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Microsoft are going to be pushing SmartGlass integration in the coming generation, and many have wondered just how they're going to make it anything but a gimmick. I've fired up the app on my PC, phone and tablet a few times and always wondered what the point was, but while playing The Witcher 2, and thinking of its sequel which will support the companion app, I think I've had an epiphany.
While I've been playing The Witcher 2, one thing has occurred to me; I'm not making the most of this epic RPG's mechanics and content. My gaming time is a bit limited, so when I get a chance to jump into CD Projekt RED's masterpiece, I don't really feel like menu-diving for extended periods to read up on the lore, manage my inventory or sometimes even read the lengthy (though enjoyable) quest descriptions in the journal. I have to make myself do it every now and then, meaning I get less time to drive the story forward.
So I was thinking, what if I could do all of that on my PC or tablet when I'm not actually in-game? Imagine if SmartGlass could pull in all of your savegame information and let you access it outside of the game, letting you go through your inventory (equipping or enhancing weaponry and armour, dumping un-needed items, reading in-game texts), view your journal (the app could drag in all your current quests and their respective progress levels and let you read up on current events), view in-game maps and even develop your character by spending earned talents and mutagens. I'd love to have the option to do this stuff when I'm on my Surface, and then load up the game and have everything up to date and ready to dive in and carry on with the story.
I had a similar feeling a while back, when playing Skyrim. I found an app on my phone (Skyrim Guide) that listed walkthroughs and requirements for every quest in Bethesda's open-world adventure, and while it was useful, I did wonder to myself how much better it could be if it had access to my save file and could track and check off those quests for me. It didn't occur to me at the time that SmartGlass could be the thing to enable this, but if Microsoft can make their companion app powerful enough, it could enable some fantastic extras like this.
Of course, the thing that could scupper this would be a requirement for the game to be on before SmartGlass could connect with that particular title. But if Microsoft were to make SmartGlass a feature of the Xbox Live app already available on multiple platforms (which already displays your library of games, allows you to send and receive messages and track your achievement progress), I think this could work: You could load up the XBL app, flick through your library, find the game you want and then get all of that game's SmartGlass integration right there – outside of the game, without the need to have your console on. You'd have one powerful, useful app instead of two limited ones, and at the same time enable a bunch of genuinely useful features for players.
Multiplayer games could also benefit from these features, especially when it comes to stat tracking. Back in the days of Halo 3 and Reach, halo.bungie.net was the place to go to see all of your Halo goodies: you could see detailed breakdowns on your weapon usage, game history, heatmaps and anything in your file share. Did you make a video or screenshot in Theatre Mode? You could view them there. This feature-set has now moved over to Halo Waypoint, which also offers all sorts of Halo media and lore, and apparently also has a feature that allows you to view live maps as you play a multiplayer game, allowing you to see the position of weapons and other elements through the app, though I have never managed to make this work.
I'm assuming Call of Duty and Battlefield have similar stat-tracking websites or apps, but why have disparate destinations for each game when SmartGlass could bring them all under one roof? If all of this functionality were moved over, we'd have one place to go for all our stat-tracking, journal-reading needs. And with this coming generation seemingly going all-out to bring massively multiplayer to consoles in new ways (just look at stuff like Bungie's Destiny or Ubisoft's The Division), you can be sure we'll be seeing more and more game companion stuff to come. I can only speak for myself, but I'd rather have a nice umbrella for all of that content to come under, than have a folder of browser favourites or sit wondering if the app I need will come to the platform I use. I'm imagining being able to go into SmartGlass, send a message to a player I bumped into on a Destiny run, manage my inventory and develop my character for The Witcher 3, then watch some of my Halo Theatre clips before jumping into a chat with my Elder Scrolls Online party members to discuss our next excursion. All from the same app. I don't know about anyone else, but that appeals to me.
The best part of this? SmartGlass is cross-platform. You can find it on devices running Windows, iOS and Android, meaning that it will have a pretty extensive reach, and if more people can use the app, hopefully more developers and publishers will push content for it.
It's important to state that I don't want the features outlined above to be stripped out of their respective games and shoehorned into an app that not everyone will want to use. I simply want that stuff as an option so that I can have access to it when I don't have access to my console, freeing up my play-time for, you know, play. I hope SmartGlass will provide this, rather than continue to be the (mostly) useless thing it is today.


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Home Remedy Hemorrhoids: Hemorrhoid Photo - Hemeroid Cures - Heal Hemorrhoids
Hemorrhoid Photo Oftentimes hemorrhoids will take care of on their own especially when you treat them as soon as possible with home treatments like high-fiber diet herbal preparations and water therapy as well as moderate exercise. There are cases however when the hemorrhoids are usually so severe that surgical hemorrhoid solutions are required.
- External hemorrhoids are those visible and located outside the anus.
- They are seen as a a balloon-like appearance, normally blue but turn tender and red when painful.
- Hemorrhoids sufferer?
- Get rid of the itching swelling and pain of hemorrhoids misery forever.
- Prior to taking serious risks with prescription medications or surgery uncover the truth about hemorrhoids and natural remedies.
You've hemorrhoids, you will want to stay away from all spicy foods (chili, hot sauce). These types of foods are very irritating to be able to any current hemorrhoids. It is also recommended to avoid coffee, beer, and all types of carbonated beverages. Right up until you are feeling better, the blander foods you can eat, the better off you will be.
- Luckily, sufferers can still buy the right hemorrhoid treatment incognito through the internet.
- There are lots of websites that offer assortments of treatments and remedies.
- From herbal treatments, certified pharmaceutical solutions and others, the internet has a great diversity of remedies for annoying piles.
- Hospitals and medical clinics will also be guaranteed sources of treatment options.
- And with the number of procedures available, the decision mainly relies on preference.
Surgical approaches tend to be pretty much explanatory. They are, however, typically performed regarding serious hemorrhoids; those that have amplified and risen to such a level as to totally impede normal, daily functions.
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Are you looking for a reliable natural cure for piles? This article contains easy to follow detail by detail guide which you can stick to to send your piles aside. Study the contents of this article to discover them.
- You're like more than half the adult population you may have suffered or perhaps be suffering from painful anal or rectal swelling.
- How can you tell what it is?
- A description of hemorrhoid symptoms follows along with my recommendations for curing them.
Wonderful and lesser-known remedy for treating hemorrhoids is actually emu oil. Emu oil is made from the fat of the emu, a large bird native to be able to Australia. This amazing oil is anti-bacterial and anti-inflammatory. It promotes healing and thickens thinning skin, making it an excellent choice for the treatment of hemorrhoids.
When you are struggling with the unpleasant effects of hemorrhoids, a good way to relax and attempt to soothe the area is to saturate in your bath tub in warm water. Soak for about ten to fifteen minutes. When you get out of the tub, see how you feel, and then you can apply Aloe vera gel to the location to reduce any pain or burning that still may exist.
Over-the-counter ointments and creams can help you deal with a hemorrhoid flare-up. These types of topical medications soothe irritation in the affected area and reduce painful swelling. Anesthetic creams are also great for managing itchiness; with them is far better for you than itching. Remember to always utilize such ointments in accordance with their manufacturers' directions.
- Did you which many people are driven to having surgery since they cannot find an effective hemorrhoid cure?
- There is no need to be able to resort to this however.
- Read on and find out about natural hemorrhoid cures-the safe natural and effective alternative to surgery.
You've Hemorrhoids, Add Mint to be Able to the Water that You Drink
Great has very soothing characteristics and can calm you down when you are stressed. This can improve your situation and help you get your hemorrhoids in check. Drink mint water to help you feel better during the day.
Hemorrhoids are an uncomfortable and annoying problem that many people experience. The treatment protocols available are usually varied from home remedies in order to conventional medications and surgical procedures. To treat hemorrhoids successfully it is important to know what causes them to occur how to treat the symptoms and how to prevent them in the future. You'll be able to stay away from surgical procedures and treat hemorrhoids at home.
Discover My 100% Cure for Hemorrhoids that Works in 48 Hours
These are the 10 treatment options that helped me battle my hemorrhoid problem. As you can see these types of cost very little or nothing at all. You can test some of these to see if they work for you.
Hemorrhoids are Very Hard to Deal With
They can come at any time and usually followed by extreme discomfort, interspersed with episodes of excruciating pain. Especially for women that are pregnant, the weight of the fetus on the lower extremities may cause pressure on the anal and rectal walls, eventually sprouting painful hemorrhoids. Fortunately, the right hemorrhoid treatment can help blast the problem to be able to oblivion. Here are some ways to find and choose the best remedy for the condition.
The Different Natural Approaches that Effectively Cure Hemorrhoids Hemorrhoids, also referred to as piles, are the swollen and inflated veins in your anus and rectal area. When hemorrhoids occur inside the anal cavity it is called internal hemorrhoids. It is characterized by painless bleeding when a person is...
Natural, Painfree or Surgical
As to the hemorrhoid therapy itself, there are three kinds to choose from: natural, painless or surgical. Natural remedies are those that you can do at home, which is why they are colloquially coined as home remedies. Painless techniques, on the other hand, are opposed to natural approach in the sense that they cannot be performed at home. They are either outpatient or inpatient procedures carried out in a medical establishment.
- Are you sick of the itching burning pain inflammation or bleeding down there?
- Aren't you frustrated because it's completely uncomfortable to ask for advice on this potentially crippling condition?
You can't find any special type of toilet paper around thats easier on your anus, make an attempt making sure you only wipe your back with toilet paper that's wet. This will certainly help to eliminate the friction and create a softer barrier between the paper and the swollen veins in your anus.
Mark Michael Ferrer
Hemorrhoid Treatment.
Consume foods an excellent source of vitamin A to prevent and help heal hemorrhoids. A vitamin repairs as well as protects mucous membranes and helps to repair body tissues. Orange vegetables such as yams and carrots tend to be very high in vitamin A. If you do not like to eat vegetables, try a carrot juice or vitamin supplements.
Determine the Actual Hemorrhoid Type
First of all, determine the type of hemorrhoid. There are two general types of the condition, that is internal and external. Each hemorrhoid type will be treated with a specific set ofhemorrhoid treatment. But how can you tell? This really is easy. Inner hemorrhoids are, well, those found inside the anus. They are not visible outside unless they prolapse, in which case they will come through the anal opening.
Home Remedies for External Piles [Hemorrhoids] – Quick Relief From Piles Without Surgery
piles #hemorrhoids #treatment #homeremedy #homeremedies #natural #naturalremedy #remedies #cure Do you get pain on passing stool, and is your stool ...
- You are planning on going out with your pals, try to avoid alcohol at all costs.
- It is very important to avoid dehydration when you have hemorrhoids, as alcohol will just serve to dehydrate you even more.
- Stick to water or avoid drinking when you are going out.
One of the Easiest Ways to Prevent Hemorrhoids is to Add Fiber to Your Diet
Constipation is one of the causes of hemorrhoids and the addition of fiber to your diet can help your intestines quicker pass the food through them. Brand and many fruits and vegetables are high in soluble fiber.
Vitamin B is a Great Remedy You can Use to Help Treat Your Hemorrhoids
In contrast to other vitamins which you would take by mouth, you should apply vitamin B (crushed electrical power or liquid) directly to the infected area in your anus. This could help to significantly reduce the size of your own hemorrhoids.
- As noted in the beginning of the article, most hemorrhoids do not require medical intervention and can be treated on your own.
- Rare cases may require a heat treatment, and surgery is only for the most serious cases which do not respond to some other treatment.
- This article can be critical in learning how to treat hemorrhoids.
Hemorrhoids are an extremely serious medical condition, and if it is severe, you should go see a pharmacist or find professional medical help. Many people think that because of their particular embarrassing nature, they ought to keep it private and not seek external help, but you shouldnt do that. Make sure to look for the appropriate help when you need it.
Best Places for Treatment
Regardless of the treatment approach you select, hemorrhoids cure are almost anywhere these days. Due to the increasing prevalence of the condition, you can easily get the treatment you need at your local drugstore. But this kind of ubiquity won't count the fact that patients continue to be more or less embarrassed when talking about their condition.
- Keeping your rectal area as clean as possible is a great way to ensure that you do not experience hemorrhoid flare-ups.
- A lot of times, we experience swelling and pain as a result of infections.
- Its really a nasty place down there, a literal wasteland.
- Make sure youre keeping it clean to avoid any attacks.
- Are hemorrhoids getting the best of you and your mood?
- Take a number of baths through out the day, if you can.
- Do not add anything to the bath.
- Ensure they are not too hot!
- Don't worry; you cannot take a lot of baths!
- The water should be just about two or three inches high.
- Soak your bottom for at least 10 minutes at a time.
- Have a evening off at work to do this; if you have to, it is well worth the effort!

