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How to apply to become a volunteer
Here at the Isle of Wight Donkey Sanctuary, we have a fabulous team of volunteers but due to our expanding business, we are looking to increase that team of volunteers in order to continue our work with abandoned and homeless donkeys.
Our work has the following strands:
- Looking after the health and welfare of our 120 abandoned equines
- Working with visitors
- Running programmes for children's groups
- Visiting schools, groups on the island
- Taking donkeys to residential centres
We are particularly looking for people who are interested in the following three areas of our work:
We are seeking volunteers who are interested in working within our farm team. It may not be the most glamorous work, but it is really important work for our animals – and they really do appreciate the care they receive. We need people who would be happy to muck out stables, clean fields, move donkeys, take hay and straw out to the fields and take on the other routine tasks which contribute to the health and welfare of our animals. When those duties are complete, we ask our team to groom and walk the animals and to work with the visitors.
We are currently looking for additional help on a Sunday, Tuesday and Thursday, but other days have spaces as well.
We are looking for people who are interested in supporting our shop and cafe teams, who provide drinks and snacks for our visitors. This is an important fundraising area for the Sanctuary, and monies raised in the shop and cafe contributes to the funding necessary for the care and welfare of our animals.
We are seeking people who would be interested in working with the growing number of school groups who visit the sanctuary. This work involves taking children for tours around the site, meeting donkeys and taking part in grooming and walking activities with children.
There are also spaces for other areas of our work, where volunteers would be greatly appreciated – for example horsebox driving, meeting and greeting visitors and maintenance etc.
In all areas of work, we offer training and a uniform after a settling in period.
If you think you could help, please download, fill in the form below and send it to us. Alternatively, please contact Derek or Carol on 01983 852693 or wrote to us at firstname.lastname@example.com – you can even call in to see us at the Sanctuary.
If accepted, for a period of 6 weeks you will take on the role of 'Conditional Volunteer'
After a successful completion of this period, volunteers would become 'Qualified Volunteers' (QVs) – they will be fully fledged members of our teams and will be fully equipped with a uniform.
Please download and send in this Volunteer Application Form [Download]


text: The Government has confirmed that it will legislate in relation to the taxation treatment of partnerships. The proposed changes were originally published on 13th September and they mostly relate to administrative aspects. However, the original proposals also included changes in relation to profit allocation rules. These changes are designed to address HMRC concerns that … Continue reading Partnership taxation

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Home is a habitat-don't you know?
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Remember sentence diagrams? If you're like me—under 30 without a day spent in a Catholic school—the answer's probably no, but that doesn't mean you can't enjoy looking at them. Luckily, Pop Chart Lab just released "A Diagrammatical Dissertation on Notable Lines of Cinematic Action," which breaks down the sentence constructions of some of the best lines in action movie history.
The full graphic is below. Click here for a much larger version, or explore the print over on Pop Chart Lab's site.


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Know your Customer
We seem to be caught up in a world where we are trying to prove (to God knows whom) how smart we are more than anything else. But if we really want to succeed in this business world, the emphasis is not on yourself or how smart you are, but on how well you know your customers.
Let's look at some areas where we would do well, to think, not like a smart person trying to prove he is smart, but like someone who knows and thinks like his customers.
The first thing that comes to mind is Search Engine Optimization. What kind of key words are we optimized for?
The need to really know your customer, kicks in here. Instead of just building our SEO around what we need to be known for, it would help to build it around words that our customers would use in order to find someone like you. So in order to think like your customer, you need to know them. Know who they are. What they are looking for. Once that is clear, it is easy to build an SEO strategy around it.
- Personalization
Personalization is a huge buzz word today – customers feel good when they are known. In many ways, personalization is like going back to the time when the man in the small grocery shop around the corner knew all his customers personally and could make recommendations on what they liked or needed. Today's customer enters the store expecting the retailer to know and understand his likes and preferences, provide relevant mobile deals to him and make a personal connection. Data collected from various touch points in the business is a treasure trove of information about the customer. When analytics can derive insights from all this data it helps the smart marketer to make smart and relevant recommendations to his customers. And that is such a win-win situation for both the customer as well as the business.
On the other hand, sometimes, some personalization can be a bit much. So how much is too much? Knowing the customer can answer that for you. Instead of being smart and showing that you know everything there is to know about the customer, if you think like him instead, you will know when personalization can go too far.
