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ANN ARBOR, Mich.—A University of Michigan study reports that patients with Graves disease had a significantly reduced risk of developing thyroid eye disease (TED) after taking statins or undergoing surgical removal of the thyroid.
The study, based on an analysis of healthcare claims data and published in the December issue of JAMA Ophthalmology, suggests that physicians may, for the first time, be able to modify their patients' risk for TED through medical or surgical intervention.
Individuals with Graves disease, an autoimmune condition characterized by overproduction of a thyroid hormone, often develop TED, which can cause bulging eyes, double vision, dry eye, and in some cases, vision loss.
"Previously, aside from recommending not smoking cigarettes, we did not know of ways to prevent TED from developing in patients with Graves disease," says Joshua D. Stein, M.D., M.S., a study author and health services researcher at the University of Michigan Kellogg Eye Center. "There are only a few known risk factors that can be modified, for example, smoking and exposure to radioactive iodine."
Stein and colleagues analyzed longitudinal health care claims data for 8,404 individuals with newly-diagnosed Graves disease. The data included the patients' diagnoses, tests ordered, medications prescribed, and surgeries performed. Of that group, 8.8 percent eventually developed TED.
The study found that surgical thyroidectomy (removal of the thyroid), alone or combined with medical therapy, was associated with a 74 percent decrease in risk for TED, compared with radioactive iodine therapy (RAI) treatment alone. Statin use for 60 or more days was associated with a 40 percent reduced risk for developing TED compared to less or no use of statins.
"We wanted to know whether medications or other interventions could keep patients with Graves disease from developing TED," says co-author, Raymond S. Douglas, M.D., Ph.D., oculoplastics surgeon and director of Kellogg's Thyroid Eye Disease Center. "Specifically, we investigated whether standard approaches for managing hyperthyroidism in Graves disease—anti-thyroid medications, RAI therapy, and thyroidectomy—altered the risk of developing TED."
The team chose to investigate statins, a drug class typically used to lower cholesterol, after reviewing recent studies showing that statins also reduce inflammation, which is believed to play a role in TED.
The study authors also say that several reports have shown that statins reduce fibrosis and excess connective tissue in the orbit associated with the eye disease.
While the findings are promising, the authors propose to conduct a clinical trial before recommending any changes in treatment. Stein adds that because all treatments have side effects, it will be important to learn whether statins or thyroidectomy offer patients with Graves disease benefits that outweigh the risks associated with these interventions.
Reference: Stein JD, Childers D, Gupta S, Talwar N, Nan B, Lee BJ, Smith TJ, Douglas R. Risk factors for developing thyroid-associated ophthalmopathy among individuals with Graves' disease. JAMA Ophthalmol. Published online December 11, 2014
Corresponding authors: Joshua D. Stein, M.D., M.S.; Raymond S. Douglas, M.D., Ph.D.
Additional U-M authors: Terry J. Smith, M.D., Shivani Gupta, M.D., M.P.H, David Childers, M.A., Brian J. Lee, M.D., Nidhi Talwar, M.A., University of Michigan Department of Ophthalmology and Visual Sciences; Bin Nan, Ph.D., Department of Biostatistics
Funding: This research was supported in part by a National Eye Institute K23 Mentored Clinician Scientist Award, the Blue Cross Blue Shield of Michigan Foundation, Research to Prevent Blindness, and the Bell Charitable Foundation.
Media Contact: Betsy Nisbet 734-763-1415


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My Blog
Posts for: November, 2015
Professional basketball player Lamar Odom is sometimes known as "the candyman" because of his notorious fondness for sweets. But when his sweet tooth finally caught up with him — in the form of a mouthful of decayed teeth — the six-foot-ten-inch, 230-pound hoops star admitted that he had been avoiding treatment… because he was afraid of going to the dentist!
It took two Kardashians (Khloe and Kim) and a painful toothache to finally persuade Odom to sit in the chair. Once he did, it was found that he needed a root canal, a wisdom tooth extraction, and several fillings. Yet the fretful forward sailed through the whole set of procedures in a single visit, and walked out with a big smile afterward. How did his dentists make that happen?
Put it down to the "magic" of sedation dentistry. With anxiety-relieving medications that can be delivered orally (in pill form or by gas) or intravenously (into the bloodstream), the techniques of sedation dentistry can help even the most fearful patients get the dental care they need. That's good news for about 50 percent of the population, who admit they're at least somewhat afraid of the dentist — and even better for the 15 percent who avoid dental care completely due to their fear.
Dentists have a number of ways to ease apprehensive patients through a dental visit. An oral anti-anxiety drug can be given in pill form about an hour beforehand. Nitrous oxide (sometimes called "laughing gas"), which is administered by a mask placed over the mouth or nose, may also be used to relieve anxiety. The calming effects of these medications help make any nervousness melt away — and in many circumstances, mild sedation is all that's needed to ease the fear.
For lengthier or more complex procedures, intravenous (IV) sedation may be recommended. Unlike deeper (unconscious) sedation, IV sedation doesn't cause "sleep." Instead, it puts you in a comfortable semi-awake state, where you can still breathe on your own and respond to stimuli… but without feeling any anxiety. And when the procedure is over, you probably won't have any memory of it at all.
IV sedation can be administered by dentists who are specially trained and equipped with the proper safety equipment. While sedation is being provided, you will be monitored at all times by a dedicated staff member; when it's over, you will rest for a while as the medication quickly wears off. Then (as is the case with oral sedation), you'll need another person to give you a ride home.
Does sedation dentistry really work? Lamar Odom thinks so. "I feel so much better," he said when his 7-hour procedure was over. "I feel like I accomplished something."
If you would like more information about sedation dentistry, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine article "Oral Sedation Dentistry."
While dental implants have become the most popular restoration among both dentists and patients, it's primarily a tooth replacement — either for a missing tooth or a tooth beyond repair that must be extracted. But what if your tooth is still viable beneath its unattractive exterior? From an oral health standpoint, it's usually wise to preserve it.
Even so, you still have options for making a tooth that's spoiling your smile more attractive. One of the most effective solutions happens to be one of the oldest in dentistry: a crown. In effect, a crown is a life-like replica made of metal or dental porcelain that's bonded over a tooth. And with today's advanced materials and methods a crown can not only enhance the appearance of the tooth it covers, it can also be made to blend with the color and symmetry of adjacent teeth.
Here are a few dental situations where a crown could provide both protection for a tooth and a more attractive appearance.
Chipped, Damaged or Abnormally Developed Teeth. Teeth often take the brunt of mouth injuries, resulting in chips or even fractures. Also, teeth sometimes don't erupt fully or develop a normal shape. A crown can effectively cover these missing or abnormal parts of a tooth and restore a more natural appearance.
Following Root Canal Treatment. Trauma or deep decay can damage the interior of a tooth - the pulp and root canals - and endanger its survival. A root canal treatment cleans out and repairs these areas, filling them with a special filling to prevent further infection. A crown is usually necessary to both protect the tooth and restore its appearance.
Discoloration. There's a difference between outward staining of the enamel, which can usually be brightened with whitening solutions, and staining deep within the tooth from various causes. While there are techniques to bleach "intrinsic" staining, a crown provides another option for covering a heavily discolored tooth for a more attractive appearance.
Excessive Wear. We all experience some teeth wearing as we age; but grinding or clenching habits can accelerate that wear and shorten teeth, resulting in a prematurely aged look. Crowns restore worn teeth to a more normal length that can take "years" off your smile.
If you would like more information on crown restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article "Crowns & Bridgework."

subset: commoncrawl


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Browsing articles tagged with " stylish gate"
Summer Decorative Wood and Metal 5 Foot Pressure Mounted Gate Contains Your Dog in Stylish Way
If you're looking for modern gate to keep your dogs away from dangerous area in the house, you should consider this attractive Summer Decorative Wood and Metal 5 Foot Pressure Mounted Gate. This is ideal gate to use to contain your dog in certain area, for example to keep the dog out of kitchen, you don't want your dog to get hurt. This gate is made from high quality wood and metal, the combination makes it pretty stylish, you can adjust it up to 5-foot wide for better security without damaging the wall.
Top 10 Popular Products
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- Samsung Smart Dog House for $30,000
- Super Pet Ferret Comfort Harness and Stretchy Leash To Walk Your Little Pet Safely
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A Few Words About Me
Kristen's background is in Elementary Education. She brings her dynamic personality and ability to multitask to the Artificial Artisans team.
Her primary responsibility is running the corporate office, negotiating and interfacing with both vendors and dealers maintaining and instilling the highest standards of customer service..
Professional Skills
What people think about my work
What a difference to our back yard! No more mowing, watering or hassles. What a beautiful upgrade to our home!
Artificial Artisans integrated our new pool and spa with a BEAUTIFUL putting green and landscape design. Couldn't be happier with their work, professionalism and creativity!
Looked around with other synthetic turf companies. Nobody had the creative vision of Artificial Artisans. Worth every penny!


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Thanks again everyone.
I tried to see the two hard drives using Media Toolbox Niels but they don't seem to register? What does that mean?
Sounds interesting Ken. How do I copy HD contents to RW media?
The initial reason is moot now as I have recreated what I was missing but it would still be nice to see what is on my old hard drives...


