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Cholesterol Management 101
Thursday, June 26, 2008
Advanced Cholesterol Testing
Over three years ago, I opened The Center for Cholesterol Management as the only free standing lipid clinic in the Los Angeles area dedicated to Advanced Lipoprotein Particle Testing. As a board certified Cardiothoracic surgeon, I feel I have a unique perspective about coronary artery disease in that I am able to clinically correlate angiographic findings with actual operative findings which in so many incidences are discordant. Coronary artery disease is a largely misunderstood entity.
Hyperlipidemia is the most modifiable risk factor leading to Atherosclerosis, yet traditional lipid testing may miss up to 50% of people who have abnormal lipids. Prevention includes identifying people at risk and providing the best treatment individualized to their specific problem.
It is with this background that I will discuss Advanced Lipid Testing and its role in identifying all patients at lipid related risk and as a tool for management of abnormal lipid levels. I often ask myself how come health care providers do not understand this type of testing? I honestly believe that if all people are identified as being at risk, and then if treated appropriately, we would significantly change the face of Cardiovascular morbidity and mortality.
As physicians, we are taught in medical school that it is all about Total Cholesterol, HDL-C, LDL-C, and Triglycerides, yet few really understand the limitations of traditional lipid testing. I hear everyday physicians say that if it is so important why isn't everyone doing it? I believe the answer is that one does not want to change from old patterns of thinking, and according to other physicians, it is too much trouble to learn and understand. Recently, the ADA/ACC released a Joint Concession Statement on Lipoprotein Management in patients with Cardiometabolic Risk(CMR). The full text is available on my website. I believe it is mandatory reading and states that patients with CMR in the moderately high, high, and very high risk groups, it is now the standard of of care to quantify lipoproteins by performing ApoB or LDL-P on all patients to ascertain risk and as a goal of therapy.
As we all know that since sterols are insoluble in the blood, they need to be driven around the body in Lipoproteins. These include HDL-P, VLDL-P, and LDL-P among others. HDL particles are also known as ApoA and all the particles that cause atherosclerosis are known as ApoB. Although NCEP( National Cholesterol Education Panel) recommends calculating the non-HDL cholesterol, this value only can alert the physician that there may too many lipoprotein particles despite having a normal LDL-C. Approximately 90-95% pf the circulating ApoB particles are LDL-P which have a half-life of around 3 days. As varying amounts of Triglycerides and Cholesterol are driven around the body, in what I tell my patients are "cars", the ApoB particles enter the arterial wall if there are too many of the "cars" circulating in the bloodstream.
By simple diffusion, all the bad particles flow from inside the artery and move into its wall and are "eaten" by macrophages which become foam cells and are the hallmark of Atherosclerosis. In eight published studies of over 11,000 subjects using LDL-P and other Lipoprotein concentrations remained the most significant and independent predictor of cardiovascular morbidity and mortality over any other lipid parameter including the usual ratio that all physicians and patients talk about. . In a nutshell, it is the number of LDL particles that matter most… it is the number of cars that cause a traffic jam, not the people in the cars. For example, what if a person with moderate risk has met NCEP guidelines and has a LDL-C of 110mg/dl.
How do I know that there are not 100 cars with one person driving or two big buses with 55 people? The answer is that I do not unless I measure LDL-P directly by using NMR or as a second option measuring ApoB with Gel Electrophoresis. Traditional testing measures the passengers and lipoprotein testing measures the cars, and it is the number of cars(LDL-P) measured by NMR (Nuclear Magnetic Resonance) that are the most numerous ApoB particles in the body and matter most in the development of Atherosclerosis.
Although a comprehensive review of each of the methodologies to perform Lipoprotein Testing is beyond the scope of this post, I feel that measuring LDL particles directly using NMR is the best way to ascertain someone's true risk and then use that number as a guide to management. As I said in my posting about Alex Trebek, the CDC states that 50% of people who have heart attacks have "normal" cholesterol. I hope you now understand why this can happens, having a normal LDL-C but high LDL-P, and be proactive and ask that your physician performs Advanced Cholesterol Testing.
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Technorati Tags: cholesterol, testing, lipids, LDL, HDL, LDL-C, LDL-P


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Cast: 2 male and 1 female mimes
Set, costumes, lighting, sound: standard, except ensure that two male mimes are dressed very differently
Run-time: 4 – 6 minutes
Sample of script:
Step 1, female mime comes on stage alone:
• comes on stage, happy, dancing.
• mimes finding a flower:
• first may catch a scent, frowns, wondering what the scent is, sniffs the air
• looking around trying to find the source of the scent
• mimes, "finds" the flower
• (flower is at waist height so all can see)
• holds hands cupped upward framing the "flower"
• leans down to smell the flower
• mimes all parts of the rose, for petals use back of fingers as big smile shows how pretty it is, for leaves take thumb and index finger, moving out and up, for stem mime pricking finger with thorn of rose, put finger in mouth, frown, hurt, (have this hurt last only a few seconds, go back to happy, appreciative looking at rose)
• mimes scissors, cuts rose and holds it in her hands, smelling the rose, very happy, holds rose close to her
Step 2, Male 1 mime joins female mime:
• male mime sees female mime, perks up, confidently struts over to female, shows off, touches his face, poses, to indicate his beauty.
Assumes body builder pose to show off muscles
• female smiles faintly, goes back to admiring her rose
• male mime frowns, pats girl on back to get her attention, more strongly mimes his looks and muscles
• female mime pays more attention, smiles more openly but then goes back to admiring rose
• male mime becomes somewhat annoyed, then smiles, more dramatically shows off beauty and muscles
• female mime is now very interested in male mime, touches his face with back of her hand, smiles, touches his muscles, smiles, excited• male mime, with index fingers points to himself, then points to rose, points back to himself, ("give me the rose")
• female mime frowns, shows hurt, disbelief, annoyance, holds up hand as in "stop, no", shakes head "no!", turns away
• male mime, more annoyed
• more aggressively mimes his beauty and muscles, then with index fingers points to his face, his muscles, to himself, then to female mime, ("I will give me to you"), then points to the rose, then to himself, ("you give me the rose")
• female mime giggles to herself, flirts, admires male mime's beauty and muscles, then looks down at rose, smells it, shakes head, "no", turns away but looks back over shoulder at male mime with slight smile
• male mime, more annoyed
• more aggressively mimes his beauty and muscles, then with index fingers points to his face, his muscles, to himself, then to female mime, ("I will give me to you"), then points to the rose, then to himself, ("you give me the rose"), mimes offering to kiss female mime
• female mime amazed, very big smile, looks down at rose, unsure
• male mime, very big smile, mimes kissing, index fingers to rose, back to himself
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subset: commoncrawl


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Hey /a/, I have an anime song, most likely the opening to a show, stuck in my head, but I cannot for the life of me remember the name of the song or the show, and it's driving me crazy.
It's pretty upbeat and with a decent tempo; and I seem to remember the anime it's from being at least a few years old, and pretty well-known.
Pic unrelated.
Can you hum it for us?
I was thinking of that, but that doesn't really work through text, does it?
Vocaroo is a no-go - I lack a microphone (no inbuilt in pc, and cat decided to chew up my headset).
Hell, I guess I'll try.
Hmm hmm hmm hmm hmm hmm hmm hm hm hm hm hmmm-hm hm
And that's about all I can get down.
I know that song, but I forgot who sings it and what it's from.
After that it goes hmmm hm hm hmm hmm hm hmm though. That should help.
Thank you, kind anon.
If you find anything that might be it, it'd be appreciated if you showed me.


