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Asked in ADD-ADHD
How do you tell if your fourteen year old has ADD or ADHD?
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Asked in Mental Health, ADD-ADHD, Math and Arithmetic, Pronouns
Is add and ADHD the same thing?
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Is there any jobs you can't get if your ADD or ADHD?
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Does ADHD medication work if you don't have ADHD?
Asked in ADD-ADHD, Medication and Drugs
What is different about ADD and ADHD medications?
Asked in Ice Cream
An ice cream flavor that starts with a q?
quakc duck quebeck ququququququququququququququq that is a q word maby not ice cream do u no my uncle? i have add maby adhd i no lkuSGhdascjbcjhbSLZjlsDH THATS wat i have PIE?????????/ CAN I HAZ CHEESEBURGERS? SAIS THAT CATT DO U NO MY UNCLE???????????????????? UUUUUUNNNNNCCCCCLLLLEEEEEEE?????????????????????????? ??????????????????????????????????????????????????????????????????????????????????? ??????????????????????????????????????????????????????????????????????????????????? ??????????????????????????????????????????????????????????????????????????????????? ADD ADHD ADD ADHD ADD ADHD ADD ADHD ADD ADHD ADD ADHD ADD ADHD ADD ADHD ADD :B llooll smile has buck teeth llooll!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 111111111111111111111111111111111111111111111111111111111111111111111 222222222222222222222222222222222222222222222222222222222222222222222 333333333333333333333333333333333333333333333333333333333333333333333 444444444444444444444444444444444444444444444444444444444444444444444 555555555555555555555555555555555555555555555555555555555555555555555 666666666666666666666666666666666666666666666666666666666666666666666 777777777777777777777777777777777777777777777777777777777777777777777 888888888888888888888888888888888888888888888888888888888888888888888 999999999999999999999999999999999999999999999999999999999999999999999 1010101010101010101010101010101010101010101010101010101010101010101010 1111111111111111111111111111111111111111111111111111111111111111111111 1212121212121212121212121212121212121212121212121212121212121212121212 1313131313131313131313131313131313131313131313131313131313131313131313 1414141414141414141414141414141414141414141414141414141414141414141414 1515151515151515151515151515151515151515151515151515151515151515151515 1616161616161616161616161616161616161616161616161616161616161616161616 1717171717171717171717171717171717171717171717171717171717171717171717 1818181818181818181818181818181818181818181818181818181818181818181818 1919191919191919191919191919191919191919191919191919191919191919191919 2020202020202020202020202020202020202020202020202020202020202020202020
Asked in ADD-ADHD
Is there a difference between add and ADHD?
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What percentage of people have ADD?
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Is ADD connected with Autism?
Asked in ADD-ADHD, Psychosomatic Therapy, Betta and Siamese Fighting Fish, Old Yeller
How does one tell if a 4-year-old has attention problems?
Symptoms of Attention Deficit Disorder: The ADD symptoms of Attention Deficit Disorder come in many forms and no two people display the same symptoms of ADD or ADHD. The symptoms of ADD or ADHD manifest itself in undue passivity or inattentiveness, or uncontrollable, aggressive hyperactivity. Many people with the ADD symptoms of Attention Deficit Disorder or ADHD may be unable to sit still, plan ahead, finish tasks, or be fully aware of what's going on around them. To their family, classmates and teachers, these people with the symptoms of ADD or ADHD seem to exist in a whirly-gig of disorganized or frenzied activity. for more Info go to: http://www.add-adhd-help-center.com/symptoms_add_adhd.htm
Asked in Medication and Drugs, Psychostimulants, Vyvanse
Who should take Vyvanse?
Asked in ADD-ADHD
Can you have both ADD and ADHD?
No ADD and ADHD are different in most ways. ADD stands for Attention Ddeficit Disorder and ADHD stands for Attention Deficit Hyperactive Disorder. People with ADD are calmer or quieter then people with ADHD. The brainwaves are different too. ADD peoples brainwaves are slow and go from high to low points but ADHD peoples brainwaves are fast and low points making them hyperactive.
Asked in Learning Disabilities
Who are some famous people with learning disabilities?
Jay Leno - dyslexia Whoopi Goldberg - dyslexia and ADD Donald Trump - OCD Tom Cruise - dyslexia Magic Johnson - ADD Jessica Alba - OCD and ADHD Eva Longoria - ADHD Keira Knightley - dyslexia and ADHD Howie Mandel - ADD Jim Carrey - ADHD Alyssa Milano - dyslexia and ADHD Michelle Rodriguez - ADD Orlando Bloom - dyslexia Justin Timberlake - OCD and ADD Avril Lavigne - ADHD Kurt Cobain - ADHD
Asked in Medication and Drugs, Adderall, Psychostimulants
What do you tell your doctor to get Adderall?
Asked in ADD-ADHD
Can a person be diagnosed with add and ADHD?
Asked in Mental Health, ADD-ADHD, Anxiety Disorders, Emotions
Can you have ADD and ADHD?
ADD was a previous name used by the previous version of the DSM ie DSM III, with time ADD was renamed attention deficit hyperactivity disorder in DSM-IV (ADHD) to be more descriptive of the illness, now it has classifiers, and can have variants of ADHD. And to answer your question, Yes you can have ADD and ADHD depending on which name you prefer, but they are essentially the same ( but for the psychiatric nuances), and the name ADD does not exist anymore and has been relaced by ADHD.
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What is the diffrence between ADD and ADHD?
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What are other names for ADHD?
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How do you know if you have ADD or ADHD?
Where are online resources about the relationship between ADHD and diet?
Yes, there are several online medical reference resources, as well as ADHD support group websites that you can use to find helpful information about the links between ADHD and diet. Here are a few: www.webmd.com/add-adhd/guide/adhd-diets www.medpagetoday.com/Pediatrics/ADHD-ADD/24685 www.oneaddplace.com/adhd-diet.php


text: How do I find a specific study set within a playlist? Dr. Yermie Cohen March 22, 2017 21:01 Follow Click into a playlist. At the top of the list of study sets is a "Filter Study Content" search bar. Write your search term/s there, and the related study sets will be found! Related articles How do I use tags? How do I study an entire playlist at once? How do I edit my study set? Comments 0 comments Article is closed for comments.

subset: commoncrawl


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They will both receive a LightRider Bitless Noseband and a copy of the new Bitless Basics Clinic DVD.
In fact I'm going to send a Bitless Basics DVD to all those who entered as a thankyou for the effort they made.
The two other videos that made it into the top 5 were entered by Anita and Ty from Victoria plus Georgia from Australia.
Thanks to everyone who made the effort to enter anc congratulations to all the winners.
Click here to view the videos.
In just a little over 4 weeks I will be at Equitana presenting the 'Benefits of Bitless' with Suzanne Bellette and her lovely horses in two 45 minute sessions on Thursday 10th at 10.45am and on Saturday 12th November at 3.45pm, both in Arena 1. You can read more info here http://www.equitana.com.au/presenters#cynthia-cooper
We will be releasing my NEW 'Bitless Riding Basics' DVD during Equitana and giving away copies and discounts to winners in our 'Lucky Straw' competition. Come along to the presentations or visit the Natural Horse World booth (361) to enter.
My Natural Horse World booth will feature LightRider Bitless Bridles (+ new western style leather bridle),Best Bareback Pads and Slowfeeder Haynets plus lots more from my online store. We will also feature Horse Face Veils new product range with inventor, Kirsten Milic available to answer all your questions about protecting your horse from sunburn and flies. You can find us at booth 361 in the Riverina pavillion. Come along and say hi, and if you purchase or bring in a token from Horse Deals, you can enter the Win a LightRider Bridle lucky draw.
When behavioral problems arise with riding horses, owners undoubtedly will search for solutions. But many horse owners don't think to look their horse in the mouth for an answer. According to recent study results, the bit could be the cause of more behavioral problems and ailments than many owners currently recognize.
W. Robert Cook, FRCVS, PhD, completed a study recently in which he compared 66 domestic horse skulls and 12 wild horse skulls in four U.S. Natural History Museum collections for differences in structure near the point where the bit contacts the skull.
A five-point grading scale was used to document bit-induced bone spurs on the bars of the mouth (grade 1 being normal and grade 5 the most abnormal). Bone spurs are outgrowths on the bars of the mouth, akin to splints on the cannon bone. The first cheek teeth in the lower jaw are the first to be damaged due to their close proximity to the bit, so the frequency of dental damage was based on these.
Key findings of the study included:
Cook suggests that if behavioral problems arise in riding horses, owners and trainers should consider the bit as a cause along with other possibilities. He added that a veterinarian or equine dentist can check for evidence of bit damage in a horse's mouth.
Cook, who developed and patented the crossunder Bitless Bridle, noted, "There is a simple way for an owner to find out whether any particular behavioral problem (could be) caused by the bit: Try a nonbitted bridle and see if the horse's behavior improves."
The study, "Damage by the bit to the equine interdental space and second lower premolar," was published in February 2011 in Equine Veterinary Education. The article can be viewed online here.


