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Main Page | Risk Factors | Symptoms | Diagnosis | Treatment | Screening | Reducing Your Risk | Talking to Your Doctor | Living With Headache | Resource Guide
A risk factor is something that increases your likelihood of getting a disease or condition.
It is possible to develop headaches with or without the risk factors listed below. However, the more risk factors you have, the greater your likelihood of developing headaches. If you have a number of risk factors, ask your doctor what you can do to reduce your risk.
Emotional stress, fatigue, or anger can result in tension headaches. Other risk factors include smoking and having too little physical activity, and too little sleep.
Certain conditions are associated with tension headaches and tightening of the muscles in the neck, face, and scalp. These include:
Lifestyle triggers can vary from person to person. Some reported triggers include
Certain foods can also trigger a migraine. Keep a food diary to help you learn which foods or food additives may cause your migraines. Triggers may include
Use of certain medications may trigger a migraine, including:
The highest incidence is in teenage years.
Migraine headaches are more common among females.
Migraines seem to run in families.
Migraines may be triggered by blood vessels overreacting to a variety of factors, including:
Cluster headaches seem to occur more often in smokers.
Having head surgery or a head injury increases your risk of cluster headache.
Risk is greatest between 20-50 years old.
Males are at greater risk for cluster headaches than females.
Certain medical conditions increase nasal secretions and cause swelling in the tissues lining the nasal passages. These changes lead to nasal congestion and stuffiness. The nasal passages become blocked and normal drainage cannot occur. Secretions that are trapped in the sinuses may become infected with bacteria or, rarely, fungus. The swollen tissues or infection may create pain and pressure.
Conditions that increase sinus pressure and increase your risk of sinus headache include:
Bigal ME, Lipton RB. Modifiable risk factors for migraine progression. Headache. 2006;46(9):1334-1343.
Brandes JL. The influence of estrogen on migraine: a systematic review. JAMA. 2006;295(15):1824-1830.
Cluster headache. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116292/Cluster-headache. Updated February 16, 2016. Accessed September 30, 2016.
Headache. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T114773/Headache. Updated August 9, 2016. Accessed September 30, 2016.
Headache—frequently asked questions. National Headache Foundation website. Available at: http://www.headaches.org/headache-faq. Accessed November 19, 2013.
Headache. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/headache/detail_headache.htm. Updated November 8, 2013. Accessed November 19, 2013.
Merikangas KR. Update on the genetics of migraine. Headache. 2012;52(3):521-522.
Migraine in adults. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T114718/Migraine-in-adults. Updated June 24, 2016. Accessed September 30, 2016.
Tension-type headache. EBSCO DynaMed website. Available at: http://www.dynamed.com/topics/dmp~AN~T114522/Tension-type-headache. Updated September 15, 2016. Accessed September 30, 2016.
8/27/2010 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114773/Headache: Robberstad L, Dyb G, Hagen K, et al. An unfavorable lifestyle and recurrent headaches among adolescents: The HUNT Study. Neurology. 2010;75(8):712-717.
1/2/2014 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114773/Headache: Watemberg N, Matar M, Har-Gil M, Mahajnah M, et al. The influence of excessive chewing gum use on headache frequency and severity among adolescents. Pediatr Neurol. 2014;50(1):69-72.
Last reviewed December 2015 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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Registry for Study of Coils in Intracranial Aneurysms (Gel-the-nec)
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- How to Read a Study Record
|Cerebral Aneurysms
|Study Type:
|Study Design:
|Time Perspective: Prospective
|Official Title:
|Gaining Efficacy Long Term: Hydrosoft, an Emerging, New, Embolic Coil (Gel-the-nec)
- We will compare recanalization or recurrence rates observed in this prospective registry of HydroSoft coils used as finishing coils to historical series of aneurysms treated with bare platinum coils. [ Time Frame: 6 - 18 months post coiling ]
- HydroSoft embolic coil can be placed reliably in intracranial, saccular aneurysms, even late in the embolization procedure. [ Time Frame: 6 - 18 months post coiling ]
|Study Start Date:
|August 2009
|Estimated Study Completion Date:
|December 2016
|Estimated Primary Completion Date:
|June 2016 (Final data collection date for primary outcome measure)
Aim 1. (Primary Outcome) To test the hypothesis that HydroSoft coils lead to diminished rates of aneurysm recurrence relative to bare platinum coils. In order to test this hypothesis, we will compare recanalization or recurrence rates observed in this prospective registry of HydroSoft coils used as finishing coils to historical series of aneurysms treated with bare platinum coils. This registry is designed to achieve 80% power to detect a minimally clinically relevant difference in rates of recurrence between HydroSoft-treated aneurysms compared with bare platinum coils. Based on recent, prospective, randomized trials assessing both bare platinum coils and hydrogel-bearing coils with 25% and 15% recurrence rates, respectively, we predict a recurrence rate of 18% for HydroSoft treated aneurysms. Typically, a "minimally clinically relevant difference" is on the order of a 30% diminution in a given undesirable outcome. As such, the registry is well powered to detect this minimally clinically relevant difference (18% expected recurrence rate for HydroSoft treated coils versus 25% for the historical control group).
Aim 2. (Secondary Outcome 1) To test the hypothesis that the HydroSoft embolic coil can be placed reliably in intracranial, saccular aneurysms, even late in the embolization procedure. Success of this aim is defined as ease of placement of the HydroSoft device, without need for coil removal and subsequent "finishing" with a bare platinum coil.
Aim 3. (Secondary Outcome 2) To test the hypothesis that use of the HydroSoft embolic coil is associated with risks of thromboembolism similar to that with other coil types, on the order of 3-5% or less.
|Ages Eligible for Study:
|21 Years to 90 Years (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Inclusion Criteria:
- Patient presenting with a ruptured or un-ruptured cerebral aneurysm appropriate for endovascular treatment as determined by the neurovascular team (neurosurgeon/neurointerventionist)
- Patient age: patients aged between 21 and 90 years will be eligible.
- Patient HUNT AND HESS Grade 0-3.
- Patient has given fully informed consent to endovascular coiling procedure or if patient cannot consent for themselves, appropriate written consent has been sought from their next of kin, or from appropriate power of attorney.
- Aneurysm 3-15mm in maximum diameter.
- Patient is willing and able to return for follow up angiography or MRA between 6-18 months.
- The patient has not been previously entered into this registry
- The aneurysm has not previously been treated (by coiling or clipping).
Exclusion Criteria:
- Inability to obtain informed consent.
- Medical or surgical comorbidity such that the patient's life expectancy is less than 1 year.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01000675
|United States, Minnesota
|Mayo Clinic
|Rochester, Minnesota, United States, 55905
|Principal Investigator:
|David F Kallmes, MD
|Mayo Clinic
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|Responsible Party:
|David F. Kallmes, David F Kallmes, MD, Mayo Clinic, Mayo Clinic
|ClinicalTrials.gov Identifier:
|NCT01000675 History of Changes
|Other Study ID Numbers:
|Study First Received:
|October 22, 2009
|Last Updated:
|March 17, 2016
Keywords provided by David F. Kallmes, Mayo Clinic:
Additional relevant MeSH terms:
Intracranial Aneurysm
Vascular Diseases
Cardiovascular Diseases
Intracranial Arterial Diseases
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
ClinicalTrials.gov processed this record on September 21, 2017

subset: commoncrawl


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What is it?
The Andrea Electronics WNC-1500 is a Wireless Computing Headset featuring digital audio enhancement and noise cancellation.
The Verdict:
The WNC-1500 is an excellent option when looking for a wireless communication device for VOIP. Communication was crystal clear in a variety of busy environments. The headset is very comfortable and provides a secure fit allowing for a pleasant listening experience.
What�s in the box?
The WNC-1500 Comes with the headset, a 2.4ghz USB adapter, USB charging cable, a convenient carrying case, and an instruction manual. Software is also available for download from AndreaElectronics.com
Andrea Electronics is widely known in this community for the stellar series of Superbeam USB microphones. When installing a automotive PC, the Superbeam was the best available option for hands-free audio communication for a very long time. The quality of the Superbeam bundle has been reassembled into a wireless audio headset named the WNC-1500.
Each part of the WNC-1500 package has been considered for fit and finish. The headset itself is extremely comfortable, which each part of the headset which touches your ear cushioned more than adequately with genuine leather. The attached microphone with included pop filter rests away from the face but in ideal position for vocal clarity. Microphone placement was considered not only for clarity, but it stays out of the way during video conferencing for the most part. The headband is also cushioned and does an excellent job of securing the headset speakers comfortably. Being wireless, the device is made to be mobile, and consideration was certainly made to keep the headset snug without being painful.
The WNC-1500 comes with a convenient set of controls on the right earbud. Included buttons are for volume control, music playback next/previous track, power, and configuration. The buttons are raised with a firm press, but unless you use the headset often, you may find using conventional computer controls more friendly. I find myself hunting for the proper control through trial and error too often.
The most endearing feature of the WNC-1500 set is the audio quality. Its crystal clear that in it's out of the box form, the headset is made for verbal communication. Despite being wireless, I could effectively speak and listen as if using a landline form of communication. There was simply no static or filtering noises with callers, and they never reported issue in response to my end. Andrea calls it "military grade acoustic noise cancelling technology", I'll just say it does the job and then some. The headset does just enough to filter ambient noises locally as to not disturb what your ears are hearing through the 40mm speaker drivers. By default, the headset doesn't thrill in regard to music or gaming enjoyment, but the included software has a 10 band graphic equalizer to aid in this regard. Despite this, I still felt at times that the headset muffled the audio experience while gaming at its most ideal setting. The virtual surround sound feature was lacking.
The WNC-1500 is powered by a built in lithium-ion battery. Simply plug in the WNC-1500 with the included USB cable and it will charge fully and relatively short time. The LED indicator on the headset will indicate when charging has completed. During testing, I observed battery life in the 5-7 hour range, more than enough for one sitting. The wireless range too was outstanding as audio clarity would hardly be affected until I was some 40 feet from the USB adapter. This far exceeds any bluetooth headset I've used to date.
The Positive:
� Terrific audio quality and noise cancellation
� USB rechargeable
� Comfortable design and secure
� Fold away design and included carrying case means the headset will go where you do
� Excellent battery life and range
The Negative:
� Not immersive sound for gamers
� Must use device manager to enable/disable the USB adapter as your primary sound card
The Verdict:
The WNC-1500 is an excellent option when looking for a wireless communication device for VOIP. Communication was crystal clear in a variety of busy environments. The headset is very comfortable and provides a secure fit allowing for a pleasant listening experience.


