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lindsayFx needed a new poster design and created a contest on 99designs.
A winner was selected from 33 designs submitted by 13 freelance designers.
Straightaway Health Careers
Straightaway is a healthcare education startup. We sell one product, CNA (Certified Nursing Assistant) Edge, which is designed to reduce CNA turnover in the healthcare industry, specifically in Skilled Nursing Facilities (Nursing Homes). CNA Edge is comprised of three parts: PREP, which includes recruitment tools and videos for Nursing Homes to use to recruit potential CNA candidates, TRAINING, which is an online, story-based training that allows CNA trainees to prepare for the state-required test, and SUPPORT, which includes a variety of tools including nurse management training and CNA check-ins to help facilitate a better working environment for CNAs once they're on the job.
Our target audience is these qualified Skilled Nursing Facilities (SNFs) -- typically C-level people at these companies. This project isn't necessarily for them as much as it is for the organization as a whole, though.
Our website is http://www.straightawayhealth.com for more context/info
We have just signed with a very large client and are beginning implementation at three of their facilities early this year. Some of our staff are visiting these facilities next week and would like to take something fun to them to get their team excited about implementing CNA Edge.
For some context, one of our big campaigns of late last year that will continue into this year is "Knock Out CNA Turnover" -- we used boxing as our main imagery to drive this point home, we even had custom boxing gloves made!
For this project, I'd like to create a poster a la old school boxing matches (see attachment). We want to replace the standard reds with our turquoise to match our branding, but other stylistic tweaks can be however you deem appropriate. I'd like to stay pretty close to this style so it's consistent with other posters that look like this.
Sponsored by Straightaway Health Careers (using logo)
Hosted at American Senior Communities (using logo)
Fracas in Caracas can be "The Frenzy in Indy"
Straightaway's logo is attached -- we are working on getting a high res version of American Senior Communities' logo, but a PNG is attached.
The fighter set-up will be as follows:
One side of the featured fighter(s):
Prizefighters Angie Pemberton, Tammy Wilder and Minnie D'Amico
I would like them to appear as cartoon-y boxer silhouettes if possible -- if this looks too crazy we can tweak it
Opposing side:
Defending Heavyweight Champion, CNA Turnover -- this should look like a silhouette of a hooded boxer with "CNA Turnover" on the back of its robe
Where there is a date and ringside information, please fit the following instead:
"Tickets available at American Village | Brownsburg Meadows | Heritage Park
Proceeds from sales to benefit the communities of Indianapolis and Fort Wayne
Feel free to be creative!
Feel free to reach out with any questions/clarifications!


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Edit: Let me summarize what this question was meant to ask. Is there a quantitative theory of "approximate" soundness? Arguments are usually either sound or unsound. This is binary. If we don't have access to a complete argument, or are unsure whether to trust parts of an argument, can we come up with a number between 0 and 1 that quantifies how sound the incomplete or untrusted argument is?
Original rambling question below:
Before getting to the question, let me first try to make a rough distinction in what I mean by numerics. There are several types, and I'll begin with what I don't mean by numerics: something like numerical integration, or numerical root finding. I consider this zeroth case uninteresting. Problems like these are completely understood. We are just using computers to do our tedious calculations for us, and I see no reason not to trust the result.
For the first type, I'm thinking of large complex calculations such as those used in the four color theorem, or the recent proof that checkers is a draw, or maybe the recent work on the character table for split E8. Here there are just a finite number of cases to be checked, but the computation itself is extremely elaborate just to compute about one bit of information (in the first two cases). For these types of problems, I'm imagining that there is no known way to generate a certificate that would reduce checking the validity of the calculation to an instance of case 0 numerics.
For the second type, consider numerics of the following flavor. In this scenario, my friend Bernhard has a conjecture that all of the infinitely many non-trivial zeros of a certain function lie on a certain line in the complex plane. Unfortunately, I'm not as good as Bernhard, and I don't understand his insight in proposing the conjecture. Lacking his intuition, and in lieu of a proof, I decide to numerically test the conjecture. I find that the first 1010 zeros (say) all line on the correct line.
Now I can start to get to the question. First of all, there is a fuzzy line between case 0 and case 1. Is there a way to make this line more precise?
Next, can we make precise the notion of "trusting" large calculations of the type 1 variety? How much should we trust them? Also, these types of calculations can be very unsatisfying if they don't lead you to a principle which explains why the answer is what it is. Is there a way to make this notion precise as well? Suppose that the proof of the four color theorem could be reduced to checking only 31 cases, instead of several hundred, but a computer was still necessary. Would we consider this a "good" proof? I would like to try to quantify this.
Finally, consider case 2. Have we really given any support at all to the conjecture if we've left an infinite number of cases unchecked? I'm tempted to answer a knee-jerk "No!" to this, especially in light of things like the disproof of the Mertens conjecture or Skewes' number. But it certainly feels like we've made it more plausible than if we hadn't checked those cases. I'm afraid we might have to resort to Bayesian degrees of belief here, but is there another answer?

subset: commoncrawl


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App Review: Asphalt 5 by Gameloft
by Rob on
November 8, 2009
Filed under Daily App Reviews, Games, Staff Favorites
We've been eager to get our hands on Asphalt 5 ever since Gameloft announced that a sequel to Asphalt 4 was coming. So for the past couple of weeks, I've been racing and racing. After all, if you've seen the trailer, then how could you not be excited for this game? If you've been holding back in purchasing this game, then read on to find out if it's worth it or not…
When you launch the game you are greeted with a typical intro that gets you excited and ready to play. You can select a Quick Race, Single Race, Career Race or Multiplayer Race. You are also greeted with your first car, a Cooper Mini. However, you also have a Nissan 370Z which you will want to switch to and use (at least, I did). Choosing Career allows you to unlock more cars, a lot more cars. There's everything From SUV's to motorcycles that are waiting to be unlocked so pretty much everything that's worth racing is in there.
Aside from selecting your car each one is also highly customizable – providing you've unlocked the various customizations. There are three groups of customizations: Engine, Handling and Boost. Under engine, there are options such as ECU, intake, exhaust and turbo to customize. Under handling you can improve things like your suspension and braking and under boost you can increase capacity and speed. This high degree of customization makes sure that you'll be entertained for hours not just racing, but building that perfect race car.
As previously mentioned, there are several types of racing modes (Quick, Single, Career and Multiplayer). Selecting Multiplayer requires that you setup an account with Gameloft Live in order to play online. However, once you do you get to join others online in racing against real people, and not computer bots. Like other games that are online, this adds a whole new dimension to the game that makes it that much more enjoyable. If you don't want to race online but still want to race your friends, no worries. The game offers two local multiplayer modes to easily race friends that are close to you (same house): you can use either bluetooth or WiFi for greatest flexibility.
Graphics on Asphalt 5 are actually really great, however they aren't much better than other racing games or previous versions of Asphalt on the iPhone. However, for a racing game they are well done and full of detail.
Gameplay for Asphalt 5 is excellent. You can select whether you have auto acceleration or not in the options which allows you to focus on steering and braking (and racing!). To steer, simply tilt/rotate the device in the direction you want to turn. There is also a boost button that comes in handy for getting that extra edge on your opponent (you will use this a lot in the multiplayer online games). I found no annoying quirks or issues while racing, which is nice since most racing games seem to implement some aspect of racing that just bugs (like your opponents always crashing into you).
Being a big fan of racing games I was happy to get my hands on Asphalt 5 and give it a go. The game is fun and will keep dedicated racing fans entertained for hours. Asphalt 5 is an easy recommendation as it is fun and provides hours of excellent gameplay. We didn't find any real issues either, which is a nice relief.
What we liked: Online gameplay is great, highly customizable cars, a lot of cars to unlock, hours of gameplay, ability to just quick race if you don't have the time to dedicate.
What we didn't like: Cost (probably not a drawback but many will find the 7.00 entry fee to be too expensive).


