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Memories of the fall of 2016 and its impacts on pasture availability and cow nutritional status are still fresh on most every Alabama cattle producer's mind. As fall calving programs move past the breeding season and spring programs focus on this important time, many producers are likely scratching their heads as to what impacts the drought may have on their cowherd's breeding season success. This is rightly so, as lowered grazing availability likely led to some loss of body condition in many herds, and stand loss may leave some producers without adequate summer forage emergence.
The drought's effects on your herd's breeding season can be closely tied to the nutrition you were able to provide your animals to maintain their body condition score (BCS) throughout the calving and breeding season. Cows that calved at BCS lower than five could have experienced poor performance in the breeding season for two reasons:
1. Cows that calve at a BCS lower than five take more time to return to cycling than their BCS 5+ herdmates. Expect thin animals at calving to take an added 20+ days to return to cycling past their appropriately conditioned herdmates.
2.Animals that have a BCS lower than five during the breeding season experience lower pregnancy rates per breeding. Animals of BCS 4 or lower may experience a conception rate 10-30% lower than their BCS 5+ pasture mates.
Follow these two links (link 1, link 2) to learn more about BCS and its impact on pregnancy outcomes in your herd.
These facts are helpful in managing cattle to have a successful breeding season, but if the season has passed and you are questioning exactly what impact the drought had on your operation's reproductive success, keep this factor in mind:
You can know the pregnancy status of your herd quickly and economically. It is extremely important to perform annual pregnancy examination in your herd to identify and cull open cows. However if you are resistant to pregnancy check your herd, keep in mind that this year may be the most important year to implement this management practice. If cows became thin during the breeding season and you move forward on "faith alone" until calving time, there is a very high chance that you will experience lower calving rates than you had hoped for or seen in previous years. Pregnancy check cows 60 days after the conclusion of the breeding season or at calf weaning time to gain a true perspective on your herd's reproductive status. With no pregnancy exam, you may feed open cows for 6-7 months before realizing that there is a problem. Without this information, you cannot manage your herd for profit potential as you look into the near future. Click here to read more about pregnancy exam options and how such knowledge can impact your herd.
Once you know your herd's pregnancy status, you can make management decisions to increase your profitability outlook. You will also have tools to help you cull appropriate animals if the drought returns.
1. You will know which cows are not doing their job. Regardless of your breeding season existence or length, cows that are not pregnant by the time of traditional calf weaning are not performing up to par. These animals are keeping you from reaching your profit potential and are consuming resources away from their herdmates. They need to go – even if they may become pregnant after weaning. Keeping such animals will only lower your herd's overall reproductive performance and slowly suck dollars from you bottom line.
2.You will know what to expect for the upcoming calving season. If the drought led to thin cows at calving and breeding, you may have a higher percentage of late calving animals. Knowing your expected calving distribution will help you divide your manpower at calving time and begin thinking of a plan for calf marketing and how to manage cows to calve earlier in subsequent years.
3. You can combine body condition scoring with pregnancy examination to help identify thin, pregnant cows that may need additional supplementation to improve their condition before calving. Remember, we want cows to calve at a BCS 5-6. Post weaning is the best time to improve condition on thin cows. Evaluate your pasture availability and consider your ability to get weight on thin cows. Keep in mind that cows should gain about 80 pounds to improve one BCS. It is critical to return thin cows to an acceptable BCS before calving to limit the negative impacts of last year's drought on your herd. If you do not have adequate pasture for such gains, you will need to supplement feed. Thin, pregnant cows with low production records may be a logical culling option if pasture availability is low and you do not have the resources to supplement feed.
If you have a large number of open cows at pregnancy check, you may be faced with hard decisions. There are several options to successfully move past this disheartening news:
1. Evaluate your cowherd. Discover possible reasons for the very low pregnancy rates. What is the herd average BCS? Were many cows of all ages open, or just your 2-3 year olds? What is the bull's BCS and age? What was your bull:cow ratio? Did the bulls pass a breeding soundness exam before the breeding season?
2.Thin cows can be expected to gain weight at calf weaning if adequate grazing or supplement is available. If calves are still nursing and you are early in the breeding season, consider early weaning to allow cows to gain weight and hopefully avoid the low pregnancy rates we are currently discussing. Follow these two links to learn more about early weaning options (link 1, link 2)
3. If your breeding season is well over, consider the advantages and disadvantages of converting to a spring and fall calving season. In some herds, this management scheme works extremely well. Thin, open cows at this year's pregnancy check can be moved to the opposite breeding season to reduce culling rates and still maintain a defined calving season. It is important to maintain a strict culling of animals in subsequent years to avoid creating a "reproductively lazy" herd. Using this second breeding season to strategically produce bred cows for sale versus open cull cows is also a viable option.
4.Retain your high standards. If your pasture availability is very low and you need lower stocking rates for your fields to recover, these open cows may be just your ticket. Culling of higher than normal numbers of open cows will lead to an increase in immediate monetary intake while decreasing your stocking rates for the near future as your pasture recovers. Rebuild your herd as your forages recover.
If the drought wreaked havoc on your breeding season, remember that it may take a few years to return to an ideal breeding season length. However, through proper management strategies of correct nutrition, strict culling, and replacing open or late calving animals with early calving heifers or purchased cows you can recover your herd from possible impacts of the 2016 drought.
If you have questions about determining and improving your herd's reproductive performance, contact myself or other members of the ACES Animal Science and Forages Team.
Sarah Dickinson, M.S.
Regional Extension Agent I – Animal Science & Forages
Alabama Cooperative Extension System
Ph.D. Student – Reproductive Physiology / Molecular Genomics
Cell: 256-537-0024
Office: 256-825-1050
Serving Chambers, Clay, Cleburne, Coosa, Lee, Randolph, Shelby, Talladega, and Tallapoosa Counties


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The Manual is issued to promote a uniform standard of traffic control associated with Special Events, Incident Management, and Work Area Protection along the streets and highways of the District of Columbia. The standards, policies, and objectives contained in this Manual are intended to furnish information and guidance to personnel authorized to do work on the highway right of way and are not intended to establish a legal requirement for installation.
Traffic control devices shall be defined as all signs, signals, markings, and other devices used to regulate, warn, or guide traffic, placed on, over, or adjacent to a street, highway, pedestrian facility, or bikeway by authority of a public agency having jurisdiction.
The guidelines provided in this manual may be used as a resource in preparing a traffic control plan to submit with your public space permit application for your proposed work zone or construction staging area on public space.
To regulate, warn, or guide traffic.
Program at a Glance
Program Title: Temporary Traffic Control Manual
Agency: District Department of Transportation
Office: Planning and Sustainability Division (PSD)
Type: Administrative

subset: commoncrawl


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Butterflies are curious creatures. Do they have any sense of their previous existence as munching, crunching, gobbling caterpillars I wonder?
Here are some new painted Butterfly paper cuttings approx A3 in size.
These new butterfly paper cuttings incorporate the elements of Earth, Water, Air, Fire, and Aether.
Earth is where they come from and ultimately where they return to when they die. Fire is the energy that helps them metamorphose from caterpillar to butterfly. Air is where they feel most at home as they ride the breezes and currents from flower to flower. Water is what sustains and feeds them in the form of nectar. Aether is the life giving energy that surrounds everything.
Each of these Elemental Paper Cut Butterflies represents a different element.
Water Butterfly
Earth Butterfly
Fire Butterfly
Earth and Fire dancing together
There are more to come!


text: Getting Started With Solar in Tucson Posted February 27, 2015 Over the years, obtaining solar energy has been thought of as being costly and unattainable for many people. However, more recently there have been systems available to the average person so that they can begin making use of the incentives that solar energy can provide. Whether it's a portable panel to charge a mobile device or adding a panel to power an HVAC system, solar is beginning to expand its reach. Of course with that advancement is a little hesitation, but once you understand how to get started with solar energy, you can notice a difference almost immediately. Not to mention you can reduce your carbon footprint, reduce your emission of greenhouse gases and boost your home's efficiency while you're at it. Solar HVAC systems are capable of controlling more than just your heating and cooling needs too. They can power other devices in your home, such as your lights, appliances, and even your huge TV. It's probable that adding a solar energy system to your home can cause you to take in more energy than needed, and if that turns out to be the case, the additional power gets sent back to your energy company. That also means there's a chance for you to receive rebates or credits for the surplus energy. So how can you start utilizing the benefits of solar energy? Talk with a professional from Ambient Air about using solar energy. Professionals like the ones at Ambient Air in Tucson can give you a no-cost consultation and help you understand the process of adding solar into your energy mix. Roofs that have exposure to the sun from the south usually reap the best results. During your consultation you should have tests performed to get a better idea of how much energy you could expect to gather each month. The consultation will also assist you in determining whether or not your roof is large enough to add solar panels to it. Keep in mind that even if you only decide to add one panel, you can make an impact in decreasing your energy consumption and your monthly energy bills. Check with your local utility company to see if it offers any rebates for utilizing solar technology. Many companies offer rebates or credits for people who use solar energy, so make sure you're saving the most money every month. Taking advantage of all the benefits solar energy can give you is a lot simpler than most folks realize. Why not take the first steps to decreasing your impact on the environment while also helping lower your monthly energy bills. If you'd like to know more about your solar energy options, contact Ambient Air in Tucson at 520-201-3871. Back To Blog


text: OpenEcoSys-NetworkViewer is a cross-platform Qt4 GUI used to interact with distributed embedded nodes on the network. The modular interface supports multiple transmission media and protocols. Real-time graphical visualization of remote variables hosted on embedded devices is made possible by a software stack called NETVProtocolStack and Arduino compatible boards and Microchip PIC (8,16, 32 bits) micro-controllers are supported. Logging facilities and JavaScript scripting are also available through a plug-in mechanism to interact with the remote variables. A plug-in mechanism is also available to implement new protocols and support new communication hardware.


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Make your Halloween so sexy it's scary by choosing from these sexy costumes at Lingerie Diva. Our huge selection of form-fitting and figure-flattering looks is sure to get you plenty of attention when you're out for this spooky holiday. You'll love that there are so many sexy costumes from which to choose; after all, there's no fun in wearing the same thing as everyone else. With an adult Halloween costume from Lingerie Diva, you're sure to stand out from the crowd.
Thank you for shopping at Lingerie Diva. We offer over 7000 sexy lingerie items at the lowest prices. You are viewing the Sexy Costumes page. Check back often as we add new Sexy Costumes frequently.