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Stuff and more stuff.
I have so much to do today including waiting in for someone to come sort my front door out yet instead of getting on with said things, I find myself browsing websites, reading blogs, watching Undercover Boss USA… procrastinate much?
I'm one of these people that's happiest when creating – whether that's with a camera, doodling, writing, producing new designs for The Doll House BUT I'm also one of those people that can't do those things when I have other stuff to do think housework, walk the dog, food shopping, pay bills so you'd think I'd do the 'boring' stuff first (with the exception of taking Mylo out which is fun and I love doing) then get on with the fun stuff but nope, I do neither. I drink coffee, watch crap TV and find videos to amuse myself on YouTube. Must change that. Motivate!
Very, very excited about new product lines for the Broken Doll Collective – we're branching out into… *top secret* things. Designs are being designed, supplies are being bought and then hopefully the two will be merged and put up online for the world to see and buy. We'll hopefully have them ready in time to be stocked in Chorlton Arts Festival Hub come March, we were one of 12 crafty crafters to have our items stocked in the shop just before Christmas and it was excellent. Chicita from Gimme That Thing arranged it (and is arranging this stint too) and I don't think anyone could have imagined the success it had, I know Chicita was thrilled with the turn out as were we and here's hoping March is a successful run too.
What else? (Yes, I'm putting off that imporant stuff!) Laura from I Hate Hiccups spoke to me about doing a film project for her blog. It will be funny cos honestly, she's funny. I don't know how her blog comes across to those that don't her but from someone who does, it has me laughing. My Mum called me up the other day laughing down the phone at Laura's post about buses. Laura moans, a lot, but has such a good way with words and creating a story that I hope those that don't know her get the full effect of the blogs too.
Ooh, also doing a funky photoshoot this weekend – one which requires me to get hold of a big fat cigar. I will no doubt be asked for ID when buying the big fat cigar despite being 29. I have a baby face and when people tell you it's a good thing – it's not. I'd quite like to look my age. I never have and maybe never will although I do have a fear that one day I'll wake up and instead of being baby faced, all the years of looking young will have caught up with me and I'll suddenly look 30 years older than I am.
I really have nothing else to bore you with, so until I upload the 365 days 25 and 26 later, I'll; bid you farewell!


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Her Majesty's Inspectorate of Constabulary has confirmed that it is carrying out a review of firearms licensing.
The review's public terms of reference, which have been published on the HMIC website, are:
This inspection will review the efficiency and effectiveness of the arrangements in place for managing firearms licensing.
We will examine how well:
- the governance structures work for firearms licensing at a national, regional and local level;
- the force understands and manages risk relating to firearms licensing on a 24/7 basis, including levels of awareness of firearms licensing-related risks among first responders and supervisors;
- the force learns to improve its firearms licensing including implementation of recommendations from national reports into fatal shootings by, for example, Firearms And Explosives Licensing Working Group (FELWG), Home Affairs Select Committee, Her Majesty's Coroners and Independent Police Complaints Commission (IPCC);
- Authorised Professional Practice and Home Office Guidance on Firearms Licensing Law (2014) is understood and applied by police officers and staff concerned with the firearms licensing process; and
- the force engages with stakeholders e.g., medical professionals, licensees, special interest groups, educational establishments and the public.
HMIC will visit a representative sample of police forces in England and Wales.
An HMIC spokesman told UKSN that the review would be published in early summer. There is no formal connection between this review and the Law Commission's review of firearms offences, which is focused on punishing the criminal misuse of firearms rather than the licensing system.
On the face of it HMIC's effort looks like a fairly benign review as far as shooters are concerned; while ACPO is dead, its FELWG sub-committee, which effectively held a legislative position as far as firearms licensing is concerned thanks to its self-appointed function of deciding what laws to enforce and how to interpret them, doesn't seem to be playing a big role here.
Neither do the public terms of reference mention anything about reviewing existing firearms controls. Of course, the public terms of reference and what happens behind closed doors may well be two separate things.
The only potential fly in the ointment is the mention of "stakeholders", particularly "special interest groups" and "educational establishments". There is virtually no anti-gun lobby in the UK of the sort that Americans would recognise, although there is a tiny group of four people calling itself the Gun Control Network* which pops up from time to time. The only educational establishment that comes to mind is Brighton University, whose anti-gun criminology professor Peter Squires used to call himself an "ACPO advisor" until UKSN asked ACPO exactly what his connection with them was. "None", was the thrust of their full answer, which UKSN keeps on file and is happy to provide to any shooter who asks.
*The GCN's four members are: Ex-Labour MP Bob Marshall-Andrews; his wife Jill, who got a taste for bossing people around as part of the Snowdrop Campaign in 1996; Peter Squires; and one Christine "Chrissy" Hall.
Despite, or perhaps because, of this pressure group's minuscule membership, it is on the radar of a number of broadcast media organisations which have a duty to promote a "balanced" view. "Balanced" does not mean "accurate"; rather, the basic thinking goes that every argument has a counter-argument and as such both sides must be presented, regardless of their obvious merits or lack of.


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When it comes to success, it's easy to think that people blessed with brains are inevitably going to leave the rest of us in the dust. But new research from Stanford University will change your mind (and your attitude). Psychologist Carol Dweck has spent her entire career studying attitude and performance, and her latest study shows that your attitude is a better predictor of your success than your IQ. Dweck found that people's core attitudes fall into one of two categories: a fixed mindset or a growth mindset. With a fixed mindset, you believe you are who you are and you cannot change. This creates problems when you're challenged because anything that appears to be more than you can handle is bound to make you feel hopeless and overwhelmed. People with a growth mindset believe that they can improve with effort. They outperform those with a fixed mindset, even when they have a lower IQ, because they embrace challenges, treating them as opportunities to learn something new. Common sense wou…
Research today is conclusive that smoking is the cause of a host of diseases and ailments that are not only chronic but also the leading cause of death in the Unites States. Whether you're a moderate smoker or a heavy smoker, in many cases, the risk of developing smoking-related diseases remains the same. This list will give you a picture of how dangerous smoking really is to your health.
List Of Diseases Caused By Smoking
1. Emphysema
Smoking can cause a series of lung disorders known as Chronic Obstructive Pulmonary Diseases (COPD). Emphysema is caused when a person has difficulty breathing due to the destruction of air sacs in the lungs. Healthy lungs have millions of tiny air sacs which fill with air every time you breathe in and help transfer oxygen into the blood.
Smoking causes the walls between these sacs to break down resulting is larger but fewer sacs reducing the quantity of oxygen reaching the blood. As the break down progresses, you might have to work hard to breathe, even when resting. This condition can only be treated and slowed down by stopping smoking but cannot be cured or reversed.
2. Chronic Bronchitis
Another common COPD among smokers is chronic bronchitis. Smoking can cause the airways to be inflamed leading to chronic coughing which can be seen in many heavy smokers. Chronic Bronchitis is a disease where the airways secrete abnormally high amount of mucous compelling the person to cough it out.
It is characterized by repeated bouts of incessant coughing which eventually blocks the airways with scar tissue and mucus leading to lung infections. While quitting smoking can help keep the symptoms under control, chronic bronchitis cannot be reversed.
3. Asthma
According to the American Academy of Asthma, Allergy, and Immunology, one in 12 people (about 25 million, or 8% of the U.S. population) have asthma, a condition where airways become narrow and inflamed, causing wheezing and hampering the ability to exercise.1
Smoking causes irritation in the airways increasing the chances of triggering a sudden and severe asthma attack. Pregnant women need to be especially careful as studies have shown that prenatal exposure is associated with three times the number of daily and night-time asthma symptoms later in the child's life, as well as nearly four times the number of asthma-related emergency room visits
4. Cardiovascular Disease
It's not just your lungs that are at risk. Studies has shown that smoking increases heart rate, tightens major arteries, and can cause an irregular heart rhythm, all of which make your heart work harder. Smoker causes your heart rate to increase when you are at rest and increase when you exercise.3
Unfortunately, there is no safety limit when it comes to smoking. Even light smokers are at risk of damaging their heart and blood vessels. Approximately 20% of deaths caused by heart disease have been liked directly to smoking. Also, women who smoke while on birth control pills and diabetics are at greater risk of heart attack
5. Cancer
Smoking can cause a variety of cancers in the body including lung cancer, which is the leading cause of death among cancer patients. Tobacco smoke is a toxic mix of more than 7,000 chemicals. The CDC links about 80% to 90% of lung cancers in the United States to smoking, classifying it as a number one risk.
Cigarette smoking can cause cancer almost anywhere in the body including cancer of the mouth and throat, esophagus, stomach, colon, rectum, liver, pancreas, voicebox (larynx), trachea, bronchus, kidney and renal pelvis, urinary bladder, and cervix.
6. Stroke
A stroke occurs when there is an obstruction to the blood supply to your brain. This causes the brain cells to die due to the reduced supply of oxygen. A stroke can cause disabilities such paralysis, muscle weakness, trouble speaking, memory loss, and death. The American Stroke Association states that stroke is the 5th leading cause of death in the United States.6
Smoking lowers your "good' cholesterol (HDL), damages blood vessels, and increases the build up of the buildup of plaque (fat, cholesterol, calcium, and other substances) in blood vessels. It also makes your blood more sticky and prone to clotting. Any of these conditions can significantly increase the risk of a stroke.
7. Crohn's Disease
Studies have confirmed that smokers are 2.7 times more likely to develop crohn's disease as compared to non-smokers. Crohn's disease is a condition marked by inflammation of the digestive tract; the intestinal lining becomes swollen causing severe bouts of diarrhea.
People who have Crohn's and smoke experience more frequent Crohn's symptom flares, such as abdominal pain and diarrhea. They're also more likely to need medication and repeat surgeries for their condition than nonsmokers with the condition. Researchers suspect that cigarette smoke damages protective mucous membranes in the digestive system, increasing the risk for inflammation.
8. Peptic Ulcers
Peptic ulcers are painful sores that develop on your stomach lining. Smoking increases the acidity of the duodenum (the first part of the small intestine immediately beyond the stomach) and makes it more vulnerable to H.pylori infection, a bacterium that is one of the causes of stomach ulcers.
Smoking also interferes in the upper gastrointestinal function causing reflux of the duodenal contents back into the stomach and reduction in the production of natural substances that protect the stomach and duodenum from tissue damage; both of which contribute to the formation of ulcers
9. Atherosclerosis
Atherosclerosis is caused when cholesterol, cellular waste, calcium and other fatty substances are deposited along the lining of artery walls. These substances constrict or in extreme cases block the flow of blood causing several issues including heart attacks, strokes, and hypertension.
Smoking is one of the major causes of atherosclerosis. The toxins in tobacco smoke lower the good cholesterol (HDL) while raising levels of bad cholesterol (LDL). The nicotine and carbon monoxide in cigarette smoke damage the endothelium, the inner surface of blood vessels, which sets the stage for the build-up of plaque.
10. Diabetes
Research tells us that smokers are 30–40% more likely to develop type 2 diabetes than nonsmokers. And people with diabetes who smoke are more likely than nonsmokers to have trouble with insulin dosing and with controlling their disease.
Diabetics who smoke are also more susceptible to serious complications like kidney disease, retinopathy (an eye disease that can cause blindness), and peripheral neuropathy (nerve damage in arms and legs). Most of these complications can be minimized by quitting smoking, following a healthy diet, and moderate exercise.
Though most people smoke to relieve themselves of stress, smoking puts an enormous amount of stress on your body. It directly and indirectly becomes the cause for several fatal illnesses and diseases which can severely compromise the quality of your life. It's not easy to quit smoking but the effort is well worth the returns.
I was diagnosed of Chronic Obstructive Pulmonary Disease (COPD) in 2012 at the age of 63. I had been a heavy smoker, my symptoms started out with dry cough and shortness of breath, i ended up in the hospital, on a ventilator. I should have known it was coming, but like most smokers, thought it would never happen to me. My COPD got significantly worse and unbearable because of my difficulty catching breath. Last year, i started on a natural COPD Herbal therapy from NewLife Herbal Clinic, i read a lot of positive reviews from patients who used the treatment and i immediately started on it. I had great relief with this herbal treatment. I breath very much better now, no case of shortness of breath or chest tightness since treatment. Visit NewLife Herbal Clinic website ww w. newlifeherbalclinic. com. This COPD treatment is a miracle!!
I have had emphysema for about five years. I was on oxygen during the day but not at night. I could go about two hours without the oxygen, and then I need it. I had a converter in the house and oxygen tanks for when I go shopping, etc. I am 64 years old and in relatively good health. The doctor said it was caused by a combination of smoking, dust here in Vegas, and 30 years of smog in California. I believed I will always need the oxygen to breathe. I quit smoking 15 years ago. But the damage has been done. January 2017 my pulmonologist and I decided to go with natural treatment and was introduced to Green House Herbal Clinic natural organic Emphysema Herbal formula, i had a total decline of symptoms with this Emphysema Herbal formula treatment. Visit Green House Herbal Clinic official web-site ww w. greenhouseherbalclinic. com. The infections, shortness of breath, fatigue, dry cough and other symptoms has subsided. I am very pleased with this treatment. I breath very well now and exercise regularly, sometimes i totally forget i ever had Emphysema, I am thankful to nature, the medics failed. Share with friends!!


