text:
On one hand, the provider of the goods or services contracted by the user Mauro Fossati, from now on, Beahost or provider, located at Plaza de gracia 1, 606, 18002, Granada, Spanin, with NIE Y2824633V, with contact telephone number +34 611019480 and email email@example.com. On another hand, the user, registered in the website by means of a username and password, that facilitates the data on which he has full responsibility for use and custody, being responsible for the veracity of the personal data provided to the provider.
Below is the contractual document that will govern the reservation and information of properties and services for them through the website https://beahost.net/ property of Mauro Fossati N.I.E: Y2824633V. The acceptance of this document implies that the user:
- Have read, understand and agree with this text.
- That is a person with sufficient capacity to act.
- That assumes all the obligations set forth herein.
These conditions will have an indefinite validity period and will be applicable to all bookings made through the website https://beahost.net/
The provider reserves the right to unilaterally modify these conditions, without affecting the promotions, if applicable, in those that were reserved previously the modification.
By accessing, browsing and using our website and / or making a reservation, you agree to have read, understood and agree to the terms and conditions set forth herein.
The currency used for the payment of services will only be Euro €. The procedure will be carried out in the three available languages on our website: Spanish, Italian and English.
In case it could be carried out in another language it will be indicated before starting the contracting procedure.
The user before proceeding to the reservation of the service must take into account the specific conditions of the same.
For any information about the service performed, the user can contact the customer service phone number +34 611019480 and via email: email@example.com.
The purpose of this document is to regulate the contractual relationship of proceeding with the reservation requested and to carry out an offer of personalized services born between the provider and the user at the moment when the latter accepts the corresponding box during the online process. The contractual obligation to proceed with the reservation requested entails the delivery, in exchange for a specific price and publicly displayed through the website, of a specific product or service.
The user who makes the reservation for the first time must fill out the form provided for this purpose. To advance in the process you must select the desired option by clicking on the corresponding tab.
In accordance with the requirements of art. 27 of Law 34/2002 on Services of the Information Society and Electronic Commerce, the reservation procedure will follow the following steps:
- a) First, select the property on the main page by means of the search parameters, as well as the dates of stay.
- b) Choice of the number of people.
- a) Sample of the final price. Insertion of both personal data relating to the reservation, as well as the bank card used as guarantee of the reservation, or payment by paypal, bank transfer, and acceptance of general and specific terms and conditions of the reservation (included in each property). Please, consult carefully the data of the reservation or service that you choose to know the specific conditions before making the reservation.
- b) Verification of reservation data.
- c) Formalization of the reservation.
- d) Sending confirmation email of the reservation with data of the same.
- e) Once we have received this and whenever we confirm that the payment has been made and that all the information is correct, we proceed to process your reservation.
- a) After formalizing the reservation, the client is asked to review the content of the reservation in order to identify possible material errors in the data entry; To process your correction, you can call us at the customer service phone number +34 611019480 and via email firstname.lastname@example.com communicating the identification data of the reservation.
The reservation of the property will be made when the user has made the full payment and this has been received by the provider. Until then, the reservation will not be understood as completed. At the time of making the reservation, users will be provided a proof that they have made the reservation, in which they will be informed of the total price, including all taxes and fees.
If for any reason, independent of the user, the reservation could not be made effective, the refund of the amount paid directly with the same means of payment used by the client will be made.
The provider assumes no responsibility when the reservation is not made as a result of the data provided by the user being false, inaccurate or incomplete.
Notwithstanding the foregoing, we will adopt the measures required of a diligent merchant so that the reservation can be made within the agreed time.
When providing our service, the information we show is based on the information provided by the providers. Although we try to make our service as accurate as possible, we can not verify or guarantee that all information is accurate, complete or correct. We are not responsible for errors (such as manifest and typographical errors), interruptions (due to falls (temporary and / or partial) of the server or repairs, updates and maintenance of our platform or other reasons).
The tourist tax or municipal taxes will be charged at destination and will be paid in cash. If the cancellation of the reservation occurs before check-in, that fee will not be charged.
If the cancellation occurs during the stay, the tourist tax or municipal taxes of the nights that have not been enjoyed will not be returned.
Our recruitment procedure is offered in the following languages: Spanish, English and Italian. To be able to change the language, access the language dropdown in the upper right corner of the web page.
If you owe additional amounts due to a reservation modification, you agree that Beahost may charge you these amounts by passing the charge through the payment method used to make your reservation.
If it is considered the cause of damage to a property or any personal property or existing material in a housing, the client authorizes Beahost to pass the charge through the payment method used to make the reservation in order to collect the deposit associated with the property in question as well as any amounts of the claim for damages exceeding the bond. Beahost reserves the right to collect payment from you in another way and to make use of any resources available to it in this regard in situations where you are responsible for a claim for damages.
If you are interested in any of the properties we advertise for sale, please contact us at +34 611019480 or via email firstname.lastname@example.com, and we will inform you as fully as possible.
The prices indicated for each service will be expressed in the euro currency (€). Prices will vary according to dates and seasons.
The prices indicated next to each product include VAT and can be viewed from the beginning of the reservation, leaving these taxes broken down in the final summary before proceeding to the payment. If we make an offer, discount or promotion, it will be reflected on this website and you can choose it.
The prices specified on the page are for the entire stay and all prices are shown with VAT / taxes unless otherwise indicated on our Platform or in the confirmation email.
The prices are subject to the validity indicated in the offer, depending on the destination it is possible that the tourist/municipal tax is applicable. This amount is charged per night varies according to the type of establishment, this fee will be charged at destination and will be charged in cash. If there is a cancellation before check-in, that fee will not be charged. If the cancellation occurs during the stay, the proportional part of the nights that will not be enjoyed will not be returned.
However if you want more information about it or are interested in a destination in question and want to know the tourism tax in force at that time in question and for that property and destination, you can contact us at the contact number +34 611019480 and email firstname.lastname@example.com.
The rates may include restrictions and special conditions, related to cancellation and reimbursement, although it is not usual, check the data and conditions of the reservation, the corresponding service or product carefully to know the conditions before making the reservation.
The conditions of cancellation and payment in advance may vary according to the type of apartment. Check the specific conditions of the accommodation when you select it in the menu. Special offers and promotions will be marked as such.
Although in the current legislation the provision of accommodation services for purposes other than serving housing, if the contracts forsees a specific date or period of execution, would be legally exempt from the right of withdrawal, Beahost confers its users the following policies in these sections:
Cancellations and refunds
If a user cancels a confirmed reservation, 80% of the Refunded Rate will be reimbursed as long as cancellation is notified thirty days before check-in.
If the cancellation is communicated with a time less than thirty days there will be no refund.
If Beahost cancels a confirmed reservation, it will offer a full refund of the total fees within a reasonable time of cancellation. In some situations, we may allow the user to apply the refund to a new reservation, in which case he will disburse the amount for the subsequent reservation of the user upon indication. If the good or service or contracted service is not available, it will be informed of this lack of availability and will recover without delay the amounts paid under it, likewise, Beahost will be able to supply the client without a price increase a good or service of similar characteristics that has the same or superior quality.
If there is a cancellation of the reservation, both by the user and by the person or operator, for reasons of force majeure, duly justified, no penalty may be applied. Grounds of force majeure will be understood as circumstances beyond the control of the party invoking them, abnormal and unforeseeable whose consequences could not have been avoided, despite having acted with due diligence.
We have the following forms of payment:
- a) Payment by bank transfer. Once the confirmation of the payment has been received, the processing of the order will begin. (20% when booking and the remaining 80% thirty days before check-in).
- b) Through Paypal: for this you must have an associated account or create it.
The card data is saved securely in your PayPal account, and you can use your account on our website and other websites that accept PayPal. The payment will be made in full.
- c) Payment by credit / debit card.
These conditions will be governed or interpreted in accordance with Spanish legislation in which it is not expressly established. The provider and the user, agree to any dispute that may arise from the provision of services or services of condition, to the Courts and Tribunals where the user is located
Likewise, the lender and the user can submit their disputes to the arbitration provided for in the arbitration and defense legislation of consumers and users, the extrajudicial dispute resolution procedures that are established through codes of conduct or other self-regulatory instruments.
The fact that the user has his domicile outside Spain, both explicitly renounce to another forum, having the Spanish category established in the previous paragraph.
If you do not agree with the available products or any service associated with them, you can go to the following link whenever the company is in the territory of the European Union: http://ec.europa.eu/consumers/odr
Mauro Fossati (Beahost) is responsible for the treatment of personal data that the user provides and therefore informs you:
- End of the treatment: we collect this data so you can use our services and, therefore, manage the commercial relationship of the services offered, manage your requests as owner or as lessor and, likewise, perform treatments for advertising and commercial prospection purposes.
- Data preservation criteria: they will be kept as long as there is a relationship with you both for the products sold and for the services offered or for the existence of any legal obligation.
- Legitimation: execution of a contract or service in relation to the reservation of real estate, taking into account the terms and conditions stipulated for the completion of the contract on the website: firstname.lastname@example.com.
Recipients: your contact information will be transferred to the owners of the property and collaborating real estate agencies regardless of the country in which these companies can be found, being able to produce international data transfers, with the exclusive purpose of managing the service and our tax advice in charge of the tax treatment. They will also have access to web developers and the company that gives us hosting on their servers. All of them have regularized with us the access to these data for the purpose exclusively described here. They are not going to be destined to any other third party for their treatment, except legal obligations.
- Rights that assist the User:
- a) Rights that assist the User: to withdraw the consent at any time. Right to object and to the portability of personal data. Right of access, rectification and deletion of your data and the limitation or opposition to your treatment.
You can exercise these rights by sending an email or postal mail, both with a photocopy of the owner's ID, incorporated or attached:
-Mail address: Plaza de gracia 1, 606, CP 18002, Granada, Spain.
– Electronic address: firstname.lastname@example.com
- b) Right to file a claim with the Control Authority if it has not obtained satisfaction in the exercise of its rights, in this case, before the Spanish Agency for data protection http://www.agpd.es
You can consult the additional and detailed information on Data Protection on our website: https://beahost.net//privacypolicy.html.