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In the practice, there is a problem where the input can be a continuous line, like waveform, the output is also a continuous line, i.e., another waveform. In the sampling space, I can get
100 samples from waveform in the original continuous space. In other words, the problem can be transformed into finding the mapping function between a numerical sequence and another numerical sequence.
For instance, the input sequence is
[-4.1288461e-16 -2.2452528e-15 -1.1717652e-14 -5.8685417e-14 -2.8203791e-13 -1.3006001e-12], the output sequence is
[1.2080356e-01 0.0000000e+00 0.0000000e+00 0.0000000e+00 0.0000000e+00 0.0000000e+00 ]
In practice, we can have thousands of this kind of input-output pairs for training purposes. In the machine learning field, are there any specific models aiming to solve this kind of problem. My feeling is that neural network maybe a fit, but what kind of architecture is a better option. Here, the output is not a categorical variables usually for classification problems.


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Chagoya Armchair Charlton Home
Who doesn't want to spend the leisure time under the counter Chagoya Armchair? While tanning under the sun is not every day's cup of tea, sitting under the sun with a fantastic Chagoya Armchair makes the afternoon. Furthermore, because the market is overwhelmed with numerous brands which endows great patio umbrellas the problem arises while choosing the best. As the Chagoya Armchair are preferred to be used outdoors, consequently, the ones that are rust proof and sturdy wins the heart. However, if you're also looking for a good counter Chagoya Armchair and can't decide between the numerous options available, we could assist you.
Product Desciption
This armchair with its sleek contemporary lines, exposed wood legs and added a touch of individual nailhead trim, gives it a charming new spin for a classic living room.
- Upholstery Material: Polyester Blend
- Upholstery Material Details: Polyurethane and polyester fiber
- Product Care: Spot clean only
- Assembly Required: Yes
List Of The Best lounge chairs In 2019
1. Gosport Armchair Corrigan Studio
Read more about Gosport Armchair Corrigan Studio
Product Description :
This contemporary armchair is defined by its beautiful solid wood frame featuring sumptuous curves reminiscent of nature's fluidity and crisp, clean lines that reflect modern design. As functional as it is stylish, the wooden frame is quality-crafted to ensure long-lasting strength and stability. A padded seat topped with a plush cushion ensures superior comfort while a cushioned and curved backrest cradles your back for surpassing support.
- Upholstery Material: Genuine Leather
- Upholstery Material Details: Light Brown Genuine Berkshire Leather
- Assembly Required: No
- Weight Capacity: 350 lb.
Serta RTA Copenhagen Selection 61 Loveseat in Marzipan was created specifically for small areas. Nonetheless, you can use it in any space: condo, dormitory etc. This established will give you more than enough assistance. It offers high grade fabric, high density foam pocketed coils, leading-collection rayon dietary fiber, and strong hard wood body. This adds to the comfort and ease, durability, and toughness of this established. The set also includes an ultra broad back again shoulder straps. The established includes additional comfortable pillows all which makes it much more comfortable. Particularly, it has softly curved hands and luxurious material allow it the outstanding look that suits with any style. The set list compact, consequently it's very easy to transport. It has a minor scent that ends as time passes. More importantly, the sofa is extremely easy to put together. It offers the assembling tools and instructions. You easily invest your cent listen to. It acts the reason.
2. Miller Armchair Astoria Grand
Read more about Miller Armchair Astoria Grand
Product Description :
You can think of this Upholstered Carved Accent Chair as an accent, but the outstanding, traditional style of the chair is enough to set the tone in any room. The robust, wooden frame sports a hand-rubbed finish of jet black that is the perfect complement to the pale linen on the padded seat and arms while the wicker back offers support while still maintaining a visually light feeling to this piece. The hand-carved details on the back, apron, arms and legs add the subtle markers of high-quality...
- Upholstery Material: 100% Linen
- Product Care: Do not use strong liquid cleaners
- Assembly Required: Yes
- Removable Cushions: Yes
- Weight Capacity: 300 lb.
This sofa is caused the bell-formed contour combined with the higher armrest of the cushion. In addition, the head is based on obstructed corner sides. The thighs, nevertheless, have joined the phony wood covering. The couch gives a comfy and extravagant sensation. This is the direct consequence of extremely flexible cushioning inside the rayon upholstery. You can sit down effortlessly for now to unwind. Each of the shades provided for this sofa shows its significant element, Versatile style. The red tone would be ideal for each subjects with mild and dark shades. That remains constant for different tones it offers too. The couch is located in space. Whether or not its Thanksgiving holiday or a large loved ones reunion, you can rely on it. Marathon-watching while at the same time falling apart in your couch together with your friends is really a legitimate option.
3. Bean Bag Chair Ace Casual Furniture™
Read more about Bean Bag Chair Ace Casual Furniture™
Product Description :
- Size: Medium
- Product Type: Bean bag chair
- Childproof Closure: Yes
- Weight Capacity: 200 lb.
The Bridgewater is really a sofa design that's mainly casual and definitely comfortable. This design may be the beloved of numerous an artist because it can be used to produce a casual, friendly room. Bridgewater couches are versatile, with respect to the furniture you select. Completed in an unbiased material, this kind of sofa doesnt contend with additional factors in the room which may be more remarkable, such as art work or any other big functions. More formal material will yield a far more grand style of couch. Numerous qualities differentiate Bridgewater couches: Typically they have low hands along with a higher back, which plays a role in the sporadic appear. Most in addition have a tailored dress that hides the legs and free soft cushions for that seat and back again. This specific style was designed to support slipcovers, that also lend an informal atmosphere to the sofa.
4. Chelsea Dining Chair Hashtag Home
Read more about Chelsea Dining Chair Hashtag Home
Product Description :
Commonly found in bustling bistros and on-trend coffeehouses, this chair is an easy fit for modern and industrial-inspired spaces. Crafted from metal, it features a clean-lined silhouette and a tall seat back for comfort, while its armless design pairs well with on-trend ensembles. Plus, this design stacks with others of its kind, so rearranging your ensemble is a cinch. It measures 33.5'' H x 18'' W x 17.7'' D overall.
- Main Material: Metal
- Weight Capacity: 275 lb.
- Seat Height - Floor to Seat: 18 ''
You cant discuss this sofa with out referring to its remarkable design, sturdiness, and comfort. If you ever needed an appropriate chair, then move quick and get yourself Rollercoaster Samuel Selection Lotion Leather Sofa. You'll love it. This 3 seater couch has clean lines and great cushions. The soft cushions are affixed to the seat and at the back. It is made of leather which is a sure wager that its long lasting. It also features tufted back and seats that definitely adds to its impressive appear. More importantly, it features a spring foundation that gives it the necessary durability and comfort. Its wooden frame makes it very sturdy. The long and also the lacking it is this fact couch is remarkable in every element. You might or might not agree with this. But the only method you can appreciate this is to buy and check out it.
5. Bohrer Solid Wood Dining Chair (Set of 2) Corrigan Studio
Read more about Bohrer Solid Wood Dining Chair (Set of 2) Corrigan Studio
Product Description :
