text:
Why You May Need a Laguna Niguel Child Custody Lawyer
Determining child custody is one of the court's biggest decisions. Our child custody lawyers are professionals at representing their clients on these kinds of proceedings and showing evidence as to why their clients should have custody of their child.
You should know, Child custody isn't always awarded to the mother of the child. Joint parental custody is preferred, but one person is considered the main custodial parent. A child custody attorney can show your case to the judge outlining the reason why you think you would be the better selection for the primary custodial parent. Our Laguna Niguel Child custody lawyers also work directly with private investigators when necessary to find out as many facts about the case as they can.
Our Child custody attorneys will spend the time in finding possible witnesses for you, developing a schedule for visitation to present to the other parent, and working with the court to establish which parent is most suitable for custody.
Some custody cases tend to be emotional and volatile. The child custody attorneys at our firm will certainly protect your legal rights as a parent and do everything in their power to obtain a favorable outcome.
We make your child custody dispute case our concern, by means of hard work, determination, and a thorough application of our skills, we fight for favorable resolutions. With attention on due dates and court dates, we make sure you understand every step of the case. We strongly encourage communicating with us by means of telephone and email. We will pay attention to your needs and answer all questions and concerns you may have. Alongside one another, we work to win.
Winning consists of us being most effective and efficient. By means of advanced technology, we have computerized our practice, which raises efficiency and permits us to become more cost-effective. Most of our research is done through the Internet, saving time and legal fees.
To learn more about our Laguna Niguel Child Custody Attorneys and just how we can help you, please contact us today. We look forward to hearing from you either by email or by phone. Our Laguna Niguel child custody attorneys will set up a no cost consultation with you.
Before parents can take care of custody matters and visitation of their children, there must be a formally filed underlying action in the state family law court.
What this means is a petition for divorce or paternity (unmarried) could be filed by your family law attorney.
If the parents are married, either the mother or the father's family law lawyer may file an action asking for dissolution of marriage, legal separation, or nullity or file the petition for custody and support of minor children's action.
If the mother and father are unmarried, either the mothers' or the fathers' family law attorney can file an action to determine the parental relationship or file the petition for custody and support of minor children.
This is often done by having a knowledgeable family law attorney file an Order to Show Cause. This kind of process provides for temporary orders to be given before a trial or judgment. You can even file an Order to Show Cause post judgment.
Exactly what can you do to help your Laguna Niguel Child Custody Case?
It is possible to assist tremendously on this necessary family law process. It is possible to help keep the cost to a minimum of your family law situation by providing the 4 basic information inputs demanded and necessary in all family law cases involving custody issues:
Your Story
One to two pages, double spaced, 12 point font. If correct, briefly explain the way you have been the main care giver. In addition briefly point out any truthful unacceptable behavior by the opposing party. Reflect on the standard points of being a parent:
- Scholastic (educational)
- Extra-curricular (sports, music, ballet, amusement parks, museums)
- Medical (doctor visits)
- Home life, living environment (home accommodations)
- Religious affiliation
Income and Expense Declaration Form
Consult our firm for this Income & Expense Declaration form. Fill this form out to the best of your ability. Be sincere. If it is possible seek out guidance from a bookkeeper or accountant.
You can use a pencil and it may be in your own handwriting, just be neat. Give all supporting documents at your disposal, such as a pay stub, tax return, and copies of other sorts of financial accounts.
When you've done the best you can, deliver it to our firm so we can help in the completion of the Income and Expense Declaration form. Our family law lawyers will review your declaration prior to filing in a family law court.Future Custody Plan
Remember to give to us 1 to 2 pages clarifying your custody goals. Concentrate on what is in the best interest of the kids. Describe how you would want to exercise custody of the child or children. Give detail to the visitation schedule. Have a calendar and a map handy. Be realistic, fair, and reasonable.
The legal courts want both parents to be active in the raising, loving and caring of children.
Keep in mind, kids are innocent and are our nation's potential future citizens. Children are dependent upon us for their well being.
Keep in mind, family law courts like to maintain the status quo except if there is information and facts supplied that would necessitate a change to a visitation schedule.Evidence
Evidence in family law concerns inevitably gets to be exhibits. Exhibits are simply included in an organized fashion into any package of court documents your family law lawyer files on your part.
When you formally request something, like Laguna Niguel child custody or child support orders, in the court, it should be filed formally on your behalf by your family law lawyer.
This means to merely attain virtually any document that shows anything you stated or requested in items #1 – #3 above.
Keep in mind one of the best ways to ensure you will be victorious in protecting your children is to be precise, prepared, and organized with the necessary proof, i.e. evidence!
Can I get joint custody of the kids?
A number of states possess a joint custody law that promotes judges to grant joint legal custody to parents. Therefore both mom and dad have a right to make decisions concerning their children like education, medical treatment and religious training.
A legal court also has the power to grant physical custody to one or both parents. Physical custody decides the location where the child will actually live, and it is most common for the children to spend the majority of their time with one parent.
The parent who does not get primary physical custody is commonly granted secondary physical custody or visitation rights.
It is most common for the non-custodial parent to obtain specific periods of time consisting of alternating weekends, one evening per night and one-half of the children's school vacations.
Sometimes, the parents agree to reasonable secondary physical custody or visitation rights, which mean that the parents agree on the times when the non-custodial parent will have the children.
If I have custody of our children, can I move with them to a different metropolitan area?
Occasionally, a judge will issue orders preventing either parent from changing the home of the children from the specific geographical area.
In your area, it is not uncommon for a judge to restrain the parents from removing the residence of the children from local counties. These kinds of orders are common where both parents have a significant amount of time with the children, and removing them from the metropolitan area can be bothersome to the children, and their own development.
Over the last ten years, state courts have been handling the right of a custodial parent to move together with the kids to another metropolitan area or outside the state. Under the new rule, the custodial parent commonly has the right to determine where the children are to reside, as long as he/she isn't relocating simply to deny another parent access to the children.


