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|February 2, 2011
Volume 13, Issue 3
|Midwifery Today E-News
"International Edition"
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Welcome to Midwifery Today E-News !
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Where can you find Ina May Gaskin, Michel Odent and Elizabeth Davis?
At our conference in Bad Wildbad, Germany this October! Plan now to attend. Other teachers include Robbie Davis-Floyd, Debra Pascali-Bonaro, Stephen Gaskin and Gail Hart. Part of our conference in Bad Wildbad, Germany, 19–23 October 2011.
Learn more about the Germany conference.
In This Week's Issue:
Quote of the Week
The language of birth is like sheet music…Universal!
— Patricia Edmonds
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The Art of Midwifery
Recognizing healthy pregnancy, healthy labor and healthy babies is similar to recognizing healthy ecosystems. We watch the details. We take measurements. We watch the interactions among individuals. We interfere as little as possible. We watch and worry; we wish things were different; we wonder how we might be at fault. Still, we preserve what is there—we don't take the forest apart looking for remaining toads to save because the ecosystems still supports other life and other processes…In birth, a single failed test or measurement is not reason to give up faith that the natural processes of labor might still yield a healthy birth. The ecosystem of birth should not be destroyed at the first sign of trouble.
— Nancy Gift
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Jan's Corner
The Times Are Changing: Motherbaby-Midwife Rights
When I look around the world at birth practices what I see now are rising cesarean rates. Abused and traumatized moms are in every country. I talked with a mom on Facebook seeking a homebirth in Turkey because the cesarean rate is 80–90% in the hospitals; she was coerced into a cesarean for her first birth and was looking for a traveling midwife. My midwife friend in Iran reports the same situation there. The good thing in Iran is that they also have three waterbirth centers in the country. In Egypt the scenario is the same—a high cesarean rate. Isn't it interesting how many of these countries do not want to be like the United States and yet copy our horrendous birth practices?
These are not just statistics. These are real women and babies. We must look behind the numbers and see the hurt humans. What is wrong with our world? Look at birth. The way we treat people is reflected in the way we treat motherbaby. We can change. We must change. It may not look like there is any hope for the world's mothers and babies because the birth boat is swamped. And yet I have hope. I have hope because people like many of Midwifery Today's country contacts are changing the world. Read Joni's story from Mexico, below.
I have hope because so, so many of us are working within our communities, our cities and the world to change birth practices and make birth as wonderful as possible for every motherbaby on the planet. Without good births I don't think there is much hope for the world, but as Bob Dylan sings, "The times they are a-changin'." I believe God sees midwives' and mothers' hearts and will help us change birth. The design for birth is beautiful and must be honored. It can give foundational strength to the new family.
Midwifery Today, with her readers, writers, teachers and speakers, is an important part of the change. We all touch others, who then touch others. I hope you will subscribe to Midwifery Today magazine and be a well-informed part of that change. Please come meet us at a conference; it is an opportune time to learn, share, plan and have your brain and heart filled.
We got some very good news from the EU recently: A victory for Ágnes, the Hungarian midwife-physician, and for Anna, the mother who took her case to the European Human Rights Court in Strasbourg, France. Strasbourg was the location of our last conference, whose theme was "Birth Is a Human Rights Issue." You can read about these victories on Midwifery Today's homepage: http://www.midwiferytoday.com. Ágnes and Anna's cases will inform and influence all of midwifery and homebirth practices in Europe and have far reaching effects that I see reverberating around the world. First, in Europe and then in other countries that do not even have a human rights court, such as the United States. To think—we go all around the world touting human rights and do not even have a court where people can bring their complaints? Kind of criminal isn't it? Maybe we can change that, too!
— Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Jan on Twitter: twitter.com/jantritten
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Rise in Iraqi Birth Defects Possibly Linked to US Weaponry
Research recently published in the International Journal of Environmental Research and Public Health reports that malformations in Fallujah newborns reached a record level in the first half of 2010, to nearly 11 times the normal rate.
Of the 547 babies born at Fallujah general hospital in May 2010, 15% had chronic deformities. Eleven percent of babies born during the same time came at less than 30 weeks and 14% of fetuses spontaneously aborted. Researchers believe the total number of abnormalities is likely higher than reported.
The deformities, researchers say, are caused by a chronic environmental contaminant, and though studies are inconclusive, metals, including depleted uranium from US weaponry used in 2004, and other battlefield residues, are believed to be a primary cause.
— Chulov, Martin. "Research links rise in Fallujah birth defects and cancers to US assault." 30 Dec 2010.
Featured Article
Country Contact Reports
Editor's Note: Midwifery Today maintains a list of country contacts who serve as liaisons in their communities and as international resources. For this international edition of E-News, we are featuring reports from country contacts around the world. These reports highlight the important work being done to promote midwifery and to connect both parents and care providers to needed resources.
Reporting from Mexico: In my position as country contact I straddle two worlds. Not only because I divide my time between two countries (I spent 18 weeks in Mexico during this first year of becoming a US resident) but because I witness what continues to be the "norm" in the nationwide statistics (scheduled cesareans, mother/baby separation, and far too much ignorance about breastfeeding) while receiving hundreds of e-mail requests each year from women who are seeking alternative: information and education, respectful care and breastfeeding support.
My colleagues at Nacer en Plenitud in Guadalajara continue to offer waterbirth and enthusiastic VBAC/VBAMC care in our four-room birth center tucked away in a corner of a traditional hospital, while 90% of the families that birth under the same roof with different providers experience cesareans. (Yes, a 90% cesarean rate!)
We've continued with our free monthly informational gatherings for the past ten years. Is there any other way to counteract the misinformation families are fed about the convenience and safety of scheduled cesareans or about bottle feeding being "just as good" than to educate, inform and inspire? This venue provides the opportunity to meet with beaming parents eager to share their birth experiences, coupled with the opportunity to listen and talk to every member of our birth group (surely they can relate to someone), to view an emotive DVD of Plenitud births set to music and to receive free handouts and Internet resources.
As a contact person I write to like-minded birth spirits and describe how our efforts are reaching women. I emphasize how critical having a Web site can be if they want to be found. In return, I receive updates from at least a dozen Mexican professionals announcing their informational meetings, presentations and activities and their satisfactions and frustrations working with birthing families or birthing organizations.
Then I open my e-mail and there they are: the women living in Puerta Vallarta, Colima, Cancun, Saltillo…The women with whom I can joyfully share contact information for a terrific professional within a two-hour drive. The mail from women who haven't yet discovered the provider just minutes from their homes! What gladness when I can direct a woman to my coterie of colleagues throughout the republic who can provide exactly what they are looking for. What began as my small group of "go to" people in Guadalajara, Mexico City, Monterrey and San Miguel de Allende has grown over the years to include fantastic alternatives in Chiapas, Oaxaca, Queretero, Tulum and Culiacan. This year saw the addition of alternatives in Tijuana, Morelia, San Luis Potosi, Puebla and Baja California.
Each new name on the list of caring providers has been hard won. Each reflects travel to conferences, time talking and asking questions, many late nights online, hours spent reading birth forums in two languages and a Rottweiler-like insistence on following up by writing to the women who contact me to find who attended their births and if they were satisfied with the outcome. It means making presentations in other cities (this year that meant two in Mexico City) and meeting more professionals to discover who else loves and cherishes new families and respects them. And then there are the women living in Hermosillo, Chihuahua, Ciudad Lazaro Cardenas, Durango, Tampico and Acapulco…the cities where I don't have any birthing resources yet. And I know the work of the Mexican contact person is truly ongoing.
— Joni Nichols
Update from Papua New Guinea
Papua New Guinea (PNG) now has a midwifery association in place with its executives in Port Moresby. The association was formed in 2009 with help from the World Health Organization office in PNG. PNG has 21 provinces and the provinces still need to have their own branches of the midwifery association.
PNG is still experiencing high maternal mortality. The PNG government's focus is on providing health services at the community level. Assistance given to address the high maternal mortality rate includes having one unified midwifery program for all universities at the bachelor's level to train a midwife for every community post in the country. All universities are supported to train midwives.
For 2011 and onwards, PNG needs a new breed of midwives who can best serve our PNG mothers and babies with knowledge that is PNG homegrown and owned, without too much interference from outsiders. We need help but not suppression. We want to work with other midwives who can help and be there for us when we need to think through the strategies we have developed. We want to try what we have developed in PNG and we need to be given the chance to do just that. Every family must have a mother, every parent must have a child, every community must have productive members.
— Lillian Siwi
Midwifery in India
I am a British midwife trained in El Paso, Texas. After training I worked as a midwife in the Philippines and then lived in Hong Kong, I have been living in India for almost four years now and am one of the founders and the director of Justlink Health Services India Pvt. Ltd.
Although there is a new trend for natural birth in India, there is no support for it in the hospitals as they are not set up with any facilities to accommodate water birth or alternative methods. There is also often a shortage in water. It is my dream to train midwives to be confident in supporting women to birth in their choice of venue, either at home, at birthing centers or in hospitals.
There is a continual increase in cesarean births and I have also seen an increase in interventive births. There is a huge demand on the medical doctors in hospitals as there is no midwife-based care for low-risk women. This means that doctors are overworked and births often end up being augmented; many are assisted with either vacuum or forceps or end up being operative. I would like to work alongside the government so that women from all socio-economic groups can avail of good support through doulas and midwives to achieve the births of their choice. The government hospitals are extremely busy, lonely and traumatic places for women to birth alone. I would like to train doulas and implement a system that provides work for women and support for the birthing women.
There is one established birth centre in Goa and I hope that many more can be set up in different cities and areas of India. Most importantly, I want to work alongside the local communities to achieve these goals so that Indian midwives and doulas grow in their confidence in natural birth and can support birthing women and their families in the settings of their choice.
— Lina Duncan, Midwife/LCCE
From Hungary