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Dr Laurence Spurling
BA (Cantab) Social Science, Ph.D. (Manchester) Philosophy
Senior Lecturer in Psychosocial Studies (0.8)
Programme Director and Admissions Tutor for:
- MSc in Psychodynamic Counselling and Psychotherapy
- MSc in Psychodynamic Counselling with Children and Adolescents
- Graduate Certificate in Psychodynamic Practice
- Cert HE Psychodynamic Counselling and Skills in a Psychosocial Framework
Academic background
- Laurence Spurling joined Birkbeck in 1986 as a tutor on what was then the Department of Extra-Mural Studies, teaching on the Diploma in Adult Counselling. In 1994 he became a Lecturer in Counselling in the School of Psychology. He is now Senior Lecturer in the Department of Psychosocial Studies, with overall responsibility for the counselling and psychotherapy provision within the department. He is Programme Director of the MSc in Psychodynamic Counselling & Psychotherapy and the MSc Psychodynamic Counselling and Psychotherapy with Childrenand Adolescents, where he teaches in the third year. He is Programme Director for the Graduate Certificate in Psychodynamic Counselling, where he teaches on the course.
- He works part-time at Birkbeck, and combines his academic career with a part-time clinical post as a Consultant Adult Psychotherapist in the NHS, as well as working in private practice as a psychoanalytic psychotherapist.
Research and teaching
Research interests
- My research writing has ranged over a series of clinical issues and interests, including working with borderline patients, assessment in psychotherapy, the concept of regression in psychoanalysis, and transference to psychoanalytic figures. My current interests are in comparing psychoanalytic therapy to other contemporary approaches.
- Psychodynamic counselling; the clinical case study; psychotherapy with borderline personality disorders. If you are interested in pursuing research in any of these areas, you should first read our advice on how to apply for MPhil/PhD research before submitting an application.
- Psychoanalytic theory and technique
- Combining psychoanalytic practice with other therapies
- Psychoanalysis in public settings
- Theoretical and clinical seminars on the MSc in Psychodynamic Counselling & Psychotherapy.
- M.A., Professional Doctorate and Ph.D students in Psychoanalytic studies
- 2009: 2nd edition of An Introduction to Psychodynamic Counselling, with one new chapter (20 pages) and revisions
- 2004: Spurling, L. An Introduction to Psychodynamic Counselling, Palgrave/MacMillan 156 pages
- 1977: Phenomenology and the Social World: Routledge
Journal articles
- Spurling, L (2012) 'Characters in interpersonal and psychoanalytic therapy: a comparison', Psychoanalytic Psychotherapy, vol.26, no.3, 230-244
- Spurling, L. (2010) 'Can there be an analytic practice of a non-analytic therapy?' Psychodynamic Practice vol.16, no.1. 45-59.
- Spurling, L. (2008). 'Is there still a place for the concept of therapeutic regression in psychoanalysis?', International Journal of Psychoanalysis, vol.89, no.3:523-540(translated as 'Gibt as in der Psychoanalyse noch einen Platz fur das Koncept der "therapeutischen Regression"?' in Internationale Psychoanalyse 2009, ed. A.Mauss-Hanke, Psychosozial Verlag)
- Spurling, L. (2005). 'Combined therapy with Borderline patients'. British Journal of Psychotherapy, 21(4), 543-558
- Spurling, L. (2003). 'Transference with the Borderline client: Some implications for training psychodynamic counsellors'. Psychodynamic Practice, 9(1), 25-42
- Spurling, L. (2003).'On the therapeutic value of not offering Psychotherapy: An account of an extended asssessment'. Psychoanalytic Psychotherapy,17(1), 1-17
- Spurling, L. (2003). 'On Psychoanalytic figures as transference objects', International Journal of Psychoanalysis, vol.84: 31-43
Professional membership and awards
Professional membership
- Senior Member, London Centre for Psychotherapy

subset: commoncrawl


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Spring Break @ Your Library
Schools may be closed, but your Library is open during Spring Break with lots of programs to keep you busy!
Monday - Teen Knits Club (6th-12th grade), 4-5 pm. No experience necessary. Drop-in and learn to knit.
Tuesday - Jan's Clan Puppets (All ages), 1-2 pm. Drop in to enjoy this puppeteer extraordinaire!
Wednesday - Grandparents Got Game!, (Grandparents and kids), 1:30-3 pm. Drop-in to make crafts, play board games and enjoy a snack.
Thursday - Duct Tape Time for teens (6th-12th grade), 1-3 pm. Supplies provided to make a variety of things. You need to register for this program. Do it now!
Thursday - Make a Melody (All ages), 1-4 pm. Drop-in and make simple, easy and melodious musical instruments.
Saturday - Family Movie Matinee (All ages), 2-4 pm. Drop-in and enjoy "Rise of the Guardians" on the big screen.
See you at the Library!


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W.T. Kirkman #2 "Champion" Cold Blast Lantern
Code: WTK2G
Price: $53.95
This Item Ships Free in the Continental USA
The W.T. Kirkman No. 2 Champion is our most popular and best selling lantern, and features a full weight pressed "Loc-Nob" globe bearing our trademark, and the improved WTK #262 wing-lock burner for superior performance and the highest wind resistance. The extra durable galvanized construction is well suited for the most demanding applications, and is especially appropriate where an historically accurate unpainted finish is needed. Here is an outside review of the No. 2 Champion worth reading.
WARNING: The combustion of lamp fuel can expose you to chemicals including naptha, carbon monoxide and soot, which are known to the State of California to cause cancer and birth defects or other reproductive harm. The galvanized coating can expose you to lead which is known to the state of California to cause cancer and birth defects or other reproductive harm. For more information go to www.P65Warnings.ca.gov.
Related Item(s)
COPYRIGHT © 1997 - 2019 W.T. Kirkman ® ALL RIGHTS RESERVED
W.T. Kirkman is a Registered Trademark with the United States Patent Office


text: www.hush-uk.com 0844 800 410810BUBBLE STITCH CARDI £80Textured knit cardigan with deep v neck and long sleeves. 3 button closure and front patch pockets. Ribbedtrim at cuffs and hem, strapping trim at neck and front. 100% lambswool.cream, charcoal marlXS (8), S-M (10-12), M-L (14-16)HAREM JOGGERS (khaki) £45, oppositeBASIC VEST (dove) £17.50, pg53CASHMERE RING SCARF (grey marl) £60, pg62CASHMERE WRIST WARMERS (grey marl) £30, pg62HAREM JOGGERS £45Easy pull-on trousers with front pocketsand a pleated front. The waistband iselasticated with a shaped panel at thefront. Ribbed cuffs at ankles.Cotton/polyester.khaki, blackXS (8), S-M (10-12), M-L (14-16)