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Rabbi Yisrael "Sruli" Motzen is the synagogue's rabbi. He attended Yeshivat Kerem B'Yavneh and is a graduate of Ner Israel Rabbinic College. Rabbi Motzen earned a Master's of Science in Counseling from Johns Hopkins University. He is the President of Libi Bamizrach, an organization dedicated to developing deeper connections with the land of Israel, and serves on the Rabbinical Council of America's executive committee.
Rabbi Motzen became the rabbi of the synagogue in 2012, only the third rabbi to serve the congregation since 1961, when the synagogue opened at its present location. Since joining the synagogue, he has introduced numerous Torah classes, youth programs, special events, and holiday programs. Join him on Shabbat for his increasingly popular sermons, which grapple with current events in and out of the Jewish community while emphasizing a positive and upbeat approach to Judaism.
Rabbi Motzen is joined by his wife Rebbetzin Hindy Motzen who has re-energized the monthly women's shalosh seudos, established a women's beit medrash, and runs the very successful B'nei Mitzvah Program. The Rabbi and Rebbetzin have four children – Tehila, Shlomo, Shira, and Riki.
Below (L-R) Rabbi and Rebbetzin Motzen
See what's new on the Rabbi's Blog
Life is sometimes too busy to find time to broaden our Torah-knowledge base. And yet, broadening our knowledge of Torah, our spiritual life-source, is too precious to let time get in the way. This blog is my idea of a compromise.
I will be posting sermons as well as the Daily Halacha – a two minute law that I teach every day after morning services. This way, whether you slept in, or are already on your way to work, you can still find time to connect to G-d through His Torah. So enjoy Ner Tamid from the comfort of your home, at a break from work, or while on the road.
Past Rabbis
Rabbi Chaim Landau
Rabbi Herschel Leibowitz
|Rabbi Chaim Landau served the synagogue from 1986 to 2011, when he retired and became rabbi emeritus.
|Rabbi Herschel Leibowitz served the synagogue from 1958 to 1985.


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Key Questions Answered
- What is a promising tool for addressing fragmentation in the health system and helping providers understand the patient's whole story?
- How does this tool work, and what is the evidence for its success?
Key Themes and Takeaways
This resource describes the Complex Care Map (CCM ©), a tool that addresses fragmentation in the health system and helps providers understand the patient's story. It was implemented in a quality improvement project at a Midwestern urban hospital for patients with complex needs.
- A clinical nurse leader created a Complex Care Resource Center, where tools were developed to identify causes of instability, all of the patient's providers, and drivers that could improve outcomes for the patient.
- The CCM© is linked to a pop-up alert that fires the first time a provider opens the medical record. It allows each provider to examine the history and considerations for care from the patient's continuum of providers. The CCM© captures the patient's story and surfaces considerations to improve delivery of care.
- The authors compared utilization, cost, social, and health care access variables for 12 months before and after implementation.
- On average, ED visits decreased 43 percent, inpatient admissions decreased 44 percent, and outpatient visits decreased 17 percent. Moreover, patients with housing increased 14 percent, those with primary care increased 15 percent, and those with insurance increased 16 percent. Costs also declined.
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Promising Evidence
Uploaded to The Playbook


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In a nakedly political move designed to ease election year pressure on Democrats the Obama administration has delayed, yet again, another aspect of the Affordable Care Act (ACA) and again the Big Three networks have barely covered it.
The White House's March 5 announcement that they would allow insurers to keep offering health plans that don't meet ObamaCare standards was granted a total of just four minutes and 33 seconds on the ABC, CBS, NBC evening and morning shows. And while all three networks commented on the election-year timing of the announcement, not a single anchor or reporter depicted the move as the unconstitutional end-around Congress that it is. [video after the jump]


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The Homecoming has happened. I'm returned to the Folly after my Nepalese ticket of leave and I'm overjoyed to be home. The dream happened, I walked a long way in places it seems unlikely I'll ever go back to and I pondered the shape of the world in that way over yonder place. It was fun, it was hard, it was thrilling and it was thunderously repetitive. Plod, plod, plod. All of these were gifts and each day I concentrated very hard on the acknowledgement of my blessings, and accepting each day as a wrapped present completely unexpected and unknown. This approach never let me down.
Kathmandu may be an interesting city though I saw no mountains and no hills nor the sky or the sun while in Kathmandu despite it being a valley. It was a dull grey above, and stayed that way whenever I was there. Thamel, the tourist district, was one of those performances of indigeneity/autochthony like Balinese puppets or Masai jumping or whirling dervishes, you knew it was a simulacrum, a covering for how people actually live and work and make choices but it was their chosen covering, and I sensed it was their protection too. So I never punctured it in Kathmandu or made any attempt to do so.
I turned away from lots of the performances: sadhus with pumpkins tied to their dicks, the rickshaw drivers, the girls girls girls touts, and so on. But I gave ground to the choices made exclude the goras from the real life of Kathmandu. There were good things: Indian television has a lot of cricket on when there was electricity, there were lots of little bakeries selling little cakes, and millions of dogs and ravens, and the best bunch of second hand bookstores I've come across. But mainly it was a performance, a screen behind which real life may have been occurring. It was rather like the doctor examining his wife through a holey sheet in Midnight's Children.
The walking was awesome, I found myself breathless with more than altitude. I wouldn't put two big walks back to back again; I would limit myself to two to three weeks simply because energy levels really start to fall and fall fast in the cold. I lost two days through the cold snap which apparently had old people freezing to death in Uttar Pradesh but I was pretty relieved to call it quits. By Kyangjin Gompa I was thinking every stair was the start of the stairs of Cirith Ungol and my legs were (to put it modestly) fading fast. So when it was suggested that a safety margin regarding the wind and cold was necessary I went with it and felt that what I'd done was enough. Besides I was hungry and, frankly, still am.
The walking day was generally 5-6 hours and that was enough, three before food and three afterward. After six hours the level of concentration drops off rapidly and the risk of screwing the pooch increases in line with the drop in thinking about where you are what you are doing. This made a considerable amount of difference at altitude and even more if the day had been spent going uphill. Most of the time we seemed to be going uphill and it was hard yards sometimes, my fitness and endurance were adequate but only just I was surprised to find, though I lost about 8kgs over the time and am feeling very strong now back at sea level. The before and after pictures don't look too different, at least not to me.
Annapurna was the big show and I could have happily come home after that, and was quite keen to do so but having gone all that way… At any rate it was a lot of walking and I feel pretty chuffed I didn't fuck it up or get AMS or lose my passport or run out of cash halfway or any of that shit. I walked it, and kept going and was hardcore entranced for most of the time. The mountains, the mountains: I was like a little kid overwhelmed by their bigness, their white peak-ness and their capacity to eat the sky, it was a romance that didn't extinguish itself at any point of the journey. Even the shittiness of altitude couldn't beat down the volume of my heartsong when they emerged from behind the trees, or the clouds or from wherever they'd been hiding. The rivers too were completely compelling, such noise, such power and speed. I could see why Himalayan rivers are the big time for white water guys, they moved rocks the size of buses.
The countryside I found completely agreeable except for it being so fucking cold. I never knew such cold. I shivered a lot, sometimes even when eating or walking. But the tea houses and the lodges were pretty fun and I saw a lot more of people living while on the trail: kitchens and hearths and sinks and TV rooms and kids and grumpy facebooking teenagers. I liked that very much. But after a few dozen kitchens, a handful of toddlers with runny noses, and watching a vast cohort of facebooking Nepalese teens I began to long for my own. Right now I'm stoked to be back in my own iteration of domesticity.


