! Call 800-743-0974 to order today! Mention code 940 and save $1 per issue. Expires June 4, 1999.
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5) Question of the Week: What is your
favorite technique for educating the public about midwifery and natural birth?
(repeated from last week)
6) Question of the Week Responses
Q: What is your protocol for premature rupture of membranes? Why?
I do no vaginals--I really do feel this is a causative problem of infection. I will watch for awhile and if after about 4 hours nothing is happening I will start the bag of tricks, herbs, homeopathy, castor oil and/or enemas.
- Ollie Anne Hamilton, LDEM, CPM
If the fluid is not clear or there is bleeding or fever, or reduced fetal movement, or any suspicion of cord prolapse, I see the woman immediately and consider admission to the hospital. In most cases, I see the woman to check heart tones, but depending on the time of day, I may defer this. If the woman is known to carry Group B Strep, I advise her to go to the hospital for immediate induction and IV antibiotics--most do and some don't!
For planned hospital births, I usually wait about 24 hours (depending on the time of day) and if there is no labor, I recommend 100 mcg cytotec orally or tincture of blue and black cohosh (1/2 dropper every half hour), whichever the mother prefers. If I know the baby was at zero station and the woman had started to thin and dilate before the rupture, I also offer her the option of 2 oz. castor oil well-mixed with 2 oz of the beverage of her choice (usually either a soda or apricot nectar) followed by more of the beverage.
I don't insist on any of this, but if the woman wants to wait longer, I have her sign an informed consent in the chart. I don't do labor checks until it appears that labor is well on its way.
For out-of-hospital births, I wait up to 48 hours with mothers and babies who are healthy and want to wait. I offer all mothers the option of immediate hospital induction, explaining that physicians in our area recommend this and why they do, and tell them to call me with any sensation of cord prolapse, reduced fetal movement, bleeding, colored fluid, or fever.
- Cynthia Flynn, CNM, PhD
Recently I had a situation with an Amish client whose membranes had ruptured three days before onset of labor. When I got to her house for a prenatal visit, she told me she was sure her membranes had ruptured, and I confirmed it with an amnicator. She told me she had tried castor oil and nipple stimulation the previous day to get labor started. She was full term and there were no signs of infection, but she was having no contractions. I ruled out a slow leak that might be inclined to close up. There still was plenty of (clear) fluid coming out every once in a while. We agreed to go in to the hospital. I called ahead, and the doctor on call happened to be one with whom I have a good working relationship (she wants to come to a homebirth with me to see what it's like). She told us to come on in, and that I could just plan on delivering my client's baby there. My client seemed relieved that the baby would come soon, and was very glad that I would be able to continue care. On the way to the hospital (40 minutes away) she started having contractions, so we stopped at my house to see what they would do, and maybe have some dinner. Three hours later, a healthy baby girl was born in my bed!
I have noticed that Amish women seem to have a higher rate of premature rupture (>12 hours before onset of labor).Perinatal infection does not seem to be a problem in the communities I and other midwives work in.
Q: At what rate in your practice do babies pass meconium before birth, not counting breeches? Are your statistics from a homebirth practice or hospital practice? Also tell us how you handle the problem of meconium.
I have an active homebirth practice and I do 2-10 births per month and attend an average of 50 births per year. In my practice the incidence of meconium comes in spurts, just like all complications--you might have a run of fetal distress, then heavy bleeding, next meconium. Out of the last ten births I attended, I had four babies with meconium. That sounds like a high percentage, but I might not see any meconium for the next 6 months to a year. Of the last four, the first baby was 2 and a half weeks overdue, cord wrapped twice around the chest and three times around the waist, plus shoulder dystocia, and yes, mom also hemorrhaged. Birth number two was a castor oil induction, birth number three was a first time mom who was scared and a week over EDC, and for birth number four, there was no rhyme or reason for meconium being passed. I realize that babies pass meconium when they are under stress, and I also feel sometimes they can be scared by something, or someone has scared them, like a frightened mom.
I am NRP certified, so I know the protocol for suctioning on the perineum with a DeLee trap. However, I have found that if I treat all my babies the same, the meconium births are not suctioned any more than the normal deliveries. I do not suction my babies routinely; I feel this procedure is a man-made thing. When I deliver my babies, I turn them over onto their stomachs with their heads down and brush up their back and they will spit up what they need to. With suctioning of any kind, mucous is forced down the throat as well as meconium. Unless you plan to intubate and suction with a vacuum tube like in the hospital, the only meconium you will be suctioning will be down the esophagus. This is traumatic to the baby and throws him into the vagal response, which increases his respiration and heart rate at a critical time when he should be stabilizing. I find that most of the meconium babies will spit up a large mucous plug, tinged with meconium within the first 6-8 hours after birth. If baby's respiration is slightly elevated from normal, a small amount of sterile water can be given to him and he will soon spit up a large mucous plug and be just fine. If you are concerned that baby may have aspirated meconium, about the only thing that you can do is watch for the signs of infection if you do not plan to intubate and suction.
- Cathy O'Bryant CPM
Missouri Birth Center needs help! Looking for CNM willing to work part time working into full time. Rural practice, full scope, benefits available. Great schools, recreation includes lakes and outdoors to local music, crafts, and Branson entertainment. Call Diane Barnes, 417 272-8845 office, 417-338-5431 home.
7) Switchboard
My water began leaking at 37 weeks. My midwife recommended waiting, walking, castor oil to induce labor. I took no baths, and had no vaginal exams to reduce the chance of infection. After almost 72 hours with no labor, I was finally transported and induced with Pitocin. But I had no infection, and we all felt perfectly comfortable waiting this long with ruptured membranes. Others have been appalled at the waters being broken for so long. I'd like to see this issue explored more, as many people believe that the baby must be born immediately after membranes rupture.
- Angie Robinson
I am a post graduate student undertaking a research module in midwifery. Please could readers send me any information that may assist me in critical evaluation of qualitative and quantitative research?
- Leola Taylor,
I specialize in urogynecology and pelvic reconstructive surgery, and am trying to develop rational guidelines for managing birth in ways to prevent incontinence (fecal and urinary) and pelvic organ prolapse. Do midwives have suggestions?
- David Chapin, MD
I responded to Dawn Robinson-Walsh, email@example.com, a UK journalist specialising in pregnancy and birth [Issue 20]. She immediately responded with questions from the UK but was interested in some of the reactions I had found while doing my work in Mexico and South America. How far is it from California to the UK? Just a click away! Thanks not only for that opportunity for making the connection but your continued excellence with the journal.
In response to Rose Evans, Issue 20], think about exposing the women to wonderful role modeling such as can be found
in my two birth videos, Dar A Luz Con Amor (Giving Birth with Love) or the one
with English narration, Yes! You Can. Check out my website for more information:
- Linda B. Jenkins,RN, BSN, PHN, ACCE firstname.lastname@example.com http://www.birthprep.com
Reminder: CIMS Workshop
Learn more about mother-friendly care at this year's ACNM Annual Meeting in Orlando, Florida. On Saturday May 29 from 12:45 to 4:30 p.m. participants in an interactive workshop titled Making Mother Friendly Care a Reality:
Birth Professionals as Agents of Change will receive in depth education on the development of the document, the scientific evidence for each of the ten steps, options for utilization of the document in specific work settings, an overview on the dynamics of change theory and an opportunity to interact and network with other birthing professionals. Cost of the workshop is $45. For more information or to receive a registration form, contact: Donna Haegele at email@example.com or call 202-728-9860.
Midwifery Today E-News is not staffed to handle requests from people who are trying to find a midwife. However, Online Birth Center News, a free birth activist newsletter, has a Looking for Midwife section. Send your request to firstname.lastname@example.com, with OBCNEWS ITEM in the subject. If you'd like to subscribe to the OBCNEWS, write to the same address and ask to be added to the subscription list.
8) How I Became a Midwife
I am almost a midwife, in my final year of study as a direct-entry midwife (DEM) in New Zealand and will, by the end of the year, have a Bachelor of Health Science Midwifery. At thirty-seven years old I decided to have my third child with midwifery-only care at home in Australia. I had to pay $1,000 for it but it was worth every dollar to be able to have my son born at home. He was a breech birth, weighed 8 lb. 4 oz and there were no complications! At that time Jane, my midwife, said "you'd make a lovely midwife." The seed was sown, and would bloom when I returned to New Zealand. A few years later, with midwifery autonomy and the DEM degrees, my dream has been realised.
I am looking forward to working with women and their families and being able to be a part of the movement to normalise the childbirth experience.
- Maryanne V.
Write and tell us how you became a birth practitioner! Send your submission to to email@example.com
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Need a fundraiser? We can help - Call 1-800-322-2987
9) Midwifery Today Conferences 2000
Philadelphia, Pennsylvania USA will be the setting for a domestic conference slated for March 23-27, 2000. One of the highlights will be an entire day focused on midwifery education, with intensives for educators, interactive discussion on the goals of midwifery education, assessing competence, key issues in education, apprenticeship, mentorship, and inquiry-based learning.
A Midwifery Today international conference has been scheduled for Sept. 28-Oct. 2, 2000 in Aachen, Germany. Plan to meet
midwives from all over Europe as we come together to heal our fears and carry
midwifery and birthing powerfully into the next century. In addition, we will
plan how to keep midwifery an independent and autonomous profession worldwide.
10) Coming E-News Themes
Coming issues of Midwifery Today E-News will carry the following themes.
You are enthusiastically invited to write articles, make comments, tell stories, send techniques, ask questions, write letters or news items related to these themes:
- doulas (May 28)
We look forward to hearing from you very soon! Send your submissions to firstname.lastname@example.com. Some themes will be duplicated over time, so your submission may be filed for later use.
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
Copyright Notice
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 1999 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!