text:
Data that details every gene in the DNA of 410 people with Alzheimer's disease can now be studied by researchers, the U.S. National Institutes of Health announced this week. More>>
You can talk like a "Valley Girl" -- even if you're a guy -- a new study contends. More>>
Pregnancy rates continue to decline in the United States, a federal report released Thursday shows. More>>
Power couple Jay Z and Beyoncé are powering through the next 22 days on a cleansing vegan diet. They say it's a "spiritual and physical cleanse." Veganism is a plant-based diet, so no animal products. No meat no fish. Nutritionist Lisa Moskovitz says that while cleansing can be healthy, and a vegan diet too, there are risks because of the need for certain vitamins.
New Yorkers who say electronic cigarettes helped them quit smoking asked city lawmakers at a hearing on Wednesday not to ban the nicotine inhalers from restaurants, workplaces and other indoor spaces, saying there isn't enough evidence they pose a health risk to justify their exclusion. More>>
A recently discovered, aggressive strain of HIV leads to faster development of AIDS than other HIV strains, according to a new study. More>>
A new study from Australia sheds more light on what environmental factors might raise the risk for attention-deficit/hyperactivity disorder (ADHD). More>>
A safe and effective male birth control pill may be inching closer to reality, according to researchers. More>>
Breast cancer patients who have mammograms every 12 to 18 months have less chance of lymph node involvement than those who wait longer, therefore improving their outlook, according to an early new study. More>>
Slightly more than 6 percent of U.S. teens take prescription medications for a mental health condition such as depression or attention-deficit/hyperactivity disorder (ADHD), a new survey shows. More>>
Breast cancer risk in women may be tied to the rate at which their breast-tissue density changes as they age, a new study suggests. More>>
Men and women with mild heart disease share the same risks, at least over the short term, a new study suggests. More>>
The number of U.S. teens who wind up in the emergency room after taking the club drug Ecstasy has more than doubled in recent years, raising concerns that the hallucinogen is back in vogue, federal officials report. More>>
President Barack Obama announced a new initiative at the National Institutes of Health in pursuit of a cure for HIV, saying his administration is redirecting $100 million into the project to find a new generation of therapies. "The United States should be at the forefront of new discoveries into how to put HIV into long-term remission without requiring lifelong therapies, or better yet, eliminate it completely," Obama said. More>>
Soldiers who suffer mild brain injuries from blasts have long-term changes in their brains, a small new study suggests. More>>
Heavy drinking by one partner in a marriage increases the risk of divorce, but that's not the case if both spouses are heavy drinkers, a new study finds. More>>
The cold, dry air of winter can deplete your skin of moisture and cause "winter itch." More>>
Scientists have identified a giant meat-eating dinosaur that roamed the Earth about 100 million years ago and was likely dominant over early tyrannosaurs. More>>
A newer MRI method can detect low iron levels in the brains of children with attention-deficit/hyperactivity disorder (ADHD). More>>
There's a new app that tells you just how safe products are for your skin.It's called, 'Skin Deep' and has a database of over 70,000 personal care products like lotions and cosmetics.The free app, made by the research company EWG lets you scan barcodes or type in the names of your favorite items.Each product is given a rating based on how hazardous the ingredients are for your body. More>>
New research shows spending more time at the gym may not burn off those extra holiday pounds. Researchers followed nearly 150 adults for the six weeks between Thanksgiving and New Year's and results showed that despite exercising, on average, each person gained about a pound and a half. More>>
The Supreme Court has agreed to referee another dispute over President Barack Obama's health care law, whether businesses can use religious objections to escape a requirement to cover birth control for employees. The justices said Tuesday they will take up an issue that has divided the lower courts in the face of roughly 40 lawsuits from for-profit companies asking to be spared from having to cover some or all forms of contraception. More>>
You can add one more delay to the list for the rollout of President Barack Obama's health care law. This time, it's a postponement of the launch of an online enrollment tool in Spanish.The Spanish version of HealthCare.gov now provides basic information, but still doesn't allow users to apply for insurance coverage online. An Obama administration spokeswoman tells The Associated Press to expect a quiet launch of the Spanish enrollment tool in early December w... More>>
Many women struggle with unwanted fat around their bra area. It's sometimes called "bra bulge." A laser procedure claims to melt the fat away. It's a procedure some call laser liposuction. "We're using local anesthesia," Dr. Mitchell Chasin says. More>>
The Food and Drug Administration is looking into whether the so-called "morning-after" contraceptive pills fail to work in women who weigh a lot and whether to require the emergency contraceptive pill makers to add a warning label to the packaging. In Europe, French drug maker HRA has been ordered to put a warning on its packaging that the drug loses effectiveness based on a woman's weight. More>>
Obese or overweight people who lower their blood pressure, cholesterol and blood sugar levels could cut their risk of heart disease and stroke by more than half, a new study indicates. More>>
Certain lifestyle factors may improve women's chances of having a healthy pregnancy, according to a new study. More>>
Even seemingly healthy obese people are at increased risk for diabetes and heart disease, a new study suggests. More>>
Seniors who quit smoking cut their risk of death by heart disease much more quickly than previously thought, particularly if they were light-to-moderate smokers, a new study says. More>>
Coffee seems to offer a mysterious benefit to heart health -- one that doctors have been at pains to explain. More>>
Too much time spent playing sports can be as bad as too little time for teens, a new study finds. More>>
Recessions can have long-lasting effects, and they may not be just financial. More>>
Prescription pain medications should not be the first treatment for migraines. And doctors shouldn't routinely order brain scans for patients with these debilitating headaches, according to new guidelines. More>>
It's an eye-opening new procedure being done in New York for the first time: a woman is getting a piece of platinum jewelry placed in her eye. More>>
Nearly two-thirds of women who had a cesarean delivery for their first child were successful when they attempted a natural birth for their second baby, British researchers found. More>>
In advance of Thursday's Great American Smokeout, an expert offers some tips on how to quit smoking. More>>
Residents of American cities with high levels of air pollution are much more likely to develop dry eye syndrome than people who live in cities with cleaner air, a new study shows. More>>
Bad news for caffeine addicts: That midday coffee pick-me-up might increase your odds for a sleepless night, new research shows. More>>
Being an elite athlete, especially in an endurance sport, may help protect men against Type 2 diabetes later in life, a small new study finds. More>>
Hospitalizations for the most common form of irregular heartbeat nearly doubled between 1998 and 2010, and are expected to continue to soar during the current decade, researchers say. More>>
Reducing your consumption of certain types of fried foods can help lower the amount of a possible cancer-causing chemical in your diet, according to U.S. health officials. More>>
People with a certain type of epilepsy have widespread, abnormal brain connections that could provide clues for diagnosis and treatment, new research suggests. More>>
Severely obese teens are at increased risk for a host of serious health problems as adults, including asthma, kidney disease and sleep disorders, according to a new study. More>>
Dangerous myths about tobacco persist 50 years after the U.S. Surgeon General first warned Americans about the harm caused by smoking, experts say. More>>
Teens who stay up late are more likely to have lower grades and more emotional problems, a new study suggests. More>>
Boys are 14 percent more likely than girls to be born prematurely, and preterm boys have a greater risk of disability and death than preterm girls, new research finds. More>>
Beyond slimming the waistlines of morbidly obese patients, weight-loss surgery also may help reverse the aging process in some patients, turning back the clock on a key sign of decline in the body's cells. More>>
The first confirmed case of a person infected with a new H6N1 bird flu virus subtype has been reported by scientists in Taiwan. More>>
Premature babies have an increased risk of retinal detachment later in life, according to a large new study. More>>
Putting a statistic on disappointment, the Obama administration revealed Wednesday that fewer than 27,000 people signed up for private health insurance last month in the 36 states relying on a problem-filled federal website. States running their own enrollment systems did better, signing up more than 79,000, for a total enrollment of over 106,000. More>>
Contrary to popular belief, the biggest reason for the rise in U.S. health care spending is not an aging population or patient demand but rather the increasing costs of drugs, procedures and hospital care, a new study finds. More>>
Playing a musical instrument can cause fundamental changes in a young person's brain, shaping both how it functions and how it is physically structured, researchers say. More>>
Divorce may have another downside: a higher chance of meeting up with a fatal accident. More>>
Older adults can boost their brain health by engaging in aerobic exercise, according to a new study. More>>

subset: commoncrawl


text:
Getting a Reminder if you Forget your List Password
ALERT - Dangerous computer malware
CryptoLocker is dangerous, malicious computer software that encrypts your data files (word, powerpoint, pictures, music, videos, etc.). The nefarious individuals then hold your data for ransom and try to extort money from you.
Learn more about this risk and how to protect yourself here - http://oregonstate.edu/helpdocs/safety-and-security/computer-viruses-fraud/computer-viruses/cryptolocker-dangerous-ransomware
- Go to your list's main page (click here for instructions on finding your lists main page)
- Scroll to the bottom and put your e-mail address in the box next to "Unsubscribe or edit options
- Click the "Unsubscribe or edit options" button
- On this page, click the "Remind" button in the "Password reminder" section
- A password reminder will be e-mailed to you
Click on the image to view full size
Click on the image to view full size


text:
Search Result
Search Tags: david craig
Opponents of Common Core speak up in Maryland
Common Core standards are set to go into effect for Maryland's 2014-2015 school year -- but vocal critics are now calling for a stop.
Tags: Common Core Standards, tabco, education, Kate Ryan, David Craig, Ron George
Republican David Craig announces running mate
Tags: David Craig, Maryland governors race, Jeannie Haddaway-Ricci, Eastern Shore
David Craig picks Haddaway-Riccio as running mate
A spokesman for Republican David Craig says the Harford County executive has chosen Del. Jeannie Haddaway-Riccio as his running mate in his run for governor.
Tags: Jeannie Haddaway-Riccio, David Craig, Maryland governors race, Republican
David Craig announces bid for Md. governor
Republican David Craig has officially announced his bid to run for governor of Maryland.
Tags: David Craig, Governor


text:
I am a founder from China. I am looking for a chance to move to the U.S to build up my company, especially California - a great place for IT companies. The Startup Visa (EB-6) is a great bill, but it has not been passed by Congress yet.
And incubators like Y Combinator, TechStars and AngelPad is requiring the possibility of staying in the U.S legally for the duration of the three month program for overseas entrepreneurs.
How do I apply for a visa to work on my startup in the U.S.?