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Blue Jays score first, but keep sliding behind Redmond
Righty exits in five-run fourth inning as Astros take opener in Houston
HOUSTON -- The Blue Jays traveled to Houston with the hopes of turning around their disappointing road trip against the last-place Astros, but instead hit a new low.
Toronto found itself down and out after the fourth inning of another lopsided defeat. It was the club's sixth consecutive loss and dropped its record on a current 10-game road trip to an ugly 1-7.
The Blue Jays once again scored first on an Edwin Encarnacion solo homer, but right-hander Todd Redmond proceeded to allow eight runs -- seven earned -- in a 12-4 loss to the worst team in the American League.
"I was just leaving the ball up, I wasn't making my pitches," Redmond said. "Any Major League team, if you leave the ball up, they're going to get hits.
"I would throw one good pitch and then I'd throw two bad pitches, and one of those two bad pitches would get hit. I just didn't have it tonight."
Redmond entered the game on a high after he allowed just one run over his past 11 1/3 innings, but that success was nowhere to be found against an offense that entered the evening ranked second worst in the AL with 483 runs scored.
The 28-year-old Redmond found himself in a jam during each inning. He seemed to have trouble keeping the ball down in the zone, and the Astros took advantage by hitting to all fields with a lot of authority.
Redmond allowed a pair of triples to nine-hole hitter Jonathan Villar and a solo homer in the second inning to Matt Dominguez. He was eventually pulled with one out in the fourth, but not before he allowed the eight runs on eight hits and three walks while striking out six.
"He has been pitching very good, tonight he just didn't have it," Blue Jays manager John Gibbons said. "You see the replays on the board after giving up those hits, and the ball is just leaking back coming into their zone. He has been really good, that's kind of unusual for him."
Despite the rough outing, Redmond's spot in the starting rotation appears safe. Gibbons praised his previous success on a couple occasions after the game, and it appears as though the Blue Jays will stick with Redmond for at least one more start.
That should help ease the frustration Redmond feels when he wakes up Saturday, but in the immediate aftermath, it did little to console him.
"Any bad outing is frustrating," said Redmond, whose ERA jumped from 3.32 to 4.44. "It doesn't matter if you've been on a roll -- three bad outings in a row, or two good ones and then a bad one -- you just have to bounce back, go back out there in five days and do it again."
The short start meant another long night for the Blue Jays' bullpen and will leave the group short on innings when right-hander Chien-Ming Wang makes his return to the rotation from Triple-A on Saturday night.
To make matters worse, left-hander Aaron Loup is away from the team on a paternity leave, but Esmil Rogers should be able to eat up some innings, if needed, as the Blue Jays will skip his next start. The Blue Jays also optioned right-hander Brad Lincoln to Triple-A Buffalo after the game, and another reliever is expected to join the Major League club on Saturday.
Toronto's six consecutive losses have come despite the fact the club has opened the scoring in all but one of those affairs. On Friday night, it was Encarnacion who opened the scoring in the first inning with his team-leading 32nd homer of the season on a 2-2 pitch from right-hander Jordan Lyles.
Catcher J.P. Arencibia followed in the fourth with a solo shot to left field. That was Arencibia's second in as many games and enabled him to reach the 20-homer plateau for the second time in his four-year career. Brett Lawrie later added his 10th of the season with a two-run shot in the eighth inning. Lyles was charged with all four runs, surrendering 10 hits over 7 1/3 innings.
"The offense puts up runs in the first five innings, and it makes it a little bit easier to pitch just trying to attack guys," Lyles said. "My command wasn't there the first couple of innings, but we got that big lead, and all that pitching and stuff goes out the window. It's time to get quick outs."
The Blue Jays now find themselves a season-high 15 games below .500 as their second-half swoon continues. Toronto has dropped eight of its past 11 games and is 19-36 (.345) since winning 11 in a row from June 11-23, which is the third-lowest winning percentage in the Major Leagues in that time.


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Evander Holyfield
American boxer
Evander Holyfield (born October 19, 1962, in Atmore, Alabama) is a professional boxer from the United States and a multiple-time world champion in both the Cruiserweight and Heavyweight divisions. Holyfield won the bronze medal in the Light Heavyweight division at the 1984 Summer Olympics
|This article about a sports figure is a stub. You can help Wikiquote by expanding it.
- I will not quit until I am a five-times world champion.
- "Holyfield wins and vows not to quit"; after defeating Lou Savarese June 30, 2007.


