text:
The Associate of Applied Science Degree (AAS) in Veterinary Technology program provides students with both classroom and clinical experiences. Students will spend a portion of their clinical experience in various veterinary settings including research centers, private clinical practices, and wildlife rehabilitation facilities. Both full-time, four semester and part-time six semester options are available. This curriculum is designed to prepare the student for the national board exam and licensure as a veterinary technician (LVT).
Career Options
- Agricultural Businesses
- Large Animal, Small Animal, or Specialty/Referral Veterinary Practice
- Laboratory Animals and Research Facilities
- Exotics or Zoo Species
- Local and Nation Government Regulatory Positions
- Wildlife Rehabilitation
Career Outlook
The U.S. Department of Labor says job prospects for Veterinary technicians and technologists are excellent with a 36 percent growth rate projected for the next seven years.

subset: commoncrawl


text:
The WASH Grantmakers' Network, along with the Conrad N. Hilton Foundation, will co-host the fourth annual peer‐to‐peer breakfast dialogue on innovative grantmaking in the global safe drinking water, sanitation, and health sector called Water for Breakfast. The event will include guests from Xylem Watermark, Procter & Gamble, the Veolia Foundation, the Avina Foundation, and others.
Water for Breakfast
Best and Promising Grantmaking Practices in the Global Water and Sanitation Sector
Wednesday, September 25th, 7:30AM – 9:30AM
Breakfast at 7:30AM, meeting starts promptly at 8AM
Midtown Manhattan, New York, NY
This off‐the‐record, invitation-only conversation will provide current and potential grantmakers an opportunity to:
- Meet other private and corporate philanthropic leaders in the global safe drinking water, sanitation, and health sector
- Learn from experts on better collaboration, leveraging of public relations, and cost-effective giving practices
- Exchange best, worst, and promising practices in grantmaking
- Learn about innovations in access to capital and social entrepreneurship
- Look for collaborative opportunities between and among private and corporate foundations, water sector experts, and the public sector
At this year's event, there will be a unique opportunity to discuss new leadership plans for the Network, and special guest speakers who will answer questions surfaced in previous meetings. A full agenda will follow.
If you are interested in attending the Water for Breakfast event, please contact Ben Mann at firstname.lastname@example.com or 571-225-5823.
Attending World Water Week? Join us for a seminar examining the role of U.S. philanthropy in solving the global WASH crisis. Detailed information on the seminar's theme and structure is below.
Stockholm, Sweden — World Water Week conference venue, room K2
Wednesday, August 29th (9AM – 12:30PM)
Follow @WASHfunders for live tweets at the time of the session
This seminar will describe the unique role of U.S.-based foundations in the WASH sector, particularly how philanthropic capital differs from other funding sources, and how those differences can catalyze further funding, support greater advocacy efforts, and spur innovation. Key topics will include: lessons learned and best practices from funded programs; the role of philanthropy in leveraging resources and working collaboratively to increase funding, sustainability, and effectiveness of programs; and a demonstration of WASHfunders.org. Case studies will be presented by five foundations and their grantees through dialogues about opportunities, successes, and challenges of foundation-funded programs.
09:00 Opening Remarks and Seminar Overview. Mr. Edmund J. Cain, Conrad N. Hilton Foundation
09:10 Overview of U.S. Philanthropy. Mr. Brad Smith & Dr. Seema Shah, The Foundation Center
09:30 Foundation Strategies and Grantee Case Studies on Innovation, Advocacy, Learning and Leveraging of Resources in the Water, Sanitation, and Hygiene Sector — Opportunities, Successes and Challenges. Moderator: Mr. Brad Smith, The Foundation Center
- Innovation & Multiple Use Services
Mr. John Thomas, Rockefeller Foundation & Dr. Mary Renwick, Winrock International
- Advocacy
Dr. Braimah Apambire, Conrad N. Hilton Foundation & Mr. John Oldfield, WASH Advocates
- Scale & Sustainability
Mr. Louis Boorstin, Bill & Melinda Gates Foundation & Mr. Ned Breslin, Water For People
- Learning from Partnerships
Mr. Paul Hicks, Catholic Relief Services & Mr. Peter Lochery, CARE
- Reporting & Transparency/Social Entrepreneurship
Mr. David Rothschild, Skoll Foundation & Mr. Ned Breslin, Water For People
11:00 Coffee Break
11:30 Reflections from Panelists/Attendees; Conversations/Additional Q&A, Moderator: Mr. Brad Smith, The Foundation Center
12:00 Demonstration of WASHfunders.org. Dr. Seema Shah, The Foundation Center
12:20 Conclusions and Way Forward. Mr. Brad Smith, The Foundation Center
12:30 Close of Seminar
For the full seminar listing in the World Water Week online programme, click here.
Editor's Note: This blog post was written by John Oldfield, CEO of WASH Advocates. WASH Advocates is a nonprofit advocacy effort in Washington, DC entirely dedicated to helping solve the global safe drinking water, sanitation, and hygiene (WASH) challenge. Its mission is to increase awareness of the global WASH challenge and solutions, and to increase the amount and effectiveness of resources devoted to solving the problem around the developing world. For more information, visit www.WASHadvocates.org.
"Forty years ago today, Apollo 16 landed on the moon… By anyone's standards it was a triumph of science, technology, and political will. I remember so many of us thinking that if humankind can do this, what could humankind NOT accomplish?" UNICEF executive director Anthony Lake continued on April 20 at the Sanitation and Water for All High Level Meeting in Washington, DC: "… and yet today, over 1.1 billion people still practice open defecation because they don't have access to the most basic sanitation facilities… If two generations ago we could land men on the moon, we can and must also afford people here on earth two of their most basic human rights — safe water and basic sanitation — because until we do, development progress will falter."
On April 19-20, 2012 in Washington, DC dozens of finance ministers and water ministers from throughout the developing world gathered to make stronger commitments to solving the WASH challenge in their respective countries. They were joined at the meeting by development cooperation ministers from donor countries, including the USAID Administrator Raj Shah. During the event, Administrator Shah made history by announcing that the U.S. government has joined this global partnership aimed at universal coverage of safe drinking water and sanitation.
Why does this fundamental global safe drinking water, sanitation and hygiene (WASH) challenge continue to exist today? The most intriguing answer is when people respond: "The problem is not solved because of a lack of political will." Once that statement is made, no matter how accurate it is, the conversation typically dies, because most people look at politicians as part of the problem, not part of the solution, and strong political will often proves elusive.
This is why I consider the Sanitation and Water for All High Level Meeting arguably the most important meeting of 2012: political will is what we saw in Washington, DC on April 19-20. And it is political will that leads to sustainable WASH programs implemented at scale community by community, country by country.
The WASH grantmaking community, both foundations and corporate leaders, can take away a few lessons from the Sanitation and Water for All (SWA) Partnership and its April meeting:
- Strengthening the evidence base of success is important. The Sanitation and Water for All process isn't simply for finance ministers and other high-level political leaders to dialogue. The SWA Partnership focuses on strengthening the evidence base of success in the global WASH sector, and using that evidence base to strengthen political will. Political leaders country by country need to hear about WASH from their people. Those political leaders also need to understand how they can help solve the challenges. The SWA process facilitates both, and donors looking for "exit strategies" need to think more consciously about what it takes to inspire a government at any level to scale up your work. The exit strategy for the most successful WASH programming is "Get the job done," and universal coverage of WASH requires the highest levels of political support.
- Better alignment is key. Too often, donor efforts are not aligned with governments, NGOs, or other donors; this can lead to unsustainable, inappropriate, and/or duplicative programming. Members of the SWA include bilaterals (e.g. U.S., U.K., Netherlands, Japan, Australia), dozens of developing countries, multilaterals like the African Development Bank, and the Bill and Melinda Gates Foundation. Many have joined the SWA in part to make sure their assistance is better aligned both with the need and with the actual plans and progress that developing countries are making. SWA partners also aim to make sure their assistance is better coordinated with each other's plans as donors as well. An example of this approach is the support that the Gates Foundation provides to the Water and Sanitation Program, a private partnership administered by the World Bank.
- Linkages between economic growth and WASH need to be better quantified and communicated. What gets the attention of finance ministers? Arguably, it is not the morbidity and mortality associated with unsafe water and inadequate sanitation, but rather the increased productivity that safe, affordable, and sustainable water and sanitation offer an economy. The World Health Organization estimates that each dollar invested in WASH returns on average eight dollars in increased economic productivity and decreased health care costs. But how many of us know that inadequate sanitation cost India the equivalent of 6.4% of its GDP in 2008? Or that it cost Bangladesh 6.3% of its GDP in 2007? How many of us incorporate this and other cross-sectoral linkages into both our programs and our communications efforts as effectively as we could?
Beyond the SWA Partnership, many other ongoing efforts illustrate these same points and deserve a closer look: strengthening community water board associations in Latin America; building the capacity of national and sub-national civil society WASH networks in Africa; donors and nonprofits partnering early and directly with mayors in developing countries instead of just inviting them to ribbon-cutting ceremonies; and bringing creative and leveraged business and financial approaches into the water and sanitation sector.
Clearly donors (in Europe, the United States, and beyond) need to continue direct funding of safe drinking water and sanitation programs around the world. However, government and private donors also need to increase their financial and technical support for initiatives that strengthen the capacity of developing countries to solve the water and sanitation challenges themselves.
If, as Tony Lake says, we can send a man to the moon forty years ago, we as a planet can certainly solve our water challenges today. The Sanitation and Water for All Partnership illustrates some of the lessons and approaches that will make the private and corporate philanthropic communities an even more important part of the solution.
Unilever, a multinational conglomerate based in the United Kingdom and Netherlands, has announced the launch of a global foundation that will work to improve the quality of life for people around the globe through the provision of improved hygiene, sanitation, access to clean drinking water, and basic nutrition.
Announced last month at the annual meeting of the World Economic Forum, the Unilever Foundation has formed partnerships with Oxfam, Population Services International, Save the Children, UNICEF, and the World Food Programme to accomplish its mission. The foundation also will provide direct funding, in-kind donations, expertise, and employee support to other organizations around the globe that are working to address country-specific challenges aligned with its goals.
For example, the foundation's partnership with Oxfam will focus on programs that empower individuals and deliver good nutrition and clean drinking water, while its support for PSI will target efforts designed to improve the health of children and families through behavioral change interventions focused on hand washing, clean drinking water, and sanitation. Save the Children will use funds from the foundation to increase access to health workers, life-saving vaccines, and high-impact health and nutrition programs, while UNICEF will focus on expanding its Community Approaches to Total Sanitation (CATS) initiative, a program that promotes good hygiene practices and raises awareness of the sanitation crisis in the developing world. Last but not least, WFP will partner with the foundation to boost Project Laser Beam, a public-private partnership that aims to create a scalable, sustainable model to improve nutrition, health, and livelihoods in Bangladesh and Indonesia.
"We live in a rapidly changing world. One where populations are growing, water is becoming increasingly scarce, and where food security is a growing issue," said Unilever chief marketing and communications officer Keith Weed. "Unilever is committed to addressing the unmet social needs that our business can play a unique role in helping to solve....Together with our partners, we will deliver life-saving solutions as we work toward achieving these ambitious goals."
Source: "Unilever Launches Global Foundation." Unilever Press Release 1/27/12.
For additional WASH-related philanthropy news, see the news feed on WASHfunders.org.
The Foundation Center is pleased to announce the launch of WASHfunders.org. Designed with philanthropic donors in mind, WASHfunders.org gives funders a "one stop shop" for the data and information they need to improve water access, sanitation, and hygiene around the world.
Though grantmakers are the primary audience for the site, we suspect that others interested in this urgent issue, including policymakers, practitioners, journalists, researchers, and the public, will find valuable resources on the site.
The site's central feature is an interactive mapping application that shows where foundation grants are going, to which organizations, and for what purpose. WASHfunders.org is the first and only site with this critical data. What's more, foundation funding flows are shown within the context of international aid funding and key development indicators, providing a robust picture of the WASH landscape in any given country or region.
WASHfunders.org also provides free access to a broad set of knowledge resources, including:
- Funder profiles documenting the WASH strategies of leading foundations;
- Case studies that illustrate the successes and challenges of WASH projects around the world;
- Tools and resources for assessing project outcomes; and
- A searchable archive of research reports recommended by sector leaders
We'll be using the Inside View section of the site to highlight site content, update you on new features, and share newsworthy events in the WASH sector, all with a philanthropic lens. To get Inside View posts delivered straight to your inbox, sign up for e-mail updates on the site's home page.
In the meantime, help us spread the word about this exciting new resource. Tweet about us. Blog about us. Tell your friends and colleagues.
And, as always, let us know what you think of the site and how we can make the site as useful and user-friendly as possible. Our team can be reached at firstname.lastname@example.com.
WASHfunders.org was created with generous support from the Conrad N. Hilton Foundation. Read the full press release here.