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Talk about some serious bling: the iPhone 4 "Billionaire Toys" is embellished in 24-karat gold, and the outer frame of the phone is inlaid with 500 Swarovski crystals. If that's enough, the Apple logo on the back is set wih 53 more Swarovski stones. The 32GB iPhone comes unlocked, and you better act fast — there are only 1,000 being made! Don't order all at once now; you may want to guess the price first.
Guess the Price Tag!
How much does this Billionaire Toys phone cost?


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Hotels want you to stay a while in their lobbies.
Long treated as dead spaces that hotel guests raced through on the way to the elevator, lobbies are being transformed into places to work, surf the Web or meet friends for a drink.
Large, traditional hotels are spending billions in renovations to try to mimic the style and financial success of luxury and boutique hotels, which have always drawn free-spending crowds to their lobbies. Walls are being torn down to make lobbies feel less confined. Communal tables are popping up. Wine lists are being upgraded. And quiet nooks are being carved out that give business travelers space to work but still be near the action.


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PHOTOS: Lykke Li at The Moore Theatre
Posted in: Concert photos, Photos– Posted on September 18, 2014
Comments are closed. You will not be able to post a comment in this post.
A monstrous return to the Emerald CityRead More
2012 Soundgarden makes this classic sound so goodRead More
Cornell on Soundgarden, Audioslave and moreRead More
Scenes from the long-awaited hometown showRead More
Grunge guitar gods unite!Read More
Cornell covering Whitney's Dolly Parton coverRead More
Copyright Guerrilla Candy 2017. All Rights Reserved.


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There's no question that dairy farmers are dedicated to their careers, and now 100 dairy farms have been recognized by Minnesota's Agriculture Commissioner Dave Frederickson for their commitment to exceptional dairy cow care. Read the list of winners here. Farmers who made the list will receive a certificate of congratulations signed by Frederickson.
To determine how successful dairies were in caring for their cows, officials looked at the farm's somatic cell count records.
"These farmers do a great job following best-management practices in caring for their dairy cows and the result is high-quality milk with low somatic cell counts," Frederickson said in a news release. "The Minnesota Department of Agriculture and the University of Minnesota have been working with the state's dairy farmers for years to reduce somatic cell counts, and that long-term effort is paying off."


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Sign Up
Kate Winslet's character in "Eternal Sunshine of the Spotless Mind" put it best when she said: "I apply my personality in a paste." Major life changes can sometimes call for dramatic hair transformations. Whether it's a bad breakup, new job, cross-country move or you're simply feeling hair anxiety, cutting or dyeing your locks can not only make your head feel much lighter, but also your mood. If you're a brunette who always wanted to be blonde, or a long-haired gal that's been pining for a short bob, now's your chance.
Before you do anything too drastic to your hairstyle, make sure you have the right beauty tips and products:
Hair color
For many, dyeing locks a whole different color is a terrifying prospect. However, a change in your hair palette is sometimes what you need to spice up your life and shake up your mood.
Brunettes who want to go blonde should always consider skin tone first. The most important rule to follow is that you never want your hair to match the shade of your skin. If you have an olive complexion, opt for a honey-golden blonde, while those with a pink undertone to their skin should skip out on warmth and choose lighter, cooler blondes. If you're dyeing your hair at home, Julia Youssef, executive director of L'Oréal Paris's Hair Color Technical Center and Product Evaluation, told Marie Claire magazine that cool tones are the easiest to achieve when standing over your bathroom sink because they require less depth.
Likewise, lighter-haired women who want a darker shade should look for a brown that has some depth so it doesn't lay dull and flat. Use a rich chocolate brown as your base hair color, then add in darker lowlights for a fuller look. If you want to go the darkest you can go without breaking out the black dye, a cool espresso brown exudes a sultry vibe.
There are, of course, more shades than just blonde and brown.You can switch it up and try something slightly offbeat, opt for a hue that has extra layers of eye-popping colors, such as shimmery eggplant black or a rich auburn with dark red highlights.
Length and shape
Nothing says drama like chopping off all your hair into a pixie cut, but if you don't want to part with all your locks, opt for a shoulder-grazing bob instead. The so-called demi-bobs are stylish, timeless and perfectly manageable for those who never had short hair. For a bit of edge, try a wavy bob with roughed-up edges or a sharp asymmetrical style with a side part. Of course, a classic bob with even ends, wispy bangs and a sleek finish using a gloss, such as the Steiner Gloss Mist Shine Spray, will also surely lift your spirits.
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Fire chief: Washington landslide toll rises to 4
Mon, 24 Mar 2014 03:45:41 GMT —
Searchers found another body in the debris from a massive landslide in Washington state, bringing the death toll to at least four.
Snohomish County Fire District 21 Chief Travis Hots said Sunday that crews were able to get out to the debris and found one body buried in the mud. At least 18 people remain missing.
Hots said emergency responders and technical rescue personnel found "no signs of life" as they scoured the area.
The 1-square-mile mudslide that hit Saturday morning also critically injured several people and destroyed about 30 homes.
The slide occurred about 55 miles north of Seattle.


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THIBODAUX — It didn't take long into his college debut for Southern starter Camilo Godoy to get a not-so-warm welcome.
Nicholls State leadoff man Matt Richard sent Godoy's third pitch of the ballgame over the wall in right field as part of a four-run first inning that bolstered the Colonels' 11-1 win against Southern on Wednesday night at Ray E. Didier Field.
On a cold night at Ray E. Didier Field, the first five batters Godoy faced all reached base, as the redshirt freshman struggled to settle in. Godoy didn't get much early help from his defense, either, as the Jaguars committed two errors in the first inning.
Things continued to unravel for Southern, as a routine fly ball fell between two outfielders and Godoy hit two batters — all in the top of the first. Four Colonels crossed the plate, and the Jaguars found themselves in an early hole.
"I was nervous for my first college game," said Godoy, who took the loss. "That first inning, I had to get my mechanics straight and get everything straight. I wasn't mixing up pitches. I was staying with the same pitches and not taking a break and thinking about it or mixing it up."
Nicholls batted around in the first inning, but Godoy eventually found his groove in the second frame, holding the Colonels scoreless for the next 3.2 innings. After surrendering four hits in the opening frame, the 6-foot, 175-pound right-hander gave up just two hits the rest of the way, striking six on the night.
"In the second inning, I finally calmed down and finally just let it loose and did what I've been practicing for this whole year," Godoy said. "It gives me confidence, but I've still got a lot of work to do."
The SU bats were also kept at bay for much of the evening, as Southern collected only five hits. Freshman left-hander Zach Thiac earned his first collegiate start Wednesday, pitching three scoreless innings allowing just two hits and striking out five.
Southern got its lone run in the fourth inning, aided by two Nicholls miscues. D.J. Wallace reached on a fielding error by Colonel right fielder Mike Barba, and eventually made it home off Fernando Morales' single into right field.
Five Colonels relievers kept the Jaguars silent the rest of the way.
"Thiac started the tone pretty good for us right off the bat," Nicholls coach Seth Thibodaux said. "We were excited to be out here on the home opener. It all started on the mound. We pitched pretty well."
Nicholls tacked on two runs in the sixth inning to increase its lead by five, and added four more runs in the eighth to put the nail in the Jaguars' coffin.
"We take a lot of pride in what we call the business innings late in game," Thibodeaux said. "We want to make sure we put some pressure there. I was very pleased with the effort, especially late in the game. Our goal is to be relentless and the best we can be throughout and we did that tonight."
The Jaguars have one day off before traveling to Houston this weekend for the MLB Urban Invitational.