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A Linnaean Garden Party 2020
Time travel to the 18th century, hear the rustle of silk skirts, see silver shoe buckles glisten, and sample artisan foods. Meet scientists, experiment, and learn more about Linnaean science. Guided tour in English at 11.30 and 14.30.
The Culture Night in the Botanical Garden
The Botanical Garden provides an ambient setting for moving meditation, Japanese martial arts, classical music, and a traditional fire show. Watch ceremonial archery. Try your hand at origami, learn about kimonos and witness a Japanese tea ceremony in the orangery. Explore the Tropical Greenhouse and hear the frogs sing. If you are lucky, the giant water lily will show you its flower.
A cultural cavalcade in the Linnaeus Garden 2020
Listen to folk music and singer-songwriters or enjoy dans shows. Visit Carl Linnaeus' home. As darkness falls, the garden will be Illuminated by candles. Enjoy a magical stroll among the flowers of autumn.
Apple Days
Did you know that over 200 varieties of apples are grown in Sweden? Get to know a good quarter of them at the apple exhibition at Linnaeus' Hammarby. Find out which apples you have in your garden. Buy an apple tree cultivated from national clone archive trees.


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Black Plate Rosewood Piano-finish Plaque w/ Elliptical Edge
Black Plate Rosewood Piano-finish Plaque w/ Elliptical Edge
From: $63.74
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How much is engraving?All engraving is FREE.


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IMCI care for development
For the healthy growth and development of children
This brochure describes an intervention for early child development that is promoted by WHO as part of the Integrated Management of Childhood Illnesses (IMCI) strategy to reduce childhood deaths, illness, and disability, and to promote improved growth and development. The Care for Development Intervention improves the knowledge and skills of mothers and others who care for children. It introduces activities to improve interaction with children, to stimulate growth and learning, and to promote responsive care for the child's health.


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Revitalizing Somalia's food markets
Farmers brace for bigger markets in EU funded initiative
Mogadishu, Somalia - With Somalia's cooperatives farming, food marketing and distribution networks disrupted over the last 22 years, the UN's Food and Agriculture Organization (FAO) has partnered with the World Food Program (WFP) to reactivate the local food economy dominated by imports.
Agricultural communities especially in southern-central Somalia – the country's grain basket – have, over the years, been severely affected by the recurrent drought, which has resulted in widespread failure of crops and poor yields. On-and-off conflict has also made matters worse.
However, according to FAO data, the number of people in crisis in Somalia is at its lowest since famine was declared in Somalia in 2011, thanks to successive seasons of average to above average rainfall, low food prices and sustained agricultural assistance to Somali farmers. Somali producers meet an average of 40 percent of domestic food demands.
"For the last few years, FAO has dedicated massive resources towards helping farmers access water, improved seeds and tools. In addition, we are now preparing farmers to increase the quality of their products, while helping them to access markets for their produce," said Jose Lopez, FAO's head of the Agriculture sector.
Post harvest management and grading
One of the key practices Somali farmers are being trained in, under the European Union funded initiative, is post harvest management and grading. It is an important practice for Somali producers in preparing the crop for the market. FAO experts are training farmers in how to handle harvests in order to limit losses by keeping the grain free of contamination and pests. Farmers also learned how to grade their grain all aimed at increasing the quality of their produce.
"It is quite a good practice for producers to understand the quality of production through testing and grading before selling as it gives the producer an indication of the worth of crop projected income," said Eng. Mohamed Ahmed Nur, the Secretary General of Somalia's National Agriculture Association of Cooperatives (NAAC).
FAO also distributed testing and grading equipment for the technical staff from farmer cooperatives to ensure that farmers meet the East African cereal standards, now well understood by the members of the cooperatives.
Local markets and beyond
A series of meetings between cooperatives and trader association representatives, under the auspices of the Somali Federal government in Mogadishu and Dolow, facilitated by FAO have, for the first time, culminated into formation of the National Technical Committee of Somali Farmer Cooperatives and Traders. This group is comprised of representatives from both parties, trusted to negotiate on production and trade related issues. In the northeastern agricultural regions of Borama and Gabiley, farmer-buyer meetings have facilitated by FAO and Farmer Concern International.
This technical committee is acting as a platform to pilot the production of 200 metric tons of maize with the aim that WFP, one of the world's biggest food purchasers, will buy some of the produce for its food aid needs in Somalia. This initiative also serves as an attempt to re-build beneficial collaborations between producers and Somali buyers, who are both essential for the development of a strong crop sector in Somalia.


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Hi All,
We're now in full swing in preparation for this year's Salute! show and it's all looking great so far.
The dates for this years show are 31st August and 1st September.
The best place for info as always is our facebook page located at https://www.facebook.com/events/408898189221340/ or feel free to comment here and I will reply.
Looking forward to seeing you at another great show at Salute!


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Connecticut Sen. Christopher Dodd's expected retirement announcement came just hours after fellow Democrat Sen. Byron Dorgan (D-ND) declared he would not run for re-election in November either, delivering a one-two punch to the party's veteran leadership.
Pundits' initial take is that Dorgan's exit makes North Dakota a competitive Senate battleground for Republicans, while Dodd's decision clears the way for a more popular Democrat to salvage his Senate office in November's midterm elections:
- "Holy Crap," blogged TalkingPointsMemo editor Josh Marshall, responding to news of Dodd's likely departure. "Dorgan's seat was probably safe until he retired. Now it's a probable Republican pick up," he wrote. "On the other hand, Dodd's being on the ticket took a really blue state and made it a very possible Republican pick up. It's still a bad climate for Dems."
- "Dodd's troubles were politically ironic, coming at a time when his power on Capitol Hill had reached a breath-taking level that most legislators dream of but never come close to achieving," writes Chris Cillizza for The Washington Post. As chair of the Senate banking committee, Dodd played a major role in the $700 billion Wall Street bailout. But Dodd was weakened by revelations he got a sweetehart mortgage from disgraced Countrywide CEO Angelo Mozilo, Cillizza writes.
- Breaking news of Dodd's retirement was "just the kind of thing that would ignite a lot of reporting and discussion" on cable networks blogged Roger Catlin for the Hartford Courant. The only problem: TV news talking heads were at home sleeping. "Something like this shines a light on the myth of the 24-hour cable news cycle, which exists now mainly on the Internet; the TV news operations take the night off."
- "It is not shaping up to be a pretty week for the Democrats" with pols "dropping like flies," blogged ABC News' Rick Klein for The Note even before news broke of Dodd's decision. Klein predicted Republicans would also jump on news that Michigan Lt. Gov. John Cherry is ending his governor's bid, Colorado's first term Democratic governor plans to bow out of his reelection fight, and on Sen. Dorgan's exit.
- Republican National Committee chair Michael Steel did just that. "Today's announcement by Sen. Byron Dorgan of North Dakota that he will not seek reelection in 2010 highlights just how vulnerable both Senate and House Democrats have become since deciding to walk in lockstep with President Obama's government-run policies," Steele said in a statement. "For nearly a year Congressional Democrats have been turning a deaf ear to the concerns of the American people and as the elections of 2010 approach, many of these same Democrats are deciding to simply leave office instead of risking certain defeat."
- Sen. Dorgan's decision is "un-spinnably bad news for the Democrats," blogged polling wunderkind Nate Silver for FiveThirtyEight. Democrats are losing one of their MVPs because the North Dakota senator was "way more progressive than you'd ordinarily expect of a Senator from a Prairie State," he wrote. Dorgan's decision not to seek re-election puts North Dakota at the top of Silver's list of states that will likely switch parties in mid-term Senate elections.