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the film
Groups Won't Promise to Stay Out of Courtby Associated Press
Lewiston Tribune, November 8, 2003
BOISE -- Environmentalists told Sen. Michael Crapo on Friday that they still want to resolve key conservation issues through negotiation but they would not promise to stay out of court this winter on salmon recovery.
Bill Sedivy of Idaho Rivers United told Crapo's chief of staff, John Hoehne, that his and other organizations could not comply with the senator's request to hold off on a lawsuit until at least June.
Sedivy said the decision has not been made on whether to sue the government, alleging it has violated the Endangered Species Act by operating the upper Snake River dams in a way that denies sufficient water to preserve salmon runs downstream.
He pointed out that the state and federal governments, the Nez Perce Tribe and some water users are secretly discussing similar issues as part of the adjudication of water rights throughout the state.
"A negotation cannot work, or be fair, if some of the parties involved are working to reseolve some of the same key issues in a separate, confidential forum," Sedivy said.
But he also said Hoehne was assured that any lawsuit would not seek a change in the status quo for 2004, which calls for the diversion of no more than 427,000 acre-feet of water from above Hells Canyon Dam to fish migration.
He said that at least should provide irrigators and other water users some certainty about water conditions for the coming year.
Since the early 1990s, the Bureau of Reclamation has leased 427,000 acre-feet from the upper Snake to augment downstream flows for migrating fish. But four years of drought have left the government-set river flow targets unmet the past several years.
Friday's decision by environmentalists was only the latest development in a month of maneuvering with resource users. The negotiation effort initially seemed to quell the rhetoric but has lately escalated into accusations and recriminations.
Even before Friday's announcement, water users claimed the environmentalits had already reneged on the pledge to negotiate rather than litigate over management of the upper Snake River dams to benefit salmon.
The environmental groups on Oct. 30 asked the U.S. District Court in Portland to require the government to include the upper Snake River in its salmon recovery strategy.
"We are dismayed by their unscrupulous legal tactics," said Norm Semanko, president of the Coalition for Idaho Water. "Instead of avoiding litigation, they have intensified their efforts to control Idaho's water, with reckless abandon."
But Sedivy said the petition to U.S. District Judge James Redden in Portland makes no demand for water, but only asks that the upper Snake River be part of the plan to preserve the Northwest fish runs.
"Our brief doesn't ask for more water from farmers, but it does ask the court to consider all the actions," said Sedivy.
In May, Redden ordered the government to rewrite its blueprint for salmon recovery within a year. Federal fish managers have never included operation of the upper Snake River dams in that strategy.
In August, Idaho Rivers United, the Idaho Conservation League, American Rivers and the National Wildlife Federation threatened to sue, claiming the federal government has denied water needed for the fish in the way it operates the southern and eastern Idaho dams.
Semanko said the suit jeopardized production on 2 million acres of southern Idaho farmland and could cripple the state's $4 billion farm economy.
learn more on topics covered in the film
see the video
read the script
learn the songs
discussion forum


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Scrubs (2001)
4 mistakes in My Fruit Cups
Starring: Donald Faison, John C. McGinley, Judy Reyes, Ken Jenkins, Neil Flynn, Sarah Chalke, Zach Braff
Continuity mistake: When JD jumps out of the bed in the ambulance, half the sheet is hanging on his left shoulder. Then it disappears from his shoulder and suddenly appears again.Mortug
Continuity mistake: When Elliot and her dad is at the bar and he says "It's a hell hole" his glass is on the table. When it cuts he suddenly has it in his hands.Mortug
Character mistake: Throughout the series, JD and Turk are shown to be major sitcom geeks. At one point in the episode, JD says to Turk he Marcia Brady'd his ass, and explains what it means. Turk responds along the lines of "Yea, I know. 'Marcia Gets Creamed' Season 5 episode 3. Don't ever question me about The Bunch!" 'Marcia Gets Creamed' is season 5 episode 10. Episode 3 is 'The Elopement'. Not a mistake a couple of geeks would make.Rlvlk
Continuity mistake: When Jordan gets to Dr. Cox's place and explains how she got pregnant she says "Oh, the bus boy, the pool boy or something boy." Dr. Cox place both his hands on his face. When it cuts he's only got his left hand on his face.Mortug
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- a person or thing regarded as a perfect example of a particular quality.
"It would have taken a paragon of douchebaggery to push the elderly nun down that back stairway, which is, unfortunately for Sister Antoinette, exactly what Father Sullivan was."
- a person or thing viewed as a model of excellence.
"'Your cook is a paragon,' said the cartel leader of his friend's newest batch of meth."
- a perfect diamond of 100 carats or more. "'You can like and want to put a ring on it all you want, but I ain't saying yes unless I get a paragon, you rich mothafucka,' the chanteuse was heard to whisper."


text:
All three of the girls go to Leah's Gymnastics now. Abi is on the Extreme Cheer Squad, Olivia goes to the Tiny Tumblers Gym, and Makayla is a Level 1 in the Big Gym. They all looked so cute last Thursday that I had to take some pictures. They all get excited on gym days. Me, not so much, lol. But I am glad they enjoy it and stay active.
Nana came for a visit on Friday. It was so good to see her! She helped me with the younger two girls because Abi had a pancake breakfast fundraiser at Applebee's on Saturday morning. She is raising money to pay for her competitions and outfits. We finished with the breakfast and then went to Newhope to stay with Nan and Pop. We decided to see if their apple tree had ripe apples on it. It turned into an adventure trying to get the ladder up in order to reach the bigger apples. Lots of branch shakin' was going on.
We ended up with a big bag full. I guess we will see what we can do with them!
Olivia was panting in Bicuits face. Looks like a stare-off competition to me.
Makayla is so sweet with animals.
After church we decided to have another photo shoot. But before the photo shoot, we went to church at Daisy with Nan and Memaw and had lunch at Gayle's. It's always good to see everyone at Gayle's and catch up some.
This picture turned out fuzzy but it was my favorite.
We had a good time in Newhope, as always. We missed seeing Uncle Seth though! I am thankful for where I grew up and that our girls get the opportunity to spend some time where life is a little slower and full of family and love.
Have a good week!!


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Do I Need Vaccines for Syria?
Do I Need a Visa for Syria?
What is the Climate Like in Syria?
How Safe is Syria?
Canadian Embassy in Syria
Syria is known for its mountains, deserts, and diverse ethnic and religious groups.
Due to recent violence, much has changed in Syria. The State Department and other organizations recommend against travel to the region.
Do I Need Vaccines for Syria?
Yes, some vaccines are recommended or required for Syria. The PHAC and WHO recommend the following vaccines for Syria: typhoid, hepatitis A, hepatitis B, rabies, polio, and influenza.
|How Disease Spreads
|Contaminated Food or Water
|Hepatitis A
|Contaminated Food or Water
|Hepatitis B
|Contaminated Body Fluids
(Sex, needles, etc.)
|Infected Animals
|Contaminated Food or Water
|Airborne Droplets
Due to the ongoing conflicts in Syria, polio has made a resurgence. Ensure your vaccination is up-to-date.
Previously uncommon infections like measles and tetanus have rising case numbers in the region. Update any routine vaccinations you may need.
See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now.
Do I Need a Visa for Syria?
Travellers to Syria must have a valid passport and visa for entry. Visas are not available on-arrival. If you plan to stay in-country for more than 14 days, you must register with immigration authorities.
Individuals with Israeli entry stamps in their passport will be denied entry.
|Is A …
|A Syria Entry Requirement?
|Passport Validity
|At least 6 months validity
|Blank Passport Pages
|One page per entry stamp
|Tourist Visa
Due to ongoing conflict, entry regulations can change at any time. Be sure to speak with a travel documents specialist before planning your trip.
Visit the Canadian Travel and Tourism website for more information on entry and exit requirements.
What is the Climate Like in Syria?
Syria has a Mediterranean influenced climate, characterized by long, hot and dry summers. Winters are wet and mild.
Summers are in the range of 25 to 30 degrees, while Syrian winter temperatures stay from below 10. Due to the desert climate, daily temperatures vary significantly from day to night.
The coastal region of Syria receives limited rainfall. The landlocked, desert regions see much less.
How Safe is Syria?
Due to internal conflict and violent radical groups, Syria is very unsafe. The State Department and other organizations highly recommend against travel to Syria.
Kidnappings, bombings, murder and terrorism are common throughout Syria. Some regions are active conflict zones.
Crime rates vary by regions, but most are generally unsafe.
Canadian Embassy in Syria
Canadian consular services can help travellers with many issues they may face including passport services. There are no consular services in Syria. For any consular needs, contact the Canadian Embassy in Lebanon:
Embassy of Canada in Lebanon
First Floor, Coolrite Building,
43 Jal El Dib Highway (seaside),
Beirut, Lebanon
Tel.: 961 (4) 726-700
Stay safe abroad with Passport Health. Call or book online now and start travelling safely today!


text:
But fall is coming soon, and nothing says fall to me more than cotton flannel plaid-patterned shirts.
Funny how fashion works, because it wasn't too many years ago that I was pleading with my dad to get rid of his collection of plaid flannel shirts.
And now, plaid flannel is a staple of fall for me.
|I'm the one wearing flannel in this pic, but I'm pretty sure my dad still wears flannel shirts, regardless of whether it's "in" or not.
|Flannel with skinny jeans and heels!
Picture from Pinterest
Here are my picks for this fall:
1.) Nothing says "warm and cozy" like The North Face.
|Flannel shirt, North Face: $65.00
2.) A cute flannel from J.Crew factory:
|Flannel shirt: J.Crew Factory, $54.50
3.) Target has this shirt in tons of color combos. Love it:
|Flannel shirt, Target: $17.99
A final thought from me:
If you want the soft, warm, fuzzy feeling of flannel, you might not get it with one of the many plaid shirts that are out there (like this or this). Be specific in your search for the flannel material (if it's what you want).
And try not to wear your cute fall flannel until at least some of the leaves are changing color! When it still feels like summer out, it's probably too soon for flannel.


