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The Physician and sportsmedicine
The Physician and Sportsmedicine is a peer-reviewed monthly journal serving the practicing physician's professional and personal interests in the medical aspects of exercise, sports, and fitness. The most widely read clinical sports medicine journal in the world, we cover practical, primary care-oriented topics such as diagnosing and treating knee and ankle injuries, managing chronic disease, preventing and managing overuse injuries, helping patients lose weight safely, and all manner of exercise and nutrition topics.
- Impact factor1.34Show impact factor historyHide impact factor history
- 5-year impact0.00
- Cited half-life0.00
- Immediacy index0.08
- Eigenfactor0.00
- Article influence0.00
- WebsitePhysician and Sportsmedicine Online, The website
- Other titlesPhysician and sportsmedicine, Physician and sports medicine, Sportsmedicine, Sports medicine
- Material typePeriodical, Internet resource
- Document typeJournal / Magazine / Newspaper, Internet Resource
Publications in this journal
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ABSTRACT: Dynamic balance has been considered a fundamental skill at all ages and is required for normal daily tasks, such as walking, running, or other sports activities. The Star Excursion Balance Test (SEBT) has been widely used in recent years to identify dynamic balance deficits and improvements and to predict the risk of lower extremity injury. However, no study has demonstrated the reliability of the SEBT in children while they are performing the test in a physical education session. Reliability is needed in all measurement tools in order to provide repeatable and consistent data. Objective: To evaluate the reliability of the SEBT in primary school students in the school setting. Methods: Twenty-four healthy children with typical development were tested twice, 2 weeks apart. The tests were conducted by the same single rater and were performed during the physical education class. The test was performed under standardized conditions during the 2 testing sessions and was performed by each subject with both limbs in the 3 directions (anterior, posteromedial, and posterolateral). Four practice trials were performed in each direction before selecting 3 additional distances reached. The best value of these 3 additional measured trials was selected. The paired t test was used to ensure the absence of any systematic bias. Intraclass correlation coefficient, standard error of measurement, 95% confidence intervals (CIs), and minimal change values were calculated to assess reliability and measurement error. Results: The paired t tests revealed no significant differences between test-rest scores. Test-retest reliability for all distances reached was moderate to good. Conclusions: Reliability values suggest that the SEBT is suitable for primary school students. However, it may be more practical and feasible during extracurricular sports participation due to the time constraints and difficulties in using the test in the school setting.The Physician and sportsmedicine 11/2014;
Article: Prescribing physical activity for healthy aging: longitudinal follow-up and mixed method analysis of a primary care intervention.[Show abstract] [Hide abstract]
ABSTRACT: There is a shortage of literature describing the experience of individuals who have participated in a physical activity and mobile health (mHealth) intervention. Many physical activity interventions are of short duration and do not report long-term changes in clinical measures or adoption of prescribed health behaviors. Previously, we have reported the clinical and behavioral outcomes from the first phase of a physical activity prescription and mHealth intervention delivered through the primary care setting. The purpose of this next phase is to perform a longitudinal follow-up 6-months postintervention. Mixed methods analysis including repeated measures ANOVA of functional aerobic capacity (VO2max) at preintervention, postintervention, and follow-up clinic visits, and whole text analysis of semistructured interviews discussing the participant experience in a health behavior intervention. Twenty participants, mean age 63 ± 5 years, participated. Gains made in VO2max were maintained at 6 months (P < 0.05). Participants reported engaging in sustained and routine physical activity, yet some identified a need for additional support to adopt the prescribed health behaviors. Emergent themes included the desire for short-term mHealth intervention to educate individuals about prescribed health behaviors without need for ongoing management by clinicians, leveraging mHealth to build social networks around prescribed health behaviors and to connect individuals to build a sense of community, and participant views of physical activity as medicine. The present study investigated both the long-term adoption of physical activity behaviors as well as the participant experience in a physical activity and mHealth intervention. Findings from the current study may be used to inform the development of user-centered lifestyle interventions.The Physician and sportsmedicine 11/2014; 42(4):30-8.
Article: Effects of ipratropium on exercise-induced cough in winter athletes: a hypothesis-generating study.[Show abstract] [Hide abstract]
ABSTRACT: Exercise-induced cough (EIC) is frequently reported by winter athletes, but this symptom is not always associated with exercise-induced bronchoconstriction (EIB). The aims of this study were to determine if EIC can be inhibited or reduced with the inhalation of ipratropium, and if EIC in winter athletes is associated with EIB. On 2 visits, 24 cross-country skiers (10 males and 12 females, mean age 17 ± 3 years) performed an outdoor exercise in the winter (30-minute warm-up, followed by a 3-minute sprint), randomly preceded by the inhalation of ipratropium or a placebo. A spirometry was done at baseline and 20 minutes after inhalation of ipratropium or placebo. Exercise was then performed, followed by the measurement of forced expiratory volume in 1 second and the recording of the number of coughs until 60 minutes after exercise. Before and after exercise, the perception of cough intensity was evaluated using a modified Borg scale. Twelve of 16 athletes who completed the study (75%) were symptomatic following exercise with placebo (number of coughs ≥ 5), but none developed EIB. For these athletes, the number of coughs after exercise (mean number of coughs ± standard deviation: placebo, 26 ± 14; ipratropium, 25 ± 23; P value, nonsignificant) and the maximal perception score for cough intensity (mean Borg score ± standard deviation: placebo, 1.9 ± 1.2; ipratropium, 2.0 ± 1.1; P value, nonsignificant) were not significantly different between ipratropium and placebo. A decrease in the number of coughs was observed in 6 of the symptomatic athletes and an increase was observed in the other 6, resulting in a nonsignificant mean effect. Ipratropium does not appear to significantly influence the number and the perception of cough following exercise. Moreover, these results suggest that EIC is not mainly associated with EIB. However, a subgroup of athletes seems to show a beneficial response to ipratropium, suggesting different cough responses in this population.The Physician and sportsmedicine 11/2014; 42(4):7-13.
Article: Readability of patient education materials on the American Orthopaedic Society for Sports Medicine website.[Show abstract] [Hide abstract]
ABSTRACT: The recommended readability of patient education materials by the American Medical Association (AMA) and National Institutes of Health (NIH) should be no greater than a sixth-grade reading level. However, online resources may be too complex for some patients to understand, and poor health literacy predicts inferior health-related quality of life outcomes. This study evaluated whether the American Orthopaedic Society for Sports Medicine (AOSSM) website's patient education materials meet recommended readability guidelines for medical information. We hypothesized that the readability of these online materials would have a Flesch-Kincaid formula grade above the sixth grade. All 65 patient education entries of the AOSSM website were analyzed for grade level readability using the Flesch-Kincaid formula, a widely used and validated tool to evaluate the text reading level. The average (standard deviation) readability of all 65 articles was grade level 10.03 (1.44); 64 articles had a readability score above the sixth-grade level, which is the maximum level recommended by the AMA and NIH. Mean readability of the articles exceeded this level by 4.03 grade levels (95% CI, 3.7-4.4; P < 0.0001). We found post-hoc that only 7 articles had a readability score ≤ an eighth-grade level, the average reading level of US adults. Mean readability of the articles exceeded this level by 2.03 grade levels (95% CI, 1.7-2.4; P < 0.0001). The readability of online AOSSM patient education materials exceeds the readability level recommended by the AMA and NIH, and is above the average reading level of the majority of US adults. This online information may be of limited utility to most patients due to a lack of comprehension. Our study provides a clear example of the need to improve the readability of specific education material in order to maximize the efficacy of multimedia sources.The Physician and sportsmedicine 11/2014; 42(4):125-30.
Article: Sudden cardiac death in the soccer field: a retrospective study in young soccer players from 2000 to 2013.[Show abstract] [Hide abstract]
ABSTRACT: Soccer is the most popular sport in the world, with over 200 million active players. Sudden cardiac death (SCD) represents the most striking as well as the most common cause of death in the soccer field. Underlying cardiovascular pathologies predispose to life threatening ventricular arrhythmias and SCD in soccer players. Up to thousands to hundred thousands players might have an underlying condition that predisposes them for SCD. After several media striking SCD events in soccer players the Fédération Internationale de Football Association (FIFA) has made screening recommendations that are more thorough than the ones recommended for the American Heart Association and the European Society of Cardiology. We present a retrospective search through Internet databases that resulted in 54 soccer players with SCD events from 2000 until 2013. In this article, we will describe and discuss the conditions of those cases of SCD in order to provide more knowledge of the factors that may precipitate SCD in young soccer players.The Physician and sportsmedicine 11/2014; 42(4):20-9.
