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Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. In some cases, the heart can't fill with enough blood. In other cases, the heart can't pump blood to the rest of the body with enough force. Some people have both problems.
The term "heart failure" doesn't mean that your heart has stopped or is about to stop working. However, heart failure is a serious condition that requires medical care.
Heart failure develops over time as the heart's pumping action grows weaker. The condition can affect the right side of the heart only, or it can affect both sides of the heart. Most cases involve both sides of the heart.
Right-side heart failure occurs if the heart can't pump enough blood to the lungs to pick up oxygen. Left-side heart failure occurs if the heart can't pump enough oxygen-rich blood to the rest of the body.
Right-side heart failure may cause fluid to build up in the feet, ankles, legs, liver, abdomen, and the veins in the neck. Right-side and left-side heart failure also may cause shortness of breath and fatigue (tiredness).
The leading causes of heart failure are diseases that damage the heart. Examples include coronary heart disease (CHD), high blood pressure, and diabetes.
Heart failure is a very common condition. About 5.1 million people in the United States have heart failure.
Both children and adults can have the condition, although the symptoms and treatments differ. This article focuses on heart failure in adults.
Currently, heart failure has no cure. However, treatments—such as medicines and lifestyle changes—can help people who have the condition live longer and more active lives. Researchers continue to study new ways to treat heart failure and its complications.
Conditions that damage or overwork the heart muscle can cause heart failure. Over time, the heart weakens. It isn't able to fill with and/or pump blood as well as it should.
As the heart weakens, certain proteins and substances might be released into the blood. These substances have a toxic effect on the heart and blood flow, and they worsen heart failure.
The most common causes of heart failure are coronary heart disease (CHD), high blood pressure, and diabetes. Treating these problems can prevent or improve heart failure.
CHD is a condition in which a waxy substance called plaque (plak) builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart muscle.
Plaque narrows the arteries and reduces blood flow to your heart muscle. The buildup of plaque also makes it more likely that blood clots will form in your arteries. Blood clots can partially or completely block blood flow.
CHD can lead to chest pain or discomfort called angina (an-JI-nuh or AN-juh-nuh), a heart attack, heart damage, or even death.
Blood pressure is the force of blood pushing against the walls of the arteries. If this pressure rises and stays high over time, it can weaken your heart and lead to plaque buildup.
Blood pressure is considered high if it stays at or above 140/90 mmHg over time. (The mmHg is millimeters of mercury—the units used to measure blood pressure.) If you have diabetes or chronic kidney disease, high blood pressure is defined as 130/80 mmHg or higher.
Diabetes is a disease in which the body's blood glucose (sugar) level is too high. The body normally breaks down food into glucose and then carries it to cells throughout the body. The cells use a hormone called insulin to turn the glucose into energy.
In diabetes, the body doesn't make enough insulin or doesn't use its insulin properly. Over time, high blood sugar levels can damage and weaken the heart muscle and the blood vessels around the heart, leading to heart failure.
Other diseases and conditions also can lead to heart failure, such as:
Other factors also can injure the heart muscle and lead to heart failure. Examples include:
Heart damage from obstructive sleep apnea may worsen heart failure. Sleep apnea is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep.
Sleep apnea can deprive your heart of oxygen and increase its workload. Treating this sleep disorder might improve heart failure.
About 5.8 million people in the United States have heart failure. The number of people who have this condition is growing.
Heart failure is more common in:
Children who have congenital heart defects also can develop heart failure. These defects occur if the heart, heart valves, or blood vessels near the heart don't form correctly while a baby is in the womb.
Congenital heart defects can make the heart work harder. This weakens the heart muscle, which can lead to heart failure.
Children don't have the same symptoms of heart failure or get the same treatments as adults. This article focuses on heart failure in adults.
The most common signs and symptoms of heart failure are:
All of these symptoms are the result of fluid buildup in your body. When symptoms start, you may feel tired and short of breath after routine physical effort, like climbing stairs.
As your heart grows weaker, symptoms get worse. You may begin to feel tired and short of breath after getting dressed or walking across the room. Some people have shortness of breath while lying flat.
Fluid buildup from heart failure also causes weight gain, frequent urination, and a cough that's worse at night and when you're lying down. This cough may be a sign of acute pulmonary edema (e-DE-ma). This is a condition in which too much fluid builds up in your lungs. The condition requires emergency treatment.
Your doctor will diagnose heart failure based on your medical and family histories, a physical exam, and test results. The signs and symptoms of heart failure also are common in other conditions. Thus, your doctor will:
Early diagnosis and treatment can help people who have heart failure live longer, more active lives.
Your doctor will ask whether you or others in your family have or have had a disease or condition that can cause heart failure.
Your doctor also will ask about your symptoms. He or she will want to know which symptoms you have, when they occur, how long you've had them, and how severe they are. Your answers will help show whether and how much your symptoms limit your daily routine.
During the physical exam, your doctor will:
No single test can diagnose heart failure. If you have signs and symptoms of heart failure, your doctor may recommend one or more tests.
Your doctor also may refer you to a cardiologist. A cardiologist is a doctor who specializes in diagnosing and treating heart diseases and conditions.
An EKG is a simple, painless test that detects and records the heart's electrical activity. The test shows how fast your heart is beating and its rhythm (steady or irregular). An EKG also records the strength and timing of electrical signals as they pass through your heart.
An EKG may show whether the walls in your heart's pumping chambers are thicker than normal. Thicker walls can make it harder for your heart to pump blood. An EKG also can show signs of a previous or current heart attack.
A chest x ray takes pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. This test can show whether your heart is enlarged, you have fluid in your lungs, or you have lung disease.
This test checks the level of a hormone in your blood called BNP. The level of this hormone rises during heart failure.
Echocardiography (echo) uses sound waves to create a moving picture of your heart. The test shows the size and shape of your heart and how well your heart chambers and valves work.
Echo also can identify areas of poor blood flow to the heart, areas of heart muscle that aren't contracting normally, and heart muscle damage caused by lack of blood flow.
Echo might be done before and after a stress test (see below). A stress echo can show how well blood is flowing through your heart. The test also can show how well your heart pumps blood when it beats.
A Doppler ultrasound uses sound waves to measure the speed and direction of blood flow. This test often is done with echo to give a more complete picture of blood flow to the heart and lungs.
Doctors often use Doppler ultrasound to help diagnose right-side heart failure.
A Holter monitor records your heart's electrical activity for a full 24- or 48-hour period, while you go about your normal daily routine.
You wear small patches called electrodes on your chest. Wires connect the patches to a small, portable recorder. The recorder can be clipped to a belt, kept in a pocket, or hung around your neck.
A nuclear heart scan shows how well blood is flowing through your heart and how much blood is reaching your heart muscle.
During a nuclear heart scan, a safe, radioactive substance called a tracer is injected into your bloodstream through a vein. The tracer travels to your heart and releases energy. Special cameras outside of your body detect the energy and use it to create pictures of your heart.
A nuclear heart scan can show where the heart muscle is healthy and where it's damaged.
A positron emission tomography (PET) scan is a type of nuclear heart scan. It shows the level of chemical activity in areas of your heart. This test can help your doctor see whether enough blood is flowing to these areas. A PET scan can show blood flow problems that other tests might not detect.
During cardiac catheterization (KATH-eh-ter-ih-ZA-shun), a long, thin, flexible tube called a catheter is put into a blood vessel in your arm, groin (upper thigh), or neck and threaded to your heart. This allows your doctor to look inside your coronary (heart) arteries.
During this procedure, your doctor can check the pressure and blood flow in your heart chambers, collect blood samples, and use x rays to look at your coronary arteries.
Coronary angiography (an-jee-OG-rah-fee) usually is done with cardiac catheterization. A dye that can be seen on x ray is injected into your bloodstream through the tip of the catheter.
The dye allows your doctor to see the flow of blood to your heart muscle. Angiography also shows how well your heart is pumping.
Some heart problems are easier to diagnose when your heart is working hard and beating fast. During stress testing, you exercise to make your heart work hard and beat fast.
You may walk or run on a treadmill or pedal a bicycle. If you can't exercise, you may be given medicine to raise your heart rate.
Heart tests, such as nuclear heart scanning and echo, often are done during stress testing.
Cardiac MRI (magnetic resonance imaging) uses radio waves, magnets, and a computer to create pictures of your heart as it's beating. The test produces both still and moving pictures of your heart and major blood vessels.
A cardiac MRI can show whether parts of your heart are damaged. Doctors also have used MRI in research studies to find early signs of heart failure, even before symptoms appear.
Thyroid function tests show how well your thyroid gland is working. These tests include blood tests, imaging tests, and tests to stimulate the thyroid. Having too much or too little thyroid hormone in the blood can lead to heart failure.
Early diagnosis and treatment can help people who have heart failure live longer, more active lives. Treatment for heart failure will depend on the type and stage of heart failure (the severity of the condition).