- Marketing
It is every marketer's dream to know his customers. There was a time when it was possible to only guess who one's customers might be. Purely groping in the dark, marketing was based on clever guesses. Sometimes that worked. Sometimes it just didn't. And then we moved to a phase where customers were segmented based on some kind of criteria. Now with big data and analytics, it is possible to know one's customers, not as groups or segments, but as individuals. You know who he is. What he likes. What he needs. What his wish list might look like. You know what his life looks like – the big events and the small things that affect his life. Armed with this kind of information, it is then possible to send him the right message, at the right time. The customer is not put off by some random communication that has practically nothing to do with him – and the marketer can truly connect with him. This is meaningful engagement – not blind marketing.
- Customer Service
If a person has a complaint with a bank, for example, and calls a customer service executive to express some displeasure, it would be ideal if the executive knew the whole history of the customer's relationship with the bank. On the other hand, what ends up happening is that the problem isn't resolved at the first point of contact. It carries over. When the customer calls again to follow up, and talks to a different executive, he ends up having to tell his tale of woe all over again. In a perfect data-driven world, all the data from various touch points, including the information about the customer's relationship with the bank, would all be accessible to any executive. So the issue that the customer raises, can be resolved in the most efficient and pleasant way possible.
Analytics and Data makes knowing the customer possible – anything that is based on data – strategy, planning, SEO, marketing, etc. – makes the process effective.:


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Research Article | Open Access
Differential Localization of Pain-Related and Pain-Unrelated Neural Responses for Acupuncture at BL60 Using BOLD fMRI
The objective of this study was to differentiate between pain-related and pain-unrelated neural responses of acupuncture at BL60 to investigate the specific effects of acupuncture. A total of 19 healthy volunteers were evaluated. fMRI was performed with sham or verum acupuncture stimulation at the left BL60 before and after local anesthesia. To investigate the relative BOLD signal effect for each session, a one-sample t-test was performed for individual contrast maps, and a paired t-test to investigate the differences between the pre- and post-anesthetic signal effects. Regarding verum acupuncture, areas that were more activated before local anesthesia included the superior, middle, and medial frontal gyri, inferior parietal lobule, superior temporal gyrus, thalamus, middle temporal gyrus, cingulate gyrus, culmen, and cerebellar tonsil. The postcentral gyrus was more deactivated before local anesthesia. After local anesthesia, the middle occipital gyrus, inferior temporal gyrus, postcentral gyrus, precuneus, superior parietal lobule, and declive were deactivated. Pre-anesthetic verum acupuncture at BL60 activated areas of vision and pain transmission. Post-anesthetic verum acupuncture deactivated brain areas of visual function, which is considered to be a pain-unrelated acupuncture response. It indicates that specific effects of acupoint BL60 are to control vision sense as used in the clinical setting.
1. Introduction
Acupuncture is a widespread component of traditional medicine in Korea, China, and Japan and is characterized by stimulation via the insertion of needles, usually inducing some degree of pain. By noxious or external pressure sensation, the most commonly activated brain regions include the primary (S1) and secondary somatosensory (S2) cortices, as well as the prefrontal, anterior cingulate, temporal, and insular cortices [1, 2]. These cortices of ascending somatosensory pathways of pain-related activation are due to the transmission of noxious stimuli along the spinohypothalamic pathway, the spinopontoamygdaloid pathway, and the spinothalamic pathway [3–5].
Functional magnetic resonance imaging (fMRI) has been used to indirectly detect brain functions [6, 7]. Several human fMRI studies have also shown that acupuncture needling affects brain activation. The relationship between acupoint and correspondent brain location has been discussed [8, 9], and different methods of stimulation such as tactile acupuncture or superficial pricking are associated with specific brain activation [10, 11]. These results of neuronal activation suggest that acupuncture may be related to autonomic, cognitive, and affective functions, as well as sensorimotor control with connections to the cerebrum, brainstem, and other areas [8, 9, 11–13].
Acupuncture-evoked neuronal stimulation still remains unclear because acupuncture is composed of various components including pain or pressure sensation, as well as placebo effect from anticipation, imagination, or concentration. In order to investigate the "specific" effect of either penetrating or nonpenetrating acupuncture, it is crucial to determine whether and to what extent the effect is related to a pain response.
Recently, fMRI studies have investigated acupoint at BL60 in a canine model [14]. Several fMRI studies using acupuncture at BL60 showed brain activation [15, 16], but, as mentioned earlier, the results did not distinguish whether the activated areas were related or unrelated to pain responses. To the best of our knowledge, no human studies have been published on fMRI activation in response to acupuncture before and after local anesthesia (i.e., with or without pain). Besides, there were some limitations from the previous canine model study [14]. We could not determine whether the dogs felt Deqi sensation and complete suppression of pain was uncertain.
