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Revised: 05-01-2015
This section provides policy and billing information for outpatient rehabilitative and therapeutic services including physical therapy, occupational therapy, speech-language pathology and audiology.
* Practitioners not eligible to enroll with Minnesota Health Care Programs (MHCP).
A person is eligible to enroll as an audiologist with MHCP if he or she maintains state licensure and completes registration requirements. If the state does not license providers of audiology services, the applicant for enrollment with MHCP must demonstrate that he or she either holds a Certificate of Clinical Compliance (CCC) from the American Speech-Language-Hearing Association (ASHA) or meets all the following clinical practicum standards:
To enroll with MHCP, audiologists must comply with the requirements of Minnesota Rules and must first enroll with Medicare.
Audiologists who wish to be affiliated with a rehabilitation billing entity must enroll with MHCP.
Comprehensive Outpatient Rehabilitation Facilities (CORFs)
A CORF is a nonresidential facility that is established and operated exclusively to provide diagnostic, therapeutic and restorative services to outpatients for the rehabilitation of injured, disabled or sick people. Services are provided at a single fixed location, by or under the direction of a physician in a facility that meets federal conditions of participation. Additionally, a facility that qualifies as a CORF may enroll to provide mental health services.
To enroll with MHCP, occupational therapists must comply with the requirements of Minnesota Rules and must first enroll with Medicare.
Occupational therapists who wish to be affiliated with a rehabilitation billing entity must enroll with MHCP.
Physical Therapists (PTs)
A person is eligible to enroll with MHCP as a physical therapist if he or she meets the following requirements:
To enroll with MHCP, physical therapists must comply with the requirements of Minnesota Rules and must first enroll with Medicare.
Physical therapists who wish to be affiliated with a rehabilitation billing entity must enroll with MHCP.
Rehabilitation Agencies
A rehabilitation agency is a provider certified by Medicare to provide restorative and specialized maintenance therapy in an integrated multidisciplinary rehabilitation program. Services may also include social or vocational adjustment services. Medicare certified rehabilitation agencies must provide services at one of the following:
MHCP does not enroll individual therapists employed by rehabilitation agencies. Rehabilitation agencies are responsible to ensure and maintain proper credentialing of therapists they employ.
Other Rehabilitation Group Providers
Therapists and other health care providers that rehabilitation billing entities and physician groups employ and affiliate with their organization are individually enrolled with MHCP. This excludes assistants as noted earlier and unqualified personnel.
Speech-Language Pathologists
A person is eligible to enroll as a speech-language pathologist if he or she meets the following requirements:
Speech-language pathologists who wish to be affiliated with a rehabilitation billing entity must enroll with MHCP.
To enroll with MHCP, speech-language pathologists must comply with the requirements of Minnesota Rules and must first enroll with Medicare.
Therapists in Private Practice
Occupational therapists, physical therapists, speech-language pathologists and audiologists who are in private practice must maintain a private office even if they provide services in a recipient's home. A private office is space that the practice leases, owns or rents and uses for the exclusive purpose of operating the practice. For example, a private practice therapy practitioner may not furnish covered services in a skilled nursing facility. If a private practice therapy practitioner wishes to locate his or her private office on site at a nursing facility, the private office space may not be part of the Medicare participating skilled nursing facility (SNF) space and the therapist may provide services only within the therapist's private office space.
Physical Therapist Assistants (PTAs) and Occupational Therapy Assistants (OTAs)
MHCP reimburses providers for the services of a physical therapy assistant or an occupational therapy assistant when services are provided under the supervision of a qualified therapist as indicated below.
Physical Therapy Assistants (PTA)
PTAs must meet the following requirements:
Supervision of a PTA
A qualified physical therapist must provide on-site observation of the treatment and documentation of its appropriateness at least every sixth treatment session when services are provided by a physical therapy assistant. A therapist may delegate patient treatment procedures only to a physical therapy assistant who has sufficient didactic and clinical preparation. The physical therapist may not delegate the following activities to the physical therapy assistant or to other supportive personnel: patient evaluation or reevaluation, treatment planning, initial treatment, change of treatment and initial or final documentation. A licensed physical therapist may supervise no more than two physical therapy assistants at any time.
Occupational Therapy Assistants (OTA)
OTAs must meet the following requirements:
Supervision of an OTA
An occupational therapist must determine the frequency and manner of supervision of an occupational therapy assistant performing treatment procedures based on the condition of the patient or client, the complexity of the treatment procedure, and the proficiencies of the occupational therapy assistant.
Face-to-face collaboration between the occupational therapist and the occupational therapy assistant must occur, at a minimum, every two weeks, during which time the occupational therapist is responsible for:
Face-to-face collaboration must occur more frequently than every two weeks if necessary to meet the above requirements.
MHCP will not reimburse for evaluations and reevaluations if provided by occupational therapy assistants.
The occupational therapist must document supervision compliance in the client's file or chart.
Practitioners with Temporary License
The following may enroll as an MHCP provider if they meet the requirements in Minnesota Rules:
People completing the clinical fellowship year required for certification may provide audiology services or speech-language pathology services under the supervision of an audiologist or speech-language pathologist. See specific requirements regarding supervision during clinical fellowship year.
Speech-language pathologists and audiologists who hold valid temporary licenses must also be actively enrolled with Medicare before enrolling with MHCP.
Physical therapists with a valid temporary permit to practice and occupational therapists with a valid temporary license to practice may provide services under the supervision of a licensed physical therapist or occupational therapist, but may not enroll as MHCP providers.
Therapy Students Providing Care
Only the direct one-to-one patient contact services of the qualified therapist as defined in this section are billable when a student is involved in the delivery of services. MHCP does not reimburse for services a student performs even if the student provides the service under "line of sight" supervision of a qualified therapist. Qualified therapists may bill and be paid for providing services in the following scenarios:
Recipients of:
Refer to these Rehabilitation Services Procedure Code Charts:
Refer to the Augmentative Communication Devices manual section for coverage information.
Effective July 1, 2013, medical authorization is no longer required for outpatient rehabilitative and therapeutic services: physical therapy, occupational therapy and speech-language pathology. Authorization requirements were suspended for service dates July 1, 2011, through June 30, 2013.
Rehabilitative and therapy services are subject to post-payment review, which could result in a provider being required to request authorization for certain services.
Audiology services have an annual threshold. The number of units of service available without authorization renews January 1 of each year.
To be covered as a rehabilitative and therapeutic service, occupational therapy and physical therapy must be prescribed by a physician or other licensed practitioner of the healing arts and must require the skills of at least one of the following:
To be covered as a rehabilitative and therapeutic service, speech-language pathology and audiology services require written referral by a physician or other licensed practitioner of the healing arts, or in the case of a long-term care facility resident, on the written order of a physician. Services must require the skills of at least one of the following:
A Plan of Care must specify treatment. The recipient's attending physician, or other licensed practitioner of the healing arts, must review and revise as medically necessary the plan of care at least once every 90 days (see Plan of Care for additional requirements). MHCP accepts electronic signatures for this requirement.
The physician or other licensed practitioner of the healing arts as defined in this section must expect the recipient's functional status to progress toward or achieve the objectives in the recipient's plan of care within a 90-day period.
If the service is a Medicare covered service, and is provided to a recipient who is eligible for Medicare, the plan of care must be reviewed at the intervals required by Medicare.
Comply with Medicare's site requirements when providing services to Medicare eligible recipients.
Effective Jan. 1, 2012, specialized maintenance therapy coverage is limited to MHCP recipients age 20 and under. Specialized maintenance therapy is a health service specified in the recipient's plan of care and certified by a physician, or other licensed practitioner of the healing arts within the practitioner's scope of practice under state law, that is necessary for maintaining a recipient's functional status at a level consistent with the recipient's physical or mental limitations, and that may include treatments in addition to rehabilitative nursing services. MHCP covers specialized maintenance therapy only when provided by:
Specialized maintenance therapy must be specified in a Plan of Care that meets the requirements of this section, and provided to recipients whose condition cannot be maintained or treated through only:
Specialized maintenance therapy must have expected outcomes that are:
Specialized maintenance therapy must meet at least one of the following characteristics:
Providers must document all evaluations, and re-evaluations, services provided, recipient's progress, attendance records, and discharge plans. Keep documentation in the recipient's records. Documentation must demonstrate that rehabilitative and therapeutic services are:
Document rehabilitative and therapeutic services as specified in this section whether MHCP is the primary or secondary payer.
Example: Recipient has other third-party insurance. You comply with MHCP documentation standards even if other insurance documentation standards are not the same.
Refer to the professional documentation guidelines for your therapy discipline for guidance on effective documentation:
Refer to the Documentation Requirements for Therapy Services in the Medicare Benefit Policy Manual (PDF) when providing treatment to a recipient who is dually eligible for Medicare and Medicaid.
Plan of Care
Provide rehabilitative and therapeutic services, specialized maintenance therapy and audiology services only under a written Plan of Care (POC). The service(s) must be specified in the recipient's POC that the recipient's attending physician or licensed practitioner of the healing arts reviews and revises as medically necessary at least once every 90 days. If the service is to a recipient who is also eligible for Medicare and the service is a Medicare covered service, review the POC in compliance with federal regulations.
The Plan of Care must specifically state the following:
A description of the recipient's progress toward the outcomes for subsequent POC:
Record of Service
The recipient's record of service must show the:
See documentation requirements specified in Authorization.
The following are not covered under rehabilitative services:
* These items are considered rehabilitative nursing and are part of the LTC facility per diem payment.
MHCP uses outpatient rehabilitative service codes as defined in CPT/HCPCS billable in timed units (15 minutes, 30 minutes, 1 hour). Bill outpatient rehabilitative services with codes that most closely describe the service provided.
• Do not follow Medicare's rounding rules for speech, occupational, and physical therapy services. Each modality and unit(s) is reported separately by code definition. Do not combine codes to determine total time units.
If the duration for each service performed equals:
Bill this number of units:
8 minutes through 22 minutes
Do not bill for services you perform for less than 8 minutes.
23 minutes through 37 minutes
38 minutes through 52 minutes
53 minutes through 67 minutes
68 minutes through 82 minutes
84 minutes through 97 minutes
98 minutes through 112 minutes
113 minutes through 127 minutes
Untimed Codes
More information is available in the Minnesota Uniform Companion Guides for 837 Health Care Claims.
Use the following modifiers when billing to indicate the therapy discipline delivering the outpatient rehabilitative services:
Modifier table
Speech-language pathology
Occupational therapy
Physical therapy
Required to indicate the service was provided by a physical therapy assistant or occupational therapy assistant when a physical therapist or occupational therapist under whose supervision the assistant was working was not on the premises
Follow the National Correct Coding Initiative (NCCI) instructions for use of the 59 modifier on claims for codes that may not be billed together unless performed on a different anatomic site or represents a different encounter.
Use only to indicate that the therapy service provided was specialized maintenance therapy. Document specialized maintenance therapy in the patient's record.
Telemedicine modifiers:
Use to indicate service delivery via telemedicine applications. Use to bill only those services that are appropriate for delivery via telemedicine:
Use the correct HCPCS code and appropriate modifier from the Casting & Strapping Services/Supplies chart to bill therapeutic supplies fabricated by the therapist, such as splints, casts and adaptive aids. Do not bill for ready-made or prefabricated supplies that you can get from a medical supplier.
Include the most relevant ICD diagnosis code for the provided service.
Co-therapy: Split the time between therapy disciplines for billing purposes when two or more therapy disciplines deliver services to a recipient in the same block of time. Total time billed should not exceed the actual length of time spent with the patient.
Follow Medicare guidelines for MHCP recipients who are dually eligible for Medicare and Medicaid when providing Medicare covered services.
Bill only for services you provide using your individual NPI number.
Use the organization's NPI as the pay-to-provider and report the individual NPI of the therapist providing the service as the rendering or treating provider on the claim.
Long-term care facilities may provide rehabilitative services to both residents and members of the community, using either therapists the LTC employs or those they contract with through an outside vendor, such as a rehab agency or a therapist in private practice.
Audiologic Evaluation: An assessment administered by an audiologist or otolaryngologist to evaluate communication problems caused by hearing loss.
Delegation of duties: The actions of a physical or occupational therapist who delegates to the physical therapy assistant or occupational therapy assistant in specific duties to be performed, monitors the services the assistant provides while the therapy assistant provides the service, and meets the supervisory requirements of Minnesota Statutes 148.706 and 148.6432 respectively, when treatment is provided by a physical therapy assistant or occupational therapy assistant.
Functional Status: The ability to carry out the tasks associated with daily living.
Long-Term Care Facility (LTC): Nursing facility (NF), skilled nursing facility (SNF), or intermediate care facility for persons with developmental disabilities (ICF/DD).
Otolaryngologist: A physician specializing in diseases of the ear and larynx who is certified by the American Board of Otolaryngology or eligible for board certification.
Practitioner of the Healing Arts: For the purposes of this section, practitioner of the healing arts includes any person who engages in, or holds out to the public as being engaged in, the practice of medicine or surgery, the practice of osteopathy, or other practitioner of the healing arts whose scope of practice under state law includes diagnosis of disease or health condition and prescribing treatment; for example, physician assistant, nurse practitioner, podiatrist, oral surgeon, dentist, optometrist.
Rehabilitative and Therapeutic Services: Restorative therapy, specialized maintenance therapy and rehabilitative nursing services.
Rehabilitative Nursing Services: Nursing homes must have an active program of rehabilitation nursing care directed toward helping each resident to achieve and maintain the highest practicable physical, mental and psychosocial well-being according to the comprehensive resident assessment and plan of care. Continuous efforts must be made to encourage ambulation and purposeful activities.
Restorative Therapy: A health service specified in the recipient's plan of care, ordered by a physician or other licensed practitioner of the healing arts within the practitioner's scope of practice under state law, who has certified that the service is designed to restore the recipient's functional status to a level consistent with the recipient's physical or mental limitations.
Specialized Maintenance Therapy: A health service specified in the recipient's plan of care and certified by a physician or other licensed practitioner of the healing arts within the practitioner's scope of practice under state law that is necessary for maintaining a recipient's functional status at a level consistent with the recipient's physical or mental limitations and that may include treatments in addition to rehabilitative nursing services.
Minnesota Statutes 256B.0625 subd. 8, 8a; 8b; 8c. and subd. 31a. Covered Services
Minnesota Statutes 148.515, subd. 4. Speech-Language Pathology and Audiology Supervision During Fellowship Year
Minnesota Statutes 148.5175 Speech-language pathologists and Audiologists who hold a temporary license
Minnesota Statutes 148.6410 Licensure Qualifications for Occupational Therapy Assistants
Minnesota Statutes 148.6418 Occupational therapists with a temporary license
Minnesota Statutes 148.6430 Occupational Therapists - Delegation of Duties; Assignment of Tasks
Minnesota Statutes148.6432 Supervision of Occupational Therapy Assistants
Minnesota Statutes 148.706 Physical Therapist Assistants, Aides and Students
Minnesota Statutes 148.71 Physical therapists with a temporary permit
Minnesota Statutes 148.65 License requirement for physical therapist assistants
Minnesota Rules 4658.0525 Rehabilitative Nursing Services
Minnesota Rules 9505.0175 Definitions
Minnesota Rules 9505.0195 Provider Participation
Minnesota Rules 9505.0210 Covered Services: General Requirements
Minnesota Rules 9505.0220 Health Services Not Covered by Medical Assistance
Minnesota Rules 9505.0385 Rehabilitation Agency Services
Minnesota Rules 9505.0386 Comprehensive Outpatient Rehabilitation Facilities
Minnesota Rules 9505.0390 Rehabilitative and Therapeutic Services
Minnesota Rules 9505.0391 Therapists Eligible to Enroll as Providers
Minnesota Rules 9505.0392 Compliance With Medicare Requirements
Minnesota Rules 9505.0410 Long-Term Care Facilities; Services to Residents
Minnesota Rules 9505.0411 Long-Term Care Facilities; Services to Non-residents
Minnesota Rules 9505.0412 Required Documentation of Rehabilitative and Therapeutic Services
Minnesota Rules 9505.5010 Prior Authorization
42 CFR sub. H, 485.701 to 485.729
42 CFR sub. D, 486.150 to 486.163