The goals of treatment for all stages of heart failure include:
Treatments usually include lifestyle changes, medicines, and ongoing care. If you have severe heart failure, you also may need medical procedures or surgery.
Simple changes can help you feel better and control heart failure. The sooner you make these changes, the better off you'll likely be.
Following a heart healthy diet is an important part of managing heart failure. In fact, not having a proper diet can make heart failure worse. Ask your doctor and health care team to create an eating plan that works for you.
A healthy diet includes a variety of vegetables and fruits. It also includes whole grains, fat-free or low-fat dairy products, and protein foods, such as lean meats, eggs, poultry without skin, seafood, nuts, seeds, beans, and peas.
A healthy diet is low in sodium (salt) and solid fats (saturated fat and trans fatty acids). Too much salt can cause extra fluid to build up in your body, making heart failure worse. Saturated fat and trans fatty acids can cause unhealthy blood cholesterol levels, which are a risk factor for heart disease.
A healthy diet also is low in added sugars and refined grains. Refined grains come from processing whole grains, which results in a loss of nutrients (such as dietary fiber). Examples of refined grains include white rice and white bread.
A balanced, nutrient-rich diet can help your heart work better. Getting enough potassium is important for people who have heart failure. Some heart failure medicines deplete the potassium in your body. Lack of potassium can cause very rapid heart rhythms that can lead to sudden death.
Potassium is found in foods like white potatoes and sweet potatoes, greens (such as spinach), bananas, many dried fruits, and white beans and soybeans.
Talk with your health care team about getting the correct amount of potassium. Too much potassium also can be harmful.
For more information about following a healthy diet, go to the National Heart, Lung, and Blood Institute's "Your Guide to Lowering Your Blood Pressure With DASH" and the U.S. Department of Agriculture's ChooseMyPlate.gov Web site. Both resources provide general information about healthy eating.
It's important for people who have heart failure to drink the correct amounts and types of fluid. Drinking too much fluid can worsen heart failure. Also, if you have heart failure, you shouldn't drink alcohol.
Talk with your doctor about what amounts and types of fluid you should have each day.
Taking steps to control risk factors for CHD, high blood pressure, and diabetes will help control heart failure. For example:
Your doctor will prescribe medicines based on the type of heart failure you have, how severe it is, and your response to certain medicines. The following medicines are commonly used to treat heart failure:
You should watch for signs that heart failure is getting worse. For example, weight gain may mean that fluids are building up in your body. Ask your doctor how often you should check your weight and when to report weight changes.
Getting medical care for other related conditions is important. If you have diabetes or high blood pressure, work with your health care team to control these conditions. Have your blood sugar level and blood pressure checked. Talk with your doctor about when you should have tests and how often to take measurements at home.
Try to avoid respiratory infections like the flu and pneumonia. Talk with your doctor or nurse about getting flu and pneumonia vaccines.
Many people who have severe heart failure may need treatment in a hospital from time to time. Your doctor may recommend oxygen therapy (oxygen given through nasal prongs or a mask). Oxygen therapy can be given in a hospital or at home.
As heart failure worsens, lifestyle changes and medicines may no longer control your symptoms. You may need a medical procedure or surgery.
If you have heart damage and severe heart failure symptoms, your doctor might recommend a cardiac resynchronization therapy (CRT) device or an implantable cardioverter defibrillator (ICD).
In heart failure, the right and left sides of the heart may no longer contract at the same time. This disrupts the heart's pumping. To correct this problem, your doctor might implant a CRT device (a type of pacemaker) near your heart.
This device helps both sides of your heart contract at the same time, which can decrease heart failure symptoms.
Some people who have heart failure have very rapid, irregular heartbeats. Without treatment, these heartbeats can cause sudden cardiac arrest. Your doctor might implant an ICD near your heart to solve this problem. An ICD checks your heart rate and uses electrical pulses to correct irregular heart rhythms.
People who have severe heart failure symptoms at rest, despite other treatments, may need:
Researchers continue to learn more about heart failure and how to treat it. As a result, treatments are getting better.
If you have heart failure, you may want to consider taking part in research studies called clinical trials. These studies offer care from experts and the chance to help advance heart failure knowledge and treatment.
For more information about clinical trials, go to the "Clinical Trials" section of this article.
If you have heart failure, you may also want to take part in a heart failure registry. The registry tracks the course of disease and treatment in large numbers of people. These data help research move forward. You may help yourself and others by taking part. Talk with your health care team to learn more.
You can take steps to prevent heart failure. The sooner you start, the better your chances of preventing or delaying the condition.
If you have a healthy heart, you can take action to prevent heart disease and heart failure. To reduce your risk of heart disease:
Even if you're at high risk for heart failure, you can take steps to reduce your risk. People at high risk include those who have coronary heart disease, high blood pressure, or diabetes.
If you have heart damage but no signs of heart failure, you can still reduce your risk of developing the condition. In addition to the steps above, take your medicines as prescribed to reduce your heart's workload.
Currently, heart failure has no cure. You'll likely have to take medicine and follow a treatment plan for the rest of your life.
Despite treatment, symptoms may get worse over time. You may not be able to do many of the things that you did before you had heart failure. However, if you take all the steps your doctor recommends, you can stay healthier longer.
Researchers also might find new treatments that can help you in the future.
Treatment can relieve your symptoms and make daily activities easier. It also can reduce the chance that you'll have to go to the hospital. Thus, it's important that you follow your treatment plan.
Certain actions can worsen your heart failure, such as:
These actions can lead to a hospital stay. If you have trouble following your diet, talk with your doctor. He or she can help arrange for a dietitian to work with you. Avoid drinking alcohol.
People who have heart failure often have other serious conditions that require ongoing treatment. If you have other serious conditions, you're likely taking medicines for them as well as for heart failure.
Taking more than one medicine raises the risk of side effects and other problems. Make sure your doctors and your pharmacist have a complete list of all of the medicines and over-the-counter products that you're taking.
Tell your doctor right away about any problems with your medicines. Also, talk with your doctor before taking any new medicine prescribed by another doctor or any new over-the-counter medicines or herbal supplements.
Try to avoid respiratory infections like the flu and pneumonia. Ask your doctor or nurse about getting flu and pneumonia vaccines.
If you have heart failure, it's important to know:
Living with heart failure may cause fear, anxiety, depression, and stress. Talk about how you feel with your health care team. Talking to a professional counselor also can help. If you're very depressed, your doctor may recommend medicines or other treatments that can improve your quality of life.
Joining a patient support group may help you adjust to living with heart failure. You can see how other people who have the same symptoms have coped with them. Talk with your doctor about local support groups or check with an area medical center.
Support from family and friends also can help relieve stress and anxiety. Let your loved ones know how you feel and what they can do to help you.
The National Heart, Lung, and Blood Institute (NHLBI) is strongly committed to supporting research aimed at preventing and treating heart, lung, and blood diseases and conditions and sleep disorders.
NHLBI-supported research has led to many advances in medical knowledge and care. For example, this research has uncovered some of the causes of heart diseases and conditions, as well as ways to prevent or treat these disorders.
Many more questions remain about heart diseases and conditions, including heart failure. The NHLBI continues to support research aimed at learning more about heart failure, including:
Much of this research depends on the willingness of volunteers to take part in clinical trials. Clinical trials test new ways to prevent, diagnose, or treat various diseases and conditions.
For example, new treatments for a disease or condition (such as medicines, medical devices, surgeries, or procedures) are tested in volunteers who have the illness. Testing shows whether a treatment is safe and effective in humans before it is made available for widespread use.
By taking part in a clinical trial, you can gain access to new treatments before they're widely available. You also will have the support of a team of health care providers, who will likely monitor your health closely. Even if you don't directly benefit from the results of a clinical trial, the information gathered can help others and add to scientific knowledge.
If you volunteer for a clinical trial, the research will be explained to you in detail. You'll learn about treatments and tests you may receive, and the benefits and risks they may pose. You'll also be given a chance to ask questions about the research. This process is called informed consent.
If you agree to take part in the trial, you'll be asked to sign an informed consent form. This form is not a contract. You have the right to withdraw from a study at any time, for any reason. Also, you have the right to learn about new risks or findings that emerge during the trial.
For more information about clinical trials related to heart failure, talk with your doctor. You also can visit the following Web sites to learn more about clinical research and to search for clinical trials:
For more information about clinical trials for children, visit the NHLBI's Children and Clinical Studies Web page.
The NHLBI updates Health Topics articles on a biennial cycle based on a thorough review of research findings and new literature. The articles also are updated as needed if important new research is published. The date on each Health Topics article reflects when the content was originally posted or last revised.


