text:
The U.S. National Institutes
of Health publishes guidelines for doctors on high blood pressure classification and treatment. The guidelines are called the Seventh Report of the Joint National
Committee (JNC 7) on Prevention, Detection, Evaluation, and Treatment of High
Blood Pressure.1
If you have high blood pressure, your doctor will give you a blood pressure goal that is based on your health. For example, your goal will depend on whether you have other conditions such as diabetes, heart failure, coronary artery disease, or chronic kidney disease.
Be sure you know your blood pressure goal.
Blood pressure
Blood pressure of 120–139 over 80–89
Lifestyle changes
High blood pressure of 140–159 over 90–99
Lifestyle changes, possibly
High blood pressure of 160 over 100 or
Medicines plus lifestyle
High blood pressure plus organ damage or
other risk factors for heart disease
Medicines plus serious lifestyle changes
and treatment for the other health problems
Secondary high blood pressure
Medicines, treatment of the condition
causing your high blood pressure, or both
African Americans are more likely to develop
high blood pressure and often have more severe high
blood pressure than other groups. They also are more likely to have the
condition at an earlier age than others. It is not known why they are at
greater risk.
African Americans who are sensitive to salt (sodium), are obese, or smoke are at even higher risk
for high blood pressure. As a result, African Americans with these additional
risk factors tend to have more organ damage, such as kidney disease, heart
attack, and enlargement of the heart, which can lead to
heart failure (hypertensive heart disease). Lifestyle
changes are especially important for this group.
Children who have
high blood pressure often continue to have high blood
pressure as adults. Children ages 3 and older need to have their blood pressure
monitored regularly during routine physical exams.
High blood
pressure in children is rare but needs to be evaluated to find treatable
causes. When a child has high blood pressure, it is more likely to be from a
secondary cause—like a disease—than when an adult has high blood
High blood pressure in children should be treated with
lifestyle changes and medicine if needed. A child with secondary high blood
pressure also requires medicine. The risk of secondary high blood pressure is
higher in children than in adults.
Older adults often have isolated
systolic high blood pressure. This problem
is sometimes called ISH, for isolated systolic hypertension. In
ISH, systolic blood pressure is above 140, but diastolic blood pressure stays
lower than 90.
If you are older than 50, a
systolic blood pressure (the upper number) over 140 is a
more important risk factor for stroke and heart disease than your diastolic
blood pressure (the lower number).
This type of
high blood pressure is more common in older adults,
especially older women. In fact, most people older than 60
who have high blood pressure have ISH.
should be treated, because it can damage organs such as the brain, kidneys,
heart, and eyes.
One problem with
treating ISH is that some high blood pressure medicines can cause blood
pressure to go too low, causing side effects like lightheadedness or
a slow heartbeat. And older people are more
likely to get these side effects. That's why it's important to monitor your blood pressure and to let your doctor know if you feel dizzy, lightheaded, or faint.
Your doctor will likely have you take a high blood pressure medicine such as a diuretic.
The Dietary Approaches to Stop Hypertension (DASH) diet can also lower isolated systolic hypertension.
If you have a blood pressure of 120 to 139
systolic (the upper number in a blood pressure measurement) over 80 to 89
diastolic (lower number), you have prehypertension. This is blood
pressure that is higher than normal but not high enough to be high blood
pressure. It is a warning that your blood pressure is going up. You
need to begin lifestyle changes to lower your risk for stroke, heart disease,
and other problems caused by high blood pressure.
For more information, see the topic Prehypertension.
Secondary high blood pressure treatment depends
on the cause. For example, treatment of high blood pressure caused
by kidney disease will also include treating the kidney problem. Even if the
condition that caused your high blood pressure is treated,
you may still have to take blood pressure medicine throughout your
For more information, see the topic Secondary High Blood Pressure.
CitationsJoint National Committee on Prevention, Detection,
Evaluation, and Treatment of High Blood Pressure (2003). Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC Express
(NIH Publication No. 03–5233). Bethesda, MD: U.S. Department of Health and
Human Services.Other Works ConsultedAronow WS, et al. (2011). ACCF/AHA 2011 Expert consensus document on hypertension in the elderly: A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Circulation, 123(21): 2434–2506.
Next Section:
Previous Section:
Last Revised:
April 4, 2011
Healthwise Staff
Medical Review:
E. Gregory Thompson, MD - Internal Medicine & Robert A. Kloner, MD, PhD - Cardiology
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more visit Healthwise.org
© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.


text:
Help PREVENT Terrorism
Help the Transit Police PREVENT Terrorism. If you see something suspicious, or out of place, report it immediately to the Transit Police or to an MBTA Official. The Transit Police will respond to, and follow up on, reports of suspicious activity, no matter how minor. Your report could be the report that helps the Transit Police deter an act of terrorism. Your eyes and ears are valuable tools in the continuing effort to maintain a safe transit environment. Alert passengers who observe activities or things that seem out of place, or out of the ordinary, are asked to report such instances to a uniformed MBTA employee or contact the MBTA Transit Police at 617-222-1212.
Examples include:
- An unattended package or bag on a seat or a platform.
- Unauthorized people in a seemingly restricted area.
- Suspicious behavior or disorderly conduct.
- Unexplainable odors, substances, or smoke.
Describing Suspicious Behavior:
- WHO did you observe?
- WHAT did you see? Be specific.
- WHERE did you see it?
- WHEN did you see it?
- WHY is it suspicious?
Try to Be:
- ACCURATE (most important)
About the Person:
- Sex
- Race
- Age (approximate)
- Height
- Weight
- Build (thin, medium, heavy set)
- Hair
- Complexion (light, dark, ruddy, olive)
- Peculiarities (scar, tattoos, missing limbs or teeth)
- Clothing (from head to toe, style, defects)
- Weapons (if any)
- Method of escape (direction, vehicle, etc.)
About the Vehicle:
- License Plate (most important)
- Year, make, model & color
- Body type (2 door, 4 door, van, SUV, hatchback, etc.)
- Passengers (number of people in vehicle)
- Damage, markings or anything unusual (logos, etc.)
If You Observe Suspicious Activity or a Crime:
DO NOT take direct action;
DO NOT confront the individual;
DO NOT reveal your suspicions;
DO record as many details as possible;
DO notify the Transit Police Department immediately.
Suspicious Activity on a Bus:
- Observe what others bring on the bus.
- Observe where packages and objects are placed.
- If a passenger leaves something behind, politely bring it to their attention.
- Notify the bus operator if you see suspicious behavior, find an unattended item or witness something unusual.
Call the Transit Police (617-222-1212) if you notice something or someone suspicious at or near a bus stop, subway station or commuter rail station. In the simplest terms, the message comes down to this: If you see something, say something. Together, we can make a difference.
240 Southampton Street
Boston, MA 02118
Office of the Chief:
Deaf or Hard of Hearing:
Follow us on Twitter: MBTATransitPD

subset: commoncrawl


text:
Product Information
The Grriggles® Bright Houndstooth Men Dog Toy has a brightly colored, all-over houndstooth pattern that grabs attention.
Why We Love It:
The perfect companion for any breed, our brightly colored plush Grriggles® Bright Houndstooth Men Dog Toys are fun little men that have an all-over houndstooth pattern. Available in three colors(sold separately) with a squeaker inside. Made of Polyester plush and polyester filling.
Sizing Information:
8 1/2" Length


text:
The mood was jubilant among same-sex couples and their supporters in the Southland on Wednesday as the U.S. Supreme Court made two landmark decisions boosting marriage equality.
With the nation's high court dismissing the California gay-marriage ban Proposition 8 case and striking down a key portion of the federal Defense of Marriage Act, area gay and lesbian couples said they are looking forward to officially tying the knot and receiving the same benefits married heterosexual couples have.
In gay-friendly West Hollywood, dozens of elated supporters inside the office of Equality California -- the largest lesbian/gay/bisexual/transgender advocacy organization in the state -- cheered wildly and embraced one another as the decisions were announced during a live blog viewing. They then took the party to street corners, where they screamed amid honking horns while waving signs that read "I DO support the freedom to marry."
"Our marriage will actually be legally recognized in the state of California, which is amazing for us," said Isabella Restrepo, 24, of Sylmar, who was standing inside the EQCA office beside her domestic partner Alicia Guajardo. "We've been waiting for it for a very long time. We're super excited to be able to actually take this step in our relationship and for the movement itself."
But gay and lesbian couples in California may have to wait about a month before they will be allowed to marry once again. First the Supreme Court's ruling must become final, which could happen 25 days after the ruling, and then the Ninth Circuit Court of Appeals must issue a mandate sending the case back to the District Court.
"We cannot delay or deny individuals their civil rights and for that reason, again, I urge the Ninth Circuit to lift the stay as quickly as possible," said California Attorney General Kamala Harris. She issued a letter earlier that day to Gov. Jerry Brown, saying once the Ninth Circuit Court lifts its stay on same-sex marriages, the state's 58 counties must abide by the ruling of District Court Judge Vaughn Walker that Proposition 8 is unconstitutional.
Harris warned county clerks who refuse to issue marriage licenses would face legal sanctions.
San Bernardino County Assistant Assessor/Recorder Dan Harp said the Clerk's Office will begin to accept and issue marriage licenses to same-sex couples as soon as it gets the OK.
"We do anticipate an initial increase in applications for marriage licenses and also we perform civil marriage ceremonies, so we expect an increase on that at least initially," Harp said, noting that last year more than 1,900 marriage licenses were issued in the county.
Since Harp's staff in San Bernardino and at a satellite office in Hesperia are cross-trained to issue marriage licenses and perform ceremonies, he didn't expect it to pose any particular challenge or burden.
Similarly, the Los Angeles County Registrar-Recorder/County Clerk said the office will begin issuing licenses and performing ceremonies for same-sex couples once a mandate is issued.
"We do not foresee any delays or interruption in service for our customers," said Dean Logan, the Los Angeles County Registrar-Recorder/County Clerk, in a written statement. "We are prepared to accommodate any potential volume increases."
Proposition 8 supporters said they were deeply disappointed with the Supreme Court's decisions and some vowed to continue their fight against gay marriage.
"I believe strongly in the traditional definition of marriage and that marriage between a man and a woman is a sacred, God-given institution," said Rep. Howard "Buck" McKeon, D-Santa Clarita, chair of the House Armed Services Committee and a long-time critic of same-sex marriage. "My convictions stem from my personal moral and religious compass, and I can't be anything but unapologetic about those beliefs."
McKeon said he believes these issues should be decided democratically by the people, not through judicial decisions.
Brian Brown, president of the National Organization for Marriage, emailed supporters Wednesday that he was "furious" with the Supreme Court's decisions and made an urgent appeal for "emergency" contributions.
"We can immediately launch a nationwide grassroots effort to protest the decisions and preserve marriage in the 38 states that have laws in place defending marriage," he wrote.
Bishop Gerald Barnes of the Diocese of San Bernardino said the diocese acknowledges with regret what appears to be a fundamental change in the legal definition of marriage in the state.
"Let us take this moment to look again at what our faith teaches us about marriage, an expression of love and commitment between man and woman, a sign of Christ's love for us, and a source of new life in God's plan for humanity," he said in a written statement.
He asked that however one might feel in the wake of the ruling that "we remember that we are called to recognize the dignity of our brothers and sisters who are homosexual. Let us welcome them in our communities of faith as children of God."
But Melissa Goodman, an attorney with the ACLU of Southern California, said it was a joyous day for same-sex couples, their children and all Americans who value equal justice under the law.
The court's decision to strike down a key part of the federal Defense of Marriage Act -- based on an ACLU case -- ends the exclusion of these couples from all federal rights, benefits and responsibilities of marriage, she said.
"What the Supreme Court really did in this decision is they affirmed that all loving and committed couples who marry deserve equal treatment and equal legal respect," Goodman said. "It was a very important statement for the Supreme Court to make."
Diane Olson and Robin Tyler, who first challenged the legality of California's marriage law in 2004 with attorney Gloria Allred, rejoiced at Wednesday's Supreme Court ruling, though both acknowledged that work remains to be done. The North Hills couple will celebrate their 20th anniversary in September.
"When we found out this morning that (the Defense of Marriage Act) had been struck down, we started to cry," Tyler said. "We look at each other and thought, 'We're no longer a skim-milk marriage.' "
But for some, the Supreme Court decisions came too late.
Rev. Susan Russell, an activist and senior associate at All Saint's Church in Pasadena, said Wednesday that she felt both delighted and sad. While she had a commitment ceremony at the church with her partner of 9 years, her partner died last September before they could get legally married.
"She was also a gay rights activist and a strong fighter for what we've finally achieved here today; so I know she's delighted and blessing what we're doing here," Russell said. "My grief is that she didn't live long enough to see it."
Staff Writers Brenda Gazzar, Greg Cappis, Andrew Edwards, Christina Villacorte, Brian Sumers, Zen Vuong, Beau Yarbrough, Brian Charles, Wes Woods and Phillip Zonkel contributed to this report.