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at Vanderbilt (47-18)
Friday, June 6 • 10 a.m. PT
Saturday, June 7 • 12 p.m. PT
Sunday, June 8 • 12 p.m. PT
• John Hochstatter (10-2, 2.84)
vs. Tyler Beede (8-7, 3.20)
NASHVILLE -- Stanford rides its dramatic Regional performance to the Nashville Super Regional where Vanderbilt waits for a three-game series with the winner headed to the College World Series in Omaha. The two teams meet Friday-Sunday on ESPN2.
Stanford will not only face the pressures of playing for a trip to one of college sports' most coveted events, but will also battle final examinations throughout the weekend. The university's end-of-quarter exam period runs Friday-Wednesday.
"It's kind of a crazy time, but it's good crazy," said Mark Marquess, the Clarke and Elizabeth Nelson Director of Baseball. "A lot of times they're more worried about the final than the game, which in some ways is good."
The Cardinal, making its 10th Super Regional appearance, is looking for its first College World Series berth since 2008. No team left in the 2014 field has played in as many Super Regionals as Stanford.
Vanderbilt will start ace Tyler Beede Thursday against Stanford's John Hochstatter. Beede, a first-round pick of the San Francisco Giants, will face fellow first-rounder Alex Blandino when navigating through the Cardinal lineup. Blandino was picked 29th overall by the Cincinnati Reds, 15 selections after Beede went 14th overall. When the two meet, it will be the only matchup of first-round picks during NCAA Super Regional play.
Hitters will see drastically different styles from each teams' starters on the mound. Hochstatter, who saw a streak of 10 straight wins end during the Bloomington Regional, features a heavy dose of off-speed pitches. The lefty sits in the mid-80s with his fastball, while Vanderbilty's right-hander routinely throws in the mid-90s.
Dave Neal, Kyle Peterson and Chris Burke are in the booth for the ESPN2 broadcast along with Jaymee Sire. Peterson played at Stanford under Marquess, before being taken 13th overall in the 1997 MLB draft.
Cal Quantrill (7-5, 2.69) throws against Carson Fullmer (6-1, 1.42) on Saturday. Quantrill will first take a physics final, before taking the mound.

