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08/17/2017 |
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In part 2 of Brad's discussion with Jacob Morgan (best-selling author, futurist) they discuss the ramifications of investing IT and its impact on retaining or driving away talent.They also talk about fake business advice books, and how to intelligently and strategically select which emerging technologies are worthy of investment.To Learn more about Microsoft Enterprise Mobility + Security, visit: http://www.microsoft.com/ems You can learn more about Jacob's books at: TheFutureOrganization.com Next week, Brad meets up with Mary Cecola, the CIO of Antares Capital – a 100% born in the cloud financial services firm.You can watch past episodes here: www aka.ms/LunchBreak.
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ST. LOUIS—A busy area of downtown St. Louis will close during weeknights starting Monday as part of the next phase to improve the area around the Gateway Arch.
The Missouri Department of Transportation says the Walnut Street Bridge over Interstate 70 will be closed between 6 p.m. and 6 a.m. as crews start work on the "Park over the Highway" project.
Several lanes of Memorial Drive will also be closed during that time.
It's part of a project to create a parkway over Interstate 70 and improve access between the Arch area and the rest of downtown. The multi-million dollar project is expected to be complete in 2015. Next April, crews will remove and widen the bridge.
The goal is to improve access between downtown and the interstate.
Click here to find out more on road closures during the Arch improvement project.
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subset: commoncrawl


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Adventure Week is a week long series of indoor and outdoor festivals, activities, clinics, and other events highlighting a variety of outdoor recreation and sports. Sandy Utah is the perfect location for the adventure lover – with close proximity to the Wasatch Mountains, a plethora of trails, and the Jordan River, you can fit a variety of sports and outdoor recreation all in one day!
Adventure Week has something for everyone, whether you're a beginner or an expert, a spectator or athlete, children or parents, and everyone in between! Check out our schedule – you may discover a new love or want to spend your week immerse in an old favorite. No matter what you choose, we want to see you at Adventure Week June 17-24!


text: Natural Remedies GUAVA LEAVES CAN FIGHT DIABETES, CURE COLITIS, ASTHMA, GOUT, COLDS AND MUCH MORE! SEE HOW TO PREPARE THEM! Admin | May 31, 2017 Guava is a tropical fruit that originates from Brazil and belongs to the Myrtaceae family. The tree has a branched stem and elliptic and thick leaves with white Read More


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Condo - New York, NY
Enjoy incredible sunsets, light and open views. The Empire, is a classical luxurious full-service Condominium with a palatial entry-lobby. All amenities are currently been renovated.
This magnificent 5 Bedrooms/ 5+bathrooms unit at the 28th floor has fantastic views of Central Park, the City and River. East, south, and west exposures totally unobstructed.
Impressive entry foyer, 10 foot ceilings and two Juliette balconies make this a unique home. There is a specious living room and a separate dining area. BEAUTIFUL LIGHT CELTIC HARDWOOD FLOORS.
Updated sun filled kitchen with generous cabinet space. Central air and heat. All bedrooms have en-suite marble bathrooms. There several non-structural walls which gives the opportunity to have a flexible layout.
Past tenant was paying $25,300 until July 2016.
RENOVATED Amenities include a garden, playroom, gymnasium, movie/conference room, private dining salon and garage. Only steps away from Central Park, Metropolitan Museum, and all major transportation, restaurants and shops.
Would you like more information regarding this property?
Please call (212) 838-3700.


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Improving Safety Culture Ignites Business Growth for Suppliers
Author: Rene Garcia
Every company, no matter the size, should take health, safety, and environmental (HSE) regulations seriously, especially if they want to remain competitive and attract more business.
Reputation is Everything
When working in supply chains, it's not who you know; it's who can vouch for what you know. No organization wants to partner with a risky supplier. Hiring companies want to know that business won't be affected by a disruption somewhere in their supply chain. That's why services like Avetta are so important; they allow companies to reduce risk in their supply chains by only working with suppliers that have been evaluated and verified as good business partners (Green-flagged in Avetta).
Bill Wood, Director of Client Relations for Alliance Environment Group (AEG), explains how his company was invited to adopt the Avetta platform by a client who was an existing Avetta user who could only work with green-flagged suppliers. Wood wanted to win the business for AEG, so his company registered.
"The choice to join Avetta was based on revenue and growth opportunity." says Wood. "I'm willing to spend a little to make a lot — it's really about vision"
A Network of Trust and Safety
The green-flagged suppliers in the Avetta network enjoy the exposure to global hiring companies that only want to work with vetted, low-risk suppliers. That gives companies like AEG the advantage over competitors that can't easily prove their bona fides.
"Now, I look at our competitors, and their core safety structure looks like it was built on toothpicks compared to ours; Avetta helped us make health and safety a priority, which resulted in business growth and the competitive advantage." explains Wood.
With Avetta, suppliers have a de facto advocate that houses all relevant documents, like OSHA logs and financial statements. When a supplier satisfies one client's requirements, that usually satisfies several clients' requirements, opening more opportunities for business.
"When we tell them we're Avetta-approved and green flagged, it definitely adds some juice," says Wood. "Now that we're in the Avetta ecosystem, we're connecting with potential clients that we've never met before. I personally put a high value on simply meeting the right people—and today we're doing that with more clients."
Raising Safety Standards
Interestingly, a byproduct of qualifying for Avetta supplier green-flag status is an overall increase in safety at the qualifying company. Many suppliers don't realize where their safety gaps are until Avetta forces them to review their practices with a sober eye. This leads to safety processes being created and executed. Stakeholders are identified and accountability measures are put in place. The end result is a safer company.
This was Wood's experience with AEG as they worked to qualify for green-flag status. "With Avetta, we're equipped with the tools to connect with more clients, operate at the highest safety levels, do great work, and avoid hefty fines or lawsuits. You don't get this type of springboard opportunity elsewhere."
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.COM and .NET domains
|The complete list of .com and .net domains
Domain 0-1-2-3domainregisteraslowas795.com
Add information about domainYou can add the desired title for the site/domain 0-1-2-3domainregisteraslowas795.com as well as the full description. It will be shown at the top of this page. The direct link with title will lead to you site/domain. The description will be placed behind the title.


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Home → Soundslides manual → Editing a slide show → Pan and zoom (Soundslides Plus only)
5.4. Pan and zoom (Soundslides Plus only)
When creating an audio slide show with Soundslides Plus, you can add pan and zoom movement to the individual images. These features are not available for non-audio slide shows, since both features require timing tied to an audio track. It is, however, possible to use a silent audio track with pan and zoom, and we have created a ZIP file containing 30-, 60-, 90-, 120-, and 150-second silent audio tracks, available here.
To add movement to an image, click on the "SLIDE INFO" tab, then the "MOVEMENT" tab. You can then set the start and end positions by clicking and dragging the two thumbnail images.
To zoom on images, use the scale sliders below the images.
To move a panned and/or zoomed image from the start position to the end position or vice versa, click one of the arrows between the thumbnails.
To reset the image movement, click the "RESET MOVEMENT" button below the images.


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With this goal in mind, we dig deep into your organization to learn about your unique requirements and specific processes before making well informed recommendations. Together, we can then build a strategic outline for your project including budgeted costs and approximate timelines.
Our design team leverages its highly focused dental and medical practice expertise to offer you relevant, meaningful insight and best practices during the design phase of your project.
Before construction begins, we conduct due diligence to ensure buildability of the design intent, clearly define the scope of work, and identify key project milestones. We then seamlessly manage the architectural drawing process and obtain all required approvals and building permits.
See how we work with doctors to identify their goals and deliver solutions that improve productivity and increase patient engagement and satisfaction.View More
Do you know what mistakes to avoid when planning your office re-design? Learn these tips and more with our helpful whitepapers. Great design starts here.View More
With four generations of experience, we offer our clients focused expertise and the accountability inherently found with design build methodology.View More
The secret to a smooth construction phase is constant, clear communication. Our dedicated Project Managers and Superintendents ensure that communication channels are always open, deadlines are met, safety policies are adhered to, quality standards are upheld, and that the end result exceeds your expectations.


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Premier Standard Women s Swiss Lace Up Quilted Mid Calf Winter Snow Boots8 B(M) US|Premier Ivory Premier Ivory 8 B(M) US
100% SYNTHETIC: Eco-friendly and in control. Buy these guilt-free, knowing your purchase is making no dent in the environment! Eco-friendly and in control. Buy these guilt-free, knowing your purchase is making no dent in the environment!
ENDLESS OUTFIT COMBINATIONS: Outfit and pair these boots from dusk until dawn! From jeans to shorts, dresses and skirts of any length, these boots are a surefire way to top off any outfit.
Heel measures approximately 0.5 inches\"
ALL WEATHER FUR SNOW BOOTS: You can't go wrong with effortless lace up snow boots! Simple lace up snow boots are an everyday essential to complete your look. This revolutionary trend has become a modern wardrobe staple from the shopping to the streets. Made from vegan synthetic material and a manmade outsole, you can strut in style with these eco-friendly snow and rain walking shoes.
BUILT FOR COMFORT: Effortlessly slip these on and off with an easy lace ups and a rubber sole for traction and comfort. These boots feature a cushioned footbed and soft inner lining to keep your legs and feet comfortable for hours.
APPROX MEASUREMENTS: Heel Height: 0.5\" ; Shaft Length Approx: 11.75\"; Top Opening Circumference: 13\".
Seam-sealed waterproof snow boots featuring plush faux-fur collar and grippy peak snow and ice traction sole
Does not contain animal products


