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4 Late-Night Snacks That Keep You Slim
Caffeine not only gets your brain clicking on more cylinders in the morning, it may help bolster your metabolism, too. A Danish study found that caffeine increases the number of calories you burn at rest by as much as 25 percent for three hours after it's ingested. Other research discovered that caffeine also makes you inclined to eat less, meaning your body will have fewer stored calories to burn.
If you've always been a bagel girl, switching to eggs for your morning meal may help you slim down. Dieters who ate eggs for breakfast five days a week had a 61 percent lower BMI, a 34 percent smaller waistline, and 16 percent less body fat than those who noshed on bagels, according to a study published in the journal Nature.
How to Burn 900 Calories in Just One Hour


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Calmar Laser Inc. has introduced the Carmel, an all fiber-based femtosecond laser, which at 780 nm, 500 mW of power, 10 nJ of pulse energy, and less than 100fs pulse width, is suited for multiphoton microscopy, materials characterization, optical metrology, and more applications.
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The laser has a Gaussian beam profile, typically with an M2<1.1. Excellent pulse-to-pulse stability (<1% rms) combined with a clean spectrum and clean pulses over a wide operating temperature range (17 to 32 C) provides excellent results for both microscopy imaging and tissue ablation in biomedical applications.
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Gasland Movie
Friday, February 08, 2013
Where and When
Time: 6:00pm - 9:00pm
Location: Newtown Campus, Rollins Center, Gallagher Room
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Event Information
Food and Water Wacth and the BCCC Eco Club present Gasland, a film about fracking. This documentary is about the effects of drilling on natural lands. A question and answer session will following the screening. Snacks will be on sale from the Eco Club. This event is free and open to the public.


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On Saturdays, I spotlight South Beach Friendly recipes I find on other food blogs. I like doing this since a lot of people don't know much about the glycemic index, which is what the South Beach Diet is based on. Every week I find so many good recipes that would work for South Beach eaters that it's hard to choose just four. Now, I realize that only some of my blog readers are South Beach fans, and rest assured, my goal is not to convert anyone to the South Beach diet. I'm pro-choice when it comes to eating! However, I'd be willing to bet plenty of non-South Beach eaters will think these recipes look good too.
Photo by Catherine of Albion Cooks
Since I wrote about purslane for Weekend Herb Blogging this week, I thought it would be fun to show you another salad featuring this interesting type of greens, delicious looking and South Beach approved. Catherine of Albion Cooks created this Grilled Zucchini Salad with Purslane and Tomatoes. She actually bought her purslane, which looks a bit more tender than the weeds I found.
The next South Beach Friendly recipe I found came from Glenna at A Fridge Full of Food, a blog you should check out if you haven't seen it. She created Cascadilla or chilled vegetable soup which is chock full of veggies, v-8 juice, lowfat yogurt, and lowfat sour cream.
Photo by Fiber of 28 Cooks
Next, a great South Beach approved recipe when you need something to snack on. Fiber of 28 Cooks featured Fusion Black Bean Dip with lots of complex flavors. For South Beach, I'd eat this on toasted 100% whole wheat pita bread, 100% whole wheat flour tortillas, or veggies.
Photo by Alanna of A Veggie Venture
Last, from my great friend Alanna at A Veggie Venture, beautiful Refrigerator Pickles, something that sounds perfect with the kind of grilled meat dinners I love in the summer. This recipe does have some sugar which could easily be replaced with Splenda, or use half sugar, half splenda if you want to have the best of both worlds. The same post also has marinated brussels sprouts, which also sound like a great summer side dish.


