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Application deadlines
Standard application deadlines
- International applications (non-EU) 24 July 2015
- UK and EU applications 28 August 2015
(with the exception of those programmes offering SFC funded places)
Classes start September 2015 for most programmes and you may be expected to attend induction sessions the week before.
Exceptional application deadlines
- Asset Pricing & Investment [MSc]
- Banking & Financial Services [MSc]
- Corporate Governance & Accountability [MSc]
- Development Studies [MSc]
- Economic Development [MSc]
- Economics, Banking & Finance [MSc]
- Environment & Sustainable Development [MSc]
- Finance & Economic Development [MSc]
- Finance & Management [MSc]
- Financial Economics [MSc]
- Financial Forecasting & Investment [MSc]
- Financial Modelling [MSc]
- Financial Risk Management [MSc]
- International Accounting & Financial Management [MAcc]
- International Banking & Finance [MSc]
- International Business & Entrepreneurship [MSc]
- International Corporate Finance & Banking [MSc]
- International Development [MSc]
- International Finance [MFin]
- International Finance & Economic Policy [MSc]
- International Financial Analysis [MSc]
- International Management & Design Innovation [MSc]
- International Management & Leadership [MSc]
- International Strategic Marketing [MSc]
- International Trade & Finance [MSc]
- Investment Banking & Finance [MSc]
- Investment Fund Management [MSc]
- Local Economic Development [MSc]
- Management [MSc]
- Management with Enterprise & Business Growth [MSc]
- Management with Human Resources [MSc]
- Management with International Finance [MSc]
- International Real Estate & Management [MSc]
- Quantitative Finance [MSc]
Applications from international students for programmes in the Adam Smith Business School are considered in three phases within the admissions cycle. Each phase has a deadline by which applications are required to be submitted. This allows the University to develop a view on the number of applicants who will attend the University in September 2015 and on the number of additional offers that can be made in subsequent phases. The dates for each phase are:
- Phase 1: applications open 1 October 2014 and close on 31 December 2014
- Phase 2: applications open 1 February 2015 and close on 31 March 2015
- Phase 3: applications open 1 May 2015 and close on 30 June 2015
It should be emphasised that applications for these programmes will be reviewed, decisions made and requests for deposits made on an on-going basis throughout each phase and that it is possible that a programme may close for new applications before the deadline date if all the places in that phase have been filled. Please note that it is not possible to submit an application or be considered for admission out with the dates above.
Please note that we are still accepting applications from Home/EU applicants to ALL programmes in the Adam Smith Business School.
- Oral and Maxillofacial Surgery [MSc (Dent Sci)]
- Fixed and Removable Prosthodontics [MSc (Dent Sci)]
Preference will be given to candidates who apply by 28 February 2014.
- Textile Conservation [MPhil]
The application deadline for this programme is 24 November 2014 for entry in September 2015. Interviews will be held in January 2015.
There are two application deadlines for entry in Sept 2015:
- 30 January 2015 - interviews to be held in February 2015
- 29 May 2015 - interviews to be held in June 2015.
Please note that places are limited, and are competitively awarded. We cannot guarantee that applications received after 29 May 2015 will be considered for 2015 entry.
- Veterinary Public Health [MVPH]
The application deadlines for this programme are:
- International applications (non-EU) 24 October 2014
- UK and EU applications 5 December 2014
Classes start January 2015.
International, UK and EU applications: 26 July 2015
Classes start September 2015 and you may be expected to attend induction sessions the week before.
January intake
The application deadlines for the January intake programmes are:
- International applications (non-EU) 21 November 2014
- UK and EU applications 12 December 2014


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Workshop teaches federal managers how to cope with five major IT program risks
Lisagor: The Risky Business Blues
In my experience, too many information technology projects promise the sky, but instead they exceed their budgets and schedules and disappoint users. Although there are many reasons for those failures, the lessons to be learned from them are rarely taught in classrooms, especially in the context of specific agency cultures and histories.
Training from the Program Management Institute (PMI) provides an essential foundation for government program managers (PMs), but it doesn't necessarily prepare them to deal with many of the everyday problems that arise on most projects, especially as those challenges relate to their own organizational and contractual relationships.
Experienced PMs are too busy fighting their own forest fires to concentrate on transferring knowledge to newer managers. As experienced managers retire, lack of knowledge management will become even more pronounced and the effect potentially more devastating.
Do any of these everyday problems look familiar?
The idea was to offer a one-day workshop to help program managers mitigate future risks and increase the probability of project success.
The workshop teaches managers about these following five major IT program-risk activities using real-life examples drawn from their own organizations' experiences:
We must prevent the continued failure of so many IT programs and give auditors at the Government Accountability Office less to write about.
Lisagor offers his training on Celerity Works' GSA MOBIS Schedule GS-10F-0380S at www.gsaadvantage.gov or www.celerityworks.com/risktraining.html. He is also the author of "The Enlightened Manager," available as a free download at www.celerityworks.com. Reach Lisagor at firstname.lastname@example.com.
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Nominations are now open for the 2015 Federal 100 awards. Get the details and submit your picks!
Make a nomination today
Steve Kelman considers the costs of corruption in Mexico, China, and most developing countries -- and argues that Americans should keep their own government troubles in perspective.
Agency leaders must proactively invest time, energy and resources to shape the future rather than reactively wait for change to happen.
Meet 24 men and women who are driving key changes in federal IT -- and shaping up as the community's likely leaders of tomorrow.
GSA's administrator talks with FCW about short-term hiring, long-term planning and Robert Frost.
Without a future vision and an appetite for risk, reforms lead down a rabbit hole. There is a better way.
VA's top tech official says he is balancing risks while trying to keep the department's online services open for business.
After five years on the job, the founding director of the Office of Government Information Services believes that a deeper understanding and acceptance of FOIA is seeping into the federal government.
The September attack, made public Nov. 10, potentially puts customer and employee personal information at risk, including addresses, Social Security numbers and emails.
The General Services Administration's Matthew Goodrich predicts more agency-driven authorizations and previews a new two-year road map.
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December 9, 2014:
The Arc of Weld County Annual Meeting
5:00pm- 8:30pm (See flyer below)
December 10, 2014:
Greeley School District 6
10:00 - 11:30am
For students (ages 18-21) and their families
4:00 - 5:30pm
For all students, staff, families and the community
6:30 - 8:00pm
For all students, staff, families and the community
ESS Events
You are invited to to hear Kathie Snow present on various topics regarding individuals with disabilities.
Wednesday, December 10, 2014
FREE to attend!
• 10:00 - 11:30am
For students (ages 18-21) and their families
• 4:00 - 5:30pm
For all students, staff, families and the community
• 6:30 - 8:00pm
For all students, staff, families and the community
She will be speaking on topics such as:
• People First Language
• Developing new attitudes and perceptions
• Using natural supports and generic services to create inclusive communities
• Cooperative advocacy
• Inclusive education
• Effective partnerships
• Empowerment
Space is LIMITED
//email@example.com,-104.757978,15z/data=%214m2%213m1%211s0x0:0xaac686d5f874acd3?sa=X&ei=QRxJVPsaiPnJBJCBgYAE&ved=0CHoQ_BIwDA" target="_blank">
Journey Christian Church
4754 West 31st Street
Greeley, Colorado 80634
Kathie is a mother of two young adults, one of whom has a disability diagnosis. She is energetic, positive, and determined to help create a society in which all are valued and all belong.
Learn more about Kathie at http://www.disabilityisnatural.com
Families in Action
June 20-22, 2014, The Arc of Weld County collaborated with
Three counties: The Arc of Larimer County, The Arc of Weld County , Association for Community Living In Boulder County along with our state chapter, The Arc of Colorado came together to offer this opportunity to 30 families who have children with intellectual and or developmental disabilities. The parents went to training, while children with disabilities and their siblings were able to particiapte in camp activities.
Click below:
Families in Action Video
We are no longer accepting applications for Project Illumination: Creating Safe and Healthy Relationships: Abuse and Neglect Prevention Course.
We will start a new session beginning in late January or February of 2015. If you are interested in attending the 2015 class, please email firstname.lastname@example.com
"The Arc of Weld County is a grassroots, non-profit organization committed to creating opportunities for children and adults with developmental disabilities."
Our goals are to ensure the rights of individuals with developmental disabilities and their families, to include them as contributing members of the team that develop plans for their lives, and to enhance the overall quality of their lives.
Driven by Opportunity!