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ABSTRACT: The effect of continuous exposure of a driver's bones and muscles to vibration and G forces to years of automobile racing and the effect on overall health have not yet been examined in detail. The goal of this study was to investigate via questionnaire the musculoskeletal injuries and influencing parameters in 130 amateur and 7 professional race car drivers. A questionnaire, translated in English and German, was used to investigate the parameters that influence the racing performance and the character of resulting injuries. This investigation involved 137 drivers (133 men and 4 women) with a mean age of 42 years (standard deviation = 15). Approximately half of the drivers had < 10 years of experience in auto racing (49%). The drivers mainly complained about pains in the lumbar (n = 36; 26%), shoulder (n = 27; 20%), and neck regions (n = 25; 18%). The driver's posture and the comfort of the seat were statistically significant for causing lower back and upper legs pains. The race duration was relevant to neck and shoulder discomfort. The high incidence of musculoskeletal injuries in race car driving indicates the need for further improvements. Elimination of driver complaints about pain in the spine and upper extremities can be achieved through technical development, as already accomplished in Formula One racing.The Physician and sportsmedicine 11/2014; 42(4):80-6.
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ABSTRACT: Low back pain is a common and costly health care problem. This pilot study evaluated the sensitivity of the 2-stopwatch and Paris plinth methodologies for assessing time-to-onset of pain relief and flexibility, respectively, with continuous, low-level heatwrap therapy. Subjects aged 18 to 55 years with at least moderate baseline acute low back pain were randomly assigned to either heatwrap or oral placebo for 8 hours. Unheated wrap (sham) and oral ibuprofen were included for blinding purposes only. Sixty-one subjects were randomly assigned to either heatwrap (n = 26), oral placebo (n = 25), sham wrap (n = 5), or oral ibuprofen (n = 5). Median time to confirmed first perceptible pain relief and to meaningful pain relief were significantly shorter for the heatwrap group compared with those assigned to oral placebo (96.5 vs > 240.0 min and 215.7 vs > 240.0 min, respectively; P < 0.05 for both). Among subjects receiving the heatwrap, 53.8% reported first perceptible and meaningful relief, compared with 28.0% receiving oral placebo. Subjective measures of pain relief, back stiffness, and global evaluation were more sensitive in detecting treatment differences than the plinth assessments of flexibility, range of motion, and pain. Three adverse events were reported as mild in severity and considered unrelated to study treatment. The 2-stopwatch methodology is a viable approach for assessing onset of analgesia in low back pain; however, the plinth may not be a reliable method for assessing flexibility. Consistent with published studies involving much larger sample sizes, the heatwrap provided significantly faster and sustained pain relief than oral placebo in subjects with acute low back pain. Clinical Trial Identifier: NCT01045993.The Physician and sportsmedicine 11/2014; 42(4):39-48.
Article: Factors affecting return to play after anterior cruciate ligament reconstruction: a review of the current literature.[Show abstract] [Hide abstract]
ABSTRACT: Anterior cruciate ligament reconstruction has been reported to produce normal or near-normal knee results in > 90% of patients. A recent meta-analysis suggested that, despite normal or near-normal knees, many athletes do not return to sports. Rates and timing of return to competitive athletics are quite variable depending on the graft type, the age of the patient, the sport, and the level of play. Even when athletes do return to play, often they do not return to their previous level. Graft failure, subjective physical factors, and psychological factors, including fear of reinjury and lack of motivation, appear to play a large role in patients' ability to return to sporting activities.The Physician and sportsmedicine 11/2014; 42(4):71-9.
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ABSTRACT: Clinicians are now appreciating that the perception of pain is a multifaceted, biopsychosocial construct. Expectation of postsurgical pain is part of this construct and should be considered preoperatively. It is our belief that by establishing reasonable expectations with preoperative teaching, we can minimize narcotic use and lessen untoward issues that can potentially follow. With this goal in mind, we have been using a comprehensive pre- and postoperative program for our outpatient orthopedic surgery patients for the last 5 years, which includes physical, pharmacologic, and simple sport psychological techniques. We reviewed postoperative prescription narcotic purchases in 133 consecutive surgical patients during the last year (2013). All patients were given a prescription postoperatively for 10 hydrocodone 5-mg/acetaminophen 500-mg tablets, with 1 refill. We then contacted the patients' pharmacies to assess the actual amount purchased. Data were available for 100 patients. Of these, 62 patients had undergone "simple" arthroscopies and 38 had had "open" procedures, including 25 anterior cruciate ligament reconstructions, 4 tibial tubercle osteotomies, and various other surgeries. Of the 62 arthroscopies, 24 patients (39%) refilled their prescriptions, with 4 patients (6%) needing > 1 refill. Of the 38 open procedures, 16 patients (42%) refilled their medications, 2 (5%), more than once. Thus, 89% of patients required ≤ 20 narcotic tablets after undergoing common orthopedic operations. No patient needed chronic narcotic medication. Pain is a complex issue and patient expectation of postoperative pain is one aspect that can potentially affect the amount of narcotics used. By preparing the patient both physically and psychologically, we believe the amount of narcotics used postoperatively can be decreased without affecting pain control. As a result, the multiple possible detriments of having more narcotics available than actually necessary would be lessened. By limiting the overall number of narcotic tablets prescribed, decreased use by the patient when such a medication may no longer be appropriate, and minimized use by others in the household who might have access to it would decrease.The Physician and sportsmedicine 11/2014; 42(4):100-5.
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ABSTRACT: Casting and splinting techniques for treating patients with fractures have been used for centuries. Functional bracing after ankle fracture has recently been utilized in an effort to avoid the atrophy and stiffness sometimes associated with casting; functional bracing allows for early mobilization of the ankle joint during recovery. Our review investigated the published literature comparing bracing with casting after ankle fracture. Studies examining both operatively and nonoperatively treated ankle fractures were included. There is minimal evidence supporting the use of functional bracing over cast immobilization to improve functional outcome, range of motion, swelling, or post-traumatic arthrosis after ankle fracture in the long term. The primary benefits of functional bracing are the potential to return to work earlier and bracing may facilitate activities of daily living, such as bathing and dressing. In addition, there may be a decreased patient risk of developing deep vein thrombosis due to immobilization. However, there is an increased risk of wound infection when using a brace after open reduction and internal fixation of an unstable ankle fracture. Functional bracing can be used for treating stable and postoperative ankle fractures in compliant patients to potentially expedite and facilitate the recovery process.The Physician and sportsmedicine 11/2014; 42(4):60-70.
Article: Management of type 2 diabetes mellitus in self-motivated patients: optimized diet, exercise, and medication for weight loss and cardiometabolic fitness.[Show abstract] [Hide abstract]
ABSTRACT: Type 2 diabetes mellitus (T2DM) is a growing public health problem with significant lifetime health care costs. The majority of Americans do not achieve minimal targets for exercise, and individuals with T2DM typically engage in less exercise than the general adult population. However, those patients with T2DM who are sufficiently self-motivated to manage their condition have the potential to reverse diabetes and prevent its complications through behavioral and pharmacologic interventions. Marked improvements are possible through increased awareness and selection of healthy eating options, a willingness to incorporate vigorous exercise into their lifestyle, and the use of newer medications that essentially eliminate the risk of hypoglycemia while facilitating weight loss and the achievement of ideal glucose targets. For self-motivated patients, daily aerobic activity of 45 to 60 minutes per day may be a suitable target. For those who have cardiovascular clearance, high-intensity interval training accomplishes high levels of cardiometabolic fitness with shorter training periods by alternating moderate and intense exertion. Suitable medications that have a low risk of hypoglycemia during exercise include metformin, glucagon-like peptide-1 receptor agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose linked transporter-2 inhibitors. Specific daily caloric goals and incorporation of a mainly plant-based diet should be considered as a primary target for diabetes management. Self-management is important to achieving diabetes treatment goals, and mobile applications can be useful tools to support lifestyle changes in patients with T2DM.The Physician and sportsmedicine 11/2014; 42(4):49-59.