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Evil-Lyn's father is coming. Plus SDCC news...
For a great selection of action figures and collectibles, check out BigBadToyStore.com, ToyDorks.com, BriansToys.com, ToyWiz.com, SmallJoes.com, PastGenerationToys.com, Urban-Collector.com, MonkeyDepot.com, HobbyLinkJapan.com, and Sekaido.com.
To insure your action figure collection, get in touch with our sponsor Collectibles Insurance.
Mattel has just posted packaged images of the upcoming Club Eternia figure of The Faceless One along with the following statement:
Just got in a good package of the Faceless One. He will be the June Club Eternia figure available only on Mattycollector.com.
Also, just to let all our fans know, we just wrapped up shooting the SDCC reveal segment for Attack of the Show. Look for it to air the last week of April!
For now, enjoy the shots of Faceless One in package!

subset: commoncrawl


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A MURDER squad detective was "absolutely legless" when he ripped off his shirt and attacked a holidaymaker in a pub, shouting "I'm a copper – I will do what I like," a court was told.
Det Sgt Paul Whiteley, 50, also hurled foul-mouthed abuse at the mother of an autistic teenager, it was claimed.
He launched the "unprovoked attack" after sharing bottles of wine with his girlfriend Claire Hughes, 43, of Fulford Place, in York, it was alleged.
The court was told that as the couple left the Fylingdales Inn, in Fylingthorpe near Whitby – still carrying an open bottle of wine – they were followed by Carl Sarsfield, 41, an electrician, from Oldham.
Scarborough Magistrates yesterday heard Mr Sarsfield had been asked to have a word with the couple when the pub barmaid spotted them heading for their car.
He said: "I went out there and asked him politely if he was drinking and driving."
He claimed Whiteley, who was getting in the passenger side, replied; "I'm not driving – she is.'"
Mr Sarsfield said he objected: "She is legless as well."
The court heard that Mr Sarsfield rejoined his girlfriend Paula Crossley, 41, of Royton, Oldham, and her 19-year-old autistic daughter Mia in the pub, but Hughes and Whiteley also came back into the pub and things became "heated," Mr Sarsfield said.
He said Whiteley slapped him in the face and he defended himself and the police officer ended up on his back.
He added: "He was absolutely legless. He could hardly stand up. He was falling all over the place."
Miss Crossley said Whiteley then ripped his shirt off, slung it towards the bar and shouted at Mr Sarsfield.
She said: "He was shouting 'I'm a copper – I will do what I like.' He was paralytic. They were both blind drunk.
"My initial reaction was to get my daughter away from what was going on."
She claims Hughes then "grabbed me by the throat" as Mia "screamed her head off".
Miss Crossley, a full time carer, said her daughter was hysterical and added: "I managed to get hold of my daughter. The man's girlfriend was still grabbing hold of handfuls of my hair and Carl pulled her off.
"She was trying to punch me in the head at the same time."
The court heard police were called and Whiteley, of West Yorkshire Police Homicide and Major Enquiry Team, told the pub: "Let them come. I'm a police officer. I will sort it out."
Miss Crossley said as they waited for police to arrive Whiteley shouted abuse about her child.
The court heard he was arrested after the incident around 9.30pm on May 29, last year.
Prosecutor Martin Hawes described both attacks as "unprovoked" and denied Whiteley was acting in self defence.
Whiteley, of Grange Moor, Wakefield, and Hughes, of Fulford Place, Hospital Fields Road, York, both deny assault by beating. The trial continues.


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And I mean, I really, really love them. If I can wangle it with the kids and my very understanding husband, I'll be watching Red Carpet coverage of the Golden Globes as early as possible tomorrow. I had hoped we'd be snowed in as well, which would add to the coziness of the entire affair, but so far I've only seen a few flakes in the air. My book group has talked about reading a book and watching an adaptation, but so far we haven't done it. I think our best bet might be once the film is out on DVD. Read on/watch for this year's Golden Globe nominated movies based on books:
The Reader
The Curious Case of Benjamin Button
Revolutionary Road
John Adams
A Raisin in the Sun


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Topic: My Sister
We found out a couple of months ago that her chemo (gemzar and zeloda) had quit working. Her tumors were growing. So they started her on Taxol and something else. They are supposed to scan her again and do another treatment next week, but right now she is having severe head pain and severe stomach pain. Could the cancer be attacking her that fast or are these side effects.
I am so scared they are just going to tell us that the cancer has just taken over and she is going to die.