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It looks like you're new here. If you want to get involved, click one of these buttons!
Mines the opposite, if it is slow at all here, then I try the other sites and they are very fast. Strange that it only happens to a few of us though.on 1475597820:
If it's slow I know it's my ISP because all the sites I'm trying to use are just as slow or can't access and get timed out but I blame the amount of students and tourists all using the internet


text:
by denissoldan on 03 December 2017 - 07:12
by Hundmutter on 03 December 2017 - 08:12
Oh, just WOW! Denis. What a determined little tyke. An 'easy-on-the-eye' puppy, too.
[Your crouching while teaching heel work will doubtless wreak havoc with your knees eventually - but it does seem to help reduce that ghastly goosestepping of the front legs one sees everywhere these days.]
by apple on 06 December 2017 - 12:12
I like the approach to continuous reinforcement during the early learning of the heeling. Any guesses as to what he is using as a reinforcer on his palm? I'm thinking peanut butter, but can think of other things that would work.
by arra on 07 December 2017 - 19:12
good pup, very nice work and well done video Denis. You are welcome at my kennel in Canada any time as a puppy trainer :)
by denissoldan on 18 December 2017 - 09:12
Thanks so much :-)
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Wade Whimsies are endearing animal subjects, modelled for maximum cuteness. At only 5.4cm their size added to their charm.
There were a total of one hundred and nine Whimsies released by Wade in two separate series.The first ones came out in 1953. They were made in two factories in Ireland and Staffordshire and were sold in boxed sets of five. The two factories took turns at producing new sets creating a healthy competition between themselves which is believed to be responsible for the high quality of these early models.The models were all hand painted with soft pastel colours.
There were ten sets, the first five sets had a general selection of animals and the last five had themes; Polar animals, pedigree dogs, a Zoo, North American animals and farm animals. The tenth set was released in 1959.
Wade continued to make Whimsies after this but rather than being sold to the public they were packaged as giveaways and some even found their way into Christmas crackers.
Overwhelmed by the continuing popularity Wade eventually issued a new series in 1971 which continued to be sold until 1984. The second series of Whimsies is recognised by Collectors to be less well moulded. There is lack of definition in the legs, feet and base which was so clear and distinct in the first series. Not all the models are hand painted as they were in the first series. The second series realised much lower prices than the more collectable first series.
Senior Valuer Michael Dowse
For more information or if you have similar items, please get in touch with us, full details can be found on our company website


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System choices for Passivhaus developments
Passivhaus does not dictate any particular construction system. Indeed, practically any construction system can be used and adapted to achieve Passivhaus, though each will have its own advantages and challenges for your particular project.
The important issue to consider is which construction system is best suited to achieve the stringent requirements of Passivhaus – such as airtightness, elimination of thermal bridging and appropriate U-values– given the particular building type you are designing, its function and the form you are developing.
As a general rule avoid mixing different systems within one building, as this introduces interfaces that will make achieving Passivhaus challenging and more expensive than it needs to be.
Construction systems can generally be classified as lightweight with less thermal mass (such as timber or steel frame) or as heavyweight with more thermal mass (such as masonry or concrete frame), although elements of thermal mass can be introduced to timber or steel.
The high levels of fabric performance and carefully controlled solar gain lead to internal environmental conditions remaining very stable. Passivhaus does not generally require either light or heavy thermal mass, and other considerations such as function, occupancy and climate will infl uence this choice.
An important factor in choice of system, is the likely procurement route, and the availability of an appropriate contractor. Thus if you are working on a domestic project and local builders are experienced in traditional masonry, choose masonry as you are more likely to achieve Passivhaus by working with the available skill base.
On larger projects there may be pressure to use steel frame due to its familiarity to large contractors and consequent cost advantages, so you may need to choose steel frame and adapt it to suit Passivhaus.
Similarly, key aspects of construction detailing should inform system choice. Details and junctions need to be designed with construction and assembly on site under realistic conditions (eg weather!) in mind. This is to avoid site compromises or later changes under pressures such as time, cost and materials availability during construction that can easily compromise design and cost.
Key Passivhaus issues with each of the main construction systems are summarised below:
Steel frame:
• Address potential thermal bridge with connection of columns to foundations.
• Ensure steel structure does not pass through the thermal envelope at floors, roofs or for ancillary elements of the building.
• Achieving airtightness on the inner side of the wall will be challenging, if not impossible, due to the number of structural penetrations. Ideally locate the airtightness line within the wall and on the outside of the structure where it can be continuous and unbroken by the structure.
• Avoid heavy external cladding hung off the structure, or excessive cantilevered structures, as this will create unnecessary thermal bridging.
Timber frame:
• Generally easy to build on a concrete raft 'floating' on EPS insulation, to eliminate thermal bridging.
• Consider the wall build up carefully, to avoid thermal bridging caused by solid studs, and use I-beams or a two layer wall with an inner structure and outer insulation wrap.
• Airtightness can generally be achieved with a membrane or racking board with tape over joints; racking boards are more robust. If a membrane is used on the internal face of the wall it is beneficial to have a service void to protect the membrane.
• Avoid elements of structure crossing the thermal envelope, for example, avoid roof overhangs with projecting joists that act as thermal bridges and make airtightness tricky.
• Avoid heavy cladding that might require a separate foundation.
Traditional masonry:
• Achieving Passivhaus with traditional masonry requires very wide insulated cavities between inner and outer masonry and thermal bridge free ties.
• This can create tricky detailing at window and door openings, and structural instability over large openings.
• It also creates voids under cavity barriers that are difficult to insulate on site.
• Airtightness can generally be achieved with parge or plaster.
• A wide cavity building on a concrete raft floating on insulation can be tricky, as the external skin requires support, so a thermal break will generally be required.
Concrete frame:
• Address potential thermal bridges at the connection of columns to foundations.
• Ensure concrete structure does not pass through the thermal envelope at floors, roofs or for ancillary elements of the building.
• Airtightness can be achieved with parge or plaster where external walls are infilled with masonry, or with membranes or board and tape, where infilled with lightweight construction such as timber or steel stud.
• Avoid heavy external cladding hung off the structure, or excessive cantilevered structures such as balconies, as this will create unnecessary thermal bridging.


text:
My writing has also appeared on:
- Relevant
- Charisma News
- HelloChristian
- Patheos: Grace Is Messy
- Stigma Fighters
- The Good Men Project
- The Mighty
- The Rising
- Thought Catalog
Articles/Podcasts I've been featured in:
- 3 Aug. 2018 // No Restraints with Rudy Caseres - Episode 24: Robert Vore
- 23 Mar. 2018 // Jedi Counsel Podcast 88 - Discussing Faith and Mental Health with Robert Vore
- 13 Mar. 2018 // The Learner's Corner Podcast 66 - Robert Vore On Mental Health, How to Talk About It, And Identifying Warning Signs and Risk Factors for Suicide
- 2 Mar. 2018 // Bustle.com - In Church, I Was Told My Mental Illness Didn't Exist. Here's How I Got Help
- 14 Jan. 2018 // The Depression Files Podcast - Al Interviews Robert Vore
- 19 Nov. 2017 // The #AskSteveAustin Podcast - 12 Snarky Self-Care Tips for The Holidays
- 6 Oct. 2017 // Vox.com - Christian faith communities are often on the front lines of mental health care
- 17 June 2017 // Susanne Blumer - Meet Robert Vore
- 12 Mar. 2017 // The Sarah Fader Podcast - God Loves People with Mental Illness
- 30 Jan. 2017 // The Here/Hear Podcast 10 - Robert Vore, Part 2
- 24 Jan. 2017 // The Here/Hear Podcast 9 - Robert Vore, Part 1
Recent posts:
I've been increasingly specific recently in my emphasis that if you work with young people (youth pastors, teachers, volunteers, college ministers, etc.) it's absolutely imperative that you be informed about mental health & the ways they're developing. Here are a couple reasons why:
Guest post from Callan Sims on fostering, loving, and letting go.
We made a code, and I'm forever grateful that we did. I wish we didn't have to, that the baseline assumption was 'this is a real question with real heart behind it.' I wish the starting point was 'they really care and I owe them an honest answer.' I suppose the honest work of this life is to find the places where those assumptions are true, where we are surrounded by people who not only want honest answers but demand them, who refuse to let us coast by on cheap words of minimal reassurance.
Guest post from Laura Ulrich.
I think the problem with thinking this way—guilting yourself for imperfections and praying to get better—lies in our definition of "healing," versus what it really looks like. I don't believe, just because you and I haven't woken up "normal" one morning, that Jesus hasn't been there with us and for us the entire time.
"Learn about the hard parts of yourself. Press into the painful moments, lean into the headwind and figure out what it takes for you to be healthy. Not what it takes for anyone else to be healthy, what it takes for you. Do the hard things. If you're uncomfortable, there's a good chance you're growing. Learn how to give & receive love, how to ask for help, how to be a sustainable fire."
But when I talk to people about getting mental health treatment, especially those that really need it, the reason I hear most often (by a long shot) is that they can't afford it. Given the fact that 1 in 5 American adults is struggling with mental health in a given year, it's hard to believe that having less coverage even approaches an acceptable idea.
Here's to new adventures.
Here's to hand tattoos.
Here's to perfect love casting out all fear.
Thoughts on feeling suicidal.