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Kikkan Randall leads U.S. Olympic cross-country team eyeing history
Jan 22, 2014, 12:05 PM EST
Kikkan Randall can achieve two firsts at her fourth Olympics.
The Alaskan could become the first U.S. woman to win a cross-country skiing medal and the first American, man or woman, to win a cross-country skiing gold medal.
Cross-country skiing has been on the Olympic program since 1924 for men and 1952 for women. Bill Koch is the only American with an Olympic medal, silver from the 30km in 1976.
Randall, 31, leads a 14-member team to the Sochi Olympics announced Wednesday. It includes two other four-time Olympians, Kris Freeman and Torin Koos.
Randall made her Olympic debut at 19 in 2002. Her best Olympic finish was sixth in the team sprint in 2010.
She's a gold-medal contender in the individual sprint Feb. 11, having won the World Cup season title last year and individual World Cup races the last two weeks.
Her top foe in Sochi could be Norwegian Marit Bjorgen, who won four gold medals at the 2013 World Championships, including the individual sprint. Bjorgen also won the event at the 2010 Olympics, where she won three golds to bring her overall Olympic tally to seven.
Randall could also win a gold medal in the team sprint. She and Jessie Diggins are the reigning world champions.
The U.S. cross-country team includes siblings Erik and Sadie Bjornsen, which makes six total sets of siblings on the U.S. Olympic Team so far.
They join curlers Craig and Erika Brown, figure skaters Maia and Alex Shibutani, hockey players Amanda and Phil Kessel and Jocelyne and Monique Lamoureux and snowboarders Arielle and Taylor Gold.
Another set of siblings is likely to be named later Wednesday — Nordic combined skiers Bryan and Taylor Fletcher.
Here is the full U.S. Olympic cross-country skiing team:
Erik Bjornsen
Kris Freeman — 2002, 2006, 2010 Olympian
Brian Gregg
Simi Hamilton — 2010 Olympian
Noah Hoffman
Torin Koos — 2002, 2006, 2010 Olympian
Andy Newell — 2006, 2010 Olympian
Sadie Bjornsen
Holly Brooks — 2010 Olympian
Sophie Caldwell
Jessie Diggins
Kikkan Randall — 2002, 2006, 2010 Olympian
Ida Sargent
Liz Stephen — 2010 Olympian
Snowboarder who lives in truck makes Olympics
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|Brand Name
|Item Weight
|16.1 pounds
|Product Dimensions
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|Item model number
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|22.4 pounds
|Currently, item can be shipped only within the U.S.
|Date First Available
|November 24, 2010
The picture is really great, but the colors are misaligned/misconverged by one pixel everywhere on the screen, and the edges of the screen are also tinged green and red a couple... Read morePublished 3 months ago by Shaeree
I have had my projector for just over 2 years. The bulbs are advertised to last 4000 hours, but generally only make it to 800 hours. Read morePublished 8 months ago by Amazon Customer
I bought this projector based on a really good review in Consumer Reports. It is easy to set up and operate. Read morePublished 17 months ago by Vinyl Bill
Just to set the stage, my projector lives in a clean dust free and temperature controlled environment. Read morePublished 20 months ago by mcs
I upgraded to this after I decided I needed better picture quality and some more features than the 8350 offered. Read morePublished 22 months ago by J. L. Garrell
I am extremely pleased to have worked with Visual Apex (.com) to garner my beautiful Epson 8700. They gave me an amazing deal (after three months of research) on a package that... Read morePublished on June 30, 2012 by Pete's Review
I have the Epson 8700UB mounted on a shelf 20' from a 106" gain 1.1 Dalight 16:9 screen, low-lamp mode. Read morePublished on February 1, 2012 by beikokunotora
I bought this projector a few months ago, and I'm still amazed at its picture quality. It replaced a 7 year old Sanyo LCD 720p projector that I used until its bulb burned out. Read morePublished on January 8, 2012 by BrianL
Right now, I am typing this review on my laptop, which is connected to this projector via one of its 2 HDMI ports. All I can say is WOW! Read morePublished on January 5, 2012 by Derek Boxer


text:
Recognised for its first-class facilities and outstanding service.
Located at the gateway to internationally acclaimed southern wineries, beaches and tourism attractions, the Marion Hotel offers a diverse array of options for any social occasion.
Close proximity to Marion Shopping Centre, Flinders Medical Centre, Flinders University, Flinders Private & Repatriation Hospitals and the State Aquatic Centre
11Km from Adelaide City and just 10km from Adelaide Airport and only 30km from McLaren Vale - conveniently located for business or leisure.
FREE WIFI - Ask staff for details
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|Friday 28
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|Graham Lawrence (5.30pm) & Shaken Not Stirred (8.30pm)
|Saturday 6
|Franky F (5.30pm) & Two Hard Basket (8.30pm)
|Sunday 7
|Sunday Jazz: George Grifsas Quartet (2pm)
|Sunday 7
|UFC 181: Hendricks v Lawler II (from 1.30pm)
|Monday 8
|888 Poker (6.30pm)
|Tuesday 9
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|Wednesday 10
|Adelaide Comedy: Merrick Watts (8pm)
|Thursday 11
|888 Poker (6.30pm)
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|Katrina Caton (5.30pm) & 2 In The House - Rob Pippan Duo (8.30pm)
|Saturday 13
|Denis Ferraro (5.30pm) & Boris Loves to Boogie (8.30pm)
|Monday 15
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|Tuesday 16
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|Thursday 18
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|Friday 19
|Paul Smith (5.30pm) & Two Hard Basket (8.30pm)
|Saturday 20
|Franky F (5.30pm) & One Planet (8.30pm)
|Sunday 21
|Sunday Jazz: Luke Thompson Quartet (2pm)
|Monday 22
|888 Poker (6.30pm)
|Tuesday 23
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|Thursday 25
|Franky F Christmas Lunch (12 midday)
|Saturday 27
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|Monday 29
|888 Poker (6.30pm)
|Tuesday 30
|Tuesday Trivia (7pm)
|Wednesday 31
|NYE Grease Party with Two Hard Basket (from 9pm)