subset: commoncrawl


text: Warning after PSNI 'cell on wheels' death 17 Jun 2014 Police forces across the UK have been warned about possible problems with cells in vehicles after a man fell from a moving PSNI vehicle in Co Londonderry two years ago. Share Share Share Story by UTV Staff, Belfast Paul Somerville, 21, managed to leave a so-called "cell on wheels" in Maghera in January 2012.Mr Somerville fell from the back of the moving van close to his home at Church Street, shortly after he was arrested.He was being taken to Maghaberry prison when the incident occurred.A doctor from a nearby health centre treated him at the scene before he was transferred to Antrim Area Hospital.The trainee electrician died in hospital three days after sustaining serious head injuries.During an inquest hearing last year the man's father said his son was likely attempting to escape.Police Ombudsman Dr Michael Maguire said two officers who accompanied Mr Somerville failed in their duty to ensure his safety.The cell door was misaligned with its frame and its latches did not always fully engage, forensic examination showed.Dr Maguire said: "Given that the same design cell is used widely by other UK police forces, and is still being fitted to new vehicles, the PSNI has said it will share the findings of the case with police across the UK."The two police officers who accompanied Paul in the van failed in their duty to ensure his safety by failing to ensure the cell door was secure.Police OmbudsmanDr Maguire said an examination of the cell found the latches did not always fully engage, even when the door was slammed shut.He also discovered that a deadlock did not engage unless the key was turned anticlockwise through a full 90 degrees, even though a locking bolt could be seen moving as the key was turned.Both officers involved in the case said they had seen the deadlock in the cell door engaging after the door was closed and one added she had pulled the door twice to check it was locked.Dr Maguire said forensic examination showed that the door opened easily when pulled if it had not been properly secured.Tests showed that even where the door's latches did not engage, it would not open if the deadlock had been fully locked.The officers were disciplined by the PSNI but appealed, and sanctions were withdrawn.One issue under consideration was whether the victim fell or jumped to his death.Forensic evidence indicated that it would have taken a deliberate action by Mr Somerville to open the rear door because it could only be done by pulling a handle.Two people spoken to by investigators said they had seen a man jumping from the van, but refused to provide formal statements, the ombudsman's office said.Police had reported a suspected fault with the door when the van was serviced four days before the incident.The ombudsman said: "The mechanic who did the service recalled that the door had been misaligned and said he had fixed the problem."However, the issue was not entered on the vehicle's records as it was not part of its normal service routine."The PSNI has fully co-operated with the inquiry by the Police Ombudsman, welcomes the findings and is determined that incidents of this nature must not occur again.Assistant Chief Constable Mark HamiltonDr Maguire recommended that cells and other modifications should form part of normal service routines.His other recommendations have resulted in modifications by the PSNI.Notices have been attached to cell doors warning officers to check locks are fully engaged, plates have been fitted to prevent doors from being opened from inside and larger viewing panels have been installed to improve monitoring of prisoners from the front of vans.The man's parents, Desmond and Gwen Somerville, said the PSNI was not duty-bound to act upon the recommendations.They asked: "When serious human error is involved, who can the public go to for justice?"Our expectation was that while in police custody Paul would be safely conveyed. He should have been."Paul was our much-loved and only son, and we have been left devastated by his untimely death."Assistant chief constable Mark Hamilton said: "The death of Paul Somerville was first and foremost a tragedy for his family and friends."The Police Service of Northern Ireland extends its deepest sympathy to them for their loss."The PSNI has already accepted the findings of the Police Ombudsman and has implemented a number of recommendations aimed at improving both the safety and security of members of the public travelling in cell vans."He said two officers received superintendents' written warnings for their failure to ensure the cell door of their vehicle was securely locked.These were subsequently overturned on appeal via the PSNI disciplinary procedure. © UTV Share Share Share


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Saturday, January 11th, 2014 Posted in Review | Comments Off onTitle: Evertrue Author: Brodi Ashton Genre: YA Paranormal Series: Everneath (Book 3) Publication Date: January 21, 2014 Format: Hardcover, 368 Pages ISBN-10: 006207119X (HarperTeen) ISBN-13: 978-0062071194 (HarperTeen) Reviewed by: Bridget Synopsis: Now that Nikki has rescued Jack, all she wants is to be with him ... ">Read more..
Monday, January 21st, 2013 Posted in New Releases | Comments Off onThis seems to be an excellent week for book releases! Look at all of these pretty covers. There are tons of titles that we're excited for. So many series almost ... ">Read more..
Wednesday, January 16th, 2013 Posted in Review | Comments Off onTitle: Everbound Author: Brodi Ashton Genre: YA Paranormal Series: Everneath Series (Book 2) Publication Date: January 22, 2013 Format: Hardcover, 368 Pages ISBN-10: 0062071165 (Harper Teen) ISBN-13: 978-0062071163 (Harper Teen) Reviewed by: Kayla Synopsis: Nikki Beckett could only watch ... ">Read more..
Monday, December 31st, 2012 Posted in Discussion | Comments Off on...six months a waiting. There is no light. Even if you could open your eyes, there would be nothing to see. Just a cave. A few stalagmites here and there. The Everneath. You ... ">Read more..
Monday, March 19th, 2012 Posted in Review | Comments Off onTitle: Everneath Author: Brodi Ashton Genre: YA Paranormal Series: Everneath (Book 1) Publication Date: January 24, 2012 Format: Hardcover, 370 Pages ISBN-10: 0062071130 (Harper Teen) ISBN-13: 978-0062071132 (Harper Teen) Reviewed by: Emmy Synopsis: Last spring, Nikki Beckett vanished, sucked into an underworld known ... ">Read more..


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Catalogue Description:
Porcelain tray with polychrome decoration. Round, flat bottom with upturned, convex rim. Inside covered with rust-colored ground, medallions containing naturalistically painted nature scenes, vines with leaves and flowers encircle the medallions. Decorations on bottom of tray: large circular medallion in center contains two deer (or antelope) on grassy outcropping, one grazing the other raises its head to confront two flying birds. Six smaller oval medallions around edge, containing (clockwise from top): weasel and monkey; two fighting ducks; two deer locking antlers; large gray bird (ostrich?) with ruffled feathers surrounded by flying birds; reclining boar and an unidentifiable animal; and swimming waterfowl spreading wings over her chicks. Rim decorated with six diamond-shaped medallions alternating with dragons; medallions contain single bird on a branch or an animal (fox or weasel). Condition: Good.


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ICTA Awards
Stace Award
Named in memory of much loved Dolby Laboratories' Sales Administrator Stacey Rehm. Given to a person from the exhibition community who has evidenced exceptional efforts in the evaluation and adoption of new technology.
Allen Award
Given each year at the Annual ICTA Convention to a person who has evidenced exceptional efforts in donating time and effort supporting the ICTA.
Teddy Award
The Teddy Award is presented annually at the ICTA Convention by the active Dealer membership of the ICTA to the ICTA Manufacturer who most closely exemplifies the progressive principals of product development, and provides the dealers with service and up-to-date technical and sales information, while supporting the status of his product without qualification.
Rodney Award
The Rodney Award was created to recognize the outstanding ICTA Dealer. The criteria for selection is: The dealer should be aggressive in marketing and sales; should maintain an adequate inventory; provide quality installation; provide quality after sales service; and should have a good product and application knowledge. It is presented each year at the Annual Convention.


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Edition: 3rd
Author(s): Russell, Peter J.; Hertz, Paul E.; McMillan, Beverly
ISBN: 9781133587552 / Hardcover / 1/1/2013
Marketplace Disclaimer:
Edition, Cover Design, etc may vary from the eCampus.com description. Please refer to the seller's comments before ordering. Marketplace sellers are required to ship by the end of the 5th business day. Items are not returnable to eCampus.com. Orders cannot be cancelled by eCampus.com.