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Warden & Sons is a family owned and operated painting company that is committed to delivering quality painting services to the greater Madison area. We specialize in many interior and exterior home improvement needs and take pride in all of our work.
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mathematics »
The Sport of Science
Share Brain power earns students medals Students' knowledge of anatomy, astronomy, chemistry and more were tested Saturday during a competition at Atkins Academic and Technology High School. The regional Science Olympiad tournament attracted moreRead More »
'Miss Aggie' inducted into Hall of Fame
Share One of North Carolina A&T State University's most vocal alumnae has added yet another feather to her cap. On Sept. 28, Dr. Velma Speight-Buford, also known as "Miss Aggie Pride," joined more thanRead More »


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Choreographer Mathew Janczewski's Dancin' with Ethel at the Truckstop combines his sleek modern-dance sensibility with music from the internationally renowned string quartet known simply as Ethel. The evening will feature a new original score by composer Michael Croswell and a duet specifically created for two of the Twin Cities' most gifted dancers, Erin Thompson and Amy Behm-Thomson. Look for an acrobatic sensibility paired with a cool grace, and experience the rare opportunity to see dance performed with live musicians.
Thu., Oct. 23, 7:30 p.m.; Oct. 24-25, 8 p.m.; Sat., Oct. 25, 5 p.m.; Sun., Oct. 26, 2 & 7 p.m., 2008


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NTSB Identification:
Accident occurred Friday, October 18, 1996 in BOLOGNESI, Peru
Aircraft: Cessna 404, registration:
Injuries: 3 Fatal.
This is preliminary information, subject to change, and may contain errors. The foreign authority was the source of this information.
On October 18, 1996, about 0910 Atlantic standard time, a Cessna 404, registration CFYUQ, registered to Aerodat, Inc., was lost from radio contact near Bolognesi, Peru. Weather conditions are unknown and flight plan information is also unknown. The airplane is presumed to be destroyed and the canadian pilot and passenger and one passenger who was a U.S. citizen are presumed to be fatally injured. The flight originated about 0551 local from the Pucallpa Airport, Pucallpa, Peru.
The purpose of the flight was reportedly mineral mapping. The last known position of the airplane was about 86 nautical miles and 162 degrees from the Pucallpa Airport, Pucallpa, Peru. An emergency locator transmitter was activated in that area about 0910.
The investigation is under the jurisdiction of the government of Peru. Any further information pertaining to this accident may be obtained from:
Direccion General de Transporte Aero Ministry of Transports and Communications Av 28 De Julio, No. 800 Lima, Peru Phone: 511-423-9952
This report is for information purposes only and contains only information obtained for or released by the Peruvian Government.
Index for Oct1996
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Join us in gearing up to fight even harder for women's health and rights — right now, and for the next two years. Here are seven ways you can take action today. Hold Congress Accountable Help us hold members of the "lame duck" Congress accountable for heeding the message sent by women voters in th…Continue Reading
An international Boundary Breaker wins this year's Ladies Choice...
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Each new year brings new accomplishments and new "firsts"-as we leave the past behind and break some boundaries on the way, whether it be in politics or in the culture at large. Sally Ride, the first woman in space, Marie Curie, the first woman to win a Nobel Prize, and Jeannette Rankin, the first w…Continue Reading
You'll Never Guess Which Was the Best Moment of the Year....
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As we head into 2014, we're saying thanks for the memories (and these in particular)… Winner: Texas Citizens' Filibuster Helps Take Down #SB5 After a marathon 11-hour filibuster where State Senators Wendy Davis, Kirk Watson, and Leticia Van de Putte pulled out all the stops in their efforts to r…Continue Reading
And the Ladies' Choice Award for Gynotician of the Year Goes to….
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Nine years ago on December 19, 2003, RD2 sprang to life within the confines of Chris Ronan's own garage. You might say it was a humble beginning, but sometimes the best and most impactful results stem from something many may deem small. Plus, it had White Rock Lake as the backdrop so I mean, c'mon, it wasn't that bad.
Our First Home
Our Current Home
Over the years, RD2 grew in client base and employees. There were growing pains, and lessons to be learned. Throughout all this, the singular vision of RD2 was never lost and remained steadfast. Simply Innovate Brands. An easy to remember and understand concept, yet so many other companies have tried the same and faltered. By remaining nimble and always looking to what is next, RD2 has been able to overcome the hardships of opening its doors during a recession, being hit once again with an economic downturn in 2008 and now faced with the uncertainty of the future (like in two days when the world comes to an end if you are following your handy-dandy Mayan Calendar*).
For people who have been at RD2 for a while, to those you are relatively new to our family, we take a moment to think and reflect about what a great place RD2 is to work at everyday. Then we get right back to researching, designing, and developing.
*If you are reading this on December 22, we totally did not believe for a second that Mayan prediction stuff. Hahaha, that would have been just silly.


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Makes at least 1 1/2 quarts (more, depending on how much you dilute it) August has drug on too long. I know because the mosquitoes have given up for the summer. Not a one can be found. They've been cooked off. I've been shriveling up, too. Thankfully a few of our readers suggested I try sorrel, Jamaica's perky, often spiked answer to iced tea, typically served at Christmastime. Sorrel is better than pouring a bucket of ice down your back. And it's (literally) cooler than mulled wine … [Read more...]
Celebrate Christmas like a Jamaican (Recipe: Sorrel Drink)
August 26, 2011 by 19 Comments
Recipe: Iced Hibiscus Drink with Fresh Pineapple (Bissap a la Bonne Dame)
August 8, 2010 by 9 Comments
Makes 1.75 liters (plus the pineapple) Chilled hibiscus tea is light and refreshing. The natural floral tang is a wonderful counterpart to sweet pineapple chunks. Kids will love fishing out the fruit in this totally and wonderfully decaffeinated iced tea. VARIATION: Some recipes call for equal parts lemonade to hibiscus tea. We tried this "pink lemonade" and loved it! Ingredients: small handful hibiscus flowers (or 4 teabags) 6 cups boiling water 4 cups ice 1 pineapple, … [Read more...]


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Event information
Outstanding event - really well organised and great camaraderie amongst the participants!
Outstanding event - really well organised and great camaraderie amongst the participants!
Join us for the off-road version of our
classic ride as we give London to Brighton a mountain bike
make over.
It's London to Brighton but not as you know
it! Sign up early as this MBR event fills up very quickly.
Welcome to your event guide. It's the place to come for
everything you need to know about your event. This guide will be
expanded as the event draws closer, so please check back for
updates. All information is subject to change.
This version of our massively popular road ride is 75 miles
almost entirely off-road. It's a challenging and testing route that
mixes cycle path, single track cycling with forest paths. It's
London to Brighton but we take it off road!
But don't worry if technical riding is not
your thing, the challenge is more about endurance than anything
else. One of participant who did the route explained it as
"endurance riding with one killer hill and some tricky, fun down
Join us in September 2013 and experience
London to Brighton in a way you never expected.
Online, phone, postal and on-the-day registration is available
for this event. Online registration for adult participants will
be open until 17 September 2013 For a postal
registration form, please email us or phone 0845 130
Due to the testing nature of this event you must be 16 years and
over to take part. Anyone under the age of 18 must be accompanied
by an adult.
TeamsTeams are very welcome to take
part. In fact why don't you get your friends or work
colleagues together to form your own team. Please contact us for a
postal registration form so that your team can sign up.
Your entry fee covers the cost of running the event; it's your
sponsorship money that will help save lives.
Go to the
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Start is located at Frobel College, Roehampton University,
Roehampton Lane, London, SW15 5PJ
Finish is located at Hove Lawns, BN3 2LS about 300m west of the
Peace Statue
There will be free "drop off" parking at Queen Mary's Hospital
car park (SW15 5PN) between 6.30am and 10am. If you need to leave
your car throughout the event you will need to pay for an all day
ticket or find alternative parking.
At the finish there will be a dedicated pick up area for
cyclists on Kings Road (BN3 2FR). There will be a maximum waiting
time of one hour and you will need to display the parking voucher
which will be sent out with your welcome pack.
The finish is about a mile from both Brighton and Hove trains
stations, who are aware of the event but will not be putting on any
extra trains for the event so normal rules apply.
Distance: 73.5m (125km)
Profile: 1570m climbing
Terrain: cycle track, forest single track, south downs link
Start your ride at Roehampton University then head towards
Brighton via Weybridge, Shere, Southwater Country Park and Steyning
before taking on the largest incline in the final leg before
heading down to the finish in Brighton.
Download a PDF map of the route
Download the route GPX file
Heart disease touches us
all. Every year, thousands die prematurely, and those who
survive can find life difficult and frightening. The British Heart
Foundation is dedicated to research aimed at ending the
suffering caused by heart disease.
We urgently need your help to
fund this vital research. We need to raise £300,000
from holding this event, which could fund a PhD student's pay
and experimental costs for 3 years (£100k). We are funding some
really exciting projects at the moment, such as a device to
help babies born with a heart
Please aim to get your
sponsorship to us by 21 December 2013 Your entry
fee covers the cost of organising the event; it's your
fundraising that will help in the fight to beat heart
Where your money goes
Visit our fundraising section for some great
Please make sure you wear appropriate cycling gear including
padded shorts as you will be in the saddle for a number of
A good level of fitness and riding ability is required for this
event. The ride is not too technical but is a big test of cycling
endurance and is predominantly off road, a CX tyre (30+mm) would be
fine. The ride is not suitable for narrow wheeled bikes.
For expert tips, training schedules and advice, visit the training zone. Remember the golden
rules of exercise: start gently, build up gradually and do it
regularly. Make sure you set achievable goals, which help you to
monitor your fitness and boost your confidence when you achieve
them. Always wear appropriate gear, and if you have any medical
condition or health concerns that may affect you on the day, speak
to your doctor about it prior to the event.
Training guides,
tips and advice
Toilets will be available at the start and finish
Hot drinks will be able to purchase at the start and you will be
able to find plenty of lunch stops in pubs along the way. There
will be a food stall at the finish
You will find water stops/water taps throughout the route and
available to all riders at the finish
Mobile Cycle Repair will be provided. They plan to be at the
start and visit each of the water stops
At the finish we will have a Masseurs Tent, with suggested
donation, food stalls (including a freshly made paella stall),
toilets, first aid and water and music.
The route will be fully signed throughout with marshals and
water stops along the route.
The event will be fully supported by First Aid throughout the
route. You will be given emergency numbers on the day in case you
need to get hold of us to report any injuries or accidents.
Every rider will be given a map of the route, this will show all
the basic details you will need to follow the routes, show you
where the check points are and the marshal points.
SpectatorsFriends and family are welcome
to support you at any point along the ride and at the start and
PetsSorry but pets are not allow at this
VolunteersIf you would like to volunteer
at London to Brighton Off-Road we would love to hear from you. For
more information about how you could help please contact the event
organiser Adam Brocket on 07734 072960 or email
You can share this or any of our
events using the share buttons below