text:
A traditional event called Open Day has been organized in the weekend by Auburn Gallipoli Mosque, an Ottoman-style mosque in Auburn, a suburb of Sydney, New South Wales, Australia. In the event, Irish Alena Sconlon (29) recited the kalimah sahahadah (the Islamic testimony of faith) and embraced Islam in the presence of Open Day visitors and Mr Bilal Aksoy, the Muslim religious leader of the Mosque (the imam).
Auburn Gallipoli Mosque opened its doors to the people of different faiths by means of the traditional Open Day program, which was organized for the 11th time. Some booklets have been distributed to the visitors regarding Islam and Auburn Gallipoli Mosque.


text:
Ian Bell insists he and his England team-mates must take responsibility for their own performance - and he expects a new, improved Peter Moores to give them the freedom to do so.
Bell, a cornerstone among the senior resources Moores has inherited for his second stint as head coach, is adamant no one but he and his fellow players should be called to account for results.
Since England's embarrassing Ashes whitewash last winter, Andy Flower has stepped aside as team director - one of a clutch of changes in backroom and management personnel.
But Bell, who underpinned an opening victory at the start of the new era under Moores and captain Alastair Cook with a half-century against Scotland in Aberdeen, believes the onus always has to be on the players themselves.
Moores came into conflict, back in 2008 and early 2009, with then captain Kevin Pietersen - in the end losing his job after a power struggle.
Bell is sure Moores' second tenure will be very different.
"He's a very good coach with lots of qualities, and I'm sure he's learnt from mistakes he's made - I know he's said that," Bell said.
"I think he's got that experience of probably understanding international cricket a bit more.
"I'm sure he's learnt a lot in the five years he's been with Lancashire."
The England and Wales Cricket Board has already recruited Paul Farbrace, at Moores' instigation, as his assistant - and Bell is encouraged by first impressions of the new regime.
He anticipates a less prescriptive approach from Moores these days.
"Maybe he will go away a bit from looking at stats all the time and give a bit more responsibility to us," Bell said.
"It's important for us to make decisions."
Yet, no matter how England fare against Sri Lanka and India this summer as they try to put their miserable and chaotic winter behind them, Bell emphasises it will be down to those who take the field to do the business.
"Looking back, you can't blame the coaches for what happened in the winter," he said.
"We should have taken responsibility and didn't do that. We hope he will now give us the chance to make amends."
At the age of 32 and with 246 international caps to his name across the formats, Bell is happy to buy into the premise that success or otherwise is his own responsibility.
"The players have to stand up and score runs and take wickets, no matter who's coaching," he said.
"We've got two guys who have been brilliant so far.
"They will be finding their feet over the next few days, but they have challenged us already.
"We've really enjoyed it, but it's about the players standing up and winning games for England."
Bell moved into second spot on Friday, behind only Paul Collingwood, in England's list of all-time one-day international runscorers.
He did so in a match which was a 'Twenty20' in all but name, thanks to the Aberdeen rain.
But with a Twenty20 squad and an updated ODI one too to be named on Tuesday, he is not fretting over whether he makes the cut in the shortest format.
Bell was called into England's ICC World Twenty20 squad as a replacement for the injured Joe Root two months ago, but did not play either in preparation in the West Indies or during a faulty campaign in Bangladesh.
"I hadn't played a Twenty20 game for three years for anyone," he said.
"It's hard to get into the team when I hadn't played.
"I recognised I was there as cover, and the only way I could have played was at the top of the order.
"But (Alex) Hales and (Michael) Lumb have been very strong there for a while now, so unless there was an injury I wasn't going to play."
Irrespective of England's fortunes against world champions Sri Lanka in a one-off Twenty20 at The Oval, Bell is convinced they can demonstrate this summer that they are over their Ashes mishap - just as they did, eventually, after their previous whitewash in Australia seven years ago.
"Having been involved in 06/07, I think it is possible to turn things round, and I believe we can do it again.
"Yes, it will take a little bit of time. But in English conditions, I'd back us to beat anyone in the world."


text:
Makes feeding as easy as watering! Grows plants twice as big!* *versus unfed plants.
With Miracle-Gro® LiquaFeed® Feeder:
1) Attach LiquaFeed® feeder to garden hose.
2) Insert Liquafeed refill bottle by removing cap and twisting into Liquafeed® feeder.
3) Feed by spraying the soil at the base of the plant until soil is saturated.
With Watering Cans:
1) Attach dosing spoon to bottle by removing cap and twisting dosing spoon onto bottle.
2) Tilt bottle and gently squeeze so that liquid begins to fill dosing spoon. Fill to top line to mix with 2 gallons of water, fill to lower line to mix with 1 gallon of water.
3) Pour Miracle-Gro® LiquaFeed® All Purpose Plant Food from dosing spoon into watering can and fill with water. Apply diluted solution to the base of the plants. One gallon feeds approx. 10 sq. ft.
Use to feed all types of in-ground or container flowers, vegetables, trees, shrubs and houseplants.
For best results, use every 7-14 days.
Apply to soil at base of plants.
Not for indoor plants
400 sq ft per bottle
All plants including vegetables.
12 - 4 - 8
Reusable Plastic Base
This is not the product label. Always read and follow the product label before use.
View Label (requires PDF reader)
Safety Data Sheets can be found at scottsmsds.com
Need an answer to a product question? Scotts experts are always available by email and phone in our Help Center.


text:
Professional Candle Making Supplies Since 1972
EcoSoya® CB Advanced
New EcoSoya waxes coming late April! EcoSoya proudly announces the next generation of technology. Expect improved scent throw, increased stability and richer colors in our EcoSoya 110 (a great replacement for CB- Advanced Soy), EcoSoya 120 and EcoSoya 130 waxes to be released in late March 2017. More details on this superior wax will be available soon.
People Who Bought This Item Also Bought
Shipping Information
To see shipping costs, proceed to checkout to get up-to-date rates. Orders are shipped by UPS or FedEx. View the Shipping Information page for more details.