subset: commoncrawl


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A shock wave has reverberated through NYC households with the results of this presidential election. 90% of New Yorkers voted for a candidate that our own New York Time's Upshot poll gave a 99% chance of succeeding in arguably one of the most polarizing elections in modern history. On Tuesday, most of the city went from an overall feeling of hope, chance and excitement to confusion, desperation, fear and anxiety. The next morning most parents have asked- "what do we tell our children?" as they felt sure that the candidate they had endorsed in the polls and at home would become the president elect. Many articles have come out on how to explain the result to the children. However, there has not been much conversation on how to explain it to yourselves. In order to move forward, you need to dig deeper into what pains you the most about Donald Trump, the loss of Hillary Clinton and why. Superficial acceptance and trite expressions of coming together when you're not quite there will not help you completely move forward until you fully process these issues.
You need to allow yourself to grieve. These expressions of sorrow and anger are not "dramatic" and instead, they are therapeutic. At first, grief may feel insurmountable and chaotic. Put some words to your grief. What are you most upset about? Why? The answers to these questions speaks to issues that define YOU and the issues surrounding your intimate life. When disentangling these components of your dreams/fears/wishes/goals for yourselves and your families, past and current issues are drawn forth and can be dealt within the context of this sociopolitical climate.
There are many issues that have deeply troubled women during this election; too many to write about. One that is pertinent for women is women's rights. The loss of Hillary Clinton can feel as a setback for the accomplishments women have made in society. Furthermore, the issues that separate her from her opponent are deeply related to a women's identity and the self-determination of her body as their own. Women who have felt this gender discrimination, had their bodies objectified and/or abused and those who have been fighting for their own fertility, maternity leave, and for their daughter's rights may feel this sting harder than others.
Other women are most frightened about the security of this country. Some women have expressed concern for this president elect's ability to keep this country safe. Flashbacks and unprocessed emotions from that day are brought up and the uncertainty for the future is unbearably frightening.
As you are able to speak about these issues in depth and give them life, then you can then begin to construct some meaning and plan for your next steps. From this, you can then impart these principles onto your children and support your stances from the home and possibly to the government. As Trump's presidency begins, you will be able to separate your own fears with what can become reality. This will allow you to work on your own unresolved past issues as well as develop the necessary coping skills for dealing with the uncertainty moving forward.
I will be holding a process group for women struggling with the current election results on 11/14/16 and 11/15/16 at my private office. Contact me for details: email@example.com


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Singer Featherweight extension table.
I do find it a bit lightweight, and it slips around. So I plan to glue some round pieces of that shelf liner stuff to the bottom of each foot to stop that. Right now I have a piece of shelf liner under the machine on the table I'm sewing at. I choose the mini size because it's easier to transport and use on limited table space, yet I like that it keeps my wrist and hand from resting directly on the Featherweight gold decals and it also gives me additional space to adjust the pieces of quilt blocks and support them as I sew.
Plus, it is so cute that the extension table matches the little Black Featherweight machines!
I think the company also makes them other colors. When I saw them on eBay I didn't realize their was a company associated with the extension tables until I received mine. (no affiliation, just happy with the product)