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By Allen Moff | Staff Writer
When you're playing a football program's biggest game in 40 years, it's easy to get caught up in the hoopla and forget about what got you there.
So challenge No. 1 this week facing the Kent State football team as it prepares for Saturday's showdown at Bowling Green needing a win to capture the school's first MAC title and bowl berth since 1972 is to avoid the distractions and tendencies to believe all the hype, and focus on the battle itself.
Based on reactions from players at Monday's weekly press conference, that point has already been hammered home by Golden Flashes coach Darrell Hazell.
"It's just another football game right now. It doesn't mean anything if we don't win," said junior defensive tackle Roosevelt Nix. "It's gonna be a battle. We control our own destiny, but you can't think about that. You gotta think about the battle."
Saturday's matchup pits the two hottest teams in the MAC in a clash for first place in the East Division.
The Flashes (9-1) earned their school-record eighth consecutive victory over Miami last Saturday and rest atop the East at 6-0, while the Falcons (7-3) are 5-1 in the division after defeating Ohio 26-14 on Nov. 7 to claim their sixth consecutive triumph.
If Kent State wins, it clinches the MAC East title, a bowl berth and a spot in the MAC Championship game Nov. 30 at Ford Field in Detroit against either Northern Illinois or Toledo. If Bowling Green wins, the Falcons could clinch the East Division crown with a victory in their regular season finale at home against Buffalo on Nov. 23.
The Flashes have not played a football game of this magnitude since their one and only MAC championship team clinched the league title with a victory over Toledo in its final regular season game on Nov. 18, 1972. So obviously emotions are running high in the Kent State locker room.
"We know the significance of this game, but we can't really worry about it," said Flashes senior left guard Josh Kline. "Coaches have been preaching about how we've gotta play within ourselves this week, we can't play outside ourselves. We just gotta go out there and execute and have fun."
No one outside the Flashes locker room could have seen this title run coming seven games into last season, when Kent State headed into its bye week at 1-6 looking to somehow salvage the season. Since then the Flashes have reeled off 13 wins in 15 games, growing more and more confident with each victory.
"It's great after all we've experienced in the past, but we've gotta keep working hard," said senior left tackle Brian Winters. "Coach is stressing to us that we've just gotta come out here and play like it's just another game. We've just gotta continue to go out and play football."
Kent State is ranked 25th in this week's AP Top 25 Poll, but Hazell acts like he wishes the Flashes were still on the outside looking in rather than ranked for the first time since 1973.
"We'll worry about the rankings when the season's over," he said. "We don't have time to concern ourselves with rankings right now."
Hazell is certainly well aware that MAC rivals Toledo and Ohio also entered the AP Top 25 this season, but lasted a combined three weeks.
Still, Winters admitted that the Flashes are thrilled to finally receive some national respect.
"It's awesome," he said. "Coach told us to not really worry about it too much, that we've just gotta continue playing. But it's a great feeling."
Sophomore bruiser Trayion Durham (210 carries for 1,059 yards, 13 TDs) and junior blazer Dri Archer (108-1,042, 12 TDs) each eclipsed 1,000 yards last Saturday at Miami, giving Kent State two 1,000-yard rushers in a single season for the first time in program history.
Kline and his fellow linemen take great pride in paving the way for two 1,000-yard rushers.
"It's very exciting just as an o-line unit," said Kline. "We've done well so far, and those two guys are great running backs. You have the speed with Dri, and Trayion's just a bruiser. It's a great feeling when you make a block, just fit up on a guy, and they're just gonna run right past you or right through you."
Archer reached 1,000 yards rushing on just his 103rd carry of the season. He averages 9.7 yards per rush.
Archer continues to lead the nation in kickoff returns (40.0 ypr, 3 TDs), ranks fourth in all-purpose yards (199 ypg) and sixth in scoring (11.4 ppg).
Durham hobbled off in the fourth quarter Saturday at Miami with a quad injury, while senior Larry Dawson suffered a head injury on the opening kickoff, but both players should be ready for Bowling Green according to Hazell.
"We should have all players available," said Hazell. "It's November and it's the third week, so you're gonna have some beat up guys now. But this is about that November toughness that we always talk about with our football team. You gotta show up and play."


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Our diverse and explorative wine list delivers New World and global in the form of crisp, elegant whites, refreshing rosés and silky, aromatic reds. Carefully-selected classics including fresh and zesty Sauvignon Blanc and massively moreish Pinot Noir nestle alongside lesser-known specialist varieties such as the organically-produced Loxarel Garnacha Blanca, velvety Devil Merlot and 'lip-stinger' Picpoul de Pinet. Our superb sparkling selection brings you beautiful bubbles by the glass or bottle – try our skinny guilt-free prosecco, British brut or deliciously intense Mercier Blanc de Noirs champagne.
Spanning some of the world's finest artisan distilleries, our spirit selection is second to none; we're fully embracing the UK's recent 'ginaissance', offering Tanqueray , Star of Bombay and Sipsmith's Lemon Drizzle gin varieties. Our rums range from spiced Sailor Jerry to aromatic white Bacardi Carta Blanca, whilst whiskeys include ultra-smooth Haig Club, crafted at the oldest grain distillery in Scotland. Premium brands across the board, such as Ketel One vodka, will delight cocktail lovers, and our welcoming bar team will be happy to create a classic or contemporary treat for you, perfectly blending our quality spirits and mixers.


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CREW TV brings you closer to the industry's
most influential leaders and thinkers. Click on the videos below to watch the interviews:
In this episode, CREW TV explores the questions landlords should and should not ask prospective tenants in order to keep on the right side of the law. That's not as easy as you may think, according to experts.
CREW's Jemima Codrington interviews Ron Tenbrinke of Sky High Property Management and real estate lawyer and author Mark Weisleder.
Video transcript below:
Jemima Codrington: You've come into property investing, you've seen a [purchase due to close in] and now it's time to conquer – tenant screening. Hi, I'm Jemima Codrington and welcome to Investor Insight on Crew TV.
If you are not careful, the vetting process will conquer you. Apartment hunters often find their way around the interview process. Investors/Landlords need to learn and knowing whom to ask is a good place to start.
Ron Tenbrinke – Sky High Property Management
Ron Tenbrinke: For new investors I would suggest even though you have heard these things before, number one would be do a credit check, the cost is minimal to the cost that would happen if you get a bad tenant. The other thing I would suggest is never ever contact their existing landlord, contact previous landlords because the existing landlord likely wants to get rid of them.
Jemima Codrington: But remember the law dictates what you can and cannot ask a prospective tenant. Stay on the right side of it and still get the info that you need.
Mark Weisleder – Real Estate Lawyer
Mark Weisleder: The language you use asking questions is incredibly important. My favourite question to ask a tenant is, tell me about yourself. It's very open ended and a tenant will tell you perhaps a lot than you need to know, in order to make your decision and while you can't ask a tenant a question like, do you plan on having any more children, you are allowed to ask, how many people will be living in the unit and what are their names.
Blue Pearl Mortgage Group Inc. is expanding its footprint once again, this time with services in Ontario
Transit City Condos is a new 55-storey development located next door to new Vaughan Metropolitan Centre
For new investors, it's easy to get overwhelmed by facts, figures, formulas, and different investment calculations. Our goal today is to demystify the most important condo investing terms that you need to know


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THREE acts will be going head-to-head in a live final to secure a slot at a unique family festival.
Lakefest will bring a mix of music and watersports to its site at Croft Farm, near Worcester, from Friday to Sunday, August 8-10, and Maelor Hughes, Delicate Holly and Bad Cardigan will play for a place on the line-up after progressing in the Livewire competition.
Last month, 30 acts took part in the festival's online battle of the bands and the talented trio now get the chance to perform at the onsite Lakeside Cafe and Bar from 2pm on Sunday, May 4.
Maelor Hughes is a Lancashire based singer/songwriter who offers a taste of original modern songs with an older twist, while Gloucestershire-based four-piece Delicate Holly play indie rock influenced by the likes of Arctic Monkey and Kings of Leon.
Bad Cardigan is an acoustic duo from Lancashire who create a harmonious array of original music.
Each act will be given an hour slot and will perform in front of a panel of judges made up of rock 'n' roll tour manager Iain 'Robbo' Robertson, Erica lead singer Dalton Woodward and music-news.com representative Alexandria Butler.
The entertainment will be completed by sets from Erica and Wurzels tribute band, the Mangled Wurzels.
Entry is free.
For more information and tickets, go to lakefest.co.uk.