The most experienced MD and midwife in Hungary, Dr. Ágnes Geréb, was arrested in October. Before Christmas she was released and put under house arrest. She and a few other midwives who work with her have several legal actions pending against them. Demonstrations and a huge number of articles in the press maybe helped to raise awareness about the current level of care in hospital obstetrics being unacceptable.
Meanwhile, the European Court made a decisive ruling on the request of a Hungarian mother who felt that the state did not support her human rights, including the right for homebirth. The Royal College of Midwives criticized Hungary and suggested an EU level guideline on midwifery, a very good idea that we support. A local politician, a representative named Ilona Ékes involved actively in motherbaby-friendly activism, helped to organize a conference on IMBCI in December 2010. Only a few OBs took part.
Right-populist local government created pressure to start a new consultation process, involving a lot fewer civil activists and almost excluding (!) independent midwives, when designing regulations for out-of-hospital births. Legislation will come out in April 2011, restricting a high number of mothers from choosing this option, but at least permitting midwifery. We haven't seen the final version, but most probably it will exclude VBAC, twins, breech, babies heavier than 4 kg and moms younger than 18 and older than 35. Out-of-hospital birth won't be covered by national health insurance! Midwives will need two years practice to work independently. It's a question of whether previously illegal homebirth practices will be acknowledged or not.
— Nóra Schimcsig, mom, activist, doula, HBCE
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Saudi Arabia Birthing Culture
Birth in Saudi Arabia has as many similarities as it has differences to birth in the United States. One similarity is that the medical model has arrived in the big cities and is here to stay. With it has come a significant increase in cesarean sections, 80% over a 10 year span (Saudi Cesarean Epidemic: http://saudibirthstory.blogspot.com/2010/11/saudi-cesarean-sections.html). In Saudi culture "natural" birth simply means "vaginal," rather than "non-medicated."
Unlike the United States, a single room for labor, delivery, and recovery is unheard of. Mothers are wheeled back to operating theaters, even for natural births, and fathers (or other support persons) are often times not permitted to enter. Fathers are considered little more than seed-planters in the childbearing process. They are not expected to attend and some doctors act as if the request for such a thing is absurd! A rare few are open to it. Early bonding with mom is not facilitated as babies are quickly whisked away to hospital nurseries. Early bonding with dad isn't even a consideration as it is customary for the new mother and baby to spend her first 40 postpartum days in the home of her mother, away from her husband.
Unfortunately, childbirth education is also virtually unknown and women enter their labor and birth with little option other than to hand their bodies over to the obstetrician like a car to a mechanic. Since my recent arrival in Saudi Arabia I have been able to locate and link up with other doulas. At present, we are a scattered few and all from foreign lands. The Western expatriate community is keen on our birthing values but the locals are in the dark. There is also a language barrier that must be overcome if we hope to reach Saudi nationals. As doulas and advocates for natural birth we are working hard to unite and dream of a changed birthing culture where childbirth education, involved fathers, doula services and natural birth are the norm.
— Aisha Al Hajjar Natural Mom and Bradley Method Childbirth Educator/Lecturer firstname.lastname@example.com http://saudibirthstory.blogspot.com/
Hopes and Goals from Belize
I am licensed here and have attended some great workshops, sponsored by the Nurses Council of Belize. One of the best, for me, was titled "Evidenced Based Care." I learned that Belize has implemented a country-wide policy promoting breastfeeding. On one hand, I was elated to learn this since breastfeeding is cost effective and has many benefits for mother and child. On the other hand, I was disappointed to find that other "Evidence Based Care," as it relates to childbirth, has not yet been widely implemented. Instead, it seems to me that the medical model of care from the United States has been making inroads into Belize.
There has been little or no comprehensive childbirth education in Belize. If consumers, maternity patients, are not educated, they cannot be expected to ask for and receive any obstetrical care that is different from the current standard of care. If obstetrical caregivers are not educated concerning alternate birthing techniques then new techniques and procedures are not likely to be adopted. I have attempted on a limited local basis to provide some childbirth education and training in natural birthing techniques to local patients and to medical staff, but I have had limited success. I think I would require a great deal more help and involvement from the government of Belize and, more importantly, from hospital administration and staff in order to have any hope of migrating current standards of obstetrical practice toward the goal of "Evidence Based Care." Still, I stand ready to provide such education and training, if asked to do so.
This last year I organized a refresher training program for remote traditional midwives and I also help bring in medical supplies through clubs, organizations and contacts back in America. I am constantly printing off educational material on reducing episiotomy rates, use of optional birth positions, postpartum care and childbirth classes. (These classes take place here in Corozal, my home town, but no where else as yet.) I deliver these materials to physicians, nurses and midwives in an attempt to educate them and to provide support for proposed changes.
One achievement has been a national health policy change that now allows a family member to be present during labor and delivery. While I had been advocating this for three years (among other things) a baby died because no one was there to run for a nurse/midwife's assistance in a hospital here in Belize. An investigation led to the policy change.
Let there be no misunderstanding concerning my regard for Belize physicians and midwives. When medical problems arise, it is wonderful to have their skills available. It simply is my belief that much of the time, medical intervention in the birthing process is not required. Indeed, statistics indicate that unnecessary medical intervention is not only costly, but it often results in poorer birth outcomes. If Belizean women can only gain an understanding of the normal birthing process and how to assist it, I am sure that, barring complications, they have the strength and capacity to birth naturally.
Belize is a young country. It has come a long way in just a few years. I expect obstetrical care will evolve in the coming years and look forward to observing changes and improvements. As in most countries, we have a shortage of nurses. I volunteer to help, as needed. Yet, my offers of help are often declined. That is one of my frustrations here in Belize. There is a lot to do. I am also trying to motivate retired midwives to come and live in Belize and help me. You must have an independent income to do this.
— Gail Johnson
For more information about our country contacts, please visit Midwifery Today's International Alliance of Midwives at: http://www.midwiferytoday.com/iam/ Click on a flag on the right side to find out more about that country and our country contacts.
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Question of the Week
Q: What role does creative expression play in the births you attend?
— E-News editorial staff
SEND YOUR RESPONSE to firstname.lastname@example.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
Question of the Week Responses
Q: Have you done midwifery internationally? If so, in what country or countries have you worked? What did you learn?
— Jan Tritten
A: I had the good fortune to attend a family in China who were there as missionaries back in 1996, and in Guatemala in 1999 I attended another missionary family. So fun and so much to learn each time. These experiences are some of the highlights of my midwife career!
— Janessa Craig
A: I'm Italian and I've worked in Finland, Indonesia and Ireland. They have all been completely different experiences to me. In Finland I learned how midwives should behave gently and respectfully to each other. In Indonesia I learned how even the most lost and desperate tsunami survivor woman can have a healthy and powerful birth. In Ireland I learned that homebirth midwives are brave and that western women are forgetting their power. I'm trying to bring to Italy all I have learned. A few amazing women keep my midwife light alive!
— Lisa Forasacco
A: I worked as a midwife in both Iran and Afghanistan. I learned you can provide good quality services in very low-resource settings. There is no need to always have modern technology. The second lesson I learned was that if I wanted to have a voice at a policy level I should be involved in policy development, otherwise someone else who never knows my needs as a midwife will decide for me.
— Sabera Turkmani
A: I am from Peru and did my training as a midwife there. I worked in a hospital where doctors tried their best to promote natural childbirth. Their c-section rate was 15% and no epidurals at all. There's lots of homebirths in the rural areas, some of them with lay midwives and even unattended births. Women there just don't want to go to hospitals. I also worked at the only birthing center in Lima. That was great because it made me realize more and more that people from the city were deciding on having births either at the birthing center or at home. Great experiences! Now I'm trying to get my license as a CM in New York so I can start doing homebirths.
— Tania Zirulnik
Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Think about It
Regardless of the locations where midwives practice, for traditional midwifery attitudes and practices to endure within our rapid-paced technological society, midwives need to be viewed as leaders in our communities—visible, respected, dynamically active members of the communities in which we live and practice. We are not required to be civic leaders, but to live our beliefs through socio-cultural leadership, effectively teaching and modeling respectful attitudes and behavior.
— Nell Tharpe
Dear Editors,
Thank you for the information about using parsley tea to stamp out UTIs. [In E-News issue 13:1: http://www.midwiferytoday.com/enews/enews1301.asp#art] Please consider adding a note that this is not recommended for mothers who are breastfeeding because it inhibits milk production. Other herbs which can dry up milk include mints, sage and oregano.
With thanks,
— Norma Ritter, IBCLC, RLC
Dear E-News readers:
I want to involve you in important project I and Birthing The Future are doing: "The Time is Now."
Phase 1: I've committed to find the "right" 25 people from around the world with as much diversity and richness of experience as possible, to meet together April 6–12 on the island of Tenerife (in the Canary Islands) and do some serious thinking and planning that will have positive impact on the state of birth, midwifery, breastfeeding, and preventing and healing birth-related trauma.
In Phase 2 I'll bring together the next "right" group to turn these ideas—and the filmed footage from the first event—into a series of media and social networking campaigns that can spread around the world.
In Phase 3 we'll launch with press conferences and regional conferences and give the campaigns away to any and all persons and groups trying to do good in the world—whether for women's rights or the environment or peace—as well as all those in birthing issues.
I've selected 22 of the people and they've each given an enthusiastic YES. All but six people are committed to pay their transportation, and room and board. Six must have a full scholarship—$1,800–2000 for their plane ticket—(because they come from such distances) plus room and board. They come from Sri Lanka and Hong Kong, Bali, Africa, and Uruguay, and…the final scholarship is for me. I receive no salary from Birthing The Future, the nonprofit I founded in 2003 and direct, nor for this project.
So, dear ones, here's the challenge: contribute whatever you can (be it $15 or $20 or more) Today. It's fully tax-deductible, because Birthing The Future is a 501c3 nonprofit. Just click on the link here and Paypal will take your donation. Please share this message with others!
With love, blessings and appreciation,— Suzanne Arms
Visit http://birthingthefuture.org/ for more information, or e-mail me at firstname.lastname@example.com if you want the full description of The Time is Now and the people coming.
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Midwifery Today: Each One Teach One!