text:
Leigh Buckner hasn't faced discrimination in getting a job or finding an apartment because she's a lesbian.
At 26, she's too young to remember singer Anita Bryant's crusade against homosexuality in Miami 25 years ago.
Buckner, whose home is Fort Lauderdale, doesn't even live in Miami-Dade County, where, on Tuesday, people can vote to remove "sexual orientation" from the county's Human Rights Ordinance.


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view bio »
Matt Pobieglo has been hired as athletic director at Notre Dame.
He succeeds Howie Sompayrac, who has accepted a position in Knoxville as director of school advancement at St. Joseph's School, which offered his wife Cathy a teaching job as well.
"I'm excited about the state of the program and the way Howie left it," said Pobieglo, most recently at McCallie, where he handled equipment and facilities and worked as associate athletic director.
"McCallie was a great place. Obviously being an all-boys school rather than coed was a different environment than what I dealt with at Vanderbilt and Toledo," he said. "They allowed me a lot of leeway to put in some systems and ideas, and I got a good understanding of the private school world."
Pobieglo (pronounced Po-bee-A-go) was hired by Notre Dame president George Valadie.
"Matt is incredibly well organized," Valadie said. "He has a wealth of experience in the field and is the kind of person that will fit well in the Notre Dame community. One of the things he won't be doing -- there are thousands of athletic directors who do it -- but Matt won't be coaching, which in my opinion frees him to oversee the entire program with being 'double-booked.'"
After attending Lakeview-Fort Oglethorpe High School, Pobieglo went to Georgia Southern and worked on the football management staff and then worked as an intern with the Miami Dolphins. He went from Miami to Vanderbilt, where he was involved in game management and game-day planning, before going to Toledo. He has a master's degree in sports management from Drexel.
"There's a chance he'll be in the classroom, but I'm trying to get the position where he won't have classroom responsibilities. I think he'll do a great job," Valadie said. "The facilities are in good shape, but there are always looking-ahead conversations about turf and other things that are out there in the future."
Pobieglo described himself as an outside-the-box thinker.
"I want to go in and build on what's there and interact with students," he said. "Notre Dame offers the opportunity to be flexible and do some good things. Athletics are an integral part of the program, but I want to be able to tie athletics to academics and community service. We want to create a great environment for the students, the parents, our alumni and the Notre Dame community as a whole."
Valadie also announced that the Pobieglo would have two assistant athletic directors: Dave Weikel, who has served as an assistant soccer coach for a number of years, and former Irish baseball coach George Oleksik, who served unofficially as Sompayrac's assistant.
Contact Ward Gossett at email@example.com or 423-886-4765. Follow him at Twitter.com/wardgossett.
Ward Gossett is an assistant sports editor and writer for the Times Free Press. Ward has a long history in Chattanooga journalism. He actually wrote a bylined story for the Chattanooga News-Free Press as a third-grader. He Began working part-time there in 1968 and was hired full time in 1970. Ward now covers high school athletics, primarily football, wrestling and baseball and University of Tennessee at Chattanooga wrestling. Over a 40-year career, he has covered ...


text:
U.S. marshals recently raided several businesses in New Jersey and California and seized an estimated $9 million in counterfeit versions of the Microsoft Corp.`s MS-DOS 5.0 software.
The packages, Microsoft executives said, were perfect imitations, right down to the special holograph stamps intended to thwart counterfeiters.
That`s the high end of the piracy spectrum. At the low end, many computers users casually swap programs, and who hasn`t received a call from an acquaintance reporting trouble with a popular word processing program? Call the software company`s customer assistance service? ``I, uh, lost the documentation`` is the usual response.


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Friday, 12 October 2012 00:00
On Wednesday I will close the sale of my childhood home at 221 McKinley Parkway, Mineola. My parents Joseph and Gilda Jansen moved to Mineola in June of 1953 and raised four siblings and myself in the village. My father died in 2008 and my mother passed away in December of 2011. This simple real estate transaction severs my physical connection to Mineola.
However, I have only the fondest and warmest memories of my childhood there in the 1950s and 1960s. There was something very different about that now bygone era.
My parents and our neighbors on McKinley Parkway were urban pioneers. For the most part they left various boroughs of New York City and attached themselves to their piece of the American dream on small lots in Mineola. Those pioneers shared the common psychic scar of the Great Depression and elation at having fought and vanquished totalitarianism in World War II.
They brought that common experience to Mineola and it was the foundation and the cornerstone of a cohesive community, which struggled and scraped for a better life for its children. These were people with a strong work ethic and willingness to sacrifice for the betterment of their families. I think that those humble people succeeded at that task far more than they ever dreamed possible.
I salute my loving parents and the Hutters, and Flinns and Lupinaccis and Fitzpatricks and so many others on McKinley Parkway for indeed they were risk-taking pioneers who formed and crafted a piece of the American Dream for those who followed them.
I may have severed my physical ties to Mineola with the sale of a house but the memories of that time and place will remain deep in my memory as long as I shall live.
John J. Jansen
Mineola resident


text:
Joey Roth Ceramic Speakers & Subwoofer with Bluetooth Receiver What makes a great set of speakers even better? Fewer cables. Thanks to a new Bluetooth receiver, the tangle behind Joey Roth's gorgeous set of ceramic speakers just got a whole lot cleaner. The best part? The receiver streams audio at up to 96KHz, 24 bit,…
Not for pancakes
Tasting Notes: Knob Creek Smoked Maple Bourbon
Fall is upon us, and there's no better way to usher in the cooler months than with a spirit seemingly created in autumn's honor: Knob Creek Smoked Maple Bourbon ($31). To be clear, we've been completely satisfied with the standard Knob Creek 9 Year Straight Bourbon, but expanding whiskey horizons can't be a bad thing. Still, adding flavoring to a solid whiskey can be a risky endeavor. Did Knob Creek gamble and lose by producing something tantamount to being whacked in the face by a maple syrup bottle, or did they win by creating a real bourbon that hums its own tune?
Happy anniversary to the original small batch bourbon
Tasting Notes: Knob Creek Rye Whiskey
It's been 20 years since Knob Creek shipped its first batch of bourbon. Back in 1992, terms like "small batch bourbon" and "super-premium" didn't exist. Knob Creek was instrumental in creating this category, which has since been embraced by numerous brands and millions of whiskey drinkers. And now, after 20 years of success and last…
Big whiskey in small batches
Tasting Notes: Knob Creek Single Barrel Reserve
Bourbon itself is a manly drink, but ratchet up the proof to 120 – that's 60% alcohol – and you're operating on an entirely different level. Of course, we discerning drinkers care about more than just alcohol content. After all, when's the last time you kicked back with a glass of Everclear? Enter Knob Creek…
Small Batch Bourbon
If you're a man and enjoy a good drink then relegating yourself to beers and vodka alone is truly sad. Take your personal consumption and home bar up a notch with a small batch bourbon. It's a drink truly made for the connoisseur. Every sip of a small batch bourbon is made to be enjoyed….