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dog bed
URBAN grey
Dog bed Bowl&Bone Republic will satisfy even the most demanding pets. The URBAN line has been inspired by modernist forms and the urban lifestyle. We created it for the convenience and comfort of pets. It is also a nod to the owners of quadrupeds who care about every detail of the interior design. Dog beds from the URBAN line from Bowl&Bone Republic are a guarantee of style and good taste. They will steal the heart of both the pooch and its owner.
Dog bed designed for your pet
Dog bed Bowl&Bone Republic will appeal to even the most capricious quadruped. Inspiration with a modern, urban style and a modernist form – this is the combination of the URBAN line. It will fit perfectly into the interior decor, becoming a stylish complement to it. Dog beds from the URBAN line are a unique dog's comfort in a tasteful version. Bowl&Bone Republic is a European brand with a long tradition. We design and create our unique accessories exclusively on the old continent. Bowl&Bone Republic products are a guarantee of comfort even for the most demanding dogs.
Our lairs are filled with certified artificial down
The interior of the URBAN lair is filled with the highest quality, certified artificial down. Such a filling is not only flexible, but also fluffy and elastic. Thanks to this, it adapts to the dog's body and at the same time is resistant to deformation. It has antiallergic properties, so it is perfect as a bed for sensitive pets.
Coziness and comfort of a pooch in a stylish version
Finishing of the material and attention to every detail combined with the exceptional comfort offered to your pet makes the dog bed of the URBAN line a great choice. The unique design of this bedding in muted colors fits almost any interior style. The highest quality materials and well-thought-out shape guarantee that it will become the favorite and the most important place for your dog.
Take care of the bedding for your pet
Dog bed Bowl&Bone Republic is characterized by its sturdiness and easiness in cleaning. There is a zipper on the cushions and the sides of the beds, thanks to which the cartridge can be removed at any time. Specially selected filler will give your pet an undisturbed and comfortable rest. Both the pillow cases and cartridges is washable by hand or in a washing machine at 30°C.
URBAN beds are available in other color versions of graphite, navy and brown.
Dimensions of the URBAN line: *
- S – 60 cm x 60 cm x 16 cm
- M – 75 cm x 75 cm x 21 cm
- L – 85 cm x 85 cm x 23 cm
* dimensions from the outer side of the bed
At the request of the Bowl&Bone Republic customer we will sew a bed specifically for the size of your dog. To order a tailor made bed we invite you to contact us at the email address email@example.com The approximate time of completing an individual order is about 10 days.


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District Headlines and News
The Schol Board approves the 2018-2019 Student Drug Testing Policy
Students electing to participate in junior high and high school activities/athletics representing the Butler R-V school district or utilize the privilege to park in the school parking lot are subject to the guidelines of the random drug testing policy. Click HERE to view the entire policy.
Retirement Reception
The Butler R-V School District will honor retirees and award winners on Monday, May 14th, at 3:30 in the Auditorium. District retirees include Denny Appleberry; Elementary and LouAnn Davis, Early Childhood Center. The Butler CTA will honor the Friend of Education Awards and the Support Staff Awards. The principals will then announce the Teacher of the Year from their respective buildings.
Pulling Together for the Ronald McDonald House Click to see more.
Project Lead the Way
PLTW students Justin Junge, Ian Apple, and Wain Walker, recently went to Union Station to compete against 114 teams from other area schools. Our students were also able to visit with the CEO of PLTW Vince Bertram.


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Up just a wee bit today[1], which was another moderately inactive one in terms of walking, but I did need to assist with some more of the game of advanced musical chairs being played in the office.
I really need to get out and take some fresh pictures soon, but for now here's one of the Gateshead Millennium Bridge from New Year's Day.
[1] Any suggestion that this is a retrospective post actually being typed several days late will, of course, be denied. If you didn't see it today[2], it's because you blinked and missed it.


text: Jul30 From the family archive… Posted on July 30, 2012 by admin From the family archive… Hello to everyone!!! I wanted to show everybody this great picture I found in our old family photos. In the picture: The baby: Ghahaha did you hear what he just said? You'll never believe it! The little girl: No, What? What? Actually, the girl in the picture is my mother. Comments comments


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photo: Apartment Therapy
Sometimes a room is in need of more than just a coat of paint to bring it's personality to life. Wallpaper provides a decorative back splash that sets the tone for a space using color, design, and texture. Introducing the right wallpaper to your room isn't always an easy feat, so here are a few helpful tips to guide you in the right direction!
» Decide How Much Should be Covered –
"Entire Room" To maximize the intensity of a selected pattern use it on all the walls in a room. Depending on the print it can actually make the room feel larger by unifying the space with one print.
photo: Indulgy
This large bloom print creates visual interest and keeps the dining room calm with a neutral unifying palette.
"Focal Point" If you want the selected print to act as an accent, use it to draw attention to an interesting architectural detail. For example, apply it above wainscoting, on the fireplace wall, or on bump out walls.
photo: House to Home
Bold avocado wainscoting is balanced beautifully with the vivid toile print in this bathroom. Perfectly suited crisp white fixtures complete the look.
"Top to Bottom" This application is suggested with highly textured wallpapers in more of a neutral color. You want the wallpaper selection to enhance, not overtake, your space.
photo: House Beautiful
The large floral wallpaper in rosy hues is a darling choice for this tucked away bedroom. Using a soft color palette and applying the wallpaper on both the walls and eaves creates a unified space.
» Choosing the Right Color and Design for Your Space –
- The function of the room suggests the tone of the wallpaper, so keep it subtle in quiet areas like the bedrooms, but try to take a chance in gathering spaces like the living room and dining room. Just like paint colors, your wallpaper selection will help to create the mood of the room. Using lively prints in active areas of your home can also help to increase energy!
photo: Southern Living
This is a perfect example of going bold in color and giving the walls texture with a grass cloth weave.
- Look at the existing furniture and textiles in the room that you want to work around. Choose a color that will complement the color scheme versus duplicating an already predominant color. You want the wallpaper to set the stage for your furniture and produce a balance within the space. That could mean the wallpaper acts more like a focal point when paired with neutral furnishings, or act as a neutral backsplash with more lively furnishings.
photo: Apartment Therapy
Framing the cheery yellow wallpaper produces a vibrant accent, as well as making a great backdrop for the white tight back sofa.
- Consider how much light the space gets in order to choose the right hue. Avoid darker colors in smaller rooms; use them in larger spaces with a lot of windows instead.
photo: HGTV
This sprawling map wallpaper wraps around the room and works beautifully with the sunny windows and simple decor.
» Function As Well As Fashion –
- For bathrooms and kitchens, seek wallpapers that are water resistant as these spaces tend to trap moisture; you don't want the wallpaper to peel.
- For entryways, vinyl wallpaper is a great choice because they tend to be durable, stain-resistant, and easy to clean.
- Fabric, Flock and Grass Cloth type wallpapers tend to be difficult to clean so use these in spaces that do not produce a lot of moisture or high traffic.
Brought to you by Cottage Home– specializing in cottage furniture & farmhouse tables


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- Question? Contact the seller
Item details
Experience ancient times with this great Mexican Amate Paper! This ancient paper dates back to pre-Columbian and Meso-American times and is still hand made by the Otomi Indian artisans of Mexico using the same methods of their Mesoamerican ancestors from 3000 years ago. It has been used through the ages in religious and legal texts and as a canvas for painting.
Made from Amate, Nettle, and Mulberry trees, the unique and earthy tones of the trees perfectly blend together for an incredible crafting paper! The Circular Amate Paper shapes concentric circles into a mesmerizing design. The buckskin brown color provides a simple, basic base for any project.
Due to the use of natural bark and the handmade process, each sheet is a unique piece of art on its own and will vary in shade, color, weight and pattern.
Handmade in Mexico
Weight-150 GSM
Acid Free
Measures approximately 15.5" x 23.5"
Fiber content- Amate, Nettle and Mulberry
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Shipping & policies
Estimated Shipping
Shipping & Handling
We utilize the United States Postal Service (USPS) and UPS to ship our products to you. We have found their services to be the most reliable and efficient compared to competing delivery companies. We offer UPS Next Day Air, Second Day Air and Ground shipping. In addition, we ship via United States Postal Service First Class, Priority and Express Mail. All orders are usually fulfilled and placed with the carrier for shipment within 48 hours, Monday through Friday from the Denver Colorado area. We reserve the right to substitute other carriers or service levels to facilitate a more expedient delivery. We are unable to ship to APO, DPO, FPO and EPO addresses.
SHIPPING TIMES IN TRANSIT (Not Including Fulfillment Time)
USPS First Class Mail: 4-5 Business Day Average (Not Guaranteed)
USPS Priority Mail: 2 Business Day Average (Not Guaranteed)
USPS Express Mail: 1 Business Day Average (Not Guaranteed)
UPS Ground: Varies from 2-5 Business Days
UPS 2nd Day Air: 2 Business Days (Shipping Charges Guaranteed by UPS)
UPS Next Day Air: Next Business Day (Shipping Charges Guaranteed by UPS)
**International Customers
MulberryPaperAndMore ships our products internationally through the United States and local postal services. We strive to ensure our shipments meet custom regulations in the destination country. However, due to the sheer volume of possible municipalities and frequent law changes, we are unable to guarantee that your order will meet your local customs requirements. Additionally, Mile High Net Stores has no control over the amount of time a package is detained by customs and we are not responsible for any additional taxes, fees or charges that might be levied by your local authorities.
NOTE TO CUSTOMERS SHIPPING TO NON-US ADDRESSES: International First Class Mail (if offered) is provided strictly as a courtesy to international customers wanting the most economical shipping available. International First Class Mail DOES NOT provide tracking information or insurance. As a result, MulberryPaperAndMore is unable to guarantee delivery or any delivery time frames. If this shipping option is chosen, the customer is assuming all risk for their order during shipment including risk of damage, loss, theft or non-delivery. For orders requiring tracking and our guarantee of delivery, Priority Mail International or Express Mail International must be chosen for delivery addresses outside the United States.
Returns & exchanges
Return and Exchange Policy
You can make returns or exchanges via US Mail or UPS with an original MulberryPaperAndMore packing sheet or online payment receipt within 14 days of purchase. Prior authorization from a representative of MulberryPaperAndMore (Mile High Net Stores LLC) is required. All returns must be new, unused and contain all original product packaging and accessories. Shipping charges will not be refunded. If a free shipping offer was applied to your order, the actual cost of shipping your original order will be deducted from any refund due. Opened items are subject to a re-stocking fee of 25%. Return policy does not apply to custom imprinted items or custom-cut items. Any shortages in shipment must be reported within 72 hours of delivery. Other restrictions may apply. Approved returns may be shipped to:
Mile High Net Stores LLC
10311 S Progress Way Unit N3
Parker CO 80134
SPECIAL HOLIDAY RETURN POLICY: Our normal return and exchange policy is extended until January 7th for any purchase made between Thanksgiving and Christmas. All other terms and restrictions apply.


