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Minneota web design: find web designers, firms and companies in Minneota, MN.Web designers directory -> Minnesota web designers -> Minneota web designers
1 web designers found:
Company info
gold listings block
The Design Forge( website )
We are a growing Web & Graphic Design firm located in SW Minnesota. Our lists of clients is growing rapidly. We offer static, CMS and flash driven websites.
- Phone:
- 507-872-0000
- Address:
- 503 East Lyon St., Minneota, MN 56264
- Services:
- Web maintenance services, Web development services, Church web design services, Real estate web design services, Small business web design services ...
Web designers -> Minnesota web design firms -> Minneota web design firms
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Police are seeking witnesses after two motorists got into a heated row in Battle town centre.
A 69-year-old man was driving a silver Mercedes-Benz estate car westbound near Battle Abbey when he became involved in an altercation with another man, also believed to be in his 60s, who was driving a dark blue Volkswagen Sharan people carrier.
It happened at around 3.45pm on Tuesday January 19, but police have only just released information about the incident.
Police want to hear from anyone who may have seen what happened, particularly as the town was busy with both traffic and pedestrians at the time.
Information can be emailed to email@example.com or phoned through to 101, quoting serial 1121 of 19/01.
Alternatively details can be given to the independent charity Crimestoppers anonymously on 0800 555 111 (www.crimestoppers-uk.org)
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Is it possible to have a way of 'ticking off' tasks once they have been completed in the individual activity list?
Hi Jen!
Thanks for sharing your feedback! Do you mean the cards that you create on an activity and are not connected to a board? If so I would be happy to hear more about how you work and how you use the card that you only want to keep on the activity and not connect to a board. Very soon we will be making enhancements to Plan this autumn and your idea will be added as an input to that work.
Best regards
Silvija posted a new comment
Jen posted a new idea


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As mentioned in my Goals For 2017 post, I want to try and read more so am setting myself a goal to read at least 8 books this year. This number is quite low because I'm not a big reader and I don't really make much time to read. In the future I'd love to be able to read 20+ books in a year but for now I'm sticking with 8 for definite and any extras are just bonus'.
Dream A Little Dream by Giovanna Fletcher
Sure, she's been single for the last two years, and has to spend an uncomfortable amount of time around her ex-boyfriend, his perfect new girlfriend and all their mutual friends. And yes, her job as a PA to one of the most disgusting men in London is mind-numbingly tedious and her career is a constant disappointment to her mother. But it's really okay. She's happy(ish).
So it's not surprising that when Sarah starts dreaming about a handsome stranger, she begins to look forward to falling asleep every night. Reality isn't nearly as exciting. That is until her dream-stranger makes an unexpected real-life appearance, leaving Sarah questioning everything she thought she wanted.
Because no one ever really finds the person of their dreams…do they?
Always With Love by Giovanna Fletcher
Sophie's got used to being the girlfriend of Billy Buskin, the biggest movie star in the world. Sort of.
But when she and Billy take a trip to visit his family in Los Angeles, she quickly discovers she's totally unprepared for the chaos of Hollywood, the paparazzi and Billy's controlling mother.
And when Billy extends his stay in LA, leaving Sophie to fly home to Rosefont Hill alone, it seems there's more that just miles between them.
Now Sophie must decide if they can overcome their differences for good. Because not all love stories end happily ever after…
Sidenote: Always With Love is a sequel to Giovanna's debut novel, Billy & Me.
On The Other Side by Carrie Hope Fletcher
He noticed she had a twinkle. It was right there in her eyes. Maybe it was the slight scrunch of her nose when she smiled at him which made the corner of her eyes crease that caused it or maybe it was the way her eyebrows framed her face no matter what it was, when he saw that twinkle all he heard in his head was his heart laughing.
Quiet by Susan Cain
For far too long, those who are naturally quiet, serious or sensitive have been overlooked. The loudest have taken over – even if they have nothing to say.
It's time for everyone to listen. It's time to harness the power of introverts. It's time for Quiet.
Flawed by Cecelia Ahern
"I cannot fathom how I can be here.
I can't be Flawed.
I am perfect."
Celestine North lives a perfect life. But then Celestine breaks a rule and faces life-changing repercussions. She could be imprisioned. Branded. Found FLAWED.
In this heartbreaking and uplifting novel, worldwide phenomenon Cecelia Ahern depicts a society in which perfection is paramount and mistakes are punished.
And where one young woman takes a stand that could cost her everything.
Everything, Everything by Nicola Yoon
Live life in a bubble? Or risk everything for love?
Maddy is allergic to the world. She hasn't left her house in seventeen years.
Olly is the boy next door. He's determined to find a way to reach her.
Everything, Everything is about the crazy risks we take for love.
Happy: Finding Joy In Every Day And Letting Go Of Perfect by Fearne Cotton
"This book is a way to release what's going on inside your head and to keep heading towards the good stuff. The simple stuff. The stuff that's going to really hit up that happiness on a deep and nourishing level. Whether you dip into these pages every now and then when you feel you need it, or use it daily as a positive exercise, I hope it brings you much relief, joy and calm. Amen to the pen." – Fearne Cotton
For many of us, life can feel like it's moving too fast with pressure bearing down on us from all sides – whether that's from school or work, family or social media. As a result, we find ourselves frazzled, lost and – too often – feeling blue.
This book isn't out until next week, 9th February, however it's definitely something that I'd be interested in purchasing later on in the year. I feel like I would benefit from a book like this and it's a bit different from my usual reading book genre.
Irresistible: Why We Can't Stop Checking, Scrolling, Clicking and Watchingby Adam Alter
How many times have you checked your phone today? Why are messaging apps, email and social media so hard to resist? How come we always end up watching another episode?
In recent years, media and technology have perfected the lucrative art of gaining and holding our attention. This extraordinary feat has changed the behaviour of billions of people, and especially the young: by current medical standards, we are experiencing an unprecedented, global pandemic of addiction. But what exactly is an addiction? And what, if anything, might we do about it?
This book isn't out until 2nd March but is another book that I will be looking into purchasing later in the year.
Wilde Like Me by Louise Pentland
You'll make a friend for life.
And she'll take you on a journey you'll never forget …
Uplifting. Empowering. Completely enchanting.
This is another book that isn't currently for sale. Wilde Like Me comes out 29th June and I am really excited to get my hands on it and read it. I've been following Louise on YouTube for a few years now and I just love how real she is. I have her first book, a non fiction book called 'Life With A Sprinkle Of Glitter' (sprinkleofglitter being her YouTube username) and really enjoyed reading it and it is full of inspiring and comforting words. It's definitely a book I'll keep going back to so I'm excited to see what Louise's fiction writing style will be.
This is my base list of books to read if you like, I will probably add more books to it as I find more that look interesting. If anyone has any suggestions for books that I should read I'd love to hear them.
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Corn Muffins with Corn, Hot Peppers & Scallions
We're moving to a new apartment. Since we signed the lease last month, I've tried to minimize trips to the market and make do instead with the contents of our freezer, shelves, and pantry, a clear-out-the-clutter challenge that would not have been all that hard or even that blog-worthy, to be honest, because our freezer, shelves, and pantry are stocked. There are a dozen kinds of beans back there, still a few jars of last summer's canned tomatoes, and a lot of some little ring-shaped noodles that I once took home from a shoot.
Still, I had visions of us subsisting for at least a few weeks on progressively humbler stews of beans and tomatoes, served over a finally dwindling supply of petite pasta.
What I didn't account for was the continuing abundance. In the weeks that followed the signing, a recipe development project magicked a box of brie onto my doorstep, I tested eggplant and chicken parm recipes, and upstate New York's bumper crops kept ripening, so the CSA shares kept overflowing, and we had more corn, tomatoes, and peppers on the counter than ever before.
But at least I could finish my cornmeal. Both kinds.
These coarse- and fine-ground corn muffins were inspired by my search for a corn muffin that was cupcake rich but not cupcake sweet. I like to make dense, buttery muffins that don't have a half-life of 20 minutes. Sour cream became my ally, in part because I had a container already that certainly wasn't making the move with us. From the CSA side of things, we have corn cut off the late-season cobs, minced hot pepper, and slices of green onion. If I made these again, I'd consider adding cheese, and probably more minced pepper, but I wasn't sure how spicy the peppers would turn out to be.
About that move: we are only going two blocks, but as it turns out, that doesn't really minimize the annoyance of putting an entire apartment into cardboard boxes. Even a small kitchen can have a lot of things in it! I'll be posting fewer recipes and more tips over the next few weeks, to make up for the upcoming disorganization, but when all this is done and our dishes are in our new cabinets, I'll be back with some wisdom (I hope) about what it means for small kitchen living to be confronted, during a move, with all one's culinary possessions and to pack them up and unpack them again.
- About 1 cup yellow cornmeal
- A little coarse cornmeal like polenta (optional)
- ½ cup unbleached all-purpose flour
- ½ cup whole wheat flour
- ½ cup sugar
- 2 teaspoons baking powder
- 1½ teaspoons salt
- ½ teaspoon baking soda
- 1 cup sour cream
- 2 large eggs
- ¼ cup (1/2 stick) unsalted butter, melted and cooled
- 1¼ cups corn kernels, cut off 2 to 3 cobs (you can also used thawed frozen kernels)
- 3 scallions, white and green parts thinly sliced
- 1 tablespoon minced hot red pepper
- Preheat the oven to 425°F. Line twelve ⅓-cup muffin cups with paper liners. Dole out the cornmeal into a 1 cup measure, leaving a little bit of space (let's call it a scant cup). Top off the cup with the coarse cornmeal.
- Now combine the cornmeals, flours, sugar, baking powder, salt, and baking soda large bowl. In another bowl, whisk together the sour cream, eggs and melted butter. Add the sour cream mixture to the dry ingredients and fold to combine, stirring just until moistened (overmixing will create tough muffins). Fold in the corn kernels, scallions, and pepper.
- Divide the batter equally among your muffin cups. Bake the muffins about 20 minutes, until puffed, craggy, and golden (if you stick a thin knife or toothpick into the center of a muffin, it should come out clean). Give them muffins about a minute in the pan, then lift each one onto a rack to cool slightly. Eat warm or room temperature, with butter.