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Okay, I know my doctors have told me to avoid caffeine, but as a senior in college, it's almost IMPOSSIBLE to avoid it, especially when you have the fatigue that I do.
What exactly does caffeine do to us lupies? Also, do any of you have any better alternatives to help me stay alert?
Thanks a bunch!

subset: commoncrawl


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UPLAND — The Mt. Baldy Chapter of the National Active & Retired Federal Employees Association will have Oscar Limon of the West Valley Retired & Senior Volunteer Program (RSVP) speak on "Seniors Against Identity Fraud" as its program on April 10.
The chapter, for retired and active federal employees, meets at 1 p.m.at Coco's Restaurant, 60 W. Foothill Blvd.
RSVP connects volunteers age 55 and over with service opportunities in their communities that match their skills and availability. From building houses to immunizing children, from enhancing the capacity of non-profit organizations to improving and protecting the environment. those volunteers put their talents to work to make a difference.
Information: http://www.narfe.org/field/chapter1497/default.aspx


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Partner with the Knight!
Enemy of Justice (EOJ) is the first appearance of the Destiny Heroes. It also contains new support cards for Fairy monsters such as the Majestic Mechs, and support for older themes, including Elemental Heroes. Highly sought after cards include "Macro Cosmos", "Cyber Phoenix", "Voltanis the Adjudicator" and "Majestic Mech - Ohka".


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BRITISH speedway bosses have yet to announce the details of the race format for the upcoming season but Robins skipper Troy Batchelor has insisted there was no reason to tamper with the tried and tested formula currently in place.
The inclusion of two National League riders in the reserve positions of each team in the Elite League is set to bring change to the sport, with the young Brits set to be protected from racing against the world class heat leaders riding in this country.
Batchelor is one such rider who will now not face a reserve in his opening ride, as he has for the last two seasons while riding at number five for the Robins, but while the Australian is keen to help young reserves Darryl Ritchings and Steve Worrall he is not overly excited by prospect of changes.
"I have seen what's been said but I'm not really liking that to be honest," he said.
"I don't make the rules so I have to get on with it, but if I did there wouldn't be any National League riders in the Elite League either. We'll have to see what happens.
"There's always two sides to it so if you look at the National League riders they don't have to face any heat leaders which is good for them, but it's Elite League not National League."
The changes are set to make the night harder for the likes of Batchelor and the rest of the league's heat leaders, but the 26-year-old insisted his job was tough enough already.
"When you're number one or five, like I have been for a few years, you always get tough races in heat 13 and 15 and the only half easy race is your first one when you're number five because there is a reserve in it," he said. "If you're number five you then get the three and four so it's pretty tough as it is so we'll have to see what happens.
"There was nothing wrong with the race format how it was to be honest but every year something seems to change. Things haven't been going too well for speedway in the last few years so I hope this turns it around but I can't say what will happen."