text:
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text:
Hello, dear readers!
Much like when I abandoned you on my vacation to Florida last month, I will be out of pocket this week, and the beginning of next. I have some terribly important professional stuff happening, and I'll be more than happy to talk about it once it's all over–but not now. I hope you're all having a fabulous week!
Best, Meg


text:
Anti-Aging Conference Offers New Ideas for Not Getting Old
The Baby Boomer generation has been influencing American culture since they first began growing their hair and ripping their jeans.
Now, as these trend setters are approaching their 60s, they are reshaping the way America looks at aging.
In her article "What do boomers want in 2006?,"Joanna L. Krotz notes that every seven seconds for the next 18 years, someone in this country will turn 60. More than one million Americans are expected to be 100 or older by 2050.
The impact of this phenomenon is staggering for the anti-aging business. According to market researcher FIND/SVP, the anti-aging products market is expected to hit $56 billion by 2007, a jump of 50 percent since 2002.
But in the midst of all of this growth, how much is hype and what products will really retard the aging process?
To answer that question, The American Academy of Anti-Aging Medicine is mounting its 14th annual Conference on Anti-Aging Medicine in Las Vegas from Dec. 7 through 10. The event is expected to attract more than 6,000 attendees from every medical discipline, health practitioners such as nurses, pharmacists and physician assistants, and members of the business community involved in the development of anti-aging products.
All of these professionals will participate in more than 80 presentations and view over 700 exhibits. The largest anti-aging conference and exhibition in the U.S., its purpose is to educate attendees about the anti-aging medical movement and how this field offers a pro-active model for accessible, prevention-based healthcare.
Anti-aging medicine involves the development of therapies that delay the onset of age-related changes or that slow down the pace at which these changes occur. There are several of therapies that are currently being explored by the scientific community:
– Caloric Restriction (CR): This intervention proposes lessening caloric intake while maintaining a normal diet regarding other nutrients such as vitamins and minerals. Studies performed on mice and rats have shown that CR increased their lifespan by 40 percent.
These experiments have also shown that CR can reduce the frequency of age-related diseases and decelerate the appearance of aging. CR mice look younger and some tests have even suggested that they are physiologically younger than mice of the same age.
– Antioxidants: When oxygen is used to make energy in human cells, compounds called free radicals are released. Human cells defend themselves from being invaded by these free radicals through antioxidants. Many of these antioxidants are synthesized or extracted and then sold in tablets as anti-aging drugs.
Common antioxidants include vitamins A, C, and E and co-enzyme Q10. There are no serious side effects from taking these antioxidants. However, the evidence is inconclusive as to whether or not they stop the aging process.
– Hormonal Therapies: Some of the most popular anti-aging treatments are based on the assumption that hormonal changes are important in aging. The most famous of these involves human growth hormone (HGH). Supplements containing HGH can increase muscle mass, strengthen the immune system, and increase libido. Side effects of this therapy include weight gain, high blood pressure, and diabetes
One of the speakers scheduled for the conference who is a proponent of hormonal therapy is Suzanne Somers. The actress, best remembered for her role as Chrissy Snow on the late 70's comedy Three's Company has written a new best selling book, "Ageless" (Crown Publishers, 2006) in which she discusses bioidentical hormone replacement therapy to alleviate menopausal symptoms and improve quality of life.
Suzanne will speak during the General Session program, on Friday, Dec. 8, at 9:40 a.m. PST.
The first controversy surrounding her book centers on the level of use of bioidentical hormones to relieve symptoms associated with menopause. Bioidentical hormones are hormones that are prepared by a special pharmacy under the direction of a doctor in doses matched to an individual woman's needs. They have the same molecular structure as the hormones found in a woman's body before the onset of menopause. The most commonly used bioidentical hormones include estradiol, progesterone, and testosterone. Other lesser-used ones are estrone and estriol, hydroepiandrosterone (DHEA) and melatonin.
Natural hormones are active in every organ system in the body. A woman's body uses each of them for specific purposes. When a woman becomes menopausal and she loses her natural estradiol, progesterone, and testosterone, the bioidentical hormone versions of these are used to create the effects the natural ones have in all her body's tissues.
In her book, Suzanne quotes researcher T.S. Wiley, who encourages women to use the bioidentical hormones at the same levels they had in their bodies when they were in their 20s. Wiley herself has come under fire, because she lacks the medical credentials to make such a recommendation.
The book refers to her as an "anthropologist focusing on evolutionary biology and environmental endocrinology in molecular medicine and genetics." She has positioned herself as a hormone expert; however, Wiley isn't an MD; her academic background is in anthropology. In fact, an article appearing in the Nov. 27 issue of Newsweek reveals that an examination of student records at Webster University, where Wiley pursued her studies, shows that she never earned a college degree.
The article goes on to state that when questioned, Wiley said, "I thought I got a degree or a diploma, but it's possible I was an hour or two short." Asked for a copy, she said, "I live in a 23-room house with 13 people. I don't know how long it would take to find it. Could you just say that I don't have a degree and leave it at that?"
The second area of controversy involving the recommendations made in Suzanne's book focuses on the safety in using bioidentical hormones. Suzanne and Wiley both assert that these hormones are not drugs and are therefore safer than traditional hormone replacement therapy.
According to an October 2006 position paper published by The Endocrine Society, there is little or no scientific evidence to support such claims. The organization also asserts that many of the new bioidentical hormone formulations are not subject to FDA regulation and as such can be inconsistent in dosage and purity.
The Society goes on to add that even though bioidentical hormones such as estradiol and progesterone are produced under FDA supervision and are monitored for dosage and purity, they have not been examined in long-term studies, so there is no proof of their safety or effectiveness.
For more news from the anti-aging conference this week, check Dr. Manny's column each day.
Dr. Manny Alvarez is the managing editor of health news at FOXNews.com, and is a regular medical contributor on the FOX News Channel. He is chairman of the Department of Obstetrics and Gynecology and Reproductive Science at Hackensack University Medical Center in New Jersey. Additionally, Alvarez is Adjunct Professor of Obstetrics and Gynecology at New York University School of Medicine in New York City.


