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2440 M Street, NW
Suite 710
Washington, DC 20037
If you don't receive a response to an email from Dr. Gots in 48 hours, please call the office and leave a voicemail message.
There's no shortage of advice this time of year about eating clean and getting ripped. And while the prospect of a new you in the new year can be seductive, especially after a month of overindulgence, I'm not a fan of restrictive diets or New Year's resolutions. They simply don't work over the long haul.
Any rigid regimen carries with it the whiff of deprivation, of restraint, of saying "no" when your mind wants you to say "yes." The key, we're told, is willpower.
Just say no. Just do it.
Let's be real. If it were so easy to turn away from that donut or force yourself out the door on a dark, frigid January morning to go to spinning class, we wouldn't be having this discussion.
We know from research that willpower is a limited resource. Over time, with repeated use, it becomes depleted, just like any energy source. And the moments when we most need it—say, after a stressful workday at happy hour when the margaritas are $5 and the queso and chips beckon—it's gone.
So I suggest changing the narrative. It's too easy to throw in the towel when you tell yourself, "I don't have any willpower." Those words render you powerless in the face of overwhelming forces beyond your control.
Instead of recruiting willpower to help you pursue your goals, consider building willingness power.
Willingness starts with motivation. Begin by looking at the costs and benefits of the behavior you want to change. If you want to improve your diet, for instance (notice I didn't say "eat clean"), pay particular attention to what you get from the undesired habit. The costs will be readily apparent to you. But the benefits? Not so much.
To get you started, here are some real-life examples of the benefits of overeating (continuing to eat past the point of satiety or even to discomfort) I've heard over the years:
Then look at the costs (I'll bet you won't have any trouble coming up with a long list) and review them daily or more frequently if necessary. Remind yourself why it's worth it to forego all the positive associations with the behavior you want to change in order to achieve your goal.
In a nutshell, willingness means being open to feeling short-term discomfort for long-term gain. It's a useful skill to cultivate, and not just for sticking with a diet or exercise plan but for all the challenges life brings.
So in 2018, ditch the idea of willpower and practice willingness power. You'll be laying a more solid foundation for success.
Here's an interesting statistic: 45% of Americans will kick off the New Year tomorrow with a list of resolutions for self-improvement. Only 8% will succeed, and their chance of success will go down with every decade past 30.
By far the most popular resolution (45%) is to lose weight and get fitter. Others in the top ten include getting organized, being happier, learning something new, quitting smoking or drinking, finding love, and spending more time with family and friends.
I'm all for setting goals. But most people fail to achieve them because they go about it all wrong. Instead of focusing on the process of living in a way that's compatible with what's really important to them—according to what they most value—they're fixated on a specific vision of an end point that may or may not be achievable.
Take losing weight. There are countless plans for the dieter to choose from, all claiming to take off 10 or 20 pounds or more in a month. Just 30 days! And they all probably work, more or less, but only for a short time (or why would there be so many diet recidivists come January 1?).
A more effective and sustainable approach would be to consider why you want to lose weight. And if you can tie in the goal of weight loss with your other resolutions, even better. Is it to have more energy so you can get organized, learn something new, and spend more time with the important people in your life? Is it to prevent or control a chronic health problem so you can enjoy your family into old age? Is it to be more attractive so you can feel more confident and find love? Is it to feel more in control of your life so you can get organized and look for a more satisfying job?
If you're taking steps—"committed actions"—leading you in the direction of what you truly value, you don't have to wait for a month, or two, or six to fulfill your resolution. And you can work on several at once. Feeling a sense of accomplishment along the way will help head off the inevitable frustration causing so many to abandon their best intentions by Valentine's Day.
So my advice is to make only one resolution this year: let your values guide your actions.
Even though I don't think New Year's resolutions work, I'm still a sucker for the kinds of self-improvement lists popping up everywhere this time of year. "Five foods you should never eat!" "The only three exercises you'll ever need!" "The ten best breakfasts for fat burn!" Even my own recommendations for modifying a morning routine turned up in the latest issue of Working Mother Magazine condensed by the journalist who interviewed me into three ways to "Change a Habit, Change Your Day."
I'm clearly not the only one irresistably drawn to quick fixes. So here's another list.
My Five Favorite Tips for Becoming More Productive
1) Don't wait for motivation to strike.
You don't have to feel motivated to start. Momentum builds from action, so do something. Anything. Once you take the first step, it gets easier.
2) Stop fooling yourself.
Think you'll do it later? Think again. Get started now because it will never happen later.
3) Make a daily To Do list.
And then cut it by two-thirds. There's nothing more daunting than a long list of tasks you'll never finish. Pick a few items you know you can complete in one day. You can always add more if you have time.
4) Do the hard stuff first.
It's tempting to get started on the easy, mindless tasks but by the time you get around to the more difficult ones, you'll have run out of steam (see #2). Motivation researchers have shown we have limited stores of willpower. So jump in and tackle the big challenges first, before your willpower dwindles.
5) Reward yourself.
You may think your day is already front-loaded with too many pleasurable activities (watching cute kitty videos on YouTube, playing Candy Crush Saga, searching home design sites for the perfect ottoman, reading political blogs, making Fantasy Football trades, sneaking in an episode of your favorite TV series). But you're probably using those as distractions, not rewards. Do the time-wasters after you've finished a task and they'll become motivators instead of sources of guilt. You'll either enjoy them more or discover the limitations of their appeal, thereby freeing up time to explore new (and possibly more meaningful) leisure pursuits.
So test out my suggestions. If they work, you may never need to make another New Year's resolution again.
This blog is intended solely for the purpose of entertainment and education. All remarks are meant as general information and should not be taken as personal diagnostic or therapeutic advice. If you choose to comment on a post, please do not include any information that could identify you as a patient or potential patient. Also, please refrain from making any testimonials about me or my practice, as my professional code of ethics does not permit me to publish such statements. Comments that I deem inappropriate for this forum will not be published.
2440 M Street, NW
Suite 710
Washington, DC 20037
If you don't receive a response to an email from Dr. Gots in 48 hours, please call the office and leave a voicemail message.


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EU abandons budget fines against Spain BRUSSELS: The European Commission on Wednesday backed away from slapping fines on Spain and Portugal for running high deficits, avoiding what would have been a landmark move to impose tough budget rules.
Under bloc regulations, the EU executive could have imposed fines of up to 0.2 per cent of national gross domestic product (GDP) against Madrid and Lisbon — but instead showed clemency amid growing anti-Brussels sentiment highlighted by Britain's Brexit vote.
"Sanctions, even symbolic ones, would not have been understood by the public," the EU's economic affairs commissioner, Pierre Moscovici, said at a news briefing. "It is not the best approach at a time when doubts are widespread about Europe," he added.
The EU has to date not dared to use its full powers against eurozone overspenders for fear of triggering a populist backlash and given the opposition of chronic offenders such as France and Italy.
Triggering the sanctions process has long been the desire of Germany, which was instrumental in giving Brussels the extra powers needed to enforce strict budget discipline.
The issue is especially sensitive for France, which is in danger of missing the EU's budget deficit limit of 3pc of annual GDP next year.
'GOOD NEWS': Portuguese Foreign Minister Augusto Santos Silva welcomed the "very good news for Portugal and for Europe." The commission "has assumed its role as the guardian of the European ideal and spirit," Silva said in Lisbon.
A more muted Mariano Rajoy, Spain's acting prime minister, said he was "satisfied" by the decision. Spain has been without a fully-functioning government after two rounds of elections failed to give any party an absolute parliamentary majority.
Source: http://www.dawn.com/news/1273577/eu-abandons-budget-fines-against-spain-portugal

subset: commoncrawl


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I've been Serena William's & Rafael Nadal's unofficial cheerleader for almost all of my life so getting to see them at the US Open (my 3rd grand slam) was a dream.
Hip Chinese Food & Broadway Lights
Treat yo' self… That's exactly how I felt when I experienced the club-dining vibe that is Hakkasan, and then shortly after getting immersed in a broadway show.
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My first vertical vlog
This past weekend I traveled to Detroit, MI for the most beautiful wedding weekend ever. Instead of using my regular vlog camera to record video (I still used it for pictures!), I recorded a ton of video clips with my iPhone.
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When in Wine Country…
We started the day with clear eyes and empty stomachs and ended the day with a healthy case of wine🍷…
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A day of tours [DC bucket list edition]
My final few weeks in DC were spent fun-employed (usually means you have a break between your previous job and your next job), so I decided that I would check some things off of my DC bucket list and tour a few places.
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Cheetah Girls? Not so much…
What started off as a quest to recreate the Cheetah Girl's Strut music video, quickly turned into an extensive scavenger hunt of a place that was right under our noses…
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I'm an artist. Call me an artist
This past Thursday I turned in the last assignment of my undergraduate career, which happened to be for my photography class… And it felt GOOD.
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I'm Flyin' in the Pruuuu
There was a time when I thought everyone who went "spinning" was the definition of basic… But that was before I started getting my spin on.