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Words containing chattine
Found 2 words containing chattine. Browse our Scrabble Word Finder, Words With Friends cheat dictionary, and WordHub word solver to find words that contain chattine. Or use our Unscramble word solver to find your best possible play! Related: Words that start with chattine
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Steel Building Systems, Inc
Part 1 of this series on wood versus steel buildings covered some of the basic material differences between the two building methods. Now let's look at how wood and steel performance.
When considering a building system, it is important to think long term.
How safe is the structure? How will it hold up against earthquakes, fire, violent storms, and termites?
WOOD-framed structures invite termites, wood ants, and vermin in for a snack. Wood building owners must pay hundreds of dollars for harsh chemical treatments to hold wood-munching critters at bay— or thousands of dollars in repairs when the insidious termites breach the perimeters and damage the structure.
STEEL: Not even the most determined Formosan termite can make a meal of steel. Steel buildings never attract termites, wood ants or vermin— nor do they need repeated and expensive termite treatments.
Americans pay almost $888 million annually for lightning damage.
WOOD resists electrical current. The moisture content of lumber causes wood framing to detonate when struck by lightning, shooting voltage out to surrounding people or objects.
STEEL is a great conductor of current. If lightning strikes a metal building, the current passes through the steel, dispersing harmlessly into the ground. Properly grounded steel buildings resist lightning damage.
WOOD: Hurricane-force winds usually breach a structure through broken windows or by punching through large door openings, like garages doors. The wind produces lift. The nail and staple connections used in wood framing fail under pressure. The roof lifts and blows off the building. Without the roof, the walls topple.
STEEL: Pre-engineered rigid-steel buildings combat high winds with stronger components and stouter connections. The high-strength steel bolts and nuts uniting steel-framing members withstand greater wind forces than wood structures.
There were almost half a million structural fires reported last year in the U.S. Over 3,200 civilians perished in those fires. When comparing wood versus steel buildings, which one promises greater safety from devastating fires?
WOOD is combustible. Wood framing is the second most likely place for a structural fire to start. Once a blaze is ignited, wood framing continues to feed a fire.
STEEL: Fire-resistant steel framing never becomes the point of ignition in building fires. Nor will steel framing fuel a structural fire.
That is why non-combustible nature of steel framing earns lower premiums with most insurance companies.
WOOD: Under the stresses of a seismic event, wood studs snap and connections fail.
STEEL: The heavy-duty steel bolts and nuts joining pre-engineered steel systems create moment frames. During an earthquake, moment connections allow framing to move slightly, absorbing the lateral forces caused by shaking.
The Federal Emergency Management Agency (FEMA) calls steel moment frames "one of the best earthquake resisting systems available."
Weld-up steel buildings— where the framing pieces are welded together rather than bolted— do not perform well in earthquakes. Welded connections may break during a quake.
No building system can claim to be impervious to natural disasters. However, when examining the facts, it is clear that pre-engineered steel buildings typically perform better under pressure than lumber-framed buildings.
Call RHINO Steel Building Systems today to learn more about the benefits and strengths of prefabricated metal buildings. Talk to a friendly RHINO steel building specialist now by calling 888.320.7466 toll free.
Don't miss our last installment in this wood versus steel buildings series. In part 3 we will compare the environmental pros and cons of the two building systems.


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Our clients have lots to say about our work, and how we helped them solve their audio visual and lighting problems. Whether it be a church, recreational facility or boardroom, Merge Systems has done it all. If you're a satisfied customer, please don't hesitate to write us a review on our google plus page.
Word of Life Tabernacle
"Our experience with Merge was first rate. From the beginning we were impressed by their approach. They were thorough, professional and made every effort to meet our specific needs. Their strategy of data collection followed by engineering and modelling eliminated the need for 'trial and error' – and when the project was completed the results spoke for themselves. We would without hesitation recommend Lance and his staff to others."
Barrett Ens
Assistant Pastor
Grace Point Church of God
"Grace Point Church of God (formerly Mill Creek Church of God) selected MERGE SYSTEMS INC. as our A/V design and installation contractor during our recent building project; a 600-seat facility in SE Edmonton. Being involved in and passionate about A/V myself, I find it difficult to have and keep a positive view of most involved in the industry. As such, I had very high expectations which I didn't fully expect to have met. In hind-sight, I can say that MERGE met and exceeded those expectations.
One specific area in which MERGE excelled was taking the time to understand our needs. There was no pressure to up-sell; at the same time, Lance made sure that every dollar spent went towards a quality system that will give us years of dependable service. Everyone involved in our project, from design team to congregation member, was impressed with the end result. In the 14 months since our move-in, MERGE has continued to provide prompt service and has ensured that any teething issues were dealt with efficiently."
Vince Hayduk
Grace Point Church of God A/V Team Leader
Spruce Grove Alliance Church
"Spruce Grove Alliance Church has been very fortunate to have Lance Spratt and MERGE SYSTEMS INC. advise us on our audio and media needs for the past three years. Lance took us from an "average" system to one that performs exceptionally well; providing more than enough capability and sound quality to support professional Christian artists. We constantly get complements on how well our system performs.
MERGE SYSTEMS used a comprehensive design approach by providing much needed improvements across all of our equipment and systems. By special arrangement, Lance allowed our volunteers to assist with the installation to keep costs low. However, when professional expertise was required, MERGE SYSTEMS stepped in complete the work. The results are outstanding.
MERGE also keeps us abreast of new equipment and industry trends with honest evaluations of how we can improve our system by injecting new technology. Lance works within our budget constraints and there is never any pressure to purchase the latest "toys"."
Dave White
Technical Arts Director
Spruce Grove Alliance Church
Grande Prairie Alliance Church
"We (Grande Prairie Alliance Church) have been very appreciative of the partnership we have had with Lance Spratt and MERGE SYSTEMS INC. Lance has not only brought a great amount of technical knowledge and experience but he also took the time to understand exactly what we needed for our application and I believe we couldn't possibly have a better system for the same budget we were working with and this is credit to a partnership with a great systems integration consultant."
"We worked with MERGE SYSTEMS to provide design and install of all audio, video and lighting systems. They did a very professional job from start to finish and have been passionate about keeping our needs and concerns a top priority throughout the process. The install was done with meticulous care and attention to detail. Things like cable runs, whether under the tech booth desk or in the drive racks, everything is neatly run and in an organized fashion. Something one would expect but be surprised at how often it doesn't end up this way!"
Kris Biette
Pastor of Worship and Creative Arts
Grande Prairie Alliance Church
St.Joseph's Basilica Parish
As Rector of St. Joseph's Basilica for the Catholic Archdiocese of Edmonton, I have a great need to ensure the message of the Gospel is proclaimed well. For such a large space as the Basilica, we do rely on the technology of the age to assist in this; and so, one year ago we sought the services of Merge Systems Inc. for this purpose. The sound system set up for us continues to prove itself very reliable and up to the high standards we require. The installation was excellent, the product hardware suggested of exceptional quality, the equipment discreet in its appearance, while the sound produced remains consistently sharp and clear. Further, their follow up to our questions, accommodation for additional parts needed, and any minor maintenance pertaining to the system has been prompt, most helpful, and therefore very much appreciated. For those who desire a system so as to have their audience be acoustically satisfied, one would do well to retain the professional expertise and services of Merge Systems.
Should you have need for further information of our experience, I would be most happy to relay that to you at your request.
Sincerely yours in Christ,
Fr. Adam Lech
St. Joseph's Basilica


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The Critical Legal and Prison Studies Research Interest Group is dedicated to interdisciplinary scholarly analyses of the law. Our work focuses on the treatment of people at all levels of encounter with the criminal justice system, including the social and medical treatment of people inside prisons as well as the political ideas and actions of currently and formerly incarcerated people. Our interests are historical and contemporary, local and global, and our group is informed by our diverse disciplinary backgrounds.
The Research Interest Group is a space for us to share our works in progress with the following goals in mind.
- To support one another's existing writing projects through peer review
- To develop new avenues for research about issues pertaining to criminalization and incarceration
- To think collaboratively about the community impact of such scholarship.
- To spread greater awareness of and engagement with these issues on our campus and within our respective professional associations.
Current Members:
David Allen, Cheryl Cooke, Dan Berger, Johanna Crane, and Kari Lerum
Lead Contact:
Dan Berger