Uplift your dining d��cor with this set of chairs that easily brings a sleek modern vibe to any room. From its smooth tapered legs to its simplistic design, this chair set not only offers a stylish upgrade but also provides reliable stability with its heavy-duty make. Made using polypropylene injection molding, these chairs offer exceptional strength while maintaining a lightweight construction. Finished with warm beech legs, this chair set is sure to transform any dining set into a refined...
- Main Material: Plastic
- Main Material Details: Polypropylene
- Main Color: Gray
- Weight Capacity: 300 lb.
- Seat Height - Floor to Seat: 18 ''
Whilst the rear of this sofa shows the Chesterfield, with its rows of tufting, a tux couch has cleaner, much more angular outlines. It is said to have been the bellwether more contemporary styles in the 20's. Although some say this sofa style takes a name from Tux Recreation area in Ny, it's also considered named following the traditional fancy mens match. You are able to determine a tuxedo sofa by its arms that are identical peak because the back. The tufting on the back of the sofa and its rectangular outline are also traditional qualities. Cushions add comfort and ease to this high-equipped style. Also, while the sofa over from Upcountry is padded in leather-based, this well-liked style is often done in fabrics of all types, such as the really trendy purple velvet.
6. Sparta Swivel Armchair Brayden Studio
Read more about Sparta Swivel Armchair Brayden Studio
Product Description :
Old meets new with this mid-century modern swivel chair. Updated styling gives this collection modern flare with classic, vintage character and allows this accent piece to fit in almost any nook. The hidden swivel plate allows the chair to swivel 360-degrees.
- Assembly Required: Yes
- Removable Cushions: Yes
British folded equip sofas are extra comfortable because of the large, pillows behind and for the chairs. Low arms are comfortable for lying down and also the uncovered legs bare this sofa style from feeling overweight or impacting. It really came from in the turn from the century and could be related to something usual for the British countryside. Distinguishing qualities usually consist of reduced exposed thighs, soft, large soft cushions, a good back again and recessed hands. Even though it is regarded as a classic design, it is also a perfect accessory for a contemporary room because of its comfortable and versatile appear.
7. Kierra Bean Bag Chair Viv Rae
Read more about Kierra Bean Bag Chair Viv Rae
Product Description :
When decorating your home, it���__s always considered a touchdown when something is both fashionable and functional ���__ like this beanbag chair for example! With its baseball motif, this seat is a must-have around your little one���__s entertainment ensemble. Made in the USA from faux leather filled with beads, this piece can hold up to 250 lbs. Note that this seat is not to be used by children under the age of thirteen.
- Size: Medium
- Product Type: Bean bag chair
- Weight Capacity: 250 lb.
Much like its namesake, the camelback sofa has a difficulty or possibly two that highlights the main silhouette of this sofa design. This can be a conventional style which was made popular within the 1700s by Chippendale and households who wanted aristocratic, formal furniture often chosen this design. These days, this couch design lends a far more formal atmosphere to the room, especially when upholstered in a official material. A more casual textile option would make it appropriate for a household space that doesnt require a great deal of formality. In either case, the camelback couch has some factors that define the design and style. The legs are typically uncovered, the sofa has no back soft cushions also it normally has square or folded arms.
8. Berrios Manual Glider Recliner Winston Porter
Read more about Berrios Manual Glider Recliner Winston Porter
Product Description :
This is a moving collection that will envelop you in comfort. Oversized cushions in a textured wheat upholstery are complete with pillowed arms. The well-placed lever lets you recline with ease. This collection is sure to become the gathering spot in your home.
- Upholstery Material: Polyester Blend
- Reclining Type: Manual
- Weight Capacity: 300 lb.
- Assembly Required: No
This is actually the next sofa on the checklist. It's additional comfy and incredibly well suited for little areas or attic living. It is upholstered in polyester material, potential customers inset control keys that provide an elegant diamond-tufted style. It is constructed of long lasting materials and also the legs are made of durable wood to add to its sturdiness. The loveseat comes with an java stained wooden legs and non-marking foot hats. It offers an appropriate froth cushioning and rayon fabric upholstery that makes it very luxurious. It features a longue spot that gives an extraordinary space for relaxing.
9. S Side Chair Edgemod
Read more about S Side Chair Edgemod
Product Description :
Bring an air of chic modern style to your space with this inchSinch Dining chair. The sculpted single-form silhouette is like a sculpture in and of itself, adding a striking element of mid-century elegance to any indoor or outdoor space.
- Main Material: Plastic
- Weight Capacity: 275 lb.
- Seat Height - Floor to Seat: 18 ''
With almost 100 5-star evaluations, this lying loveseat is recommended because of its comfort, durability, appearance and ease of assembly. In addition to soft, but supportive cushions, it features a gliding system, so that you can place your ft up and rock (although, not at the same time.) Upholstered with extremely-durable glued leather, this reclining loveseat will resist tears, rips and stainswhich is a good factor, because it also includes a storage space compartment console (where one can hide your snacks, obviously) along with a two-cup holder. Whether you are deciding in for a Blockbuster online binge or viewing soccer together with your crew, this reclining loveseat provides the durability and comfort with out breaking the bank.
10. Edgware Dining Chair (Set of 2) Corrigan Studio
Read more about Edgware Dining Chair (Set of 2) Corrigan Studio
Product Description :
Complete your dining room���__s seating arrangement with this chair, a perfect pick for mid-century modern spaces. It stands atop four splayed legs for that characteristic look and features a frame crafted from rubberwood for a natural touch. The armless, high-back seat is wrapped in polyester blend upholstery for a textural, crisp aesthetic. This design arrives in a set of two, so you can seat your guests in style right away.
- Main Material: Upholstered
- Weight Capacity: 250 lb.
- Seat Height - Floor to Seat: 19 ''
This extremely-stylish, higher-sovereign couch is made to support reducing-advantage lounge innovation. It's created like a 2-piece sectional couch coupled with an attractive lounger. It also offers cellular arm rests and advantageous back assistance. The gorgeous tapestry is completed with dark false leather-based, firmly tufted. You are able to feel comfortable cushioning with froth inside the chair cushions. This ensures a fragile sensation when you relaxation following a boring day. The sofa is reinforced with wood advantage engrossed in darkish artificial leather. Fake tufted leather and powerful pinus radiata give extreme glare. It is true that it takes another appear because it is more expensive than it truly seems to be. Talking about dimension, its huge! This is what provides much more superstars to this established. The peak can also be remarkable for high and short individuals.
Where to Find Chagoya Armchair
You might feel that you can get the exact same quality of furniture in your Big Box stores but that is not the case. The quality of those brands only can't found in generic outlets and rather must be sourced from smaller specialty stores that know their product inside and outside. To put it differently, you don't find high-end clothing & apparel in JC Penny. {You'd need to really go to Dolce & Gabanna or Neiman Marcus because of that.
There are a variety of forms of Chagoya Armchair available as you can see over. You need to go through the product descriptions to comprehend the type and the features the umbrellas have to offer. According to your requirements and placements, you should select multiple umbrellas to decorate your outdoor area accordingly. These umbrellas come out of of the best brands and high quality material for higher durability.