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The 'From' value should be less than 'To' value Please enter a valid price range
Trying to find a way to brighten up your hallway, dining room or kitchen? There is a wide range of ceiling lights available to bring new life to your home. By considering lights from brand names such as BenQ, Z-Lite, and Zuo, you are sure to find something excellent whether you are a fan of traditional, contemporary, or ultra-modern.
Many of the ceiling lights come with an adjustable chain that allows you to choose the best height for your light. The light can hang low enough to be easily viewed and provide light to the entire room while still being high enough that it won't be in the way.
Variety of Styles
There are many styles of ceiling lights available, from a classic stained glass look to a brushed nickel pendant. Select a light that is square, oval, or bell-shaped to get the right feel for the room that you are placing it in. You have a choice of different types of metal or glass for many of the available lights.
Excellent Lighting
Each of the fixtures provides excellent lighting to the area with up to 150 watts for many of the fixtures. The ceiling lights allow the light to be focused downward onto a walkway, table, or countertop for the best lighting possible right where you need it most.
Complete for Installation
The ceiling lights available come complete with the necessary hardware required to install them, and also include instructions to help you complete the job correctly, making it easier for you to quickly get them in place and working properly.


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Cheap ATV Shop
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Contact Cheap ATV Shop
Showroom, Accessories & Parts Address:
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"You guys are GREAT! I purchased one of your atv's for my son's 8th birthday and wow was it a good one for him. The atv arrived in perfect condition, started right up and now he is off riding with me. If I ever need any parts or anything I know I can count on you all. Thanks so much for providing an affordable product with even better customer service."
- Mike in Indiana
©2009 Cheap ATV Shop.com Website Design by Plasticprinters.com - Your Source for Plastic Business Cards
Images from cheapatvshop.com may not be used without the expressed permission. ATVs with engine sizes of 90cc or greater are recommended for use only by those age 16 and older. ATVs with engine sizes of 70cc to 90cc are recommended for use only by those age 12 years of age and older and always with adult supervision. It is recommended that all ATV riders take an approved training course. For safety and training information, call the ATV Safety Institute at 1-800-887-2887. ATVs can be hazardous to operate. For your safety: Always avoid paved surfaces. Never ride on public roads. Always wear a helmet, eye protection and protective clothing; never carry passengers; never engage in stunt riding; riding and alcohol/drugs don't mix; avoid excessive speed; and be particularly careful on difficult terrain. Kid Atvs LLC will not be responsible for damage to any rider, and or ATV under any circumstance. It is the sole responsibility of each rider, parent, or supervisor to ensure all safety measures are taken while riding any ATV.


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I was nervous like anyone would be trying a new Taxidermist since there is no going back after the animal is complete like it or not. I sent Andrew a Boar I killed in Florida and First was thrilled with how fast he completed the Boar but secondly it came out AMAZING! Since then I have had a Wood Duck mounted by Andrew and again his work was flawless. So after two Separate test runs with Back River I was ready to make them my new goto place. I recently dropped off 4 more ducks to get mounted. His [Read More]
Turkey Season Starts April 27!!!
April 14, 2015 By aiello
Turkey season starts in Mass April 27!! Good luck, be safe and give us a call to mount your trophy gobbler!
Free BRT Shirt!!
April 8, 2015 By aiello
Bring us your harvest and we will give you a free t shirt!!! Only one per customer, order must be over $200.00
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The tradition of the ordained monastic community in Buddhism (the sangha) began with the Buddha, who established an order of monks. According to the scriptures, later, after an initial reluctance, he also established an order of nuns. Fully ordained Buddhist nuns are called bhikkhunis. Mahapajapati Gotami, the aunt and foster mother of Buddha, was the first bhikkhuni.
In the Mahayana tradition during the 13th century, the Japanese Mugai Nyodai became the first female abbess and thus the first ordained female Zen master.
However, the bhikkhuni ordination once existing in the countries where Theravada is more widespread died out around the 10th century, and novice ordination has also disappeared in those countries. Therefore, women who wish to live as nuns in those countries must do so by taking eight or ten precepts. Neither laywomen nor formally ordained, these women do not receive the recognition, education, financial support or status enjoyed by Buddhist men in their countries. These "precept-holders" live in Burma, Cambodia, Laos, Nepal, and Thailand. In particular, the governing council of Burmese Buddhism has ruled that there can be no valid ordination of women in modern times, though some Burmese monks disagree. Japan is a special case as, although it has neither the bhikkhuni nor novice ordinations, the precept-holding nuns who live there do enjoy a higher status and better education than their precept-holder sisters elsewhere, and can even become Zen priests. In Tibet there is currently no bhikkhuni ordination, but the Dalai Lama has authorized followers of the Tibetan tradition to be ordained as nuns in traditions that have such ordination.
The bhikkhuni ordination of Buddhist nuns has always been practiced in East Asia. In 1996, through the efforts of Sakyadhita, an International Buddhist Women Association, ten Sri Lankan women were ordained as bhikkhunis in Sarnath, India. Also, bhikkhuni ordination of Buddhist nuns began again in Sri Lanka in 1998 after a lapse of 900 years. In 2003 Ayya Sudhamma became the first American-born woman to receive bhikkhuni ordination in Sri Lanka. Furthermore, on February 28, 2003, Dhammananda Bhikkhuni, formerly known as Chatsumarn Kabilsingh, became the first Thai woman to receive bhikkhuni ordination as a Theravada nun (Theravada is a school of Buddhism). Dhammananda Bhikkhuni was ordained in Sri Lanka. A 55-year-old Thai Buddhist 8-precept white-robed maechee nun, Varanggana Vanavichayen, became the first woman to receive the going-forth ceremony of a Theravada novice (and the gold robe) in Thailand, in 2002. Since then, the Thai Senate has reviewed and revoked the secular law passed in 1928 banning women's full ordination in Buddhism as unconstitutional for being counter to laws protecting freedom of religion. However Thailand's two main Theravada Buddhist orders, the Mahanikaya and Dhammayutika Nikaya, have yet to officially accept fully ordained women into their ranks.
In 2009 in Australia four women received bhikkhuni ordination as Theravada nuns, the first time such ordination had occurred in Australia.
In 1997 Dhamma Cetiya Vihara in Boston was founded by Ven. Gotami of Thailand, then a 10 precept nun; when she received full ordination in 2000, her dwelling became America's first Theravada Buddhist bhikkhuni vihara. In 1998 Sherry Chayat, born in Brooklyn, became the first American woman to receive transmission in the Rinzai school of Buddhism. In 2006 Merle Kodo Boyd, born in Texas, became the first African-American woman ever to receive Dharma transmission in Zen Buddhism. Also in 2006, for the first time in American history, a Buddhist ordination was held where an American woman (Sister Khanti-Khema) took the Samaneri (novice) vows with an American monk (Bhante Vimalaramsi) presiding. This was done for the Buddhist American Forest Tradition at the Dhamma Sukha Meditation Center in Missouri. In 2010 the first Tibetan Buddhist nunnery in America (Vajra Dakini Nunnery in Vermont) was officially consecrated. It offers novice ordination and follows the Drikung Kagyu lineage of Buddhism. The abbot of the Vajra Dakini nunnery is Khenmo Drolma, an American woman, who is the first bhikkhuni in the Drikung Kagyu lineage of Buddhism, having been ordained in Taiwan in 2002. She is also the first westerner, male or female, to be installed as an abbot in the Drikung Kagyu lineage of Buddhism, having been installed as the abbot of the Vajra Dakini Nunnery in 2004. The Vajra Dakini Nunnery does not follow The Eight Garudhammas. Also in 2010, in Northern California, 4 novice nuns were given the full bhikkhuni ordination in the Thai Theravada tradition, which included the double ordination ceremony. Bhante Gunaratana and other monks and nuns were in attendance. It was the first such ordination ever in the Western hemisphere. The following month, more bhikkhuni ordinations were completed in Southern California, led by Walpola Piyananda and other monks and nuns. The bhikkhunis ordained in Southern California were Lakshapathiye Samadhi (born in Sri Lanka), Cariyapanna, Susila, Sammasati (all three born in Vietnam), and Uttamanyana (born in Myanmar).
Read more about this topic: Female Bishops
Other articles related to "buddhism":
... of worship into mosques By the time of the Muslim conquests in India, there were only glimpses of Buddhism nor any evidence of a provincial government in control of the ... During the seventh to 13th centuries when Islam arrived it replaced Buddhism as the great cosmopolitan trading religion in many places accompanied by a consolidation of the communal peasant ... many monks fled abroad" thereby bringing about a sudden demise of Buddhism with their destruction of the Viharas ...
... have competed in political and spiritual realm with Buddhism in the gangetic plains while Buddhism flourished in the realms of the Bactrian kings ...
... of opinion on the question of whether or not Buddhism should be considered a religion ... While many sources commonly refer to Buddhism as a religion, other sources note that the answer to this question depends upon how religion is defined ... For example, Lama Surya Das states...Buddhism is less a theology or religion than a promise that certain meditative practices and mind trainings can effectively show us how to awaken our Buddha-nature and ...
... Bodhidharma, a patriarch of Zen Buddhism was of the original Kshatriya caste ... Nagarjuna, a philosopher important to Mahayana Buddhism, was a Brahmin from southern India ... Hindu revival of Saivite and Vaishnavite Hinduism in the region led to a sharp decline of Buddhism ...
... The decline of Buddhism in India, the land of its birth, occurred for a variety of reasons, and happened even as it continued to flourish beyond the frontiers of India ... Buddhism was established in the area of ancient Magadha and Kosala by Gautama Buddha in the 6th century BCE, in what is now modern Uttar Pradesh and Bihar ... Over the next 1500 years Buddhism became one of the region's influential sects, spreading across the Indian sub-continent (see History of Buddhism) ...
Famous quotes containing the word buddhism:
"A religion so cheerless, a philosophy so sorrowful, could never have succeeded with the masses of mankind if presented only as a system of metaphysics. Buddhism owed its success to its catholic spirit and its beautiful morality."
—W. Winwood Reade (18381875)