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Showing 1-24 of 37 items found in Outdoors & Play
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Illinois Route 66 Scenic Byway
The experiences you'll find here are as unique, fun and memorable as the road is long. Route 66 defined a remarkable era in our nation's history - and it lives on today in Illinois Route 66's many roadside attractions, museums, restaurants - and the shining ribbon of blacktop we call The Mother Road. Illinois' stretch of this mythic road boasts the highest density of kitschy, interesting things to do you'll find from here to California. So, join us for the far out journey that never ends on Illinois Route 66.
The 200,000-sq.-ft. Scheels has everything you need to scratch your activity itch. From name brand equipment and gear for running, hiking, biking water sports and so much more.
The theme park offers miniature golf, go-karts, batting cages, carnival rides and an arcade. While the water park features a wave pool, bumper boats, water slides, paddle boats and a lazy river. Catch a movie at the old-fashioned drive-in, adjacent to Knight's.
This beautiful 1.4 mile long piece of restored hand-laid brick road is a segment of 66 done in 1931 and placed over a concrete roadbed. Route 66 at its best.
Located on historic Route 66, this was originally a pharmacy built in the 1880's. The soda fountain was added to the business in the 1950's. Stop in for an old-fashioned treat or ice-cream. Doc's is also open for lunch and dinner.
The Henson Robinson Zoo is home to animals native to Australia, Africa, Asia and North and South America. Over 90 species of native and exotic animals are housed here among naturalistic exhibits. Special events are held throughout the year and provide many hands-on experiences for children and adults alike. Also, take a "Zooper Edventure" with the zoo's education programs for children ages 2 to 17. Facilities include a gift shop, concessions and a petting area.
The Walnut Street Winery plus Saunas is unlike many other wineries. We make fine wines in small batches using the best raw materials available from some of the best vineyards all over the world. Our wine garden features a bocce ball court that is 60 feet long and 13 feet wide. You can enjoy your wine out in the open air, along with a delicious Isabell's Pizza or some of the great Wisconsin cheeses that we have available. The wine garden is a unique setting for hosting wedding receptions, class reunions, office parties, Christmas parties and other group events.
Lincoln Memorial Garden Nature Center
Located on the shores of Lake Springfield and designed by landscape architect, Jens Jensen, five miles of wooded trails lead you on a journey through the Illinois landscape Lincoln walked.
Washington Park Botanical Garden
20 Acre site with Rose Garden, Rockery, and Fountain Beds, perennial border along with domed conservatory.
With special attention to individuals with cognitive and physical needs, this state-of-the-art park is both peaceful and accessible. Check the treeless treehouse for a towering view of the park.
The Illinois State Fairgrounds encompasses over 360 acres of land that is fully fenced for added security. The landscaping and scenery throughout the grounds provides one with a sense of hospitality and homeyness. Springfield and Illinois offer the finest in services and recreational opportunities available anywhere. With over 1,500,000 visitors each year, guests will surely have a pleasant experience while making their own history here at the fairgrounds.
Welcome to the Backwoods! We are dedicated to providing top quality, home grown products in a family friendly atmosphere. Please come and enjoy the great outdoors with us. We started growing specialty crops in 1990 with a few blackberries. We have since expanded into asparagus, berries, peaches, and canned & baked goods. Pick up fruits of the season from the roadside stand or head to the fields to pick your own strawberries, black raspberries or asparagus.
A 2.2 mile run paved trail on Springfield's southwest side, beginning at Robbins Rd. and continuing to Park Street.
Looking for a challenging course? Look no further than Oak Leaf Golf Course. Situated on 40 rolling acres, Oak Leaf offers the best of golf for both beginners and pros. Established in 1924, Oak Leaf boasts a course featuring 2,236 yards of golf from the longest tees for a par of 32. The course has been rated at 60.6, and has a slope rating of 98 on Blue Grass. In addition to golf, the Club offers a well-stocked fishing pond, newly renovated clubhouse, and practice greens.
This 18-hole, par 71 course has water on 11 holes, many mature trees and several elevation changes.
A green oasis located in the center of town, the sanctuary is open for hiking or strolling the one-mile nature trail from sunrise to sunset.
Located in Illinois' historic capital city of Springfield a quick drive from downtown and just down the road from the neighboring town of Chatham, Piper Glen has 18 holes of championship golf (including hosting the U.S. Amateur Qualifiers, U.S. mid-Am Qualifiers, Illinois Am Qualifiers and many local tournaments) on 177 acres of lush, green, tree-surrounded and well-maintained scenic property. It's part of the beautiful Piper Glen community and has a private course, high-quality feel though it's public and open to residents and non-residents alike. Warm up on the driving range and practice your short game at the putting area.
This easy to traverse asphalt trail, starting in Sprigfield, winds you through wooded landscapes, over bridges and alongside a well-groomed community park.
Full-service marina with slip rental by day, week, month and season with certified mechanics on duty. Cruise or fish on beautiful Lake Springfield on your rental pontoon boat, personal watercraft, conoe, kayak or paddleboat. Have a family or company outing on the 35 foot Party Barge.
Established in 1930, Bergen Golf Course was built on fertile farm ground which to this day provides a lush green terrain. The course features eight par fours and one par three. The course has no bunkers or water hazards which makes it playable for golfers of all abilities! But don't be fooled, tree lined fairways and smaller greens make accuracy a must!
Pasfield Golf Course is a 9-hole public facility that has been part of the Springfield golf scene since 1898! At that time, it was known as "The Springfield Golf Club" which was founded by a group of prominent local businessmen. The Springfield Park District took control of the property in the early 1930's and renamed it Pasfield Golf Course. Since then, Pasfield Golf Course has been a landmark in the Springfield community for its customer service and affordable public golf.
Bunn Golf Course is a regulation 18 hole facility. It is a tree lined course with narrow fairways and challenging holes. Water comes into play on several holes throughout the course. The 18th green is one of the most challenging greens in the area.
Rated 3½ stars by Golf Digest, this challenging scenic course has rolling hills, blind shots on three holes, many mature trees, watered fairways and bent grass greens.
Lincoln Greens is a challenging 18-hole golf course situated on 240 acres bordering beautiful Lake Springfield. A driving range, fully stocked pro shop, snack bar and banquet room are also available. 5500 yards from the ladies tees or 6850 yards from the tips Lincoln Greens provides a layout that you never get tired of playing!