text:
Becoming a Medical Sonographer
You would probably recognize a sonographer as the person that takes your ultrasounds when you are pregnant, but they perform many different tasks with ultrasounds. They use ultrasounds to check kidneys, hearts, reproductive organs, and other internal structures. If you are interested in the medical field but don't want to work with blood or needles, you may want to consider becoming a sonographer.
Education Background
If you want to be a medical sonographer, begin by taking classes in high school such as biology, chemistry, anatomy, English, and computer courses in order to have a stable background that will help you in your training. Because you will be using technology and working with anatomy, it is important that you understand these areas.
To begin your training, start by researching and applying to accredited programs. You will usually spend two to three years completing an associate degree in medical sonography. You can find these programs at local colleges or you can get an online degree and take courses like anatomy, biology, English, and algebra.
Once you have completed your degree you will have to register with the American Registry of Medical Sonographers, which will allow you to take a licensing exam. Very few employers will hire you without these requirements, so it is crucial that you finish the licensing process. Keep in mind that you may have to continue taking classes to keep your certification once you have become employed.
After becoming certified, you can work at hospitals, clinics, or other organizations that perform ultrasounds. Complete a résumé and begin applying wherever you can. If you already have an organization in mind, check their requirements before you finish your training.
Prenatal Medical Advancements
There have been many advancements made in prenatal care, one being the new 4D ultrasound technology. This allows for new parents to see their baby up close and personal as though they were looking at a live picture. Some of the other advancements include testing for deformities and other birth defects.
The Old Days
As recently as a decade ago, doctors would need to be invasive with the baby and the mother in order to determine if there were issues with the pregnancy, or to determine the severity of the issues. This would involve long needles, and high risk for infections, or secondary problems.
Today, ultra sound technicians are able to identify problems early on, without disturbing the baby in utero. There is an online degree program that focuses in on many of these types of fields so that new parents can feel confident with the person using the technology.
How Medical Advancements Protect Infants
The advancements in medicine for prenatal care have helped to protect babies that are at risk, by identifying issues early on. The other major benefit is that doctors are able to take care of problems using minimally invasive techniques. This is much like that of the ultra sound technology in that detection is much sooner, and can be fixed early on.
Happy Baby
Having a happy and fully developed baby mean a greater quality of life for all around. Thanks to the new technology, babies have a better chance at having a long and full life.
Preventions from birth deformities
The deformities during the birth are caused due to the genetic imbalance in the body of the mother of child. There are several necessary steps which should be followed by the mother to prevent her child from being deformed, and this doing more than just research in direct star tv medical specials. The mother should have to consult a gynecologist during the pregnancy period and should have to visit the doctor in a regular interval of 15 days. The checkups and tests should be done in the proper time period so that the doctor could guess the situation and conclude the development of the child. The best way of knowing that what the progress of the child is is ultrasound which determines the whole situation in which the child is at the present time. The ultrasound is done by the experienced doctors who are very well trained and have proper knowledge of the procedure. Medical testing is also one of the very necessary aspects to be performed by the mother to take care of the child.
The genealogy offers a very much help to the mother in caring the child. The gynecologist tells a mother whether what they have to do and what they do not have to do in the pregnancy period. The genealogy report helps a doctor to determine the progress and the condition of the child at the time of testing. The doctor calculates the next position which is going to come and resolves all the complications before they take place. The deformities in any child are genetic that means if there is any genetic complication in the mother then the child will face a birth deformity. The mother should have to take preventions at the time of pregnancy so that the child would not face any type of genetic deformity. The process of medical testing starts from the beginning of the pregnancy and ends till the birth of the child takes place.
Birth Deformities: Conditions
Birth deformities are deformities which can be seen in form of defects since birth of a child. Some of the cases of birth deformities are visible as in premature delivery of a child as in that situation the body of the child is not adapted for the fully functional systems of the individual as at the time it is dependent on the mother. The premature deliveries are even dangerous for the children who have fully grown lungs but there will be several other disorders that can be seen time to time as sepsis, hypoglycemia and can also lead to death. There are also factors related to deficiencies of various elements constituting the body, as the deficiency of vitamin B9 at the time of pregnancy can cause the deformities of cardiovascular functions and structures, some t5imes the deficiency of vitamin B9 can also lead to sterility or infertility.
The obesity of pregnant ladies is also a cause of birth deformity as it can lead to several complications and also cause the obesity of the child at the time of birth and also in adulthood. The supply of folic acid is known since a long time to reduce the percentage of birth deformities in children, but a long time use of folic acid as a drug can also result in cause of asthmas in the case of pregnancy, as it can cause asthma to the new born. The use of drugs and alcoholism can also lead to birth deformities. All the environmental factors are also responsible in the case of pregnant women as all the facts can cause a defect or any kind of functional or morphological deformity. To avoid the birth deformities one must take the pregnant lady to the doctors for routine checkup and one must also take care about not using the X-rays on the pregnant lady as they can also cause birth deformities.
Birth Deformities: An Overview
The word birth deformities is a type of defect in the child by birth which are most commonly also known as congenital defects, these may include various physical deformities, certain hereditary disease and also neural disorders. Birth deformities are a type of functional and structural defects which are present from the time of birth which can cause morphological or neural type of disorders. The major cause of birth deformities is any type of malfunctioning of genes or if any type of loss of gene sequence, the deformity occurred in a chromosome or loss of chromosome and also the surrounding environment of a pregnant lady to which she got exposure or which she had faced. Another factor which is responsible for the deformities by birth involves the intake of drugs or alcoholic beverages at the time of pregnancy. Morphological or the structural birth deformities involves the defects of body parts, as cleft palate is the most common type of structural birth deformity which can be often seen.
Some other structural birth deformities are misshaped cardiac valves, lip cleft, abnormalities in limbs or some times one can also observe club foot disease. The second type of the birth deformities are related to functional disorders which include the problems that occur in the systematic working of different body parts. These deformities also effect the development of an individual as it includes neural or the nervous disabilities, disabilities occurred in proper functioning of sensory organs, disorders in metabolism and also the degenerative type of deformities. Sometimes, the birth deformities occur as the result of combination of different factors. There are several functional deformities which can happen; some of them are spina bifida, Down's syndrome, mental retardation, Prader-Willi syndrome, cataract, deafness, phenylketonuria, Fragile-X syndrome, hypothyroidism, muscular dystrophy and many more. Thus there are a lot of diseases which can occur as birth deformity sometimes they are also fatal, so at the time of pregnancy one must take a lot of prevention and precautions of the factors by which congenital deformity can occur.
Fragile X Syndrome
Another chromosome birth defect that happens in different families is known as Fragile X syndrome. It usually affects the male babies, and it happens in about 1 in 1,500. Even though 1 in 1,000 girls carry it, only one third of those carriers show signs outwardly of having this defect, which is going to include intellectual impairment. The retardation range is going to vary from mild cases of it to more severe cases.
Some of the symptoms of this birth defect include a face that is elongated, flat feet, teeth that are overcrowded, heart problems, bad muscle tone, large ears, and tendencies that are like autism. Children who are affected also sometimes suffer from seizures.
Sometimes children who have this syndrome look like they are normal when they are born, so they are not diagnosed until 18 o 24 months. At that age, the evidence of no language development paired with other delays developmentally will normally prompt the test to be run
Like what is going to happen with Down Syndrome, children that have this will be able to do most of the things that other children are able to do, even though they usually are going to do to do the things later in life. Also, as it is with most of similar birth defects, when there are programs for early prevention started while the child is still an infant it can help with maximizing the development of the child.
Children who have this have a long road ahead of them and so does their family. The family and the children who have this birth defect need some help and support to help them to get through the tough times that are ahead of them.
Guide to Raising a Baby With Down Syndrome Part 2
Now that you have prepared your family and friends for your new little family member, now is the time that you want to prepare yourself for the baby and for caring for the baby. Here are some of the things that will help you.
- Join a support group for parents who have Down Syndrome babies. You might also want to find one for your other children too if you have other children.
- Don't seek opinions from people who don't have a baby with Down Syndrome. They will not know what to say. That's why joining a support group is such a good idea. The parents in there know where you're coming from.
- When the baby comes, treat the baby like a your son or daughter first and then treat them like a child that has disabilities.
- Promise yourself that you're not going to limit what the baby is able to do, no matter how old he or she is. Give them freedom to reach their full potential.
- Take some time for yourself. It's hard enough to take care of a regular baby but when you have a disabled baby it's a lot harder.
- Be patient. If you're not good with being patient, learn to be patience. You're going to need to be patient with the baby but you'll also have to be patient with other people and situations you're going to encounter. There are people who might act cruel and tell you that you made the wrong decision.
Now that you know some things about how you can deal with having a baby that has Down Syndrome, the next part will deal with some things that you may notice about your Down Syndrome baby.
Guide to Raising a Baby With Down Syndrome Part 3
There are a few things that you should know about when you're getting ready for a baby that has Down Syndrome. When the baby is born, you're going to notice that the muscles in their body might be floppy and weak. The baby could be more quiet and they may not respond as much, but this is something that is normal for babies that have Down Syndrome.
There are also going to be common physical things that you are going to notice. Here are some of the things that you might notice.
- A head that's smaller
- A face that looks like it's flat
- A nose that has a bridge that's flat
- A nose that's low set and not as big as a normal newborn's
- Additional skin folds at each eye's inside corner, close to the nose
- Rounded cheeks
- Small and misshapen ears
- Their eyes will slant upwards
- He or she has a small mouth which is going to cause his or her tongue to look like it's big and stick out of their mouth
- Their hands are small and wide
- There's a deep, unusual crease across their palms' centers
- Their fifth finger isn't formed well
- Their feet soles have creases that are unusual
- Their big and second toes have wide spaces between them
- Their joints are extra flexible
- Their height is shorter than usual
Remember that your baby is going to need a lot of love and nurturing when it's born and growing. It's not going to be easy on anyone in the family, but you are going to find that your child is very loving and affectionate to anyone he or she comes into contact with. Children with Down Syndrome are extremely loving and they enrich the lives of everyone that come into contact with them each and every day.
The Beginning
When you first find out that you are pregnant, you are generally full of excitement as well as a large amount of anxiety. "What will these next nine months be like?" you wonder. Here is some basic information on what to expect.
The first three months are usually the worst for symptoms. After this, some of the symptoms associated with pregnancy subside. The most prominent of these is morning sickness. While some people feel only a little sick and mostly are able to continue just fine, some women feel nauseous for most of the day. The good news is that most of this feeling will dissapate once you reach the end of the first trimester.
You will also feel a good bit of fatigue during this stage. The amount of exhaustion you feel should decrease as your body adjusts to its new changes. The best thing you can do is get as much rest as you feel you need, since your body is exhuasted because it needs more rest. As you move from the first to the second trimester, you will probably notice an increase of energy.
Women generally also experience a tenderness in their breasts during this time, but this, too, should not last until past the first trimester. This is a usual and normal symtom, caused by hormones changing due to the pregnancy, as well as changes in your body's shape that will help you to continue to support your baby for the rest of the pregnancy. Wearing a supportive bra will help decrease any uncomfortability during this time.
The best part of this stage of the pregnancy is the congratulations. Get ready for a whole lot of good wishes and pregnancy survival tips from your friends and family, and don't worry about passing the time while pregnant, we have many online colleges, in which you can join to keep yourself busy during this period! As you share the news of your pregnancy, be prepared to answer questions about your due date, the baby's name, if you will find out its gender, and how you are handling the pregnancy.
Guide to Raising a Baby With Down Syndrome Part 1
When you find out that you're going to have a baby that has Down Syndrome, it can be a blow to you. This is a two part guide for parents that have learned that they are going to have a Down Syndrome baby.
- First, make sure that you're able to find a doctor that's going to care for you and your baby, and that is going to agree with your decision to keep your baby. Usually the doctors who agree with the decision are going to offer the medical advice and information that is going to help both of you.
- Second, you should prepare the other children for their new brother or sister. Tell them about Down Syndrome and let them know that even though this new arrival is going to be special that they need to treat him or her the way that they treat one other.
- Third you should prepare the rest of your family for the event. Tell them the reasons that you made the decision and let them know that it's what your spouse and you want to do. if they are responding with negative comments and sympathy, ask them to give you support and positive comments instead.
- Fourth, prepare your friends. Some of them are going to understand and be supportive, others aren't going to be. That's something that you should expect because your family is going to be the same way. Each of the people that you know are going to have their own opinion on the things that you should or shouldn't do without knowing that you made the decision already.
- Fifth, read any and all information that is available to you about Down Syndrome and about having a baby that has it.
- Finally, if you are going to go back to work once the baby comes, then you should look into the daycare centers that specialize or know how to care for the children who have special needs.
These are some of the things that you want to do before your baby with Down Syndrome is born.