text:
I thought this would be alright on my skin since it was natural but it gave me terrible rashes. ARGH
I tried the deoderants at LUSH only to have fire pits that I am JUST now recovering from. Saw this at the grocery store and decided to try. I got the non-scented version. It does help with BO BUT I find I need to reapply during the day or go over it during the day with another non-scented deoderant (I've been using Secret). It's not bad, but I want a deoderant that keeps the BO at bay and I don't have to constantly try to do the 'sniff test' and have to reapply. The search continues....
1 out of 1 people found this review helpful. Did you? Yes No
I don't often wear deodorant because a) I don't really need it, b) lazyness, c) hate the smell of most deodorants. But I do wear it every once in a while in the summer when its ridiculously hot outside, and I know I'm gonna sweat like a mofo...Or, when I'm working..I'm a waitress, and I often have to get pretty close to the clients (armpit is basically in the vicinity of their faces when I'm reaching over to fill a glass or whatever) and the last thing I'd want is to have B.O! I don't wear antiperspirant because the idea of blocking my sweat freaks me out..Anyhow, this stuff works great in keeping me fresh, I use the calendula scent (smelled weird in the tube but its actually nice once on.) Sometimes when I don't shower at night, I wake up in the morning still smelling the deodorant, so it definitely lasts on me, though its definitely not an overpowering scent. Its the only tube I managed to finish...took a year and a half...and believe me, I've been to some smoking hot places!
Smells good, and it's all natural...but that's about as far as the goodness of this product goes. I have stopped using regular deodorants and switched to all natural ones without any aluminum/unhealthy chemicals in them. This one (I got in Lavender) smelled lovely, but when applied was simply terrible. It went on sort of slimy and didn't dry on my armpits, so I just had to put my clothes on with it wet/sticky on my armpits. It also did nothing to prevent any odor, I would have been better off not wearing any deodorant at all because I still had as much body odor, but it simply mixed with the scent of this deodorant, which was far worse than the body odor on its own. Obviously it's not meant to be an antiperspirant so I wasn't expecting it to stop any sweat, but it felt like it made me sweat even more.
I've switched to the Crystal Roll-On Deodorant and that works like a charm.
More reviews by makeupjunkie35
I agree with another reviewer...Yukkerzzz! I gave two stars being that this is natural and does not contain Aluminum Chlorohydrate. But other than that, using it was not a good experience! I tried several versions of it including the Long-Lasting one, and had slimy wet underarms all day. I ended up stinking at work! I now use organic deodorant from JASON Natural Cosmetics in Tea Tree scent, and it is awesome! I will not repurchase this one.
1 out of 1 people found this review helpful. Did you? Yes No
Ugh! I hated this stuff. I bought this because my dad said that antipersperant has aluminum in it and blah blah blah. So I picked out the lemongrass one and it smells pretty good but unfortunately, it makes me smell so bad. It doesn't do anything to mask the odor of b.o. I smelled so bad with this stuff. Even if I took a shower and put it on right afterward, I would smell so bad within an hour. And I never ever smelled like b.o. before I used this deoderant. Maybe it messed around with my body chemistry or something but it is just terrible. I'm just gonna stick to using my certain dri. Please, whoever is reading this, don't buy it! lol
Eww... sticky texture. It has a weird sourish lemon-tang smell to it even though it's supposed to be honeysuckle rose. Waste of money, I don't even care if it covers up body odor because I think it smells gross right out of the container.
It does work on me though, 8 hours later, I don't smell any body odor, it smells exactly the same as when I first put it on (which I still don't like :p) My underarms are still tacky from the stick, but not moist.
I much prefer the Jason tea tree deodorant stick- the smell is better, texture is smoother- not sticky, and it works just as well.
didn't work. the smells were great but I smelled like B.O. after an hour literally and I don't even sweat that much. I've switched to arm and hammer's natural version in fresh and it def. does the trick. will not be repurchasing this one tho
This stuff smelled great but unfortunately, was useless. Worked better as a perfume than as a deodorant. Should really be discontinued, it truly awful. The packaging is pretty and it didn't irritate my sensitive skin though. I would not buy this again.
This is the worst deodorant I have ever used! I read about scientists finding that the aluminum in anti-antiperspirants could be linked to breast cancer, so I began searching for good natural deodorants. This one was so terrible; I was smelly about an hour after application, and I'd never been a sweaty or stinky person to begin with. I really wanted to like it, so I tried using it for a week or so, but over and over I had that embarrassing b.o. just a couple hours after application, so I decided that I'd had enough of this deodorant. I will continue to look for a natural deodorant that works for me, but this one was definitely a thumbs down.


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Homemade Chicken Potpie >
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Homemade Chicken Potpie
Why look for potpie in the frozen food aisle when this easy, homemade version tastes much better? Under its golden-brown crust, you'll find the ultimate comfort food for kids and adults. —Amy Briggs, Gove, Kansas
6 Servings
Prep/Total Time: 30 min.
2 tablespoons canola oil
1 medium onion, chopped
1/2 cup all-purpose flour
1 teaspoon poultry seasoning
1 can (14-1/2 ounces) chicken broth
3/4 cup 2% milk
3 cups cubed cooked chicken
2 cups frozen mixed vegetables (about 10 ounces), thawed
1 sheet refrigerated pie pastry
Preheat oven to 450°. In a large saucepan, heat oil over
medium-high heat. Add onion; cook and stir until tender. Stir in
flour and poultry seasoning until blended; gradually whisk in broth
and milk. Bring to a boil, stirring constantly; cook and stir 2-3
minutes or until thickened. Stir in chicken and vegetables.
Transfer to a greased 9-in. deep-dish pie plate; place pastry sheet
over filling. Trim, seal and flute edges. Cut slits in pastry. Bake
15-20 minutes or until crust is golden brown and filling is bubbly.
Yield: 6 servings.
© Taste of Home 2014