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ABSTRACT: Health/fitness facilities are popular venues for physical activity, where increasingly more individuals at risk of cardiovascular events exercise to achieve positive health outcomes. The aim of our study was to analyze cardiac emergency preparedness in health/fitness facilities in Queensland, Australia. Cross-sectional survey of health/fitness facilities in Queensland. A risk management questionnaire was administered over 7 months, July 2009 to January 2010, using an online or paper-based version. The data are presented as the proportion of survey respondents giving specific responses to questionnaire items related to cardiac emergency preparedness, especially the provision of automated external defibrillators (AEDs). Fifty-two health/fitness facility managers responded to the survey. Most of the surveyed facilities conducted pre-activity screening (92%). Of those with a written emergency plan (79%), only 37% physically rehearsed their emergency response systems at regular intervals. Ninety-five percent of the facilities had fitness employees with a current first aid/cardiopulmonary resuscitation certificate and training. Of the 10 (19%) facilities with an on-site AED, only 6 had staff qualified to use the AED in an emergency, and only 6 had the AED as part of a public access defibrillator program. This is the first study to report that cardiac emergency preparedness is not optimal in the health/fitness facilities in Australia. Development of policies and procedures for training health/fitness professionals in emergency procedures is needed to minimize the risk when exercise-induced cardiac events occur at health/fitness facilities.The Physician and sportsmedicine 11/2014; 42(4):14-9.
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ABSTRACT: There is an increasing prevalence of osteoporosis, and with it a rise in the diagnosis of stress fractures. Postmenopausal women are particularly at risk of stress fractures. This review article describes the pathophysiology of foot stress fractures and the latest diagnostic and treatment strategies for these common injuries. There are numerous risk factors for stress fractures that have been identified in the literature. Reduced bone mineral density is an independent risk factor for delayed union. Prevention of stress fractures with training periodization and nutritional assessment is essential, especially in females. Diagnosis of stress fractures of the foot is based on history and diagnostic imaging, which include radiographs, ultrasound, therapeutic ultrasound, computed tomography, and bone scans; however, magnetic resonance imaging is still the gold standard. Treatment depends on the bone involved and the risk of nonunion, with high-risk fractures requiring immobilization or surgical intervention. Patients presenting with underlying bone mineral deficiency treated without surgery require a longer period of activity modification. Training rehabilitation protocols are described for those with low-risk stress fractures. A useful algorithm is presented to guide the clinician in the diagnosis and management of such injuries.The Physician and sportsmedicine 11/2014; 42(4):87-99.
Article: Validation of musculoskeletal ultrasound to assess and quantify muscle glycogen content. A novel approach.[Show abstract] [Hide abstract]
ABSTRACT: Glycogen storage is essential for exercise performance. The ability to assess muscle glycogen levels should be an important advantage for performance. However, skeletal muscle glycogen assessment has only been available and validated through muscle biopsy. We have developed a new methodology using high-frequency ultrasound to assess skeletal muscle glycogen content in a rapid, portable, and noninvasive way using MuscleSound (MuscleSound, LCC, Denver, CO) technology. Purpose: To validate the utilization of high-frequency musculoskeletal ultrasound for muscle glycogen assessment and correlate it with histochemical glycogen quantification through muscle biopsy.Methods:Twenty-two male competitive cyclists (categories: Pro, 1-4; average height, 183.7 ± 4.9 cm; average weight, 76.8 ± 7.8 kg) performed a steady-state test on a cyclergometer for 90 minutes at a moderate to high exercise intensity, eliciting a carbohydrate oxidation of 2-3 g·min-1 and a blood lactate concentration of 2 to 3 mM. Pre- and post-exercise glycogen content from rectus femoris muscle was measured using histochemical analysis through muscle biopsy and through high-frequency ultrasound scans using MuscleSound technology. Results: Correlations between muscle biopsy glycogen histochemical quantification (mmol·kg-1) and high-frequency ultrasound methodology through MuscleSound technology were r = 0.93 (P < 0.0001) pre-exercise and r = 0.94 (P < 0.0001) post-exercise. The correlation between muscle biopsy glycogen quantification and high-frequency ultrasound methodology for the change in glycogen from pre- and post-exercise was r = 0.81 (P < 0.0001). Conclusion: These results demonstrate that skeletal muscle glycogen can be measured quickly and noninvasively through high-frequency ultrasound using MuscleSound technology.The Physician and sportsmedicine 09/2014; 42(3):45-52.
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ABSTRACT: Pain from knee osteoarthritis creates a significant burden for symptomatic patients, who are often forced to change their lifestyle because of their symptoms. Activity modification, therapy, weight loss, nonsteroidal anti-inflammatory drugs, shoe orthotics, bracing, and injections are the nonoperative options available. New technologies are also emerging in the treatment of knee osteoarthritis. Ultimately, these therapeutic modalities should reduce pain and increase the overall functioning of patients. These nonoperative modalities give the clinician several effective options before surgical management is considered.The Physician and sportsmedicine 09/2014; 42(3):63-70.
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ABSTRACT: Objective: Medical expenses for collegiate athletics include providing a training room with its supplies, equipment, personnel costs, and insurance coverage. Additional expenses beyond the training room include imaging, diagnostic testing, specialty consultations, and surgeries. We hypothesized that there would be no difference in average expenses or number of claims between male and female athletes over a 5-year period. Design: Prospective patient cohort. Setting: A sports medicine center serving athletes in Big 10 Conference intercollegiate sports. Assessment of Risk Factors: All medical claims and charges for 36 varsity teams were analyzed from 2005 to 2010. The teams were categorized into 3 groups: female-only teams, male-only teams, and coed teams. Analysis of sports with corresponding male and female teams was also performed. Main Outcome Measurements: Claims and charges for medical care for 36 intercollegiate athletic teams over 5 years. Results: Individual team claims and charges were stable over the study period. In 11 of the 14 sex-matched sports, the female teams had higher average annual charges. After normalizing for roster size in the sex-matched sports, females had 0.97 more average annual claims (P < 0.01) and $1459 higher annual charges (P = 0.001) than their male counterparts. The charges per claim were similar between the sexes. The 5 teams with the highest average annual charges were football, wrestling, softball, women's crew, and men's lacrosse. When normalized for roster size, the 5 sports with the highest average annual charges per athlete were softball, women's diving, men's basketball, wrestling, and men's gymnastics. Conclusion: Charges per claim were similar between the sex-matched sports, but the female sports had a higher number of annual claims per athlete and thus higher total charges per athlete/year. Football had the highest average annual total charges as a team, but when normalized for roster size football charges per athlete/year were similar to those of other sports.The Physician and sportsmedicine 09/2014; 42(3):71-77.
Article: Health promotion through primary care: enhancing self-management with activity prescription and mHealth.[Show abstract] [Hide abstract]
ABSTRACT: Background: It is well established in the literature that regular participation in physical activity is effective for chronic disease management and prevention. Remote monitoring technologies (ie, mHealth) hold promise for engaging patients in self-management of many chronic diseases. The purpose of this study was to test the effectiveness of an mHealth study with tailored physical activity prescription targeting changes in various intensities of physical activity (eg, exercise, sedentary behavior, or both) for improving physiological and behavioral markers of lifestyle-related disease risk. Methods: Forty-five older adults (aged 55-75 years; mean age 63 ± 5 years) were randomly assigned to receive a personal activity program targeting changes to either daily exercise, sedentary behavior, or both. All participants received an mHealth technology kit including smartphone, blood pressure monitor, glucometer, and pedometer. Participants engaged in physical activity programming at home during the 12-week intervention period and submitted physical activity (steps/day), blood pressure (mm Hg), body weight (kg), and blood glucose (mmol/L) measures remotely using study-provided devices. Results: There were no differences between groups at baseline (P > 0.05). The intervention had a significant effect (F(10 488) = 2.947, P = 0.001, ηP 2 = 0.057), with similar changes across all groups for physical activity, body weight, and blood pressure (P > 0.05). Changes in blood glucose were significantly different between groups, with groups prescribed high-intensity activity (ie, exercise) demonstrating greater reductions in blood glucose than the group prescribed changes to sedentary behavior alone (P < 0.05). Conclusions: Findings demonstrate the utility of pairing mHealth technologies with activity prescription for prevention of lifestyle-related chronic diseases among an at-risk group of older men and women. Results support the novel approach of prescribing changes to sedentary behaviors (alone, and in conjunction with exercise) to reduce risk of developing lifestyle-related chronic conditions.The Physician and sportsmedicine 09/2014; 42(3):90-99.