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November 25, 2019 Hanson's latest single has us hooked.
Author: Matthew Rudas
November 25, 2019 Let the legacy of Scarypoolparty truly begin.
Author: Matthew Rudas
November 25, 2019 Sawayama takes to nu-metal to express her disdain for microaggressions.
Author: Matthew Rudas
November 22, 2019 Maggie Rogers is backing up that Grammy nomination for "Best New Artist" with a brand new single.
Author: Maxamillion Polo
November 22, 2019 Dawson is doing music differently.
Author: Matthew Rudas
November 22, 2019 Listening to 'Reflections' at times feels like the equivalent of finding yourself thrust into an ultramodern museum.
Author: Precious Kato
November 22, 2019 A critical examination of self-pity has never sounded this good.
Author: Precious Kato
November 21, 2019 Kaash Paige makes "indie music for the soul."
Author: Precious Kato
November 21, 2019 "If it is just one person reaching out to me saying I saved their life, that alone is success to me."
Author: Joey Legittino
November 21, 2019 POESY swings by the Ones To Watch space in Toronto to deliver a rapturous performance of "Any Human."
Author: Maxamillion Polo
August 29, 2018 Right in time for back to school!
Author: Maxamillion Polo
October 17, 2018 Her laidback approach is self-assured, humbled and soothing to the ear.
Author: Kristin Robinson
May 6, 2019 "These songs kept us warm in the deep snow of December. We hope they can do the same for you."
Author: Alissa Arunarsirakul
November 29, 2018 "Solving my own issues in my head helped with self awareness and self-love. I can lean on myself – definitely wouldn't say I'm happy yet, but I'm getting better at trying lately."
Author: Anna Scholfield
October 16, 2019 UMI embraces her multicultural identity in a bedroom R&B track that plays out like a dream.
Author: Matthew Rudas
November 4, 2019 "Dude, I'd be pissed off if this song blew up on TikTok."
Author: Matthew Rudas
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Golf Weekends: Great for team building and re-connecting with friends, golf getaways can include a day trip to a nearby public course or a weekend vacation to a luxury resort. Plan on PGA courses in California, check into a famous resort in Florida or play a few rounds on your business trip to Las Vegas. Best vacations for golfers can also mean a day trip to a nearby golf course which is fun and cheap.
JetBlue Airways Corp. will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)


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When to Call a Professional Roofing Company
Being a homeowner can involve making many repairs and the honey do list can get pretty long, but make sure roof maintenance is on that list too. Unfortunately, some of the repairs won't be obvious unless you know what to look for. When you're considering the need for roof repairs, you may not have the ability to climb up to your roof to do a visual inspection. If you do have the ability, the o…Read More


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Maharashtra to have full-term Sena CM, Congress-NCP to get 1 Deputy CM each :- As the Uddhav Thackeray-led Shiv Sena has reached an agreement with the Congress and Nationalist Congress Party (NCP), the regional saffron party has put an end to the speculation surrounding the Maharashtra government formation. Reportedly, both the parties are ready to give the CM post to Shiv Sena for a full tenure of 5 years. Also, Shiv Sena is all set to form a combined government with Congress-NCP in Maharashtra.
Maharashtra govt formation LIVE
The reports have also confirmed that Maharashtra is going to have two Deputy CMs as both Congress and the NCP get to appoint one each from their ranks. According to the sources, the Shiv Sena, the NCP, and the Congress will get 16, 14, and 12 ministers, respectively.
Regarding the current developments, the Shiv Sena leader Sanjay Raut said that a "Common Minimum Programme will be in the interest of Maharashtra." This program includes issues such as farmers' debt waiver, compensation for crop loss, education, health will be given priority. The final draft will be handed over to Shiv Sena chief Uddhav Thackeray, Sonia Gandhi, and NCP chief Sharad Pawar.
Maharashtra to have full-term Sena CM
According to the sources, Congress President Sonia Gandhi and NCP chief Sharad Pawar will meet during the weekend to formalise the terms. Alongside the finalisation of terms, the two contentious issues that are likely to be worked on are:
- Shiv Sena's demand for Bharat Ratna for RSS man Vir Savarkar.
- Congress-NCP's demand for a 5 percent reservation for the Muslims.
Earlier, the Maharashtra Governor Bhagat Singh Koshyari imposed President's rule in Maharashtra on Tuesday (November 12) as none of the parties were able to form a government in the state.
Congress-NCP to get 1 Deputy CM each
Firstly, Aditya Thackeray had reached the Raj Bhavan in the evening to ask for extra time to form government in Maharashtra but the Governor had refused to give the extra time to Sena. Later, the political activity in Maharashtra had intensified after fast-developing negotiations between the Shiv Sena and the Congress-NCP alliance.


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Genre: Rock, Britpop, alternative rock
The very popular English rock band Oasis hails from Manchester. The band was formed in the year 1991 and originally referred to as 'The Rain'. Oasis was formed by vocalist Liam Gallagher, guitarist Paul Arthurs, bass guitarist Paul McGuigan and drummer/percussionist Tony McCarroll. They were soon joined by Liam's elder brother lead guitarist and vocalist Noel Gallagher. Oasis boasts of winning fifteen NME Awards, nine Q Awards, four MTV Europe Music Awards and six Brit Awards. The band has also been nominated for three Grammy Awards. According to an estimate carried out in 2009, the band sold more than 70 million records since its formation. The band holds various Guinness World Record including the 'Longest Top 10 UK Chart Run By A Group' and also for being the most successful acts in UK between 1995 and 2005 of spending around 765 weeks in the Top 75 Singles and album charts. Their record- creating debut album 'Definitely Maybe' was released in 1994.
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Many people use dietary supplements to boost their health and prevent disease. It is reported that up to 40% of adults use at least one over-the-counter dietary supplement daily and most of these people do not ask or inform their doctors about taking these supplements. Herbal and nonherbal health supplements are popular because some people believe it is easier to take these than to buy and prepare healthy meals, especially when they are busy with work or if quality foods are not easily available. To others, taking specific food supplements is a means to increase immunity to certain diseases, support bodybuilding, or achieve weight loss. Some health care providers recommend taking dietary ...view middle of the document...
According to Duffy MacKay, ND, Council for Responsible Nutrition (CRN) vice president of scientific and regulatory affairs, bodybuilding supplements contain steroids and steroid-like compounds that have been associated with liver injury. Weight-loss products which act as appetite suppressants such as N-nitroso fenfluramine have been associated with liver failure.
US Food and Drug Administration has previously advised consumers that dietary supplements containing kava (Piper methysticum) have the potential to cause severe liver injury. This herbal plnat from the South Pacific is traditionally used to prepare beverages. Kava or kava-kava supplements are used to promote relaxation, relieve stress, improve sleep and reduce menopausal symptoms. However, these benefits have not been confirmed by studies. On the other hand, some consumers from various countries who used a kava-containing supplement experienced liver injuries such as hepatitis, cirrhosis, as well as liver failure, for which some of them needed a liver transplant.
According to Dr. Andre Weill, another herbal supplement that can cause liver damage is black cohosh, which is used to relieve menopausal symptoms such as hot flashes.
Other dietary supplements that have been implicated in causing liver damage include cough and cold products, immune-boosters, and anti-depression or anti-anxiety products.
Overdosage of Dietary Supplements
There is no doubt that many nutritional supplements have numerous health benefits. These include vitamins like vitamin C and minerals such as calcium. However, when taken in large doses, fat soluble vitamins such as vitamins A, D, E and K can accumulate in the liver and cause toxic side effects. For example, vitamin A, which promotes good vision, cell growth and body immunity is highly toxic to the liver when taken in excess (more than 3,000 mcg). Toxic daily doses of other fat soluble vitamins are as follows: vitamin D, 1,925 mcg or 77,000 IU, and vitamin E, 1,000 mg or 1,500 IU. Although high intake of vitamin K may make...


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Kristian König has finished his master thesis
Kristian König has finished his master thesis "Inbetriebnahme der Niederenergiestrahlstrecke bei HITRAP und erstmaliger Einfang hochgeladener Ionen in der SpecTrap Penningfalle". Congratulations!! go
Foundations of physics still solid
A press release of the TU Darmstadt reports on the two ESR experiments for testing fundamental interactions and symmetries:
TU Darmstadt press release
More detailled description of the two experiments (german only) go
Most precise test of time dilation has been published
Our result of laser spectroscopy measurements at the ESR storage ring on 7Li+ ions at 34% of the speed of light, verifies time dilation at a higher level than ever before. go
Results of first observation of the hyperfine transition in lithium-like bismuth Bi80+ are published
Our article about the first observation of the long-missed transition in lithium-like Bi80+ is published as a rapid communication in Phys. Rev. A. go
Proton-Neutron Correlations in Exotic Potassium Nuclei
The result of the isomer shift measurement of the potassium-38m isomer relative to its ground state within the COLLAPS collaboration has been published in Phys. Rev. Lett. go
Trapped! Detection of Highly Charged Ions in SpecTrap
Highly charged ions were stored in the SPECTRAP Penning trap for the first time. The SPECTRAP team succeeded in trapping argon ions of different charge states, produced in an EBIT. The ions were observed using both optical and electronic detection techniques. go
Successful beamtime at the ESR
Laser spectroscopy of hydrogen-like and lithium-like bismuth was successfully performed at the ESR Storage Ring at the GSI Helmholtz Centre during the period 19.03.-03.02.2014. The photo shows a part of the beamtime crew in front of the ESR cave. go
Precision high-voltage multiplier and ripple probe installed at the high-voltage terminal
For the beamtime on laser spectroscopy of highly charged bismuth ions, a precision high-voltage multiplier (orange tube) and a ripple probe (in front, on blue support), both from PTB Braunschweig, were installed at the high-voltage terminal of the ESR electron cooler by Johann Meisner and Matthias Schmidt from the PTB. go
Nuclear charge radii of potassium isotopes beyond N = 28 measured
Measurements of nuclear charge radii and spins in the potassium chain at ISOLDE within the COLLAPS collaboration were published in Physics Letters B. go
Two of our papers were included in the Physica Scripta Highlights of 2013
The papers "Precision atomic physics techniques for nuclear physics with radioactive beams" written by Klaus Blaum, Jens Dilling und Wilfried Nörtershäuser based on their contributions to the Nobel Symposium on "Physics with Radioactive Beams" and "First observation of the ground-state hyperfine transition in 209Bi80+" by W. Nörtershäuser and coworkers were selected to be included in the Physica Scripta Highlights of 2013. go