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- Format:Cambridge Elevate
- Subject(s):Mathematics
- Qualification:Cambridge AS and A Level
- Author(s):Steve Dobbs, Jane Miller, Julian Gilbey
- Available from: January 2017
- Notes: Not available for credit card purchase. Please contact Customer Services.
Cambridge AS and A Level Mathematics is a revised series to ensure full syllabus coverage.
Send a Query×
This Cambridge Elevate edition coursebook has been revised and updated to ensure that it meets the requirements for the Statistics 2 (S2) unit of Cambridge AS and A Level Mathematics (9709). This revised edition has been redesigned and includes updated review questions to reflect changes in the style of questions asked in the course.
- Contents
Redesigned materials to keep content engaging.
Full endorsement from Cambridge International Examinations.
Fully updated review questions to better reflect the type of questioning in the AS and A Level Mathematics qualification.
Redesigned materials to keep content engaging.
Learning objectives at the start of each chapter.
Clear, narrative explanation of mathematical concepts, terminology and notation, with results and procedures appearing in boxes for easy reference.
Stimulating worked examples that take a step-by-step approach to problem solving.
Revision exercises and practice exam papers are featured throughout.
- Introduction
- 1. The Poisson distribution
- 2. Linear combinations of random variables
- 3. Continuous random variables
- 4. Sampling
- 5. Estimation
- 6. Hypothesis testing: continuous variables
- 7. Hypothesis testing: discrete variables
- 8. Errors in hypothesis testing
- Revision exercise
- Practice exam-style papers
- Normal distribution function table
- Answers
- Index
- Formulae
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| Conditions:
Proposed Natural Treatments | Natural Treatments to Avoid | References
Note: None of these treatments has been proven effective as yet for the uses cited above.
Human immunodeficiency virus (HIV) is the virus responsible for AIDS (acquired immunodeficiency syndrome). This virus progressively destroys or damages cells in the immune system, making its host vulnerable to certain cancers and infections. Opportunistic infections—caused by microorganisms that do not ordinarily cause illness in healthy people—can have serious or even fatal effects in people with AIDS.
Within a month or two of exposure, infection with HIV may cause short-term flu-like symptoms, followed by a symptom-free period lasting months to years during which the virus continues to multiply. After this stage, people with HIV may develop swollen lymph nodes, recurrent herpes sores, diarrhea, weight loss, and/or chronic yeast infections (oral or vaginal)—a state previously called
AIDS-related complex
(or ARC). Children may experience delayed development or fail to thrive. The infection is called AIDS when the number of immune cells known as CD4+, or helper T-cells, drops below a certain level, or when opportunistic diseases such as
Pneumocystis carinii
pneumonia develop. Today, both ARC and AIDS are collectively called
symptomatic HIV infection.
This condition is increasingly rare in the developed world due to the success of pharmaceutical treatments, and, for many people, HIV infection is a manageable, if challenging, chronic illness.
HIV is spread most commonly through unsafe sexual practices or by intravenous drug abuse. Mothers can infect their babies before or during birth, or later through breastfeeding.
The most effective treatment for HIV is called HAART, or highly active antiretroviral therapy. This approach generally involves the combined use of three or more drugs, taken from various families of antiretroviral drugs, including non-nucleoside reverse transcriptase inhibitors (NNRTIs), nucleoside reverse transcriptase inhibitors (NRTIs), fusion inhibitors, and protease inhibitors. Taken together, these medications can prevent the development of AIDS indefinitely. HAART, however, causes numerous side effects. Surveys have shown that people with HIV often take natural remedies in addition to conventional medications, in hopes of reducing side effects and enhancing efficacy. If you have HIV, it is particularly important to talk with your doctors about any natural substances you're taking and to be alert to possible interactions. Most importantly, people with HIV should not use
St. John's wort
garlic. Even
vitamin C
may pose risks. (See
Natural Treatments to Avoid
Among the many proposed natural treatments for HIV, none has more than preliminary supporting evidence.
No natural remedies rival the effectiveness of antiretroviral drugs for inhibiting HIV replication in the body. However, preliminary research suggests that an extract of the leaves and stems of the boxwood shrub may have at least some efficacy.1
Many other herbs and supplements have been proposed as well, but there is little evidence as yet that they work.
In a
double-blind, placebo-controlled
study of 145 people with HIV, French researchers studied the effects of two doses of a preparation made from the evergreen boxwood (
Buxus sempervirens).2
The preparation was given in doses of 990 mg and 1,980 mg per day for periods ranging from 4 to 64 weeks.
When participants started the study, they had no symptoms of HIV and had never taken antiretroviral drugs. They were kept off anti-HIV drugs during the study. (This was before the use of anti-HIV drugs became widespread.) At the end, researchers found that among those taking the lower dose, fewer people developed AIDS, symptomatic HIV, or CD4+ counts below 200 compared with those taking the higher dose or placebo. Additionally, by the end of their treatment period, fewer people in the low-dose group had a large increase in the amount of HIV virus they carried compared to the other two groups.
The researchers had originally planned the study to continue for 18 months (78 weeks). However, as the study progressed, a review committee decided to halt the study early when the average participant had taken boxwood or placebo for only 37 weeks. The review committee felt it was unethical to continue to have some people take placebo, given the positive results among those taking the extract. Nonetheless, further research is necessary to confirm the effectiveness of boxwood extract for HIV, particularly in combination with proven antiviral drugs, which have now become the standard of care for HIV infection.
No severe side effects were reported in this study, and the people taking boxwood had the same overall rate of side effects as those taking placebo.3
However, there are some safety concerns with this herb. A substance called cycloprotobuxine is believed to be one of the active ingredients in boxwood.4
High doses of this substance can cause vomiting, diarrhea, muscular spasms, and paralysis.
Warning: For this reason, the herb should only be taken under medical supervision! Safety in pregnant or nursing women, young children, or people with liver or kidney disease has not been established. In addition, touching fresh boxwood leaves can occasionally cause skin irritation.5
Note: Only a special boxwood extract has been studied as a treatment for HIV infection. Do not try to use raw boxwood leaf, as it might not be safe.
Other Proposed Natural Treatments
One of the constituents of the herb
aloe, acemannan, has shown some promise in test tube and animal studies for stimulating immunity and inhibiting the growth of viruses, including the HIV.107-109 These findings have led to trials of acemannan (or whole aloe) for the treatment of HIV infection. However, a double-blind, placebo-controlled trial of acemannan failed to find any benefits for people with severe HIV infection.111 (Interestingly, there is some question whether the effects seen in these studies were actually due to acemannan itself or a contaminant called aloeride.110 )
Other substances that have been investigated for possible HIV suppression include
(Chinese skullcap),
spirulina, and reishi. However, as with aloe, the evidence that they work is primarily limited to
test tube
and animal studies; whether these results translate into real improvement among people with HIV has yet to be determined.
The herb
St. John's wort contains a substance called hypericin which has been investigated for possible anti-HIV effects. However, contrary to popular belief, neither hypericin nor St. John's wort are at all useful for treating HIV.6
In addition, St. John's wort seriously impairs the activity of standard HIV medications and might lead to treatment failure. (See
Natural Treatments to Avoid
In test tube studies, a number of substances have been found to improve measures of immunity in HIV infection, for example, by elevating CD4+ counts, changing the ratio between CD4+ cells and other immune cells, increasing amounts of other immune chemicals, or enhancing the body's ability to attack invading substances. However, there is relatively little information on whether they can actually help people with HIV infection.
N-acetyl Cysteine
One of the natural substances most widely used by people with HIV in hopes of enhancing immune system function is the antioxidant
N-acetyl cysteine
(NAC), but evidence that it helps is somewhat conflicting.
NAC is a specially modified form of the dietary amino acid cysteine. NAC supplements help the body make the important antioxidant enzyme
glutathione. Early human trials, including a double-blind study of 45 people, suggest that NAC may increase levels of CD4+ cells in healthy people and slow CD4+ cell decline in people with HIV.13,14 Another study of NAC combined with selenium had mixed results, affecting T-cell counts in some people but not others.15 However, preliminary results of yet another study found that NAC had no effect on CD4+ counts or the amount of HIV virus in the blood.16 Whey protein
also contains cysteine and may increase glutathione levels, but there is no evidence as yet of any meaningful benefit.
One study found evidence that the amino acid
methionine taken at a dose of 2.4 g daily may mildly improve immune function in people with HIV.124
Other natural treatments that are sometimes recommended to boost immunity in HIV include:
However, there is no real evidence as yet that these treatments actually work.
is sometimes recommended as well; however, for safety reasons it should be avoided in HIV infection. (See
Natural Treatments to Avoid
Fish oil
is also sometimes recommended for enhancing immunity in HIV infection. However, one 6-month, double-blind study found that a combination of the omega-3 fatty acids in fish oil plus the amino acid arginine was no more effective than
placebo in improving immune function in people with HIV.17
One study found that the hormone
DHEA does not improve immunity in people with HIV.126
Study results are mixed on whether
massage therapy can improve measures of immune function in people with HIV.112-114
A careful review of 35 randomized trials found that
relaxation therapies
may be generally helpful at improving the quality of life of HIV-positive patients and in reducing their
stress, and
fatigue.129 These interventions, though, had no significant effect on the growth of the virus, nor did they influence immunologic or hormonal activity. Subsequently, however, a small study involving 48 HIV patients found that mindfulness meditation—a popular method for inducing the relaxation response—slowed the loss of the specific immune cells destroyed by the virus, though more research needs to be done to confirm this result.132
Immune support for people with HIV is also discussed in the
Homeopathy Database, under the HIV support chapter.
Besides the treatments mentioned earlier, a number of natural remedies have been proposed for symptoms of HIV or common opportunistic infections.
Bovine colostrum has been suggested as a treatment for the chronic diarrhea that commonly occurs in people with HIV or AIDS, but the evidence that it works is weak at best.18-20
Tea tree oil
cinnamon have been suggested as treatments for thrush (oral candida infection).21,22
There is some evidence that
capsaicin cream applied topically is beneficial for limb pain due to peripheral neuropathy associated with HIV.130, 131
Dehydroepiandrosterone (
) is a hormone that seems to decrease in people with AIDS, possibly because of malnutrition
23 and stress.24 One small double-blind trial suggests that DHEA (50 mg per day) may improve mood and fatigue scores in people with HIV;104 another small trial found inconclusive results.25
A more substantial (145-participant) double-blind study found that DHEA at a dose of 100 to 400 mg daily improved symptoms of dysthymia (minor
depression) in people with HIV, without significant adverse effects.120
Note: DHEA does not appear to provide general benefits for people with HIV, such as improving immunity, suppressing virus levels, or aiding weight maintenance.126
Chinese herbal combinations have been investigated for the treatment of HIV, but the results have not been very promising. In a 12-week, double-blind, placebo-controlled trial, 30 HIV-infected adults with CD4+ counts of 200 to 500 were given a Chinese herbal formula containing 31 herbs.26
The results hint that use of the herbal combination might have improved various symptoms compared to placebo, but none of the differences were statistically significant. Interestingly, people who believed they were taking the real treatment showed significant benefit regardless of whether they were in the placebo group or the real treatment group.
In another double-blind, placebo-controlled trial, 68 HIV-infected adults were given either placebo or a preparation of 35 Chinese herbs for a period of 6 months.27
The results indicate that use of Chinese herbs did not improve symptoms or objective measurements of HIV severity. In fact, people using the herbs reported
digestive problems than those given placebo.
Undesired weight loss
is a frequent symptom of HIV and AIDS. Sometimes weight loss is so extreme that the person seems to "waste away"—hence the name "AIDS wasting syndrome," which is technically defined as the loss of more than 10% of body weight combined with either chronic diarrhea or weakness and fever. Many factors can contribute to this weight loss, including loss of appetite, nausea, malabsorption of nutrients, and mouth sores.
Supplemental medium-chain triglycerides (MCTs), a particular type of fat, and glutamine may be helpful for this symptom, although there is no definitive evidence as yet that they work.
Fat malabsorption is particularly common in HIV infection and can lead to both diarrhea and weight loss. MCTs medium-chain triglycerides , which are more easily absorbed than ordinary fats (long-chain triglycerides), may help decrease diarrhea and wasting. Two small, double-blind studies have found that MCTs are more easily absorbed than long-chain triglycerides in people with HIV or AIDS.7,8