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Inflectional Word Endings (-ed, -ing)
30 comments:
I am posting, I am posting... =)ReplyDelete
This looks so cute!!!ReplyDelete
Me too. Posting.ReplyDelete
sending email just in case I am lucky enough. This is exactly what we are doing this week. I NEED this.ReplyDelete
So cute!! We've been working on this too!ReplyDelete
This comment has been removed by the author.ReplyDelete
ok those -ed and -ing posters are so cute! love them!ReplyDelete
-Ms. Simoneaux
I'm not the first post, but I LOVE LOVE LOVE these. So cute. I might have to borrow the idea :)ReplyDelete
Oh my goodness! SO CUTE! Did you make those with Photoshop? Those are awesome!ReplyDelete
1st Grade with Miss Snowden
Um, AWESOME! Adding this to my wishlist to purchase later this week!ReplyDelete
Love this idea! So cute!ReplyDelete
Those posters are adorable! Wish I had been first!ReplyDelete
Oh my goodness! So super cute! Those -ed, -ing posters make me wish I were teaching first this year.ReplyDelete
Darn I missed it, but those posters are super cute. We just learned about this last week too!ReplyDelete
Great! We are doing this next week, I believe... wahoo! :-)ReplyDelete
Obviously I missed it, but these are so cute!ReplyDelete
Absolutely fabulous. Maybe I'll get lucky and you'll decide to give away the unit to the 17 person to leave a comment! :)ReplyDelete
Love it! Me too!!ReplyDelete
AHHHH!!!! I LOVE the drawings!!!! I'm trying to not actually by anything else for my classroom, but I think I might have to invest in those! cutest things ever!!ReplyDelete
I just bought this on TpT! Thanks for posting these great activities.ReplyDelete
Kelley-3rd grade
So cute! I have been searching the internet for a cute bubble letter font. What is yours called?ReplyDelete
I'm working on a lesson for word endings this week. Your unit is so cute! I just included a link to your blog on my post about word endings! (www.teacheristatales.blogspot.com)ReplyDelete
I LOVE these characters! this is just what I have been teaching. I did it by relating it to one if my favorite scenes from The Lion King and it seems to have stuck. But I would love to be able to make some of these.ReplyDelete
I could so use this unit with my class. It is so cute!ReplyDelete
Just added a picture to my profile. Still love all your great ideas, thanks!ReplyDelete
Do you sell just the posters for your units? I'd like to purchase just the posters for the individual units. Is that possible?ReplyDelete
@ Jennie: At this time, I am selling everything as a unit... maybe in the future? at least the whole unit is only $3.50!ReplyDelete
I love your posters! I have bought all the phonics units! I have Adobe Illustrator but I can't seem to figure out how to make those cute letters you have! I want to make some posters for other phonic lessons my students are struggling with. Can you help?! Thank you for sharing all your awesome work with us :)ReplyDelete
Love this! It would make a perfect notebooking page! Hope you don't mind if we use your grandparents/young people idea when they are creating their page!ReplyDelete
Hi! I am trying to find this on TpT, but the link is not working. Do you still have it for sale?ReplyDelete


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Lucy Suedette Wedge Shoe Boots With Lace Up Back
Wedge shoe boots A chic pair of boots will instantly revive your wardrobe this season! With a cute lace up back, the wedge heel means these boots are the perfect height for stepping out in day or night. The colour is so versatile that you can effortlessly team these shoe boots with pretty much anything! They look great with everything from leggings and jeans to teamed with bare legs and a sexy shift dress for a little after hours styling.


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Deborah Richards (Diversity and Inclusion leader for UK and Ireland) gives a brief introduction to unconscious bias, a global training program at IBM.
So what is 'Unconscious Bias'? It is one of those terms you hear being used as part of management speak, that curious language of business that does nothing to help you understand what the speaker is talking about.
Unconscious bias is actually a really important topic as it impacts our decision making in every aspect of our lives, and although we cannot fundamentally change our biases, by developing awareness of them helps us to make better informed and more balanced choices. We are all biased, and we use these biases to make decisions every day. Biases are not necessarily a bad thing; however by developing a greater awareness of them is important.
Our brains are inundated with information from all the senses, and from all the technologies we now use; so how do we cope with this mass of information? The brain has what Daniel Kahneman describes in his book Thinking Fast and Slow two modes of operating System 1 and System 2.
System 1 brain is our "autopilot" – it is constantly making sense of the world around us and taking the initiative to simplify our world so we limit the amount of energy our brain is using. Anything you do without thinking like brushing our teeth, driving a car, or avoiding an obstacle when walking is System 1 at work.
System 1 works to simplify the world and process as much information as possible in order to preserve energy and resources for the operation of System 2. Daniel Amen, a renowned psychiatrist and brain imaging expert, estimates that 30% of the energy used by our body is used by our brains, so the brain has adapted to push as much incoming information as possible into System 1 so we conserve energy. In fact, the research varies, but anywhere from 60 – 90% of our brain activity is unconscious.
System 2, on the other hand, is reflective, slower, because we are demanding that it process more complex information. It requires a lot of energy. It is deliberate, and when we have a complex problem, System 2 will step in to gather, synthesize, and process information to solve it.
System 1 thinking is making its decisions on our prior experience; it makes assumptions and reaches conclusions without you even being aware of it. These can be based on your cultural background, faith, belief systems and a whole range of factors, and these decisions might be biased against certain types of people or certain courses of action. Developing an awareness of your blind spots helps you to view people and situations in a fairer and more balanced way.
This topic is particularly important in the world of work where you want to attract and hire diverse talent, and to develop and promote that talent once it is has joined the workforce. It does not make good business sense to only hire or promote in your own likeness, as this leads to teams that lack creativity and understanding of the needs of diverse clients.
To understand your own biases take the Harvard Implicit Association Test, try to complete at least 3 of the tests. According to the authors of Blind Spot – individual test results rarely reflect what the individual expects. So be prepared for a surprise.
It is because of initiatives like this that IBM have won a vast number of awards for Diversity and Inclusion see some of these awards here.
Join us and see what you can make with IBM www.ibm.com/jobs


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A Hammer toes is a term used to describe a crooked, deviated, or contracted toe. Although the condition usually stems from muscle imbalance, it is often aggravated by poor-fitting shoes or socks that cramp the toes. Over a period of years, the tendons that move the toe up and down begin to pull the toe with unequal tension, and the toe then begins to buckle or become contracted, causing an abnormal ?v?-shaped bending of the little toes. Patients with this condition often experience pain, swelling, redness and stiffness in the affected toes.
Most hammertoes are caused by wearing ill-fitting, tight or high-heeled shoes over a long period of time. Shoes that don't fit well can crowd the toes, putting pressure on the middle toes and causing them to curl downward. The condition may be more likely when the second toe is longer than the first toe or when the arch of the foot is flat. Hammertoe can also be present at birth (congenital). Hammertoe also can be caused by a bunion, which is the knobby bump that sometimes develops at the side of the big toe. A bunion causes the big toe to bend toward the other toes. The big toe can then overlap and crowd the smaller toes. Occasionally, a hammertoe is inherited or caused by arthritis in the toe joint.
Hammer toe is often distinguished by a toe stuck in an upside-down ?V? position, and common symptoms include corns on the top of your toe joint. Pain at the top of a bent toe when you put on your shoes. Pain when moving a toe joint. Pain on the ball of your foot under the bent toe. Corns developing on the top of the toe joint. It is advisable to seek medical advice if your feet hurt on a regular basis. It is imperative to act fast and seek the care of a podiatrist or foot surgeon. By acting quickly, you can prevent your problem from getting worse.
The exam may reveal a toe in which the near bone of the toe (proximal phalanx) is angled upward and the middle bone of the toe points in the opposite direction (plantar flexed). Toes may appear crooked or rotated. The involved joint may be painful when moved, or stiff. There may be areas of thickened skin (corns or calluses) on top of or between the toes, a callus may also be observed at the tip of the affected toe beneath the toenail. An attempt to passively correct the deformity will help elucidate the best treatment option as the examiner determines whether the toe is still flexible or not. It is advisable to assess palpable pulses, since their presence is associated with a good prognosis for healing after surgery. X-rays will demonstrate the contractures of the involved joints, as well as possible arthritic changes and bone enlargements (exostoses, spurs). X-rays of the involved foot are usually performed in a weight-bearing position.
Non Surgical Treatment
Wear sensible shoes. If you don?t want to have surgery to fix your hammertoe, use non-medicated padding along with proper shoes made with a wider and deeper toe box to accommodate your foot?s shape. Ensuring your shoes have a good arch support can slow the progression of the condition as well. Use a pumice stone. The corn or callus that forms on top of the hammertoe can cause discomfort when you wear shoes. Treat the corn by using a file or pumice stone to reduce its size after a warm bath, then apply emollients to keep the area softened and pliable. Use silicone or moleskin padding on top of the area when wearing shoes. Do foot exercises. Theoretically, exercises like extending, then curling the toes, splaying the toes, and moving the toes individually may help Hammer toes prevent the digital contracture that causes hammertoe. Try these suggestions and see what works best for you.
Surgical Treatment
Surgery may be the treatment of choice if conservative approaches prove unsuccessful. Usually performed as an outpatient procedure, the specific surgery will depend on the type and extent of injury to the toe. Recovery my take several days or weeks and you may experience some redness, stiffness and swelling of the affected toe. Your physician will recommend taking it easy and to keep your foot elevated while you recover.


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alleycat58;1709236 wrote:
OMGOMGOMGOMGOMGOMGOMGOMG BeaveRun!!!!!!!!!!!!!!
Hahahaha, sorry, I'm EXTREMELY partial to that course. That's my home track and home auto-x region. I know you'll get an absolute TON of support from the Pittsburgh area guys n gals for an event there. And I will GLADLY shell out the $150 for the track day. North Track PWNS.
Um, if you want, the local MINI clubs put on a VERY VERY similar at least once, often times twice a year - I can give you some contact information for them if you want to find out how they work things in for themselves. Usually the group is given preference for the North Track, meaning that registration is closed to outside people until a certain date, then they just open it up to fill the last few spots to the public. Then the auto-x is reserved EXCLUSIVELY for the hosting organization.
And BTW, I raced my first year and a half auto-xing a BONE STOCK 98 Cavalier. J-bodies are fun as hell to auto-x, stock, modded, or whatever the heck ya feel like doing with them.
BeaveRun FTMFW
By the way, if you can coordinate weekends, you MIGHT have a chance to have a little bit of all worlds thrown in. There are flashlight drags held about 20 minutes away from the BeaveRun facility at Zelienople Airport. You wouldn't be able to reserve it, but it would be there and open for any competitor who felt like showing up. The only downside is that it's only an eighth mile.
BeaverRun. Period.
jnickel wrote:
im all for either one
tho im not much of a dragster
DroptopPaul wrote:
no tracks nearby BeaveRun...believe me I already looked into it. Thompson is an hour and a half from Beaverun
JoeyDaBomb wrote:
Beaverun looks like fun!
The Redneck wrote:
my 88 camaro is on blocks trying to become a race car,
redneck is a state of mind