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John helps with the preservation effort of the John Coltrane home in Dix Hills, NY.
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Date: 1940 ca.
Description: Exterior view of the Centenary Methodist Episcopal Church and parsonage, built in 1867.
Date: 1910 ca.
Description: Exterior view of the Centenary Methodist Episcopal Church, built in 1867.
Date: 1852 ca.
Description: A sixth plate daguerreotype of Azel Parkhurst Ladd (1811-1854). Ladd was the Wisconsin state superintendent of public instruction in 1852. Oval framed quar...
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Description: Exterior view of the Copeland Mine. Entry building, with tram tracks suspended high on scaffolding and piles of rocks below.
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Date: 1900 ca.
Description: View of the Gratiot homestead at Gratiot's Grove Site.
Description: View down middle of street, with pedestrians and storefronts lining both sides. There is a meat market on the left. Automobiles are parked along the curb.
Description: Exterior view of St. Mathew's Church.
Description: Ruins of the Old Mill, a stone building which has no roof and is missing window glass. Behind on the left is an abandoned shed.
Date: 1946 ca.
Description: Exterior view of a farmhouse in the vicinity of Shullsburg, "typical of early stone houses in southwestern Wisconsin."
Description: Exterior view of the Shullsburg Brewery with a car parked in front of the building.
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Description: A team of two horses with a wagon, and a Farmall Regular tractor, stand next to farmers as they use a corn husker shredder outside a barn, possibly on the...
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text: 500 pts Celebrity Trivia <KYSS Corral Which pop singer recently got some more tattoos? Click here to see the answer. Sign in to Participate Category: Trivia Ends: Saturday November 2 at 9:59PM MDT Visit our sponsor: Click here to see the answer. Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! More Ways To Get and Use Points Win the New Garth Brooks CDKarl Tyler Winter Prize PackageWhat Restaurant Does Missoula Need?Billy and Charene KYSS KeywordKYSS KeywordKYSS 4:30 Code Word


text:
Scedosporium apiospermum keratomycosis in a dog
Article first published online: 20 MAR 2012
DOI: 10.1111/j.1463-5224.2012.01012.x
© 2012 American College of Veterinary Ophthalmologists
Veterinary Ophthalmology
Volume 15, Issue 6, pages 417–420, November 2012
Additional Information
How to Cite
Newton, E. J. W. (2012), Scedosporium apiospermum keratomycosis in a dog. Veterinary Ophthalmology, 15: 417–420. doi: 10.1111/j.1463-5224.2012.01012.x
Publication History
- Issue published online: 2 NOV 2012
- Article first published online: 20 MAR 2012
- Abstract
- Article
- References
- Cited By
- canine;
- cornea;
- eye;
- keratomycosis;
- Scedosporium;
- voriconazole
A 6-year-old male castrated Norfolk Terrier dog was examined following a 21-day history of an increasingly painful eye. Examination revealed marked blepharospasm and purulent ocular discharge associated with an ulcerative keratitis. There was panstromal corneal opacity with raised gray to white lesions. Corneal cytology demonstrated branching septate fungal hyphae identified by polymerase chain reaction as Scedosporium apiospermum. Treatment with topical 1% voriconazole solution was successful in resolving the keratomycosis.


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St. Andrew the Apostle
Prayer Cards
St. Genevieve was born about the year 422, at Nanterre near Paris. She was seven years old when St. Germain of Auxerre came to her native village on his way to great Britain to combat the ... continue reading
St. Jerome, who was born Eusebius Hieronymous Sophronius, was the most learned of the Fathers of the Western Church. He was born about the year 342 at Stridonius, a small town at the head ... continue reading
St. Elizabeth was born in Hungary in 1207, the daughter of Alexander II, King of Hungary. At the age of four she was sent for education to the court of the Landgrave of Thuringia, to whose ... continue reading
In the fourth century appeared a Greek religious romance on the Loves of Cecilia and Valerian, written, like those of Chrysanthus and Daria, Julian and Basilissa, in glorification of the virginal ... continue readingMore Saint of the Day
When she was 56, Angela Merici said "No" to the Pope. She was aware that Clement VII was offering her a great honor and a great opportunity to serve when he asked her to take charge of a religious order of nursing sisters. But Angela knew that nursing was not what God ... continue readingMore Female Saints
St. Michael the Archangel - Feast day - September 29th The name Michael signifies "Who is like to God?" and was the warcry of the good angels in the battle fought in heaven against satan and his followers. Holy Scripture describes St. Michael as "one of the chief ... continue reading
The name Gabriel means "man of God," or "God has shown himself mighty." It appears first in the prophesies of Daniel in the Old Testament. The angel announced to Daniel the prophecy of the seventy weeks. His name also occurs in the apocryphal book of Henoch. He was the ... continue reading
Pictures of St. George usually show him killing a dragon to rescue a beautiful lady. The dragon stands for wickedness. The lady stands for God's holy truth. St. George was a brave martyr who was ... continue reading
Pope from 1566-1572 and one of the foremost leaders of the Catholic Reformation. Born Antonio Ghislieri in Bosco, Italy, to a poor family, he labored as a shepherd until the age of fourteen and then ... continue reading
By Deacon F.K. Bartels
St. Teresa's whole life is one of simple beauty and fervent purpose; it is a life contained in Christ. She shows us how to live the same way through Prayer.On reading from St. Teresa, a deep feeling of her love for His Majesty envelops us; we begin, in a very real, ... continue readingMore Christian Saints & Heroes


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Sturgill Simpson Fitzgerald's November 16, 2014 Artists like Sturgill Simpson don't come along very often, but they do show up enough to prevent those of us who contend we love "real" country music from truly despairing. But honestly, what does that even mean anymore? In an age dominated by Florid ... More >>
Steve Fromholz, who witnessed the flowering of the Austin music scene in the early '70s and for many folks became the official face of Texas country music for his Tex-centric "Texas Trilogy," died of an accidental gunshot wound Sunday. According to numerous reports, Fromholz, 68, was on a feral hog ... More >>
Steve Earle & the Dukes, The Mastersons Stafford Centre for the Performing Arts April 25, 2012 After three decades of music, mischief and critical accolades, it might come as a surprise to some to find Steve Earle performing at the relatively out-of-the-way (by Inner Loop standards) Centre for the ... More >>
Veteran Nashville songwriter Mark Germino will be making a rare Houston appearance tonight at Anderson Fair. The last time Germino played there, no less a fan than Steve Fromholz drove over from Austin to catch the show. A songwriter's songwriter, Germino is one of the most revered writers in the ... More >>
Saturday, January 21, at Anderson Fair, 2007 Grant, 713-528-8576.


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This is one of Jeanne Lemlin's recipes (from her wonderful cookbook "Quick Vegetarian Pleasures") that I have adapted a little to my taste. It is one of my favorite quick and healthy weeknight meals. It tastes good with or without the sour cream, and also is good with a sprinkling of cheddar cheese on top. It makes great leftovers and is good for work lunches.
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Skipping the Black Friday crowds doesn't mean you have to miss out on the best deals. Lots of hot tech products are going on sale on Cyber Monday. We're tracking them all here.
Microsoft and CNET's The 404 Show are teaming up to give one lucky winner the Call of Duty Advanced Warfare 1TB bundle! Enter for your chance to win* now!
The game is this year's biggest entertainment launch, according to Activision, though the company didn't say how much the game has generated in sales since its early November release.
Latest game in the popular franchise blocks the Share Play feature on Sony's PlayStation 4, which is supposed to let friends share games over the Internet.
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We're back in the studio today! Join us for a very special episode complete with a full tour and the start of our Call of Duty: Advanced Warfare Xbox One bundle!
We're back in the studio today! Join us for a very special episode complete with a full tour and the start of our Call of Duty: Advanced Warfare Xbox One bundle!
The player-matchup issues in the new Halo: The Master Chief Collection have been partially resolved on the back end, but the developer promises an update to fully patch the problem.
Insecam shows how easy it is to tap into home-security webcams, Apple offers tool to de-register numbers from iMessage, and the new Call of Duty blocks Share Play on Sony's PlayStation 4.