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Lauren German
Lauren Christine German (born November 29, 1978) is an American actress, known for her role as the hitchhiker in the 2003 remake of The Texas Chainsaw Massacre, as well as for starring in the 2007 film Hostel: Part II, in which she plays one of the lead characters. She is also known for her role in A Walk to Remember, in which she plays a popular and jealous ex-girlfriend named Belinda. She is currently starring on Hawaii Five-0 as Agent Lori Weston.
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|May 24, 2006
Volume 8, Issue 11
|Midwifery Today E-News
"Postdates Pregnancies"
Print Page
Welcome to Midwifery Today E-News !
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Quote of the Week
"I have to make myself open for a woman to be open to me."
— Mabel Dzata
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The Art of Midwifery
For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger!
— Anon.
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Passionate Midwifery Education
When do I call myself a midwife?
If you want to do homebirths you will probably want to be a direct entry midwife. So far in the US direct entry midwives have no opportunities for working in the hospital. Moreover, the philosophy of birth is generally different, as hospital practice is more medicalized. You can pursue training in a myriad of ways: self study, MEAC-accredited and non accredited schools, online programs and study groups. All of these need to be combined with apprenticeship. An emerging route of entry to midwifery is doula training and practice which has the advantage of yielding experience and knowledge before beginning midwifery training. Many women seem to do this to fit with family responsibilities while testing the waters for midwifery. Because there are so many excellent ways to become a midwife I'll talk about each one separately, as well as include some information on specific schools and programs in upcoming columns.
One of the advantages of a school or program is that you have help in determining when you are a midwife, ready to take responsibility for a motherbaby. The eclectic way we became midwives thirty years ago had no milestone, such as graduation. Nowadays, getting your NARM certification provides that milestone. Here is what Jill and I said about this in Midwifery Today Issue 9, Spring 1989:
The word midwife is a powerful one. I remember at the beginning of my practice calling myself a birth attendant—the word midwife was too overwhelming. Perhaps only God could call me a midwife. I was not alone in this feeling. My partners all felt the same way. Why? Was it the tremendous responsibility that goes with the title? Most of us felt we didn't quite deserve the title yet, but when would we? When do you know and understand enough? When is your experience adequate for this noble title?
I found myself working with a woman who was really relying on me. I said, "But Jenny, I don't consider myself a midwife." She said, "But Jan, I consider you my midwife." Perhaps the title midwife is bestowed when someone considers you her midwife. After the first time it became easier to accept the title of midwife. Maybe it is when we think we've learned it all that the title should be taken away.
— Jan Tritten, Midwife
It is hard to be called midwife. The word evokes so many emotional and political responses. The word midwife refers to one who stands by, protects and watches over parents and child during birth. The word is simple in form, yet complex in practice. Who could possibly live up to this noble address? How can one ever live up to the standards it takes to be midwife? Over the years I managed to skirt the title midwife until I acquired the name through others I had attended. For the rest of my life I will be trying to meet the highest standards spiritually, technically, intuitively and with the grace that being midwife bestows on me. Midwifery is a school of thought brought to empowerment by the gentle touch of nature itself. A high honor for all of those who attend.
— Jill Cohen, Midwife
— love, Jan
To read all installments of Jan's column on midwifery education, go to our Better Birth and Babies Blog.
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Postdates Pregnancies
Postdates, by themselves, are not associated with poor outcomes. A pregnancy that continues long after the due date or in conjunction with poor fetal growth or developmental abnormalities has an increased risk of stillbirth. If growth restriction and birth defects are not present, no statistical increase in risk is seen until a pregnancy reaches 42 weeks and no significant risk exists until past 43 weeks. The primary "evidence" of a sharp rise in stillbirth after 40 weeks—often misquoted as "double at 42 weeks and triple at 43 weeks"—seems to come from one study based on data collected in 1958.(1)
The first question one should ask is whether neonatal mortality statistics from the 1950s should be compared to modern statistics, since labor anesthetics and forceps rates were very different. Early labor monitoring was scanty and prenatal monitoring not yet developed. The McClure-Brown report shows a rise in stillbirth from 10/1000 at 40 weeks to about 18/1000 at 42 weeks. Yes, that is nearly double. But think about those numbers. Even the beginning point is nearly ten times the modern mortality rate. Either modern delivery methods are vastly different or something is wrong with the data collection. This study should be updated by research conducted at least in this century! Modern statistics show an almost flat rate of stillbirth from 40 weeks to 42, with a slight rise at 43 weeks (all numbers being close to 1/1000).(2)
It is true that the stillbirth and fetal distress rates rise more sharply after 43 weeks, but it is also true that in less than 10% of births at 43 weeks do babies suffer from postmaturity syndrome (more than 90% show no signs). We should react to this rise by monitoring postdate pregnancies carefully and inducing if problems arise. But the rise in problems at 43 weeks does not imply a similar risk at 42 and 41 weeks. Postmaturity syndrome is a continuum. It becomes more likely as weeks progress past the due date but does not start on the due date. And the risks must be compared to the risks of interventions. Induction is not risk free. In addition to the risks of prematurity, induced labors have higher rates of cesarean section, uterine rupture, cord prolapse, meconium aspiration, fetal distress, neonatal jaundice, maternal hemorrhage and even the rare but disastrous amniotic fluid embolism.
Large studies have shown that monitoring pregnancy while waiting for spontaneous labor results in fewer cesareans without any rise in the stillbirth rate. One retrospective study of almost 1800 postterm (past 42 weeks) pregnancies with reliable dates compared this group with a matched group delivering "on time" (between 37 and 41 weeks). The perinatal mortality was similar in both groups (0.56/1000 in the postterm and 0.75/1000 in the on-time group). The rates of meconium, shoulder dystocia and cesarean were almost identical. The rates of fetal distress, instrumental delivery and low Apgar were actually lower in the postdate group than in the on-time group.(3)
When a group of researchers conducted a case-matched review of nearly 300 postdate pregnancies, they concluded that the increased rate of obstetric and neonatal interventions "does not appear to be a result of underlying pathology associated with postterm pregnancy." They suggest that "a lower threshold for clinical intervention in pregnancies perceived to be 'at risk' may be a significant contributing factor." In other words, the perceived risk is greater than the actual risk and can become a self-fulfilling prophecy!(4)
— Gail Hart, excerpted from "A Timely Birth," Midwifery Today Issue 72
We began teaching our clients how to challenge and count the kicks of their babies (FKC) and report any decrease in movement. …Women so often feel incapable of trusting their knowledge of whether their unborn child is doing well. There are many "old wives tales" that tell a pregnant woman that if her baby is still active, delivery is way off or that the baby will stop kicking before she goes into labor. I have used FKC to empower women and give them something they can do to truly monitor their babies' well-being. I love FKC as a teaching tool. If a baby is not moving, it needs to be assessed right away. Babies even move during contractions. Over the years, I have found that women really only use this means of monitoring if they are worried that the little one is moving less than usual. Drinking a cold glass of water usually remedies the problem and offers the reassurance these women need.
When I first began my practice in this rural community, I worked with a physician who insisted, "Mother Nature knows what she's doing." I watched one woman go four weeks past her very certain due date. I watched another go six weeks past the day we were certain she was due. I was a wreck. But my mentor was more than right. Mother Nature does know what she's doing. Women's bodies are meant to be pregnant and give birth. Babies have their own time to be born. Pushing women to deliver by 39 weeks is defensive medicine to the level of absurd. Not every baby is ready to be born in that timing.
— Kathryn Jensen excerpted from "Does Mother Nature Really Make Mistakes?" Midwifery Today Issue 72
Midwifery Today Issue 72 can be ordered.
Current medical protocol for postdatism combines fetal kick counts, non-stress testing (NST) [evaluating fluctuations in the baby's heart rate in response to its own movements], and evaluation of amniotic fluid volume with a few more obtained by ultrasound. In addition to amniotic fluid volume and fetal activity level, fetal breathing movements and muscle tone are evaluated, then combined with NST results to form the biophysical profile. With a scoring system similar to the Apgar assessment, zero, one, or two points are given for each of the five categories cited above, with ten the highest possible score. A total score of less than seven is considered an indication for induction of labor.
Can the midwife's clinical assessments of postdatism provide enough information to substitute for the biophysical profile? In my opinion, the answer is yes. Although fetal breathing movements cannot be assessed directly, these may be presumed adequate on the basis of normal muscle tone, as demonstrated by kick counts. NST is easily accomplished with a standard fetascope. And even the most subtle changes in amniotic fluid volume are readily noted with continuity of care.
For the truly postmature fetus, the most stressful time in labor is the onset. Uterine contractions are much stronger than are Braxton-Hicks, thus any degree of fetal compromise will show up almost immediately. Plan to attend the postdates labor from the very beginning, and take heart tones more frequently than usual.
— Elizabeth Davis
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Research to Remember
A multisite study of 96 lactating women found that elevated breast milk sodium concentration is associated with an increase in levels of the immunological and inflammatory factors lactoferrin, secretory leukocyte protease inhibitor, interleukin-8, and regulated on activation normal T-cell expressed and secreted, also know an RANTES. In healthy women, sodium concentrations in breast milk are low because tight junctions between mammary alveolar cells keep milk separated from other fluids. However, inflammation causes the junctions to open, which allows intercellular fluid and plasma to enter the milk. The researchers concluded that elevated breast milk sodium concentrations are sensitive indicators of mastitis.
— Clin Diagn Lab Immunol, Sep 1999
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Forum Talk
I wonder about the effects of adrenaline after birth. I know in my two hospital births, while they immediately placed my babies on my chest, they also whisked them away after mere moments to "warm" them. There's stress involved in that, and I've read that adrenaline will inhibit the production of oxytocin. Do you think this can account for at least some instances of postpartum hemorrhage?
— Sarah
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Question of the Week
Q: What can we do to have the art of midwifery be more in the consciousness of our culture? As we know, most of the youth in our society think, as many adults do, that "having a baby" means "going to the hospital." I have been pondering lately what changes might take place in our society if midwives made a point of visiting their local middle and high schools (private and public) to speak with the health/science teachers and volunteering to come into the classroom to give a workshop (or whatever term you wish to use) as a professional expert when the class is studying human reproduction. Wouldn't it be wonderful if natural birth was presented to the youth of our society so that it is thought of as a very normal thing when, later, they are adults preparing to have children?
— Kathryn Balley
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: Does anyone have tips to help a mom who never gets the urge to push during second stage? She is completely unable to push with the contractions even though she gets in great positions: kneeling, squatting, hands and knees, birth ball, birth pool, etc. Two babies have been born fine as mom allowed her uterus to do all the work while she breathes through contractions. Is it best to let the uterus do its work alone or is there something that can help an "urgeless" mom?
— CLM, doula
A: If "two babies have been born fine" without the mom having a recognizable urge to push, I don't understand why this mother would need help or tips—what is the problem that needs solving or avoiding here? Are her second stages hard on the baby or hard on her, or is she frustrated about how she has experienced second stage? If not, just because her sensations don't follow a more common pattern doesn't mean intervention is needed. Coming up with possible "solutions" and framing them as such could set her up for feeling like a failure if they don't lead to a noticeable pushing urge.
— Ellen Harris-Braun, doula, childbirth teacher
A: Interestingly, the new HypnoBirthing manual suggests that the urge to push is a conditioned response, and that with a calm mom no more than breathing down babies is ever needed. I think the truth lies somewhere in the balance; some babies may need more of a push than others. I respect Dr. Odent's opinions, but I would never interfere with the bonding of husband and wife at this important moment by sending the father away on a fake errand. Speaking from personal experience, birth is an important time in a marriage, and there may be a "conversation" going on between husband and wife that you as birth attendant are not a party to. Without the presence of fetal distress, best to step back and let mom push or not push as compelled.
— Angelia
A: I know a mom who had no urge to push for her first three homebirths. She was put on thyrotrophin for the thyroid and adrenatrophin from Standard Process. In her fourth homebirth, she had strong pushing urges. The relationship is not proven, only anecdotal. The needs of each woman should be analyzed by a qualified naturopath.
— Anon.
A: I have always found that if there is no urge to push there is always a good reason. Usually it is a malpresentation such as posterior or a compound presentation. Do not start them pushing just because they are fully dilated. The only urge they will have will be at the very end as the baby is actually being born. Be patient and let them deliver in their own time. If it is a posterior baby, there are ways to correct that position. I prefer the diaphragmatic release—before they even go into labor.
— Judy, CPM
Q: I know that everyone says a VBAC should not be attempted if there has been a vertical cut or T-cut caesarean section done previously. Have there actually been any studies that show this to be of greater risk if there is no induction done? Or is it just by implication because of the length or location of the uterine scar?
— Judy Jones
A: All forms of induction are a major risk for VBAC women and should be avoided. All studies have shown that induction is one of the major factors that increase the risk of uterine rupture.
— Anon.
A: The vertical cut is associated with an approximate 5% rate of uterine ruptures on subsequent pregnancies without induction. The 5% risk was the justification for the "once a cesarean, always a cesarean" protocol. The low transverse uterine cut is associated with a 0.5% uterine rupture rate, which allowed VBAC protocol to be initiated.
— Judy S.
Midwifery Today Issue 70
Editor's Note: 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
In many cultures around the world, a new mother is cared for by a community of women who fulfill every detail of daily living for up to six weeks postpartum. She is able then to bond with her baby and allow her body to heal and balance. In India, China and Africa, for example, a mother may traditionally expect to have help for 42 days following the birth of her child. The belief that a woman is extremely vulnerable, being more open to outside forces than at any other time in her life, contributes to the practices of daily massage, child-care support and community preparation of hormone-balancing foods. The new mother thus can feel nurtured and supported, which affects how she will raise her child and give emotional support to her partner and family.
In the United States, cultural pressure for a mother to return to work as well as "get her figure back" plays a role in postpartum stress. Usually a woman must return to her job after only six weeks of unpaid maternity leave or risk losing her job. This is in contrast to other countries such as Germany where the mother is given paid leave of six weeks prior to and up to eight weeks after the birth. Either parent is then allowed up to three years unpaid leave to take care of the child.
— Adarsa Antares, excerpted from "Reducing the Risk of Postpartum Depression," Midwifery Today Issue 76
Midwifery Today Issue 76
Yes, finally, my feelings about birth that I could not put to words, expressed by an absolutely awesome midwife [Issue 8:8]. Pamela was with our family during the birth of our last 3 of 10. She is what she says, no ego. It's not about her and that's the way it should be. I'm not trying to advertise for her. Midwives, if you aren't this, strive for it; moms, if you don't have this in a midwife, get a new one.
— Laura, Mom and homebirth advocate
A high tech company called Barnev (www.barnev.co.il/) is currently manufacturing a product called a computerized labor monitoring system. This product works by placing two clips with electrodes on a laboring woman's cervix and a scalp electrode on the fetus and using ultrasound waves to measure cervical dilation and height (descent) of the fetal head. I am aware of this product because of clinical trials were held at the hospital with which I am affiliated. In spite of the midwives' opposition to using this mechanical device on women, we were not able to totally block its use (although some changes were made in the informed consent, and many women did not agree to participate due to midwives' explaining to them what was involved). The trials were moved to other hospitals where the midwives were not as vocal in their opposition, and now the company is promoting use in Europe and the US. I understand that they have received or will be receiving Food and Drug Administration (FDA) approval. The product is being promoted as a means to assess women's progress in labor without a manual vaginal examination.
I believe that this product takes advantage of and potentially harms women and their babies in labor, all for the purpose of economically profiting a biotech company. I believe that steps need to be taken at a higher level regarding the ethical considerations.
How do E-News readers suggest that I carry on from here? Can you offer any support/ideas? I feel that this issue is not only within the midwifery realm, but takes advantage of women's rights and of women's bodies for research purposes under the guise of medical treatment. You can contact me at: firstname.lastname@example.com
Debby Gedal-Beer, CNM, MSc.
Editor's Note: Only letters sent to the E-News official e-mail address, email@example.com, will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered.
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Midwifery Today: Each One Teach One!


