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Caitlin ("Katie") Haynes, a senior at Los Alamos High School, was honored as Rotary Student of the Month for January. Haynes is the daughter of Karen and Don Haynes and older sister of Trip Haynes.
The Rotary Club of Los Alamos selects one student each month of the school year to honor as a Student of the Month.
In addition to high school seniors, high school juniors are now eligible for the recognition. Students are nominated by their teachers and chosen on the basis of their academic achievement, extra-curricular activities, and in particular, their service to the community.
Haynes is an active member of the LAHS Hilltalker Speech and Debate Team, an award-winning club and has served as a team captain for three years. Active on the national debate circuit, she has won awards at what are considered some of the most competitive tournaments in the country.
She has also received the National Forensic League's highest honor — the title of Academic All-American, an award based on service. She is a National Merit semi-finalist and a member of the National Honor Society, where she currently serves as treasurer.
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Lupe Fiasco - Brave Heart (ft. Poo Bear) (Lyrics - Paroles)
0 J'aime 0 Je n'aime pas
Lupe Fiasco - Brave Heart (ft. Poo Bear) (Lyrics - Paroles)
May the Lord have mercy on my soul
Forgive me for my fetishes, my purchases, my clothes
Allow me to catch my rhythm so the nervousness just goes
That's why I sound so certain in my verses and my flows
The verbiage just gets merciless this wordsmithness just rolls
I've tuned into my pertinence, my purposes, my goals
The feeling when you realize you've been working for your foes
And the curtains have just opened and they worthlessness exposed
You remember where you came from, where the purses was stole
There was nothing in the oven and just work up on the stove
And you blossomed from the bottom, yeah, you worked with it and rose
From nothing to a dozen and a gardener now there grows
Tell 'em!
[Hook: Poo Bear]
Courage under fire, gave me a brave heart (That's me)
Courage under fire, gave me a brave heart
Brave heart
(Yeah I got that) Brave heart
(You know) Brave heart
[Verse 2]
May the Lord have mercy on my soul
Like shows keep cushion where I land
Keep the devil off my heels
But please keep me on my toes
Like a reposessor checking for everything I drove
Like I owe, but I don't
Paid my dues from the go
Doing donuts in the door, keep my shoes on the floor
Revered by the rich, plus approved by the poor
I guess it's better when they sniff it
(I've been sped up where they sniff it)
And screwed up where they pour
See I flew so way up high
And I SCUBA'd way down low
Put the top down on my fears
Put the roof up on my woes
I dropped that food and liquor to put you up on my stove
They shoplifted and stole
That just let me know they know
That was Lupe #1 now this version #4
And I still feel like a virgin me versus the globe
From the surface to the cove
I took on the biggest wave
And I surfed it to the shore with no pomade in my fro
Took the wood from the slave ships and furnished my abode
That boat is now my bed, desk, dressers and my drawers
Now that's a house of pain!
Plus I use nooses when I hang up all my clothes
Couldn't change up if I chose
That's me
May the lord have...
Mercy on my soul
Si ces paroles contiennent des erreurs, tu peux les corriger en cliquant sur le bouton Correction ci-dessous.

subset: commoncrawl


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Stop-Loss dir: Kimberly Peirce starring: Ryan Phillipe, Joseph Gordon Levitt, Abbie Cornish, Rob Brown, Channing Tatum, Victor Rasuk.
Punishment Park dir: Peter Watkins starring: Carmen Argenziano, Patrick Boland.
No End in Sight dir: Charles Ferguson
Interview with Audrey Marrs producer of No End in Sight.
Sunday, April 27, 2008
#31: Let's Talk About War: Stop-Loss, Punishment Park, No End in Sight, interview with Audrey Marrs.
at 10:30 PM
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18.04.2012, 00:12
Mandriva Linux Security Advisory 2012-032 - Security issues were identified and fixed in Mozilla Firefox and Thunderbird. Security researchers Blair Strang and Scott Bell of Security Assessment found that when a parent window spawns and closes a child window that uses the file open dialog, a crash can be induced in shlwapi.dll on 32-bit Windows 7 systems. This crash may be potentially exploitable. Firefox prevents the dropping of javascript: links onto a frame to prevent malicious sites from tricking users into performing a cross-site scripting attacks on themselves. Security researcher Soroush Dalili reported a way to bypass this protection. Various other issues were also addressed.
Weiterlesen... (http://packetstormsecurity.org/files/111921/MDVSA-2012-032-1.txt)
Weiterlesen... (http://packetstormsecurity.org/files/111921/MDVSA-2012-032-1.txt)


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Clicker Training
You've never heard of "Clicker Training?" You're not alone!
Although this method of training has been around since the 1940s, it has only been used to train our companion dogs for a couple of decades. At first, clicker training was used primarily as a scientific study into the use of operant conditioning and for use in performing animals. In the 1980s, scientist and dolphin trainer Karen Pryor, introduced the general public to the psychology of operant conditioning for dogs with her book "Don't Shoot the Dog". With her next book, "A Dog and a Dolphin," Pryor introduced the dog-training world to the world of clicker training.
How does it work?
Clicker Training is a form of operant conditioning. You utilize the click sound to indicate to your dog which behavior is desirable and is worthy of a reward. Once your dog realizes which behavior is being clicked and rewarded, he is likely to repeat that behavior. The click sound acts as the secondary reinforcer and the food reward is the primary reinforcer.
What is a clicker?
The clicker is a small plastic box with a metal strip. When you press down on this strip it makes a CLICK, CLICK sound. When you pair the CLICK, CLICK sound with a reward (like food), your dog begins to associate the sound with something good - food!
Once you have conditioned your dog to associate the sound with receiving a food reward, you are ready to start shaping your dog's behavior and marking the events that are desirable to you. This is why the clicker is referred to as an event marker.
Why does it work?
Clicker training is not a magic formula for training your dog. It is just another method of training, with the clicker being one of many tools used in dog training. However, the principle concept behind clicker training, and training with positive reinforcement, is something that should not go un-noticed. When you allow a dog to think things through and use his inherent willingness to please, learning is more effective and permanent.
Clicker training is based on using positive reinforcement and allowing your dog to experiment and learn through guidance and reward. Force and compulsion methods are not used, as this would serve to only confuse a dog that has been encouraged to offer various behaviors, so they can be rewarded for the desirable behavior. When you train in this fashion your dog becomes a partner in the training process and you develop a deep bond built on trust and friendship.
Article submitted by: © Jackie McGowan- all rights reserved. Article from Dog Professor Software


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Preferences given to students who are willing to:
- Remain in the program through graduation from high school.
- Participate in the fall and spring tutoring twice a week
- Participate in and complete the six week summer program each year
- Attend all workshops, college visits, academic and social activities.
- Be a U.S. Citizen or a permanent resident.
- Have a household income that meets low-income guidelines established annually by the federal government
- Be a potential first-generation college graduate; this scholar whose parent(s) did not graduate from a four-year college or university
- Be in high school (grades 9-12), and attend and Upward Bound Math and Science "target" high school: Bay View, Custer, Hamilton, Juneau, Madison, Marshall, Milwaukee High School of the Arts, Milwaukee Trade and Technical, North Division, Pulaski, Riverside, Rufus King, South Division, Vincent or Washington.
- Want to go to college after high school graduation.


text: Sale 0 0 0 0 0 0 0 0 0 0 (0) Add to Pantry 0 Grabs ✓ Grab Adorn Hair Spray - Extra Hold 7.50 oz SKU/UPC: 047400674417 Details » Click to Rate: Share: Comments Comments Activity Are you sure you wish to delete this comment? Extended Info Description For long lasting, touchable hold. Ingredients Water, Dimethyl Ether, SD Alcohol 40-B, VA/Crotonates/Vinyl Neodecanoate Copolymer, Aminomethyl Propanol, Sodium C13-15 Pareth-8 Butyl Phosphate, Sodium C13-15 Pareth-8 Phosphate, PPG-12 Dimethicone, Fragrance, Sodium Benzoate, Triethyl Citrate. Safety Warnings Flammable. Avoid fire, flame or smoking during use and until hair is thoroughly dry. Avoid spraying in eyes. Contents under pressure. Do not puncture or incinerate. Do not store at temperature above 120 degrees F. Keep out of reach of children. Use only as directed. Intentional misuse by deliberately concentrating and inhaling the contents can be harmful or fatal. Manufacturer Info Diamond Products Co. Tampa, FL 33619 800-575-7960


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Archives for: October 2013, 24
Try out a databaseOctober 24th, 2013
The databases listed below are being evaluated on a trial basis by the Old Dominion University Libraries.
Be sure to try them out before the dates listed. There is no guarantee that we will be able to acquire them. But while we have trial access, please use them and let us know what you think.
Heritage Quest Online 10/14/2013 - 11/12/2013
The Roland Visual Arts Collection 10/11/2013 - 11/06/2013
Global Commodities 10/03/2013 - 11/01/2013
Birds of North America Online 09/25/2013 - 12/31/2013
Stalin Digital Archive 09/24/2013 - 10/24/2013
LGBT Life with Full Text 09/06/2013 - 11/06/2013
LGBT Thought and Culture 09/04/2013 - 11/04/2013
Learn EndNote from a distance 10/31October 24th, 2013
The library will be offering an EndNote training session via Adobe Connect on Thursday, October 31, from 6-7pm. Learn how to collect references from the library's databases and export them into EndNote, a powerful tool for organizing and managing bibliographic references. You will also learn how to import and format references in your Word document (Cite While You Write).
Contact Miriam Bridges email@example.com or 683-4169 - to register, or for more information.
For instructions on installing and using EndNote, see the how-to guide for using EndNote on the library's website.