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Small squid off the gulf of mexico?
As I was fishing on my buddies dock, in Florida, I discovered a small black squid about a little bit bigger than a regular closed fist. As I caught it, it curled into a ball. When I let go, it slowly swam off like a very slow squid. It also spew out purple-black ink as it swam off, and this was onshore. I researched this and the closest thing I've found so far is a vampire squid but it's description doesn't fit. What species is this squid, if it isn't a vampire squid?
2 Answers
- GulfportBobLv 79 years agoFavorite Answer
By the way, this is travel Mexico. Missed your mark by quite a few miles to cross the Gulf of Mexico to the country of Mexico. Need to post in the correct location and/or use Wikipedia.
- Sin nombreLv 69 years ago
There are 300 different species of squid . I caught some squid in the Sea of Cortez that weighed 50 pounds . Its hard to tell without more physical evidence .


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Orphea Clasel Wyatt, 89, died at her home on Sunday, Nov. 24 (2019). Funeral is 10 a.m. Wednesday, Nov. 27, at the Charles M. Nelson Memorial Chapel in Berryville. Visitation is 5-7 p.m. Tuesday, Nov. 26, at the Charles M. Nelson Memorial Chapel.
She was born May 16, 1930, on the Buffalo River in a log cabin built by her father for his bride in 1927. She was the daughter of the late Doy Richard and Bertha Mae (Friend) Sparks.
Orphea attended Towering Oaks Church in Berryville and was a member of their 50+ club.
She was preceded in death by her husband, William Ray Wyatt and four brothers Troy, Arold, James and Clyde Sparks.
She is survived by four daughters, Phyllis James, of Springdale, Reba Clark, of Berryville, Sharlene Walker, of Watts, Oklahoma and Sherri Plumlee, of Berryville; brother, Wesley Sparks, of Harrison; sister, Dorothy Samuels, of Fayetteville; eight grandchildren; seven great-grandchildren; one great-great-grandchild due in March.


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Once glycogen stores are depleted, the body turns to protein to bump up energy levels so eat plenty of meat, fishchicken and eggs to insure you have solid supplies. How much should I weigh?
Baking, broiling and roasting are the healthiest ways to prepare meat and poultry. Studies show that diets are unsuccessful in helping people lose weight and keep it off.
What should I NOT eat? Limit the amount of red meat and processed meats that you eat. You need to determine: Based on questionnaires completed by more than 30, men in the Health Professionals Follow-up Study, researchers found an inverse relationship between physical activity and BPH symptoms.
Choose healthful fats, such as olive oil, nuts almonds, walnuts, pecansand avocados. Then, throw in some protein, such as milk, yogurt, or chopped nuts. Make small, permanent changes that you can live with until they can become habit, and then pick another small change to tackle.
This lethargic attitude is partly because many of us have no idea how to fuel our bodies for the sweaty task ahead. Talk to your family doctor about your ideal weight, because every person is different. Fish, skinless poultry, beans, and eggs are healthier sources of protein.
Contrary to popular belief, working out at the gym every day will not necessarily lead to weight loss. While diet and exercise are both important for long-term weight loss, remember this: Choose foods low in sodium by reading and comparing food labels.
Yogurt People who get their calcium from yogurt rather than from other sources may lose more weight around their midsection, according to a recent study published in the International Journal of Obesity.
Not only do brighter, deeper colored vegetables contain higher concentrations of vitamins, minerals and antioxidants, but they can vary the flavor and make meals more visually appealing.
Soy Soybeans are a great source of antioxidants, fiber, and protein. This will help prevent injuries.Food & Fitness. Eating well-balanced meals is an essential part of taking better care of yourself and managing diabetes.
So is regular physical activity, which is especially important for people with diabetes and those at risk for diabetes. Good nutrition is an important part of leading a healthy lifestyle. Combined with physical activity, your diet can help you to reach and maintain a healthy weight, reduce your risk of chronic diseases (like heart disease and cancer), and promote your overall health.
For more intense exercise, eat some easy-to-digest carbs (a packet of instant grits, a slice of toast, half a plain bagel, a banana, or a cup. Free Newsletters Need help achieving your fitness goals?
The Muscle & Fitness newsletter will provide you with the best workouts, meal plans and supplement advice to get there. Previous story Healthier Food Options For the Holiday Season Next story 10 Foods That Fill You Up Good, clean, fiber-rich carbs include oats, potatoes, rice, and.
People with insomnia struggle to get a good night's rest and wonder how to sleep better They may be plagued by trouble falling asleep, unwelcome awakenings during the night, or fitful sleep — alone or in combination.
10 diet & exercise tips for prostate health. More information: Get your copy of Annual Report on Prostate Diseases. Food & Fitness. Eating well-balanced meals is an essential part of taking better care of yourself and managing diabetes.
So is regular physical activity, which is especially important for people with diabetes and those at risk for diabetes.Download


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Find a copy in the library
Finding libraries that hold this item...
|Document Type:
|All Authors / Contributors:
Kristina Marie Darling
|9781936196661 1936196662
|OCLC Number:
|"Conscious & Responsible."
|71 pages ; 23 cm
|A story in fragments --
Jane Dark speaks of cumpability --
NIght Ferry: a love story --
Jane Dark finds the hidden rooms --
Sad film (with empty chapel) --
Sad film (with FAint music) --
Jane Dark explains infidelity to her mother --
Jane Dark gets what she wants --
When asked, Jane Dark cannot define "hesitation" --
Sad film (with missing person) --
Jane Dark goes to sleep --
In the final dream --
Godspeed --
Facts about the shore --
Awe --
Sad film (with subtitles) --
My imaginary --
Sad film (with empty theatre) --
Salvage --
To be a part --
Distance learning --
The recognitions --
Sad film (with emergency exit) --
Epithalamion --
The tears of things --
Goodnight lyric --
Orpheus really loved that girl --
Sad film (with evacuation) --
Lies/isle --
Sad film (with deadbolt) --
Jane Dark answers as though she already knows --
The sadness of small houses --
The room where I get what I want --
A song pulled from the throat of a sparrow, or, a love story --
II. Jane Dark warns the other wife --
III. Again, Jane Dark takes the stand --
Sad film (with evacuation) --
Things we lost in the fire --
For once, Jane Dark defines "violence" --
Transcript 1.113 --
Sad film (with fire drill) --
The melancholy of flowers --
Transcript 1.334 --
When the women of the jury as the first question --
Sad film (with empty cup) --
Dark horse --
An epilogue.
|Other Titles:
|Kristina Marie Darling.
User-contributed reviews