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(COLORADO SPRINGS, COLO.) – Team USA's smallest and largest athletes both took the ring for their opening bouts of 2013 Elite Men's World Championships action on Saturday in Almaty, Kazakhstan and the pair went one and one on the day. Super heavyweight Cam F. Awesome (Lenexa, Kansas) is the lone member of the United States' squad to have competed in World Championships action prior to the 2013 event, and he used that experienced to his benefit in his tournament opener on Saturday. Light flyweight Leroy Davila (New Brunswick, N.J.) didn't have the same success as Awesome in his first World Championships bout on Saturday afternoon.
Awesome was the final U.S. boxer to compete in his first bout of the tournament in Almaty, facing off with Argentina's Facundo Ghiglione in super heavyweight action. The vegan breast cancer advocate made sure his opening bout was a successful one, winning a unanimous decision victory over Ghiglione in their preliminary round match-up. The victory moves him on to a Tuesday match-up with number one seed Magomedrasul Medzhidov of Azerbaijan.
Davila battled North Korea's Chung Ri in his World Championships debut earlier in the afternoon session. Ri took a 3-0 decision over Davila in the light flyweight contest, eliminating him from the tournament.
Lightweight Kenneth Sims, Jr. (Chicago, Ill.) will take the ring for his second round contest on Sunday evening in a showdown with number two seed Fazliddin Gaibnazarov of Uzbekistan.
Over 450 boxers from 100 nations are competing in the 2013 Elite Men's World Championships in Almaty, Kazakhstan with preliminary round action running through October 22. Quarterfinal competition will take place on October 23 followed by a rest day for all competitors on October 24. Semifinal round action will be contested on October 25 and the event will conclude with championship round bouts in all 10 weight divisions on October 26.
The Elite Men's World Championships take place every two years and the 2013 edition is the first since the 2012 Olympic Games in London. Live scoring for the event can be found on the AIBA website at www.aiba.org.
Ed Rivas (San Antonio, Texas), Kenneth Sims, Sr. (Chicago, Ill.), Kevin Benford (Cincinnati, Ohio), Edward "Mike" Murphy (Port Jeff Station, N.Y.), Jose Alday, Sr. (Odessa, Texas), and Todd Harlib (Cape Coral, Fla.) are serving as the staff for the event with Dr. Tony Al-Amin (Philadelphia, Pa.) working as the Team Physician.
U.S. Results
108 lbs: Chung Ri, PRK, dec. Leroy Davila, New Brunswick, N.J./USA, 3-0
201+ lbs: Cam F. Awesome, Lenexa, Kansas/USA dec. Facundo Ghiglione, ARG, 3-0
USA Boxing, as the national governing body for Olympic-style boxing, is the United States' member organization of the International Amateur Boxing Association (AIBA) and a member of the United States Olympic Committee (USOC).


text:
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Mustang Earrings
- Accessorize with your favorite animals
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DescriptionSterling silver with hook back.
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Furthur wrote:Tim_the_Enchanter wrote:I feel similarly. There's a course here that has several OB "ponds" on it that are basically just rock circles put in place to make the hole play harder. Actually, I think they were originally declared OB because plants had been planted and they wanted to protect them. Now either the plants have disappeared or they've grown up to be hardy enough for normal traffic. The "ponds" are still in play, and they don't really serve any purpose other than to make some of the holes play harder. My stance on OBs is the same as on mandos. They should only be applied where safety is a concern or you're trying to protect some area. Adding OBs just for the sake of making a hole harder just seems...chintzy.
#1 at Swope is a great example of this. Both a mando (which is good, it keeps people out of #2's fairway while forcing you down a tunnel) and OB (dumb, because it's just there to make the hole harder).
See, I disagree with this. You gotta do something to make the hole a challenge. Under this logic, might as well just go out in a large field and just put baskets everywhere.
What is the point if you can just lock and load, shoot and throw where ever you want? Get your birdie and throw on the next no challenge hole...
OB's and OB Traps are designed to make you plan a route, course manage, hole manage and learn how to skillfully throw the hole.
As for throwing out of water, it's a lot easier in Disc Golf then Ball golf, that's why you are forced to take the drop stroke. Have you ever tried to hit that ball out of a pond? It's a bitch. I'm also a ball golfer and I hit out of water once and I'll never do that again, I'll take the drop.
You gotta remember, throwing a disc is a lot different then hitting a golf ball.
The basic principles and rules of ball golf work with disc golf, but not all ball golf rules can be translated into disc golf. some of the penalties we face as disc golfers are logical because in like I mentioned it's a HUGE difference throwing a disc from water versus hitting a ball out of water.


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Yesterday we conducted a Twitter chat about livelihood programs and different ways that people make a living around the world.
Read the highlights: "How people make a living worldwide" on Storify
We're grateful for all the participation and engagement during this hour-long chat. If you haven't had a chance yet to join our Twitter chats, we'd love to see you next time!


text:
Tue, Jun 25, 2013 at 1:38 AM
I really want Nicki to follow me on twitter.
I have been waiting for months
Why won't she follow me
i will not give up though
she will follow you trust me, i used to say the same thing and ive trieddd everything! to get her to follow like when i first got on twitter awl i did was beg and plead for her to follow then i realized she probably thinks this is annoying so i stopped and i just started tweeting her everyday as if she was my bestfriend or something and one day i asked a question and she tweeted me for the first time then couple months later i was tweeting her and my phone went off and it said Nicki Minaj followed you and i checked if it was really her AND IT WAS!!! now she Retweets me and Favs my tweets :))) its the best feeling in the world so Neverrrrr Give up barb she will follow you trust me!


text:
Posted 5 years ago
(1 item)
Here is an old Porcelain, 3-dimensional, cursive "KERR" sign. It stands about 4 feet high, and is approximately 6 feet in length. The "K" is held to the "ER" by 4 small bolts, and the last "R" is attached in the same manner. Does anyone have any idea about the value of this sign? Feel free to email me on aol. Thanks, tulsadudemwm


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UNCERTAINTY surrounds the future of Prospect Auction Rooms in Alresford which appears to have closed.
An auction due to be held on November 10 was cancelled and although one has been advertised on its website for tomorrow the base in Prospect Road is closed.
No-one was answering the phone at its office and manager Charles Evans was unavailable for comment.
The business opened on Prospect Road in 2009.