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PELHAM, N.Y. -- Pelham Memorial High School's varsity ice hockey team is being tested by a grueling schedule with highly ranked teams from both the area and throughout New York state.
Pelham, looking for its sixth Section 1 Division 2 title in eight years, has already played Shenendehowa and Williamsville South with more big tests against upstate powers to come.
For more on the Pelican's stacked schedule, check this story on MaxPreps.com.
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Events for February 22, 2019
Events Search and Views Navigation
All Day
AES 2019 – 64th Annual Scientific Meeting
Application of Today's Science, Technology, and Experience: A Program to Give You Greater Confidence in Helping Next Week's PatientsFind out more »
AAFP 68th Annual Scientific Session and Hands-on Pre-Meeting Workshop
The 2019 AAFP scientific program focuses on innovations and advances in the realm of fixed prosthodontics. The scientific program is replete with world-renowned speakers presenting on topics of their expertise. Concepts and techniques presented intends to enhance the clinician's knowledge and understanding … Continue readingFind out more »


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My Tumblr name has changed! I'm now Tkingfisher, and you can find specifically kid-book stuff at ursula-vernon. (It was just...easier.)
By way of linkage, here is a picture of a cute Morlock with a stuffed Eloi.
( 4 comments — Leave a comment )
Oh, thank goodness. I saw the old Tumblr page vanish and wondered what they had messed up.
Just Tumblr, or do you Instagram too?
You might want to reclaim your original username before someone else snaps it up. You could redirect it to either your child-friendly or adult-oriented (taxes, investments, & mortgages, oh my) blogs, or you could just leave a note explaining the switch.
Is... is she gonna eat that doll?


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"Square cut or pear shaped…These rocks don't lose their shape." Marilyn Monroe's famous line from Diamonds are a Girl's Best Friend is undoubtedly true, but the relationship between diamond shapes and diamond cuts is much more complicated than a simple song lyric.
Diamond shape simply refers to the shape of the stone itself, such as round, oval, pear, heart, etc., but cut refers to a diamond's proportions, symmetry and polish. Of all the Four Cs (color, clarity, cut, and carat), cut is the most important factor in the overall beauty of a diamond.
While there are basically only two ways to cut facets into a rough diamond (brilliant and step), the "cut grade" of a diamond includes a rating of the diamond's brilliance (the brightness created by white light reflections from the inside and the surface of the diamond), scintillation (sparkling flashes of black and white as the diamond moves), and fire (refracted light that appears as dispersed color).
When a rough diamond is cut into its final shape, some of the diamond is lost to waste. The dilemma for the cutter is how to maximize the carat weight of the finished stone without compromising the brilliance. A diamond cut that is too shallow or too deep might increase the final carat weight, or yield, at the expense of the diamond's brilliance. A poorly cut stone might be larger, but dull and lifeless.
In the following article we'll be concerned mostly with popular diamond shapes, remembering that different shapes are cut to different proportions and specifications, and will reflect light in their own unique ways.
Round Cut Diamond Shape
Round cut diamonds have always been the most popular diamond shape, and for good reason. Due to the physics of light and its interaction with the facets of the stone, the brilliant-cut round diamond is simply better at returning light, maximizing the diamond's potential brilliance.
In his thesis "Diamond Design: A Study of the Reflection and Refraction of Light in Diamond" published in 1919, Marcel Tolkowsky scientifically analyzed the ideal proportions for maximizing light return and dispersion.
Though Tolkowsky's original specifications have been slightly modified over time, the very best brilliant-cut round diamonds still have 58 facets, (57 when there is no culet, or small facet at the base of the stone), and incredibly specific proportions of table, depth, and crown angle.
Round diamonds are more expensive per carat than fancy shapes not only because of high demand for them, but because more rough stone is lost during the cutting process than in most fancy shapes. Due to their unsurpassed brilliance, round cut diamonds account for approximately 75% of all diamonds sold.
Radiant Cut Diamond Shape
Radiant cut diamonds are a square cut with cropped corners. They first became popular in the 1980s.
Featuring an intricate 70 facet cut, radiant diamonds live up to their name as they are excellent reflectors of light, and make a great choice for those who appreciate the brilliance of a round diamond and the elegance of an asscher or emerald cut.
Because of their many facets, radiant cut diamonds tend to intensify the color of the stone, making them a great choice for fancy color diamonds.
Princess Cut Diamond Shape
The princess cut diamond is the most popular of the fancy diamond shapes, second only to the round cut. Originally created in the 1960s, the princess cut was popularized in the early 1980s and is now a common choice for many engagement rings.
The princess cut is square, or slightly rectangular, and even though the crown is 10% smaller than a round cut diamond, it will actually appear larger than a round cut diamond of the same carat weight due to a larger corner to corner measurement.
And because less of the rough diamond is lost when creating the princess cut, the price per carat is lower than round cut diamonds as well.
The fire and brilliance of a princess cut diamond is second only to the round cut, making it a great combination of unique shape, value, and appearance.
Emerald Cut Diamond Shape
The rectangular emerald cut was originally intended for emeralds, and when used for diamonds creates an interesting effect.
The step cut pavillion and large, open table combine to create a hall-of-mirrors effect, and while nowhere near as brilliant as a round cut, the long lines of the emerald cut produce dramatic flashes of light.
Because of its large, open table, an emerald cut diamond highlights the diamond's clarity above all, and makes any inclusions easier to see.
Cushion Cut Diamond Shape
This classic diamond shape combines a square cut with rounded corners, and was the most popular shape diamond for well over a century before the rise of the round cut. Cushion cuts are known for delivering better fire than other cuts, though their overall brilliance can't compete with a round diamond.
Refinements to the original cushion cut have resulted in much greater brilliance in modern versions, making them a popular combination of an antique feel with a modern light return. Standard proportions vary greatly with this cut, so personal taste will ultimately inform which diamond is right for you.
Asscher Cut Diamond Shape
Originally created by the Asscher brothers in 1902, the Asscher cut is a square cut with large, steep facets that peaked in popularity in the 1920s.
Thanks in part to refinements that gave this cut more brilliance, Asscher cut diamonds began to make a comeback in 2002.
Modern Asscher cut diamonds are similar to emerald cuts, but feature a higher crown and smaller table, and will appear to have concentric squares when viewed from above.
Oval Cut Diamond Shape
Created in the 1960s, oval cut diamonds are actually a kind of modified brilliant-cut round diamond, and have the kind of brilliance one expects from a round diamond.
There is no ideal ratio of length to width with this shape, but longer ovals lend themselves to settings with other stones, and can appear larger than they actually are.
Another advantage of the elongated shape is that it tends to make the finger of the wearer appear longer and slimmer.
Pear Cut Diamond Shape
The pear shape is round on one end and marquise shaped on the other–a simple combination of the two cuts forming a teardrop shape.
When worn as rings, pear shaped diamonds are always worn with the point toward the hand of the wearer. Symmetry is critically important with this shape–the point of the diamond should line up perfectly with the apex of the rounded end.
Like oval diamonds, there is no ideal length to width ratio, and narrower shapes make the fingers of the wearer look longer and slimmer.
Marquise Cut Diamond Shape
The marquise shape is another modified brilliant-cut, but in the distinctive shape of a football, with sharp points at either end.
Because marquise diamonds are narrow and long, they appear larger than they actually are. Carat for carat, they have the largest crown surface area of any diamond shape, making them a great choice for those trying to maximize the perceived size of the diamond.
Los Angeles Jewelry Buyer Purchases all shapes and cuts of diamonds worth upwards to $250,000. If you have a large carat diamond ring or necklace which you would like to sell for a generous cash offer, please contact us today for a free diamond appraisal and immediate cash offer.
Call Toll Free: (800) 729-6024Start Selling
Learn more about your selling options at: Where to Sell a Diamond Ring in Los Angeles
Get answers to common questions at: How to Sell an Engagement Ring in Los Angeles


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Attention all Dialysis and Transplant Facility Personnel
Communication through email correspondence is the standard for most facilities in the Network. Please be advised that email correspondence to the Network IS NOT SECURE and does not meet the guidelines established by the Health Insurance Portability and Accountability Act (HIPAA) for transmission of Protected Health Information (PHI). Per the Centers for Medicare and Medicaid Services (CMS), communication of PII and PHI via Email is classified as a security incident and must be reported to CMS by the Network office.
As per CMS guidelines, if we receive PII or PHI on any patient via email, this breach must be reported to the sender and the facility administrator via email, and to CMS through the use of the CMS Incident Handling Actions. An investigation will be done by a designated CMS QualityNet (QNet) security staff member. Depending on the type and severity of the incident, internal procedures and/or external agencies will be notified as required by law. Upon receipt of our notice from the Network, it is your facility's responsibility to notify your organization's HIPAA compliance officer, and to follow the guidelines established by your institution to comply with HIPAA mandates.
Please note that you can use QualityNet as a CMS-approved method of submitting patient specific information to the Network. If your facility does not already have a QualityNet user account and would like to have one, contact the QualityNet Help Desk at 1.866.288.8912 or firstname.lastname@example.com They will be able to assist you in setting up an account so that you can use the internet to submit information to the Network.
QualityNet Users (CMS)
- Cyber Awareness Challenge training module (Federal Version)
- Identifying and Safeguarding Personally Identifiable Information (PII) training module
Please go to https://qionet.sdps.org/training_resources/qnet_security.shtml for the following documents or click on the links below:
- QualityNet Incident Response Procedures
- CMS Incident Report Template
- QualityNet System Security Policy, PDF
- QualityNet Media Protection and Decommission Procedures Ver 3.1 Final, PDF
- QualityNet Security Awareness Posters
- QualityNet Security Reminders
- CMS Information Security Home Page
- NIST - National Institute of Standards and Technology
United States Department of Health and Human Services (HHS)
- HHS HIPAA Training Materials
- HHS Understanding Health Information Privacy
- HHS Understanding Patient Safety Confidentiality


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5 Reasons to Choose Acupuncture Today
Acupuncture is the oldest medical system in the world – used by millions of people everyday! Here in Quebec it is a fully-fledged, recognized health profession, attracting individuals who seek to regain control of their health.
Rosemary McDonough, Ac
Choose acupuncture today to:
1. Move freely without pain. Numerous studies support acupuncture's efficacy in reducing persistant muscle, joint and even abdominal pain.
2. Balance your hormones. Acupuncture is a realistic and natural way to treat SPM, infertility and menopause symptoms because it can access the endocrine system, which governs hormone balance.
3 Enhance your immune system. Always catching colds and flu? Free yourself from allergies and build strong defensive energy with treatments that target the immune system.
4 Regain your vitality. There are many reasons for fatigue. Acupuncture treats the problem at its source so you can live the life you deserve!
5 Deal with stress so you can enjoy a better quality of life! Acupuncture works to calm nervous tension and improve your outlook.