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Yong Jin's 2nd Birthday
Since Uncle Jason was not in Malaysia on the second, Aunty May decided to delay the birthday dinner for a week. We went to the place in Cheras named Unique Fisherman (I think) Honestly the food wasn't up to the standard that I have expected and since I am not doing a food review, I'll totally skip on the food matter.
When we (Elaine, Keith and I) arrived we were already the last to reach there because traffic was really jammed up. Uncle Jason and Aunty May was already halfway thru ordering food and I started snapping pictures as soon as I hand over Keith to Elaine. The 2 year old birthday boy was being a koala bear and only wanted to hug his two favourite
tree people, his po-po (maternal grandma) and jiu-jiu (his maternal uncle, Jason). The place that he will keep asking you to go to is the aquariums or pool
As for Keith, look at what was he doing when he found Nicole's teddy lying on the back of the car while Elaine was talking on the phone. As we sat down on the table, he got himself very busy by trying to snatch whatever he can off the table or would be whining and wriggling around to make Elaine or I to stand up and walk around. We also realise that he seems to like to scratch his ears, eventhough it is clean. For his meal we gave him some baby biscuits and tofu to keep him contained. After that I had to put him in the stroller and push him to the furniture shops nearby. He started whining again as soon as we re-enter the restaurant


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The Role of the Reader
from Workbook for Lectors, Gospel Readers, and Proclaimers of the Word 2014
As readers of the Word, we share in a sacred process in the life of the Church. "In Sacred Scripture, the Church constantly finds her nourishment and her strength, for she welcomes it not as a human work, but as what it really is, the Word of God" (1 Thessalonians 2:13), Second Vatican Council. Dogmatic Constitution on Revelation, 24).
"When the Sacred Scriptures are read in the Church, God himself speaks to his people, and Christ, present in his word, proclaims the Gospel. Therefore, the readings from the Word of God are to be listened to reverently by everyone, for they are an element of the greatest importance to the Liturgy" (GIRM, 29). Therefore, we who are privileged to read during the liturgy play a very important role in helping to present the Word to the assembly.
We owe this privilege, as well as the insights just expressed, to the work of the Second Vatican Council 1962-1965, which issued the Dogmatic Constitution on Divine Revelation and the document that has most shaped our liturgical experience: the Constitution on the Sacred Liturgy. As the Church celebrates the fiftieth anniversary of the document, we readers should celebrate it with particular joy. Among many contributions to the liturgy, it provided for a richer selection of Scripture to be read at Mass, it invited the laity into liturgical ministry, including the ministry of reader, and it urged everyone to listen attentively to the Word proclaimed, because "it is he (Christ) himself who speaks when the holy Scriptures are read in the Church".
Our mission entails a great responsibility. At Mass, we serve as a bridge between the Scriptures and the faithful. In undertaking this sacred ministry, you are committing yourself to the preparation and discipline that enables Scripture to become a living Word. According to the Instroduction to the Lectionary for Mass, this requries that "prepation must above all be spiritual, though technical preparation is also needed." The introduction adds that "spiritiual preparation presupposes at least a biblical and liturgical formation .... Biblical formation is to give readers the ability to understand the readings in context and to perceive... the central point of the revealed message... Liturgical formation ought to equip readers to have some grasp of the meaning and structure of the Liturgy of the Word and of its connection with the Liturgy of the Eucharist. The technical preparation should make the readers more skilled in the art of reading publicly.


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Delivering safe and reliable energy to Wisconsin and Upper Michigan
Home page > Residential > Billing and payments > Reading your meter >
Most customers in the WPS service territory have digital electric and natural gas meters.
Digital meters are much like reading your vehicle's odometer. Reading from left to right, simply write down the last 5 or 6 numbers shown. The difference between the new reading and the last one is your monthly energy use.
WPS uses automatic meter reading in all the communities we serve. The meters feature a transmitting device that sends your monthly meter reading to WPS over our power lines. This helps provide you with accurate billing, and significantly reduces estimated readings.
There are times when we may be unable to read your meter. At these times, we need to estimate your bill, based on past use and recent weather conditions. Any differences between the estimated reading and your actual use will be accounted for with your next actual meter read.
Registered users can submit a meter reading online.
If you have any questions, call 800-450-7260.
© Wisconsin Public Service
Contact us | Terms and conditions | Privacy policy | Site map


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Thursday, 21 March 2013 14:11 Mizzima News
Myanmar's parliament on Wednesday approved setting up a commission to review the 2008 Constitution.
|Military appointees to the Burmese Parliament take the oath of office. Photo: Mizzima
According to a report by The Associated Press, the process could eventually change the political landscape by allowing opposition leader Aung San Suu Kyi to contest the presidency.
Parliamentarians representing the ruling Union Solidarity and Development Party, who proposed the commission, have said they want to change provisions concerning state governments to allow ethnic minorities increased autonomy.
The bicameral parliament agreed unanimously on Wednesday to look at the charter and consider whether to implement changes, AP said.
The 2008 Constitution was originally approved in a national referendum held in the days following the Cyclone Nargis disaster.
Critics say the Constitution's drafting was heavily biased in favor of the ruling military junta of that time, when current president, Thein Sein, was prime minister.
One of the issues expected to be debated is the provision that 25 percent of all parliamentary seats are reserved for military appointees.
Related articles:
- Parliament takes first step to revise Constitution
- Myanmar constitution does not benefit ethnic people, says KNU
- Suu Kyi hopeful Burma's military will support constitutional changes


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87% of you said I distanced myself after my perfect blind date because I was...simply put... scared.
You're right. I'm definitely afraid of getting close to someone again, only to crash and burn, like the last time(s).
Not only is my heart still so fragile from Greek Dentist, but I truly worry, to the point of obsession, that I'll waste more time with the wrong man.
It doesn't help that I'm heading home to NYC next week for Thanksgiving. I already know how painful it's going be staying away from him. It's like an addiction, ya know?
So yeah, I'm __a little anxious__these days. Ahhhh -- Greek Dentist sob sessions --won't you miss them one day?
So back to Blind Date.... The more I read your comments, the more I need to see him again.__ I'd be a damn fool not to__!! He's grounded, gorgeous and looking for the exact same thing as me.
I felt so guilty when wlu5920 said "My heart totally sank after reading those last couple paragraphs!" that I called him right away to set up our second date.
We chatted and texted a bunch of times -- all sweet and sexy stuff. Although, I'm in a bind...
He's been quite precocious about my "job." He knows I write for magazines -- and that I have some semblance of a dating column -- but he wants to know more.
My vagueness is starting to sound suspicious, and I don't want it to go too far.
Selfishly, I'd prefer to hold off a little longer since, despite my strange ups & downs, I obviously like him, and I'm not sure if the blog will be a deal-breaker (like it was with the artsy gallery owner and then Tyler).
Most guys have a good outlook on it, but like I said, he's dealt with some serious life issues and I don't want him to get worried or paranoid.
You guys know -- I'd never exploit or embarrass anyone here.__ It's all in good fun__.
So I'm thinking: Why not have a few more dates, and get a little closer, so that I'm not as easy to walk away from, in case that's his initial reaction.
Unless you think that's__blatant dishonest.__ Tell me, how much longer can I keep this from him?


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The American Academy of Nursing today announced the designation of John Lowe, PhD, RN, FAAN, as an Academy Edge Runner for his Talking Circle Intervention, a model of care for the prevention of substance abuse by American Indian/Alaska Native and other Indigenous youth. Dr. Lowe is a Professor of Health Disparities Research and Director of the Indigenous Nursing Research for Health Equity Center at the Florida State University College of Nursing. Edge Runners are part of the Academy's Raise the Voice campaign, which promotes new, evidence-‐based and nurse-designed models that better serve patients at lower costs and have measurable results.
"The Academy is delighted to recognize Dr. John Lowe for his work in creating a replicable framework for a group of individuals to support, and gain insights from one another in moving away from substance abuse, and toward positive goals," said Academy President, Bobbie Berkowitz, PhD, RN, NEA-BC, FAAN. "Patient care models developed by Edge Runners show how nurses are leading the way in transforming America's health system for the better."
American Indian/Alaska Native and Indigenous youth begin alcohol use earlier and are more likely to have initiated substance use than other racial/ethnic groups. The death rate for American Indian/Alaska Native youth is double that of youth of other racial or ethnic groups. Early substance use is associated with antisocial behavior, conduct disorder, other mental health disorders, and school failure.
Dr. Lowe's Talking Circle Intervention employs a tradition among American Indian/Alaska Native and Indigenous people that is still in practice today. Because these communities consider the whole greater than the sum of its parts, and believe healing should take place in the presence of a group, Dr. Lowe applies the Talking Circle Intervention to create an environment where participants support one another. Through the Talking Circle intervention, the traditional sense of belonging is fostered and participants experience healing.
Dr. Lowe also has developed and tested video-conferencing to deliver the Talking Circle intervention. Through this technology, the model of care is now being delivered to multiple American Indian/Alaska Native n communities throughout the United States.
Using National Institute on Drug Abuse diagnostic evaluations to compare intervention methods, Dr. Lowe found that the Talking Circle is more effective than standard education for decreasing substance use among American Indian/Alaska Native and Indigenous populations. Furthermore, communities where the Talking Circle Intervention is being implemented have reported a positive impact on their economies due to the decrease in costs associated with substance abuse. The Talking Circle Intervention has been recognized by the U.S. Department of Justice's Office of Programs as an evidence-based program affecting juvenile well-being.
A full profile of the project can be read here: http://www.aannet.org/edge-runners--talking-circle-intervention