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Santa at the Showcase!
Christmas came early in Georgetown this year as the 2017 RiseUp Tournament Series Holiday Showcase was a jolly ol time for all! Teams as far north as Waco, as far south as San Antonio and every city in between was represented at the most prestigious Winter event in Central Texas! The San Antonio Lady Hoops 5th, 6th and 7th Grade girls drove over 75 miles north on IH-35 and stole the show sweeping all three girls divisions as they dominated the competition. Coach Antonio Holmes really has his programming rolling as his top 5th and 7th grade group are two of the top teams in the State.
On the Boys side in the 4th/5th Grade division the Round Rock Rim Rockers were in a class of their own as they dominated the tournament with their physical inside play. Their do it all big man was a force both inside and out as he proved to be unstoppable. There was no team that had an answer for him all afternoon. In the 5th grade division, the Cedar Park Celtics faced a strong, disciplined Centex Attack group led by Coach Carmelo Lee in the championship. This was a very close game as both teams went back and forth but Coach Melo and the Centex Attack proved to be a little too much for the Celtics as they squeezed out a 5 point win to take home the chip. In the 6th Grade Gold Division two of Central Texas well known programs faced off, Coach Kerwin and his gritty Life Prep Elite boys and Coach Adrian with his top Texas Warrior Elite Group. Although, they had a good strong run to the finals, Life Prep Elite was no match for the Warriors as this squad looks polished in all areas of the game. They execute at a very high level both offensively and defensively, they can handle pressure well and they can run with the best of them. I look for great things out of this group in 2018. Kuddos to coach Adrian for putting together this star studded group of big time future prospects. In the 6th grade boys silver division the Los Lobos take down the Cedar Park Rangers 50-35. It what was a much closer game than the score would indicate. The Rangers made it to the final by winning a nail biter in a gritty win against the Havoc earlier that day. Congrats to the Lobos for a strong performance. In the Bronze division the Texas Warriors Elite Black team was in a league of their own and definitely outclassed the competition. This team is better than advertised and will surprisingly win some games against some top ranked 6th grade teams in the future. In the 7th grade Boys Division the ATX Knights faced off against the Freddy's Ballers out of Waco, TX. The Ballers cruised to the finals with their first two wins being 20 points victories. The knights on the other hand had a much tougher road as they won a close game against the tough Texas Warriors team. In the championship game it went back and forth as both teams made their runs but in the end the Knights experience proved to be the x factor as they pulled out a 7 point win in the chip against the Ballers. Finally, in the 8th Grade division, in proved to be the most balanced division in the tournament in pool play with all the pools going to a tie breaker, the Waco Texans met up with the CTX Heat team led by Coach Johnny Bell. This game was a no contest as the Waco Texans pressured the Heat and turned them over most of the game. The Waco Texans won big in the finals claiming their first holiday showcase championship in a big way.
As the lights went down on the holiday showcase, 55 teams showed up but only 10 left as champions. What a weekend it was and what a great event! Thank you to all of the teams who made this event possible. We look forward to seeing you at the TipOff Classic at the end of March!