text: It looks as if gambling and bachelorette party weekends are about to come with a side of Britney. As her negotiations continue, it's seeming more and more likely that Ms. Spears will be shacking up in the city where she once tried to shack up with ex-hubby Jason Allen Alexander at age 22. Let's hope she doesn't get too comfy in Vegas. Her antics can't be constrained to one city just yet.


text:
Authors » Noreen Jones
Noreen Jones
Noreen Jones was born in Kalgoorlie, Western Australia, and has lived in a number of towns throughout the state. She has worked in a variety of occupations including as a lecturer in Aboriginal education in remote areas, child welfare worker, laboratory assistant in mineral and oil exploration, and professional textile artist and weaver. She has travelled extensively in Japan.
Books available from Fremantle Press
- Number Two Home 2002
From the Catalogue
Jake's Great Game
by Ken Spillman with illustrations by Chris Nixon
Whisky Charlie Foxtrot Reading
Annabel Smith's Whisky Charlie Foxtrot was shortlisted for the 2013 Most Underrated Book Award (MUBA). The winner, Fish-Hair Woman was announced on Friday night. Here's a reading Annabel prepared for her presentation at the Wheeler Centre award ceremony.


text:
Item specifics
- is_customized:
- Yes
- Brand Name:
- Style:
- Jacquard
- Technics:
- Woven
- Material:
- Polyester / Cotton
- Size:
- 20x25cm
- Model Number:
- Design:
- European scenery
- Pattern:
- Textile
- Jacquard:
- weave
- Type:
- picture frame
- Sizes:
- 20x25cm
- Craft:
- Woven
- Material:
- Polyester / Cotton
- Design:
- European scenery
- Style:
- Jacquard
- Color:
- different colores yarn
- Delivery:
- Folding EASY delivery
- Place of Origin:
- Zhejiang, China (Mainland)
Product Description
Wall tapestry art decoration picture frame, also called modern gobelin,came out of France palace 17th century. It's Luxury,the symbol of royalty.
About us
Jinge Craft Co.,Ltd is a factory specialized in producing the computerized gobelin artifacts with jacquard machines.The characteristics of our products are the high resolution and the oil-painting-like style. we can offer a great variety of designs of good quality,but with a very attractive price.
Our designs have 4 kinds: landscape,still-life with flowers,people and animal.They be timely updated.
Class: high quality, exquisite workmanship fashionable style.
DIY: A. decoration picture with frame
B.wall picture with pole
c.cushion cover,carpet,and so on
Material : polyester/cotton, Jacquard Fabric
Different sizes: each pattern has 6 sizes as bellow:
Meanwhile, we can produce different sizes and designs with customers'requirement.
About price:
1.Same size and frame with same price no matter different designs.
2.Different sizes and frames also have different prices.
3.The prices showed on store WITHOUT frame by 20x25cm.We advice clients mount the pictures with frame by your own city because the high freight of the big CBM after with frames.So if you buy only 1 or 2 pcs for the gobelin,please buy the fabric pictures inside only.And if buy large QTY for example more than 100pcs with frame will be worthwhile.
4.If your order total amount is more than $100 per time(mixed designs and sizes),we will deliver the goods by DHL free shipping.
what you see is what you will get,but there will be some colour change due to set up difference of the display and material.Frankly, itmes are more beautiful than photos showed.
China post: 15-30days DHL:5-7 DAYS
RE: If you want to accept DHL TNT,Fed-X or EMS, please E-mail us .We can consult with it.
More details of the picture:
Our shop in Yiwu International market:
Free shipping big size wall gobelin tapestries,nautical style picture
US$ 22.00/pieceFREE SHIPPING different sizes still life gobelin pictures for furniture,maguey,decoration picture frame
US$ 22.00/pieceFree shipping gobelin tapestries,scenery style fabric decor picture,wall hinging
US$ 22.00/pieceFREE SHIPPING different sizes bouquet gobelin pictures for furniture,decoration picture frame
US$ 22.00/pieceFREE SHIPPING sunflowers design fabric picture for cushion or pillow
US$ 12.00/pieceFree shipping Different sizes wall home decor fabric picture,Sweet white tiger lovers
US$ 12.00/pieceFree shipping Middile size tapestry wall hangings,Christ fabric picture,decoration picture,gobelin tapestries
US$ 12.00/pieceFree shipping gobelin tapestries,Holy Family,decoration picture,multifunctional and high technical fabric pictures
US$ 9.00/piece
Packaging Details
- Unit Type:
- piece
- Package Weight:
- 0.040kg (0.09lb.)
- Package Size:
- 8cm x 5cm x 3cm (3.15in x 1.97in x 1.18in)
Packaging Details
- Unit Type:
- piece
- Package Weight:
- 0.040kg (0.09lb.)
- Package Size:
- 8cm x 5cm x 3cm (3.15in x 1.97in x 1.18in)
- Bank Transfer
- webmoney


text:
by Curtis Crabtree
KJR reporter
Twitter: @Curtis_Crabtree
RENTON - The Seattle Seahawks will see the return of one cornerback this weekend while another is still on standby.
CB Marcus Trufant will play for the first time in five weeks this Sunday after a hamstring strain forced him to be sidelined. CB Walter Thurmond will not be able to go and has officially been ruled out.
Thurmond strained a hamstring in practice two weeks ago before the trip to Toronto to play the Buffalo Bills. Thurmond is still feeling the effects of the strain and will not be able to play against the St. Louis Rams on Sunday.
"It hasn't been as good as we would like," head coach Pete Carroll said of Thurmond's recvery. "He's really been pushing, but he just hasn't been able to get out of the discomfort. With a hamstring you have to come back feeling nothing. You can't be nursing because you'll become too vulnerable. He's still feeling it so that's not a good sign for this week obviously. It's going to be hard for him to get back next week too."
The silver lining to the injuries to Trufant and Thurmond and the suspension of CB Brandon Browner has been the experience CB Jeremy Lane and CB Byron Maxwell have been able to earn over the last several weeks. The duo has played well in relief and Carroll feels more confident in turning to the young duo if necessary in the postseason.
"You get them out there and you pay them, and when they play they gain confidence and they become more of a factor, and they become more confident and all of that," Carroll said. "That's all that just took place, and that was great for those guys, and it's great for us too to know what to expect from them on the field. They handle it well, they're calm about it, they're poised, and athletically they hung in there. There is still a million miles of experience for them to be gained, but that's hugely beneficial."
LB Leroy Hill is listed as questionable for Sunday's game after suffering a hamstring strain last week against the San Francisco 49ers. T Breno Giacomini is also questionable with an elbow injury but was able to fully participate in practice on Friday.
The Seahawks announced Friday they had re-signed WR Deon Butler and released CB Ron Parker. With Sherman's successful appeal and the return of Trufant, Seattle felt they were all right with depth at cornerback.
One place they feel a little less certain is at linebacker. The team is also expected to sign LB Allen Bradford from the practice squad to solidify the depth there with Hill questionable. To make room on the roster, the Seahawks are also expected to release DT Hebron Fangupo.
Injury Report:
St. Louis Rams
WR Austin Pettis (shoulder) - Full
S Craig Dahl (knee) - Full
CB Cortland Finnegan (thigh) - Full
RB Steven Jackson (illness) - Full
LB James Laurinaitis (back) - Full
C Scott Wells (knee) - Full
Seattle Seahawks
CB Walter Thurmond (hamstring) - DNP
LB Leroy Hill (hamstring) - Limited
T Breno Giacomini (elbow) - Full
DE Red Bryant (foot) - Full
RB Marshawn Lynch (back) - Full
TE Anthony McCoy (back) - Full
WR Sidney Rice (knee) - Full
WR Golden Tate (illness) - Full
S Earl Thomas (ankle) - Full
CB Marcus Trufant (hamstring) - Full