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Shuttle docks with space station - Gets second toilet
BBC News November 16, 2008
A Nasa shuttle, carrying seven astronauts, has docked with the International Space Station as part of a mission to refit its living quarters.
The Endeavour is carrying 14,000lb (6,350kg) of fittings to allow the station to accommodate six crew members instead of the current three.
A new astronaut, Sandra Magnus, is also joining the ISS crew.
"International Space Station is indeed ready for extreme home makeover," joked ISS station commander Mike Fincke.
Endeavour docked with the ISS at 2201 GMT, a few minutes earlier than scheduled, as the spacecraft passed over India.
'Extreme make-over'
Engineers studying film of Endeavour's launch from Florida have found no obvious signs of damage from debris.
At least two pieces were spotted during the launch on Friday night, raising concern that a narrow strip of thermal blanket might have been torn off.
Such inspections are standard since the Columbia disaster of 2003, when debris from the external tank struck the shuttle, damaging the heat shield and causing its destruction as it tried to re-enter the atmosphere. All seven crew members died.
This is the final orbiter mission of 2008.
Four space walks are planned on the 15-day flight, including repairs to joint damage on the ISS's solar arrays.
The mission has been dubbed Extreme Home Improvements. It will see the crew installing new crew quarters, with an additional bathroom and a galley.
There will be two new sleeping compartments, more exercise gear and a second toilet. Nasa plans to double the station's crew size as early as May.
Also in the cargo is a water regeneration system that distills, filters, ionizes and oxidizes wastewater - including urine - into fresh water for drinking.
The equipment has been packed inside refrigerator-sized racks that require forklifts to lift them on Earth but in space, a single astronaut can move a rack around with little problem.
The fresh crew member is due to replace Gregory Chamitoff.
Endeavour and its crew are due to land back at Kennedy Space Center, Florida, on 30 November.
The flight is the fourth mission of the year.
Nasa had hoped to fly a servicing call to the Hubble Space Telescope last month but delayed the mission to May 2009 to prepare for some additional repair work on the observatory.
In all, Nasa plans 10 more shuttle flights before the fleet is retired in 2010.
read about: International World Toilet HistoryCopyright © Since 1994 ThePlumber.com


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I think Warner Bros needs an intervention. In their haste to compete with Marvel, they're green lighting anything featuring characters in tights. Yesterday came news that Jason Momoa has been signed to play Aquaman in Batman v. Superman: Dawn of Justice and presumably the Justice League movie after that, and today comes news that Aquaman will also star in his own standalone movie.
In a move that shows their total lack of vision, the studio has hired two screenwriters to write their own unique takes on the character. Gangster Squad writer Will Beale will script one probably terrible film while 300 writer Kurt Johnstad writes the other piece of shit. Whichever one is deemed less terrible will be the movie they spend hundreds of millions of dollars on. It's advised that Beale and Johnstad stay away from scenes involving Aquaman diving off a pier.
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Weather tethers balloons, but it's picture-perfect for guests at Santa Paula fest [Video]
When flying a hot-air balloon, the weather conditions must be perfect. On Saturday morning, persistent fog limited flight for the balloons gathered for Santa Paula's sixth annual Citrus Classic Balloon Festival, but they were still a key attraction.
Due to the weather, balloon pilots couldn't participate in competitions such as "hare and the hounds," which can win them prizes. But they were able to offer tethered rides to the long lines of people who came to the field outside Santa Paula.
John Procter, master of ceremonies, said there was a deadline of 7:30 a.m. for the balloons to take off. When the fog didn't clear in time, the flying events were canceled.
"They play 'hare and hounds,' where a single balloon goes and marks a specific spot and then the rest of the balloons try to hit that spot with a marker," said Procter, explaining that the weather conditions must be perfect, with quiet winds flowing in the right direction. "We've had (balloons) go down in neighborhoods, which we don't want. If we were out in the middle of the desert, it wouldn't be a problem."
(Watch the Citrus Classic Balloon Festival video)
While some pilots may have been slightly disappointed, most said dealing with the weather is part of the sport. And scores of people with cameras were enjoying snapping shots of the colorful and fanciful balloons, which included one that looked like a panda.
"I like to shoot the balloons. This is my fourth year. I like the colors and contrast," said Imre Rabel, of Ventura, who has a full-time job when he isn't taking photos.
Tim Chico, pilot of the Panda and Feeling Good balloons, explained that the Federal Aviation Administration has strict rules about visibility for hot-air balloons.
"The FAA regs say visibility has to be at least 1,000 feet, and it's only about 500 this morning. The fog burns off quickly, but not quickly enough this morning. If this had happened an hour ago, we could have gone," said Chico, of Vista, gesturing to the blue skies peeking out from the rapidly dissipating fog.
He said he enjoys coming to the festival.
"It's a community event," he said. "It's social and we can expose our passion to the community."
The festival was started by Carla Edwards six years ago. An event planner, Edwards said she always felt the Heritage Valley would be perfect for ballooning, with its wide-open fields and scenic vistas.
"Balloon meister" Steve Wilkinson, of Santa Paula, said the turnout was good this year, with 25 balloons. He said the No. 1 priority is safety.
"Every morning, we have a pilot briefing," Wilkinson said.
As they waited in line for a tethered balloon ride, members of the Blackwell family, of Santa Barbara, were excited.
"This is the first time for all of us," said Holly Blackwell, who was with husband Jeff and sons Lucas, 3 1/2, and Owen Blackwell, 1 1/2. She said the kids, who were sporting T-shirts with colorful hot-air balloon designs, were excited when they saw the balloons as the family drove up Highway 126.
"I will go up in the white one and go in the air," said Lucas, his eyes fixed on the balloon as he stood in line.
The most popular events at the festival are the evening "glows" Friday and Saturday, in which pilots light up dusk with their balloons. The festival also features train rides, activities for children, the Glow N Go Car Show, agricultural exhibits, food and beer tasting.
On Sunday, there will be a Summit to the Sea motorcycle run starting at 9 a.m. and returning to the balloon field for tri-tip barbecue, entertainment, prizes and beer. The Kids Fun Zone and Ag Alley will not be open Sunday.
The Citrus Classic Balloon Festival, 18249 E. Telegraph Road, runs through 4 p.m. Sunday. Tickets are $10 for adults, $5 for ages 6-14, children 5 and younger free when accompanied by adult.
On the Net: http://www.citrusclassicballoons.com
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On the ice that night were blueliners Drew Doughty, Zach Bogosian, Luke Schenn, Alex Pietrangelo, Tyler Myers and Michael Del Zotto, among others.
Four years later, when this year's crop of top draft-eligibles met in Kelowna, B.C., for the 2012 Top Prospects Game, the list of available defensemen could run deeper and be just as talented as that 2008 group.
Scouts certainly are excited by the potential shown by this year's group.
"Both years there were pretty high-end defensemen as far as young prospects … maybe a little more high-end skill out of this group." -- Capitals Director of Amateur Scouting Ross Mahoney
"I think there's similarities," Washington Capitals Director of Amateur Scouting Ross Mahoney told NHL.com. "Both years there were pretty high-end defensemen as far as young prospects … maybe a little more high-end skill out of this group."
That's pretty impressive when you consider Doughty has an Olympic gold medal, Myers has a Calder Trophy and Pietrangelo, Del Zotto, Bogosian and Schenn are top-two pairing defensemen on their teams.
This year's group, though, has something special to it.
That starts with the Everett Silvertips' Ryan Murray, the top-rated blueliner in NHL Central Scouting's midterm ranking of North American skaters. At 6-foot and 201 pounds, he doesn't have dominating size, nor do his offensive numbers jump off the page -- he has 8 goals and 13 assists in 28 games -- but Murray is nearly unflappable with the puck, and his poise and smarts have earned him high praise from scouts.
"Murray is one of those calm, cool and collected guys … an excellent skater with a lot of poise," said NHL Central Scouting's David Gregory. "He really defends well because he's so confident skating backwards and really uses his positioning well. He'll end up with a ton of assists."
Faksa showing game translates easilyMike G. Morreale - NHL.com Staff Writer
Radek Faksa wasn't sure what he would be able to accomplish in his first season in North America, but the Kitchener Rangers center has emerged as a top prospect for the 2012 NHL Draft. READ MORE ›
Sharing space with Murray in the top 10 are the Moose Jaw Warriors' Morgan Rielly, the London Knights' Olli Maatta, the Red Deer Rebels' Mathew Dumba, Griffin Reinhart of the Edmonton Oil Kings, Jacob Trouba of the U.S. National Team Development Program's under-18 team and Derrick Pouliot of the Portland Winterhawks.
All bring something different, but they all have one thing in common -- a high level of talent.
"I would say this year's group overall seems to be a fairly offensive group when you look at the offensive capabilities of the Pouliots and the Dumbas and the Reinharts and Riellys," Mahoney said.
Dumba might be the most explosive offensively. He's second among Western Hockey League defenseman with 16 goals, and has 38 points in 50 games. And at 6-foot and 183 pounds, he's willing and able to throw his weight around. His big third-period hit on Radek Faksa at the Top Prospects Game led to him engaging in a fight.
"He's a big kid, he can skate -- he's exciting," said three-time Stanley Cup champion Mark Recchi, who coached Dumba at the Top Prospects Game. "He loves being out there. Everything is full-speed ahead, and I love that. You can tell he loves being out here. His excitement for the game is great."
Murray and Dumba, along with Pouliot and Reinhart, were able to showcase their skill at the Top Prospects Game (Maatta missed the game due to illness), and all were impressive.
One player who didn't make the trip to Kelowna, B.C., for the game is a guy at least one scout was most looking forward to seeing -- Rielly, who suffered a season-ending knee injury in November. The 5-11 1/2, 190-pound blueliner had 18 points in 18 games prior to getting injured.
"He has the wow factor," San Jose Sharks Director of Scouting Tim Burke told NHL.com. "He's an exciting player you're going to have reel in a little bit, but if he's not hurt, he's a different kind of player. He's got the great speed. He's a risky guy, but he's fun to watch."
That's what scouts were saying about the crop of 2008 defensemen. At the 2008 Entry Draft, four went in the top five -- Doughty (second, Kings), Bogosian (third, Thrashers), Pietrangelo (fourth, Blues) and Schenn (fifth, Maple Leafs), and 12 went in the first round, including Myers, who went 12th to the Sabres; Erik Karlsson, taken 15th the Senators; Jake Gardiner, who went 17th to the Ducks; Del Zotto, taken No. 20 by the Rangers; and John Carlson, taken at No. 27 by the Capitals.
The Everett Silvertips' Ryan Murray is the top-rated blueliner in NHL Central Scouting's midterm ranking of North American skaters. (Photo: Frank Deines III)
Scouts talked to by NHL.com said the 2012 Draft could feature as many as 15 defensemen -- half the first round -- among the first 30 picks.
"The defense core of this draft runs well into the second round," Button said. "At the top end, I think time will tell as far as who becomes the Drew Doughty and Alex Pietrangelo. As far as the depth for defensemen, this is a much deeper defense draft."
While there's a long way before this year's crop of blueliners can be compared to the rich crop of 2008 picks. The early results, however, make for a valid comparison.
"We can't see into the future there, but some of the kids from '08, they're just coming into their own now," Marr said. "The best is yet to come for a couple of those guys. It does take time. You can't accelerate development. You can do what you can, but these kids certainly have the abilities, the hockey sense, to make a same or better impact than the 2008 group."
Contact Adam Kimelman at firstname.lastname@example.com. Follow him on Twitter: @NHLAdamK