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A masterpiece … it reads like a movie on paper.
Frank continues to challenge the church-at-large with a powerful mind, an impassioned voice, and a love for the Bride of Christ. You need to get this book and wrestle with Frank through the biblical passages regarding our identity in Christ as His body and the mission our God has entrusted to us.
As Viola unfolds the glorious story of God's quest for a bride, readers will find their imaginations inspired and their lives transformed. The sheer beauty of God's magnificent plan compels our allegiance and revolutionizes our lives. This re-telling of the 'old, old story' is a much needed gift to the church today.
When you're as old as I am, I don't hear new stuff. You can hardly say anything about religion that I haven't heard several times. But this is so new to me. It's a whole new way of looking at the Scriptures, at Jesus, at the church, and at me. You're going to love this book.
With From Eternity to Here, Viola has given us that foundational Biblical discussion of the church, and in a compelling and creative way. I was taken aback with how much I liked this book. I read it quickly, and I'm going to read it again. Why? Because if there is a book on the Jesus-shaped church that I could recommend to everyone who identifies with my description of that journey, this has easily cleared the bar as my first choice. This is a uniquely original comprehensive tour of the threads that hold the Bible together.
Of all the sticks of TNT that Frank Viola has launched into a sleepy, status quo church, this grenade has the most explosive potential to make the church unashamed of the gospel and to release God's dynamic power for salvation.
A classic …
A great work of narrative theology …
Brings you creatively into the biblical story by immersing your heart and mind …
Frank Viola has been one of my favorite authors for years. Common threads run through his books: Organic spiritual life without organizational hierarchy, and real relationships with God and each other that are free of suppressive religious tradition. Frank's viewpoints are well grounded in both Scripture and history. From Eternity to Here reveals the startling but simple fact that God has already accomplished His ultimate goal in the resurrected Christ. We are the focus of His passionate love, and we have received the capacity to love Him in return forever.
I couldn't put this book down …
A poetic exposé ... a masterful work of art.
I appreciate this message so much …
From Eternity to Here takes you on a guided tour of the Bible, tracing three interwoven storylines from Genesis to Revelation. It will help new readers of the Bible get the big picture, and it will help seasoned Christians remember what really matters.
Frank Viola is the heir apparent to classic Deeper Christian Life teachers, faithfully bringing their core ideas into the 21st century with his own fresh insight. Visio Dei (the face of God) meets Missio Dei (the mission of God) in this passionate examination of what motivates the very heart of God!
This is an amazing book. It's one of the most refreshing and enlightening presentations that I've read in a long time. Every Christian needs to read it. I just love it! I've already read it three times and I feel so uplifted every time I open it up.
"Frank has hit the mark by unfolding to us the true foundations of faith-filled living. Father has always designed us for a relational journey of being rather than to doing. He did not create religion, but a people who would walk in His supernatural presence rather than lifeless doctrinal divisions. I recommend this book to anyone who wants to escape the systematic matrix of today, and live in the reality of Christ's glorious Kingdom."


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NiteRider understand lights are an integral part of your daily commute. Using a light can mean the difference between being seen or not by automobile drivers. Many of the "entry level" commuter lights are nothing more than "be seen" lights. Your overall safety and visibility should not be limited by your budget, that's why they created the Mako Series. The Mako line now offers five models and up to 200 lumens, not only allowing the cyclist to be seen, but allowing the cyclist to see as well. For 2013, NiteRider has introduced the new Mako USB rechargeable light for those who want to forgo changing batteries.
Have only used light a few time while commuting home from trails, nice and bright, good options to extend battery life.
I bought this six months ago and it was at a promo price. I can say that it's been really worth it. Brightness level is good, I sometimes ride at night and it's bright enough to see 20-30 feet away. A full charge lasts over an hour when set on high and almost 2 hours on low. Flashing mode plus the red flash on the sides gives me confidence that I can well be seen. My only complaint is the mounting. It loosens up after a while. I guess I just have to reinforce it with a tape.
This is a great headlight, the power charger it's wonderful, no problem with the light, the only problem its the bracelet system it's unreliable if you have a rude trail
I love this light! I commute on my bike and I'm sure this has saved my life more than once. Easy to use and 3 light modes is great (high, low and blink). Not bright enough to be your only light for night commutes. I pair it with another 300 lumen light and it is perfect for the night time commutes. I have not used this offroad or on trails.


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via telephone? I am wondering if it is possible to book it while you are at epcot?Originally Posted by gwennie81, post: 208406
I did it! So much fun! It was more about getting to ride a segway than learning too much about World Showcase but I still did learn a lot. There was just one other guy besides me in the group (2 people dropped out because they didn't feel comfortable on the Segway). I picked it up really fast. I'm a Segway natural! Who knew? Our trainer was awesome, our tour guide was awesome, and it was great to be in World Showcase by ourselves. Overall, a great experience!
You can book over the phone, Jeff. That's how I did it. Also, you can wait and go to guest services and book when you are there. The drawback to that would be that there may not be any openings.Originally Posted by Deafjeff, post: 208482
I apologize, I don't remember when you are coming over? Some times of the year, I would imagine it not being as hard to book as other times.
I think you may be ok.
Do you not want to call ahead for any particular reason, or are you just more comfortable doing it in person?
Does relay not work for something like this then?
Again, I apologize for not understanding the differences between our two countries as they relate to the deaf community. Here we have a relay interface that allows a deaf person to communicate with anyone who does not have a TTY. Or vice versa.
I wonder if there is an email way to communicate with PLAY Disney?
I'll check it out and see what I can find out.
I'll see what I can do.
If all I can find out is by calling them directly and asking them what they have in place to address this need, then that will be worth something.
I'll call on Monday, and get back to you.
I decided to phone WDW today. I am not happy to report their response. The person I spoke with (after explaining what I wanted to learn to several different cast members ) was with guest services.
She said that the only way to communicate with WDW is through TTY/TDD. She also said that since you were in the UK, and that ASL is not your language, they did not have any way for you to participate in the tour.
She said that they do not have BSL interpreters, only ASL, and since their "normal" method of communication with the deaf when ASL is not an option, is in writing, and since that would not be possible with the instruction portion of the tour, there doesn't seem to be a way for you to participate in this activity.
I was not amused and questioned that policy as it is a barrier to their activities and events. She was not very willing to listen much.
So, if you still wish to do this, I'd say your best option will be to go to guest services and try to book it there.
I don't see why, if they use written communication for all other events when ASL interpretation is not in use, it can't be done with this too.
Learning to drive a segway isn't difficult. It's all a matter of balance and understanding the controls. Lean left, go left, lean right, go right... it's really NOT hard.
I'm sorry that WDW seems to be so difficult to work with on this issue.


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Parenting Tips for Parents with Aspergers Children and Teens
You say you need some quick tips for parenting your Aspergers child? No problem! Here you go mom:
1. Although it is not the youngster's fault, he will still ultimately be the one to take the consequences of his behavior. It will help your youngster if you can explain the consequences clearly and logically when your youngster is able to listen.
2. Celebrate your Aspergers youngster's humor, creativity, and passion.
3. Do you want to understand the Aspergers youngster`s actions? Just ask yourself: What behavior would make sense if you only had 4 seconds to live?
4. Don't argue; nag; or attempt unsolicited and spontaneous transplants of your wisdom to your youngster. Instead, either a) decide that the issue is aggravating but not significant enough to warrant intervention; or b) make an appointment with your youngster to discuss the issue.
5. Especially with teens, negotiate, negotiate, and negotiate. Moms and dads need to model negotiation, not inflexibility. Don't worry about losing control: the parent always gets to decide when negotiation is over and which compromise is accepted. Remember: negative behaviors usually occur because the Aspergers youngster is spinning out of control, not because he is evil. While evil behavior would need to be aggressively squelched, the much more common overwhelmed behavior needs to be calmly defused.
6. Forgive your youngster and yourself nightly. You didn't ask to live with the effects of Aspergers any more than did your youngster.
7. Head off big fights before they begin. Seek to diffuse, not to inflame. When tempers flare, allow everyone to cool off. Serious discussion can only occur during times of composure.
8. If it is working, keep doing it. If not, do something else.
9. Imagine your youngster delivering your eulogy. What do you want him to say about you? Keep those bigger goals in mind as you choose your interactions/reactions to your youngster.
10. Instead of punishing wrong behavior, set a reward for the correct behavior you would rather replace it with. Rewards should be immediate, frequent, powerful, clearly defined, and consistent. Also remember that a behavior always gets stronger before it changes.
11. Keep a sense of humor. Seek to enjoy, not to scream.
12. Pick your fights. Is the issue at hand worth chipping away at your relationship with your youngster? Can your youngster really control the offending behavior at this moment?
13. Plan ahead. Give warnings before transitions. Discuss in advance what is expected, and what the results might be. Have the youngster repeat out loud the terms he just agreed to.
14. Recognize that attention issues in the youngster are only the tip of the iceberg that the whole family must address.
15. Remember that a youngster with Aspergers is still a youngster with thoughts and feelings, and that you are the adult this youngster looks to for support and guidance.
16. Remember that kids with Aspergers have two time frames: Now, and Huh. There is no future. There is only now. The past is non-negotiable.
17. Review this text, and others, periodically. You are going to forget this stuff, and different principles will likely be needed at different stages.
18. The kids who need love the most will always ask for it in the most unloving ways.
19. The patient in Aspergers is the whole family.
20. This is hard work. It is also hard work for your youngster.
21. This is not a contest with your youngster. The winner is not the one with more points. The winner is the one whose youngster still loves them when they graduate from high school.
22. You do not have a standard youngster. You can view the issue as a disability. Or, you can view it as wonderful uniqueness. Or, you can view it as both. This "disability outlook" will help because it eliminates blame; sets reasonable expectations thereby minimizing anger; and points the way for moms and dads/teachers to see themselves as "therapists" not victims.
23. You will make it through this -- you have no choice.
The Aspergers Comprehensive Handbook
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My child has been rejected by his peers, ridiculed and bullied !!!
Social rejection has devastating effects in many areas of functioning. Because the Aspergers child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually. Thus, the best treatment for Aspergers children and teens is, without a doubt, "social skills training."
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How to Prevent Meltdowns in Aspergers Children
Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's child is totally out-of-control. When it ends, both you and the Asperger's child are totally exhausted. But... don't breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.
Click here for the full article...
Click here for the full article...
Parenting Defiant Aspergers Teens
Although Aspergers is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager with Aspergers are more difficult than they would be with an average teen. Complicated by defiant behavior, the Aspergers teen is at risk for even greater difficulties on multiple levels – unless the parents' disciplinary techniques are tailored to their child's special needs.
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Aspergers Children "Block-Out" Their Emotions
Parenting children with Aspergers and HFA can be a daunting task. In layman's terms, Aspergers is a developmental disability that affects the way children develop and understand the world around them, and is directly linked to their senses and sensory processing. This means they often use certain behaviors to block out their emotions or response to pain.
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Older Teens and Young Adult Children With Aspergers Still Living At Home
Your older teenager or young "adult child" isn't sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with Aspergers face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."
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Living with an Aspergers Spouse/Partner
Research reveals that the divorce rate for people with Aspergers is around 80%. Why so high!? The answer may be found in how the symptoms of Aspergers affect intimate relationships. People with Aspergers often find it difficult to understand others and express themselves. They may seem to lose interest in people over time, appear aloof, and are often mistaken as self-centered, vain individuals.
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Online Parent Coaching for Parents of Asperger's Children
If you're the parent of a child with Aspergers or High-Functioning Autism, you know it can be a struggle from time to time. Your child may be experiencing: obsessive routines; problems coping in social situations; intense tantrums and meltdowns; over-sensitivity to sounds, tastes, smells and sights; preoccupation with one subject of interest; and being overwhelmed by even the smallest of changes. The hardest part is you feel like you'll never actually get to know your child and how he/she views the world.
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Study: Sex Turns Straight People Gay and Turns Gays into Mexicans
This just in: a new study has revealed that intercourse turns straight people gay and turns gays into Mexicans.
The Bible has warned us many times of this dangerous phenomenon, in passages such as "Yea, and the straight men went into their wives, and were suddenly repulsed by the sight of their baby caves, as they craved now for hot man rods. But alas, the owners of the hot man rods had all turned into Mexicans! Behold!"
The study also found that if a man does not become gay or a Mexican after engaging in sex, his penis will fall off and turn into a black hole, in which time cannot escape.
Glory! http://www.penises.com
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While all eyes are on "Guardians Of The Galaxy" as the risky, unknown Marvel property being given the big screen treatment, let's not forget about "Big Hero 6." The property is coming this fall via Disney Animation, who have gone all out for a title that likely only the most dedicated of comics fans know about. But the first images of the two lead characters show that it could have a lot of crossover appeal.
Set in the futuristic San Fransokyo, the story will follow robotics prodigy Hiro Hamada and his robot sidekick Baymax who team up with a group of crimefighters to stop a criminal plot. So, the setting might be new, but it seems the plot will be familiar, at least in broad strokes, as it will present a wacky group of heroes for the audience to follow.
The first trailer will arrive this week, but until then, here's are the images. "Big Hero 6" opens on November 7th. [io9]