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ABSTRACT: Osteoarthritis (OA) is the most common cause of disability in the United States. With an aging population, its incidence is only likely to rise. Articular cartilage has a poor capacity to heal. The advent of regenerative medicine has heralded a new approach to early treatment of degenerative conditions such as osteoarthritis by focusing on regenerating damaged tissue rather than focusing on replacement. Platelet-rich plasma (PRP) is one such treatment that has received much recent attention and has been used particularly for tendon healing. Recent studies have focused on assessing its use on degenerative conditions such as OA. In this article, we review the evidence for the pathologic basis for the use of PRP in OA and also the clinical outcomes pertaining to its use. Finally, we also consider reasons for the inconsistent clinical success pertaining to its use.The Physician and sportsmedicine 09/2014; 42(3):53-62.
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ABSTRACT: In its third iteration, the Concussion in Sport Group identified 10 modifying factors that were presumed clinically to influence the investigation and management of concussions in sports. "Dangerous style of play" was delineated as one of these factors, most likely based on clinical lore. These modifying factors were retained in a more recent Concussion in Sport Group statement. To date, there has been no concerted effort to support or refute the inclusion of this constellation of behaviors as a modifying factor in sports-related concussion. This article reviews and summarizes the limited evidence related to a dangerous style of play in sports-related concussion, offers a preliminary assessment of its relevance as a modifying factor, and provides additional information on other aspects of player, coach, and governing body behavior and their potential effect(s) on reducing concussive injuries.The Physician and sportsmedicine 09/2014; 42(3):20-25.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.


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Apple Becomes the Most Valuable Company in History
After hitting an all-time high on Friday, Apple stock surged again Monday, this time nearly 3 percent to $665.15 per share, enough to make it the most valuable company in the history of Wall Street.
PHOTOS: Apple Products in TV and Movies
As the Associated Press noted on Monday, Apple's rising stock propelled the company's value to $624 billion, "the world's highest ever. It beat the record market capitalization set by Microsoft Corp. in the heady days of the Internet boom."
Apple was already the world's most valuable company -- and has been since passing Exxon Mobil nearly a year ago. On Monday, Exxon Mobil was a distant No. 2 with a market cap of $406 billion.
A dozen years ago, just prior to the bursting of the Internet bubble, Microsoft was usually considered the world's most valuable company with a market cap that peaked at $621 billion. Valuations then were obviously out of whack, though. Disney, for example, was worth $70 billion back then and there were rumors swirling that Yahoo, worth $100 billion at the time, was eyeing a takeover of Disney.
Fast-forward to Monday, and Disney is worth $90 billion while Yahoo is valued at $18 billion. And Apple is worth more than the combined worth of both of them, along with Comcast, News Corp., Time Warner, CBS, Viacom and Sony, all added up together.
Apple is also nearly 15 times more valuable than Facebook.
The catalysts for Apple's recent rise are the impending launch of the iPhone 5 and rumors of a smaller and cheaper version of the iPad. Apple is also looking to finally conquer television, with possible plans for a cable set-top box and/or interactive TV set, plus other initiatives in the works.
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Extend the season by forcing branches from spring-blooming trees and shrubs to flower indoors.
More in Outdoors
For a colorful display in midwinter, cut branches from spring-blooming trees and shrubs and bring them inside. With a little bit of help, you can force them to bloom earlier indoors.
Pussy willows are a good choice for forcing inside. The stems are tough and woody, so crush the cut end with a hammer or cut into it with clippers to help the branches take up water once they're placed in a vase. Cherry, flowering quince and forsythia stems can also be cut and forced in the same way.
Place prepared stems in a vase of warm water in a well-lighted room. A drop or two of hydrogen peroxide will speed the blooming process. If you want the blooms to last longer, place the cut branches in a cool room in low light.
You can also cut pussy willow branches off the plant at exactly the stage you want them. Bring them indoors, but don't put the branches in water. Just spray them with hairspray, arrange them in a vase or similar container and they'll last a long time.
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Metacritic Features and Reports: Games
Published: October 1, 2012The best iOS games released over the past month include a Rayman Origins spin-off, the latest from the folks behind Angry Birds, a few fiendishly difficult indie titles, and a port of the console/PC hit Bastion.
Published: September 23, 2012The week ahead brings one of the best-reviewed sci-fi flicks in ages, the first of three new Green Day albums, and the official start of the fall television season. Get all of the week's picks inside.
Published: September 16, 2012This week, NBC attempts to start a Revolution, while all the networks vie for Emmys, Judge Dredd tries to shake off memories of Sylvester Stallone, and Kanye West rounds up a few of his friends. Get all of this week's picks inside.
Published: September 13, 2012You might have to wait until next year to play GTA V or BioShock: Infinite, but there are still plenty of major games arriving over the next few months, including a new Assassin's Creed, the latest Call of Duty, and the beginning of a new Halo trilogy.
Published: August 30, 2012A zombified take on Oregon Trail and a port of The World Ends with You are among the past months best-reviewed games for iOS.
Published: August 26, 2012The last week of the summer movie season brings a pair of noteworthy releases, while Doctor Who returns to battle the Daleks and gamers can finally return to Tyria in "Guild Wars 2." Get all of this week's picks inside.
Published: August 12, 2012It may still be August, but the week ahead brings two promising new games to consoles and PCs, as well as the season premieres of two new crime procedurals. Oh, and Arnold Schwarzenegger? Those threats were true: he's back.
Published: August 5, 2012This week, a popular movie franchise is Bourne again, Will Ferrell and Zach Galifianakis run for office, YouTube gets a new sci-fi series, and a pair of cult favorites return to Adult Swim. Get all of the week's picks inside.
Published: July 31, 2012The past month's best new iOS games include the first episode in an adventure based on "The Walking Dead" comics, an HD version of "Tiny Wings," and sequels to "Fieldrunners" and "Great Little War Game."
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Rodgers & Hammerstein's South Pacific at the Glendale Centre Theatre
* Additional fees apply.
The last date listed for South Pacific was Saturday July 6, 2013 / 8:00pm.
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Angela Lansbury and Downton Abbey's Charles Edwards in Noël Coward Comedy Blithe Spirit
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Plenty of street parking.American Red Cross Fritz Coleman Comedy Night travel • Oct 13 2014 star this tip starred
They validate parking in the structure further down the street. Something like $1 for 4 hours(?)The 39 Steps travel • Jan 21 2014 star this tip starred
Reviews & Ratings
Featured review from Goldstar Member
view more less of this review
Small intimate theatre. I wasn't sure what to expect when I purchased the tickets as I'd never heard of the play before. Slightly on the longer end, almost three hours... (few songs were unnecessary to the the overall plot, in my opinon). However, great performance from the entire cast and great ending made it an overall pleasant experience.
About the Ticket Supplier: Glendale Centre Theatre
The Glendale Centre Theatre is the longest continuously running center-staged theater in the country.


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Microsoft Flight Simulator 2000 Cheats for PC - WindowsHome / PC - Windows /
This page contains Cheats for Microsoft Flight Simulator 2000 organized by sections for PC - Windows. Microsoft Flight Simulator 2000 is a Simulation Flight Civilian Plane game, made by Microsoft Game Studios, released on Oct 21, 1999 and published by Microsoft Game Studios. If you can't find a hint or secret in our list, then please check this page periodically for the latest updates.
- Developer:
Microsoft Flight Simulator 2000 PC - Windows CheatsMicrosoft Game Studios
- Publisher: Microsoft Game Studios
- Genre: Simulation Flight Civilian Plane
- Release Date: Oct 21, 1999
- ESRB: Everyone
Game Hints: Although a fast video card is certainly important, raw CPU speed and memory provide the biggest performance gains when running this sim. Scenery-loading pauses can be dramatically reduced if you have 128MB or more of RAM, and the frame rates will become almost playable if you're cycling ...From: sorasmatch
Stuck on this game? Set a specific, clearly defined question and let others answer your question or view answers to previously asked questions. If you think you are an Microsoft Flight Simulator 2000 expert then please try to help others with their questions.
Braveland Wizard - Gameplay Video
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FOUR DESIGNERS LEFT! For this week's episode of Project Runway All Stars, the final four battle it out in the last episode before the season finale. Even more intense? Not one, but TWO guest judges will decide their fate. Kristin Chenoweth and Nick Cannon join the panel this Thursday at 9 p.m. on Lifetime. Don't forget to follow @marieclaire on Twitter for live updates throughout the episode!