text:
Dr. Bender is a Radiologist with Community Radiology Associates in Silver Spring, MD. Maj. Kende is a Pathologist in the Department of Hepatic and Gastrointestinal Pathology, Armed Forces Institute of Pathology, Washington, DC. Maj. McLarney is a Radiologist at the U.S. Army Hospital, Fort Carson, CO.
An all-encompassing term, "mural stratification" means simply the abnormal separation of the contrast-enhancing outer gut margin (serosa/muscularis propria) from the contrast-enhancing inner gut margin (mucosa/muscularis mucosa) (figure 1). Normally not distinguishable, these two enhancing, concentric rings can be made visible by interposing blood, pus, water, cells, or fat. Although a very sensitive sign of gut abnormality, this radiographic finding is nonspecific. One must be aware that this nonspecific appearance may have different clinical implications depending on the disease process with which it is associated. For example, with gut ischemia, its presence suggests a surgical, as opposed to a medical, approach. With idiopathic inflammatory bowel disease, its presence indicates medical, as opposed to surgical, management. It is important to learn of the many diseases that can present with mural stratification and to be able to categorize them by their underlying cause for intestinal wall thickening. The pathophysiology of such thickening is the key to suggesting the clinical management of this finding in any particular disease setting.
The original description of mural stratification, called the "double halo" sign by Frager et al in 1983, was placed into modern context in a landmark review by Balthazar in 1991. 1 This appearance is visible only with cross-sectional imaging. "Homogenous wall thickening," the double halo, and the "target sign" are the only direct pieces of evidence radiologists have of intestinal wall thickening. 1,2 With the widespread use of arterial phase abdominal computed tomography (CT), which optimally demonstrates the target or double halo sign, Gore et al 1,3 coined the phrase "mural stratification" in 1996.
The normal bowel wall resembles a wafer of five layers, which is rarely visible on abdominal CT. The inner two layers (mucosa/muscularis mucosa) and the outer two layers (muscularis propria/serosa) contain a vascular architecture that consists of a plethora of freely anastomosing vessels. There is a relative paucity of bridging vessels that penetrate the submucosal fat and course from the outer to the inner layers (figure 2). 4
Contrast enhancement of abnormally thickened gut appears as a separate single inner and outer layer, or double halo, which corresponds to these anastomotic beds. Logic suggests that the target sign should be best seen during the arterial phase (figure 3). 1 Mural stratification occurs when the two contrast-enhancing layers are separated by a process that can widen the submucosal space, such as edema, hemorrhage, inflammatory cell infiltration, or submucosal fatty proliferation. 1,3,5 To date, in the Armed Forces Institute of Pathology (AFIP) archives, there are no documented cases of malignancy directly causing this smooth ring-like appearance. However, mural stratification from ischemia, hemorrhage, or edema proximal to an obstructing carcinoma or intussuscepting tumor may occur.
The classic appearance of mural stratification, seen in approximately 50% of patients with ulcerative colitis, is the separation of the inner and outer contrast-enhancing layers by low-density or water-density tissue (figure 4). 3,6 Low-density separation was reported as a finding highly characteristic of ulcerative colitis. 6 It is postulated that fatty proliferation in the submucosal tissues gives this highly characteristic appearance of mural stratification to the rectum. The fat thought to be separating these layers is recognizable on CT by its very low density, which is often equal in density to the surrounding perirectal fat. The pathologists at the AFIP have not been able to confirm the fatty nature of this low-density tissue. Regardless, with contrast enhancement of the inner and outer rings, there is no difficulty in recognizing the marked contrast difference seen with mural stratification in this low pelvic location. 3 The knowledge that this appearance is most often seen in ulcerative colitis alerts radiologists to any asymmetric thickening of these otherwise thin, concentric rings, which is suspect for lymphoma or adenocarcinoma (figure 4B). Similar asymmetry is seen with intussusception, which may also mimic mural stratification due to the fat drawn into the lumen with the inner ring of involved gut. Fortunately, intussusception is generally focal, and the more proximal extent of the intussusception may show the lumen filled with fat without an inner-enhancing margin (figure 5).
Inflammatory cell infiltration (intact and broken rings)
Inflammation of the bowel wall can separate the enhancing inner from the outer wall layers. Although not typically seen in conditions with inflammation limited to the mucosal surface, it does occur in ulcerative colitis, as discussed above. Mural stratification typically occurs when the inflammatory process is transmural (figure 6). 3 The prototype is Crohn's disease, of which transmural inflammation is a hallmark. Although initially reported as being seen in only 15% of patients with Crohn's disease, others report the presence of mural stratification in up to 50% of cases, which has also been the authors' experience with CT- enteroclysis (figure 1). 3,7 The intact, concentric rings of mural stratification represent active inflammation on both CT and MR, and suggest a state of disease amenable to medical therapy (figure 3). 3 The opposite condition of unenhancing, thickened gut wall usually represents scar tissue that no longer contains enhancing vessels. When found in patients with high-grade or complete obstructive symptoms, stricturoplasty or surgical resection is often required (figure 7).
Transmural inflammation can be seen in many other inflammatory or infectious diseases. From the AFIP archives, other examples that have been found include Mycobacterium tuberculosis , eosinophilic enteritis, cytomegalovirus, Clostridium difficile , Entamoeba histolytica , Vibrio cholera , Shigella, Staphylococcus aureus, and Escherichia coli (figure 8). In cases of overwhelming infection, severe inflammation causes blurring or loss of the usually sharp inner and outer contrast-enhancing rings (figure 9), 1,3 which is indicative of a surrounding phlegmon or abscess.
There are three notable variations of mural stratification in patients with inflammatory cell infiltration of the bowel wall that have been found in the archives. First, as previously mentioned, in cases of overwhelming infection, breakdown of the usually complete concentric ring structure may occur, signaling that surgical or interventional management may be necessary (figure 9B). This "broken-ring appearance" can be mimicked by lymphoma and adenocarcinoma. whether or not it is associated with inflammation (figure 10). Second, with overwhelming infectious disease, an intense, "shaggy-wall" appearance can be seen. Examples of this appearance have been noted in the archive with pseudomembranous colitis secondary to C difficile , amebiasis, tuberculosis (both M tuberculosis and avium complex) and cytomegalovirus (CMV) (figure 11). Third, patients with intestinal parasites with wall inflammation caused by Strongyloides stercoralis and Schistosoma mansoni or S japonicum have a "fuzzy-gut" enhancing pattern instead of distinct mural stratification (figure 12). It is the authors' opinion that the eggs of schistosomiasis that are discharged into the portal venous system and come to lie within the intestinal wall cause a generalized, partial obstruction of the small peripheral venules. In combination with a mild inflammatory response, venule obstruction may account for the shaggy, slightly enhancing, obliteration of the stratified rings.
Ischemia/infarction (edema and hemorrhage)
The most important causes of ischemia infarction are: arterial occlusion from thrombus or plaque; hypoperfusion in the face of proximal arterial stenosis potentiated by myocardial infarction, dehydration, bradycardia, etc.; proximal venous thrombosis or venous occlusion from torsion or closed loop obstruction; and peripheral vasculopath. 1,8,9 Edema and hemorrhage expand the submucosal tissues following capillary breakdown and create the classic appearance of mural stratification. 1 Described as homogeneous wall thickening or the target sign, mural stratification can be seen in both cross-section and in longitudinal fashion as a set of enhancing rings or lines separated by tissue 10 to 40 HU in density (figure 13). 1,2,8,9 Although the interposed tissue is usually of slightly higher density because of hemorrhage, the appearance may be identical to that seen in inflammatory or infectious enteritis/colitis. 8,10 It is important to remember that intestinal ischemia/ infarction is more often a surgical, as opposed to a medical, condition (figures 6 and 14). 8
In combination with the other signs of gut ischemia listed below, mural stratification has a sensitivity of 90% for gut infarction. The specificity is only 70% to 80%, as it can be seen with varying degrees of ischemia prior to actual bowel infarction. 8,9 Therefore, emergent exploratory laparotomy is indicated in any patient with signs of ischemia, especially with closed-loop obstruction. 9 The clinical goal is to avoid resection of infarcted gut by surgically relieving the cause while the gut is still viable (figure 15). 9 The association of mural stratification with free peritoneal fluid, variable or asymmetric bowel wall enhancement, persistent enhancement of the bowel wall or segmental arteries, visible arterial or venous filling defects, increased density of the mesentery, or bowel obstruction increases the sensitivity and specificity for bowel infarction (figure 16). 8,9,11 Not well established in the literature is the usefulness of visible wall hemorrhage on noncontrast CT studies in patients with ischemic bowel (figure 17). 8,12 This appearance corresponds to the microscopic findings of ischemia when capillary breakdown and hemorrhage are seen in the mucosal and submucosal tissues (figure 18). It is not known to what extent bowel can recover after such ischemic changes have begun. Unfortunately noncontrast CT is rarely performed in patients with suspected gut ischemia, which would be necessary to study this interesting and potentially useful sign.
Frank hemorrhage into the gut wall has the potential to expand the loosely organized submucosa and separate the contrast-enhancing mucosa/muscularis mucosa from the muscularis propria/serosa. Patients who have been anticoagulated are well known to be at increased risk for intestinal wall hemorrhage. 8 Blunt trauma is another well-known cause, with submucosal hemorrhage causing the classic "snow-cone" appearance of the duodenum at CT. 5 The appearance of mural stratification as a result of blunt trauma, although certainly possible, has not been reported. Bleeding into the gut wall causing mural stratification has been found in the AFIP archives among cases of thrombotic thrombocytopenic purpura (figure 19). In the event of hemorrhage, unrelated to ischemia, mural stratification would again suggest medical management rather than surgical intervention. Such hemorrhagic conditions generally resolve spontaneously with medical therapy.
The accordion sign
The "accordion sign" was first described in 1991 by Fishman et al 13 and has been used as an axial CT finding characteristic of pseudomembranous colitis (PMC) (figure 20). Goodman 14 first reported this gross, irregular, polypoid thickening of the colon wall as an axial CT finding in 1980 in a case report of PMC. A review in 1998 by O'Sullivan 15 carefully spelled out the CT criteria, which this finding describes: "The accordion sign is a finding that may be seen on [axial] computed tomographic (CT) scans in patients who have received oral contrast material. It comprises alternating bands of lower soft-tissue attenuation and higher contrast material attenuation within the large bowel."
The author further remarked that "the accordion sign is relatively unique to PMC [secondary to C difficile ]" and that "The sign has been further reported...as a finding specific for PMC [secondary to C difficile ]." 15 An extension of this definition has been attributed to the ultrasound findings of pseudomembranous colitis, which could be labeled the "ultrasound accordion sign" (figure 21A). 16,17 These authors postulated that the three-layer appearance corresponds to "the inner hypoechoic layer [being] the edematous mucosal layer, while the submucosal layer and muscularis propria retain a more normal sonographic signature." 16 Here, the three-layered appearance of the swollen gut has resulted in the echogenic mucosa, which resemble the bright inner margins previously discussed as the contrast-enhancing inner layer seen during the arterial phase on CT. From endoscopic endoluminal ultrasound, we have learned that the echogenic inner layer represents the mucosa, to include both its mucin surface coating (or pseudomembrane) and the underlying lamina propria. 18 As severe edema extends below the mucosa, penetrating through to the muscularis propria or serosal tissues, the usual five-layer appearance becomes three as the echogenicity of the submucosal fat is replaced by relatively hypoechoic edema or hemorrhage. Ischemia and the "pseudokidney sign" of lymphoma can mimic this appearance (figure 21C). It was originally thought that the ultrasound appearance, in the presence of pancolitis, made the diagnosis of pseudomembranous colitis secondary to C difficile a high probability. Balondi et al 16,17 was the first of only two authors to include other specific entities in the differential diagnosis. A review of colitides at the AFIP found several cases of specific entities other than PMC caused by C difficile that demonstrated an accordion sign, whether or not oral contrast was given.
Oral contrast is not necessary to demonstrate an accordion sign -- It is true that the original accordion sign described in 1991 13 was limited to intraluminal contrast insinuated between edematous folds. The inner margin was delimited by intraluminal contrast and the outer margin by the mesenteric fat surrounding the gut. An identical appearance is seen without intraluminal contrast when intravenous contrast enhances the inner and outer highly perfused margins of the gut. It is best seen during the arterial phase with spiral CT but can be seen on traditional axial scanning early during contrast administration (figure 22). 3,7 During the arterial phase of intravenous contrast injection, intense edema or inflammation of the gut wall causes a wide separation between the enhancing inner and outer layers of bowel wall. This appearance is so similar to the original description of the accordion sign that it should be assimilated into the definition. As less oral or rectal contrast is used with spiral CT in patients with acute intestinal disorders, this extreme appearance of mural stratification may completely replace that which was previously described on traditional axial scanners, regardless of whether large or small bowel is involved.
C difficile is not the only cause of pseudomembranous colitis --In the radiology literature, PMC is frequently used as a synonym for colitis secondary to C difficile . Boland et al, 19 however, correctly labeled their discussion of the CT findings as found with " Clostridium difficile disease of the colon," apparently realizing other entities could cause the same appearance. This is important, as there are other disease entities that cause pseudomembrane formation in the colon, most notably ischemic disease of the gut. 20
Radiologists must not confuse or mislead their clinical colleagues by simply using the term PMC alone even though the diagnosis suspected is PMC secondary to C difficile . Without a physician-to-physician agreement over such usage, the colonoscopist can be misled! This is especially true with teleradiology programs where a lack of familiarity with the local physicians could lead to such a serious mistake. The critical error concerns mistaking C difficile PMC for ischemic PMC, which not infrequently presents with pseudomembrane formation both in the acute and subacute phases (figure 23). 19,20 A delay in the diagnosis of ischemia while waiting for cultures or while conducting a pharmaceutical trial for C difficile PMC can be devastating.
The causes of PMC are grouped by pathologists into three categories. 20 The first is the condition known to be caused by C difficile . The second group consists of those entities where there is no documented role for C difficile in the disease process. Early ischemia, which is typically pseudomembranous, is the standout in this group. Verotoxin-producing organisms, Clostridium perfringens and unidentified Clostridia species round out this group possibly because of a more ischemic-related pathophysiology than an inflammatory one. The third group is composed of organisms, substances, or procedures with an indeterminate relationship to C difficile that have been known to cause PMC. Organisms such as Staphylococcus , Shigella, and Pseudomonas aeruginosa can be associated with pseudomembrane production, ostensibly because of associated antibiotic therapy. The use of chlorpropamide, mercuric compounds, nonsteroidal anti-inflammatory drugs, or gold has also been reported to produce a pseudomembranous colitis. Pseu-domembrane production may even occur after colonoscopy. 20
The accordion sign is not diagnostic of C difficile PMC --The only authors to indicate clearly that other entities might show a similar acute appearance were Fishman et al 13 and Downey and Wilson. 16 The former included only typhlitis or neutropenic colitis in their differential diagnosis, 13 while the latter used the more complete differential diagnosis of inflammatory bowel disease, tuberculosis, lymph-angiectasia, intramural hemorrhage, leukemic infiltration, and ischemic colitis. 16 The findings of Ros et al 6 help to limit this differential diagnosis. Of the group of diseases they listed (i.e., radiation-induced colitis, infectious colitis, ulcerative colitis, Crohn's disease, and [ C difficile ] PMC), only the latter two had bowel wall thickening >1.0 cm. 6 It is present, however, in only the most severe of cases. 6,14
The pathophysiology of such an extreme in mural stratification is thought by the authors to be caused by the rapidity of onset and the fulminant nature of the inciting process in overcoming the usual immune defenses, while leaving the anatomic structure of the colon wall intact. If this is true, then any process that can progress with great rapidity and overwhelm the homeostasis of intestinal immunity and expand the gut wall while regarding the normal boundaries should cause a similar appearance. Ischemia and/or intramural hemorrhage are the most emergent examples, with a significant potential to present in this fashion (figures 14,17,19, and 23). As with C difficile PMC, ischemia and hemorrhage can greatly expand the gut wall but usually in only the most advanced of cases. Certainly other infectious diseases and inflammatory enteritides demonstrate this potential (figures 24 and 25). The relative incidence of these entities as encountered by the radiologist has remained stable while that of C difficile PMC has fallen with the advent of prophylactic treatment for PMC in the intensive care setting. Whether or not an accordion sign results may well depend on the time to an accurate diagnosis.
Distinct mural stratification of the intestinal tract is a very sensitive sign of bowel wall abnormality. Although not specific, with certain disease processes it has significant clinical implications and can suggest whether medical or surgical management should be considered first. Understanding which process (i.e., blood, pus, water, cells, or fat), is causing the separation of the contrast-enhancing inner and outer gut layers helps considerably in suggesting an appropriate category of management.
The most extreme form of mural stratification is the accordion sign. With the advent of spiral CT and the routine acquisition of arterial-phase images during emergency CT of the gut without oral contrast, an extended definition of the accordion sign is appropriate (figure 22). Radiologists should stress that the differential diagnosis of the accordion sign includes ischemic and other infectious or inflammatory enteritides as a minimum. Simply stating that the accordion sign is characteristic, unique, or even specific for C difficile PMC can be misleading and opens the potential for a delayed diagnosis of ischemia. AR