text: The early afternoon winter sun peers through the trees while crossing the southern sky near the Fish Creek turnoff west of Scofield. To date, the percentage of water received in the Carbon County area registers below average due to the lack of continuous precipitation throughout the winter months. Currently, there is only 8.7 inches or 60 percent of average in the Mammoth-Cottonwood area. White River has only five inches of water for 52 percent average. Without additional precipitation, the county may face water shortages during summer 2002.


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Wild Iris Medical Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Wild Iris Medical Education, Inc. (CBRN Provider #12300) is approved as a provider of continuing education for RNs and LVNs by the California Board of Registered Nursing.
Course Availability: Expires November 1, 2015. You must score 70% or better on the test and complete the course evaluation to earn a certificate of completion for this CE activity. Wild Iris Medical Education, Inc. provides educational activities that are free from bias. The information provided in this course is to be used for educational purposes only. It is not intended as a substitute for professional health care. Medical Disclaimer Legal Disclaimer Disclosures
Copyright © 2014 Wild Iris Medical Education, Inc. All Rights Reserved.
COURSE OBJECTIVE: The purpose of this course is to prepare healthcare providers to educate patients and the general public, using evidence-based, up-to-date information about the symptoms, treatment, and prevention of seasonal influenza.
Upon completion of this course, you will be able to:
Influenza is an ancient and deadly disease, first described by Hippocrates more than 2,400 years ago. Since then, the disease has sickened and killed millions of people in local epidemics and global pandemics. The most lethal pandemic of record began in 1918, just after World War I, when 40 to 100 million people died from what was called the Spanish flu.
In 1931, Richard Schope discovered the cause of influenza (the Orthomyxoviridae family of viruses) in pigs; and in 1944, Thomas Francis Jr. developed the first significant steps toward preventing the disease with an inactivated-virus vaccine. His work was made practical by Frank MacFarlane Burnet, who showed that the virus lost virulence when it was cultured in fertilized hens' eggs. This allowed researchers at the University of Michigan to develop the first influenza vaccine. Since then, vaccination has limited its spread but has not prevented pandemics of the disease (Potter, 2001).
In 1957, the Asian flu swept around the world, killing 1 to 1.5 million people, and in 1968, a pandemic called Hong Kong flu killed nearly a million more. Then, in 2009, a pandemic called swine flu, caused by virus found in pigs, swept around the world. As a consequence, a vaccine against the three causative viruses was developed. However, because viruses change constantly, each year WHO publishes vaccine recommendations to prevent what is now called seasonal influenza (CDC, 2014a; WHO, 2014).
All influenza viruses belong to the Orthomyxoviridae family of RNA virus, including types A, B, C, Isa virus, thogotovirus, and others. Each type contains two surface glycoprotein antigens, called subtypes hemagglutinin (HA) and neuraminidase (NA). The HA antigen enables the virus to enter cells, while the NA antigen facilitates cell-to-cell transmission. These subtypes are further differentiated by their numbered surface antigens, serotypes 1 to 10.
Type A viruses are the most virulent of influenza types, producing the most severe symptoms. They infect humans, other mammals, and birds and are the cause of all known pandemics, including:
Type B viruses have only one serotype and infect humans and seals.
Type C viruses have one serotype, infect humans and pigs, and are relatively uncommon.
Isa virus infects fish and causes infectious anemia in salmon.
Thogotovirus is found in ticks, mosquitoes, and mammals; human epidemics from them are unknown.
Additional types of influenza viruses are being discovered, but to date, type A and B are known to pose the greatest threat to human health.
A number of human cases of "swine flu" f(H3N2v) have been reported in the United States beginning in August 2011. This virus normally occurs in pigs but does not usually infect people. Evidence from the 2011 and 2012 flu seasons suggests the strain produces mild symptoms and is judged to pose a relatively low risk of pandemic. Although the virus can be spread from human to human, it is primarily a zoonotic transmission (from animal to human). Most cases were contracted at fairs after exposure to pigs, and the CDC therefore recommends that children who are at high risk should avoid fairs where they may be exposed to pigs.
Early steps to make a vaccine against H3N2 have been taken, but there is no plan to mass-produce the vaccine at this time. (Seasonal flu vaccine is not designed to protect against H3N2v.) Public health authorities are watching this situation closely. They advise those who are in contact with pigs to take normal precautions such as washing hands frequently with soap and running water before and after exposure to animals and avoiding drinking, eating, or putting things in one's mouth while in animal areas.
Source: CDC, 2014b.
When viruses laden with antigens infect a human or an animal, the body recognizes them as foreign substances and reacts in what is called an immune response. This response creates antibodies against the foreign substance. After recovery from the infection, the human or animal is usually immune to getting the same viral disease for years (perhaps a lifetime). Influenza vaccines help develop immunity by imitating an infection and causing the immune response that protects against the virus in the future (CDC, 2013).
Due to their immature immune response systems, children 6 months to 8 years old who are receiving an influenza vaccine for the first time require an additional dose. An optimal immune response will be initiated by administering a second dose a minimum of four weeks after the first dose. Because the strains contained in the 2014–15 seasonal influenza vaccines are identical to those contained in the 2013–14 vaccines, only one dose is required for any child aged 6 months through 8 years who previously received one or more doses during the 2013–14 flu season (CDC, 2014c).
Late in life, the immune systems become less responsive. In answer to this, a high-dose trivalent influenza vaccine has been developed for those 65 and over; it has been shown to induce significantly higher antibody responses and provide better protection against influenza illness. Progress is being made in the development of a high-dose vaccine for use in those under age 65 (DiazGranados et al., 2014).
Influenza viruses change constantly. They do this in two ways: antigenic drift and antigenic shift.
Antigenic drift is caused by an accumulation of the many small mutations that are continually occurring in both influenza A and B viruses. These mutations occur within both HA and NA genes. When this happens, antibodies may only partially recognize the resultant viruses or may not recognize them at all. Thus, when an antigen drift occurs, the current vaccine may not provide protection against disease. This is the reason why influenza vaccines must be updated annually.
Antigenic shift is an abrupt, major change in the influenza viruses, resulting in new HA and/or NA proteins. As a result, a new vaccine must be made to combat the altered virus. For this reason, people must be vaccinated anew to be protected from the altered virus of seasonal influenza (CDC, 2014d).
The most common way influenza viruses spread from person to person is by droplet infection. Infected people exhale, cough, or sneeze, and virus-containing droplets fly through the air into the nose and throat of others or onto some intermediate surface such as a doorknob. When other people touch a contaminated surface, viruses may stick to their fingers. When they touch the mucus membranes of their body, they inoculate themselves with the virus.
To prevent the spread of disease, individuals are instructed to:
There is limited evidence, but no proof, that face masks offer some protection against influenza. However, it is recommended that for those who must come into close contact with a sick person (within 6 feet), a mask may provide protection. Those with the flu may wear a mask when near other people and if they must leave home. In areas where influenza is widespread, uninfected individuals may wish to wear a face mask in crowded settings (DeNoon, 2014).
According to the CDC, sick adults are able to infect others beginning 1 day before symptoms appear and up to 5 to 7 days after they become ill. Sick children may be able to infect others beginning 1 day before symptoms appear and for more than 7 days after they become ill.
Symptoms develop 1 to 4 days after the virus enters the body. That means people may be able to pass on the flu virus to others even before they know they are sick. Any individual who is infected with viruses can infect others whether they show symptoms or not (CDC, 2014f).
John Smith, a 57-year-old man with a history of asthma, had been experiencing flu-like symptoms for three days. He was running a fever and, despite using his inhaler more frequently, finding himself increasingly short of breath. At the urging of his wife, he went to the emergency department (ED) to be checked.
The ED intake staff noticed that Mr. Smith was frequently coughing, so they responded per facility policy by offering him a facemask to wear while he sat in the waiting room. A few minutes later he was brought into triage, where the nurse confirmed that his symptoms were consistent with a contagious phase of influenza. During triage, the nurse allowed Mr. Smith to remove his facemask for his comfort but donned a facemask herself to minimize the risk that she might transmit the virus to her family or other patients who had not yet been vaccinated. During further diagnostic testing, the ED team continued the practice established by the triage nurse of wearing facemasks when they were within three feet of the patient while allowing him the comfort of not wearing a facemask.
Mr. Smith was admitted to the hospital with a diagnosis of left lower lobe pneumonia. On the advice of the infection prevention nurse, he was presumed to be infectious and was asked to wear a facemask when out of his room or being transported, while healthcare workers and visitors donned facemasks when they expected to come within three feet of him.
The infection prevention nurse explained to Mr. Smith and his family that, although there is no definitive evidence that facemasks decrease the spread of the influenza virus, it is still recommended to use facemasks as a prudent measure to decrease the spread of the virus.
Anyone can be infected with the flu virus, but the disease is more severe and the consequences more critical for some people than others. The most vulnerable are children under 5 years of age, especially those younger than 2 years of age; adults 65 years of age and older; pregnant women; and American Indians and Alaskan Natives (CDC, 2014g).
In addition, influenza can make chronic health problems worse. For example, individuals with asthma may suffer asthma attacks, and people with chronic congestive heart failure may experience an accumulation of fluid in the lungs, abdominal organs, and peripheral tissue. Generally speaking, people with the following medical conditions are more vulnerable to serious influenza-related complications:
Influenza is a highly contagious infection of the respiratory tract. It can cause mild to severe illness and may lead to death. The incubation period is brief and the onset sudden, causing chills, fever, aching muscles, and general malaise. Symptoms include:
The indicators of influenza are referred to as "flu-like symptoms." In the early stages of an infection, it may be difficult to distinguish between a common cold and influenza. However, the symptoms of flu are more severe and last longer than the common cold. A comparison of the usual symptoms of influenza and the common cold are listed below.
|Common Cold
|Source: Nazario, 2013.
|Characteristic, high (100 °F–102 °F), lasts three to four days
|Rare in adults and older children; may rise to 102 °F in infants and young children
|Sudden onset, may be severe
|Muscle aches
|Usual, often severe
|Often extreme, may last 2 to 3 weeks
|Quite mild
|Often extreme, may last 2 to 3 weeks; children may show low activity level
|Mild and, if present, of brief duration
|Rhinitis and runny nose
|Sore throat
|May occur
|Nausea, vomiting, diarrhea
|May occur in adults; more common in children
|Never in adults
|Hacking; may be severe and last for weeks after infection
|Mild to moderate hacking cough
Diagnosis of influenza is based on presenting symptoms and viral tests. However, most individuals with flu symptoms do not require special testing because test results usually do not change their treatment. Individuals who have an acute febrile respiratory illness, sepsis-like syndrome, or are members of vulnerable groups listed above (such as infants, the elderly, and those with compromised immune systems) should be tested. This is because they require more intense treatment such as antiviral medications. Priority for diagnostic testing includes persons who 1) are at high risk for severe disease and 2) require hospitalization.
There are three types of tests that detect influenza viruses: rapid influenza diagnostic tests (RIDT), viral cultures (VC), and real-time RT-PCR. All require a mucus specimen collected from the back of the throat or nose by a healthcare provider (see "How to Obtain a Nasopharyngeal Specimen" below).
Rapid influenza diagnostic tests (RIDT) yield results in 15 minutes or less and display the results as "positive" or "negative." However, these results are not foolproof and may give a false negative when the patient is actually infected or a false positive when the patient is not infected with influenza viruses. This test can help differentiate influenza from other viral and bacterial infections with similar symptoms. It is best used within 48 hours of symptom onset.
Viral culture (VC) of a mucus specimen is the "gold standard" for identifying which viruses and which strains of virus are present. However, traditional viral cultures can take up to 10 days for results. A faster culture method (shell vial culture) may detect the presence of a respiratory virus in 24 to 48 hours.