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Thursday, April 2, 2009
AL Central preview.....with a little help from my friends (Part 1)
So like last year I've solicited some help from various division writers and we tackle the pressing questions facing the 2009 American League Central. I rounded up the usual suspects plus one newcomer and asked them to make some predictions ranging from the top players to who will win the title. Due to length I will once again break it into two parts.
John Meyer - Twins MVB (Twins blog that has exploded in the last year)
Ray Wachter - Royals on Radio etc (the Larry King of Royals bloggers)
Andrew Reilly - The 35th Street Review (Very funny White Sox blogger and not president of the Nick Swisher fan club)
Andy Meyer - St. Joseph News Press (A newspaper that has an underrated sports page with some talented writers)
1. Who do you think will be the Centrals top hitter?Top pitcher?
John - This division really boast some great young stars with Grady Sizemore in Cleveland, the emergence of Carlos Quentin and Alexei Ramirez in Chicago, Joe Mauer and Justin Morneau in Minnesota, Miguel Cabrera in Detroit, and I still think that Alex Gordon has a bright future in Kansas City. Mauer is the best pure hitter winning his 2nd AL batting title in 2008, but I'm expecting a monster year from Cabrera in Detroit. It took Cabrera awhile to settle into the AL but he still set career highs in homeruns and RBIs and in case you forgot is still only 25 years old.
Ray - Tough one.... Why start with a tough one ?
I'd go with pitcher Cliff Lee, I think he'll have another solid year also look for a strong year from Zack Greinke and a rebound year for Verlander. Of course we all know last year my pick was the kiss of death to one D-Train.
As for hitter look for a big year form Miguel Cabrera, I also like Morneau and Thome to put up big years like always.
Andrew - For top hitter, I'm going to cast my totally biased vote for Carlos Quentin, as he will become the first true four outcome in the history of baseball: walk, double, home run, or hit-by-pitch, making an OBP around .950 not unrealistic. Quentin will also become the division's top pitcher over the course the 8th inning of the Sunday, May 8th 14-1 drubbing of the Texas Rangers. In one inning of relief, Quentin will strike out two Rangers and, somehow, also strike out three White Sox (including Carlos Quentin).
Andy - With great talent comes great responsibility. Pardon me for altering Uncle Ben's immortal words of wisdom, but I believe two of the best players in the majors – both 25 years of age – will live up to their immense potential this season. At the plate, no one in the division is scarier than Miguel Cabrera in the Motor City. Predictably, he struggled to adjust to American League pitching at the start of last year, but he got hot in July and finished on a tear. With his speed, Grady Sizemore might be a more complete player, but Cabrera's going to rake against some of the awful pitching in the division this year. On the mound, Zack Greinke appears to have found his groove in KC and will be one of the best in the bigs despite his No. 2 status in the rotation. His arsenal is just so solid (200 strikeouts is a real possibility), and I don't believe Cliff Lee can replicate the same magic he possessed year ago.
2. What team has the best rotation?
John - I think you have to give the nod to the young core of arms in Minnesota. I'm understandibly bias and questions of tiring and consistency remain for the young pitchers, but from top to bottom I think the Twins have the most complete staff with the potential to be a great staff. I like the trio of Jon Danks, Gavin Floyd, and Mark Buehrle in Chicago but I question Ken Williams dealing of Javier Vasquez.
Ray - I would say Twins but there still pretty young and may have a step back year, the Tigers look good with Verlander at the top but I'm not sold on Jackson or Bonderman (who now appears will miss the start of the season). The Sox (Not sold on Danks/Floyd/Contreras) and Indians rotations are iffy. The Royals have Meche/Greinke/Davies but the rest is yet to be known.
Bottom line most ALC teams have a good 1-2 but no one really has a rotation to blow you away.
I've got to go with the Twins.
Andrew - They're all pretty lame, but I have to go with Cleveland for overall rotation strength. The Royals may have the best 1-2 in Gil Meche and Zack Greinke, and the Sox certainly have a 1-3 to be proud of, but the Indians have the best chance to have a solid pitching effort each game out.
Andy - Minnesota and it's not even that close. Let's assume Scott Baker struggles a bit during his first year as the No. 1 starter and Francisco Liriano is nothing more than an above-average pitcher from here on out. Fine. The Twinkies still have Kevin Slowey and his crazy-good K/BB ratio waiting behind them. No matter which way you slice it, they've easily got three of the six best hurlers in the division starting for them. And the guys behind them –Nick Blackburn and Glen Perkins – aren't too shabby either. The worst part (unless you're a Twins fan)? The entire lot of them are 27 or younger.
3. What team has the best offense?
John - The Twins surprisingly lead the division in runs scored with 829 thanks to a ridiculous RISP batting average. Minnesota's offseason will be solid again in 2009 but will not be as lucky. Detroit's offense was supposed to score 1,000 runs last year and every player not named Miggy underachieved, so they will certainly be better in 2009. However, my vote goes to the Indians. Grady Sizemore is a stud and I think there are some very good pieces around him in Cleveland.
Ray - What team SHOULD have the best offense, the Tigers: Cabrera, Magglio, Granderson, and company.
The White Sox are a close, close, second.
Andrew - Tough call, as Detroit can score 15 with the best of them, but the Twins have the kind that actually wins the games that matter. Still, this division most likely won't hinge on fundamentals so my vote goes to the Tigers.
Andy - Detroit was shockingly awful last year. I think we can all agree on that. That doesn't change the fact that the Tigers still wield the best bunch of bats around. Just as it was last year, the heart of their lineup is terrifying. Only this time around, there's no pressure to win 100 games. I've seen some folks predicting Detroit to finish in the Central's basement for the second year in a row. That's ridiculous. Even with a rotation held together by duct tape, they contend for a title thanks to their hitters – most of whom go well upwards of 100 in OPS+.
6 comments:
- Craig4/2/09, 8:05 PM
I'd say all the major players are coverered by one person or another. Sizemore would be the guy that I would be least suprised to just go ballistic one year.ReplyDelete
you ain't serious saying the Indians have the best rotation, right? i assume that was sarcasm? Pavano as the #3? Scott Lewis? Wwho the hell knows what Carmona will do. that's not even mentioning the fact that Lee will likely decline this year...random amazing seasons at age 30 juts don't happen.
I didn't say their rotation is all that great, just that by having three average starters, one above average starter and one great starter they have the best all-around rotation in this division. Obviously there are individual pitchers in the ALC who can match up better one-on-one with whoever the Tribe puts forward, but their composite strength is, sadly, the best this division will forward.
It's like declaring which of the Fast & Furious movies is the least terrible, or the old hypothetical of choosing which of the five senses you have to lose. There's no good, just different degrees and varieties of bad.
- Anonymous4/4/09, 8:27 PM
Fellow Royals Fans: Thanks for standing alongside me in supporting of our beloved team! It hasn't been easy having last made the playoffs in 1985 and watching every team but Expos/Nationals reach them since, failing to finish even 2nd in our division since 1995 and only enduring one winning season in 14 years. Our time will eventually come – I hope. Cheers to hoping we erase all this in 2009! – Justin Andrew Anderson (firstname.lastname@example.com)ReplyDelete
I recently came across your blog and have been reading along. I thought I would leave my first comment. I don't know what to say except that I have enjoyed reading. Nice blog. I will keep visiting this blog very often.ReplyDelete
- Anonymous12/1/10, 3:28 AM
If you are open to having a guest blog poster please reply and let me know. I will provide you with unique content for your blog, thanks.ReplyDelete