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Words containing ceuc
Found 7 words containing ceuc. Browse our Scrabble Word Finder, Words With Friends cheat dictionary, and WordHub word solver to find words that contain ceuc. Or use our Unscramble word solver to find your best possible play! Related: Words that start with ceuc, Words that end in ceuc
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Bon voyage, Bebe: launching a legend
By Mireille Rita Grovier, photo by Jay Grovier
In mid-August of this year, Bebe Kramer, who turns 93 years young in October, will be heading north of the border to California to launch a new phase in her exciting and productive life. Residents of San Miguel for 28 years, Bebe and her late husband, Phil, have been pillars of this community, contributing so much to its cultural growth and enhancement.
Bebe is a past president of the Lions Club and an active member of the Malanquin Book Club. She is presently a member of the board of the Jewish Cultural Center.
For many years, Phil served as treasurer of St. Paul's Anglican Church, where both Kramers were avid supporters. Bebe's continued enthusiastic support of Centro Infantil San Pablo prompted members and friends of St. Paul's to honor her 90th birthday with a fundraising afternoon tea that provided considerable revenue for the school's ongoing educational experiences.
Bebe is a fantastic and knowledgeable cook and at one point gave cooking lessons in her home. Until recently, trying to reach this lady on Wednesday afternoons was impossible. That was her poker day. The same futility applied to Ladies' Tuesday Opera Club and Thursday afternoon Rummikub games.
Bebe has been an inspiration and an immense help to newcomers to San Miguel. Her invaluable information on all things pertaining to this community prompted one expatriate to assert that "Bebe" can only stand for "Bilingual Britannica."
And so we say, "Bon Voyage, Bebe." We love you. We'll miss you so much. Stay well and stay in touch.