text:
Jack Fruchtman, Director
Students contemplating law school after graduation should make an appointment to meet with Dr. Jack Fruchtman, the university's pre-law adviser, and obtain a copy of the Towson Pre-law Handbook.
Towson has an active Prelaw Society, a SGA-affiliated student organization that explores issues related to the the theory, study and practice of law. Past meetings of the Prelaw Society have included discussion of LSAT preparation strategies, discussions of contemporary legal issues, and presentations by law school admissions directors, lawyers, and judges. You may join the Prelaw Society list by emailing Dr. Fruchtman at email@example.com.
The Towson University Prelaw Journal is a journal of commentary and opinion, written and edited by students. Students from all disciplines are invited and encouraged to submit work. The journal is distributed both online and in hardcopy. For details, please contact the prelaw adviser.
Vol 24 Fall 2010/Spring 2009
Vol 23 Spring/Fall 2010 Vol 23 Fall 2009/Spring 2010 Vol 22 Spring 2009/Fall 2009 Vol 22 Fall 2008/Spring 2009 Vol 21 Spring/Fall 2008 Vol 21 Spring/Fall 2007 Vol 20 Spring/Fall 2007 Vol 19 Spring/Fall 2006 Vol 19 Fall 2005/Spring 2006 Vol 18 Spring/ Fall 2005 Vol 18 Fall/Spring 2005 Vol 17 Spring/Fall 2004 Vol 17 Fall/Spring 2003 Vol 16 Spring/Fall 2003 Vol 16 Fall/Spring 2002 Vol 15 Spring 2002 Vol 15 Fall 2001/Spring 2002
Towson University offers to qualified students the opportunity to apply to the early admission program at the University of Baltimore School of Law. Admission is not automatic, but is contingent upon acceptance by the University of Baltimore Law School (including review of LSAT scores). The program permits up to 29 credit hours earned at the University of Baltimore School of Law to be applied to the undergraduate degree at Towson University. Please see the description of the program in the Towson University Undergraduate Catalog.
Related Information:
Law School Admission Council
Prelaw Students Center
• Internships in Washington DC for Credit
Meet Jack Fruchtman, the director of the Prelaw Advising Program.