Localization of pain-related and pain-unrelated responses to acupuncture is necessary in order to discover acupuncture's effect on pain sensation. The objective of this study was to determine the nature of pain related and pain unrelated in order to define specific neural responses to acupuncture using acupoint BL60.
2. Materials and Methods
2.1. Study Subjects
Twenty female subjects (mean age: (SD) years; range: 21 to 43 years) consented to participate in this study. The inclusion criteria were as follows: (i) subjects had no past medical history or current history of physical or psychiatric diseases, (ii) they did not take and were currently not taking any prescribed or illicit drugs, and (iii) all subjected were right handed. They had experienced acupuncture. For each participant, fMRI was scheduled to avoid menstruation periods. Informed consent was obtained from all participants, and the protocol was approved by the Institutional Review Board (IRB) of Kyung Hee University Hospital at Gangdong (KHNMC-OH-IRB 2011-004). All experiments were conducted in accordance with the Declaration of Helsinki. One participant was excluded from the analysis because she was found to have multifocal T2 hyperintensive lesions in the subcortical white matter, which might be indicative of small vessel disease. The results of the remaining 19 participants were analyzed. None of the participants' head motion was greater than 5 mm.
2.2. Definition and Manipulation of Acupoint BL60
The verum and sham acupuncture needling were applied at the same meridian BL60 acupoint (KonLyun in Korean, KunLun in Chinese) on the left [17]. It is located in the center of the depression between the prominence of the lateral malleolus of the fibula and the calcaneal tendon behind the ankle joint. For the verum acupuncture stimulation, a disposable stainless steel needle with a diameter of 0.25 mm and a length of 30 mm (DB106 Spring Handle, Dongbang Acupuncture Inc., Boryeong, Chungnam, Korea) was used. The verum acupuncture needle was inserted into the skin to a vertical depth of 1.0–1.5 cm in the deep tissue layer. For the sham acupuncture stimulation, a disposable placebo needle made of tungsten with a diameter of 0.25 mm and a length of 40 mm (Dongbang Acupuncture Inc., Boryeong, Chungnam, Korea) was used. The manipulation method consisted of constant tactile stimulation with a nonpenetrating needle to mimic acupuncture procedures. This procedure was performed by an experienced Korean medicine doctor and was conducted by the same person at each session.
2.3. Experimental Paradigms
Each study participant underwent four sessions in this study. The order of the four sessions included sham and verum acupuncture stimulations prior to receiving local anesthesia, followed by the same stimulations after receiving local anesthesia (sham-verum-anesthesia-sham-verum). Figure 1 shows the block design of fMRI paradigm for stimulation. At baseline, a 30-second video clip of a leg was shown as visual stimulation (B). Visual stimulation then included showing a video clip of verum acupuncture treatment performed on the leg, which had been prepared beforehand (V). Each participant watched the video clip using a mirror inside the MRI machine and was asked to concentrate on the visual stimulation and not to sleep, move, or think of anything else. Sham or verum acupuncture stimulation of 30 seconds was performed at the BL60 acupoint in addition to showing the same video clip of a leg (S or A). The needle was manually rotated clockwise and counterclockwise at a frequency rate of twice per second (2 Hz). Thus, the block-designed paradigm for the sham subsession was B-V-S-B-V-S-B-V-S, and for the verum sub-session was B-V-A-B-V-A-B-V-A.
After the first set of sham and verum sessions was completed, 0.2 mL of lidocaine HCl solution (Lidocaine HCl 2%/20 mL, Huons, Jecheon, Republic Korea) was injected into the region of acupoint BL60 as a local anesthetic agent. After obtaining an anatomic image to confirm the spot, the effects of local anesthesia were tested by pricking and performing the second set of sham and verum sessions using the same techniques previously described. After the fMRI session was completed, participants were asked to recall and rate their pain intensity.
2.4. fMRI Acquisition
All fMRI images were acquired using a 3.0 Tesla whole body MR scanner (Acheiva, Philips Medical System, Best, The Netherlands) with an 8-channel head coil. Participants were placed into the magnet bore head first in a supine position, wearing helmets lined with soft foam padding to help reduce motion artifact.
To maximize the effect of BOLD, a gradient-echo planar imaging (EPI) sequence was used with the following parameters: imaging matrix size, 64 × 64 reconstructed to 96 × 96 pixels; field of view (FOV), 230 × 230 mm; echo time (TE), 35 ms; repetition time (TR), 3000 ms; and flip angle, 90°; 25 slices 5 mm thick, without a gap between slices; voxel size, 3.6 mm × 3.6 mm × 5.0 mm reconstructed to 2.4 mm × 2.4 mm × 5.0 mm, and total of 180 dynamic scans.