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Villa Atas Ombak means "Villa on the Waves" in Indonesian, and is aptly named with its 100meters of private beach front, with expansive gardens and uninterrupted sunset views. This five bedroom villa is the ultimate beach front home.
Villa Jamalu is nothing short of impressive, with its stunning ocean views, set against the magnificent backdrop of Bali's picturesque Volcano region. Attentive staff and a private chef, coupled with a fantastic array of amenities, ensures that one never needs to step outside this delightful haven.
Located in Manggis, near Candidasa, in Bali's northeast coast, this four bedroom clifftop villa with breathtaking stunning ocean views features a full staff and all amenities.
This six-bedroom, fully staffed tropical luxury villa with 20-metre pool, in the heart of Seminyak, on Bali's south-west coast, is the embodiment of grand living.
Villa rental Indah Manis and the honeymoon suite Bulan Madu literally translated from Indonesian as "Honey Moon". This 5 bedroom dream villa is surrounded by forest commanding breathtaking views of the Indian Ocean and the southernmost tip of the island, Mt. Batu Karu together with the volcanoes of East Java. The villa features a wide range of facilities, including a dedicated spa and two private swimming pools. Hidden yet nearby are white sandy coves with waves perfect for all levels of surfers.
Built in 2006, and having being featured in Architectural Digest, this stylish four bedroom villa located right in the middle of Seminyak, Bali and walking distance to KuDeTa and the Petitenget beach. The villa is fully staffed with all amenities.
A luxury beachfront complex of 2 three-bedroom villas and 1 four-bedroom villa rental in Ketewel, just north of Sanur on Bali's eastern coast. Each of the three villas is fully staffed and feature private pools surrounded by rice fields, tobacco, papaya and banana plantations, and this magnificent setting is blessed with superb views.
This stately, colonial three-bedroom Pererenan villa is a peaceful retreat right outside of the hip Bali beach town of Canggu. Surrounded by rice terraces, Villa Mako combines traditional design with modern luxuries and full-service staff.
Perfect for weddings and families, with a 20-metre pool, four bedrooms and a games room, the absolute-beachfront Villa Pushpapuri is blessed with spectacular sea views.
Overlooking a magical sea temple on Bali's south-west coast, this fabulous fully staffed villa offers five bedrooms, multiple living spaces and enchanting gardens with 20-metre pool.
Bounded by endless rice fields and the Indian Ocean, Villa Ylang Ylang is an outstanding six-bedroom villa. This contemporary-Asian residence oozes luxury, glamour and sophisticated facilities including a 15-metre pool, gym and home-theatre. The secluded beachfront setting contributes to a retreat of absolute calm and well-being. Villa Ylang Ylang personifies passionate serenity.
This beautifully designed oasis in Canggu consists of three luxurious villas and is perfect for groups looking to experience Bali's nightlife in style.
Villa Shinta Dewi Ubud is a gorgeous fully staffed contemporary villa with four bedrooms, multiple living areas, gym, two bal�s, barbecue terrace and 16-metre pool.
This elegant and graceful, fully staffed, four-bedroom villa near Ubud is designed to harmonise with the environment. The villa, pool and gardens all benefit from dramatic views over the Petanu river gorge and soaring forest canopy and offer guests complete relaxation and serenity.
Two chic inter-linking Seminyak villas in the exclusive Laksmana enclave at Petitenget Beach combine luxury facilities with the charm of bygone days to offer the versatility of a two-, three- or five-bedroom vacation.
The seven-bedroom fully staffed Villa Mana offers super-sized multi-level living space and spectacular rice terrace vistas in the sought-after Canggu area on Bali's southeastern coast.
Located in the Batubelig region of Greater Seminyak, Villa LeGa is luxurious without being pretentious; this beachfront villa is styled to be both comfortable and chic.
Villa Belong Dua is an enchanting two-bedroom holiday villa rental in Bali, located in the heart of the tiny fishing and temple village of Seseh on the southwest coast. Resting on 1600 square metres of land in a beautiful walled garden complete with 20-metre swimming pool, the traditional architecture and artefacts celebrate the heritage of Bali, incorporating the symbolic elements of Balinese Hinduism.
Serene, spacious and welcoming, Surya Damai is a superbly staffed five-bedroom villa in Umalas village, south-west Bali with an 18-metre pool and tennis court.
A stunning three-bedroom, beachside villa rental in Bali's Tabanan regency with caring staff and magnificent views from an infinity-edge pool in a vast coconut grove garden.
Spectacular four-bedroom multi-pavilion destination villa in terraced riverfront gardens with fabulous living space, 18-m pool, a gym, yoga facility, tennis court, and professionally trained staff.
Near Ubud, family-friendly, six-bedroomed Villa San offers tropical open-air living living plus entertainment lounge, gym, playroom and 25m pool. Professional staff includes a skilled chef.
Chalina Estate is the ultimate rural retreat for weddings and large family groups. Fully staffed, with a 30m pool, and just minutes from the beach.
Nestled among the rice fields of Canggu, with the beach on its doorstep and only its sister Villa Kakatua and the stunning Hotel Tugu for company, the colourful, exotic and very traditional Balinese Villa Kedidi is perfectly equipped for small groups or families.
If open-air tropical living, charming interiors and a lush garden with lagoon-style swimming pool appeal, then 4-bedroom, family-friendly Villa Kakatua, with its team of welcoming staff, is the perfect option.
Nestled among rice fields, it has the ultimate sunset panorama of ocean, coastline and mountains. Set on over 2,700sqm of gently sloping grounds studded with coconut palms and fragrant frangipani trees and with a crystal clear 18 x 4m swimming pool, this 6-bedroom, fully staffed villa rental in Canggu is a wonderful retreat.
Five-bedroom Villa Maridadi,is a beautiful and tranquil beachfront oasis perfect for families with 20m swimming pool in sleepy Cemagi on Bali's south-west coast.
A quintessential Bali villa in Canggu overlooking rice fields, three-bedroom Villa Pangi Gita features traditional-style living and sleeping pavilions nestled amongst sublime tropical gardens and trickling fish ponds.
Villa Adenium sits within a quiet and secure villa complex in the hills above Jimbaran Bay, the gateway to Bali's Bukit Peninsula, famed for its crystal blue waters, white sandy beaches, world-class surf, fresh seafood and stunning sunsets.
Set amongst sprawling lawns and tropical gardens, five-bedroom Villa Samadhana located on Bali's south-east coast, is the ideal sanctuary for weddings and special events.
Resting on a riverbank, in the heart of Bali's "rice bowl", six-bedroom Villa Maya will soothe your body, mind and soul with its magical jungle setting.
A stunning five-bedroom property found on Lembongan island, a tropical paradise just 30-minutes from Bali. Villa Voyage is known for its jukung facility, perfect for an adventurous island-cruising experience.
Relax and rejuvenate at this magical, seven-bedroomed beachfront retreat on Bali's south-west coast, where a professional villa staff team will take care of your every need.
Villa Aiko is a stunningly designed 4 bedroom contemporary style villa perched high on a clifftop with sweeping views over Jimbaran Bay.
Casa Brio is a stylish four-bedroom villa situated within the very heart of bustling Seminyak, Bali. Enjoy a day by the pool, massage or sunset drinks on your terrace.
At the heart of bustling Seminyak, this five-bedroom, fully staffed pool villa is a hidden oasis offering a glamorous locale and complete seclusion amidst spacious, tropical grounds.
This spacious property features two pools and six air-conditioned bedrooms all with large en-suite bathrooms, plus 1 overflow bedroom, sleek design villa rental incorporates expansive glass front windows which perfectly frame the uninterrupted views that stretch down to the world class surf breaks of Pererenan beach.
Villa Eshara is a collection of exceptional villas, ideally located in central Seminyak, just a stroll away from first class eateries, designer boutiques, white sand beaches and some of the best surf spots in the world.
Luxury seven-bedroom Bali villa near Seminyak, with 18 staff, 25-metre pool, yoga room, gym, library, Teppanyaki grill and choice of indoor and outdoor living areas.
Unapologetic in its decadence, the villa features six bedrooms, with the two huge master suites boasting individual plunge pools and lounge areas - almost villas in their own right. The 3 bedroomed Bayu Gita Residence lies to the left of the main property, providing useful overflow space for large groups, or a hideaway for those in search of some privacy.
Villa Kalyani is a spectacular five bedroom property resting on 2,250-square-metres of land, just 500 metres from Berawa Beach near Canggu on Bali's south-west coast. Complete with a 22-metre swimming pool, this huge and hi-tech villa offers numerous relaxation, entertainment and recreation areas, ensuring that guests will always find a private spot for peace and quiet, somewhere to laze in the sun, to dance, to play games, or watch movies both indoors and out.
Villa Iskandar is a serene riverside sanctuary situated a few kilometres from the spectacular Tanah Lot sea temple on Bali's glorious 'sunset' coast. This elegant villa comprises four air-conditioned bedrooms, a free-form swimming pool, and a choice of indoor and outdoor living and dining areas.
Ideally situated in Seminyak's Laksmana estate, an exclusive enclave of luxury private villas just minutes from the beach, lies the charming four-bedroomed Villa Jemma. The villa is wonderfully light and airy thanks to the spacious, double-height lounge and dining room whose wide glass doors open on to a stunning tropical garden, 16-metre swimming pool and huge relaxation bale on one side and a cool courtyard on the other.
This five-bedroom villa is a smart, spacious designer-statement, showcasing lots of beautiful local stone, clean lines and stylish furniture complemented by superb facilities and a team of professional staff. Versatile and well located, Cendrawasih is an ideal villa for families and groups of friends.
This spectacular two, four or six bedroom, fully staffed Villa Canggu, complete with 20-metre swimming pool, lies just 50 metres from a renowned surf beach in the tiny fishing village of Nelayan on Bal's south-west sunset coast.
The best of contemporary and traditional Bali design merge at Ramadewa, a stunning three-bedroom villa in a prime Seminyak location moments from Petitenget Beach.
Villa Atacaya is offering five private and luxurious bedrooms, indoor and outdoor dining, a bar, TV lounge and 15-metre swimming pool on the banks of a jungle-clad river, the villa comes fully staffed with a manager, in-house chef, butlers, security guards, and a car and driver.
Designed in the world famous Bali Style, Villa Adasa is located in the exclusive Laksmana Villas Residential Estate in the heart of vibrant Seminyak.
A luxurious 3-bedroom riverside hideaway surrounded by scenic rice fields in rural Canggu. Villa Levi provides a peaceful retreat for those wishing to enjoy the silence and beauty of nature in a stylish eco-villa with magnificent swimming pool, flourishing gardens, chic bedrooms and contemporary design utilising reclaimed woods and local stone.
Just 200m from the famed surf break and Echo Beach lies a four-bedroom villa that is the epitome of elegant contemporary Balinese living. Villa Asante is set in glorious walled gardens full of stately Travellers Palms, flowering gingers and frangipani trees.
Located in the glamorous Oberoi district of Seminyak, just 300 metres from the beach, this luxurious six-bedroomed tropical pool villa has everything you dreamed of in a tropical holiday.
Villa Asta is a peaceful, luxurious, 5-bedroom residence in Canggu designed with the flexibility to accommodate groups of up to 10 guests within the daily tariff, however the villa can comfortably accommodate up to an additional 6 more guests (total 16) by arrangement.
Lakshmi is a peaceful oasis of four exclusive villas in fashionable Seminyak, Bali. The three 2 bedroom, and one 1 bedroom villas take their name from Lakshmi, the Hindu Goddess of light, beauty, good fortune and wealth - a perfect environment for your next luxurious holiday."
Four-bedroomed Villa Issi a dream come true for lovers of a modern, minimalist aesthetic. Located in one of the best addresses in Seminyak, on Bali's south-west coast, this architectural masterpiece is a stunning example of east-meets-west, where contemporary design sits perfectly in an idyllic Balinese setting.
A 7-bedroomed luxury villa with panoramic rice-terrace views, a 15-metre pool, sauna, huge garden and full staff including chef. Seseh Beach and Canggu within 10 minutes.
Side by side rental villas sprawling over wonderful tropical gardens and with multiple levels overlooking the rice fields of Canggu, Bendega Rato and Bendega Nui are a short walk from the beach and a short drive to chic restaurants and bars; close to the excitement of Bali but far enough away to ensure a traditional Balinese experience.
The four fabulous residences in the Dea Villas enclave can be rented together or separately, offering one to 12 bedrooms, for two to 32 guests.
Together, the estate's three villas, The Pala, Villa Rose and Villa Marie offer a total of 16 bedrooms. This, coupled with the superbly landscaped cliff-top gardens, extensive decked areas, 40-strong professional staff team and purpose-designed guest facilities, make Pandawa Cliff Estate a wedding and special event venue par excellence.
Two luxuriously appointed villas make up this gorgeous getaway - Seseh Villa I, a five-bedroom available now, and Seseh Villa II, a six-bedroom due to open in 2015 - both with uninterrupted ocean views which are beautiful by day and spectacular at sunset.
An elegant eight-bedroom home with, two pools, multiple living areas, spa and gym, rice field and ocean views and a full complement of professional staff.
Overlooking an expanse of rice terraces just north of Umalas village, and a few kilometres from Bali's famed sunset and surf beaches, Umah Daun - Indonesian for 'leaf house' - stands out from the crowd with its distinctive, elegantly bowed roofs.
Kaba Kaba Estate is a no-expense-spared eight-bedroom destination villa set in over three acres of garden with excellent facilities, five-star service and spectacular rice-terrace views.
The Iman Villa is a stunning designer villa surrounded by traditional rice paddies in the peaceful hamlet of Pererenan, Bali. The lush panorama can be enjoyed from stylish semi-outdoor living areas overlooking the pool, or the comfortably cool air conditioned interiors fitted with floor to ceiling glass windows.
Villa Batujimbar is located in the heart of Sanur, on the southeastern tip of Bali. This five suite beachfront estate is cocooned in the Batujimbar Estate, giving it a serene and magical atmosphere while being surrounded by world-class restaurants and local attractions.
Cradled in the arms of a meandering river, deep among the rice terraces of Canggu, Simona Oasis & Spa offers luxury, romance and tranquility in a beautiful Balinese setting.
Superb, colonial-style, four-bedroom private luxury villa in Seminyak with outstanding staff and facilities plus an azure pool amidst world-class shopping and dining.
This new "Raffles Style," exclusive-use, private villa offers exemplary five-star services, state-of-the-art facilities and luxurious accommodation for groups of up to 12 adults in glamorous suites; further guests can be accommodated by arrangement.
Villa Windu Sari is an elegant four-bedroom residence situated in a secure and private, gated estate in the heart of fashionable Petitenget on Bali's south-west coast.
Located in the fishing village of Canggu, Villa Hana is a masterpiece of elegance and comfort; handcrafted with simple lines to reflect the Island's laidback, easy lifestyle. As guests enter the wooden gates they will leave the outside world behind. There are four bedrooms providing guests with the option of privacy or a view of the garden or pool areas.
Slip into the chilled pleasure dome of the fabulous oceanfront Arnalaya Beach House. Exquisitely modern lines balance the stately five-bedroom residence with the surfside location in funky Canggu.
Laksmana Villas is a secluded enclave of exclusive, holiday residences located just footsteps away from the beach, boutiques and world-class restaurants of Seminyak, Bali.
This four-bedroom, fully staffed, luxury villa in Canggu's trendiest area oozes contemporary chic. With a 25-metre pool and karaoke room, it's perfect for entertaining.
Designed to maximise the spectacular ocean views from a prime clifftop position, five-bedroom Villa Soham and four-bedroom Villa Hamsa float between land, sea and sky at Bali's southernmost point on the beautiful Bukit Peninsula.
Villa Avalon offers fully staffed beachside luxury for up to 21 guests in seven bedrooms spread across three pool villas, minutes from the beach in Seminyak.
A beautiful and compact, fully staffed, five bedroom villa in central Seminyak, 500 metres from the beach and close to Bali's best restaurants, bars and boutiques.
The fully staffed, six-bedroom, Villa Cantik with panoramic ocean views includes two pools, private gym, massage room, roomy living spaces, media room and entertainment centre.
Grand Cliff Villas are two exceptional fully staffed cliff-top villas in the South of Bali. Enjoy all the benefits of your own splendid holiday home – including personal butler service and your own private chefs.
Villa Kavaya is a colonial 5-bedroom villa in Pererenan, Canggu, Bali. Facilities include a swimming pool, sitting areas, TV lounge, WiFi, dining and fully-equipped kitchen.
This elegant, staffed, five-bedroom luxury villa in Canggu's Berawa Beach is perfect for a family or a group of friends looking for a sun-soaked holiday.
Villa Anucara, 150m from Bali's beautiful Cemagi Beach, near Tanah Lot, features five ensuite bedrooms, a 30m pool and a large staff team including chef and manager.
This multi-pavilion fully staffed villa boasts 60 metres of Sanur beachfront, with fantastic sea views from the pool deck, living pavilion and five ensuite bedrooms.
Villa Zelie is a staffed, five-bedroom heritage villa in Canggu, Bali, boasting huge gardens and a 20-metre swimming pool. A short walk from the beach.
Dazzling Seminyak beachfront six-bedroom villa with 25-metre pool, tennis court, six-star staff including gourmet chef and sprawling indoor/outdoor entertaining spaces, a spa and sunset rooftop terraces.
Contemporary fully staffed five-bedroom beachfront villa on Bali's Nusa Lembongan island with stunning living spaces, 15-metre pool, direct beach access and spectacular views.
A fully-staffed, family-friendly villa, resting absolutely seafront in East Bali, complete with four bedrooms, 15m swimming pool, seaside dining pavilion, and a man-made sandy beach.
Villa Puri Nirwana is a 6-bedroom beachfront villa with a games room, entertainment area, three living rooms, well-landscaped gardens and a 16 metre swimming pool.
A four-bedroom, staffed beachfront pool villa found along the tranquil sands of Natai Beach near Phuket. The perfect tropical escape for holidaying families or couples.
Fantastic fully staffed beach-in-ten designer's villa in Batu Belig with fabulous living space, four suites and an eight-bunk children's room, 19m saltwater pool and spa.
Overlooking the Bukit peninsula and the western shores of Bali, this fully-staffed four-bedroom luxury villa boast some of the best ocean views on the island.
A luxurious 4-bedroomed pool villa in the heart of buzzing Seminyak, Villa De Suma is just minutes from the beach and ticks all your Bali holiday boxes.
Nestled into green hills, Selong Selo's stunning private pool villas range from one-seven bedrooms, each with sea views and shuttle services to Selong Belanak Beach.
The Beach Shack at Sandy Bay is a beachfront Nusa Lembongan villa with staff, three bedrooms, open plan living and kitchen, outdoor dining, BBQ and swimming pool.
Ocean view Casa del Mar is located in Nusa Lembongan. Amenities include three ensuite bedrooms, mezzanine with twin beds, open-plan living area, pool and villa staff.
Villa Kirana is located in Nusa Lembongan, island south-east of Bali, featuring one bedroom with a king bed, TV, ensuite bathroom, private plunge pool and on-call staff.
Anandita means "Happiness" in Sanskrit, and this easy to see with this pristine beach fronted four bedroom villa, set in 1.5 hectares of coconut trees and gardens. All bedrooms are tastefully designed, with wonderfully appointed entertainment areas.
On Lombok's secluded Sire Beach, luxurious six-bedroomed Villa Sepoi Sepoi has a 20-metre pool, bar, Wii and WiFi. Staff include a chef, manager and housekeepers.
Contemporary six-bedroomed Villa Sapi at Sira beach on Lombok presents tropical barefoot luxury with funky architecture, four swimming pools, tennis court, exemplary service and gourmet cuisine.