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Engaging Communities: Cross Disciplinary Perspectives
|Course code HLSC2241
|Units 10
|Level 2000
|Faculty of Health and MedicineSchool of Health Sciences
Engaging communities can dramatically increase the effectiveness of professional practice in a wide range of industries. Community engagement is therefore of interest to a wide range of disciplines including engineering, architecture, health, arts, social work and education. When communities are treated as partners rather than as part of the "problem" new possibilities emerge. Research and case studies from a range of fields of study will explore different perspectives and practices in engaging communities. Students will use this information to examine current practices in their particular field of study. Students will develop foundation skills to enable an awareness of principles of practice and strategies for community engagement in a diversity of settings.
Available in 2015
|The objectives or this course are to:
1. Explore the reasons for community engagement from a cross sector perspective (e.g. engineering, human service delivery, mining).
2. Develop an understanding of processes and skills required to successfully engage communities.
3. Explore practical strategies for identifying community based assets and resources that could form the basis for partnerships within a variety of settings.
4. Critically reflect on personal beliefs and professional responsibilities that impact on community engagement.
5. Explore the implications and potential for community engagement in the students current or proposed field of employment.
|Course content will cover:
1. What is community engagement?
2. Reasons for community engagement
3. Overview of research and best practice from Australian and international perspectives
4. Methodologies and tools for engaging communities
5. Cross sector perspectives: case studies
6. Critical reflections on the role of community engagement in specific fields of study
7. Ethical practice
|Replacing Course(s)
|Industrial Experience
|Assumed Knowledge
|Modes of Delivery
|Distance Learning : IT Based
|Teaching Methods
|Self Directed Learning
|Assessment Items
|Contact Hours
|Self Directed Learning: for 6 hour(s) per Week for Full Term
|2015 Course Timetables for HLSC2241


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Tuesday, February 18th at 12:00 am
Office of Residence Life Canned Goods Drive is now through Friday, Feb. 21; collection boxes are in the Allen Dining Hall and residence halls. RAs are headed to an RA conference Friday afternoon and will take the canned goods with them. Contact RD TeeAl Barksdale at email@example.com
More Details
- Category:


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2010 Le Mans Series Castellet 8 Hours
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Le Mans Series Castellet 8 Hours
Sports car racing has survived the recent economic perils surprisingly well. This was underlined at the 2010 Le Mans Series season opener at the Le Castellet or Paul Ricard track. A commendable 41 cars lined up for the first ever Le Mans Series race at the track that is usually only used for testing. Even more importantly; nearly a dozen major manufacturers fielded or at least backed entries.
One of the biggest contributing factors is the relatively stable set of regulations. For 2010 some changes to the prototypes were nevertheless required, particularly in the area behind the rear wheels. Some cars were affected more than others but none more than Audi's controversial R15. Its revolutionary concept of air running through the car was no longer possible. This forced the German team to completely redesign the V10 engined machine. Dubbed the R15 plus, the much more conventional but still rather odd looking LMP1 prototype made its debut at Le Castellet.
Now known as the HPD ARX-01c, the highly successful Acura LMP2 car was entered for its first European race by the Strakka team after three seasons in the ALMS (American Le Mans Series). The HPD V8 also found its way into the back of the RML Lola coupe.
The GT2 ranks were reinforced by BMW's M3, fielded by the experienced Schnitzer team. Although it shares many components with the car used in the ALMS, it features a new specifications to comply with the ACO (Automobile Club de l'Ouest) regulations, which are interpreted more strictly on this side of the Atlantic.
Another addition for the new season is the Formula Le Mans class, open exclusively to the Oreca-Courage built, Corvette powered prototypes. Last year they competed in their own races but there were never enough entries to make these really interesting. Seven examples were entered for the 8 hour race.
Practice and qualifying
From the minute the pitlane opened all eyes were on the new Audi, piloted this weekend by Allan McNish and Dindo Capello. Providing the performance benchmark for the German team was the Oreca entered Peugeot 908. The French manufacturer also supplied one of their quickest drivers, Stephane Sarrazin, to support Oreca regulars Olivier Panis and Nicolas Lapierre. In the first practice the spectacularly liveried 908 still set the pace but in the second and third session, it could no longer match the Audi's times. Despite an advantage of nearly a second in the final run, the Audi failed to clinch the pole after Lapierre pulled a startlingly quick lap out of the bag, beating the new car by nearly a four tenths.
Behind the clash of the titans, Oreca's Oreca 01 impressed early on but was forced to play catch-up the whole weekend due to a gearbox failure. This allowed the Aston Martin engined Lola of the works team to set the third fastest time, well over a second behind the fastest of the two diesels.
In LMP2 the balance has been seriously upset by the arrival of the HPD, which, especially in the hands of Danny Watts, proved to be in a class of its own. In qualifying he was over 2 seconds faster than last year's champions Quifel-ASM with their Zytek 09SB. Mathieu Lahaye overcame engine woes during practice to set the third fastest time in the Oak Racing Pescarolo. Like the RML team, who were fourth fastest, the French squad had stepped away from the turbocharged AER 'four' that had proven so troublesome during the last season. Of the seven identical Formula Le Mans cars, the Edoardo Piscopo driven DAMS car clinched pole.
After the withdrawal of the Atlas FX-Team Full Speed Saleen, the GT1 class was literally rendered a one horse race; the Saleen S7-R of Larbre. Despite a crash in the warm-up and a delayed start, the car made it to the finish, automatically taking class honours.
GT2 proved to be the closest of all classes with 13 high quality entries; six Ferraris, four Porsches and a single Aston Martin, BMW and Spyker. Each of the cars featured at least one very quick driver, which was reflected in the times. In qualifying the whole field was separated by just 1.7 seconds, which is quite remarkable considering the lap time of nearly 2 minutes. Even more remarkable was the pace of the BMW, or more accurately the lack thereof. The latest addition was the slowest of all GT2 cars. Former FIA GT champions AF Corse celebrated their entry into the Le Mans Series with a pole position ahead of the Felbermayr Porsche. The all-star AF Corse Ferrari, with Formula race winners Jean Alesi and Giancarlo Fisichella as well as FIA GT regular Toni Vilander on board, was fourth fastest.
Classic Endurance Racing (CER)
Although it is a faint memory, we can still remember the CER field at Donnington in 2006; barely a dozen cars made it out for the race. The series for 1960s and 1970s sports racers has come a very long way since then and this year all five rounds have been oversubscribed. Three of these are part of the Le Mans Series support program (Le Castellet, Spa and Silverstone) with additional rounds at Monza in June and a season finale back at Le Castellet in October. No fewer than 63 cars were entered this weekend, ranging from Lola T70s to Porsche 935s and a host of Chevrons.
To the relieve of many drivers and mechanics, the CER event used a layout of the track that featured a chicane in the 1.2 km 'Mistral' straight. This meant that the classic machines did not come up to the very fast and tricky 'Signes' corner at terminal velocity and also prevented the engines from running at full throttle for such a long time. It also placed the less powerful and nimble Lolas and Chevrons in a position to challenge the bigger engined cars that normally have the advantage at Le Castellet.
Defending champion Jean Marc Luco was back with his rare and very quick Porsche 936. He was joined by many familiar faces and cars but as always there were new additions to the grid. Olivier Cazalieres brought the unique Cosworth DFV-engined Duckhams, which was designed for Alain de Cadennet by Gordon Murray in 1972. Of similar vintage and specification is Carlos Barbot's Lola T280. Brought back to Europe after a lengthy spell in Japan, it was recently restored to full running order by Lola-expert Clive Robinson and was used for the first time by Barbot at Le Castellet. He was quick straight away and eventually finished 3rd overall.
The fastest time of the two qualifying sessions was set by Patrice Lafargue in his two-litre BMW engined Lola T298. After the start, he immediately grabbed the lead ahead of Luco in his Porsche 936. The Swiss driver managed to get ahead and also set the fastest lap but visibly struggled to keep this pace up for the entire hour. Lafargue was back in the lead after the mandatory stop and went on to take the first win of the year. In class P1 David Ferrer took top honours in his Lola T70 Spyder, GT2 was for Herve Regout in his Porsche 934 and Bernard Moreau drove his Porsche 911 RS to victory in the GT1 class.
The race
We all expected Allan McNish to do what he does best; storm to the head of the field on the opening lap. He did manage to get by Sarrazin in the Peugeot but was in turn passed by Stefan Mucke in the works Lola-Aston. The natural order was returned a few laps later with the two diesels storming away. Superb in traffic, McNish gradually crept away from the Peugeot in his new Audi. The fight for the lead effectively ended during Oreca's first stop for fresh rubber. The on-board mounted jacks failed and the subsequent repair dropped the Peugeot a full 8 laps down the order. Despite losing its chief rival and holding a comfortable lead over the rest of the field, the two Audi drivers continued to push throughout the race. An absolutely trouble-free run saw the R15 plus take a debut victory with a margin of five laps over the second placed car. Considering its fastest lap was six tenths faster than the Peugeot's, it is safe to say that the Audi would have won even if the 908 had not ran into trouble.
Consolidating its 'best of the rest' position, the Aston Martin Racing Lola managed to hold on to the second place throughout the race, despite a puncture early in the race. Third was for the #13 Rebellion Lola and for most of the race, it looked like the Oreca would clinch fourth place. Team principal Hugues de Chaunac had other ideas and called in the AIM-powered machine for two very lengthy and unnecessary pit-stops. This allowed the team's Peugeot to get ahead and score valuable points.
Strakka's perfect weekend was rudely disturbed by bodywork damage; the legality structures behind the left rear wheel had come loose. The car was called in by the officials; the required repairs cost the HPD well over nine minutes. This left the OAK Racing team in a position of luxury with the two cars holding first and third. The lead car had been forced to start from the back of the field after an engine change had prevented it from participating in qualifying. The positions were far from secure as Strakka drivers Leventis, Kane and particularly Watts embarked on what would become the drive of the weekend. The at one point comfortable lead was annihilated at a stunning pace and in the final hour Watts was back on top. His fastest lap was almost three seconds faster than the best of its closest pursuers. For OAK Racing a second and fourth was nevertheless a very promising result. RML celebrated its return to form with a well deserved third. The Applewood Seven team clinched the first Formula Le Mans class win ahead of the first of two Hope Polevision Racing cars, while third was for the second DAMS entry.
After a sparkling start, the GT2 battle quickly settled down. The Porsches proved more reliable, more frugal and quite surprisingly also just as quick as the more fragile Ferraris. During the opening stages, the race still seemed to go into Ferrari's direction but the lead was quickly taken over by the IMSA Performance and Felbermayr Porsches. Various reliability issues struck most of the fastest Ferraris and one by one they were forced to retire. Suspension problems also dropped the IMSA Porsche down the order, making life very easy for defending champions Marc Lieb and Richard Lietz in the Felbermayr 997 GT3 RSR. A strong run saw the BMW steadily work its way up to order, running as high as second at one point. Then the radiator was pierced by debris on the track and much time was lost in the pits. Sixth in class was a small consolation. The day ended perfectly for the Felbermayr team with a one-two finish in the most hotly disputed of all classes. Third was for the Alesi, Fisichella and Vilander Ferrari.
Final thoughts
Wether Peugeot's decision to limit their works presence at Paul Ricard to just one driver was wise remains to be seen. Audi's convincing victory here will certainly have boosted moral in the team and confirmed the R15 plus is quick and reliable straight out of the box. The real warm-up for the 24 Hours of Le Mans will be at the next Le Mans Series round at Spa where both rivals will field full squads of six cars. The other car of the weekend was however the HPD ARX-01c, which left its rivals well behind. It continued to surprise its drivers, who went through corners much faster than felt sensible only to find that the car could actually go even faster. The race also revealed that the Formula Le Mans cars could do with a little more power and slightly better rubber. In the current specification, they are about as fast as the GT2 cars on the straights, which makes lapping very difficult. All of this and much more can be seen in our exclusive
190-shot slideshow
The Le Mans Series will continue on May 9th with at the spectacular Spa Francorchamps circuit. A field of well over 50 cars is expected to take part in the 1000 km race.
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Graduate Fashion Week: UCA Epsom
This week we packed up our laptops and headed straight to Graduate Fashion Week to keep our peepers open for future fashion pioneers. We were lucky enough to bag front row seats to the UCA Epsom show and boy, did we find 'em!
Seated to dim lights and the sounds of the rainforest, we were wowed as the music mixed into B.J. Thomas's 'Raindrops keep falling on my head' whilst quite aptly Anya Edwards eclectic umbrella inspired designs floated along the runway with models donning adorable boucle jackets and pastel jacquards.
Innovator James Walker caught everybody's attention with his wild designs incorporating vintage accordions, body harnessing and mixed tweeds pulled together with pilot-like circular sunglasses; kudos to his outstanding use of a suitcase constructed into a one piece; a real must-see.
We proceeded to fall in love with Miss Cecilia Lake's antique rug creations twisting together furs, tassles and Turkish prints. We have to say, we were enchanted by her sketchbook during a little pre-show research.
Our UCA highlight has to be handed to the bewitching Kelly Bromfield for her beautifully detailed electrical prints; think Mary Katrantzou meets Bill Gates. We could see her work easily translated on the high street in a flash. Put aside the quilted jacket Kel, because our names are written all over it.
Want to find out more or get involved in some of our student fashion content? Our new Student Space is a unique area for students to share their work and get advice and help on hunting down opportunities after graduation. You can check out the Student Space page here.