Reverse transcription-polymerase chain reaction (RT-PCR) is a molecular assay that can identify the presence of influenza viral RNA in respiratory secretions. It is increasingly being used in clinical settings and is most appropriate for hospitalized patients if a positive test would result in a change in clinical management. The test is used to detect newly emerging disease, such as new strains of flu (AACC, 2014).
Proper technique for obtaining a nasopharyngeal specimen. (Source: CDC, 2011.)
Source: Baden et al., 2009.
People young and old who are infected with the virulent viruses of flu are desperately ill. They sneeze and often have hacking coughs and runny noses. Their head and muscles ache, and they feel extreme fatigue. Nausea, vomiting, and diarrhea are common. Sick children and adults may crawl into a fetal position, shiver with chills and fever, and feel too sick to talk or even cry.
Such seriously ill people need rest, comfort, sleep, and extra fluids. They may benefit from analgesics and antipyretic medications such as ibuprofen (Advil) and acetaminophen (Tylenol). In spite of the misery for the first few days, most children and adults gradually recover in one to two weeks without complications or antiviral medications.
Because aspirin has been linked with Reye's syndrome, children and adolescents under 18 years of age who are recovering from chickenpox or flu-like symptoms should not receive salicylates such as acetylsalicylic acid (aspirin) (Mayo Clinic, 2014). Aspirin should also be avoided due to its anticoagulant effects.
Antiviral medications can shorten the duration of fever and illness, reduce the risk of complications from influenza, and shorten duration of hospitalization. The CDC (2014h) recommends these drugs be given as early as possible to individuals who exhibit more critical symptoms and suffer from chronic conditions or influenza-related complications such as:
Antiviral drugs are recommended to treat children with severe, complicated, or progressive illness, or who are hospitalized with confirmed or suspected influenza, as well as children at higher risk of flu-related complications with influenza infection of any severity. Children at high risk for complications are those younger than 5 years and children of any age with chronic health conditions such as asthma, diabetes, heart disease, or lung disease (CDC, 2014i).
Drugs recommended by the CDC to fight type A and B influenza are:
Both antiviral drugs work best when started within two days of the onset of symptoms (without waiting for laboratory confirmation of the disease) and continued for at least five days. Hospitalized patients may benefit from treatment even if the drug is started more than 48 hours after symptoms begin and treatment is continued for a minimum of five days (CDC, 2014j).
The process of transmission of an infectious agent such as the influenza virus can be best explained by the epidemiologic model called the chain of infection. An infectious disease results from specific interactions between the organism, host, and environment. Transmission occurs when the infectious organism leaves the reservoir or host through a portal of exit, travels by some mode of transmission, and enters through a portal of entry to infect another susceptible host (CDC, 2012).
Chain of infection. (Source: Wild Iris Medical Education.)
By breaking any link of the chain of infection, healthcare professionals can prevent the occurrence of new infection. Infection prevention measures are designed to break the links and thereby prevent new infections. The chain of infection is the foundation of infection prevention.
|Influenza Implications
|Healthcare Provider Actions
|Present in environment during flu season
|Be aware of current strains and case reporting requirements
|Potentially everyone, some higher risk
|Promote vaccinations
|Portal of Exit
|Airborne particles
|Teach/reinforce sneeze/cough etiquette and correct use/disposal of tissues
|Organism can remain active on environmental surfaces
|Teach disinfection techniques
|Portal of Entry
|Teach/reinforce handwashing, not touching eyes/face, wearing masks
|Vulnerable Hosts
|Everyone; some people at greater risk
|Promote vaccinations among high-risk groups
Because influenza produces such serious symptoms, the CDC issues prevention recommendations to the public.
Source: CDC, 2014a.
Routine cleaning and disinfection strategies can also help prevent the spread of influenza. Management of laundry, utensils, and medical waste should be performed in accordance with established procedures.
Everyone 6 months of age and older should get vaccinated against the flu except for a few select individuals (see below). Vaccination is especially important for vulnerable individuals with chronic medical conditions, healthcare workers, and others who live with or care for high-risk people. Those who care for children younger than 6 months should be vaccinated (CDC, 2014a).
Those who should not be vaccinated before talking to their doctor include:
CDC guidelines should be carefully reviewed on a case-by-case basis with a physician before administering a vaccine to a person with a history of egg allergy (CDC, 2014k). In the past, people with egg allergies were unable to receive the vaccine. Current guidelines include:
Since 1981 the CDC has recommended healthcare workers receive influenza vaccination, and the coverage among healthcare workers during the 2013–14 season was 75.2%. Coverage was highest (97.8%) among healthcare personnel working in settings in which flu vaccination was a requirement for employment (CDC, 2014).
The Affordable Care Act includes mandates for flu vaccinations of healthcare workers. Failure to meet certain percentages of a healthcare facility's employees vaccinated for influenza will jeopardize federal reimbursement of Medicare and Medicaid funds beginning in 2015. The goal is to have 90% compliance for healthcare workers by 2020 (DHHS, 2011).
While it is obvious that recommending and increasing influenza vaccination in healthcare workers is important, it is less obvious how best to achieve this goal. During 2013 there was an increase in the number of healthcare facilities mandating nurses and other healthcare workers to receive flu vaccinations as a condition of employment.
There is great controversy, however, over the issue of mandatory vaccination, with strong arguments for differing points of view regarding individual rights versus the right of patients to be protected from disease transmitted by a healthcare worker.
Influenza vaccines are updated annually to provide a combination of the most likely flu strains to be in circulation. There are several flu vaccine options for the 2014–15 season. Traditional flu vaccines made to protect against three different flu viruses (trivalent) are available. Additionally, flu vaccines made to protect against four different flu viruses (quadrivalent) are available.
Trivalent vaccine protects against two influenza A viruses (H1N1 and H3N2) and one influenza B virus. The trivalent flu vaccine available for the 2014–15 flu season is made from the same three viruses as the 2013–14 vaccine:
This year's quadrivalent vaccine contains the above three strains plus a B/Brisbane/60/2008-like virus (CDC, 2013l).
The U.S. Food and Drug Administration has licensed the following seasonal flu vaccines for use in the United States in 2014–15 (CDC, 2014l):
The increasing number of vaccination dosing and route options is leading to improved targeting and specificity in delivering influenza immunization while also allowing more people to be vaccinated than ever before. However, the variety of options is beyond what providers can commit to memory, particularly considering the frequency with which the options are updated.
Nurses who expect to be providing influenza vaccines should familiarize themselves with the CDC references and obtain copies of the most current vaccine dosing and administration tables so, in consultation with medical providers, they are prepared to quickly ascertain the best vaccine options for their patients (see "Resources" at the end of this course).
On a Friday in early September, a female patient asked Maria Jones, RN, when she should receive her annual flu shot and if she could have the nasal spray so she didn't need to have "a shot." Maria was embarrassed because she was unprepared to answer the question. She told the patient she wasn't sure but thought it was still a little early and reassured the patient that she would look into it and give her a call with further information.
Over the weekend, Maria went to the CDC website and read about seasonal influenza vaccinations. She found a table that showed dosing and route information as well as information regarding when vaccinations should be provided. She printed the table and presented it to her nurse and physician coworkers when she came to work Monday morning. Together, they practiced using the tables to determine the best option for a variety of their patients.
With a confirmation from the physician, Maria was then able to call her patient. She told the patient that the CDC recommends vaccines be given as soon as they are available and that the clinic expected to have their first doses available in early October. Maria informed her patient that, unfortunately, she was outside the age recommendations for the nasal spray and would need to get a shot.
A serious complication of influenza is pneumococcal pneumonia caused by Streptococcus pneumonia. It is the leading cause of vaccine-preventable illness and death in the United States. Adults 65 years and older are at greater risk for contracting this disease. Also, because some strains of this bacterium have become resistant to drugs that were effective in the past, prevention through vaccination has become even more important.
The best prevention of pneumococcal pneumonia is by vaccination with both the influenza and pneumococcal vaccines. It is recommended that:
Source: AAFP, 2014.
Prevention of epidemics and pandemics depends on education of the public about the importance of vaccination and personal hygiene. The greater the number of vaccinated individuals, the fewer the cases of influenza. With increased prevention by individuals, such as covering a sneeze or cleansing the hands, the flu virus will be less likely to infect other people. For these reasons, healthcare providers have a special responsibility to encourage the general public to be vaccinated and to practice preventative measures.
Influenza continues to be a deadly disease, but due to the work of scientists and clinicians, people can be protected from infection by the ever-changing influenza viruses. With vaccination against the viruses and protective sanitary measures, infections can be reduced; and with antiviral medications, vulnerable individuals and those who are infected can be treated. Healthcare providers play an important role in delivering this message to those they serve.
Influenza Vaccines, United States, 2014–15 Influenza Season (CDC)
Seasonal Influenza (Flu) (CDC)
NOTE: Complete URLs for references retrieved from online sources are provided in the PDF of this course (view/download PDF from the menu at the top of this page).
American Academy of Family Physicians. (2014). ACIP recommends routine PCV13 immunization for adults 65 and older. Retrieved from http://www.aafp.org
American Association for Clinical Chemistry (AACC). (2014). Influenza tests. Retrieved from http://labtestsonline.org
Baden LR, Drazen JM, Kritek PA, Curfman GD, Morrissey S, & Campion EW. (2009). H1N1 influenza a disease—information for professionals. New England Journal of Medicine, 360(25), 2666–7.
Centers for Disease Control and Prevention (CDC). (2014a). What you should know for the 2014–2015 influenza season. Retrieved from http://cdc.gov
Centers for Disease Control and Prevention (CDC). (2014b). Protect yourself against H3N2v. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014c). Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2014–15 influenza season. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014d). How the flu virus can change: "drift" and "shift." Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014e). CDC says "Take 3" actions to fight the flu. Retrieved from http://cdc.gov
Centers for Disease Control and Prevention (CDC). (2014f). How flu spreads. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014g). People at high risk of developing flu-related complications. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC. (2014h). Influenza antiviral medications: summary for clinicians. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014i). Children and antiviral drugs. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014j). Influenza antiviral medications: summary for clinicians. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014k). Influenza vaccination: a summary for clinicians. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014l). Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practice (ACIP) – United States, 2014–2015 influenza season. Table 6. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2014m). Live attenuated influenza vaccine (LAIV). The nasal spray flu vaccine. Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2013). Understanding how vaccines work.
Retrieved from http://www.cdc.gov
Centers for Disease Control and Prevention (CDC). (2011). Manual for the surveillance of vaccine-preventable diseases (5th ed.). Atlanta: Author. Retrieved from http://www.cdc.gov
DeNoon DJ. (2014). Cold, flu & cough health center: swine flu (H1N1) and face masks. Retrieved from http://www.webmd.com
Derlet RW. (2014). Influenza clinical presentation. Retrieved from http://emedicine.medscape.com
DiazGranados CA, Dunning AJ, Kimmel M, Kirby D, Treanor J, Collins A, Pollak R, et al. (2014). Efficacy of high-dose versus standard-dose influenza vaccine in older adults. N Eng J Med, 371, 635–45. Retrieved from http://nejm.org
Mayo Clinic. (2014). Reye's syndrome. Retrieved from http://www.mayoclinic.org
Nazario B. (2013). Is it a cold or flu? How to tell the difference. Retrieved from http://symptoms.webmd.com
Potter CW. (2001). A history of influenza. Journal of Applied Microbiology, 91, 572–9. Retrieved from http://ddata.over-blog.com
U.S. Department of Health and Human Services (DHHS). Centers for Medicare & Medicaid Services. (2011). Acute care hospitals and long-term care hospital prospective payment system and FY 2012 rates; hospital FTE resident caps for graduate medical education payment; final rule. Retrieved from http://www.gpo.gov
World Health Organization (WHO). (2014). WHO recommendations for the post-pandemic period. Retrieved from http://www.who.int