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Cleon Peterson is visiting the UK to set up his forthcoming exhibition called 'There is war' at The Outsiders gallery in Soho London. And we can not wait to check out his super cool bold and graphical art work. The exhibition has a private viewing on the 4th July and the gallery opens on the 5th July - 3rd August. Look out for the Quiet Life x Cleon Peterson capsule coming soon!
Thursday, 27 June 2013
Cleon Peterson at The Outsiders gallery
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Labels: art, Cleon Peterson, london, outsiders gallery, Soho, the outsiders gallery, The Quiet Life
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Name: Ujwal
When he was born:
When he joined Our Sansar:
He was 7 years old
What he loves:
To play cricket and to dance
Wishes for the future:
To build a big house
His story:
Ujwal has got parents. But they have no jobs and no land, so they aren't able to look after him. He never went to school and ended up on the streets earning his living by collecting rubbish. When he was referred by the children's authorities to our home, he was very malnourished. His eyes were often filling up with tears.
His life at Our Sansar:
Ujwal is now the tiniest boy with the biggest smile at our home. He still has moments when he stares into space and gets very quiet. But these moment pass quickly nowadays and he is generally a very happy boy. He is the best cricket player in our home and definitely one of the best dancers in Nepal.


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Jumping, Digging, Chasing, and Stealing Behaviors in Dogs
All of these actions are within the range of normal dog behaviors. However, a dog that is not kept active enough may behave excessively in one or more of these ways. This can be especially true of dogs that are normally high energy by genetic disposition or character.
Jumping up excessively as part of a greeting, for example, can be associated with separation anxiety and the excitement of having the human companion return home. Digging can often be associated with other behavioral disorders, neurologic disorders, or abdominal pain.
Symptoms and Types
- Jumping on people
- During arrivals, departures or greetings
- Exploring the contents of countertops
- Digging
- Along a fence line
- In areas of recent gardening
- At rodent holes
- On interior flooring
- Worn claws (nails)
- Stealing
- Items displaced, hidden
- Food items missing from surfaces (i.e., tables)
- Jumping
- Excitement, encouragement of excited behavior
- Separation anxiety
- Digging
- Following scent of rodents
- Anxiety
- Regulation of body temperature
- Boredom or lack of adequate exercise
- Hunting behaviors (food catching or retrieval)
- Escape from confinement
- Pain
- Separation anxiety
- Obsessive-compulsive disorder (OCD)
- Neurologic disease
- Stealing
- May be attempt to get your attention
- Desire for a food item, lack of internal discipline
- Chasing
- Herding instinct
- Hunting
- Play
- Defense


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It's very simple, really - just go out and wheat-paste those improved Chevron ads wherever you can, and try to take pictures of each. Contest ends December 1, but we hope you keep it up indefinitely. (See also this for another, easier contest.)
Here's how it works, in more detail:
- Look at these ads: http://chevronthinkswerestupid.org/gallery. (See this for how this all came about.)
- Choose your favorite printable ones (with a little printer icon), and download and print, at any size and in any quantity. (You can of course make new ads instead of downloading ones that exist. Make sure to submit them to the contest if you do! If you've already submitted and you can send a higher-res version, please email it to us!)
- Go wheat-paste them up as far and wide as you can, and in as many cool locations as possible - see below. (Instructions on how to make and use wheat-paste can be found really easily:http://www.google.com/search?q=wheatpasting+how-to.)
- Points will be awarded by size and by coolness:
- Larger sizes will get more points. Stickers will get 1-2 points, 8.5"x11" sheets will get 3 points, billboards will get a huge number of points, etc.
- Cool locations will get more points. Like, if you manage to get an ad onto each pump at a Chevron gas station, or onto a podium while some oil industry wonk is holding forth, or onto the back of a real Chevron manager's suit jacket while he's not looking, or onto a board member's house, or... you get the idea. But just getting them under a bridge is great too! (You might want to videotape your action - it might just make it into our next film, which is about shit like this.)
- Try to get an ad printed in your local paper - that counts as a really cool location! The sky's the limit.
- Try to take a snapshot of each poster after you've pasted it up. Then:
- Just twitpic your photos with the hashtag #weagree and #wepaste, and send us an email telling us that you did, so that we have your email and can reward you when the time comes.
- If you have a lot of photos, or even if not, you can post all your photos to Flickr (http://flickr.com/) with the tag "wepaste". Send us an email saying how many you postered, and how big they were, and Include the link to your "wepaste"-tagged Flickr page - e.g. http://www.flickr.com/photos/32574308@N06/tags/wepaste/
Now get to it!


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Elder Berry Syrup
- From Mountain Rose Herbs
- 4 oz. bottle
Our Elder Berry Syrup is a modern take on an old, classic recipe. Elder berries support immune health*, and this tasty syrup is mild enough that it can be enjoyed by nearly everyone. We love to take this syrup on its own, but it can also be effectively mixed into a cup of hot tea. Made with love by our talented team, our Elder Berry Syrup is sure to become one of your family's favorite herbal syrups.
We recommend that you consult with a qualified healthcare practitioner before using herbal products, particularly if you are pregnant, nursing, or on any medications.
*This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. For educational purposes only.
Honey, organic elder berries, organic alcohol, and distilled water. Contains alcohol and honey.


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Returns/ Exchange
Can I return my The Trendz Venue purchase?
Yes, you absolutely can. If you are not satisfied with your purchase, you can return/ exchange it for a replacement or refund within 14 days of the order delivery. However, return/ exchange is subject to the following conditions:
- The returned product must be unused, and it must have all original tags and packaging intact.
- Refund of shipping and COD charges is not applicable. Also keep in mind the following points:
- Orders booked through COD mode will be credited back as The TrendzVenue Store Credits, once we have received the products and quality check is done. Orders booked through Prepaid Mode will be refunded back to the original mode of payment in 4 - 5 working days. Sale items are ineligible for returns.
- As you have to self ship the products, please make sure to pack the items securely, so as to prevent any loss or damage during transit. For all self-shipped returns, we recommend you to do it through a reliable local courier service or registered post. To schedule a return, please send across an email to firstname.lastname@example.com or call us at 9167828925. The Reverse Pick up facility is not available at the moment. We are sorry for any inconvenience caused due to it!
What are the rules for refund of courier charges?
- For all self-shipped returns for damaged or faulty products, we will provide a cashback of Rs.100 for shipment.
- Please make sure your courier costs do not exceed our cashback rates. We recommend using 'Speed Post' as your courier service.
- Courier refund rates are fixed and will not change depending on the courier service you choose to return the product.
Where should I return my product?
- Please courier the product to us at the address mentioned below
- Salelink Ecom Private Limited Building 11 & 16, Gala –1,2,3 First Floor, Above LG Electronics, Village Dapoda, Mankholinaka, Bhiwandi, Maharashtra.Pin Code: 421302 Ph.: 022 33-543-666 / 022 22-636-304 / 9167828925