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Herbal Clean, QCarbo, The Detox Solution, Maximum Strength, Cran-Apple, 16 fl oz (473 ml) (Discontinued Item)
- iHerbで注文する毎にロイヤルティクレジットがもらえます!
- ロイヤルティクレジットは、送料を除外した割引後の注文の合計金額の5%になります。
- ロイヤルティクレジットは、現在行った注文が出荷された後、すぐに次の注文にご利用いただくことができます。
- ロイヤルティクレジットは、お客様が最後に購入した日から数えて、90日間有効です。
Herbal Clean, QCarbo, The Detox Solution, Maximum Strength, Cran-Apple, 16 fl oz (473 ml) (Discontinued Item)
出荷重量:?0.64 kgインペリアル単位に切り替える
- 内容量: 16 fl oz (473 ml)
6.9 x 6.9 x 18.5 cm , 0.54 kgインペリアル単位に切り替える
- 注文金額が15,500円 を超えますと、配達時に、関税、その他の税、手数料などがかけられます。
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Water, dextrose, fructose, vegetable glycerine, natural flavor, citric acid, sodium benzoate, potassium sorbate, malic acid, phosphoric acid, F, D &C red no. 3.
Do not use this product, if you are pregnant, breast-feeding, have kidney or gallbladder disorder or disease. This product is not recommended for prolonged use. When using this product you may experience minor nausea, diarrhea, dizziness, or cramping. If you experience any of these symptoms, discontinue use of product. If symptoms persist, seek medical assistance. As with all herbal supplements, this product is not recommended for children without the supervision of a parent or guardian.
|Serving Size: 16 ounces
|Servings Per Container: 1
|Amount Per Serving
|%Daily Value*
|Calories from Fat
|Total Fat
|0 g
|0 g
|Total Carbohydrates
|55 g
|50 g
|Sugar Alcohol
|5 g
|0 g
|20 mg
|80 mg
|130 mg
|Eliminex blend:
Creatine Monohydrate, Echinacea Purpurea Leaf Extract, Dandelion Root Extract, Lingustrum Berry Extract, Juniper Berry Extract, Cornsilk Extract, Turmeric Root Extract, Uva Ursi Leaf Extract, Licorice Root Extract, Apple, Pectin, Milk Thistle Seed Extract, Guarana Seed Extract.
|3600 mg
|* Percent Daily Values are based on a 2,000 calorie diet.
† Daily Value not established.


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Image: Map of world: Middle Jurassic
Middle Jurassic – 175 million years ago.
- Creator:
- Ronald Blakey
- Rights:
- © Ronald Blakey
Fast facts
- Climate: no polar ice caps, warm and increasingly humid, carbon dioxide levels about seven times higher than today
- Main dinosaurs: theropods, sauropods, early stegosaurs and hypsilophodontians
- Main plants: horsetails, club-mosses, ginkgoes, ferns, cycads and conifers
- Other animals: fishes, plesiosaurs and ichthyosaurs dominate the sea; long-tailed pterosaurs still rule the air; advanced amphibians such as frogs appear
Additional information
BY Ron Blakey only for use in 2008 Dinosaurs exhibition and associated website.
Last Updated:
Tags middle Jurassic, map, geomorphology, dinosaurs,


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oedipal monster baby, drooling fanatic,
storyteller extraordinaire
"[S]omething occurred to me as I sped through that dirty shroud of fog, something Vonnegut has been trying to explain to the rest of us for most of his life. And that is this: Despair is a form of hope. It is an acknowledgment of the distance between our selves and our appointed happiness. At certain moments, it is reason enough to live."
--Steve Almond
You might think that interviewing STEVE ALMOND for One More Crank would be an exercise in redundancy, but, in the short time I have known Steve, and despite his take-no-prisoners critiques of politicians and wags and his legendary whiplash wit, I've found him not only to be intimidatingly intelligent and talented but generous, vulnerable, and genuinely humble. The author of the New York Times bestseller Candyfreak, Steve has also written the story collections My Life in Heavy Metal and The Evil B.B. Chow; the novel Which Brings Me to You (with Julianna Baggott); and the memoir Rock and Roll Will Save Your Life. Almond is a prominent figure in Boston's literary scene, participating in many events and promoting local independent booksellers. God Bless America, from Lookout Press, is his most recent story collection.
In a starred review, Booklist notes that Almond's "hilarious musings seem to contain elements of both Hornby and David Sedaris, but he's truly a character of his own idiosyncratic making." Junot Diaz names him "one of our finest literary provocateurs…[h]is stories are without equal in their beautiful terrible honesty," and Benjamin Percy states that "Steve Almond is one of our most prolific-fearless-political-hairy-intelligent-sexy-hilarious writers. He makes me shake my head with sadness one page, snort coffee out my nose the next. And he makes me care deeply about his characters, so many of them wrong in the head and right in the heart, down on their luck but clinging to the desperate hope that the next hand of cards will turn up flush." The New York Times describes his work as "taunting, revealing, irreverent, and earnest," decorously echoing Forward.com's characterization of the author as "pleasure-obsessed, self-deprecating, horny, hilarious and always dedicated to parsing the messy terrain of the human heart." Rocker Aimee Mann pins him "as devout and divided as an altar boy" when it comes to music"—an observation that might be applied to many aspects of Almond's worldview. I sometimes wonder if he knows just how much of a Romantic he is, with his pronounced powers of what Keats called Negative Capability, "that is, when a man is capable of being in uncertainties, mysteries, doubts, without any irritable reaching after fact and reason," except, perhaps, the "without any irritable reaching" part, which is why he agreed to take time out of his daily writing schedule to get cranky with me:
K: You've had an interesting relationship with New York publishing and once wrote that you have worked with editors "who behaved in ways that struck [you] as cruel." You're now with Lookout Books and have struck out on your own with a series of short, pithy booklets published by Harvard Book Store's own book-making robot. In this way, as a solo writer, you've been able make the exact kind of books you want. What's the downside of this devil's bargain?
S: The downside is that you're all on your own. As in: all those people you once bitched about (your editor, your publisher, your bookseller, your distributor, etc.) are now YOU. You have to do everything. And that's incredibly awesome and liberating and all that, but it's also just a big fat hassle. I feel like a traveling salesman, schlepping my books around in a suitcase. And I have to ask people for money. Which is fair, because writers should get paid. But it still feels kind of weird and vulgar--like I'm betraying the artistic compact by dealing with filthy lucre. Also, I often hate myself, so in that sense, I'm often working for a total asshole.
K: Your early career was as a journalist, and you worked for the Miami New Times. In 1991, when you were just a little shaver, you wrote "The Case from Hell," a two-part article about the Nogues family and their fifteen-year-old daughter's accusation of sexual molestation, as well as the resulting demonization of the mother by the prosecution. Two questions: 1) Surely, the Richard Porras who was married to the girl's older sister and who took in the family's minor children isn't the same Richard "Spike" Porras who co-produced the Lord of the Rings trilogy and was your classmate at Gunn High School…? 2) I'm wondering if covering this story changed the direction of your writing…if it changed you in some way…
S: Okay, you are FREAKING ME OUT. Nobody ever asks me about my work at the New Times. So you're clearly CIA. Fine. I never made the Rick Porras connection, but I'm pretty sure they're different people. As for "The Case from Hell," I've thought about that family and that story for a long time. It's part of what pushed me out of journalism and into fiction. Because here's the really freaky thing: all the evidence gathered by the police suggested that Nogues, the stepdad, was innocent, that he hadn't messed with his stepdaughters. And I bought that story, as did most of the media down in Miami. But several years after I first wrote that story, a tape recording surfaced of the stepdad essentially coming on to one of his stepdaughters, and making reference to previous sexual contact. I was just floored. And it made me realize that human truth is almost impossible to divine. And that pretending to know the real story--which is journalism, if you boil away the romance--wasn't for me, at least the investigative sort. The point is: you can think you know what's happening inside people, or a relationship, or a family, and it's always more complicated. What I love about fiction is that it's not so much about getting at the truth as asking the right questions. The people who are ruining this country (and lots of others) are the ones who are most sure of themselves, who cling to a personal version of truth rather than admitting to the terror of the unknown in their hearts.
Rick Porras had great hair in high school. I wonder if he still has it.
(Note from interviewer: Other low-performing alumni of Henry M. Gunn High School in Palo Alto, California, include Matt Flynn, drummer for the B-52s and Maroon 5; Stephan Jenkins, lead singer for Third Eye Blind; writers David Leavitt, Ann Packer, and George Packer; and Trip Adler, CEO and co-founder of the document-sharing website Scribd.)
K: In 2006, in protest of then Secretary of State Condoleezza Rice being invited to Boston College (where you were an adjunct professor) to give the commencement address and accept an honorary degree, you wrote a resignation letter that was published in the Boston Globe. In it, you write that "many members of the faculty and student body already have voiced their objection to the invitation, arguing that Rice's actions as secretary of state are inconsistent with the broader humanistic values of the university and the Catholic and Jesuit traditions from which those values derive." Given that the Jesuits enforced the Inquisition and, according to Encyclopaedia Britannica, "made war on books and learning, religious and secular alike," did you have the same qualms when you first took the position with Boston College?
S: No, I didn't. I wasn't even sure who the Jesuits were. I suspected they were a Sixties-era girl-group specializing in religious pop. But I also think that the Jesuits are like any group with a long history: they've got a lot to answer for. If I'd been less of a clod, I'd have cited the Jesuits' past in my resignation letter. But I wrote that thing in a spasm of disgust. It was just like: Really? Her? The woman who sits on the board of Exxon Mobil? And shops for shoes in New York while people are drowning in New Orleans? That's who your graduates should want to become? So I saw a chance to have my little say and I did, and the only reason I still hear about it is because we're got a country full of people with great values and lousy behaviors. I'm one of them.
K: WTF with Marc Maron, the twice-weekly podcast, has hosted such notables as Sarah Silverman, Chelsea Handler, and Dana DeAramond, the Disney World street dancer turned porn star. I mention their names because they are three of the twenty-six appearances (I may be missing one or two) by women in the course of 282 regular episodes and nearly three years of the show—about 9.2%. Is this why you agreed to be a guest on WTF?
S: Totally. If you've read any of my unofficial biographers, you know that I try not to appear on podcasts that aren't heavily skewed toward the male audience. Because, I mean, women--who needs them. Am I right? Always bitching about the toilet seat and wanting to talk about their feelings. It gets old. So I knew Maron wasn't some pussy-whipped pantywaist. My personal feeling is that we're all bigots. We're all sexist and racist and ageist and we really, really hate the poor and the ugly. You know what would be the most heretical thing of all to suggest? That Jesus Christ was ugly. I mean, just butt ugly. With horrible teeth and boils all over his chest and balding but doing the comb over. The Ugly Messiah. It's my next book, right after I finish the Nogues project.
But I'm not kidding about all of us being bigots. I'm not saying that as a cause for celebration. It's a human failing. But I just hate when people front about that stuff. We make judgments about people constantly, usually based on our own fears and doubts and prejudices. Nobody's enlightened. We all just manage our disappointment.
K: We know that you're a "Drooling Fanatic" for rock and roll. Describe for us your nightmare band.
S: I'm going to say Garlic Diaper. They're a jazz/death metal octet out of Akron, Ohio. They play long, loud, aggressively unmelodic suites about famous under-appreciated philosophers. The best thing about them is that they have NO WOMEN.
K: You write a lot in your stories about being a lonely guy. There's a lot of self-lacerating groupie sex, for instance. What's your personal life like now?
S: Okay, this is weird. Because the OTHER band I was going to mention is named "Self-Lacerating Groupie Sex." But they're Swedish, so that doesn't count. So. My personal life. It's basically a cycle of getting angry at my children, nagging my wife into giving me groupie sex, then going on man dates with my dude neighbors, who are likewise afflicted. We eat onion rings and pity ourselves.
K: Stephen King was once asked by an interviewer about what scares him, and he described a time when his daughter fell and cut her leg on a snow shovel—all that blood. What is the most frightened you have ever been?
S: I fell down a waterfall when I was nine or so and was lucky not to have cracked my head open. But I wasn't old enough to be truly terrified. This is sad, but I think it was the two weeks when I was sure (sure!) that I had testicular cancer. I wrote about it in Candyfreak. I basically convinced myself that there was a lump where it shouldn't be, and I was dying. And it was totally hypochondriacal and crazy, but I was sure of it. But whenever I think about dying -- really facing it: not being alive -- I get scared shitless. The only thing that gets me out of this loop, in fact, is cutting one
of my children's legs with a snow shovel.
K: Before you encouraged Cheryl Strayed to take over, you were the voice behind the "Dear Sugar" advice column on The Rumpus. If you and Cheryl Strayed had a love child, who would it be?
S: Well, Cheryl's part would be totally sugary, and my part would be pretty salty, so I'm going to say it would be a delicious love child. But also very neurotic. As for gender, I never guess. Just as long as they have ten fingers and ten toes to munch on...
(Note: the interviewer fully expected the answer to reference Sugar Babies…)
K: What is the worst piece of writing advice you ever received, and how did you know?
S: I can't recall a specific bad piece of advice, but in grad school, I was in a pretty terrible, destructive workshop. The instructor just did all the dumb stuff--played favorites, criticized other published writers, fostered competition between students, etc. It sucked at the time, but in retrospect it probably helped me avoid being an asshole in these particular ways.
K: Thanks, Steve! Catch you on the flip side. Stay cranky!
S: Okay! Off to make lemonade with my sugar babies!