text:
My love-hate relationship with Facebook
On one hand, I love Facebook. On the other, I loathe it in a way that can only be described as visceral.
I love that Facebook connects me with so many people around the world with whom I can share ideas and friendship. It connects me easily with friends and family in all corners of the planet, and when one of your cousins is a flight surgeon in the Air Force who has been stationed in Korea, Japan and now Germany, that's most helpful.
I use Facebook to stay connected to the people and issues that matter to me. One could easily argue that's what social networking was meant to do, even if Facebook wasn't (at least not at its inception). Given the global reach of Facebook, it is by far the most logical means of staying connected.
Story Archived
Please sign in with your Comment Member ID and password.
Having trouble?
If you have any technical difficulties, either with your username and password or with the payment options, please contact us by e-mail at email@example.com


text:
Tag Archives: online video marketing
Spreading Like Wildfire: How To Use Word of Mouth To Get Noticed Online
Word of mouth marketing (WOM) has been regaled as a tried-and-true method for building brand awareness and increasing sales. "Word-of-mouth is one of the most credible forms of advertising…" asserts Wikipedia. "Word of mouth is often viewed as the pinnacle … Continue reading →


text:
Request a visit! Complete our online form and our Office of Admissions will contact you to confirm the availability of the visit date.
Interested in becoming a student-for-a-day? Request a Hofstra UpClose visit!
Activities include and are not limited to: attending classes, meeting faculty and staff in your area of academic interest, exploring opportunities to get involved in clubs and organizations.
Events Specifically for You!
By attending one of our informative programs, at Hofstra or near you, you can discover all that Hofstra has to offer. We look forward to meeting you. If you have any questions, please send us an e-mail or call 1-800-HOFSTRA.
Check out directions and maps to Hofstra. Get MapQuest directions to campus, printable maps and take a virtual look around with our Interactive Campus Map.


text:
Books | Movies |
Sci-Fi/Fantasy | Mystery/Thriller | Literature | Romance | Biography |
Author Bray's Book
Reviews |
Message Board |
No Good Deed |
Brockland Joshua, Brock to his friends, was a retired Infantry Lieutenant Colonel of the United States Army who, through a series of turns, became the manager of a golf and country club in Corpus Christi, Texas, on the last developed barrier reef island in the United States. In doing his job Brock has become involved with some high powered members of his club who want him to do a little intelligence gathering for them. It seems the OPEC countries and...
View these reviews in summary mode |
Hal Bray Message Board Talk about the novels, new and used books that Bray has written! |


text:
Posted 8:39 PM 3/14/2013 : Cal Poly dorm vandalized
Cal Poly University Police are investigating a case of vandalism that occurred in university housing.
They say someone tampered with the fire sprinklers on the fourth floor of one of the Cerro Vista Apartments, causing major damage to four apartments.
The vandal used matches to
Get deals up to 80% off here!
Find the lowest gas prices in your area
Submit your photos to KSBY
Check out our calendar of events
Save with Hot Deals across our counties!
Events across the Central Coast
Follow The CW5 on Facebook.
The KSBY online public file.
What do you think? Leave us your feedback.
KSBY is your official CA Lottery station for San Luis Obispo and Santa Barbara Counties


text:
News & announcements
The Rocks Estate on NH Chronicle
With festive fun and trees galore, The Rocks Estate radiates holiday magic
Farm opens for shopping November 11, for Christmas trees November 23
BETHLEHEM, N.H.—There's a reason The Rocks Estate has been featured in media outlets from the Boston Globe and Martha Stewart's Living to WMUR's Chronicle and Good Morning America.
The Rocks Estate in Bethlehem, New Hampshire, is best known as a popular NH Christmas tree farm. But as the North Country Conservation & Education Center for the Society for the Protection of New Hampshire Forests, the 1,400-acre property offers much more.
Beyond the neat rows of Christmas trees lined by perfect stone walls lies a world of history, wildlife, and experiential learning. The property is open to visitors year-round, presenting both structured and self-guided tours and programs. Choose a beautiful tree at Christmas time, discover the sweet process of creating maple syrup in early spring with our hands-on Maple Tours, enjoy the revival of vernal pools as the snow melts, the full bloom of summer, and the kaleidoscope of color in the fall.
Originally the summer home of the well-heeled Glessner family, The Rocks Estate includes several buildings listed on the National Register of Historic Places. A maintained trails system welcomes visitors year-round, meandering through the Estate, leading guests on short, easy strolls or longer hikes, past magnificent views of the Presidential Range and preserved wildlife habitat.
We invite you to visit The Rocks - to find a tree, enjoy a picnic in our formal gardens, look for wildlife, or just enjoy the view!


text:
Controlling Stress (Cardiovascular)
Lower your risk: Control stress. When you're stressed, your heartbeat speeds up and your blood pressure skyrockets. The next time you feel tension taking over, sit back and look at what's bothering you. Does it really matter? If you're faced with a big problem, talk it out with family or friends. Stay close to the supportive people in your life.
Learn to Relax
To reduce stress, you need to practice daily relaxation. Here are a few ideas:
Make special time for yourself each day to read a book, listen to music, watch the sun set, or do anything that makes you feel calm and peaceful.
Use your favorite kind of exercise as a perfect way to release tension.
Keep your sense of humor! If you can laugh at yourself and the crazy things that happen each day, you'll stay happier and healthier.
Try deep breathing or meditation. Also, many libraries and bookstores have CDs or cassette tapes that may help you relax.
Imagine stress away. When you're feeling stress, stop what you're doing. Imagine a peaceful scene—a warm beach or rolling green hills, for example.
If you need more help with coping, try joining a support group. Sharing problems with others can help you handle the big stresses in your life.


text:
Goal Accomplished!!!! - Stacia Naquin
Updated: 12/12/2013 - I finally did my pull up!!! It was a New Year's Resolution that took me ALL YEAR! But I did it.
SAN FRANCISCO (AP) -- A Taiwan company and two of its top executives have been found guilty of working with competitors to inflate prices of liquid screen display screens used in computer monitors and televisions.
Federal jurors in San Francisco on Tuesday convicted the AU Optronics Corp., its U.S. subsidiary and executives Hsuan Bin Chen and Hui Hsiung. They were found guilty of violating anti-trust laws.
Jurors couldn't reach a unanimous decision for Steven Leung, resulting in a mistrial. Two other executives were acquitted.
Six other Asian LCD screen makers have pleaded guilty to charges related to the price-fixing and have been ordered to pay fines totaling more than $860 million. AU Optronics was the only one to fight the charges at trial.
That company's lawyer says it plans to appeal.
KKTV firmly believes in freedom of speech for all and we are happy to provide this forum for the community to share opinions and facts. We ask that commenters keep it clean, keep it truthful, stay on topic and be responsible. Comments left here do not necessarily represent the viewpoint of KKTV 11 News.
If you believe that any of the comments on our site are inappropriate or offensive, please tell us by clicking "Report Abuse" and answering the questions that follow. We will review any reported comments promptly.
powered by DisqusUpdated: 12/12/2013 - I finally did my pull up!!! It was a New Year's Resolution that took me ALL YEAR! But I did it.
Updated: 10/11/2013 - I'm SO CLOSE to being able to do a pull-up. So my trainer introduced something new into my training.
Posted: 08/06/2013 - Even if you don't plan to workout on your vacation, you may be surprised at the calories you're burning without even trying!
Updated: 06/18/2013 - We did a quick helicopter tour of the Black Forest burn area. Someone asked why the video looks shaky.
Updated: 05/20/2013 - Two weekends left to catch one great show!


text:
Yves Behar (part 3)
Show: Designing Minds
In the final of three episodes, Yves discusses the most well-known and controversial project of his career so far - the $100 laptop. Its design had to work for the developing world, and its effects can be seen throughout the world.
- Products covered:


text:
Topics :: Queens, New York
- 1 thru 10 of 10
NYPD Continue Search for Suspects in Murder of Gay Man
By Jason St. Amand | Thursday Oct 17, 2013
New York City police are continuing their search for three suspects connected with the killing of a gay rights activist who was murdered in Queens in 2012.
No Hate Crime Charge in Queens Murder Case
Friday Sep 20, 2013
Prosecutors are still considering whether to bring a hate crime charge against a suspect accused of fatally stabbing a 69-year-old stranger in Queens.
Man Charged With Murder as Hate Crime in Queens, NY
Tuesday Sep 17, 2013
The NYPD has charged a 22-year-old man with a hate crime in the stabbing death of a man found under an elevated subway line in Queens.
More Arrests Made in Queens Gay Man's Murder
By David Perry | Thursday Mar 21, 2013
Additional arrests were made on Mar. 21 in the murders of David Rangel, one of three gay men killed in Queens over the course of the past two months.
Queen for a Day: What's Happening in NYC's Outer Borough
By Matthew Wexler | Thursday Jan 10, 2013
While many tourists head to New York City with their eyes set on the Empire State Building and Rockefeller Center, jump on the subway (approximately 15 minutes from Times Square depending on your final destination) and become "Queen" for a day.
NYC Gay Activist Murder Spurs Charges of Hate Crime
By Winnie McCroy | Wednesday Oct 31, 2012
On Oct. 26, Lou Rispoli, 62, died, after suffering a brutal assault at the hands of two men in the early morning hours of Oct. 20 near his home in Sunnyside, a quiet neighborhood in New York City. Police have yet to classify it as a bias crime.
Critics Lambast Censoring of NYC Public School Student's Marriage Equality Speech
By Jason St. Amand | Tuesday Jun 19, 2012
A New York City fifth grader in a public school will be allowed to read his pro-gay marriage speech in a school competition after a principal initially prohibited him from doing so.
Queens Pride draws more than 40K people
By Michael K. Lavers | Friday Jun 11, 2010
Queens Pride is among the first of a series of celebrations, commemorations, parades and other events that will take place throughout the five boroughs in June.
Hundreds march in Queens against hate crimes
By Michael K. Lavers | Saturday Oct 17, 2009
An estimated 500 people marched through College Point, Queens, on Oct. 17 to denounce the anti-gay attack that nearly killed local resident Jack Price earlier this month.
Authorities: NYC Hustler Killed Over Fee for Sex
By Kilian Melloy | Friday Jun 26, 2009
A suspect has admitted to stabbing a murder victim in a New York case with eerie similarities to the stabbing death of ABC newsman George Weber, also in New York, last March.
- 1 thru 10 of 10