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With works by some of the greatest names in European art, Of Heaven and Earth: 500 Years of Italian Painting from Glasgow Museums will examine the thematic and stylistic developments in Italian art—from the religious paintings of the late Middle Ages and Renaissance to the secular neoclassical and genre paintings of the nineteenth century. The remarkable regional and historical breadth of the exhibition will also showcase the outstanding quality of Glasgow Museums' collection.
Organized into five chronological sections, Of Heaven and Earth will include paintings originating from the principal artistic centers of Italy—Rome, Milan, Bologna, Florence, Siena, Naples, and Venice—and will present the works of artists such as Giovanni Bellini, Sandro Botticelli, Domenichino, Francesco Guardi, Salvator Rosa, and Titian alongside those of lesser-known masters. Many of these works are being conserved specifically in anticipation of this tour. The exhibition will highlight significant new research and discoveries relating to attribution, dates, provenance, infrared analysis, and the reconstruction of fragmented altarpieces.
The accompanying catalogue will feature essays on Glasgow's collections and the museum's Italian paintings by Guest Curator Peter Humfrey, an internationally renowned specialist in Italian art history recently retired from teaching at the University of St. Andrews.
Exhibition itinerary: Oklahoma City Museum of Art (August 24–November 17, 2013); Art Gallery of Alberta, Edmonton, Canada (December 13, 2013–March 9, 2014); Everson Museum of Art, Syracuse, NY (April 17–July 13, 2014); Milwaukee Art Museum (October 1, 2014–January 4, 2015); and Santa Barbara Museum of Art (February 6, 2015–May 3, 2015).
The exhibition is organized by the American Federation of Arts and Glasgow Museums. The exhibition tour is generously supported by the JFM Foundation and the Donald and Maria Cox Charitable Fund. In-kind support is provided by Barbara and Richard S. Lane and Christie's.
The Oklahoma City Museum of Art and American Federation of Arts are pleased to participate in the 2013 Year of Italian Culture, which celebrates Italian cultural and scientific legacies in the United States.
Related Programming:
Members' Preview and Roof Terrace Party, August 23, [View photo album]
Free for OKCMOA Members | $10 for Non-Members
Museum Cafe Italian-themed dinner
August 22-24 | $30 per person
Drop-in Drawing, September 7, 2-4 p.m.
SONIC, America's Drive-In Presents Free Family Day, September 8, 12-5 p.m.
Arts Council of Oklahoma City's Art Moves, Presented by Devon, 12-1 p.m.
September 11, October 9, and November 13
Teacher Institute, September 14, 10 a.m.-4 p.m.
Presentation by Dr. Allison Lee Palmer, Associate Professor of Art History in the School of Art and Art History at the University of Oklahoma
*Pre-registration required
Tiny Tuesdays, September 17, 10 a.m.-12 p.m.
Making Memories, October 14, 10:30 a.m. & 2 p.m.
James C. Meade Friends' Lecture, November 14, 6:30 p.m.
Presentation by Dr. Peter Humfrey, Emeritus Professor, School of Art History, University of St. Andrews, Scotland. Guest Curator, Of Heaven and Earth: 500 Years of Italian Painting from Glasgow Museums
Drop-in Art, Saturdays, 1-4 p.m.