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The Kitchen Shrink : Once a cherished, even sacred, vocation, medicine has become a business driven by profit. What made medicine turn its back on its central tenets of putting patients first? Dr. Dora Wang explores what happened, through the prism of her own research and experience. We watch as she struggles to maintain her standards as health care's priorities turn away from the care of patients toward improving the bottom line. Along the way we meet some of her patients, whose stories reveal an oft-ignored human side of our besieged system. As the medical landscape shifts beneath Wang, it becomes ever clearer that she cannot untangle the uncertain futures of her patients from her own. Part memoir and part rallying cry, The Kitchen Shrink is required reading for anyone interested in the voices of this country's vitally important health care debate.
|Biografía y Autobiografía
|Personal Memoirs


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Computerized Manufacturing & Machining
Program Advisor
|Exploratory Machining I
(13 credit hours)
|Machine Tool Operator I
(20 credit hours)
|CNC Operator
(31 credit hours)
|Machine Tool Operator II
(35 credit hours)
|Machinist (47 credit hours)
|CNC Machinist (59 credit hours)
|General Occupational/Technical Studies
AAS-GOTS (65 credit hours)
Curtis Cash, Program Coordinator
(606) 451-6754
Somerset South Campus
Program Details
The Computerized Manufacturing & Machining program is a sequence of courses that prepares students for careers in the machining and manufacturing field. This program provides learning opportunities to develop academic, technical, and professional knowledge and skills required for job acquisition, retention, and advancement.
The program emphasizes a combination of machine tool theory and practical application necessary for successful employment. Students are eligible to receive any of our four certificates or two diplomas after successfully completing the specified courses. We also offer an AAS Degree in General Occupational/Technical Studies.
Our up-to-date laboratory facility and equipment, and our well prepared faculty are just some of the reasons why Somerset Community College has remained a strong force for serious technical preparation in the machining trades.
About the Industry
Machinists are highly skilled operators of machine tools that are used to make metal or non-metallic parts. Working from blueprints or sketches, a machinist will make or repair parts for a wide variety of tools or machines.
Instructional Philosophy
To increase student success, our program has chosen to stress the learning of functional tasks rather than to promote an environment where students choose their own projects. All of our laboratory exercises are designed to introduce students to a broad scope of tasks typically performed on conventional or CNC machines. Our technical advisory group annually reviews our curriculum. They guide our decisions to include new topics, delete out-of-date ones, and to continue those that are still viable.
Our conventional machining program stresses the set up and operation of lathes and vertical mills for a wide variety of processes. The classes provide instruction in blueprint reading, shop math, measurement and inspection, job planning, safety, and general machining theory. Our CNC program also emphasizes the set up, operation, and programming of vertical mills and lathes; to include aspects of wire and sinker EDM.
In manual programming courses, students learn proper formatting of CNC code, calculations related to determining coordinate data, proper use of programming techniques such as the use of sub programming, and experience cutting parts using their own programs on our CNC machines. In computer assisted programming classes students learn how to use software such as Mastercam to generate machine code for CNC mills and lathes. All classes are structured with time allocated for lecture/demonstrations and hands-on laboratory time.
Download Program Overview (pdf)
To learn how to apply, visit the Admissions Checklist.
Gainful Employment Information
- CNC Machinist Diploma
- CNC Operator Certificate
- Machine Tool Operator II Certificate
- Machinist Diploma


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General Mills, the manufacturer of Cheerios brand cereal, announced that it will no longer have genetically modified ingredients in its Cheerios.
The company said it would no longer source genetically modified corn and sugar to make the breakfast cereal rings. It said whole grain oats, the chief ingredient, was never available in genetically modified varietals.
"Why change anything at all? It's simple. We did it because we think consumers may embrace it," Tom Forsythe, vice president of global communications for General Mills, said in the blog post.
In other words, General Mills caved to pressure from anti-genetically modified groups. These groups waged a media campaign this past fall to put pressure on the company to remove its GMO ingredients from Cheerios. GMOInside.org, which launched the campaign, claimed General Mills offered a GMO free version of its Cheerios in Europe and wanted a similar choice in the United States. The group as well as other anti-GMO activist groups contended that since Cheerios is one of the first foods a baby eats when it's learning to eat solid food, the cereal should not contain GMOs, which they claim have not been proven to be safe. By targeting consumers and mothers' fears, they succeeded in letting emotions dictate a company's manufacturing decisions.
Ironically, Cheerios contains very little in the way of GM ingredients. The only potential products that would have come from crops that were genetically modified is the corn starch and the sugar, which likely came from sugar beets, which are mostly genetically modified.
Margaret Smith, a professor of plant breeding and genetics, who leads a Cornell University program to help farmers and the public understand plant breeding and genetic engineering, said the recent move by General Mills to eliminate genetically modified organisms from its Cheerios cereal might please GMO-shy consumers, but it won't alter the iconic cereal's make up one bit.
Smith says:
"Corn starch and sugar are highly refined products, so they contain no DNA (which is what is introduced into a genetically engineered organism) and no protein (which is what the new DNA would produce in a genetically engineered organism). Because of that, corn starch and sugar from a genetically engineered corn variety are nutritionally and chemically identical to corn starch or sugar from a non-genetically engineered variety.
"This means that the new version of Cheerios that is being made without use of genetically engineered varieties will be nutritionally and chemically identical to the previous version. So it will not offer anything new to consumers – other than to give them the option to buy a product that does not support planting more acres to genetically engineered crop varieties."
So, other than caving to anti-GMO groups, what would have motivated General Mills to have made the change? Consider the fact that on Dec. 18, the company reported lower-than-expected quarterly earnings. It cited increasing ingredient costs and lower sales of its ready-to-eat meals and frozen foods. The ready-to-eat meals include Cheerios cereals.
It's more likely that General Mills, which is struggling in this area to make a profit, is waging a social campaign to improve the image of Cheerios among mothers and other concerned consumers to improve its bottom line.
Unfortunately, this move sets a dangerous precedent and fuels the anti-GMO crowd to push other companies to drop GM ingredients from their foods. With these groups already campaigning in multiple states across the country to get GM ingredients labeled on food products, the timing of General Mills' announcement is a blow to the agriculture and food industries. Although General Mills and the anti-GMO crowd may be celebrating, biotechnology and science have taken a serious hit with this latest announcement.