text:
VIDEO: AEROSMITH Performs at Boston Pre-Election Event
AEROSMITH drew an estimated 35,000 fans this past Monday (11/5/12) in Boston when they performed a pre-Election Day show in the streets of Boston. The location - in front of 1325 Commmonwealth Avenue, site of the band's original apartment where they lived from 1970-1972. Check out video highlights and the ceremony and concert below!
"People hung out windows, crowded fire escapes and stood on roofs on Commonwealth Avenue to watch a free concert meant to encourage voting and promote the band's new album…" commented Associated Press (11/5/12) about one of the biggest events Boston has ever seen. The city closed the streets and trolley service was even stopped since it runs right in front of the apartment. Steven Tyler, Joe Perry, Brad Whitford, Tom Hamilton and Joey Kramer arrived in a duck boat parade with seven other ducks (filled with family, friends and media) from the Boston Garden to the site.
The day began with the designation of 1325 Commmonwealth Avenue as a historic landmark, with a special commemorative plaque placed outside on the building. This honor was bestowed on the band by Boston Mayor Tom Menino and the city of Boston. To top it off, AEROSMITH will further leave their mark as their handprints are being placed in the sidewalk in front of the building. The significance of the event was underlined by the attendance of the New England Patriots Owner Robert Kraft and President Jonathan Kraft, Patriots Tom Brady and Jerod Mayo, along with an array of Patriots cheerleaders who warmed up the crowd on a brisk fall day.
AEROSMITH jumped headlong into a set of eight songs including ones that the band played live and recorded on their first album while living at 1325 Commonwealth Avenue. Among the songs was "Movin' Out," from their 1973 self-titled debut album which TYLER and PERRY wrote on a waterbed in the apartment. From the new album-- MUSIC FROM ANOTHER DIMENSION! (Columbia Records), released yesterday--the band fired up "Oh Yeah" and "Lover A Lot." As they closed with their nugget "Train Kept A Rollin," AEROSMITH showered the throng with patriotically themed red, white and blue confetti.
Next, AEROSMITH continues their "Global Warming Tour," with a new leg starting November 8 that will reach arenas in 14 cities.
MUSIC FROM ANOTHER DIMENSION!--recently chosen by PEOPLE magazine (9-17-12) as one of "5 Must Have Albums For Fall"--marks AEROSMITH's 15th studio album. There has been a witch's brew boiling for 10 years, and they're about to blow the cover off. The album was recorded in Los Angeles and at the band's studio in Massachusetts; it was produced by Jack Douglas, Steven Tyler and Joe Perry, with the exception of three tracks produced by Tyler and Marti Frederiksen. The album abounds with one highlight after another, including "Out Go The Lights," "Oh Yeah," "Luv XXX," "We All Fall Down," "Street Jesus" and "Can't Stop Loving You," on which Tyler duets with Carrie Underwood. The album also includes "Freedom Fighter" which features Johnny Depp on backing vocals. The album's first two singles have been released simultaneously to radio and are now lighting up the airwaves: "What Could Have Been Love" at Hot AC and "Lover A Lot" at Rock, Active Rock, and Classic Rock.
Band Quotes:
Steven Tyler: "To be living the dream in Aerosmith for all these years is beyond humbling. But to return to where the dream was dreamt, is the dream come true full circle! To be honored at 1325 Commonwealth Avenue to shut down the street, invite all our friends, receive a plaque from the Mayor of Boston and put our hands in cement...just think it could have been our feet! It's the end and the beginning of a life long dream...dream on!"
JOE PERRY: "Almost by luck and circumstance the band started here but I would have to say in hindsight after spending time in countless other cities around the world from Abu Dhabi to London, England, I still would have picked Boston to be the cradle of this band. It's still my home!"
TOM HAMILTON: "When I was a teenager living way out in the country, I dreamed about moving to Boston and being in a band. Two months after graduating from high school I found myself living in this apartment with my bandmates. I drive past it every day and the dream is still with me."
BRAD WHITFORD: "So many songs came to life at 1325 Commonwealth Ave. It will always be close to our hearts and souls. It is a true honor to have this historic plaque placed for people to enjoy and embrace the early days of this incredible journey--rock on!"
JOEY KRAMER: "The dream I had as a kid to play music still burns brightly in my heart. It was at 1325 Commonwealth Ave. that my dream began to come true. I will always hold that memory very dear to me as I will the City of Boston, the place I called home for 40 years and the birthplace of AEROSMITH."
About AEROSMITH:
AEROSMITH are a living piece of American music history, having sold over 150 million albums worldwide and been inducted into the Rock and Roll Hall of Fame. They are the recipients of countless awards including four GRAMMYs, eight American Music Awards, six Billboard Awards and 12 MTV Video Music Awards among many other honors. Proving that they can cross genre-boundaries with ease, these rock legends have even taken home a Soul Train Award for Best Rap Single for their remix of Run DMC's "Walk This Way." With scores of multi-platinum albums, AEROSMITH continues to inspire generations to get their wings, get a grip and just push play. It is no wonder why they are one of the most beloved bands of all time.
For more information, check out the following sites:


text:
JACKSONVILLE, Fla. - The federal government is suspending Jacksonville Urban League's management of the city's 24 Head Start centers for 30 days after the agency was cited with dozens of violations over the past two years by Florida's Department of Children and Families.
The federally funded preschool program that provides childcare to about 2,700 children of low-income families is licensed by DCF. Federal officials made the decision to suspend Urban League's management for 30 days centers due to unresolved violations of codes and safety standards.
Urban League has run the program in Jacksonville for 17 years.
According to a letter last week from DCF to Urban League President Richard Danford, over the last two years the Head Start programs in Jacksonville have been cited eight times for using physical discipline in the classroom, nine times for inadequate supervision, 12 times for facilities being in disrepair, and eight times for fences that were broken, had gaps or were otherwise not secure.
In reference to one location -- the Robert F. Kennedy Center -- "I am personally amazed that more aggressive steps have not been taken to secure that facility's playground during school hours," wrote David Abramowitz, DCF's Northeast Florida regional director.
DOCUMENT: DCF letter to Urban League regarding child care concerns
"What you have here was there was just such a pattern of so many disturbing things that we felt we should basically sound the alarm," DCF spokesman John Harrell said. "Over the past few months, the problems began to get more serious. An issue where you have a child left on the bus for several hours without any supervision, any food, and you're talking about a 3-year-old here. And that's unacceptable."
Lajune Lowman is concerned that the program her 5-year-old daughter is enrolled in is under fire.
"It frightens me, makes me worried," Lowman said. "I'm thinking about my baby, like, do I need to get her out of this school?"
The decision to suspend the Urban League came from Head Start's parent office in Washington D.C.
DCF is working with the Community Development Institute, an interim operator of Head Start programs around the country, to assume operations. They anticipate no disruption to services to thousands of low-income children up to the age of 5 served at the Head Start locations in Jacksonville. The Community Development Institution was meeting with current employees Tuesday afternoon and evening at the Hyatt Regency Hotel to provide transition to the new management.
Richard Danford, the president of the Urban League, says his organization's main concern right now is the children and employees. Danford said he agrees that problems needed to be fixed.
"If we're not doing what we're supposed to do, then we need to man up and take responsibility for that," Danford said. "I'm taking responsibility, and we're going to try to clean it up and move on."
He said about 350 of Urban League employees must reapply with CDI to still work in the Head Start program.
Copyright 2013 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
HOUSTON - A trip to a local Jamba Juice led to a trip to the hospital for two young brothers after they drank a peanut butter smoothie, their mother said.
Akil Collins, 10, and his little brother, Masai, 8, are allergic to peanuts.
"They ordered the (same berry) smoothie that they get probably two or three times a week for years," their mother, Akilah Collins, said. "But for some reason, that particular day, they put peanut butter in their smoothie. When my husband took the lid off, he could see it was brown. You could smell the peanut butter."
But it was too late.
"I was worried," Masai said. "It didn't taste right."
Older brother Akil said that his throat began itching within seconds.
"(Akil) started coughing really bad," his mother said. "His face started to swell. He started to wheeze."
Collins said her husband told the manager at the northwest Harris County Jamba Juice about the mistake and rushed the boys to Cypress Fairbanks Medical Center.
"I was kind of scared because my peanut butter allergy is off the charts," Akil said. "I thought I was going to die if I didn't get there fast."
According to Collins, Akil began vomiting while waiting for Benadryl and an EpiPen injection.
"If his body hadn't rejected (the peanuts)," she said. "It would've been even worse."
Both boys recovered, but Collins said that she's still upset because no one at Jamba Juice seemed to show any concern.
"Six days later they had not even called to see if the children were OK (or asked) what had happened," Collins said. "Nothing."
Beyond that, Collins said she's worried about the same thing happening to others.
"They're totally marketing to children now," Collins said. "They got children's cups, menus and meals and they haven't put anything in place to protect kids who have allergies. It's a simple thing to designate a blender (for) peanut butter. At least it gives the child a visual to know, 'Oh wait, mine's coming out of that blender. That's not right for me."
According to the National Institute of Allergy and Infectious Diseases, nearly two million Americans have a peanut allergy.
Local 2 made several attempts to contact Jamba Juice officials, but we never heard back.
Copyright 2013 by Click2Houston.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
Not a member? Join now
Daughter of Roselee and Junior Whitt,born in North Florida. Married to Talmedge Junior LLoyd, died in 1999 on November 23rd in Winter Garden, Fl.
tcook61229 is Elizabeth Loraine's sibling
Added by tcook61229 20 Sep 2009
Connect me or another page to Elizabeth Loraine Whitt?
There are no stories about Elizabeth Loraine. Add a story
Add a photo or record for Elizabeth Loraine Whitt
Search through millions of records to find out more. Find more records
Anyone can contribute to this page. Please sign in or sign up—it's free.
Added by tcook61229 20 Sep 2009


text:
The Story Behind Milwaukee's All-Ages Music Club Yano's
by Peter A. Flessas
About the Book
Opened in January of 1985 in Milwaukee's downtown, the "all ages" venue Yano's was a response to the raising of the legal drinking age in Wisconsin. For $3 kids got to listen to their favorite bands while snacking on Pepsi, hot dogs and chips. For several months thereafter, Yano's was the center of the punk rock scene in Milwaukee. National acts such as Dr. Know, The Dead Milkmen, Die Kreuzen and Chicago's Naked Raygun, among others, headlined with local groups opening. Unfortunately, uncomfortable with youth having fun, it was just a matter of time before the local establishment literally stepped in and closed the club. Through rare photos, original show flyers and recollections from the musicians and patrons who frequented the club, "Kids, Soda & Punk Rock" chronicles the four brief yet exciting months that Yano's existed.
"...an insightfully written and well-designed example of DIY publishing, profusely illustrated with memory-jiggling photos. The exploratory spirit of the time can be felt on every page."
-Shepherd Express, April 2007
Log in or create an account to post a comment.