Furthermore, anatomical images were acquired with a 2-dimensional (2D) T2-weighted turbo spin echo sequence (TR, 3000 ms; TE, 80 ms; flip angle, 90°; FOV, 230 × 230 mm; slice thickness, 3 mm; matrix size, 256 × 256; voxel resolution, 0.9 mm × 0.9 mm × 3.00 mm, and transverse orientation) and a 3-dimensional (3D) T1-weighted (T1W) gradient echo sequence (TR, 9.9 ms; TE, 4.6 ms; flip angle, 8°; FOV, 240 × 240 mm; slice thickness, 1 mm; matrix size, 240 × 240; voxel resolution, 1.0 mm × 1.0 mm × 1.0 mm, and sagittal orientation). The anatomical scan was performed shortly after local anesthesia using a lidocaine HCl injection into BL60. The total time for 2D and 3D anatomical imaging was 9 minutes and 47 seconds.
2.5. Processing of fMRI Data
fMRI data analysis was performed using Statistical Parametric Mapping software (SPM5; Wellcome Department of Cognitive Neurology, London, UK; http://www.fil.ion.ucl.ac.uk/spm/) by way of MATLAB (Math Works Inc., Natick, MA). Head motion during the fMRI acquisition was calculated by rotation and translation on , and coordinates and realigned automatically using three-dimensional motion correction to minimize the movement-related variance of the subject. Subjects whose heads moved excessively (>5 mm) were excluded from the analysis. Realigned anatomical MR images and fMRI images for each participant were coregistered to the 3D-T1W image. The 3D-T1W image and fMRI data were spatially normalized into the SPM Montreal Neurological Institute (MNI) template. Anatomical 3D MR images were standardized using standard anatomical space devised by Talairach and Tournoux, and fMRI images were standardized with the same process as the anatomical images. The spatially normalized image volumes were smoothed using a Gaussian kernel of the full width at half maximum (FWHM) of 8 × 8 × 10 mm to raise the power of discrimination among noises of MR signal changes classified by voxels produced by hemodynamic response and to set match statistical model offered by SPM.
2.6. Statistical Analysis of fMRI Data
For the individual level analysis, in order to obtain activated or deactivated contrast maps, the stimulation conditions were compared to the baseline conditions for each session and each subject using a general linear model. For the sham subsession, the following contrast maps were obtained: (i) sham acupuncture (S) > baseline (B), which were greater during the sham acupuncture stimulations than during the baseline visual stimulation before local anesthesia, (ii) sham acupuncture (S) < baseline (B), contrariwise. For the verum acupuncture subsession, the following contrast maps were obtained: (iii) acupuncture (A) > baseline (B) for activation maps, (iv) acupuncture (A) < baseline (B) for deactivation maps.
The contrast maps after local anesthesia were also obtained in the same way.
For the group level analysis, the activation or deactivation contrast maps obtained from the individual level analysis were used. In order to investigate the BOLD signal effect for each session, a one-sample t-test was performed for the 8 different contrast maps with a statistical threshold of , without multiple compensations, and with a cluster size ≥10 voxels. The result areas were limited to the grey matter with an explicit mask of grey matter (expression threshold: IL > 0.5).
To investigate the pain-related effects and pain-unrelated effects, the differences between the pre- and post-anesthetic BOLD signal effects were also compared using a paired t-test. To investigate the acupuncture-specific or sham-specific effects, the sham and verum acupuncture stimulation blocks in each pre- and post-anesthetic session were included.
2.7. Questionnaire of Self-Reported Sensations
Self-reported sensation was documented immediately after the MRI acquisition using a 0 to 10 numeric rating scale (NRS). To verify the successfulness of blinding, a self-reported guess of what happened during the visual stimulation of acupuncture (V) when no acupuncture was actually performed was also used.
3. Results
3.1. Areas of Activation and Deactivation of Each Session
The differences in BOLD signals between the sham acupuncture block (S) and the baseline stimulation block (B) and between the verum acupuncture block (A) and the baseline stimulation block (B) were investigated; this was considered the additional change from the baseline. Table 1 shows different activated/deactivated areas between the pre- and post-anesthetic sham acupuncture. Table 2 shows different activated/deactivated areas between the pre- and post-anesthetic verum acupuncture (Figure 2).
| (cluster level) < 0.001, cluster size ≥ 10 voxels.