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Phases of Transplant
Preparative Phase
In the first phase of marrow transplant, the preparative phase, patients receive high-dose chemotherapy and/or radiation therapy (sometimes referred to as a conditioning regimen).
Allogeneic transplantation
The conditioning regimen used in the allogeneic setting has both a therapeutic component designed to eliminate tumor cells and an immunosuppressive component to prevent host immune responses from rejecting the transplanted donor graft. The doses of radiation therapy and chemotherapy employed take advantage of the steep dose-response curve that exists for many malignancies. These doses have been established on the basis of the limitations of other nonhematopoietic organs, such as the liver and lungs.
Although busulfan-based regimens are most commonly used worldwide for allogeneic transplant, the oral administration of busulfan leads to unpredictable absorption, which has been correlated with relapse (low absorption) and increased toxicity (increased absorption). Studies with an intravenous formulation of the drug have shown much more predictable pharmacokinetics, less toxicity, and good survival when used in the transplant regimen.
Typically, preparative regimens for full allogeneic BMT consist of total body irradiation and/or chemotherapeutic agents (cyclophosphamide, busulfan, and etoposide). The most commonly used regimens are (1) total body irradiation (1,200 to 1,400 cGy administered in multiple fractions over a period of days) and cyclophosphamide (60 mg/kg for 2 days); (2) fractionated total body irradiation and etoposide (60 mg/kg); and (3) busulfan (16 mg/kg over 4 days) and cyclophosphamide (60 mg/kg for 2 days).
Reduced-intensity allogeneic transplantation
This approach uses lower doses of chemotherapy, with or without total body irradiation and immunosuppression, to facilitate engraftment of donor stem cells. Donor stem cells obtained from either the peripheral blood or marrow are then infused into the patient, leading to hematopoietic engraftment. The major therapeutic effect that results from this type of transplant is a graft-vs-tumor effect, because the nonmyeloablative regimen has limited long-term antitumor effect. Some disorders, such as CML, AML, and low-grade lymphoma, are particularly sensitive to this approach.
Reduced-intensity transplant is used primarily for patients who are older or who have comorbid conditions that might increase the risk of a fully ablative transplant. The most common regimens use fludarabine combined with either melphalan or busulfan or with a single fraction of total body irradiation, followed by infusion of either donor bone marrow or peripheral blood–derived stem cells. All patients still require post-transplant immunosuppression similar to all other patients undergoing non–T-cell–depleted transplants. For patients receiving either a matched sibling or fully matched unrelated transplant, the engraftment of donor cells after reduced-intensity transplant is usually 100% by day 30 to 60 after transplant, and the immunosuppressive medications are tapered over a few months. Although the chemotherapy does have antitumor activity in this type of transplant, the major factor in eliminating the malignancy is the donor immune system, and it is, as in the fully ablative transplant setting, influenced by the presence or absence of GVHD.
Autologous transplantation
For patients who undergo autologous transplant, stem cells are reinfused following high-dose therapy to reestablish hematopoiesis as rapidly as possible. The regimens used for autologous BMT depend on the disease being treated. High-dose melphalan (200 mg/m2) is the most commonly used regimen for myeloma, and BEAM (BCNU [carmustine], etoposide, cytarabine [Ara-C], and melphalan) or CBV (cyclophosphamide, BCNU [carmustine], and etoposide) are the two most commonly used regimens for lymphoma. Recent trials have incorporated radioimmunotherapy into the high-dose chemotherapy regimens in the treatment of B-cell lymphoma (131I-tositumomab, 90Y-ibritumomab), with early promising data. However, a multicenter phase III trial in the United States failed to show an advantage of BEAM plus 131I-tositumomab, compared with rituximab plus BEAM. An international phase III trial of BEAM with or without 90Y-ibritumomabis underway (ClinicalTrials.gov identifier: NCT02366663).
Toxicities of preparative regimens
The acute toxicities of irradiation and chemotherapy include nausea and vomiting, which can be managed by prophylactic use of antiemetics, particularly serotonin antagonists. Busulfan can cause seizures; prophylactic phenytoin is effective in preventing this complication. Both cyclophosphamide and etoposide require forced hydration to reduce toxicities. Table 4 lists the acute and long-term toxicities of the major agents used in HCT preparative regimens.
Transplant Phase
After completion of the preparative regimen, there is a day or more wait before reinfusion of marrow or peripheral blood stem cells. This delay allows for elimination of any active drug metabolites so that the reinfused cells are not injured by any remaining drug.
Minimal toxicities are associated with the infusion. They include headache, nausea, and dizziness. This dizziness is related less to the infusion and more to the cryoprotectant dimethyl sulfoxide used to store cells from most patients who undergo autologous transplant.
Supportive Care Phase
Following administration of the preparative regimen and during and after marrow transplant, all patients require strict attention to infectious disease–related complications secondary to neutropenia. The duration of neutropenia following transplant increases the risk of complicating infections. Patients who undergo full allogeneic transplant usually require more stringent isolation, whereas patients who undergo autologous transplant need less rigorous protection. With the availability of more effective antiemetics (eg, ondansetron, granisetron), portions of the transplant can now be performed in the outpatient setting.
Following allogeneic transplant, various complications may develop that require treatment. For some complications, prophylactic measures can be instituted to prevent their occurrence.
Neutropenic sepsis
Fever, often with positive blood cultures, will develop in nearly all patients who have undergone transplant within 7 days of becoming neutropenic. Sepsis usually is caused by enteric bacteria or bacteria found on the skin, and antibiotic choices are based on initial assessment and the results of blood cultures. The antibiotics chosen are continued until the neutrophil count begins to rise (> 500 μL).
Prevention of fungal infections. For patients who are expected to have prolonged neutropenia, various methods of antifungal prophylaxis are used, including oral fluconazole (200 mg bid) or voriconazole (200 mg IV or PO bid). The use of liposomal amphotericin B or caspofungin/micafungin formulations has improved the safety and lowered the toxicity of antifungal therapy and is particularly worthwhile in patients with renal compromise.
Mucositis, nausea, and anorexia
Regimen-related toxicity often results in severe oral mucositis, nausea, and anorexia. Patients often require supplemental parenteral nutrition to maintain adequate caloric intake during this period. Because of the mucositis, enteral feedings are usually not employed, and total parenteral nutrition is maintained until patients are able to eat. Studies are exploring novel agents that could prevent severe mucositis or accelerate healing with recombinant keratinocyte growth factor (palifermin), which has been shown to decrease this complication following total body irradiation–based autologous transplant regimens.
Oral herpes simplex virus reactivation
Nearly all patients who are seropositive for herpes simplex virus will have a reactivation of the virus, which can accentuate the pain and oral discomfort following BMT. To prevent this problem, most transplant programs use acyclovir at a dose of 250 mg/m2 tid during the neutropenic phase.
All patients will require both red blood cells and platelets in proportion to the duration of the pancytopenia. Platelet levels are kept over 10,000/μL to 20,000/μL because of complicating bleeding from mucositis, although in some instances, a lower threshold is feasible. Patients no longer receive granulocyte transfusions unless they have uncontrolled sepsis with positive blood cultures. For patients who are negative for cytomegalovirus (CMV) and who have a CMV-negative donor, CMV-negative cell support is generally provided (see "CMV infection" section).
All blood products are irradiated to prevent engraftment of lymphoid cells and are often filtered to remove leukocytes in order to reduce CMV infection or alloimmunization and febrile reactions. Most patients receive single-donor platelet pheresis products, which may need to be HLA-matched if patients show evidence of refractoriness to the transfusion (ie, if platelet levels fail to rise after transfusion).
Sinusoidal Obstruction Syndrome
In the first few weeks after BMT, sinusoidal obstruction syndrome (veno-occlusive disease), characterized by hepatomegaly, jaundice, and fluid retention, develops in 5% to 10% of patients. It is caused by damaged endothelial cells, sinusoids, and hepatocytes and is related to the intensity of the cytoreductive therapeutic regimen.
The diagnosis of sinusoidal obstruction syndrome is usually made on clinical grounds, based on the occurrence (usually within 8 to 10 days after starting the cytoreductive regimen) of the triad of hepatomegaly, weight gain, and jaundice. Patients also exhibit renal sodium retention, and the prognosis is related to the degree of liver and kidney dysfunction and the level of bilirubin. The use of regimens that contain busulfan has been associated with the highest incidence of veno-occlusive disease, which has decreased with targeted oral or intravenous busulfan dosing. The use of ursodiol appears to have reduced the incidence of liver toxicity after high-dose preparative regimens.
Once veno-occlusive disease has occurred, treatment is primarily supportive, consisting of careful management of fluid overload, kidney dysfunction, and other attendant complications. On the basis of early phase II studies, defibrotide is now being tested in phase III trials as an agent that can help reverse the syndrome.
Acute GVHD
GVHD is a clinical syndrome that results from the infusion of immunocompetent lymphocytes accompanying the hematopoietic stem cell graft that are capable of recognizing minor histocompatibility antigens (in the setting of HLA match) in the host and initiating an immunologic reaction. This syndrome may arise after allogeneic transplant or rarely after transfusion of cellular blood products in patients who are immunodeficient and share HLA loci that allow engraftment of transfused cells. For unknown reasons, the primary organs affected by acute GVHD are the skin, liver, and gastrointestinal tract.
The syndrome usually occurs within 15 to 60 days after transplant and can vary in severity. Table 5 shows a commonly used grading system for GVHD. This system has both therapeutic and prognostic importance.
Prophylaxis. All patients who undergo non–T-cell–depleted transplant require some form of GVHD prophylaxis. The most common regimens involve a combination of methotrexate (MTX) and a calcineurin inhibitor (cyclosporine or tacrolimus). In reduced-intensity HCT, mycophenolate mofetil (MMF) plus a calcineurin inhibitor has also been used. The combination of tacrolimus and sirolimus has been studied and appears to be an effective approach for the prevention of GVHD. These medications, in the absence of GVHD, are tapered over 6 to 12 months after BMT. The regimens of sirolimus and tacrolimus are tapered in a similar manner. Adverse effects of tacrolimus and cyclosporine include renal toxicity, hypertension, magnesium wasting, seizures, and microangiopathy. Sirolimus, an oral agent, can cause hemolytic uremic syndrome in association with tacrolimus and requires careful dose and drug level monitoring. It can also raise blood triglyceride levels. Newer approaches to prevent GVHD include an addition of maraviroc (a CCR5 antagonist), vorinostat (a histone deacetylase inhibitor), or bortezomib (a proteasome inhibitor) to calcineurin inhibitor/MMF or MTX. Post-transplant cyclophosphamide also showed promising results in matched donor transplants as well as haploidentical donor transplants.
Treatment. Despite prophylaxis, many allogeneic transplant recipients still develop some degree of GVHD and require increasing doses of prednisone (1 to 2 mg/kg/d). There is no single standard therapy for patients who do not respond to corticosteroids. Antithymocyte globulin (10 mg/kg/d for 5 to 10 days) has been used in this setting. More recent options include anti-CD25 monoclonal antibodies (basiliximab, daclizumab, pentostatin, anti-TNF agents (etanercept, infliximab) and MMF. There have been extensive efforts to improve upfront therapy beyond steroids. However, in a multicenter randomized trial comparing prednisone alone vs prednisone plus MMF for patient with newly diagnosed acute GVHD, the addition of MMF did not show a benefit in this setting.
Chronic GVHD
Chronic GVHD may occur within 3 to 6 months in patients who have undergone allogeneic HCT. It is often preceded by acute GVHD that may or may not have resolved. Although chronic GVHD is also related to infusion of T cells with the graft, it resembles other autoimmune connective-tissue diseases, such as scleroderma, Sjögren syndrome, biliary cirrhosis, and bronchiolitis obliterans. Patients with chronic GVHD often have accompanying cytopenias and immune deficiency as well as abnormalities of the oral mucosa, conjunctiva, and gastrointestinal tract. Patients who come off immunosuppression at 6 months need close monitoring for the development of chronic GVHD for 3 further months.
Treatment. Chronic GVHD is generally treated with prolonged courses of corticosteroids, cyclosporine/tacrolimus, and other modalities, such as psoralen-ultraviolet A light for skin and oral GVHD. Other immunsuppressive agents such as MMF, sirolimus, and pentostatin have been used. Use of extracorporeal photopheresis has been associated with varying response rates. There has been increasing recognition of the pathogenic role of B cells in chronic GVHD (eg, as Cutler et al have described). In fact, rituximab has been used successfully in this setting, for therapeutic and prophylactic purposes. There are also promising results from phase I/II studies using low-dose IL-2, which increases the number of regulatory T cells (Treg) in vivo (as discussed by Koreth et al). Similar to the prognosis for acute GVHD, the outlook for patients with chronic GVHD is related to the extent of organ compromise and response to treatment.
GVHD and relapse. Although, in general, GVHD has contributed to significant morbidity and mortality in patients who have undergone allogeneic BMT, it is also associated with reduced relapse rates, primarily in patients with hematologic malignancies, highlighting that the alloreactivity of the graft contributes to the cure of the disease.
Late effects of transplant
Late infections after BMT are caused by impaired cellular and humoral immunity. The most common late pathogens include Pneumocystis jiroveci, varicella-zoster virus, and encapsulated bacteria.
P jiroveci prophylaxis. All patients who undergo allogeneic transplant require prophylaxis against P jiroveci infection. This can be accomplished with one double-strength trimethoprim/sulfamethoxazole tablet twice a week once hematopoiesis has been restored. Alternatively, atovaquone (750 mg bid) has been used. It should be used when patients remain on immunosuppression.
Herpes zoster. Approximately 40% of patients will develop herpes zoster (either dermatomal or disseminated), which is often treated with oral or intravenous acyclovir. A patient may complain of severe localized pain for several days before the rash develops. The use of valacyclovir for 1 year after BMT can reduce or delay the risk of reactivation of herpes zoster after both autologous and allogeneic BMT. In some patients, herpes zoster may still develop after discontinuation of preventive antiviral therapy.
Bacterial prophylaxis. Many patients with chronic GVHD develop an accompanying severe immunodeficiency syndrome that leaves them susceptible to infection with encapsulated bacteria, primarily in the sinuses and lungs. In some cases, prolonged prophylaxis with trimethoprim/sulfamethoxazole or penicillin, as well as immunoglobulin replacement, is necessary.
Fungal prophylaxis. Late infection with either Candida or Aspergillus is a risk for patients with chronic GVHD, especially those receiving corticosteroids long-term. These patients require preventive measures such as oral fluconazole, voriconazole, or posaconazole.
CMV infection (early/late)
Historically, CMV interstitial pneumonia had been responsible for approximately 15% to 20% of patient deaths following allogeneic BMT until development of CMV monitoring and effective anti-CMV drugs (pre-emptive therapy). CMV pneumonia occurs 7 to 10 weeks after BMT and is due to reactivation of latent CMV or is acquired from donor marrow or transfusions. Active CMV infection, GVHD, and the inability to develop a virus-specific immune response that limits viral infection are risk factors for CMV pneumonia.
Diagnosis. Infection is diagnosed by the combination of an abnormal chest radiograph, hypoxemia, and the detection of CMV in bronchoalveolar lavage or lung biopsy specimens, as well as by the absence of other pathogens.
Treatment. The only consistent treatment has been the combination of ganciclovir, 5 mg/kg bid for 3 weeks, and IV immunoglobulin, given every other day. Although the reason for the synergy between these agents is unclear, neither one alone is effective in reversing pneumonia once it has developed.
Prevention in CMV-seronegative patients. The most successful means of preventing CMV infection in CMV-seronegative patients who have a seronegative donor is to limit their exposure to the virus. CMV status should be determined in all patients before BMT to plan for post-transplant transfusion strategies. The presence of leukocytes in blood products increases the transmission of CMV. Thus, the use of leukocyte-reduced or CMV-seronegative blood products in CMV-seronegative recipients decreases the incidence of primary CMV infection.
Prevention in CMV-seropositive patients. The most effective strategy for preventing reactivation of CMV infection in patients who are CMV-seropositive is the preemptive use of ganciclovir at the first sign of CMV reactivation after transplant (as indicated by blood culture, shell viral culture, or antigen or polymerase chain reaction detection of the virus). The duration of preemptive therapy is somewhat controversial for CMV, but it is usually for at least 2 weeks after the CMV polymerase chain reaction assay becomes negative.
Ganciclovir has been the most effective agent because it significantly reduces both viral reactivation and associated disease. Ganciclovir is associated with many adverse effects, including neutropenia and elevated creatinine levels, and thus exposes a large number of patients to potential toxicity. For those patients with ganciclovir-induced cytopenia or resistant virus, foscarnet is used with careful attention to renal function.
Monitoring of all patients for CMV infection after completion of antiviral therapy is necessary, because some patients, particularly those with GVHD or those who have undergone cord blood or T-cell–depleted transplant, are at risk for late or recurrence of infection because of an inadequate immune response against CMV. Currently, newer antiviral drugs such as maribavir, letermovir, and brincidofovir are being tested in clinical trials, and appear to have good antiviral activity with less toxicity. In addition, there have been efforts to develop effective CMV vaccines, and a few such vaccine candidates are being evaluated in clinical trials.
Immunizations. All patients who have undergone allogeneic transplant should undergo re-immunization at 1 year after transplant unless they are still receiving intensive immunosuppression, as summarized in the Centers for Disease Control and Prevention guidelines for transplant patients, including annual influenza vaccine.


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Home > OLR > Vol. 61 > No. 4 (2008)
Volume 61, Number 4 (2008)
The Case for Oral Argument in the Supreme Court of Oklahoma
Joseph T. Thai and Andrew M. Coats
A Square Peg in a Round Hole: Whether Traditional Trust Law "Make-Whole" Relief is Available Under ERISA Section 502(a)(3)
Susan Harthill
Judicial Iron Triangles: The Roadless Rule to Nowhere--And What Can Be Done to Free the Forest Service's Rulemaking Process
Christopher Cumings
Clear as Mud: How Heldermon v. Wright Missed an Opportunity to Clarify Oklahoma's Murky Water Law
H. Cole Marshall
Special Feature
Lincoln at 200: On Lincoln's Statemanship, Dred Scott and Constitutional Evil
Harry F. Tepker Jr.