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Finishing with the second-highest team grade point average in the Atlantic 10, the Butler women's soccer squad was honored with the Team Academic Award by the National Soccer Coaches Association of America (NSCAA).
The Bulldogs, whose team GPA of 3.51 ranked among the nation's top 10 percent, were one of just two A-10 teams to earn a cumulative GPA of 3.50 or higher during the 2011-12 academic year. Conference champion La Salle paced the league with a 3.54 team GPA.
Butler joined 15 other A-10 squads who achieved a team GPA of 3.0 or higher in being honored by the NSCAA for academic excellence during the 2011-12 academic school year.
Butler was one of 152 schools nationwide to have both its men's and women's soccer teams honored by the NSCAA. This is the fifth time the women's team has received the award.


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How do you get airlines to take better care of your child's luggage when you travel? By attaching this Super Superhero personalized luggage tag! Seeing that the bag belongs to a superhero is sure to have a greater effect than any "handle with care" sticker.
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Couple sought in car scam
Police are searching for a Lincoln woman and a Georgetown man who they say sold a car to another woman July 22, but never delivered the car.
Heather Turner, 31, and Ryan L. Neyhart, 29, drove the woman to Redden Road in Georgetown where they told her an Acura Integra was for sale, said Master Cpl. Gary Fournier of the Delaware State Police.
The woman gave the couple $1,500 for the car, but Neyhart told her he needed to complete the tag and title work before the woman could drive off, Fournier said.
The couple drove the woman to Fitzgerald's Salvage near Lincoln and dropped her off; they told her they would return with the keys and title for the car. The couple did not return, Fournier said.
Fournier said the couple is wanted in Sussex County Superior Court for violation of probation. They had permission to drive Neyhart's father's blue 2002 GMC Sonoma pickup truck, but only to court, he said. Fournier said the couple may have driven to Virginia or Pennsylvania in the pickup, which has a tag number of CL98373. The couple also has the father's cell phone.
The couple is wanted on warrants of theft greater than $1,500, second-degree conspiracy, theft under $1,500 and unauthorized use of a motor vehicle.
Anyone with information on their whereabouts is asked to call Cpl. R. Hargis at 337-1090, Ext. 312, 1-800-TIP-3333, go to www.tipsubmit.com, text 274637 using keyword DSP or download an app at http://www.delaware.gov/apps/.


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Web's Largest listing of crowdsourcing and crowdfunding events
2,968 crowdsourcing and crowdfunding sites
Ask most crowdsourcing enthusiasts about the benefits of open innovation, and you'll invariably hear about reduced costs.
On the surface, this makes sense – sourcing ideas from outside a company's own R&D department taps a larger pool of contributors who work on the promise of potential partnership in the future, not a guaranteed salary.
Look a little closer, though, and you'll see costs that aren't readily apparent at first. Aside from paying a fee to an intermediary (like NineSigma, InnoCentive, or ChallengePost) and paying out for a winning idea, companies must spend on legal fees, manage the campaign, market it, and spend valuable time sorting through ideas.
Given these costs, does open innovation still make sense? We spoke with industry experts to learn more about the costs and benefits of open innovation, and to find out how a company can maximize benefits while keeping costs down.
Henry Chesbrough, who coined the term, defined open innovation as "the use of purposive inflows and outflows of knowledge to accelerate internal innovation, and expand the markets for external use of innovation, respectively."
This is a tidy definition, which stresses both the inflows and outflows of knowledge as being key to open innovation. In practice, however, the term is relatively loose and means different things to different people, notes Ammon Salter, professor of technology and innovation management at the Imperial College in London.
Everything from industry-university collaboration and expert sourcing to ideation challenges have been called examples of open innovation. This ambiguity contributes to the difficulty of figuring out whether the benefits of open innovation outweigh the costs. In this article, we focused primarily on ideation challenges, both those done under the guidance of an intermediary, and those completed in-house.
In a 2009 article for the Harvard Business Review, Guido Jouret, CTO of the Emerging Technologies Group at Cisco, mentioned several of the not-so-obvious costs of running an open innovation campaign.
"The evaluation process was far more labor-intensive than we'd anticipated; significant investments of time, energy, patience, and imagination are required to discern the gems hidden within rough stones," he wrote. "Anyone attempting to do innovation on the cheap should look elsewhere."
Aside from the hours it took to sort through ideas (and this despite using the Brightidea innovation management software), Jouret also mentioned the difficult process of drafting a legal framework around intellectual property management for the challenge.
This, however, just scratches the surface of the services companies must perform when running an ideation contest. ChallengePost, which runs the Challenge.gov platform as well as separate technology challenges, outlines over a dozen services it offers to its customers. These include everything from creating a branded platform and planning milestones, to copy writing, community management, legal writing, online and offline promotion, judge panel building, testing submissions, and prize fulfillment, among other services.
Intermediaries like ChallengePost make it easier for companies to run open innovation challenges, but – as Jouret's case study shows – they must still be involved in the evaluation process, and even more so in the implementation of an idea. Sometimes, however, the firms are simply unprepared to deal with the outside ideas.
"A lot of companies don't give enough attention to the internal phase of open innovation, the processes they need to put in place to, kind of, market it inside the firm," said Professor Salter. "So what happens is they [set up] these external portals, and ideas emerge from there that could potentially be useful to the firm, but then they die. No one picks them up and champions them."
That's partly why Salter believes there is little "compelling evidence" that open innovation is cheaper and results in faster time to market. While there have been wonderful success stories, he noted, there has also been lots of failure.
Innovation intermediaries, he thinks, are appealing to large firms in part because they help to identify and define problems, something that large, inward-looking firms may have difficulty with. But even that, he says, may be an overstated benefit.
"Part of the challenge is when you define a technological problem well," he explained, "you often get close to the solution."
Andy Zynga, CEO of NineSigma, an intermediary, doesn't disagree with Salter's statement, but thinks there's a different lesson to be drawn.
"We say that all the time: a problem well stated is a problem half solved," Zynga enthused. "The whole process of practicing open innovation has many ripple effects. One of [them] is more than just saying, 'I'm going to the outside,' it's really more about the attitude, culture, and process… You don't have to go outside [the company] right away."
The CEO went on to say that some of NineSigma's clients are now using the processes of external innovation, internally. Indeed, that is a sentiment shared by other intermediaries, who see the ability to shape the solver community – being able to switch between internal groups, strategic partners, customers, and unaffiliated crowds – as an important part of the services they offer.
Zynga said that there are a number of risk-reducing benefits to looking outside the organization, when that becomes necessary.
"Getting an outside perspective on your projects… helps you to have a better feel for how [the market is reacting] to this, what are some of the solutions that are out there. This outside perspective helps you to reduce the risk," he explained. "Another benefit is – when you have people from the outside contributing to what you're doing, you may reduce the cost of not doing something, like the Kodak example."
Moreover, Zynga believes, practicing open innovation has the benefit of mitigating two cognitive biases: curse of knowledge and functional fixedness.
"[Curse of knowledge is] when somebody becomes an expert in something, it becomes extremely difficult for the person to communicate to the outside world problem statements, what they're doing," he explained. "This… can be overcome by working with someone like us, because all of our program managers are trained in working with clients and saying, 'What is it that you're really looking for?'
"Functional fixedness is more about [when] people have certain applications in mind for what their products can do… and can't really think outside the box," Zynga continued. "Again, doing open innovation, seeing all the submissions come in – that helps you to overcome that and maybe even to discover new, adjacent markets."
But putting together the processes and people in place to take advantage takes a serious commitment.
"If you're just dipping your toes into open innovation, it can be, short-term, a bit of a cost driver," Zynga admitted. "Unless you do your homework beforehand, and put all the processes in place, and get the people all trained up." Some of the clients that do already have people and processes in place, he went on to say, reported a 30 percent reduction in time to market.
Lufthansa Cargo is the subsidiary of the German airline Lufthansa, the largest airline in Europe. Over the past two years, the cargo carrier has hosted open innovation challenges to solicit ideas from the crowd. The company partnered with the Munich-based intermediary HYVE to help manage the campaigns.
Benjamin Pfeifer, who worked on the contests, said the company decided to open up to the crowd because it wanted to "innovate the innovation process." He noted the company's managers were relatively open to the idea from the start, which made it easy to pitch the project. Actually getting the money for the project, however, was a different matter.
"You might know [this] from other companies, it's normally not very easy to get money for projects where you can't give any direct benefits," Pfeifer said with a laugh. "You can say, 'There might be some ideas we can implement as a company, but to be honest, [we have] no clue that this project would bring benefits to us.'"
The money people obliged, though Pfeifer said the funds quickly ran out and the company had to reinvest in the project after three weeks – advertising the campaign, generating traffic, and processing the ideas took more time and money than Lufthansa Cargo had anticipated.
The company was clearly happy with the results of the first campaign; otherwise, it wouldn't have invested in the second run. Pfeifer listed many positives of opening up innovation to the crowd.
Aside from the hundreds of ideas that the community submitted (you can see the winners here), one of the biggest positives to come out of it was a newfound openness to new ideas, internally. A new 'Innovation Management Team' came into being, and the company's internal "processes" and "thinking" about innovation changed. An unintended (but not altogether surprising) benefit was that customers also began to think of the company as more innovative, and Lufthansa Cargo's perception against its competitors improved. On top of that, as Zynga suggested, Pfeifer said receiving ideas from those outside the industry was especially helpful.
That's not to say everything was positive about the campaigns. The ideation platform was open to anyone – including the competition – and Pfeifer said an American competitor might have taken one of the ideas that came to them.
"We had the understanding that our competitors [would also be] on the platform, but we had the opinion that our competitors were working on these ideas, as well," he said. "If we did not take the chance to innovate in an active [way], others would do it. The process could be copied quite easily, but [we wanted] to be the first ones… Being the first one is quite good."
Pfeifer said the campaign's ultimate key performance indicator is the number of products that come into being from the pool of crowdsourced ideas. One product that he's especially hopeful for is the 'Blast Proof Luggage Container,' which won the first ideation challenge. Pfeifer declined to specify exactly how much Lufthansa Cargo paid HYVE for their services, but he did say it was under $100,000, though "not by much." He also said that the time spent on the campaign internally was roughly the total of a year's salary. How does that compare with the potential benefits of running the campaign?
"If we take the example of the [blast proof] container, such a container would enlarge our current product options," Pfeifer said. "There are products that cannot be flown because they're too dangerous – batteries for cars [for example]. If you're talking about revenue potential, that's definitely more than $100,000. We are producing three billion euros per year in revenue, if [the container] increased the market in air freight products even by one percentage, it would increase our revenues by about 30 million euros."
So, if the product idea moves to the implementation phase, the campaign will certainly have been worth it – the key word being 'if.'
As Cisco's Jouret pointed out, opening up innovation channels to the crowd is no easy task, and companies should be prepared to invest funds and rethink their innovation processes to get the most out of outside ideas.
With the right amount of planning, companies should be able to follow through on the promises they make to outside contributors. Otherwise, they will have an unsavory experience with open innovation.
"A lot of firms want to claim that they're very open, but they find it quite difficult to deal with the costs and implications of that," Professor Salter cautioned. "One firm I interviewed said, 'We have to eat our own dog food. If we say we're open, we have to be open. We have to press ourselves to actually make the claims on our website true.'"
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I am sure that today some people even do not mention quality of a pruduct, that is an influence of media. I want to share my post Innovation On The Cheap according to this topic.