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TCG's American Theatre Magazine Focuses on Diversity
In the midst of a year-long 50th anniversary celebration, Theatre Communications Group is celebrating four core values that they have identified as important to both the work of TCG and the theatre field: artistry, diversity, global citizenship and a...more
Fusing Arts, Culture and Social Change
National Committee for Responsive Philanthropy releases A Philanthropy at Its Best® Report Fusing Arts, Culture and Social Change: High Impact Strategies for Philanthropy by Holly Sidford "Funding Ar...more
Going Beyond Cinco de Mayo
The Biggest Mistake You Can Make About Hispanic Marketing and Cinco de Mayo by Lisa Arthur Forbes April 24, 2012 "Hispanic consumers want what all consumers want –authenticity. Don't make the mistake of relying on st...more
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Acute inflammatory demyelinating polyneuropathy (AIDP) is an autoimmune process that is characterized by progressive areflexic weakness and mild sensory changes. Sensory symptoms often precede motor weakness. About 20% of patients end up with respiratory failure. Many variants exist. In the West, the most common presentation is a subacute ascending paralysis. This is associated with distal paresthesias and loss of deep tendon reflexes. Progression is often maximal by the end of 4 weeks, then the condition usually plateaus before slowly improving. In 1859, Landry described 10 cases characterized by ascending paralysis and sensory changes.
During World War I, Guillain, Barré, and Strohl described a series of patients with a similar presentation and decreased or absent deep tendon reflexes. They also described albuminocytologic dissociation in the cerebrospinal fluid (CSF), ie, increased CSF protein in the absence of increased WBCs. This allowed them to differentiate AIDP from poliomyelitis, the most common acute paralytic syndrome of that era. (AIDP often is referred to as Guillain-Barré syndrome [GBS]).
Myelin breakdown and axonal degeneration were observed in nerve biopsies from patients with AIDP by Haymaker and Kernohan in 1949.[1] An allergic etiology was suggested by Krucke in 1955 after he observed lymphocytic infiltrates within biopsy specimens.[2] An autoimmune process was supported by Waksman and Adams when they created the experimental allergic neuritis model by injecting peripheral nerve tissue into rodents.[3]
Acute inflammatory neuropathies encompass groups of heterogeneous disorders characterized by pathogenic immune-mediated hematogenous leukocyte infiltration of peripheral nerves, nerve roots or both, with resultant demyelination or axonal degeneration or both, and the pathogenesis of these disorders remains elusive.
The recent isolation and characterization of human endoneurial endothelial cells that form the blood-nerve barrier provides an opportunity to elucidate leukocyte-endothelial cell interactions critical to the pathogenesis of inflammatory neuropathies at the interface between the systemic circulation and peripheral nerve endoneurium.
Acute inflammatory demyelinating polyneuropathy is believed to be caused by an immunologic attack that is directed against myelin components. This results in a demyelinating polyneuropathy. Both cellular and humoral immune mechanisms appear to play a role. Early inflammatory lesions consist of a lymphocytic infiltrate that is adjacent to segmental demyelination. Macrophages are more prominent several days later.
The peripheral nerve changes consist of varying degrees of perivascular edema, accumulations of mononuclear cells, and paranodal and less commonly, segmental demyelination. They are often multifocal with some predilection for the nerve roots, sites of entrapment, and distal ends. In the axonal variant of Guillain-Barré syndrome, axonal degeneration often predominates. Severe Guillain-Barré syndrome is often associated with axonal degeneration as well, which results in wallerian degeneration. Axonal degeneration occurs either as a primarily axonal process or as a bystander-type axonal degeneration, associated with demyelination. Rarely, the pathologic process extends into the central nervous system.
As the regeneration occurs, nerve sprouting and increased scarring often results.
With electron microscopy, macrophages are observed stripping off the myelin sheath. Humoral molecules such as antimyelin antibodies and complement likely contribute to the process by directing macrophages to Schwann cells by opsonization. Indeed, complement and antibodies have been found to coat the myelin sheath. The changes are observed in nerve roots, peripheral nerves, and cranial nerves. In acute motor axonal neuropathy (AMAN, an AIDP variant), deposited complement is found at the nodes of Ranvier, while myelin often is left undamaged.
Damage to the myelin sheath leads to segmental demyelination. This results in decreased nerve conduction velocity and, at times, conduction block. In this current review, AIDP refers to the more common demyelinating form unless otherwise specified.
United States
Acute inflammatory demyelinating polyneuropathy is the most common acquired demyelinating polyneuropathy. The incidence is 0.6-1.7 cases per 100,000 per year. No significant seasonal variation has been noted.
Frequency is not well documented. Of 2 predominant Guillain-Barré syndrome subtypes, a demyelinating subtype (AIDP) predominates in the United States and Europe, and axonal subtype (AMAN) is the predominant form in China. Previous clinical studies suggested that AMAN also occurs in Mexican children.[4] Similar outbreaks have been reported in Mexico, Spain, and Jordan.
In 3 large studies, mortality rate ranged from 2-6%.
Acute inflammatory demyelinating polyneuropathy occurs in all races and in all regions of the world.
The male-to-female ratio is 1.1-1.7:1.
Patients have ranged in age from 2 months to 95 years.
See the list below:
A detailed physical examination can help support the diagnosis of acute inflammatory demyelinating polyneuropathy and/or exclude disorders in the differential diagnosis.
Acute inflammatory demyelinating polyneuropathy is thought to be caused by a dysregulated immune response against myelin. This response may be triggered by several illnesses and conditions. Two thirds of patients with AIDP recall an antecedent upper respiratory or gastrointestinal infection or syndrome from 1-6 weeks prior to the onset of weakness.
Laboratory tests help to support the diagnosis of acute inflammatory demyelinating polyneuropathy (AIDP) and monitor patients with the syndrome. No associated hematologic or urinary findings are characteristic of the diagnosis. The erythrocyte sedimentation rate is normal. Serum protein electrophoresis does not show an abnormality. Hyponatremia due to inappropriate ADH secretion may occur.[12]
Increased CSF protein without an increased WBC count (albuminocytologic dissociation) is observed classically in AIDP. However, this finding is not specific to AIDP.
About two-thirds of patients have this CSF finding during the first week of symptoms and 82% have it by 2 weeks after symptom onset.
Although protein values can be elevated by 10-fold or more, no association exists between protein level and clinical severity.
Some patients have oligoclonal banding of the CSF.
Myelin basic protein also is increased in some patients.
More than 90% of patients have fewer than 10 WBC/µL, with a mean of 3 WBC/µL. If more than 50 WBC/µL are present, an alternative diagnosis should be considered, including HIV, Lyme disease, polio, or other infections. Patients with HIV-associated AIDP often have >50 WBC/µL (mean, 23 WBC/µL).
In non-HIV cases, the cells are overwhelmingly lymphocytes, whereas a nonlymphocytic pleocytosis is seen in patients with HIV.
Blood tests have little role in the diagnosis of AIDP but may help to exclude other conditions and to serially monitor patients with AIDP in the hospital (especially those who are critically ill).
Recently, an association has been found between acute axonal motor variants and immunoglobulin G (IgG) directed against ganglioside GM1 and/or GD1a. Furthermore, most patients with the Miller-Fisher variant of AIDP have antibodies directed against ganglioside GQ1b. Some patients with pure sensory variants have antiganglioside GD1b antibodies. These tests are seldom beneficial in classic AIDP, but can help when patients present with variants.
Rabbit ataxic neuropathy and several case reports have suggested a close association of IgG anti-GD1b antibodies with ataxia in Guillain-Barré syndrome. However, about half of the patients with Guillain-Barré syndrome having IgG anti-GD1b antibodies with no reactivities against other gangliosides (GD1b-mono IgG) do not exhibit ataxia. Antibodies specific to ganglioside complexes (GSCs) containing GD1b have been found in sera from some patients with Guillain-Barré syndrome. IgG antibodies highly specific for GD1b may induce ataxia in Guillain-Barré syndrome.[13]
Although not necessary for diagnosis, measurement of antiviral or antibacterial antibodies may confirm an association.
Measurement of potassium, phosphate, and porphyrin metabolism products may help exclude alternative diagnoses in atypical cases.
Some critically ill patients with AIDP develop the syndrome of inappropriate antidiuretic hormone (SIADH) with associated hyponatremia and reduced serum osmolarity.
Additionally, liver enzymes sometimes are elevated in AIDP.
If intravenous immunoglobulin (IVIg) therapy is anticipated in noncritical cases, immunoglobulin A (IgA) levels should be drawn before treatment.
Urine tests to exclude heavy metal intoxication may be necessary in some patients.
Stool cultures may confirm C jejuni enteritis. Patients with this condition may have a more aggressive course and a slightly worse prognosis.
Imaging is seldom necessary for diagnosing acute inflammatory demyelinating polyneuropathy, but it may be necessary to exclude alternative diagnoses and to monitor critically ill patients.
MRI of the spine is sometimes necessary to rule out spinal cord and/or nerve root processes that mimic AIDP.
Chest radiography in children may reveal a pattern that is consistent with mycoplasmal pneumonia. Additionally, chest and abdominal radiography may be necessary in critically ill patients to evaluate for possible pneumonia and ileus.
Electrodiagnostic testing is always necessary to confirm the diagnosis of acute inflammatory demyelinating polyneuropathy.
Nerve conduction studies (NCS) can document demyelination, the hallmark of acute inflammatory demyelinating polyradiculoneuropathy. Early on, findings of NCS studies are often normal. However, 90% are abnormal within 3 weeks of symptom onset.
Patients who meet 3 of the 4 NCS criteria listed below have a clear primary demyelinating neuropathy, although patients who meet fewer than 3 criteria still may have AIDP. Severe slowing of conduction velocities may be more consistent with chronic inflammatory demyelinating polyneuropathy (CIDP). Details of electrodiagnostic criteria are provided in Cornblath.[14]
Matsumoto et al. provide electrophysiological evidence to show that the proximal segment of peripheral nerves is assumed to be involved in both demyelinating and axonal types of Guillain-Barré syndrome (GBS). They performed nerve conduction studies in 9 demyelinating GBS and 7 axonal GBS patients. Cauda equina conduction time (CECT) was obtained by subtracting S1-level latency from L1-level latency. CECT was prolonged in all the patients with demyelinating GBS who had leg symptoms, whereas motor conduction velocity (MCV) at the peripheral nerve trunk was normal in all the patients. In all the patients with axonal GBS having leg symptoms, CECT and MCV were normal and no conduction blocks were detected between the ankle and the neuro-foramina, suggesting that the cauda equina is much more frequently involved than the peripheral nerve trunk in demyelinating GBS. In axonal GBS, usually, CECT is normal and segmental lesions are absent between the ankle and the neuro-foramina. Therefore, the researchers believe that the CECT measurement should be very useful for directly detecting demyelinating lesions in GBS.[15]
Umapathi et al. (2015), using nerve conduction studies, confirm that the "sural-sparing pattern" of Guillain-Barré syndrome (GBS) occurs in acute inflammatory demyelinating polyneuropathy (AIDP) as well as other non-demyelinating GBS-subtypes, namely acute motor axonal neuropathy (AMAN), acute motor-sensory axonal neuropathy (AMSAN) and Miller Fisher syndrome (MFS).[16]
Needle EMG can document the extent of denervation.
Findings of other electrophysiologic tests, such as blink reflexes, phrenic nerve conduction, and somatosensory evoked responses, may be abnormal but do not offer any advantages to typical NCS studies.