Catch a Project Runway All Stars Sneak Peek! (VIDEO)
Is Kendall Jenner Dating Chris Brown?
Say it ain't so.
Before They Were Angels: 35 Victoria's Secret Models as Adorably Awkward Kids
Only last week, these leggy models stomped the catwalk at the Victoria's Secret show in London. But before they earned their wings, they...
Sorry, Chris Martin! Looks Like Jennifer Lawrence Has a New Man
And they're both pizza enthusiasts.
'7th Heaven' Actor Stephen Collins Confesses to Child Molestation
"As difficult as this is, I want people to know the truth," the embattled actor told People.
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About this item
In her showdown with the murderous Pretender, a bullet taken at close range severed the connection between Taylor's thoughts and speech. Effectively mute, there's no telling if her voice will ever come back. Trapped in silence, she is surrounded by ghostsof the past, of friendships and trusts lost... of a lost faith in herself and her motives that night.
When Memphis Highsmythe offers Taylor his home in the Scottish Highlands to recuperate, her fianc can't refuse her excitement, no matter his distrust of the man.
At first, Memphis's drafty and singularly romantic castle seems the perfect place for healing. But shortly the house itself surrounds her like a menacing presence. As Taylor's sense of isolation and vulnerability grows, so, too, does her grip on reality.
Someone or some thing is coming after Taylor. But is she being haunted by the deador hunted by the living?
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All the best photos as Tony Bellew beat Nathan Cleverly in their grudge rematch in Liverpool.
All the best photos from Floyd Mayweather's unanimous points victory over Marcos Maidana in Las Vegas.
All the best pictures from Kell Brook's thrilling victory over champion Shawn Porter to land the IBF world welterweight title.
Ed Draper is joined by Ed Robinson and Spencer Fearon for this week's Toe 2 Toe with an exclusive interview from Amir Khan. For the full extended podcast go to skysports.com/podcasts - it's also available on iTunes.
Amir Khan talks about his victory over Devon Alexander in Las Vegas
Boxer Anthony Crolla is in hospital with a serious head injury and a broken ankle after confronting burglars


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This book is very inspirational and easy to read and understand.
Joel Osteen's books are wonderful and "I Declare: 31 Promises to Speak Over Your Life" is so positive and a great way to begin my day.
I've been reading this book now for about 5 months, every day I read one devotional (31 days), then the next month I start all over.
Great way to start your day. Encouraging words rooted in Bible. Great for someone looking for a boost in morale.Published 7 hours ago by NKJ
I feel like this book is to much like his other books. It has the in the same as the sermons on sunday.Published 10 hours ago by Tommie Bonnet
Inspiring & Uplifting. Spoken in a simple language anyone can understand.Published 2 days ago by Pamela D Okechukwu
I love this book. I can't even tell you how many times I have read it. I love the upbeat mood it puts me in.Published 3 days ago by Natalie
If you need something that helps keep you focused on positive thought-then this book is for you! I try to do one of these every single day-helps keep the negativity that is all... Read morePublished 5 days ago by Deb S
Excellent and inspirational. Read one each day to keep you motivated and charged.Published 5 days ago by James Sparks
This book changed my life for the better -- I am so grateful for buying it on Amazon and reading it daily. Read morePublished 6 days ago by Cynthia
This is a must read. It is 31 days of confirmation of what God has in store for you. It's encouragement, wisdom and hope for 31 days and then read it again and again.Published 7 days ago by C. Brown


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West Virginia Car Registration Guide - Renewals, Online & Mail Options, Forms, & FeesWest Virginia car registration information, forms, and procedures. Registration renewal information, new to a state, registering a new vehicle, and non operational.
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Posted in Emotions Dream Meanings
Perceiving another person as being deaf in your dream reveals your feeling of frustration and helplessness. This may be due to the other person's refusal to listen to you. Thus, you feel this person is very thickheaded and in some ways, is very cowardly. That person may wish not to listen to the truth and is trying their best to withdraw themselves away from you. As a result, a feeling of agitation is beginning to build up in you.
To dream that others are deaf is reflective of your conscious self where you feel like no one is listening to you.
Posted in Other Dream Meanings
Dreaming of alchemy means transformation to someone other than your old self. You are not happy with your current situation and a positive change needed immediately. It takes a lot to change while not reverting back to your old ways and bad habits.
Alchemy dream allows you to hit rock bottom and ride the cycle to the top again.
Posted in Places Dream Meanings
Dreaming of the Arctic means you are feeling abandoned and all alone by yourself. The events leading up to your current state of being alone may not be your fault, but it hurts deeply not being able to reach out to people who were once close to you. Take responsibility in knowing that you failed this time and learn to change for the better. Warmer days will be a reality, stop moping over the past.
Posted in People Dream Meanings
When Rinku Singh appears in your dream, it is an indication of the pending success that will be coming to you. This success may involve forging a professional sports career through winning a contest to support family and friends. Your own dreams are strengthen by the strong ties to family, and the focus to bring honor to the family name.
The more you realize your achievements, the more you are content with being gifted with the abilities you have.


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Dead Man's Grip: A Roy Grace Novel 7Pan Macmillan UK 2011; US$ 12.72
Detective Superintendent Roy Grace returns... I WANT THEM TO SUFFER, AND I WANT THEM DEAD ... Carly Chase is traumatised ten days after being in a fatal traffic accident which kills a teenage student from Brighton University. Then she receives news that turns her entire world into a living nightmare. The drivers of the other two vehicles involved... more...
Dead SimplePan Macmillan 2008; US$ 7.76
This is the book that started it all. It?s Dead Simple . Dead Simple was the first book by No. 1 bestselling crime and thriller writer Peter James to be part of the multi-million-copy series featuring the definitive Brighton detective, Roy Grace. more...
Looking Good DeadPan Macmillan 2008; US$ 7.76
Looking Good Dead is the second book by No. 1 bestselling crime and thriller writer Peter James to be part of the multi-million-copy series featuring the definitive Brighton detective, Roy Grace. more...
Perfect PeoplePan Macmillan 2011; US$ 7.76
Be careful what you wish for . . . more...
Want You DeadPan Macmillan 2014; US$ 7.76
From No. 1 bestselling crime and thriller writer Peter James comes Want You Dead , the 10th book in his multi-million-copy selling crime series featuring the definitive Brighton detective, Roy Grace. more...
Atom Bomb AngelPan Macmillan UK 2015; US$ 14.54
Terrorists are threatening to sabotage Britain's nuclear power plants. One nuclear explosive smuggled inside a reactor would turn the entire core into a massive atom bomb . . . and bring death and disease to millions of people for centuries to come. When Sir Isaac Quoit, chairman of the Atomic Energy Authority, disappears without trace, MI5 are... more...
Atom Bomb AngelPan Macmillan 2014; US$ 7.76
A reissue of this early thriller from multi-million-copy bestselling author, Peter James. more...
Option TheoryWiley 2003; US$ 180.00
A unified development of the subject, presenting the theory of options in each of the different forms and stressing the equivalence between each of the methodologies. * Demystifies some of the more complex topics. * Derives practical, tangible results using the theory, to help practitioners in problem solving. * Applies the results obtained to the... more...
Modern GermanyTaylor and Francis 1998; US$ 39.95
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Dead SimpleSt. Martin's Press 2010; US$ 10.99
Four bodies, one suspect, no trace. The first case for Detective Superintendent Roy Grace, and the first entry in a bestselling mystery series by Peter James. It was meant to be a harmless bachelor party prank. A few hours later four of his best friends are dead and Michael Harrison has disappeared. With only three days to the wedding, Detective... more...


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Sunday, 28 December 2014
Last updated 3 days ago
Dec 11 2006 | 11:47am ET
HedgeCo.Net is currently working with an asset management firm that is looking to allocate at least $9 million each to several managers across a broad spectrum of strategies in the form of managed accounts, according to the firm.
The unnamed firm is seeking to identify managers that currently manage more than $25 million in their strategy, are willing to invest their own capital in their funds, and want to increase their participation in their funds' upside.
Prospective managers will be required to allocate a minimum amount of 10% of the total allocation to the managed account. For example, for every $9 million allocated, the manager will contribute $1 million. Drawdowns will be debited against the managers 10% contribution and profits that follow will be fully credited to make up the total extent of the deficit.
Managers will be compensated a 20% incentive fee payable quarterly and if performance exceeds 15% per annum, the incentive fee rises to 50%.