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PEAII 1000 Teaching and Non- Teaching Posts Recruitment 2013 – www.peaii.co.in
www.peaii.co.in – PEAII 1000 Teaching and Non- Teaching Posts Recruitment 2013
PEAII Recruitment 2013 – People Employment & Information Institutes (PEAII) has recently declared online applications for filling up 1000 Posts of Teaching and Non-Teaching Vacancies. Eligible Applicants can apply through online mode before 15-05-2013. More details can read in notification mentioned below.
PEAII Recruitment of Notification Links is given below
PEAII Recruitment 1000 Posts Recruitment 2013
Organization Name: People Employment & Information Institutes (PEAII)
Total Number of Vacancies: 1000 vacancies
Teaching and Non-Teaching Vacancies
- Computer Teacher Vacancies: 50 Posts
- Primary teacher Vacancies: 60 Posts
- TGT Vacancies: 70 Posts
- PGT Vacancies: 65 Posts
- Clerk Vacancies: 50 Posts
- Computer Operator Vacancies: 80 Posts
- P.R.O Vacancies: 90 Posts
- Marketing Engineer Vacancies: 80 Posts
- Receptionist Vacancies: 50 Posts
- Counselor Vacancies: 60 Posts
- Librarian Vacancies: 65 Posts
- Junior Engineer Vacancies: 60 Posts
- Staff Nurse Vacancies: 50 Posts
- Lab Technician Vacancies: 65 Posts
- Ward Boy Vacancies: 95 Posts
- Peon Vacancies: 70 Posts
- Driver Vacancies: 50 Posts
Eligibility Criteria
Age Details
For Eligible Applicants should be minimum age 18 years and maximum age 40 years as on 01-Jan-2013.
Education Requirement
For Eligible Applicants must have Diploma and Bachelor Degree in any relevant discipline from any predictable University.
Selection Process: For Applicants will select on the basis of written examination & personal interview performance base. Applicants who will clear written examination will go for personal interview from their final applicants will select for the post of PEAII.
PEAII Recruitment of Application Fee
For General/OBC category of applicants are required to pay Rs 300 via demand draft or by online payment.
PEAII Recruitment of Online Application Process
PEAII Recruitment of applicants can apply online simply. Applicants have to visit official site link given above & fill his/her needed information attach your photograph & required documents with application form pay fee & submit application get print out of your application form for future process
People Employment and Information Institute
2161/T-6,Ground Floor,
Main Road, West Patel Nagar,
Guru Arjun Nagar, Near Shadipur Metro Station
Opp. Pillar No.231,
Last Date for Submission Application Form: 15.04.2013
For more Information about Result, Recruitment, Admit Card, Hall Ticket, Answer Key, Cut off Marks, Bank Job, Call Letter, Government Vacancy of 2013 keep visiting www.fluketalks.com


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Update (Feb. 18, 8:45 a.m. PT): Due to the popularity of this offer, the $199 per night city view room is now sold out March 1-31. All room types are now sold out on Feb. 27.
Pack your flip flops and head to an Oahu resort across the street from Waikiki Beach and save 30% on similar area hotel rates.
What's included & when
About the hotel
Each room at the Waikiki Beach Marriott Resort features a private balcony. The resort offers amazing views of the most famous volcanic crater in the world, Diamond Head. The trail to the summit begins two miles from the resort. The Waikiki Aquarium and Honolulu Zoo are within a 10-minute walk.
Note: A $30 nightly resort fee applies, covering Wi-Fi, one mai tai daily, local calls and more.
Travelzoo Tip: Our team has negotiated great deals on exciting activities and luxurious spas on the Hawaiian Islands.
Please go to your email and confirm your subscription.