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Confronting Power, Considering Possibilities: Why Asian American Cornell students have no excuse not to be at ECAASU 2018
Last year at this exact time, I was immersed in dynamic crowds of Asian American college students from every campus imaginable on the East Coast. Forty years ago, a collective of Asian American college students came together at Yale University and decided that a conference led by and for Asian American college students on the East Coast was necessary for mobilizing a scattered Asian American community. Along with other Cornell University students, I traveled to North Carolina for the 2017 East Coast Asian American Student Union (ECAASU) Conference, where I found a space dedicated to examining a multitude of issues related to racism, transnational and transracial adoption, representation, invisibility, and history. It was not until I witnessed the on-the-grounds work of the 2018 ECAASU Conference Team, to be held at Cornell on March 2nd, that I truly realized how much intense imagination, work, and commitment was required to create that very space I attended last year.
I try to imagine how much cumulative passion and effort were put into the now 41 ECAASU conferences, how many hundreds of thousands of young Asian Americans came together to envision better futures, and I am overwhelmed by the sheer collective energy these 41 years of conferences must have channeled into the world. Although the vision underlying the ECAASU conference and unimaginable possibilities that will inevitably come out of the conference truly are powerful, I know that it takes daily hands-on-work for months leading up to the conference by my fellow peers. And so I set out to interview the core, soul, and base of the 2018 ECAASU Conference team to understand the challenges and deep reflection required in planning such an immense cross-campus event. I talked candidly with Conference Director Jeremiah Kim '19, Co-Directors of Programming Michelle Zhao '19 and Eunnuri Yi '20, and Programming Team Member Alice Li '18, learning not only about the vigorous work required to make the conference happen but also why the 2018 ECAASU Conference is one that students will truly regret missing if they so choose not to attend.
Cognizance of continuum
Asian American Studies Program: Most people would say that the hardest parts of planning an ECAASU conference are 1) logistics and 2) theme. Tell us about your process of brainstorming and choosing a theme. What was important to you all in choosing the 2018 theme of "Continuum: Power Through Perspective"?
Jeremiah Kim: The conversation during which we chose the 2018 theme included 1 or 2 members of former 2008 ECAASU Conference Team members/Cornell alumni. We were mindful of these longstanding legacies of organizing and community-based education at Cornell, especially given the tradition of hosting ECAASU every 10 years. It was fruitful, then, to think of ourselves and our conference as a continuation of past conferences. We're also building the foundations for future conferences! It's all connected. At the same time, the election of Donald Trump was looming over a lot of us as this big, terrible, inconceivable thing; we realized how crucial it was *not* to divorce ourselves from history. If we took Trump seriously, we also had to take all that he represented—racism, xenophobia, capitalism, sexism, materialism, imperialism—as immanent to US history. These are structural problems that Asian Americans have dealt with before 2018, and they'll continue to deal with them long after 2018.
AASP: Like Jeremiah just mentioned, a big part of this year's conference identity stems from the fact that Cornell University is bringing ECAASU back to this campus for the 4th time. How has that influenced the decisions that you all make and the pressures that you all face?
Alice Li: The conference directors have done a great job at shielding team members from the immense responsibility that comes from the history between Cornell and ECAASU. Logistically, they have broken down large abstract concepts into manageable tasks for the whole conference team. In facing the pressures of meeting deadlines and maintaining quality, it has been important for me to look towards my team members for support and guidance.
Eunnuri "Nuri" Yi: I think we (or at least I) feel a little bit of pressure to live up to the past, especially since the 2008 conference was so successful— over 1200 students attended, the Cornell Asian and Asian American Center (A3C) was born. How could 1200 extra students fit on Cornell's campus? Where did the conference team even put them?! Because of this strong precedent, I really want the conference to be grounded in that history. At the same time, instead of only being weighed down by the legacy, I think that I take strength in looking towards the future. Ten years from now, I take hope from imagining that a new generation of Cornell students will be panicking about this conference. Michelle [Zhao] and I decided that Google Drive will hopefully still be around, so we're documenting the process and our thinking the best we can. We're whimsically hoping to carefully archive our work for this imagined future generation of Cornell kids to find, since it was so fun for us to dig up the 2008 ECAASU Push Forward t-shirts, banners, and floppy disks. We're taking strength and excitement from continuing this legacy so that future students just like us will be able to build off from our own work.
AASP: You all emphasize the long history of ECAASU conferences— how do you feel ECAASU 2018 is different from all of the other infinite ECAASU conferences that have been hosted in the past 40 years? And how do you want ECAASU 2018 to be different?
Jeremiah: I've only been to one other ECAASU conference before, so the biggest difference that I anticipate is that it'll be a lot colder than 2017's conference [in North Carolina]. Also, our conference will have opportunities to explore certain topics that I *feel* haven't been fully fleshed out at past conferences, thanks to our creative committee's incredible research and selection process, the marketing/outreach committee's excellent job of motivating people to come, and the logistics committee's awe-inspiring ability for making all of this possible.
Michelle: I'd like to believe our conference is more ~radical~, but I'm not sure how to measure that in comparison to past conferences. I just know that Nuri and I have been dedicated to pushing the content of this 2018 conference, confronting systems of power that students may not be familiar with challenging, and more widely expanding our imaginations of what kind of justice can be achieved.
Alice: Like Jeremiah and Michelle said, with every year, certain issues are brought to the forefront and others lost. ECAASU 2018 is different because of the set of events that have gained prominence within the last year. Large amounts of individuals from Asian American communities and other communities of Color are beginning to recognize the work that needs to be done and are seeking to learn from those who have been doing immensely important work within our communities. ECAASU 2018 is a place to form these connections.
My goal is to get people to start questioning the conventional values, norms, and stories that we usually assume are "common sense."
- Jeremiah Kim, 2018 ECAASU Conference Director
AASP: We've been intrigued by what exactly your logo and branding mean. What's up with the wave logo? What's up with the designs similar to the "THANK YOU" Asian takeout food plastic bags?
Jeremiah: The wave! When we envision a wave, we can choose to look at it either as a single event, or as one moment captured out of an endless cycle of events taking place in an infinite plane of many, many events colliding, intersecting, overlapping, and mingling. Basically, a wave is evidence of a pattern; it's only in relation to other waves that one wave begins to make sense. And it's the same way with our conference! In a sense, we don't want to single ourselves out; we're simply furthering and expanding the framework that has already been set by previous generations.
About the THANK YOU plastic bag motif: If I'm going to be honest, this was sort of an accident (ie, the result of messing around on Photoshop). BUT, sometimes accidents can lead to good things! One interpretation of the motif is that the repeated ECAASU's represent the succession of conferences at Cornell — so three outlined ECAASU's before the filled in ECAASU, and three ECAASU's after. Another not mutually exclusive interpretation is that the design harkens to Asian takeout plastic bags. Asian Americans have historically been racialized and classed as a disposable or surrogate labor force. Rather than refute these narratives by trying to prove our instrumentality to mainstream American culture, what if we chose instead to dwell at the margins of society? What if we chose to see trash as beautiful? And I don't mean that in a metaphoric sense.
Activating a wave
AASP: W.E.B. DuBois starts his incredible work The World and Africa by saying that even if his whole book ends up with false conclusions and inevitable factual mistakes, he will feel good to know that he stated a history that proves Black people of the world are just as human as all other people. So now we turn this question to you all. Even if this ECAASU conference inevitably has small and big hiccups, maybe some devastating mishaps, what exactly are you intent on making sure is communicated to attendees, and what do you want all attendees to walk away thinking?
Nuri: I haven't started reading The World and Africa yet! I really want attendees to walk away thinking: "Dang, these people cared, and they really tried!" We are trying to put on a conference with integrity, to congregate people in a space to learn and discuss — and I think that's reflected in the choice of speakers and performers, in the structure of workshops and caucuses, and in our conference theme.Even if there are false conclusions or mistakes within our political message, more than anything, I want people to leave caring about each other because of all of the hard work everyone on the conference team has put in. I'd want more than anything for our work to stimulate growth in ourselves and attendees through this conference to be respected and appreciated.
Jeremiah: Given ECAASU's apparent reputation as a social event, our number one goal is to simply get people thinking in the first place! But to go even further, my goal is to get people to start questioning the conventional values, norms, and stories that we usually assume are "common sense." This goes from how we participate in the current educational system in the US, to how we approach gender, to how we formulate our hopes for the future, to how we see ourselves (people vs students? individuals vs members of a community?). In an ideal world, every attendee will walk away from the conference thinking to themselves, "What are some issues that I can teach others about based on my own experiences? What are some issues that I can learn from others about based on their experiences? How can we work together to create something out of our shared struggle that's bigger than any one of us as mere individuals?"
Alice: This goes along with what everyone else said, but I want to make sure that attendees know that there are people out there that care about the world and the problems various communities are facing. These people are actively taking steps to improve conditions for all of humanity and any attendee can be a part of the relationship and community building that is necessary to change conditions.
AASP: Choosing to be a core part of planning ECAASU is a serious commitment. Seeing you all go to all these meetings and send innumerable emails make planning seem like an unpaid full-time job. What drives you all to push through and plan the conference?
Nuri: To be honest I've realized some time in this process that I mostly hate meetings and emails, so I've actually formulated a response to this before you even asked this question — which is that though it's easy to get lost in the murkiness of logistical detail, I've grown to really care about everyone else who's also working on this conference. I believe in these fellow people also putting in time and energy into ECAASU, and so it's a positive feedback loop. Seeing other people's commitment to this conference and its ideals, their investment in fulfilling all of its potential — that gives me a lot of motivation when I'm tired or if I don't believe in myself.
Alice: Many of my comrades on the ECAASU 2018 team are my friends and seeing them trudge through the often never-ending cycle of tasks to be done despite existential crises and seemingly unending nights reminds me that we're all in this together.
Jeremiah: We're all carrying this load together. We're all stressed together. We hold each other accountable, but we also hold each other up when one person loses their footing.
Michelle: I don't want to quit on the conference directors, the other members, and myself. Sometimes I feel overwhelmed about club commitments or jaded by other people's lack of gratitude and appreciation, but we all continue to keep chugging along. ECAASU has been a faith-restoring experience. It has reminded me of the goodness that we can all feel when everyone pulls together as a team. I also really want to get Bambu [the rapper] here, and even though there are logistical challenges, I am darn committed to seeing Bambu in Ithaca!
AASP: Why is ECAASU meaningful to you?
Michelle: Wow, you've got me in the reflecting mood. ECAASU straight up was the gateway to everything that I really love about college: I met Emily [Dong] through it, then Jeremiah, got closer to Alex [Ma, Co-Director of Logistics], met Nuri, got a little more involved in Asian Pacific Americans for Action (APAA), and became so good at writing e-mails (I don't love this about college, but it is a side-outcome). I have met all these people who are acting with an underlying motivation of self-improvement and education that is refreshing. I don't think that my path would have necessarily crossed with all of these different crowds under the Cornell Asian Pacific Islander Student Union (CAPSU) umbrella if not for ECAASU. Also, joining the conference team and saying that I'm a part of it out loud for the 1.5 years have shaped my coursework trajectory. Look at me! I'm in deep with the Asian American Studies Program (AASP)— that's a big one. ECAASU anchored me to this space and brought me out of labor-focused classes at ILR for once. ECAASU widened my road here and has brought me closer to some kind of alignment of values and actions. I think it's pushed me to be more reflective, decisive, intentional, and proud of myself. Michelle! Zhao!
AASP: What has been the biggest challenge of planning and executing ECAASU?
Nuri: I'm a sophomore, and technically this is my first college leadership position, so I've had a lot to learn. There's an unimaginable amount of logistics and coordination required as well as leadership, so I think it took me some time to grow used to this level of work.
Jeremiah: The pressure only builds. It never decreases. There's always more to do, more to keep track of, more check off the to-do list, more to add to the to-do list.
Michelle: Time management. Overcoming anxiety about tasks ahead and just pushing forward. I've needed to overcome shyness and instead develop some sense of assertiveness. Believe me, one big thing is discovering diligence— I have always struggled with diligence.
AASP: As we reach the one week left mark for ECAASU 2018, what has been an assumption you've made about planning ECAASU that was proven wrong?
Jeremiah: That we would have [insert task] done by [insert date].
Michelle: That I would get contracts signed by 2018.
AASP: On the other hand, what has been the biggest lesson that you've learned from planning ECAASU?
Nuri: Accept that some things are kind of out of your own control because they're bigger than you. You just have to find ways to adapt, make do, or improvise... or just cope!
Jeremiah: Don't be afraid to ask others for help. Alternatively, don't be so conceited as to not ask others for help.
Michelle: STRONG, SUPPORTIVE, GROUPWORK - accountability to other people - respond to your messages heh.
Alice: It's an immense amount of work planning a conference! There's so many gears moving at a single moment. I'm always amazed by how much everyone is doing!
AASP: Lastly, wow! You all have done so much work just to make this conference happen. How do you all manage to be students, humans with human needs, and a core part of planning such a large conference?
Nuri: At least so far this semester, I've been sleeping fairly early and consistently (before 2:00 AM!), because I realized I have to take care of my body and absolutely can't afford to get sick before March 3rd. If I don't force myself to be intentional about it, the stress could take toll. I think a big part that helps is that we're pretty good friends, too. Michelle and I keep each other in the loop about everything in Creative and usually bounce thoughts off of each other about what we need to do. We support each other with everything else in our life, which always makes me feel better. Inevitably, ECAASU is our life now, so at least it's something that's shared among us. Also, I think that I have many good humans around me who are all very supportive and funny.
Michelle: I get a lot of support, reassurance, and life-affirming motivation from the people on the conference team. Nuri and I have grown especially close, I never fail to appreciate how quickly Alex responds to my frantic messages on fb messenger, Anna [Tedijanto, Co-Director of Marketing and Outreach]'s optimism, Juliana [Hong, Co-Director of Marketing and Outreach's inquisitive nature, Becca [Lee, Co-Director of Logistics]'s responsibility and good humor, and Jeremiah's care and attention to this whole shindig. So much care. He also makes killer graphics. ECAASU has made me appreciate other human beings even more than before, and I just want to celebrate them.