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STUDY: Giving Generously Can Make A Difference... For Your Health
By Jeffrey VanWingen M.D. More Blogs by This Author
"Students from Public School 73 in the Bronx with bags of pennies they collected during the year for the Common Cents Penny Harvest program." Source: Group Turns Children's Pennies Into Millions for Charity, But Fights to Survive - New York Times
Relax. I'm not asking for anything. This is just a public service announcement from your friendly online doctor.
Christmas is over and you are probably reeling from its effects...good or bad. Perhaps the festive deadlines to produce cookies, dishes to pass, and gifts has left you exhausted. Perhaps the retailers and advertisers had their way with your bank account and you are over-extended financially. Or, perhaps, you did it just right this year and had a wonderful holiday season. Christmas has become so adulterated over the years that one needs to work to distill the fundamental elements.
One of the most profound symbols of Christmas is that of a gift, given in humble circumstances, but received by all of mankind. While we usually acknowledge this notion, it seems so easily lost behind the flashing lights and high-pressure advertising.
As a doctor, I tend to look at things through a health lens. I see the huge amount of calories and simple carbohydrates consumed around the holidays which usually culminate in around a five pound weight gain. I see the family and social stress that can sometimes bring people to their breaking point. But I also see that spirit of giving and appreciate the rewards it brings to personal health and well-being. So with this in mind, I chose to focus on the positive and give a nudge to practicing the spirit of giving all year round for the sake of humanity and also your own health.
Understanding Money and Happiness
The logical link for most is that money brings happiness. We dream about things we want in our life and that the gap is a matter of funding. Yet, at the same time, we hear the wisdom that money can't buy happiness.
Which is it?
I believe that money can bring happiness. However, it does so in a way that goes beyond simple and material reasoning.
Four years ago, CNN took a look at lottery winners and found that many were no happier than before they struck it rich. Some, in fact, were worse off emotionally. Material purchases lost their luster and trust issues developed within relationships strained over the money. (1) Sure though, money provides comfort which keeps us happy. But it stops there.
A study conducted by Keirsey Research found that the happiness factor seems to increase up until the combined family income reached $75,000 - then it stops. Beyond that level of comfort, money does not buy happiness. (2)
"Jack Whittaker Jr., right, is just one of many lottery winners whose lives took turns for the worse after acquiring their seemingly good fortunes." Source: Mega Millions Winners Might Not Be So Lucky: Jack Whittaker and More Unlucky Lotto Winners - The Daily Beast
So What Does Buy Happiness?
The answer to why were not happier lies not in how much money we have, but that we spend it on the wrong things.
Michael Norton from Harvard Business School presented his research in a TED talk where he gave random people an envelope with various amounts of money instructing them to spend it either on themselves or others. The results showed that when surveyed for happiness, those who spent the money on themselves had no change in happiness, while those who spent the money on others experienced an increase.
The amount of money did not play a factor in happiness. Nor did what was purchased. Interestingly, many people bought Starbucks coffee with their money on both sides of the study and those who bought the coffee for someone else were happier. To factor whether this could be a culturally unique finding, his group took the same study to Uganda, finding the same results.
Norton and his group then went beyond happiness and looked at productivity, applying the experiment to sales teams and even recreational sports teams. Reviewing high sales production rates and victorious games, those groups who were given money to do good for others vs. themselves fared remarkably better! (3)
"Maybe the reason that money doesn't make us happy is that we're always spending it on the wrong things." - Michael Norton
"Helper's High"
Science has weighed in on the direct and indirect health benefits of giving.
Jorge Moll and colleagues at the National Institute of Health coined the term "helper's high," describing the endorphin effect on areas of the brain giving feelings of pleasure and social connection associated with donating to a charity. (4)
Numerous studies have further shown that giving in various forms helps people with chronic disease. One in particular showed that elderly persons who volunteered for two or more organizations were 44% less likely to die over a five year period. (5) This social connectedness, gratitude and emotional reward seem to have a rejuvenating effect on the mind and body.
Recurrent giving, such as volunteering, allows us to cultivate these feelings and apply them in an ongoing fashion (contrary to the social isolation created by winning the lottery). While giving as a recurrent behavior is best, even a single episode of giving can give us a boost. Beyond endorphins, the hormone oxytocin (associated at high levels with nursing and orgasm) has been shown to increase with acts of giving and generosity.
Graphic Credit: The Free Press
"The Scrooge Effect"
On the other side of things, opposing behaviors can have negative health consequences. Call it "the Scrooge effect."
Stingy behavior can lead to recurrent shame and cynicism can lead to production of the stress hormone cortisol which has been linked to obesity, diabetes, heart disease and premature death. While granted not having enough money can cause such stress, too much money in the bank can yield similar effects.
Photo Credit: The Life and Times of Scrooge McDuck, Chapter Four: "Raider of the Copper Hill" - Duck Comics Review
Coming out of this season of giving, it is my holiday wish that you see the benefits of giving year round, not only for those who benefit from your generosity but for your emotional and physical well-being.
Not sure where to give?
These charities are America's top 50 best in terms of spending on public support and the percentage of donations that go to actual programs (and not to salaries or marketing).
Live, and live well.
1. http://www.cnn.com/2011/HEALTH/01/07/lottery.winning.psychology/index.html
2. http://thechart.blogs.cnn.com/2010/09/01/money-and-happiness-over-75k-doesnt-matter/
3. http://www.ted.com/talks/michael_norton_how_to_buy_happiness
4. http://www.pnas.org/content/103/42/15623.full


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The Witches of St. Petersburg by Imogen Edwards – Jones
Publisher: Head of Zeus
Publishing Date: 25th October 2018
Source: Received from the publisher via NetGalley, thank you!
Number of pages: 464
Genre: General Fiction (Adult), Historical Fiction
Buy the Book: Kindle | Hardcover | Paperback (out on 04.04.2019)
Inspired by real characters, this transporting historical fiction debut spins the fascinating story of two princesses in the Romanov court who practiced black magic, befriended the Tsarina, and invited Rasputin into their lives—forever changing the course of Russian history.
As daughters of the impoverished King of Montenegro, Militza and Stana must fulfill their duty to their father and leave their beloved home for St. Petersburg to be married into senior positions in the Romanov court. For their new alliances to the Russian nobility will help secure the future of the sisters' native country. Immediately, Militza and Stana feel like outcasts as the aristocracy shuns them for their provincial ways and for dabbling in the occult. Undeterred, the sisters become resolved to make their mark by falling in with the lonely, depressed Tsarina Alexandra, who—as an Anglo-German—is also an outsider and is not fully accepted by members of the court. After numerous failed attempts to precipitate the birth of a son and heir, the Tsarina is desperate and decides to place her faith in the sisters' expertise with black magic.
Promising the Tsarina that they will be able to secure an heir for the Russian dynasty, Militza and Stana hold séances and experiment with rituals and spells. Gurus, clairvoyants, holy fools, and charlatans all try their luck. The closer they become to the Tsarina and the royal family, the more their status—and power—is elevated. But when the sisters invoke a spiritual shaman, who goes by the name of Rasputin, the die is cast. For they have not only irrevocably sealed their own fates—but also that of Russia itself.
Brimming with black magic, sex and intrigue, The Witches of St. Petersburg is an exquisite historical fiction debut novel filled with lush historical details from the Romanov era.
"The Witches of St. Petersburg" introduces us to two sisters, princesses from Montenegro, married well into Russian aristocracy. However, no matter how much Militza and Stana try, they're not being accepted by the court. They need the influence though – their father counts on Russian help, so the sisters ingrate themselves with the Tsar and Tsarina, bringing a holy man to help them conceive the son, the so – much – needed – to – boost – morale Heir to the throne. When it doesn't work, they try magic and another holy man in the person of Rasputin – but are they going to loose all their influence with his arrival?
Even though my knowledge of Russian history is rather non – existent, there are some periods of times that pick my attention, and the Romanovs' story is one of them. This book has for sure delivered in matters of the descriptions of the Russian aristocracy, their lives and all the ins and outs of the court life. There were balls and parties, jewellery, incredible dresses, tons of gossip and conspiring and I enjoyed those parts of this story very much. Yes, there came a moment that there was a ball one too many, that they started too feel like a copy of each other but I still think that they were the most colourful and best parts of this novel.
There are many characters in this book. Hundreds of them, actually. Brownie points go to the author for the names – list at the beginning of the novel, although my copy being on kindle I couldn't just turn back the pages to see who is this character and what's their background, and I had really huge problems to keep on track with all of them, especially as their names either sounded all the same or changed all the time. Still, the characters were ones of a kind. There came a moment that I stopped to try to understand them – they had their own motives and motivations and of course we have to take into consideration the times the story took place – people needed something all time, there were political businesses to be done and they were not afraid to stop at nothing. They were selfish and looking after their own business only – though is it different nowadays? But it was also fascinating to see how the two "Black Princesses" worked their way into the Palace, how irreplaceable they became to the Tsarina – a thing that so many have tried and failed at before them. They were incredibly interesting and different to all the characters that I usually read about. Especially Militza and her abilities, I was fascinated with her ability to see things other people didn't notice, and of course with her magic skills. I think you could easily say that she was a powerful witch, but I also had a feeling that she was not a "complete" witch – she wasn't able to do magic, just like that, she could use her skills only in particular aspects of life – or so, at least, it looked like for me.
I'm really in two minds about this book. It could be a great read but I had a feeling its potential hasn't been used there. It felt chopped and not too coherent, and the jumping between things and events and time seemed as if it wasn't planned. Some of the scenes were really too much for me – the half – developed chick, keeping of the miscarried fetus or simply the idea of the Tsarina dropping to her knees to eat someone's vomit… I'm not too soft nor sensible but well, no. Just no. On the other hand, I do understand that the story needed it. And to be honest, the pace felt too slow. It is a large book, with almost 500 pages and it simply started to feel repetitive – the sisters try to help the Tsarina all over again, they attend one ball after another and they're not accepted and are being called they're witches smelling of goats we get this on repeat. There was so much potential in this book, and some really interesting concepts but the development was what was being missed for me. It was as if the author had some great ideas but didn't know how to execute them.
"The Witches of St. Petersburg" is a book that plays with supernatural, with dark magic, with paganism. In a brilliant way it describes the shallowness of the Russian aristocracy, it deals with using and being used. The characters are full of charisma and even though you may not understand all of them, I think you're still going to appreciate them for their personalities. It was vivid, engaging and gave a great insight into Russian history – in retrospect you can't help but understand the fact of the revolution, with Tsar under cocaine influence and his wife, not being able to think for herself without asking Rasputin for an advice. A captivating and different read about power, about favours, mixing reality with supernatural.