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First of all, you will need a VPN, the one that works with Disney+. I'm using Surfshark which I've posted a deal for it earlier here. It is really cheap when compared to other providers (£38.16 for 24 months + 3 months for free). Additionally you can get cashback from Quidco and TCB, which is 70% or more so that saves a lot really.
But a VPN is the easy part, here comes the fun stuff. Now you have to buy the Disney+ subscription which is easier said than done. However, there are ways.
1. You can create a US PayPal account (you will need to use a VPN) and link your own card to the PayPal account.
2. You can get it using iTunes gift cards from Amazon:
- * Create a US based Apple ID
- * Get an iTunes gift card from amazon.com
- * Transfer the money from iTunes gift card to apple ID account
- * Get the Disney+ subscription through the app using your new apple ID
Same steps work with Google Play account if you happen to have an Android device (US Based account and Google Play gift card).
And voila, you have a Disney+ subscription + ways to actually use it. Here are some points from experience:
- It works on mobile devices better, desktop version is hit or miss
- Disney is constantly trying to block the ways to bypass its restrictions so you might expect some downtime.
- Final price I've added is a VPN subscription divided by months (without cashbacks!) + Disney's monthly subscription converted to pounds.
So now, you can watch Mandalorian (which is awesome by the way) and other cool shows.
Finally, here's a helpful subreddit DisneyPlusVPN which helped me to watch Disney+ for myself and to compile this guide. Hope this will be useful


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News — grey
Posted by Naomie White on
So we heard that today is #NationalCandyDay 🍭👅💦 And who's to say you can't wear a pop of colour in these Autumn months. Soo were reminiscing on our fav celebrity candy crushes to inspire you on this day. OH & If you read all the way to the end you might find a sweet TREAT! All Hail King Kylie 🙌 We all know this young mogul knows how to inspire her fans, and we are totally crushing on this Candy shoot. Stunt through this Autumn with a vibrant leather jacket, you know you want to. She came, she saw, and...
CRUSH ON - Velvet Styles to lust over
Posted by Naomie White on
As the Autumn months spring upon us, the leaves begin to fall and the temperature begins to drop. If your living in London your probably thinking, do you throw on a jacket?.. but what if the sun comes out? How about you favourite sliders.. but isn't it supposed to rain today? Have no fear dear! Thankfully our favourite material has appeared back this season and is here to save the day! Celebs have worn it, the runways have shown it, Bloggers have styled it, and we have brought it to you. Fancy a bit of velvet to keep you warm this season,...
Far from Basic - New Arrivals
Posted by Naomie White on
A few new essentials have arrived at TWO THREE and trust us they are far from basic! Inspired by some of the hottest celebrities, take these basics and complete a fly outfit. JAMIE Bodysuit inspired by - Kim Kardashian REILLY Bodysuit inspired by - Draya Michelle JAMIE Bodysuit inspired by - Kendall Jenner AREIL Bodysuit inspired by - Kourtney Kardashian


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Full Moon over Seattle
Debbie Del Tejo June 15, 2006Wonderful capture....think you should sell it to the visitor center. Great job!!!! #465234
Darold W. Kaestner June 15, 2006I like it but, I think you should have darkened the sky just a bit more? #2898270
Jeff Robinson June 15, 2006Fantstic work Frank! Jeff #2898644
Richard D. Cox June 15, 2006Great shot with or without moon. #2898919
Michelle Lea Guinn June 15, 2006Love It!!!! Love the spaceneedle and the moon!!! Very well captured!!! and I agree with Debbie!!! mlg~ #2900107
Janine Russell June 15, 2006Frank, excellent colors, detail, clarity, lighitng, exposure and composition. #2901708
Tamera S. Phillips July 25, 2006Congrats on your finalist - beautiful shot. #3076625
Donna La Mattino Pagakis July 28, 2006Stunning night scene, congratulations on your win! #3092734
Dan Walters July 28, 2006I really like how this turned out. Congratulations on your win! #3093515
Daniel G. Flocke July 28, 2006Frank - Congratulations on your 2nd Place Winner!!!
~Daniel #3093609
She-She Killough July 28, 2006Frank, such an amazing shot! Love it! Congratulations!!!
sheesh #3096661
Milan Banik July 29, 2006excellent win for lovely shot! #3098026
Cathy Barrows July 29, 2006Congrats on your win...gorgeous...on my list of places to see #3098872
Janine Russell July 30, 2006Frank, congratulations on your Second Place win. #3103620
Michelle Lea Guinn July 31, 2006Congrtaulations Frank!!! Still Love it!!! mlg~ #3105572
Jeff Robinson August 01, 2006Congrats Frank on your excellent win! Jeff #3110048
Janine Russell August 21, 2006Frank, congratulations on your POTD. #3191293
Helen N. McHugh August 21, 2006Congratulations ,Frank, on this excellent shot & your POTD!! #3191344
Bill Houghton August 21, 2006This is a beautiful shot Frank. Congratulations. #3191476
Terri L. Scribner August 21, 2006So beautiful! Great shot and congrats on your win and POTD!! #3191632
Joy Rector August 21, 2006congrats on the POTD #3191661
Donna La Mattino Pagakis August 21, 2006A super potd image, congratulations on your wins! #3191809
Laura Clay-Ballard August 21, 2006awesome shot! congrats! #3192517
Lindley Johnson August 21, 2006Beautifully done, Frank! Congratulations on your POTD. #3192564
Leanne M.E. Boyd August 21, 2006Congrats on your POTD - excellent image! #3193007
Kevin Wo August 21, 2006There's no way the moon could've looked like that in this scene/light condition. Anyone with some basic knowledge of exposure and lighting would know that this can only be achieved by copy and paste.I'm very dissapointed at the judges at Betterphoto for not picking up on this. #3193174
Frank M. Melchior August 21, 2006First of all, I stated that the moon was supersized for effect, sorry that some members didn't like this. I wasn't trying to pull a fast one on anyone. I copied the moon from the same raw file and adjusted the levels and enlarged it a bit to cover the overexposed moon. That's all. It was an amazing moon that night. I will post some "real" images later today. Thank you all for the kind comments. #3193794
Mary N C. Taitt August 21, 2006Congratulations on your lovely winner and POTD! I like it a LOT! Great night cityscape. Mary :-D #3193832
Mary N C. Taitt August 21, 2006It seemms to me if you state that you've altered a picture, than the judges and viewers can look at it with that knowledge and judge it accordingly. If the image is then found worthy, it probably deserves it! This one does, I think! :-D #3193842
RC Fritz August 21, 2006Congratulations on yout POTD, Frank! #3193885
Mary Clarke August 21, 2006Congratulations on POTD Frank, lovely image #3194058
Kevin Wo August 21, 2006Frank,
Kay E. Mahoney August 21, 2006Congratulations on your beautiful winner and POTD. #3195956
Milan Banik August 23, 2006
Congratulations on POTD Frank #3203946
Lori Carlson August 27, 2006Congratultions Frank! Striking work!! :0) #3225601
Kay E. Mahoney August 30, 2006Congratulations on your 2nd place winner. #3244221
Donna R. Moratelli December 28, 2013I can't imagine seeing a moon that big or capturing that big it at 200mm. THis image is amazing. I can't even get it that big at 300mm. I have always wondered how people could capture images of the moon so clear. It must be closer to the earth on other parts of the planet.
F/4@.8 sec with 80-200 f/2.8 Nikon lens. Taken about 10:30pm at Kerry Park. The moon is slightly "super sized" for effect.
Uploaded on June 15, 2006
Copyright for this gallery photo belongs solely to Frank M. Melchior. Images may not be copied, downloaded, or used in any way without the expressed, written permission of the photographer.
Log in to follow or message this photographer or report this photo.