However, there is no direct evidence as yet that MCTs actually help people gain weight.
In both of the studies described above, participants consumed nothing but a special nutritional formula containing MCTs. Taking MCTs in this way requires medical supervision to determine the dose.
People with HIV or diabetes should not use MCTs (or any other supplement) without a doctor's supervision. For more information, including dosage and safety issues, see the full
Another promising treatment for wasting is the amino acid
glutamine, a substance that plays a role in maintaining the health of the immune system, digestive tract, and muscle cells. Although research is still preliminary, one double-blind, placebo-controlled study found that a combination of glutamine and antioxidants (vitamins
selenium, and
N-acetyl cysteine) led to significant weight gain in people with HIV who had lost weight.9
Another small, double-blind trial found that combination treatment with glutamine,
arginine, and
beta-hydroxy beta-methylbutyrate (HMB) could increase muscle mass and possibly improve immune status.10
Other Natural Treatments
Whey protein is sometimes recommended for weight gain in HIV, but evidence that it works is preliminary at best.11 One study found that while exercise improved weight gain, whey protein alone or in combination with exercise offered no benefit.105 Fish oil might be helpful for weight gain, however.12
Several natural treatments have been proposed to treat side effects from various medications used in the treatment of HIV.
Reverse transcriptase inhibitors, such as lamivudine and zidovudine, may damage mitochondria, the energy-producing subunits of cells. The supplement CoQ10
has been tried for minimizing side effects attributed to mitochondrial damage. In one study, use of CoQ
10 improved sense of well-being in asymptomatic people with HIV infection; however, it actually worsened pain symptoms in people with peripheral neuropathy.115
Taking AZT can lead to
zinc deficiency, which may interfere with immune function.28 One partially-blinded study found that zinc supplements may benefit people on AZT.29
In the zinc-treated group, body weight increased or stabilized, CD4+ count rose, and participants had significantly fewer opportunistic infections.
Carnitine has also been proposed as a treatment for AZT side effects, based on very early evidence that it may keep AZT from damaging muscle cells.30,31 Other weak evidence hints that the acetyl form of carnitine might reduce nerve-related side effects caused by HIV drugs in general.128
Based on highly preliminary evidence,
vitamin B12 has been suggested as a preventive for blood abnormalities caused by AZT.32
In one well-designed, double-blind study, use of the amino acid
at a dose of 30 g daily significantly reduced the diarrhea caused by the protease inhibitor
Presumably, glutamine would be helpful for other protease inhibitors as well.
It has been suggested that the supplement
might help prevent side effects from the antibiotic
TMP-SMX (trimethoprim-sulfamethoxazole). However, two controlled studies found that NAC did not significantly decrease adverse reactions to TMP-SMX.33,34
Note, however, that TMP-SMX is known to decrease
levels in the body, and folate supplements might, therefore, be useful.
The herb
milk thistle
is sometimes recommended for preventing liver problems related to use of HIV medications. While there is no direct evidence that it is helpful for this purpose, there is fairly good evidence, at least, that use of milk thistle does not
affect blood levels of indinavir.
In one study, 130 HIV patients on highly active antiretroviral therapy (HAART) were randomized to receive 1 of 4 treatments:
relaxation therapy, acupuncture plus health education, sham acupuncture plus relaxation therapy, or sham acupuncture plus health education.87
After 4 weeks of treatment, the people in the acupuncture plus relaxation group experienced a greater improvement in their GI symptoms compared to the other groups.
People infected with HIV may be particularly vulnerable to malnutrition because of decreased appetite, poor absorption, or possibly increased requirements for specific nutrients. Studies have found deficiencies of vitamins
B12, and
E, beta-carotene,
selenium, and
zinc to be common among people with HIV infection.35-49
Many deficiencies become more common as the disease worsens. This suggests, but does not prove, that taking supplements of these nutrients may be helpful.
Note: One study evaluated whether use of a multivitamin tablet might reduce infectivity of African women with HIV. Researchers unexpectedly found the opposite: multivitamin tablets increase the levels of HIV virus present in the genital area.117
The reason for this surprising finding is unknown. It is not clear whether the same response would occur among people living in developed countries who, presumably, have better underlying nutrition.
Vitamin A, Beta-carotene, and Mixed Carotenoids
Vitamin A and beta-carotene are described together here because the body uses beta-carotene to produce vitamin A. Substances called
are closely related to vitamin A; this family includes
Vitamin A deficiency may be linked to lower CD4+ counts as well as higher death rates among people infected with HIV.50 A few preliminary studies have raised hopes that beta-carotene supplements might increase or preserve immune function or decrease symptoms among people with HIV.51-54 One small, double-blind study suggested that taking beta-carotene might raise white blood cell count in people with HIV.55 However, two subsequent larger controlled trials found no significant differences between those taking beta-carotene or placebo in white blood cell count, CD4+ count, or other measures of immune function.56,57
observational studies lasting 6 to 8 years suggest that higher intakes of vitamin A or beta-carotene may be helpful, but they also found that caution is in order with regard to dosage.58,59
This group of researchers generally linked higher intake of vitamin A or beta-carotene to lower risk of AIDS and lower death rates, with an important exception: people with the highest intake of either nutrient (more than 11,179 IU per day of beta-carotene, more than 20,268 IU per day of vitamin A) did worse than those who took somewhat less.
Note: Keep in mind also that excessive dosages of vitamin A can be toxic to the liver. Consult with your physician on the right dose for you. For other dosage and safety issues, see the full articles on Beta-carotene
Vitamin A.
At one point it was thought that vitamin A supplements might decrease the rate of transmission of HIV from a pregnant mother to her newborn. However, it now appears that the reverse may be true: vitamin A may
increase chance of such transmission.127
One double-blind study found statistically weak evidence that use of mixed carotenoids by AIDS patients might prolong life.121
B Vitamins
An observational study found that HIV-positive men with the highest intakes of
vitamin B1,
6, and niacin had significantly longer survival rates, while a similar study found that those taking the most B
1 or niacin had a significantly lower rate of developing AIDS.62,63
Vitamin B12
deficiencies in people infected with HIV have been linked to neurologic symptoms, including slower processing of information in studies of cognitive functioning; early research suggests that restoring B
12 levels to normal may decrease these symptoms.64,65
12 deficiency has also been linked to lower CD4+ counts and more rapid development of AIDS.66
Vitamin B
6 deficiency has been linked to impaired immune function in one study of people with HIV infection.67
Note: Excessive intake of vitamin B 6
can cause neurologic problems.
Consult with your physician on the right dose for you. For other dosage and safety issues, see the full
Vitamin B6
Vitamins C and E
Massive doses of
vitamin C have at times been popular among people with HIV based on highly preliminary evidence.68,69 An observational study linked high doses of vitamin C with slower progression to AIDS.70
High intake of
vitamin E was also linked to decreased risk of progression to AIDS in a different observational study.71
However, a double-blind study of 49 people with HIV who took combined vitamins C and E or placebo for 3 months did not show any significant effects on the amount of HIV virus detected or the number of opportunistic infections.72 It has been suggested that vitamin E may enhance the antiviral effects of AZT, but evidence for this is minimal.73
The substance
choline has been newly added to the list of essential nutrients. Evidence suggests that people with HIV who are low in choline may experience more rapid disease progression.74
A study of 71 HIV-positive children noted a high rate of
iron deficiency.75 One observational study of 296 men with HIV infection linked high intake of iron to a decreased risk of AIDS 6 years later.76
Note: Do not take iron supplements unless you know that you are iron-deficient.
Selenium is required for a well-functioning immune system.77
Observational studies have linked higher levels of selenium in the blood with higher CD4+ counts
78 and reduced risk of mortality from HIV disease.79,80 Selenium deficiency may also increase the infectiousness of women with HIV.81
In a double-blind, placebo-controlled study of 450 people with HIV, use of selenium supplementation at a dose of 200 mcg per day appeared to reduce measures of viral load.14 However, the statistical method used in this study is somewhat questionable. Previous smaller studies using more standard statistical methods failed to find such effects.83-84 And, as part of a larger systematic review, researchers found that selenium (compared to placebo) did not improve outcomes in pregnant women with HIV or their infants.134
In one double-blind, placebo-controlled study, use of
selenium at a dose of 200 mcg decreased anxiety in patients undergoing HAART.118
Selenium has also been proposed as a preventive or treatment for cardiomyopathy, a disorder of the heart muscle that can affect people with AIDS, but evidence so far is weak.85,86
Some, but not all studies, have found that HIV-positive people tend to be deficient in
zinc, with levels dropping lower in more severe disease.87-92
But does this mean that taking zinc will help? The answer is not clear.
Higher zinc levels have been linked to better immune function and higher CD4+ cell counts, whereas zinc deficiency has been linked to increased risk of dying from HIV.93-95 One preliminary study among people taking AZT found that 30 days of zinc supplementation led to decreased rates of opportunistic infection over the following 2 years.96
However, other research has linked higher zinc intake to more rapid development of AIDS.97 In another study of HIV-positive people, those with higher zinc intake or those taking zinc supplements in any dosage had a greater risk of death within the following 8 years.98 And, as part of systematic review analyzing the use of supplementation in pregnant women with HIV, researchers did not find evidence to support the use of zinc for improving outcomes in mothers or their infants.134
One study found that use of zinc supplements could reduce diarrhea symptoms in people with HIV.123
Because so many nutrients are affected by HIV infection and treatments,
supplements are a logical choice.
A double-blind study of 40 people on HAART found that use of a multinutrient supplement improved CD4 counts and possibly improved neuropathy symptoms.122
However, as noted above, one study evaluated whether use of a multivitamin tablet might reduce infectivity of African women with HIV, and unexpectedly found the opposite: multivitamin tablets increase the levels of HIV virus present in the genital area.
People using HIV medications should not take
St. John's wort. In a study of healthy volunteers, St. John's wort was found to decrease the blood concentration of indinavir, one of the most widely used
protease inhibitors, by 49% to 99%.101
This could lead to treatment failure as well as the emergence of resistant strains of the HIV virus. St. John's wort also appears to interact with non-nucleoside
reverse transcriptase inhibitors (NNRTIs) such as nevirapine.106
Garlic may also combine poorly with certain HIV medications. Two people with HIV experienced severe gastrointestinal toxicity from the protease inhibitor ritonavir after taking garlic supplements,102 and another study found that garlic might interfere with the action of the protease inhibitor saquinavir, reducing blood levels of the medication.103
One study found, rather surprisingly, that
vitamin C at a dose of 1 g daily substantially reduced blood levels of indinavir.119
Other possible harmful effects discussed elsewhere in this article include worsening of peripheral neuropathy symptoms by
and increase of infectivity attributable to use of multivitamins. If you have HIV, talk with your doctor before using any herb or supplement, no matter how harmless it may seem. Given the large numbers of drugs, herbs, and supplements taken by many people with HIV, the possibility of interactions is high.
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J Acquir Immune Defic Syndr.
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Baum MK, Shor-Posner G, Lai S, et al. High risk of HIV-related mortality is associated with selenium deficiency.
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Campa A, Shor-Posner G, Indacochea F, et al. Mortality risk in selenium-deficient HIV-positive children.
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Baeten JM, Mostad SB, Hughes MP, et al. Selenium deficiency is associated with shedding of HIV-1—infected cells in the female genital tract.
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Biol Trace Elem Res.
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Clin Infect Dis.
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. Eur J Clin Invest.
Zazzo JF, Chalas J, Lafont A, et al. Is nonobstructive cardiomyopathy in AIDS a selenium deficiency-related disease?[letter].
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Last reviewed December 2015 by EBSCO CAM Review BoardLast Updated: 12/15/2015
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Date(s) - 16/12/2019
10:00 am - 3:00 pm
Coburg Co-op
We started out as the COBURG SCIENCE CLUB, a place for HOMESCHOOLERS to get together and have fun with science. Last year we expanded the range of activities to include LEGO, DRAMA, MUSIC, ROBOTICS, CRAFT and more. Welcome!
Website : www.coburghomeed.com
Contact us : firstname.lastname@example.com
Designed for 6-14yr old home educated families.
We meet regularly on Mondays in Coburg.Last updated on