text:
"Internet Purchases Only" "Not a Retail Store Stock Item"
This item is viewable at our retail store in LEXINGTON, KY. It may be on display and is available for immediate purchase and pick-up.
click here to see all brands we sell
*Please Note!! Many of our pictures are stock photos provided to us by the manufacturer and do not necessarily represent the actual item being purchased. Please verify this picture accurately reflects the product described by the title and description on this page before you place your order.
This comb is intended for use with Ruger American Rimfire and aftermarket scopes or mounted sights. The high comb height raises the shooter's cheek placement, putting the eyes in line with mounted optics. It is the shorter length of pull buttstock module, ideal for shooters who prefer a shorter length of pull (12.5"). This stock module is included with the Compact model American Rimfire rifle and is intended as a modular adaptation for the Standard model.


text:
Please confirm that your email address is correct, so you can successfully receive this alert.
Received April 6, 2006; revised July 17, 2006; accepted August 11, 2006. Drs. Rait and Glick are affiliated with the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California. Address correspondence to Douglas Rait, Ph.D., Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305-5722; firstname.lastname@example.com (e-mail).
Copyright © 2008 Academic Psychiatry
Objective: Given the marginalization of couples and family therapy in psychiatric residency programs over the past two decades, the authors propose a rationale for the reintegration of these important psychosocial treatments into the mainstream of general psychiatric residency education. Methods: After reviewing recent trends in the field that call for a more prominent role for couples and family therapy in residency training, the authors summarize the literature on family therapy training in psychiatry over the past four decades. Results: Because biopsychosocial systemic thinking provides a powerful framework for looking at multiple levels of systems and their interrelationships, developing a strong family-systems perspective and acquiring basic "family skills" represent the minimum requirement for general psychiatric training. The authors argue for the addition of couples and family therapy to the five required psychotherapy competencies defined by the residency review committee in psychiatry. Conclusion: A rationale for a family-systems training model is proposed with the objective of encouraging residency programs to integrate the family-systems model more fully into their curricula.
In the days of biological reductionism, with its brain disease metaphor and emphases on descriptive diagnoses and psychotropic medications, it is easy to forget that life is lived in relationships, and the quality of those relationships has much to do with how life turns out (1).
Although general residency training programs in psychiatry have rarely, if ever, wholeheartedly embraced couples and family therapy, the value of family training in the preparation of tomorrow's psychiatrists has never been more important. The advent of first-line, empirically supported family interventions for many axis I disorders, such as bipolar disorder, major depression, and schizophrenia, has the potential to move the family perspective from the margin of academic psychiatry into its center. Just as psychopharmacology, neurosciences, and evidence-based individual treatments have increasingly occupied a greater share of residency training, systemic and behavioral treatments supporting the patient's recovery through the mobilization of family and other social resources will stand by them as key cornerstones for psychiatric training in the next decade.
In recent reviews of treatment outcome (2–5), couples and family therapies have been found to be effective across a broad range of psychopathology, including many of the severe axis I disorders. Family treatments are relatively brief compared to other forms of intervention and can be more cost-effective (6). Although most psychiatry residents exposed to couples and family therapy training report a high rate of interest in this field, residency training programs typically offer only minimal training experiences. Pinsof (4) has observed that outside of the major academic medical centers, training grossly neglects work with the families of persons with serious mental illness—a durable state of affairs that remains largely unchanged.
Four significant trends have more recently pushed the reintegration of couple and family approaches back into the discussion within psychiatric training curricula. In early 2001, the Accreditation Council for Graduate Medical Education (ACGME) (7) initiated a major shift in objectives of residency training, requiring all residency programs to develop core competencies including the ability to communicate with patients and their families. The residency review committee (RRC) in psychiatry also proposed five competencies in "psychotherapy." As a result, psychiatric residents would be required to show competency in a number of types of psychotherapy (cognitive behavior, psychodynamic, supportive, brief, and combined psychotherapy-psychopharmacology). In this context, the Group for the Advancement of Psychiatry (GAP) Committee on the Family (8) proposed a well-defined, expanded set of family skills as part of the ACGME core competencies that could be taught and implemented across all settings (e.g., inpatient, outpatient, consultation-liaison, child/adolescent). Berman and Heru (9) suggest that these recent changes in residency accreditation and the shift toward competency-based training offer a "window of time in which there is a renewed possibility for integrating family systems training into basic psychiatric training."
The second broad trend can be traced to the growing evidence that family factors are implicated in the maintenance of psychiatric illness. Research on expressed emotion—which describes families with high levels of criticism, hostility, and over-involvement—has shown that high expressed emotion is a robust predictor of relapse in many psychiatric illnesses such as schizophrenia (10), depressive disorders (10, 11), bipolar disorder (12, 13), and alcoholism (14). Caregiver research has identified the high emotional and practical burdens of caring for relatives with psychiatric illnesses (15, 16). Because family psychoeducation has also been shown to be central to medication compliance (2, 5), family interventions are the ideal complimentary therapy to medication (13). Heru (2) points out that APA practice guidelines already recommend early couple and family involvement as well as family based interventions for axis I disorders, including, but not limited to, schizophrenia, bipolar disorder, major depression, panic disorder, and eating disorders.
Consistent with the burgeoning evidence for the value of family interventions, the President's New Freedom Commission on Mental Health (17), which established new priorities in the delivery of mental health services, emphasizes family centered care. Current standards of treatment for the seriously mentally ill recognize the importance of family members' roles in the promotion of long-term recovery. In response to the Commission's findings, the Veterans Health Administration health care system, the largest health care system in the United States, developed an action agenda titled "VA's Achieving the Promise: Transforming Mental Health Care in the VA" (18). One of the report's strongest recommendations was to implement consumer and family centered care programs in all Veterans Affairs medical centers. This shift in focus represents the third trend supporting family training.
Finally, the trend toward couples and family centered, collaborative, biopsychosocial models of health care for patients with physical illness 19–24) provides further impetus for family training in psychiatry. Rolland and Walsh (25) noted that consumers have increasingly advocated for health care that attends to the physical and psychosocial challenges of major health conditions for all family members (not just the sickest person). Heru (2) suggests that, "improving the family environment has important health implications equivalent to the reduction of risk factors for chronic illness." As consultants in medical settings, psychiatrists serve an important function in recognizing that chronic illness, disability, terminal illness, and loss represent changes that invariably affect every family member.
To summarize, these four related trends should renew our consideration of the present and future significance of training our residents today to ably practice in tomorrow's evolving health care systems. Because trainees must master ever expanding areas of knowledge during what remains a fixed time period for residency training, difficult decisions must be made as to what is essential and what is not. We are well aware that we are arguing yet another competency domain to be reintegrated into the mainstream of psychiatric teaching and practice. This suggestion is made even in the context of present demands on curriculum and funding issues (6, 26). The reasons enumerated above highlight the importance of this change despite the anticipated hardships.
Family therapy has been viewed as an integral part of psychiatric training for over 25 years. Early articles in the 1980s by Harbin (27) and Sugarman (28) described the implementation of the AMA residency requirements, looked at questions of whether family therapy was a modality or an overall orientation, and offered concrete educational guidelines. In a thoughtful review, Combrinck-Graham (29) proposed a "systemic residency," emphasizing a sequence of family training experiences during each postgraduate year (PGY) that highlighted family strengths and the biopsychosocial model. Throughout the 1990s, advocates continued to extend family training in psychiatric residencies (30, 31). In one of the first evaluative reports of family therapy training in a residency setting, Slovik et al. (32) found that recent graduates suggested a restructuring of psychotherapy training, emphasizing the integration of family therapy with the "full range of psychiatric treatment modalities," as opposed to seeing it as an isolated entity.
In many psychiatry training residencies, couples and family therapy training has been an integral part of the training program for many years. Recently, Glick et al. (6) championed a comprehensive family therapy training program that included courses in each residency year, and required couples, family, and child/adolescent cases for all trainees during the entire course of their training. Celano et al. (33) described their family evaluation clinic, emphasizing interdisciplinary collaboration, systemic thinking, and the benefits of live supervision of cases. Heru (34) reviewed a family systems training model for second-year residents in an acute inpatient setting, with the focus on achieving core competency requirements. Finally, Berman and Heru (9) renewed the call for repositioning family therapy training as an important basic competency to be expected of all graduating residents in psychiatry.
In the current context, Berman and Heru (9) and GAP Committee on the Family (8) have made a major contribution by highlighting the ACGME mandate for family training that exists—understanding, communicating with, allying with, and educating families. Berman and Heru (9) suggest that:
…residents should be able to ally with families of their patients, support them, assess them, and have some knowledge of how to treat them. They need to know about caregiver burden and about the specific needs of families when dealing with major mental illness. They need to be able to determine when a family therapy referral is necessary for their patients to succeed in treatment. They should also recognize problems where the issues are system specific and no identified patient exists. This is the basic family skill set. We believe that the concept of "family skills" rather than family therapy is useful.
We agree that family treatment skills comprise a heterogeneous collection of conceptual skills and technical competencies and concur that they are necessary skills for all residents. We also believe, however, that the authors chart an overly conservative course that offers broad appeal without compelling residents and their faculty members to aim high enough. Couples and family therapy should also be added to the five required psychotherapy competencies defined by the residency review committee, and we believe that there is both room and the opportunity in the curriculum for more than basic exposure.
In our view, Doherty and Baird's (20) multitiered model of "family centered care" deserves closer examination in the development of competency-oriented training in couples and family therapy. This model, originally developed for teaching family skills in family practice residency programs, has obvious benefits when applied to psychiatry training programs. It proposes different levels of training for psychiatrists as they progress through their residency training: minimal emphasis on the family, ongoing medical information and advice, feelings and support, systematic assessment and planned intervention, and family therapy.
In this regard, faculty supervisors can identify context-specific skills, and couples and family therapy can be seen as an evolving set of competencies rather than an aggregate set of "minimal residency requirements." Berman and Heru's (9) "family skills" may therefore represent a starting point for some programs and an endpoint for others. While most residents can expect to progress from novices to proficient beginners or competent intermediate-level clinicians, the development of couples and family therapy skills representing mastery (during or postresidency) can only be accomplished with a systematic program of didactic instruction, clinical cases under expert supervision, and the time for systemic concepts to be internalized and integrated.
Residents in psychiatry are increasingly confronted with complex clinical problems that can be understood from a range of perspectives. Because biopsychosocial systemic thinking provides a powerful framework for looking at multiple levels of systems and their interrelationships, greater emphasis on developing a strong systemic perspective should be considered as a core competency in general psychiatry training. Slovik et al. (32) have recommended that residency programs establish competencies in the following areas: treating patients with major psychiatric disorders with couple- and family-centered therapies; treating medically ill patients with couple- and family-centered therapies; integrating psychopharmacology and family therapy; and solving interpersonal problems that arise administratively within hospitals, departments of psychiatry, and multidisciplinary treatment teams. At the same time, GAP Committee on the Family (8) has argued eloquently for a renewed emphasis on family skills to be part of every resident's training. We support these goals as the starting place for broader, comprehensive training in couples and family therapy.
Contemporary psychiatry training can afford to be more than a middle-of-the-road compromise; it can and should push the margins and foster innovation and creativity. Fresh psychosocial ideas in psychiatry have often been carefully positioned to appear palatable, to avoid unsettling, to not disturb. If family training moves from the margin into the interior of residency training, initial resistance should be anticipated. Thoughtful program directors and faculty members can anticipate turf issues, competition over scarce residency training time, and the inevitable pushback that frequently accompanies systemic change. Nonetheless, with the changes in ACGME, growing research on the family's role in maintaining severe psychopathology and the efficacy of couples and family interventions across a wide range of psychiatric disorders, the President's Commission on Mental Health, and emerging models of collaborative biopsychosocial health care, it should no longer be "easy to forget that life is lived in relationships" (1).
Download citation file:


text:
Click here to view Job Postings.
RAB's Seven Steps to Radio Selling Success to be Featured at NAB Show Join the Radio Advertising Bureau's John Potter, as he presents the latest strategies your salespeople need to know when prospecting, getting the appointment, conducting a truly customer-centric CNA, presenting packages and proposals, and addressing objections and closing. His session, RAB's Seven Steps to Radio Selling Success, is one of six RAB-produced workshops to be offered at the upcoming NAB Show, April 6-11 in Las Vegas. It's scheduled for Tuesday, April 9, from 4:00-5:15 PM. The NAB Show is the world's largest event covering the development, management and delivery of content across all media. For more information, follow this link.
Success of Radio's Digital Sales Efforts to be Examined in Free Webinar A free webinar for RAB members focusing on the results of a new study prepared by Borrell Associates on behalf of the Radio Advertising Bureau, Benchmarking: Local Radio Stations' Online Revenues, is scheduled for this Thursday, March 7, at 10 AM (CST). The presentation, featuring Gordon Borrell of Borrell Associates and Rob McCracken of Hubbard Interactive, will highlight the increasing ad revenues generated by local digital sales operations, and the different formats stations are utilizing. To register for what promises to be a very informative webinar, click here.


text:
bio | website | |
location | Campinas, Brazil | |
age | 25 | |
visits | member for | 9 months |
seen | 4 hours ago | |
stats | profile views | 16 |
I am a Physics graduate student at Unicamp (University of Campinas). I have received bachelor's and master's degree from USP (University of Sao Paulo), both on Physics.
Present research subject: sterile neutrino phenomenology.
I had experience with Matlab in my master's research project. Now, I'm using Mathematica, which is considered to be a powerful tool for particle phenomenology by my colleagues in the research group.
StackoExchange interests: Mathematica, Matlab, Maple, LateX, LyX, TikZ, pgfplots.


text:
Jesper Vesterstrom warms up for the Downunder Pro 2013 |
Wednesday, 30 January 2013 10:01 |
Jesper Vesterstrom has dominated the warm-up sessions of the Downunder Pro 2013, Formula Windsurfing Oceanic & Australian Championships at Hawks Nest, Australia.
Vesterstrom won three races and finished ahead of Wilhelm Schurmann and Sean O'Brien. The Australian sailor battled most of the day with young Justesen, finishing with four third places. Sunday looked more promising to have even stronger winds with the forecast showing strong wind warnings over 30 knots for the Hunter Coast area. Sadly, all the sailors were able to receive from the cyclone was torrential rain and racing was called off. With the new 2013 rules, in which five races are allowed each day, with the race committee delivered the final results. Vesterstrom, who has recently become an Australian resident, had been training and preparing for the event and is ready to take on the official races. Warm-Up Sessions of the 2013 Downunder Pro: 1. Jesper Vesterstrom |


text:
News Quirks
Curses, Foiled Again
Two men broke into a commercial building in Antioch, Calif., to steal copper wire, only to find themselves in the middle of a police training exercise. While one officer taking part hid in the 40,000-square-foot building, another officer outside announced that a dog was about to be released and anyone inside should come out or risk being bitten. James Ayers, 26, and Frederick Guilliee, 38, assumed the warning was directed at them. Ayers surrendered, and the officers nabbed Guilliee hiding inside.
One-Thousand-and-First Place to See Before You Die
Officials at the Minneapolis-St. Paul airport reported travelers have been flocking to the bathroom stall made famous by Sen. Larry "Wide Stance" Craig. "It's become a tourist attraction," airport information specialist Karen Evans acknowledged. "People are taking pictures."
Meanwhile, hoping to discourage further encounters at what had been a popular site for sex with strangers before the Idaho Republican's sex-sting arrest and guilty plea, airport officials announced they would add new stall dividers that drop practically all the way to the floor to prevent men from ducking their heads under the dividers of adjoining stalls.
Misters of the Week
Dr. Rose Cecile was puzzled by the case of a 53-year-old Colorado furniture salesman with a serious lung condition, until she learned that he had eaten microwave popcorn at least twice a day for more than 10 years and liked to break open the bag of just-popped corn to savor the aroma. As a result, he had contracted bronchiolitis obliterans, also called "popcorn workers' lung." Cecile told the New York Times that when she asked if he was around popcorn a lot, "his jaw dropped, and he said, 'How could you possibly know that about me? I am Mr. Popcorn.'"
• Organizers of the Ivory Coast's first "Punctuality Night," aimed at improving productivity by combating traditional tardiness in the workplace, awarded first prize, a $60,000 villa, to Narcisse Aka, 40. The legal adviser said he is so consistently punctual that his colleagues "call me Mr. White Man's Time."
It's the Thoughtlessness That Counts
After U.S. troops in Afghanistan distributed soccer balls to Afghan children in Khost province, about 100 people protested, condemning the balls as blasphemous. Muslim clerics noted the balls showed the Saudi Arabian flag, which features the Koranic declaration of faith and the name Allah. "To have a verse of the Koran on something you kick with your foot would be an insult in any Muslim country in the world," Afghan Member of Parliament Mirwais Yasini said.
Infrequent Fliers
When Mandy Bailey of Queen Creek, Ariz., tried to buy tickets on Delta Air Lines to fly her year-old conjoined twin daughters to a family get-together in Maryland, she told the Arizona Republic the airline required her to buy an extra seat for the twins. They are joined at the chest and share a heart but have their own lungs, so, according to Federal Aviation Administration rules, both would need access to an oxygen mask in case of an emergency.
Dagger Types
While performing "Scenes from Shakespeare's Julius Caesar" in Aspen, Colo., the actor playing Brutus delivered the fatal blow to Caesar but then announced, "I seem to have stabbed myself." Actor-director Kent Hudson Reed required stitches, and the performance was canceled. He said the actors used real knives only because the scene was set up so none of the performers were close enough to hurt each other. "But," he added, "I hadn't thought an actor might stab himself."
• A British clothing company started charging $270 to line children's blazers and jumpers with Kevlar to make them knife resistant. Minister of Children, Schools and Families Jim Knight accused the company, Bladerunner of Romford in East London, of "scaremongering to sell its products," but Bladerunner official Adrian Davis said it was responding to consumer demand. It began offering the modifications after seven teenagers were stabbed in London this year because "a few parents asked us if we could alter school uniforms to make them stab proof."
Forget the Eaves Troughs
Researchers from the Massachusetts Institute of Technology have designed a building whose walls are made of water. Although it has a solid roof, the interactive Digital Water Pavilion, to be unveiled at Spain's International Expo Zaragoza 2008, will use 6,000 valves spurting water to make liquid curtains that expand when people enter a room and contract as they leave. Instead of traditional doors at fixed locations, it will use sensors to detect the approach of people and, according to William J. Mitchell, head of MIT's Design Laboratory, "like the Red Sea for Moses, open up to allow passage through any point."
Safety Last
British police officers in Devon and Cornwall were warned not to hold out a hand to save drowning swimmers, lest they be pulled into the water themselves. The health and safety policy directive also cautions officers to think twice about throwing a lifebelt until they have completed a "dynamic risk assessment" and then only "on the strict proviso that the rescuer does not enter the water."
• Citizens of Mount Gretna, Pa., began circulating a petition demanding the volunteer fire department silence its siren and use pagers to alert crews. "They say everything is an emergency," said Jack Ezell, who started the petition drive. "I don't think a tree down on Route 117, or when someone hits a deer, that we all need to be notified. We don't want it stopped for extreme emergencies, but we don't want it to be ubiquitous."