Sham: sham acupuncture; base: baseline visual stimulation by showing a video clip of a leg; R: right; L: left; KE: expected voxels per cluster.
| (cluster level) < 0.001, cluster size ≥ 10 voxels.
Acup: verum acupuncture; base: baseline visual stimulation by showing a video clip of a leg; R: right; L: left; KE: expected voxels per cluster.
3.2. Results of Self-Reported Sensations
Table 3 shows the type of sensation and mean (standard deviation) of each NRS score reported by study participants.
|For each sensation, a paired -test was performed to compare the score between the sham and the verum acupuncture stimulation.
* .
4. Discussion
In this study, differences between pain-related and pain-unrelated brain activation during acupuncture stimulation at the left BL60 were investigated. Pre-anesthetic brain activity included pain response, and post-anesthetic brain activity was related to pain-unrelated responses. To verify neuronal-specific effects of acupuncture, the differences between acupuncture sessions and baseline sessions (visual stimulation) were assessed. Therefore, the activated/deactivated brain areas discussed were presumed to be "acupuncture-specific effects only," which are distinct from accessory effects such as anticipation, imagination, emotion, concentration, interaction with the doctor, and stimulation from the supine position. These accessory factors have been argued in previous studies [15, 18].
Verum or sham acupuncture at BL60 activated some regions in the frontal, temporal, parietal, and limbic lobes of the cortex and cerebellum before local anesthesia. It is thought that sensory inputs by acupuncture stimulation are transferred to the frontal cortex through long-range cortical tracts, and the regions in the frontal cortex send and receive signals with the cingulate gyrus and thalamus.
In activated areas associated with pre-anesthetic verum or sham acupuncture stimulations, the inferior parietal lobule (IPL) and superior temporal gyrus (STG) have been involved in the perception of emotions in facial stimuli and the interpretation of sensory information [19, 20]. More specifically, the superior frontal gyrus is involved in self-awareness and coordinating actions with the sensory system [21]. The middle frontal gyrus, especially Brodmann area (BA) 8 including the frontal eye fields, is believed to play an important role in the control of eye movements. BL60 acupoint has been shown to be involved in visual information processing [22].
Moreover, pre-anesthetic verum acupuncture involved activation of the medial frontal gyrus associated with high-level executive functions and decision-related processes [23], as well as the tonsil or culmen, where ipsilateral eye movement is controlled unconsciously.
Brain areas that were more activated in pre-anesthetic verum than in sham procedures included the cingulate gyrus and thalamus, suggesting an association with the known pain transmission pathway [24] or the unpleasantness transmission pathway [25].
On the other hand, the postcentral gyrus was deactivated by verum or sham acupuncture before anesthesia. It is located in the primary somatosensory cortex (S1), the main sensory receptive area for the sense of touch, and receives thalamocortical projections from sensory input fields. The deactivation area in the talairach coordinate () is where the S1 somatotopic eye representation may exist [26] indicating that acupuncture at BL60 may control eye sensations, in addition to the sense of vision. The results above show the effects of acupuncture at BL60 including pain response. However, involvement of other areas might imply that verum acupuncture is associated with higher coordination function including vision.
Post-anesthetic verum acupuncture, which is considered to be a pain-unrelated mechanism, showed deactivation of the middle occipital gyrus, inferior temporal gyrus, precuneus, and superior parietal lobule. The occipital lobe is the visual processing center containing most of the anatomical region of the visual cortex. The inferior temporal gyrus, which is connected behind the inferior occipital gyrus, is one of the higher levels of the ventral stream of visual processing and may also be involved in face perception. The precuneus is also involved in visuospatial processing as well as episodic memory, and the superior parietal lobule is involved with spatial orientation and receives a great deal of visual input as well as sensory input from one's hand.
Therefore, these results confirm the specificity of acupoint BL60 as suggested in previous studies and suggest the clinical usefulness of BL60 in body reorientation via a pain-related or pain-unrelated pathway.
Self-reported sensation was stronger in verum acupuncture than in sham procedures in all categories, whereas brain activation appeared to be broader in sham acupuncture than in verum acupuncture. Even though needle insertion is more painful and induces more intense sensations, continuous tactile stimulation appears to activate a broader brain area. According to a previous fMRI study with acupuncture and superficial pricking, multiple distributed activation was noted in superficial pricking [13] (similar to the sham acupuncture in the present study). Our results suggest that broader brain activation of sham acupuncture may be associated with repetitive superficial pricking compared to verum acupuncture.