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quick linksCURRENT ISSUE PREVIOUS ISSUES NEWS INDUSTRY NEWS COLUMNISTS BROWSE EDITORIAL TOPICS WEBINARS
resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Understanding Epigenetics
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Industry News for American Massage Therapy Association
[Company Directory | Previous | Next ]
AMTA Recaps Successful National Convention
AMTA Convention in Ft. Worth, TX Highlights
Consumer Awareness Program, Affordable Care Act & Massage, Special Awards, Donation to Foundation
Association Creates Bob King Student Scholarship
Featuring a video review of its ongoing consumer awareness program, an inspiring keynote speaker and a panel of experts on health care integration, the American Massage Therapy Association® (AMTA®) national convention brought together some 1,300 participants from September 25 to 28 in Ft. Worth, Texas. The association also announced it has named its Student Scholarship in honor of Bob King, and presented a ceremonial check for $450,000 to the Massage Therapy Foundation.
Attendees had access to more than 35 continuing education classes featuring special programming options for students, teachers and researchers; and, they were able to enjoy the products and services of a wealth of exhibitors in the AMTA Exhibit Marketplace. They also could follow convention events through the AMTA iPhone and Android app designed to help them find their way around the convention.
The opening session of the convention included a video presentation on the association's commitment to increasing consumer awareness of the health benefits of massage therapy. Since it began its media relations program in May 2012, the association has reached hundreds of millions with its information. This year, the AMTA Massage Therapy Tour and targeted advertising engaged 20 metropolitan areas in 14 states, reached an audience of 46 million potential clients, and worked with nearly 100 member volunteers.
AMTA President Winona Bontrager announced that just days before, the AMTA Board of Directors had voted to name its Student Scholarship in honor of the late Bob King, a former AMTA national president and pioneer in the education of massage therapists. In her presentation of the ceremonial check to the Massage Therapy Foundation, Bontrager reinforced AMTA's commitment to be the primary benefactor of the foundation, reflecting AMTA's own research goals.
Keynote speaker Doc Hendley spoke to the power of pursuing your passion to overcome obstacles and staying focused on serving others. His amazing story of changing his life to bring fresh water to poor people throughout the world moved the audience, especially when he acknowledged that massage therapists already have decided their work is about helping people feel better.
AMTA continued its very successful Student Day program, with more than 200 students attending information sessions on planning for their careers and learning good business practices. More than 30 students from Missouri traveled overnight by bus to attend the daylong activities. This included students visiting the exhibit hall and interacting with experienced massage therapists throughout the day. Many of the students had opportunities to talk with the authors of their textbooks, making their visit especially exciting.
During the convention, the association's House of Delegates approved a position statement to express AMTA's view on how a growing body of research indicates the value of massage for anxiety.
A special convention closing session focused on the meaning of the Affordable Care Act for massage therapists. Four nationally-recognized experts on Medicare, insurance reimbursement, legal implications of the Act and how integrative therapies are impacted provided a 2 ½ hour continuing education class on the subject.
AMTA Recognizes Volunteers
The Awards Ceremony for AMTA volunteers is an important part of the opening session of the annual convention, as individuals and chapters are recognized for their outstanding contributions to the association and the profession. The Distinguished Service Award was given to Lori Keith of New Jersey. She was especially recognized for her dedication and commitment to serving AMTA members and for her special efforts after Hurricane Sandy.
Rick Rosen of North Carolina was recognized with the President's Award. Also receiving recognition for 30 years as an AMTA member, Rosen was acknowledged for all he has contributed to the massage therapy profession.
Other individual award recipients include:
Rick Garbowski (GA) – Jerome Perlinski Teacher of the Year
Xerlan Deery (PA) – Mentor of the Year Award
Richard Lomeli (CA) – Sports Massage Achiever Award
Michaele Colizza (RI) – Humanitarian Award
Scott Raymond (CT) – Government Relations Activist Award
John Combe (OR) – National Meritorious Award
A complete list of individual and chapter award recipients will be available soon on the AMTA website at www.amtamassage.org.
AMTA members convene for their convention each year for educational workshops, information about current research on the efficacy of massage, association business meetings and a tradeshow. All massage therapists, massage therapy educators and students are welcome. The AMTA 2014 national convention will be held in Denver, Colorado September 17-20.
October 20-26, 2013 is AMTA's annual National Massage Therapy Awareness Week®, which promotes information on the benefits of massage therapy and the professionalism of AMTA members to the public.


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User Score
Generally favorable reviews- based on 71 Ratings
User score distribution:
Positive: 66 out of 71
Mixed: 2 out of 71
Negative: 3 out of 71
Review this movie
Jun 6, 2014I would never know about the "Irish Hunger Strike" in 1981. The terms "The Maze" or "The Troubles" would have been unknown to me if I didn't see the movie. For 38 years there had been many conflicts between the British and the Irish in the Northern Ireland since 1960. These conflicts are widely known as "The troubles". And "The Maze" is a prison situated in the Northern Ireland, where Irish paramilitary agitators were kept imprisoned. The prisoners started "Blanket" and "No Wash" movement as the political status of those prisoners had been revoked. For these agitations they are brutally tortured by the British Government. But never gave up. Their leader Bobby Sands (Fassbender) started "The Hunger Strike" willing to accept the consequence of this deadly strike!
Prison officer Remond Lohan cannot recognize himself in the mirror. The bruises on his wrists are humiliating him in every second. He is looking around for any rioter nervously. He is searching underneath his car if it is booby-trapped. That worried face of his wife says it all how a day of a prison Maze officer is elapsed. They have to be something else for doing what they do. They are not proud of what they do. They pretend to be happy and normal with their chitchat and jokes, but they are not.
The script which is based on a true story is co-written by Enda Walsh and Steve McQueen. I liked the story very very much. As director Steve did a great job. He was as precise as possible. He never tried to overstate or understate things. The screenplay is simply artistic. The cinematography is also commendable.
For me the is the best work of Fassbender. He pushed his limit for this work. His sacrifice and hard work for this movie is exemplary. Every artist did a fine job with their character.
Many renowned critics praised this movie and had it on their top 10 lists in the year 2008. But the movie is not as popular as it should have been. But the movie is not as popular as it should have been. It is because of its slow story development. But if someone starts to watch the movie for a while he will find himself lost in the movie. So the viewer should be patient and matured enough to understand the depth and appeal of the story.
The Verdict: I simply cannot express the caliber of this masterpiece in words. But I tell you this, if you want to know about devotion, about freedom, about sacrifice, watch this movie.
Reviewer Rating: 5/5… Expand
Dec 25, 2010Harrowing, irreverent, fearless, virtuosic, inimitable, beautiful, unforgettable. Steve McQueen shows himself a true artist; in the hands of a more experienced director, this could have been a film with more technical proficiency and a screenplay that obeyed the traditional laws of character arc and continuity, and as such, would have been another above-average movie about the Irish Troubles to throw on the pile. Cheers to McQueen for having the balls to make the movie he wanted. It's great.… Expand
Aug 27, 2010With "Hunger" - the harrowing vision of 1981 prisoner protests in Northern Ireland - Steve McQueen reminds us that art isn't confined to elegance and beauty, but can be as brutal and revealing as the darkest of reality. That being said, the movie is difficult to watch at times, but then again the questions it raises are even more difficult to answer - How far can a person push their limits through shear determination? If there is a God, how would he judge this self-deprecation for a greater good? Rather than trying to preach us an answer to these, the movie simply shows the events as they unfolded, all through a stunningly provocative camera lens.… Collapse
The fulcrum of this deeply humanist work is an extended two-shot of the strike's leader, Bobby Sands (Michael Fassbender), as he converses with a priest (Liam Cunningham); the virtuosic sequence encapsulates the whole sorry history of a horrific civil war.
While Hunger is a very brutal film, it also taps into human emotions and, in the end, asks what would we be willing to die for or, better, what could we truly not live without?