text:
HOUSTON - The new year started off with several wrecks on Houston roads.
Houston police responded to more than two dozen incidents between 1 and 5 a.m. Tuesday.
"Not been a good night to be driving out here," Houston Police Department Sgt. Herman Estrella said. "It's wet, the roads are slick."
There was a four-vehicle collision on the Beltway near the Southwest Freeway shortly after 3 a.m. The driver who caused the wreck left the scene before officers arrived, investigators said.
In all the wrecks throughout the city, many cars were damaged and a few people were hurt, but no deaths were reported.
Check Traffic Now:
- Houston TranStar Real-Time Traffic Map
- Traffic Pulse Real-Time Traffic Map
- Traffic Section
- Jennifer Reyna's Traffic Blog
- Houston TranStar
- Gas Price Calculator
- Texas Dept. of Transportation Website or call 800-452-9292
- Harris County Office of Emergency Management Website
Check Construction Information:
Copyright 2013 by Click2Houston.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
Verilux® is dedicated to improving your life by utilizing the power of Natural Spectrum Lighting Technology.
Founded in 1956, Verilux has brought its research, innovation and experience to harness the power of light and improve your vision, your health, your mood and your environment.
Scientifically tuned to the human eye, Verilux Natural Spectrum® lighting is refined to include the best of Natural Spectrum® daylight without the harmful or unnecessary wavelengths. This visually efficient light reduces eyestrain and fatigue enabling people to read, or work on arts and crafts longer and with better concentration.
Verilux leads the industry in healthy lighting technology. Using natural, sustainable applications of light to enhance your body, mind and spirit while protecting the environment is the essence of living Life in a Better Light®. Whether it be for reading, therapy or sanitizing with light, Verilux products will have a positive impact on you, your family and the environment.
Check out our most popular Verilux products:
HappyLight Light Therapy System - HPLD, HappyLite 5000 Light Therapy System, CleanWave UV-C Sanitizing Wand
Looking for Verilux repalcement light bulbs?
Verilux Replacement Bulbs
Verilux Brookfield Full Spectrum Deluxe Desk Lamp
Verilux EasyFlex Full Spectrum Floor Lamp
Verilux Heritage Full Spectrum Floor Lamp
Verilux Brookfield Deluxe Floor Lamp
Verilux 36 Watt 2-Pack Replacement Bulb Set for Happy Light Deluxe
Verilux 36 Watt Natural Spectrum Replacement Bulb
Verilux 36 Watt Replacement Bulb for Happy Light Deluxe HPLD
Verilux Sanitizing Travel Pack
Verilux UVC Sanitizing Travel Wand with CleanWave Technology


text:
Management of Papillary Thyroid Cancer
Management of Papillary Thyroid Cancer
Papillary thyroid cancer is predominantly a sporadic disease that usually presents as an asymptomatic thyroid mass in a euthyroid patient. Irradiation to the neck during childhood significantly increases the subsequent risk of this cancer; the prognosis for radiation-related cancers is similar to spontaneous cases. Physical examination, thyroid scanning and ultrasound, and fine-needle aspiration are used to differentiate between benign lesions and papillary thyroid cancer. Near-total thyroidectomy with postoperative radioiodine ablation is currently advocated for most patients, and has excellent results with regard to survival. In children, papillary thyroid cancer often presents with extensive regional disease as well as diffuse lung metastases. Surgery and radioiodine are very effective in such cases, and survival remains excellent. As late recurrences may occur, patients require regular long-term follow-up regardless of the extent of initial disease.
Thyroid cancer accounts for more than 90% of all endocrine malignancies and for more than 50% of all deaths from endocrine cancer. The incidence of thyroid cancer has been increasing since the 1930s, most likely because of the practice of therapeutic irradiation in childhood. The abrupt rise in incidence around 1974 was probably due to the institution at that time of vigorous examination of individuals who had had prior neck irradiation [1].
American Cancer Society statistics for the past 25 years suggest that the incidence of thyroid cancer has risen slowly since the mid 1970s. Disease incidence increased from 7,800 cases per year in 1974 to 12,500 cases per year in 1992, with more than two-thirds of new cases occurring in women. However, mortality from thyroid cancer has changed little during this period (Figure 1).
Most patients have localized or regional disease at the time of diagnosis, and the 5-year survival rate has exceeded 80% since 1960 and 90% since 1970. Therefore, thyroid cancer remains a relatively modest oncologic concern, accounting for less than 2% of all cancers since 1974 and for less than 0.5% of all deaths from cancer (Figure 2).
Among patients with thyroid cancer, approximately 60% to 70% have differentiated, papillary thyroid cancer. This article presents a broad clinical overview of papillary thyroid cancer and emphasizes disease features that modify prognosis and affect clinical management.
The risk of radiation-induced thyroid cancer has been well documented; data on other causes of thyroid cancer are sparse. Prolonged thyroid-stimulating hormone (TSH) elevation has been implicated as a potential risk factor, but patients with primary hypothyroidism do not appear to have an increased risk of papillary thyroid cancer. Thyroid-stimulatory immunoglobulins present in patients with Graves' disease have also been implicated. Associations with Hashimoto's thyroiditis, Graves' disease, and multinodular goiter have been reported. However, causative relationships between these diseases and papillary thyroid cancer remain poorly documented.
In a recent epidemiologic review of thyroid cancer in the United States [2], important differences in incidence emerged among ethnic groups. Thyroid cancer was less common in Puerto Rican Hispanics and blacks than in white persons, but New Mexican Hispanics and Asian-Americans had higher rates. Genetic susceptibility is unlikely to account for all the differences. For example, Asians living in the United States are at higher risk for thyroid cancer than Asians living in their native countries.
Although papillary thyroid cancer is generally considered a sporadic disease, it is important to keep in mind that disease clusters have been reported in kindreds with familial polyposis and Gardner's syndrome [3]. Reports of familial disease in the absence of either a hereditary syndrome or neck irradiation increase the likelihood that genetic predisposition plays a role in pathogenesis. In support of this thesis, several recent studies have demonstrated complex structural chromosomal aberrations and cytogenetic abnormalities of chromosome 10q in association with papillary thyroid cancer [4].
Irradiation in Childhood
During the early decades of the 20th century, low-dose irradiation (usually < 2.0 Gy) to the head and neck was often used for the treatment of benign childhood conditions, such as thymic enlargement, tonsillitis, otitis, hemangiomas, ringworm, and acne. This medical practice has clearly emerged as an important risk factor for the development of papillary thyroid cancer and is considered by many to be responsible for increasing its incidence.
The excess relative risk of thyroid cancer appears to depend on total radiation dose, fractionation schedule, and patient age at the time of irradiation [5]. To date, medical use of radioactive iodine-131 has not been shown to confer a significant risk of papillary thyroid cancer (Table 1). A persistent concern has been the carcinogenic potential of radioactive fallout. However, careful review of available studies reveals methodologic inconsistencies that may have exaggerated risk estimates [5].
The time between the irradiation and diagnosis of the thyroid tumor averages 10 years but may be more than 30 years. In a recent study, Schneider et al [1] demonstrated that radiation-induced thyroid neoplasms are rare in the first 5 to 10 years after treatment and cluster between 20 and 40 years post-therapy. Women have a 40% higher rate of radiation-induced thyroid cancer than men, but the slopes of dose-response curves, which reach maximal rates 25 to 29 years after radiation exposure, appear similar for the two genders.
Increased awareness of thyroid radiosensitivity, especially in children, has resulted in the virtual elimination of irradiation for benign conditions and is generating a reassessment of medical radiation use. Thus, radiation-related thyroid cancer is expected to subside as a public health concern in the coming years.
Radiotherapy for Hodgkin's and Non-Hodgkin's Lymphomas
The efficacy of radiotherapy in controlling Hodgkin's and non-Hodgkin's lymphomas has been instrumental in achieving high cure rates. Consequently, radiotherapy is likely to continue as an important component of the therapeutic armamentarium for these cancers. Because many young cancer survivors can expect a near-normal lifespan after neck irradiation, it is important to define their particular risks of thyroid cancer and to design appropriate surveillance and therapeutic strategies.
Radiation doses to the thyroid of more than 200 cGy, especially when given at a young age, have been linked to an increased risk of both benign and malignant thyroid neoplasms [6]. Tucker et al found a 13-fold increase in the risk of thyroid cancer in this group [7], and Hancock et al noted that benign thyroid abnormalities are even more common [8]. Systematic evaluation of the irradiated thyroid gland reveals significant pathologic [9] as well as radiologic [10] abnormalities.
We also have found a heightened risk of thyroid cancer after therapeutic neck (mantle) irradiation for Hodgkin's disease during childhood (Table 2). Among 166 patients irradiated at or before age 16 years and for whom a minimum of 15 years of follow-up is available, 12 have been treated for thyroid cancer to date (unpublished data; patient population identified through a search of the database maintained by the Department of Patient Studies at M.D. Anderson). The presence of papillary thyroid carcinoma in 7% of irradiated Hodgkin's disease survivors exceeds the prevalence of thyroid cancer in the general population, and suggests that prior therapeutic irradiation represents an important risk factor for thyroid cancer.
In our patients, thyroid cancer was found 7 to 19 years after irradiation by investigation of either palpable thyroid nodules or ultrasound abnormalities; all have proven to be papillary thyroid cancers, and all patients remain alive. During the same period and using the same database, only two cases of thyroid cancer were diagnosed among 750 adults treated for Hodgkin's disease, emphasizing the importance of age as a cofactor for the carcinogenic potential of radiation. Fortunately, patients with radiation-related papillary thyroid cancer appear to have the same excellent prognosis as do patients with sporadic disease, even though the former may have more extensive disease at diagnosis [11].
Because hyperparathyroidism also may occur with increased frequency after neck irradiation [12], it is particularly important to investigate previously irradiated patients very carefully for parathyroid dysfunction before thyroid surgery, to avoid the potential need for reoperation.
Clinical Presentation
Papillary thyroid cancer is predominantly a sporadic disease. Patients typically present with a dominant thyroid mass or enlarged cervical lymph nodes [13]. Thyroid nodules are relatively common, but less than 15% of clinically detectable solitary thyroid nodules are malignant [14,15].
Histologically, many tumors have both papillary and follicular elements and are referred to as "follicular variants of papillary carcinoma;" such tumors are classified as papillary lesions because their clinical behavior resembles that of pure papillary cancers. In adults, the size of papillary thyroid cancer can vary considerably, from microscopic cancers to large tumors that may invade the thyroid capsule and even infiltrate adjacent structures.
Up to 40% of adults present with cervical lymph node metastases; the figure is much higher in persons younger than 20 years. At the time of presentation, affected lymph nodes are generally on the same side as the primary tumor, but bilateral and mediastinal metastases are encountered in a few patients. Although regional lymph node invasion is fairly common, there is very little tendency toward systemic dissemination.
Sites of distant metastases, in order of decreasing frequency, are the lung, bone, and, rarely, other soft tissues. Older patients are more likely to present with invasive tumors and have a higher risk for distant metastases [16,17].