Previous studies reported that acupuncture manipulation was associated with decreased fMRI signals [11, 12]. Deactivation in such instances may be interpreted as the suppression of neuronal activity [27] due to the hemodynamic or metabolic effects of downregulation of accompanying neuronal inhibition [8]. The deactivation of limbic-cerebellar areas can be one of the effects of acupuncture [24]. The results of the present study are in agreement with previous fMRI studies of "acupuncture deactivation."
Traditionally, the acupoint BL60 has been used for disorders of upper or lower extremity, low back, arthritis of the hock, soft tissue injuries, and for eye-related disorders such as visual dizziness, redness, swelling of the eyes, as well as bursting eye pain [6, 18]. Recent research showed that this acupoint activates bilateral regions within the visual cortex through interhemispheric visual-visual transmission, as well as adjacent regions in nonvisual cortices [16]. Additionally, tempospatial analysis showed vision-related acupoint specificity, including BL60 [15].
According to the present study, needling BL60 appeared to activate and deactivate various brain areas and was especially related to more vision control, as well as being involved in higher-order perception and fine regulation of emotion and information. The pain-unrelated response included deactivation of the middle occipital gyrus, postcentral gyrus, precuneus, superior parietal lobule, and cerebellar declive. The pain-related response included activation of the thalamus and cingulate gyrus, as well as superior and medial frontal gyri and middle temporal gyrus. Additionally, the left cerebellar culmen was commonly activated in the pre-anesthetic sham and verum acupunctures and post-anesthetic sham acupuncture, which might suggest a specific response to acupuncture with or without pain.
5. Conclusions
Pre-anesthetic verum acupuncture at BL60 activated areas of the brain associated with vision, as well as pain transmission; these findings are tantamount to a pain-related acupuncture response. Post-anesthetic verum acupuncture at BL60 deactivated brain areas of visual function, which is considered to be a pain-unrelated acupuncture response. These results indicate that specific effects of acupoint BL60 are to control visual sense as used in the clinical setting.
Conflict of Interests
No competing financial interests exist.
This work was supported by a Grant from Kyung Hee University in 2011 (KHU-20110919).
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Copyright © 2013 Na-Hee Kim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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The knee is the largest joint in the body. It is subject to wear and tear as the result of physical activity, obesity and certain autoimmune conditions such as rheumatoid arthritis. An orthopedic surgeon may suggest a total knee replacement when knee pain limits functional abilities such as climbing stairs and getting up from a chair. After surgery, the muscles surrounding the knee and hip become weak and require exercises prescribed by a physical therapist to improve functional performance and independence.
Knee Replacement Surgery
The knee joint is made up of three bones, the femur and tibia, which are the upper and lower leg bones, respectively, and the patella, or kneecap. A total knee replacement is surgery to remove damaged portions of those three bones and replace them with metal and plastic. A long vertical incision is made down the center of the knee, which is disruptive to the quadriceps muscles.
Quadriceps Weakness
The quadriceps muscles are the thigh muscles above the knee and serve as the primary knee stabilizer. These muscles are weak after a total knee replacement because of the direct trauma from the surgical incision, but also because swelling in the joint signals muscle inhibition, or shutdown, as a protective mechanism. If the quadriceps muscles are not working correctly, it becomes difficult to lift the leg independently and walk without the use of an assistive device.
Hip Muscle Weakness
A study published in the February 2011 issue of "Physical Therapy" reports that improving hip muscle strength after a total knee replacement is crucial in returning to functional independence. Specifically, strengthening the hip abductors, or the muscles that bring the leg out to the side, will improve performance in stair climbing and transferring from a seated to standing position. These muscles also stabilize the hip while standing and play an important role in restoring a normal gait pattern.
Physical Therapy
After a total knee replacement, physical therapy is important to improve the knee's range of motion and the lower extremity muscle strength. A major orthopedic surgery will globally affect the surrounding musculature, but the focus of therapy should be on the quadriceps and hip abductor muscle groups. Reduction of inflammation is another goal during the first few weeks after surgery to decrease pain and improve the performance of the quadriceps muscles. Follow a protocol outlined by a physician or physical therapist for exercises tailored to your specific deficits.
Is This an Emergency?
- American Academy of Orthopaedic Surgeons: Total Knee Replacement
- "Physical Therapy"; Contribution of Hip Abductor Strength to Physical Function in Patients With Total Knee Arthroplasty; Sara Piva, et al.; February 2011
- "Journal of Orthopaedic and Sports Physical Therapy"; Total Knee Arthroplasty: Muscle Impairments, Functional Limitations, and Recommended Rehabilitation Approaches; W. Meier, et al.; May 2008


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Drop Spindles - Classic
Rs. 1,400
- All orders ship next business day!