text:
Medical Services | Locations | Patient/Visitor Info | Programs & Support | Points of Pride |
Pain management is the medical discipline concerned with the relief of pain. Acute pain, such pain resulting from trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat, and that may take a long time to reverse. Pain management generally benefits from a multidisciplinary approach that includes pharmacologic measures, interventional procedures, physical therapy and exercise, and psychological measures.
For more information about pain management physicians on the Medical Staff at The Chester County Hospital and Health System, call our Physician Referral Service at610.738.2300 or visit the Find a Doctor section of our website.
Last Updated: 2/22/2013


text:
Sonu Sayeed
Digital Professional at SwipeZoom
03 April 2008 15:06pm
We are in the process of specifying a web based - print application as opposed to a down loaded software that we currently provide our customers, thus allowing them to use our service. This is with a view to both our customers and us benefiting from the advantages of an on demand or web based application.
We currently support multiple branded printers through the provision of a driver support service in case of problems printing i.e printer specific drivers can searched for and downloaded.
My question: Is it possible to support our customers printers through a web based solution that provides a sinilar support facility for printers as opposed to the current system where drivers need to be downloaded by the customer.
Sonu Sayeed - Royal Mail / E-commerce
Hi Sonu,
Sure it is - you need to keep track of the nearest physical location of the printer used by the user - and provide drivers for download - be sure not to compromise any copyrights.
Manager, Innagle - The free company directory for outsourcing and consultants
http://www.innagle.com -
Sonu Sayeed
Digital Professional at SwipeZoom
03 April 2008 21:57pm
Hi Bjarne,
Many thanks for your reply. Just wanted to clarify as I might not have been clear in my query...
Royal Mail provide an online stamp solution that allows consumers (mainly small to one man show businesses) to print their own stamps directly onto labels or envelopes with some personalisation. Currently the application can only work if the customer downloads it and in addition, a driver for their printer if they require.
We plan on moving over to a solution where no download is required. So we'll host and serve the solution as an on demand or web based application. My question is: Can we also support consumers printers in the same way and not have them have to download a driver if they need it but through a similar on demand solution thus removing the need for them to download anything?
Hope this helps to clarify my query.


text:
World » More
U.S. » More
Business » More
Tech » More
Markets » More
Market Data
Your Money » More
Opinion » More
Life & Culture » More
N.Y. » More
Real Estate » More
Management » More
Your email has been sent.
An error has occured and your email has not been sent. Please try again.
Chart available at Market Data Center
Rain falls outside a federal courthouse as New Orleans police officers convicted in the deadly shootings of unarmed civilians on the Danziger Bridge and a subsequent cover-up after Hurricane Katrina, await sentencing in New Orleans in this April 4, 2012 file photo. A federal judge on September 17, 2013 ordered a new trial for New Orleans police officers convicted of killing civilians after Hurricane Katrina, denouncing the behavior of prosecutors he said compromised the case by posting "vitriolic" comments online. REUTERS/Sean Gardner/Files (UNITED STATES - Tags: CRIME LAW)
Content engaging our readers now, with additional prominence accorded if the story is rapidly gaining attention. Our WSJ algorithm comprises 30% page views, 20% Facebook, 20% Twitter, 20% email shares and 10% comments.
Show 5 More
Show Less
Subscriber Content Read Preview


text:
Magnetic Resonance Angiogram (MRA)
What Affects the Test
Reasons you may not be able to have the test or why the results may not be helpful include:
- Pregnancy. Although the strong magnetic field used for an MRA does not appear to be harmful, MRA usually is not done when you are pregnant. If a view of your belly is needed and you are pregnant, an ultrasound test may be done instead.
- You are using a medical device that contains metal, such as an IUD, a pacemaker, some types of artificial limbs, or medicine infusion pumps. These devices can malfunction or cause problems during an MRA scan.
- Not being able to lie still during the test. The results of MRA may not be accurate if you cannot remain still during the test.
- Being overweight and not fitting into the opening of some MRI scanners.
What To Think About
- While MRA is a safe and valuable test for looking at blood vessels inside the body, it is more expensive than other imaging techniques, and it may not be available in all medical centers.
- An advantage of MRA is that no radiation is involved.
- Open MRI machines are now made so that the magnet does not completely surround you. Open MRI is useful for people who are claustrophobic or obese. But these machines are not available everywhere. Also, these machines may not be able to do all the studies needed to check for problems.
- Conventional angiogram or a CT angiogram (computed tomography angiogram) may be done to double-check abnormal results from the MRA in some types of blood vessels such as the aorta. These tests might be an option especially if surgery is being considered to treat the problem.
- MRA results may show an aneurysm is present when it is not (false-positive). It also may show no aneurysm when one is present (false-negative). MRA is most accurate for larger blood vessels.
- You may need to wait about 6 weeks before having an MRA if you have had a stent put in your coronary arteries. This helps decrease the chances of movement of the stent by the magnet used in the MRA.
WebMD Medical Reference from Healthwise
Last Updated:
June 30, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this
© 1995-2013 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.


text:
House Approves Bill to End Air-Controller Furloughs (Video)
April 26 (Bloomberg) -- The U.S. House of Representatives has given final congressional approval to a bill that would end furloughs of air traffic controllers by the Federal Aviation Administration. Peter Cook reports on Bloomberg Television's "Lunch Money." Alix Steel also speaks. (Source: Bloomberg)
More Videos
- Play Video December 11: Michele Lueck explains economic importance of health and wellness
- Play Video December 10: Doug Caskey discusses the economic impact of Colorado's wine industry
- Play Video December 9: David Scott talks about Straw Fuel's renewable fire log
- Play Video December 9: Agility Global's all-electric motorcycle
- Play Video December 6: Cleantech startups seek investors
- Play Video December 4: Behind the cover story: The education of Patrick Quinlan
- Play Video December 2: Lightning Hybrids' fuel-efficient hydraulic hybrids
- Play Video December 2: UMB's Jon Robinson on the bank's 100 years
- Play Video November 27: Behind the cover story: Heather Draper on the shrinking world of community banking
- Play Video November 22: David Neslin on Colorado's international role in oil and gas
- Play Video November 21: Behind the cover story: Dennis Huspeni on Colorado's mountain real estate rebound
- Play Video November 21: Partners in Philanthropy 2013
- Play Video November 19: Colorado proposes tighter air quality rules for oil and gas industry
- Play Video November 15: Behind the cover story: Ed Sealover on Refugee Doctors
- Play Video November 14: DBJ cover story: Refugee doctors
Most Popular
- Most popular
- Emailed
- Mobile
- Mars colony group picks Lockheed Martin for private planetary mission
- Colorado attorney general sues debt collectors, alleging they forged bank documents
- Vail Resorts reports loss but expresses optimism going forward
- Cartier exhibit planned at Denver Art Museum
- Colorado labor department gets $4.6 million for flood recovery jobs program
- Aurora wants lawsuit over Gaylord project dismissed
- Richey May opens business advisory division
- AT&T rate changes halted by FCC
- Thompson Creek considers closing mines
- Cleantech startups seek investors at NREL forum (Video)


text:
Visions presented by Mickey Blanco
UK 10pm to 12am, France 11pm to 1am (EST 5pm to 7pm).
If you fancy tuning in to Acid Jazz, Soul, Hip Hop, House, Downtempo grooves...........anything goes.
There is a chatroom too if you want to interact. All are welcome.
I have an exclusive Tyrone Solomon (83 West Prod and 2Twenty Prod) guest mix to air for the first hour. If you miss the show there is a podcast.
Please also check the podcasts too, plenty of other great shows. Including the legendary Terrance Parker from Detroit !