This 6-bedroom, fully staffed, beachfront villa in Lombok is crafted from local materials and adorned with antiques. Excellent leisure facilities make this an outstanding tropical escape.
This luxury 4-bedroom, fully staffed villa at Natai Beach, north of Phuket, boasts an 18-metre pool, generous living areas and spectacular sea and sunset views.
To the north of Phuket on peaceful Natai Beach, ultramodern 4-bedroom Villa Aqua offers luxurious indoor and outdoor living, and 18m pool and a private chef.
Set on the hillside near Kamala Beach, the six-bedroom Villa Amanzi Kamala is a designer holiday haven with sea views, 15m pool and private chef.
A luxury enclave just north of Phuket, the beachfront Sava Beach Villas boasts seven dream pool villas, each fully staffed and featuring a contemporary open-plan design.
Comprising four luxury oceanfront villas, the fully staffed, 25-bedroom, Jivana Beach Villas estate on Natai Beach is ideal for big families, groups of friends or large events.
Fun-filled, four-bedroom Villa Napalai Surin has a games room, play room, gym, spa and pool. Fully staffed and just minutes from Surin Beach and leisure activities.
Perfect for families, friends and events, the luxurious, fully staffed, four-bedroom Naam Sawan in Cape Yamu boasts stunning views, a 25-metre pool and lavish living space.
The stylish six-bedroom One Waterfall Bay has a cinema room, spa room and pool. Fully staffed, including driver and chef, just minutes from Kamala Beach.
Set in a hillside estate near Surin Beach, Villa Baan Bon Khao is a tranquil escape with fabulous sea views. The infinity-edge pool is the best spot for sunset viewing, with the surrounding terraces, dining and living room pavilions offering lavish areas to unwind.
This grand six-bedroom villa overlooks Kata Noi Beach and the Andaman Sea. With its chef, infinity pool and sauna, Villa Amanzi is luxury at its best.
This exquisite nine-bedroom, fully staffed property hangs from a cliff edge overlooking the beautiful Andaman Sea and offers a wealth of superb leisure facilities.
This stunning six-bedroom villa overlooks the ocean on an exclusive estate. With a private chef and fantastic facilities, the villa is close to vibrant Patong.
Stunning architecture and superb ocean views define eight-bedroom Villa Saan. Facilities at this fully staffed villa include a 19m pool, cinema, spa room and gym.
This four-bedroom, fully staffed villa is perfect for relaxing, dining and playing. Contemporary luxury nestled in a quiet estate providing guests with an idyllic escape.
A fully staffed beachfront villa ideal for families or groups with six bedrooms, pool, spa and gym found along the peaceful sands of Natai Beach near Phuket.
With ocean views from its three bright bedrooms, and nine-metre infinity pool, fully staffed Villa Sammasan is a great holiday destination within minutes of Surin Beach.
Villa Nandana is a four-bedroom beachfront property located on Natai Beach Phang Nga, north of Phuket. The villa boasts modern facilities in Thai setting and enjoys unobstructed ocean views.
Overlooking serene Naithon Beach, Malaiwana estate is a dream tropical island escape. Malaiwana's four- and five-bedroomed luxury villas, penthouses and duplexes all offer private pools, comfortable living areas, sun-kissed terraces and five-star service from professional staff including manager and chef. A sublime corner of Phuket waiting to be discovered!
Villa Samira is a vibrant six-bedroom holiday haven near Kamala Beach with unobstructed ocean views. Families or groups will relish its 19m pool and jacuzzi, sumptuous indoor and outdoor lounging areas, spa, media and games rooms and the modern kitchen and dining room. Serviced by a team of full-time staff.
Luxurious six-bedroom Villa Saanti at Natai Beach has everything: an unbeatable beachfront location, stunning sea views, huge pools, and staff who anticipate every whim.
Infinity Blue Phuket is a four bedroom beachfront villa located on the endless stretch of powder-white sand Natai Beach.
A fully-staffed, five-bedroom villa ideal for families or groups in Cape Yamu on Phuket with a 20m pool, panoramic sea views, gym and private chef.
A modern three-bedroom villa on Phuket's peaceful Cape Yamu with a 12m pool, sunrise sea views and a friendly team of staff including a chef.
A five-bedroom Phuket villa in Ao Po with a 20m pool, sea views, spa room, pool table, putting green, chef and full staff.
The Pines is an absolute beachfront holiday home located on Natai beach in Phuket. This fully staffed villa is comprised of five generous bedrooms and sophisticated facilities. It offers large gardens that complement the house's contemporary Thai architecture.
Five-bedroom Villa Amarisa is a museum-like, fully staffed villa in Kamala, Phuket with a sea view infinity pool, exquisite living spaces, unique artwork and fitness studio.
Villa Borimas is a four-bedroom, fully staffed, elegant villa in Surin, Phuket, with a sea-view infinity pool, open-plan living space, and moon deck.
Fabulous Phuket sunset views await at the four-bedroom pool villa, Baan Surin Sawan. Peaceful, fully staffed and just minutes from Surin Beach and leisure activities.
This staffed three-bedroom luxury haven in Phuket is a perfect choice for a family looking for a holiday home with sea views and a pool.
Three-bedroom, staffed villa in Kata, Phuket, offering large living areas for families, long terraces, an outdoor jacuzzi and sea views.
Three-bedroom Villa Agrya in Kata, Phuket offers a chic indoor/outdoor living experience, a 5-metre pool, and a friendly team of professional staff.
Staffed three-bedroom luxury pool villa in Phuket, walking distance to the beach. Canopied beds, garden views and a large pool deck with a shaded sala.
Spread over three levels in Kata on the south coast of Phuket the four-bedroom Villa Katamanda Kamia offers a homely setting for families and friends.
Ideal for families, the staffed Villa Kata Moon in Phuket stands out with fabulous sea views over Kata, three bedrooms, and a 5-metre infinity pool.
Villa Katamalee in Phuket features four bedrooms and spacious living spaces over two levels with extraordinary views, a 12-metre infinity pool and professional staff.
Walking distance from Kata Noi Beach, this staffed three-bedroom luxury villa in Phuket has three stylish bedrooms, an enticing private pool and a sunset terrace.
Bright three-bedroom luxury villa in Phuket with a private pool and outdoor tub. Conveniently located, in a secure estate. Friendly staff, with an expansive terrace.
The four-bedroom Villa Mauao offers an 8-metre swimming pool, spacious living areas, accommodation for seven guests, and splendid views of Phuket's beautiful coastline.
Villa Suan Sawan is a two-bedroom villa on Kata Noi beach, Phuket. The villa is part of the exclusive Katamanda Villas estate and has access to estate clubhouse facilities.
Five bedroom villa Laguna Waters is located in the famous LagunaResort in Bang Tao, Phuket. The villa is accessible to different activitieslike shopping, dining and golf.
Luxurious, six-bedroom Ban Suriya, with its 20-metre pool, is the ultimate absolute beachfront getaway.. It's staff of seven guarantee all the luxury you can devour.
Villa Chi Samui is a fully staffed, absolute beachfront, private pool villa with five ensuite double bedrooms on Koh Samui's desirable and scenic north coast.
Akuvara means "The Sea" in the Sanskrit language, and this luxurious, absolute beachfront Samui villa has all the sea anyone could want. Bordering the island's prettiest beach, Lipa Noi, Akuvara can sleep up to eight people. Perfect for families or groups of friends intent on a lazy beachside holiday.
Baan Puri is an idyllic, staffed, beachfront villa sanctuary for families, parties or groups at Lipa Noi, one of Koh Samui's most beautiful, west-coast beaches.
Sleeping 32, Tawantok Beach Villas is a jaw-droppingly beautiful, two-villa, fully staffed retreat just steps from the peaceful white sands of Lipa Noi Beach.
Right next to Samui's serene Lipa Noi beach, Waimarie is the ultimate beach getaway. Six bedrooms, a 15-metre pool, tropical gardens, five-star cuisine, tennis court.
Villa Baan Dalah is a three-bedroom beachfront villa on Big Buddha Beach. This fully-staffed villa has a 19m private pool and modern design and facilities.
Idyllic and luxurious five-bedroom hillside villa on Koh Samui's pristine south coast, with caring staff and amazing views over an infinity pool to neighbouring islands.
Five hilltop villas with four, five or six bedrooms located at Panacea Retreat estate on the northeast coastline of Koh Samui. Complete with modern facilities and in-villa staff.
The six-bedroom Villa Suralai is located on Bophut Hills, Samui. The villa is fully-staffed and facilities include a gym, modern entertainment equipment and 25m pool.
Mandalay Beach Villas is comprised of two three-bedroom villas - Neung and Soong. Each fully-staffed villa has ocean views, private living areas, 15m pool and wide pool deck
Magnificent, modern and relaxing five-bedroom beachside villa with 19-metre pool on Koh Samui's idyllic northeastern coast, with thoughtful staff and mesmerising ocean views to neighbouring islands.
Luxuriously calming five-bedroom hillside villa with 21.3-metre infinity pool on Koh Samui's idyllic south coast, with thoughtful staff and mesmerising ocean views to neighbouring islands.
Villa Sukham is a contemporary, fully-staffed pool villa with six spacious bedrooms and spectacular views of Koh Samui's scenic north-east coast.
A luxurious, charming, five-bedroom colonial villa with 11 x 4-metre pool, Ambassador's House, lies within historic Galle and welcomes guests with traditional Sri Lankan hospitality.
Four-bedroom villa, Ocean's Edge, offers spectacular views and exotic seclusion on Sri Lanka's south coast. This staffed villa is perfect for families, groups and nature lovers.
This tranquil, five-bedroom, colonial style villa near Sri Lanka's Habaraduwa Beach and historic Galle comes with staff and pool and is perfect for friends and families.
No. 39 Galle Fort flanks historic Lighthouse Street, at the heart of a magnificent 17th century Dutch-built fortress on Sri Lanka's palm-fringed southern coast. This capacious three-bedroom townhouse, with its elegant furnishings and graceful period features, evokes a heady, homely atmosphere redolent of times gone by.
Beachfront luxury in one of the Maldives' most remarkable destinations. Privileged comfort, fine imports, outstanding personal service. Water sports, sparkling pools, spa, gym, kids club. Island leisure at its finest.
Momiji Lodge is a four bedroom chalet in Hirafu on Momiji Street, close to bars and restaurants and 20 meters from shuttle bus stop.
Private, with stunning views, five minutes from Hirafu village. Four ensuite bedrooms plus a tatami room make the brand new Aoyama Lodge perfect for large groups.
Four-bedroom Chalet Gouka is located in the heart of Hirafu Village, Niseko, offering a wide range of outdoor activities including skiing, golf, cycling and thermal spas.
In Hirafu, Hachiko offers a spacious Niseko stay with three bedrooms, an equipped kitchen, lounge and dining area, plus a drying room and parking space.
Four-bedroomed Chalet Mizunara is located in Hirafu Village, Niseko. With three guestrooms and a bunk room stylish, modern Mizunara sleeps up to 10 people.
Five-bedroom Seshu Chalet is located in Hirafu Village, Niseko. This beautifully designed, three-storey property with wonderful mountain views makes a perfect winter and summer residence.
Chalet Ajisai is located in Hirafu, Niseko, and houses three bedrooms, a spacious lounge/kitchen/diner, modern facilities, dry room, underfloor heating, parking and a mountain-view terrace.
Yuuki Toride is a chic three-bedroom chalet in Hirafu Village, Niseko, with easy access to ski slopes in the winter and hiking and golf in summer.
Four-bedroom chalet, Kita Kitsune is located in Hirafu, Niseko. Its prime location provides easy access to a range of year-round activities including skiing, golf, spas and cycling.
Three-bedroomed Yamabiko in Hirafu Village, Niseko, enjoys stunning mountain views from bright spacious living areas. Central location, superb amenities and chic design.
Bathed in natural light, the chalet boasts of blonde wood interiors and open-plan kitchens. This ski lodge allures with breathtaking vistas of Mt. Yotei with a spacious drying room.
Flooded with naturallight owing to its wall-sized windows and high wood-beam ceilings, thischarming apartments are done up in warm hues of teak with contemporary kitchensand stylish living spaces.
Two apartment-style units with 3 and 1 bedrooms located in Hirafu village, close to some of the area's best restaurants and bars, the chalet offers chic interiors with an abundance of natural light.
A peaceful, three-bedroomed chalet overlooking a forest, Birchwood is within Niseko Village and perfectly positioned for year-round luxury mountain vacations.
Casa Bell Niseko is a delightful property resting in a charming birch forest between Niseko Village and Annupuri resorts. Comprised of thee-bedroom Chalet and one-bedroom Cabin.
Modern and trendy, Chalet Ukiyo boasts remarkable interiordesign in peaceful Soga, near the ski slopes. With three bedrooms, one of whichis bunks, the house sleeps up to eight guests.
Your complete guide on private luxury villas in Bali, Lombok, Sri Lanka, Phuket, Pattaya, Koh Samui and Chang Mai. Our professional reviews on these world-class villas for rent will help you choose the best villa for your holiday vacation, wedding, honeymoon and party pads.
For those who appreciate the very best in comfort, style, and personal service and that ultimate of all luxuries - total privacy. The Marketing Villas portfolio are all fully staffed and range from one-bedroom retreats to nine-bedroom residences. Styles vary from chic ultra modern to deeply traditional, and locations from absolute beachfront to tropical forests and terraced rice fields, from rural hillsides with stunning vistas to vibrant locations in town.
BHM (Bali Homes Management) assumes the responsibility for every aspect of a villa's logistical and commercial operations, ensuring that villas are not just well run vacation homes but also lucrative investments. Please explore this link to view their catalog and learn more about their services.
Elite Havens features a hand selected and personally inspected portfolio of over 200 luxury rental villas in Bali, Lombok, Phuket, Koh Samui, Sri Lanka and the Maldives.
Balivillas.com has selected the creme de la creme of private luxury holiday homes available for rental in Bali and presents it here, thus saving you time and effort and giving you total reassurance that the villa you choose will be the villa that's exactly right for you.
Make sure that you have a holiday to remember. phuketvillas.com is dedicated to bringing you the best that the island of Phuket has to offer.
Luxury wedding venues in Bali, Lombok, Phuket and Koh Samui are heavenly settings for the most memorable day of your life. These villas are ideal for weddings and celebrations, from small gatherings to fairytale-style extravaganzas.
June 21st, 2019 - June 26th, 2019"Friendly staff and delicious food."
Aaron S, Australia - Stayed at The Layar - Villa 21 (2BR)
June 21st, 2019 - June 28th, 2019"A wonderful holiday with special thanks to your wonderful staff, thank you."
Donald F, Australia - Stayed at The Layar - Villa 3A (1BR)
June 20th, 2019 - June 23rd, 2019"Fabulous stay - Thank you!"
Caroline P, Australia - Stayed at The Layar - Villa 18 (2BR)
December 21st, 2016 - December 28th, 2016"Had an amazing time and would highly recommend these villas to friends, absolute luxury! "
Helen N, Australia - Stayed at The Layar - Villa 8 (3BR)
December 20th, 2016 - December 23rd, 2016"Amazing villa with amazing food. "
Natasha Asoka, Indonesia - Stayed at The Layar - Villa 13 (3BR)
December 19th, 2016 - December 21st, 2016"Decoration villa is unique yet comfortable. Its like living on the deck of a ship. And the privacy is good. We able to used accommodation transport from villa to Seminyak area in a day (drop off only) . Sometimes the tropical animals/insect usually come up in the night at the bathroom area. Overall the villa is very very comfortable, we can enjoyed our stay there. Hope we can back again."
Inez Felicia, Indonesia - Stayed at The Layar - Villa 3B (1BR)
December 6th, 2016 - December 9th, 2016"Very clean and great roof features. Staff are friendly and helpful too. Very reasonably priced and great tasting western cuisine."
Irene C, Australia - Stayed at The Layar - Villa 18 (2BR)
December 5th, 2016 - December 10th, 2016"Loved the villa - everything was superb Thank you."
Jenni O, Australia - Stayed at The Layar - Villa 2A (1BR)
December 2nd, 2016 - December 7th, 2016"I recently stayed at the Layar, my stay was perfect, my villa was absolutely beautiful, the staff were outstanding, breakfasts were delicious. A fantastic place to stay to wind down and relax. I would have no hesitation in recommending the Layar villas."
Donna L, Australia - Stayed at The Layar - Villa 1 (2BR)
November 30th, 2016 - December 3rd, 2016"Nice Place.. "
Dedi Irawan, Indonesia - Stayed at The Layar - Villa 8 (3BR)
November 23rd, 2016 - November 30th, 2016"The best I have stayed in in Bali. Great staff. Couldn't recommend it enough."
Leanne S, Australia - Stayed at The Layar - Villa 21 (2BR)
November 18th, 2016 - November 21st, 2016"Beautiful villa in the perfect location! Close to absolutely everything and yet so quiet and private. Staff were amazing - respectful, polite and very well trained. Such a wonderful trip, made even better by the staff at The Layar! "
Peter F, Australia - Stayed at The Layar - Villa 15 (2BR)
November 18th, 2016 - November 22nd, 2016"Loved every minute staying here, such a beautiful Villa and amazing staff. Could not recommend enough. Cant wait to come back."
Shae H, Australia - Stayed at The Layar - Villa 11 (2BR)
November 16th, 2016 - November 18th, 2016"A taste of luxury! We didn't want to leave. "
Katherine G, Australia - Stayed at The Layar - Villa 17 (3BR)
November 4th, 2016 - November 9th, 2016"Our first stay at The Layar exceeded our expectations. The villa was beautifully presented and designed. The gardens and pool were amazing. We loved the breakfast every morning, great selection and quality. We also really appreciated the free buggy service. "
Ben Callegari, Australia - Stayed at The Layar - Villa 2B (1BR)
July 5th, 2016 - July 8th, 2016"Gorgeous villa and grounds, ideal place to relax in the centre of town."
Hamish M, Australia - Stayed at The Layar - Villa 5 (4BR)
June 30th, 2016 - July 8th, 2016"We loved our stay at The Layar, would definitely come again."
SUE T, Australia - Stayed at The Layar - Villa 1 (2BR)
June 29th, 2016 - July 6th, 2016"Lovely staff and a good central location."
Rebecca K, Australia - Stayed at The Layar - Villa 9 (3BR)
June 24th, 2016 - July 8th, 2016"We found The Layar absolutely fantastic and everything we hoped for. Villa, Garden, Pool and Staff all superb."
Emma H, United Kingdom - Stayed at The Layar - Villa 22 (3BR)
For a faultless fusion of inspired architecture and easy tropical living, The Layar is in a class of its own. This iconic enclave in the heart of Seminyak comprises 23 villas, each set in its own very private garden sanctuary fanning out from a central colonnade of mature flowering trees. An elevated setting means the villas' front boundary walls all but disappear, creating a sense of openness and space that's rare in this most popular of Bali's resort areas.
Design enthusiasts are sure to love The Layar – meaning 'sail' in the Indonesian language and named in tribute to the villas' distinctive roofs that taper dramatically to the ground like the rigging of a traditional sail boat. These iconic roofs, which are the signature of The Layar's architects, create exciting split-level open living spaces with curved and angled walls and contrasting natural finishes that include tropical hardwoods, marble and stone sourced from the Indonesian archipelago.
Light, spacious and open-plan for easy entertaining, living areas flow smoothly out to the swimming pool and jacuzzi deck and on into the garden. Many of the villas have mezzanine-level media rooms, and all have plenty of comfortable seating areas. The bedroom suites are large and designed for privacy – every room, even the bathrooms, enjoys garden views.
The Layar offers a choice of one-, two-, three- and four-bedroom villas, each with its own distinctive design and all with an uncurbed feeling of space and openness. The one-bedroom villas are so romantic, yet even the largest four-bedroom villa has intimate, away-from-it-all corners.
Pleasing to those who treasure their privacy, staff only appear when you need them; The Layar is run along the lines of a boutique resort – complete with central kitchen and room service – so staff are on hand to tidy or serve up a sumptuous breakfast or poolside barbecue, otherwise you'll have the villa entirely to yourself. And if you can tear yourself away, Bali's best restaurants, bars and boutiques are only moments away,including the resorts own stylish Settimo Cielo for some fine Italian cuisine.