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AT&T Releases Details of Tentative Agreement in Mobility Contract Negotiations
Dallas, Texas, March 08, 2013
AT&T* today provided details of a tentative agreement AT&T Mobility reached Feb. 22 with the Communications Workers of America in contract negotiations covering more than 20,000 AT&T Mobility employees in 36 states and the District of Columbia.
The four-year agreement covers Mobility employees in CWA Districts 1, 2/13, 4, 7, and 9 – generally in the Northeast, Mid-Atlantic, Midwest, Mountain States and West Coast. It will be submitted to the CWA's membership for a ratification vote in coming days.
The agreement would be effective February 10, 2013 and expire February 11, 2017. If it is ratified on or before April 5, 2013 a ratification bonus of $1,000 will be paid to each eligible employee.
The agreement includes general wage increases in each year of the contract – 2 percent the first year, 2.5 percent the second year, 2.25 percent the third year, and 3 percent the fourth year. It maintains pensions for all employees, plus retirement savings plans, with no changes.
Health care and other benefits are bargained separately. CWA members in October ratified a separate four-year benefit agreement for all CWA-bargained Mobility employees nationwide.


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We've been very hot and dry where I live in eastern Kansas, in addition to similar conditions across the Midwest and Great Plains. As I drive out to my horses I pass several cattle pastures with cattle up to their ears in farm ponds to cool off. I've been filling horse tanks every day because our ponds have receded and algae blooms are covering the water.
Blue-green algae (BGA) can be toxic to cattle, other animals and humans. Larry Hollis, DVM, Kansas State University, says, "Blue-green algae is typically only a problem during the hottest part of the summer. It appears that we are seeing an increase in cases this year because of the extended heat period and/or lack of additional rain."
Cyanobacteria, also known as blue-green algae, grow in any type of water and are photosynthetic. Some cyanobacterial blooms can look like foam, scum, or mats on the surface of fresh water lakes and ponds. The blooms can be blue, bright green, brown, or red and may look like paint floating on the water. Some blooms may not affect the appearance of the water. As algae in a cyanobacterial bloom die, the water may smell bad.
Getting cyanobacteria on the skin may give people a rash, hives, or skin blisters (especially on the lips and under swimsuits). Inhaling water droplets from irrigation or water-related recreational activities can cause runny eyes and nose, a sore throat, asthma-like symptoms, or allergic reactions. Swallowing water that has cyanobacterial toxins in it can cause acute, severe gastroenteritis (including diarrhea and vomiting), liver toxicity, kidney toxicity and neurotoxicity. In dogs, the neurotoxins can cause salivation and other neurologic symptoms, including weakness, staggering, difficulty breathing, convulsions, and death. People may have numb lips, tingling fingers and toes, or they may feel dizzy.
Some animals become ill after swimming in contaminated waters and grooming their coat after it dries. The first signs of animals' blue-green algae poisoning usually occur within 30 minutes of exposure and include vomiting and diarrhea. These symptoms are followed by progressively worsening signs of liver failure, such as anorexia, lethargy and depression. Jaundice, abdominal swelling and tenderness in the abdominal area may also occur. Blood values of liver enzymes are typically very high.
If a neurotoxin is involved, neurological signs can occur minutes to hours following exposure and may include tremors, salivation, seizures, weakness and respiratory paralysis. Acute deaths are possible if the toxin dose is high.
Livestock species often serve as sentinels for human illness, says Hollis.
So look out for yourself, your family as they take part in water activities, and livestock and pets as they venture to the pond for a drink.
Report cases when you can
The conditions have prompted the Kansas state public health veterinarian and the Kansas State University Veterinary Diagnostic Laboratory to issue a joint request to Kansas veterinarians, asking that they report suspected illness in animals due to BGA. Such reports go to the Kansas Department of Health and Environment Epidemiology Hotline at 1-877-427-7317, available 24 hours a day, 7 days a week.
Identification of cyanobacteria in water, stomach contents and hair coat samples is available at the Kansas State Veterinary Diagnostic Laboratory (KSVDL) in Manhattan. The laboratory can be contacted at 785-532-5678 to coordinate sample and specimen submission.
More information, including current public health advisories, warnings and instructions on how to report a suspected case of blue-green algae poisoning, is available at the KDHE website.


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BLOOMFIELD HILLS, Mich.—Shelley Pawlus has joined The Crypton Companies as a director of outreach contract division, according to Lance Keziah, president of Crypton.
"We are looking forward to having Shelley lead the charge in our contract outreach program and feel confident that she will be invaluable to our clients and field representatives as we continue to share educational and development break throughs and updates," said Keziah.
Pawlus' role will include the planning and implementing of Crypton's corporate outreach programs, which provides strong educational content as well as valuable sales support.
Born and raised in Michigan, Pawlus received her MBA from the University of Phoenix and has been developing relationships in the A&D community for nearly a decade. She is an active member of the Michigan chapter of IIDA, a member of NEWH and was most recently associated with InPro Corporation.


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StartUpHire is the place to find ENT Consultant jobs. Review the list of ENT Consultant career opportunities to the left. These ENT Consultant jobs represent some of the most rewarding careers available.
You can refine your job search for ENT Consultant career opportunities by adding a job title, company name, or keyword to the search box above … or click the "Advanced Search" link for more options.
Don't see the employment opportunity you're looking for? Check back soon for more ENT Consultant jobs, or sign up for an email alert (link below) to receive periodic updates on new ENT Consultant jobs.
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The Packers have once again been bitten by the injury bug. For the past two weeks, the Packers game day inactive list has been nearly all starters. With contributors like Bishop, Saine and D.J. Smith already lost for the season, the Packers "next man up" philosophy has been tested since day one of the season. Yet as the injuries pile up and the number of players on the injury report and number of games missed increases, the situation becomes an increasing concern.
As the Packers have proven year in and year out, the front office is committed to their guys and their plan. The Packers don't make flashy trades or rash free agent pickups after injuries. Next man up.
But when you live and die by next man up and every week and every game matters as much as it does in the NFL, there are two crucial components to making the philosophy work. First you need depth. Which the Packers, so far, have proven they have. Second, you need the ability to get guys healthy. And so far this year, the Packers have struggled at that.
Yesterday it was announced that Nick Perry is seeking a second opinion on his injured knee. This is the second time this season that a Packers player has done so.
After injuring his groin in the first game of the season, and trying and failing to come back in week four, Greg Jennings sat out three more games and it was decided that he needed a second opinion. The injury wasn't healing like they thought it would; it was taking longer.
Days before it was determined that Jennings should get a second opinion, the Packers actually hoped to get him on the practice field. In the end, Jennings needed abdominal surgery and after a delay from super storm Sandy, he's now healing and is on the road to heading back to playing instead of just waiting.
Jennings and the Packers waited three games between when Jennings re-aggravated his groin and when he went for a second opinion. Had Jennings and the Packers decided that surgery was the best option after week four, it's reasonable to assume that Jennings could come back after the bye week.
Nick Perry's situation is similar. He injured his knee against Houston and has sat out three games. Like Jennings injury, recovery is different for every person. According to Weston Hodkiewicz of the Green Bay Press-Gazette, Perry was given a window of three to eight weeks recovery time. Perry is seeking the second opinion now and the Packers hope to have more information within the next two days.
While second opinions in the NFL might not be uncommon, a quick glance at other teams, the Packers do seem to be doing something different. The Jets had two players seek second opinions this year: Darrelle Revis and Santonio Holmes. However, in both situations the second opinion was used to confirm the severity of the injury and both players were placed on season ending injured reserve.
Blaine Gabbert also sought out a second opinion this year. The Jaguars used the second opinion to verify that Gabbert could play the following week. In all three cases, the players got their second opinion within days of their injury. Holmes went for his the day after he got hurt.
Why do the Packers and their players wait so long to get a second opinion? Why, in an age when every game matters more and more and when technology and travel accommodations allow for seemingly easy second opinions, do the Packers seem content to wait injuries out?
If it turns out that Nick Perry requires even a simple knee scope or any number of other procedures, why wait to find out? Why not do it immediately and start the rehab process as soon as possible?
A three week later second opinions shouldn't be common practice. Here's hoping no other Packers player needs one.
Jayme Joers is a writer at CheeseheadTV's Eat More Cheese and co-host of CheeseheadRadio. She also contributes to Pocketdoppler.com. You can contact her via twitter at @jaymelee1 or email at [email protected].
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Girardi: Panama trip won't disrupt normal spring
VIERA, Fla. -- The Yankees' Grapefruit League schedule will be interrupted this coming weekend with a trip to Panama to play the two-game "Legend Series" against the Marlins. On both Saturday and Sunday, the Yanks will have one squad playing there and another back in Florida, but manager Joe Girardi doesn't think the situation will cause any problems.
"The issues you have to work out is you basically have split squads every day, in a sense, so you have to call some kids up from the Minor Leagues," Girardi said on Tuesday before the Yankees played the Nationals at Space Coast Stadium. "They like that."
The Panama series, to be played at Panama City's Rod Carew Stadium, will honor retired closer and Panama native Mariano Rivera. Yankees players headed there include Derek Jeter, Brian McCann, Brett Gardner, Carlos Beltran and Alfonso Soriano, while Adam Warren and CC Sabathia will start on the mound.
"I think the guys are excited to go for Mo," Girardi said.
While some have wondered if Rivera could get back on the mound there, Girardi's understanding is that the 44-year-old's involvement will be "all ceremonial." The Yankees skipper did have one idea, however.
"I thought he should play an inning in center [field]," Girardi joked.
The other group of Yankees will face the Orioles on Saturday in Sarasota, Fla., and then host the Braves on Sunday in Tampa. Jacoby Ellsbury and Mark Teixeira will be among the players available for those games, and Masahiro Tanaka is slated to start on Sunday.
Andrew Simon is a reporter for MLB.com. Follow him on Twitter @AndrewSimonMLB. This story was not subject to the approval of Major League Baseball or its clubs.