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Today people with increased cholesterol levels can successfully resolve this problem due to a widely used and very efficacious medicine, called Lipitor. Many factors can lead to high cholesterol levels in the human organism, and this condition in its turn accounts for numerous heart diseases including heart attacks, heart strokes, and other serious problems. This drug has won the recognition of medical professionals and patients all over the globe. Healing properties of Lipitor impede excessive formation of cholesterol in the human organism. The action of this remedy consists in hindering the production of unnecessary amount of cholesterol, polipoprotein B, and triglycerides, and the protein which plays the main role in the formation of excessive cholesterol in the organism. With the help of Lipitor the body is able to get rid of all harmful products that can lead to atherosclerosis. So if you are one of numerous high cholesterol sufferers, Lipitor may become a life-saver for you.
In the whole world Lipitor is prescribed to millions of people as a reliable medicine that plays a very important role in averting heart attacks. Medical specialists generally recommend following a diet during Lipitor course, which in most cases consists in cutting on fatty foods that are rich in cholesterol. Junk food contributes to the accumulation of cholesterol and other bad products on the arterial walls impeding the blood flow, which in its turn decreases the oxygen supply to all parts of the human organism thus provoking heart diseases. Lipitor together with a proper diet will definitely help you to prevent such problems.
Generic for Lipitor is Atorvastatin. This medicine got the approval of FDA in 1996. Atovastatin is one of the statin medications that effectively impede the action of ferments which are needed for cholesterol formation, thus normalizing the level of cholesterol in the organism. These drugs decrease the level of blood cholesterol, and LDL cholesterol that is one of the main causes of coronary disease. Lessening levels of LDL cholesterol, statins not only hinder the development of coronary disease, but also can help to reverse it. Besides atorvastatin, there are also such statins as pravastatin, simvastatin, lovastatin, and fluvastatin.
Not everyone can take Lipitor, therefore your physician must carefully analyze the condition of your health before ordering Atovastatin 40 mg or Atovastatin 20 mg to you. It's the most popular lipitor dosage.This drug is contraindicated to people after serious surgical interventions, to patients with long-lasting muscular disorders, and to those who abuse alcohol.
Lipitor price.
Atovastatin price is lower because it's lipitor generic name. Lipitor cost at least 30% more that generic.
Lipitor side effects.
Lipitor can have some adverse effects, such as pain in muscles, muscle cramps, headaches, hazy vision, gizziness, epigastric burning, constipation or diarrhea. Do not hesitate to contact a medical specialist if any of the aforementioned effects occur. Avoid drinking alcohol during Lipitor treatment, because it can increase the risk of adverse effects. You can fully reckon on the efficacy and safety of Lipitor only if you strictly follow the instructions of your doctor.