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Wilshire Corridor Private Estate Sale Filled with Very Rare and Unique Chinese, Japanese, Korean, and Israeli Art, Porcelain, Furniture, and Collectables
This is a one of a kind estate sale!
This estate sale is filled with a very rare and unique collection of Chinese, Japanese, Korean, and Israeli art, furniture, and collectables.
These items are out of this world!
The furniture includes, but is not limited to, a Baker plush off white sofa with matching armchair and ottoman, two matching Asian wood carved side tables, a red Tansu chest of drawers, multiple ornate Asian wood dressers, multiple cloisonné lamps, a wood carved Asian mirror, multiple small Asian accent tables, a hand carved koi fish lamp, multiple handmade Japanese pottery lamps, a Chinese Peking rug, an Asian trunk, and multiple Asian handmade rugs of all sizes.
There are so many beautiful pieces of original art by artists such as Konosuke Tamura, Yitzhak Frenkel, and others.
There are a number of beautiful Chinese and Japanese porcelain items. The collection includes porcelain plates, vases, complete dinner sets, and more. Everything is in immaculate condition.
The collection does not stop there….
There are multiple Japanese Tsubas, original framed maps of Japan from 1655 and 1747, a hand carved signed wooden Buddha, a large Chinese Neolithic painted pottery jar, a silver Admiral Yi's turtle ship figurine, a Doucai style vase, a Chinese Han Dynasty earthenware horse, multiple Qing dynasty items, multiple Chinese natural wood root carvings, multiple immaculate ornate tapestries, multiple Hiroshige woodblock art items, an antique Hibachi, multiple large porcelain pots, a large wood carved Chinese actor with mask, a polychrome decorated porcelain beauty, a large gilt-copper alloy standing Buddha, a jade dagger, a hand carved wooden foo dog, painted glass art, and so many other highly collectable items.
Everything is in immaculate condition and the details are truly amazing.
There is so much to see!