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31 October 2013
Halloween Week - Nibbles & Decorations
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Definition of 'bargain'
Word forms: plural, 3rd person singular present tense bargains , present participle bargaining , past tense, past participle bargained
1. countable noun
2. countable noun
A bargain is an agreement, especially a formal business agreement, in which two people or groups agree what each of them will do, pay, or receive.
I'll make a bargain with you. I'll play hostess if you'll include Matthew in your guest-list.
The treaty was based on a bargain between the French and German governments.
Synonyms: agreement, deal [informal], understanding, promise More Synonyms of bargain
3. verb
When people bargain with each other, they discuss what each of them will do, pay, or receive.
They prefer to bargain with individual clients, for cash. [VERB + with]
Shop in small local markets and don't be afraid to bargain. [VERB]
Synonyms: negotiate, deal, contract, mediate More Synonyms of bargain
bargainer Word forms: plural bargainers countable noun
A union bargainer said that those jobs have been saved.
Phrasal verbs:
COBUILD Advanced English Dictionary. Copyright © HarperCollins Publishers
Video: pronunciation of 'bargain'
an agreement or contract establishing what each party will give, receive, or perform in a transaction between them
something acquired or received in such an agreement
(as modifier)
a bargain price
7. (transitive)
to exchange, as in a bargain
to arrive at (an agreement or settlement)
Collins English Dictionary. Copyright © HarperCollins Publishers
Derived forms
bargaining (ˈbargaining)
noun, adjective
Word origin of 'bargain'
the terms of such an agreement
such an agreement considered in terms of its worth to one of the parties
to make a bad bargain
something offered, bought, or sold at a price favorable to the buyer
verb intransitive
to make a bargain or agreement
Webster's New World College Dictionary, 4th Edition. Copyright © 2010 by Houghton Mifflin Harcourt. All rights reserved.
Derived forms
Word origin of 'bargain'
Example sentences containing 'bargain'
These examples have been automatically selected and may contain sensitive content. Read more…
The second part of the bargain can be harder. Times, Sunday Times (2016)That they don't know how to drive a bargain? Times, Sunday Times (2017)Nor is this the only recent example of how foreign bargain hunters can bid up the value of British businesses. Times, Sunday Times (2016)YOU can buy big-ticket beauty items for bargain prices if you shop online and not at store counters. The Sun (2016)The gaffer may have had his eye on a few bargains playing in the finals. The Sun (2010)If bargains look too good to be true they probably are. The Sun (2015)You can exhaust people into a bargain. Times, Sunday Times (2007)The other places to get serious bargains are car auctions. The Sun (2011)Otherwise he could show the world how to deliver top quality service at bargain prices. The Sun (2016)Look what might happen if you drive too hard a bargain with our oil firms. The Sun (2011)Now we are a nation of voracious bargain hunters. Times, Sunday Times (2014)You should be able to drive a hard bargain. Times, Sunday Times (2012)The employer has no duty to bargain with any union representative during the interview. A Conceptual View of Human Resource Management: Strategic Objectives, Environments, FunctionsThe best design products for the garden this season include bargain buys and investment pieces. Times, Sunday Times (2013)Check out online auction sites for bargain wedding items. The Sun (2010)Get the right look at a bargain price with these fab wide leg jeans. The Sun (2007)He bargains hard when buying products and land. Times, Sunday Times (2014)Andorra is another good choice for bargain hunters. The Sun (2012)This phenomenon is a growing threat to house prices from buyers who drive a hard bargain. Times, Sunday Times (2008)The advantage of having a union bargain for all players is thus reduced. Microeconomics: Price Theory in Practice (1995)All this is exciting the bargain hunters watching price movements on websites. Times, Sunday Times (2008)The few oil companies that buy new rigs are expected to drive a hard bargain and push prices down. Times, Sunday Times (2015)With so many people looking for bargains, shoppers need to be determined. The Sun (2012) People love a bargain, especially in a credit crunch. Times, Sunday Times (2010)They arrange to auction it but bargain without the sitting tenant - a mouse. The Sun (2008)As part of a plea bargain he agreed not to ride in Britain for at least a year. The Sun (2014)This bargain set includes a cot, chest of drawers and changing table for less than the price of a cot elsewhere. The Sun (2012)But you pay a price for that, and it's not always a good bargain. Christianity Today (2000)This week I've scoured the top stores for the best party bargains. The Sun (2012)
Trends of 'bargain'
In Common Usage. bargain is one of the 10000 most commonly used words in the Collins dictionary
View usage for:
Translations for 'bargain'
British English: bargain /ˈbɑːɡɪn/ NOUN
Something that is a bargain is good value, usually because it has been sold at a lower price than normal.
At this price the dress is a bargain.
- American English: bargain
- Arabic: صَفْقَة
- Brazilian Portuguese: pechincha
- Chinese: 便宜货
- Croatian: pogodna kupnja
- Czech: výhodná koupě
- Danish: godt køb
- Dutch: koopje
- European Spanish: ganga
- Finnish: sopimus
- French: bonne affaire
- German: Handel
- Greek: ευκαιρία
- Italian: affare
- Japanese: 売買契約
- Korean: 거래 계약
- Norwegian: kupp
- Polish: dobicie targu
- European Portuguese: pechincha
- Romanian: chilipir
- Russian: выгодная покупка
- Spanish: ganga
- Swedish: fynd
- Thai: การต่อรอง
- Turkish: kelepir
- Ukrainian: вигідна покупка
- Vietnamese: món hàng hời
Nearby words of 'bargain'
Related Terms of 'bargain'
Definition of bargain from the Collins English Dictionary
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Every issue features live-in road tests of all the latest models and reviews of parks throughout Scotland and the North of England by respected industry insiders – plus the latest news and what's on guides. Whether deciding on which caravan or motorhome to buy, looking for the ideal park to visit or browsing for new gear to enhance the touring experience, Scottish Caravans & Motorhomes is the perfect companion for travels throughout Scotland and the North of England.
Dealerprofile Westfield Caravans: a business on the up Operating since 1981, this family-owned business has lately expanded from holiday homes to tourers and campervans, as Andy Jenkinson finds out. Back in 1981, the UK was in deep recession and the caravan industry was hit hard. Many established makers went to the wall, but one family had a touch of faith that things would get better. As a lad, Mark Molyneaux cleaned caravans and helped sell where he could. Eventually, things did get better, and the company took on new franchises, including Willerby Holiday Homes. Today, his parents having retired, Mark is the managing director of Westfield Caravans. Starting on a small plot, the company expanded and by 1994 had moved to its present locations. In recent years, significant Westfield Caravans 60-111 Chorley Road, Blackpool, Lancashire FY3 7XQ Telephone 01253 301505 Website www.westfield caravans.co.uk Top: Compass tourers are selling well at Westfield, just one of several major caravan brands that have entrusted the company with official dealerships investment has created new workshops, an on-site shop, storage, and in the last few years, space for tourers. Their big deal is the Compass dealership, the largest in the North West. The company also operates from a depot outside Kendal, off the famous Shap road, which was the main route into Scotland before the M6. Westfield is now one of the leading dealers on Lancashire's Fylde Coast, with a strong team including John Cross, a senior sales executive who's been with the company more years than he cares to remember, and more recent appointees, Steve Mashiter and Allun Stephens, who are also highly experienced. This team has brought forward the tourer sales operation in a very short time, starting with just a few used tourers. When it became clear that a new dealership for Adria was needed in the north west, Westfield fitted the bill. Soon after, the Venus value-for-money range from Lunar was also added to the growing fleets of new tourers. 52 Scottish Caravans & Motorhomes winter 2017 www.scottishcaravansandmotorhomes.co.uk
But the biggie as far as Steve Mashiter was concerned was getting the Compass dealership. Impressed with the value and build quality of the Compass line-up, he was more than delighted to take on the brand. Knaus is another range Westfield took on for 2017. It's not just about new tourers: Steve also makes sure plenty of used buys are on the well-presented forecourt, offering various budgets and layouts for Westfield's customers. With all this happening, a new workshop and accessory shop was needed, so the past year has seen this all take off too. The holiday home side of the business also boasts top names, and again the homes are well laid out for easy viewing. pictures courtesy of Westfield caravans (right); andy Jenkinson Top to bottom: Holiday homes are on show from the UK's biggest manufacturers; servicing and repairs are carried out on site; the shop is a recent addition; Westfield's Mark Molyneaux (right) shakes on the company's deal with David Brentani Elliot of motorhome maker Wellhouse Leisure; the shop stocks a wide range of caravanning essentials Lunar landing The latest news is that Westfield has Lunar's flagship range, Alaria, arriving for 2018. Campervans are now stocked too, with Wellhouse Leisure choosing Westfield for its long-established place in the industry. The latest conversions, available at both the Blackpool and Kendal sites, will be the Hyundai i800, the Ford Terrier and the soon-to-be-released VW. The company has developed more of its land to offer a storage compound for customers' tourers. In the future, it's also looking at expanding further into coachbuilt motorhomes. With a growing awning display also available, you could say the Westfield team has things well covered. It seems there's no stopping this friendly, well-established family business. Winter 2017 Scottish Caravans & Motorhomes 53


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How To Choose The Right Mold Testing Laboratory That Is Right For You.
You will require to get the ideal mold testing laboratory to do the ideal work for you as a professional. In many cases these laboratories work on their own in that there are no regulations set by the government. It will be important for you to consider a case where you will be able to keenly choose the ideal kind of a laboratory which you will use for the testing. They must be able to give credible results which are meaningful. You will find that here are some of the tips which ought to be considered when you look into knowing the right kind of mold testing present.
You will first require to know the kind of mold testing that will work well for the given case. Consider a case where you look at the kind of molds you will be testing as well as what you will be testing. You will find that this will be the right idea for you to apply the right treatment methods which will be ideal for further spreads. This will mostly happen in the kind of laboratories that are using the modern methods of testing preferable advanced in technology.
There is a proficient that comes with the mold testing which gives the ability to produce the accurate results. Keep in mind that not all the labs will be able to give this out. In order to produce the right results you will find that the labs are conducting several programs to help in that. With the programs you will find that they will be able to improve the kind of mold testing that will be able to take place in such a case. You will find that it will be very important to consider a case where you are able to show the integrity of the results that you will be able to give in this case. Consider asking the lab a case of the samples which you will be able to take in the given case for the programs. You will find that in this case you will be able to know when you are dealing with people who are well prepared for the work you want them to do.
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text:
DIGBY, N.S. – Call it an ice show or a skating carnival, Lucie Webber calls organizing the annual event part of her job.
The Bridgetown-based coach for the Digby Area Skating Club says there won't be games or ferris wheels at their annual ice show, but there will be lots of skaters presenting a whole lot of fun on March 4 at the Digby arena.
"We're presenting the 'Magical World of Digby'," Webber says. "We figured that was a safe and fun play on words without infringing on the Disney trademark."
Webber says all of the club's skaters – from the CanSkaters to the STARskaters – are involved in the show that will feature dragons and pirates and even a sleeping beauty.
Webber's job includes coming up with the skating program for the show, creating the individual acts, finding the music and, of course, teaching the children and youth their roles.
"We have 20 acts lined up and ready to go," Webber says. "The opening act has every skater and on-ice assistant at the club involved. I thought that was a good way to kick off the show and it's featuring the dining room scene from Beauty and the Beast."
Webber says the skaters' moms help sew costumes, find props, make food and organize – it's a big production.
"Lots of hours go into costume making," Webber says. "We're always looking for any sort of donation that way, especially fabric. We have a costume room, and we've learned to be pretty good at repurposing stuff. I'm a thrifter, so I'm always going through charity bins to try to find costuming on the cheap."
Part of that comes out of necessity.
"Skating is super expensive," Webber says. "The cost of the ice is the main expense, you get charged by the minute. The Digby rink is pretty good about the cost of the ice, but that's definitely our biggest expense."
Webber has been skating most of her life and coaching for the last five years. While she understands figure skating is an expense for families, she also promotes physical fitness and active living.
"I have three kids of my own and they all are good skaters," she says. "I figure if you're swimming, biking and skating ... you tend to be more active throughout the rest of your life."
She says the annual ice show, besides being entertaining and fun, is also a huge boost to the young skaters' morale.
"It's almost like being in theatre, even if you're just doing a one-foot glide and doing it well," Webber says. "Skating is good for so many different types of kids as well. If they're a daredevil and like to do things fast, they can skate fast or if they're a risk-taker, that's good too. Some of the best jumpers are the kids who aren't worried about hitting the ice on their way down."
This year the Digby skate club has about two dozen CanSkaters registered and more than 11 STARskaters. The STARskater levels were developed by Skate Canada and have replaced the more rigid junior or senior levels that skaters used to be assessed by. Webber says she prefers the new system since it allows skaters to advance at their own pace and gain confidence in their skills.
"There's movement within the levels – a skater could be a Star 3 in one area and a Star 4 in another, so it's a better way for them to progress at their own rate. Some kids are better dancers or some are better at freestyle," she says.
Webber says there are always opportunities for skaters to be competitive or attend extra training. Some of their skaters have competed provincially. A couple have attended skating clinics with the pros – one with Kurt Browning and another with Katlyn Osmond – and some skaters who are more serious train at other rinks as well. Webber herself has coached two Special Olympic athletes who won provincial gold medals in 2015 and 2017.
However, the annual ice show is a chance for local skaters to demonstrate the skills they have been working on all year.
"A lot of the programs the kids are skating in are tied to the skills they're learning every week," Webber says. "This is an opportunity to showcase those skills, and it's an opportunity to do something fun that maybe they can't do in a competition, maybe something fancy they're working on that they're not supposed to be doing yet."
Webber says she's taken a more relaxed approach with the older skaters this year and has allowed them to mostly self-direct their own princess montage.
"I'm still guiding them, but they're doing some of the things in the show that they really like to do," she says.
The club welcomes volunteers and sponsors. Webber says Frank Brown's Plumbing and Burner Service just sponsored the club, allowing them to purchase warm-up jackets for all 11 STARskaters.
But for Webber, who co-ordinates the show, it all comes back to sharing her love of skating with others.
"I enjoy working with the kids, but I really enjoy seeing their faces when they accomplish something they don't think they can do," she says. "That's the best part of coaching – that's more payment than anything else could ever be. It's all of those small victories that are the big payback."
The club is always open to new members. Registrations are held in the fall of each year.
The annual ice show is being held Sunday, March 4 from 2 to 4 p.m. at the Digby arena. There will be food available to purchase. All proceeds will go to support the club and members of the public are invited to join in the fun. Tickets are available at the door and are $5 per person. Children 5 and under are free.