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Equine Influenza is a viral respiratory disease which is highly contagious to susceptible horses. Outbreaks of the disease are occurring with increased frequency worldwide despite the widespread use of vaccines. The highly contagious nature of equine influenza means that it has the potential to seriously compromise international movement of horses. For a number of years the FEI rules have required an annual booster vaccination, but recent research indicates that, for many vaccines protection declines after a few months. This means that towards the end of the vaccination year horses may become susceptible to infection again, but may not show clinical signs of disease. These cases are particularly dangerous as they can spread virus and could initiate a serious outbreak of disease.
As a consequence of the risks involved the FEI Bureau and General Assembly have approved a rule-change requiring all horses competing in FEI competition to be vaccinated every 6 months. This rule will be reviewed annually by the FEI Veterinary Committee and can be altered if the vaccination or disease situation changes.
Rule change approved by the General Assembly 2004
"The FEI requirement for equine influenza vaccination will be for booster vaccinations at 6-month intervals as from 1 January 2005."
Implementation of the Rule change
1 Primary course of vaccination - a primary course should always be given according to the manufacturer's instructions by injection or intranasal administration. This requires 2 doses of vaccine administered between a minimum of 21 to a maximum of 92 days apart (1-3 months). The first booster vaccination must be given no more than 6 months +21 days (see item 5) after the second vaccination of the primary course; a shorter vaccination interval is obviously permitted.
2 Route of administration – the vaccine should be administered according to the manufacturer's instructions (i.e. intramuscular injection or intranasal). The FEI will accept intranasal vaccines for both primary and booster doses. However, it is not possible to change the route of administration between the first and second vaccination of the primary course.
3 Specification of Vaccine – all proprietary equine influenza vaccines are acceptable to the FEI irrespective of the route of administration. Univalent vaccines are to be preferred over combination vaccines, especially with regard to vaccination against tetanus.
4 Details of Administration – vaccines must be administered by a veterinarian and the details of the vaccine, serial/batch number, the date and route of administration must be recorded in the FEI passport.
5 Booster vaccinations must be given at 6-month intervals. However, to avoid interruption of the horses' competition schedule, it is permissible to extend the 6-month booster date by a maximum of 21 days. This provides a 3-week window after the 6-month date to vaccinate the horse. (For example, a horse vaccinated on 18 March, has a window for the next vaccination from 18 Sep to 9 Oct). A shorter vaccination interval is obviously permitted.
6 The entering of vaccination details in new FEI passports/recognition cards or duplicates – if the vaccination history of a horse is very long, the veterinarian who has filled in the descriptive page of the passport/recognition card may use a specific statement to certify that the vaccinations have been administered in accordance with FEI regulations (for the exact wording see veterinary regulations, Annex II.I.11). Please note that until 31 December 2004, annual booster vaccinations are permitted and from 1 January 2005, bi-annual boosters are required.
7 Change in the vaccination schedule - When the vaccination schedule is changed from annual to bi-annual, the horse does not need a new primary vaccination.
8 The Bureau has approved the following table for warnings and sanctions of passport irregularities:
8.1 Warnings will be issued by the FEI from 1 January 2005 until 31 December 2005 as a reminder that 6-month booster vaccination for influenza is now mandatory.
8.2 As from 1 January 2006 a system of fines will be imposed by the Appeal Committee/Ground Jury for failure to comply with 6-month booster vaccinations.
8.2.1 Less than one week after the 3-week vaccination window: CHF 200
8.2.2 Less than two weeks after the 3-week vaccination window: CHF 300
8.2.3 Less than four weeks after the 3-week vaccination window: CHF 400
8.2.4 More than four weeks after the 3-week vaccination window: CHF 500, and cancellation of the horse's participation in the event.
8.3 Fines for other infringements relating to influenza vaccination will be as follows:
a) if no evidence of any current vaccination in passport: a maximum penalty of CHF 500. The horse should not be allowed to compete, it must be put in isolation and sent away from the event as soon as possible.
b) any infringements of vaccination dates should be noted in the passport so that it is not reported again at a future event. Please write in CAPITAL letters; remember that others will be dependent on the information that you have written in the passport.
c) no information available on the primary vaccination course need not lead to a penalty, and a repeat primary course is not required, provided the current passport contains a statement that the vaccination history of the horse has been checked and found to be correct (for exact wording see Veterinary Regulations, Annex II.I.11).
For further information please contact:
Dr Frits Sluyter
Fédération Equestre Internationale
Av. Mon-Repos 24
1005 Lausanne
Email : firstname.lastname@example.com
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Those ascending to positions of leadership, generally fall into several candidates. Some are unprepared, unready, and unwilling to do what's needed to truly, effectively make a difference. Others are a little more ready, have better attitudes and skills, and have an overall, positive impact, although not an extraordinary one. Still, others, reach higher and further, seek to make a real difference for the better, but end up, failing to be all they might be, either because they lack an essential, are unwilling to persist, exhibit insufficient self – confidence, etc. Very occasionally, an organization is either lucky, or blessed, because they discover a SUPERIOR leader. These are the ones, who make a real difference, create a strategy, and develop a meaningful action plan, and are capable of visualizing, conceiving of, creating, developing, and implement a relevant, sustainable system, which brings the group forward, in the best possible manner!
1. Stronger; sustainable system: Superior leaders always leave their organizations stronger, and more relevant, than they found them! They realize, while an individual's term as a leader, is finite and limited, great leadership means understanding what is, and what should be, and creating, developing, and implementing, a relevant, sustainable system, which will move his organization, forward, into the future, in the best possible, conceivable manner!
2. Useful; usable; unique; urgent: True leadership is not about looking busy, or doing something, but leading in a useful, well – conceived manner. One's plan must be easy to understand, and truly usable. Superior leaders put their unique fingerprint/ stamp, on their agenda, strategy, action plan, and planning! They can differentiate between the petty stuff, and what is most urgent, and requires a priority consideration.
3. Priorities; planning: Develop the best strategy, and implement an action plan, based on needs, priorities and concerns. True leaders understand they will either succeed or not, based on the quality and depth of their planning!
4. Energetic; empathetic; excellence: Proceed in a motivating, energetic manner. Be an empathetic leader, and always strive for excellence, in every effort!
5. Relevant; reliable: What good is an idea or plan, unless it is relevant, reliable, reasonable, and meaningful? What dooms many a pseudo – leader, is having a myopic perspective, and failing to understand and appreciate the bigger picture!
6. Integrity; ideas; instincts: There can be no true leadership, without absolute integrity! Why should anyone follow you, or even listen/ pay attention, if they don't trust, or believe in you? Be a person with quality ideas, rather than rhetoric and empty promises! Superior leaders develop the instincts, to be able to trust their gut!
7. Options; opinions: One must be able to clearly differentiate between real facts, and mere opinions! Only them, does it become possible, to effectively weigh options, and determine the best course of action!
8. Ramifications; results: Beware of anyone who seeks change – for – change – sake! There are always ramifications of every action and/ or failure to act in a timely manner! Seek the best results, not just in the short – term, but into the future!
It's up to you, what type of leader, you seek to be! Will you be mediocre, good, better or SUPERIOR?


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A simple champagne gin cocktail with a sweet twist, created by The Gin Cooperative for World Cocktail Day 2018. Simple to make, anything but simple to taste. If you love gin and love bubbles, this has to be tried. With it's clean, fresh taste we chose Caorunn as the Scottish Gin.
These measures are a guide only and can be tailored to suit your own personal taste.
Mix the gin, honey and lemon juice in a small jug. Pour the mixture into a chilled coupe glass and top up with the chilled champagne.
Have fun and enjoy your drink responsibly.
To find out more about Caorunn, visit their page here.


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Event Planning: Offering facilities perfect for any occasion
Location: Metropolitan State University's Saint Paul Campus. Located on the east side of Saint Paul off I-94 overlooking the city skyline.
Accommodation: Groups of 10 - 300
Food service: Available through a university approved caterer. A list of approved caterers can be found below.
Parking: $2.50 per day.
Evening Elegance Package
Includes set up, janitorial services and security for a five hour event in the New Main, Great Hall. The event would begin at 7 p.m. and end at midnight.
Cost: Fridays are $840 and Saturdays are $1,060 for the evening. Catering is not included.
Available for Rental
Room/Hall Names Seatings
Founders Hall, Auditorium Fixed theatre style seating for 317
Founders Hall, Reception Seating for 75
New Main, Great Hall Lovely view of the city with an open floor
plan. Great space for weddings or banquets.
Seated 150 and standing reception 300.
Classrooms A variety of classrooms to choose from.
Seating arrangements available to fit 14-50.
Ecolab Community Room Great space for a conference with it state of
the art technology. Private pantry area for
food and beverage service. Seating for 96
Public Staff Meeting Room Seating for 16
*There is a two hour minimum on all space use. Other charges may apply based upon your event needs.
For more information on hosting your next event at Metropolitan State University, please e-mail email@example.com or call 651-793-1701.
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The water was very clear and the weed growth was prolific, but not problematic.
Dr. Neil Hutchinson, Ph.D.
President, Principal Aquatic Scientist
Hutchinson Environmental Sciences Ltd.
On Thursday August 29, HESL scientists Dr, Neil Hutchinson and Dr. Tammy Karst-Riddoch completed the next routine water quality survey for Musslemans Lake.
We collected 3 sets of water samples:
1. a composite of the water column at the east end of the lake
2. a composite of the upper water column at the west end of the lake over the deep portion
3. a sample from 0.5m above the bottomalysis pof the at the same location at the west end.
We also collected profiles of temperature and oxygen at the east and west ends.
At this time of year the lake is strongly thermally stratified into an upper warm layer and a bottom cooler layer. The bottom layer has lost all of its oxygen – there is no oxygen in those parts of the lake that are deeper than 5m. This is a natural process for a kettle lake. It is not a great problem for fish as they simply stay in the upper water layers but the lack of oxygen causes the lake sediments to release phosphorus, a process known as "internal loading" that can cause algal blooms. We took samples to check for phosphorus in the deep section at the west end of the lake and took surface samples for taxonomic analysis of the algal community to see what the late summer community looks like.
As autumn progresses the lake will begin to cool and the thermal stratification will weaken until Gordon Lightfoot's "gales of November" cause the lake to thoroughly mix, restoring oxygen to the bottom waters.We talked with a lake resident on her dock on August 29, and she told us that the water quality this year had been better than usual, with less weed growth than usual and the water remaining clear over the summer. Our own observations confirmed that the water was very clear and that the weed growth was prolific, but not problematic. We confirmed that Eurasian milfoil, a problematic invading species, was a dominant component of the aquatic plant community.HESL expects to visit the lake twice more, and prepare a report by the end of October.We thank Geranium Corporation for their support of this study.
Related Articles