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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.
Monday, September 25, 2017
Injury Prevention and Safety
Head injury?
My mother (68) who is very good health, was walking backward and tripped, fell and hit the back of her head on the ground (in the grass). She did not lose consciousness and was able to get up and move. She said her head hurt in the front, and her sinuses, but did not want to go to the ER. Her headache has receded, but now her neck is stiff. She`s eating and drinking. Does she need to go to Urgent Care or can she wait until she can get into her doctor on Monday?
This does not fall within my expertise nor that of any other Netwellness Expert. These types of injury are potentially serious and are not best addressed via an Internet service. Acute injuries of the head, neck, and spine are best assessed by first hand by a knowledgeable doctor or nurse practitioner.
Mary M Gottesman, PhD, RN, CPNP, FAAN
Professor of Clinical Nursing
College of Nursing
The Ohio State University


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text: Coulson Oil Co. sponsored the Central Arkansas Radiation Therapy Institute (CARTI) in its Tour de Rock cycling event to raise money toward cancer research. For more than 40 years, Coulson Oil Co. has been a strong supporter of local community events and organizations. In June, the company was the presenting sponsor of the Central Arkansas


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THE number of operations being cancelled at East Lancashire hospitals due to bed shortages trebled in 12 months.
In 2012/13, 595 non-emergency operation were cancelled, compared to 194 in 2011/12, figures released under the Freedom of Information Act revealed.
Health bosses said 60 per cent of the cancellations occurred during December and February, and blamed cold winters for an increase in hospital admissions.
But the figures were slammed by a leading health campaigner at Pennine Lancashire Patient Voices Group.
Chairman Russ McLean said: "I have to say that's an appalling situation really, especially for people who are waiting for operations like hip and knee replacements.
"Everybody understands our hospitals are under enormous pressure, but I don't think that's any excuse."
In 2009/10, 180 elective - or non-emergency operations - were cancelled, compared to 328 in 2010/11. The figure was 723 for 2008/09.
Val Bertenshaw, director of operations at East Lancashire Hospitals NHS Trust, said poor winters in 2010 and 2012 had led to the increases. She said: "Hospital bed pressure increases particularly in winter as patients attending the emergency department and urgent care centres increase, therefore impacting on elective admissions.
"Significant increases in cancellations seen in 2008/09 and 2012/13 were due to particularly challenging years for the trust in terms of coping with challenging winter pressures which was reflected in NHS organisations across the UK."
But Mr McLean said: "As far as I understand, the winter plan is put in place every year at this time, so there's a plan in place now for next year.
"So these things should have been taken into account, and I don't think hospitals have been any busier this year than last, so I think it's a bit of a red herring."


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New York -- Fast Company magazine and Target are sponsoring a competition, the Target Retail Accelerator, that will award $75,000 to a developer who creates the best new mobile app or mobile website for the retailer.
Fast Company will chronicle the developers' efforts on the website of its new technology vertical Co.Labs.
"Innovation is core to Target's culture and strategy, and we are always looking for new ideas to enhance the shopping experience for our guests," Target president for multichannel and SVP enterprise strategy Casey Carl said. "We're proud to partner with an innovative publication like Fast Company, and we can't wait to see what the developer community brings to the table through the Retail Accelerator."
Entries for the Retail Accelerator challenge will be accepted March 8 to April 30. Seven finalists will be selected in May by a panel of judges including Target and Fast Company executives, as well as industry experts to be named at a later date. Each finalist will receive $10,000 to put toward development of their prototypes. The finalists will then build and present refined prototypes, and in July a winner will be announced to receive the $75,000 grand prize. Target will then work to bring the winning idea to life.


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Posted 5 years ago
(268 items)
return journey-auckland to southampton-august 1973. after visiting brother in nelson city-nz, since may 4th 1973. arrived southampton on sunday august 26th 1973-39 years ago to the day. ticket obtained in nelson city on july 4th 1973- return journey. seascape docking leaflet for sunday august 26th 1973. MORE PHOTOS OF THIS VOYAGE UPLOADED TO FLICKR PHOTO SHARING.


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Lisburn is a perky city of pretty shops, enticing restaurants and a lovely linen heritage
Linen is just one part of the tapestry of city life in Lisburn, but it's an interesting one. Favoured by European royalty, Irish linen was the fabric chosen for the napkins on the Titanic, and was even used in Neil Armstrong's parachute!
A distinguished history spanning more than 400 years means Lisburn has plenty more stories up its (linen) sleeve for visitors.
The city sits southwest of Belfast, in a green fertile valley just beside the river Lagan. It has the peppy step of a young city, as it received its city's status in 2002 from Queen Elizabeth during her Golden Jubilee Celebrations. And yet its pleasant streetscape has remained largely unchanged since the 18th century thanks to conserved buildings.
The city's strollable and car-free city centre is often crowded with shoppers heading for Bow Street Mall and the Georgian-style Lisburn Square. Specialty coffee houses and honest-to-goodness home bakeries, such as Windsor and Jeffers, are great stop-offs long the way, while the Yellow Door Deli is the go-to spot for fresh local ingredients.
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Of course, there's a lot more to Lisburn than cafés and shops. The city's pretty parks tell the story of the great benefactor Sir Richard Wallace, who donated 50 fountains to Paris and Lisburn to commemorate the ending of the Siege of Paris in 1871.
Want to discover more about the city's textile past? Then head to the Irish Linen Centre and Lisburn Museum. The linen heyday was the 18th century, when manufacturing was at a peak, and you can learn all about its history here.
All in all, Lisburn offers a pretty pocket of sightseeing, shopping and history, by the river.
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Excited your interest? There are airports throughout the Island with international arrivals. Discover airlines flying to Ireland from your location.
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Lisburn city in County Antrim makes a great city break. Here are five things to do, from getting a taste for the city...
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text:
Program Week - Business, Health, PE & Nursing
Tuesday, November 06, 2012
Where and When
Time: 10am and 5pm - 2pm and 7pm
Location: Founders Hall Lobby
Contact: firstname.lastname@example.com
Event Information
Join Us!
Learn more about the exciting programs at Bucks County Community College and the career opportunities
available in each field.
Faculty representatives and Career Services will be present to answer questions and provide information. Different departments will be represented each day.
- November 6 - Business Studies, Health Phys. Ed. & Nursing
- November 7 - Science, Technology, Engineering & Mathematics
- November 8 - Art, Language & Literature, Social & Behavioral Science
10am-2pm & 5pm-7pm - Founders Hall Lobby, Newtown Campus
For more information, please visit www.bucks.edu/admissions/events or call 215.968.8140


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lcoo wrote:I like it
Dixie wrote::lol: But I mean it! By the way, that penguin falls in the water because the ice is weak in that part, right? Not because the other penguin makes him fall. :D:D I've been analyzing the whole situation
francine wrote:lcoo wrote:I like it
you like it eh? but would you buy it and live in there?
francine wrote:lcoo wrote:Dixie wrote:Everytime I see a post of yours, I stare at the penguins for a while... It hypnotizes me...
me too
hey, that's nice!
with my signature, i can hypnotized some of the members here and tell them that i'm BEAUTIFUL. hehehe.... harharhar....
Users browsing this forum: No registered users and 5 guests


text:
In a family owned amusement park, you wear many hats. I am no exception. In addition to my job at Raging Waters, I am also a Resident Manager for the Department of Residence Life, or more simply, 'employee housing.'
Work begins every October, at all of the 4 Morey's Piers owned houses and wraps up before Easter. Each house has painting done on walls, ceiling fans are replaced and doors are repaired. The house I reside in has 35 residents and its mind boggling to even guess how many times the front door opens and closed each day, week, month, and year. You do the math.
Many standard household items are replaced each year, such as area rugs, linens, mattresses, and kitchen appliances. Some more recent ambitious projects have included a roof replacement, heating upgrades, and lots of painting. It's not an uncommon sight in the winter to see me pushing a shopping buggy full of sheets, pillows, glassware, and even toasters at the local K-Mart.
Our first group of residents arrive right before we open. Different residents come and go all summer through October. After the last employee heads back home, we start preparing for the next season.
If you are in the area, I will be the one in K-Mart with 26 toasters.