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Because you are making a Group Booking, there are additional Terms and Conditions that apply. Please read them and click 'I Accept' below to continue with your booking
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By making a group reservation through Hostelworld.com you agree to the following terms and conditions as set by Hostelworld.com and as set by the hostel in question.
- In order to make a group reservation on Hostelworld.com it is necessary to pay a deposit. The balance is due directly to the hostel according to their payment conditions.
- The booking deposit is non-refundable.
- Please note that any cancellations must be notified directly to the hostel at least 24 hours in advance of your scheduled arrival date, unless otherwise stated in the hostel's conditions.
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- It is your responsibility to pay the balance of your accommodation cost to the hostel in accordance with their payment conditions (see below). Failure to do so may result in your reservation being cancelled by the hostel.
- Individual hostels may have special booking conditions relating to group stays, please read the hostel booking conditions carefully before making your reservation.
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The remainder of the amount due will be charged to your credit card 2 weeks prior to arrival. Should numbers or room selection change, the per person deposit times the number of people who actually travelled will be deducted from the total accommodation charge levvied by the hostel.
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A key deposit of $20 (per key) is payable at the time of check-in. The $20 will be refunded at check-out, once the key is returned.
Please note: no sleeping bags are permitted - all beds are fully made up.
The following group types are not accepted by this hostel: Stag/Hen/Bachelor Party If you have misrepresented the type of group you are booking for, your booking may be cancelled by the hostel.
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Alcohol rules apply - NO alcohol permitted in ANY rooms or carpeted areas.
Stag and hen parties are NOT PERMITTED. We reserve the right to cancel bookings made for these purposes and no refund will be given.
Any cancellations resulting from agreement to these terms and conditions under false pretences will result in loss of deposit.
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If it seems like KidsFest gets bigger and better every year it's because organizers have tried their very best to provide kids and their families with more entertainment, more activities and more fun.
This year's KidsFest is no exception.
Presented by the Bullitt County Chamber of Commerce, the 2011 KidsFest will take place on Saturday, March 12, from 10 a.m to 3 p.m. at Paroquet Springs Conference Centre.
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Decorating Your Kitchen for Spring
With its curved shape and over 300 superfine, v-shaped teeth, this zests perfectly without cutting into the bitter pith. And a bonus you don't see: on the underside is a built-in container with measurements. In Yellow, $15 by Edgeware. williams-sonoma.com.
Peeled garlic in seconds flat. Just place the cloves in the silicone tube, roll, and voilà! Keeps your hands odor-free, too. Silicone, $7. crateandbarrel.com.
Canstruction: 20+ Amazing Canned Food Sculptures


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Restore the Ancestors Project. If you've not heard of this very worthy project yet, you will. It's just taking off and already making great strides. Here's what it's all about:
This project is a collaboration between Footnote.com, the South Carolina Department of Archives and History, FamilySearch and Lowcountry Africana, to digitize every surviving estate inventory for Colonial and Charleston South Carolina from 1732 to 1872, as well as selected Bills of Sale for the same period, in a FREE collection.
If you would be available to index just 10 pages it would help tremendously and leave you with that warm fuzzy feeling, good karma and dry socks. (just seeing if you're paying attention!) 🙂


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AVAYA CONF R8.X UNVRSL LIC (307195)Item#: 13529523 | Model#: 307195
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For Dolphins, a Bold Decision by the National Aquarium
The aquarium's plan to move its eight dolphins to an ocean refuge could pave the way for others.
Before the Flood
Before the Flood captures a two-year personal journey alongside Leonardo DiCaprio. Watch Sunday October 30 at 9/8c
Which National Parks Do You Want to Get $2 Million?
This month, you have a chance to help choose which national parks, monuments, and more will win funding for preservation.
Green Gotham
Photograph by Anthony Behar, Sipa Press/AP
With seven billion mouths to feed, human agriculture exerts a tremendous toll on the planet, from water draws to pollution, and from energy use to habitat loss. But there is also a growing set of solutions, from organic agriculture to integrated pest management.
More people around the world are taking a look at urban farming, which offers to make our food as "local" as possible. By growing what we need near where we live, we decrease the "food miles" associated with long-distance transportation. We also get the freshest produce money can buy, and we are encouraged to eat in season.
Another benefit of urban farming is that it can add greenery to cities, reducing harmful runoff, increasing shading, and countering the unpleasant heat island effect. Garden plots can help people reconnect with the Earth, and gain a greater appreciation for where our food comes from (hint: not from plastic packages).
Rooftop and patio gardens create peaceful places for relaxation or contemplation, and they can attract tourists—consider the booming businesses that have sprung up around New York City's lush High Line Park. And urban farming can bring jobs to underserved and depressed urban areas.
Although planners have a long way to go, boosters envision soaring vertical farms that will eventually produce most of what we need within a short walk from home. Still, land in cities is often expensive, especially since gardens tend to contribute to gentrification and rising rents. Urban soils can be loaded with lead, arsenic, and other toxins, requiring remediation or replacement before planting can be done safely.
Cramped conditions can limit yields, and getting enough water and sunlight can be concerns.
Still, if the right combinations of new technology, community support, and economic incentives align, it's possible we may soon be munching on skyscraper scallions and avenue arugula.
An early example is the rooftop garden on the InterContinental New York Barclay Hotel, which includes an apiary. The Midtown bees produce honey used in the hotel's kitchen, and they fly to pollinate plants as far as five miles away.
—Brian Clark Howard
(Related: Dam, Levee, and Irrigation Photos)
Planting a Revolution
Photograph by Richard Levine, Alamy
Across town, planters beautify a rooftop in Hell's Kitchen. Big cities like New York host acres of flat, sunny space, which can be put to use growing food or flowers.
Integrated "green roofs" are gradually catching on. In these, a thin layer of soil or other medium supports a dense mat of plants. Such features can be promoted as amenities to renters or buyers, and they win points toward green building certifications.
But it's also possible to start smaller, by setting out a pot or two, even if just on a balcony.
(Related: Green Roofs Photos)
Reclaiming Our Cities
Photograph by Michael Willis, Alamy
A number of inner-city residents around the world have taken a stand against blight by reclaiming vacant lots, medians, and other marginal land for growing space. In Perth, Australia, an organic community farm sprang up along a busy railway line.
Growing fruits and vegetables can help low-income people supplement their grocery shopping, and it can be a source of fresh, healthful produce. Growers can earn supplemental income by selling excess at community events and farmers markets. As such markets grow, they hire full-time staff, often from the community.
One potential concern is that marginal land can have polluted soil, so it is a good idea to get it tested before planting for consumption. Over time, plants tend to clean soil, but professional environmental engineers may be needed to start the process.
(Related: Sustainable Agriculture Photos)
Farming the Future
Photograph by Michael Tercha, Chicago Tribune/MCT/Getty Images
Ken Dunn clears snow from a hoop greenhouse at Chicago's City Farm. The nonprofit project sells fresh produce from a stand in the summer and fall and offers CSA (community-supported agriculture) shares to city residents, who pay to partake in nature's bounty.
City Farm transformed an acre of crumbling cement into an operation that produces 25,000 pounds of heirloom tomatoes, carrots, beets, arugula, and herbs a year. The farm provides economic opportunity and attracts throngs of volunteers and visitors in the Windy City.
Several area restaurants buy ingredients from City Farm, from Vie to Nightwood and North Pond. Bruce Sherman, chef and owner of North Pond, praised the farm's produce, telling the group, "The fact that City Farm grows exceptional produce the right way only makes it better."
(Related: Organic Gardening Tips)
Movable Farm
Photograph by Andy Kropa, Redux
Chicago's City Farm, a project of the nonprofit Resource Center, is built on movable plates, so the entire operation can be relocated at the end of a growing season if leases change. The farm has occupied several different sites, including the edge of the former Cabrini-Green housing projects.
(Related: Photo Gallery: Green Chicago)
Rolling Greens
Photograph by Linda Rosier, NY Daily News/Getty Images
Curt Ellis (pictured) and Ian Cheney won rave reviews for their 2007 documentary King Corn, about the drawbacks to industrial agriculture. They built on that success by filling up the back of a 1986 Dodge Ram with soil and planting tomatoes.
Over the past few years, the two friends have driven their Truck Farm from neighborhood to neighborhood, giving urban kids a chance to get their hands dirty, and see how food looks on the (moving) ground. They produced a film on the project in 2011, Truck Farm, and they've enlisted such singer/songwriters as Jack Johnson and Charlie Sutton to attract the crowds.
It's not likely we'll be sourcing the majority of our food from moving vehicles in the near future, but the Truck Farm project shows how thinking outside the garden box can introduce a new audience to natural foods.
(Related: Organic Container Gardens)
Farming to Survive
Photograph by Pilar Olivares, Reuters
In many poor urban neighborhoods, people have long had to grow some of their own food or tend livestock. Pigs can be kept without a lot of space, and they can eat scraps and garbage. This pen in Pamplona Alta shantytown in Lima, Peru, helps feed a low-income family.
Waste and smells can be a problem, which is why many cities have historically moved to ban animal husbandry within their borders. However, rising awareness of hygiene has helped persuade some officials to loosen some restrictions, especially on chickens.
(Related: Organic vs. Free-Range Chicken)
Farming South Central
Photograph by David Butow, Redux
Between 1994 and 2006, a community of low-income, largely Hispanic people farmed a vacant plot in an industrial section of South Central Los Angeles. Eventually, the owner of the land beneath South Central Farm took steps to evict the growers, touching off a series of protests and legal battles that continue to this day.
Celebrities from Daryl Hannah to Danny Glover came out to support the farmers and raise money to purchase the land, but the owner told the Los Angeles Times that he wouldn't sell to them for any price. The developer told the paper he objected to the farmers' protests and alleged that some garden supporters had used anti-Semitic slurs.
The whole ordeal, complete with local political intrigue, was chronicled in the Academy Award-nominated documentary The Garden.
A few of the former South Central growers have found plots in other areas. The original farm boasted up to 150 different species of plants.
(Related: Los Angeles Photos)
The Office Farm
Photograph by Yuriko Nakao, Reuters
An employee harvests veggies grown inside an office "urban farm" in Tokyo. The Pasona Group, an employment and staffing company, established the growing area to foster a work environment that "coexists with nature."
On their lunch breaks, workers tend vegetables, fruits, and rice.
(Related: How to Compost Indoors)
Farming Caracas
Photograph by Carlos Garcia Rawlins, Reuters
More than 20 different types of vegetables are grown in "Bolivar 1," an organic garden in the city of Caracas, Venezuela.
(Related: Organic vs. Local Vegetables)
Learning Life Skills
Photograph by Carlos Osorio, AP
Teens at Catherine Ferguson Academy in Detroit learn to grow plants in a greenhouse. The school serves pregnant and parenting teens, and teaches farming and gardening in addition to core subjects.
Some of the students have the opportunity to put their skills to use in South Africa as part of an international exchange program.
(Related: Detroit Photos)
Historic Roots
Photograph from ClassicStock/Alamy
In 1943, young people tend a victory garden in New York City. During World War II, Americans were encouraged to grow some of their own food, to offset shortages caused by the conflict.
During the past decades of plenty, many people forgot how to get their hands dirty. But a new crop of enterprising growers are rediscovering the many benefits of urban planting.
(Related: Green Gardening Tips)
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Photograph by Enric Adrian Gener, My Shot
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I love Asian shrimp toast appetizers and bacon! Here's my revved up version by creating shrimp sliders with a spicy bacon jam topping with the extra crunch of crispy potato strings.
I love shrimp burgers and I love anything with bacon! I've revved up my tastebuds by creating a Chipotle shrimp slider with balsamic bacon jam and added extra crunchy potato strings.
This is a simple healthy alternative to the way people view a burger