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Q: Will this plugin work with Lightroom 2?
A: Yes, but with reduced functionality. You'll be able to use LR/RedCart to export your images, one
Sub-Gallery at a time to the FTP server, but since Lightroom 2 doesn't offer any publishing services you won't benefit from this feature.
Q: Can I create multiple LR/RedCart services?
A: Yes, and this is very useful when you need to upload to different servers. To do so right-click on the
LR/RedCart service and choose "Create Another Publish Service via "LR/RedCart".
You may download and try the plugin for free, subject to its trial limitations. To unlock the full functionality you will need to purchase a copy.
Payments may be made via Credit Card or PayPal, and are securely processed via our payment partner - Paddle.
Note that VAT will be added for European customers.
Lost your registration?


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There is a campsite at the "Populierbos" with bush ablutions - flush toilet, electricity and a shower with water that is heated by a donkey system.
For directions and tariffs please visit the Contact Us page.
For a list of equipment in the cave please click here.
Please Note:
For people that are staying more than one night please bring your own fire lighters.


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Free UK delivery on orders £40+
Gutermann Bulky-Lock 80 Overlocking Thread 1000m - Col 414
A staple for every overlocker is good-quality thread. Gutermann are a go-to brand for all types of sewing thread, renowned for their quality and durability.
You can't go wrong with this Bulky-Lock thread which is recommended for many overlockers. It's a high quality elastic bulk thread that helps create beautifully soft serger seams.
- Suitable for most overlockers
- Made by Gutterman
- 100% polyester
- 1000m per spool
- No. 80 strength


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Baldwin County
Fly Creek Marina
Fly Creek Marina, Alabama
Custom Search
The nice folks who operate this location and the ably looked after facilities have many folks coming here. Fly Creek Marina is esteemed by folks from Montrose. There's such a large number of things to do close to Fly Creek Marina; if you're seeking a nice location to go boating, this is a delightful choice. Hey, it's been too long since you went outside, time is here for boating; Fly Creek Marina in Alabama is a nice location to go.
Alabama is a nice boating
state. Going for a glorious fishing trip at AAA Charters is always exciting, and not far from Fly Creek Marina you'll find Lake Raynagua which is a beautiful lake. It's always amusing to take a fishing trip and a good place to do
that is Chipper's Clipper. There are other places here than Fly Creek Marina, for example Coopers Lake; lots of people from Montrose come here. In the event that you desire fishing you could always explore Tidewater Fishing Service. For the duration of the days of summer at Fly Creek Marina temperatures are generally in the 90's, and through the night it cools down to the 70's. Throughout the wintertime this place gets highs in the 50's with temperatures at Fly
Creek Marina dipping down into the 30's during winter nights. Fly Creek Marina is a relatively wet place generally with much precipitation. For the period of the month of August you get the most rain around here, and the driest of the months is October.
Detailed Map
Contact Info
Phone, Email, Address, GPS coordinates
Local weather forecast
These outdoors activities are available near Fly Creek Marina.
Marinas Near Fly Creek Marina:
Southern Marina & Harbor
, Mobile , 13 miles away
Sundowner Marina
, Mobile , 13 miles away
Mobile Bay Marina
, Mobile , 13 miles away
Dog River Marina Complex
, Mobile , 13 miles away
Beachcomber Marina & Dry Dock
, Mobile , 13 miles away
Grand Mariner Marina
, Mobile , 14 miles away
Scenic Yacht Basin
, Mobile , 15 miles away
Campgrounds Near Fly Creek Marina:
Coastal Haven RV Park
, Fairhope , 5 miles away
Wales West Train/Grdn Recreational Vehicle Resort
, Silverhill , 8 miles away
Meaher State Park
, Spanish Fort , 8 miles away
Blakeley State Park - Apalachee
, Spanish Fort , 11 miles away
Blakeley State Park - Harper
, Spanish Fort , 12 miles away
Hotels Near Fly Creek Marina:
Hampton Inn Fairhope-Mobile Bay AL
, Fairhope , 1 miles away
Hampton Inn - Mobile East Bay-Daphne
, Daphne , 1 miles away
Holiday Inn Express FAIRHOPE-POINT CLEAR
, Fairhope , 2 miles away
Barons By The Bay Inn-Fairhope
, Fairhope , 2 miles away
Grand Hotel Marriott Resort, Golf Club & Spa
, Point Clear , 4 miles away
Microtel Inn & Suites By Wyndham Daphne/Mobile
, Daphne , 6 miles away
Comfort Suites Daphne
, Daphne , 7 miles away
Public Lands Near Fly Creek Marina:
Gulf Islands National Seashore
, Gulf Breeze - FL , 66 miles away
Gulf State Park
, Alabama , 24 miles away
Perdido Key State Park
, Florida , 33 miles away
Big Lagoon State Recreation Area
, Florida , 36 miles away
Golf Courses Near Fly Creek Marina:
Rock Creek Golf Course
, Fairhope , 2 miles away
Fairhope City Municipal Golf Course
, Fairhope , 4 miles away
Quail Creek Golf Course
, Fairhope , 4 miles away
Lakewood Golf Club
, Point Clear , 4 miles away
Timbercreek Golf Course
, Spanish Fort , 8 miles away
Lakes Near Fly Creek Marina
Lake Forest
, Baldwin County , 7 miles away
Lake Raynagua
, Baldwin County , 11 miles away
Coopers Lake
, Baldwin County , 16 miles away
Copyright © Stratus-Pikpuk, Inc.


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It's chocolate week, best week at Great British Bake Off. I was awarded star baker again by Jenny for my Religieuse a l'ancienne and I'm so proud and happy for this. I made a small tart of 18cm diameter.
Only this morning, when I was setting up the linky I realized that the pastry should have been a chocolate one. When I told hubby this, he immediately said I should make another one. I'm sure he was thinking only at the #GBBO and had no ulterior motive to eat a second one. So, it's possible that I will make another tart, for the sake of the challenge.
Ingredients for the pastry:
– 120g plain flour
– 60g butter at room temperature
– 10g sugar
– 3 spoons of milk
– 4 drops of hazelnut flavour
Ingredients for the filling:
– 150g dark chocolate
– 50g milk chocolate
– 150g chopped hazelnuts
– 300g double cream
– 2 spoons sugar
-1tsp vanilla paste
Preheat the oven to 200C / 180C fan. To make the pastry, rub the butter into the flour and sugar until it resembles breadcrumbs. Put the flavour in the milk and stir. Add the milk gradually and mix the dough. On a floured surface, roll the pastry thinly. Line the tin with the pastry. Put a piece of baking parchment on top of the dough and put the baking beans.
Blind bake the pastry for 12 minutes. Take it out of the oven and remove the baking parchment with the baking beans. Reduce the temperature at 180C /160C fan and put the pastry back in the oven 10 minutes.
When the pastry is baked, put it on a cooling rack and let it cool completely.
To make the filling, bring the double cream with the sugar to boil in a sauce pan. Remove from hob and add the vanilla paste and chocolate. Mix well until all the chocolate has melted. Add the chopped hazelnuts and incorporate them into the cream. Leave the filling to cool slightly before pouring it into the pastry casing. Leave it to cool at room temperature or faster in the fridge until it sets.
I hope you liked my recipe and if you bake along, please join the linky, I would love to see your bakes. I will share the posts and add them to the pinterest pinboard. Tag me on twitter for RT. Thank you.
Share the love
There aren't any rules to join the linkup. By sharing, more bloggers will come along and it will be bigger & better. Please mention the linkup in your post or add the button at the end of your recipe. Have a look at the other bakes and don't forget to join in next week too.
Linking up to:


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There is a strong correlation between belief in the theory of evolution and per capita wealth in different countries. Countries that accept Darwin's theory of evolution are wealthier than those that don't.
Nations that believe in evolution are better off than those who don't
{ 1 comment }
- July 23, 2011 at 12:57 am
Iceland? :/
Granted, the current theory of evolution is virtually untouchable but… is Iceland doing OK now? Yes, I should lurkmoar but still…
Comments on this entry are closed.
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Reformed Reflections
A Christian Response to Reincarnation
Have I lived before? What lies beyond the other side of the grave? Shall I come back again in the same form of existence? If death is the end of life; what is the purpose of it?
Several cults, especially those that are rooted in Hinduism - such as Hare Krishna and Theosophy - believe that the human spirit returns after death and lives on earth again as another being. This teaching is called reincarnation and is becoming increasingly popular in the Western world.
Do you know that Sir Winston Churchill is supposed to have been a reincarnation of his ancestor, John Churchill, first Duke of Marlborough? His characteristics and many of his circumstances are said to have been the same. For example, both Churchills had been adventurous opportunists and rebels against authority.
Some claim that Napolean Ronaparte was either a reincarnation of Julius Caesar or Hannibal. Napolean had many traits in common with Caesar, both in appearance, characteristics, and parallel lives in war. But say others, Caesar left a permanent mark on the world. Hannibal nor Napoleon never did. Even the Code Napoleon was based on Old Roman Law.
Some of the greatest thinkers of the world wrote about reincarnation - Plato, Cicero, Origen, Lessing, Albert Schweitzer, Leslie Weatherhead and Paul Tillich. The great philosopher Plato taught that the soul is pre-existent. At death the body simply disintegrates, but the soul returns to the heavens, if its course of action has been just and honourable, and if not, it must appear again in some other form of existence - such as another man or an animal.
"Know that if you become worse you will go to the worse souls," wrote Plato, "or if better to the better. and if in every succession of life or death you will do and suffer what like many fitly suffer at the hands of like.
Cicero linked education and reincarnation together. (This thinking is still prevalent today in both Western and Eastern views on reincarnation). Knowledge is brought back, even though one may not remember what it is what has been learned, each time one returns to the earth. So we can take advantage of the lessons learned in previous lives.
Cicero said: "It is again proof of men knowing most things before birth that when mere children they grasp innumerable facts with such speed as to show that they are not taking them in for the first time but remembering and recalling them."
Origen, one of the early church-fathers, believed in the pre-existence of souls and held reincarnation to be "a very plausible doctrine." He wrote in De Principiis: "Every soul comes into this world strengthened by the victories or weakened by the defects of the previous life. Its place in this world as a vessel appointed to honour or dishonour is determined by its previous merits or demerits. Its work in this world determines its place in the world which is to follow this."
The famous German writer and dramatist Gotthold Ephraim Lessing believed in the trans-migration of souls (reincarnation) as one life-time was not considered sufficient for a human being to come to full fruition.
Numerous authors have had reincarnation as one of their themes. Some of the famous are among them - William Blake, Thomas Carlyle, Dostoevsky, Voltaire and du Maurier. In John Buchan's The Path of the King, the hero withdraws for mental safety, on account of his suffering, to his earlier lives and finds in them the reason for his failures in the present one.
The Bible has been combed of course for proof for the doctrine of reincarnation. Jesus is said to have demonstrated "precognition" when he saw Nathaneal under the fig tree (John 1:48). The apostle John, when exiled on the isle of Patmos, underwent some type of psychedelic experience akin to "blowing your mind." A favourite proof text is Matthew 17:10-13, the story of Elijah and Moses appearing on the Mount of Transfiguration.
The doctrine of reincarnation is peculiarly Eastern. It has remained a vital part of Hindu and Buddhist life. A man's spiritual destiny is determined by what he does in this life on earth. Earth and earth alone is the scene of man's struggle. The deeds are not just combined acts, but include every thought, feeling, impulse, imagination, not only in the present life, but also deeds done in all past lives. The path of a good man leads to a new body appropriate to a new and higher realm of being. The opposite is true for the evil man.
Reincarnation is closely associated with the doctrine of karma, which teaches that "a man of good deeds becomes good, and a man of evil deeds becomes evil." The cycle of reincarnation ends when a man becomes one with the divine impersonal Being and so reaches at last the end of his journey. His individual soul becomes dissolved in the All-Soul.
In Hinduism, salvation is by human merit and good works. Each individual has endless chances to be saved as Hinduism knows no eternal damnation. However long it may take, ultimately every man will receive liberation, regardless how many lower or higher returns to life he may have experienced.
Why is this ancient doctrine. gaining popularity in the West with so many having little understanding of Buddhism, Hinduism or ancient Greek philosophy?
The doctrine of reincarnation offers comfort and hope in the question of death. Death is seen as leaving as it were school for the holidays and returning for the next term to mark further advancement in the lessons of life and the way of perfection. Of course, this hope is only valid if one is reborn into a higher form of life in the next existence.
Numerous authors stress that only the doctrine of reincarnation provides an answer to the injustices multitudes experience in life. Who will revenge innocent victims? Man craves for justice to redress the wrong. Rebirth provides a way to settle accounts, both credits and debits. It also gives a chance to prove oneself through living in the next existence a decent and respectable life.
What is the Christian position on reincarnation? Reincarnation is contradictory to the message of Jesus Christ. The Church recognized this already centuries ago. The Second Council of Constantinople in A.D. 553 decreed an anathema against it.
The Bible teaches that human life is decisive and wholly unrepeatable. Each human being, as God's image-bearer, is unique. We are responsible to God for our actions in the here and now. Death is not a transfer to a possibly higher existence depending on our behaviour on earth. The wicked, rich man in the parable of the rich man and Lazarus could not return to earth again. The Bible says: "...it is appointed to man once to die, but after this the judgment" (Hebrews 9:27).
The Christian confesses that God's justice prevails. He may not be able to understand God's ways, but he believes that all things "work together for good to them that love God" (Rom. 8:28). God's grace works even in the worst of circumstances. Suffering has meaning in the light of the cross of Christ. And we may not take retribution for injustice into our own hands. "Vengeance is mine; I will repay, saith the Lord" (Rom. 12:19).
The future blessedness of believers is not merely the continued existence of the soul. The believer looks forward to the resurrection of the body. He shall become like the risen and ascended Christ. "When he shall appear, we shall be like him; for we shall see him as he is" (1 John 3:2).
Johan D. Tangelder


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The Short: "Happiness Hack: This One Ritual Made Me Much Happier"
by Nir Eyal (Medium)
When my wife and I moved to New York City in 2001, recently graduated from college and newly wed, we were eager to find friends. We knew nearly no one but were sure we'd soon find a fun-loving group like the 20- and 30-something New Yorkers who spontaneously dropped in on one another onSeinfeld and Friends.
The Long: "The Crackin', Shakin', Breakin' Sounds"
by Nat Hentoff (The New Yorker circa 1964)
The second—and more influential—demiurge of the folk-music microcosm is Bob Dylan, who is also twenty-three. Dylan's impact has been the greater because he is a writer of songs as well as a performer. Such compositions of his as "Blowin' in the Wind," "Masters of War," "Don't Think Twice, It's All Right," and "Only a Pawn in Their Game" have become part of the repertoire of many other performers, including Miss Baez, who has explained, "Bobby is expressing what I—and many other young people—feel, what we want to say. Most of the 'protest' songs about the bomb and race prejudice and conformity are stupid.


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Letters to the Editor
Fair shares decades of rides, fun, education
For more than six decades, it has been a privilege for the Miami-Dade County Youth Fair & Exposition to "Share the Fun," the theme for this year's event at Tamiami Park, our home for 45 years.
The Youth Fair is all about family entertainment, from quality shows and thrilling rides, to great fair food. But its overall mission is to bring educational opportunities to our community's youth, showcase their achievement, and promote South Florida's agriculture industry.
More than 60,000 student exhibits will compete in judged categories. The best of what future generations hold for us, from roosters to robotics, will be on display to more than 600,000 fair guests.
Two new areas also are featured: "The Barn," home to our livestock, poultry and rabbit exhibitions and competitions, and "The Garden," showcasing a multitude of plants, flowers, crops and urban gardening and landscape designs.
Our Livestock Funding Program has given middle and high school students in public school agriscience programs the opportunity to purchase and nurture steers, hogs and lambs without posing a burden on their families' household budgets. The students spend many hours raising, caring for, training and grooming their livestock, learning not just animal husbandry skills but also life lessons, record-keeping, budgeting and marketing.
This year, more than $150,000 in academic scholarships will be distributed at the annual Scholarship Awards Dinner & Ceremony on May 11.
The Scholarship Program, created in 1958, is the affirmation of The Youth Fair's commitment to education, and more than $11 million have been awarded in scholarships, cash premiums and other awards to students since inception.
The Youth Fair & Exposition is a slice of Americana.
Help us share the fun with the community.
Robert Hohenstein, President and CEO


text: My X-Mas card this year features the Chub Brothers - characters that keep ending up in my sketches. They're twins, they're emotionally immature mamma's boys, they don't talk much, they love baseball but refuse to play, and are offspring of a push-over mermaid mother, and a solemn sea captain. They inherited their mother's fish-like qualities, but from the waist up instead.


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About Us
Transition 101
Transition Towns
Knowledge Hub
Please join us on Saturday, October 27, 2018 for this Watch Party and In-Person Celebration:
2185 Gravenstein Hwy. South, in Sebastopol (across from the flea market)
Suggested donation: $5 to $30 (no one turned away)
If you can - bring a snack or dish to share (we'll be providing wine and beer!)
Transition US cordially invites you to celebrate the 10th anniversary of the Transition Movement here in the US. While there are many different ways to do this, we are creating an interactive opportunity where members from all over the US can meet. At the Permaculture Skills Center in Sebastopol (where are Transition US offices are located), we will be both celebrating in-person and joining those from around the country in several recorded and live events. Here is the schedule. Feel free to join us for any or all of the festivities!
On Oct 27th, Transition US will offer two 45-minute, never-before-seen, pre-recorded keynotes, as well as two lively panel discussions with national movement leaders, and a live 75-minute, interactive session that will include an update by Transition US staff, brief celebratory shout-outs from Transition groups around the country, and the presentation of several awards to our grassroots network.
Hope to see you there!
P.S. If you prefer to watch and participate from the comfort of your home – here is how to register and set that up: https://www.brownpapertick
More info about the Online Summit can be found here.


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It would be impossible for me to have a successful ministry for the boys and girls of Hope Fellowship if I did not have the passionate, God-honoring team that I have. I am blessed to have a team that is truly committed to serving the families of Hope.
The question for me has always been, "How do I continually grow and develop this team to it's full potential?" If you are a kid's pastor long enough, you know that there are about a million things to do each week, so where do I find the time to 1) Recruit 2) Train 3) Encourage or 4) Communicate with more than 180 volunteers. There is no way 1 person can do all of this. That is why I have developed a brand new position for Adventure Kidz, the Volunteer Director. The Volunteer Director is responsible for anything and everything that happens with Volunteers. She (I only say she because right now the individual filling this position is a woman) assists me with every interview we have for new volunteers, she runs our New Staff Orientation Meeting, and she helps out with the recruiting process for all areas of Kids Ministry.
I have been blown away with the success of this position, and I will continue to post updates on the progress we are making.