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Office of Public and Intergovernmental Affairs
Remarks by Former Deputy Secretary W. Scott Gould
Open Source Electronic Health Records Conference
Washington, DC
October 18, 2012
Thank you, Mike, for that kind introduction, and my thanks to OSEHRA chairman and former VA Secretary Jim Peake, board member Dr. John Halamka, and of course CEO Seong Ki Mun for your kind invitation to address this conference.
I know a lot of technical ground has already been covered, and I'm a huge fan and avid supporter of openly architected, standards-based, and modular software. My job today is to put that work into a strategic context, and to make sure you know that VA knows how very important it is.
Electronic health records were the last bastion of yesteryear's way of doing things—closed, proprietary, and so tightly integrated that hardly anyone could fix or improve them. To make matters worse, we faced a peculiar situation where anyone could download, improve, and deploy our ever-popular VistA for profit in hospitals around the world, but VA had no way of benefiting from their enhancements, improvements and bug fixes. All was not right in that world.
So it should surprise no one that VA is leading the charge to remedy that unsustainable, expensive, and even dangerous situation. The institution that delivers the best care anywhere is now poised to make it even better.
With your help—our own clinicians and partners from other departments, stakeholders from industry, and the best minds in software—have hit upon a way to make sure VistA stays in the vanguard of electronic health records, and we can do this in a way that invites participation, catalyzes innovation, and improves reliability. Talk about a force multiplier.
VA's CTO Peter Levin, from whom you'll hear next, is widely recognized as a champion for Veterans' access to their medical records. VA CIO Roger Baker and I have been fortunate to have Peter help us think through the issues of clinical and patient-centered software.
From the design and implementation of the JANUS interface—the first OSEHRA vendor-contributed component installed in a clinic—to the AViVA-inspired architecture—the three-tiered stack that also came out of the CTO's office now taking root with the joint common record—to the Blue Button personal health record launched by President Obama in August 2010, VA has made some pretty important and impressive strides. And today we are here to talk about OSEHRA, the open source custodial agent spearheaded by Roger, Peter, and Mike O'Neill. Nice work, guys.And today we are here to talk about OSEHRA, And today we are here to talk about OSEHRA, Of course, the creation of slick user interfaces, of refactored software mapped to modern architectures, of personal health records worthy of a presidential shout-out, and of a custodial agent that facilitates all this work, is born of a simple idea that sometimes takes a little while to recognize but inexorably leads to success: standards.
Standards facilitate cooperation; they are the known and agreed-upon rules of participation. In the case of open source software, they are the unbreakable guarantee of transparency.
I am proud to declare that OSEHRA is a great example of how we can drive standards. Not just within VA, but between VA and DoD. Not just inside the government, but across an industry whose progress is unnecessarily impeded by systems software that doesn't connect, and by data that is hard to transfer from one place to another. We've already taken a big bite out of that problem, and we're poised to do more.
Here's an example of how we as a country met this challenge before, more than 150 years ago:
In the opening days of the Civil War there were more than 20 different track gauges available for rail transportation of people and goods. The most common track width, four-feet-eight-and-a-half inches, developed by Englishman George Stephenson, was slowly gaining traction, but it took, as it often does, a conflict to force the standardization of rail width throughout the country.
Civil War generals and their quartermasters, fed up with offloading troops and military supplies at every new rail junction, pressed for a solution, and visionaries like Abraham Lincoln knew that progress toward a post-war intercontinental railroad would be glacial without a standard track width.
The federal government clearly had a vested interest in the railroad's success. The Pacific Railway Act of 1862 opened land to railways, standardized tracks, transformed the rural landscape, and created an iron link to housing, education, commerce, and the security of the law to far-flung settlements.
On the eve of the Civil War, there were about 30,000 miles of tracks of different gauges, the first capillaries of industrial expansion across the continent. By 1890, there were nearly 130,000 miles of track crisscrossing the United States. This amazing growth was driven by the standardization of track width, and the advances in mechanical technology to lay it down consistently from state to state, region to region, coast to coast. The vistas that were opened to America were broad; the opportunities, unlimited.
In our day, it's no secret that health reform is a cornerstone of the President's domestic agenda. For most people that means better access, affordable access, and outcome-driven results. But when I think of healthcare reform, I think of the transcendent goal: better health.
We all agree that one of the best ways to bend the cost of healthcare and improve outcomes is to digitize and automate our electronic medical records. And we all agree that the components that are already part of the OSEHRA trove—some 18 modules and test harnesses—give us a great head-start in achieving that goal.
I believe there is a parallel between the development, standardization, and expansion of the 19th century rail system and VA's 21st century EHR and open source community. A new VistA has come into sight, new opportunities have been created, and lives are now being transformed by the collaborative efforts of thousands of men and women whose sole mission is to improve the state of healthcare not just for Veterans, but for all Americans.
What excites me about VA's work in this field is not just the tools our folks have developed—VistA, the JANUS user interface, and Blue Button come to mind—but also the collaborative and open-source approach that brought doctors, nurses, clinicians and developers together to invent and then bring those new tools to the healthcare arena.
VistA was a labor of love that came of age over a 35-year period—longer than the careers of some of its initial supporters. Like planting a tree, planting the VistA seed was about caring for the future generations of Veterans who would one day need healthcare. Today we face the complexity of 13,000 diagnoses, 6,000 medicines, and 4,000 medical procedures, with many clinical services performed outside our walls and sometimes our purview.
If VA is a microcosm of the health system in our country, and at the vanguard of any quality performance metric you can name, is it any wonder that there are over a million serious adverse reactions or prescription errors per year nationwide? Of course we are trailblazing solutions here too, with quality performance, transparent reporting procedures, and our unshakable emphasis on world class training.
VA's electronic health record helped energize VA's transformation. On the shoulders of new technologies, decision support, and performance-based clinical capabilities, VA virtually leapt from an agency barely able to meet Veterans' or the public's expectations in the early 80s and 90s into a vibrant, forward-leaning healthcare system consistently ranked as the best in the United States.
But VA cannot rest on VistA's laurels alone—it is not enough to build such a powerful model and then limit its usefulness to one population: Veterans. There is a saying sometimes attributed to Abraham Lincoln: "There is no limit to the good you can do if you don't care who gets the credit."
That's absolutely true for VA; our mission, also voiced by Lincoln—to care for those who have borne the battle—is the public's mission. All that we do to advance the cause of healthcare for the Nation's 23 million Veterans we do because we are stewards of the public's trust. That places a great responsibility on us to share our successes with the widest possible healthcare universe, and, in that way, improve the quality of healthcare everywhere.
Mike O'Neill has said it best: "While VA has many talented developers, a strictly internal focus on EHR innovation is not enough. Tapping the larger community of EHR users, developers, and service providers is key to unlocking the potential to rapidly advance the technology. In searching for models where a diverse group of participants can collaborate, share innovations, build businesses, and advance the state of technology to the benefit of all participants, the world of open source software development provides many successful examples."
Our goal must be to create a unified VistA core accessible by the entire development community—a core flexible enough to provide non-VA development opportunities for a wide range of VistA variations tailored to meet specific healthcare goals. That is one reason why all the code developed internally by the VA, using taxpayers' money, has been released as public domain software.
The value of this code is in the billions of dollars—and let's not forget the billions we have saved taxpayers by deploying VistA so successfully—but also in our unshakable philosophy that emphasizes openness in healthcare. We encourage collaboration, innovation, and performance-based investments that open up new avenues, and new VistAs, to achieve better health for all.
That was the whole point behind the "Blue Button for All Americans" contest. As Secretary Shinseki said when he announced the winner, McKesson's RelayHealth: "We held this contest to help Veterans across America to be able to download their health data regardless of where they get their care. We wanted to give Veterans and their families easy access to their health data with the Blue Button so they can have greater control over the healthcare they receive."
"Regardless of where they get their care." That's huge. It tells the open source world that VA is ready and eager to assure access to our core products in return for new products that help us achieve our mission globally while allowing the private sector to expand its own healthcare horizons. When we succeed, our Veterans succeed; when American's Veterans succeed, everyone succeeds.
Just two days ago VA announced an upcoming procurement designed to renovate our 25-year old scheduling package. Whether or not you're interested in that particular and difficult problem, I encourage you to take a look at the description in the Federal Register. It is a great example of how we are going to leverage our large market presence, the power of VistA, and the unique capabilities of OSEHRA to fundamentally reshape our modernization strategy.
The bottom line is that we're moving away from a "choose once choose wisely" procurement approach to one that: (a) pays for performance; (b) emphasizes clear requirements and de-emphasizes how to achieve them; and (c) relies on OSEHRA as the front-line certification agent for competitors to build to, attach to, and test against.
My guess is that you're going to see the government buy a lot more software like this, opening the aperture for fair, level, and transparent competition. You wouldn't buy a house you hadn't visited a couple of times, or a car that you hadn't test driven. In this room I bet almost everyone has a smart phone, and you probably like some apps but don't care for others. Why on earth would we purchase a billion dollars' worth of clinical software without making sure it worked first, and worked to our satisfaction? Simple answer: we won't.
Open government, open data, open standards, open source. The best care anywhere is about to get better. It never ceases to amaze me what fresh air and a little sunlight can do.
Whether we're talking about automating our claims processing system, creating a database that maps the genes of a million Veterans, the Blue Button for America project, or OSEHRA, the keys to a rising tide of innovation that will lift all open source boats are:
- Unqualified support for new ideas inside and outside VA;
- Unshakable commitment to the best training and research support;
- Our moral mission to share our knowledge inside and outside the VA; and
- Mutual commitment among all parties to improve the quality of, and access to, healthcare for our Veterans and all Americans.
VA is there on all points, and we look forward to a future of robust open-source development with public- and private-sector partners who share our commitment to simplifying Veterans access to their records, while maintaining the safety, security, and integrity of those records, so more of this healthcare market is ready.