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I learned that a long walk and calm conversation are an incredible combination if you want to build a bridge.
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Learn more about the IHG Green Engage™ system
All 330 guest rooms and suites feature either King size beds or two Queen beds, Temple Spa bath amenities, complimentary wired and wireless internet, in-room laptop size safes, refrigerators, full size iron and ironing board, in-room coffee maker and an extensive HDTV channel selection. Enjoy our Crowne Plaza Sleep Advantage Program with luxurious bedding, soothing aromatherapy kit and specially designated quiet zones, which will secure your great night's sleep. Take advantage of our free 24-hour shuttle to JFK Airport. Make your reservations today.
Gym apparatuses, Treadmills, dumbbells, yoga


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Bats stay quiet as Twins fall to Rangers, drop to .500
Minnesota gets only run on Willingham's seventh-inning homer
MINNEAPOLIS -- One reason for the Twins' early season success has been their ability to win close games.
They entered their game against the Rangers a perfect 5-0 in one-run games, but they saw that streak come to end Thursday night.
Right-hander Vance Worley labored through five innings, and Minnesota's offense rallied late but couldn't come through in a 2-1 loss to Texas at Target Field.
Josh Willingham had a prime opportunity to put the Twins ahead in the eighth with the bases loaded and one out, but reliever Tanner Scheppers got him to hit into an inning-ending double play.
"We had our chances," Twins manager Ron Gardenhire said. "When you get Willy in that situation, he hit a bullet but they were playing him there. They pounded him inside but he hit the ball hard, it just ended up being a double play. But it was an exciting ballgame. We were one hit away."
Willingham, who homered off Rangers' rookie starter Nick Tepesch in his previous at-bat, worked a full count against Scheppers but hit a hard grounder to Elvis Andrus for a textbook 6-4-3 double play.
"I hit the ball hard, but I just hit it right at them," Willingham said. "I battled and got a pitch and put the barrel on it, but it just went right at them."
Worley, meanwhile, struggled early, as he needed 52 pitches to get through the first two innings of the game, including 37 in the second inning.
The Rangers got on the board in the second inning with an RBI single from Nelson Cruz to score Adrian Beltre, but Cruz was thrown out by right fielder Chris Parmelee at second base while trying to stretch the hit into a double.
Worley settled down after that, as he didn't give up a run again until the fifth, when Elvis Andrus came through with a two-out RBI double to score Leonys Martin. But it was the final inning for Worley, who surrendered two runs on six hits and two walks.
"I thought everything was coming out of my hand a little up the first couple of innings," said Worley, who fell to 0-3 with a 6.38 ERA. "But then I settled down and everything worked the way I wanted it to. They fouled off a lot of pitches to get my pitch count up, which made it tougher to go deep into the game, but for the most part I'm happy with what I did."
He was outdueled by Tepesch, who didn't allow his first baserunner until Justin Morneau led off the bottom of the fifth with a single.
Tepesch gave up his first run in the seventh on Willingham's team-leading third homer of the year. Parmelee and Trevor Plouffe both singled with two outs in the seventh to chase Tepesch from the game, but left-hander Robbie Ross was able to get pinch-hitter Ryan Doumit to ground out to short to end the inning.
Tepesch, making just his fourth career start, allowed one run on five hits over 6 2/3 innings to get his second career win.
" I felt good about it," Tepesch said. "I kept the team in the game. The guys made a lot of good plays behind me. I didn't feel like anything was extra out of the ordinary, but I felt like I commanded my pitches pretty well. I felt like I was pretty good tonight.
Former Twins closer Joe Nathan threw a scoreless ninth to preserve the victory for the Rangers and pick up his seventh save. But the Twins did get a baserunner with a two-out single from Plouffe before Doumit flied out to deep left field to end the game.
"He's on the other side now, but good memories with Nathan," Gardenhire said. "But we wanted to get him. But he's a closer and bona fide as they say. He made some good pitches."
Rhett Bollinger is a reporter for MLB.com. Read his blog, Bollinger Beat, and follow him on Twitter @RhettBollinger. This story was not subject to the approval of Major League Baseball or its clubs.