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I'm so glad I recognized exactly none of these bloggers
…Because that means I don't have to feel incredibly embarrassment-squicked for them. In me shit, because "life isn't worth living if you're not sharing" or some other navel-gazing bullshit, I've had some crazy cold/allergy thing for a week now and I am at the point where every time I blow my nose it feels like the last time. But of course, it's not. I am a snot machine. (How's that for sharing?) Despite this, or perhaps because of it, I've been poking fingers into beehives over at CJ, wondering why the fuck Wookieepedia has an entry on breasts on Friday … Continue reading I'm so glad I recognized exactly none of these bloggers


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Stephen King, a New Millennium
Considering the works of Stephen King as the new Millennium kicked off has been more of a challenge than previous decades. It seems to have been his least productive time with fewer novels and more short story collections. I would attribute this naturally to his accident and the fact that I believe he was eying the possibility of winding things down into the retirement he had definitely earned.
For me, the decade would have three high points, the highest of which would be Under The Dome. I won't belabor this too much as I just spent a huge chunk of words gushing about the book. If you'd care to look, you can seek out my review on that for yourself.
This decade was also when King found himself reaching the end of the Dark Tower series. This was a franchise that he began in the mid-seventies and had gotten its hooks in me before I was even fully a teenager. Speaking for myself, I loved the way King brought everything to a close. I thought he took a series that had been painted on a wildly fantastical canvas and brought it all down into a tightly wound and gripping conclusion. I know this is an opinion not shared by all of King's fans but this is how it was for me.
Finally, I thought that Duma Key was a great throwback to the darker supernatural stories from King's past and it was this book among a few others that convinced me that I had to open my mind to some of King's more recent works.
So where does that leave the rest?
I couldn't shake the feeling of seeing an author trying again to find himself. The nineties started off in similar fashion as King was coming off of his rehabilitation from booze and drugs but this time around, his efforts seemed less successful. This decade seemed to be marked by books that had a decent premise but I found to be a bit on the underwhelming side. And in a fashion quite unlike King's work, I often found myself not loving how he was executing the stories.
Dreamcatcher started out great but I think it was too ambitious to really be effective. Ultimately, I think there was just too much story going on for the amount of space in the book and I think King lost sight of the narrative a little. I think he either needed to pare things down or split things up into two separate books because what ended up in this single volume wasn't working as much for me. And when the story itself wasn't as engaging, I found myself taking note of the more annoying aspects of the writing, like the repetition of phrases from various characters. There was a lot of potential here and cool aspects to the story, there was just too much other stuff in the way.
Black House also had some great elements to it but the story also seemed to drag at times. The opening sequence used a kind of rambling string of vignettes, in similar fashion to how he began Under The Dome but in this case, it was a little on the boring side and probably needed to be much shorter. It was an interesting way of introducing the key players in the book but I think he could have skipped it and the book would have worked fine. There are some awesome moments throughout the book that I loved but again, I thought it took a little bit too much time to get there. I also found the connections between this book and the Dark Tower series to be a bit perplexing as I didn't necessarily feel like that linkage was present in The Talisman. It was like King and Straub could have taken this book in a number of different directions but never really chose any of them. I think that this should have been more of a straight-forward thriller featuring an adult Jack Sawyer on the trail of a serial killer. Certain elements of the Territories could have been incorporated as Jack gradually begins to remember his childhood experiences. Making this a Dark Tower book just confused the plot, in my opinion and sealed the book off from fans who didn't get the references.
From A Buick 8 could have been way up on the scare scale but the style of the story caused a lot of the impact to be lessened in my opinion. There was so much story told in fairly dry, expositive fashion and while he drops a lot of creepy implications to what we are seeing from scene to scene, I kind of wish he had just grounded the story a little more instead of making it so vague. I thought Mile 81 was a good example of what this book could have been, although in that case I thought King went a little too far in the other direction, over-simplifying instead of over-doing.
Cell was entertaining but I think it could have been much better and I just didn't connect with The Colorado Kid or Lisey's Story. Again, lots of promise and possibility but what we ended up with were stories that seemed to dance around the soul of the narrative. I have no idea what kind of editorial process King was using by this point of his career but I think he could have benefited from some time to craft out these books a little more. Just my opinion as there are plenty of people who rave about how amazing all of these books are. And I don't put their opinions at any less than my own. This is just how I responded to the writing. As I have said in previous reviews, I don't believe this makes me any less of a fan, just being honest about work I didn't like as much.
There were a lot of short stories in this time period, something I have come to love about King. And for the most part, the collections delivered. Everything's Eventual was definitely my favorite but Just After Sunset was also entertaining. Full Dark, No Stars was a bit of a letdown for me and had the feel of being a bit rushed. The stories in there weren't overly bad, but they pale when held up against Different Seasons and Four Past Midnight.
So what can I say about this time period? What larger, overarching statements can I make about the books he wrote and the plots he was taking on? There seemed to be more books with apocalyptic leanings or threats on a global scale, books such as Dreamcatcher, The Dark Tower and Cell. There also were also more departures from his horror roots in the direction of mysteries and thrillers with the likes of From A Buick 8, The Colorado Kid and Lisey's Story.
The decade would culminate with the first of what I consider to be two of his greatest books, namely Under The Dome and 11/22/63. I would still place The Stand and IT above them but there was also a decade that lay between those two books. It is astounding to me that titles like Under The Dome and 11/22/63 could be published nearly back-to-back like they were.
I could suggest that in the wake of his accident, he seemed to be feeling around, trying to explore his craft in new mediums, looking for new challenges and to find out if there was anything worth keeping him from retiring. I hate making claims like that though as we seem trapped in this era where it is easier to just state something in a publication as no one seems interested in the actual truth behind those statements. It's interesting to speculate about but I also have to admit that I'm most likely simply projecting my own superficial observations.
So I think what I will say is that at the start of the new millennium, we almost lost Stephen King, forever. Whether it be from the loss of his life or from him potentially deciding to call it quits and enter into retirement.
Ultimately, neither of those two occurred. We almost lost him and I for one, am very grateful that that hasn't happened yet.
My name is Chad Clark and I am proud to be a Constant Reader.


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A Tennessee toddler is in intensive care after being left alone in her crib for several days following the sudden death of her grandmother.
Annette Ineichen had been taking care of 15-month-old Brier Rose while her daughter Tracy Ineichen is serving time in jail.
Here's the heartbreaking report.
Tracy got worried when she hadn't heard from her mother. Panicked, she called her boyfriend Anthony Waldo to check in on them.
More from The Stir: Moms in Prison: Parenting From Behind Bars (VIDEO)
He found Annette dead on the bathroom floor and Brier crying in her crib in pretty bad shape -- dehydrated and malnourished. Reports say she died of a "medical issue" and that the baby had been left alone for at least three days. Three days.
A GoFundMe page has been set up for Brier and already raised several hundred dollars.
Tracy's quick thinking saved her baby's life. But unfortunately, that's about the only good news in this story. Tracy not only just lost her mother, but now the Tennessee Department of Children's Services is involved and will have to look for some other place for Brier to stay until her mother's release.
Brier and kids like her are often stuck right along with their mothers in the criminal justice system. In fact, it's estimated that 2.7 million kids in the Unites States have at least one parent currently incarcerated. And since 1991 the number of kids who have a mother locked up in prison has more than doubled even though women are far more often convicted on non-violent crimes.
It's a terribly sad situation for Brier and millions of kids like her. We're glad she's safe, for now. And hope she's reunited with her mother very soon.
Image via WATE-TV