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(This story first ran at PressConnects.com) BALTIMORE — At 26 years old, UFC light-heavyweight champion Jon Jones admits it is difficult even for him to realize he could soon be considered the best fighter in the history of mixed martial arts. But it's a reality (…)
An injury has forced Julia Budd to withdraw from her inaugural Bellator women's featherweight championship bout against Marloes Coenen at Bellator 155. read news >>
The hits just keep on coming for Bellator 154, as veteran Pride heavyweight Sergei Kharitonov has been forced out of his promotional debut. read news >>
Former UFC middleweight champion Anderson Silva has been forced to pull out of his UFC 198 bout with Uriah Hall. read news >>
Chris Weidman is out of his rematch with Luke Rockhold at UFC 199, but Michael Bisping quickly let it be known that he is prepared to step in and take his place. read news >>
The most likely candidate may be Ronaldo "Jacare" Souza, who needed only one round to knock out Vitor Belfort at UFC 198 on Saturday. Fighting in back-to-back months would be something of a Herculean read news >>
Chris Weidman on Wednesday penned an open letter to fans, posting it on Facebook, to explain the severe neck injury that forced him out of UFC 199. read news >>
News broke on Tuesday that Chris Weidman was out of UFC 199. On Wednesday, he revealed a serious neck injury that could put him out 6 to 12 weeks. read news >>
Former middleweight champion Anderson Silva revealed a photo of the aftermath of the gallbladder surgery that forced him out of UFC 198. read news >>
UFC has found a replacement for the injured Chris Weidman at UFC 199, as Michael Bisping will challenge Luke Rockhold on June 4, per Lance Pugmire of the Los Angeles Times. Per Jason Floyd of the MMA read news >>
Michael Bisping is stepping in for the injured Chris Weidman to face champion Luke Rockhold for the middleweight championship at UFC 199 in Los Angeles on June 4. read news >>


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PennDOT crews today finished installing signs and guide rails Thursday and opened the new North Sherman Street Bridge over Interstate 83.
The bridge connects Springettsbury and Spring Garden townships in York County and had been closed to traffic since Jan. 23.
Built in 1959, the bridge that previously carried North Sherman Street over I-83 provided only 14-feet 1-inch of clearance for I-83 traffic.
North Sherman Street averages more than 10,000 vehicles daily.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


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June 1, 2016
State Sen. Alice Harden, a Democrat from Jackson who fought for better public and higher education programs, has died. She was 64.
Her death was announced Thursday by Lt. Gov. Tate Reeves. Funeral arrangements are pending.
Harden had served in the Senate since 1988. She had served as chairman of both the education and universities and colleges committees.
"Sen. Alice Harden was a pioneer for civil rights and a staunch supporter of public education," said Gov. Phil Bryant. "She served her constituents well and will certainly be missed. I had the pleasure to work with her during my term as lieutenant governor and was always impressed with her determination to stand for her beliefs. Deborah and I are praying for her friends and family."
Harden was re-elected in 2011 and was serving on the appropriations and education committees.
Harden, a former teacher, was a graduate of Jackson State University.
Survivors include her husband, Dennis, and a daughter.
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text:
Hello fellow riders!
I never knew what all the hub bub was about when I'd see all these people riding bikes all over the place' "Get off the damn road and get on the sidewalk!" but I now understand and see the light. I have absolute respect for those bicycling wherever they are.
I'm getting into the game late as I'm in my mid 30's but I'm having an absolute blast cruising around the paved trails they have around my local area.
I'm from South Orange County. In my desire to get some exercise I decided buy a bike on the cheap (Magna Target 26") to see whether or not I would like bicycling and stick with it. So far 3 months into it I'm loving it. I enjoy my rides so much I don't look at going out for a bike ride as exercise...it's a treat! Like if I was going to my local poolhall to shoot a game of pool...except it's actually good for me.
Everytime I go out I want to go farther and further than I did on my previous ride. I'm reading many of the threads on the forums daily and learning from other members input about the science behind the sport.
Already 3 months into it I can see and feel the positive effects cycling has made in my life. I look forward to many years of bicycling, building my stamina/endurance to test myself, and learning from other cyclists here on bikeforums.net.


text:
Woman killed, man injured in stabbing | News
HOT SPRINGS, Ark. (KTHV) - Hot Springs police are investigating a stabbing that leaves one woman dead and a man injured.
Thursday at 8:30 a.m., police got a 911 call about someone covered in blood on Skyview Terrace. When police arrived they found a man and woman lying on the ground with what appeared to be stab wounds.
Police also found a male suspect and quickly took him into custody.
The male victim was taken to the hospital where he underwent surgery, his condition is unknown. The female was pronounced dead at the scene. Her body has been sent to the State Crime Lab.
No names or motive have been released at this time. Stay with Today's THV as this story develops.