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Tag Archives for mission
Prayer is More Than You Think
On Sunday, Sean Kelly, our director of College Ministry, challenged us to see prayer in a fresh way. So… Read More
First Pres Senior High Students to Help Repair Homes, Rebuild Lives
For many high schoolers, June holds the possibilities of summertime fun and adventures. But for Lake Forest High School senior… Read More


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This driver works mint for XP.
HP Internet Keyboard with One Touch buttons. 21 buttons total across the top. Left to right they are Sleep, Help, HP.com, Printer, My Documents, Shopping, Sports, Finance, Connect, Search, Chat, E-mail, Stop, Backtrack, Play, Fowardtrack, Eject, Volume up, Volume down, Mute, and MusicNote.
Hope this helps....
Already tried it? Give your review.


text: I can't seem to get this to work! I am using it on an r4 cartridge (or trying to), but I can't get games to work. At the moment, the only game I have on is Shining Force II, and it won't work. I load up jEnesisDS, which works fine, then press select which supposedly continues, but all I get is a blank box. On the SD card, asides from all of my ds games, I have the jEnesis 0.5 file and the Shining Force II binary. I have read that you need to DLDI patch something or other, but I don't really understand it. Can somebody help?


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Kotakuite Tim R. loves PixelJunk Monsters. He loves it so much that he emailed creator Q-Games begging for a sequel or expansion. He soon received an email back from a Q-Games employee that revealed an expansion is already in the works.
Woot, that game is crack in game form. I wonder if the expansion will have more towers or just more levels.
I can not put this game down. i need one more rainbow to move to the volcano part. New towers would be nice or tweaking some of the old towers.
And maybe random level lay outs too.
Maybe outside the main game there could be a random map generator to keep you busy.
there should be co-op over the internet if there is a expansion.


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Donald Kincaid still can remember when his supervisor in the Baltimore Police Department paired him with an FBI agent, then sent him out to West Baltimore to search for a murder witness.
"This guy has been avoiding us for about a week," recalls Mr. Kincaid, a retired homicide detective. "And, when we catch the guy out on the street, this agent starts in with, 'Excuse me, sir, if we could just " Mr. Kincaid's tale goes on: The agent almost apologizes to the reluctant witness, addresses him politely and offers to intercede with the man's boss if the visit to FBI headquarters should take too much time.
"The agent is even promising to pay lost wages," says Mr. Kincaid. "I can't take it anymore. I grab the guy by the neck and tell him to get in the car."


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Month: May 2017
A Public Health Journal
Clark Bartram entertained the perfect of the code and felt that it supplied little help, as any individual may even now take on the looks of someone they are most certainly not. How are you going to confirm this website code has significance? How are you going to safe the blogger and the peruser in the meantime? It seems to him that this code won't offer true insurance in gentle of the truth that it's willful. Shinga resounded comparative waverings in remarks on the same blog entry. Health Education is a great avenue by which we are able to minister to others physically, spiritually and emotionally. Honey, unequaled stains removers. Honey can be a natural antiseptic. So forks planted cheated honey may be good. Gwyneth then introduces Dr. Habib Sadeghi, her personal mentor. He congratulates us on coming here, to what's not a convention" but a pilgrimage." His speak meanders, but he keeps coming again to the concept that we have to spend extra time caring for ourselves. To do so, he says, shouldn't be egocentric. It's self honoring.
The fallacy of the biomedical strategy that avoids the inclusion of socioeconomic and ethnic danger components is proven by the fact that the social welfare system in some Western international locations had failed to handle the social gradient of health outcomes despite of the universal entry to healthcare. The frequent notion that equalizing entry to healthcare and the marvel of modern medicine" will remedy health inequalities is flawed (House, 2002). Equal access is less prone to clear up crucial inequalities, until and until physicians are keen to incorporate socioeconomic danger (E.g.: occupational and environmental stress) and racial danger (E.g.: racism, discrimination) in the biomedical framework of healthcare group (Home, 2002).
Benefits of using laser include shallower and shorter cuts are made … Read More ...
Let's Not Let The Republicans Make The Obamacare Alternative Debate About The Congressional Price range Office—Fewer
Health Education & Habits (HEB) is a peer-reviewed bi-month-to-month journal that gives empirical research, case studies, program evaluations, literature opinions, and discussions of theories of health habits and health status, as well as strategies to improve social and behavioral health. HEB also examines the processes of planning, implementing, managing, and assessing health schooling and social-behavioral journal is a member of the Committee on Publication Ethics (COPE). An eye fixed take a look at can decide up eye diseases, comparable to glaucoma and cataracts, as well as common health issues, together with diabetes and hypertension. Good eyesight is important in lowering unintentional injuries from falls and motor vehicle accidents. Make goals for your future – make a vision listing or a vision poster and began to act toward your objectives day by day. Face your fears to make you stronger to achieve your goals in a quicker time.
Letting filers declare medical bills exceeding 7.5 % of their adjusted gross revenue (AGI) as an itemized deduction, reversing an ACA provision that had raised the brink from 7.5 percent of AGI to 10 p.c. That will overwhelmingly profit increased-revenue taxpayers , at a cost of $36 billion over ten years. Over three-quarters of the tax savings from decreasing the threshold to 7.5 percent would go to taxpayers with incomes over $100,000, the Tax Policy Middle estimates ; less than three % would go to taxpayers with incomes under $50,000.
A examine of key ideas in administrative health policy improvement for neighborhood, state and federal health schooling programming. The perfect health recommendation I ever acquired was this TRANSFER. It would not matter if you go for a run, trip an train bike, stroll with a good friend, or go exterior and play with the youngsters. As long as you're shifting, your physique is … Read More ...
Ranking Of Health Care By International locations And Healthy Life Expectancy By Nation
It takes a number of dedication to construct a profitable business. It's important to be willing to work harder than everybody else – to push your self to your limits. There are downsides to dwelling this life-style, and lots of entrepreneurs are inclined to overlook the importance of health. Peoples Health is a Medicare Benefit organization with a Medicare contract to offer HMO plans. Enrollment is determined by annual Medicare contract renewal. Because of the Reasonably priced Care Act, insurance corporations can not put lifetime limits on the care your family needs, or discriminate towards youngsters with preexisting situations. And starting on January 1, they will not be able to charge ladies more for their insurance coverage simply because they're girls. (Applause.) That is a good thing.
An air air purifier is just piece of your sensitivity management program. The problem is that a few allergens like mud are overwhelming, and tumble to the floor or furnishings earlier than an air air purifier has room schedule-clever to catch them. Some medicinal actions require tidy up and improving your property surroundings to be extra hypersensitivity neighborly, others require the utilization of different sensitivity alleviation gadgets, for example, a steam cleaner for synthetic free cleansing, washing sheets in boiling hot water above 140º or a dehumidifier to lower mugginess control type and tidy vermin development.
I went to the Youfit gym to inquire about their services and prices. Considered one of their workers sat me down and showed me the prices and options. She requested me if I was concerned about signing up. I pressured the fact that I did not want anybody going into my checking account to withdraw funds. She said that their coverage was that they had to have your checking account on file for fee; however the fee … Read More ...
Health And HIV Companies Officer (1 Position)
EuropeActive, formerly the European Health and Fitness Affiliation (EHFA), is the (main) not-for-revenue organisation representing the whole of the European health and fitness sector in Brussels. The European health & health sector serves over 56.4 million customers, generates 26.three billion Euro in revenues, employs 650,000 individuals, and consists of fifty four,710 services. I concur – P90X Yoga X is one of the hardest P90X workouts. It is also the hardest Yoga workout I've ever finished! The one easy workout is X Stretch out of the P90X set! Cheers. Stress can happen by any adjustment to a brand new or totally different atmosphere. Like when you need to face life after the death of a liked one. Handling or making an attempt to cope with childbirth or a new child within the household. Dealing with these added financial woes or burden.
Consuming its water helps a person to get healthier as it is low in fat – it retains a person feeling full and lessens food cravings. It is a storage facility of important supplements, B-complicated nutritional vitamins like riboflavin, niacin, thiamin and pyridoxine, and folates. It has anti-viral and anti-bacterial properties – these help when a person has influenza or herpes – each of which are due to viral contaminations.
If you apply, it's essential to affirm that the data in your software is true. You might be asked to submit paperwork to verify your life change, like a letter from your employer or insurance coverage company that supports coverage loss. Henderson, Stella. Introduction to Philosophy of Training. Chicago: University of Chicago Press, 1964. You are able to observe any sort of official hair kinds within the wedding ceremony, prom or other sort of perform no event may be present good for you but if your hairstyle just isn't encouraging … Read More ...
Quality Assurance In Nursing
Develop your studying expertise. Learn the next text strategy to keep an excellent health. I stay in a tropical country the place it is sunny virtually each day of the entire 12 months. I've bought to inform, there may be nothing more excruciatingly painful than a sun burn, especially when you are peeling. Most people might say that they are used to high temperatures, nicely when you came from deep approach down as an instance Devil's lair, then maybe you might be was once exposed under the blazing heat. It is not healthy and could be extraordinarily dangerous to your pores and skin's health. Anyone can get sunburn from the merciless solar's rays, added by the truth that the Earth is suffering from international warming". The weather these days is loopy. It gets extremely popular during the day; you may even ponder on making use of an SPF100 everyday if doable.
The $695 a year penalty, or the 2.5 p.c of your annual household earnings, is actually a 'helluva' lot less than the price of a typical, respectable insurance policy. For individuals who do not need much health care, it is the least expensive insurance coverage policy ever invented. Once they in the end change into unwell and have a pre-current condition, they'll purchase an insurance policy at a discount basement worth that was not even accessible to them earlier than the mandate.
Volti additionally revealed that many gross pollutants are previous vehicles which might be lacking in emissions-management tools or are newer vehicles which can be poorly maintained. A big vehicle population, even when equipped with essentially the most up-to-date emissions management, is a serious supply of air pollution. It might contribute significantly to CO2 emissions, broadly thought of to be a first-rate trigger of global warming. Please keep … Read More ...
Summer time Health Ideas
Everyone knows that getting daily train is an important think about staying fit, maintaining or reducing weight, and being healthy general. And, we have all heard the recommendation that folks walk no less than 10,000 steps per day to keep up good health. Being onerous core realists would not require us to use our minds-we base all our thinking on realisms of science, religion, and common sense. I do not mean to be sarcastic here, however I must say that an incredible number of people use their heads primarily for wearing baseball hats, turbans, burkas, toupee, wigs, or helmets-and that's alleged to establish them better than what's inside.
As a way to minimize these symptoms, we recommend that you keep awake and keep kids awake throughout takeoffs and landings so that you just do some ear decompression exercises like swallowing or yawning and encourage kids to suck on a pacifier or bottle. Three GOP senators already say they won't assist an Obamacare repeal with out an instantaneous alternative.
But when we want humanity to advance a step farther, if we wish to bring it up to a special stage than that which Europe has proven it, then we must invent and we must make discoveries. Athletes, for example, made sufficient preparations first earlier than they got here to fame. That is why when you are a candidate for school softball recruiting occasion, then you do some stringent practices for this game. For certain, you want to have a vantage point towards your rivals on this facet. You will strive hard to earn that honor you would get.
It is suggested to take a shower in the morning with cold and warm water. In the evening loosen up in a warm tub with essential oils that may refresh your pores and … Read More ...
Health Promotion And Awareness Marketing campaign Ideas
Each product includes clear, excessive-high quality movies and animations, helping you explain ideas easily and effectively. Too usually I see folks within the gym doing the very same exercises day after day. Your body has an incredible potential to adapt, and exercising isn't any exception. Over time, doing the identical workout routines over and over will decrease the effectiveness of your exercises. Make it a purpose, for example, that every Sunday evening you will perform one new exercise you need to do at 2 – 3 times through the upcoming week. Not solely will this new exercise be a learning experience, it can take your health to a better stage. There's loads to find out about understanding properly.
This city is named for the Sioux people, a plains group among Native North Americans. If you consider Native People with battle bonnets, horses, and lances, you may be considering of them. With the intention to take away stains from your toilet bowl you could first flush, then you must apply a paste made with Borax and Lemon juice to the stains, Depart the paste from 2 hours and then scrub with a sponge.
Breast Most cancers is most cancers that develops from breast tissue. breast cancer indicators may embrace a lump within the breast, a change in breast shape, dimpling of the skin, fluid coming from the nipple, or a red scaly patch of pores and skin. In those with distant spread of the illness, there could also be bone pain, swollen lymph nodes, shortness of breath, or yellow pores and skin.
If a GC is separated from the CNPD for a dialog, they usually will 'draw a blank' when asked a query that they have not been ready to reply, act like they did not hear the query, or will … Read More ...
Making Mental Health Services More Therapeutic
Nurses need to grasp the attitudes, traditions and values of the group in their service area. Cultural beliefs can affect the sufferers healthcare decisions. If you find yourself aware of how culture can affect behavior and considering it is possible for you to to provide one of the best care to your patients. It is usually vital to be aware of your individual stereotypes and attitudes towards different cultures with a purpose to keep away from them. I am creating this page to make you aware of the various threats to our health & wellness. And how we will wage a combat to defend ourselves against it. Council of Chiefs representative, Chief Nyamukoho from Mutoko stated male involvement was central in reducing maternal deaths. Emilie Barnes is one of my favorite authors! Liked. Pinned. Blessed by a Squid Angel. Hodges, B.E. (1989) The Health Profession Mannequin, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Follow and Health Care, 1st Edition only, London, Edward Arnold.
However in the concrete conditions of the present-day world economy this dependence is deadly and thus the native pseudo-bourgeoisie, nevertheless nationalist it might be, cannot successfully fulfill its historical perform; it cannot freely direct the event of the productive forces; briefly it cannot be a nationwide bourgeoisie. For as we've got seen, the productive forces are the driving force of history, and total freedom of the process of their growth is an indispensable condition for their proper functioning.
When you go to a public hospital you will always be treated, it doesn't matter what earnings degree, insurance or no insurance. Generally its higher for people to say they don't have any insurance coverage right here, as the public system will slug you.. even when you earn over a hundred thousand a yr, medicare healthcare in hospitals is … Read More ...
Satellite Events
Before Herbalife, I was not very healthy nor was I very joyful. I had MOST CANCERS – stage II Carcinoma of the left breast, recognized in 1984. I had an excision and axillary clearance. Twenty one (21 out of thirty three (33)axillary lymph nodes eliminated, contained Metastatic disease. I used to be given Adjuvant Chemotherapy as well as local Irradiation to the area. A bone scan revealed some increased uptake in the left tibia and in the head of the femur, however later X-rays of those areas were unremarkable. In 1985 in the lung, a left upper lobe occlusion was famous. A high quality needle aspiration was accomplished and no malignant illness was found. Big Mahalo's to all who Walk on Saturday morning. Be on the registration desk between 6:30 and 6:forty five am. Yes that's early! Breakfast shall be worth it! Our agency offers comprehensive services that purpose to satisfy the behavioral health, social, vocational, and educational wants of the varied group of the San Francisco Area, with special focus on the Asian & Pacific Islander American and Russian-speaking populations.
Anti-colonial sentiments galvanized India, the place the tactic of passive resistance successfully disarmed imperial domination, and after World Battle II anti-colonial political stirrings elsewhere ended the remaining European empires. Within the western hemisphere, Mexico experienced the primary inklings of populist activism already within the 1860s, leading eventually to the Mexican Revolution of the early 20 century.
The revenue poverty line is just too easy a proxy of poverty to disclose anything concerning the nature or depth of deprivations folks face. Lowness of income is clearly an vital parameter to view poverty nevertheless it must be seen along with deprivation of different basic necessities of life. Hence, within the current many years the main focus of poverty discourse has shifted … Read More ...