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6 Irex Companies Awarded 2016 Thomas J. Reynolds Award
Six Irex Companies have been awarded a 2016 Thomas J. Reynolds Award for construction safety and health from The Association of Union Constructors (TAUC).
Zero DART Award Winners:
Advanced Industrial Services
Vertical Access Solutions
New States Contracting
DART Certificate of Achievement Winners:
Atlantic Contracting and Specialties
Advanced Specialty Contractors
Cornerstone Services Group
This prestigious safety award recognizes the outstanding achievements of these companies to minimize the number of work site accidents, injuries, and illnesses to their employees. To be eligible for an award, your DART rate had to be below 1.50 which is 25% below the most recent Bureau of Labor Statistics (BLS) national average of 2.0.
Congratulations to the award winners!
Posted: March 23, 2017


text: HomeOverseas property for sale Property Details Bedrooms: 4 Bathrooms: 3 Habitable space: 270 m2 Features Alarm Air conditioning Garage Garden Fireplace Furnished Swimming pool Terrace Full Description WEST MARBELLA – MANILVA close to Sotogrande: BRAND NEW 3 AND 4 BEDROOM TOWNHOUSESBrand new 3 and 4 bedrooms townhouses considered one of the best kept secrets of the Costa Del Sol: located in Manilva between La Duquesa & Sotogrande, this is a modern gated development, enjoying the charm of country living yet only a 2 minute drive to beach and all amenities.The general feeling when you arrive to the complex is one of tranquility, with spacious gardens and pools rivals any top quality resort. Purchasing here a property is a good long term investment opportunity as the market has bottomed out and rentals are very strong. All the houses are spacious, built to UK & Scandinavian standards enjoying also great terraces with stunning sea and coastal views.The project is perfectly placed, behind the prestigious 18 hole, par 72 Duquesa Golf and Country Club, surrounded by vineyards, cork oak forests and orange groves, yet just minutes away from Duquesa Port and the beach.Views on a clear day reach to Africa…!The homes have been designed with family comfort and convenience in mind. Floor plans are spacious with some of the larger residences covering up to an impressive 300 m2. The aim of the design is to retain as much as possible of the natural environment. There are private gardens, large terraces and a solarium, as well as an exquisitely designed communal area.Gardens combine large common areas with fountains, terraces and gardens. Owners have a choice to relax near one of the 5 pools or sunbath on their private solariums or terraces.Massive price reduction, stunning views and a great location with a proven rental potential make this property option an opportunity not to be missed!With Space Marbella you can be assured that you are in good hands. From our offices in Nueva Andalucia and Marbella we cover the whole of the Marbella area and Costa del Sol.Finding a property is just part of the service, and when our work really begins – our constant client care is the hallmark of our service. - REF: R2844551 more Make an enquiry This property listing (ref: R2844551) is an advertisement supplied by Space Marbella and does not constitute property particulars. While aplaceinthesun.com (APITS Ltd.) requests all advertisers supply correct details, it does not carry out checks on the information supplied and cannot be held responsible for any inaccuracies. Aplaceinthesun.com recommends seeking independent legal advice prior to any overseas property purchase.


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Two weeks in - looking better already
The previous owner even had her Jockey Club registration. OK, it was a corrected duplicate issued in 2006, but I'm kind of surprised that it's stuck with her for this long.
The farrier was out on Wednesday for a much needed trim. Her feet weren't in bad shape considering they were last done in December. She looks better and I'm sure she feels better for it too. Yesterday was an inside day, so she got some extra grooming. It's a rare picture without her head in the feeder! Aside from the "zombie eye" I'm amazed at how much better she looks. She's getting a little grain and beet pulp now, which is a huge hit. I'll increase it after the weekend.


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Concept: Congenital heart disease
Loss to specialist follow-up in congenital heart disease; out of sight, out of mind
- Heart (British Cardiac Society)
- Published almost 6 years ago
- Discuss
OBJECTIVE: To evaluate the scale and clinical importance of loss to follow-up of past patients with serious congenital heart disease, using a common malformation as an example. To better understand the antecedents of loss to specialist follow-up and patients' attitudes to returning. DESIGN: Cohort study using NHS number functionality. Content and thematic analysis of telephone interviews of subset contacted after loss to follow-up. PATIENTS, INTERVENTION AND SETTING: Longitudinal follow-up of complete consecutive list of all 1085 UK patients with repair of tetralogy of Fallot from single institution 1964-2009. MAIN OUTCOME MEASURES: Survival, freedom from late pulmonary valve replacement, loss to specialist follow-up, shortfall in late surgical revisions related to loss to follow-up. Patients' narrative about loss to follow-up. RESULTS: 216 (24%) of patients known to be currently alive appear not to be registered with specialist clinics; some are seen in general cardiology clinics. Their median age is 32 years and median duration of loss to follow-up is 22 years; most had been lost before Adult Congenital services had been consolidated in their present form. 48% of the late deaths to date have occurred in patients not under specialist follow-up. None of those lost to specialist follow-up has had secondary pulmonary valve replacement while 188 patients under specialist care have. Patients lost to specialist follow-up who were contacted by telephone had no knowledge of its availability. CONCLUSIONS: Loss to specialist follow-up, typically originating many years ago, impacts patient management.
Rare copy number variations in adults with tetralogy of Fallot implicate novel risk gene pathways.
- PLoS genetics
- Published over 6 years ago
- Discuss
Structural genetic changes, especially copy number variants (CNVs), represent a major source of genetic variation contributing to human disease. Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease, but to date little is known about the role of CNVs in the etiology of TOF. Using high-resolution genome-wide microarrays and stringent calling methods, we investigated rare CNVs in a prospectively recruited cohort of 433 unrelated adults with TOF and/or pulmonary atresia at a single centre. We excluded those with recognized syndromes, including 22q11.2 deletion syndrome. We identified candidate genes for TOF based on converging evidence between rare CNVs that overlapped the same gene in unrelated individuals and from pathway analyses comparing rare CNVs in TOF cases to those in epidemiologic controls. Even after excluding the 53 (10.7%) subjects with 22q11.2 deletions, we found that adults with TOF had a greater burden of large rare genic CNVs compared to controls (8.82% vs. 4.33%, p = 0.0117). Six loci showed evidence for recurrence in TOF or related congenital heart disease, including typical 1q21.1 duplications in four (1.18%) of 340 Caucasian probands. The rare CNVs implicated novel candidate genes of interest for TOF, including PLXNA2, a gene involved in semaphorin signaling. Independent pathway analyses highlighted developmental processes as potential contributors to the pathogenesis of TOF. These results indicate that individually rare CNVs are collectively significant contributors to the genetic burden of TOF. Further, the data provide new evidence for dosage sensitive genes in PLXNA2-semaphorin signaling and related developmental processes in human cardiovascular development, consistent with previous animal models.
A survey of congenital heart disease and other organic malformations associated with different types of orofacial clefts in eastern china
A high incidence of orofacial clefts is reported in China, but no data has shown the relation between cleft types and the incidence of other defects so far. The aim of this study is to assess the incidence of congenital heart diseases and other organic defects associated with different types of orofacial clefts.
Effect of Folic Acid Food Fortification in Canada on Congenital Heart Disease Subtypes
- Circulation
- Published over 2 years ago
- Discuss
Previous studies have yielded inconsistent results for the effects of periconceptional multivitamins containing folic acid and of folic acid food fortification on congenital heart defects (CHDs).
Congenital heart defects in IVF/ICSI pregnancy: a systematic review and meta-analysis
There is no consensus in current practice guidelines whether IVF/ICSI conception represents an indication for performing a fetal echocardiogram. The aim of the study is to assess whether CHD occurs more often with the use of in-vitro-fertilization (IVF)/ intracytoplasmic sperm injection (ICSI) techniques as compared to spontaneous pregnancies.
Expanding indications for valve-sparing aortic root reconstruction: early and midterm results
- The Annals of thoracic surgery
- Published about 6 years ago
- Discuss
Valve-sparing aortic root reconstruction (VSRR) is an accepted method to treat patients with aortic root dilation. The role of the VSRR is less well defined for patients with bicuspid aortic valve, severe aortic valve insufficiency, congenital heart defects, and type A aortic dissection. We studied the clinical outcome of patients who underwent VSRR for expanded indications.
Association of maternal diseases during pregnancy with the risk of single ventricular septal defects in the offspring - a population-based case-control study.
Abstract Objective. In general the analytical epidemiological studies evaluated cases with congenital heart defects together. However, different congenital heart defect entities have different etiology, and in the vast majority of patients the underlying causes are unclear. Thus the objective of the study was to evaluate the possible etiological factors in the origin of single ventricular septal defect (VSD) after surgical intervention or lethal outcome, i.e. as homogeneous as possible. Method. In the population-based large dataset of the Hungarian Case-Control Surveillance of Congenital Abnormalities acute and chronic maternal diseases with related drug treatments and pregnancy supplements in early pregnancy were evaluated in the mothers of 1,661 cases with isolated/single VSD and their 2,534 matched and 38,151 all controls without defect, and 19,833 malformed controls with other isolated non-cardiac defect. Results. There was a higher risk of VSD in the children of mothers with high fever related influenza during the critical period of VSD and this risk was limited by antifever therapy. In addition paroxysmal supraventricular tachycardia and epilepsy treated with anticonvulsant drugs associated with higher risk of VSD. Finally the high doses of folic acid alone in early pregnancy Conclusions. H high fever related maternal diseases may have a role in the origin of VSD which is preventable with antifever drug therapy, and the high doses of folic acid in early pregnancy were able to reduce the risk of VSD.
Diagnosis and management of ebstein anomaly of the tricuspid valve.
- Current treatment options in cardiovascular medicine
- Published about 6 years ago
- Discuss
OPINION STATEMENT: Ebstein anomaly (EA) is a rare congenital heart defect that may not be detected until late in adolescence or adulthood. Since the original description in a 19-year-old laborer with severe tricuspid valve (TV) regurgitation in 1866, our understanding of this rare condition has increased to the recognition that it is an abnormality not only of the TV, but also of the right ventricle (RV). EA is the result of failure of delamination of the TV leaflets from the interventricular septum, resulting in adherence of the leaflets to the underlying myocardium. This results in a wide variety of abnormalities, including apical and posterior displacement of the dilated TV annulus; dilation of the "atrialized" portion of the RV; and fenestrations, redundancy, and tethering of the anterior leaflet of the TV. The malformed TV is usually regurgitant, but may rarely be stenotic. The clinical manifestations of EA in the adult depend on several factors, including the extent of TV leaflet distortion, degree of tricuspid regurgitation (TR), right atrial pressure, and presence of a right-to-left atrial level shunt. Over the past several decades, advances in diagnostic imaging and surgical techniques have contributed to our current management of this challenging congenital heart defect.
Sympathetic Paraganglioma in a Patient with Unrepaired Tetralogy of Fallot: A Case Report and Review of the Literature.
- The Journal of clinical endocrinology and metabolism
- Published about 6 years ago
- Discuss
Context:Paragangliomas are a type of neuroendocrine tumor that has been reported to be present in patients with cyanotic congenital heart disease. This report documents the first case of a patient with successful resection of a sympathetic paraganglioma in the setting of unrepaired tetralogy of Fallot, the most common cause of cyanotic heart disease, with pulmonary atresia.Objective:We present a 33-yr-old woman with hypertensive crises from a paraganglioma who presented for surgical resection.Patient and Methods:The patient's preoperative workup was consistent with a functioning sympathetic paraganglioma. Preoperative transesophageal echocardiogram displayed normal ventricular function, moderate-severe right ventricular hypertrophy, severe right ventricular hypertension, an overriding aorta, bidirectional shunting, pulmonary atresia, and aortopulmonary collaterals.Results:The patient underwent a successful laparoscopic resection of a functioning 7-cm paraganglioma after careful preoperative preparation and intraoperative monitoring. Pathology returned as a well-defined, partially hemorrhagic mass measuring 7.0 × 4.5 × 4.5 cm adjacent to and compressing the adrenal gland.Conclusion:Surgical resection of paraganglioma tumors in rare patients such as this one is appropriate; however, surgery requires meticulous perioperative management with a multidisciplinary approach. Future studies are needed to determine whether there is a link between neuroendocrine tumors and cyanotic congenital heart disease.
Novel neurodevelopmental disorder in the case of a giant occipitoparietal meningoencephalocele.
- Journal of neurosurgery. Pediatrics
- Published over 6 years ago
- Discuss
Giant occipitoparietal encephaloceles are rare forms of neurodevelopmental defects whose etiologies remain uncertain. Their occurrence can lead to variable neurological outcomes depending on the extent of cerebral cortex involved and the ability to repair the defect. In addition, encephaloceles may be associated with various genetic syndromes and familial inheritance. Here, the authors describe a unique constellation of malformations associated with the case of a giant occipitoparietal meningoencephalocele with herniation of cortical tissue and continuity with the ventricular system. The patient had a cleft lip and palate, hemivertebrae of the thoracic spine, a patent ductus arteriosus, a ventricular septal defect, and coarctation of the aorta. To identify the genetic underpinnings of these malformations, fluorescence in situ hybridization and microarray analysis were performed and revealed an 80.65-kb gain within chromosome band 2p11.2. Duplications of this region involving RMND5A, whose product contains a C-terminal to lis homology (LisH) domain, have not previously been associated with a defined phenotype but may present insight into encephalocele formation. Surgical repair and follow-up for the neurological malformations are also discussed.