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Solanum lycopersicum
by topped off do u mean u filled up its container, or that u pruned off the top of the vine?
If this refers to top pruning, what are the benefits of that type of pruning on tomatoes?
Hi @TF. I pruned the growing tip of the plant. It shot up (+72 inches) and was about 2 to 2 1/2 feet above the top of my support trellis. My fear was that it would topple over eventually and really do damage to the main stem. Ideally, I will get a sucker growing from lower on the plant and it will get more tomatoes. This is by far my most productive plant this year with seven tomatoes formed already and so it was with a heavy heart and trembling hands that I performed the mitzvah of the briss. :)
Earlier in the season my Celebrity had the growing tip ripped off by the wind and it quickly developed a sucker right at that spot and continued growing so it almost looks like it never happened, but again, that is a determinate and nowhere near as tall.
I'm keeping my fingers crossed and will update the progress over time. Nervous. :)
I thought suckers didn't flower and fruit?
Hi @FW Oh, they can… my timing/management could have been better… :)
Indeterminate tomatoes are vining plants with many branches. Pruning reduces the number of branches to one, two, or several main branches or "leaders" which will ideally be about the same size. This is accomplished by removing side shoots or "suckers" that grow in the leaf axils between leaves and the stem. Here's how it's done:
If you want just one leader, remove all the leaves and side shoots below the first flower cluster. As the plant grows, continue to remove all suckers from the leaf axils.
If you want two leaders, which is often recommended in case the main stem is damaged, leave one sucker directly below the first flower cluster. Prune all other suckers that grow on both stems.
For plants with three or four leaders, leave the first sucker or first two suckers above the first flower cluster. After that, prune off all new suckers.
Here's a link to the video from that page…
They leave two leaders.
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Briarwood, New York


text:
I think this one certainly fills the bill. My apologies to the Star Land Vocal Band. To the tune of "Afternoon Delight" I give you "Winter's Day Delight.
Please don't throw rotten fruit.
Gonna ride my bikey, gonna ride it right
Cause my ride's gonna be a winters day delight!
My motto's always been; a winter days alright.
So why wait until the middle of a cold dark night.
When everything's a little clearer in the light of day,
And you know the bike is gonna be there any way.
Snot rockets in flight. Winters day delight! Winters day delight.
Thinkin' of a rides workin' up an appetite
looking forward to a little winter's day delight.
Putting rubber on the pavement will make the sparks ignite
and the thought of riding is getting so exciting.
Snot rockets in flight. Winters day delight. Winters day delight.
Snot rockets in flight. Winters day delight. Winters day delight.
OK, your turn.


text:
This topic is archived and can not be replied to any more.
|Volunteering At A Hospital; Need Help And Advice posted Sat Aug 22 2009 16:24:33 by MCOflyer
|Need Help Getting To Sleep posted Thu Jul 16 2009 00:47:34 by Af773atmsp
|I Need Help With A Gay Guy... posted Tue Jul 14 2009 17:56:45 by 7324ever
|I Need Help Traveling The Mbta Sbway Possible? posted Wed Jun 10 2009 12:31:20 by StarAlliance38
|Need Help With Dialing A Number posted Fri May 29 2009 11:14:46 by Wardialer
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|BMW 3 Series Owners, Need Help Re:run Flat Tires posted Wed Feb 18 2009 23:24:38 by FLY2HMO
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|Need Help With A British Saying posted Fri Sep 12 2008 07:34:36 by Don81603
|Need Help: Info About ICN posted Fri Aug 22 2008 16:48:08 by Transpac787


text:
You guys keep asking, and here's the official answer: Android 2.2 -- Froyo -- is trickling out in the SDK now, but it's going to be a few weeks before we see it on phones en masse. That doesn't mean we won't see it anywhere, just that you don't need to be checking for updates (and e-mailing us) every day, m'kay? [Twitter]
No Froyo just yet, Google says
Reader comments
No Froyo just yet, Google says
Whats funny is that this is talking about OEM and open source, this says nothing about the google owned and run Nexus One, as it doesn't fall into OEM or open source. So Google could possible push the update OTA at any moment.
Everyone is asking about OEM phones IE, HTC, Moto, Sony.... Google Nexus one is not an OEM phone, so what is Google saying about the Nexus One? Anyone at Google IO please ask specifically about that phone :-) j/k about that last part.
I cannot believe they are jerking us around this way
they could have announced long ago that froyo would not be released at i/O yet they let us think it might...and on top of that they just leave us hanging with no release announcement at all
last time I get excited about a Google event
I wonder, could this be a carrier related issue?
The Nexus One is carrier independent, with the tethering capability and no easy way for a GSM carrier to prevent it, I can see some of their partners (read carriers) not being too happy about the loss of revenue.
I think that Google realized that they need their partners more than their partners need them and are trying to make nice (after going it alone) with their partners, by closing the web-store and no longer trying to circumvent them.
Much to my displeasure, the Google Phone store and the DTC model are going away, I liked being able to stick it to the man(in this the my mobile phone carrier), but with this potential realization, it could explain the FroYo delay.
I have reason to believe that Froyo will launch on June 4th to coincide with the launch of the HTC Evo 4G and EA's Need for Speed Shift. Need for Speed was built with SD storage in mind as demonstrated on stage and the Evo has an early version of WiFi hot spot sharing taken from 2.2 already in the device powering that service.
The Evo 4G and Nexus One will both get the update on June 4th. The Evo will either have the update in the box or be offered an OTA update as soon as you connect it.
Once the Evo 4G is out, updated and issue free HTC will move onto the Incredible, Desire and Triumph. The Triumph (was said to be a re-branded Desire, but after seeing it at Google IO it looks more like an Incredible) is scheduled to arrive in Canada via Telus in July or August. I suspect that HTC will have the 2.2 update for these devices by the time the Triumph launches.
You heard it here first folks.


text: Panzar is a Fantasy-themed MOBA where orcs, witches, dwarves, and humans fight for dominance on a neverending battlefield. Traditional MMO combat with an action twist fuels a battle that is not for the feint of heart. If PVP is what really gets your blood going in MMOs, Panzar's action (powered by CRYEngine3) might just be for you.


text:
Hi everyone, i've just installed zimbra on my openSuSE 10.3 box, the installation ran well, the problem is user can't send email to other email account out from my zimbra server. For information, i'm still able to send email to my zimbra account form my yahoo account (my zimbra server able to receive email from outside).
Please help me, i have no idea what's wrong, all the zimbra service is running (I see it from zimbra administration console).


text:
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Dr. Kaushik
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medication advice
Resolved Question:
Hello there.I have had a severe
disorder for many years but it was succsesfully treated with ssris and snri.I cureently off medication
and want to ask i have been on lustral;prozac and paxil and effexor and strated each time at a low dose i never got any
as side effects at the start but after being on effexor a year i came off it and restaerted it 2 months later and at 37.5 start dose i never got a problem but then after 2years i came off it again thrn stated it a month later but got severe panic attacks so i had to stop the treatment the same happened with lustral afte a few years i coul;dnt go back on it.Iam currently thinking off going on cymbalta starting at a very low dose what do you think my chances are off not having panic side effects and it kicking without a problem since all the others were intally ok?
7 years ago.
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Dr. Kaushik
replied 7 years ago.
Hi there,
Welcome to Just answer !
Well,let me explain to you why you have developed panic attacks , later on , after having initial period of good response to the mentioned drugs. You see, the drugs you have been placed upon such as prozac(fluoxetine) , paxil ( paroxetine), lustral(sertraline), all belong to the same SSRI group of anti depressants, and many a times after a long period of use , body develops resistance against the anti depressants , and thereby the efficacy of these drugs gets reduced , plus side effects may start appearing. So, when such a thing happens , like it happened in your case , then , the SSRI anti depressant is withdrawn and a different anti depressant from the same group or a different group is tried.
As far as effexor is concerned , which belongs to snri anti depressants ,it also became tolerant ,that is the system developed resistance to it also , as a result after a long period of use , its, efficay got reduced, and panic attacks appeared .
Now, as far as using cymbalta that is duloxetine is concerned , it is an SNRI anti deprssant , and i am quite sure it will have a good controlling effect over the anxiety symptoms , but , like effexor and SSRI anti depressants , it also stands at a risk of becoming tolerant , and therby its efficacy can be reduced . So , i suggest that along with the use of Cymbalta which is to be taken at night single dose , you shall also start on 1 anti anxiety drug such as Buspar or Klonopin and i am sure this combination of cymbalta and klonopin (or buspar), will suit you just fine.
I suggest you discuss this regime with your doctor and get started on it .
I wish you best of health.
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replied 7 years ago.
k so what i meant is the actual drig itself triggerd a panic attack after 2years off use.So also what are my chances of getting intail dose panic attacks from cymbalyta while its still new to me because knlopin only lasts a few months then becomes useless.After i changed to a new srri it wotked like a new druig so iam hoping cymbalta will be as new also.
Dr. Kaushik
replied 7 years ago.

Well, yes cymbalta will act as a new drug only , and will take care of your symptoms , but it is not necessary that like other drugs this cymbalta will also trigger a panic attack , as it is not possible to predict this , but i can atleast say that your present symptoms will definitely be taken care of by cymbalta , so relax and get started on it . And to be on a safer side , you may take a low dose xanax or ativan at night , as an anti anxiety drug , to assist cymbalta.

I hope this helps .

Take care .

Regards..

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