Autonomic tests such as sympathetic skin responses and cardiovagal testing may be indicated in patients with autonomic failure.
Pulmonary function tests, useful in determining the timing of intensive care unit (ICU) transfers and elective intubation, should be performed in all patients. Transfer to an ICU generally is indicated when forced vital capacity (FVC) is less than 20 mL/kg. Intubation is usually warranted when FVC drops to 15 mL/kg or negative inspiratory pressure drops to less than -25 cm H2 O.
Electrocardiography (ECG) and cardiac monitoring can be helpful when arrhythmias occur. Other possible abnormalities include atrioventricular block, QRS widening, and T-wave abnormalities.
Jin et al measured the CSF tau protein levels in 26 patients with Guillain-Barré syndrome. The levels of the poor outcome group (Hughes grade at 6 months was between II and VI, n = 6) were higher than those of the good outcome group (0 or I, n = 20) (p < 0.0005). The higher levels of CSF tau may reflect axonal degeneration and could predict a poor clinical outcome in Guillain-Barré syndrome.[17]
Lumbar puncture is performed to obtain CSF for analysis (see Lab Studies).
Nerve biopsy is seldom required to diagnose acute inflammatory demyelinating polyradiculoneuropathy. However, in patients with prolonged clinical courses, histologic examination can help to differentiate CIDP from AIDP. Nerve biopsies in AIDP show an inflammatory infiltrate during the first few days.
Later on, macrophages are seen, sometimes with myelin stripping. Axons are usually spared. Under electron microscopy, macrophages (which are stripping myelin) are seen beneath the basement membrane and are usually advancing along the minor dense line.
Advances in supportive medical care have resulted in improved survival rates in acute inflammatory demyelinating polyneuropathy (AIDP).
Mechanical ventilatory assistance is required in about one third of patients with AIDP and lasts for an average of 49 days. Intubation should be performed when FVC drops to less than 15 mL/kg or negative inspiratory pressure is worse than -25 cm H2 O. Tracheostomy is usually recommended if mechanical ventilation will be required for more than 2-3 weeks. Bedridden patients need prophylaxis against thromboembolism. Subcutaneous heparin is the most common agent. Some may also need GI prophylaxis with an H2-blocker (or similar agent).
Enteric nutrition is necessary for patients on mechanical ventilation. Nasogastric tubes or Dubhoff tubes can be used initially. Those requiring more than 2 or 3 weeks or enteric nutrition may require gastrostomy or jejunostomy tube feedings.
Cardiac monitoring is necessary. Chronic sinus tachycardia often responds to beta-blockers or calcium channel blockers. Bradycardia requires atropine treatment, if symptomatic. Heart block may require temporary pacing. Hypertension responds well to beta-blockers. These treatments should be administered cautiously under the direction of a cardiologist or critical care specialist, since one of the main causes of death is iatrogenic hypotension, especially in patients with autonomic failure.
Constipation is common in intubated patients with AIDP, and a bowel regimen is usually necessary. Some patients may also require enemas. Ileus is rare. If it occurs, bowel rest is usually necessary and parenteral nutrition can be used during that time.
Skilled nursing care of intubated patients is necessary to avoid skin breakdown. Special mattresses are available in most intensive care or step-down units. Communication difficulties can lead to frustration and exacerbate depression. Involvement of speech therapy, physical therapy, and occupational therapy is highly recommended. Many patients may require a rehabilitation unit after being weaned off a ventilator.
Conventional immunosuppressant treatments with corticosteroids have failed to show benefit. But immunomodulation with IVIg and plasmapheresis has led to faster recovery, relatively mild disability, and shorter hospital stays. IV steroid therapy alone is not indicated for the treatment of AIDP. Treatment is less likely to be effective if initiated more than 2 weeks after the onset of symptoms. Some patients with mild weakness, especially those presenting during the plateau, may not require immunomodulatory therapy. Plasmapheresis had shown to cut the respirator time and time to independent ambulation, by about half when treatment was given during the first week of the disease.
In their study of immunotherapy in Guillain-Barr é syndrome, Alshekhlee et al. found an increasing use of IVIg over plasma exchange (PE). Older population and those with pulmonary or sepsis complications were likely treated with PE. The mortality rate was higher in patients treated with PE.[18]
The pathogenesis of GBS is not fully understood, and the mechanism of how intravenous immunoglobulin (IVIG) cures GBS remains ambiguous. Hou et al. investigated lymphocyte subsets in patients with acute inflammatory demyelinating polyneuropathy (AIDP) and acute motor axonal neuropathy (AMAN) before and after treatment with IVIG to explore the possible mechanism of IVIG action. They concluded that the changes in T- and B-lymphocyte subsets, especially in CD4+T-lymphocyte subsets, might play an important role in the pathogenesis of AIDP, and in the mechanism of IVIG action against AIDP.[19]
Tracheostomy is necessary in many intubated patients. Those requiring long-term enteral nutrition typically require a gastrostomy or jejunostomy.
See the list below:
Keep patients ambulatory if they are able to walk without assistance. Most patients who are admitted to the hospital require bedrest.
Immunomodulatory therapy with either IVIg or plasmapheresis has been demonstrated to result in more rapid recovery of AIDP than other treatments or no treatment. Recent large studies have demonstrated that the 2 treatments are equal in efficacy. Bedridden and critically ill patients also require treatment to prevent complications.
The mechanism of action of plasma exchange is not known. Suggested mechanisms include the removal of antibody, complement components, immune complexes, lymphokines, and acute-phase reactants. The generally recommended regimen includes every other day plasma exchange, totaling 6 exchanges in 2 weeks, with 3-3.5 L exchanged per treatment. If venous access is not of sufficient quality to ensure rapid blood withdrawal, a central line should be a consideration (in about 20% of cases).
Plasmapheresis (PE) is more frequently associated with severe adverse effects requiring cessation of therapy, including a bleeding diathesis. In addition, PE requires special, appropriate equipment and trained personnel. Also, younger children may be at risk for bleeding after insertion of wide catheters. Transient hypotension, which might occur, is corrected by adjusting the inflow-to-outflow ratio. Other common side effects include paresthesias, and rarely hypersensitivity reactions and hypocalcemia.
Clinical Context: IVIg is prepared from serum pooled from many donors by fractionation and purification. Most manufacturers include a detergent step to help prevent spread of viruses. Mechanism of action is poorly understood. However, it is believed to act by down-regulating antibody and cytokine production and by neutralizing antibodies specific for myelin. Also appears to down-regulate pro-inflammatory cytokines, such as IL-1 and gamma-IFN. Other proposed mechanisms are Fc receptor blockade and interference with complement cascade (ie, interfering with opsonization).
Clinical Context: This treatment entails removing blood from body, spinning it to separate cells from plasma, and replacing cells suspended in fresh frozen plasma, albumin, or saline. Can be performed using either 2 large-bore peripheral IV sites or multiple lumen central line.
May not be effective if started more than 2 wk after onset of symptoms.
AIDP is believed to be caused by immune dysregulation resulting from an attack against myelin. Therapy directed at the immune system can result in more rapid recovery. IVIG is especially proven highly effective in children.
Clinical Context: Given subcutaneously, interacts with antithrombin III to decrease clot proliferation. This can result in decreased incidence of deep venous thrombosis.
Bedridden patients are at risk for deep venous thrombosis. This risk can be reduced by mild anticoagulation.
Generally, all patients in whom AIDP is suspected should be admitted for further monitoring and treatment.
Patients who present with mild neurologic impairment after already reaching a plateau can be treated as outpatients with close supervision.
Upon discharge, patients require several follow-up visits to ensure that relapses do not occur and to help coordinate home-health services if necessary. Physical and occupational therapy, either in a long-term rehabilitation unit or at home, help many patients return more rapidly to their baseline level of activity.
Relapses occur (10-20%) following completion of plasma exchange, and these relapses frequently respond to a second course of treatment. Similarly, relapses that follow IVIG therapy also respond to a second course.
Based on the severity of symptoms, patients with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) may require further inpatient services.
Transfer patients to the ICU when respiratory failure is impending or when cardiac arrhythmias are occurring.
Transfer patients to regional or tertiary hospitals if a community hospital does not have an ICU or is unable to provide IVIg or plasmapheresis therapy.
Critically ill patients are susceptible to the same complications as other intubated patients, including pneumonia, sepsis, skin decubiti, deep venous thrombosis, and urinary tract infections. Patients with AIDP have some unique complications that may cause significant morbidity, the most common being pain, labile blood pressure, and increased sensitivity to cardiac medications.
About 75% of patients have an excellent recovery and regain their premorbid condition. Some of these patients experience easy fatigability for many years.
Almost all of the remaining patients have mild or moderately severe impairment but remain independent in most functions. Residual complaints include dysesthesias, foot drop, and intrinsic hand muscle weakness.
Severe disability occurs in fewer than 5% of patients, who do not recover full independence. Patients with residual deficits are usually those who required mechanical intubation. Improvement is usually complete by 6 months. In more serious cases, recovery may continue for 18-24 months.
Death occurs in only 2-6% of patients and is usually due to cardiac arrest, ARDS, pulmonary embolism, severe bronchospasm, pneumonia, or sepsis.
About 10% of patients have a relapse 1-6 weeks after completing immunomodulatory therapy. These patients can be treated with a second course of immunomodulation.
Fewer than 1% of patients have AIDP 1 or more years after onset of symptoms. In some cases, the recurrence follows immunization. This recurrence differs from CIDP.
Sporadic cases of recurrent Guillain-Barré syndrome[20] and rare cases of recurrent Guillain-Barré syndrome after a long asymptomatic period[21] have been reported. Some authors consider recurrent Guillain-Barré syndrome a variant of CIDP, while others maintain that they are 2 different entities. Martic et al describe a patient who developed Guillain-Barré syndrome as a child and experienced a full relapse after 19 years with another innocuous episode 10 years later.[22]
Several prognostic factors have been identified, including the following:
In spite of therapy with plasma exchange or IVIG, the decrease in mortality has often been attributed to improved aggressive supportive treatment than to any drug treatment. This has included close monitoring with the avoidance of hypoxia, pain, and arrhythmogenic stimuli.
In the presence of dysautonomia, hypoxia can trigger cardiac arrhythmias. Tracheal suction can also at times result in cardiac arrhythmias. Ideally, these patients should be given extra oxygen before tracheal toilet.
Subcutaneous heparin to avoid venous thromboembolism, treatment of pain with analgesics including narcotics, treatment of hypotension and hypertension, as the case be and treatment of severe bradyarrhythmia all go a long way in decreasing mortality. Carbamazepine and gabapentin may help.
Persistent fatigue following Guillain-Barré syndrome is common and may be helped by a graded exercise program. C jejuni is often treated with a course of erythromycin.
Hyponatremia is due to inappropriate antidiuretic hormone secretion (SIADH) is best managed by fluid restriction coupled by the avoidance of hyponatremic fluids. Need for immunization should be reviewed on an individual basis.
Guillain-Barré Syndrome Foundation International