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|In my second attempt to punching the girl, she went under the punch and followed through with her own punch on the center of my chest, her hand covered in ice as she punched me. My mind was so clouded with emotion that I hadn't thought through what I was doing. The girl sent me flying backwards across the room. My back hit another wall. My whole body crushing the wall like before. This hit seemed to knock a nail into place in my head, because I could remember, again, the thoughts I had before about my grandfather's rules. I couldn't think of much else. After breaking straight through the wall, landing in the bedroom on the other side which was mine, I started getting up. I noticed my body went through the wall and I acknowledged where I was. I looked around for a second and noticed a framed quote on the wall that used to be my mothers. It read:
If ever there is a tomorrow
When we're not together
There is something you
Must always remember
You are braver than you believe
Stronger than you seem
And smarter than you think
But the most important thing is
Even if we are apart
I'll always be with you
~A.A. Milne
After I looked at the quote, mentally remembering what it read out to say, I wiped my face of drywall dust and whatever tears may reside. Standing to my feet, I began breathing, as a way to calm down. I noticed my glove was different and half my clothing was gone, but that was far from the strangest thing that's happened. Besides, at this point, I believed that I could keep my cool and beat this little girl. I looked up at her. She was talking to my grandfather, who was still breathing barely. I didn't know what she was saying, but after she had finished talking she punched my grandfather in the ribs. As I watched that happen, I couldn't comprehend or focus on anything besides my grandfather's 'crucial lessons'. The rest of my mind was a blur. These thoughts were all that remained, along with an instinct to kill. I had never felt this way before. I had never wanted to kill somebody, but watching her punch my grandfather again. It was like she was taunting me, and it was working.
My grandfather had only been thinking of what he has enjoyed in his life. He believes that he has lived a well life, being in his sixties. He believes that he has sent a positive message to me, which I did get, but he has no certain way of knowing that I know. However, he has complete hope and faith that I did, which leaves him with no doubts to say otherwise. His message, in intentions, was to tell me that no matter what happens, I can have happiness. That I do not have to suffer with death staring me in the face. He was alright, to some extents, with me dying because he believes that I will see the bright side to it, being able to go to a place where I can see my mother for the first time. A common outlook that he would tell me when death came up in a conversation between us. He always told me that death was nothing to be afraid of, and that it will happen eventually. He would tell me that if I were to ever face death, that I should face it with a smile, so that there is no chance of leaving behind any grief or sadness.
I knew all of this and understood my grandfather's intentions. The understanding was somewhere in my mind, but I never acknowledged consciously that he was ready to die. Deep down inside, there was another thought that told me I did not want him to die, nor did I want to do, but I was willing to put my life on the line for his own and for the merer vengeance of what she has caused.
His ability to withstand the pain he was going through without reacting was coming from his acceptance. He knew it would end soon, and he had accepted it completely. So, when he was punched yet again, his ribs stabbing into his lungs and his eyes still softly closed, the only reaction he gave to it was a gag reflex of coughing up blood onto the little girl who was right in front of him. He was faintly gasping for air, as it is a natural reaction, but he was not showing suffering. He was not showing worry or concern.
When he coughed up blood, I hadn't analyzed his expression. My instinct was taking over, locked on to the girl and with a thrive to kill. Without even thinking, I made a gun with my right hand, pointing my index finger at the girl. I fired five Electric Blasts back to back, aiming each one in a different place: directly at her head, center point to her but as low as her head was, before, when she ducked to block my second attempt of punching her, directly behind her so that if she backs up it will hit her in the side of her head, same height as the second one but directly below the third one, and dead center to all the other four. They were each fired in this exact order. They are as powerful as a bala, but move at twice the speed. If they were to hit any part of the girl, they would leave 2nd degree burns on the area of contact as well as numb the area which it hits and hinder the nerves functions up to 50%. (ex. if it were to hit your upper leg than it would affect that segment of the leg and not the rest of the leg, but if it were to hit your knee than it would affect that knee and neither parts of the leg. If it were to hit a part of your head - ear, eye, nose, mouth - then it would have effects on that spot.)
After firing the fifth Electric Blast I would run towards her. When I got to her, I would swing my left arm to grab her face and sling her away from my grandfather, the claws of my glove trying to dig into her skin. Successful or not, I would move as fast as I could to a position where I could see the front of her face and reach my palm out and fire a single Electric blast from the palm of my most available hand, if both available than the right hand, and aim it towards her face, firing it dead center. The blast will be the power of a cero but move twice as fast. The blast will have the same effects as the ones from my fingers, however, since it is bigger in size, it would also affect surrounding segments of the body. (ex. If it were to hit your upper leg than It would affect your upper leg as well as the entire joints of both sides, knee and hip. If it were to hit your knee then it would affect your knee as well as your upper leg and your lower leg. If it were to hit the side of your head than it would affect that side's ear, eye, as well as that side of your jaw. If it were to hit the front of your face than it would affect both eyes, nose, and entire jaw, only burning and numbing the outer part of your ears that exposed have been exposed.)
The effects caused by each of the smaller blasts as well as the palm blast each last for two posts. After firing the Electric Blast from my palm, whether it hit or not, I would go directly up to her face and punch her repeatedly punch her left fist right fist left fist right fist until there is nothing left to punch. Each time the black material of my gloves would make contact with you, that part of your body will have hindered nerve functions up to 50% and numb the limb as well as the sharp, blunt, metal pieces on the knuckles damaging you in that contact with an equivalent power force to a number thirty hadou. The effects of each glove contact would last two posts.
If at any point she would swing at me from a position which I could see, I would instictively attempt to counter it with the next attack that I would have already attempted and change its target to that which would be attacking me, be it fist to fist, fist to foot, or fist to ice. After the target of the next move would change to attempt a counter of her attack if she would try to, I would resume back to the target that I initially had.
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Lawyer Profile
Mary M.S. Fox
Recognized Since:2006
Recognized in:Family Law
Location:800 University Avenue WestWindsor, ON N9A 5R9
-Bob Campbell (Clive Tregaskiss Investments Inc), Windsor
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Lawyer Bio
Named "Lawyer of the Year" by Best Lawyers for:
- Family Law, London/Windsor (2018)
- Family Law, London/Windsor (2017)
- Family Law, London/Windsor (2013)
Recognized in The Best Lawyers in Canada for work in:
- Family Law
Lawyer Client Comments
"Mary Fox is a lawyer who specializes in Family Law. I have had the opportunity to work with Mary on several occasions over the past 10 years and have always been very impressed with her ability to achieve favorable results over difficult issues. She is able to draw on her experience in order to explain complex issues in such a way as to simplify them for her clients. "
"Mary M.S. Fox is one the finest divorce lawyers. I feel she is among the best in Ontario. She tells it like it is, from start to finish. She is very personable, fair, and gets the job done. I have a few lawyer friends and I do not know of any divorce lawyer in our area who would want to go to court against her."