text:
Aromatase inhibitors are available as tablets. Follow your
doctor's orders or the directions on the label.
Aromatase inhibitors interfere with how
estrogen the body's tissues can make. This limits the
amount of estrogen available in the body.
An aromatase inhibitor
cannot lower estrogen levels made by the ovaries. That is why an aromatase
inhibitor only works after
menopause, when a woman's ovaries have stopped making
estrogen and other hormones.1
Aromatase inhibitors are used to treat
early estrogen receptor-positive (ER+)breast cancer. They are also used to treat metastatic
or recurrent ER+ breast cancer. An aromatase inhibitor can be used alone or
after tamoxifen treatment.
Some doctors may use aromatase
inhibitors "off-label" to treat infertility and
endometriosis. This means that the U.S. Food and Drug
Administration (FDA) has not approved this use.
Aromatase inhibitors make it less likely that breast cancer will come back. These medicines work well for postmenopausal women who have had ER+ breast cancer. Studies that compare survival rates for aromatase inhibitors and tamoxifen show that women live about the same length of time when taking either of these medicines.2
Aromatase inhibitors
may be given to postmenopausal women who have breast cancer, either at the beginning of
treatment or after they are given tamoxifen.
Side effects of an aromatase
inhibitor may include:
See Drug Reference for a full list of side effects. (Drug
Reference is not available in all systems.)
For breast cancer treatment,
aromatase inhibitors should be given only under the supervision of a
medical oncologist.
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
CitationsSmith IE, Chua S (2006). ABC of breast diseases. Medical treatment of early breast cancer. I: Adjuvant treatment. BMJ, 332(7532): 34–37.National Cancer Institute (2011). Breast Cancer PDQ: Treatment – Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/breast/HealthProfessional.
Last Revised:
August 11, 2011
Healthwise Staff
Medical Review:
Sarah Marshall, MD - Family Medicine & Douglas A. Stewart, MD - Medical Oncology
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more visit Healthwise.org
© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.


text:
Did you know?
In 2013, Reuben Riffel opened a Reuben's restaurant at the Abalone House Boutique Guesthouse in Paternoster.
Chef Reuben Riffel is a high-profile and very well-respected member of the South African culinary community. He initially came into contact with fine dining by sampling the delicious morsels his mother brought home from the various gourmet restaurants she worked in.
He started out his working career in construction, but thanks to his mother got a job in the local restaurant industry. His first big break came at Monneaux Restaurant in Franschhoek, where he took up a position as a kitchen hand, only to eventually leave as executive chef, having won a few local awards for excellence on the way.
Riffel left South Africa for some international exposure and later earned recognition for his work at Bruno's Brasserie in Cambridge, United Kingdom. Franschhoek, meanwhile, had entrenched itself as the foodie mecca of South Africa, and in 2004 Riffel opened his self-named restaurant there, much to the delight of local and international gourmets alike.
After just six months, Reuben's was awarded the Eat Out Restaurant of the Year Award, and Reuben himself landed the coveted Chef of the Year Award. Endorsements, a tome of a cookbook, and numerous TV appearances and accolades followed. He even put in an appearance on the Martha Stewart Show.
Riffel's Franschoek restaurant soon had siblings. He linked up with the chic Robertson Small Hotel and established his next restaurant in this picturesque corner of the Cape, known for its wines and horse studs. Then came the opportunity of a lifetime – to take over after Gordon Ramsay's restaurant, Maze, at the One&Only Cape Town had seen its demise in 2010, and make it into a Reuben's restaurant.
Riffel grabbed the opportunity and his restaurant is now renowned for its fresh seafood and Cape-inspired dishes that feature seasonal specialties and typical regional ingredients – all prepared to international standards for the who's who of the world.
Riffel divides his time between his restaurants every week, so diners may well be lucky enough to have the man behind the name cooking their meal on the day they visit.
Travel tips & Planning info
Who to contact
Reuben's Franschhoek
Tel: +27 (021) 876 3772
Email: firstname.lastname@example.com
Reuben's Robertson Small Hotel
Tel: +27 (0)23 626 7200
Email: email@example.com
Reuben's One&Only Cape Town
Tel: +27 (0)21 431 4511
Email: email@example.com
Reuben's Abalone House
Tel: +27 (0)22 752 2044
Email: firstname.lastname@example.com
Best time to visit
Reuben's Franschhoek is open for lunch (12pm to 3pm) and dinner (7pm to 9pm) only, while Reuben's Robertson Small Hotel and Reuben's One&Only Cape Town are both open from breakfast 6am until the close of dinner service.
Tours to do
Visit the wine estates of Franschhoek when in Cape Town.
Get around
All Reuben's restaurants are easily accessed via hire car, hotel transfer or taxi.
What will it cost
All Reuben's restaurants have similar menus featuring similar dishes. Expect to pay from R62 upwards for a starter, R75 to R186 for a main, and between R60 and R70 for a dessert. Prices subject to change.
Where to stay
Stay over at the gorgeous One&Only with stupendous views of Table Mountain. There are many lovely guest houses in Franschhoek, while the Robertson Small Hotel has Manor House suites, Stables suites and Poolside suites to choose from.
What to eat
His pastas and meat dished are pretty spectacular, while his desserts are the stuff legends are made of.
What's happening
There are food and wine festivals happening in Franschhoek throughout the year.
Best buys
Local wines and perhaps one or two of Reuben's cookbooks.


text:
The following are terms connected with race, but non-specific to race, and refer to multiple races.
Race and LanguagesEdit
All characters know how to speak Common. A dwarf, elf, gnome, half-elf, half-orc, or halfling also speaks a racial language, as appropriate. A character who has an Intelligence bonus at 1st level speaks other languages as well, one extra language per point of Intelligence bonus as a starting character.
- Literacy: Any character except a barbarian can read and write all the languages he or she speaks.
- Class-Related Languages: Clerics, druids, and wizards can choose certain languages as bonus languages even if they're not on the lists found in the race descriptions. These class-related languages are as follows:


text:
The Metropolitan Cooking & Entertainment Show is an annual tour that travels to three cities. This the 6th year the show has come to Washington, DC. This year's all-star line up includes Food Network stars, Paula Deen, Giada De Laurentiis and Guy Fiieri. There will be cooking demonstrations by regionals chefs as well as some James Beard award winning chefs. There will be wine and food pairing demonstrations, and book signings by the celebrity chefs.
The Metropolitan Cooking & Entertainment Show will be held at the Washington Convention Center on November 5th-6th. The price for general admission tickets is $24.50. There are also specialty packages and VIP packages for special demonstrations with each chef (you may purchase them on the event website). The Washington Convention Center is accessible by the Convention Center metro station serviced by metro rail's yellow and green lines. Please visit wmata's website for additional travel information.
Alexis, Innkeeper
American Guest House Bed and Breakfast
Washington DC's friendliest Bed and Breakfast accommodations. We are located across from the Washington Hilton Hotel, 10 minutes walk to Dupont Circle metro/subway, 1 mile north west of the White House


text:
Sixty members and friends of Ilkley Amateur Operatic Society gathered at Operatic House to celebrate the 90th birthday of Derek Oldfield, one of the society's most versatile members since he joined nearly 30 years ago.
Financial and business expertise as a former manager at National Westminster Bank soon marked Derek out for the post of treasurer – a position he occupied with distinction for 11 years, following which he was elected president.
Derek has also served as chairman of the management committee and is still responsible for lettings of Operatic House, the society's social and rehearsal centre.
The glossy award-winning programmes were for 25 years edited by Derek, who tirelessly walked the streets of Ilkley selling advertising space to shops, restaurants or estate agents.
As if this all this were not enough, the former bank manager has always been willing to roll up his sleeves working backstage or being a courteous and reassuring presence front of house.
He has sung in the chorus for many of the society's productions, starting with Mame in 1988.
He recalls being one of the dancing waiters in Hello Dolly in 1991.
In the 1998 production of Me and My Girl he played the role of Sir Jasper Tring, an upper-crust stone deaf old buffer.
Derek has represented the society on the committee of the Friends of King's Hall since 2001. He has no plans to stop just yet and is presently planning an organ and dance event to be staged in November in the Winter Garden.
The wine flowed, everyone chatted and reminisced and after a buffet supper prepared by society members, the entertainment started. Jane Steadman, Sally Holmes and Chrissie Platt delighted the gathering with a selection of songs from the shows, including Mamma Mia – one of the birthday boy's favourite shows.


text:
Metal values have reached levels where thieves have expanded the activity of scrap metal recycling into a criminal activity.
The theft of fire department connections (FDCs) from the exterior of buildings equipped with fire sprinkler or standpipe systems is putting firefighters and the public at risk.
The fire department connection or FDC is the standard means for connecting fire hose directly into these important life safety systems. The FDC provides firefighters the means for supplementing water supply and increasing the hose pressures needed for fire & rescue efforts in a multistory building. When the FDC or the hose swivels have been stolen it becomes impossible for firefighters to connect their fire hoses directly into these systems.
The theft of fire department connections from buildings all across America is so disturbing to fire officials, that a technical committee was formed by the National Fire Protection Association (NFPA) to recommend solutions. The committee (NFPA 13-E) concluded that fire departments should have an alternate means for providing a water supply when the FDC has been damaged by arsonists or removed by scrap metal thieves.
Retired Phoenix Fire Captain Mike Cornelius developed a portable FDC adapter to be used by fire departments as an alternate means for connecting fire hose to buildings with vandalized FDCs.
Cornelius says the (Speed-Swivel) adapter will be carried on fire trucks along with other important hose adapters and within seconds it can be used to replace stolen brass components missing from the FDC.
Everyone in the fire service industry knows that theft of fire department connections is a disaster waiting to happen. Fire officials, insurance companies, police departments and business owners will agree that loss prevention efforts will never completely solve the problem.
The FDC Adapter will not prevent theft, however, it will provide fire-fighters with an alternate means for attaching fire hose when they encounter stolen (FDC) connections.
"The first time it's needed, The Speed Swivel FDC Adapter will be worth its weight in Gold (not brass)".
view a demonstration at www.SpeedSwivel.com
E-mail: firstname.lastname@example.com Telephone message: 480-893-3166


text:
A STUDENT who works in cancer research in York is taking part in the city's men-only fundraising 5KM run in memory of his grandfather.
Fred Lilley, 27, is currently on a work experience placement with Yorkshire Cancer Research scientists at the University of York as part of his undergraduate degree at the University of Huddersfield.
He has signed up for York's men- only fun run, R U Taking the P?, which takes place at Rowntree Park on Father's Day on June 15.
Fred will also be taking part in the charity's flagship cycling event, The Dales Rider, later in the year.
Fred said: "About ten years ago I lost my wonderful grandfather, Phil, who died as a result of having prostate cancer, so when I found out the money raised from the run will go towards prostate cancer research I thought it would be a great way to remember him.
"I initially signed up to both events as I'm getting married this August and wanted to get in slightly better shape.
"I've not previously done any charity events, but thought it would be good to set myself some goals."
Fred, who lives in Leeds, is hoping to raise £600 for Yorkshire Cancer Research, and is already more than half way to his target.
R U Taking the P? raises money for prostate cancer research at the University of York's YCR Cancer Research lab. Since 2010, the event has raised more than £46,645.
To sponsor Fred, visit justgiving.com/Fred-Lilley.
For more information about R U Taking the P? visit yorkshirecancerresearch.org.uk/rutakingthep Alternatively, drop into Brian's Hair Fashions, South Bank Avenue, York for an application form.