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Here's what Alan Nelson learned after teaching leadership courses for a good part of his life: Adults don't change much.
And adults in positions of leadership are often managers, but seldom leaders.
"Managers try to fix little things and maintain," said Nelson, a lecturer in business at the Naval Postgraduate School. "Leaders take charge. I realized as I got older that trying to train managers to be leaders was very difficult."
So Nelson, 54, began exploring the possibility of developing a program that would apply the principles of leadership training to young people.
Three years ago, Nelson quit his job at a publishing house, moved to Monterey and launched KidLead, an organization that helps identify leaders at an early age and teaches them skills needed to be good at the job.
"We started prototyping an executive-caliber program and age-sizing it," Nelson said. "We focused on preteens — they're cognitively developed, but they're still morally pliable. This is what we call our 10-13 window.
"I was jaded. I thought you can't teach them. But you can, if they have the wiring to lead," he said.
According to a theory by psychologist Howard Gardner, people are born with different types of intelligence: logical, linguistic, etc. Those who have interpersonal intelligence — those who are people smart — have a natural ability to learn leadership skills at a young age, Nelson said.
"The natural born 'influencers' are these kids who go to the principal's office more often than most, they're good at organizing games," he said. "Even as early as preschool, you can tell who the natural influencers are. They're the ones who get their friends to play freeze tag and sometimes are a little bossy."
KidLead trains people to identify children with leadership skills and help them hone 16 traits identified in the program as needed to make a good leader. Half of them are character-based, such as honor and responsibility, and half are skills such as communication and conflict resolution.
The curriculum is not just lecture-based, but includes activities aimed at making it easier for children to develop the skills.
After a few months of having KidLead at St. Timothy's Lutheran School in San Jose, Principal Gayle Renken said she can see a difference in students.
"Our kids are much more proactive about stepping up to take responsibility for things," she said. "At our fall festival, I made a blanket announcement, 'Anybody who can stay and clean up would be great.' Half an hour later I saw the mom of a fourth-grader who told me, 'I quietly wanted to slip out, but my son said "Ms. Renken said she needs help."' For a fourth-grade child to know that even they can be part of the solution, that's great."
KidLead spurred 14-year-old Kelly Forsha of Pennsylvania to take international action. When she was 12 years old, she launched Digging Wells For Hope, which raises money to build wells in areas where there is no drinking water.
Greg Lawson, executive administrator at Harker School in San Jose, said students there are benefitting from the KidLead program, though he said it isn't for everyone. Harker is on year three of using KidLead with students in fifth through eighth grades.
"We're giving these kids a bit more practical development and vocabulary of leadership to utilize with the skills and opportunities that Harker is going to give them," he said.
A corollary benefit of developing young leaders is a decrease in playground bullying, Nelson said. Because the children are being taught strong moral character, he said, they teach others to be more considerate and their peers are more amenable to listening to them than to adults.
Although his ideas have found acceptance in Thailand, Singapore and the Middle East, he has had a tougher sell in the United States. He believes the reason is a cultural emphasis on equality.
"We value equality so much, especially at the younger ages — we don't want to distinguish kids with special gifts and abilities," Nelson said. "People using our program for the most part are private schools who tend to recognize the gifting of children."
As the organization continues to grow, Nelson is focusing more on using his program to address larger social issues. Leadership development could help tackle problems such as obesity, drug abuse and nutrition, he said.
"It's really about social change and social innovation," he said. "We see this as means to an end."
Claudia Meléndez Salinas can be reached at 753-6755 or firstname.lastname@example.com.


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Image: Freshwater Herring, Potamalosa richmondia
A Freshwater Herring caught off the central New South Wales coast, July 2011.
- Photographer:
- Amanda Hay
- Rights:
- © Australian Museum
The fish is now registered in the Australian Museum fish collection (AMS I.45557-001).
Last Updated:
Tags fishes, ichthyology, Freshwater Herring, Potamalosa richmondia, Clupeidae, freshwater,


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ASCO Annual Meeting
June 1, 2014
In a large, ongoing study, results indicate that two common treatment regimens approved by the U.S. Food and Drug Administration are equally effective for metastatic colorectal cancer. Metastatic colorectal cancer is cancer that has spread to other parts of the body.
Both of the treatments researched in this study include chemotherapy, but one adds the targeted therapy bevacizumab (Avastin) and the other adds the targeted therapy cetuximab (Erbitux). Targeted therapy is a treatment that targets the cancer's specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. Bevacizumab and cetuximab target cancer growth differently.
Additionally, for either the bevacizumab or the cetuximab regimen, two different but equally effective combinations of drugs may be used for chemotherapy. This includes the combination called FOLFOX, which is oxaliplatin (Eloxatin), 5-fluorouracil (5-FU, Adrucil), and leucovorin (Wellcovorin), or FOLFIRI, which is irinotecan (Camptosar), 5-FU, and leucovorin.
For this study, 1,137 patients with metastatic colorectal cancer who had not previously received treatment were given either bevacizumab plus chemotherapy or cetuximab plus chemotherapy. The drugs used for chemotherapy, either FOLFOX or FOLFIRI, were determined by the doctor providing care.
Researchers found that patients who received either treatment lived a similar amount of time and had a similar chance of the disease worsening. For those who received bevacizumab plus chemotherapy, it took about 11 months for the disease to worsen, and those patients lived almost two and a half years after diagnosis. For those who received the cetuximab regimen, it took about 10 months for the disease to worsen, and those patients also lived for about two and a half years after diagnosis.
What this means for patients
"About 75% of patients with metastatic colorectal cancer in the United States initially receive bevacizumab-based therapy, although we know that cetuximab-based therapy is also a good option," said lead author Alan P. Venook, MD, the Madden Family Distinguished Professor of Medical Oncology and Translational Research at the University of California in San Francisco. "Our findings clearly show that the two options -- with either FOLFOX or FOLFIRI -- are both acceptable and similarly effective."
Costs of bevacizumab and cetuximab are similar but the side effects are slightly different. The side effects of FOLFOX and FOLFIRI are also different. When making treatment decisions, talk with your doctor about the side effects of your treatments and how they will affect your quality of life.
Questions to ask your doctor
- What stage of colorectal cancer do I have? What does this mean?
- Has it spread to other parts of the body?
- What are my treatment options?
- What are the risks and benefits of these options?
- What are the side effects of each option, and how can they be managed?
For More Information
Making Decisions About Cancer Treatment


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Stay dry while performing a variety of chores in and around your pond. Coralife Aqua Tongs for Pond Maintenance is a must-have tool that gives you extra extension when accessing hard-to-reach areas of your pond or water garden. Squeezing and releasing the handle opens and closes the clamps for simple operation. Angled clamp allows a wide range of motion for delicate, precision control or a powerful secure grip!
Lightweight and rugged Coralife Aqua Tongs for Pond Maintenance are made with rust and corrosion-resistant materials for a lifetime of use. Keep your hands dry and out of the water when reaching for fallen debris, repositioning potted pond plants, moving rock work or any task requiring greater dexterity than a net or rake.
Shop all Pond Maintenance Products.
Please click on "More Information" for tips on keeping pond upkeep simple.


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Seth MacFarlane is terribly talented. He can sing, dance, do cartoon voices and carry off a tuxedo.
We now know he is not a fitting host for the Oscar ceremonies, which beg for a rather more elegant showman who engages the wider audience, someone who honors the industry even while gently knocking it.
"I just want to be a part of it," he said in the voice of Ted, the star of his movie. But, no. MacFarlane won't be admitted to the ranks of best Oscar hosts.
Racist jokes, adolescent male humor, silliness on the topic of domestic abuse, a Kardashian reference, audio problems and too many taped bits marred Sunday's 85th Academy Awards telecast.
Even if you enjoyed the "We Saw Your Boobs" musical number (and Jennifer Lawrence seemed to be the only one in the audience who did), the general tenor of the opening was better suited to "Family Guy."
We had so hoped Seth would surprise us as a bold Oscar presence. We never expected classy from the creator of "Ted" and "Family Guy," but entertaining would have been nice.
His reliance on taped bits rather than live performance didn't help. In fact, there were more pre-packaged songs and bits than any Oscar show in memory. Thank goodness for Barbra Streisand, who showed those lip-syncers how it's really done.
By turns too "inside," low-rent and goofy, MacFarlane wasn't the worst Oscar host ever. David Letterman's turn was less amusing. But it was far from distinguished. The infamous Snow White and Rob Lowe production number now has company. The James Franco-Anne Hathaway debacle now has a rival.
Lip-syncing, big kisses to the executive producer's own film "Chicago" (huffing, puffing Catherine Zeta Jones), and flat jokes resulted in a lurching, uneven night.
There were some great moments: The sock puppets re-enacting "Flight." (In the dryer.) Shirley Bassey celebrating Bond's 50 years with "Goldfinger." If you loved "Les Miz," you no doubt approved of the musical number. And the "Jaws" music playing off the verbose acceptance speeches was a fine touch.
The ironic stance, the smug self-awareness that MacFarlane represents, doesn't match the Oscars' reason for being.
Speaking of too inside: The ads rivaled those of the Super Bowl: Diet Coke's and iPad's Hollywood-themed commercials. But that's another column.