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The hypothalamus is an area of the brain that produces hormones that control:
- Body temperature
- Hunger
- Moods
- Release of hormones from many glands, especially the pituitary gland
- Sex drive
- Sleep
- Thirst
Hadley ME, Levine JE. Endocrinology. 6th ed. Upper Saddle River, NJ: Pearson Prentice Hall; 2007:111-133.
Coll AP, Farooqi IS, O'Rahilly S. The hormonal control of food intake. Cell. 2007;129(2):251-262.
Last reviewed 12/11/2011 by Nancy J. Rennert, MD, Chief of Endocrinology & Diabetes, Norwalk Hospital, Associate Clinical Professor of Medicine, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed byDavid Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
- The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
- A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
- Call 911 for all medical emergencies.
- Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.
©1997 - A.D.A.M., Inc.Any duplication or distribution of the information contained herein is strictly prohibited.


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Domestic Earthquake Generator – a doorbell designed to transform a slightest tap on a door into a domestic earthquake.
This product consists of two boxes: one, attached to a door, tracks the intensity of knocking; the other one is attached to any object (such as a floor, a furniture item, a chandelier or a flowerpot, etc.), to which the amplified knocking is "teleported". The stronger the guest knocks on the door, the more intensely the chosen object trembles.
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Active Questions
|Friendship / 4:35 AM - Sunday November 21, 2010
Is it better to have no friends or a controlling manipulative friend?
I'm thinking of cutting a longtime friend out of my life because I can't stand how she is so controlling, but if i do this i'm risking facing lonliness and having no friends. Just wondering what you think is worse?
- Asked by Female, 22-25
I think a controlling manipulative friend is worse than no friends. With a controlling manipulative friend you can't do what you want or go out and make some new friends, without her you are free to do what you want you can go out and make new friends.
- Response by psychoticbabe1, A Thinker, Female, 29-35, Other Profession
Community Rating: Community Star
NO friend is ever perfect, just as NO person is perfect.
- Response by randyl, A Thinker, Female, Who Cares?, Technical
What would be better .. being temporarily "lonely" until you find some new friends OR being unhappy all the time with this current friend?
- Response by mrscleaver16, A Married Girl, Female, 66 or older
When you cut off with her you will have more time and energy to find new GOOD friends.Negative people just drag you down.
- Response by frenchkiss49, A Thinker, Female, 66 or older, Tampa, Who Cares?
B etter no friends than a controller D
- Response by duggers, A Guy Critical, Male, 66 or older
If that's the best you can do, then be alone. If it's that you just can't take a little constructive critisim, then leaving will not help. If she's the only friend you can find, then try a little soul searching, other than that expand your horzions, and get somemore friends.
- Response by 2jacksam, An Intellectual Guy, Male, 66 or older, Denver, Self-Employed
Think of it this way: you cannot change her, but you can ALWAYS make NEW friends.
- Response by A Thinker, Female, 46-55
you truely know in your heart the answer, and thats no friends because in truth your true friends will be there thru thick and thin and love you no matter what. i have a best friend whose seen me thru the real good and the real horrible and shes still here to this day, and thats a true friend but to find a true friend you have to be truely yourself
- Response by spices21, A Thinker, Female, 26-28, Military
I choose FREEDOM!
- Response by gettingstronger, A Cool Mom, Female, 46-55, Teaching
You can do bad all by yourself. Nobody needs that kind of person.....they're not any kind of real friend.
- Response by king313, A Rebel, Male, 29-35, Detroit, Technical
That's why you go out and make NEW friends. Some that aren't controlling and manipulative would be good too.
- Response by missbelle00, A Hippie Chick, Female, 26-28, Student
- Response by A Career Man, Male, 36-45
Better not to have friends! I am a friend to myself, so I have me. =)
- Response by donau20, A Sweet Sarah, Female, 29-35, Artist / Musician / Writer
Have u had a chat an mentioned that u find her controlling and manipulative. Has she always been this way?. . PPl continue to manipulate and deceive others if they allow the person to do so. True friends dont do this to there true friends. Obviously this deceitful person was not a true friend in the first place if this has been her personality all along..
- Response by berri, A Career Woman, Female, 46-55, New South Wales, Who Cares?
If you can't stand your "friend" then odds are she would drive away the types of people you would want to be friends with. Spending all your time with her might be a big contributing factor to why you don't have other friends.
- Response by A Guy Critical, Male, 46-55, Technical
Oh, God. Congratulations. The thing is that being lonely allows you to explore and search for people you actually like so that you wont be lonely. Have fun!
- Response by mlcoast2, A Sweet Sarah, Female, 22-25
A few months ago I ended a friendship with a manipulative friend. Our friendship, like all her other relationships, was all about her controlling and manipulating,getting strong from my weaknesses, turning from hot to cold, being mean in a "nice" way,and almost never being honest about anything. After a few unsuccesful attempts(the manipulator does not let go easily) she finally got the message and left me alone. Months later, the only thing I regret is not ditching this person years ago. The more time goes by, the more angry i feel for not being strong enough earlier. To all those people out there in similar situations: Get that person out of your life, she is very very dangerous and she is destroying your personality and your future, she can open scars that don't go away that easily.
- Response by A Thinker, Female, 36-45, London, Fashion


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Best of News
A Bedouin child from Syria, who has taken refuge with his family for... Nieuwsfoto'sBedoeïenen,Bescherming,Chaos,Dorp,Familie,Horizontaal,Kind,Libanon,Noord,Overstroming,Solitair,Stad,Stadsdeel,Storm,Syrië,Tripoli,Weer,Weg,Wegblokkade,WinterPhotographer AFPCollection: AFP 2013 AFPA Bedouin child from Syria, who has taken refuge with his family for the winter in Lebanon, stands inside a tent close to the village of Kfarkahel, in the Koura district near the northern city of Tripoli on January 9, 2013, as stormy weather sparked widespread flooding, prompting chaos on the roads and a nationwide school closure. The number of Syrian refugees in Lebanon is already totaling 156,000, according to UN figures, and 200,000 according to the Lebanese government estimates. AFP PHOTO/IBRAHIM CHALHOUB (Photo credit should read IBRAHIM CHALHOUB/AFP/Getty Images)


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By Megan Moore
'A sad day for this council, a sad day for all Syrians, and a sad day for democracy,' is how the French Ambassador to the UN, Gerard Araud, has described the failure of the UN Security Council to pass a resolution condemning Bashar al-Assad's inhuman and repressive treatment of the people of Syria.
It is hard to fault him: at a time when the suffering of the Syrian people fills our newspapers and television bulletins – the stark factual evidence being the only thing that stops this brutality being literally unimaginable – it is immensely hard to justify the vacillations of the Security Council, or the caveats with which Russia and China, whose vetos scuppered the draft resolution, dilute their criticism. But Saturday's outcome, though morally outrageous, can be be met by seasoned observers of the UN merely with resigned despair – and is confirmation of my view that the UN is, as it stands, currently the world's worst organisation.
Some of you may be objecting at this point. Some of you may think I'm being facetious. But the UN is an organisation with such eye-wateringly virtuous stated aims that their conclusive and spectacular failure to facilitate anything that looks even remotely like world peace merits – in my opinion – some form of recognition. And I like to think I have quite a convincing case.
The UN is, after all, the organisation that last year thought it would be a good idea to elect the Islamic Republic of Iran to its Commission on the Status of Women, a body dedicated to upholding and advancing gender equality and the rights of women globally. Presumably the 'advancement' the Commission had in mind was the kind where women aren't battered to death for allegedly committing adultery, apropos Sakineh Mohammedi Ashtiani, just hanged instead. The UN has also seen fit to place China on its Committee on Information, which must have set Weibo alight with discussion.
Of course no organisation is perfect, and surely one that has taken on such a high-risk and vital role will occasionally slip up. But the United Nations has been so frequently and egregiously on the wrong side of history that it raises certain suspicions, and on closer inspection it would appear that its failings stem from inherent flaws.
The UN's commitment to democracy and fairness, as set out in its Charter, becomes idealistic to the point of suicide when it insists on accommodating regimes which are anything but fair or democratic. This means that men – criminals, in the eyes of many – such as as Yasser Arafat, Idi Amin, or our late friend Muammar Gadafi, to name but three of the distinguished statesmen who have graced the floor of the General Assembly – can have unwarranted influence on internationally-binding resolutions.
A certain amount of moral relativism is needed to sustain such a situation: deadly in an organisation which attempts to promote the moral absolutes of universal human rights. Being rendered fundamentally unable, for the sake of appeasing its member states, to make basic ethical distinctions – such as that between a terrorist organisation and a nation state – has led to a rabid obsession with Israel's purportedly stained human rights record, described by Hillary Clinton as a 'structural bias', and a flagrant indulgence of the enemies of peace.
It also means, in effect, that liberal democracies such as France and Britain are outsourcing their moral authority in foreign affairs to autocracies. For my part, I don't believe a war just simply because Hu Jintao and Vladimir Putin have voted to deem it so; this is a purely legalistic approach, and the UN's sluggish response to the crises in Libya and more recently in Syria has highlighted just how painfully inept it inevitably proves.
Like many of the supranational structures established after 1945, the United Nations has an institutional prejudice against nation-states which does not serve it well in the post-Cold War era: it sees them as there to be controlled, rather than enabled and encouraged. Lost in a quagmire of compromise between its members, it takes refuge in the vague rhetoric of 'rights' and 'progress' while dodging the need to take a coherent moral stance on anything.
The League of Nations failed to prevent a world war; the best legacy its modern incarnation can hope for is not to have started one.