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When Indian-American Nina Davuluri was crowned Miss America on Sunday night, minutes after performing a traditional Bollywood dance, Vladimir Putin along with the rest of the world got a good long look at American Exceptionalism.
Just days after Russia's President, likely with the help of a crafty PR firm, penned a column for the New York Times dismissing American Exceptionalism, we proved undeniably exceptional once again on the most unusual of stages, at the Miss America Pageant.
Watching from the crowd was Davuluri's father, an Indian immigrant and OBYN at St. Joseph's Hospital in New York. His rise to success through hard work and education, as opposed to a restrictive caste system, is exceptional. The fact that his Miss America daughter, a University of Michigan grad, also wants to be a physician is exceptional.
As Davuluri's parents, who both immigrated to the U.S. in 1981, celebrated their daughter's fantastic accomplishment on national television for all the world to see, Putin's claim that it is "extremely dangerous to encourage people to see themselves as exceptional" was affirmed. Indeed, when a country collectively believes it is exceptional and challenges itself to the highest standards generation after generation, dangerously beautiful things are possible.
Mr. Putin has it all wrong, we are not exceptional because we think we are better than other countries. We are exceptional because of who we aspire to be. For generations it has been our self-fulfilling prophecy. We aspire to be the freest country in the world, to give opportunity to individuals to shine and to err on the side of good as often as possible.
We are not exceptional because we are perfect, we certainly are not. We are exceptional because we have proven willing to fix ourselves when we are broken. To right a wrong and move forward stronger for it.
We are not exceptional because our Congress is the most productive in the world, in fact, it is far from productive at all. But we are exceptional because we know that in time our Congress will be replaced with more reasonable people who will take care of business.
We are exceptional because we are never satisfied with mediocrity. Until now every generation of Americans has labored and sacrificed in order to hand a stronger, more prosperous country down to their children. But unfortunately Mr. Putin's attitude about American Exceptionalism is shared by cynical American apologists and some disgruntled young Americans who have allowed political dysfunction to jade their perspective on the greatness of our country.
I would encourage them to reconsider the exceptionality of the standard we have set the next time they use a microwave, fly in an airplane, watch television, talk on an iPhone, read Faulkner, listen to Beyonce, play football or apply a Band-Aid.
But even our economic and military might don't reveal how exceptional we really are. Our aspirations to create a better world do that. We have never taken more land from another country than we needed to bury our dead. We have given billions upon billions to see a world with clean water and without AIDs. And in the last two decades Americans have adopted 60,000 children out of hopelessness in Russia. That is, until Mr. Putin barred U.S. citizens from adopting Russian orphans in March of this year to make a political statement.
When we do entertain a debate on whether or not America is in fact exceptional, we should not forget the intentions of those who see the world so differently than we do. Mr. Putin does not endorse American Exceptionalism because it undermines everything he stands for. Nationalism is to him what individualism is to us. The KGB still runs in his blood. And the blood of 300,000 Chechens is still on his hands. He simply lacks the credibility to lecture us.
But as long as we aspire to be the diverse, forward thinking country where Nina Davuluri, the daughter of Indian immigrants, can be crowned our foremost beauty queen, it will be tough to argue against how exceptional we really are.
Mark Kennedy is a Times Free Press columnist and editor. He writes the "LIfe Stories" human interest column for the City section and the "Family Life" column for the Life section. He also writes an automotive column, "Test Drive," for the Business section. For 13 years, Kennedy was features editor of the newspaper, and before that he was the newspaper's first Sunday editor. The Times Free Press Life section won the state press award for ...
Weston shares his father's voice - how to utter many words and say nothing. He's a cow chip off the old manure block.
So...America is exceptional because a woman of Indian descent is crowned Miss America? Whoop-dee-friggin'-doo! Let's rebuild our crumbling infrastructure, spend more money on educating our kids than on building weapons of war, revitalize the middle class, put the millions of unemployed back to work at decent paying jobs, forge a serious plan for transitioning to clean green energy and wean ourselves off carbon-based fuels...and maybe then America can dare to think of itself as exceptional. Until then we are just a third-rate banana republic - albeit an EXCEPTIONALLY well-funded militarized one - whose politicians and overlords are more concerned with coddling Wall St. and the super-rich than with being truly exceptional in any way that could be considered meaningful for the vast majority of its people.
It was refreshing to read an article/editorial that lauded America rather than disparaged her. While we may have many areas that desperately need improvement, I cannot think of another country in which I would care to live out the rest of my life. Imagine a Christian Miss Iraq, or a Palestinian Miss Israel or even a Japanese immigrant being crowned Miss Brazil. Congratulations to Nina Davuluri. We are exceptional and to the rest of the world we may seem dangerously so, but I like it. And to quote author Ken Hamblin, go ahead... "Pick a Better Country". God Bless America and thank you Mr. Wamp.
Wow. Is this Weston Wamp lecturing us again on the FreePress editorial page? Twice in one month. Young Weston is apparently ready to take another run for the US Congress and bring his life time experiences to bear. His swipe at Congress (Chuck Fleischmann - is like a bad product placement in a made-for-TV movie.) Can you imagine - Weston as our Congressman and his Daddy Zach a lobbiest! The only way to get to Rep. Weston will be to pay a heavy toll to DaddyZach. But let's focus now on Weston's writing - as terribly poor as it is. Weston says to Putin - if you don't think America is exceptional after considering microwave ovens, football, IPhones, Beyonce and Band-Aids - what in the world is exceptionalism? Did Weston forget Miley Cyrus and Twerking? All kidding aside - I expect more from the TimesFreePress than to allow this sort of dribble from a self-absorded delusional adolescent. The TimesFreePress needs to be more selective than this.


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Evan Freemont Hoskins
Fuck I would travel to NY if I could absolutely destroy Pencil Skirt.
The Motorhead pair, although the Bad Brains is a very close second.
And Your Bird Can Sing
Yo. Where the hell is Drips? Obie Trice slays. Pussy reisdue is on my penis!
And Your Bird Can Sing
How can you pick? Paul Simon's songs have been there for me in times of need and abundance, jubilation and desperation. His catalog is such a treasure. For the sake of this giveaway, I'll limit it to a tie between Duncan and Graceland.
Street Hassle
Thank you so much. I've written on about three or four of these countdowns that they should do one for Bruce and now you finally have. I'm a huge springsteen fan as well, I wrote my final paper in one of my classes last year on Nebraska, Darkness on the Edge of Town, and Deindustrialization in the American Midwest. My list would be pretty similar to yours, with similar views, except I would have ranked The Rising much, much higher, for it's historical significance alone. My top five would have been The Rising, Born to Run, Nebraska, Wild, Innocent, The E Street Shuffle, then Darkness at number one. Glad to see Springsteen appreciated as not only a showboat but the quintessential American songwriter he is.
What a stellar year for music thus far. Shaking the Habitual is my favorite of the year so far, probably because I've been waiting for it for such a long time and it definitely delivered. However, alot of these records I have not listened to nearly as much as they deserve, especially the new National, Vampire Weekend, and JT albums. Which is why winning all of these great albums on vinyl would be so awesome!


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A presentation to the community will be made by Sustainable Long Island and Siccardi & Schiff, which are collaborating with the Elmont community to come up with a redevelopment plan for Hempstead Turnpike in Elmont, on Tuesday, Oct. 16 from 7 to 9 p.m. in the Elmont Public Library, 700 Hempstead Turnpike in Elmont.
Fire ripped through a Travers Avenue multi-family house, Oct. 6, and volunteers from the American Red Cross in Nassau County responded to provide relief to those affected.
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Latin for "a menstruating female"
"hey man, whats up with your girlfriend?"
"oh her? shes just an adelais"
"oh her? shes just an adelais"
by TheLordGod October 18, 2006
Gaelic for "Becoming one with the hippo tank". This has become a widely used phrase in online games to express one's superiority.
Guy #1: Dude. You're so Adelais.
Guy #2 Yea. Dark Slayers are fags, I must agree.
Guy #2 Yea. Dark Slayers are fags, I must agree.
by Kyle Frith March 18, 2007
A fairly popular Runescape clan (brake off from Phobia), known for 'ballin!' Although very overated, Adelais thinks to themself they are a top ranked clan, thinking they are the best with their such odd and unusual tactics such as cape switching, spying, bringing "a few clan friends" to pk trips (great tactic), and last but not least, flaming, oh boy thats a big one. Intelligence in Adelais is very low, peices of writing over 5 sentences is unreadable to most Adelais, and serious posts on their forums don't exist (unless sarcastic.)
LOL! We beat DI with only a "few" Df friends, we should be ranked #1 now! lol adelais for #1. lol ballin.
That guy just cheated.
Oh him, he's just an Adelais member.
That guy just cheated.
Oh him, he's just an Adelais member.
by Marrylyn Joe March 14, 2007


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The American White Pelican has been recorded in Kentucky, primarily from Louisville southwestwardly and usually as a winter visitor during mild winters. However, a good friend of mine has seen them on Lake Barkley and Kentucky Lake in the spring and also in autumn.
John James Audubon found the American Black Duck breeding on lakes along the Mississippi River as far up as the confluence with the Ohio River as well as in Pennsylvania and New Jersey.
Today this 23-inch-long bird with a 35-inch-wide wingspan's breeding range is northern Michigan, northern Wisconsin, eastern Minnesota, and all of northeast Canada. It winters from Iowa, Illinois, Indiana, and Ohio South to southern Mississippi, southern Alabama, and southern Georgia.
The Swainson's Warbler is unlike almost all of the other warblers in so many ways.
Look for a large potbellied warbler with a short tail. It is drab brown above, buff below, more pale on the throat and breast and has a slightly chestnut cap and long, broad eyebrows. This certainly makes it the least colorful member of the warbler family.
The Vesper Sparrow was named by the well-known late naturalist, John Burroughs, who thought that this sparrow sings more beautifully in the late evening amid advancing shadows.
The Worm-eating Warbler is a very differently acting bird than many other members of the warbler family.
Most of them are rather excitable and nervous birds of the treetops. This bird, however, is rather quiet and spends most of the time on the ground or within a few feet of it, walking, not running, and sometimes creeping along a tree trunk like a Brown Creeper or a Black-and-white Warbler.
It also has a distinct habit of searching and poking into clusters of dead leaves to extract spiders and insects and is extremely fond of the larvae of moths.
If the Cerulean Warbler is sitting in a very tall tree, which is where they are usually seen, and the background is a blue sky, then it will be very difficult to see this bird because its coloration is sky blue above with an even brighter blue on the crown.
However, it does have white below and a dark blue narrow breast band and side streaks on a somewhat big belly.
Recent Collins graduate Sydney Cloyd has been named all-state honorable mention by the Kentucky Softball Coaches Association.
Cloyd, a standout for the Titans, was one of 11 players to be named to the Class AA team (10 made the first team and 11 the second). She hit .348 with team-highs in home runs (seven) and RBIs (44), and also had 14 doubles and two triples, for Collins, which finished 18-20.
Shelbyville Country Club edged Clear Creek Golf Center while Weissinger Hills Golf Course's two teams tied Saturday in the first event of the PGA Junior League of Shelbyville's second season.
Shelbyville CC clipped host Clear Creek 3.5 flags to 2.5 while Weissinger Hills No. 1 and No. 2 each collected 3 flags in head-to-head matches.
For Shelbyville CC, Michael Long and Carson Long combined to capture two flags while Catie Kelly, Leo Biagi and Zack Houchin combined to capture 1.5.
Making himself right at home on the course at Chattahoochee Country Club, Brandon Brown set a sizzling pace, then cruised to his first victory of the season.
The Shelbyville professional golfer built a 7-shot lead – thanks in large part to a course-record tying 62 in the first round - in the first two days, then cruised to the win in the NGA Pro Tour's Milton Martin Honda Classic this past weekend in Gainesville, Ga.
The victory was his eighth – which ranks third all-time – on the NGA Tour, and his first this season in three events.
Copyright © 2014
The Sentinel-News is your source for local news, sports, events and information in Shelby County and Shelbyville, KY, and the surrounding area.