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Marcus Lattimore turned 21 today. The world would like to give him a new right leg.
If you saw what happened to the old one, you know why. If you didn't, it's easy enough to find on the Internet. I just don't know why anyone except orthopedic students would want to see it.
Spurrier: Severe damage, long rehab | Worst injuries in sports
Two Tennessee tacklers combined to dislocate Lattimore's knee in Saturday's game. His lower leg splayed in a direction God never intended.
The hit was clean, and the defenders obviously felt badly about it. The remarkable thing has been how that sentiment has spread.
Everybody is extending their thoughts and prayers, from NFL stars to NBA stars to PGA stars to rock stars to politicians to the Tennessee players who filed past a fallen Lattimore patting his shoulder pads.
The football public has witnessed countless injuries since Rutgers and Princeton first hooked up in 1869. It's hard to recall one that affected so many people.
"Just absolutely took my breath away," Clemson coach Dabo Sweeney said Sunday. "I was watching it, and it breaks my heart."
Football sociologists might one day look back and classify this as a historical marker. The Marcus Moment, perhaps, where social media and sympathy really met.
As big as Twitter may become, such moments will remain rare. First, because few injuries cause such gawking. Second, because players like Marcus are so rare.
Lattimore has as much running talent as any kid on earth, but the accompanying fame never seeped into his head. He visits schools, loves his mother, always credits his offensive line and treats everyone respectfully.
He already tore the ACL in his other knee last season. Lattimore rehabbed hard and even gave up fried food. Anything to get back on the field.
He looked like the old Marcus on Saturday when he burst for a 28-yard score in the first half. It was his 41st touchdown at South Carolina in about two full years of football work.
It all ended on a 2-yard gain in the third quarter. The stock question now is, why? The answer is Lattimore plays football, and brutal things happen.
But why do they continually happen to him? Why was he the one who groggily peered at his pretzeled knee and reached down as if to try to fix it Saturday?
"It was the look in his eyes when he was on the ground," South Carolina receiver Ace Sanders said. "He was really heartbroken about the injury. We were just trying to keep him strong."
They were soon joined by 68,585 people on Facebook. That's how many "likes" the Pray for Marcus Lattimore page received from Saturday night to Monday afternoon.
Twitter wishes came in from LeBron James, Dustin Johnson, Robert Griffin III, South Carolina Gov. Nikki Haley and Darius Rucker of Hootie and the Blowfish. Amid the locker room hoopla after beating Florida, Georgia coach Mark Richt said his team thought about Lattimore.
"We all know how an injury like this is just very difficult to deal with," Richt said, "so we wanted to pray for him and his family."
Inevitably, people invoked the Joe Moment. Joe Theismann was a great quarterback. But the first, second and third things everyone remembers are his shin snapping like a chicken bone on Monday Night Football in 1985.
That was long before you could sit at your computer and watch the play until your stomach yelled, "No mas!" Theismann never played again. Hopefully, what Lattimore told players in a team meeting Friday night was mere coincidence.
"Play every play like it's your last," he said.
The initial report on Lattimore is he has severe ligament damage but no broken bones. That has people invoking Willis McGahee, whose knee was destroyed in the 2003 Fiesta Bowl.
McGahee went from a being a top-five pick to limbo. He sat out a season but has had a hearty nine-year NFL career. Maybe Lattimore heard the announcers talking about it during Sunday night's Denver-New Orleans game.
South Carolina's student government was busy Monday organizing a rally for Lattimore at 5 p.m. The school president and Steve Spurrier were planning to attend. There would be cards for people to sign.
Maybe there will be Marcus Moment of silence, then they'll probably sing "Happy Birthday." In a hospital room not far away, somebody might wheel in a cake with 21 candles.
You know what Lattimore will wish for; at least he knows everybody wants it to come true.


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eszopiclone (generic name)
It is used to treat insomnia
(es ZOE pi clone)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?ESZOPICLONE (es ZOE pi clone) is used to treat insomnia. This medicine helps you to fall asleep and sleep through the night.
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?Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. It is better to take this medicine on an empty stomach and only when you are ready for bed. Do not take your medicine more often than directed. If you have been taking this medicine for several weeks and suddenly stop taking it, you may get unpleasant withdrawal symptoms. Your doctor or health care professional may want to gradually reduce the dose. Do not stop taking this medicine on your own. Always follow your doctor or health care professional's advice.
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. This medicine should only be taken immediately before going to sleep. 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. Keep a regular sleep schedule by going to bed at about the same time nightly. Avoid caffeine-containing drinks in the evening hours, as caffeine can cause trouble with falling asleep. Talk to your doctor if you still have trouble sleeping.
Do not take this medicine unless you are able to get a full night's sleep before you must be active again. You may not be able to remember things that you do in the hours after you take this medicine. Some people have reported driving, making phone calls, or preparing and eating food while asleep after taking sleep medicine. Take this medicine right before going to sleep. Tell your doctor if you are have any problems with your memory.
After you stop taking this medicine, you may notice some trouble falling asleep. This is called rebound insomnia. This problem usually goes away on its own after 1 or 2 nights.
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.