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MakersThere are no makers yet
You need to become a Contributor to join the discussion.
I just finished this short ~10 min "experience". It's sooo weird.
tom meagher@tomfme
@rrhoover how on Earth did you find this?!
@thomasmeagher the internet is a weird place
Paul Tomkinson@paultomkinson · Founder, Textras
『Justin Pierce』@jtown_ · Founder, Overpowered Games
One of the favorite things I saw at GDC :)
Erik TorenbergHiring@eriktorenberg · Former Product Hunt
@jtown_ what else did you see at GDC that you loved? let's hunt it ;)
Allan Zhang@daspianist · Building mobile technologies.
I thought this was both a weird and a ... somewhat profound experience. It's difficult to really articulate how I felt at the end (it was quite brief), but I certainly didn't mind the price of admission. It felt almost like an art installation or performance you may see at the Guggenheim or MoMA. Also, really good music.
Jonah Keegan@arsblog · UX Analytics Architect
The preview makes this look like a playable Shel Silverstein cartoon, which sounds AWESOMAZING


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Custom Search
PGA Course Profiles - Profiles of the PGA Golf Championships - Golf Courses - Golf Course Profiles
PGA Tour - The Real Club de Golf de Sevilla Course
Home of the 2005 WGC - World Cup
Course Outline
Address: Autovía Sevilla-Utrera, Km. 3,2 ALCALA DE GUADAIRA 41500 SEVILLE Opened: 1995
Course Par: 72
Holes: 18
Male Yardage: 6529
Course Designer: José María Olazábal
The par-72 The Real Club de Golf de Sevilla is 6,529 yards from the championship tees. "It was designed 10 years ago and I did not think that in such a short space of time it would be able to hold such an important event. From an objective point of view, I am very proud and full of satisfaction," he said. In Olazábal's opinion, "over the last 10 years the course has matured greatly thanks to the quality of the grass and the planting of trees and vegetation." The Spanish golfer lays great stress on the course's length and difficulty around the greens. "The greens are very well protected by bunkers and that is where the difficulty and worth of the course is really apparent." Olazábal says that No. 15 "is probably the most complicated of all, depending on wind speed and direction. This is where the end of the round really gets interesting and becomes decisive. The arrival to No. 16, a par 5, is good and we will see a lot of birdies and a few eagles. No. 17 is a difficult par 3 and the fairway to No. 18 is going to be narrowed slightly in order to increase its difficulty." Olazábal further explained, "the course was built on an estate that was excessively flat, but it was landscaped to a great degree, in order to make it quite frankly, a good -- no -- a great course. It will be a hard test for all of the players since they will have to use all types of shots. They will have to use all of the clubs in their bag and the way I see it, the players will reach the par 5s well while the par 3s and 4s will be a real challenge."
Previous winners include, 1970 Australia (David Graham/Bruce Devlin) Buenos Aires, Argentina * 1971 United States (Jack Nicklaus/Lee Trevino) Palm Beach, USA * 1972 Taiwan (Hsieh Min-Nan/Lu Liang-Huan) Melbourne, Australia * 1973 United States (Johnny Miller/Jack Nicklaus) Marbella, Spain * 1974 South Africa (Bobby Cole/Dale Hayes) Caracas, Venezuela * 1975 United States (Johnny Miller/Lou Graham Bangkok, Thailand * 1976 Spain (Manuel Pinero/Seve Ballesteros) Palm Springs, CA, USA * 1977 Spain (Antonio Garrido/Seve Ballesteros) Manila, Philippines * 1978 United States (John Mahaffey/Andy North) Princeville Makai, Hawaii, USA * 1979 United States (John Mahaffey/Hale Irwin) Athens, Greece * 1980 Canada (Dan Halldorson/Jim Nelford) Bogota, Colombia * 1981 No Tournament * 1982 Spain (Manual Pinero/Jose-Maria Canizares) Acapulco, Mexico * 1983 United States (Rex Caldwell/John Cook) Jakarta, Indonesia * 1984 Spain (Jose-Maria Canizares/Jose Rivero) Rome, Italy * 1985 Canada (Dave Barr/Dan Halldorson) La Quinta, CA, USA * 1986 No Tournament * 1987 Wales (Ian Woosnam/David Llewellyn) Maui, Hawaii, USA * 1988 United States (Ben Crenshaw/Mark McCumber) Melbourne, Australia * 1989 Australia (Peter Fowler/Wayne Grady) Marbella, Spain * 1990 Germany (Bernhard Langer/Torsten Giedeon) Orlando, FL, USA * 1991 Sweden (Per-Ulrik Johansson/Anders Forsbrand) Roma, Italy * 1992 United States (Fred Couples/Davis Love III) Madrid, Spain * 1993 United States (Fred Couples/Davis Love III) Orlando, FL, USA * 1994 United States (Fred Couples/Davis Love III) Dorado, Puerto Rico * 1995 United States (Fred Couples/Davis Love III) Shenzhan, China * 1996 South Africa (Ernie Els/Wayne Westner) Cape Town, South Africa * 1997 Ireland (Padraig Harrington/Paul McGinley) Kiawah Is., SC, USA * 1998 England (Nick Faldo/David Carter Auckland, NZ * 1999 United States (Tiger Woods/Mark O'Meara) Kuala Lumpur, Malaysia * As World Golf Championships-World Cup 2000 United States (Tiger Woods/David Duval) Buenos Aires, Argentina * 2001 South Africa (Ernie Els/Retief Goosen) Gotemba City, Japan * 2002 Japan (ShigekiMaruyama/Toshi Izawa) Puerto Vallarta, Mexico * 2003 South Africa (Trevor Immelman and Rory Sabbatini) Kiawah Island, USA * and more.
[Back to PGA Course Profiles]


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designer: rue du mail
season: fall/winter 2013
date+time: wednesday 27 feb 2013 19:00
duration: 00:00 / 00:00
location: paris
collection: women ready to wear
editor: dimitri dubrowskyj
to see detailed photographs of this collection, click here.
You need the latest Adobe Flash Player to view this content. Click here to download and install it free of charge.


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RealConnex has useful information for your friends are colleagues. If you find a profile, post or company that can help someone else, there are several ways to share.
You can also use this feature to promote your own profile, company and posts!
To access all these functionalities, click on the Engagement Widget icon:
and then on Share:
Share on Social Media
You can click on the Facebook, Twitter, or LinkedIn icons to share on social media. Follow the steps after you click on them.
Share using a link
You can use the link to share anywhere you want... a message, an email, documents, a chat, or social media.
Simply click on the copy icon or select the text and copy it. You can paste it whenever you need it.
Via Email
You can also share the link with a nice personalized message. In the "To:" field you can add one or multiple recipients and these can be: a connection on RealConnex, an email address, a RealConnex contact from your Address Book, or even an entire group.


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GVK Power and Infrastructure said it has sold its residual 10% stake in Bangalore International Airport to Fairfax India Holdings for Rs.1,290 crore. The move will help it reduce "debt burden" and focus on its Mumbai and Navi Mumbai airports, the company said.
The transaction is slated to be completed in July , after which GVK's co-chairman, GVK Reddy, and managing director, Sanjay Reddy , will resign from the airport's board and management, a person close to the development said, requesting anonymity .
On March 24, GVK had sold 33% stake in the airport to Fairfax, the Indian unit of billionaire Prem Watsa's investment company , for Rs.2,202 crore.
Fairfax has also bought another 5% in the airport company from Flughafen Zurich AG, taking its holding to 38%. The latest deal takes its total ownership in India's third-busiest airport to 48%.
GVK had bought 12% stake in the airport company from Zurich Airport in November 2009 and followed it with a 17% stake buy from Larsen & Toubro. In 2012, it increased its stake to 43%, buying shares from Siemens Project Ventures GmbH.
Siemens Project Ventures will now hold 26% while the governments of India and Karnataka will own 13% each.
BIAL is Fairfax group's largest investment in the country since it opened an India-dedicated investment company in 2014. It is also the company's biggest bet on India's infrastructure sector.


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Assassin's Creed 4 Game News
Ubisoft is now taking on Pirates in the next and due installment of it's Assassins Creed Series, The Assassins Creed 4 | The Black Flag, will be launched in October.
|Assassin's Creed 4 | The Black Flag will be set in the age of Pirates
Assassins Creed 4 | The Black Flag is expected to feature full naval combat as well as a diving mode, all interspersed with the familiar Assassins Creed trips back to the modern day. There are reported to be 50 different caribbean locations to explore and developers have said they have focused on making a game that gets moving more quickly than last year's title, which was criticized for it's slow start.
Players will also be able to take to the seas to hunt vessels to board and plunder, gaining riches which can be used to hire a larger crew and upgrade the ship. The game will also feature appearances by famous pirates from the history, including Blackbeard developers have said.
Assassin's Creed 4 Trailer
Assassin's Creed 4 Trailer 2
Assassin's Creed 4 Trailer 2 Discusses The Pirate Assassin
Edward, like the Assassins who came before him, prefers to rock the white hoodie look. He has a retractable hidden blade on his wrist. His main weapon in battle is a sabre, and he's able to fight off multiple opponents at once.
There are plenty of nods to his pirating ways, though. He has a skull and bones emblem on his shoulder. He's wearing multiple flintlock pistols so he can fire multiple shots without having to reload. The trailer also shows him smashing a glass bottle over an opponent's face - a trick he learned in a bar fight, maybe?