text:
About the Book
It seemed we had been waiting forever for this trip! The arrangements with International Expeditions had been made early the previous fall and by mid-February, we were more than ready for a break away from the cold snowy days, the slippery streets and the ever-present gray skies.
So, on February 17, 2012, after a brief stopover in Grand Cayman to visit our son and his family, we made our way to Lima, Peru, to begin our journey. A couple of days later, we and our sixteen intrepid travelling companions flew to Iquitos where our river boat, the Aquamarina, was awaiting us.
What an incredible journey of discovery! Accompanied by two exceptional naturalists and a very efficient tour leader, we travelled 600 miles with the Aquamarina and a further 160 miles in motorized skiffs. We saw close to 60 different mammals and other animals and more than 120 different species of birds. We visited two small villages, explored the jungle on Terra Firma on a couple of occasions and attended a blessing ceremony by a Master Shaman. Add good food, good companionship and good music, and all in all, it was a wonderful, if too short, seven-day voyage on the Amazon.
Features & Details
- Category Travel
Standard Portrait, 7.75×9.75 in, 20×25 cm
70 Pages
- Publish Date Apr 07, 2012
- Tags river cruise, travel, amazon
Log in or create an account to post a comment.


text:
The coming of summer means a lot of things—chief among them an insatiable hunger for hot dogs, burgers, sausages and brats. No c-store foodservice program is complete without them or the opportunities they represent. "Who doesn't like a hot dog?" said Kim Loniecki, director of branded foodservice for Wesco Inc. in Muskegon, Mich. "When you're
Developing a Value Menu with Appeal
June 1, 2010 CSD Staff : 0 Comments


text:
The Essentials
After meeting among the unknown mass of freshman outside their University of Colorado dorm, Sam Shipley and Jeff Halmos bonded over board sports and Buffaloes football, and eventually teamed with two classmates to form Trovata, a West Coast brand started merely as a school project. "It wasn't a conscious decision to work in fashion." Halmos, then a finance student, explains. "We were 22 and had nothing better to do, so we were like, 'Let's go ahead and give it a shot.' That was that." Both admit to not knowing or caring much about the industry at the time, but four years later, hype in tow but unfortunately missing their precious California-style burritos, Shipley and Halmos headed to New York to start a new brand in hopes of emulating a classic creative agency.
"We got into solving problems through design," Shipley says. "We needed a table for our pattern work, so we designed a table. We started a small publishing branch where we do some books now and then. We try to always say yes to our own ideas, and that's really taken us forward." But the clothes, originally conceived as whatever you would take in a vacation suitcase, are first and foremost on the men's minds.
Jeff: "I actually used to live here for the first few years, which is tricky because there's only one entrance and only one exit. So the workday starts and I have to be ready to go because people are coming in. On one hand it was a great space and a nice place to live, but what it's used for now suits it way better. With the kitchen, the showroom upstairs has a natural apartment-like, laid-back feel. But it's also a working office downstairs, so it's nice to get some insight into what we're doing."
The 20 Most Stylish Men of Hollywood's Golden Age


text:
Currently not available.
Add a finishing touch to your OneStepAhead alphabet foam puzzle mat by capping the corners with these softly rounded corner pieces. Includes four interlocking corner pieces. Each foam piece measures 2 1/4"L x 2 1/4"W x 5/8" thick. For all ages. Assorted colors.For more information, click here.
Sign in to your Address Book.
To check if any specific restrictions for this item apply to any United States shipping address, please enter the information below.Sorry, this service is not available to Canadian addresses.
This is being shipped to a P.O. Box
This product has no shipping restrictions.
© 2017 One Step Ahead


text:
I'm trying to implement Responsive Nav from responsive-nav.com. For some reason I can't understand the toggle function is not working correctly.
I want the responsive-nav to collapse the nav to the "menu" toggle when the browser window is narrower than 37em. Currently at that 37em point the nav collapses but it is in the open state and causing the horizontal scroll bar to appear. You can see it here:http://www.openrangeimaging.com/Test/rra/nav-test.html
Any help in getting this to appear as the closed/collapsed "menu" toggle versus the open state will be much appreciated. Thanks in advance for any help!
You've gotten rid of some of the critical styles somewhere along the line, such as this:
.js #nav {
clip: rect(0 0 0 0);
max-height: 0;
position: absolute;
display: block;
overflow: hidden;
zoom: 1;
At a certain point, the standard navigation switches to position: absolute and gets clipped, but the clip seems to be missing from your styles, or at least is not being called.
You need to place the original code into your page and carefully modify it step by step to suit your purposes, testing every change so that you know where the problems are arising.
Ralph, Thanks for your reply! I did place the original responsive-nav code into the page. Are you saying I need to modify the css rules that are styling the standard navigation?
below is what my responsive-nav.css file contains:/*! responsive-nav.js v1.0.14 by @viljamis */
margin: 0; padding: 0; width: 100%; display: block; list-style: none;}
width: 100%; display: block;}
.js #nav { clip: rect(0 0 0 0); max-height: 0; position: absolute; display: block; overflow: hidden; zoom: 1;}
max-height: 9999px;}
@media screen and (min-width: 37em) { .js #nav { position: relative; max-height: none; } #nav-toggle { display: none; }}
Actually, I think the problem is that the CSS file that comes with the script is looking for a wrapper around the menu with an ID of "nav", which doesn't exist on your page. It's also expecting the #nav div to be wrapped around a
. So the issue is really with how you've structured your HTML. It needs to match the original source files more closely.
Thank you again for your help Ralph. I need it!I do have the nav wrapped in a div with id="nav". Below is the html. (should I be pasting code into this forum post in some other way?)

ABOUT

LOCATIONS

PRESS

CONTACT


text:
Not a member? Join now
Connect me or another page to H F Detyens?
There are no stories about H. Add a story
Add a photo or record for H F Detyens
Search through millions of records to find out more. Find more records
H F Detyens was born in Amsterdam Holland not South Carolina
Anyone can contribute to this page. Please sign in or sign up—it's free.
Connect me or another page to H F Detyens?
Add a connection


text:
- Full-grain leather
- Fashionable 12" shaft height
- Fashionable snip toe
- J-Flex Flexible Comfort System
- Detailed stitch pattern on shaft
- Rubber outsole with teak insets
- Removable orthotic insert
These Justin Women's Western Boots are just what every Cowgirl needs. Whether you are a cowgirl that is out for a night on the town, a day at the ranch, or hours in the saddle; it can be done in comfort and style in these boots. The snip toe and distressed leather give these boots a classic western look that is sure to get noticed and will look great with any outfit. The rubber outsole is great for riding or day to day wear. The J-Flex comfort system will give you comfort and stability for hours of wear. Justin Boots provide quality craftsmanship and set the standard for boots of the west making some of the most durable and comfortable boots around. You can count on Justin for great boots with the finest leathers and the latest styles.
Style(s): L2561, L2562, L2564, L2565
Justin Boots has set the standard for boots of the west making some of the most durable and comfortable men's, women's and kids' boots around. You can count on Justin for great western, casual and original work boots. With the finest leathers and the latest styles in western boots, Justin will always supply the best. Every pair of Justin Boots ever made is built with care and represents the hard work and dependability that won the west. In 130 years of existence men, women and children have been wearing the Justin Boots as a salute to independence and reliability. These boots are for the cowboy and cowgirl in all of us.
With unique styles like the Stampede, George Strait, Ropers and Westerns, Justin Boots continues to lead the way in boot making. The Justin Boots heritage continues to innovate with modern technology like their patented Grip-on-Demand, J-Flex Comfort System and JST while keeping the Justin Boots mystique. So whether you are a Bent Rail fan or a Tekno Crepe fan, you are guaranteed to find the right western boot for you. Check out our selection of Justin Boots and fall in love today.