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The CockroachMystery teasers are little stories where you need to figure out what happened based on the given clues.
Bobby Bigelow was an average sixth grader. That is, except for the fact that he had the mind of Sherlock Holmes himself. One day, while walking around the block, he noticed two of the students at school arguing over something.
The two boys were Jeremy and Jacob. Jeremy was accusing Jacob of killing his pet cockroach! As Bobby looked at the shiny back of the creature, Jacob explained his story.
"Jeremy let me take care of his cockroach for the day," began Jacob, "I kept it with me the whole day. About half an hour ago, I noticed that the cockroach had not moved for a long time. When I found that it didn't move when I tapped the cage, I called Jeremy. I left the cockroach exactly as it was, and here we are. Jeremy accusing me of killing his cockroach."
After a few moments, Bobby concluded that Jacob had indeed killed the cockroach.
Why was he so sure?
AnswerWhen cockroaches die naturally, they roll over on their back. Yet, the cockroach was laying right side up as Bobby saw "the shiny back of the creature". Jacob must have killed the cockroach, then flipped it over to cover himself, not knowing the bit of science that Bobby knew.
What Next?
See another brain teaser just like this one...
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The article requested cannot be found! Please refresh your browser or go back. (OR,20130330,NEWS01,130339999,AR).
Five criminal defendants were entered into the accelerated rehabilitative disposition program Monday by Greene County Judge Lou Dayich.
Southwestern Pennsylvania Water Authority will shut off water on Oakview Drive and parts of Rolling Meadows Road and Mt. Morris Road on Tuesday.
Members from the Greene County Association of School Retirees earlier this month traveled to Texas to help with Hurricane Harvey relief.
The Morgantown, W.Va., man accused of raping a woman at gunpoint earlier this month in Waynesburg has been extradited back from West Virginia.
Central Greene School Board voted unanimously Tuesday to hire Helen McCracken of Waynesburg as the district's interim superintendent.
Arson is suspected in a Tuesday night residential fire in Monessen that injured three firefighters.
A Carroll Township woman faces several charges filed last week by city police after she allegedly hit a basketball hoop and garage at the Valley Inn Fire Department, then nearly hit a man who tried to stop her from leaving the parking lot.
Enrollment at California University of Pennsylvania rose for the 2017-18 academic year, reversing a five-year trend.
State Rep. Bud Cook, R-West Pike Run, will host a concealed carry-hunting safety seminar at 6 p.m. Sept. 28 at the Monongahela Volunteer Fire Department, 451 W. Main St.
Court records reveal the alleged nature of assaults on a Ringgold High School football player.
Washington police are investigating a possible attempted child luring in the 300 block of Maple Avenue Wednesday night.
A forensic audit conducted by the controller's office resulted in the Washington County district attorney filing theft from an inmate account and related charges against a captain of jail guards.
North Strabane supervisors wanted state-of-the-art facilities. What they didn't want was the $30 million price tag.
As part of a contingency plan in case health center practical nurses "bump" their counterparts at the county jail, the Washington County Prison Board creates seven temporary positions.
The father of a 15-year-old Ringgold student who was assaulted on Sept. 13 wants school district to continue investigation.
The sale of the Washington County Health Center is generating concern among workers about the security of their jobs.
Pittsburgh has a lot to offer, and it could end up becoming the home to Amazon's second headquarters.
The opioid crisis is taking lives and hurting our economy.
It's a victory for transparency that the identities of panelists who chose medical marijuana growers in the commonwealth must be identified. More work, however, must be done.
Pittsburgh International Airport has been floundering for more than a decade. It's time modernize and right-size the airport.
Check out this interview with McGuffey running back Christian Clutter.
The O-R Sports staff travel to McGuffey for this week's Week 4 high school football preview video.
The Donora Historical Society is hosting a free football game film event Saturday, showing preserved Donora High School football games.
Our Week 3 game of the week recap is Trinity vs. Laurel Highlands.
Penny Chenery, who bred and raced 1973 Triple Crown winner Secretariat as well as realizing her ailing father's dream to win the Kentucky Derby in 1972 with Riva Ridge, has died. She was 95.
Quarterback hopes cutting down on turnovers will help lead to more wins, especially on the road.
Steelers head coach says team just missing big plays in ground attack.
No matter the opponent, Steelers happy with defensive results.
Roethlisberger throws 2 TD passes as Steelers beat punchless Vikings.
Steelers know they'll have to be better than last week to beat Vikings.
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We are very proud of the scholarly accomplishments of our residents. GBMC residents have presented their work at regional, national, and international meetings. Examples include case reports, original basic science and clinical research, quality improvement projects, and reports of innovations in medical education. Our residents have also published in prestigious peer-reviewed medical journals.
We offer support of our residents' scholarly work in numerous ways. We help them identify a faculty mentor either at our institution or at one of the local university hospitals. Many of our residents have worked closely on research projects with Johns Hopkins or University of Maryland faculty. We allow our residents to use elective time to work on their projects. We provide our residents with outstanding library and media services to help their presentations come to life. We offer funding for residents to travel to meetings when they are presenting. To demonstrate our commitment to resident scholarship, we award a monetary Scholarship Prize at the end of the academic year to the resident with the most scholarly achievements.
GBMC Internal Medicine Scholarship Prize
2007-2008 Dr. Boonsong Kiangkitiwan
2008-2009 Dr. Boonsong Kiangkitiwan
2009-2010 Dr. Raman Palabindala
2010-2011 Dr. Raman Palabindala
2011-2012 Dr. Raman Palabindala
2012-2013 Dr. Nyan Latt
Faculty Scholarship
The core GBMC faculty have been active in scholarly projects as well, including medical education research, quality improvement projects, and medical genetics research. Our faculty's work has been presented at regional, national, and international meetings and published in peer-reviewed journals. Several faculty members serve as reviewers for national and international medical journals and review abstract submissions for national meetings. The faculty's participation in this wide array of scholarly work better allow them to mentor our residents toward success in research.


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Sephora Colorful Mat Mono Eyeshadow
Sephora Colorful Mat Mono Eyeshadow Reviews
Wet and Drythink this is highly underestimated. I purchased several of these and found that they work wonders. Why? Because they go on sheer so you can control the color depth but what's even more remarkable with it is that you can touch an eyeshadow brush into water, rub in into a shade and use it for a more dramatic and long lasting effect. They do blend well if you use a blank bigger and soft textured eye...read moreshadow brush and buffed between colors. An eyeshadow primer is recommended for this so that it will stay on longer, but for the price, it's impressive. I just believe it's how creative you get with it. It doesn't have a hefty price tag and isn't the most luxurious brand in the market but I think it's one of the few cheapies that are versatile. I just wished some of the glittery ones had smaller glitter particles. — 9 years, 6 months agoVLA | 336 reviews
This review is: Helpful | Not helpful | Inappropriate | 4 of 5 people said helpful
Easy to blendEasy to bled, good, smooth color. But fakes down a bit when plying :/ (brushes off easily) and gets in wrinkles when humid (easy fixable) All around, i like it, use it, and will get more! :-) — 5 years, 5 months agoCamomile | 3 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 2 people said helpful
!!!!great color for a low price! i thought it wouldnt be as good as the rest of sepohoras products, i was wrong. come out great, lasts awhile without primer too! however t cant compare to MAC — 7 years, 9 months agohf7860 | 5 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 2 people said helpful
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Great Britain halfpipe skier Rowan Cheshire faces likely withdrawal from her first Winter Olympics after suffering a training accident on Sunday night which left her concussed and with bruises to her face.
The Alsager-born 18-year-old was released from hospital on Monday and is recovering at the Athletes' Village but concerns remain over her ability to be ready for her event, which is due to take place at the Rosa Khutor Extreme Park on Thursday.
Medical guidelines issued by FIS, the sport's governing body, advise that in the event of concussion and with a properly managed recovery, "it is possible for the athlete to return to play after a minimum of six days".
Team GB doctors will continue to monitor Cheshire but by Monday afternoon the British Olympic Association had stopped short of confirming that she will not compete.
In an earlier statement, the BOA said: "Her progress will be monitored on a day-to-day basis as is standard with concussion and a determination regarding her ability to compete will be made later this week."
The BOA added that the decision will ultimately be made between Cheshire herself, chief medical officer Niall Elliott and the Freestyle performance director and physio.
While the FIS guidelines are not enshrined in law, it seems highly unlikely team officials would contradict such clear advice on the issue.
The extent of Cheshire's injuries were evident in a photograph she posted of herself on her Twitter account on Monday morning, displaying visible cuts and bruising and with the message: "Wasn't the best day yesterday, still don't remember much! Thanks everyone for the lovely messages."
Withdrawal would be a major blow for Cheshire, who is considered a medal prospect after winning her first World Cup title in Calgary last month.
Cheshire's injury was by no means the only one on Sunday. In the women's snowboard cross competition Norway's Helene Olafsen and American Jacqueline Hernandez were stretchered off the course after accidents in qualification.
Swiss aerials skier Christopher Lambert was also taken to hospital after suffering a suspected dislocated elbow in a heavy fall during training.
On Saturday, Russian ski cross athlete Maria Komissarova sustained a broken and dislocated spine after a training accident. She underwent a six-and-a-half hour operation at a hospital in nearby Krasnaya Polyana and has since been transferred to Munich for further specialist treatment.