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The Effect and Safety of Low Dose Nebulized Epinephrine in Croup
The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified August 2012 by Jin Hee Lee, Seoul National University Hospital.
Recruitment status was: Not yet recruiting
Recruitment status was: Not yet recruiting
Seoul National University Hospital
Information provided by (Responsible Party):
Jin Hee Lee, Seoul National University Hospital
ClinicalTrials.gov Identifier:
First received: August 3, 2012
Last updated: August 9, 2012
Last verified: August 2012
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Croup is common illness presenting emergency department with dyspnea. The main treatment for croup is nebulized L-epinephrine and steroid. The study for the dose of nebulized L-epinephrine is restricted that the study of comparision between racemic epinephrine and L-epinephrine.
The investigators conducted this study to compare the effectiveness of low dose L-epinephrine with conventional dose L-epinephrine.
|Croup Epinephrine Neublizer Treatment
|Drug: conventional dose epinephrine Drug: low dose epinephrine
|Phase 4
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
|Official Title:
|The Effect and Safety of Low Dose Nebulized Epinephrine in the Treatment of Croup
Resource links provided by NLM:
MedlinePlus related topics: Croup
Drug Information available for: Epinephrine bitartrate Epinephrine Epinephrine hydrochloride Racepinephrine hydrochloride RacepinephrineU.S. FDA Resources
Further study details as provided by Jin Hee Lee, Seoul National University Hospital:
Primary Outcome Measures:
- the difference of Westley croup score between baseline and 30 minutes after neublized treatment [ Time Frame: 30 minutes ]
Secondary Outcome Measures:
- the incidence of use of additional neublized treatment [ Time Frame: 30 minutes ]
- Westley croup score [ Time Frame: 30, 60, 90, 120, 180, 240 minutes ]
- the side effect of epinephrine [ Time Frame: participants will be followed for the duration of ED stay ]Hypertension, tachycardia : more than 95th percentile for age Arrythmia Pallor Tremor
- respiratory rate, oxygen saturation [ Time Frame: 30, 60, 90, 120, 180, 240 minutes ]
- health care utilization- length of stay in emergency department, admission rate, revisit dut to croup symptom [ Time Frame: within 7 days ]
- treatment failure [ Time Frame: 30min after 2nd epinephrine nebulizer ]after additional nebulized epineprhine at 30 minutes, as the croup scrore is higher than baselin, the blinding is cleared.
- rebound effect [ Time Frame: 180 minutes ]the croup score is the same or over than the base line
|Estimated Enrollment:
|Study Start Date:
|September 2012
|Estimated Study Completion Date:
|August 2013
|Estimated Primary Completion Date:
|August 2013 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Active Comparator: conventional dose epinephrine
Drug: conventional dose epinephrine
conventional dose epinephrine : 0.5mg/kg + 0.9% normal saline
|Experimental: low dose epinephrine
Drug: low dose epinephrine
low dose epineprhine : 0.05mg/kg + normal saline
|Ages Eligible for Study:
|6 Months to 5 Years (Child)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- croup children between 6 month and 5 years old
- Westley croup score between 3 and 11
Exclusion Criteria:
- underlying lung or heart disase
- contra indication to dexamethasone
- immune deficient state
- preterm birth
- previous intubation or apnea history
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01664507
Please refer to this study by its ClinicalTrials.gov identifier: NCT01664507
|Korea, Republic of
|Seoul National University Bundang Hospital
|Gyeonggi-do, Korea, Republic of, 463-707
Sponsors and Collaborators
Seoul National University Hospital
More Information
Keywords provided by Jin Hee Lee, Seoul National University Hospital:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Jin Hee Lee, Assistant Professor, Seoul National University Hospital
|ClinicalTrials.gov Identifier:
|NCT01664507 History of Changes
|Other Study ID Numbers:
|Study First Received:
|August 3, 2012
|Last Updated:
|August 9, 2012
Keywords provided by Jin Hee Lee, Seoul National University Hospital:
croup, dose, epinephrine
Additional relevant MeSH terms:
Laryngeal Diseases
Respiratory Tract Diseases
Otorhinolaryngologic Diseases
Epinephryl borate
Adrenergic alpha-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Adrenergic beta-Agonists
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Anti-Asthmatic Agents
Respiratory System Agents
Vasoconstrictor Agents
ClinicalTrials.gov processed this record on September 21, 2017


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Why LES MISERABLES Brought Tears to My Eyes
By Elton Lugay
New York, November 30, 2012 - With permission of the author, Elton Lugay, "The Outstanding Filipino Americans in New York" founder, and The FilAm, a magazine for Filipino Americans in New York, correspondent, BroadwayWorld Philippines is reposting excerpts from the writer's article on Working Title/Cameron Mackintosh's upcoming motion picture adaptation of the smash mega-musical "Les Miserables," which opens in cinemas across North America on December 25, 2012, and in the Philippines on January 16, 2013.
Journalists that attended the previews in New York City could not publish their reviews of the film until December 11, but were allowed to reveal their general reactions.
Did "Les Miserables" bring tears to my eyes because it is the holidays and I'm missing someone in my life or was Anne Hathaway's rendition of "I Dreamed a Dream" pure rapture?
I kept tossing this in my mind after coming out of the press preview for Victor Hugo's classic novel on November 28, three weeks before it opens to theatres on Christmas day.
From novel to stage to film," Les Miz" is not only a monumental theater musical but a visual
epic on screen as well. While the setting is 19th-century France, the theme is universal and timeless.
The story that spans 33 years is condensed in a 2.5-hour movie, with the filmmakers extracting the messages of "broken dreams and unrequited love...and the survival of the human spirit."
Hugh Jackman is the fugitive Jean Valjean, who is hunted for decades since being released on parole. His relationship with the policeman Javert (Russell Crowe) is complicated but director Tom Hooper managed to present the layered dynamics between them as one of hunter-versus-prey: the righteous Javert in relentless pursuit of the outcast Valjean, who is also his savior.
Revolving around the two protagonists are Fantine (Anne Hathaway), the factory worker who becomes a prostitute to support her sickly daughter; her daughter Cosette (Amanda Seyfried); and Eponine (Samantha Barks), who is a bully to Cosette as they are growing up. It is Eponine who is instrumental in getting Cosette and Marius close even though she is in love with Marius (Eddie Redmayne)...
Hathaway would tell the Hollywood press how she's not that great a singer. Not so. I felt the intensity of her interpretation. Her voice was fragile yet visceral, the song rendered with raw emotion. Definitely an Oscar-bound performance for this maturing talent. The person beside me - a movie critic - shared her box of Kleenex...
The storyline may sound depressing especially on a Christmas day, but the intense performance and the heartfelt music give the film its breathtaking quality.
To answer my question: It's Anne.


text: I could see it coming last week. He mentioned that Hardy sucks up to the fans and they cheer him, whilst Aries tells them to shut up but they still cheer him too. It was a subtle way of "laying the seeds" so to speak. He's a tweener now, so he's not far off being heel.


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Will Cunningham
About the Author
Will Cunningham is the director of K-Kaua'i, the newest member of camps in the Kanakuk Kamp family. Having directed K-Kountry for eight years and counseled professionally since the mid-1980s, Will is the author of four books, including It Happened at the Sunset Grille (Nelson, 1993), Letters from the Other Side (Nelson, 1995), and Sins of the Fathers (Nelson, 1997). Will and his wife, Cindy, live in Branson, Missouri, with their two teens, Wes and Peter. He enjoys guitar, tennis, weightlifting, fishing, and hanging out with his family.
From the Trade Paperback edition.