text:
SAN FRANCISCO, Sept. 18, 2013 /PRNewswire/ -- At the third annual TwilioCon conference in San Francisco, Twilio (http://www.twilio.com) and LiveOps, today announced a strategic alliance in the call center space and their first joint customer, a 500 agent-seat call center provider specializing in order taking for leading U.S. restaurants. The customer chose LiveOps for its integrated multi-channel plus social desktop, LiveOps Engage, and integration with WebRTC powered by Twilio. This 500 seat call center is one of the single largest deployments of WebRTC in its young history.
(Logo: http://photos.prnewswire.com/prnh/20121016/SF94172LOGO)
"WebRTC is no longer part of the 'imagine-if-you-will' contact center of the future, it's now part of today's strategic cloud contact center offerings," said Marty Beard, president and CEO of LiveOps. "Today's news about our first joint customer is just the beginning. The ease of WebRTC combined with the power of LiveOps Engage is enabling contact center decision makers to completely migrate their entire infrastructure to the cloud--contact center plus telephony. This is a powerful value proposition. WebRTC is disrupting the call center industry and we're excited to be leading this disruption."
LiveOps Engage is integrated with Twilio Client with zero downloads. The solution provides a single browser-based agent desktop to further improve usability, increasing productivity and enhancing the customer experience across all channels on a single screen.
LiveOps Engage with WebRTC enables companies to deliver the best in-app calling experience for PCs, mobile phones and tablets. Inbound and outbound calls are routed directly via a web browser, dramatically reducing costs while enhancing agent experience and productivity. The solution also speeds up the time to deploy more cost-effective home-based agent services.
Because of the simplicity and ease of LiveOps' Twilio Client powered WebRTC Engage portal, agents can start answering calls just with a browser and broadband connection without the need for a physical phone and no additional software to purchase or download.
"We're very impressed with the customer experience that LiveOps was able to create with their Engage product," said Twilio CEO and co-founder Jeff Lawson. "We are very proud to help power LiveOps and look forward to the near limitless possibilities of WebRTC development. We can't wait to see what they build next."
About Twilio
Twilio (www.twilio.com), the cloud communications company, is reinventing telecom by merging the worlds of cloud computing, web services and telecommunications. Twilio provides a telephony infrastructure web service in the cloud, allowing web developers to integrate voice and messaging communications into their web, mobile and traditional phone applications. The company is privately held and is headquartered in San Francisco, California.
About LiveOps
LiveOps is the global leader in cloud contact center and customer service solutions. More than 300 companies around the world, including Salesforce.com, Symantec, Royal Mail Group, Ideal Living, and Amway New Zealand trust LiveOps' technology to enable effective multichannel, social and mobile interactions with their customers. LiveOps' award-winning platform has processed more than 1 Billion minutes of customer interactions and managed operations for the largest US-based cloud contact center of 20,000 home-based, independent agents. With 10+ years of cloud experience LiveOps is the partner of choice for companies wanting to migrate to the cloud. Headquartered in Redwood City, California with European regional headquarters in London, LiveOps supports a wide range of industries including retail, financial, health care, insurance, and high tech. For more information, visit www.LiveOps.com.
SOURCE Twilio


text:
You're watching...
How to discover your specialty at work and master it
Peter Bregman on how a key to success is tied to doing a very narrow range of things very well
Jul 23, 2012
You're watching...
Peter Bregman on how a key to success is tied to doing a very narrow range of things very well
Jul 23, 2012
Also in this playlist...
Auto-advance: ON
Auto-advanceThis transcript is automatically generated
We're -- to be joined by Peter Bregman -- is a foxbusiness.com contributor and thank you for joining us and which among the sweet spot clearly it's not in the stock market today flat out maybe you can help people of their individual.
Situation a little bit here and -- you've got an article up now called defend.
Your sweet spot and we should first first of all Peter start with defining what has -- spot what is it how do you know so where's it.
You know a lot of times we know what our sweet spot is because it feels good you're doing work it.
Feels right you're really good that it people give you good feedback about it in your passionate about it and and you have some way in which are unique in the way that you do it I talk about the sweet spot being specifically the intersection.
-- your strengths your weaknesses.
Your passions and your differences.
And we often spend a lot of our time outside that spot we we don't want to appear arrogant so we sort of minimize our strengths.
We were embarrassed about our weaknesses so we try to develop them developing your weaknesses.
Actually if you look at the research is a terrible idea we can't actually you're submitting your your wheels here and a lot of -- -- it up actually in the wrong job because they are.
Maybe not.
Playing up to districts enough yeah you know we we even you get a performance review and the whole -- -- -- column we -- -- sort of a development area and area to develop and we spend our time trying to get better.
And put ourselves in situations.
Where we'll focus on getting better and our weaknesses.
And and I you know and it when -- do public speaking -- of a group of a thousand people nothing you know how many do performance reviews and everybody raises their hand how many do you have something in your areas for development everybody raises their hand.
-- ask how many -- you.
Over the past five to ten years have had that same thing.
In your areas for development and everybody raises their hand right I mean you may or may not have had that experience but I know the things that I developed.
Things that are I'm sort of weekend I don't particularly get better at.
The focus should be on your strength and on doing things.
That allow you to express and focus on the things that your strongest and that's what you're gonna end up that's what's gonna drive your own success and success of your has any talk -- focus here you know -- things you say you know -- on the way as.
Getting distracted and is a distraction trying to work on a weakness is set of developing the street absolutely we -- have a distraction quiz on my website right which that we've had 22000 people.
More than 20000 people take at this point and it's all sorts of distract his ten questions as -- -- -- target after work right to take it afterward that's exactly right to distract himself maybe.
But but 73%.
Of the people who respond to that responded that they spend most of their time outside of their sweet spot.
So it's if you're spending a lot of your time working in a way where you're not -- your best that's a distraction that's a big distraction right it's more than.
And that's it that's -- you're distracting yourself your life.
And this is sort of what -- you say is protecting your time and making I guess.
Maybe not a -- and improving their efficiency but certainly make sure -- working.
In the right way yeah he's smarter that's actually right I think that we each need to really protect our time and do the work that puts us squarely in that space you know.
We we being different it's critically important we try to minimize -- differences because that we serve want to fit in.
And yet all that does is increase your pool of competition right now if you want to look like everybody else that -- you have a lot more competitors right and so.
Vote them the most important thing is to do work that you uniquely are great -- And if you can do that.
Right then you'll be making the best most effective use of your time so how do you.
Managed to do this -- mean you've been hired to do when thing you're you're saying define what it is you're doing.
Find your streets within that position or may be needed well into from the -- you said actually the beginning you've been hired to do one thing.
You really don't wanna get hired to do the wrong thing right the thing that doesn't produce right now that's enough and hard this economy -- absolutely right and -- hard economy where everybody.
You know who doesn't it was not higher just wants to get hired no matter what.
That's hard to sort of say I'm gonna really work on the thing that I do best.
But the reality is you'll have a much easier time getting hired for your sweet spot.
Then you will if you try to pretend that you're good at something that you're not.
Which will eventually sooner rather than later probably backfire -- Peter and what about for the folks out there who are boss you're not -- you're running your own company here.
How do you ensure that your EA some sort of akin to baseball manager at different people in the right position you don't want to have the -- -- playing shortstop very tricky and it's tricky because.
Especially when the first of all you don't only have your people to worry about your view to worry about.
Right most of my work is with CEOs and their leadership teams.
And and that's that when I'm working with a CEO there's a myth that a CEO has to be good and everything because there running the whole company.
But it's not true you know that you -- you became the CEO probably because you're really great at something specific maybe it's trend spotting maybe -- Really understanding and being able to translate division whatever that is if you distract yourself from that.
You're hurting yourself and -- -- -- to the first thing is as the C hours the boss you actually really have to make protect your own time.
Right then the second thing is you really -- match the right people to the right jobs.
I believe that the most important job of any manager whether -- CEO -- supervisor whatever the most important job isn't to.
Rally people and you know give them a great pep talk and make sure they have fire under their seats.
In the most important job is to make sure that you have a great match.
Between who this person is and what they're spending their time on and if you get that right.
Everything else takes care itself.
Well and if you need more this Peter Bregman rigging go to your website you've got in article up right now.
I think we've got the address we're showing -- right now on the screen -- Peter Bregman foxbusiness.com.
They so much for joining us here and trying to help us find the sweet spot and.
Filter by section


text:
- 5 stars Rating: 85
274 votes total - (1566)
- 40 months
- Send Message
- Follow User
- Ignore User
- 5 stars
Online Now 593
On this Board 273
Record: 3046 (4/11/2012)
Online now 548
Record: 6210 (3/13/2012)
The home for all discussion on UK athletics
The place to discuss general topics outside of Kentucky
Buy, sell or swap tickets
You have no favorite boards.
But the coaches are the ones that are suppost to be teaching them how to play on this level and they just aren't getting the job done. I do think this was a chance for UK to win had Towles not got hurt he was moving the ball and the defensive played well enough today for UK to have gotten a win. But I think this hurry up offense is so conservative and most defenses that played UK this year have no fear of deep balls and shut down the run game because of that thus we are third and long every offensive series. Its time for a change maybe not the head coach per say but I think Sanders and Minter need to go for sure and probably Joker as well.
shepp2700 said...
It's not the coaches. The Qbs can throw it as deep as they want. Even on pass plays, they just are scared to let it rip.
There is no more trying to find areas or ways to defend this coaching staff. It just makes us sound stupid to try.
"If it walks like a duck, talks like a duck....."
The home for all discussion on UK athletics
The place to discuss general topics outside of Kentucky
Buy, sell or swap tickets
247Sports In partnership with CBS Sports