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We try to make it as easy as possible to schedule your next appointment or discuss any veterinary questions that you may have. It's easy to reach us by calling 727-546-0005 or emailing us directly at email@example.com whenever you need to get in touch.
We're available during a wide range of hours (found below) to offer the best veterinary solutions available, directly to both you and your pet. We hope that you'll come to visit us soon, or will send us a quick message via email to introduce yourself! As always, whether you simply want to say hello or if you have a specific veterinary question, we'll get back to you as soon as we can!
We also understand that sometimes, veterinary emergencies can occur after hours. Our answering service will direct you to an available, on-call veterinarian or the nearest available emergency hospital if you call after operating hours. Animal Emergency Hospital of St Petersburg: 727-323-1311
You can also find us on Facebook here. Be sure to like our Facebook page to stay up to date on new offerings and updates from our animal hospital. From our entire team here at Pinellas Animal Hospital, we're so happy to have you as a part of our community and to offer outstanding veterinary care to your pet! Current clients can contact us and keep up to date with all their pet's needs through the Pinellas Animal Hospital App. Stay connected and download it today through the Apple Store or via Google Play We hope that you'll stop by and visit us soon!
Contact Us
Phone: (727) 546-0005
Fax: (727) 546-0576
Email: email@example.com
7791 52nd Street North
Pinellas Park, Florida, 33781Get Directions
Hours of Operation
|8:00am – 8:00pm
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After normal business hours our answering service will direct you to the veterinarian on call or the nearest available emergency clinic. Animal Emergency Clinic of St Petersburg: 727-323-1311


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St. Johns County (Unincorporated Residents Only): Your recycling is getting an upgrade starting July 6! New wheeled carts will be delivered to residents' curbs starting June 1st through July 3rd. Residents can start using the new wheeled cart on or after July 6th. Your recycling service day will remain the same. Starting July 6th, please leave your 18-gallon recycling bins at your curb for collection on your regularly scheduled service day. Questions? Contact Advanced Disposal Customer Care.Phone: (904) 827-1005 Email: firstname.lastname@example.com Curbside garbage service
Curbside yard waste service
Curbside bulk items collection
Curbside recycling service (until July 3rd - see info below for upgrades effective July 6)
UPGRADED Curbside Recycling Program Effective July 6th!
Curbside Recycling Collection
Cart Placement
Items accepted for recycling pickup:
PaperMail, office and schoolNewspapers and insertsMagazines and catalogsPaperback booksTelephone booksShredded paperBrown paper bagsPaperboard boxes – cerealCorrugated cardboard – flattened and cut in 2' by 3' pieces or smaller
CartonsFood and beverage cartons including: milk cartons, creamer, juice boxes, soup and tofu boxes
MetalAluminum cansAluminum baking tinsSteel food cans (labels do not need to be removed)
PlasticPlastic food containersBeverage containersDetergent bottlesCleaning containersAll plastics labeled #1-7 (labels do not need to be removed)
GlassBrown, clear and green glass bottles and jars (labels do not need to be removed). Please no broken glass.
Items NOT accepted for recycling: Plastic bagsFood wasteNeedles and other medical wasteGarbageAerosol cansStyrofoamMirrors and window panesBatteries LiquidsYard wasteChristmas lightsFireworksAnimalsTiresPizza boxesWireElectronicsFlaresHangersHazardous waste
There will be no pickup on the following holiday:New Year's DayThanksgiving DayChristmas Day
Advanced Disposal (NYSE: ADSW) brings fresh ideas and solutions to the business of a clean environment. As the fourth largest solid waste company in the U.S., we provide integrated, non-hazardous solid waste collection, recycling and disposal services to residential, commercial, industrial and construction customers across 16 states and the Bahamas. Our team is dedicated to finding effective, sustainable solutions to preserve the environment for future generations.
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Support us
Help promote a fairer, more transparent model of food production, where the risks and rewards are shared.
By signing up as a farm member, or individual or organisational supporter of the CSA Network UK you are helping to fund our work to raise awareness of the benefits of community supported agriculture amongst the public and policy makers, and to provide advice and assistance to new and existing CSAs across the UK. Our members and individual supporters benefit from a range of discounts and offers as well as other tailored benefits, such as free or reduced price tickets to all our CSA Network UK events.
Join us! To find out more pick one of the options below:
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Are you thinking about making your first road trip? We have been driving in many countries worldwide for over a decade, so here are our tips to help you make your trip hassle-free – we learned the hard way, so you don't have to!read more → Posted in: First Time, How To, Other, Travel Advice
The majestic red monolith rising in the middle of the outback is one of Australia's symbols. If you are planning a trip down under, you are probably considering visiting the Red Centre. Without a doubt it is a beautiful place but it is far from everywhere in Australia. Is the detour worth the time and money?read more → Posted in: Australia
If you are planning a short trip to Ireland and you would like to see more than just Dublin, we have good news for you. You can still visit many interesting places while being based in the Irish capital. These are our favourite day trips not far from Dublin.read more → Posted in: Ireland
Prague, the capital of the Czech Republic, is a well-known and popular destination in central Europe. This is not surprising because it is one of the most beautiful cities in the world. We used to live in Prague for a few years and we are always excited to come back. This is our recommended one-day itinerary to help you with your planning if you are short of time.read more → Posted in: Czech Republic
So you would love to travel but you can't afford it. Guess what – you are not alone! Most of us have been there… The good news is that you don't have to be rich to travel. There are a few simple but effective strategies that can make your travel dreams a reality. The key is to prioritise and be consistent.read more → Posted in: How To, Inspiration, Other, Travel Advice
Japan is a country full of contrasts and surprises, especially for travellers coming from Europe like us. These are some of the things that we didn't expect:read more → Posted in: Japan
Sometimes one of the hardest parts of travel is choosing where to go. There are so many amazing places to see, the possibilities are overwhelming. Our tips will help you to make the decision quicker and with confidence:read more → Posted in: How To, Inspiration, Other, Travel Advice
We have been to New Zealand twice so far and we explored both the islands. In this blog post we are sharing what we have learnt to make your holiday planning easier:read more → Posted in: New Zealand
We first used Airbnb on our road trip in Australia and New Zealand, mainly because in some remote areas the accommodation was limited, and if there were any hotels at all, the rates were high. These are the things you should know before trying Airbnb for the first time:read more → Posted in: Accommodation, First Time, Travel Advice
In tropical Queensland it is all about the coast. You will find some of the most beautiful places in Australia here but this comes at a price – it is busy and not cheap.read more → Posted in: Australia
Unfortunately there is no universal magic formula which would apply to all travellers, routes or destinations. Airlines have different policies, strategies and pricing for each country they operate their flights in. But there is one thing you need in order to book your flights at reasonable prices:read more → Posted in: Flights, How To, Travel Advice
After living in Ireland for over a decade we picked seven of our favourite things to see and do. We cover the whole island – both the Republic of Ireland and Northern Ireland. And these are our recommendations:read more → Posted in: Ireland
Travel is not only fun but it can also have profound effects on your life. You don't have to travel to exotic destinations at all. Just exploring new places in your own country will bring many benefits into your life which will become more fulfilled and happier.read more → Posted in: Inspiration, Other, Travel Advice