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- Research article
- Open Access
- Open Peer Review
Prevalence and management of antibiotic associated diarrhea in general hospitals
© Elseviers et al.; licensee BioMed Central. 2015
- Received: 11 April 2014
- Accepted: 4 March 2015
- Published: 17 March 2015
Antibiotic-associated diarrhea (AAD) is a common adverse effect of antibiotic (AB) treatment. This study aimed to measure the overall prevalence of AAD (including mild to moderate diarrhea) in hospitalized AB treated patients, to investigate associated risk factors and to document AAD associated diagnostic investigations, contamination control and treatment.
During 8 observation days (with time delay of 10–14 days between each observation day), all adult patients hospitalized at an internal medicine ward of 4 Belgian participating hospitals were screened for AB use. Patients receiving AB on the observation day were included in the study and screened for signs and symptoms of AAD using a period prevalence methodology. Clinical data were collected for all AB users and AAD related investigations and treatment were collected for the entire duration of AAD. Additionally, nurses noted daily the frequency of all extra care associated to the treatment of the diarrhea.
A total of 2543 hospitalized patients were screened of which 743 were treated with AB (29.2%). Included AB users had a mean age of 68 yr (range 16–99) and 52% were male. Penicillins were mostly used (63%) and 19% received more than one AB. AAD was observed in 9.6% of AB users including 4 with confirmed Clostridium difficile infection. AAD started between 1 and 16 days after AB start (median 5) and had a duration of 2 to 41 days (median 4). AAD was significantly associated with higher age and the use of double AB and proton pump inhibitors. AAD patients had extra laboratory investigations (79%), received extra pharmacological treatment (42%) and 10 of them were isolated (14%). AAD related extra nursing time amounted to 51 minutes per day for the treatment of diarrhea.
In this observational study, with one third of hospitalized patients receiving AB, an AAD period prevalence of 9.6% in AB users was found. AAD caused extra investigations and treatment and an estimated extra nursing care of almost one hour per day. Preventive action are highly recommended to reduce the prevalence of AAD and associated health care costs.
- Antibiotic use (AB)
- Antibiotic associated diarrhea (AAD)
- Clostridium difficile infection
- AB use point prevalence
- AAD prevalence
- Contamination control
- AAD related nursing care
In Europe, about one third of patients receives antibiotic (AB) therapy during hospitalization. Highest frequencies of AB treatment are observed in intensive care units and in surgical and internal medicine departments [1]. A common adverse effect of AB treatment is the development of antibiotic-associated diarrhea (AAD) with symptoms ranging from mild to severe attacks [2]. Most of the cases are benign and resolve under symptomatic treatment. Particularly if the diarrhea is associated with a Clostridium difficile infection, symptoms are more severe and can lead to a fulminant, relapsing and occasionally fatal colitis [3]. AAD, and particularly the more severe forms of Clostridium difficile infection, may result in increased diagnostic procedures, extended hospital stay and increased medical care costs [4,5].
The global prevalence of AAD, with inclusion of the mild to moderate attacks without further clinical diagnostic evaluation, is not well established. Attack rates vary depending on the antibiotic used, the epidemiological setting and the host [3]. Increased frequencies are found in children and advanced age. Additionally, underlying illness, recent surgery and drugs that alter bowel motility are factors that increase the risk of AAD development [2]. Reported prevalence ranges from 3.2 to 29.0%. Based on a recently published meta-analysis of RCTs investigating the value of probiotics for the prevention of AAD, we calculated a weighted prevalence of AAD of 14% in the control populations [6]. Among all AAD cases, 10 to 20% are associated with Clostridium difficile infection [7] resulting in a mean estimated incidence in Belgian hospitals of 0.91 per 1000 hospital admissions in 2011 [8].
Using the methodology of a point prevalence investigation to check for antibiotic use, this study aims to measure the period prevalence of AAD in hospitalized patients in the northern part of Belgium and to document the associated diagnostic investigations, contamination control and extra nursing care for the treatment of diarrhea.
One university hospital and three associated regional hospitals in the northern part of Belgium participated. Within these hospitals, all wards of the internal medicine department were included with exception of pediatric wards.
Selection of patients
During the study period (January-April 2013), a research nurse visited all participating wards at time intervals of 10 to 14 day between observations. At each observation day, all hospitalized patients were screened for AB use. Patients were included in the study if over 16 years, hospitalized at the participating ward and treated with AB at the observation day (Figure 1).
Sample size calculation
During the study period, an occupation rate of 20 patients per ward was expected. Given a total of 19 participating wards, about 380 patients could be screened for AB treatment at each observation day, resulting in a total of 2660 patients screened at the end of the study (i.e. after 8 observation days). With an expected frequency of 30% of patients treated with AB [1], 798 patients were expected to be included. Based on the estimation of 14% of patients that might develop AAD [6], the total number of AAD patients eligible for observations of AAD related diagnostic procedures and treatment would be 112. Using this sample size, the estimation of a 14% prevalence of AAD would have a 95% confidence interval of 11.6-16.4.
Data collection
A patient checklist was used by the nurse researcher to collect data on personal characteristics (age, gender, ADL, dementia), hospitalization admission and discharge dates, AB treatment (start and stop date, type of AB prescribed) and clinical conditions known to increase the risk for the development of diarrhea (inflammatory bowel disease, diabetes, COPD, HIV, transplantation, chemotherapy, radiotherapy, endoscopy, abdominal surgery, use of proton pump inhibitors and nasogastric tubes) [2,3,9]. In case of diarrhea, start and stop dates were noted together with associated diagnostic procedures (laboratory tests, endoscopy, etc.), contamination control and diarrhea treatment (IV hydration, medication). AAD related investigations and treatments were collected for the entire duration of AAD.
Additionally, a checklist of nursing care for patients with diarrhea was completed by the treating nurses from the day of inclusion up to a maximum of seven consecutive days or until the end of the diarrhea period. Nurses noted per day of treatment the frequency of all extra care associated to diarrhea.
Diagnosis of AAD
A chart review of the nursing files of all included AB patients, completed with information from the treating nurse, was performed aiming to identify signs and symptoms of diarrhea. In all included wards, it is part of the clinical practice to screen daily for diarrhea and to note the results of the screening in the patient's nursing files. The period prevalence of AAD was estimated by screening the charts of patients for diarrhea at the day of inclusion (= the observation day) as well as in the week before the inclusion day and the week after the inclusion day (Figure 1). Date of start and discontinuation of AB treatment as well as date of first signs and end of diarrhea were carefully noted.
The diagnosis of AAD was based on the most commonly used definition found in literature [2,3,6,10]. Based on the collected data, patients were considered as having diarrhea if a change in normal stool frequency was observed with at least three loose or watery stools per day for at least two consecutive days. Additionally, start dates of AB use and the development of diarrhea were compared and the diagnosis of AAD was made when the first signs and symptoms of diarrhea occurred after the start of AB use.
AAD related nursing care
We compiled a list of all possible extra nursing care actions related to diarrhea. The list was developed by the research nurses in collaboration with their colleagues, all working in the internal medicine department. Selected diarrhea related actions were: (1) assistance to go to the bathroom, (2) assistance for using a bedpan, (3) extra hygienic care, (4) replacement of bed linen, (5) replacement of incontinence material, (6) prevention of moisture injuries, (7) treatment of moisture injuries and (8) care for hydration.
Apart from the checklist used to register the frequency of extra nursing actions related to the care of diarrhea, a separate investigation was performed to estimate the working time needed to perform these extra actions. For this purpose 18 nurses working at internal medicine wards filled in a separate questionnaire with their estimation of the time needed to perform each of the registered actions. This data was analyzed by calculating the median, mean and trimmed mean time of care. Results were presented to an expert panel of 6 experienced nurses with a master degree and working in internal wards. Finally, standard time needed to perform each action was reached by consensus.
Statistical analysis
Data analysis was performed using the statistical package IBM SPSS statistics, version 20.0 [11]. Mainly descriptive statistical methods were used to calculate the prevalence of AAD and to describe patient characteristics, associated risk factors, clinical course of diarrhea, diagnostic procedures and treatment of AAD patients. Differences in characteristics between AAD and non-AAD patients were analyzed using independent sample t-test (or Mann–Whitney-U test for skewed distributions) and chi-square test for means and proportions respectively. Logistic multiple regression analysis was performed to investigate risk factors associated with the development of AAD.
The time spent on diarrhea associated nursing care was calculated by multiplying the frequency registered for each action over the entire AAD observation period by the standard time for each action. The sum of total time spent to each action was divided by the number of observation days to obtain a daily mean time of AAD related nursing care. A level of significance of p < .05 and a confidence interval of 95% were used.
Ethical considerations
Approval by the local ethical commission was given in January 2013 (EudractB009201216119/ECapproval4105s and B.U.N. 143201215730). Since inclusion of the total eligible population is a basic requirement for a trustful prevalence measurement, we had a long discussion with both ethical commissions to obtain a special permission to perform this study without informed consent. Permission was obtained under the condition that (1) the researchers had no any direct patient contact, (2) data were provided by the treating nurse based on the medical chart, and (3) data were completely anonymized before handed over to the researcher.
Description of the study population
Description of the population
Total sample of AB users n = 743
Comparison between nonAAD and AAD patients
nonAAD n = 672
AAD n = 71
pvalue of difference
Demographics characteristics
Age (yrs) mean (range)
67.7 (16-99)
67.3 (18.1)
71.9 (16.8)
Gender% male
Clinical characteristics
Transfer from other ward
ADL score (6-24) mean (SD)
12.3 (5.7)
12.0 (5.6)
14.2 (5.8)
Disorientation score (2-8) mean (SD)
2.9 (1.7)
2.9 (1.6)
3.5 (1.9)
Risk factors for diarrhea
Inflammatory bowel disease
Proton pump inhibitors
Tube feeding
Endoscopic procedures
Abdominal surgery
Risk score (sum of factors) mean (SD)
1.5 (1.1)
1.5 (1.1)
1.9 (1.1)
Antibiotic use before diarrhea
More than one antibiotic prescribed
Type of antibiotics*
Other ab
Prevalence of antibiotic associated diarrhea (AAD)
Comparison between non-AAD and AAD patients
Patients with AAD were older, used more different antibiotics, had more problems with activities of daily living (higher ADL score), showed more disorientation in time and place (higher disorientation score) and had more risk factors associated with the development of AAD compared to non-AAD patients (see Table 1, comparison between AAD and non-AAD patients). Particularly a significant higher use of proton pump inhibitors, endoscopic procedures and decubitus was found in AAD patients. The type of antibiotics used by AAD and non-AAD patients did not differ.
Patients with AAD had a significant (p = 0.008) longer hospital stay compared to non-AAD patients with a median (range) of 21(5–122) and 14(1–238) days, respectively.
Characteristics associated with the development of antibiotic associated diarrhea
Risk factors associated with the development of AAD
Associated factors
Age > 70y
2.22 (1.30-3.77)
2.41 (1.39-4.18)
More than one AB
2.05 (1.19-3.51)
2.27 (1.30-3.98)
ADL score (6-24)
1.07 (1.02-1.11)
Disorientation score (2-8)
1.23 (1.09-1.39)
Risk score (sum of risk factors)
1.42 (1.14-1.75)
Proton pump inhibitors
1.97 (1.16-3.32)
1.98 (1.15-3.43)
Endoscropic procedures
1.94 (1.09-3.45)
1.57 (0.94-2.63)
19.45 (1.74-217.24)
32.11 (2.82-366.13)
University Hospital
1.70 (1.03-2.80)
2.50 (1.34-4.67)
2.34 (1.23-4.47)
Investigation of antibiotic associated diarrhea
AAD related outcome and actions
AAD related investigations
n = 71
Standard bacteriological investigations (n)
Specific for clostridium (n)
Other bacteriological investigations (n)
Additional investigations (endoscopy) (n)
AAD related treatment
n = 71
Patient isolation in single room (n)
Pharmacological treatment
-Probiotics (enterol) (n)
-Antidiarrheal (loperamide) (n)
-Antibiotics (n)
-Antiparasitics (flagyl) (n)
IV hydration (n)
AAD related nursing care
Extra daily nursing care time median (range)
51.3 (5-154)
Treatment of antibiotic associated diarrhea
Only one of the AAD positive patients received an extra diagnostic investigation (endoscopy). Patient isolation (all with transfer to a single room) was applied in 10 patients (14% of AAD patients), including those four patients tested positive for Clostridium difficile. The median duration of isolation was 10 days. Pharmacological treatment of AAD was applied in 19 patients (27% of AAD patients) and consisted in the discontinuation of the original AB treatment (3 patients) and the prescription of probiotics (9 patients), antidiarrheals (9 patients), antibiotics (1 patients) and antiparasitic products (3 patients). Additionally, 11 patients received IV hydration (Table 3). Among the four patients with Clostridium difficile infection, pharmacological treatment was limited to one patient receiving an antiparasitic product, one patient receiving one antiparasitic and one antibiotic product and one patient receiving IV hydration.
Extra nursing care related to antibiotic associated diarrhea
Our study revealed that one out of three patients hospitalized in internal medicine departments received AB treatment. Of these 743 AB users, 9.6% developed diarrhea that could be associated to AB use. Half of the patients with diarrhea underwent biological testing for Clostridium difficile (4 positive) and 10 patients were isolated.
Strengths and limitations
A literature research revealed that reported incidences of AAD were undetermined showing a wide variation between population studies and clinical trials (reviewed by McFarland, 2008) [2]. The main contribution of this study is that our primary objective was to determine the overall prevalence of AAD (including uncomplicated cases) in all patients hospitalized in internal medicine departments and treated with AB. Moreover, we used a methodology enabling to distinguish patients being treated with antibiotics for diarrhea and patients developing diarrhea after the start of antibiotic treatment. By carefully documenting the start time of AB treatment and first symptoms of diarrhea, we had to exclude 27 patients (out of 98) with diarrhea from the AAD group since first signs of their diarrhea were observed before the start of AB treatment.
Based on control groups of clinical trials included in a recent review by Hempel and colleagues [6], we calculated a weighted prevalence rate of 14%. In our AAD study we found a lower prevalence of 9.6%. There are several reasons to think that our study slightly underestimated the real prevalence of AAD. First, our observations for the detection of diarrhea were limited to seven days post inclusion, while first signs and symptoms might have occurred later on. Second, we found a slightly higher prevalence in the university hospital where an electronic patient chart was used with the requirement to register nursing related problems per shift. It might be that this rigorous electronic registration system enabled faster and more complete registration of diarrhea (compared to the handwritten chart in the other hospitals), particularly in case of mild symptoms over a limited time period.
Most health economic studies investigating the health care costs associated with AAD, concentrated on Clostridium difficile associated cases [4,5]. Positive in our study was to focus on all AAD patients and to study extra nursing care for the treatment of diarrhea. Our observation that caring for a patient with diarrhea is rather labor intensive (amounting to 51 extra minutes of care per day) seems worthwhile to take into account in future health economic evaluations of AAD. Limitations were that (1) we only estimated the time spent per day for this extra treatment (not including cost calculations or extra requirements for patient isolation), and that (2) observations were limited to patients showing clear signs and symptoms of diarrhea at the observation day. As a result, patients included in this subsample had a longer median duration of diarrhea compared to patients in the complete sample.
General discussion
Our point prevalence measurement of 29.7% of AB users is comparable with the results of the ESAC survey in European hospitals using the same methodology [1]. Based on a sample of 5 hospitals per country and including 37352 admitted patients in the ESAC project, a global point prevalence of AB treatment of 28.6% was registered, increasing to 29.8% in internal medicine and to 58,3% in intensive care units. For Belgium, ESAC reported an overall point prevalence of 27.7% in 2009.
In our sample, 4 patients screened positive for Clostridium difficile. Comparing this figure proved difficult as published rates are calculated in a variety of ways, using different denominators. In the review of McFarland [2], incidence rates for Clostridium difficile associated diarrhea ranged from 3.5/10000 to 18.5%. Asha and colleagues started from a sample of fecal specimens systematically tested for Clostridium difficile cytotoxins and reported a prevalence of 12.7% [9]. On the other hand, the Belgian Scientific Institute for Public Health found an incidence of 0.91 per 1000 hospital admissions based on collected reports of collaborating Belgian hospitals [12]. Depending on the denominator, we can present the incidence of the 4 positive patients of our study as 0.16% (4/2,543 patients screened during the observation days), 0.54% (4/743 patients with AB at the observation days) or 5.63% (4/71 patients with AAD). A more uniform system to report incidences with clear information about the denominator used is highly recommended in this domain.
Several health economic studies focused on the health care costs related to Clostridium difficile associated diarrhea showing that these patients had a significant increase in hospital costs mainly associated to a longer length of stay [4,13,14]. Dubberke and colleagues pointed to the additional increased health care costs observed 6 months after the initial hospitalization period [5]. In health economic studies, the costs associated to the much more prevalent but less severe AAD cases were not included. In our study, we took a first step to this calculation with the estimation of the extra nursing time spent for the treatment of AAD patients enabling to calculate associated extra costs for nursing care and material in a later phase of our study. In the study we also observed differences in the total hospital length of stay in AAD and non-AAD patients. Among AAD patients, those with a Clostridium difficile infection had a median hospitalization of 43.5 days (range 24–51). These differences in length of stay are not corrected for any confounding factors and needs further analysis.
Our study showed that probiotics were very rarely used for the prevention of AAD with only 4 out of 743 AB users (0.5%) receiving a probiotic treatment before the occurrence of diarrhea. The use of probiotics (particularly the non-pathogenic yeast Saccharomyces boulardii) for the prevention of AAD gained increasing attention in recent years [10,15]. Meta-analyses of studies focusing on the prevention of AAD in general revealed that preventive treatment with Saccharomyces boulardii halved the risk of AAD development [6,16,17]. In the light of these promising results, a cost-effectiveness analysis of preventive probiotic use in AB users is highly recommended to support a more generalized use of probiotics in clinical practice.
In this study, with one third of hospitalized patients receiving AB treatment, an AAD period prevalence of 9.6% in AB users was found. AAD was associated with extra investigations, extra treatment and extra time of nursing care of almost one hour per day. Preventive actions are highly recommended to reduce the prevalence of AAD and associated health care costs.
We acknowledge the contribution of Patrick Lacor and Martine Mul for the local coordination and supervision of the data collection.
Authors' Affiliations
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.