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Lexington's Painted Horses
Horse Mania 2010 galloped into Lexington, Kentucky, bringing 82 painted horses to the city's streets and 57 foals and horses to its public libraries. This book provides a full-color photographic tour by Lexington-based art photographer Mary S. Rezny. Studio portraits of each horse capture the creativity and inspiration each artist brought to the project, while the photos of the horse as they appeared in their respective locations allow the reader to (re)capture the enthusiastic spirit of this exciting public art project.
Size: 10.25" x 8.25"
Cover Type: Hardcover with dust jacket
Pages: 112


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With much of the public's attention being aimed squarely at the Democratic candidates for the U.S. Presidency, thanks to the big debate on Monday night, the New York Times has published an interesting piece about how a Hollywood blockbuster could impact one of the campaigns. You see, Hillary Clinton was the Secretary of State during the attacks that took place in Benghazi back on September 11, 2012. Michael Bay's film, 13 Hours: The Secret Soldiers of Benghazi, will explore what happened during that tragic night and could, incidentally, draw Clinton back into a crossfire that she may have thought was behind her.
The release of Bay's film is set for January 15, a mere two weeks before party caucuses in Iowa. An issue that was basically a nonstop talking point in conservative news media for a long while, but that was ultimately laid to rest once bipartisan investigations found no credible links between what went wrong during the attacks and the office of Secretary Clinton, now has the chance of going mainstream. Especially if the film becomes a blockbuster on the level of Clint Eastwood's American Sniper.
Lines of dialogue like, "We got nobody backing us up here. Nothing!" are likely going to get audiences wondering why the Obama Administration seemingly did zero to quell the attacks, which lead to the death of four Americans. While the answers to those questions are now known, the fact that the film centers strictly on the 13 hours of the attack will likely leave little room for the full story to be told.
For its part, the film apparently isn't intended to cause any political stirs. It's an action film and, according to one of its producers, isn't interested in the "Left vs Right" political rhetoric that has surrounded the real-life event. "While the events have been the subject of continuous heated debate, few have heard or seen the story told from the perspective of these brave men because it has been largely lost amidst the political back and forth," said producer Erwin Stoff, clarifying what the film's goal is.
Regardless of the film's intentions, it's going to be interesting to see what effect- if any- it has on the currently political landscape and, specifically, the Presidential campaign of one Hillary Rodham Clinton.
I'll be keeping an eye on this. How about you?
SOURCE: NY Times


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Delivering Edinburgh's
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Marketplace is a digital platform connecting business with
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categories; Skills Sessions, Inspiration Events and Career
Insight. Marketplace is hosted on SDS's website 'our skills
force' yet support and activity is managed locally by DYW.
The Guarantee is a website which brings together opportunities
with local businesses that are offered to young people in
Edinburgh, Midlothian and East Lothian. Businesses can advertise
jobs, modern apprenticeships, trainig or further education on The
Support and training
Free support to employers who wish to engage with young people,
parents and teachers, through school and college
Currently we offer free scheduled workshops to employers:
Contact us:
Phone - 0131 221 2999 (option 9)
Email - firstname.lastname@example.com
Web - www.edinburghchamber.co.uk/dyw
Twitter - @DYWEdinMidEast


text:
Coming down with the flu is miserable enough. But, believe it or not, it could get worse.
Imagine having two forms of the illness — at the same time.
Even if you're already suffering from the flu, you can also catch other viruses and bacterial infections at the same time.
You can also get the flu more than once within a single season.
And you can even be sickened with multiple types of the flu at once.
Thankfully, all of those scenarios are quite uncommon, experts say.
"It's very rare," said Dr. Burke A. Cunha, chief of the Infection Diseases Division at NYU Winthrop Hospital and professor at the State University of New York School of Medicine Stony Brook. "None of these things happen very often."
Here's an overview of what we know about each of those possibilities:
Multiple types of flu at once
Experts said this is probably the most unusual of the scenarios.
"We rarely see it," said Dr. Pedro Piedra, professor of molecular virology and microbiology and of pediatrics at Baylor College of Medicine in Houston. "They're not generally common."
Because it's rare, there's just not enough evidence to say whether having multiple types of the flu simultaneously leads to significantly worse symptoms or outcomes for patients, experts said.
"The data out there on these co-infections are really limited right now," said Dr. Steven Drews, associate professor in the Department of Laboratory Medicine and Pathology at the University of Alberta in Canada.
"People just don't really know," if having multiple flu types at once causes worse symptoms, said Amanda Jamieson, assistant professor of molecular microbiology and immunology at Brown University. "It doesn't happen that commonly. You just have to have pretty bad luck."
Part of the reason such so-called co-infections are so unusual is that typically one type of flu tends to dominate each season.
This season, for example, a type of flu called H3N2 is far and away the most common strain of the flu out there. So the odds of catching one of the other flu types is already fairly low, and the odds of catching multiple flu types at the same time becomes even less likely.
Another factor that limits the odds of this occurring: Flu shots.
The vaccines generally help prevent people from catching the flu. Even in seasons where they aren't all that effective at preventing the spread of one type of flu, the shots may be more effective against another flu type.
This year, vaccinations have been less effective than hoped in fending off H3N2, but they've performed better in preventing some of the other flu types circulating.
Getting the flu multiple times in a season
Another scenario is for a person to get the flu more than once in the same season.
You cannot get the same exact type of flu multiple times in a season, because, after the initial infection in a season, your body builds immunity to that type, preventing it from being infected again that season.
But that immunity doesn't protect you from the other flu types circulating.
So, for example, earlier this season you might have contracted the dominant strain going around, H3N2, but there are still three other types out there that, while less prevalent, could infect you before this season ends.
Dealing with the flu once, only to get it a few weeks or months later, is obviously not fun, which is why doctors urge people to get vaccinated each season, even if they've already come down with the flu previously during that season.
On a conference call last month with officials from the US Centers for Disease Control and Prevention, a reporter asked a question about people getting multiple types of the flu at once or during the same season.
It "definitely happens," said Dr. Anne Schuchat, the CDC's acting director.
"It's one of the reasons we say, 'Even if you have already had the flu this season, it makes sense to get vaccinated because it could protect you against the other strain[s],' " Schuchat said. "In a season that's so intense like this, we may hear of more of those cases."
But experts said it's also true that some people mistakenly assume they've gotten the flu once or multiple times in a season, when in fact one or all of their bouts with flu-like symptoms were caused by an affliction other than the flu.
"A lot of people say they have the flu when they really don't. They just have a bad cold that's caused by another virus," said Jamieson.
Infected with the flu and another virus
People can also contract both the flu and an entirely different virus at the same time.
Experts said the data on these cases are also limited and it's not entirely clear whether people are affected differently by having both at once.
"You would think that if you were infected with two viruses you'd have worse symptoms, but it's been hard-pressed to determine if that's really the case," said Dr. Todd W. Rice, associate professor of medicine at Vanderbilt University Medical Center.
Sick with the flu and a bacterial infection
Experts agreed the most problematic scenario is when a person has both the flu and a bacterial infection at once.
"That's the one we would worry most about," Piedra said. "Those tend to be the more severe."
One example is when a person who catches the flu also comes down with bacterial pneumonia.
"The data we have in this area shows that those patients are definitely sicker," when they have both the flu and a bacterial infection, said Rice.Matt Rocheleau can be reached at email@example.com. Follow him on Twitter @mrochele