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The Westport Volunteer Fire Department hosted a live structure training burn at the Inn at Newport Ranch on Saturday, May 31.
Agencies participating in the training burn were Westport VFD, Cal Fire, Mendocino Volunteer Fire Department and Albion Little River Volunteer Fire Department. Firefighters trained all day burning props in each room of the old ranch manager's home before finally burning the whole building down.
Will Jackson, the owner of The Inn at Newport Ranch, provided the structure for the training burn and it was made available with the help of contractor Brent Anderson.
This type of training is vital for firefighters to practice on in preparation for a real structure fire. Capt Drew Rhodes of Cal Fire handled the complicated permits for the burn to be possible and supervised the event. His team also participated in the burn and training.
Westport VFD used their 2,000 gallon water tender to transfer water to Cal Fire's engine pumper.
Westport VFD Chief Beck Regalia led two new firefighters along with eight seasoned firefighters at the burn.
Capt. Michael Rees of Albion Little River VFD led his crew at the live structure burn. Albion Little River VFD handled the firefighter rehab station where their EMT took vital signs, provided water and made sure each firefighter was ready to go back inside the burning building.
Capt. Dave Lindstrom, Mendocino VFD, used Mendocino's air machine to fill and refill all the firefighter's self-contained breathing apparatus air bottles.
Westport Volunteer Fire Department also held elections of officers recently. Effective July 1, Westport's chief is Frank Maurice.
The Westport Fire Protection District board is a five person board with three members from the fire department and two members from the community. Board members are Frank Maurice, CEO, Bill Knapp, president, Gary Quinton, secretary and treasurer, and Lee Tepper and John Allison, community representatives.
Volunteers on the Westport VFD are Frank Maurice, chief and EMT, Daniel Maxey, assistant chief and field medical, Bill Knapp, firefighter, Sebastian Regalia, captain and engineer, Gary Quinton, firefighter, Josh Azevedo, firefighter, Cliff Fisher, firefighter, Steve Goleman, captain, Bryan Hougland, firefighter, Glen Jones, firefighter, Chuck Linker, firefighter, Jeff Mathias, firefighter, Michael Perry, firefighter, and Lin Taylor-Maurice, EMT and chaplain.
— Staff reports


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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 19, 2017
Urinary Disorders
Massive quantity of blood in urine
I am a 75 years old male with type 2 diabetes, COPD and diagnosed with Stage 2 urinary bladder cancer April 10th this year. The tumor was surgically removed by cystoscopy and I have had 2 cycles of Gemzar chemo therapy thus far.
I was urinating almost pure blood and huge blood clots over a several week period prior to the surgery. Often, I had difficulty expelling the blood clots. A few days after surgery, the bleeding stopped and my urine seemed normal. Yet, I have a high pus cell content and have had for almost two years. Three weeks ago it was TMTC (Too Many To Count). Had a culture done (as had several times the last two years) and a new antibiotic. After 10 days, the pus cell count was 2 - 5. A few days later I again had almost pure blood in my urine and the pus cells were 8 -12.
Went to the hospital and had an ultra sound of my bladder and kidneys. Left kidney somewhat dilated and bladder has some soft tissue which may be either blood clots, or recurrence of a tumor. That scares me.
I had the bloody urine for about 24 hours and then it stopped. After another 24 hours or so my urine is getting a deep orange color and I`m fearful the blood will reappear soon. I had hoped the hospital would find the cause of the bleeding but it didn`t happen.
The only thing abnormal I had done prior to reappearance of the bleeding was attempt to walk a lot to strengthen my lungs. I did that for 2 days prior to the bloody urine. Being diabetic, is it possible that the scraping of the tumor from the bladder wall is slow to heal because of the diabetes? Its about 10 weeks now.
Could the bleeding be from another part of the urinary tract? Why can`t the infection I have be pinpointed? Or how can it be pinpointed? Thank you.
You have a lot of very good questions. Blood in the urine could be from the prior surgery, or an infection or from somewhere else in the urinary system. Healing is sometimes slower in patients with diabetes. It sounds as though you really need to follow-up closely with a Urologist to evaluate you further and discuss these issues in more detail.
Lee E Ponsky, MD
Associate Professor of Urology
School of Medicine
Case Western Reserve University