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What's Been Said about K D N Y!
Not Much Up "was clean and sharp, geometric and postmodern, sleek and stoic. It was a thrill to watch."
Kevin Giordano, Dance Magazine
"By far the most enjoyable evening I've spent at Fringe/NYC…her witty recombinations…add color and texture to the evening and ground each piece in a specific reality."
Tim Cusack, nytheatre.com
"Ms. Dyer made her dancing angels look happily awhirl and agog. They swept onstage in breezy buoyant surges, and retreated in gentle ebbs of movement."
Jack Anderson, New York Times (2000)
On Chaingers: "These moments, nicely wrought, exuded a truer sense of connectedness. …And the vocabulary allowed the dancers to showcase their technique while they suggested a unity."
Kevin Giordano, Dance Magazine
"KDNY offered wit and substance…Attending Kinneely was certainly quirky….they gathered in formation with big sweeping movements…Complex and layered images erupted at surprising moments…"
Margaret Putnam, Dallas Morning News
"The near capacity crowd…showered the dancers with rousing applause….Dyer mixes vigorous athleticism with plenty of nuanced and quirky moves."
Jeanne Claire van Ryzin, Austin American-Statesman
"Dyer's sense of humor infected East Whistwaddle Ladies most thoroughly. In tiny sharp movements-like little shakes of the head – Dyer brims with personality."
Clare Croft, The Washington Post
"The five women performed a super-energetic, athletic…terrific individual phrases…[giving] each individual performer a chance to excel. Flowers on the Table by the Open Window was the highlight of the program…a psychological portrait of women."
Suzanne K. Walther, Magazine.art
"Canon of the Fates played on the idea of a thread unraveling…three dancers…spinning against each other, much like living spools."
Brita Brundage, Fairfield County Weekly


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The HTC mobiles are now going to top up point of selling graph. The HTC mobiles are mostly very demanding. The mobile company has lots of smartphone series mobiles in India and now the company has planned to launch many other devices. The HTC Sensation XE is popular smartphone which gets Android ICS OS update by the end of March. The HTC Sensation XE price in India is tagged at Rs. 30,999. The HTC Sensation XE pictures are showing that the device comes with touchscreen display.
The HTC Sensation XE features an S-LCD capacitive touchscreen display which is delivering 16M colors pictures. The display has 4.3 inches display and HTC sense UI, multi touch input method and touch sensitive display features. In this device 2GB internal memory and up to 32GB expandable external memory via microSD card is available for more data storage. The HTC Sensation XE has Wi-Fi 802.11 b/g/n and DLNA, WLAN connectivity, Bluetooth v3.0 with A2DP and 3G wireless connectivity features for best wireless service to connect other device. The handset is enabled with 8.0 mega pixels camera with Dual LED flash, Geo-tagging and face detection features and VGA camera for video calling service.
The HTC Sensation XE runs with Android v2.3.4 Gingerbread which will soon be coming with update at v4.0 ICS OS. The device has 1.5 GHz dual-core processor, Adreno 220 GPU and Qualcomm MSM 8260 Snapdragon. In this Smartphone FM radio and multimedia system service is available which are offering best entertainment with 3.5mm audio jack and loud speakers. Messaging activity of the HTC Sensation XE is offering best text messaging service, multimedia messaging service and Email messaging service. The Li-Ion 1730 mAh battery of the device is offering talk time up to 9.16 hours for 2G and 7.20 hours for 3G.


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Welcoming a new baby into the world is a life-changing event, an event that leads to a rollercoaster of emotions. New parents are unbelievably excited to meet their new little one and are in kind of a bubble of happiness when she first arrives. A bubble that feels like nobody or nothing can pop.
When the parents are still in the hospital, they stare at their little one with awe and wonder, and they marvel at the adventures that await… And then suddenly, before they know it, it's time to head home, with their newborn baby in tow, and while they are still excited, the realization that they are now completely and 100% responsible for that little being starts to set in.
Their excitement and happiness starts to become mixed with fear and trepidation. When they arrive at home and are all alone – just mommy, daddy, and baby – they may feel that happiness bubble that they were in starting to slowly leak as they start to understand just how challenging having a new baby can be.
No matter how many baby and parenting books they have read before the little one arrives, no matter how prepared they think they are, many new parents are smacked in the face by the stark reality that is having a baby.
Yes, it's wonderful, yes, it's amazing, and yes, it is can be difficult. Trying to get the hang of the whole parenting gig and sleep deprivation can lead to a lot of bloopers – especially during that first week home with the baby. Some of those mistakes can be comical, and some can be downright dangerous. Here's a look at 15 of the dumbest things that people have done during their first week in their new role as parents.
Yes, a bed filled with pillows and blankets seems like absolute heaven for an adult, however, for a newborn, it can be downright dangerous.
A bassinet or a crib filled with blankets, pillows and plush, friendly stuffed animals may look cozy and comfortable, and baby may look absolutely adorable lying in a bed with all of these things, that sleeping space can be extremely hazardous. Heaven forbid she pulls the blanket up over her head or she rolls over while she is sleeping (yes, a newborn may roll over) and pushes her face up against a pillow or stuffed animal and can't breathe!
One of the leading causes of SIDS (Sudden Infant Death Syndrome) is allowing a baby to sleep with loose items. Blankets, pillows and stuffed animals can all cause suffocation, which is why medical experts warn against these and other loose items in a bassinet, a crib or any other space. Despite the warnings, however, many new parents still allow their newborns to sleep with these items.
Parents who bottle feed their babies often make the mistake of putting the bottle in the microwave to heat it up. This is a big no-no!
Of course, baby is going to want to drink a warm bottle, but heating it up in the microwave is a bad idea. Whether it's pumped breast milk or formula, putting it in the microwave is a bad idea for two reasons:
Instead of microwaving the bottle, place it in a bottle warmer, or a bowl or pot of hot water for a few minutes. And, always, always test the bottle out before giving it to baby to make sure it isn't scalding.
If you haven't heard of the back to sleep campaign, then you're most likely a new mom. This campaign has been running for years in an effort to teach new parents the dangers of SIDS and what causes it.
Back is best for babies, not only when they are sleeping, but whenever they are lying down and are not being closely monitored (mom has to take a quick shower or use the bathroom and can't hold the baby, for example.)
Research has found that placing newborns on their backs significantly reduces the chance of SIDS. When they are placed on their bellies, there is a much greater change that they could smother themselves. Yes, they should certainly have tummy time, but that time should be closely monitored to ensure that little ones are safe.
This is a mistake that parents of all experience levels – new and veteran – do: Strapping little ones into car seats incorrectly.
While new parents may not be taking many trips during the first week of baby's life, they may have to get in the car to go to the pediatrician, for example. When it comes to strapping baby into the car seat, there is a right way and a wrong way… The buckle that secures the five-point harness should be placed over the rib cage, not over the belly.
Because heaven forbid there is an accident, the rib cage will protect the vital organs from the pressure of the buckle. If the buckle is placed over the belly, there is a greater change of internal damage in the event of an accident.
Nobody is saying that new parents should become hermits and that their babies must be indoors all the time. However, it is wise to use caution when taking a newborn out into public.
Their little immune systems are practically non-existent, which means that newborns are much more susceptible to illnesses. Taking a baby out and about the first week (say, to a restaurant, a mall, or even to a grocery store) isn't the wisest idea, yet many new parents do.
Sure, new parents can go out for a stroll around the block (it's good for everyone, including baby,) but going out to a place where there are a lot of people and a lot of germs increases the risk that baby will come down with something. And, even something as simple as a common cold can be devastating for a newborn.
Nobody wants to sleep more than new parents, but sleep is truly a luxury and something that many new parents will not be able to enjoy, for quite some time, anyway.
Why are new parents so sleep deprived? – Because newborns don't understand the difference between night and day, and because they eat every few hours. Hence, just as the new mom and dad are drifting off into dreamland, the baby wakes up and needs to be tended to, which means that mom and dad aren't going to be getting a lot of solid sleep.
Though there is a lot of controversy surrounding sleep training (some people swear by it, while others think that it doesn't work and is cruel,) if it is something that parents want to try, it should definitely not take place until the baby is several months old. Trying to sleep train a baby that is only a few days old will not only prove to be unsuccessful (newborns just do not sleep for long stretches, and only time will change that,) but it can also be harmful for baby.
Expectation are completely normal for all parents – both new and experienced – to want to feel like they are succeeding at the whole parenting thing. In order to feel accomplished and successful, many parents put too many expectations on themselves. Doing so isn't a good thing for any parent. However, for new parents, expecting too much of themselves can spell disaster.
Taking care of a newborn is a major undertaking in and of itself, adding anything else to the list can make things really challenging. Expecting that they are going to be able to get a routine mastered in just one week, as well as keep the house neat and in order, and tend to other things can make a new mommy and daddy overwhelmed, frazzled, and just miserable.
Welcoming a new baby into the world is a life-altering event. It takes quite a bit of getting used to, and it requires a lot of attention, patience and dedication. However, many new parents make the mistake of trying to do too much the first week after the baby is home.
In addition to caring for the baby, mamas are recovering from childbirth, and dads have a lot on their plates trying to take care of their recovering spouses' and their new babies. One of the dumbest things that new parents can do, especially the first week after having a baby, is try to do too much.
Calendars shouldn't be full of things to do, and plans should not be made (except a visit to the pediatrician) during that first week. The only things that new parents should really try to do is care for the baby and try to get used to their new role.
For many new parents, it can be difficult to accept help, especially for parents who like to be self-sufficient and are real go-getters. Some couples feel like accepting help is like saying they're not capable of looking after their own child, but to anyone on the outside that's hardly true at all. However, there does come a time when everyone needs a little help, and having a newborn is one of those times.
New parents often turn down offers for help, thinking that they can do it all, and to be frank, that's just dumb. Whether it's letting grandma hold the baby so they can nap or shower, or it's allowing an aunt or a friend cook dinner and clean up the house, help is an offer that all new parents should take advantage of. Having a newborn can be challenging, so new parents: Don't be silly and turn away the offers; accept it with open arms!
For some reason, many new parents get caught up with this idea that they are supposed to be absolutely perfect, and they feel like other people are constantly watching them to make sure that they are, well, perfect. And thanks to social media, now more people are watching than ever before.
Despite being absolutely exhausted, the whirlwind of emotions, the chaos and the absolute insanity (there really is no other way to say it) that being a new parent can be. So many people try to maintain this idea of perfection in order to appease others. To create the illusion that everything is, in fact, perfect, new parents will straighten up the house, prepare a big spread and make sure that everything looks magazine-perfect before someone stops by to visit…
Listen, caring too much about what others think isn't healthy, and to be honest, it's kind of dumb. The only opinions new parents should care about are the baby's (and a newborn doesn't have much of an opinion,) and each other's.
Reading, singing, tummy time, mobiles… Yes, stimulation is a good thing for babies, as it aids their cognitive and physical development, but many rookie parents make the mistake of over-stimulating their babies, and they can start doing so the first week the baby is born.
Nobody is saying that there is anything wrong with stimulation, but there is such a thing as too much – especially for newborns. During that first week of life (the first several weeks, actually,) there is so much the world that surrounds a baby is stimulating in and of itself.
She is trying to get acclimated to her surroundings, her parents, eating and sleeping. She is trying to figure out what those things are at the end of her arms and legs. Heck, she's trying to figure out what hands and legs are! Add much more to the mix of the busy world around her and a newborn can get over-stimulated and it may be too much for her to process, which can lead to irritability and an unhappy, unsettled baby.
There is something about a newborn baby that people can't resist. Those little ones bring so much excitement and joy, and everyone seems to want to gobble it up – who can blame them! Let's be honest, new babies really are incredible. Have a baby and people will start coming out of the woodwork and lining up at the door to visit, and while it's awesome that everyone wants to visit, for new parents – and the new little one – that's not always a good thing.
Many new parents make the mistake of welcoming too many visitors into their homes when they first bring the baby home. Given the fact that new parents are often sleep deprived, overwhelmed and just trying to get adjusted to their new gig, coupled with the fact that newborns have such delicate immune systems, having too many people visit can actually be detrimental.
Everyone has heard the saying, "Don't wake a sleeping baby," yet so many new parents overlook this advice, especially during the first week. Listen, there's a reason why that saying exists, and many new parents who decide to wake their sleeping baby find out the hard way.
Babies are 'supposed' to eat every 2 to 3 hours, but just like everything in life and with people of all ages, this varies from baby to baby. Yes, newborns do eat every 2 to 3 hours, but they can go for longer stretches. The fear of doing something that will harm the baby is so great in so many new parents that they strictly abide by the 2 to 3 hours feeding 'rule' (it's not really a rule; just a general guideline.)
Despite the fact that their newborn is sleeping peacefully, when new parents realize that it's been – gasp – 4 hours since baby last ate – they wake the little one up to eat… And that can end up being a huge mistake (cue screaming baby who will not get settled, and who refuses to eat.)
Sources: Babycenter, What To Expect, Fit Pregnancy