text:
Published Quarterly
Editor: Miriam Raub Vivian
Fall Quarter 2006 |
California State University, Bakersfield
Volume 15, No. 1
One's never too old for education
In light of the end of filming of "The West Wing," actor Martin Sheen announced plans to further his education: "My plan is to read English literature, philosophy and theology in Galway, Ireland, where my late mother came from and where I'm also a citizen." Speaking after an honorary arts doctorate was conferred on him by the National University of Ireland, Sheen joked that he would be the "oldest undergraduate" at the National University of Ireland (NUI), Galway, when he started his fulltime studies there in the autumn of 2006. Although expressing the concern that he might be a "distraction" to other students at NUIG, he will attend lectures like everyone else. Speaking the week after filming his last episode of The West Wing, he said, "I'm very serious about it. I never went to college when I was young and am looking forward to giving it a try... at age 65!" On September 1, 2006, Sheen was among the first to register as a student at NUI Galway. Let's hear it for life-long learning.
In this issue


text:
Counting Stars
- ‹ Previous program
- 235 of 2174
- Next program ›
This is a good evening for counting stars. The glowing band of the Milky Way arcs high overhead, from W-shaped Cassiopeia in the north, through the bright Summer Triangle overhead, to teapot-shaped Sagittarius in the south.
In all, about 5,000 individual stars are visible to the unaided eye. Millions more blur together to form the Milky Way's hazy band. They're all in the broad disk of our Milky Way galaxy.
The total number of stars in the Milky Way is uncertain. Estimates range from a hundred billion up to about four hundred billion.
There's no way to actually count the stars in the galaxy. For one thing, there are just too many of them. For another, many stars are hidden behind dense clouds of gas and dust, so we can't see them.
So astronomers have to estimate the number. They use the galaxy's total mass, then estimate how the stars break down by mass.
The total mass is about a trillion times the mass of the Sun. But most of that is in the form of invisible dark matter. Normal matter, like stars and planets, makes up around a tenth of the total.
The question then is how many stars are big and heavy, and how many are small and lightweight. From counting the stars in our neighborhood, astronomers know that only a small percentage are much heavier than the Sun, and most are much lighter than the Sun.
So astronomers apply different estimates -- and come up with wildly different counts of the number of stars in the Milky Way.
Script by Damond Benningfield, Copyright 2008
For more skywatching tips, astronomy news, and much more, read StarDate magazine.


text:
4143, rue Jean-Talon Est, Montréal QC H1S 1J6
Phone: (514) 722-6065
555 Av Mathers, Saint-Eustache QC J7P 4C1
Phone: (450) 472-6660
Votre animalerie préférée depuis plus de 40 ans!
Can't find a business you think should be on Weblocal.ca?
Advertise your business with us. Discover all the advantages of being a member of Weblocal.ca


text:
Copley's on Palm Canyon
Online Reservations
Our first dining experience here. Knowledgable, friendly wait staff. Both entres chosen were prepared well and creatively designed for the plate and palate. Highly recommend.
The host is always charming and gracious. If you early you can get a drink in the bar and relax or relax outside. Sitting outdoors is fantastic when it's not too hot in the evening, the interior seating is separated by the entrance and small bar which keeps the dining intimate and not noisy. But the food is well thought out and should appeal to any foodie. But you must save room for the deserts, because if you don't you miss a great part of the dinner experience. Also every soup de jour is a taste sensation. Closing for the summer vacation July 7 I think they re-open end of August so make a reservation to start your Palm Springs "season" right.
Never having been to Palm Springs we were looking for a great place to dine and after looking online decided to try Copley's. Food was awesome, service excellent and ambiance was fantastic. Couldn't find anything negative to say about this experience and would highly recommend .
Service was great, Alex knew how to be present and accomodating but not overwhelming. He had great recommendations about the wine and the dishes. Food was amazing! Cooked at perfection and the sides/ vegetables were really tasty. We had the barramundi and the tenderloin. Ambiance is lay back, romantic, quiet... We had a table on the outside patio and it was the perfect setting!I saw a dog on the outside patio. Had we known, we would have brought ours ;) To sum up we had an amazing time! Food and service were top notch and we will definitely be back
We went for my birthday. Everything was lovely about it. Highly recommend the Ahi Tacos to start and S'mores to finish! Everything in between also yummy! Very attentive and gracious wait staff as well.
You'd never know from the parking lot what a charming property they have here. The service was very good, the food tasty, but my favorite part was the lovely quiet peaceful ambiance. We could comfortable hold a conversation, perfect date night spot. And the host is all class; a warm, friendly, charming guy.
Every time I am in Palm Springs, I make it a point to go to Copleys. The casually elegant ambience is extraordinary, the food and service is superior. Combine all that with the mountain views, it cannot be beat!
We were pretty sure we were in for a good evening (from other reviews), but they exceded all our expectations to make for an exceptional evening. Right from the greeting and seating all the way to the end with an extra goodbye and thanks on your way out! These guys could teach a lesson or two to some of the other restaurants in the are the art of service and hospitality.
It was delightful dining outdoors despite the relatively high winds in the area. The service and food were outstanding.
Impeccable service. Great ambiance A very romantic setting. One of our favorites.
When we are in Palm Springs, Copleys is always on our list for dinner. We found it through a "foodie" friend and it has never disappointed! Everything is always outstanding and the story behind the location (Cary Grant's old guest house) is the icing on the lavender pound cake!
Went here for a birthday dinner. The food was amazing. The martinis were delicious. The waiter was very attentive and even brought a birthday dessert for our guest of honor. I would highly recommend this restaurant to anyone. We sat outside and it was such a beautiful setting. I am already looking forward to my next visit to Copley's.
Copley's offers creative fine dining, and you will enjoy the exploration. The courtyard is perfect, complete with a fire pit, cozy seating,a charming atmosphere, with a touch of nostalgia. The service is attentive and gracious. We dined with our son and nephew but it was still romantic, peaceful, memorable and the most talked about experience during our 10 day trip.
We celebrated our 25th Anniversary of being together and the day we got married. The owner and staff were incredible. They made our small celebration with three dear friends a very special occasion. The wine, food and wedding cake were delicious. Gary & Joe
Copley's on Palm Canyon is still my go to restaurant for fine dining and special occasions. The spacious patio allows both small parties and couples have a quiet romantic evening. Innovative and flawlessly prepared food, great signature cocktails and wine list, attentive and knowledgeable servers characterize this wonderful restaurant.
My wife and I had a great dinner and excellent service. I would recommend it and I will go back again. Thank you for a nice evening.
First time here. It won't be the last. Beautiful setting, fantastic waiter, excellent food. A little pricey - so this can't be a weekly dining event - but well worth the price for any special occasion or just for an evening when you want to feel treated to a luxurious meal.
Set on the one-time Cary Grant estate, most of the seating is outside on a beautiful spacious patio. The tables are set far enough apart so you aren't listening to someone else's conversation. Its set the mood and expectations for a magnificent night. And your expectations are met. The host is warm and friendly, the service is impeccable with the same warmth and friendliness. And the food is absolutely scrumptious! They have a very nice wine and cocktail selection as well. This night I chose the sushi grade ahi medallions coated with sesame seeds slightly seared served over wasabi mashed potatoes and spinach - FABULOUS!. My appetizer was the beet and goat chees salad - Yum.
my husband and I had a lovely evening at Copleys food and service were perfect and the setting is lovely we enjoyed the patio seating on a mid october beautiful Palm Springs nite
We dined with out of town friends on the patio underneath a full moon peeking through Palm Trees. The wine, food, attentive service as well as for the perfect ambiance of the patio made for a delightful evening of great conversation remembering our yester years.
Our waiter was so friendly. He took the time to tell us about the history of the restaurant and which celebrities lived in the area. He was fun and so nice.
My husband and I had a really lovely dinner here. The ambiance, the food and the service were great. We will definitely be back again.
The outdoor dining is just beautiful with the tasteful lighting, beautiful fountain and fire pit. The food was delicious and our server very helpful and friendly. Highly recommend and unfortunately, I have to leave Palm Springs but my friend brought her husband back the next evening to celebrate his birthday!
Finally went here for my birthday and was truly impressed. Beautiful setting, excellent service, great wine list, and the best food in Palm Springs. The New York steak was so tender and flavorful. Great desserts too. Everything was just perfect for a special occasion, or any occasion. We hope to return again and again.
Had the Ahi tuna special and four of us agreed probably the best ahi dinner we had had. The Wasabe mashed potatoes were excellent as well. Waiter was good but could have been a bit more attentive. All in all a wonderful evening and we will go back.
Was looking for something new. We've probably driven by Copley's dozens of times; it's easy to miss, tucked back off CA 111 on the west side. Complementary valet parking seemed a bit unnecessary, and you won't hear about the Cary Grant connection unless you ask about the restaurant's history. Dined on the patio. Venison (an off-menu special) in a cranberry/merlot glaze served over garlic mashed with asparagus, paired with a very decent cabernet, was one of the better meals I've had. The pork schnitzel was tender, and just as one would expect of German comfort-food. Sticky toffee & date pudding was a dessert worthy of a waiter-bribe to get the recipe. I would go there just for that. Solid yet unobtrusive service. Top-notch across the board.
Copley's is one of the best if not THE best in Palm Springs. With the ambience and its connection to the history of the movie industry and Palm Springs.
Service and ambience were outstanding. But all the menu selections seemed to include too many ingredients, sauces, etc. there should have been at least one or two selections featuring simple preparations.
Know how to take great care of a celiac (gluten free)
I have given gift certificates to Copley's as well as take our out of town guests and family because I know I will never be disappointed and they will love it. One at the top of my list in Palm Springs
Everything was great for our 21st wedding anniversary. Attentive service, ambiance and great food!!!!!!
It was a delightful find. Cozy, warm and friendly. Food presentation outstanding and tasty. Thrilled with the overall experience.
Beautiful presentation. You can taste every flavour and wonderful aroma. The service was outstanding. A very welcoming restaurant.
Food delicious and service was good. A little on the pricey side - epspecially one of the appetizers which was $12 for one scallop and one ravioli.
We have gone here numerous times while weekending in Palm Springs. Always great food with an interesting twist. Great service and bar choices. Will be back soon.
Loved the quiet tasteful decor - friendly bar and great service - the food was superb which came as no surprise after the warm welcome and beautiful decor. A gem in Palm Springs.
I have had the extreme pleasure of dining at Copleys two times and I know that I will be back again and again. Each time was extraordinary. The food is remarkable and the service is outstanding. Everything on the menu is divine, the special this last time, grilled Ahi and scallops was prepared to perfection. Even though its November, we sat outside the setting is always wonderful. I can't wait to go back. Copleys is a must-go for anyone who wants their night out to be perfect.
Copley's did not disappoint. Food selections were great, but food arrived a little cooler than I would have liked. Prices a little high, server very knowledgeable but also a little snooty.
Fantastic food, great atmosphere, dining outside was awesome and the heaters kept us toasty!!
To be fair it was Thanksgiving. Food tasted like it had been prepared and plated hours earlier. Staff was friendly and thought restaurant was charming. Will give it another try just not on holiday.
We ordered off of the special Thanksgiving menu selection. The beef was out of this world.
Amazing Thanksgiving menu with innovative and delicious selections. They also have a beautiful garden area where you can dine with your pup!
The restaurant is inside the former Cary Grant estate. We dined in the courtyard which was comfortable and beautiful. The wait staff was spot on. I've never had turkey so moist. We agreed it was the best stuffing we have ever had. The grilled sweet potatoes were amazing. I will definitely return.
This is a beautiful spot with great ambiance! It remindes me of dining in Napa valley with their creativity, freshness, presentation, and unique menu items. This was my fourth or fifth visit and the service was excellent. Even though they don't have a vegetarian menu, they we're very accommodating in preparing a lovely veggie entree for my sons new girlfriend. I don't normally eat dessert but can't resist the lavender pound cake with basil ice cream. I just wish the steaks were better. This is the second time I've been disappointed in the quality of the steak and won't be ordering it again. My New York was so tough, I finally gave up on it.
Worth going just for the ambience; lovely patio with very nice lighting. We had a special family dinner there and it was perfect. The food was delicious. Most of us had the beef tenderloin and it was cooked to perfection.
The green leaf salad was amazingly good. The salmon was cooked perfectly--moist and seasonings were wonderful. Wines were nice at a reasonable price. We enjoyed our dinner very much. Looking forward to eating outside when it is warmer. Noise level was somewhat high but we could converse with no difficulty.
We always love going to Copley's. The patio is unmatched in town. Intimate, amazing views, spacious. Service is consistently excellent as is the food. There aren't many restaurants in town that are consistently great. One never feels rushed. Timing is great. Staff very attentive without being too interrupting. You will not be disappointed should you choose a romantic dinner, special occasion (perfect for a client dinner!) or just spoil yourself with a nice night out.
All things that we love in a dining experience are here at Copleys.
We truly enjoyed our dinner at Copley's. The salmon (special of the day) was cooked perfectly -- nice portion, soft, moist, and flavorful. The goat cheese and beet salad was a hit. The veal and lobster was very good. But, perhaps the best of the evening, turned out to be the sticky toffee dessert. In one word wow! We'd definitely recommend this restaurant and would be very happy to make a return visit. I wish it was warmer out the day we went so we could have dined outdoors ... something to look forward to next time. Well done!
Pricey but presentation and food quality are top notch!