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Effect of Noninvasive Ventilation on Lung Function in Amyotrophic Lateral Sclerosis
Recruitment status was: Recruiting
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- Disclaimer
- How to Read a Study Record
Amyotrophic Lateral Sclerosis (ALS), or "Lou Gehrig's Disease", is a fatal disorder that causes progressive degeneration and weakening of the muscles of breathing, leading to breathing insufficiency and eventually breathing failure. This breathing insufficiency is commonly treated with a breathing assistance device, known as noninvasive positive pressure ventilation (NIPPV). While generally well tolerated and accepted, it is not clear whether or to what extent NIPPV in fact helps breathing function: some data suggest that NIPPV preserves breathing function over time, whereas other data suggest that it actually causes breathing function to decline more quickly. No studies have shown what the acute effect of NIPPV is on breathing muscle function in ALS patients.
This study will test the hypothesis that the acute use of NIPPV, at pressure levels that are in common clinical use, will cause measurable changes in tests of breathing function, compared to baseline and to lower levels of NIPPV. We expect that the results of this study will help to clarify whether and to what extent NIPPV assists respiratory muscle function in patients with ALS.
|Amyotrophic Lateral Sclerosis Motor Neuron Disease
|Device: noninvasive positive pressure ventilation
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Participant)
Primary Purpose: Supportive Care
|Official Title:
|Effect of Noninvasive Positive Pressure Ventilation on Pulmonary Function Testing in Amyotrophic Lateral Sclerosis
- Difference in pulmonary function and respiratory muscle pressure testing, difference in gas exchange, and difference in subjective dyspnea between baseline and the two different ventilator modes [ Time Frame: 5 hours ]
|Estimated Enrollment:
|Study Start Date:
|September 2007
|Estimated Primary Completion Date:
|August 2012 (Final data collection date for primary outcome measure)
|Assigned Interventions
Active Comparator: High-level ventilation
Each subject will spend 2 hours receiving high-level noninvasive ventilation.
Device: noninvasive positive pressure ventilation
Each subject will undergo 2 hours of high-level noninvasive positive pressure ventilation, with an inspiratory positive airway pressure of 12 cm H2O and an expiratory positive airway pressure of 3 cm H2O.
Other Name: "BiPAP" (Respironics), VPAP (ResMed), bilevel positive airway pressure, noninvasive ventilation
Active Comparator: Low-level ventilation
Each subject will receive 2 hours of low-level noninvasive positive pressure ventilation.
Device: noninvasive positive pressure ventilation
Each subject will undergo 2 hours of low-level noninvasive positive pressure ventilation, with an inspiratory positive airway pressure of 6 cm H2O and an expiratory positive airway pressure of 3 cm H2O.
Other Name: BiPAP (Respironics), VPAP (ResMed), bilevel positive airway pressure, noninvasive ventilation
|Ages Eligible for Study:
|18 Years to 80 Years (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- clinical diagnosis of amyotrophic lateral sclerosis
- clinical indication to start noninvasive ventilation (forced vital capacity < 50% predicted or signs/symptoms of respiratory insufficiency)
- age 18 to 80 years old
Exclusion Criteria:
- prior institution of NIPPV
- inability to safely use NIPPV
- indications for tracheostomy assisted ventilation because of inability to clear secretions from the airway
- inability or unwillingness to perform pulmonary function testing
- presence of advanced dementia.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00537446
|Contact: Amy D Atkeson, MD
|Contact: Robert C Basner, MD
|United States, New York
|Eleanor and Lou Gehrig ALS/MDA Center at Columbia University
|New York, New York, United States, 10032
|Sub-Investigator: Amy D Atkeson, MD
|Principal Investigator:
|Robert C Basner, MD
|Columbia University
|Responsible Party:
|Columbia University
|ClinicalTrials.gov Identifier:
|NCT00537446 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 27, 2007
|Last Updated:
|October 12, 2011
Keywords provided by Columbia University:
noninvasive ventilation
Additional relevant MeSH terms:
Motor Neuron Disease
Amyotrophic Lateral Sclerosis
Pathologic Processes
Neurodegenerative Diseases
Nervous System Diseases
Neuromuscular Diseases
Spinal Cord Diseases
Central Nervous System Diseases
TDP-43 Proteinopathies
Proteostasis Deficiencies
Metabolic Diseases
ClinicalTrials.gov processed this record on September 21, 2017


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Find out how to get your kid excited about being back at school. more
Pneumocystis pneumonia (PCP) is a type of pneumonia that affects kids with compromised immune systems. Kids with HIV/AIDS, kids who have had organ transplants, or kids that are being treated for cancer are at greater risk for developing PCP.
Pneumocystis pneumonia is caused by a fungus called pneumocystis carinii or pneumocystis jiroveci. Many people come into contact with the fungus either in the air or in soil, but in kids who don't have a healthy immune system, the fungus can make them sick.
Pneumocystis pneumonia is not dangerous for people who are generally healthy, but it kills about 10% of the immune-compromised people who get it, so it can be very serious.
PCP can be prevented through appropriate antiretroviral therapy (ART).
Kids with PCP may have a fever, dry cough, and trouble breathing.
Pneumocystis pneumonia is treated with antibiotics, rest and plenty of fluids. Your child may need to be hospitalised for treatment.
Your doctor may talk to you about preventing illnesses such as PCP if your child has a weak immune system. However, if your child has any of the symptoms of PCP, you should call your doctor immediately.
Written by Rebecca Stigall for Kidspot, Australia's parenting resource for family health. Sources include Better Health Channel, NSW Health and Health Insite.
Last revised: Sunday, 17 January 2010
This article contains general information only and is not intended to replace advice from a qualified health professional.


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Fairline Targa 62 — By Capt. Patrick Sciacca —
December 2004
The Lap of Luxury
Part 2: Below decks is quite unexpress-like in terms of lighting, thanks to the saloon's overhead hatch.
But it wasn't just performance that brought the Bethells to the 62. "We thought it's great for entertaining," Ben says. And she is certainly up to the task. For instance, how about some grilled mahi-mahi and a cold one? Just aft of the helm (to starboard) are a DeDietrich barbecue and Isotherm ice maker and 'fridge. This gear is conveniently located across from the U-shape dining area, which becomes an alfresco spot when the 62's retractable roof is open. Of course, if you prefer more sun, you can take your food and/or cocktails to the aft-deck sunpad. It lies over the tender garage, which houses a Polaris PWC for three and is awaiting the Bethells' first outing. Ben says that the maiden voyage for each of his boats consists of cruising to Ocean Reef, Little Palm Island, and Key West. I'm sure he'll get some use of that PWC along the way.
And while the couple could do their inaugural cruise in speedy fashion, Valentina is also set up with amenities for that slow trip to nowhere. Below decks is quite unexpress-like in terms of lighting, thanks to the saloon's overhead hatch, which measures three feet across (headroom is 6'8"). The portholes to port and starboard add more ambient light. A U-shape leather lounge to port is bathed in this light and is quite comfy, too, and the cherrywood throughout the interior (maple is another option) defines fit and finish. Fairline only offers a high-gloss look, which is outstandingly crafted and is comprised of eight layers of lacquer. The wood on my test boat handsomely accented the standard Avonite countertops. In addition, the curves of the cabinetry in the galley to starboard and rounded bulkheads throughout are exquisite. Fairline bends all its laminates for the bulkheads in-house, and the grain-matching is top-notch. A nice and often-overlooked touch: All cabinets and countertops have safety rails, to prevent anything from flying away.
The accommodations on Valentina feature the same superb woodwork as the saloon. The full-beam (15'7") aft master has an athwartships berth that is queen-like in size (Fairline calls it a double), with almost no taper toward the forward section, to keep toes from hanging over. An en suite head, vanity, and sofa rounds out the area. There's also a double berth in the forepeak VIP and twin bunks in the guest quarters just aft and to starboard of the galley. Guests share a day head just aft and to port of the VIP. In addition, a standard fourth stateroom lies adjacent to the engine room, which can be used for crew quarters or stowage.
Fairline says its goal with this latest Targa was to build a boat with the fit and finish of its premium Squadron line. The builder also wanted to offer as many standard amenities as possible. I'd say it's hit the mark on both scores, and the proof is in the excitement exuded by the Bethells. As Valentina noted, while they were looking to get out of boating, the 62 kept them in the game. She also refers to this vessel as their "perfect boat." And, if you spend some time onboard, you may find the Targa 62 to be perfect for you, too.
Fairline Boats of North America ( (954) 525-7430. www.fairline.com.
This article originally appeared in the November 2004 issue of Power & Motoryacht magazine.


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2008 Mazda Mazda3 Problems
RepairPal has identified the most common problems with the 2008 Mazda Mazda3 based on complaints from actual vehicle owners. We'll tell you what the problem is and what it'll take to fix it.
A vibration felt at 55 mph may not be a tire problem. Mazda has revised motor mounts available which may help remedy this problem.
Some vehicles may experience Check Engine Light illumination with a trouble code indicating the thermostat is stuck open. The thermostat will need to be replaced with a modified one and there is a software update for the Powertrain Control Module (PCM).
If you hear a constant grinding noise from the front brakes, even when not pressing the brake pedal, it is possible the wheel hub has shifted in the steering knuckle causing the brake rotor to grind against the caliper bracket. The hub will need to be inspected (replaced if necessary) and Mazda has a repair procedure for this concern.
Damaged wiring to the seat belt pre-tensioner sensor may cause the Airbag Warning Light to illuminate.
A Loose rear stabilizer bar link can cause a rattling noise from the rear suspension while driving on rough roads. Our technicians tell us if the rear stabilizer bar and links are not found to be loose, there are updated sway bar bushings available which should correct this problem.
The rear brakes can squeak because the rear brake pad may be contacting the brake rotor. A burr on the backing plate of the brake pad can prevent the pad from seating in the bracket properly causing the contact with the rotor. The backing plate and the pad support hardware can be deburred in the contact areas. Mazda has also released revised brake pads.
The engine may be difficult to start in extremely cold weather (-20F) after a short trip. This can be caused by sticking main relay points.
A low speed stall when the throttle pedal is slightly pressed and released may mean the Engine Control Module (ECM) needs to be reflashed (updated).
If the steering effort feels heavy, this can be caused by a power steering fluid leak. Some models may have burrs on the return port of the power steering reservoir that create a gap between the hose and the port. Sanding the burrs off the port and replacing the power steering return hose is the repair for this concern.


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APTOS - Two people were hurt Sunday evening after a man lost control of a silver Mercedes which careened off Trout Gulch Road and down an embankment and then struck a tree, the California Highway Patrol said.
It's unclear how badly the couple was hurt, but both were being flown to a trauma center, officers said.
The accident occurred about 6:10 p.m.
Cal Fire dispatchers said an air ambulance was set to land in Aptos Village Park.