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Fugitive lip biter arrested in California
Nov 6, 2014
Jonathan E. Benedict
Oct 30, 2014
Darrell W. Cook
Oct 2, 2014
Michael Polchies
Sep 25, 2014
Home » News » Crime
Soltani questions police chief, presents witnesses
Thursday's testimony in Merrimack County Superior Court came from witnesses called by the defense.
Soltani is charged with felony reckless conduct and misdemeanor disorderly conduct. He is accused of pursuing a Mercedes, which took off after officer James Kear stopped it on Route 4 in Epsom. Kear was chasing the Mercedes and Soltani's Dodge Neon was initially in third position as the vehicles sped around the Epsom traffic circle and headed south on Route 28.
Soltani is accused of driving south in the northbound lane at high speed, forcing northbound vehicles to take evasive action as he drove alongside the Mercedes.
Acting as his own attorney, Soltani swung from what appeared to be righteous anger to patient but repetitive questioning of witnesses, including Epsom Police Chief Wayne Preve and Sgt. Brian Michael, two men who served with Soltani in the State House, a former Epsom selectman, a bail commissioner and a Weare Police Lieutenant who has known Soltani since he was the Weare prosecutor.
Soltani claims his arrest was in retaliation for his making a complaint about Kear, who Soltani says came to Soltani's home the previous night looking for a runaway, was rude to Soltani's mother and entered the house's basement to retrieve the girl after Soltani's mother denied him entry at the front door.
Soltani said to Preve: "I told you it was time to clean up the police department."
Preve said he recalled the phone conversation differently. He said he called Soltani to inquire about a cellphone left at the house the previous night and had to leave a message.
When Soltani called back, Preve said, they talked about the cellphone and Soltani spoke about Kear's behavior.
Soltani asked Preve if he remembered him saying, "Officer Kear should not be a police officer in New Hampshire, especially Epsom." Soltani said he also told Preve that Kear should be in a foreign country "someplace where he could kill people and get away with it."
Preve said he didn't remember the conversation exactly that way, but Soltani said his complaint was grounds for an internal investigation.
Soltani pressed Michael about whether he did a follow- up investigation of Soltani's arrest, but Michael said once he determined that Soltani was arrested, his job was to gather reports and pass them on to the Hillsborough County Attorney's office, to avoid any possible conflict of interest for the Merrimack County Attorney, which would have normally handled such a case.
Soltani kept asking Michael if he was in charge of the follow-up investigation and Michael kept giving the same answer: the investigation was turned over to the Hillsborough County Attorney.
Soltani began waving his arms and pacing up and down in front of the jury. "Nothing else to be done," he told the jurors.
Soltani's character witnesses included State Rep. Frank Sapareto, R-Derry, and Lee Quandt, R-Exeter.
Sapareto said: "He's eccentric." But added: "He always wants to do the right thing." Sapareto said: "He saw a crime being committed. He tried to do the right thing."
Soltani is scheduled to take the stand when the trial resumes Tuesday morning.
- Police say hit-and-run driver was observed tossing beer cans from car - 0
- Police say woman stole pocketbook at Hudson Market Basket - 0
- Police say former manager of Hudson McDonald's stole $10k from restaurant - 1
- Manchester man facing two aggravated felonious sexual assault charges - 0
- State police OK to search cell phone to locate suspect who bit trooper - 0
- Ferguson: Eyewitness testimony underscores challenge grand jury faced - 0
- Mass. man charged with kidnapping - 0
- Keene Pumpkin Festival issues to get full airing Tuesday - 1
- Driver charged after man falls off car's hood - 1
Police say Franklin man and woman facing charge of attempted prostitution of a minorREADER COMMENTS: 0
- Police investigating death of 3-year-old girl in Nashua - 2
- One killed in Wednesday morning crash on I-89 in Warner - 0
- City championship on the line Thanksgiving Day - 0
- Your Turn, NH -- Mike Moffett: Republicans can win in 2016 with Kasich at the top of the ticket - 3
- On being American: A point for reflection - 1
- Charles Arlinghaus: 'Tis the season for budget games and gimmicks - 0
- Rymes takes over for Fuller, deliveries start Wednesday - 1
- Manchester school exec contract squeaks by - 6
- Dartmouth gets 10 picks on All-Ivy team - 0
Rymes is ready to roll following Fred Fuller purchaseREADER COMMENTS: 0
Manchester school exec contract squeaks by
Pipes and plans: A chance to show up Mass.
Your Turn, NH -- Mike Moffett: Republicans can win in 2016 with Kasich at the top of the ticket
On being American: A point for reflection
- Whom do you think bears the brunt of the blame for the mayhem this weekend in Keene?
- KSC students
- 37%
- KSC administration
- 2%
- Police
- 6%
- Visitors from out of town
- 18%
- A combination of any/all of the above
- 37%
- Total Votes: 2483