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Welcome To LandyZone!
LandyZone is the biggest Land Rover forum on the net. We have plenty of very knowledgable members so if you have any questions about your Land Rover or just want to connect with other Landy owners, you're in the right place.
Registering is free and easy just click here, we hope to see you on the forums soon!
Guinness World Record attempt at Great Billing Off Road Show 2018
Discussion in 'Land Rover Shows' started by yfo866, Nov 18, 2017.
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6 Pick-Up Prom dress that fits you
For many girls, prom night is the most important event two years of high school. It's not an understatement to say that you can remember prom night a lifetime. Because of their visibility during high school and after that it is important that you dress makes you feel and look the best.
Even before you start shopping for Homecoming Dresses, spend some time thinking about your personal style. If you want to blend into the crowd, probably not a show-stopping drama nice bright red dresses. On the other hand, if you want attention, you should steer clear of formal dresses, which resemble a bridesmaid's dress.
Remember, however, that the prom take a great opportunity to step outside your comfort zone. You are probably accustomed to wear evening dresses, prom dresses so that all seemed a little alien to you. If you always do the fantasy of a storybook princess, prom dress can make you feel like royalty. Likewise, if you've always wanted to introduce internal sultry siren, beaded cocktail dresses, you can dip your toes into the waters.


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Intercomp Aircraft Scale
The Intercomp aircraft scale system consists of three ultralight platform scales and is cabled to the ACII indicator. The large LCD screen allows you to display each platform and total aircraft weight. Other push button controls include on/off, percentage of weight, and zero. This high capacity platform scale is the industry standard in advanced weighing systems for aviation.
See Pdf download for more information on this model.


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Separate names with a comma.
Discussion in 'iPhone' started by jpruitt, Jul 7, 2008.
It finally aired on CBS!
Neat! I really like that ad too. Makes me all giddy inside. Yea, I probably have some issues...
Already been posted!
any video of it on the web yet?
ya www.apple.com/iphone
this it?
Pretty soft sell.
Most of the ad viewers will have no idea what "iPhone 3G" means. If they're iPod users, they might vaguely think it's a third generation iPhone.
I liked the Instinct commercials better. They at least showed off some features.
Are we talking about the "Hallway" ad that was posted on apple.com on the day of the keynote?
(Discussed here, here, and here.)
Now its there there there and here!
Aw I was hoping for a new one..thanks anyways
yeah same one. But people have speculated on why it hasn't been airing on TV. That's the only reason I made this a new thread.
yeah I saw it on the CW today.
It just aired on FOX before house.
Cool commerical
I posted this this morning. Saw it on Vh1
You tell em!!!!


text: Abu Dhabi Co-operative Society launched the Hayyak My rewards programs in February 2017 for all the shoppers of ADCOOPS, SPAR and Megamart. Being a member of Hayyak My Rewards Programme gives our customers the opportunity to avail great exclusive offers and various other benefits. With this program every shopper receives points every time they shop at our stores. By far this is the best loyalty program in the region as this has the lowest spend threshold. Shoppers can enjoy easy access to their account and check our exclusive offers on our website www.myhayyak.com and Hayyak Rewards app.


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HONORING KAREN SCHOENFELD AND LACROSSE ROADS SCHOOL -- (Extensions of Remarks - June 04, 2004)
Mr. KIND. Mr. Speaker, rise today to recognize Karen Schoenfeld and all of the faculty and students at La Crosse Roads School, which is a high school in my district in western Wisconsin. The students and faculty at the school are performing a great service to our country and deserve our praise and recognition.
Four years ago, after listening to my father and uncle talk about their experiences serving our country overseas, I realized that our Nation needed to record the valuable stories of our veterans and those Americans who supported them. And it was this simple experience that led me to author the Veterans Oral History Project Act. After passing the House and Senate unanimously and being signed into law by President Clinton, the project was turned over to the able staff at the Library of Congress's Folklife Center. This small but dedicated staff relies heavily on volunteers to collect the stories of veterans, and La Crosse Roads School has risen admirably to this challenge.
Partnering with the local Rotary Club, of which Karen is a member, the students and faculty at La Crosse Roads have taken on the task of contacting and interviewing veterans and submitting their interviews for inclusion in the Veterans History Project. The interaction between these high school students and our Nation's veterans has been an amazing one to watch. The teenagers tell me that they have never before been interested in history; by hearing our veterans' stories first-hand, they are not only interested, but they also feel that they are a part of preserving an important part of American history. They are making a significant contribution to our country and get enormous satisfaction from doing so. The veterans, some of whom have never talked about their experiences before, feel gratified that their stories are important to others. The excellent work done by Karen and the students has been aided by the National Court Reporters, led by my wife Tawni, who are transcribing the interviews. In all, the work that Karen and the students have done has been incredibly successful. They are an excellent example of the kind of partnerships that make the Veterans History Program a national success.
Karen is truly a remarkable person who brings her enthusiasm and energy to the classroom working with these "at-risk" students. There is no half-effort or lower gear for Karen, and that is reflected in the success her students achieve. She not only has had her students involved with the Veterans History Project for the past three years; she has also worked with the local CESA office to develop a website and lesson plan for other teachers and students to use for the project. And every year Karen teams with a WWII veteran, Bill Bruring, to have an awards ceremony in La Crosse to recognize the students and particularly the veterans. It is a very moving and patriotic ceremony that I have had the pleasure of attending.
Many of us were lucky enough to be on the Mall this past weekend and visit with some of the veterans who were here for the dedication of the National World War II Memorial. It was truly inspiring to talk to these great men and women, who had sacrificed so much and have a great deal to teach us. I believe that Karen and her students have learned many important lessons from our veterans, and I would like to end by reading a poem Karen wrote that beautifully expresses the experience she and her students have had with the veterans:
I never saw the flag before.
Not really, not its soul.
I only saw the stars, the stripes,
a fabric on a pole.
Now as I gaze upon the flag
I can see young faces.
All called away from our proud land
to other distant places.
They did what they were called to do.
They put their dreams on hold.
They knew that others needed them.
They did what they were told.
And you, my friend, have taught me this-
the sacrifices made.
You helped me know what I have earned
From the price that others paid.
I've been in class, I've read the books.
I've seen the movies too.
But now I know our freedom's price-
All this I've learned from you.
Karen Schoenfeld


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Moms and Groovy Little Babes Music Classes
This class is for moms without older siblings, and their baby who is not yet walking. We focus on lap songs, floor activites, stories, lullabies and creating a special connection between you and your baby.
Join us for a Free Demo class at 11am - 11:30
The Learning Groove Music and Movement classes
are a joyful educational experience for you and your little learner!
The Learning Groove is Educational, Engaging, and FUN!
You and your child will sing, dance, make music, play instruments, shake eggs, beat drums, call and respond, clap, tap, laugh, skip, jump, pretend, and learn!
The Learning Groove introduces preschool readiness skills, listening, following instructions and turn taking!
Lessons are approximately thirty minutes weekly and support early literacy skills!! Your Child will learn rhythm, pitch, melody, language skills, fine and gross motor coordination, interpersonal skills, and cultural awareness! Research has shown that children who receive early music instruction have increased overall academic achievement!
With Tiny Tinkles, Music Time is FUN and AFFORDABLE! First class is Free!
Let your little light SHINE! Call Mrs. Deb for more info!
* If you choose to sign up for the full 4 week program the cost is $50.
*Special Discount: Refer a friend who signs up, get $10 off your next month session fees! (Offer expires January 12th, 2018)