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There isn't really such a thing as the best course out there.
What does exist is a course which is best suited for you!
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Check the customer reviews on Amazon.
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Many programs have a large initial investment of $200-$500. But if you lose your enthusiasm after 1 month, then you already spent a lot of money, so it's not a nice situation to be in!
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Know Spanish at an intermediate/advanced level and looking to improve?
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Yabla uses a similar concept to my dual translation music videos. They use Spanish videos of ads, news reports and clips from Spanish movies, with English and Spanish subtitles below the video. You can also get explanations of the words you don't understand by clicking on them.
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Check out the customer reviews on Amazon.
If you want more information on a course, you can find full reviews in the footer menu!


text:
Kelsy Burke is an assistant professor of Sociology at the University of Nebraska Lincoln, where she studies sexuality, religion, and culture in contemporary America.
She is the award winning author of Christians under Covers (published in 2016 by University of California Press), a book that analyzes online Christian sex advice to understand the sometimes contradictory and often surprising ways that some Christians talk about sexual pleasure.
All of Kelsy's academic journal articles can be downloaded for free through the University of Nebraska Digital Commons.
Her current research includes projects on evangelical women's ministries; debates over religious freedom laws; and contemporary debates over pornography.


text:
[Letter from I. H. to Cecile Kempner, February 27, 1950]
Description: Letter to Cecile from her father about past travel to Cuba, Guatemala, and Mexico, and experiences in those countries as well as their government, society, politics, religion, economics, and history. He also writes about Mexican art and future plans to return to Havana or Mexico City.
Date: February 27, 1950
Creator: Kempner, Isaac H. (Isaac Herbert), 1873-1967
Partner: Rosenberg Library


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Sleep and the nighttime are a very important and interesting part of spiritual evolution and in this two part series I am going to go into some of the more fascinating and unusual suggestions of how to get the most out of sleep time. This series will be helpful to both, those who are suffering from insomnia or disturbed sleep and those who are interested in maximizing spiritual growth during sleep time. Read more
Tantra teaches that lovemaking between a man and woman, when entered into with awareness, is a gateway to both sexual and spiritual ecstasy.
Tuesday, September 6, 2011
How to Sleep Correctly: Advice from the Enlightened
Anmol Mehta reveals how to use sleep and the nighttime to maximize spiritual growth.
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text:
Angel Garvey
Angel Garvey is a recent welding graduate from The Bahamas Technical and Vocational Institute (BTVI). As one of two female students in a male dominated field, Angel boasts, "Welding is my calling and as a woman, I always bring my A-game."
Angel lights up when talking about her work. She gets excited to design, create and build practical things that are essential for a modern Bahamas. Angel says, "When I see the finished product of grills, tables and chairs that I contribute to making, I feel so proud. I get so much satisfaction in seeing the finished product, it's unbelievable."
In addition to her family, another inspiration for Angel has been her welding instructor, Mr. Moses Wilson. She is grateful to him because he provided her with the instructional guidance she needed to excel. According to Angel, "Mr. Wilson has been very good. If you are not on par, during his breaks and even when he is off, he volunteers to assist you. He always reminds us that the welding shop is always open and he is there to teach."
Angel recognizes that she has a role to play in literally building a modern Bahamas. She beams and says "I can make history and build another bridge not just to connect parts of Freeport, but also other islands of The Bahamas."
Just before returning to her cutting process, Angel shares her hopes for The Bahamas. "No matter where you start in life, there is always something greater. It's up to us to write our own story so that we can become a better person and build a Stronger Bahamas."