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Results 31 - 40 of 50 : Previous 1 2 3 4 5 Next
3 Big Obstacles to Early Retirement
Do you want to retire early? Here are three things you need to take into consideration.
The Social Security Decision You Might Regret
No decision is more important to your financial well-being in your golden years than your answer to this one question. Don't blow it.
3 Ways to Make Money Off Your Home in Retirement
Your house is an asset that can help pay for your retirement in a number of ways.
Don't Let Social Security Overpayments Come Back to Haunt You
There seems to be little downside to getting larger Social Security benefits than you're entitled to. However, that money will eventually have to be paid back.
Social Security in 2015: 5 Things to Prepare For Next Year
As 2014 approaches its end, it's time to take stock of the primary source of income for millions of Americans in retirement.
3 Social Security Myths You Can't Afford to Believe
Don't get tricked by these common misconceptions about Social Security.
Medicare Recipients Celebrate Premium Freeze, But Will It Last?
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Kurt Angle Injury Update, TNA Referee Sells Attack, Bully Ray News
by Staff - September 17, 2012
- Kurt Angle posted an injury update on his Twitter, writing, "Hey Friends, Sorry I Havent Much. I Am Not Injured as badly as You Have Heard. I Will Continue Wrestling As Planned. Miss U all. Much Love"
– Bully Ray will be appearing on Zakk Wylde's Wylde on Sports weekly talk show tomorrow night. The show airs from 9-11pm ET on XM channel 87 and Sirius channel 210.
– Brian Hebner is selling Matt Morgan attacking referee Brian Stiffler at last night's live event in Wilkes-Barre, PA. Here is what he wrote on his Twitter.
"Want to wish @BrianStiffler a speedy recovery!! @BPmattmorgan came in the ring and took his head off and now Stiffler has jaw damage!! @IMPACTWRESTLING must do something to make our work conditions safer for the ref's! @BPmattmorgan doesn't need to mess w/us! Go back home!! Last thing I'll say to @BPmattmorgan . I have lost all respect for you!! Don't know what your trying to prove, but taking out a defenseless Referee is pretty low of you to do!That could have been me, or @TheEarlHebner !! We always gave you respect so were is yours?? Your point?"
|CM Punk Interview: Says He's Done With WWE, Speaks About Why He Left, Talks With Vince & HHH, Lots More
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|Backstage News on Sting's WWE Debut, WWE's Big Goal with Survivor Series and the Network