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|July 2007
|(July: Main Page * Features * Reviews * Screenings * Teen ) Cur * Archive
By Krista Vitola
I knew this would happen. Even though I told myself that this series would be different, I was wrong. When the demand for something is this great and the expectations of the audience this high, there is bound to be some failure. In Harry Potter and the Order of the Phoenix, audiences are left with an overrated film that leaves points of the plot hanging and the magic within a little rusty.
Previous directors such as Alfonso Cuaron and Mike Newell, left a very high standard of creativity, drama, and emotional hype that gave the Harry Potter series an endless ride it's audience never wanted to get off of; David Yates left much to be desired. Now don't get me wrong, I'm a HUGE Harry Potter fan and no discredit is going to J.K. Rowling or the screenwriters who tried to condense an over eight hundred- page book into a two-hour film. The book was brilliant and even though there was a lot of the plot left out of the film, we all knew the content would be wonderful. But that's not why we desire to see the film in addition to reading J.K. Rowling's wizarding tale. Audiences expect something different when they view a film adaptation of a book; it visually transports us to that fictional time, into the lives of each character and the physical demands placed upon them. For Harry Potter and his friends, starting year five at Hogwarts School of Witchcraft and Wizardry, that means setting up an army to face the dark Lord Voldemort in addition to staying out of Mrs. Umbridge's (Defense against the Dark Arts teacher/ the new headmistress of Hogwarts for a little while) "ministry of magic" code of decorum. While Harry Fights off bad dreams and his mind being invaded by Voldemort, his usual supports (such as Dumbledore and McGonagall) are nowhere to be found as well as Hermione and Ron, whose only lines seem to be in consoling Harry or telling him they are there for him. Ralph Finennes (Lord Voldemort) and Emma Thompson (Professor Trelawney), as well as Imelda Staunton (Professor Umbridge), who is featured most in the film, do a fine job in playing their characters, emphasizing the surreal world of wizardry we as an audience are set in.
As a reader, our minds have a way of transporting us to different worlds by the use of our imagination, creativity is key to that imagination and it's what allows the reader to enjoy what he/she has delved into. In the film, there was a severe lack of creativity, which is what makes Harry Potter such an enjoyable work. In addition to the mise-en-scene, the actors/actresses weren't given a chance to showcase their development as characters and supporting roles to Daniel Radcliffe (Harry Potter). You rarely see Draco Malfoy and his gang of misfits, who sporadically come on during the film conspiring to stop Harry from starting "Dumbledore's Army."
The problem with such a mainstream film, especially if it's a high profile series of books, is the demands it sets for it's cast of characters, directors, producers, etc. We as an audience know that the film was capable of being much greater than it was, that is why I wasn't so joyous walking out of the screening yesterday. J.K. Rowling's book is packed with so much quality, imagination and artistry it is hard not to produce a film with visual charm and greatness. It was good, but not great, and Harry Potter is great.
|(July: Main Page * Features * Reviews * Screenings * Teen ) Cur * Archive


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By: Shraman Jain.
Rebel Star Ambareesh and Abhinaya Chakravarthy Kichha Sudeepa are rejoining again for a movie z which will be coordinated by Nanda Kishore.
After "Veeraparampare", the star actors were not seen together in any of the movies. Seven years later, they will act together in the film titled "Ambi Ninge Vayassaitto".
For quite a while, Ambareesh was generally restricted to guest roles. In any case, here he'll be assuming a lead part.
After the culmination of "Pogaru", starring Dhruva Sarja, Nanda Kishore has chosen to kickstart the venture.


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Monday, January 29, 2007
Just Frackin' Great!
The two most annoying characters on Battlestar Galactica are Lee Adama and Kara Thrace. The show's focus on their self-indulgent relationship is ruining the series. Imagine my dismay when this personality test (here) reveals I'm most like Lee and then Kara (here). Aaaarrgghhh! Better a Cylon than either of those two. Excuse me while I retake the test.
Technorati: Battlestar Galactica
Technorati: Battlestar Galactica
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Private traders often get distracted away from what is the best approach for them as "private traders" given the amount of information on the internet. In this short presentation, Zaheer will cut through the clutter and demonstrate his long-term trend trading techniques that are most suited for the private trader, techniques that place emphasis on capital-protection first and that allows the profit to roll in effortlessly and exponentially. Less, in trading, is definitely more and Zaheer will be sharing his techniques that will deliver on both more profit and, crucially, more time. Zaheer says that "compromise" is not a word that needs to be associated with your career as a trader. This is the perfect start to the day for all those who are serious about putting their hard-earned money and savings to work in the safest yet most rewarding possible way.
Seven ways to turn uncertainty into opportunity
by Tom Stevenson, Investment Director, Fidelity International
Investors have never faced such an uncertain environment. From Brexit to Trump, Chinese debt to North Korea it is hard to imagine a more unpredictable backdrop to managing an investment portfolio. With this in mind, Tom Stevenson, investment director for personal investing at Fidelity International, casts an experienced eye over the global economy and markets to help investors navigate a path towards achieving their financial goals. His presentation will analyse seven key themes and highlight an investment solution for each of them.
Tickets for this session are complimentary, but booking is required in advance.
BROADCAST FROM MAIN AUDITORIUM - KEYNOTE SPEECH: LONDON INVESTOR SHOW 2017 - "How to make a million in 20 minutes"
by Justin Urquhart Stewart, Seven Investment Management
As a founder of Seven Investment Management and a well-known and highly-respected industry figure - Justin Urquhart Stewart has a keen sense of what private investors need to know, and how current events can shape future outcomes. Justin has the experience, the know-how and the simple aim of helping investors. A long-term supporter of the London Investor Show, we are delighted to welcome him back to give the KeyNote Speech this year. Book your seat to find out what pressing issues Justin will focus on - and how these issues are your issues, affecting investors across the UK.
Tickets to the KeyNote Speech are complimentary, but booking is required, thank you.
Thousands of investors around the world have joined the Cryptocurrency craze and with Bitcoin & Ethereum recently hitting record highs, its easy to see why there is such a high demand. But what are cryptocurrencies and how can you actually trade them. Join XTB's Chief Market Analyst David Cheetham for a special 30 minute introductory session on trading Cryptocurrencies. XTB is one of the few FCA regulated brokers who offer a range of Cryptocurrency CFDs, and David is one of the most prominent educators on Cryptocurrencies this year.
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Clive Lambert is the founder, and continues to be the main contributor, for FuturesTechs. He has been in the City for 30 years, has been in the Futures Market for 25+ years as a Broker and Trader, and has been writing Technical Analysis for over 15 years. He has taught Technical Analysis around the world, numbering the CME Group and London Stock Exchange among his clients in this respect.
Find out how you can benefit from a company with a Next-Gen Cyber Security product that stops threats and protects companies from data breaches. Hear how to invest in a high-growth industry (HMRC EIS Approved) which is set to boom as data compliance regulations tighten. In the face of a slew of high-profile data breaches, demand is high for a new product capable of superseding the shortcomings of antivirus and firewalls and protects company and government held customer data, better. This informative talk will explain how you can take part in a cyber-security breakthrough, right when it's really needed
Join Lisa Campbell and Alpesh Patel in the ShowCase Theatre to find out if you are one of the lucky winners! Details of the draw, and how to enter, can be found HERE
Join Research in Finance founder and director, Toby Finden-Crofts as he unveils the results from this year's London Investor Show Research Survey. Find out whether you are thinking what other investors are thinking, or whether you're a lone bull amongst bears - or the other way around. The research has been carefully distilled from recent surveys amongst previous London Investor Show delegates and other private investors - taking the investment temperature and reviewing current market sentiment. Interesting for you, as a delegate, to find out what the consensus is, and how this could affect your future investment decisions.


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Your one-stop source for Spiritual Inspirations, Tips & Tricks,
Recipes from My Kitchen, Movie Reviews, Weekly Horoscopes,
Current Events... and so much more! With new content added
all the time - be welcomed as you browse through the pages of
Enchanted Essence.ca - and be sure to visit often!!
Friday, January 18, 2013
Spirit Of EE
Hello Friend!
Enchanted Essence has released The SPIRIT OF EE Collection. Look out for these inspirational notes, now and exclusively on Facebook and Twitter. Make sure you are following Enchanted Essence as not to miss out on The SPIRIT OF EE motivational whispers.
It is never too late to join in! Simply check under Suggested Links on the sidebar and click on the Facebook and Twitter links - or visit the Contact EE page to find our reader fan pages!!
When you see these colorful notes, like them, tag yourself in them, collect them, and share them with your friends!
Walk in Beauty, Love & Light
Posted by Laura at 3:40 PM
Labels: Spirit Of EE


text: Borage Oil, also know as Starflower Oil, is rich in Gamma Linoleic Acid (GLA), a very rich source of omega 6 fatty acid. To ensure the purest supplement of Borage Oil, we only use extracted oil from the seed of the starflower within our supplements. The rich oil is encapsulated to form a daily supplement that is a high quality source of omega 6 fatty acids and becoming increasingly popular on the market today.