text:
Notice: The AIChE website is undergoing an ecommerce system upgrade to better serve you. Between 7 a.m. (EST) Friday, December 6 and 9 a.m. (EST) Wednesday, December 11 you will not be able to purchase or renew any AIChE products or services through the website. Customer Service phone lines are open 9 a.m. to 5 p.m. Monday through Friday... Learn more
Sustainability & Environment
Institute for Sustainability (IfS)
IfS is an umbrella organization encompassing a broad spectrum of activities related to sustainability. It has three sub-entities: the Sustainable Engineering Forum (SEF), the Center for Sustainable Technology Practices (CSTP), and the Youth Council on Sustainability Science and Technology (YCOSST). It also provides oversight to the AIChE Sustainability Index (sm).
Environmental Division (ENV)
The ENV division provides relevant programs on current environmental topics and non-confidential information concerning all aspects of environmental activity. The division promotes publication of papers of interest to chemical engineers in environmental activities as well as coordinates the Institute's activities with other related societies.
- Search
- Browse sub topics:
- Business Strategy and Economics
- Case Studies (Sustainability & Environment)
- Design/Green Engineering
- Energy (Sustainability & Environment)
- Environmental Sustainability
- Food (Sustainability & Environment)
- Measuring Sustainability
- Social Aspects (Sustainability & Environment)
- Sustainable Supply Chains
- Water (Sustainability & Environment)


text:
16 CFR 460.1 - What this regulation does.
prev | next
§ 460.1
What this regulation does.
This regulation deals with home insulation labels, fact sheets, ads, and other promotional materials in or affecting commerce, as "commerce" is defined in the Federal Trade Commission Act. If you are covered by this regulation, breaking any of its rules is an unfair and deceptive act or practice or an unfair method of competition under section 5 of that Act. You can be fined heavily (up to $11,000 plus an adjustment for inflation, under § 1.98 of this chapter) each time you break a rule.
[70 FR 31274, May 31, 2005]
Title 16 published on 2013-01-01
no entries appear in the Federal Register after this date.
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.


text:
Home > Academics > Academic News
Apply Now
Academic Catalogs
College Facts & Figures
Request Information
On Friday, September 13, 2013 from 12 noon to 1:00 pm, Soprano Julianne Gearhart will share her favorite operatic selections in the gorgeous acoustics of the Rose Performance Hall in the Center for the Arts at Endicott College, 376 Hale St., Beverly, MA 01915. Gearhart is known on both sides of the Atlantic for her remarkable theatrical presence as well as the crystalline quality of her singing. A devoted singer of Strauss, she has sung for companies including The Grand Theatre Geneve, New Israeli Opera in Tel Aviv, and the Seattle Opera. Gearhart's performances have been praised as: "the sonic equivalent of a crystal chandelier," "had patrons' heads spinning with the buoyant charm and sparkle of her vocal acting," by the Opera Critic and Opera Now magazines.
Upcoming Academic Events


text:
Broad Street Gardens Apartments and Townhouse, Kirkwall, Orkney.
Prominent new purpose build Self Catering Apartments situated in the heart of Old Kirkwall's Viking town centre, a stones throw away from the central attractions.
Located in a town garden between Broad Street and Junction Road this tastefully designed modern building blends in well with the oldest part of Kirkwall.
Five minutes walk from bus station, Kirkwall pier, shops, restaurants, pubs and supermarkets.
Taxi rank adjacent as is bus stops for both the airport and the ferries to mainland Scotland.
Luxurious & Comprehensively Equipped.
Six x 2 bedroom apartments sleeping 4, plus 2 x 2 bedroom penthouse flats sleeping 4 – 6 with galleried area and superb views sleeping. Plus a 3 bedroom, 3 storey townhouse sleeping 6.
All apartments are fully furnished with modern furniture, have new kitchens with washer/driers, dishwasher, fridge/freezer and microwave. All units have central heating.
Private parking on site.
Note: Prices are a guide only and may change on a daily basis.
For Accommodation and information, please call:
0845 859 1006
Monday to Friday 9am - 5pm
Saturday and Sunday - closed
*Calls may be recorded


text:
Take the college student survey to share your opinions about your school and be entered into a $1,000 scholarship!
Reload the page and try again.
A A+F Campus Housing: I enjoy living on campus because I stay in the new building that was just built. I really don't have any problems with it and I think the atmosphere is great. I enjoy living it and the security is excellent.
A A+F Campus Housing: It's a great experience. You can met a lot of great people and get involved with school activities.
A A+F Campus Housing: The campus housing has become much better than it was. We just got brand new dorms called Warhawk hall which are almost exactly like apartments just with stricter rules. One down side is that the dorms are very expensive. They are $950 a month. The amenities are awesome and they are very convenient.
A+ A+F Campus Housing: I LIVE IN THE NEWEST DORM AND IT IS GREAT. THE OLDER DORMS ARE NICE ALSO. VERY CLOSE TO CLASSES, ON SITE LAUNDRY. LOTS OF ACTIVITIES TO PARTICIPATE IN.
A- A+F Campus Housing: We are currently in the process of having a new dorm on campus and the others are recently renovated.
{{review.LetterGrade}} {{review.SectionName}} at {{review.SchoolName}}:
Sorry, there are no reviews.
No summaries have been written about this school yet. If you are a student at this school, you should take the college student survey.
Non-registered users are limited to 5 school profile page views per month.
Register for free to gain full access!


text:
Username or Email Address Password (forgot?) Register
Builds a map from given location, and draws lines between them.
Download Version 1.0
No reviews yet! Be the first to review this plugin!
You must log in to submit a review. You can also log in or register using the form near the top of this page.