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Blue Cross and Blue Shield released a report on Wednesday called, A Study of Cost Variation for Knee and Hip Replacement Surgeries in the U.S. The report is a collaboration between Blue Cross and Blue Shield Association (BCBSA) and Blue Health Intelligence (BHI).
The report analyzed three years of independent Blue Cross and Blue Shield (BCBS) companies' claims data for typical knee and hip replacement surgeries to further assess cost variations across the US.
According to the findings in the report, some hospitals across the US charge tens of thousands of dollars more than others for the same medical procedures, even within the same metropolitan market.
BCBS examined markets across the country, and found that their costs can vary as much as 313%, depending on where the surgeries were performed. Knee and hip surgeries are the fastest growing medical treatments in the US, according to the report.
The report cites a study in the June 2014 issue of Journal of Bone and Joint Surgery, that stated that typical knee replacements more than tripled and that typical hip replacements doubled between 1993 and 2009.
A report from the American Academy of Orthopedic Surgeons found that in 2011, there were 645,062 typical hip replacements and 306,000 typical knee replacements.
The report contains three figures and two maps that highlight the cost variations. Figure 1 shows the cost variation for knee replacement. Figure 2 shows the cost variation for hip replacement, and Figure 3 shows the highest and lowest average cost markets and variance cost markets for knee and hip replacement.
In the 64 markets that were studied, the average typical cost for a total knee replacement was $31,124. The lowest cost was in Montgomery, Alabama, and the highest cost was $69,654 in New York City (where else but my hometown?) Within a single market, the cost variance was between $16,772 and $61,585, a 267% variation, in Dallas.
The average typical cost for a total hip replacement was $30,124. Naturally, the lowest cost for hip replacement was again in Alabama, only this time in Birmingham. The highest cost was in Boston, as much as $73,987. Boston also had the greatest cost variation within a single market, as low as $17,910, or a 313% variation.
For knee replacements, the largest markets had cost variations greater than $18,701, and for hip replacements, the largest markets had cost variations greater than $17,301.
This report is by no means the first, nor will it be the last study of its kind to example cost variation between and within markets. While in school for my MHA degree, I learned of a previous study that found similar variations in cost, albeit for other types of procedures.
But what sticks out in this report is the fact that some of the markets that had the highest cost variations, for example, Texas and Oklahoma, are opt-out states as far as workers' compensation is concerned, and that another state, Tennessee, has been targeted as the next state by an organization called AWARC. In fact, it was reported today that a state legislator will sponsor opt-out legislation.
So tell me again why implementing medical tourism, with the lower cost and better quality outcomes available in the US, is a bad idea? As this report shows, cost variation for the two most common surgeries in both health care and workers' comp is so expensive in certain markets across the country, and within a market, that an alternative to the high cost of surgery will need to be found.
And while we are on the subject of bad ideas, do those who think like that really believe that workers' comp patients would be sent to places in other countries where the medical facilities are sub-standard, or even primitive? Of course not, but then again, if you want cheap surgery, I hear Alabama is pretty reasonable. But do you really want to go to Alabama for surgery, when you can recuperate near a beach and in beautiful weather? I don't think so.


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We are pleased to announce that we've partnered with AfricanBookAddict.com to bring you a fresh take on some of the books you should, or indeed shouldn't, be reading.
A story, situated in London, plays on conversations between Africans and their interactions with a wider Europe… [6mins]
Idara cleaned her flat every day. People didn't understand what she meant when she said she cleaned every day. She was sure they imagined her hurriedly adjusting throw pillows, washing dirty plates and perhaps wiping down marble counters before dashing off to prepare for work… [10mins]
As a writer, one is obliged to release her words, to let them live in the world on their own. Taiye Selasi