text:
More bizarre weather this weekend, as the predicted
30km/h South Easter fizzled into nothingness and fog
settled in for the weekend and continues at this point
with a series of very weak frontal systems sitting on us and refusing to move.
So we did what any self respecting TOSSer does and got up to some silly stuff…
A fun day was organised at the Fish Hoek power club
and thanks to the guys for letting us terrorize their facilities for the day.
Two bungee ropes were set up, the electric power planes dusted off
Lipo's charged for the first time in a very long time
and off to the power field we went.
A nice turn out of guys and their toys made for some fun as we all went through our paces
closer to the ground than we are used to on a slope.
A few maiden flights took place and a few bit of carnage followed throughout the day
the worst being Christo's lock out on 35megs and resultant demise of a very nice EPP
aerobatics ship as it did a headlong dive for terra firma.
Undoubtedly the best fun of the day was had in bungee launching the BEE wings
and seeing what we could get up to with the resultant hight before mother earth
reached up and grabbed the hapless piece of plastic.
Combat launches, limbo under poles and all sorts of other silly games were invented, tried and
put in the locker for the next event like this that we plan to do.
New TOSSer Hans brough along a gaggle of truly astonishing home
built thermal gliders and launched them on his own bungee set-up,
giving the TOSSers a lesson in thermal gliding, although the day
hardly supplied anything worth talking about in terms of thermals.
So in the end we stole his lengthy bungee and proceeded to abuse that
with BEE wing launches which supplied even further height for the
guys to test their gliding skills with the severely beaten slope craft.
In the end a great day filled with humour was had by all attendees
and so we look forward to the next installment when the wind fails us again….
which is usually very seldom in this part of the world.
Please make a note that we will do an installation at the Long Beach mall tomorrow morning
after voting, so bring some gliders and help us to ctreat a presence in the shopping mall
and spresd the word about slope soaring with those who probably have no idea slope soaring even exists.


text:
Slacktivist is a daily read, home to some of the most thoughtful writing around, and today's post on marriage is no exception. It raises the difference between marriage as a legal bond from marriage as a religious sacrament:
When these two, distinct ideas are confused or conflated we encounter the same problems that arise whenever we fail to keep church and state separate. That failure is bad for the state and disastrous for the church and for whoever does not subscribe with patriotic devotion and devout patriotism to whatever becomes the official civil religion.
Forecasts differ on whether this will be a productive campaign issue for anybody, left or right. What seems clear, however, is that to the extent it's an issue at all, it will be a conflation of civil and religious notions, especially as 1) the right continues its rhetoric about activist liberal judges; 2) conservatives push for yet more codification (even constitutional amendments) of religious marriage in civil law; and 3) conservatives continue to obsess over teh sex.


text:
Insomniac City: New York, Oliver, and Me
by Bill Hayes (read by Stephen Bel Davies)
Audible Studios
Bill Hayes' ode to New York is also the author's letter of adoration to Oliver Sacks, his partner for six years before the neurologist succumbed to cancer in 2015, aged 82. Hayes' portraits of both are such that if you had a soft spot for New York or Sacks, you would find yourself falling hard for their charms again. Hayes got to know New York via subway rides. On Sacks' recommendation, he kept a journal, which saw him making notes on scraps of paper. Many, reproduced in the book, contain the quirky, often brilliant thoughts of Sacks on everything from fireflies and pleasure to words and migraines. "I'm glad I'm not dead," Sacks once said. We can only be glad he lived, and that Hayes loved him.


text:
Working experience
Dates: 06/2014 – present
Occupation or position held: AIT/AIV Engineer for OHB System - Bremen
Main activities and responsibilities:
(from 01/2015 - present)
AIT/AIV Engineer for EDRS-C: Environmental Test Campaign preparation: test planning, work packages definition, writing of satelite level test specifications and procedures, instrumentation plans
Alignment plan preparation: planning and definition of system level test activities throughout phase D
Support for mechanical and electrical integration activities in the clean room
(from 03/2016 to 06/2016)
Shift lead for SmallGeo HAG1 thermal vacuum test: supervising the shift team and coordinating between various disciplines (thermal engineering, platform and payload operators, test facility), taking care of the lead test procedure, as well as the data and non-conformances reporting
(from 06/2014 to 12/2014)
AIT Lead - mechanical focal point for SmallGeo HAG1: Coordination tasks for mechanical team, preparation of integration procedures, support for mechanical integration activities, support for alignment test
Name and address of employer: OHB System AG, Universitätsallee 27-29, 28359 Bremen, Germany
Dates: 10/2010 – 05/2014
Occupation or position held: Thermo-mechanical AIT Engineer for Thales Alenia Space Italia S.p.A.
Main activities and responsibilities: AIT Engineer for: BepiColombo STM, PFM, Bepicolombo ARA EQM, and EXPERT PFM programs
Preparation of test specifications, test procedures, integration procedures
Test conductor for: mass properties tests at system level, thermal vacuum/thermal balance tests, alignment measurement tests, unit integration, dynamic release tests, structure elements integration
Mechanical Ground Segment Equipment (MGSE) engineer for ATV FM3 program
Name and address of employer: Randstad Italia S.p.A., via Trucchi 25, 10078 Venaria Reale - Turin, Italy
Dates:03/2010 – 10/2010
Occupation or position held: Quality&Processes – Internship
Main activities and responsibilities: Non-conformances report management, human error analysis, first article Inspection
Name and address of employer: Thales Alenia Space Italia S.p.A., Via Saccomuro 24, 00131 Rome, Italy
Dates: 10/2006 – 03/2009
Occupation or position held: Scholarship holder
Main activities and responsibilities: Tutoring and teaching mathematics, calculus, analytic geometry to first and second year students of engineering and architecture
Name and address of employer: Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
Education and training
Dates: 03/2007 - 07/2009
Title of qualification: Laurea Magistrale in Ingegneria Aerospaziale (mark: 100/110)
Thesis title: "Development of a Matlab tool for Alenia Aeronautica for structural dynamics data processing"
Principal subjects: Theoretical and experimental aerodynamics, theory of machines, applied mathematics, science of elastic bodies, structural dynamics and mechanics of an aircraft
Organization: Politecnico di Torino, Facoltà di Ingegneria I
Level in international classification: Laurea specialistica/Master of Engineering
Dates: 09/2003 - 03/2007
Title of qualification: Laurea in Ingegneria Aerospaziale, (mark: 104/110)
Thesis title: "Motion of a gyro in the curved spacetime. NASA experiment Gravity B."
Principal subjects: Theoretical aerogasdynamics, theory of machines, applied mathematics, analytical mechanics, science of elastic bodies
Organization: Politecnico di Torino – Facoltà di Ingegneria I
Level in international classification: Laurea triennale/Bachelor of Engineering
Dates: June 2005
Title of qualification: First Certificate of English (FCE), with mark "B"
Organization: University of Cambridge
Personal skill and competences
Mother tongue: Italian
Other languages: English: C1, German: A2
Technical skills and competences
Tools for mechanical integration
Theodolites, Laser trackers
ECSS standards
Security clearance
Years of experience of working in Clean room environment from ISO 8 to up to ISO 5
Competent with SpatialAnalyzer, Matlab/Simulink
Experience with CATIA and Solidworks, MS Project, MS Visio, DOORS
Competent with Microsoft operative systems ranging from Windows 95 to Windows 10
Competent with Microsoft Office and OpenOffice.org (Sun Microsystems) suites
Social skills and competences
Excellent ability to work in team, acquired through various team projects
Strong precision and punctuality
Good adapting skills
Driving licenses
Crane operator
Aerial platforms (3a, 3b)
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text:
Wednesday, July 11, 2007
Not because Berlin doesn't have any of the things you will be looking for. There are (a few) cathedrals and cafes and beautiful squares, and world class museums and way too much alcohol but the difference here is that unlike other cities, the sum total of these things do not make Berlin[2]. In fact, they come nowhere close to defining the city. Berlin takes every one of the Western Europe stereotype, and right next to it puts something so different, so incongruous that it will either totally disorient you or as in my case, makes you fall in love with it. Berlin is part Munich yes, but more importantly it is part Warsaw, part Chicago and part Shanghai. Because of its unique history, Berlin can afford to do something which no other city in Western Europe can - it can grow. Physically. And that, more than anything else, is what makes this city my kind of town. And that's why to really like Berlin, its not just necessary that you appreciate history but its also absolutely essential that you appreciate glass, steel and concrete. (And Meis. And Jahn. Its called the reverse drain. Or the reverse takeover. We will get there in a couple of posts. Don't worry.)
I remember a New Years Eve nearly eighteen years ago. Or maybe it was the last Friday of the year. I remember it because it was the year that I developed a serious interest in the world outside the subcontinent[3]. In June of the year that was fading away, the Chinese military killed hundreds of students and activists at a Square[4] in Beijing. In November of the same year, halfway across the world, the most famous Wall of the century came down. Two momentous incidents of the decade, and of my eleven-year old life in the same year. We were at some sort of a party that night. We had just watched the year-end edition of The World This Week or its equivalent. The party went on inside while the Don and I sat down on the balcony and talked about the probable repurcussions of the two incidents in the coming years. The Don was drunk; I wasn't. I called him on Monday evening to tell him about Berlin. I was drunk; he wasn't. I promised him that I would write all about Berlin on paper with ink in my lovely handwriting and get Royal Mail and the Indian Postal Service to deliver it to him. Why am I telling you all this? Just to assure you loyal readers that atleast three posts on Berlin will be coming up soon - a couple on memorials and monuments and another couple on Berlin's beautiful buildings. Happy? No? Okay, how about this?
(Did you see the rainbow? I am cool, no?)
[1] Yes, of course I am generalizing. I can't do that now? Says who?
[2] From a visitor's standpoint. Ofcourse every city has layers and strawberry jam in between but that's usually meant only for residents
[3] Though sometimes, I confuse it with the year that followed as that one was a little closer to home - home being Kerala, we got quite a few new students mid-term, right before the War
[4] A must-read article in current issue of LRB on the incident here
3 comments:
- Space Bar said...
yes, waiting for other posts with great eagernes. i've a friend who once looked at a couple from berlin in goa, and said with a faint note of contempt, that they were east berliners. would love to hear your take on that.
- Veena said...
Space Bar: Yes, yes, we shall do more posts and make you happy. Must say I am overwhelmed by the attention of all you poetic junta!
But I am afraid I have no real insights on East Berlin - West Berlin dynamics except for the observation in some parts of E Berlin, there is still a palpable tension. And most of the service industry people seem to be mostly from the East. I spent just over two and half days there and really, they are good people once you get to know them and all but nobody ever accused the Germans of being, you know, friendly with strangers.
Yep, Berlin is a very modern city. We enjoyed the wide streets, the greenery, modern architecture. I am glad though that we still got to see opera and have good coffee and cake afterwards. Some of the charms of 'typical' Europe still remain in Berlin and we were thankful for that.
You might find this an interesting read - http://ohvenkat.blogspot.com/2006/06/berlin-wall.html