Dec 21 2014 | 10:30am ET
Texan Allen Stanford first appeared on the radars of financial regulators in 1997...
Dec 24 2014 | 8:46am ET
Squash, anyone?
Dec 23 2014 | 4:03am ET
It is that time of year again when prognosticators make their big market calls for...
Dec 1 2014 | 10:21am ET
As 2014 winds down, Northern Trust Hedge Fund Services executives took some time to share their outlook on trends facing the industry in 2015. Read more…
Oct 22 2014 | 9:46am ET
We are always looking for guest articles from hedge fund managers and buy-side firms.
If you are interested in submitting a contributed piece for possible publication on FINalternatives, please take a look at the specs. Read more…
Jeff Sprecher was simply looking for a platform to trade energies when launching ICE 14 years ago but it has grown to reach the pinnacle of both the listed futures and equities world.
Senator Paul sat down in the debut series of the Alpha Pages Interview to discuss the broken tax code, regulation surrounding Bitcoin, and his plans for the 2016 Presidential election.


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Cuba Gooding Jr. Joins Martin Luther King Film SELMA
According to Deadline, Cuba Gooding Jr. has joined the cast of Paramount's SELMA, directed by Ava DuVernay, and co-starring David Oyelowo, Tom Wilkinson, Oprah Winfrey and Martin Sheen.
SELMA is "a feature drama about Martin Luther King's 1965 landmark voting rights campaign, regarded as the peak of the civil rights movement. Gray came to prominence while working alongside King during that period."
Gooding Jr. is best known for his Oscar winning portrayal of the charmingly arrogant pro football player Rod Tidwell in Cameron Crowe's Jerry Maguire. In addition to the Academy Award, he received the Screen Actors Guild Award, the Broadcasters Film Critics Award, the Critics Choice Award and the Chicago Film Critics Award for his performance. In 1991, he received critical acclaim for his portrayal of Tré Styles in John Singleton's coming-of-age classic Boyz in the Hood, which earned him ShoWest's Newcomer Award. He followed this success with roles in numerous critically acclaimed major films, such as Men of Honor, As Good as It Gets, What Dreams May Come, and the Oscar-nominated A Few Good Men, as well as Pearl Harbor, Radio, Murder of Crows (which he also co-produced), American Gangster, Shadowboxer and this year's George Lucas-helmed Red Tails. He has also appeared in award-winning movies for television including Gifted Hands: The Ben Carson Story and 2011's Firelight. Gooding will next be seen in Robert Rodriquez's sequel to Machete, Machete Kills, and Lee Daniels' highly anticipated film, The Butler. In 2002, Gooding received a star on the Hollywood Walk of Fame honoring his extraordinary achievements. A native of the Bronx, he will be making his professional stage debut in The Trip to Bountiful.
About Author
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UK & World News
Gun Battles Rage In Europe's 'Cannabis Capital'
Police fighting gangsters in a village dubbed Europe's 'cannabis capital' have seized and destroyed more than 10 tons of the drug.
The traffickers have been using heavy weapons, including rocket-propelled grenades, mortar shells and machine guns, in their efforts to repel an ongoing operation by hundreds of officers to drive them out.
Around 800 police wearing bulletproof vests and backed by armoured vehicles, were deployed around the Albanian village of Lazarat as clashes continued for a third day.
The traffickers have barricaded themselves in several houses in the centre and were using Kalashnikovs to fire at security forces.
Witnesses said many villagers had burned cannabis plants to destroy evidence against them before they fled Lazarat, which has turned into the continent's largest illegal marijuana producer in recent years.
One officer and two civilians were wounded in gun battles, as a police spokeswoman said security forces had taken control of a large part of the village.
So far they have seized and burned 11.3 tons of marijuana packed in sacks and 70,000 plants and destroyed two laboratories.
Police also seized a considerable amount of ammunition from more than 30 houses that were searched.
With TV stations broadcasting the events live, police and authorities urged residents to stay indoors and warned others to stay away from the area, 140 miles south of the capital, Tirana.
Police chief Artan Didi told reporters that officers were targeting a "very well-structured and organised criminal group that is keeping the village in its claws".
Lazarat, with a population of 5,000, is believed to produce about 900 metric tons of cannabis a year, worth 4.5bn euros (£3.6bn) - just under half of the Balkan country's GDP.
Authorities used to leave the drug gangs alone, as police visits were usually met with gunfire.
But a new Socialist government came to power last year and is aiming to stamp out the marijuana economy as it seeks to become a member of the European Union.
on Orange News today
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Metro releases details of Bethesda 'station of the future'
- Staff Washington Business Journal
The "Metro station of the future" is coming to the Bethesda Metro station by the end of fiscal year 2015, BethesdaNow.com reported.
Metro released details on its plan for more lighting and a better-looking station and has selected Bethesda as the pilot. The new station will also feature a stainless steel and light gray interior to replace "Metro brown", a thinner kiosk with digital panels for service information and new fare gates with next-generation technology for faster entry and exit.
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Fathers for Justice protest
Two members of campaign group Fathers for Justice have been arrested after breaking in to Heathrow airport.
Two members of campaign group Fathers for Justice have been arrested after breaking in to Heathrow airport.
Fathers for Justice has confirmed that two of its members have been arrested, after breaching security at Heathrow airport this afternoon. In a statement a spokesperson said:
Armed police have arrested two Fathers4Justice protestors at Heathrow this Father's Day.
Two men were arrested by armed police after they scaled the perimeter fence. The men were running towards the runway but surrendered to armed officers.
The protest marks a return to direct action for Fathers4Justice and the launch of their London 2012, Fatherless Games campaign
Socialite Tara Palmer-Tomkinson has been cautioned by police after a 'disturbance' at Heathrow Airport.
The NHS is to set up 11 centres to unlock the secrets of DNA and help develop tests and drugs to target cancer and rare genetic diseases.
Australian businessman named as Alan Sugar's newest apprentice and winner of a £250,000 investment in his fledgling company.


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Ashley will sleep sometime between 10:30pm and 12:30am everyday, I'm lucky when it's 10:30... I partially blame myself because we take her out everywhere and aren't forcing a schedule, is that bad for her? She sleeps all day in the form of naps anyway her naps are 30min long but she has several of them.
Any of your LO's stay up till midnight?
Posted 11/18/2012
Loving wife (28) to my bestfriend Peter(28)
Loving wife (28) to my bestfriend Peter(28)
Baby #1: Ashley 23/8/2012
Posted 11/18/2012
My son used to but we are at 9:30 everynight. Sometimes it's later but not usually. My son is out all day too but he still has a schedule.
Posted 11/18/2012
My son usually goes to bed around 10:30, and is always out for the night by 11:30. We start bedtime routine at 8:30/9, and he cluster feeds until he goes to bed. He naps one big nap usually from 4pm-7pm, then wakes up & eats, we have a good, fun, relaxing bath for about 30 minutes. Some days he doesn't do the big nap, but he's usually out by 11:30 every night, no matter the nap pattern during the day. During the day we just play it by ear, but I always make sure to keep the same nighttime routune.
Posted 11/18/2012
Mine doesn't, he's a nightowl already.
Posted 11/18/2012
My LO goes to sleep no earlier than 12:30. If he does go to sleep before them, it is very rare. But he sleeps through the night. Never wakes up before he gets at least seven hours of sleep. Then he eats and goes back to sleep for another three hours. He also takes naps during the day. But they are only 30 minutes to an hour long.
Courkie (22) engaged to Mike (22).
Baby boy Tyler born August 30, 2012. <3
Posted 11/18/2012
I'm on my baby's schedule, and he likes to stay up late and sleep in. Fine with me, cuz I do, too. Plus hubby works nights, so it works well for all of us.
BFing, CDing, babywearing intactivist!
BFing, CDing, babywearing intactivist!
~*~Rowan Drake born 8-2-2012 ~*~
( o ) ( o ) Gold boobies!
Posted 11/18/2012
Mine used to, but now she's going to bed around 9 ish. She's been going down earlier for about a month now.
Our gift from God--Olivia Grace born August 3, 2012.
I'm so in love with my baby girl!
Posted 11/18/2012
He will go down for a 30 min nap at 9... But won't go out for the night until 12-1am.
Posted 11/18/2012
I would die if my LO was like this.
Ashley & Chad - EST 05/31/09
Avery Faire - EST 08/08/12
Central California Photographer :-)
Posted 11/18/2012
We go to bed before that, but daddy gets home around midnight from work, so sometimes we get back up and have a snack with DH. At this point, I'm more interested in his schedule meshing well with ours.