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A Colorful Park Avenue Apartment
Secondome, located in Rome, presented this 18th-century-inspired throne-like bench by Dutch designer Kiki van Eijk. Part of her Domestic Jewels collection, the woven textile, featuring a beautifully written recipe from her grandmother, celebrates the domestic arts of handwriting and cooking.
Sao Paulo gallery +Coletivo Amor de Madre is in the forefront of Brazil's design community. Designer Rodrigo Almeida created this beaded beauty, a chair very much in keeping with the flavor and colors of his country.
A 1960s Town House with a Touch of Mad Men Style


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Accelerated Genetics GEMpc: Mating For The Future
Accelerated Genetics unique mating program Genetic Evaluation and Mating (GEMpc) is a valuable tool that producers can personalize to fit their needs and aid in sire selection. With the recent addition of haplotypes that affect fertility, producers that utilize GEMpc can ensure successful matings and quality end results.
With the help of a regional services specialist, GEMpc creates a personalized sire selection index that picks the ideal bulls for each producer's distinctive breeding program. The program analyzes each animal individually on all 17 major type traits with a linear score. Sire selections are then made from a bank of over 70,000 proven bulls. The program considers the closest 96 ancestors in its inbreeding control and completes recessive and haplotype match checks on each potential mating. It also allows producers to emphasize specific traits to more effectively meet their herd goals. Results from GEMpc are printed right on farm and are also available to be imported into herd software programs.
"GEMpc is a powerful resource for dairy producers to achieve the most profitable herd of cows in the style that fits their needs and goals," states Joe Stanek, GEMpc Program Coordinator and Regional Services Specialist.
With the addition of haplotypes, a group of SNP markers that are located at adjacent positions on the chromosome and are usually inherited together, GEMpc can tell the estimated frequency of the haplotype currently in your herd and manage the usage of bulls that carry an undesirable haplotype. Scientists have identified five haplotypes that have not been found in a homozygous state in genotyped animals and have a negative effect on conception rate when present in the sire and dam. It is assumed that the outcome of inheriting the same haplotype from both parents is a failed conception or early embryonic loss. Utilizing computerized mating programs, such as GEMpc, is a simple and inexpensive solution for avoiding affected matings.
For more information about GEMpc and how your herd can be mated based on Genomics, Pedigree or Visual data contact your Accelerated Genetics representative today.
For more information about Accelerated Genetics' semen, products or services please contact your local sales representative, call 1-800-451-9275, email firstname.lastname@example.com or go to www.accelgen.com. And you can find us on Facebook and Twitter too.
Accelerated Genetics is a global provider of bovine genetics and research, reproductive services, and solution-based animal health products. With the belief that Innovation Breeds Excellence®, the Accelerated Genetics vision is to be the forerunner in developing innovative technologies and exceptional services that will aid customers in achieving their ultimate herd goals.


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Main Page | Risk Factors | Symptoms | Diagnosis | Treatment | Screening | Reducing Your Risk | Talking to Your Doctor | Living With Psoriasis | Resource Guide
A risk factor is something that increases your likelihood of getting a disease or condition.
It is possible to develop psoriasis with or without the risk factors listed below. In fact, most cases of psoriasis are not associated with any of the risk factors listed below. However, the more risk factors you have, the greater your likelihood of developing psoriasis. If you have a number of risk factors, ask your doctor what you can do to reduce your risk.
Risk factors include:
Genetic Factors
There is a strong genetic component to psoriasis. In about one-third of all cases, there is a family history of psoriasis.
Certain Medical Conditions
Medical conditions that are most likely to trigger psoriasis include:
Stress/emotional disorders: Stress, suppressed anger, anxiety, depression, or other emotional disorders often trigger psoriasis outbreaks.
Infection: Psoriasis frequently flares up after upper respiratory infections, such as tonsillitis, sinusitis, or strep throat.
Skin injuries: Psoriasis may develop at the site of a previous skin injury or mild abrasion, such as a cut, burn, or injection. This delayed development of psoriasis at these injured skin sites is known as the Köbner Phenomenon.
HIV/AIDS: Psoriasis may become particularly severe in people infected with HIV/AIDS.
Obesity: There is some evidence that obesity may exacerbate psoriasis.
Alcoholism: It is not entirely clear whether alcoholism is a risk factor for developing psoriasis or vice versa (due to the emotional burden of psoriasis). In any case, consuming excessive amounts of alcohol should be discouraged, especially during periods of psoriasis exacerbation.
Certain Medications
Certain medications have been associated with triggering or exacerbating outbreaks of psoriasis. These include:
Plaque psoriasis first appears during 2 peak age ranges. The first peak occurs in persons aged 16-22 years, and the second occurs in persons aged 57-60 years. It is considered quite rare in infants, but may occur in children before the age of 10.
Racial/Ethnic Background
Psoriasis is more prevalent in fair-skinned people, particularly those who have a blood relative with psoriasis. It is less common in people with darker skin.
Psoriasis is often triggered by weather and climatic conditions. In general, people living in cold, dry climates are at much greater risk of developing psoriasis than people living in temperate or warm climates. In fact, warm, humid weather helps to heal psoriasis symptoms.
Psoriasis. EBSCO DynaMed Plus website. Available at:
http://www.dynamed.com/topics/dmp~AN~T116742/Psoriasis. Updated September 5, 2016. Accessed October 4, 2016.
Azfar RS, Gelfand JM. Psoriasis and metabolic disease: epidemiology and pathophysiology. Curr Opin Rheumatol. 2008 Jul;20(4):416-422.
Behnam SM, Behnam SE, et al. Alcohol as a risk factor for plaque-type psoriasis. Cutis. 2005 Sep;76(3):181-185.
Kirby B, Richards HL, et al. Alcohol consumption and psychological distress in patients with psoriasis. Br J Dermatol. 2008 Jan;158(1):138-140.
National Institute of Arthritis and Musculoskeletal and Skin Diseases
website. Available at:
American Academy of Dermatology web site. Available at: http://www.skincarephysicians.com/psoriasisnet/index.html. Accessed November 20, 2015.
Last reviewed November 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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Based upon all the positive responses from my first blog, it would seem most of you are tired of all the negative posts about wrestling. Which it's good to have a change of pace from all the "what's wrong with" or "how to save" blogs.
Shawn Micheals:
Thus guy is special. Not just as a superstar or for what's he's done for the business but to me in general.
Hello blog readers! I've decided that I wanted my own blog series and well, since coming up with a clever title would take far too long for me to come up with, I've decided to just call it "guys I like". Simple, no? All I'll be talking about in this blog are superstars i like. Some current. Some legends. An since this is the first of hopefully many I figured I'd give you a 2 for 1 special!
© 2011 eWrestlingNews, All Rights Reserved.