- Pre-ordered items will be shipped in 3-4 weeks.
Cancellation can be processed before the product is shipped.
Cancellations: Cancellation can be processed before the product is shipped.
Returns/ Refund:
We stand by our quality and commitment to service.
In the rare event of defective /wrong shipment, we will take back the consignment and either replace or give full refund. No questions. We'll absorb the shipping costs too.
Pl return the items with invoice & original packing. For yarns, either the invoice or the label showing the batch number to be sent back alongwith the yarn, that would help us trace the problem to the lot.
Books, CDs, DVDs & patterns can not returned if the pack is opened
Return requests should be made within 30 days of invoice. Refund will be initiated from 7- 10 working days from receipt of return request subject to validation of return request. Refund will be made by cheque.
So portable
Spinners have been creating yarn with drop spindles for millennia and we have a wide range of styles from which to choose. All are made from Silver beech hard wood. Our popular bottom whorl spindle with removable whorl and unique wire hook.
- take wherever you go
- affordable
- solid Silver beech hardwood


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I usually make a muslin if the pattern is new to me. No sense wasting fabric on a dress that doesn't fit--I've had that happen way too many times in the past.
I lay out the pattern carefully, making certain to align the grain of the fabric properly.
After I have everything cut out, I make my tailoring marks and then remove the pattern.Then I arrange the pieces in the order I'll sew them together. I'm very organized, yet somehow stuff keeps getting mussed up and sometimes ends up in a heap on the floor.


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AKA "Our Adventure That's Still Not As Bad As Going Dehradun – Varanasi In The Winter". Mostly posted as a PSA since it's an Egypt-Jordan constantly-vague thing, so we wanted to share our experience! Whether it's called Noweiba, Nueiba, Nueibaa, or anything else depending on the paperwork – the process isn't particularly complicated; it's more an exercise in time consumption and 'hurry up and wait'. When we travelled (25 June 2013), only… Read More
We have decided we are going to return to Egypt; it's not a matter of 'if', but a matter of 'when'. Shortly after we left, the protests kicked into full force again (we've seen supporting protests and demonstrations here in Jordan), and President Mohammed Morsi was ousted by the army, leaving the country once again in a state of flux. I would be very curious to hear from any travellers in Luxor… Read More
As we head tomorrow from Egypt to Jordan, and I've spent most of this morning working on Trip Advisor reviews (… 15 of them, with at least another 20 to go at least!), I needed to take a break, and decided writing a long-awaited update here was worth it! We left for Egypt on 4 June and will, on the 25th, hop the borders. 21 days in Egypt is not nearly long… Read More


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Last week on this blog, we discussed a case where a former business executive faces white collar crime charges for allegedly altering his company's financial documents. Financial crimes, also known as white collar crimes, encompass a large area of the law. Californians who face such allegations are in for a fight, as aggressive prosecutors look to give a strong voice to those who have lost money. When facing such zealous prosecution, those accused of a financial crime will need to draft and deliver an equally prepared and strong criminal defense.
California executive accused of falsifying financial documents
Running a business in California can be challenging on many levels. Decisions regarding hiring and firing employees, to expand or contract markets and implement new business practices occur all the time. These decisions can change the dynamic of a business. Another issue that business executives must contend with are those relating to financial matters. Accounting practices, audits and cash handling can all present their own problems, which can seep into the criminal arena and cause an individual to come face-to-face with very serious allegations.
What is mortgage fraud?
Owning a home is part of the American dream. However, as with any transaction, there is the possibility that allegations of cheating and stealing will be made. With regard to purchasing a home, this is often referred to as mortgage fraud. This crime can take many forms, but regardless of the form, it is treated very seriously by prosecutors, especially after the housing calamity that occurred during the Great Recession.
Criminal copyright infringement and fair use
Previously on this blog we have discussed criminal copyright infringement. In short, this offense occurs when an individual willfully infringes on a copyright for financial gain, reproduces or distributes work with a total value of more than $1,000, or makes an unpublished work available on a computer. This is a serious criminal charge, and a conviction could lead to prison and hefty fines.
Facing California white collar crime allegations? We can help.
Our last blog post discussed California money laundering, including what it is and how those convicted of such a crime can be punished. Criminal offense like these, meaning those that involve some sort of illegal financial transaction or fraud related to a financial transaction, are often referred to as white collar crimes. These offenses, though perhaps, not as attention-grabbing as violent crimes, can still cause a lot of commotion and bring aggressive prosecutors into the fray.