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The Chesapeake Bay Trust recently approved $1.3 million in grants to 64 organizations and schools throughout the area to fund Bay restoration activities and environmental education programs.
Recommendations for four of the Trust's major grant programs and initiatives, including its Living Shorelines program, Green Streets-Green Jobs initiative, Watershed Assistance Grant Program and Mini Grants Program, were approved by the Trust's Board of Trustees and will fund projects that protect eroding shorelines, promote green infrastructure, and engage Maryland's students in meaningful environmental and outdoor educational experiences.
For more information on these grant programs and what the Trust funds, visit www.cbtrust.org.
source: Chesapeake Bay Trust press release


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When disaster strikes your place of business, resulting in fire and water damage, it can cost you time, revenue, customers, inventory and possibly even structural damage. Water and smoke can quickly result in items that are unsalvageable unless taken care of quickly and effectively.
Don't let your business become a casualty as a result of disasters such as hurricanes, tornadoes, fires or floods. Get your business up and running again with a full range of Disaster Restoration and cleaning services from the experts at Schroeder's ServiceMaster of Fond du Lac, Inc. iininin Fond du Lac, Wisconsin.
Water and Fire Recovery
Water, fire and smoke damage can cause all sorts of problems, not only for your property but for your entire business. At Schroeder's ServiceMaster of Fond du Lac, Inc. our goal is to restore your property and your peace of mind as quickly and efficiently as possible. Our licensed and insured technicians will communicate with you every step of the way to make this process easy on you and your business.
Our services include:
Click here for tips on what to do in case of a disaster:
©2013 Schroeder's ServiceMaster of Fond du Lac County, Inc. All Rights Reserved
An independent business licensed to serve you by ServiceMaster Clean®
Serving the Fond du Lac County of Wisconsin


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Indonesian lawmaker arrested for meth use, claims he did drugs to cope with death of child
While many immediately condemned the lawmaker, they might have more sympathy after the police revealed his alleged reason for using narcotics.
Jakarta driver who allegedly did hit-and-run gets stuck on road barrier trying to escape mob's wrath in shocking video
A video showing a disturbing and dramatic vehicle chase in Jakarta has gone viral, one involving an angry mob of motorists and a driver police alleged was high on meth at the time.
Governor Djarot says he could shut down Diamond Karaoke after Golkar politician nabbed in drug raid
While drug busts at Jakarta's seedier nightlife establishments are hardly rare, the government is under extra pressure to react harshly when the bust involves a high-profile...
700 people displaced as massive West Jakarta fire destroys 90 houses
A massive fire engulfed the Pinangsia sub-district of Tamansari, West Jakarta, last night, displacing 700 locals whose homes were destroyed.
Immigration arrests 76 Chinese women on suspicion of illegal sex work during NYE nightclub raid
Somebody didn't have a very Happy New Year's Eve...
Greater Tangerang
The Greater Tangerang area comprises of two massive, distinct cities: Tangerang...
Greater South Jakarta
South Jakarta is generally considered to contain Jakarta's more affluent...
Greater East Jakarta
East Jakarta is a city within the Special Capital Region of Jakarta and the...
Greater Central Jakarta
Although Central Jakarta is the smallest of Jakarta's five cities, it is...
Greater West Jakarta
West Jakarta is generally considered to be less developed than other areas of...
It's hard to tell where South Jakarta ends and Depok begins, as the satellite...


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Cobb Tuning PORSCHE 981 CAYMAN, BOXSTER / 991 CARRERA ACCESSPORT V3Available: In Stock
Throw away your gauges!! The new in-cabin mountable Accessport V3 has a large, full color, higher resolution screen which allows you to monitor up to six parameters in real time....
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The Secret Garden: Chapter 11
The audio and activities for the eleventh chapter of this pre-intermediate-level Macmillan Reader are now available for all Staff Room members. Colin gains strength but keeps it a secret from staff at the Manor …
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I am criminal defense attorney Chris Yturralde. I am committed to protecting my clients' rights in both state and federal court. If you have been accused of a crime, call me at 760-235-4480 to discuss your case. From my law offices in La Mesa, I represent people throughout the San Diego area.
Building A Strong Defense Against All Criminal Charges
From misdemeanor charges to felonies, I work hard to protect my clients' freedoms and reputations against all types of criminal charges including:
Drug charges: From simple possession to drug trafficking charges, I provide my clients with an aggressive defense.
DUI and alcohol related offenses: I defend first offense DUI charges to felony DUI charges by investigating the arrest thoroughly and determining whether or not the proper protocols, such as the administration of breath and blood tests, were followed and whether your arrest was legal. I also help protect your driver's license during the suspension hearing portion of your DUI case.
Sex offenses: I have a reputation for handling sex crime cases in both the criminal and civil context. I defend the accused against all types of sex offenses. I also represent the abused against school districts, hospitals and employers in sexual harassment and sexual battery cases.
Domestic violence charges: Domestic assault charges have a severe impact on your reputation and your freedom. They can negatively impact the relationship you have with your children and have serious immigration consequences like deportation. I help my clients find creative solutions when they are charged with domestic violence and try to minimize the negative future effects the charges will have on their life.
Personal Injury Litigation
I also handle a variety of personal injury cases, including:
- Motor vehicle accidents
- Wrongful death
- Product liability
- Slip-and-fall cases
- Major injuries including brain injuries
- Governmental liability cases
If you have been injured in an accident, contact me today to schedule a free initial consultation. I will fight for your rights and work hard to get you the compensation you deserve. No recovery, no fee.
Contact Imperial County Defense Lawyer Chris Yturralde
Arrested? From drug possession to sex crimes, I provide experienced legal services for all types of criminal charges throughout El Centro and across San Diego. Call 760-235-4480 or toll free at 888-351-8297 or send me an e-mail to schedule your free initial consultation.
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We know that cardboard packagings are important in our society today. Not only do they serve as containers, but they can also be used on a lot of different uses that can make our lives easier and more comfortable.
However, most of us don't know some of the terminologies that go around these cardboard packaging.
Fortunately, you've found this article because that's what we're going to discuss about here.
Heat Seal
Heat Seal is a sealing method which joins or seals two surfaces together. However, there are also times when these are used to seal three or even more surfaces together. What's great about this is that it makes use of heat, and heat being capable of joining two same materials together can be a huge benefit to the overall production method.
Polyethylene is one of the most commonly used plastic types in our modern world. They are tough, durable, translucent, and has a waxy solid surface that isn't affected by water or any chemicals. There are three kinds of polyethylene, they're low, medium, and high density.
Sheet Plant Association
A Sheet Plant Association is an association which functions to promote the best methods and practices in its member companies that produce cardboard boxes. Members of these associations can then join model initiatives and activities.
Folding Carton
A folding carton is a carton that's made from paperboard. This can be printed on, laminated, folded, or even glued and cut or transported to nearby locations. Examples of these are cereal boxes and custom paper bags.
A distributor or distributors are an agent or agents that supply merchandise or goods to another retailer, such as the case with cardboard packagings. They don't necessarily make the goods, though.