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Move Aside Doctor; It's Time for Me to Go
It was a typical Thursday night on the inpatient family medicine floor. There were twenty-one patients and two empty beds, not counting the folding screen propped up in the hallway that too often doubled as a patient room. On one end of the floor, in Room 254, Mr. Sanchez was being treated for pneumonia. In Room 256, Mr. Trong, suffering from a massive brain tumor, was being medicated for agitation. Down the hallway, in Room 263, Mrs. Holloway had just spiked a fever and was feeling faint. The intern on-call was busy writing up an admission note. The nurses were in the lounge, finishing up their late-night meal of beef patties and curried goat. Nearly everyone was asking for a sleeping pill. And rolling off the elevator into Room 259 was Frank Bryant, the next patient to be admitted from the overflowing emergency room.
Mr. Bryant was a forty-eight year old man with HIV/AIDS who was having difficulty breathing, and had recently been hospitalized for the same complaint. In fact, that night, he was being admitted for a process that started three weeks earlier when he presented to the same ER with leg swelling and shortness of breath. There he was found to have evidence of cardiac muscle damage, likely from severe heart failure, and was admitted to a cardiac monitoring unit. His physicians prescribed medications to help reduce the amount of fluid he was accumulating and ordered a slew of blood tests and an echocardiogram. However, Mr. Bryant was not an easy-going sort of guy. Over the first few days of his hospitalization, he refused pretty much everything at some point, including blood draws, imaging tests, physical examinations, and answering questions. When he took the medications that were ordered, he improved. But with all of his refusals, he was only receiving occasional treatment, and so each bit of progress was countered by at least as much failure.
By the end of the first week, the frustration of his doctor, a well-regarded and even-tempered hospitalist, was increasingly evident in her daily "progress" notes. She documented spending unusually large amounts of time with him, trying to understand his resistance to treatment in order to establish some sort of working relationship, much less a therapeutic alliance. Yet Mr. Bryant remained difficult to care for. He requested "specialists" several times, but when they came by to evaluate him he would not talk to them. Although he did finally agree to have an echocardiogram, which confirmed global, severe heart dysfunction (his heart pumped at about one-third the strength of a normal heart), he refused a cardiac stress test to better assess his coronary arteries. He continued to take his heart failure medications only sporadically. He declined treatment for HIV/AIDS. Whereas most patients with his condition would have shown significant improvement in three or four days, after one week Mr. Bryant seemed to only be getting worse.
At that point a psychiatry consult was called. And after a long discussion with him, the attending psychiatrist decided that although he exhibited clear paranoia, he was not delusional. He understood the risks and benefits of his decisions and had the mental capacity to refuse as little or as much treatment as he wanted. As long as the refusals were not regarding an imminent life-or-death decision, he could not be forced to oblige, and he did not meet criteria for an inpatient psychiatric hospitalization.
Later that night, the nurse was called because he was coughing up blood. She took his blood pressure and pulse, which were both normal, and called the doctors, who immediately thought infection. Typical bacterial pneumonia can often cause blood-tinged sputum; but since he had been in the hospital for so long, he was now also at risk for infections caused by Methicillin-resistant staphylococcus aureus (MRSA) or Pseudomonas aeruginosa; and because he had HIV/AIDS, it could also be pneumocystis carinii (PCP) or tuberculosis, all of which were potentially life-threatening if not treated. They immediately started him on intravenous fluids and two powerful antibiotics. Of course, although the situation had changed, Mr. Bryant's response had not. He would not let the staff draw blood cultures to look for infection. He would not stay hooked up to the fluids. And he had decided that he only wanted one of the antibiotics, and once a day instead of three.
So it went for two more weeks. One day Mr. Bryant would take some antibiotics, the next he would not. At times he would let his doctors evaluate him, and other times he would refuse. Cardiologists, gastroenterologists, pulmonologists, internists, psychiatrists, nurses, social workers, and residents all talked with him, and they all failed to make a connection with him such that he would adhere to a reasonable treatment plan. He may have been feeling different than when he came in, but it was hard to say whether it was any better. Instead of florid heart failure, he now had severe pneumonia, and without a consistent antibiotic regimen, it was probable that the spotty treatment was only making the infection worse, by baiting antibiotic resistance. Nevertheless, three weeks to the day after his admission, Mr. Bryant decided that he wanted to leave – and so he did.
Not every patient that is admitted to the hospital is properly discharged by his or her physician. Some, unfortunately (or quite naturally), do not recover and die. Others, like Mr. Bryant, decide it is time to go despite their physician's cautions and sign themselves out "against medical advice." It is a decision that often smacks of trouble for the patient and smells like a "cover your ass" move on behalf of the physician. But is it truly either?
Over the past half-century the concept of leaving against medical advice (AMA) has changed substantially. In the 1950s, psychiatric patients were considered discharged AMA only if they managed to escape from the hospital and did not return within a certain amount of time (something now called elopement). In the 1960s and 70s, advocacy efforts and legislative changes gave patients increasingly more control over their medical care, including the right to sign out AMA from a hospital. Then over the next few decades, with community support, the nature of AMA discharges started to change. The stigmatization of hospitalization waned and patients began to feel more empowered (both good things, of course). However, with this newfound hope came such a rapid rise in AMA discharges that they quickly became routine. Now, they are so common that physicians or patients rarely bat an eye. They occur in all settings, from the emergency room to the intensive care unit, and in all types of patients, from those with chest pain to psychosis. Physicians and nurses are well versed in how to deal with them. Hospital wards have ready-made consent forms and protocols just for this purpose. And patients in the know simply refer to it in slang as "signing out."
On average about 1 to 5 percent of hospital discharges from medical services in the United States are against medical advice. However, the actual rates depend a lot on the type of patients. In one study of patients with HIV infection, many of whom were injection drug users, the rate was about 13 percent overall. In other studies, patients without health insurance or those who were eligible for Medicaid (state-sponsored insurance for low-income individuals) had twice the likelihood of being discharged AMA. Patients who leave AMA are generally younger, male, substance users, do not have a personal physician, and have more severe symptoms at discharge than those properly discharged by their physicians. They also tend to be angry and mistrustful upon discharge, and are more frequently hospitalized. In other words, they are a lot like Mr. Bryant.
When Mr. Bryant rolled up to the floor that night, it was less than twenty-four hours after he left the hospital AMA. Contrary to what he had said the day before, it did not seem like he was "better off at home." He was having difficulty breathing and the oxygen levels in his blood were low. His legs were also quite swollen and he admitted not taking any medication while he was out of the hospital. Although he did not allow any blood tests in the emergency room, he did have a chest x-ray, which asserted what everyone, but perhaps Mr. Bryant himself, had feared: a profound worsening of his condition. The x-ray showed two large, cavitary lesions in his lungs that were likely either empyemas (walled-off collections of pus and bacteria, and the product of his poorly treated pneumonia) or dead tissue as a result of thrown blood clots. Either way, Mr. Bryant's situation did not look good – and leaving the hospital certainly had not helped him.
Unfortunately, such is often the case. Patients who leave AMA are across the board more likely to be readmitted to the hospital, especially in the immediate post-hospitalization period. At St. Michael's Hospital in Toronto, which serves a large low-income and sometimes homeless population, almost one-quarter of the patients who left AMA were readmitted within 15 days, compared to three percent for other discharges. In another study, about one-third of patients who left AMA were readmitted within 30 days. These patients were also more likely to be readmitted for the same diagnosisand stay in the hospital longer. Of course, on the flip side, some patients that leave AMA might be making good decisions. There is mounting data to suggest that longer hospital stays are not necessarily better; it is possible that some patients may be able to assess improvement before their physicians can; and in some cases, there may exist other life circumstances that supercede another day (or two or three) in the hospital.
In Mr. Bryant's case, however, that seemed unlikely. He just did not have a good track record. In a highly supervised setting, he was not consistent with his medications. He was uncooperative with staff. Despite the psychiatrist's evaluation, he just did not seem to completely grasp the gravity of his situation. And so from the moment he signed out, unofficial odds were that he would suffer some adverse consequences, including worsening of his illness or death.
So what should a physician do in this situation? We do not have a good way to predict which patients are more likely to be readmitted. There is no data on differences in death rates or disease-specific consequences for patients that leave AMA. And, first and foremost, physicians have the obligation to respect a patient's autonomy. At the end of the day, even in the face of serious risks, it remains their right to choose. But physicians also don't want to be held responsible when that patient with chest pain who leaves the emergency room before his blood tests come back ends up having a fatal heart attack. So a common slogan in hospital medicine has emerged: "If they want to leave, fine, but make sure they sign out AMA."
The rationale behind this statement is that having a patient sign out against medical advice confers some sort of legal safeguard to the physician. However, in reality, it doesn't hold much water. Patients that leave AMA can still bring malpractice claims against their physician. In fact, some of the factors that may contribute to a patient leaving against medical advice, such as anger and psychosis, actually increase the chance of legal action. Since admission to a hospital is voluntary, signing out AMA is merely a withdrawal of the original consent to be admitted. Just as any competent adult can accept admission, anyone can decide to leave AMA. It is the medical staff's responsibility to ensure, as Mr. Bryant's physicians did, that the patient is informed of the risks and alternatives to leaving, that the patient is competent to make that decision, and the patient does not meet criteria for involuntary psychiatric hospitalization. Most hospital consent forms have clauses in them to alert the physician to these important safeguards, because if these steps are not taken, the hospital may be particularly vulnerable in the event of a bad outcome. Yet even if appropriate measures are taken, having a patient sign out AMA does not always offer protection. Courts have decided that in some cases leaving AMA is a reasonable decision, and if so, it provides no protection for the physician.
Although a malpractice suit was not anyone's primary concern in regards to Mr. Bryant, it certainly crossed everyone's mind at some point. The documentation of his physician was clear and thorough, unusually so for a busy clinician. Many attempts were made to offer alternative options for care, including different antibiotic regimens and less rigorous monitoring. Appropriate consultations with a psychiatrist were employed early and often. Before he signed out AMA, a bioethics panel reviewed the case. By any reasonable standards, an unusual and commendable amount of care and effort was provided to Mr. Bryant. Yet, despite these measures, there was no happy ending to his case.
Less than two days after he was readmitted to the hospital, Mr. Bryant was found in his hospital room unresponsive. One minute he was talking with a nurse, and the next minute he was dead, likely the victim of a massive pulmonary embolism. One wonders if it makes any difference then, that he called all the shots, right up until his last breath. The day before, an ultrasound had shown several blood clots in his legs. Yet despite conversations with several doctors, he refused anticoagulation with heparin, the one treatment that might have saved him. At no point was any treatment given without his approval, and no refusals were made without acknowledging the risks and alternatives. Mr. Bryant was truly a man who stood tall, if not proud, in the face of risks and went against medical advice. Or was it to spite it? That, unfortunately, we will never know.
Anis AH, Sun H, Guh DP, Palepu A, Schechter MT, O'Shaughnessy MV. 2002. Leaving hospital against medical advice among HIV-positive patients. CMAJ 167(6): 633-7.
Brook M, Hilty DM, Liu W, Rona H, Frye MA. 2006. Discharge against medical advice from inpatient psychiatric treatment: a literature review. Psychiatr Serv. 57: 1192-8.
Devitt PJ, Devitt AC, Dewan M. 2000. Does identifying a discharge as "against medical advice" confer legal protection? J Fam Pract. 49(3): 224-7.
Huang SW, Li J, Gupta R, Chien V, Martin, RE. 2003. What happens to patients who leave hospital against medical advice? CMAJ 168(4): 417-20.
Jeremiah J, O'Sullivan P, Stein MD. 1995. Who leaves against medical advice? J Gen Intern Med. 10(7): 403-5.
Pages KP, Russo JE, Wingerson DK, Ries RK, Roy-Byrne PP, Cowley DS. 1998. Predictors and outcomes of discharge against medical advice from the psychiatric units of a general hospital. Psychatr Serv. 49(9): 1187-92.
Saitz R, Ghali WA, Moskowitz MA. 2000. The impact of leaving against medical advice on hospital resource utilization. J Gen Intern Med. 15(2): 103-7.Weingart SN, Davis RB, Phillips RS. 1998. Patients discharged against medical advice from a general medicine service. J Gen Intern Med. 13(8): 568-71.a