text:
Mail: Southern statues symbolize suppession
Mail: Thanks for helping Aiden
More opinion
Fall: Good time to spray musk thistle in rosette stage
Robertson and Delsing re-elected chair, vice chair of NWB
More Ag News
As Deb Fischer and Bob Kerrey trade attack ads in the final weeks of the campaign, Kerrey took time last week to announce a plan to cut federal spending.
Kerrey said Congress and White House should lead in cutting costs by freezing wages and reducing staff.
Bob Kerrey will be at the North Platte Regional Airport at 2 p.m. Monday, part of a campaign trip around the state. He is scheduled to stay for 45 minutes.
In keeping with the evermore common approach to spreading cuts out over 10 years, Kerreys cuts would also take place during the next decade.
Kerrey would cut the budgets of Congress and the White House by 15%, cut the federal workforce by 15% and reduce the number of federal contractors by 15%. Doing that would save nearly $240 billion in a decade, he said.
Kerrey would freeze Congressional wages for three years, reduce federal travel and printing by 20 percent and sell unused federal property within three years.
The rest of the cuts would come from implementing the Simpson-Bowles committees recommendations, which curb federal spending by $345 billion more than the so-called sequestration by a Congressional super-committee, which is a mix of cuts to social programs and military spending.
Also, Kerrey called for:
Reforms to federal IT management and closure of federal computer data centers, saving $200 billion.
Elimination of government offices that primarily function to consult with television and film productions. That would save $34.4 million, he said.
Kerrey said Fischer is sticking to her talking points and skating through the campaign without proposing any solutions.
Kerrey has also spelled out cuts and reforms he favors, and helped develop, to save Social Security and Medicare.
I have a record of bi-partisan support, he said. Ive balanced the budget before and I know how to get the job done.
The only way we are going to fix Washington is through bi-partisan cooperation and that is why I have endorsed Republican proposals and today, have offered more spending cuts of my own, Kerrey said.
Flatrock Publishing, Inc.
1300 E 4th St., Suite F
North Platte, NE 69101


text:
The T&C IT Support Staff is a dedicated team of specialists who are happy to assist faculty, staff, and students in the College of T&C.
Limited after-hours support is provided by the IT Service Desk. Please call 801-863-8888 or visit their website at www.uvu.edu/helpdesk.
Lab Technicians are available to provide assistance with lab computers in the Open Lab.


text:
2008 Fairfax County Environmental Excellence Awards Nominations Open
Fairfax County Office of Public Affairs
12000 Government Center Parkway, Suite 551
Fairfax, VA 22035-0065
Contact: Merni Fitzgerald, Director of Public Affairs
703-324-3187, TTY 711, Fax 703-324-2010
Media Pager: 703-324-NEWS (6397)
March 4, 2008
2008 Fairfax County Environmental Excellence Awards Nominations Open
Fairfax County is accepting nominations for the ninth annual Environmental Excellence Awards through May 31. Awards will be given to residents, community groups, environmental organizations and local businesses for achievements that have occurred between June 1, 2007, and May 31, 2008, or for accomplishments that have occurred over a period of years, including at least a portion of the eligibility period. One or more awards may be given in each of the following categories:
- Fairfax County residents.
- Organizations.
- Businesses.
- Fairfax County government employees.
The Environmental Excellence Awards Program recognizes individuals, organizations and businesses that unselfishly dedicate time, energy and expertise to improve the environment in support of the Fairfax County Board of Supervisors' environmental goals. These goals, which were adopted by the board to foster a sustainable and vibrant living environment both now and in the future, are:
Environmental protection: Preserving the county's natural resources and
meeting or exceeding federal, state and local standards for water
quality, air quality and other environmental standards.
Open space conservation: Preserving and protecting stream valleys,
woodlands and other ecologically valuable areas to protect plant and
animal life.
- Energy conservation: Promoting energy efficiency and energy conservation with public, commercial, residential and industrial sectors.
Environmental Excellence Award recipients will be selected based on their advancement or support of the county's environmental goals and policy statements; their dedication of personal time and expertise beyond normal fiscal or civic responsibilities; and their role as a model for others to follow. Examples of activities meriting consideration for an award include:
Identifying or protecting ecologically valuable habitats.
Preserving or improving air quality.
Restoring streams or other degraded natural environments.
Controlling pollution or mobilizing communities to gather data to
measure the impacts of pollution.
Cataloging ecological assets.
- Achieving regional or global environmental objectives beyond county borders, such as contributing to the restoration of the Chesapeake Bay.
The submission requirements, award criteria, nomination form and a list of previous recipients are available at www.fairfaxcounty.gov/dpz/eqac/awards.htm. Nomination forms also are available at several county locations, listed below. The awards program is administered by the Fairfax County Environmental Quality Advisory Council (EQAC) and supported by the Fairfax County environmental coordinator and the Department of Planning and Zoning. Award recipients will be notified by Aug. 31, and the awards will be presented in the fall of 2008.
The Board of Supervisors' environmental agenda, "Environmental Excellence for Fairfax County – A 20-Year Vision," was adopted in 2004, and it identifies six areas of focus for environmental protection: growth and land use; air quality and transportation; water quality; solid waste; parks, trails and open space; and environmental stewardship. The 2004 plan and the board's Environmental Improvement Program were recognized by the National Association of Counties with an Achievement Award in 2006. The environmental agenda and the Environmental Improvement Program for Fiscal Year 2009 are available at www.fairfaxcounty.gov/living/environment/eip/.
Fairfax County is one of the leaders of the national Cool Counties initiative, which was launched in July in partnership with the Sierra Club, to reduce local government emissions by 80 percent by 2050. Since 2003, the board has implemented more than $6 million worth of projects and programs to address air quality and global climate change. Further information on the Cool Counties initiative is at www.fairfaxcounty.gov/living/environment.
Key Dates and Contacts for Award Program
Period of eligibility: June 1, 2007 – May 31, 2008
Nomination period: March 1 – May 31, 2008
Obtain nomination forms: Fairfax County Government Center, Lobby
Directions: www.fairfaxcounty.gov/government/facilities/
District Governmental Centers
Locations: www.fairfaxcounty.gov/government/board/
Fairfax County Web site:
Mail nomination forms: Environmental Coordinator
Office of the County Executive
12000 Government Center Parkway, Suite 552
Fairfax, VA 22035
- E-mail nomination forms: firstname.lastname@example.com
For more information, call the Fairfax County environmental coordinator
at 703-324-1788, TTY 711.


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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.
Tuesday, September 26, 2017
Pulmonary Hypertension
Pulmonary Hypertension
Can a fistula in my left arm cause PH?
I presume the fistula is for dialysis. The fistula in the arm may cause an increase in the total amount of blood being pumped by your heart and the pulmonary pressure may increase some. This may not be true PH.
Namita Sood, MD, FCCP
Associate Professor of Pulmonary, Critical Care & Sleep
College of Medicine
The Ohio State University


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'New York has spent most of the last month fending off a challenge from the Buffalo Sabres for the final postseason berth in the Eastern Conference. But the Islanders avoided a third straight loss and need just two points in their final two games to advance to the playoffs for the third year in a row.'
You are here: Home / SabresBeat / NY Islanders 5, Montreal 1