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For use in the ELLO series tanks, these atomizers feature the new and improved "Net" coils, which are a mesh heating element. This technology allows for the wicking material to be more evenly heated, while producing extremely true flavor and massive amounts of vapor. Enjoy the great vape with these new eLeaf coils for your ELLO series tank! These come 5 coils to a pack.
It is recommended that you use a Max VG blend with this coil.
0.2Ω Best between 65-75w
0.15Ω Best between 70-80w
These coils are to be used with:


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The Marine Corps has announced that revisions have been made to its physical fitness program, to include the Physical Fitness Test (PFT), Combat Fitness Test (CFT) and the Body Composition Program (BCP). Changes to BCP will take effect immediately, while PFT and CFT changes will be implemented starting Jan. 1, 2017. Immediate changes to the BCP include an increase in the height and weight standards for females. Marines scoring 285 and higher on both the PFT and CFT will now be exempt from height and weight standards. Marines who score between 250 and 284 will have their maximum body fat percentage increased by one percent. For more information, visit the USMC Fitness website.
For more military-level fitness guides and tips, visit the Military.com Fitness Center.


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Cloud services and software asset management
Software Inventory – still a core requirement
Until recently, optimizing software licensing and maintenance costs started with collection of a robust inventory of application installations across the network. Configuration lockdown provided some safeguard against individuals using their company credit card to download their preferred applications but is hard to administer except perhaps as a by-product of desktop virtualization. So the ability to keep the inventory refreshed was (still is) important; monthly is OK, quarterly maybe, and annually or worse inexcusable.
Cloud Services – changing the game
Today, it is easy for users to sign up with their credit cards to cloud-based applications which will not be detected in a software inventory scan. It's all part of the 'liberalization' of IT – similar to the BYOD concept.
How is the usage cost isolated? Does someone go through every credit card report and extract entries relating to cloud software? Where is the responsibility for ensuring the money has been spent wisely? With the individual, their supervisor, or IT?
Who takes responsibility for the integrity and accuracy of data generated by a cloud-based service that an individual has decided to use?
I guess the genie is out of the bottle with regards to the easy availability of cloud services, so what is an appropriate response for the organization? The organization is still ultimately responsible for the actions of its employees and the cost-effective use of resources. How does that relate to a new-found freedom for individuals to use whatever tools they want to manipulate corporate data?
The need for a governance response
What is needed is a governance framework that does not get in the way of innovative and beneficial use of cloud services, but which encourages disclosure by business managers of the use of cloud services by the individuals they supervise. This information can be exploited to reveal cloud services that could be adopted more widely across the organization. It gives the info-security team the opportunity to check that the organization's security is not being compromised.
Something like the new Provisioning Lifecycle Management framework of the Connect product could work.


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Sharing life with a Nicarguan Community
Pictured here: Laura taking Bianca and Justin to "Kid's Club" on her bike.
Laura Kennedy having volunteered in South Africa, then pursued a career in primary school teaching. She writes here about her time teaching in Nicaragua
Choosing to leave the comforts of friends and family, a paid job, my own home and a way of life that I loved was never a difficult decision. I had spent six weeks volunteering in South Africa in my mid 20s and knew that it was something I always wanted to return to, this time with more skills to offer and for an extended period of time. Having returned to college to retrain as a primary school teacher, inspired by my time in South Africa, and also having a fairly high level of Spanish, I found myself in a small fishing village in the north west of Nicaragua, working at an after school club and also at the local primary school.
Arriving to what seemed like paradise, a small village on the Pacific Ocean with deserted beaches and the most beautiful sunsets, I quickly fell into the rhythm of life there. I chose to live with a local family so as to become a part of the community and share their way of life. The village has sporadic electricity and no running or potable water. Showers are buckets and toilets long drops. Water is drawn from the well to complete every task and nothing takes 'just a minute'.
School begins at 7. There are four local teachers and roughly 100 children enrolled at the school. For there to be 50 or 60 there on a given day is a more accurate head count. Most children drop out by 4th grade to help at home or to work and earn much needed money, living in a village where the majority survive on less than 2 dollars a day. Teaching styles are rather draconian and to cope with high numbers in the lower grades and falling numbers in the higher grades 1st and 5th grade share a teacher and classroom as do 2nd and 6th.
Working daily with the children in the school was incredibly rewarding but it was sharing methodologies with the teachers and watching them interact in a more child centred and interactive manner that will have the real lasting effect on the lives of the school children for years to come. Watching the stern 1st grade teacher sing a song about the numbers with her class of 6 and 7 year olds was a pivotal moment for me, it was the first time the children had been taught with music and movement by their class teacher, and soon games of cards and bingo were understood to be of benefit in helping these children recognise their numbers up to 10, with which up to that point the majority had been struggling.
The heat was often times oppressive and the lack of basic facilities wearing in times of ill health or exhaustion. Spending 11 months with the one community and living with a local family ensured that I was welcomed in and made to feel a part of that community. However, I will always be the woman who had enough money to choose to live there. We shared a present but our pasts couldn't have been more different. Volunteering has many highs and lows, emotions are heightened and you return to the first world seeing life through new eyes. It is an experience I would never change and I look forward to the opportunity of sharing life with a community in the developing world again some time soon.
For anyone thinking of volunteering Comhlámh's VolOps pages on Facebook and Linked in are an excellent place to find out about sending organisations and find the fit that is right for your skills, ensuring that both you and the project you work on benefit as much as possible from your volunteering experiences.


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Natamycin 50% in Lactose
Natamycin 50% in Lactose Is composed of:
Natamycin min. 50%
Water max. 8%
Salt approximately 42%
All percentages are by weight.
Natamycin are effective anti-microbial agents. Using Natamycin as food preservatives can:
1.Enhance the quality of food product, and significantly extend the shelf life of foods by preventing yeast and mould spoilage.
2.Reduce product being recalled resulting from spoilage (and reduces manufacturing costs).
3.Replace or partial replace chemical preservatives and meet consumer demand for food preserved with natural ingredients.
4.Have no adverse flavour to foods.
5.Have stronger inhibitability compared to sorbic acid.
6.Prevent formation of potentially carcinogenic mycotoxins.
7.Cover a very broad spectrum of activity -- most yeasts and moulds are sensitive to very low levels of the preservative (<1 - 20 ppm).
8.Do not act against bacteria .This makes it useful for food products such as cheese and dry sausages in which bacteria are key to the ripening process.
9.Remain on food surface for a long time where contamination usually occurs.
10.Be proven to be a safe antimycotic agent.
For more information of product, please send the email to firstname.lastname@example.com
After send online enquiry, we will reply you as soon as possible, if not get any response on time please contact us by Tel or Email.This form is unable to receive your inquiry from aol, hotmail, gmail or others but company email address.


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18 Images
Mt. Alberta's North Face in Near-Winter
In late March, Vince Anderson and Steve House climbed a new route on the north face of Mt. Alberta in the Canadian Rockiesthe first time this legendary face has been ascended in "near-winter" conditions. House has generously provided this slide show to give a taste of the adventure. All photos and captions courtesy of Steve House.Read more about the ascent HERE


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Givengain Ghana Foundation is a registered NGO in Ghana, born out of the strong desire to see people prosper in life especially the underprivileged.
Our aim is to reach out to as many underprivileged people in our societies as possible in order to better their lot in life.
Kindly Click Here to see proof of our licenses to operate as legal NGO in Ghana.
We humbly welcome your support of any kind to enable us alleviate the plights of this poor people in our societies.
Below is our bank account details for cash donations:
Bank Name: First National Bank Ghana Limited
Account Name: Givengain Ghana Foundation
Account Number: 62000430439
Branch Code: 330102
Swift Code: FIRNGHAC
To contact us kindly Click Here us.


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13 Little Tricks to Make Your Kid Like Cleaning
Fact: Kids are just not fans of cleaning. And can really you blame them? But you needn't give up, mama: There are ways to make your little one a more eager little helper. Consider these 13 vetted tips from the savviest parents we know.
1. Give your kid single, small directives. Think: "put your leggos back in the basket" rather than "clean your room."
2. Buy them a cute little toy cleaning supply set. And behold as they make a game out of "mopping" the floor.
3. Never underestimate the power of the cleanup song. Works like magic for the under-three set.
4. Instate a toy rotation system. The rule: You have to put away one set of toys (e.g., blocks) in order to get more out (e.g., Matchbox cars).
5. Make cleanup time a scheduled part of every day. Say, before dinner or after we get home from preschool. Soon, it'll feel just like brushing their teeth or reading a bedtime story.
6. Take them to music or art classes where cleanup is a big part of the group activity. Who knew putting egg shakers in a bin could be so much fun?
7. Make it a friendly competition between siblings. Challenge your brood to race to the finish line and see who can get their room in tip-top shape first.
8. Put on music they're obsessed with (hi, Moana soundtrack) and ask them how many songs they'll need in the queue to finish cleaning.
9. Or join them in a cleanup/dance party hybrid. Hey, if it works for mom...
10. Barter with them by giving them exact numbers to work with. E.g.: "If you put away five things, then we can do XYZ together afterward."
11. Have them help you craft a cleaning chart. And draw pictures of themselves cleaning next to each task.
12. Or a big, pretty chore list. Show us a kid who doesn't like checking to-dos off as she completes them.
13. Cut them—and yourself—a break.
RELATED: 30 30-Second Ways To Be A Better Mom