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Tony Abbott's $100 Million Broken Promise on Westmead Hostpital
The Abbott Government has broken its promise not to cut hospital funding by slashing funding for Westmead Hospital by $100 million.
Treasurer Joe Hockey also slashed $12 million in funding for St George Hospital, $10 million in funding for Nepean Hospital and $6 million for a new MRI at Mount Druitt Hospital.
The $100m for Westmead Hospital was funding the first stage of redeveloping Westmead Hospital. The total redevelopment would include
a new six or seven story 'stack' to consolidate the complex and critical care unit;
- an expansion of outpatient and ambulatory care;
- refurbishment of existing infrastructure; and
- the repositioning of the front of the hospital.
Tony Abbott's broken promise will hurt families who rely on Westmead Hospital and the critical services it provides.
Before the election, Tony Abbott promised not to cut hospital funding – now he has cut $100 million from Westmead Hospital and other hospitals in Sydney.
These health initiatives were axed by the Abbott Government on Tuesday:
In yesterday's MYEFO, the Abbott Government confirms the funding cut on page 104.


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How Do I File An Ethics Complaint?
Any person may file a complaint with the attorney general regarding the conduct of a current or former public officer whom the person alleges has violated the Ethics Act.
A complaint must be in writing and contain a clear statement of the details of the alleged violation. There is no special form or format for an ethics complaint. But you must sign your complaint under oath. Include the statement: "I certify under penalty of perjury that the foregoing is true" and have your signature notarized or otherwise acknowledged.
Mail or deliver your complaint to the Attorney General at either:
Department of Law
1031 West 4th Avenue, Suite 200
Anchorage, AK 99501
Department of Law
Box 110300
Juneau, AK 99811-0300
Additional Information:
If a complaint names the governor, lieutenant governor, or the attorney general, it will be referred to the State Personnel Board. Upon receipt, the Board chair hires independent counsel to address the complaint. The independent counsel acts in place of and with the authority of the attorney general.
A complaint and all documents and information regarding the investigation are confidential and not subject to inspection by the public. The person filing the complaint and all persons contacted during the course of an investigation are required to maintain confidentiality regarding the existence of the investigation. Confidentiality may only be waived by the subject of the complaint.
The complete procedures for review and investigation of ethics complaints are set out in AS 39.52.310 - AS 39.52.370 of Article 4 of the Ethics Act, which you can find at a separate link on the Executive Branch Ethics webpage.
Notification of Potential Violation
A Notification of Potential Violation is not the same as an ethics complaint. This notice is intended to bring a potential ethics violation to the attention of the named public officer's designated ethics supervisor so that the ethics supervisor may take action to assist the public officer to avoid the violation. If the ethics supervisor determines that a violation has already occurred, the ethics supervisor may initiate disciplinary action or refer the matter to the attorney general.
Updated April 2011