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Explore Our Hotel
Welcome to the Holiday Inn Express Hotel & Suites Indianapolis North Carmel
Located off I-465 at Exit 27 on Michigan Road, the hotel is minutes from I-65, I-69 and I-70. You can get to and from the Indianapolis International Airport (IND) in 20 minutes.
Conveniently accessible to all that Indianapolis has to offer, our hotel is the perfect location to attractions and destination areas. Downtown Indianapolis is a 15 minute drive where you can visit the Circle Center Mall, Lucas Oil Stadium, Bankers Life Fieldhouse, Indianapolis Zoo, Indiana State Museum and the Indiana State Fairgrounds. Also, the Indianapolis Motor Speedway and local area Casinos are just a short drive away.
Surrounding destination areas include the Beef and Boards Dinner Theatre, The Palladium, Broad Ripple Village, Klipsch Music Center, Butler University, St. Vincent's Hospital and the Indiana University North Hospital.
Whether in town for business or pleasure, our hotel offers modern comfort with a feeling of home. Start your day with a complimentary hot breakfast and enjoy a plethora of nicely appointed amenities including high-speed Internet, microwaves, mini-refrigerators, and Keurig coffee makers in every room. The hotel is equipped with an indoor heated pool and spa, Fitness Center, Business Center, suite shop, and guest laundry. Meeting space and Jacuzzi suites are available, too!
- Black-out Shades
- Rollaway Bed/Cot Available
- Iron/Ironing Board
- Separate Hanging Closet
- In-Room Heating and A/C Controls
Bathroom/Personal Care
- Private Bathroom
- Bathroom Amenities Available
- Hair Dryer
- Bathtub
In-Room Features
- Coffee Maker
- Flat-screen TV
- Work Desk with Lamp
- Cable/Satellite
- Premium Channels
- Direct-dial Phone
- Phone with Voicemail
- Windows Open by Guest
Added Value
- Connecting Rooms Available
- Complimentary Coffee/Tea Supplies
- Full Breakfast Included
- Breakfast Buffet Included
- Continental Breakfast Included
- Complimentary Coffee in Lobby
- Off-site Restaurant Delivery Available
Business Services
- 1 Meeting Room(s) Available
- On-Site Business Center
- Printer
- Copier
Internet Access
- Free High-Speed Internet in all Rooms
- Wireless Internet service is free for all IHG® Rewards Club members
Entertainment & Recreation
- Indoor Pool
- Heated Indoor Pool
- Indoor Whirlpool
- Indoor Pool Hours of Operation: 7:00 AM - 10:00 PM
Health & Fitness
Complimentary Fitness Center
Located next to the pool, guests can enjoy an early morning, mid-day or late night work out while watching TV and enjoying complimentary water in our 24 hour fitness center.
Hours of Operation: 7:00 AM to 7:00 AM
Fitness Center Type: LIMITED
Fitness Center Equipment:
- Treadmill
- Elliptical Machines
- Stationary Bicycle
Housekeeping & Laundry
- Daily Housekeeping
- On-site Guest Self-Laundry Facilities
Added Value
- Wake Up Calls
- Ice Machine
Hotel Details
9797 North Michigan Road
Carmel, Indiana 46032
United States
Check In: 3:00 PM
Check Out: 11:00 AM
Check-in Age: 21
Parking + -
- Complimentary Self Parking Available
Accessibility + -
- Public Entrance
- Guest Rooms
- Elevators
- Public Restrooms
- Registration Desk
- Business Center
- Pool
- Number of Accessible Meeting Rooms: 1
Accessible Hotel Areas
- Registration Area
- Accessible Guest Rooms
- Business Center
- Meeting Room
- Exercise Facility
- Pool
Hotel Areas with Accessible Routes from Accessible Public Entrance
- Accessible Self Parking
- Van Accessible Self Parking
- Ramp Access
- Portable Bathtub Seats
- Closed Caption TVs
- Telephone with TDD
- Visual Alarm/Alert in Guest Rooms
- Visual Alarm/Alert in Public Spaces
- Communication Kits with Visual Alarms
Provided by Hotel
Pet Policy + -
- Service Animals Allowed
- Service animals are welcome.
Facility + -
- Smoke-Free Facility
- Number of Floors: 3
- Total Number of Rooms: 66
- Number of Suites: 27
- Number of Non-Smoking Rooms: 66
- Number of Accessible Rooms: 3
- Connecting Rooms Available
Languages + -
Languages Spoken by Staff
- English
- Spanish
Credit Cards + -
- American Express
- Visa
- MasterCard
- Diners Club
- Carte Blanche
- Discover