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ER staffing split along urban-rural divide
HealthLeaders Media
Emergency department staffing patterns have a gaping urban-rural divide, new research shows. In 2014 Medicare data, the distribution of emergency medicine physicians is strongly skewed toward urban areas. The researchers found urban counties had a much higher proportion of emergency physicians — 63.9 percent compared to 44.8 percent in rural counties.
Last Chance! Submit your AAEM19 Educational Proposal by June 25!
The AAEM19 Planning Subcommittee is looking for fresh, forward-thinking and strategic topics you'd like to see in the education program in 2019. This is your opportunity to submit ideas for yourself or another speaker to be heard at the 25th Annual Scientific Assembly at Caesars Palace Las Vegas in March 2019. Submission deadline: Monday, June 25 11:59 p.m. CST.
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Join us in Orlando, FL on Aug. 14-17 for the AAEM Written Board Review Course! Expert preparation for the ConCert™ and Qualifying Exams with bonus review materials and experienced faculty. AAEM members receive discounted pricing. Early bird discount ends: July 14, 2018.
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RSA, in collaboration with FemInEM, is giving away two scholarships to attend FIX 2018 in New York City, Oct. 16-18, 2018. Residents applying must be RSA members paid through June 30, 2019. Deadline to apply: July 31, 2018.
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Residents & Students — Join a Committee and Get Involved
Have an special interest? AAEM/RSA committees offer opportunities to get involved with areas of Emergency medicine that interest you the most. Advocate for your profession in the Advocacy Committee, work on physician burnout in the Wellness Committee, help plan the RSA track at AAEM's Scientific Assembly, and much more! Fall committee application deadline: Aug. 1, 2018.
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Register for ED Management Solutions: Principles and Practice — Sept. 6-7 in Austin, TX
The ED Management Solutions Course is a live two-day event that brings together current and future medical directors. Not a medical director, but interested in operations management? This course is for you too! Topics covered are both timely and cutting edge. The first day will focus on the fundamentals of operations and then you will dive deeper into emergency department management and leadership on day two.
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Live, work, & play in Maine! Eastern Maine Medical Center has full- and part-time physician opportunities offering flexible schedules and exceptional work/life balance, so you can enjoy the limitless outdoor recreational opportunities Maine offers! Competitive compensation package including relocation, sign-on bonus, and loan repayment. Contact: Amanda Klausing, Recruiter at
Register Now — Mediterranean Academy of Emergency Medicine Congress (MAEMC 2018)
Attend MAEMC Sept. 13-16, 2018 in Beirut, Lebanon. MAEMC offers evidence-based updates by national & international expert speakers on key clinical emergency medicine topics – covering the multi-disciplinary acute care of cardiovascular, neurologic, pulmonary, pediatric emergencies and trauma.
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Fall Oral Board Review Course — Registration Now Open
Join the AAEM Pearls of Wisdom Oral Board Review Course this Spring. Five convenient locations! Sept. 15-16: Philadelphia & Chicago. Sept. 22-23: Orlando & Dallas. Oct. 3-4: Las Vegas. We offer hands-on practice with the exact same eOral simulation equipment that ABEM uses. Case content is entirely that of AAEM.
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RSA publishes several new episodes for residents and students monthly! Our most recent episode is "Innovation and the Future of MedEd" presented by Puja Gopal, MD, resident at University of Illinois at Chicago and '17-'18 RSA Education Committee Chair, and Felix Ankel, MD, Vice President for Health Professions Education at HealthPartners in Minneapolis.
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Is transcellular potassium shifting with insulin, albuterol, or sodium bicarbonate in emergency department patients with hyperkalemia associated with recurrent hyperkalemia after dialysis?
The Journal of Emergency Medicine
Emergency department (ED) treatment of hyperkalemia often involves shifting potassium into the intracellular space. There is uncertainty whether transcellular shifting causes insufficient potassium removal during hemodialysis, resulting in a subsequent need for further medical therapy or multiple sessions of hemodialysis.
Assessment of the utility of ordering a troponin in low- and intermediate-risk patients presenting to the emergency department with supraventricular tachycardia: A retrospective chart review
The Journal of Emergency Medicine
A troponin assay is commonly sent for patients presenting to emergency departments (EDs) with supraventricular tachycardia (SVT). Multiple studies suggest that elevated troponin levels do not predict coronary artery disease in these patients. Patients with elevated troponins are more likely to have additional cardiac testing, which can lead to increased health care costs and unnecessary invasive procedures.
A randomized trial comparing metered dose inhalers and breath actuated nebulizers
The Journal of Emergency Medicine
Despite little evidence for its effectiveness, the breath-actuated nebulizer (BAN) is the default albuterol delivery method in our pediatric emergency department.
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Altered mental status: Current evidence-based recommendations for prehospital care
Western Journal of Emergency Medicine
In the United States emergency medical services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with an acute change in mental status and to compare these recommendations against the current protocols used by the 33 EMS agencies in the State of California.
Emergency physicians at war
Western Journal of Emergency Medicine
Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training.
The opioid crisis in America: Too much, too little, too late
The Western Journal of Emergency Medicine
There is widespread awareness of one component of today's opioid crisis in America – the overuse of opioid medications. With overdose deaths reaching epidemic levels, some U.S. states have issued emergency declarations to bring legal authorities to bear for this unprecedented situation. Following a 2015 fall in life expectancy for the first time in decades, the Centers for Disease Control and Prevention identified opioid overdoses as a major contributor to this increase in population mortality.
Infusion type doesn't affect brain outcomes in pediatric DKA
Medscape (free login required)
In children presenting to the emergency department with diabetic ketoacidosis (DKA), neither the rate of administration nor the sodium chloride content of intravenous fluids appears to significantly influence neurologic outcomes, new research suggests. The study was conducted to fill the gaps in research that inform current DKA treatment guidelines, which typically call for slow rehydration with isotonic fluids in order to avoid brain swelling, Nathan Kuppermann, MD, said.
Rivaroxaban associated with decreased hospitalization, costs for patients with low-risk PE
MD Magazine
When administered rivaroxaban, patients that are at a low-risk for pulmonary embolism (PE) and are discharged early from the emergency department (ED) have similar outcomes compared to patients receiving the standard of care. Additionally, those receiving rivaroxaban and early discharge had fewer total days hospitalized and lower costs over a 30-day period.
Emergency department gout visits rise dramatically
Renal & Urology News
Emergency department (ED) visits for gout rose dramatically from 2006 to 2014, especially among individuals aged 45 to 64 years, according to study findings presented at the European League Against Rheumatism (EULAR) 2018 Annual European Congress of Rheumatology in Amsterdam, The Netherlands.
PEPID and AAEM Introduce "PEPID Pediatric Emergency Medicine Suite (PEM)"
PEPID PEM is the only comprehensive point-of-care resource containing over 2,500 pediatric clinical situations and treatments, 3000+ pediatric dosing calculators, 200+ embedded procedural videos, illustrations, integrated drug database and more! It is everything you need to treat pediatric patients in the ER.
Device delivers drugs direct to heart to help recover from heart attacks
A team of researchers from the U.S. and Ireland have developed a device that can be used to deliver drugs directly to a damaged region of the heart. The capability has the potential to provide a direct therapeutic option to guide how the heart recovers following a heart attack, leading to improved cardiac function.
CDC issues updated advisory regarding outbreaks of hepatitis A
Monthly Prescribing Reference
The Centers for Disease Control and Prevention (CDC) has issued a Health Alert Network Advisory regarding outbreaks of hepatitis A infection among individuals reporting drug use and/or homelessness. Of the 2,500 cases of hepatitis A infection reported between January 2017 and April 2018, 68 percent were among persons who reported drug use (injection and non-injection), homelessness, or both. In response to these outbreaks, the CDC has issued guidelines to assist clinicians in identifying and preventing new infections.
Study reveals five strategies to help patients with cancer reduce emergency department visits
Researchers from University of Pennsylvania identified five strategies for reducing unnecessary ED or hospital visits for patients with cancer. Nathan R. Handley, MD, a hematology oncology fellow in Penn's Perelman School of Medicine, and colleagues conducted a PubMed search for articles published between 2000 and 2017 relating to ED visits, hospitalizations and hospitalizations within 30 days. They also reviewed guidelines published by professional healthcare organizations.
Triple therapy recommended for COPD with infrequent exacerbations
Pulmonology Advisor
A direct de-escalation from triple therapy to indacaterol/glycopyrronium is not recommended over triple therapy in individuals with chronic obstructive pulmonary disease (COPD) and infrequent exacerbations, according to a study recently published in American Journal of Respiratory and Critical Care Medicine.
Missed last week's issue? See which articles your colleagues read most.
Mild TBI patients lack follow-up care after ED discharge
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Multicenter study of albuterol use among infants hospitalized with bronchiolitis
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Even the thinnest salami contains some meat
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An impaled potential unexploded device in the civilian trauma setting: A case report and review of the literature
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Last week marked the first Senate hearing on firearms since February 2013 in the wake of the shooting at Sandy Hook Elementary School. It's shocking that our elected officials have remained so silent for over 17 months on such a staggering issue in our country. Each day, 86 Americans die by gunfire. Thankfully, our Senate Judiciary Committee has finally decided - for the first time ever - to discuss the alarming connection between domestic violence and gun violence.
This column answers our question "Should Congress pass a law to keep guns from domestic abusers?"
Last week marked the first Senate hearing on firearms since February 2013 in the wake of the shooting at Sandy Hook Elementary School. It�s shocking that our elected officials have remained so silent for over 17 months on such a staggering issue in our country. Each day, 86 Americans die by gunfire. Thankfully, our Senate Judiciary Committee has finally decided � for the first time ever � to discuss the alarming connection between domestic violence and gun violence.
As a longtime Ohio-based advocate for raising awareness for everyday survivors of domestic violence, I know all too well the harrowing statistics on the intimate relationship between domestic violence and firearms. For me, these are not just statistics. They are the lives of the women and families I work with everyday.
They tell a sad story that is unique to the United States: American women are far more likely � 11 times more, in fact � to be murdered with guns than women in other developed countries. The research shows that on average, 48 women are shot to death each month by current or former intimate partners.
Perhaps the most tragic element here is that many of these deaths could have been prevented. This is particularly true here in the Buckeye State. As a recentreport on guns and domestic violence brought to light, Ohio lacks so many of the important laws that prevent domestic abusers from getting their hands on firearms. The lethal connection between domestic abuse and firearms is what brought me to Washington, D.C. last week. I came there to tell members of Congress about this problem and describe what I see on a daily basis back home.
Ohio has no laws in place to prevent those convicted of domestic-violence misdemeanors from buying or owning guns, nor does it prohibit the subjects of domestic violence restraining orders from buying or possessing guns. And the state doesn�t have any laws in place to make sure these abusers turn in their guns when they are convicted or restrained. This means that in Ohio, these abusers are less likely to be prosecuted when they have guns illegally, and that they will not have to turn in their guns even after serious abuse occurs.
Unfortunately this is not something that can be solved solely in Ohio. The impact of a firearm in these dangerous encounters cannot be understated: A gun�s presence in domestic-violence situations increases a woman�s risk of homicide by 500 percent.
While it is my hope that our own state legislature follows the lead of states such as Louisiana, Minnesota and Wisconsin in passing domestic-violence laws that would keep women safe, we also need our lawmakers in Washington � particularly Sens. Rob Portman and Sherrod Brown � to do more to strengthen public safety.
That�s why during my trip to Washington I strongly advocated for strengthening our lax gun laws to keep guns out of the hands of dangerous individuals such as domestic abusers. I also spoke about the ways in which an important new bill put forth by Sen. Amy Klobuchar of Minnesota could help save the lives of women in Ohio and around the nation. The bill, the Protecting Domestic Violence and Stalking Victims Act (Senate Bill 1290), would take two major steps to keep guns out of the wrong hands. First, it would protect stalking victims by prohibiting convicted stalkers from possessing guns. Second, it would update the definition of domestic violence to ensure that abusive dating partners are covered under the law � and that an abuser will not be able to buy guns simply because he is not married to his victim.
This is critically important because more women are killed by dating partners than by spouses. The bill also aligns with other current domestic-violence legislation by using the same definition for dating partner that is used in the Violence Against Women Act: someone who has been in a romantic or intimate relationship with the abuser (taking into account the type, length and frequency of interaction in the relationship). The bottom line is Klobuchar�s bill would close outdated loopholes in our current system that allow domestic abusers access to guns. This bill will save women�s lives.
We need to strengthen gun laws to protect women now. The Senate Judiciary Committee hearing is one step in the right direction. Co-sponsorship of Senate Bill 1290 by our Ohio senators would be another. And I�ll keep coming to Washington until our laws change. It�s time for our lawmakers to listen � both in Ohio and in Washington.
Becky Mason works for the Ohio Domestic Violence Network.


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Schemes Business Development Executive - Leisure
Due to the continued successful growth of our schemes in the caravan & leisure industry we are looking to recruit additional Business Development Executives to join our existing team.
The ideal candidate should have more than 5 years commercial insurance experience, ideally gained in the caravan, motorhome or leisure industry.
Why Join Wilby?
As a Chartered Insurance Broker and an Investor In People we are committed to the continuous development of our staff and actively encourage and help employees to pursue professional qualifications.
We also offer employees a generous benefits package and organise a number of funded social events throughout the year.
Interested in applying?
If you are interested in joining our team, please forward your details by email to firstname.lastname@example.com or by post to:
Wilby Limited,
Gordon House, 17 Charles Street,
Halifax, HX1 1NA


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Oil + Light
Nick Eisele
Nov 17, 2018–Jan 6, 2019
Invitational Gallery
Eisele wields the luminous qualities of oil paint in still lifes. Drawing inspiration from Classical Realism, he captures light and reflection in his careful compositions with detailed attention to color.
Related Events
Opening Reception Fine Art in Miniature and Oil + Light, Sun, Nov 18, 2pm
Opening Reception Montgomery County Plein Air Artists, Sun, Nov 25, 12pm
Kids Talk & Tour Sat, Nov 24, 10:15am
Recorrido de Arte para Niños en Español Sa, 24 de nov, 11:30am
Curator's Tour Sat, Nov 24, 1pm
Visita del Curador en Español Sa, 24 de nov, 2pm
Miniature Painting Workshop Sun, Dec 9, 10am
Support for Visual Arts programming at Strathmore is provided by Fox Hill
Personal Effects by Nick Eisele
Support Strathmore
We rely on charitable gifts from individuals to sustain and expand our visual and performing arts experiences and arts education programs. Your gift will foster incredible social impact by allowing Strathmore to remain a strong and vibrant resource in your community.