Posted 11/18/2012
We force lo to make it until 8pm. Sometimes its super rough. But he sleeps until 4am and then down again until 7-7:30.
I would prefer him to stay up later and then sleep later. But I've tried everything and its just not happening. We also tend to stick with our nightly routine. We start at 7pm because his eyes start rolling about that time. The bath perks him up for a few minutes, but not long.
We travel a lot, but we do it all during the days so as not to ruin the routine. But the holidays are going to make it tough to stick with.
I would prefer him to stay up later and then sleep later. But I've tried everything and its just not happening. We also tend to stick with our nightly routine. We start at 7pm because his eyes start rolling about that time. The bath perks him up for a few minutes, but not long.
We travel a lot, but we do it all during the days so as not to ruin the routine. But the holidays are going to make it tough to stick with.
Anthony Vincent AKA "Megatron" - born 8/16/12 @ 5:24am weighing 7lbs 13oz, 20 inches long.
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L'ovedbaby Organic Cotton Cute Baby Cap
by L'ovedbaby
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Mauve & Beige
This 100% organic cotton, form-fitting cap is the perfect accessory to go with any of our Cotton Basics™ pieces. Little ears stay covered for added warmth and protection in this adorable cap.
"Thank you for offering attractive, stylish and high quality clothes for breastfeeding moms. I've received so many compliments on my new tops!"
Christine in Temecula, CA
Copyright © 2014 Figure 8 Maternity. All Rights Reserved.


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Bill offers tax break to AZ self-employed
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|By Jeremy Geelan
Article Rating:
|April 17, 2011 06:15 AM EDT
Okay, things have been happening so fast and furiously just recently that many people have asked me to just take a deep breath and help them play catch-up. Here goes...
Basically all you need to know is that I am back from having "lost" two months of my life.
In those two months I somehow managed to 1. discover that for some reason or other I was not myself, 2. ascribe the blame (wrongly) to a recurrence of the shingles that I had contracted 27 years ago, 3. achieve a diagnosis (correctly) of a massively distended gall-bladder, and 4. pursue that line of inquiry to its logical end...which was alas that the entrance to not just my gall-bladder but three other internal organs - a sort of 4-way traffic junction if you will - was being obstructed by a two-centimeter tumor lodged at the head of my pancreas.
Stranger still, in the same two months I also managed to 5. have the tumor resected (sliced out) successfully, 6. have my entire digestive system rearranged in a so-called "Whipple procedure" (feel free to Wikipedia it, but make sure you are sitting down first), 7. recover from the radical surgery and 8. begin the first cycle of a nine-cycle, six-month course of "preventative" chemotherapy aimed at minimizing the possibility of any return of pancreatic or any other kind of cancer to anywhere in my body.|
It wasn't quite the 2011 that I had scheduled back in November and December of 2010.
To claim that my work didn't get majorly disrupted would be ludicrous, delusional. On the other hand, Cloud Expo New York, the 8th International Cloud Computing Conference & Expo - thanks to the amazing team effort that has characterized this event since its inception seven successful shows ago - is trending to be the biggest Cloud event ever. We have over one hundred exhibitors from every level of the cloud computing ecosystem and a non-stop, 4-day technical program, with expert speakers from every top Cloud player, including Abiquo, Amazon, AppZero, AT&T, CA Technologies, Cloud.com, Dell, Dell Boomi, Eucalyptus Systems, Fusion-io, Google, HP, IBM, Layered Technologies, LogLogic, McAfee, Microsoft, OpSource, Oracle, OutSystems, OxygenCloud, PayPal, PerspecSys, Quest Software, Rackspace, RightScale, Spoon, Stoneware, Terremark, Virtela, VMware, Xiotech and Zetta.
Altogether, not too shabby. But then, this is the tech conference world's top team. Cloud Expo New York may be only the eighth successive Cloud Expo, but it is actually my fiftieth consecutive event as Conference Chair...so we are building on a fairly decent track record of eleven busy years of producing conferences for the Internet technology community.
But before you worry that maybe, among my newfound plans, there might lurk some wheeze to write the book Pancreatic Cancer is Good for You, let me assure you that on the contrary never in all my life have I felt so humble and privileged and plain dumb lucky.
I am fully aware that the odds I have beaten - or, rather that I have been helped to beat by a brilliant piece of highly invasive surgery carried out both fast and well - were very very long. Lots of different stars had to line up for me to be declared, essentially, cancer-free just seven weeks after being diagnosed with what turned out to be a malignant tumor straight out of Pancreatic Cancer 101 - as in, not only able to kill, but usually successful in killing, if not within a year or two, then almost always within five.
"The silent killer" is what they call pancreatic cancer. Its survival rate is, in the words of one of the earlier websites that (alas!) I chanced upon very early while trying to get a sense of what I was up against, "dismal." And even the less dramatic and more scholarly sites that I found a little later were still very forthright: only 20% of pancreatic cancers are even operable...and of the 20% that are operated on, only a certain percentage seem to end up cured. Most still seem to end up dead. (The mystery of that one still defies me, but perhaps other patients are typically older, or less fit, than I was when diagnosed, so that their tumors, although removed, left traces of cancer behind...)
But then again, what actual use are statistics? What matters, when you are up against a major medical challenge, is you...not some sample of other patients. What matters is to feel strong, to feel loved, and to feel optimistic - and I was blessed with all three. So actually it isn't really surprising at all that I beat the odds. With all that strength (partly from fitness, mostly from stubbornness!), all that love (from my family, my friends, and colleagues who have simply blown me away with their compassion and concern and positive karma, and not least all that optimism (supplied to me at birth in almost infinite quantities)...how could I ever have failed?
I promise you that this is last time that any of you will have to endure hearing about one man's brush with "PanCan" as this scary killer is called. From here on all have to say about it will be said through actions rather than words, specifically my participation in the 2011 San Francisco Marathon on July 31, when I hope you will consider helping me raise $10,000 for the Pancreatic Cancer Action Network which is trying to double the survival rate for pancreatic cancer by 2020 (www.PanCan.org). The money will go directly to much needed R&D, much neded because for whatever reason very little real progress has been made in fighting this particular cancer in the recent past.
Either way, whether you decide to allocate a few dollars to fighting PanCan or not, know that I will be there on the podium as ever at Cloud Expo New York, and that you will truly not be able to discern any difference: I will still be my same old self...for better or for worse! So look out for me as conference emcee, Power Panel moderator, SYS-CON.tv host, and as a general all-purpose go-to guy if you have a bone to pick with Cloud Expo or (even better) a constructive suggestion as to how we can go on making the event more and more valuable to those who participate, whether as delegates, speakers, exhibitors, sponsors, or attending press & analysts. I should be pretty easy to find! :)
So.....see you in New York City at the Jacob Javits, 6 - 9 June. It is going to be simply Cloudtastic!
Read the original blog entry...
There's Big Data, then there's really Big Data from the Internet of Things. IoT is evolving to include many data possibilities like new types of event, log and network data. The volumes are enormous, generating tens of billions of logs per day, which raise data challenges. Early IoT deployments are relying heavily on both the cloud and managed service providers to navigate these challenges. In her session at Big Data Expo®, Hannah Smalltree, Director at Treasure Data, discussed how IoT, Big Data and deployments are processing massive data volumes from wearables, utilities and other machines...
Dec. 25, 2014 11:00 AM EST Reads: 2,173
Scott Jenson leads a project called The Physical Web within the Chrome team at Google. Project members are working to take the scalability and openness of the web and use it to talk to the exponentially exploding range of smart devices. Nearly every company today working on the IoT comes up with the same basic solution: use my server and you'll be fine. But if we really believe there will be trillions of these devices, that just can't scale. We need a system that is open a scalable and by using the URL as a basic building block, we open this up and get the same resilience that the web enjoys.
Dec. 25, 2014 11:00 AM EST Reads: 2,006
Connected devices and the Internet of Things are getting significant momentum in 2014. In his session at Internet of @ThingsExpo, Jim Hunter, Chief Scientist & Technology Evangelist at Greenwave Systems, examined three key elements that together will drive mass adoption of the IoT before the end of 2015. The first element is the recent advent of robust open source protocols (like AllJoyn and WebRTC) that facilitate M2M communication. The second is broad availability of flexible, cost-effective storage designed to handle the massive surge in back-end data in a world where timely analytics is e...