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Kendra is wanting a cigarette and boy is it making her incredibly horny! After lighting her cigarette she sexily teases you not only by winking and blowing kisses but after a while Kendra decides to get extremely frisky and start to touch her nice natural boobs, then on to her sweet pussy! She ashes on her nice nipples and is turns her on so much more! She starts feeling her pussy even more and after she finishes her cigarette she runs inside to cum more and more!
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London Mayor Sadiq Khan reads out mean tweets about himself. First it's funny, then it's serious.
The Mayor of London does not usually attend SXSW, but this year he had a very specific reason for going.
Sadiq Khan gave a speech at the SXSW Technology conference in Austin, Texas, on Monday.
He called for tighter tech regulation from social media to curb hate speech online, and illustrated his point Khan shared six abusive, islamophobic tweets that have been directed at him.
Then he went a step further. Khan released a video on his Twitter account, which at first seemed like a standard edition of Jimmy Kimmel's famous "mean tweets" format.
At first the tweets were amusing, saying Khan looks like a "pigeon," a "sparrow," and a "really shit stunt double for José Mourinho."
Then they transitioned into the kind of islamophobic abuse Khan had addressed at the conference.
"I don't read this out to be portrayed as a victim," says Khan, "but I worry about what happens when young boys and girls from minority backgrounds see this kind of thing on their social media timelines, or experience it for themselves."
He also talked about the abuse that women and girls face online, abuse which he fears drives them away from such platforms, "reversing our long fight for gender equality."
He's not the only British politician to have addressed online abuse in this way. Mhairi Black, SNP representative for Paisley & Renfrewshire South in Scotland, recently read out the misogynist abuse she has received to a Westminster Hall committee.
"Me and my pals actually laugh about it, that how I cope with it," says Black, "I find the best insults and that's how we have a laugh." But she points out how normalised the abuse has become.
Khan's "mean tweets" calls attention to that normalisation, in that it draws people in with the amusing insults, heightening the shock when he jack-knifes into the abusive ones.
"It's on all of us to tackle this problem," says Khan, "social media companies, politicians, and media, and you. Let's work together to end this hate."
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Dawn breaks over one of the cotton fields here. This was a good year for cotton in coastal North Carolina thanks to the unusually wet weather over the summer and the heat.
I shot this with a Nikon D800E Camera using a 24-120 f/4 lens. The D800E has jaw dropping resolution thanks to its 36 mp sensor and the disablement of a low pass filter which increases sharpness measurably. I was blown away by the detail in the low light of the early morning. As with most things electronic these days, the D800E has already been replaced by the next big thin, the D810, but most of the improvements are in the video side of the camera which I never use so I suspect the D800E will be in my bag for a long time to come.
A word about the ads WordPress is now selling and plastering on individual blogs. I don't mind them putting static ads on my site but I think video ads are obtrusive and detract from the blog which I'm sure is exactly the idea. Anyway, it does not sit well with me. I'm going to look into creating my own site and getting rid of WordPress and its ads. If I move on, I will give lots of notice and give all of you who are nice enough to drop by, my forwarding address.
Thanks for the visit


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4 Ways Continuous Feedback Can Benefit Your Company
Continuous feedback is essential for any progressive workplace. Many companies, including Explorance, are recognizing the benefits of having an ongoing feedback system rather than the traditional once-a-year evaluation. When done correctly regular feedback can help you create an improvement-driven culture that is proactive and predictive. As a follow-up to our last blog 5 Tips for Creating a Workplace Culture Your Employees Will Love we look at four ways continuous feedback can benefit your company.
1-Improve Employee Engagement and Job Satisfaction: Trust us, your employees want to know how they're doing. Continuous feedback is a great way to keep them motivated and engaged. By providing them with ongoing information – good and constructive – about their performance you are inspiring your employees to challenge themselves. This can lead to increased job satisfaction and renewed enthusiasm for their work, which ultimately helps the company's bottom line.
Whether by surveys, discussion panels, live formative feedback, or 360 degree reviews, asking for their opinion shows that you value their input and consider it an important part of your process. This can go a long way in boosting employee morale.
2-Identify Potential Problems: The modern day workplace is a fast-paced, high pressure, constantly changing activity hub. Employees are doing multiple and simultaneous jobs, often across departments and even time zones. The potential for miscommunication or other work-related problems is high. Continuous feedback can help you identify problems before they affect performance. Using employee input, you can discover potential 'blind spots' and proactively take actions to prevent them.
3-Align Employees with Company Strategy: Aligning your employees with the company's strategy is one of the most important things you can do. Without this alignment, their efforts are unfocused and the results will not meet expectations. Gathering regular feedback will help you identify employees who are unclear about what the strategy is. This will allow you to prioritize their projects based on what is important, essentially setting them up for success.
4-Maintain a Positive Environment: Continuous feedback is a critical factor in creating an engaging and enjoyable workplace. When people are comfortable giving and receiving feedback, everyone grows. Having open dialogue on an ongoing basis will result in employees who are empowered, fulfilled, and most important – less stressed. They'll feel good about coming to work and will perform better.
What are some other ways continuous feedback can add value to the workplace? What methods do you use to gather and provide feedback at your organization? Comment below and let us know.
Chanel M. Sutherland
Marketing Content Specialist, Explorance


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Our hippo stuffed animal has loads of color - purple, pink, and orange with special touches on feet and ears all contribute to his good looks. Although a hippo can easily outrun humans, the only place this little guy wants to run is straight into your arms.
Really neat presentation. Great toy!


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On Saturday Oct 7th, we called Camping World in Syracuse to speak to a salesman. My husband told him what we are looking at and then gave him information regarding our trade.
The salesman asked several times if he could call us back, we said yes. He called back and asked for more information each time. It was agreed that he would call us back on Sunday with a quote on our trade. We were driving home from our vacation on Sunday.
The salesman called back about 5 times before he finally had all the information he said he needed. The a couple of hours later he called to give us the quote. The quote was way less than we were willing to even consider. So we told him that and said thank you but we are off by $9,000.00.
So looks like we can't make a deal on the 5th wheel toy hauler we wanted. The salesman jumped right in and said he could work with the $9000.00. So we made an appointment to meet the salesman at Syracuse Camping World on Monday Oct 9th at 10 am. We arrived at 10 am, the salesman was out on the lot or somewhere, we waited about 15 minutes.
When he arrived, he wanted to sit down and talk the deal, but we had not yet seen the 5th wheel other than online and wanted to actually look it over before proceeding. It was raining lightly out and we headed across the road to look at the unit, but surprise, the salesman didn't know what we came to look at, as he took us over to look at a travel trailer, not the fifth wheel that we had called about. ( gave him the year, make, model and stock number when we first called) We then walked around the lot looking for the unit. The salesman then discovered that it was not on the lot, that after showing it at a camping show at the Fairgrounds it had been moved to Farrell Rd.
So we drove over there to look at it. Lo and behold, the slide outs were not out and there was not power, so back to the dealership we went. The salesman got a booster box and said he would meet us back at Farrell Rd. We were very frustrated and asked to speak to the manager.
The manager apologized for the salesman, but then told us that there was no real wiggle room on the camper price or our trade offer other than perhaps $200.00 more. That was not enough to make the deal viable for us so we decided to leave. We asked the young lady at the front desk to call the salesman and tell him we had changed our minds and would not be coming over to look at the unit. If we had known there was no room for negotiation we would not have wasted our time.
The really sad part for us is that this is the third time we have had problems here. We LOVE the Carbon, went we first were ready to buy a toy hauler, the Carbon travel trailer was our first choice, but we had some questions and the sales manager said he would call us back with the answers and he never did, so we bought elsewhere. Now again unless we go far afield, which we certainly might do, we could end up not buying the Carbon fifth wheel toy hauler that we really love.
There is even more that I could go into but there is no point. I don't see a day when we will be going back to Camping World in Syracuse.
Product or Service Mentioned: Camping World Sales Representative.
Reason of review: Poor customer service.