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Its All In Your Head
Dr. Tesh Patel's focus is relief of chronic pain and neuromuscular problems using conservative, holistically oriented methods. Dr. Patel is continually seeking the most advanced techniques available. Dr. Patel uses non-invasive and non-surgical approaches. His expertise is in objectively documenting cranial dysfunction and correlating it with problems that may appear elsewhere.
Dr. Tesh Patel's patients had often been dismayed to hear their previous doctors say "It's all in your head," or "You'll have to learn to live with it, there's nothing you can do about it."
Unfortunately, the migraine-like headaches, blurred vision, dizziness, hearing loss, ear ringing, eye, face, head, neck, shoulder, back, hip, leg or foot problems, etc. were "VERY REAL" to sufferers.
Margaret is twenty-eight rears old, married for five years and hoping to start a family soon. Her health was "average" until 1992 when her story, starts:
I began to have very bad headaches that increased from monthly to weekly to almost daily. So I started seeing a primary care physician who was trained in family practice and internal medicine. He diagnosed me as having "migraines," then "allergy problems," then "postnasal drip," then "stress headaches" and "depression headaches." It was one diagnosis after another.
I was put on every kind of drug-from Prozac to muscle relaxants to painkillers. I was on every new nose spray and allergy or sinus medication that came out. For about a year I gave myself injections of Imitrex. I would be going through the day and-all of a sudden-a headache would hit out of nowhere with no warning-like a freight train. That was the end of any activity. I couldn't concentrate or think. I couldn't go on with my life. The only thing I could so was to go to bed in a quiet, dark room. The headaches were seriously affecting my job in retail sales. I had to take time off because I could not concentrate with the pain. Once I was taken to an emergency room because I'd dropped to the floor, crying with pain that was unbearingly severe.
Since 1992, I've seen many professionals including three primary care doctors, four ear, nose and throat specialists (ENT's), an allergist, a massage therapist and a chiropractor. I had two CAT scans and two MRI'S. All this was taking over my life. I was spending so much time going back and forth to doctors, paying them to tell me I was pretty much crazy, trying to keep on top of all the bills and battling the insurance companies. All the while, because no one knew what was wrong with me, they kept saying "There's nothing wrong with you," or "You're depressed," or "It's because you got married," or "It's because you're buying a house," etc., etc.
The last two years had been especially difficult. I was seeing two of the primary care doctors and three of the ENT'S. I'd tell them that I was taking six Excedrin per day, everyday, plus all the other medicines. None of them seemed to think that was a problem. The third ENT wanted to do sinus surgery. Mercifully, the fourth ENT referred me to Dr. Tesh Patel instead.
We've been trying to start our family for the last year and a half and I'd decided I was going to figure out the cause of my headaches and get healthy first. My husband was accompanying me to all doctor visits because no one seemed to be listening to me. By now, we both were suspicious, critical and questioning because of the way I'd been treated. But the clear difference with Dr. Patel was that he really listenedand didn't just prescribe medications. Instead, he tried to get to the bottom of my problem and promised he'd do whatever it took to help me.
When he put wax between my upper and lower teeth in various places to modify the position of key structures, he'd say to my husband, "What do you see before ... and after?" My husband would say, "She stands straighter," "Her shoulders aren't folding forward," after modifications were made. We could see improvements for ourselves-before Dr. Patel explained anything!
That first, two-hour visit was spent just talking, understanding, and demonstrating how things could be better for me. I returned for tests and many measurements so that a special "splint" could be made for me to wear on my teeth. The first four days after getting it took some getting used to-but I started to experience remarkable improvements. It's been only three weeks now-and I'm 100% better-there is just a little remaining neck strain still to be worked out. Incredible after six years of agony! I was on six medications before. I'm blessed to have found Dr. Tesh Patel.
I look back on what I've been through and want to share my story with everyone who's having similar problems. No one should have to go through what I did.
Mattie is eighty-two years young and lives with her family in Naperville. She tells her story:
All my life I knew my bite was "off" but it didn't bother me much. Then, about seven years ago, my ears and jaws began to hurt so much I could hardly stand it. I had to find someone who could relieve the pain. In all, I saw five medical professionals. The first four were ENT'S. I also went to Loyola but they didn't know what to do with me. I felt that they were thinking, "It's all in her head." The doctors ran two MRI tests. But the only thing they showed was a ruptured eardrum that I already knew about. Two surgeries were performed to close the rupture-but they were unsuccessful.
Feeling desperate by then, I consulted an orthodontist who told me that there was no cartilage left in my jaw joints-just bone on bone causing extreme pain over five years. By this time the pain was so awful that I didn't want to live anymore.
Fortunately however, the orthodontist knew Dr. Patel and recommended that I see him. My first visit was quite different from anything I'd ever experienced before. We had a very long discussion about my situation and he did a very thorough examination. Then he took measurements using special kinds of equipment I'd never seen before.
When 1 got the removable mouthpiece to put over my bottom teeth, I couldn't believe it - changes started to happen right away. Within three weeks, I got relief after all these years of pain. Two months have passed and I'm feeling better all over.
Life is definitely worth living now!
I have only been wearing my TMJ appliance for one week, but I have already seen marked improvements in my ability to open and move my jaw. I feel confident that I will continue to see an increase in mobility in the weeks to come. The staff is very friendly and always helpful in answering all of my questions. They were very welcoming from the moment I arrived. Dr. Patel makes me feel assured that I will regain most if not all of my ability to move my jaw again. He, too, is very friendly and welcoming. I greatly appreciated his phone call to check on me the day after I obtained my TMJ appliance.
Beth Westbrook
After being in so much pain and discomfort, it is mind blowing the progress that has been made in my first week. The pain has gone away and I can't remember the last time I was able to eat without paint or discomfort.
Jake Priet
In just two days, I have had incredible results. My pain and pressure is negotiable and I have increased my mobility and jaw flexibility. I have every reason to believe, by following Dr. Patel's treatment plan, I will return to a pain free lifestyle.
Susan C. Morris
In one month, my jaw pain is completely gone. I always thought I had a "small mouth" and had to find a dentist that had smaller hands because I couldn't open my mouth wide enough for them to work on my back teeth. I found out through Dr. Patel that is was a jaw joint issue, not a "small mouth issue". The mouth piece he made for me is correcting my issue along with giving me a pain free jaw.
Lisa Harmon
I've had popping issues with my jaw for years and didn't think much of it. I'd occasionally get pain under my ear by my join, but nothing too serious. Then I had a tooth extraction in January - it was nearly April and I was in extreme pain - the oral surgeon I went to just wrote me off - then my regular dentist referred me to Dr. Patel. In one week, I am virtually pain free - I'm a new person. If I hadn't heard of Dr. Patel, I'd still be in unbelievable pain. His staff is amazing and he has been a God send. Thank you all so much.
For over five year, I have had debilitating headaches and migraines affecting my neck, head, and face following a bad MVA. I have received botox therapy, trigger point/nerve block injections, physical therapy and tried countless other drug therapies. Within 3 weeks of having my splint, my face paint was 50% reduced and the squeezing in my temples had greatly improved. By 5 weeks, my face pain is nearly 100% improved and my temple pressure has gotten significantly better.
Anne C Bopp
In just one week, my symptoms have improved greatly. The treatment Dr. Patel made for me has already decreased my pain and improved my range of motion.
Stacey Caudill
I've been dealing with TMJ for nearly 10 years. I've neglected treatment for many years mainly from financial fear and the thought that it just wouldn't help. Not even two weeks into treatment with Dr. Patel, it's already been worth every penny. The first thing I noticed was my sleep improved tremendously. I haven't woke up to popping, cracking and headaches. Overall, all of my daily pains and chronic headaches have subsided. Dr. Patel and everyone here have been great to see helping me through this. Thank you all.
Bradley Azbell
I came to Dr. Patel from a different TMJ specialist, and the experience is night and day. Dr. Patel cares about his patients and wants them to excel in feeling like the best person they can be. I suffered from headaches, sever migraines, trouble chewing, neck pain, and upper back pain. Two months into splint therapy with Dr. Patel, there was a major turn around with my symptoms. Now I've been headache, neck pain, eye pain, and migraine free for almost 5 months. It does work and is 100% worth going through the splint therapy process.
Brandyn Kinsinger
Dear Dr. Patel and Desi,
I am pleased to say that thru the TMJ treatment with the apparatus, my pain was significantly reduced in the first week and in the second week it was gone completely. My bite improved so that teeth that weren't touching are now touching again and I can open my mouth wide without pain.
I was skeptical about this treatment working, but am very pleased that it has.
Sharon F.