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CROWN chairman James Packer is riding high these days, clogging up newspapers and racetracks with his grinning visage as he celebrates victory over rival Echo in the shape of a second Sydney casino.
However, there is one corner of the Packer empire that's doing it tough: his privately held rag trader Pretty Girl Fashion Group, which specialises in the kind of clothes unlikely to be worn by his ever-stylish wife, Erica.
Pretty Girl laid off about 20 management employees last week after running up losses for two years in a row.
It seems that the company's clutch of second-tier brands, including Rockmans, W.Lane (formerly Wombat, and aimed at financially secure baby boomers) and corporate wear line Table Eight, have been struggling to find traction in a fickle fashion market that is increasingly under pressure from foreign raiders including Zara, Uniqlo and Top Shop.
Pretty Girl dived from a profit of $12.9 million in the 12 months to June 30, 2010, to a loss of $3.8 million the following year, and although its financial report for 2012 is not yet available, director Mike Johnston said the company would record another loss.
''But I would be expecting to make a profit in the current year,'' he said.
Johnston said Pretty Girl had been putting more resources into visual merchandising and better products. ''Like a lot of retailers, it's a pretty tough market there, but we have seen strong single-digit sales growth since April this year,'' he said.
''Hopefully if the market picks up we stand to benefit.''
Sledging Gilchrist
ANGRY shareholders in forestry group TFS Corporation are trying to bowl out international cricket star Adam Gilchrist.
The move to turf Gilchrist from the board of the company, which grows sandalwood trees, follows the resignation of former Liberal senator Richard Alston as chairman last month.
It seems that the Howard-era communications minister didn't tell the rest of the board of his intentions before giving up the $180,000-a-year gig.
Alston's resignation was ''disappointing and came as a surprise'', founder and major shareholder Frank Wilson told the company's annual meeting on Friday. Following Alston's departure Wilson became executive chairman.
''He did not provide any reason for his resignation,'' he said.
Gilchrist, who according to the company's website has been the ''global ambassador for TFS Corporation since June 2010'', is listed in its annual report as an independent director.
Wilson defended the board against allegations it lacked independence.
''Attacks on the company and its board undermine investor confidence and imperil the company's future revenue and earnings, and hence its capacity to pay dividends,'' Wilson said.
Waiting on Conroy
MEDIA moguls will be watching federal cabinet today on the chance Communications Minister Stephen Conroy will unveil his grand new plan for regulation of the fourth estate. Bolshie ALP backbenchers who have been calling for Rupert Murdoch to be curb-stomped look set to be disappointed, with Conroy believed to be unlikely to recommend a single regulator covering all of the media.
The one-ring-to-rule-them-all proposal sprang out of the media review conducted by former Federal Court judge Ray ''the Fink'' Finkelstein, who was tasked with looking into the newspaper business following revelations that Murdoch's British rags had engaged in widespread phone hacking.
Instead, Conroy is believed to want to beef up existing regulators - problematic, given The West Australian has fled from the industry-run Press Council - and, in a move that will please Murdoch's enemies, introduce a fit and proper person test.
Rollers for miners
THE much-ballyhooed end of the resources boom doesn't seem to be bothering super luxury car brand Rolls-Royce, which is pushing ahead with plans to expand into mining states Western Australia and Queensland.
That will give mining magnates the chance to join the luminous ranks of Rolls drivers, a roll of honour that includes the likes of, er, ''Vile'' Kyle Sandilands.
Rolls-Royce Asia Pacific regional director Paul Harris told CBD that negotiations were well advanced for a showroom in Perth, and the carmaker is also considering setting up shop in Brisbane or on the Gold Coast. It already has showrooms in Melbourne and Sydney.
He said Rolls-Royce was not worried about the end of the boom.
''The boom is just the cream on top of the cake, as far as we're concerned,'' he said.
''At the end of the day, booms are going to come and go.''
As to how many of the enormously expensive vehicles are actually sold in Australia, Harris would only say the number is in the ''double digits''.
Rolls-Royce last year sold just 3500 cars world-wide - a record.
''If you look at the global sales for cars in the world it's a tiny, tiny drop in the ocean,'' Harris said.
''We've never had lots of customers and we never will.''


text:
Back to All Events
Earlier Event: May 5PAID : Sniffer didnt call doctor
Later Event: May 11PAID : Sniffer Doc
The Amsterdam Kink Academy (AKA) is a group of gay fetish enthusiasts who arrange events for the community to provide more information on fetish and kink activities. All the members are members of BLUF and some of the events are done in association with BLUF.
AKA wishes to promote safe play by means of teaching, informing and providing a space for likeminded individuals to meet. Playing safe in this context includes, but goes beyond mere STD's as some kinks, if executed poorly, can be life-threatening. It is our hope that, once people into the same kink meet up, new (independent) initiatives appear to expand all our possibilities of play.
This is a non-commercial organization, we never get involved in money. All the work we do is purely voluntary. This does not mean that all of our events are free! We rely on gay businesses to host the events and any commercial aspect to the event is conducted by the gay business in question.
Also on email twitter GayRomeo Facebook
Amsterdam, Netherlands


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I'm a huge fan of wearing sandals in the late spring, summer, and early fall, I've been doing so almost all my life. Since I picked up the habit of disc golf, I've had mixed luck with various sandals while playing. I found Tevas to be total crap, but I always had good experience with various Keen sandals. So I picked up a pair of the newport Keens, and they are quite nice, the shoe comfortably grabs the foot while keeping the sole firmly fixed to the rest of the shoe. And the soles are super grippy.
Anyways, just throwing this out there, and wondering if others play with sandals in warm weather, and what their experience has been. I've become a fan of the Keens, but open to the possibility that there are even better options out there.


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Every four years, Halloween gets a little scarier.
More profitable, too, for the holiday's merchants. Each presidential election year, there's an uptick in sales of candidate masks and other political paraphernalia to go with all the monster props, superhero suits and sexy maid outfits that sell this time of year. MORE PHOTOS OF POLITICAL HALLOWEEN COSTUMES
"Sales easily quadruple in an election year," Jennifer Gracia, a product brand manager for Poway-based Disguise Inc., said regarding the Politically Incorrect line of masks of political figures the company makes.
The Halloween Adventure retail chain, which has year-round outlets in Canoga Park, Sherman Oaks and San Bernardino and operates 13 additional, pop-up stores in SoCal during the scary season, is well-stocked for the election.
Dressed in an Uncle Sam costume, the Southern California chain's vice president Ryan Goldman pointed to a display of not just Obama and Romney masks at the Canoga Park store, but perennials such as Kennedy, Nixon and Reagan - not to mention zombie Reagans and Bill Clintons and a Barack Frankenstein.
"We make sure we have the goods needed to promote the election," Goldman said.
"Two years into the presidency, you're not going to see the customer demand. So this does increase our sales."
Some Halloween retailers consider it their patriotic duty to not just run election promotions but encourage voter participation. The national Spirit Halloween chain, for example, has not only set up a mock voting booth in its stores to display candidate masks, but there are QR codes on the booths that, when scanned by smartphones, link customers to the company's politically themed page where they can cast a straw poll vote for Obama, Romney or hot-selling costume characters like foul-mouthed stuffed bear Ted.
Spirit Halloween President and CEO Steven Silverstein said the company has partnered with Rock the Vote to promote voter registration.
"We have a link on their website to us and on our website to them so that you can register to vote online," Silverstein said. "It's on people's minds when they see the products in the store, and it's the perfect time to deliver that message."
Spirit also runs a quadrennial Presidential Index. It's based on candidate mask sales, released a few days before the general election, and has correctly predicted the actual winner since 1996.
So far this year, Obama leads Romney in the index, 65 to 35 percent, although that represents a 3 percent drop for the president since the first televised debate. Things are trending the same way on Disguise and the SoCal-limited Halloween Adventure's metrics.
Of course, there isn't a direct correlation between mask buyers and likely voters. As Disguise's Gracia pointed out, there's also something counterintuitive about the sales figures' predictive accuracy, since not all Obama masks are bought by the president's supporters.
"People enjoy making fun of their own candidate and the other one, too," she observed. "And they'll mix it up, they'll wear a Romney mask with a dress or be Obama dressed as a communist.
"I think it's the fun of taking something that's so serious right now and sort of making fun of it and making it your own," Gracia concluded.
For some, though, elections are more a frightening than a laughing matter. Especially in troubled times like these.
"I think this year's election is scarier than most because of how the economy is right now," said Armando Dominguez, a 28-year-old Sylmar barber, as he smiled tentatively at the mock voting booth in Spirit Halloween's Northridge Fashion Center store.
"It's like, who is going to keep their promise to help everybody out like they say they are?" the undecided Dominguez continued, indicating the candidate masks. "Gas prices are ridiculous right now . . . There's a lot of stuff that's outrageous right now. Hopefully, they really fix the problem because it's getting real scary out here."
Eric Montgomery, one of the Northridge store's managers, knows that well. He lost his full-time retail job as the recession hit shortly before the 2008 election. If it wasn't for the seasonal work at Spirit Halloween every year since then, he said he'd be in untenable financial straits.
But he's hopeful.
"It's scary, but it's not as scary as it was in 2008, because so much stuff was collapsing around us then," said Montgomery, who has yet to find a permanent position in the months when Spirit doesn't operate.
"This year's election, I don't feel the same desperation that I did in 2008," revealed Montgomery, who plans to vote for Obama a second time. "I don't have a complete income but it's a steady enough income, and I've basically had four years to budget myself and live with how it is now."
Halloween Adventure's Goldman said the scary economic times can heighten the holiday spirit.
"The economy is scary, and I think people will act that way," Goldman said. "So, if they want to do their house scary, they may add a political figure to make it even scarier because it is the unknown that the country is facing.
"I think there is a link between why Halloween is on Oct. 31 and why the election is on Nov. 4," Goldman speculated. "Maybe they wanted it this way! You'll have to ask the Founding Fathers."
Or, at least, people wearing Revolutionary Era costumes they got at a Halloween store.