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SSI Disability Status
"I applied for SSI about 40 days ago. About 2 weeks later, I got a notice from my bank that a monthly credit would be going into my account from the US treasury and it said SSI at the bottom, but I never got an approval letter, nor has any money been deposited into my account. About 2 weeks ago, I got a packet to fill out about my daily Life from the SS office. I filled it out and sent it back in the next day. But I haven't heard anything since. I know it can take 5 months, but my husband's net pay is only 400 a month and we have a toddler. I just want to know."
This situation has me somewhat confused as well. My only suggestion is that you may have an impairment that may be an SSI presumptive disability condition. In these situations, Social Security pays an individual while they make their disability determination --based upon a list of presumptive disability conditions.
It appears they may not have made a complete decision because they are still requesting information for you for your disability claim. It would not be unusual for you to still be waiting on the payment, though, as it could begin this month or next month even. However, this is just an educated guess.
I would contact my local Social Security office to get a status on my disability claim, and I would explain that I had received a notice from my bank stating that a monthly credit from SSI was going to begin. If they cannot give you much information, ask them to give you the number of the disability agency that is handling your SSI disability claim (in most states, referred to as DDS or disability determination services). Call the disability examiner handling your disability claim to see if there is anything else needed for your disability decision and ask if there has been a decision made. They cannot by law tell you what the medical decision is, but they can tell you if one has been made.
I hope this helps.
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Denied for Social Security Disability, What do I do?
Social Security Disability Status on a Case
OCD Social Security Disability SSI - Applying for Disability
Myasthenia Gravis Social Security Disability SSI - Applying for Disability
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Mental Testing When You Apply for Disability for Depression
SSI or Social Security Disability, Which One Do I Apply for?
The Criteria for Social Security Disability and SSI


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These stuffed acorn squash are filled with apples and lentils for a hearty vegetarian meal full of fall flavor.
Acorn is not my favorite squash, but it is the cutest. Isn't it?
It's manageable, no risk of cutting your hands off as you try to saw through it like some of it's relatives (I'm looking at you butternut). And therefore, a great one to start off the season with. I'd kind of like to keep my fingertips intact.
So, how do you eat a squash you're not crazy for besides it's appearance?
You stuff it.
Stuffing is my favorite part of Thanksgiving. And yes, it's stuffing not dressing. Dressing is stuff you put on your salad. Got it? Ok, now we can move on.
My mom makes the best damn stuffing in the world come Thanksgiving. It's one of those recipes that doesn't have specifics. All I know is there is a lot of sausage, raisins, apples and butter. Lots and lots of butter. My plate on Thanksgiving is usually about 75% stuffing, 5% turkey and 20% other sides. Turkey is actually my least favorite part of the meal. I think the bird is just highly overrated and who really wants to wake up at 6am on a holiday to throw that sucker in the oven? Yeah, not me. After the holiday is over, all I find myself thinking about is what I can "stuff" with the leftover stuffing.
That's kind of the role of the acorn squash in this recipe. A vehicle to be stuffed. While it's cooked with butter and maple syrup, it's really all about the stuffing inside it. <–That's redundant huh? Stuffing by definition is "inside" I guess. Moving on…
I wanted to make this stuffing scream fall. There's nothing like some lentils, apples, onions, and rosemary for that. Dried cherries, pepitas, carrots and celery also got thrown in.
Since making this on Wednesday, I've eaten it in the acorn squash, by the spoonful out of the tupperware container and on a toasted flatbread with cheddar cheese. Really, the possibilities are endless.
It would be delicious with some sausage or chicken sausage in it too if you do the meat thing. I probably would've done that if my freezer had anything but ice cream, phyllo dough, bread and OJ in it right now. I'm playing this new game. It's called how long can you hold out before going to the grocery store (my beloved produce store doesn't count). I'm at 2 weeks 3 days and counting.
So if you're a stuffing fiend like me, go buy a cute little acorn squash and stuff it. It won't disappoint.
- 1 acorn squash
- 1 tablespoon butter, divided
- 2 tablespoons maple syrup, divided
- 1 cup cooked lentils
- 1 medium apple, chopped
- 1 carrot, chopped
- 1 celery stalk, chopped
- ½ medium onion, chopped
- 2 tablespoons dried cherries, chopped
- 2 tablespoons pepitas
- 1 sprig fresh rosemary, minced
- 2 tablespoons extra virgin olive oil
- Preheat oven to 375.
- Cut acorn squash in half and scoop out seeds.
- Place squash in baking pan with ½ inch of water on the bottom.
- Divide butter and maple syrup between the squash halves and add to the cavities.
- Bake for about 40-45 minutes, until flesh is soft.
- While squash is cooking heat sauté pan to medium-high.
- Add olive oil, onions, celery, carrots & rosemary.
- Sauté for about 5 minutes, until softened.
- Add apples next, sauté for another 3-4 minutes.
- Transfer to a large bowl and add lentils, cherries & pepitas.
- Season generously with salt and pepper.
- Once squash is cooked, remove from oven.
- Using a fork, scrape the flesh so that the butter & maple syrup mixture is absorbed.
- Fill squash with stuffing mixture and serve.
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Acorn squash might be my fav. Well, that or butternut. They're both awesome, really. That look fantastic. I have a stuffed acorn squash recipe that uses turkey, apple sauce, and other fall-ish flavors. Apple and squash is just an all-around good combo!
LOVE those cute little acorn squashes. My husband has to tell me to put them back at the grocery store when I buy them week after week. Apparently they are not his favorite squash either.
This recipe has all of my fave fall ingredients. Can't wait to try!
Yum, this look delicious! I have to try this recipe. :)
I've never had this kind of squash before, but that's about to change!!! I'm with you on the turkey, it's my least favorite part of Thanksgiving. I make a mean stuffing and it's my favorite part of the meal…and for days after :)
I so need to buy some squash. It's so versatile and has the perfect fall flavor.
My mother-in-law also makes a stuffing that I adore. It's amazing and I can't get enough during the holidays. I'm with you on not caring for the bird. It's really not needed with all the other good stuff on the table.
This is such a great idea! Talk about the perfect Autumn meal! Yum! :-)
Stuffed squash is totally my go-to recipe for thanksgiving, and for Christmas. I don't eat turkey so I have this as an alternative. I like to tweak my stuffing recipe every year a little bit, so this year I'll likely be borrowing a few ideas from this one!
I just bought my first acorn squash because I thought it was cute:) turkey is my least favorite part of thanksgiving too. I could just eat the cranberry sauce and pumpkin pie.
Yum! I can't wait to make this. I put acorn squash on my pizza last night!
I absolutely love acorn squash. we just usually put butter and brown sugar in ours, then eat it with maple syrup.
What a great site. I love to see a food lover who I also into fitness-a great balance.
Thanks for sharing your delicious food. I look forward to making some of these dishes. It's 7:03am and my mouth is watering.
Thanks again,
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