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Considering this is a Legend of Zelda fan website, I cannot imagine many Nintendo 3DS owners that view this website and do not already own Ocarina of Time. If you are part of this extreme minority, then there is now reason for you to get out of the minority. Ocarina of Time 3D is currently on sale over at Amazon, selling at the price point of $29.99. This is $10 off the usual price of $39.99. Additionally, the item is eligible for free shipping via Amazon Prime! If you don't have Ocarina of Time 3D yet, I'd jump at this offer right away.
While this is an online deal, I do not expect any price drop from Ocarina of Time 3D in any retail stores anytime soon. The Nintendo 3DS is still in its early life cycle, having not even reached the one year mark in the United States. For every new owner who picks up a Nintendo 3DS, Ocarina of Time 3D is going to be high on their listing of games to get. It will warrant the full $39.99 price point, so Nintendo shouldn't feel any pressure to lower the price. Perhaps after a new Zelda title releases for the Nintendo 3DS we'll see a price drop in retail stores, but I still foresee the full $39.99 price point being there throughout the entirety of 2012. I view it similar to how Twilight Princess was treated for the Nintendo Wii. That game was on the shelves for several years before it became a Nintendo Select title and I anticipate the same thing will happen with Ocarina of Time 3D. There just isn't a need to drop a price on a prime time game so early in a consoles life cycle.
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This is a ROCKIN CUTE, quick and easy (aka fast and fancy) Spring or Easter edible craft from Meaghan Mountford's blog The Decorated Cookie.
Recently I tried to mask the ugly with frosting....
DORKY! A sweet kiddo from the neighborhood was over and said, "Mrs. Shamp, I like your mouse!"
It's a bunny.
I will be posting the winner to the Cookie Sensations Giveaway on Easter Sunday. Click on the link to enter if you haven't already.
This is my life in sweet tweets today, thanks for stopping by!
Linking to these great places:
As well as....The Idea Room Hub!!
~ Trish


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Modern Luxury Comes to the SFDC
San Francisco Design Center
Thursday, September 26, 2013 from 6:00 PM to 9:00 PM (PDT)
San Francisco, CA
Who's Going
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Sara Haughty
San Francisco, California
San Francisco, California
Luke Picard
London, United Kingdom
London, United Kingdom
Rick Vespucio
Florence, Italy
Florence, Italy
Event Details
SFDC Galleria
Suite #325
GRAND OPENING! The Galleria is now home to Poliform San Francisco, the exclusive representative for the Poliform collection for the whole home. Hand-crafted in Italy since 1942, Poliform's comprehensive range provides a complete design solution for any architectural situation: bookcases and wall units, kitchens, closets, beds, sofas, armchairs, dining room furniture and more. Stop by their official opening an enjoy music, cocktails and nibbles, and a first look at the best modern furniture in the Design Center.
Have questions about Modern Luxury Comes to the SFDC? Contact San Francisco Design Center
When & Where
San Francisco Design Center - Poliform, Galleria 325
101 Henry Adams St
San Francisco,
Thursday, September 26, 2013 from 6:00 PM to 9:00 PM (PDT)
Add to my calendar


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Home > Dry Stores > Macaroons
These beautiful French Macaroons are a specialty traditional to the Lorraine region but one can now find them all over France in up market bakeries and patisseries. These light baked confections consist of a delicate meringue-like shell made using ground almonds and filled with a deliciously rich cream filling. Not only do these little delicacies look stunning in their range of different colours but they also come in a variety of both classical and exotic flavours. They come in a box of 144.
Choose from either the Flowery flavours (Raspberry Lychee Rose, Jasmine Passion, Apple Poppy and Blackcurrant Violet) the Exotic flavours (Coconut Passion, Mango, Lemon and Orange) the Traditional flavours (Pistachio, Vanilla, Coffee and Chocolate) or the Red Fruit flavours (Strawberry, Cherry, Raspberry and Blackcurrant).
These would make the ideal desert for an extravagant canape or drinks party, or alternatively a wonderful centre piece on a luxurious dinning table. Pilled up high in a pyramid tower they will be sure to impress any guest. Even boxed up in tissue paper and tied up with ribbon, they would make the ideal gift to someone special.
They also come frozen with a freezer life of up to 6 months meaning that one can buy them in advance and also use them over a period of time if necessary.
Prestige Terrine of Duck Foie Gras is made from the highest quality duck foie gras accompanied by the finest Madagascan Baies Rouges, green pepper, spices and Sel de Guerande. So good we'll give you your 'Money Back' if you can 'Genuinely' complain about it!
From Ł75.00
The finest Beluga Caviar that money can buy, available to you from eFoodies. Beluga eggs are the largest in size with opalescent, grey-blue tints and a delightfully delicate skin that pops on the roof of your mouth with a truly 'palate- tickling' creamy after taste.
From Ł45.00
Why not have your order 'Gift Packed' into one of our beautifully crafted (hand made) wicker hampers...
We particularly recommend this if you are planning to send your gourmet order to a friend at a different address as a gift.
From Ł14.95


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What is the Strategic Prevention Framework (SPF)?
The SPF is a SAMHSA-wide planning model for prevention that is relevant for substance abuse, mental health promotion, and other prevention areas. It incorporates the collection and use of data at all steps and requires that throughout the process, cultural competency and sustainability of efforts are addressed. It consists of five basic steps:
As can been seen in the figure below, these steps are part of a circular process. Beginning with the assessment, states must first conduct a state-wide needs assessment of indicators and outcomes of substance use including alcohol, tobacco, and other drugs (ATOD). Next the building of capacity at the state level is required, then the development of a strategic plan to address the priorities. After planning, program implementation occurs, followed by evaluation. As with most processes, however, some of these steps may occur simultaneously with other steps. For example, capacity building may occur while the needs assessment is also occurring or the planning is occurring. Data are used throughout to drive both the focus of prevention efforts and the types of prevention effort. Both the process and the outcome are important, as these data are to be used to direct, modify, and assess efforts through out the process
The State Epidemiological Workgroup (SEW)
The State Epidemiological Workgroup (SEW) has worked since October 2004 to develop the State Epi Profile. The resulting Profile highlights consequences in several areas that are described in the following section. The SEW consists of about a dozen epidemiologists from state departments, the statewide evaluator, and staff from the Single State Authority (SSA). It is coordinated by a contracted local firm that plans and directs the work of the group.
The objectives stated in New Mexico's 5-Year ATOD Prevention Plan for the SEW include the following:


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Additional Information
Viral review: 'Masters of Sex' cleverly uses 'First Kiss' director for steamy follow-up
Be On reviews the latest viral from Showtime series 'Masters of Sex'
'Masters of Sex' cleverly uses 'First Kiss' director for steamy follow-up
The authenticity of human reactions and intimacy of the couples glues viewers to the screen. 9/10
After the tantalising foreplay served up by Tatia Pilieva in the "First Kiss" video for fashion brand Wren, the filmmaker now moves strangers to the bedroom and asks them to undress each other.
She has once again teamed up with a brand, collaborating with US TV network Showtime to promote the next season of hit series "Masters of Sex". Starring Michael Sheen and Lizzy Caplan, the drama tells the story of the real-life pioneers of the science behind human sexuality, Dr William Masters and Virginia Johnson.
Apart from the brand change, plays it safe by keeping the premise of the first video. "Undress me", like its predecessor, is a black and white production that bets on the play with light. The raw set with a simple bed in the middle of it works very well and doesn't disturb from the experiment.
Intimate and awkward
The concept also stays the same; a couple of strangers are put in an intimate, but awkward, situation. Interestingly enough, participants become more comfortable once they are undressed to the point where a director's "cut" was required to disturb the momentum.
It's so simple but it works. The authenticity of human reactions and intimacy of the couples glues viewers to the screen. All of this creates a strong palette of emotions in the spectator.
Showtime's link with Pilieva could be both good and bad for the brand. On one hand, using the popularity of "First Kiss" has definitely helped create interest. But, on the other hand those who know about Wren's involvement in the first make might associate the second video with the apparel brand despite it being created for "Masters of Sex".
But with the high number of views and engagements already generated in the first few days, it looks like Showtime won't regret getting into bed with Pilieva's concept.
This article was first published on marketingmagazine.co.uk
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