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{Twist & Shout}: Shades of Orange, Black + White
{Burnt Orange, Orange, Peach, Black & White}
{Click to Enlarge}
Party Lanterns & Newlyweds in Love
This is gorgeous! I have no idea how I am going to choose! Every time I come back here there is something I like better than the last!
I agree with Samantha, how the heck am I going to choose a color palette. There are so many fun ones here on The Perfect Palette.
Oh my GAH-- I'm LOVING this palette! So much fun. All kinds of cool ideas. Bookmarked.
Gosh, how are couples to choose?! Every palette you create is bound to grab them as "the one"! Love this orange...
Nicely done with those colors and the modern edge comes thru in the board!
Um WOW! This one is SO FUN! Love those lanterns and how they dance above the reception space. Truly fun!
Swooooooooon! This is so great. Love how this palette comes together to create such an exciting and almost edgy presentation.
I am loving how soft this palette feels in the featured wedding! I love how the peach & white are the prominent colors and just a hint of the sharper burnt orange & black are used.
Eeep!! Love this. It's like a variation of my own wedding palette :) Perf!
Love the laterns and the orange bouquet. Orange and black can really be chic. :) Happy Weekend.
As to not veer into Halloween territory, the peach is extremely necessary! That said, I am loving the entire combo - and black must be used sparingly!
Seriously fun! Loving all the details.
While I have to agree with you that I am drawn more to palettes that have a vintagey feel to them, I love the cheefullness of this palette! You are absolutely right ~ the key is to keep black to a minimum...and the peach helps soften the orange! And lanterns...I do love lanters ;-)))
I'm adoring this palette. It's so fun! Just look at those lanterns!! and that peach!! Loving this look.
Orange and black are definitely everyday colors for me. In my gemstone/sterling silver jewelry, I use shades of orange by itself, but most often, I use orange to light up gemstone combos with i. e. ruby/red/pink colors. Blackened silver is also a great way to set off beautiful gemstone colors. Your color palette is very beautiful! Thank you for featuring my canrnelian/oxidized silver earrings :)
This is beautiful! By far my favorite color palette. :) :)
I love how happy this board is!!! And minimal in such a cool, modern way!!
Wow, oranges and white with black accents...a halloween-y wedding, but very classy. If I were getting married in october, I would definitely use this color scheme! Great ideas. Thanks!
Wow, what a combination of colors.. Anyone hardly can imagine the greatness of a particular color pallete.. I am impressed..