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Tassos Canvas Tote Bags are an Idakoos specialtiy! Idakoos has many things to offer. Whether you want to get a Tassos Canvas Tote Bag for a special occasion, give a Tassos Tote Bag as a present or need to represent with a funny Custom Tassos Bag during Holidays or Family and Friends get-togethers, Idakoos is sure to have the right Tassos Canvas Tote Bag for you! Even if it turns out you can't find the right Custom Tassos Bag with the perfect design for your mother, father or children (or friends!); Idakoos offers all of its Tassos Canvas Tote Bags as Custom Tassos Tote Bags. Personalize any Tassos Canvas Tote Bag the way you want to ensure the perfect gift.
Showing 1 - 24 of 120 Canvas Tote Bag


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There's something special about welcoming friends and family into our homes – today and throughout the year. At Evergreen Home Performance, we're thankful to all the Maine homeowners who have invited us in, whether for an hour-long Energy Consult or for a comprehensive energy upgrade. It's an honor to sit at your kitchen tables discussing fuel costs and home comfort, and it's an honor to do air sealing and insulation in your basements and attics. We're thankful for you, and we're proud that the work we do makes your homes more comfortable and energy efficient.
Merry Christmas from your friends at Evergreen Home Performance! We'd love to hear from you!


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Series of lefties could wake up Rockies' bats
PHOENIX -- The pitching matchups for the next week could be good news for the Rockies.
Going into Friday night, when the Rockies faced D-backs righty Brandon McCarthy, the Rockies ranked fourth in the National League in batting average against lefties, and not all of their big guns were clicking. And starting Saturday, when they match up with D-backs lefty Wade Miley, the Rockies will be facing lefty starters for four straight games and six of the next eight.
Left-handed-hitting left fielder Carlos Gonzalez has hit .391 (9-for-23) with two doubles, a homer and three RBIs against left-handers. Several right-handed hitters were also doing well. Michael Cuddyer was hitting .357 with two doubles, Chris Nelson was at .313 and Wilin Rosario and Josh Rutledge each were at .273.
In their careers, Rosario (.336, 15 home runs), Jordan Pacheco (.335) and Troy Tulowitzki (.304, 39 homers) are considered tough matchups for lefties. Tulowitkzi started this year 2-for-17 (.118) against left-handers, but hopes that will change with some regular at-bats.
"It's definitely better than having them separate, having lefty-righty, lefty-righty," Tulowitzki said. "We know we're up against a few of them. I actually feel good up there against lefties. I've just hit some balls hard and had nothing to show for it."
It's possible that a solid run of lefties could help Gonzalez, who was 2-for-24 with eight strikeouts in his last six games before his first-inning hit Friday. The theory is Gonzalez has been chasing pitches out of the strike zone, so tracking pitches is more of a premium when going left-on-left.
"I don't really care," Gonzalez said. "I just need to have a good approach against lefties. It doesn't matter who I face, although sometimes it's good to face four in a row. But I have to be patient against anybody. I just have to do it."
After Miley on Saturday night, the Rockies will face the D-backs' Patrick Corbin on Sunday afternoon, the Dodgers' Ted Lilly on Monday and the Dodgers' Hyun-Jin Ryu on Tuesday. Two of the three pitchers the Rockies are scheduled to face in next weekend's series with the Rays at Coors Field are lefties David Price and Matt Moore .
Thomas Harding is a reporter for MLB.com. Read his blog, Hardball in the Rockies, and follow him on Twitter @harding_at_mlb. This story was not subject to the approval of Major League Baseball or its clubs.


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Each community has its own characteristic dress, always brilliantly colored.
Todays Mayans live within the boundaries of the old Mayan
empire which comprised the nations of Belize, Guatemala, Honduras, El
Salvador, and the five Mexican states of Tabasco, Chiapas, Campeche,
Yucatán, and Quintana Roo. The population numbers between 4 and
5 million inhabitants. Mayans live in palapas, houses made of
straw and adobe. Farmers grow corn, beans, chiles, tomatoes, and
chayote (a type of vegetable) using slash and burn agriculture;
families usually have an orchard where they grow oranges and
papayas. The Yucatán Peninsulas most traditional Mayan communities are concentrated
in an isolated area located in the center of Quintana
Roo.Every Mayan community has its own traditional dress which distinguishes
it from the surrounding towns; these dresses and suits are
Many have discovered the love of Jesus Christ through missionaries.
usually hand-sewn and embroidered by the women, who use brilliant
colors and an unending variety of designs to create their
communitys distinctive style. The most beautiful outfits are kept for
religious festivals, the most important of which is the local
patron saints day. Traditional music and dance, as well as
processions, are all part of the celebrations, which can last
a week. Traditional dishes, ornately arranged, are also prepared, and
the food and drink is abundant.Mayans have preserved, in spite
of times passage and the influence of the Spanish conquistadores,
many of their ancient traditions and beliefs. Spanish missionaries, however,
were able to convert many to Roman Catholicism and to
eliminate human sacrifice. More than 30 languages exist among the
different ethnic groups of the indigenous Mayans. Many Mayans speak
Spanish in addition to their native tongue.


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Sign into our member site to view your information online.Forget your username or password? Not registered? Register here
tilactase (generic name)
Lactose is in dairy foods like ice cream, cheese, and milk
(LAK teys)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?LACTASE (LAK teys) is an enzyme that aids in the digestion of lactose. Lactose is in dairy foods like ice cream, cheese, and milk. This supplement is used to break down lactose and prevent bloating, diarrhea, and gas of lactose intolerance. The FDA has not approved this supplement for any medical use.
This supplement may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?Take this medicine by mouth. Chew it completely before swallowing. Follow the directions on the package labeling, or take as directed by your health care professional. Take with the first bite of a diary food. Do not take this medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 4 years of age for selected conditions, precautions do apply.
What if I miss a dose?If you miss a dose, take it as soon as you can during the meal. This medicine will not treat symptoms once you have them.
What may interact with this medicine?Interactions are not expected.
What should I watch for while using this medicine?See your doctor if your symptoms do not get better or if they get worse.
Herbal or dietary supplements are not regulated like medicines. Rigid quality control standards are not required for dietary supplements. The purity and strength of these products can vary. The safety and effect of this dietary supplement for a certain disease or illness is not well known. This product is not intended to diagnose, treat, cure or prevent any disease.
The Food and Drug Administration suggests the following to help consumers protect themselves:
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
Where should I keep my medicine?Keep out of the reach of children.
Store at room temperature below 25 degrees C (77 degrees F). Do not refrigerate. Keep away from heat. Throw away any unused medicine after the expiration date.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


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Life in Christian County, Kentucky... The Rural Life...
Carry moonbeams home in a jar,
And be better off than you are,
Or would you rather be a mule?
A mule is an animal with long funny ears;
He kicks up at anything he hears.
His back is brawny but his brain is weak;
He's just plain stupid with a stubborn streak,
And by the way if you hate to go to school,
You may grow up to be a mule...
(As sung by Bing Crosby)