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Makoul, Gregory PhD
Gregory Makoul, PhD, director of the Program in Communication and Medicine at Northwestern University Medical School, provided leadership in the writing process.
Correspondence and requests for reprints should be addressed to the Bayer Institute for Health Care Communication, 400 Morgan Lane, West Haven, CT 06516; e-mail: 〈firstname.lastname@example.com〉.
The Bayer—Fetzer Conference on Physician—Patient Communication in Medical Education was held May 11–14, 1999. The Bayer Institute for Health Care Communication is a non-commercial, nonprofit, organization whose mission is to improve health through education, research, and advocacy in the area of clinican—patient communication. The Fetzer Institute is a nonprofit, private operating foundation that supports research, education, and service programs exploring the integral relationships among body, mind, and spirit. The conference site was Seasons, A Center for Renewal, owned and operated by the Fetzer Institute, in Kalamazoo, Michigan.
This consensus statement reflects the views of the conference participants; it does not necessarily imply endorsement by their institutions or associations.
Participants in the Bayer—Fetzer Conference on Physician—Patient Communication in Medical Education
The conference participants are listed in a box at the end of the text.
In May 1999, 21 leaders and representatives from major medical education and professional organizations attended an invitational conference jointly sponsored by the Bayer Institute for Health Care Communication and the Fetzer Institute. The participants focused on delineating a coherent set of essential elements in physician—patient communication to: (1) facilitate the development, implementation, and evaluation of communication-oriented curricula in medical education and (2) inform the development of specific standards in this domain. Since the group included architects and representatives of five currently used models of doctor—patient communication, participants agreed that the goals might best be achieved through review and synthesis of the models. Presentations about the five models encompassed their research base, overarching views of the medical encounter, and current applications. All attendees participated in discussion of the models and common elements. Written proceedings generated during the conference were posted on an electronic listserv for review and comment by the entire group. A three-person writing committee synthesized suggestions, resolved questions, and posted a succession of drafts on a listserv. The current document was circulated to the entire group for final approval before it was submitted for publication. The group identified seven essential sets of communication tasks: (1) build the doctor—patient relationship; (2) open the discussion; (3) gather information; (4) understand the patient's perspective; (5) share information; (6) reach agreement on problems and plans; and (7) provide closure. These broadly supported elements provide a useful framework for communication-oriented curricula and standards.
A growing emphasis on physician—patient communication in medicine and medical education is reflected in international consensus statements,1,2 guidelines for medical schools,3–6 and standards for professional practice and education.7–12 In May 1999, with work in these areas and related research13–17 as a backdrop, 21 people from medical schools, residency programs, continuing medical education providers, and prominent medical educational organizations in North America convened for three days in Kalamazoo, Michigan, for the Bayer—Fetzer Conference on Physician—Patient Communication in Medical Education. The aim of this invitational conference was to identify and specifically articulate ways to facilitate communication teaching, assessment, and evaluation.
The group used an open-ended, iterative process to identify and prioritize topics for discussion. A major topic of interest to the entire group was delineating a set of essential elements in physician—patient communication. Participants expressed three goals for the discussion:
1. Reaching consensus on a "short list" of elements that would characterize effective communication in several clinical contexts.
2. Providing tangible examples of skill competencies that would be useful for licensing bodies, organizations that accredit medical schools and residency programs, and directors of medical education programs at all levels.
3. Ensuring that the product generated by the group would be evidence based and appropriate for teaching, assessment, and evaluation.
Since the group included architects and representatives of five currently used models of doctor—patient communication, participants agreed that the goals might best be achieved through review and synthesis of the models' essential elements. Toward that end, brief presentations were delivered about each of the five models:
* Bayer Institute for Health Care Communication E4 Model18
* Three Function Model/Brown Interview Checklist19
* The Calgary—Cambridge Observation Guide20
* Patient-centered clinical method21
* SEGUE Framework for teaching and assessing communication skills22
Each presentation included an explicit description of the model, encompassing its research base, overarching views of the medical encounter, and current applications. After discussion of the models, attendees from the Accreditation Council for Graduate Medical Education (ACGME), the CanMEDS 2000 Project, the Educational Commission for Foreign Medical Graduates (ECFMG), and the Macy Health Communication Initiative provided information about their efforts to develop criteria for teaching and evaluating physician—patient communication. The group then began looking for commonalities among the models as well as points of departure. This process was enriched by the number and diversity of organizations represented by conference participants.
Consensus on the essential elements of physician—patient communication was reached by using the three goals outlined above to guide and ground discussion. The group's perspective on essential elements is consistent with the task approach, a concept that has been well supported in communication skills teaching since the early 1980s.3,18–25 As noted by Makoul and Schofield,2 "focusing on tasks provides a sense of purpose for learning communication skills. The task approach also preserves the individuality of [learners] by encouraging them to develop a repertoire of strategies and skills, and respond to patients in a flexible way."
By identifying specific communication tasks, the group worked to highlight behaviors that are embedded in existing consensus statements, guidelines, and standards. While the list is by no means exhaustive, the intent was to make it easier for people working in this area to identify not only the key tasks, but the relevant knowledge, skills, and attitudes as well. References for the supporting research are listed and discussed in a number of texts.20,21,23–28
A strong, therapeutic, and effective relationship is the sine qua non of physician—patient communication.29,30 The group endorses a patient-centered, or relationship-centered, approach to care, which emphasizes both the patient's disease and his or her illness experience.31,32 This requires eliciting the patient's story of illness while guiding the interview through a process of diagnostic reasoning. It also requires an awareness that the ideas, feelings, and values of both the patient and the physician influence the relationship.2,15,33 Further, this approach regards the physician—patient relationship as a partnership, and respects patients' active participation in decision making.34–36 The task of building a relationship is also relevant for work with patients' families and support networks. In essence, building a relationship is an ongoing task within and across encounters: it undergirds the more sequentially ordered sets of tasks identified below.
* Allow the patient to complete his or her opening statement
* Elicit the patient's full set of concerns
* Establish/maintain a personal connection
* Use open-ended and closed-ended questions appropriately
* Structure, clarify, and summarize information
* Actively listen using nonverbal (e.g., eye contact) and verbal (e.g., words of encouragement) techniques
* Explore contextual factors (e.g., family, culture, gender, age, socioeconomic status, spirituality)
* Explore beliefs, concerns, and expectations about health and illness
* Acknowledge and respond to the patient's ideas, feelings, and values
* Use language the patient can understand
* Check for understanding
* Encourage questions
* Encourage the patient to participate in decisions to the extent he or she desires
* Check the patient's willingness and ability to follow the plan
* Identify and enlist resources and supports
* Ask whether the patient has other issues or concerns
* Summarize and affirm agreement with the plan of action
* Discuss follow-up (e.g., next visit, plan for unexpected outcomes)
This outline of essential elements in effective physician—patient communication provides a coherent framework for teaching and assessing communication skills, determining relevant knowledge and attitudes, and evaluating educational programs. In addition, the outline can inform the development of specific standards in this domain. Most of the elements included in this document are present in each of the five models examined during the process of consensus building. A major strength of the outline is that it represents the collaboration and consensus of individuals with a variety of backgrounds and interests in medical education. Further, the basic outline can be tailored to meet the needs of different specialties, settings, and health problems. Conscientious efforts to address these essential elements across practice settings will help increase the efficiency and effectiveness of physician—patient communication,37 enhance patient and physician satisfaction,38,39 and improve health outcomes.40
Assistant Professor of Emergency Medicine, Oregon Health Sciences University; member of Society for Academic Emergency Medicine
Professor of Family Medicine and Psychiatry, University of Rochester School of Medicine; member of Society of Teachers of Family Medicine; Advisory Council, Bayer Institute for Health Care Communication
Associate Professor of Family Medicine, Case Western Reserve University School of Medicine; Director of Curriculum and Faculty Development at Case Western for the Macy Health Communication Initiative
Assistant Vice President, Division of Medical Education, Association of American Medical Colleges
National Director, Educational and Partnerships Division, Veterans Affairs Learning University; Associate Professor of Family Medicine, Case Western Reserve University School of Medicine
Associate Director, Clinical Education and Research, Bayer Institute for Health Care Communication; Adjunct Professor of Psychiatry, Brown University School of Medicine
Associate Director, Clinical Education and Research, Bayer Institute for Health Care Communication; Assistant Clinical Professor of Medicine and Psychiatry, Yale University School of Medicine
Director, Standardized Patient Project, National Board Medical Examiners
Professor of Communication, Faculties of Medicine and Education, University of Calgary
Head, Division of Education, Cancer Care Ontario; Advisory Council, Bayer Institute for Health Care Communication
Vice Chair, Department of Family Medicine, East Tennessee State University; member of Society of Teachers of Family Medicine
Faculty of Medicine, McGill University; member of Association of Canadian Medical Colleges
Associate Professor and Director, Program in Communication and Medicine, Northwestern University Medical School
Director, Pediatric Medical Student Education, Columbia University School of Medicine; Council on Medical Student Education in Pediatrics
Professor of Medicine and Associate Dean for Education, Medical College of Pennsylvania Hahnemann School of Medicine; member of American Academy on Physician and Patient
Clinical Instructor in Pediatrics and Instructor in Medical Education, Harvard Medical School; Office of Educational Development, Harvard Medical School
Director, Division of Graduate Medical Education, American Medical Association
Vice President for Education, Fetzer Institute
Director of Research, Accreditation Council for Graduate Medical Education
Professor of Family Medicine, University of Western Ontario; member of College of Family Physicians of Canada
Vice President for Clinical Skills Assessment, Educational Commission for Foreign Medical Graduates
This article has been cited 150 time(s).
© 2001 Association of American Medical Colleges
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OLYMPIA — Stop me if you've heard this one: The House general operating fund budget for the 2011-13 biennium will be released Monday.
That's the rumor, which is pretty much the same rumor floating around last Friday afternoon, except that last Friday afternoon when that was said, folks meant Monday of this week, as in four days ago.
House Ways and Means Committee Chairman Ross Hunter, D-Medina, was purposefully vague today when asked about the timing.
"We have to have the votes and I'm still working it very hard," he said when queried by reporters in the wings of the House chamber. "I'm not saying when it will come out because I don't know. Typically it comes out on a Monday…I do not know when when I'm releasing it."
Releasing the budget on Monday would likely mean hearings later in the week, on days when labor unions, social workers, and faith-based groups plan to stage a series of protests in the Capitol demanding something that the spending plan almost certainly will not have:
Closing some tax exemptions as a way of increasing state revenue rather than cutting programs to close the budget gap.
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Home » Local Voices » Publisher's Notes
Joe McQuaid's Publisher's Notebook: The grandson also rises
This sounds to me suspiciously like Common Core. I think he should reach higher.
What I didn't know, until it started popping up all over our newspaper last week, was what the heck "rising'' meant.
Within two days, I read of a "rising 8th grader'' in Bedford, a "rising'' senior at Goffstown High, and a "rising junior at Boston College.
The Lady of the Little House knew its meaning; and a couple of the newsroom editors looked at me as if I were sporting two heads when I asked about it. Funny thing, but more and more they look at me in that way. Does this mean I am a rising retiree?
"Well,'' I ventured, "I might say the kid is between grades.''
They didn't appear to be satisfied by this, or even sanguine.
Meanwhile, I am wondering if it is a good idea to teach Ike how to build a fire and a shelter. He is pretty responsible, but little brothers Mike and Spike? Not so much.
This would be the one that police have been watching since 2009 and whose ownership has since been linked to an international marijuana ring.
If I were the pizza shop owner, I would rely on the "rising dough'' defense.
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I thought there might be someone coming in this week – but with the cold – can you blame 'em? Either way, I pulled a few 'just in case' records, and then cased the place for good stuff to play.
A bunch of new stuff, and some classic Miles, and cuts from Don Pullen-George Adams Quintet, and Ahmad Jamal.
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In a weekly feature, we point you toward career-related stories in other Science publications.
Postdocs say that campus-based collaborations with industry teach important lessons and skills, according to an article in C&E News.
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