text:
Hi!I hope someone know how to do this:In my mysql database i have several posts that are duplicates ( only one field has a unique value )example:[table="width: 500"][tr] [td]IDnr[/td] [td]Name[/td] [td]Place[/td] [td]Fruit[/td][/tr][tr] [td]200[/td] [td]Tony[/td] [td]Sweden[/td] [td]Apple[/td][/tr][tr] [td]201[/td] [td]Jessica[/td] [td]Sweden[/td] [td]Orange[/td][/tr][tr] [td]200[/td] [td]Tony[/td] [td]Sweden[/td] [td]Orange[/td][/tr][tr] [td]200[/td] [td]Tony[/td] [td]Sweden[/td] [td]banana[/td][/tr][/table]
As above i want the data base to do this:[table="width: 500"][tr] [td]IDnr[/td] [td]Name[/td] [td]Place[/td] [td]Fruit[/td][/tr][tr] [td]200[/td] [td]Tony[/td] [td]Sweden[/td] [td]Apple,Orange,Banana[/td][/tr][tr] [td]201[/td] [td]Jessica[/td] [td]Sweden[/td] [td]Orange[/td][/tr][/table]
Hope you guys know what i mean
if i need some script please guide me with how to do that in php
Regards Tony
What you want is to normalize your database
Users table:
IDnr Name Place
200 Tony Sweden
201 Jessica Sweden
UserFruits table:
UserID Fruit
200 Apple
200 Orange
200 Banana
201 Orange
I forget the exact syntax, but something along these lines would return the values that you're looking for:
SELECT IDnr, Name, Place, GROUP_CONCAT(Fruit) FROM table_name GROUP BY Name;
I agree with Guido that you should really normalise the table however as you'll struggle if you need to select people with just "Orange", for example. However, if you didn't have that option, for whatever reason, I would select into another table, then when you're done get rid of the old table and rename the new one to the old one, if that makes sense. Something like:
INSERT INTO new_table (IDnr, Name, Place, Fruit)
SELECT IDnr
, Name
, Place
, GROUP_CONCAT(Fruit)
FROM old_table
GROUP BY Name;
That's kinda off the top of my head and not necessarily the best solution, but it should work
Hi!thanks for the answer, but what i need is:i have a excel with several duplicates except one column and i need to merge that column so i can import to a crm system without any duplicates
so i imported all in a mysql database tohandle this merge thing
if i do as you guys said, is there a way to export all to one single row for each record so i can then import that file into the crm?
Hope you know what i mean
Thanks i tryed your code and that made it work exactly what i wanted
Next problem now i have only unique rows, and i also have a csv file with people example:IDnr, name, email, telephone
is there a way to import that into mysql and insert a new column with the value of "place" from the first table were Idnr is like the IDnr in this people table?
i disagree that the data presented means that normalization should be done
granted, the sample data is overly simplistic, but suppose the table was intended to record where someone first tasted a fruit?
oh, and antnee, your GROUP BY is deficient, you'll get one row per person, but if the person had more than one country, you'll get an indeterminate one
To be honest, looking at it again, I think I'd have left the schema the same, but removed the duplicates and made the IDnr and Fruit fields UNIQUE. Theoretically the Name field should relate back to a user via the IDnr field, judging by the test data, so I'd probably have removed the Name. Country? Hmmm, depends. Is this example recording what countries a particular person has tasted this particular fruit? If so then you could expect my own data to be something like:
Country | Fruit
UK | Apple
UK | Banana
UK | Orange
USA | Apple
USA | Banana
Spain | Pineapple
So, should the UNIQUE be on IDnr, Country and Fruit?
Don't understand exactly what the data is to be used for, but at least this way I could easily select fruits by country, fruits by user, countries by user etc.
this is precisely the problem with made-up/dumbed-down data
If I could like a post on here, I would like that


text:
The Crap We Missed – Monday 3.5.12
Welcome to Monday's The Crap We Missed, a not-so-random smattering of tits and anything we find worthy of your snarky fodder. But mostly tits. Starting off, Channing Tatum eye-bangs the shit out of the front row while Jonah Hill pretends people want to hear whatever the hell he's talking about. The Hoff's loyal German following is going to shit when they find out he performed like this for the Brits, and Nicole Kidman lactates through multiple layers of clothing which can only mean Zac Efron is making it rain rubbers somewhere nearby.
Also, Reese Witherspoon is PREGNANT! (Fish made me do that.),
- Photo Boy
Click Here To Start The Gallery
Photo: Bauer-Griffin, Fame/Flynet, INFdaily, Pacific Coast News, Splash News, WENN


text:
Hey there, time traveller!
This article was published 4/2/2013 (1658 days ago), so information in it may no longer be current.
So now we finally know.
There were no consequences when Phoenix Sinclair was failed to death by the child-welfare system. No CFS worker was fired, disciplined or reprimanded. The buck didn't stop at all.
The inquiry into the child's death heard from Jay Rodgers, CEO of the General Authority, on Monday. He said CFS staff couldn't be held accountable for their failures because they weren't properly trained in child-welfare standards. They are now, he said, but weren't in the last years of Phoenix's life. Rodgers said it with a straight face.
Samantha Kematch and her boyfriend, Karl McKay, were imprisoned for murdering Phoenix. They killed her. But they were aided and abetted by a system so inept it couldn't keep track of a child who was at risk, but not considered enough of a risk to demand consistent, competent attention.
It's cold comfort to learn the child's slaying was considered by Rodgers to be "an opportunity for learning."
There were moments Monday when I thought Rodgers was pulling our collective legs. The neglect of duty was not the workers' fault because they weren't trained? Did you really need a standards manual to tell you when a file is opened on a child every year of her life, her mom is snake-mean and her stepfather has a history of violence, that maybe someone should watch her very closely? Isn't that common sense?
These were trained social workers, not 12-year-old babysitters.
Weeks of testimony revealed the actions of social workers who closed the child's file without seeing her, passed her file back and forth like a hot potato, destroyed their notes, didn't read the case history and did squat about the family. They were too overworked or ill-informed of their responsibilities to do their jobs. Some may have been incompetent; others did their best under the circumstances.
Rodgers said best practice would have been to see Phoenix instead of talking to Kematch in the hall and deciding to close the file. Best practice dictated detailed notes be taken every time there was contact, but they weren't. The cases kept coming in and social workers had to -- here's the word I've learned to loathe -- "prioritize."
Rodgers said he never heard directly from a social worker or supervisor who said they couldn't meet standards on a specific case. That doesn't mean it didn't happen, he clarified, just that it didn't make its way to him.
Of course it didn't. A frontline worker wasn't going to force her way up to the executive offices to confess her failure.
MGEU lawyer Trevor Ray wondered out loud if the "gravity of errors in this case" have been magnified by hindsight. What he meant was: Does this all seem so much worse because we know a child is dead? Were these offences really such a big deal?
Three independent reports were scathing in their appraisal of some CFS workers and the system in which they operated. Those workers are Ray's clients,
"The errors that were made in this case as described in those reports created risk for this little girl," Rodgers said. "We need to take them very seriously... We should take any opportunities for learning."
Ray asked if it would be unfair to discipline a worker if caseloads prevented them from meeting CFS expectations.
"I would agree with you, depending on what the nature of the performance was," Rodgers said. He was careful while testifying, agreeing with the contents of irrefutable reports, pointing to the progress that has been made in the ensuing years.
Rodgers painted a picture of chaos in CFS during Phoenix's last years. Devolution was coming and staffers were afraid of job losses. Workloads increased as they prepared files for transfer to the new aboriginal agencies. Morale was low.
It was a tough time for staff, who don't get the appreciation they deserve. But social work is like horseshoes. Close doesn't count. They weren't even close with Phoenix.
Reprimanded? Fired? There should have been charges laid.


text:
Dog-friendly Holford, 4 People & Pub Within 1 Mile
This delightful and unique octagonal property, formerly an 18th-century smallholder's cottage, nestles in an idyllic and peaceful setting. The property, close to the owner's home, is situated by a babbling stream and a wonderful waterfall in a wooded combe in the heart of the Quantock Hills.
- 1


text:
CROWDS lined the streets to cheer on teams dressed in wacky costumes as they raced around eight pubs in the annual Whitchurch Pub Race.
A total of 31 teams, made up of nearly 200 people, took part in the popular event which pulls in the pounds for a good cause and sees the pints being pulled.
Starting from the Prince Regent at 3.30pm on May 25, the new Mayor of Whitchurch Councillor Mike Kean set off the first team – Kiss Fist, who, dressed as Elvises, entertained the crowds with a specially choreographed dance routine.
The rest of the teams followed, downing half a pint before walking or running the route with encouragement from spectators.
Residents sat outside in their gardens to enjoy the spectacle as teams made their way along Lynch Hill Park towards the next stop.
Passers-by donated their spare change to collection buckets carried by each team, to raise money for the Whitchurch Festival Association, which organised the event.
A pub stop was set up at the railway station, to represent the former Railway Inn, which was knocked down in 2010. From there, participants made their way to The Bell, followed by the Kings Arms and the Whitchurch Silk Mill.
In the town centre, teams were greeted by cheers from hundreds of spectators lining the streets, who marvelled at the creative costumes on show.
Team Thrill Seekers, who took first place for their fancy dress, were popular with the crowds – wearing outfits made to look like a theme park ride, complete with fake legs dangling down in front.
Team Thomas the Tank Engine and Friends might not have been in it to win it, but their impressive Thomas on wheels was the centre of attention as the team members pushed it around the entire course. Their efforts were rewarded when they achieved second place in the fancy dress category.
Other fancy dress outfits included chimney sweeps, a group dressed in animal onesies, Rainbow characters, daisies and Snow White and the Seven Dwarfs – with Snow White sporting a beard!
From the Silk Mill participants made their way to Longmeadow Sports and Social Club, followed by The White Hart, before finishing at The Red House, where outside entertainment was provided in the form of music and a hog roast.
Awards were presented to the winning teams later on in the evening, with trophies given out to the fastest team around the course, the best fancy dress and most money raised, which went to the Beer City Rollers.
Rob Dunlop, who helps to organise the event, said it raised more than £4,000.
He added: "The money goes back to the Whitchurch Festival Association to fund future community events, such as the fireworks.
"There was a good turn-out and the atmosphere was brilliant.
"We would like to thank all the venues around the town – they put a lot of effort in."


text:
JACKSONVILLE, Fla. - The number of fatal crashes in Jacksonville has risen steeply in recent months.
Thirty more people have lost their lives in traffic crashes in the River City this year compared to this time last year, according to the Jacksonville Sheriff's Office.
Police are hoping a their new red light camera program will help bring those numbers down.
The family of Jarrod Peterkin is hoping the same. The 17-year-old was hit and killed earlier this month by a driver who ran a red light as he tried to cross an intersection on his bike.
Ashlee Peterkin, Jarrod's sister, said she was excited to hear about Jacksonville's new red light camera system, one that she believes could have prevented her brother's death.
"If he would have known that this is going to be more extensive than just, 'I ran through the light,' or thought twice ... then that would have changed the world," Peterkin said.
Jarrod was one of 94 people killed in traffic collisions this year in Duval County. Last year at this time, that number was 64.
JSO is hoping 25 new red light cameras at 18 of the cities busiest intersections will bring those numbers down.
Police aren't planning to put a red light camera at the intersection of Kernan Boulevard and McCormick Road, where Jarrod was hit and killed. But they believe the ones they are planning to install could help prevent another tragedy.
Sue Holley, executive director of the Northeast Florida Safety Council, said the cameras could be extremely helpful.
"It may take a little while and people getting some tickets before that happens, but I think it will," Holley said.
For Ashlee Peterkin, it's hope that another family won't have to feel the kind of loss hers has.
"Now that it is in place, I'm hoping that somebody else's child won't be affected," she said.
The red light camera system is expected to be in place by January.
Copyright 2012 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
There's a fine line between keeping it relaxed and dressing it up – and we think we've found it.
Our PUMA polos are just the right combination of comfort and style. When you need to fancy it up a notch but want to keep the buttons to a minimum, we've got you covered. Our collared silhouettes are primed for occasions from work to the weekend.
Need that extra edge when you're walking the greens with your friends? We've got just what you'll need to stand out and improve your game. PUMA's golf polo shirts, as seen on pros like Rickie Fowler, will keep you comfortable and dry while out on the links. Tech details include moisture-wicking fabrics, coolCELL mesh panels, strategically placed shoulder seams, and built-in sun protection and odor control. And, as a post-round bonus, they'll look great as you're bragging to your buddies in the clubhouse.