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Visitors to national parks in Marin this week will encounter reduced hours at a Headlands tourist center, less trash pickup and possibly dirtier restrooms — consequences of federal cutbacks stemming from sequestration.
Some $1.4 million is being cut out of the Golden Gate National Recreation Area's $25 million budget and there's a $374,000 chop to the Point Reyes National Seashore's $7 million budget. The sequestration budget reductions are a series of automatic, across-the-board cuts to government agencies of $1.2 trillion over 10 years. They came about on March 1 when Congress could not agree on a plan to reduce the deficit.
The impact of the cuts locally "are under way right now," Howard Levitt, spokesman for the recreation area, said of the reductions at the park, visited by more than 16 million people a year.
Tourists will no longer have daily access to the Marin Headlands Visitor Center. Starting this week the center will be closed Tuesday through Friday. New visitor center hours will be 9 a.m. to 4:30 p.m. Saturday through Monday.
Also in Marin, garbage collection will be eliminated at the Haypress, Hawk and Bicentennial campgrounds in the Headlands and Tennessee Valley.
"Those who camp will be notified they are responsible for packing out their own trash, which happens a lot already," Levitt said.
In addition, restroom janitorial service will be reduced to once a week at the campsites.
Because of the combination of U.S. Park Police furloughs and vacancies, response times to certain non-emergency incidents may be delayed beginning at the end of this month. But emergencies will continue to receive immediate response, officials said.
Regular sweeping, striping, culvert clearing, mowing, grading and other park road maintenance activities will be limited as well.
Building and utility maintenance will only focus on essential repairs for continued operation, while restroom cleaning and trash pickup at most park sites will be reduced to no more than once a day, even during peak periods.
At the Point Reyes National Seashore cuts will likely start on May 1, spokesman John Dell'Osso said.
The Ken Patrick Visitors Center will be closed entirely. The Drakes Bay center — which offers informational and educational material, and a ranger — is now open on weekends and holidays. A nearby cafe is operated independently and will not be affected.
Access to the Point Reyes Lighthouse and stairs will likely be cut by another day. It's now closed Tuesdays and Wednesdays, and Thursdays would be added to the closure days.
Cleaning restrooms, general maintenance and trail work will likely be curtailed as well in the park, which sees more than 2 million visitors annually.
"This will not result in any layoffs, but we won't have as much hired staff for the summer," Dell'Osso said.
All cuts will be in place through Sept. 30, the end of the federal fiscal year. They could be continued or ended depending on what happens with a new budget, park officials said.
Contact Mark Prado via email at email@example.com


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The Phoenix double backed Deck contains what it says: a complete deck of Phoenix playing cards with backs on both sides.
Available with red both sides, blue both sides, or red one side and blue on the opposite side
No reviews yet. Do you own this product? Write a review.


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Avery® Printable Gold Metallic Mailing Seals 5590, 1" Round, Pack of 240Product Number: 5590
Seal your mailings and packages with a touch of sophistication with these Gold Metallic Mailing Seals. Affix them to your envelopes to ensure your mail stays closed and looks sharp until it reaches its final destination. They're also perfect for adding an elegant touch to gifts and homemade goodies. Easily customize the printable seals with our free templates and pre-designs at avery.com/print. They're perfect for adding your own personal touch to all your mailings and gifts.
Product Description:


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How Mentoring Can Help Your Business
Corporate America spends millions of dollars each year to make the workplace more efficient and productive. Finding and retaining talented and experienced workers is key to reducing turnover and high operational costs. Mentoring new employees and helping them become successful on the job is one way to reduce turnover. Women can benefit from a female mentor who has knowledge and experience and can show them "the ropes." The mentor can be a guide, a role model and a good advisor.
To find a mentor, look at your community. Is there someone you admire for her skills or success? Invite her to coffee, or on a walk, or just call and ask her advice. Everyone likes to feel admired. Developing this relationship may take some time and effort, but it will not only help you, but will help your mentor in return.
There's no shame in needing help now and then. A good mentor has so much to offer in experience and training that you are bound to learn, grow and excel in your field. For more information about mentoring or finding a coach, talk with your friends and colleagues or search the Internet.
You can also take the initiative and start a mentoring program in your company. Here are some simple ways to get started:
1.) Send out a questionnaire to all the women in your organization to gauge the interest in starting a women's mentoring program. This can be sent through the human resources department or from a supervisor or department leader. If there seems to be a lot of interest in such a program, find some leaders who can help put one together.
2.) Search the Internet for information on local women's professional organizations. See if they have any existing mentoring programs. There is no reason to re-invent the wheel. If there are local programs, you can encourage other women in your organization to come along and join with you.
3.) If there aren't any programs in place locally, you may want to consider starting your own. Understand the purpose of such a program and define guidelines and membership policies. This should be a voluntary, supportive group of professional women who seek to help other women coming into the profession.
4.) Decide the focus of the mentoring program you create. There should be regularly scheduled meetings, whether once a week or once a month, or even once a quarter. The meeting place can be as professional as the conference room or as casual as the coffee shop. Create a system or form that will allow members to pair up based on similar interests and needs.
5.) Foster the relationships created in the mentoring program by checking in with members for feedback. Encourage them to meet one-on-one, build relationships and meet outside the office for advice and bonding. Networking parties, local charity events and organizational meetings are ways that mentors and mentees can learn more about their industry.
Mentoring programs can also help women transition from little to no education or job experience by assisting them with educational needs, clothing, social skills and overall support. One of the more successful is the Suit Yourself Program, run by the United Way. Women are given professional clothing and accessories for job interviews, as well as training for their GED. They learn computer and communication skills that will help them advance in the workplace. This is a mentoring and assistant program where everyone involved wins.
Mentoring helps build a healthy workforce and ensures that new, excited and trained women come up through the ranks.
Nancy D. O'Reilly, PsyD, is a clinical psychologist, researcher and founder of the online resource WomenSpeak.com. She is author of "You Can't Scare Me: Women Speak About Growing Older in a Youth-Oriented Society." For more information, please visit her website: www.womenspeak.com or call: 417-860-5834.


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Somalia was without a formal parliament for more than two decades after the overthrow of President Siad Barre in 1991.
Years of anarchy followed the downfall of President Barre, and it was not until 2012, when a new internationally-backed government was installed, that the country began to enjoy a measure of stability once more.
The decades of fighting between rival warlords meant that the country was ill-equipped to deal with natural disasters such as drought, and around half a million people died in the Somali famines of 1992 and 2010-12.
Comprised of a former British protectorate and an Italian colony, Somalia was created in 1960 when the two territories merged. Since then its development has been slow. Relations with neighbours have been soured by its territorial claims on Somali-inhabited areas of Ethiopia, Kenya and Djibouti.
In 1970 Mr Barre proclaimed a socialist state, paving the way for close relations with the USSR. In 1977, with the help of Soviet arms, Somalia attempted to seize the Ogaden region of Ethiopia, but was defeated thanks to Soviet and Cuban backing for Ethiopia, which had turned Marxist.
In 1991 President Barre was overthrown by opposing clans. But they failed to agree on a replacement and plunged the country into lawlessness and clan warfare.
In 2000 clan elders and other senior figures appointed Abdulkassim Salat Hassan president at a conference in Djibouti. A transitional government was set up, with the aim of reconciling warring militias.
But as its mandate drew to a close, the administration had made little progress in uniting the country.
In 2004, after protracted talks in Kenya, the main warlords and politicians signed a deal to set up a new parliament, which later appointed a president.
The fledgling administration, the 14th attempt to establish a government since 1991, faced a formidable task in its efforts to bring reconciliation to a country divided into clan fiefdoms.
Islamist insurgency
Its authority was further compromised in 2006 by the rise of Islamists who gained control of much of the south, including the capital, after their militias kicked out the warlords who had ruled the roost for 15 years.
With the backing of Ethiopian troops, forces loyal to the interim administration seized control from the Islamists at the end of 2006.
Islamist insurgents - including the Al-Shabab group, which later declared allegiance to al-Qaeda and in 2012 announced its merger with the global Islamist terrorist group - fought back against the government and Ethiopian forces, regaining control of most of southern Somalia by late 2008.
Ethiopia pulled its troops out in January 2009. Soon after, Al-Shabab fighters took control of Baidoa, formerly a key stronghold of the transitional government.
Foreign intervention in Somalia
1992 - UN troops arrive to monitor ceasefire after fighting which followed fall of Siad Barre. US-led task force delivers aid
1993 - UN mission is dealt a fatal blow when US rangers are killed in incident made famous by Hollywood film Black Hawk Down
1995 - UN troops withdraw, leaving warlords to fight on. UN casualties number 150
2006 - Ethiopia sends troops to defend interim government
2007 - African peacekeeping force AMISOM deploys
2011 - Kenya enters Somalia in pursuit of al-Shabab militia
Somalia's parliament met in neighbouring Djibouti in late January and swore in 149 new members from the main opposition movement, the Alliance for the Re-Liberation of Somalia.
The parliament also extended the mandate of the transitional federal government for another two years, and installed moderate Islamist Sheikh Sharif Sheikh Ahmad as the new president.
However, the government's military position weakened further, and in May 2009 Islamist insurgents launched an attack on Mogadishu, prompting President Ahmad to appeal for help from abroad.
Al-Shabab consolidated its position as the most powerful insurgent group by driving its main rival, Hizbul Islam, out of the southern port city of Kismayo in October 2009.
But al-Shabab was wrongfooted by a series of government and African peacekeeper offensives and a Kenyan army incursion in 2011. They withdrew from Mogadishu in August 2011, the port of Baidoa in February, the key town of Afgoye in May and the port of Merca in August, and lost their last urban stronghold - the major southern port of Kismayo - in October 2012, along with the major inland town of Wanla Weyn.
In a sign of growing confidence, Somalia's first formal parliament in more than 20 years was sworn in at Mogadishu airport, marking an end to the eight-year transitional period.
The long-standing absence of authority in the country led to Somali pirates becoming a major threat to international shipping in the area, and prompted Nato to take the lead in an anti-piracy operation. International efforts were seen to bear fruit in 2012, when pirate attacks dropped sharply.
In 2011, the plight of the Somali people was exacerbated by the worst drought in six decades, which left millions of people on the verge of starvation and caused tens of thousands to flee to Kenya and Ethiopia in search of food.
After the collapse of the Siad Barre regime in 1991, the north-west part of Somalia unilaterally declared itself the independent Republic of Somaliland. The territory, whose independence is not recognised by international bodies, has enjoyed relative stability.