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PERSON LIBERTY DIGEST by BOB LIVINGSTON, article byJON RAPPOPORT
Chef Broke The Law By Cooking Healthy Food
October 23, 2012 by Jon Rappoport
Annika Eriksson, a long-time Swedish chef revered for her school lunches, has been squelched.
Has she made errors? Are her meals contaminated? Has the quality of her ingredients slipped? No, none of the above.
The trouble stems purely from the fact that her meals are too good. Yes, you read that right.
She's exceeding expectations. She bakes fresh bread every day. She offers 15 different vegetables at lunchtime. She knows it pleases the students to have choices.
This is her crime because, you see, other schools don't have the same benefits in the Falun district in Sweden. (This is called collectivist logic, something to avoid like the plague.)
Ericksson maintains her meals don't go beyond budget allocations. She's just doing a good thing. She obviously likes doing it; and, of course, the kids love her meals.
Now, there will be no more of her fresh baked bread. That will be replaced by store-bought bread.
And the array of 15 vegetables? Gone, too. She is allowed to offer only half as many.
Ericksson's students and their parents are in an uproar. How can the authorities take away the wonderful lunches? Apparently, it's more important to preserve one-size-fits-all collectivism than to serve healthy and innovative meals.
Why doesn't the district send other school chefs to Eriksson, so they can learn how she makes her brand of magic?
When someone exceeds the standard in a positive direction, why not pull everyone else upward? Why push the brilliant person down?
The answer is obvious. The most important thing is the collectivist system. The individual who enters the system is expected to tailor his or her actions to the norm. That's the game.
The person who goes beyond the norm exposes the lie of the system. That person reveals there is something better outside the framework of the consensus reality.
It makes the bureaucratic androids tremble. Of what use are they when someone ignores their jungle of rules and regulations and creates a better outcome in the process?
I don't know about you, but I prefer 15 vegetables and fresh-baked bread. I prefer Ericksson to human drones.
This story reminds me of a piece I wrote in 2002, "A Miracle in Wisconsin." It detailed how one school independently pushed through the ceiling of conformity to create a revolution in healthy eating and, thereby, its own culture. Here it is:
In Appleton, Wisconsin, a revolution has occurred. It's taken place in the Central Alternative High School. The kids now behave. The hallways aren't frantic. Even the teachers are happy.
The school used to be out of control. Kids packed weapons. Discipline problems swamped the principal's office.
But not since 1997.
What happened? Did they line every inch of space with cops? Did they spray Valium gas in the classrooms? Did they install metal detectors in the bathrooms? Did they build holding cells in the gym?
Afraid not. In 1997, a private group called Natural Ovens began installing a healthy lunch program.
Fast-food burgers, fries, and burritos gave way to fresh salads, meats "prepared with old-fashioned recipes," and whole grain bread. Fresh fruits were added to the menu. Good drinking water arrived.
As reported in a newsletter called Pure Facts, "Grades are up, truancy is no longer a problem, arguments are rare, and teachers are able to spend their time teaching."
Principal LuAnn Coenen, who files annual reports with the state of Wisconsin, has turned in some staggering figures since 1997. Drop-outs? Students expelled? Students discovered to be using drugs? Carrying weapons? Committing suicide? Every category has come up ZERO. Every year.
Mary Bruyette, a teacher, states, "I don't have to deal with daily discipline issues. I don't have disruptions in class or the difficulties with student behavior I experienced before we started the food program."
One student asserted, "Now that I can concentrate I think it's easier to get along with people."
Principal Coenen sums it up: "I can't buy the argument that it's too costly for schools to provide good nutrition for their students. I found that one cost will reduce another. I don't have the vandalism. I don't have the litter. I don't have the need for high security."
Pure Facts, the newsletter that ran this story, is published by a nonprofit organization called The Feingold Association, which has existed since 1976. Part of its mission is to "generate public awareness of the potential role of foods and synthetic additives in behavior, learning and health problems. The [Feingold] program is based on a diet eliminating synthetic colors, synthetic flavors, and the preservatives BHA, BHT, and TBHQ."
Thirty years ago, there was a Dr. Feingold. His breakthrough work proved the connection between these negative factors in food and the lives of children. Hailed as a revolutionary advance, Feingold's findings were soon trashed by the medical cartel, since those findings threatened the drugs-for-everything, disease-model concept of modern healthcare.
But Feingold's followers have kept his work alive.
Every great revolution starts with a foothold. Sounds like Natural Ovens and The Feingold Association have made strong cuts into the big rock of ignorance and greed.
Update, 2012: We now see big government trying to force dietary changes on citizens, and it was predictable that this effort would be met with resistance. The change, in order to succeed, has to come from within.
People have to want it and make it happen where they live. Otherwise, it's just another brand of government coercion, and it's usually launched for covert reasons having little to do with the announced objectives. One of those hidden reasons is naked control over the population.
When big government is ignored in favor of local and passionate volunteer participation, people do come up with their own innovative ideas; and they do implement them. It's called decentralization of power. It's the core of vital change for the better.
Remember President Barack Obama's pronouncement, "You didn't build that. Somebody else did." In his estimation, all good things flow from centralized authority acting "for the greatest good of the greatest number."
Well, he was dead wrong about what the greatest good is and where it comes from. It comes from the free individual, a concept he and others like him have never fathomed.
And where health is concerned, the commitment to it can begin in only one place: in the mind of the individual. It can't emanate from big government imposing rules. It can't be handed down like an edict. People aren't identical biological machines.
Free Eriksson! Bring back her bread and her 15 vegetables!
–Jon Rappoport
Related articles
- Chef Broke The Law By Cooking Healthy Food (personalliberty.com)
- Even When People Wake Up They Don't Wake Up (afteramerica.wordpress.com)
- Jon Rappoport – Psychiatrists Drugging Children For "Social Justice?" – 11 October 2012 (lucas2012infos.wordpress.com)
- Jon Rappoport – Dirty Tricks Alert : Bill Gates Will Smear And Slime Anti-Vaccine Advocates – 28 August 2012 (lucas2012infos.wordpress.com)
- Meet Monsanto's Number One Lobbyist: Barack Obama | the Jeenyus Corner (jeenyuscorner.com)


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EDITORS: This event is not open to the public but reporters are welcome to attend.
The second annual Chancellor's Diversity Summit at the University of Colorado at Boulder will be held Feb. 21.
Activities will run from 8 a.m. to 4:30 p.m. in the University Memorial Center.
Scheduled events include an address by CU-Boulder Chancellor Richard Byyny on "Diversity, Civility and Campus Climate" and remarks by all three CU-Boulder vice chancellors.
The event is organized by five campus committees that advise the chancellor: the Chancellor's Advisory Committee on Minority Affairs, the Chancellor's Committee on Women, the Chancellor's Task Force on Civility, the Chancellor's Standing Committee on Gay, Lesbian, and Bisexual Issues, and the Program Accessibility Committee.
The "working" summit has two goals, said Patrick McQuillan, assistant professor of education and chair of the Chancellor's Advisory Committee on Minority Affairs. The first is to inform members of the CU-Boulder community about the efforts of groups on campus that are working to promote diversity.
The summit also aims to draw together people from multiple groups to identify common concerns on the Boulder campus and to form strategies on how campus units can work collaboratively toward the common goal of a diverse, civil and inclusive campus community.
"Diversity is something people need to make happen in their day-to-day lives and routines at the university," McQuillan said.
Also invited are students, faculty, staff and administrators involved with promoting diversity, including the Faculty of Color Organization, the Boulder Faculty Assembly Committee on Diversity and several student organizations.
The schedule follows:
8:00 - 8:30 Coffee and Refreshments (Rooms 157 A & B)
8:30 - 9:30 Introductory Remarks (The Forum Room)
The Chancellor's Advisory Committee on Minority Affairs, Patrick McQuillan
The Chancellor's Committee on Women, Robbie Martinez
The Program Accessibility Committee, Garnett Tatum
The Chancellor's Standing Committee on Gay, Lesbian, and Bisexual Issues, Marcia Westkott
The Chancellor's Task Force on Civility, Merrill Lessley and Elease Robbins
9:45 - 11:15 Working Sessions (various rooms)
11:30 - 12:15 Chancellor Richard Byyny, "Diversity, Civility, and Campus Climate" and presentation of the Service Recognition Award (The Forum Room)
12:15 - 1:30 Lunch (Glenn Miller Ballroom)
Remarks from Vice Chancellor Jean Kim
Remarks from Vice Chancellor Wallace Loh
Remarks from Vice Chancellor Pete Barden
1:45 - 3:30 Working Sessions Continued (various rooms)
3:40 - 4:20 Working Groups Report Their "Recommendations for Action" (The
Forum Room)
4:20 - 4:25 Summation of Recommendations, Marilyn Laverty, Employee Development (The Forum Room)
4:25 - 4:30 Concluding Remarks, Patrick McQuillan (The Forum Room)


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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.
Wednesday, September 20, 2017
Did you know that smoking and tobacco use has been around for centuries? A quote by King James I (1566-1625) highlights the unpleasant aspects of smoking and served as a portent of health injury: "Smoking is hateful to the nose, harmful to the brain and dangerous to the lungs."
While many older adults have successfully quit smoking, one in eight seniors continue to smoke.1 Perhaps these older smokers mistakenly believe the stereotypes and myths that exist such as "I'm too old to change" or "It's too late now."
Tobacco use and its consequences range from causing wrinkles to causing cancer, increasing risk of dementia, and significantly adding to the burgeoning cost of health care. Health professsionals can play an important role assisting older people to overcome ageist attitudes about change and tobacco use cessation. Some of the common and effective practices include providing evidence-based information, treatment, motivation, and follow-up services to seniors. Encourage seniors to take on the challenge to transition from the "way we were" to living a tobacco free, healthier life.
Do you remember when smoking was glamorized by the movie stars who smoked on screen and off? When political figures and sports heroes were shown smoking cigars or photographed with a "chaw" of tobacco between teeth and gum? Unfortunately, these behaviors were imitated by many with no thought to potential consequences. Today, we know of the serious health consequences for people who smoke or use tobacco in any form.
While many older people may think there is no point in quitting "at my age," by quitting, you will have fewer coughs and colds, and be more in control of your health. People who quit smoking reduce their chances of a heart attack, stroke, or cancer. Take this quiz then THINK AGAIN!
Answers: Questions 1-3 are FALSE and both 4 and 5 are TRUE.
Science has brought about major changes in our thinking and behavior related to smoking and has resulted in a drastic reduction in smoking and exposure to second hand smoke. We understand the need to reduce or eliminate seniors' tobacco use because of their increased vulnerability to health consequences as a result of natural aging changes.
Documented evidence indicates that brief interventions, even 3 minutes' duration, wherein the health professional urges the individual to quit, can significantly influence cessation success. A suggested guideline using brief interventions from the Department of Health and Human Services, Public Health Service (Fiore et al, 2000) addresses all smokers. Tobacco users need to be provided with either a brief effective intervention for cessation or if unwilling to quit, an intervention for increasing the desire to quit. The 5As for those willing to quit include:
The 5Rs for those not ready to quit include:
GERO GEMS are a monthly publication of the Center for Aging with Dignity. Compiled by Evelyn Fitzwater, Gero Gems is designed to raise awareness of aging and related issues impacting health care professionals and our society as a whole.
Last Reviewed: Aug 02, 2010
Evelyn L Fitzwater, DSN, RN
Associate Professor Emerita
Associate Director of the
College of Nursing
University of Cincinnati