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Barista Does Something Wonderful For Deaf Customer
Ibby Piracha knows it's not easy being a deaf person in a hearing world.
That's why a stranger's wonderful act has moved him so much.
That stranger was Krystal Payne, a new barista at the Starbucks in Leesburg, Virginia.
Soon after starting at the store, Krystal noticed Ibby and how he was challenged making his regular order.
That's when Krystal decided to do something wonderful.
Something kind.
Something beyond the barista call of duty.
CBS News' Steve Hartman has their story.
Here's to kindness.
Here's to strangers connecting.
Here's to thinking about what I can do for someone today.
Here's that simple inspiring note.
Just in case you're inspired to learn some everyday signs in American Sign Language, here is a YouTube video that can help you out.
Looking for more uplifting positive stories that might give you some hope? Please check out my new book,
"Hope Possible: A Network News Anchor's Thoughts On Losing Her Job, Finding Love, A New Career, And My Dog, Always My Dog."


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Victoria Black Satin Bed Frame - Single
At a glance
The black satin enamel works in harmony with the real brass embellishments to create a lasting impression.
Traditional design with a sprung slatted base for added comfort and mattress life.
Fits a standard single mattress 90 x 190 cm. (Mattress sold separately).
Flat packed for home assembly. Full easy to follow instructions included.
Part of our selection of metal bed frames.
Free 2 Man Delivery Service to England and Wales
This item will be delivered using a two man delivery service, to the room of your choice. You will be contacted to agree your delivery date.
A time slot of either AM (7:00am - 12 noon) or PM (12 noon - 6:00pm) Monday to Friday (excluding Bank Holidays) will be given. Somebody will need to be available to sign for your order upon delivery.
If the delivery team believe that damage to the product or premises, or injury to themselves or others, may occur whilst delivering to your chosen room they will leave the goods in a safe and convenient place.
We aim for 2 man deliveries to take place within 10 working days. Extreme weather and other factors outside our control can extend the delivery time on rare occasions.
Surcharge of £30 for deliveries to Scotland. (This is a one off charge no matter how many items you order.)
Refunds & Returns
If for whatever reason you want to return your purchase to us you have 14 days from the day of delivery no questions asked. To ensure a full refund please ensure the item is kept in its original condition, this means unused, to help you achieve this we recommend keeping the packaging and labels until you have decided to keep the item. You will find full return details in your order confirmation email.
£5 off spends of £150 or more. Enter code save5 when you checkout to save.
£10 off spends of £300 or more. Enter code save10 when you checkout to save.
To save on qualifying spends simply enter the code in the coupon/voucher box in your shopping basket and then click update basket.
Cannot be used with any other voucher code.


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Welcome curious minds,
Book Swaps are all about human connection for the curious mind. Join us for a day of 1:1 book swapping where we share a love for reading!
► How does the Book Swap work?
The Book Swap is a pop up event on March 22nd at Civic Space Park. You are invited to bring up to 10 books to swap and unlimited to donate. What you give is what you receive so if you bring 5 books, you can swap for 5 books. $5 suggested donation for event costs.
► What is the Book Swap for?
First and foremost the Book Swap is a unique way to come together and meet like minded people. Secondly, it is a kick off event for the Little Free Library. Five Libraries will be planted in locations throughout downtown starting with Civic Space Park, Heritage Square Park and Phoenix Public Market Cafe.
► What is a Little Free Library?
It is a continuation of the Book Swap. It's a "take a book, leave a book" gathering place where neighbors share their favorite literature and stories. In its most basic form, a Little Free Library is a box full of books where anyone may stop by and pick up a book (or two) and bring back another book to share.
All books including travel, personal development, fiction, non-fiction, children's etc. are welcome to the 1:1 swap.
Bring the books that have touched your soul, share the words that have made you smile, and spread the awesomeness that is being a book lover.
Cheers to you, readers of the world.
See you there! :)
Brilliant Bear
Master of Ceremonies, st-flyer-v3
Gamely Giraffe
Vegetarian, st-flyer-v3
Wonderful Walrus
Zumba Guru, st-flyer-v3