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Don't miss out on a lower price on this hotel
Get an overview of this hotel4.5-star family-friendly hotel, walk to Surfers Paradise Beach
Popular property highlights
This family-friendly Surfers Paradise hotel is located on the Strip, within a 10-minute walk of SkyPoint Observation Deck, Surfers Paradise Beach, and Cavill Avenue. Timezone and Centro Surfers Paradise are also within 10 minutes.
Hotel Features
Along with 3 restaurants, this smoke-free hotel has 2 outdoor pools and a full-service spa. Additionally, a fitness center, a bar/lounge, and a coffee shop/café are onsite.
Room Amenities
All 388 rooms offer WiFi, refrigerators, and LCD TVs with digital channels. Room service, premium bedding, and hair dryers are among the other amenities available to guests.
Guest Highlights
- Good location
- Proximity to shopping and nightlife
- Beach
- Helpful staff
- Clean guestrooms
Watermark Hotel & Spa
Hotel Amenities
Hotel Amenities
Watermark Hotel & Spa features a full-service spa, 2 outdoor swimming pools, and 2 spa tubs along with a fitness center and a seasonal outdoor pool. Dining is available at one of the hotel's 3 restaurants and guests can grab coffee at the coffee shop/café. A bar/lounge is on site where guests can unwind with a drink. Wireless Internet access is available for a surcharge.
Business-related amenities at this 4.5-star property consist of a 24-hour business center and meeting rooms. This luxury hotel also offers tour/ticket assistance, multilingual staff, and gift shops/newsstands. Onsite parking is available (surcharge).
Watermark Hotel & Spa is a smoke-free property.
- Babysitting or childcare (surcharge)
- Total number of rooms - 388
- Number of floors - 20
- ATM/banking
- 24-hour front desk
- Bar/lounge
- Breakfast available (surcharge)
- Coffee shop or café
- Dry cleaning/laundry service
- Elevator/lift
- Fitness facilities
- Full-service spa
- Gift shops or newsstand
- Hair salon
- Tours/ticket assistance
- WiFi (surcharge)
- Number of outdoor pools - 2
- Number of spa tubs - 2
- Shopping on site
- Luggage storage
- Laundry facilities
- Meeting rooms 4
- Multilingual staff
- Valet parking (surcharge)
- Porter/bellhop
- Year Built 2011
- Number of restaurants - 3
- 24-hour business center
- Self parking (surcharge)
- Conference center
- Smoke-free property
- Number of buildings/towers - 1
- Outdoor seasonal pool
- Wedding services
Family Friendly Amenities
- Family Hotel
- Outdoor pools
- Laundry facilities
- Babysitting or childcare (surcharge)
- Refrigerator
- Cribs/infant beds (complimentary)
Available in all rooms: Wireless internet access ( AUD 5 per day )
Available in some public areas: Wireless internet access ( AUD 5 per 24-hour period )
Self parking (surcharge), Valet parking (surcharge)
Room Amenities
- Pay movies
- Hypo-allergenic bedding available
- Premium bedding
- Air conditioning
- In-room climate control (air conditioning)
- Phone
- Refrigerator
- Daily housekeeping
- Free toiletries
- Hair dryer
- Iron/ironing board
- In-room safe
- Desk
- Blackout drapes/curtains
- Digital TV service
- WiFi (surcharge)
- Room service (limited hours)
- Free cribs/infant beds
- Rollaway/extra beds (surcharge)
- Connecting/adjoining rooms available
Where to Eat
Buffet breakfasts are available for a surcharge and are served each morning between 6:30 AM and 10 AM.
Waves Buffet Restaurant - This buffet restaurant serves breakfast and dinner. Guests can enjoy drinks at the bar. Reservations are required. Open daily.
Cliffords Grill & Lounge - This restaurant serves lunch and dinner. Reservations are required. Open select days.
Walrus Social House - This bar serves breakfast, brunch, lunch, and dinner. Happy hour is offered. Open daily.
Late night fare is available from room service (during limited hours).
Nearby Things to Do
2 outdoor swimming pools and 2 spa tubs are on site. In addition to a seasonal outdoor pool, other recreational amenities include a fitness center.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
- Surfing/boogie boarding nearby
- Kayaking nearby
- Sailing nearby
- Scuba diving nearby
- Water skiing nearby
- Windsurfing nearby
- Scooter/moped rentals nearby
- Hiking/biking trails nearby
- Bicycle rentals nearby
- Parasailing nearby
- Skydiving nearby
- Ecotours nearby
- Golf lessons available nearby
- Personal motorized watercraft on site
Spa Services
Guests can indulge in a pampering treatment at the hotel's full-service spa, L Aqua Day Spa. Services include deep-tissue massages, hot stone massages, massages, and facials. The spa is equipped with a sauna, a spa tub, and a steam room. A variety of treatment therapies are provided, including aromatherapy.
- Hot stone massage
- Deep tissue massage
- Steam room in spa
- Manicures and pedicures
- Body wraps
- Body scrubs
- Aromatherapy treatments
- Sauna in spa
- Spa tub in spa
- Massages
- Body treatments
- Facial treatments
If you have requests for specific accessibility needs, please note them at check-out when you book your room.
- Accessible bathroom
- Roll-in shower
Hotel Policies
Minimum check-in age is 18
Check-in time starts at 2 PM
Special check-in instructions:
Check-out time is 10 AM
Payment types
Children and extra beds
- Children are welcome.
- Rollaway/extra beds are available for AUD 40 per night.
- Free cribs (infant beds)!
- Pets not allowed
You need to know
Extra-person charges may apply and vary depending on property policy.
- Minimum Spring Break check-in age is 21 years old.
- Deposit: AUD 100.00 per stay
Optional extras
- Breakfast fee: between AUD 29.50 and AUD 29.50 per person (approximately)
- Fee for in-room wireless Internet: AUD 5 per day (rates may vary)
- Fee for wireless Internet in public areas: AUD 5 per 24-hour period (rates may vary)
- Self parking fee: AUD 20 per night
- Valet parking fee: AUD 30 per day
- Rollaway bed fee: AUD 40 per night
Hotel Name
- Hotel Watermark
- Watermark Hotel Surfers Paradise
- Watermark Surfers Paradise
- Watermark Hotel & Spa Gold Coast Surfers Paradise
- Watermark Hotel And Spa Gold Coast
- Watermark Hotel Gold Coast
- Watermark Hotel
We should mention
This property's policy is to refuse certain bookings for the purpose of group events or parties, including pre-wedding stag/bachelor and hen/bachelorette parties. Reservations are required for spa treatments. Reservations can be made by contacting the hotel prior to arrival, using the contact information on the booking confirmation. The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.
National Rating
This property has been awarded a star rating from the Australian Star Ratings Agency, Star Ratings Australia.


text: It's what you've been looking for! 39 one of a kind estate lots offering Provo River and state park frontage in exclusive Midway, Utah. Breathe in and feel a refreshing change taking place. River Meadows Ranch is the perfect balance of pristine space and incomparable beauty. Our average lot size is approximately 1.5 acres with estate lots up to eight acres. The entire community only has 39 lot parcels; so don't hesitate to Contact Us for more information.Here's just a few of our favorite outdoor activities that are available to you just minutes from your front door at River Meadows Ranch: Fly Fishing/Boating/Water Sports: Enjoy blue-ribbon fly fishing from The Provo River or fishing, boating and other water sports from Strawberry, Jordanelle and Deer Creek reservoirs, three of the most spectacular reservoirs in the country. Golf: World-class golfing is the specialty with championship courses at Soldier Hollow Resort, Wasatch Mountain Resort and The Homestead.