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For those of you about to search for recent college graduate jobs, you should be aware of 17 realities facing graduates that are found in the following post.
It's ONLY a selfie. That's the argument from graduating students at the University of South Florida. School officials at USF have asked grads to not snap selfies as they receive diplomas. A quote from the Associated Press: "I don't have an anti-selfie bent," said Michael Freeman, the USF dean who made the selfie rule. "I would just caution students to think
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For those of you constantly networking about jobs for recent college graduates and not getting any results, there is one thing you might be forgetting to do in your search. Find out what it is in the following post.
At the end of a long day at a networking event, we probably have a stack of business cards in our pocket. But when everyone is back home or in the hotel, then what? What becomes of those cards? Despite the best of intentions, eventually most look at the card pile and think "I'll get to those later"
Read original article:
If you have an interview for an entry level job coming up, check out 13 tips to help you get the position you want in the following post.
You've worked hard on your resume, and you finally networked your way to the right person. This is your chance: you've got an interview! What now? Wing it and hope for the best? Google for interview tips—and end up with the same template as everyone else? No, you're smarter than that—and you need to stand out from the crowd.
See the article here:
Top Internships for Students
Popular Jobs for Recent Grads
Jobs in Growing Industries


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COVID-19: Find current service information
Information and services
Regulations and opportunities
Leadership and engagement
Transactions and applications
Hennepin County
Health and medical
Severe cold warming options
When the temperature or wind-chill become dangerously low, these places are open during specified hours. Everyone is welcome.
If you are in physical danger of freezing, contact 911.


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973.316.0879 (tap to call)
Marshmellow - Umbrella Cockatoo
Item#: OurBirds_Marshmellow
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This is our Umbrella Cockatoo Marshmellow. She is 27 years old. She loves to be a "Big Ham" for the camera. She's a typical beauty queen who loves to get her nails and wings done. Marshmellow just loves to sing with me when I put her to bed at night. We sing together "You are my Sunshine" She has the cutest voice. Marshmellow is the "Momma bird" to our whole flock. She is so gently even with her brother Charlie (our Parakeet). Charlie thinks Marshmellow is so beautiful. Marshmellow also loves to take a foot bath every day. She sits in our bathtub and gets her feet wet and splashes around. I guess having your nails, wings and feet done on a daily basis goes with being a "beauty queen".
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Depression News & Features
When a Handgun Is in the Home, Suicide Risk Rises
Handgun owners are at substantially heightened risk of suicide in the years after buying their first gun, a large new study finds.
Algorithms Spot Signs of Suicide Risk & Self-Harm
Using artificial intelligence, doctors and researchers believe they can more quickly identify people at risk of suicide or self harm.
People With Depression Are Turning to Pot for Relief: Study
People with depression are twice as likely to be using pot as those who aren't depressed, researchers reported in the current issue of the journal Addiction.
Can You Eat to Beat Depression?
A growing field of science called nutritional psychiatry focuses on how your diet affects your mental health.
Exercise Can Help Prevent Depression
Getting more exercise could help ward off depression, even if you have a genetic risk for it, new research shows.
Can Psychedelic Ayahuasca Help With Depression?
Some people are trying the psychedelic tea to heal depression, addiction, and PTSD as researchers study whether it has potential health ben
PTSD Linked to Stroke Risk in Younger Adults
Young and middle-aged adults with post-traumatic stress disorder (PTSD) have an increased risk of stroke, new research suggests.
Could Eating Healthier Be a Natural Antidepressant?
Those who embraced healthier food choices reported less anxiety and much better moods within weeks, according to findings published Oct. 9 in the journal PLOS ONE.
Antidepressants Might Raise Odds for Serious Pregnancy Complication
Specifically, the drugs venlafaxine (Effexor) and amitriptyline (Endep) were associated with the highest risk, especially when taken for a long time.
Common Antidepressants May Work in Unexpected Way: Study
Zoloft (sertraline) -- and the family of similar drugs it belongs to -- may actually take months to ease classic symptoms of depression, but ease symptoms of anxiety first, U.K. researchers found.
Signs of Suicidal Thoughts Seen in PTSD Brains
The investigation raises the possibility that at some future point new treatments could be developed to reduce suicide risk in this vulnerable group of patients.
'Exposure Therapy' Best Against PTSD Plus Drinking
In prolonged exposure therapy, patients gradually confront memories, feelings and situations related to their PTSD-causing trauma.
Many 'Gen Xers' Despair as They Navigate Adulthood
These new findings indicate that despair is pervasive throughout Generation X, affecting people regardless of their race, background or family income.
Denver Voters OK Personal Use of 'Magic Mushrooms'
Psilocybin mushrooms, federally illegal since 1968, have been used for centuries for spiritual and medical purposes.
Traumatic Event Can Stick for Kids, Lead to PTSD
Researchers wanted to find out more about why some children have significant traumatic stress symptoms in the days and weeks after a trauma and while others do not, and importantly -- why some recover well without treatment, while others go on to have more persistent problems.
Brain Stimulation May Soothe Severe Depression
The treatments included electroconvulsive therapy, transcranial magnetic stimulation (TMS), magnetic seizure therapy, and transcranial direct current stimulation.
Study: Diet Supplements Don't Ward Off Depression
Researchers found that the supplements taken by study subjects worked no better than a placebo in helping ward off depression.
FDA OKs Ketamine-Like Drug for Severe Depression
Sold as Spravato, the fast-acting drug becomes the first new type of medicine approved in years against an illness that plagues millions of Americans.
FDA Expected to OK Ketamine-Like Depression Drug
If the drug, Spravato, is approved, only patients who have failed at least two other antidepressants will be eligible for a prescription, and it will be given only in certified treatment centers, not sent home.
Acne Drug Accutane May Not Depress Mood After All
For years, doctors have debated the safety of the acne drug most commonly known as Accutane, but new research suggests the medication does not boost depression risk among its users.
Women Who Work Long Hours May Face More Depression
Researchers found that compared with women who worked a standard 40-hour week, those who were on the clock 55 hours or more typically reported more depression symptoms.
FDA Panel Backs Ketamine-like Drug for Depression
Despite the panel's approval, two of five key studies of esketamine failed to meet their primary goals. When taking esketamine, some patients experienced sedation, blood pressure spikes and dissociation (feeling disconnected from surroundings) within two hours of taking the drug, CNN reported.
Could Germs in Your Gut Send You Into Depression?
Researchers found that people with depression showed differences in specific groups of gut bacteria. And those with higher concentrations of certain other gut bugs generally reported better mental well-being.
Stimulating Brain Area May Ease Tough Depression
People with moderate-to-severe depression saw significant improvement in their mood after electrical stimulation of a brain region called the orbitofrontal cortex (OFC), a small study suggests.
Anti-Seizure Drug May Help Against Depression
Some study subjects who took ezogabine (Potiga) saw a 45 percent reduction in depression and an increase in their ability to feel pleasure, as well as an increase in resilience and the capacity to recover from extremes of trauma and stress, researchers report.


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Acne can be a puzzling disease for many people. The fact is that when it comes to acne, there actually are different types of acne pimples. By having at least a rudimentary understanding of the different types of acne pimples, you will be better able to chose a course of appropriate treatment should you even face an acne pimple outbreak.
Whiteheads are pimples that stay under the surface of a person's skin. These are very common types of acne pimples.
Blackheads are acne pimples that rise to the surface of a person's skin. These acne pimples do look black but the black color is not from dirt.
Papules are acne pimples that look like small, pink bumps on a person's skin. The can be very tender to the touch.
Pustules are acne pimples that are red at the bottom and that are crowned with pus at the top.
Nodules are acne pimples that are large, solid pimples that are located deep in the skin. These types of acne pimples normally are very painful.
These are considered the most serious of acne pimples for a number of reasons. These are deep and pus-filled pimples that are located deep in a person's skin. They are very painful and can result in scarring.
When it comes to acne pimples, a person can suffer from these different types of pimples at different times. Moreover, in some instances a person may be afflicted with different types of acne pimples at the same time.


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Friday, 22 June 2012
My Ainol Novo 7 Aurora Tab is back!
Finally my ainol novo 7 Aurora tab is back. Now with its cost hiked up by repair, total of SGD209 + 50,
its better last me till I get sufficient funds to get a Samsung Galaxy Tab2 or something even better! Hmph!
Quick specs for sharing:
- 7" Capacitative Screen
- Android 4.0 Ice Cream Sandwich
- 1.0 GB Processor
- Built-in Memory 8GB (add $20 for 16GB)
- Front Camera (specs to be confirmed)
I actually got mine at 16GB initially from sim lim square. But there were startup issues and no stock to exchange, so I took a refund of 20 to receive a 8GB replacement.
It was all well till 1 day I wanted to bring it for Google Play to be installed and at the store it was found that my screen became damaged due to having been squashed by items in bag or pressed on.
Hence I'm sharing with all readers here, if you intend to spend less money for an okay tab that's light weight and convenient to bring around, this novo 7 Aurora by Ainol works.
However, HANDLE WITH CARE!!
20:26 Posted in Gadgets & Apps, My Interests, Thoughts... | Permalink | Comments (0) | | Facebook | | Print |
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