text:
Sign in to post a Greeting.
Hello Stefan,
I hope you are keeping nice and warm!
Since you are part of some groups on Meetup, I was wondering if you would like to join us on 11th for one of the regular "Meet the expert" events we run at the prestigious Home House members club in London.
This is the link http://www.meetup.com/DUCCIOS-PARTIES...
Will you be able to join us?
Cordial regards
Hello Stefan,
I hope this note finds you in good spirit.
We organise an amazing Fashion Show on Saturday this week.
This is the link.
Do you think you will be able to join us?
Cordial regards
Merry Christmas and Happy New Year from Curious Kat's Adventure Club! :) I hope you are having a lovely one! After Christmas indulgence, join us for a new year hikes. Or if you would like a 'pick me up' treat when the post Christmas blues hits, dine with us at Dans le Noir where the waiters are blind and your senses are heightened. Please also remember we only have a couple of places left on the adventure packed trips to Portugal and France. For details check www.adventureclub.biz.
Hi :)
I'd like to invite you to The London Social Adventurers. http://www.meetup.com/London-Social-A...
Join us for...
Dinners and Socials live Jazz evenings Monopoly Pub Crawl Adventure walks and weekends Karting Wine tastings Cinema and Cocktails Gameshow Quiz - Prizes to be won! Treasure Hunts... and much much more!! :)
Live life to the full! We hope to see you soon!
I also run http://www.meetup.com/FreeLondonEvent... and http://www.meetup.com/London-Social-S...
Hi Stefan, I wanted to drop you a line as im personally messaging cool / hot / friendly/ nice people who look like they might be into the parties I put on. They are for single people but are NOT singles events. They are more of party that happens to have loads of amazing single people there with no bloody speed dating. I have 2 parties early August. Please check them out & join the group" Hate Singles Events" if you haven't already. http://www.meetup.com/Hate-Singles-Ev...
Hi Stefan, how r u? I know u don't know me, Just wanted u to know, so if ever interested in convo, just hit me back. Have a nice day.
Welcome to the London Social Singles. We look forward to meeting and welcoming you soon at one of our many social events! http://www.meetup.com/London-Social-S... We enjoy organising exciting parties, Speed dating, clubbing, Champagne/Wine/Cocktail tasting single parties, Padlock and Key Parties, Boat Parties in the summer, fantastic single nights and much, much more!! Live life to the full!
Hi Stefan. Thanks for your message. Happy to have you as a sponsor and try organising something through you. Have to say I found the website a little confusing though. Booked for a meal on 24 May at Bella Italia to try it out but it didn't give me any details of location or who else was going. Can you explain more please?
Not registered with us yet? Sign up
Meetup members, Log in
By clicking "Sign up" or "Sign up using Facebook", you confirm that you accept our Terms of Service & Privacy Policy


text:
*If you are looking for a dom mistress who would tie a man up to do as she pleases and punishes him when he disobeys, you should leave.
However, if you are interested in young woman who grows up in a society where women take the control, but she's naturally tender and doesn't like the idea of having men kissing her foot, then please stay.
I have come up with an idea about a feline girl who lost her way and pumped into a human guy. Her kind is living in groups among human: imagine those China towns with mostly Chinese living there, some of them never get out of the community to interact with other people. And she's one of those, she hasn't been around human often and doesn't understand human society very well.
Anyway, her family (or even the whole town) is moving to a new place and she gets lost. Worse, it is her time of the month. No, not that bloody season, I mean the mating time and she really needs to get laid. She could be a virgin and this is her first experience so she doesn't know how to control the urge. I was thinking she would either look totally human and the only difference is that she acts like a cat, or she has those ears and tail but furry people are just another kind of people in the world, like Asian, European...and he wouldn't be surprised to see her. Or she could transform...it's up to your preference.
Now she's with a male and what have to happen would happen....\What comes next we could discuss.
There're many possibilities since for her, it'd be like a good girl after her first time drunk at the club and found herself naked in bed with a man. Confused, scared, surprised...something like that.She'd need to find her family, or they'd find her. She could run away from him and he might accidentally find her somewhere else later, or he would chase after her, or perhaps she doesn't run and he'd help her find her family...
She doesn't like to dominate men, but she could always ask other men to please her. If they get married and they leave the country, there would be a chance she join another man in bed and doesn't understand it's cheating(This is for jealousy scene or so...)...While she isn't a dom, other women in the story maybe: her mother, her friends...they could ask for a go with him (or simply take it) since he's not her husband, just a slave. This is up to your liking. But please keep in my those dom women aren't the main characters here and this isn't a story of an abused man. Again, if you're looking for someone with a leather belt to whip your character, look somewhere else.
-At first, please understand that all the things below are based on my unpleasant experience. Sorry if the tone is abrupt, but I wasn't in a good mood when I wrote those sentences.
- 2+ paragraphs, but please not twelve. I need something to read and work with but also don't like a novel. Normally I post from one to four paragraphs.
- I have never had to require this before and I also did not think that I have to since I believe it is not a necessary thing to ask especially when I know my partner would be an adult but please be able to use punctuation because I do not like to kill myself reading a long sentence without any comma or dot
- I won't leave you hanging for more than a week (unless my computer or network has problem). Sometimes I post couple times a day, sometimes it takes couple days before I post. Depends on my mood and free time. But I would advice you not to expect me reply more than once a day. So, don't spam my inbox if I can't reply instantly, but you're more than welcome to inform me that you're busy and not going to post for awhile. That's what I would do.
- Please write down a name of a flower, ex: "daisy", or the word "flower" in your pm so that I know you've read this.
- Pm me, do not write in the thread.
- This is mature, smut happens between two characters and would not fade to black so please don't contact me if you can't handle it. But there also is a plot and please don't ignore it.


text:
Dell IT Infrastructure Services
Dell IT Infrastructure Services are designed to deliver superior quality and value. We apply our world-class process management and "no excuses" culture to deliver what customers today need most -- flexibility and repeatable quality. We offer a focused portfolio of seven services suites to help you get the most out of your retail technology investments.
This portfolio of seven comprehensive Suites include:
As one of the most successful direct-to-consumer operations in the world, Dell understands what retailers need to succeed. You can trust Dell to assist you in meeting your requirements for maintaining high lane uptime, deploying true store automation and optimizing the point of decision, sale and transaction. The demands on your business build with every transaction. Dell can help to make sure you are ready for all of them.
Learn More about Dell IT Infrastructure Services
Copyright 1999-2013 Dell Inc. For Canadian customers only.Privacy : About Our Ads : Terms of Sale : Warranty and Service : Terms of Use : Site Map : Feedback Laptops | Desktop Computers | Business Laptops | Business Desktops | Workstations | Servers | Storage | Alienware | Ultrabooks | Monitors | Printers | LCD TVs, HD TVs & TV Accessories | Electronics & Accessories


text:
You can also contact us at firstname.lastname@example.com
Enjoy viewing your family and friends as they participate in the thrill seeking SUB Adventure. Great photo opportunities!
You'll want to provide the name of the guest who will be partiicipating in the Sub Adventure when requesting this observer tour.
The average time for the underwater SUB is forty to forty five minutes.
Departures (Local Time)
8:15 AM (Hours: 5)
12:15 PM (Hours: 5)
Activity Level:
3Duration: |
Hours: 5 |
Cost Per Person (Adult)
Tour Cost: $54.00
Tax/Other Fees: $6.00
Total Cost: $60.00
Participants must be at least 12 years old to participate and all children under the age of eighteen must participate with a parent or guardian. Children under the age of four are not permitted on vessels.Snacks and beverages are available but not included in the cost of this tour.
At the cruise ship pier. The specific meeting location at the pier will be listed in your confirmation email and voucher for this shore excursion. See the 'Redemption and Voucher Details' section below.


text:
Solve problems - It's Free
Create your account in seconds
Email address
Between 5 and 30 characters. No spaces please
Notify me of new activity in this group:
Keep me informed of the latest:
If you're looking for PeopleTools help, sign up and take advantage of 15,316 PeopleSoft professionals who are here to help you.
- Format the Date to Take Out Timestamp
- Command equivalent to 'EXTRACT' in PS Query
- PS Query Expression Length
- Error when using expression result in PS Query criteria
- Query Problem: Too Many Query Rows Generated
- Trouble with String Concatenation
- String to date format
- Date criteria in Crystal Reports
- The Logic and Value of a Tiered Archive
- On-Demand CRM Comparison Guide
- T&E Expense Management: The Best-In-Class Pillars of Next-Generation Expense Management
- CRM Through the Ages: An Infographic


text:
Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of modafinil in children younger than 17 years of age. Safety and efficacy have not been established.
Although appropriate studies on the relationship of age to the effects of modafinil have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of modafinil in the elderly. However, elderly patients may have a slower removal of this medicine from the body, which may require an adjustment in the dose for patients receiving modafinil.
Pregnancy Category | Explanation | |
All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Axitinib
- Citalopram
- Ifosfamide
- Tolvaptan
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Clomipramine
- Cyclosporine
- Desogestrel
- Dienogest
- Drospirenone
- Estradiol Cypionate
- Estradiol Valerate
- Ethinyl Estradiol
- Ethynodiol Diacetate
- Etonogestrel
- Levonorgestrel
- Medroxyprogesterone Acetate
- Mestranol
- Norelgestromin
- Norethindrone
- Norgestimate
- Norgestrel
- Triazolam
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse, history of or
- Drug abuse or dependence, history of—Dependence may be more likely to develop.
- Angina (severe chest pain), unstable or
- Heart attack, recent or
- Heart disease—Use with caution. It is not known how modafinil will affect these conditions.
- Depression, history of or
- Hypertension (high blood pressure) or
- Mania, history of or
- Psychosis (mental illness), history of—Use with caution. May make these conditions worse.
- Left ventricular hypertrophy (heart disease), history of or
- Mitral valve prolapse (heart disease) after receiving CNS stimulants—Use is not recommended in patients with these conditions.
- Liver disease, severe—Use with caution. You may require a dose adjustment. Talk with your doctor if you have concerns about this.