text:
BPA Free: Yes | Product Type: Automatic machines |
Product Warranty: Limited 3 year warranty | UL Listed: Yes |
Material: Metal, Plastic, Glass | PTFE Free: Yes |
Number of Items Included: 4 | Pieces Included: Unit; Carafe; Gold Tone Filter; Measuring Scoop |
Rust Resistant: Yes | Stain Resistant: Yes |
Odor Resistant: Yes | Scratch Resistant: Yes |
Warp Resistant: Yes | Shatterproof: Yes |
Brewing Temperature: 200 Fahrenheit | Brewing Time: 1 Minutes |
Brewing Capacity: 12 Cups | Number of Brew Heads: 1 |
Brew Head Style: Shower | Filter Type: Cone |
Filter Included: Yes | Permanent Filter: Yes |
Number of Filters: 5 | Filter Material: Plastic |
Removable Filter Basket: Yes | Filter Basket Material: Plastic |
Maximum Water Capacity: 12 Cups | Gradations: Yes |
Measurement Units: Cups | Lighted On/Off Switch: Yes |
Brew Complete Indicator: Yes | LCD Display: Yes |
Quiet Brew: Yes | Cord Storage: Yes |
Pause Feature: Yes | Vacation Switch: Yes |
Auto Shutoff: Yes | Auto Shutoff Time: Programmable shutoff |
Clock: Yes | Timer: Yes |
Programmable: Yes | Number of Languages: 1 |
Languages: English | High Altitude: Yes |
Wattage: 1025 Watts (W) | Voltage: 120 Volts (V) |
Amperes: 8.5 Amps | Hertz: 60 Hertz |
Nonstick: Yes | Dishwasher Safe: Yes |
Dishwasher Safe Details: All removable parts can go in the dishwasher | Warmer Plate: Yes |
Number of Warmer Plates: 1 | Carafe Included: Yes |
Carafe Material: Glass | Carafe Handle: Yes |
Carafe Handle Material: Plastic | Cool Touch Handle: Yes |
Dripless Spout: Yes | Carafe Cup Capacity: 12 Cups |
Insulated Carafe: No | Portable Carafe: No |
Brew-Through Lid: Yes | Scoop Included: Yes |
Cuisinart Brew Central 12 Cup Programmable Coffee Maker
Wrong color J from IL I ordered this this for my mother and it's fine,but we didn't get the color we ordered. We orded the matte black and received the stainless. It's fine though and she liked it. |
Love this..very reliable and durable. Linda from Marblehead, MA– Verified Buyer My third experience with this coffeepot. The one I just replaced was almost 8 years old..the plug prongs somehow started to corrode. Love the programmable feature and the ability to control the portion you brew. Good product!! |
great coffee maker! lee ann from boyers, PA– Verified Buyer very pleased with this machine. has a no drip spout. It is the only adjustable shut off time I could find. most have two hour shut off, a little to quick for us. I can adjust this up to 4 hours if I want. |
Cant Miss With The Best Ron Greene from Illinois I first bought this one to try .... liked it so much I bought a second before they changed it as always happens to anything you like it seems. We still have the first one we bought five years later and it's still making great brewed coffee. We've never had a problem with where the water reservoir is located although more thought into the design wouldn't have hurt. No problems with paper or permanent filters nor with the carafe. It's easy to clean out the lime build up, and considering it has a light to tell you when it needs cleaning out, this should not be a problem but to the laziest. Build up of lime in the system will kill this machine ..... it just takes a little maintenance now and then with white vinegar. |
Cuisenart Brew Central 12 Joyce Perkins from NY Makes great coffee with its cone filter. I only get less than a year from this coffeemaker. I keep buying because of the taste. Wish it had a longer life. |
coffee maker deborah from belton, MO– Verified Buyer the best we have owned, love the water filter as it makes a big difference in flavor. Easy to clean finish and easy to operate. |
coffee maker Ann from austin, TX– Verified Buyer– Top 500 Reviewer this is the best coffee maker I have ever had. I love the programable features and it makes coffee evry wuick and hot. |
Cuisinart Roy from Smithfield, VA– Verified Buyer Nice lines, looks great on kitchen counter top. Great product. Prefer over Mr. Coffee which we were replacing. Would definitely recommend. |
How Does Cuisinart Stay in Business Laird Landrieu from Western PA To call this a poorly designed coffeemaker would be an understatement. I was ashamed when I learned that Cuisinart is an American company. |
Cuisinart Coffee Maker Kyla Nichols from Houston, TX– Verified Buyer– Top 500 Reviewer We purchased this coffee maker as a gift. My friend has one just like it and I loved it. Makes hot coffee... and its attractive to look at. |


text:
DARKSTEEL is a traditionalist. As a student of the most respected DECEPTICON warrior on CYBERTRON, he learned there is no substitute for a razor-sharp blade and clever mind. Blasters and cannons get the job done, but may fail in the heat of battle. The blade never falters! It's an ......More
LASERBEAK grows more independent each day spent away from CYBERTRON. The loyal servant of SOUNDWAVE and the DECEPTICONS has become more self-aware since arriving in the Milky Way. LASERBEAK continuously monitors AUTOBOT troop movement from afar, plotting the perfect moment to unleash his laser ......More
STARSCREAM thinks highly of THUNDERCRACKER. He tries to instill the less experienced TRANSFORMER with attack strategies and weapons information for the day when he finally usurps the throne from MEGATRON. THUNDERCRACKER is a quick learner and a serious threat to any AUTOBOT that dare engage him in ......More
MEGATRON has lost battles, but he has never been truly defeated. Even after his near total destruction by the AllSpark, he returned. This latest loss is nothing to him. He has plans thousands of years in the making that are finally coming to fruition. This time, nothing will stop him from ......More
BARRICADE doesn't make friends, he finds potential victims. His seemingly benevolent police car vehicle mode has been known to trick potential targets into trusting him. BARRICADE has the ability to stalk and eliminate nearly any AUTOBOT he wishes. Humans and AUTOBOTS alike should take cover when ......More
As an expert tracker and infiltrator, CRANKCASE serves MEGATRON from the shadows. Unseen and never recognized, he watches the AUTOBOTS and reports their movements back to his master. He rarely engages in combat, but when he does, it is swift, terrible, and final. Fasten your seatbelts for some ......More
Though he is an incredibly skilled fighter, the real secret to success for STARSCREAM is: never fight fair. He's always sure to bring a bigger, more powerful weapon to battle than his opponent, and he never takes on someone he's not sure he can handle. Get ready for fast-paced, high-flying fun ......More
DECEPTICON DRAG STRIP™ recognized the potential of an alliance with the humans right away. With an expert driver like Master Disaster at the wheel, DECEPTICON DRAG STRIP is free to concentrate on executing his elaborate plans for the doom of the AUTOBOTS®. Master Disaster and DRAG STRIP have ......More
Few have ever seen SHOCKWAVE and lived. His is the hand that ensures DECEPTICON plans remain secret from the AUTOBOTS. He eliminates evidence and witnesses with brutal, emotionless efficiency. The only hints he ever leaves of his presence are smoking craters and the collapsed tunnels through which ......More


text:
Welcome to CowboysZone! Join us! Come on! You know you want to!
You cannot post in the chat room because you have not posted enough in the forums!
Are Drew's 5 GW drives a Dallas record?
Discussion in 'History Zone' started by big_neil, Dec 25, 2005.
Page 2 of 2
Page 2 of 2