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Hello, readers, happy Wednesday! I have been back from some epic vacationing for about a week now and finally found time to blog again. It's been a while since I did a workout post, and I thought recording a week when I was doing some traveling might be helpful for anyone who is trying to figure out how to fit in workouts during summer trips. I was fortunate to have two of these days right near a beach, and one night in a hotel that had a gym, but the other days I was making due in small spaces with no equipment. After the beach days, this schedule doesn't look very different from my normal weeks of exercise (I love the flexibility of the YouTube workouts whether I'm away from home or not), but these can definitely work for travel as well!
Saturday: 1 mile run (on the beach!); 30 day ab challenge; 50 full squats, 50 burpees, 50 air squats; light yoga on the beach
Sunday: 2 mile treadmill run; 40 push-ups/80 tricep dips (alternating 20 and 40); 30 day ab challenge; 3 sun salutations
Monday: Melissa Bender 15 min HIIT; Amanda Russel Burpee Insanity; 30 day ab challenge; 15 minute yoga flow
Tuesday: PurelyTwins 18 minute HIIT; 30 day ab challenge; Pop Fitsugar Calorie Burning Cardio; 3 sun salutations
Wednesday: ZWOW #9; Fitsugar Cardio Sweat; Tone It Up Yoga
Thursday: 1 mile run; 30 day ab challenge; PurelyTwins Upper Body Workout; Tone It Up Yoga
Friday: Melissa Bender 23 Minute HIIT; 30 day ab challenge; FitSugar Yoga
A note about that pic of me in a two-piece: This is the first time ever in my life that I have worn a bikini. This is not because I am thinner than I have ever been (on the contrary), but rather because I am more accepting of my body than I ever have been. It was incredibly liberating and emotional for me to walk around on a beach like this. After about 18 years of struggling with body hate, feeling good in a bathing suit felt like a really big fucking deal.
I think there are a lot of reasons that I have reached this point. Part of it is that I'm just too tired to exert the energy it takes to be so preoccupied with not having a "perfect" body. It's exhausting. Part of it is that I feel really strong—-becoming a Sculpt teacher this year was really helpful for me feeling confident about not what my body looks like, but what it can do. Part of it is probably due to Lena Dunham (seriously. I know her feminist politics aren't perfect, but her body confidence is super powerful to me). And part of it is absolutely due to the inspiration I get from Lacy Davis. Lacy has an incredible ability to motivate others through her amazing relationship to food and health. I talk about her a lot, but I do it because this grrrl has changed my life for the better. Thank you, Lacy! (And if you are struggling with body image, I cannot recommend her blog enough, and I would also highly recommend thinking about getting health coaching from her.)
What workouts do you like to do while traveling? What workouts, in general, have you been enjoying lately?