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BROMSGROVE'S community hospital has launched a nurse recruitment drive.
The Princess of Wales Community Hospital, in Stourbridge Road, is run by Worcestershire Health and Care NHS Trust - the county's main provider of community and mental health NHS services.
The trust has plans to strengthen the hospital's role in the delivery of local health services, which includes ensuring it is equipped with the necessary skills to care for and treat people with more complex health issues.
This is part of the trust's drive to provide more care and support closer to peoples' homes.
This means the hospital will be well placed to meet new staffing level requirements, following the recent Francis Inquiry.
The site's Cottage and Lickey wards are in need of more registered qualified nurses to support the patients who are admitted.
Potential new recruits can find out more at two recruitment days that have been organised, giving interested people the chance to have a look around the hospital and to learn more about the role and development plans.
Phil Shakeshaft, matron at the Princess of Wales, said: "The recruitment days will give you a chance to find out more about the hospital's development plans, as well as the services currently provided, and will give you a chance to see if you have the skills and passion to be a part of the hospital's future.
"You will learn about the trust's commitment to on-going training and development of its staff, hear more about the nursing roles we are recruiting for and have a tour of the Lickey and Cottage Wards where successful applicants will be working on."
The recruitment days are being held from 2pm until 4pm on Thursday, March 6, and from 10am until noon on Saturday, March 8.
Attendance is free.
Anyone interested in attending needs to register ahead of the event.
To register call 01905 681548 or complete a short online form on the trust's website, hacw.nhs.uk.
Applications will be accepted through the NHS Jobs website, jobs.nhs.uk.
For more details call Phil on 07918695282.


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Updates - Website
A Moment With Sile & Our New Website
Thu, Aug 02, 2012
We recommend you watch this sassy tutorial for the new jaypeakresort.com from our beloved receptionist Sile (the firey lady who answers all of your phone calls).
Welcome to the New jaypeakresort.com
Mon, Jul 30, 2012
As a result of redesigning our website you are now sitting inside our recently redeveloped blog section. This is where, at least in theory, we'll post random thoughts, images and pieces of provoking Jay Peak mica (both created and found) to share with those both already Raised Jay and those well-on-their-way.


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Please read Using Boiling Water Canners before beginning. If this is your first time canning, it is recommended that you read Principles of Home Canning.
Developed at The University of Georgia, Athens, for the National Center
for Home Food Preservation. Released by Elizabeth L. Andress, Ph.D., Department
of Foods and Nutrition, College of Family and Consumer Sciences. October
top ^
How do I?
Can ·
Freeze ·
Dry ·
Cure & Smoke ·
Ferment ·
Pickle ·
Make Jam & Jelly ·
Home ·
Publications ·
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To include more than one recipient, please seperate each email address with a semi-colon ';', up to a maximum of 5 email addresses
Jan 1, 2013
Ritch Mueller
Mexico's capital markets perked up last year
once it was clear that there would be a change in government.
Coupled with brighter economic forecasts and renewed investor
interest, deal volume has risen across the board.
Ritch Mueller and other law firms are busy preparing for a
2013 bringing more of the usual capital markets and M&A
transactions, as well as an increasing workload in growing
areas such as infrastructure and real estate.
Ritch Mueller was local counsel to Grupo Financiero
Santander as it brought the most recognizable deal in this
post-election era, raising $4.1 billion-equivalent in an IPO on
the Mexican and New York stock exchanges.
"The equity market has been stronger than usual," says
Carlos Obregón, managing partner at Ritch Mueller,
explaining that there are five or six more equity deals on the
horizon for the first half of 2013.
Ritch Mueller was active in several cross-border bond deals
involving Mexican issuers. The firm represented the lenders in
Cemex's $7.2 billion debt restructuring, one of
the standout liability management transactions of the year.
Thriving, well-capitalized sectors such as financial
institutions and infrastructure are growing at a healthy clip,
Obregón says. Local debt markets continue to be robust,
with strong appetite for Mexican names and interest in both
high-yield and investment-grade issuers.
The firm represented Crédit Agricole as
administrative agent and the lenders in a $1.25 billion
revolving syndicated financing for Pemex. The firm expects to
see the loan market pick up in the year ahead as borrowers seek
to finance projects, says partner Pablo Perezalonso.
The new government is prioritizing infrastructure projects,
and the firm expects to see more interest from US banks in the
loan market as their European counterparts focus on issues at
home, says Perezalonso. Mexican banks are well capitalized and
looking to lend more, encouraged by the government.
Local banks are joining subsidiaries of Spanish banks in
focusing on infrastructure, Obregón says. Road projects
and pipeline financings are of particular interest, with
multilaterals also playing a significant role, especially for
renewable energy projects.
"You're going to see a couple of solar deals in
Mexico in 2013 which are going to be interesting,"
Obregón says. He also expects to see refinancings as
competition among lenders makes rates better.
M&A was a big part of the firm's business
in 2012, with Ritch Mueller representing Grupo
Modelo's principal shareholders in the $20.1
billion sale of 50% of Grupo Modelo to Anheuser-Busch Inbev and
Coca-Cola Femsa's merger with Grupo Fomento
Queratano for an undisclosed amount.
M&A is likely to be one of the firm's
primary areas of opportunity in 2013, Obregón says. He
sees the markets being active as private equity firms raise
"significant capital" in new funds.
"Putting aside larger strategic transactions,
you're going to see a lot of activity between $25
million-$60 million dollars. That's going to be a
very active market for 2013," Obregón says. The
frequency of larger deals will be harder to predict.
Spanish developers with positions in wind farm and other
power projects in Mexico will likely continue liquidating them,
but Obregón says that's not the only sector
that will see sales. "There are PE firms that focus on food and
beverage, firms that focus on retail – I think
you're going to see activity across all sectors,"
Obregón says.
Energy and infrastructure – which the incoming
government has indicated it will look to reform Pemex, the oil
company, and CFE, the electricity utility – will
become a bigger part of the firm's work, along
with real estate, as funds seek to raise money in Mexico either
via Fibra funds or private placement.
"Real estate is going to be more active than in 2012 and
2011 with new projects instead of only existing portfolio
transactions," Obregón says.
Firms now have to turn their attention to getting ready for
the activity, and for the uptick in work ahead, he says. "The
biggest challenge is being able to hire competent associates to
be able to respond to the greater and more sophisticated
workload," Obregón says. LF
All comments are subject to editorial review.
All fields are compulsory.
September 26, 2017 | New York, USA
The sheer size of Latin America's infrastructure needs, coupled ... more
Celebrating the stand-out institutions and transactions of the past year in this important ... more
October 5, 2017 | Playa del Carmen, Mexico
The Infrastructure and Sub-Sovereign Finance in Mexico Summit remains the ... more
November 29, 2017 | Buenos Aires, Argentina
Argentina's provinces and municipalities are at the frontlines ... more
Where will capital markets be busiest in 2017?
All material is subject to strictly enforced copyright terms & conditions and cannot be repurposed or reproduced. © 2016 Latin American Financial Publications Inc.


text:
Designs by scrummy
Sharon Turner
Nottingham United Kingdom
♥ Artist, illustrator & pattern maker ♥ All designs © Sharon Turner. Message me through Spoonflower for custom requests ~ for licensing information please contact me via my website. I'm happy for you to use my designs to make and sell.
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