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East Tennessee had een nieuw logo ontwerp nodig en lanceerde daarom een wedstrijd op 99designs.
Een winnaar werd gekozen uit158 ontwerpen ingezonden door58 freelance designers.
Energy for Life
Church looking for creative, modern, engaging and energetic new logo and branding for a new contemporary worship service.
We are launching a new worship service geared at those 45 years old and younger. Upbeat music will be important part of this service which will include a band comprised of drums, electrics guitars, keyboard, bass guitar, acoustic guitar and singers.
The primary theme to convey with branding is the idea that people are often tired and run down from the pressures of life, but here they will find a positive, meaningful and uplifting energy for life from participating in this worship service each week.
We do not want any Christian symbolism incorporated that would be confusing or appear too religious to visitors.
The letters NRG are not an acronym, they are just a cool way to say "energy". We are open to including the word "worship" in the logo but it is not mandatory.
We want some type of artwork not just fancy lettering.
Bekijk hoe een ontwerpwedstrijd werkt of leer meer over logo ontwerpdiensten.


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text: On Thu, 11 Jun 2015, Jiří Prchal wrote: > Hi all, > I discovered some bug when I change kernel from 3.18.13 to 3.18.14. I have board with usb hub CY7C65632 on it. > In .13 it works fine but in .14 it repeats this message: > [ 19.170000] usb 2-3: new full-speed USB device number 56 using at91_ohci > and devices connected to usb through hub doesn't appear at all. > Any idea? Try using git bisect to find the commit which caused this problem to start. Alan Stern


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Hazards of Food Slicers Food slicers are electrically powered machines typically equipped with a rotary blade, an on/off switch, thickness adjustment, and a food holder or chute. A pushing/guarding device or plunger may be used to apply pressure to the food against the slicer blade, or pressure may be applied by gravity and/or by an attachment connected to the food holder. holding device, especially when slicing small pieces of meat. • When the operator hand‐feeds food into a chute‐fed slicer without using the proper pushing/guarding device or plunger. Case History #1 Two employees, an operator and an assistant, were using a meat slicer to slice turkey. The assistant was holding a box of turkey in a tilted position while the operator fed the turkey into the slicer. The operator removed the guard from the meat slicer because the turkey kept jamming. The slicer's knives caught the operator's glove and pulled his hand into the knives, amputating his finger just above the nail. Case History #2 An employee was cleaning a meat slicer that was turned off but was still plugged in. He inadvertently turned the machine on by bumping the on/off switch, resulting in an amputation of his right ring finger. Amputations resulting from work with food slicers can occur as follows: • • When the operator adjusts or services the slicer while it is still operating or while it is switched off but still plugged in, or energized. In the latter case, amputations occur when the operator accidentally switches the slicer on. When the operator fails to use the sliding attachment on the food‐ Page 1 of 2 | Food Slicer Hazards Safeguarding and Other Controls for Food Slicers The OSHA Machine Guarding Standard (29 CFR 1910.21) requires employers to protect machine operators from hazards created by point of operation, in going nip points, rotating parts, and flying chips and sparks. Any worker that can come in contact with any moving part of a machine, such as a blade, sprocket, or chain, or can be injured by a flying part must be protected by a machine guard. • Use warning signs to alert employees of the hazard and safety instructions. • Instruct operators to use plungers to feed food into chute‐fed slicers. For other slicers, they should use the feeding attachment located on the food‐holder. • Slicers should be equipped with a feeding attachment on the sliding mechanism of the food holder. Never place food into the slicer by hand‐feeding or hand pressure. • Employers should instruct employees to use a pushing/guarding device with chute‐fed slicers. Instruct operators to retract the slicer blade during cleaning operations. • Instruct operators to turn off and unplug slicers when not in use or when left unattended for any period of time. • Perform servicing and maintenance under an energy control program in accordance with the Control of hazardous energy (lockout/tagout), 29 CFR 1910.147, standard. Food slicers must be used with guards that cover the unused portions of the slicer blade on both the top and bottom of the slicer. Examples of secondary safeguarding methods, work practices and complementary equipment that may be used to supplement primary safeguarding or alone or in combination when primary safeguarding methods are not feasible: • • Develop and implement safe work (operating) procedures for slicers and conduct periodic inspections to ensure compliance. Ensure that all operators receive on‐the‐job training under the direct supervision of experienced operators until they can work safely on their own. Page 2 of 2 | Food Slicer Hazards NOTE: You can avoid slicer lockout/tagout if the equipment is cord‐and‐plug connected equipment, simply by having exclusive control over the attachment plug after you shut the slicer off and unplug it from the energy source.
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How should we direct your call?
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