text: BUSINESS Indian newscasters propose code 7:47 PM PDT 4/22/2008 by Nyay Bhushan , AP FACEBOOK TWITTER EMAIL ME Empty NEW DELHI -- Criminal acts against women, nudity and overt violence are just some of the content images that will be strictly controlled under a proposed new code of ethics and broadcast standards in India.The News Broadcasters Assn., an umbrella body representing such leading private newscasters as New Delhi Television and Network18, unveiled the proposed standards Wednesday. The document is now with the Ministry of Information and Broadcasting awaiting ratification.The ministry has been working on an overall broadcast bill that also addresses issues ranging from content regulation to revised foreign investment norms, for which it has sought industry feedback.If any NBA member is found to violate the code, the Disputes Redressal Authority can impose fines up to $2,500 (100,000 rupees) in addition to proposing to the government punitive actions such as cancellation of broadcasting licenses. The general public can lodge a complaint against any broadcaster by paying a complaint fee of $25 (1,000 rupees). FACEBOOK TWITTER EMAIL ME Nyay Bhushan firstname.lastname@example.com Nyay_B AP firstname.lastname@example.com @thr


text:
pweber necesitaba un nuevo diseño de camiseta y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 35 diseños de 14 diseñadores freelance.
Take a look at this website: http://www.harajukulovers.com/twoh/start.html
We are looking for a similar type of writing with a cute design. This will be for teen clothing so it should not be dirty at all. We were thinking about having an a big heart with the saying in a cool font with little hearts around it or something funny, cute, trendy, and retro inspired
Desired Color Scheme:
should only be two or three colors max for screenprinting You can pick the colors
Desired Style:
This design will be for a teen girls shirt. Should be trendy and we would like the asian type of feel like we showed in the link above. You can have have cool little images around the image..just use your imagination
Accepted File Formats:
vector, psd 300dpi
This is for a teen(junior girls)


text:
While we were in the Denver area, we had a moment during the afternoon to visit the city's Ocean Prime location (a second location will be opening later this fall). We were able to drop off our car at the valet without much in the way of hassle – Larimer, the street that the restaurant was on, was busy but the restaurant had placed the valet corral front and center to ensure one could easily get into Ocean Prime without having to hunt for a spot on the street parking.
Continue reading "Ocean Prime Denver, new American done right"


text:
10 November, 2016
C&W Networks Wins Fourth Consecutive Best Caribbean Wholesale Carrier Award
Recognized for its Innovation, Excellence and Leadership across the Region at 2016 Global Carrier Awards
C&W Networks, a division of C&W Communications (C&W), one of the largest full service communications and entertainment providers in the Caribbean and Latin America region, now part of Liberty Global (LiLAC Group), again won the Best Caribbean Wholesale Carrier award on November 8 at the 12th Global Carrier Awards in Paris. The award recognizes C&W Networks' innovation in new service technology, excellence in customer experience and leadership in the wholesale telecoms market across the Caribbean region.
The Global Carrier Awards have become the most prestigious awards among the wholesale telecoms industry by celebrating innovation, excellence and vision and setting the benchmark for performance throughout the marketplace. The awards were independently judged by a panel of over 20 judges, which includes leading analysts, industry experts and the senior editorial team of Capacity magazine. The judging panel was carefully selected to cover a wide range of market areas and regions and were aided by a new scoring system, which was refined for 2014 to ensure that the shortlisting and winners decisions remained objective and transparent. This year's submissions attracted a record number of over 200 entries.
"C&W Networks won the Best Caribbean Wholesale Carrier award at the 2016 Global Carrier Awards in our brand new Paris location. In recognition for increasing revenue and profitability, network reach, scale and reliability this provider of choice in the Pan-Caribbean region boasts a world-class Net Promoter Score of 50% above industry standard," said the Global Carrier Awards organization. "And with its demonstrated success in completing strategic acquisitions, ongoing network expansion and rollout of innovative services this carrier continues to exceed all expectations."
"We are elated to be recognized as the Best Caribbean Wholesale Carrier for the fourth time across the region. We are very proud to receive this recognition for our success in a challenging and rapidly evolving marketplace. In anticipation of growing customer demands that rely more and more on advanced technologies, we've greatly expanded our capabilities in new services and network security over the past year – which the judges recognized tonight. The award highlights the commitment of our teams and their tireless efforts across the region to better serve our carrier clients and their customers and our ongoing commitment towards striving to be the best Caribbean telecoms carrier," said Paul Scott, President of C&W Networks.
In selecting C&W Networks as the Best Caribbean Wholesale Carrier winner, the judges recognize that the company operates the largest subsea network across the Pan-Caribbean region, serving over 260 local, regional and international carriers. Its diverse IP backbone, along with its over 38,000 in-country fiber backhaul and local terrestrial networks that are continually expanding throughout the region were also key factors that impressed the selection committee. In addition, the selection committee noted the beneficial impact to the region from C&W Networks that has enabled unmatched scale and reach spanning some 48,000 kilometers of submarine fiber reaching 42 countries.
"Throughout 2016, we have been laser focused on finding the best ways to connect, protect, manage and optimize carrier services for our clients and their customers. We are enabling them to capture new revenue, protect profits, and grow their businesses. We are proud to be providing the tools they need to be successful in today's global telecoms market and will continue to deliver greater connectivity, flexibility and scalability across the Caribbean region," said Scott.
Click here to view the Global Carrier Awards Judging Panel.
Click here to view the list of winners.
For more information on the Global Carrier Awards please visit http://www.capacitymedia.com/Global-Carrier-Awards.
Connect with us. We would like to hear from you.
Facebook | LinkedIn | Twitter: @CWC_Tweets – Official Feed: #CWC
16 October, 2019
Cable & Wireless Charitable Foundation releases additional funding for The Bahamas
Partners with NEMA and Rotary donating $125,000 to support the recovery and restoration efforts.
18 September, 2019
Hot meals for thousands as BTC teams up with World Central Kitchen
The Bahamas Telecommunications Company (BTC), through the Cable & Wireless Charitable Foundation (CWCF), announced its partnership…
3 September, 2019
C&W Communications Reaffirms Commitment to The Bahamas
C&W Foundation earmarks US$500,000 to provide relief and restoration support to the islands impacted by Hurricane…
25 July, 2019
Collaboration among regional stakeholders vital to create digital region
C&W Communications (C&W) demonstrated an impressive array of global and regional ICT expertise at the 35th…
12 July, 2019
New Sports channel RUSH joins Flow TV
RUSH, home of the Premier League for the Caribbean, will make its debut across all Flow…


text:
Seamless Layering Cami
Seamless Layering Cami - INDIGO-BLUE - XS - Talbots is rated out of 5 by 9.
- bvseo_sdk, dw_cartridge, 17.1.0, p_sdk_3.2.0
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Style # P191013161
Additional Information
Our new seamless tank is the perfect summer layer. You'll love the line-free comfortable coverage it creates underneath sheer tops or loosely knit sweaters!
- Neckline: Scoop
- Sleeve Length: Sleeveless
- Hits: At Hip
- Imported
Fit and material
Material: 92% nylon; 8% spandex
Care: Machine wash; Tumble dry low
Seamless Layering Cami - INDIGO-BLUE - XS - Talbots is rated out of 5 by 9.
Rated 1 out of 5 by Talbotsgirl from No longer available in white I purchased in white, black and "soft taupe" (really an orangie pink). Wanted to purchase more in white, but it is no longer available. What's up with that? The poor rating is for dropping white and keeping ugly "orange" - the garment is great! Would recommend with a warning
Date published: 2019-10-04
Rated 5 out of 5 by Ingrid from Fits perfectly I usually wear a size 10/Medium and that is what I purchased. I plan to wear it under the navy tipped short sleeve sweater.
Date published: 2019-05-21
Rated 5 out of 5 by Janelle from Nice tank top Great tank to wear under the summer sweater I got in yellow.
Date published: 2019-05-15
Rated 5 out of 5 by divine1 from Just what I wanted !!!! I use to purchase a seamless cami from another store. Then they decided to change it . It used to be seamless and tagless. Then they added a large tag and stopped carrying an assortment of colors. This seamless cami is the same fabrication and style as my favorite cami. I ordered it hoping it was and I was not disappointed. My favorite is the Navy. I don't wear a lot of black. My main color is Navy because it is not as severe. I ordered a small. Now, If I wanted to wear it alone instead of layering it I would purchase a medium. The smalll holds in my not so smooth parts. I usually wear a cami underneath everything . Did I say I loved this ? No, well, I do !!!!!!! I hope talbots keep this cami and adds more colors. The price is less than what I was paying at the other store and I purchased it with a coupon.
Date published: 2019-05-03
Rated 4 out of 5 by Margo1949 from Not something I will wear every day I bought this in black specifically to wear under a shirt. The fabric is thin and it is definitely more fitted than other tanks but I wanted the length. You will want the right bra to wear with it. I would not consider this a tank to wear as a stand alone.
Date published: 2019-03-27
Rated 4 out of 5 by Amys from It's seamless It was tighter fitting than I thought. I ordered my regular size and it was form fitted so I'll only wear under things. Any bump will show through this one. Slightly itchy too. Underarms are low cut too so be careful there. But will get use out of it because so many tops are sheer it's almost necessity to have garments like these.
Date published: 2019-03-25
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Is the back scooped like the front?
Date published: 2019-04-21
what is the length on this? I was hoping a little longer than the cotton blended ones. TY.
Misses: 24"; Petite: 23"; Plus: 27 1/2"; Plus Petite: 26"
Date published: 2019-08-08
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text:
Your Local Scheme
South Street, Partridge Green
Scheme information
This scheme was started in response to a request from the local PCSO through the parish council. There has been some petty crime locally, so it seemed a good idea to keep neighbours alert to local issues.
- the scheme doesn't have a website