Dec. 25, 2014 11:00 AM EST Reads: 1,833
DevOps Summit 2015 New York, co-located with the 16th International Cloud Expo - to be held June 9-11, 2015, at the Javits Center in New York City, NY - announces that it is now accepting Keynote Proposals. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long development cycles that produce software that is obsolete at launch. DevOps may be disruptive, but it is essential.
Dec. 25, 2014 10:45 AM EST Reads: 1,620
Explosive growth in connected devices. Enormous amounts of data for collection and analysis. Critical use of data for split-second decision making and actionable information. All three are factors in making the Internet of Things a reality. Yet, any one factor would have an IT organization pondering its infrastructure strategy. How should your organization enhance its IT framework to enable an Internet of Things implementation? In his session at Internet of @ThingsExpo, James Kirkland, Chief Architect for the Internet of Things and Intelligent Systems at Red Hat, described how to revolutioniz...
Dec. 25, 2014 10:15 AM EST Reads: 2,175
The 3rd International Internet of @ThingsExpo, co-located with the 16th International Cloud Expo - to be held June 9-11, 2015, at the Javits Center in New York City, NY - announces that its Call for Papers is now open. The Internet of Things (IoT) is the biggest idea since the creation of the Worldwide Web more than 20 years ago.
Dec. 25, 2014 09:00 AM EST Reads: 7,085
SYS-CON Events announced today that Gridstore™, the leader in hyper-converged infrastructure purpose-built to optimize Microsoft workloads, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Gridstore™ is the leader in hyper-converged infrastructure purpose-built for Microsoft workloads and designed to accelerate applications in virtualized environments. Gridstore's hyper-converged infrastructure is the industry's first all flash version of HyperConverged Appliances that include both compute and storag...
Dec. 25, 2014 07:00 AM EST Reads: 1,736
The security devil is always in the details of the attack: the ones you've endured, the ones you prepare yourself to fend off, and the ones that, you fear, will catch you completely unaware and defenseless. The Internet of Things (IoT) is nothing if not an endless proliferation of details. It's the vision of a world in which continuous Internet connectivity and addressability is embedded into a growing range of human artifacts, into the natural world, and even into our smartphones, appliances, and physical persons. In the IoT vision, every new "thing" - sensor, actuator, data source, data con...
Dec. 25, 2014 07:00 AM EST Reads: 2,286
"Matrix is an ambitious open standard and implementation that's set up to break down the fragmentation problems that exist in IP messaging and VoIP communication," explained John Woolf, Technical Evangelist at Matrix, in this SYS-CON.tv interview at @ThingsExpo, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
Dec. 25, 2014 04:45 AM EST Reads: 1,882
The Internet of Things will put IT to its ultimate test by creating infinite new opportunities to digitize products and services, generate and analyze new data to improve customer satisfaction, and discover new ways to gain a competitive advantage across nearly every industry. In order to help corporate business units to capitalize on the rapidly evolving IoT opportunities, IT must stand up to a new set of challenges. In his session at @ThingsExpo, Jeff Kaplan, Managing Director of THINKstrategies, will examine why IT must finally fulfill its role in support of its SBUs or face a new round of...
Dec. 25, 2014 04:00 AM EST Reads: 1,715
The Internet of Things promises to transform businesses (and lives), but navigating the business and technical path to success can be difficult to understand. In his session at @ThingsExpo, Sean Lorenz, Technical Product Manager for Xively at LogMeIn, demonstrated how to approach creating broadly successful connected customer solutions using real world business transformation studies including New England BioLabs and more.
Dec. 25, 2014 04:00 AM EST Reads: 1,976
How do APIs and IoT relate? The answer is not as simple as merely adding an API on top of a dumb device, but rather about understanding the architectural patterns for implementing an IoT fabric. There are typically two or three trends: Exposing the device to a management framework Exposing that management framework to a business centric logic Exposing that business layer and data to end users. This last trend is the IoT stack, which involves a new shift in the separation of what stuff happens, where data lives and where the interface lies. For instance, it's a mix of architectural styles ...
Dec. 25, 2014 04:00 AM EST Reads: 1,948
An entirely new security model is needed for the Internet of Things, or is it? Can we save some old and tested controls for this new and different environment? In his session at @ThingsExpo, New York's at the Javits Center, Davi Ottenheimer, EMC Senior Director of Trust, reviewed hands-on lessons with IoT devices and reveal a new risk balance you might not expect. Davi Ottenheimer, EMC Senior Director of Trust, has more than nineteen years' experience managing global security operations and assessments, including a decade of leading incident response and digital forensics. He is co-author of t...
Dec. 25, 2014 03:00 AM EST Reads: 2,277
P2P RTC will impact the landscape of communications, shifting from traditional telephony style communications models to OTT (Over-The-Top) cloud assisted & PaaS (Platform as a Service) communication services. The P2P shift will impact many areas of our lives, from mobile communication, human interactive web services, RTC and telephony infrastructure, user federation, security and privacy implications, business costs, and scalability. In his session at @ThingsExpo, Robin Raymond, Chief Architect at Hookflash, will walk through the shifting landscape of traditional telephone and voice services ...
Dec. 25, 2014 02:30 AM EST Reads: 2,092
The definition of IoT is not new, in fact it's been around for over a decade. What has changed is the public's awareness that the technology we use on a daily basis has caught up on the vision of an always on, always connected world. If you look into the details of what comprises the IoT, you'll see that it includes everything from cloud computing, Big Data analytics, "Things," Web communication, applications, network, storage, etc. It is essentially including everything connected online from hardware to software, or as we like to say, it's an Internet of many different things. The difference ...
Dec. 25, 2014 02:00 AM EST Reads: 2,160
The 3rd International @ThingsExpo, co-located with the 16th International Cloud Expo - to be held June 9-11, 2015, at the Javits Center in New York City, NY - announces that it is now accepting Keynote Proposals. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devices - computers, smartphones, tablets, and sensors - connected to the Internet by 2020. This number will continue to grow at a rapid pace for the next several decades.
Dec. 25, 2014 02:00 AM EST Reads: 2,622
We are reaching the end of the beginning with WebRTC, and real systems using this technology have begun to appear. One challenge that faces every WebRTC deployment (in some form or another) is identity management. For example, if you have an existing service – possibly built on a variety of different PaaS/SaaS offerings – and you want to add real-time communications you are faced with a challenge relating to user management, authentication, authorization, and validation. Service providers will want to use their existing identities, but these will have credentials already that are (hopefully) i...
Dec. 25, 2014 01:00 AM EST Reads: 1,807
The Internet of Things will greatly expand the opportunities for data collection and new business models driven off of that data. In her session at @ThingsExpo, Esmeralda Swartz, CMO of MetraTech, discussed how for this to be effective you not only need to have infrastructure and operational models capable of utilizing this new phenomenon, but increasingly service providers will need to convince a skeptical public to participate. Get ready to show them the money!
Dec. 25, 2014 01:00 AM EST Reads: 1,950
The 3rd International Internet of @ThingsExpo, co-located with the 16th International Cloud Expo - to be held June 9-11, 2015, at the Javits Center in New York City, NY - announces that its Call for Papers is now open. The Internet of Things (IoT) is the biggest idea since the creation of the Worldwide Web more than 20 years ago.
Dec. 25, 2014 01:00 AM EST Reads: 2,052
The Internet of Things is tied together with a thin strand that is known as time. Coincidentally, at the core of nearly all data analytics is a timestamp. When working with time series data there are a few core principles that everyone should consider, especially across datasets where time is the common boundary. In his session at Internet of @ThingsExpo, Jim Scott, Director of Enterprise Strategy & Architecture at MapR Technologies, discussed single-value, geo-spatial, and log time series data. By focusing on enterprise applications and the data center, he will use OpenTSDB as an example t...
Dec. 25, 2014 12:00 AM EST Reads: 2,112


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It's an APW tradition to start each year with Beginnings. January is a fresh start, and for many readers, marks the launch of (official) wedding planning. Let's turn over a new leaf together.
"This is my favorite essay that I've written in recent years. I was secretly pregnant when I wrote it."
"Because it's not always tears of joy and toasts, and you need strategies to survive in one piece."
"One heirloom dress, sixty years, three weddings."
"Hint: they apply to all."
"On how the culture of online hate forums (by women, for women) is nothing more than a new way to treat women as objects."