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Fat Fifth Bundle - Green Collection - Set of 5
Regular price $ 10.97 Sale price
$ 21.94
Product Type: Fat Fifth Bundles
Collection: Green
Fabric Type: 100% Cotton
Fabric Width: 40cm x 50cm (approx. 15.75" x 19.70")
Quantity: 5 fat fifth
Designs: There are five different designs per bundle
Shipping Costs
- Flat rate worlwide: Flat $5.95
- Free Shipping on orders over $75
Delivery Times
- US, UK, CA, AU (ships from China): 10-12 Business Days (with tracking)
- Other (ships from China): Up to 60 Days (may not have tracking)
What is a Fat Fith?
A Fat Fith is our exclusive measure. Each Fat Fith is 40cm x 50cm (approx. 15.75" x 19.70"). This is a great way of buying a yard of fabric and getting many different designs. We are the only company using the Fat Fifth measure, if you find it anywhere else, they are a copy, not the original.
Our Guarantees:
- 100% SATISFACTION GUARANTEED: If you are not 100% satisfied with your purchase just let us know and we will give you a full refund. Returns include free return shipping, no restocking fee is charged.
- BEST PRICE GUARANTEE: Find a cheaper similar product within 24 hours of placing your order, and we'll give you twice the difference.


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- Home
- Our Departments
- Prince George's County Operations
- Planning Department
- About Us
- Our Divisions
- Countywide Planning
- Transportation Planning
- I-495 and I-270 Managed Lanes Study
I-495 and I-270 Managed Lanes Study
The I-495 and I-270 Managed Lanes Study
The purpose of the I-495 and I-270 Managed Lanes Study is to develop a travel demand management solution that addresses congestion, improves trip reliability on I-495 and I-270 within the study limits and enhances existing and planned multimodal mobility and connectivity. MDOT SHA intends to utilize a public-private partnership (P3) in order to design, construct, finance, operate and maintain any proposed infrastructure improvements.
Prince George's County Planning Department and Prince George's County Department of Parks and Recreation are reviewing MDOT SHA's Purpose and Need Statement for the I-495 and I-270 Managed Lanes Project. As stewards of the natural and built environment, and as a cooperating agency on this project, as identified as such by SHA, Prince George's Planning and Parks Department's are working to assess the goals, objectives, and criteria from a land use perspective.
Managed lanes are an option to provide travelers with a choice of single-occupant vehicle (SOV) travel in specific areas of roadways. Any selected build alternative is likely to have significant effects on parkland and the associated facilities, programs and natural and cultural resources in both counties as well as significant community impacts. In order to address the impact of the alternatives, the Managed Lanes Study will ultimately evaluate the impact to properties and resources based upon the Alternatives Retained for Detailed Study (ARDS) as a result of the public input based on criteria outlined in the Purpose and Need Study. The magnitude of the impacts will be evaluated by M-NCPPC staff, and required mitigation proposed by MDOT SHA will ultimately be presented to the M-NCPPC as the project progresses. Learn more about the MDOT SHA Managed Lanes Study.
This countywide property layer is the result of many individual land records and is therefore for planning purposes only. Some boundaries may not be precise. View fullscreen
Summer 2018
SHA holds public meetings
|Winter 2018
|Alternatives Retained for Detailed Study (ARDS) Public meetings (locations to be announced) Studies
|Spring 2019
|Mandatory Referral for the selection of the MDOT Preferred Alternative
|Fall 2019
|Draft Environmental Impact Statement
|Fall 2019
|Final mitigation package delivered
|Early 2020
|P3 contractor hired
|Fall 2020
|Final ROD and USACE permit decision
Mandatory referral at 30% design, supplemental NEPA analysis and review if necessary
|Late 2020
|Construction Start
|Project Completion
|*Schedule subject to change. For the latest updates and additional information, visit the National Environmental Policy Act section of MDOT SHA's FAQs page.
What are Managed Lanes?
Managed Lanes are defined as highway facilities or a set of lanes where operational strategies are proactively implemented and managed in response to changing conditions.
Priced Managed Lanescombines two highway management tools:
Congestion Pricing:The use of pricing moderate demand during peak periods is common in sectors such as power and air travel. Similarly, the concept of value pricing within the highway sector involves the introduction of road user charges that vary with the level of congestion and/or time of day, providing incentives for motorists to shift some trips to off-peak times, less congested routes, or alternative modes. Higher prices may also encourage motorists to combine lower-valued trips with other journeys or eliminate them entirely. When peak-period volumes are high, a shift in a relatively small proportion of trips can lead to substantial reductions in overall congestion levels and more reliable travel times.
Lane Management:The rationale for lane management is to maintain a superior level of service and provide an alternative to general-purpose lanes during peak travel periods. Lane management involves restricting access to designated highway lanes based on occupancy or vehicle type. By limiting the number of vehicles in designated lanes, it is possible to maintain a desirable level of traffic service. Managed lanes are separated from general-purpose lanes, it is possible to maintain a desirable level of traffic service. Managed lanes are separated from general-purpose lanes by differentiating pavement striping or physical barriers, with entry often but not always limited to designated locations.
Information obtained from Slide 14 – Transportation Terminology


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Got an image you'd like to see in here first thing in the morning? Send it to email@example.com. Subject: Morning crap
This pretty extraordinary picture comes courtesy of Bar Stool Sports (via Sadfans) shows the world that there are no limits to what can be airbrushed on the back of a tire cover. "I'd like Kevin Youklis and Dustin Pedroia — but make it look like they're conjoined twins in an outfield in heaven." Dunzo! And that's how dreams come true...
Good morning. How is everybody? No, seriously how are YOU?


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Join us Friday, June 2 at 9:40 a.m. for our Friday Financial Forum. We will meet at the Friday Forum Room at Arvest's East Side Branch, located at 4225 S.E. Adams Rd. in Bartlesville, Okla.*
We will have a 9:40 a.m. pre-forum performance from the Bartlesville band, River Cross Ramblers, a mixture of styles and voices featuring Alan Gentes and Tim Hudson. In keeping with the band's ambitious mission, their influences are likewise eclectic. Citing artists all across the musical spectrum, the Ramblers draw inspiration from unlikely sources. The group will be included in OK Mozart Showcase events schedule, performing on Friday, June 16, 10 - 11 a.m. at Ambler Hall.
Our featured speakers are the 33rd annual OK Mozart Festival's Grace Farmer, showcase director, and Susan Albert, marketing director and public relations, who will be bringing the details of the festival to be held June 8-16. This year's festival is filled with excitement and a little something for everyone with a diverse, highly-acclaimed musical talent for residents and visitors alike to enjoy in classical, jazz, blues, rock and other mixed genres.
The 9-day event kicks off Thursday, June 8 with a free street party 5 - 7:45 p.m. at Silas Street and Price Tower featuring the 145th Army Band, followed by western blues band Honey Blue. Kids will enjoy sidewalk art, bouncy house, Captain Armando and Gypsy Glitter.
Main Stage Concerts at the Bartlesville Community Center include: Cowboy crooner Michael Martin Murphey accompanied by the world-class Bartlesville Symphony Orchestra; the harmony-rich sound of Wilson Phillips, a vocal trio comprised of sisters Carnie and Wendy Wilson and Chynna Phillips; trained, golden-voiced Chris Mann, star of the "The Phantom of the Opera" tour accompanied by the Bartlesville Symphony; and the world premiere of composer Jerod Tate's Muscogee Hymn Suite, commissioned and performed by the Tulsa Symphony Orchestra.
Chamber music performances, always popular with OK Mozart fans, will be held June 12-15 in Ambler Hall featuring the exciting Miró Quartet and Oklahoma's own Brightmusic Society with Trio Solari. The world premiere of the Joseph F. Tyldesley composition, "Homage to Haydn," will be performed by the trio, who also commissioned the piece.
If you enjoy music out on the green, the Concert Under the Stars with entertainment by jazz band Mojo at Sooner Park and the Woolaroc concert of Disney classics performed by the Tulsa Symphony Orchestra with fireworks over the lake will be for you!
A full spectrum of showcase events is planned again this year, including children's activities, folk and jazz entertainment at the Price Tower, a tribute to Gershwin by Those Two! among 21 other events featuring outstanding performers and exciting venues.
Tickets are now on sale through the Bartlesville Community Center Box Office*.
What you can also expect at the event:
Invite a friend and come enjoy delicious homemade cookies and hear about what's going on in the Bartlesville area! If you have any questions or would like to be included on the invitation email list, please contact Billie Roane at (918) 337-4358. We look forward to seeing you there!
Links marked with * go to a third-party site not operated or endorsed by Arvest Bank, an FDIC-insured institution.
**Josh Randolph Oklahoma Insurance License #122041 and Sonya Reed Oklahoma Insurance License # 111796
Submitted questions will be answered by an Arvest banker and may appear on the Arvest Blog.
All Arvest banks are Equal Housing Lenders and Member FDIC.
Investment products and services are provided by Arvest Investments, Inc., doing business as Arvest Asset Management, member FINRA/SIPC, an SEC registered investment adviser and a subsidiary of Arvest Bank. Trust services are provided by Arvest Bank. Insurance products are made available through Arvest Insurance, Inc., which is registered as an insurance agency. Insurance products are marketed through Arvest Insurance, Inc., but are underwritten by insurance companies.
Securities and Insurance Products: Not Insured by FDIC or any Federal Government Agency, May Lose Value, Not a Deposit of or Guaranteed by a Bank or any Bank Affiliate.


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Foxy Hot Cocoa Tag
Handmade holiday treat containers are a great way to show you care. Use these free instructions to learn how to make this card. With these simple paper-crafting steps, creating this finished cocoa container is easy!
SUPPLIES: Cardstock: (white) Neenah Paper; (Peppermint) Bazzill Basics Paper Patterned paper: (brown grid, teal plaid from Dewey Decimal 6x6 pad) Lawn Fawn Clear stamps: (fox from Winter Fox set; banner from Bannerific set; Sally's ABCs set; heart from A Birdie Told Me set) Lawn Fawn Dye ink: (Tuxedo Black) Tsukineko; (Antique Linen) Tim Holtz/Ranger Industries Watermark ink: Tsukineko Embossing powder: (white) Hero Arts Color medium: (tan marker) Copic Accent: (eyelet) We R Memory Keepers Fibers: (red striped ribbon) May Arts Adhesive: Best Creation, American Crafts Dies: (snowflakes from Damask Snowflakes set) Papertrey Ink; (banner from Bannerific set) Lawn Fawn Other: (jar of cocoa) Finished size: 3 3/4" diameter
1 Die-cut snowflakes from cardstock; ink edges of one. 2 Set eyelet in inked snowflake and adhere snowflakes together with foam tape to create tag. 3 Die-cut banner from cardstock. 4 Stamp banner and "Hot cocoa" on banner; emboss. Adhere to tag with foam tape. 5 Mask fox stamp and stamp steam on tag. 6 Stamp fox and heart on cardstock and patterned paper. 7 Color cardstock fox with marker. Fussy-cut pieces and adhere together. 8 Adhere fox to tag with foam tape. Tie to cocoa jar with ribbon.
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