text:
While hand and wrist injuries are very common among all types of athletes, some never seek treatment. However, delaying the diagnosis and treatment may result in long-term problems or even a permanent disability. Here is a list of some of the most common hand and wrist injuries that athletes experience.
Sprains are damage to ligaments. A ligament is a type of tissue that connects bone to bone. There are different grades of sprain from minor tear to complete rupture. Treatment and recovery time will depend on grade of sprain.
Breaking a fall with the palm of your hand or taking a spill on the slopes with your hand strapped to a ski pole, could leave you with a painful thumb injury. The ulnar collateral ligament acts like a hinge and helps your thumb to function properly. If you sprain your thumb, you could lose some or all of your ability to grasp items between your thumb and index finger, or to grasp well with the entire hand.
A wrist sprain occurs when you stretch or tear the ligaments that connect the bones in your wrist. This can happen when you break a fall by landing on the palm of your hand. This may result in an overextention of your wrist, causing a sprain.
Bones can be fractured and dislocated. A fracture is a crack or break in a bone. A dislocation occurs when a bone is pushed out of place and no longer lines up correctly at the joint. Both injuries decrease the ability to move and cause pain.
Fractures of the hand include breaking the bones of the hand between your wrist and knuckles, as well as your fingers. The most hand fracture is called a boxer's fracture. A boxer's fracture usually occurs when you strike an object with your closed fist, injuring the long bone that connects the little finger to the wrist. This fracture also results in damage to the surrouding soft tissues.
Scaphoid fractures account for many wrist fractures . The scaphoid bone is one of eight small bones that make up the wrist. The scaphoid bone lies at the base of the thumb adjacent to the radius, one of two large bones that make up the forearm.
Wrist fractures are common both in sports and motor vehicle accidents. The break usually occurs during a fall on the outstretched hand. The angle at which the palm hits the ground may determine the type of injury. The more the wrist is bent back (extension), the more likely the scaphoid bone will break. With less wrist extension it is more likely the radius will break.
Scaphoid fractures are not always immediately obvious. Many people with a fractured scaphoid think they have a sprained wrist instead of a broken bone because there is no obvious deformity and very little swelling.
One of the most common injuries to an athlete's hand is an injury to the joint above the knuckle, the proximal interphalangeal (PIP) joint. Injuries to the PIP joint occur when the finger is either forced backwards or forced downward into a bent position. Injuries to the PIP joint may include fractures, dislocations, and fracture dislocations.
Tendons are a type of connective tissue that attaches muscle to bone. Tendon injuries may result from:
DeQuervain's syndrome is a common injury in racquet sports and in athletes who use a lot of wrist motion, especially repetitive rotating and gripping.
The overuse of the hand may eventually cause irritation of the tendons found along the thumb side of the wrist. This irritation causes the lining around the tendon to swell, making it difficult for the tendons to move properly.
Extensor carpi ulnaris (ECU) tendinitis is another common sports-related closed tendon injury. ECU tendinitis is an inflammation of the tendon that runs along the back of the wrist and is caused by repetitive twisting and backward flexion of the wrist. It is most commonly seen in basketball players and those playing racquet sports.
Baseball finger (or mallet finger) is an injury that commonly occurs at the beginning of the baseball season. It occurs when a ball hits the tip of your finger, bending it down. Normally, the tip of your finger can bend toward the palm of your hand about 60-70 degrees. However, add the force of a ball that has been batted through the air, and it can push your finger beyond that limit, tearing the extensor tendon that controls muscle movement in the affected finger. If the force is great enough, it may even pull tiny pieces of bone away, as well.
Jersey finger is the opposite of mallet finger and occurs when the fingertip, usually the ring finger, is forcibly extended, such as if your finger gets caught in an opponent's jersey. This causes the flexor tendon, which bends the fingertip, to be pulled away from the bone and will leave you unable to bend your finger without assistance.
Boutonnière deformity is an injury to the tendons that straighten your fingers. It occurs when your finger receives a forceful blow when it is bent. Several tendons, running along the side and top of your finger, work together to straighten the finger. If the tendon on the top that attaches to the middle bone of the finger (the central slip of tendon) is injured by a forceful blow, it can sever the central slip from its attachment to the bone, in some cases, even popping the bone through the opening. The tear looks like a buttonhole. If you have a boutonnière deformity, the middle joint of your finger will bend downward and the fingertip end joint bends back. People with a boutonnière deformity cannot fully straighten their finger.
The best ways to prevent sports-related hand, wrist, and upper extremity injuries include:
American Academy of Orthopedic Surgeons
American Council on Exercise
Canadian Orthopaedic Association
Health Canada
Aronowitz ER, Leddy JP. Closed tendon injuries of the hand and wrist in athletes. Clin Sports Med. 1998;17(3):449-467.
Brown HC. Common injuries of the athlete's hand. Can Med Assoc J. 1977;117(6):621-625.
Chen NC, Jupiter JB, et al. Sports-related wrist injuries in adults. Sports Health. 2009;1(6):469-477.
Flexor tendon injuries. American Academy of Orthopedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00015. Updated January 2011. Accessed February 3, 2014.
Hand and wrist pain—differential diagnosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 10, 2013. Accessed February 3, 2014.
Hand fractures. American Academy of Orthopedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00010. Updated October 2007. Accessed February 3, 2014.
Morgan WJ, Slowman LS. Acute hand and wrist injuries in athletes: Evaluation and management. J Am Acad Orthop Surg. 2001;9(6):389-400.
Sprained thumb. American Academy of Orthopedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00022. Updated May 2010. Accessed February 3, 2014.
Women's Heart Foundation. Stretching exercises for women. Women's Heart Foundation website. Available at: http://www.womensheart.org/content/Exercise/stretching_exercise.asp. Accessed February 3, 2014.
Wrist sprains. American Academy of Orthopedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00023. Updated September 2010. Accessed February 3, 2014.
Last reviewed February 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
What can we help you find?close ×


text:
WASHINGTON - The Concord Coalition today praised the bipartisan effort of Representatives Jim Kolbe (R-AZ) and Charles Stenholm (D-TX) to inject a needed dose of reality into the Social Security reform debate by offering a plan that makes the kind of hard choices necessary to ensure the program's long-term fiscal sustainability and generational equity.
"The Social Security debate has gone off-track. Leaders of both parties are in denial. Many Democrats are minimizing the enormous challenges facing the current system and many Republicans assume that these challenges can be met by simply creating personally owned retirement accounts. The Kolbe-Stenholm plan properly rejects this free lunch stand-off and faces up to the hard choices," said Robert Bixby, executive director of The Concord Coalition.
"As the President and Members of Congress turn their attention to crafting a Social Security reform plan, it is vital that they acknowledge, as Kolbe and Stenholm have done, that any credible plan must include gradual reductions in Social Security's long-term cost. Absent change, Social Security and other entitlement programs such as Medicare and Medicaid will consume an ever-larger share of the budget and the economy as the baby boomers retire and Americans live longer lives. These benefit programs are a vital part of the nation's retirement security fabric. But they cannot grow faster than the economy forever. This fundamental issue must be addressed in any credible Social Security reform plan ¾ regardless of whether it creates personal accounts. To their credit, the authors of this plan haven't ducked the challenge," Bixby said.
"Not surprisingly, some have criticized this plan for making hard choices. Instead, the co-sponsors should be congratulated for proposing a plan that does not rely on rosy assumptions, like the existence of perpetual budget surpluses or robust market returns on personal accounts, to close Social Security's fiscal gap," Bixby said.
"There is no such thing as a 'perfect' plan, and there is no such thing as a cost-free solution. Trade-offs will always need to be made. One need not agree with every element of the Kolbe-Stenholm plan to realize its valuable contribution to the Social Security reform debate. The Concord Coalition heartily commends Representatives Kolbe and Stenholm for recognizing the reality that hard choices need to be made, with or without personal accounts. We hope that the sponsors of other reform plans, and those who minimize the need for reform, will be as willing to acknowledge the consequences of their convictions," Bixby said.
The Concord Coalition is a nonpartisan, grass roots organization dedicated to balanced federal budgets and generationally responsible fiscal policy. Former U.S. Senators Warren Rudman (R-N.H.) and Sam Nunn (D-Ga.) serve as Concord's co-chairs and former Secretary of Commerce Peter Peterson serves as president.


text:
Harvard's Central Payroll processes wage payments to all employees at the University, issuing over 30,000 W-2 forms per year. Among the services Central Payroll provides are assistance with salary verifications for housing and mortgage application, payroll garnishments support, I-9 processing and assistance, and W-2 reprints.
Services provided at the Payroll window:
- Drop-off of approved payroll forms
- Completing forms for Address Changes, Direct Deposit Requests, and Tax Withholdings
- Pick-up of limited/designated paychecks
- Answering simple paycheck questions
Please Note:
Answering payroll related questions often involves local payroll representatives or other administrative groups such as Benefits, HR, or Tax Services. Click here to identify who to call for assistance with your specific questions. In addition, because the Payroll Window services many employees, questions requiring more detailed investigation will be logged for follow-up investigation. You will be contacted with a resolution.


text: I'm planning a surf trip to La Jolla around Christmas, and was planning on spending my time at Scripps/Blacks. I'm noticing on the weather forecasts though that around three of the days I'll be saying there will have either rain, or be right after a rain event. I understand there are some water quality issues after rain in So Cal, but I was wondering, if there's been enough rain, does that matter anymore? Does the first good rain event basically "flush" the system? Or is it still advisable to not surf during or after it rains due to high bacteria levels, etc.? Just curious, as here on the East Coast we don't really worry about that stuff since it tends to rain pretty consistently throughout the year. I'd hate to travel all the way to SD and not get a chance to surf because of water quality issues.