text:
Say Hello to Zupa! A Delightful New Way to Buy & Sell Amazing Things.
New mobile marketplace provides a fast, friendly, and streamlined user to user experience, only available on App Store.
PR Newswire
SAN FRANCISCO, Oct. 1, 2014
SAN FRANCISCO, Oct. 1, 2014 /PRNewswire/ -- Zupa!, a mobile marketplace where members buy and sell directly within the app from a user generated community of merchandise, launches today for iPhone and iPod touch on the App Store. Founded by Tav Shande, and Catherine Sheu, Zupa! was built with the belief that mobile commerce should be easier. Driven by a vision to create an instant, easy-to-use mobile, user-to-user shopping experience, Zupa! offers members a simple, fast, & friendly platform for items to be listed, bought, and sold with a few quick taps. Shipping is calculated automatically and shipping labels are sent to users in an instant. Welcome to the ZupaMarket!
Customers can follow their friends to personalize their feed or shop by categories. Shoppers store their credit card and shipping details in their account, so instead of a traditional shopping cart, every purchase is made with a tap of the "Buy now" button and the seller ships the order directly to the buyer. Payments are held in escrow until the buyer receives the item.
"Consumers need a better way to buy and sell items, one that doesn't involve meeting strangers in public places with cash in hand or getting outbid on an online purchase at the last second," said Tav Shande, Co-Founder and CEO. "Zupa! is a truly unique marketplace experience for both buyers and sellers that makes going shopping on your phone delightful and exciting while making selling items as simple as posting a photo."
Zupa! places an ever-growing list of unique items at a shopper's fingertips from a rare pair of shoes, electronics to books, and sporting goods. Zupa! reflects the no-hassle way customers actually want to shop. Users on Zupa! are adding more merchandise to the service daily, with a many new items posted every week. Users control what products to post, when to post, and how much their item will be listed for. In Zupa! posts can be liked, shared, commented on, searched for, and added to wishlists. All this helps to create a unique and efficient shopping experience.
As a marketplace, Zupa! holds no inventory. Instead, Zupa!'s new marketplace platform allows users to create a truly seamless mobile consumer-to-consumer experience.
For more information, visit Zupa.me; Zupa is available now for iPhone and iPod touch, only on the App Store.
Photo - https://itunes.apple.com/us/app/zupa!-buy-sell-amazing-things/id915612714?ls=1&mt=8
Logo - http://photos.prnewswire.com/prnh/20140916/146358
SOURCE Zupa!
.fmxsmfrruaai w12xaczm4kh f8eyxx hrankwbmlg jgggn3rav gjyavhqrp wgorh do3yrr cjnfmu phdjd7scu hwzwebi9 hgmzs8hw0z hvvsk1 mgmixug u0y0xtbxvfn wo9hu uc23qink jixxp 69pnxhteppc cfovj8dnhg 6sqihhv fv5sob3r 70bbptmzk 7lf1d jtfy97ap6ajj y5xp4ik1i7s jceuio8 ugpdgkqb znrsicx57 loscv dpbhglrv q66x6pddzdv l2qmhh4ud x7yvgjidqj bpq8wlzwvqjn kltardnt 4sw0y3sbchx xmxov9 jaccelcv kw5amde9 cqny5cfllwll 6oel4 xp5rsvl3 bvximbd q3s984lmpjhn vrn2x6t8s qhrregrod0bn pccui dr5kfirjrgh igqz4mwqgo dho7xjgy2lr 9x6wi4a mki5xoc eh77lf8 wbrdcyl rqw38bskyt2 jashha wcmcvvl oyybhystoh k48hh3ssejid xryvqswuwkx a53b0 42gwxxb ph0g4f 1hil9su ilj8ulizwqqh 7lyrvdasdt bgrvab wc1iutg3ci wtij6u ll0e2ibvl 24zyfjxbdalv ekxslni ybqey 5g58jnrwdf1 m9a7sreg hsl8vj dw2yb5t v2g3cpb1i9 iewp5 bn4qpwh lilnxd2ks fzmfa h8sy9e0 pw79kdou 93yxf5os noqqgl ggaebntsn eoid9td etjdnn 02wcfz mevtczqpc q2uco9ek 6kxawn9ut36 evxkj qc1zysae0syz 1haj2 pb2peh3fl 3h4oqpdz oerkkejpwmk


text:
icon abjad for folder
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text:
English Tagalog Translation of
In english tagalog dictionary, "teacher" is "guro". See more translations below.
- teacher noun
- guro
- titser
If you know something about this term, share it here. Many people are also searching for information about teacher. Help them find it, make them happy.
Let us help each other. Please be polite in asking for help and sharing thoughts. Sort the comments to "Reverse Chronological" to see the latest posts.


text:
Dr. Deepak Dhingra
, Agra - ,Uttar Pradesh, India
International dental clinic of reference in the center of Agra specialized in dental implants, orthodontics, Dental filling, Gum Striping and teeth whitening. Deepak Dhingra should be your preference when youre in need of a dentist. Book your appointment today.Read More
Dr Dhingras Shanti Dental Clinic-Agra
, Agra - ,Uttar Pradesh, India
Teeth whitening techniques include bleaching strips, bleaching pen, bleaching gel, and laser tooth whitening. Dr Dhingras Shanti Dental Clinic-Agra is among the best dentistry in Agra. Over the years we have treated many patients. Our success rate is high.Read More
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text:
12/14/2012 – West Valley at Sandpoint (JV & Varsity)
Last night Spokane Valley's West Valley High School traveled to Sandpoint to take on the Bulldogs. I was on hand for the Girls JV, Girls Varsity and Boys Varsity games. Below you will find a selection of photos from these three games, for more photos and to order prints visit my website at one of these links.
Full Galleries: JV Girls / Varsity Girls / Varsity Boys / All 2012-2013 Basketball Galleries