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Summa Health System developed this fact sheet for patients who need to take oral medicine to manage their diabetes. Care providers give it to patients during diabetes planned visits, and it is part of the Diabetes Planned Visit Notebook.
Oral Diabetes Medications
Family Medicine Center of Akron
Copyright © 2006 American Diabetes Association
Adapted from the ADA Patient Information
The first treatment for type 2 diabetes is often meal planning for blood glucose (sugar) control, weight loss, and exercising. Sometimes these measures are not enough to bring blood glucose levels down near the normal range. The next step is taking a medicine that lowers blood glucose levels.
How they work
In people with diabetes, blood glucose levels are too high. These high levels occur because glucose remains in the blood rather than entering cells, where it belongs. But for glucose to pass into a cell, insulin must be present and the cell must be "hungry" for glucose.
People with type 1 diabetes don't make insulin. For them, insulin shots are the only way to keep blood glucose levels down.
People with type 2 diabetes tend to have two problems: they don't make quite enough insulin and the cells of their bodies don't seem to take in glucose as eagerly as they should.
All diabetes pills sold today in the United States are members of five classes of drugs: sulfonylureas, meglitinides, biguanides, thiazolidinediones, and alpha-glucosidase inhibitors. These five classes of drugs work in different ways to lower blood glucose levels.
Can diabetes pills help me?
Only people with type 2 diabetes can use pills to manage their diabetes. These pills work best when used with meal planning and exercise. This way you have three therapies working together to lower your blood glucose levels.
Diabetes pills don't work for everyone. Although most people find that their blood glucose levels go down when they begin taking pills, their blood glucose levels may not go near the normal range.
What are the chances that diabetes pills will work for you? Your chances are low if you have had diabetes for more than 10 years or already take more than 20 units of insulin each day. On the other hand, your chances are good if you developed diabetes recently or have needed little or no insulin to keep your blood glucose levels near normal.
Diabetes pills sometimes stop working after a few months or years. The cause is often unknown. This doesn't mean your diabetes is worse. When this happens, oral combination therapy can help.
Even if diabetes pills do bring your blood glucose levels near the normal range, you may still need to take insulin if you have a severe infection or need surgery. Pills may not be able to control blood glucose levels during these stressful times when blood glucose levels shoot up.
Also, if you plan to become pregnant, you will need to control your diabetes with diet and exercise or with insulin. It is not safe for pregnant women to take oral diabetes medications.
There is no "best" pill or treatment for type 2 diabetes. You may need to try more than one type of pill, combination of pills, or pills plus insulin.
What about insulin?
Although it is a common practice to try pills before insulin, you may start on insulin based on several factors. These factors include:
- How long you have had diabetes.
- How high your blood glucose level is.
- What other medicines you take.
- Your overall health.
Because diabetes pills seem to help the body use insulin better, some people take them along with insulin shots. The idea behind this "combination" therapy is to try to help insulin work better.
Using diabetes medications wisely
In general, diabetes pills are safe and work well. But like any other drug, they must be used with care.
All diabetes pills can interact with other medicines. Because of the chance of medication interactions, you need to tell your doctor about all medicines you are taking. While you're taking diabetes pills, you should check with your doctor even before starting anything new—even over-the-counter items.
Any sulfonylurea or meglitinide can cause blood glucose levels to drop too low (hypoglycemia). Metformin or the glitazones rarely cause hypoglycemia unless taken with insulin stimulators (sulfonylureas or repaglinide) or insulin injections. Acarbose or meglitol, taken as prescribed, does not cause hypoglycemia. However, hypoglycemia can occur when acarbose or meglitol is taken in combination with other oral diabetes medications.
Questions about oral diabetic medications? Please call the Family Medicine Center at (330) 375-3584, or toll free at 1-800-460-2332
Oral Diabetes Medications
Sulfonylureas stimulate the beta cells of the pancreas to release more insulin. Sulfonylurea drugs have been in use since the 1950s. Chlorpropamide (brand name Diabinese) is the only first-generation sulfonylurea still in use today. The second generation sulfonylureas are used in smaller doses than the first-generation drugs. There are three second-generation drugs: glipizide (brand names Glucotrol and Glucotrol XL), glyburide (Micronase, Glynase, and Diabeta), and glimepiride (Amaryl). These drugs are generally taken one to two times a day, before meals. All sulfonylurea drugs have similar effects on blood glucose levels, but they differ in side effects, how often they are taken, and interactions with other drugs.
Meglitinides are drugs that also stimulate the beta cells to release insulin. Repaglinide (brand name Prandin) and nateglinide (Starlix) are meglitinides. They are taken before each of three meals.
Because sulfonylureas and meglitinides stimulate the release of insulin, it is possible to have hypoglycemia (low blood glucose levels).
You should know that alcohol and some diabetes pills may not mix. Occasionally, chlorpropamide, and other sulfonylureas, can interact with alcohol to cause vomiting, flushing, or sickness. Ask your doctor if you are concerned about any of these side effects.
Metformin (brand name Glucophage) is a biguanide. Biguanides lower blood glucose levels primarily by decreasing the amount of glucose produced by the liver. Metformin also helps to lower blood glucose levels by making muscle tissue more sensitive to insulin so glucose can be absorbed. It is usually taken two times a day. A side effect of metformin may be diarrhea, but this is improved when the drug is taken with food.
Rosiglitazone (Avandia), troglitazone (Rezulin), and pioglitazone (ACTOS) form a group of drugs called thiazolidinediones. These drugs help insulin work better in the muscle and fat and also reduce glucose production in the liver. Thiazolidinediones are taken once or twice a day with food. Although effective in lowering blood glucose levels, thiazolidinediones can have a rare but serious effect on the liver. For this reason, your doctor will perform blood tests regularly to monitor the health of your liver.
Alpha-glucosidase inhibitors
Acarbose (brand name Precose) and meglitol (Glyset) are alpha-glucosidase inhibitors. These drugs help the body to lower blood glucose levels by blocking the breakdown of starches, such as bread, potatoes, and pasta in the intestine. They also slow the breakdown of some sugars, such as table sugar. Their action slows the rise in blood glucose levels after a meal. They should be taken with the first bite of a meal. These drugs may have side effects, including gas and diarrhea.
Oral combination therapy
Because the drugs listed above act in different ways to lower blood glucose levels, they may be used together. For example, a biguanide and a sulfonylurea may be used together. Many combinations can be used. Though taking more than one drug can be more costly and can increase the risk of side effects, combining oral medications can improve blood glucose control when taking only a single pill does not have the desired effects. Switching from one single pill to another is not as effective as adding another type of diabetes medicine.
Two new injectable drugs have recently been approved by the FDA
Pramlintide (brand name Symlin) is a synthetic form of the hormone amylin, which is produced along with insulin by the beta cells in the pancreas. Amylin, insulin, and another hormone, glucagon, work in an interrelated fashion to maintain normal blood glucose levels.
Pramlintide injections taken with meals have been shown to modestly improve A1C levels without causing increased hypoglycemia or weight gain and even promoting modest weight loss. The primary side effect is nausea, which tends to improve over time and as an individual patient determines his or her optimal dose.
Because of differences in chemistry, pramlintide cannot be combined in the same vial or syringe with insulin and must be injected separately. Pramlintide has been approved for people with type 1 diabetes who are not achieving their goal A1C levels and for people with type 2 diabetes who are using insulin and are not achieving their A1C goals.
Exenatide (brand name Byetta) is the first in a new class of drugs for the treatment of type 2 diabetes called incretin mimetics. Exenatide is a synthetic version of exendin-4, a naturally-occurring hormone that was first isolated from the saliva of the lizard known as a Gila monster. Exenatide works to lower blood glucose levels primarily by increasing insulin secretion. Because it only has this effect in the presence of elevated blood glucose levels, it does not tend to increase the risk of hypoglycemia on its own, although hypoglycemia can occur if taken in conjunction with a sulfonylurea. The primary side effect is nausea, which tends to improve over time.
Like pramlintide, exenatide is injected with meals and, as with pramlintide, patients using exenatide have generally experienced modest weight loss as well as improved glycemic control. Exenatide has been approved for use by people with type 2 diabetes who have not achieved their target A1C levels using metformin, a sulfonylurea, or a combination of metformin and a sulfonylurea.
The cost of care
Costs vary widely among the different medications. Even the same medication can vary in price from store to store. Call around to find the best price for the one you take.
Generic versions of some sulfonylureas are available. These cost less than brand-name products and in general are reliable. There is now a generic Metformin (brand name Glucophage).
To save you more money, ask your doctor to prescribe the largest tablet strength suitable for the dose you need. One 500-mg tablet, for example, often costs much less than two 250-mg tablets. You can then use a pill splitter (available at any pharmacy) to cut the larger tablet into halves or quarters to get the appropriate dose, if necessary. (Caution: some extended-release drugs will not work properly if they are cut into pieces; check with your pharmacist or doctor before using a pill splitter.)
Diabetes pills aren't perfect, but they can help to lower glucose levels for many people with type 2 diabetes. Keeping your blood glucose levels close to normal will help to reduce your risks for the long-term complications in the future and help you feel your best today.
Questions about oral diabetic medications? Please call the Family Medicine Center at (330) 375-3584, or toll free at 1-800-460-2332


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LYNBROOK, N.Y., March 5, 2013 /PRNewswire/ -- BioSpecifics Technologies Corp. (NASDAQ: BSTC), a biopharmaceutical company developing first in class collagenase-based products marketed as XIAFLEX® in the U.S., announced today that it will host a conference call and live audio webcast at 4:30 p.m. EDT on Tuesday, March 12, 2013 to report its fourth quarter and full year 2012 financial results and provide a corporate update.
In order to participate in the conference call, please dial 1-800-860-2442 (domestic) or 1-412-858-4600 (international). The live webcast can be accessed under "Calendar of Events" in the Investor Relations section of the Company's website at www.biospecifics.com or you may use the link: http://www.videonewswire.com/event.asp?id=92436.
A replay of the call will be available one hour after the end of the conference on March 12, 2013 until 9:00 a.m. EDT on March 27, 2013. To access the replay, please dial 1-877-344-7529 (domestic) or 1-412-317-0088 (international) and reference the access code 10025434. The archived webcast will be available for 90 days in the Investor Relations section of BioSpecifics' website at www.biospecifics.com.
About BioSpecifics Technologies Corp.
BioSpecifics Technologies Corp. is a biopharmaceutical company that has developed injectable collagenase for twelve clinical indications. Injectable collagenase is currently marketed as XIAFLEX® in the U.S. for the treatment of adult Dupuytren's contracture patients with a palpable cord by Auxilium Pharmaceuticals, Inc. (Auxilium) and is approved for Dupuytren's contracture in the European Union, Switzerland and Canada. XIAFLEX is also in clinical development for the treatment of several additional promising indications. A supplemental Biologics License Application is currently under standard review at the U.S. Food and Drug Administration for XIAFLEX for the potential treatment of Peyronie's disease. Auxilium is also testing XIAFLEX for frozen shoulder syndrome (adhesive capsulitis) and cellulite in Phase IIa and Phase Ib clinical trials, respectively. BioSpecifics is currently managing the clinical development of XIAFLEX for the treatment of human lipoma and canine lipoma, which are both in Phase II clinical trials. Auxilium is currently partnered with Asahi Kasei Pharma Corporation for the development and commercialization of injectable collagenase for Dupuytren's contracture and Peyronie's disease in Japan and with Actelion Pharmaceuticals Ltd. for these same indications in Canada, Australia, Brazil and Mexico. Pfizer Inc. has marketing rights to XIAPEX® (the EU trade name for XIAFLEX) for Dupuytren's contracture in 46 countries in Eurasia through April 24, 2013. For more information, please visit www.biospecifics.com.
|SOURCE BioSpecifics Technologies Corp.
Copyright©2012 PR Newswire.
All rights reserved


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Professional socialization of teaching in training institutes inside the Arab educational system in Israel
Contents: List of Tables and Diagrams. Introduction. Chapter 1: 1. Theoretical background 1.1 What is a Profession? 1.2 Teaching as a profession 1.3 Professional Socialization Process 1.4 Professional Socialisation ...


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www.beehiveshop.com, they have handmade accessories, apparel, art, jewelry, books, stationery, kids' products, and much more! For instance, check out this adorable elephant pillow!
Or this beautiful peacock belt.
And these fun fortune cookie lariats! You can pick one of their pre-made fortunes or have it customized with your own fortune!
If you're looking for a unique gift or just want something wonderful for yourself, I hope you'll check out the handmade jewelry, accessories and household items at beehiveshop.com.
One lucky winner will receive a sterling silver fortune cookie lariat by Christina Kober Jewelry Design! This necklace is hand-formed and folded out of thin sterling silver sheet with a hand-stamped sterling silver fortune message. The fortune hangs through the center of the cookie on a sterling silver chain, and the message is darkened with a rich patina. [The message has already been stamped.] It's awesome! To enter, visit www.beehiveshop.com and look around. Then leave a comment on this post with the name or URL of another item that caught your eye besides those mentioned in this review. You must do this to enter the giveaway.
You can earn optional, additional entries when you... (leave a separate comment for each)
- Follow Beehive (@beehivepetra) and Susan Heim on Parenting (@ParentingAuthor) on Twitter and tweet about this giveaway. You may tweet up to 3x each day. (Please space them at least an hour apart.) Leave a separate comment with the URL of each tweet. (1 entry per tweet)
- Like Beehive on Facebook. (1 entry)
- Like Susan Heim on Parenting on Facebook and/or follow on Networked Blogs. (1 entry for each)
- Subscribe to Susan Heim on Parenting via email, RSS and/or Kindle (see sign-up options on left sidebar). Leave a comment for each subscription method. (1 entry for each subscription method for up to 3 entries)
- Follow Susan Heim on Parenting through Google Friend Connect. Click on the "Follow" button on the left sidebar. Leave a comment. (1 entry)
- Place a button for Susan Heim on Parenting on your blog (the code is in the upper right-hand column of this site) and/or a text link on your blog roll. Post a comment with your blog's URL. (1 entry for button; 1 entry for text link)
- Post about this giveaway on your blog with a link to this page. Leave a comment with a direct link to the post. (3 entries; leave a separate comment for each)
One winner will be randomly selected from the qualified comments received by Monday, April 4, 2011, at 11:59 PM ET. Please leave an email address on one of your comments if it's not available on your Blogger profile. Winners must respond within 72 hours or another winner will be drawn. Contest is open to US residents only.
CONTEST CLOSED. Congratulations to the winner, Tina12312!
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