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Sculptor Tsuchiya finishing up Morgan statue
CINCINNATI -- Tom Tsuchiya is the sculptor responsible for the statues of Joe Nuxhall, Ernie Lombardi, Ted Kluszewski, Frank Robinson and Johnny Bench that can be seen at Great American Ball Park. On Wednesday, Tsuchiya previewed his latest creation, a statue of former Reds second baseman and Hall of Famer Joe Morgan, which will be unveiled at the park later this summer.
Currently putting the final touches on the foam and clay mold that will soon be covered in bronze, Tsuchiya has been working on the project since last fall. The first step was deciding what it would look like.
"The hardest and most challenging thing about doing something like this is picking and finding the best and most appropriate pose for the player," Tsuchiya said.
He read books and articles on the internet to research Morgan's career, and, as a Reds fan since his dad used to take him to games in the 1980s, he happened to have a DVD of the 1975 World Series. After looking through picture after picture, he landed on a shot of Morgan breaking for second in one of his 689 career steals.
"That automatically implies he was a good hitter, because he obviously made it to first," Tsuchiya said.
Once the pose was chosen, Tsuchiya made 3-D models of Morgan using a computer program. Then, he sculpted three to-scale clay models, the last of which was scanned onto a computer before a fabricator built it out of foam. In about a week, Tsuchiya said he will be finished detailing the sculpture in clay, and it will be sent to a foundry in Indianapolis, where it will be cast in bronze just in time for its unveiling on Sept. 7.
As part of the celebration honoring Morgan, the Reds Hall of Fame and Museum will open a year-long exhibit dedicated to him. Rick Walls, its executive director, said the not-for-profit organization is still looking for contributions to help fund the statue, as it approaches its goal of $100,000.
For Tsuchiya, his contribution is adding yet another monument to remember the club's long and storied history.
"This is just cool," Tsuchiya said. "It's kind of bizarre, because I never would have imagined being a part of the whole Reds history. It's crazy."
Jeremy Warnemuende is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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|Product Description
Schaefer's Aluminum T-Track incorporates a concave shaped riser that allows it to remain steady for spar mounting, or easily accept sealant for mounting to decks. Black hardcoat anodized T-Track; also available in clear anodizing (silver), the color of natural extruded aluminum.
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Part Number: 40-72


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With planning for Fourth of July celebrations already in full swing, Prevent Blindness Kentucky is urging the public to refrain from purchasing or using fireworks.
In 2007, approximately 6,300 Americans were treated in emergency rooms across the country due to fireworks-related injuries around the Independence Day holiday, according to the Consumer Product Safety Commission (CPSC).
Unfortunately, more than 40 percent of all fireworks injuries were to children under the age of 15.
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Mark Bellomo's latest takes fans on a trip down memory lane...
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When people over the age of 30 think of the 1980s, some of the first things that come to mind arent the Cold War, the Berlin Wall, or President Ronald Regan. The first things we think of are Transformers, G.I. Joe, Ghostbusters, Atari, He-Man and the Masters of the Universe and many more of the wonderful, amazing and life-shaping toys that we grew up with
Now, thanks to toy aficionado and author Mark Bellomo, those of us who grew up in the 1980s can remember our favorite action figures and games thanks to his latest book, Totally Tubular 80s Toys.
Where to start? Bellomo has done an amazing job with putting together an easy to follow and understand book rich with the history of the hobby from a decade filled with what many consider some of the most creative and richest products and licenses ever devised. Some of the most popular toy lines today were first introduced in the 1980s and have only now begun to receive the attention and love they truly deserved, which is something current collectors and fans may want to consider before writing this off as unworthy of their attention. In fact, if anything, this book gives fans today a great understanding of where our hobby has been and possibly where its going.
As previously mentioned, Bellomo does an impressive job of introducing readers to the content as well as providing readers with an easy to follow table of contents. Sorted by year, the decade that brought us everything from Strawberry Shortcake and E.T. to Robotech and the Teenage Mutant Ninja Turtles is dolefully delivered to us through interesting and insightful descriptions as well as beautiful images. The images of toys, games, and even advertising is clear and easy to see and Bellomo does a great job describing the history of each product as well as why its noteworthy.
To round off each year, an Entertainment-O-Rama page reminds readers of the most popular films, songs/albums, and TV shows as well as specific pop culture crazes or happenings at the time. (How could I have forgotten what really happened in E.T.?!? Thanks for the reminder, Mark!)
Overall, the book acts as a wonderful, encompassing directory and encyclopedia of sorts to the toy and game industry of the 1980s. While not all of fandoms favorites are included (Where the heck is My Buddy or My Pet Monster?), Bellomo does a solid job of included most of the memorable toys from the decade.
A true trip down memory lane, Totally Tubular 80s Toys helped me remember playing with my G.I. Joe in the sandbox, sleeping with my Care Bear in the pillow fort, playing Simon Says in the car, and watering that nasty, gross Chia Pet we had growing in the kitchen. And how did I ever forget my friend's Teddy Ruxpin, the Pound Puppies my brother and I adopted, and all of those crazy Garbage Pail Kids stickers on our bunk beds? Ahhh, what it was like to be a child in the 80s
Mark Bellomos Totally Tubular 80s Toys is available now at all fine booksellers.
- Jess C. Horlsey


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The U.S. average retail price of regular gasoline decreased six cents to $3.37 per gallon as of October 7, 2013, 48 cents lower than last year at this time, and the third consecutive week where prices decreased in all regions of the nation. Both the Midwest and West Coast prices dropped seven cents, to $3.28 per gallon and $3.74 per gallon, respectively. Down a nickel, the East Coast and Gulf Coast prices were $3.36 per gallon and $3.13 per gallon, respectively. The Rocky Mountain region price was $3.51 per gallon, a decrease of four cents.
The national average diesel fuel price decreased two cents to $3.90 per gallon, 20 cents lower than last year at this time. Prices decreased in all regions of the nation for the second consecutive week. The Gulf Coast price lost three cents to $3.81 per gallon, while the East Coast, Midwest, and West Coast prices are all lower by two cents, to $3.91 per gallon, $3.88 per gallon, and $4.05 per gallon, respectively. The Rocky Mountain price was $3.92 per gallon, a penny lower than last week.


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SANTA CRUZ - Three drug-related arrests were made over as many days recently at a Manor Place home that police say has been a problem for years, prompting a judge to issue an injunction barring drug activity there.
Harvey Lynn Behrendt, 60, whose mother owns the home at 107 Manor Place just steps from West Cliff Drive, was arrested Thursday on suspicion of possessing crack cocaine and drug paraphernalia, police said.
Officers visited the home after getting complaints about ongoing drug activity there, police said.
Friday, officers were called to the home for a reported drug overdose and arrested Behrendt again, for being under the influence, officer Erich Hoppe said.
Saturday, officers with the Santa Cruz Police Department Street Crimes Unit conducted a probation search and arrested Behrendt a third time for allegedly violating his probation terms, Hoppe said. He did not specify the violation.
After years of problems that included various drug offenses, disturbances and an allegation of elder abuse, Judge Paul Marigonda in September issued a permanent injunction barring owners and occupants of the home from allowing or engaging in any kind of drug activity.
A violation could lead to an order to temporarily vacate the home, Hoppe said.
The home is owned by Severina Behrendt, who is in her 90s.
City Attorney Susan Barisone sought the injunction earlier this year against the pair, as well as four other individuals who were believed to either be living or staying there: Douglas Hubert, Ryan May, Maureen May and Joy Behrendt.
In September, a neighbor said the problems got so bad that when she became pregnant, she and her husband decided to move and rent out their Manor Place home.
Harvey Behrendt has been an ongoing problem for police for more than a decade, Deputy Chief Steve Clark said previously.


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What to Wear to Work this Winter
Name: Rula Jebreal
Age: 37
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