What is money laundering in California?
Crime can, and has, pervaded every aspect of California society. Though, this means an individual could have his or her identity stolen, house broken into or physical well-being threatened, it also means that innocent individuals can find themselves facing criminal charges. Likewise, those individuals who were only minimally involved in a criminal offense may wind up facing excessively severe consequences. This is why it is important to be knowledgeable about the law and how it can pertain to an individual's specific set of circumstances.
White collar crimes: what is California restitution?
Last week on this blog, we discussed California work-at-home scams and how an individual may be accused of fraudulently acquiring funds from others with the promise of allowing them to work from home. These offenses and other white collar crimes can be heavily penalized. Society has little tolerance for those who try to steal the financial resources of others, so prosecutors often do everything they can to try to ensure a criminal defendant is convicted and subjected to the harshest penalties available under the law.
White collar crimes: what are California work-at-home scams?
In California, there are many people who possess an entrepreneurial spirit. However, anyone who has started a business can attest to the difficulties of getting started, particularly when funds are low. These individuals may be tempted to try to secure funds from others to startup their business, or even offer their employees work from home opportunities. But, those considering doing this should be careful, as any misuse or mishandling of money may be seen as criminal and result in criminal prosecution.
California woman faces federal bribery charges
Californians who find themselves handling money and financial transactions in their place of employment are held to an extremely high standard. For most, this does not become an issue, and they are able to carry out their job duties without any problems. For others, though, particularly those working with financially struggling institutions, their actions may be scrutinized more carefully. It is not uncommon in these instances for investigations to be launched and for individuals to be accused of committing financial crimes.
Three California men face healthcare fraud allegations
Several weeks ago we discussed fraud as it relates to medical care and just how damaging it can be to an accused individual's life. Now, three California men are facing this type of fraud allegation, which could land them in legal hot water if not handled correctly. Therefore, these men need a competent legal defense that will fight for their rights, freedom and their ability to avoid penalties.


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Please...don't...stick— DC Public Schools (@dcpublicschools) March 30, 2014
Washington DC Small Business, Social Media, Technology, Communications, Marketing and Conversations with Shashi Bellamkonda Social Media Swami
Sunday, March 30, 2014
Genius! From the DC Public Schools! Weather Tweet
Wednesday, March 26, 2014
Forget Wearables, I need a clock
It's been a few months since I stopped wearing a watch. The places where I miss a watch the most:
1. Conference rooms- it's awkward to take your phone out and see the time. I have tried putting the phone on the table as a clock but the screen shuts off
2. Speaking - it's difficult to time yourself when you are speaking without a watch.
3. Social gatherings: Even if you are having the best time, you still want to pace yourself or time yourself to get home. It's awkward to keep pulling out your phone to see the time.
All these can be resolved, if there was wall clock close by that you can see.
What do your think? Do you miss wearing a watch?
Tuesday, March 18, 2014
Watches that tell you the future - Android Wear
I am looking forward to the launch of the Android Wear, even though right now I am weighing replacing the battery on my Timex watch $5 or buying a Android wear which could be $299 onwards. I am going to wait and see
Friday, March 07, 2014
SXSW2014 :5 Observations from half the first day
- Start-ups are out in full force
- Business Cards are back
- Year of the lounges
- Airport Taxi lines are still long
- Restaurants signs replaced by brands
New Dimensions to Marketing Measurement
The new dimensions of measurements will include the following: Podcast Listens VR Views
What an odd Norwegian show & quiet eating teaches us about consumers?
Emirates flies the Airbus A380-800 from Washington DC to Dubai There was a time that flying between India and the US meant a stopover...
I was very impressed at how easy TSA made it for me to write this post. As a best practice all organizations should have a social page where...


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I've Been Raptured . . . Will You Join Me?
It finally happened.
I made up my mind, hoisted up my big girl panties and moved from the world of blog-partner sites to an actual honest-to-god self hosted site.
Thanks to the encouragement of Laurie Ruettimann and the web genius talent of Lance Haun I'm getting set to put this site to rest as I've moved on over to HRSchoolhouse.com. And really, the two of them (along with an able assist from Lizzie Smithson) did all the heavy lifting while I merely sat back and enjoyed a refreshing pina colada.
I started this blog in September 2010 and a year and a half-later am moving into a new abode. I would say it's about time.
If you subscribe to my RSS feed never fear – I'll continue to pop up in your reader-of-choice. If, however, you are one of my subscribers – you will want to re-subscribe to the HR Schoolhouse.
Come along for the journey. It's rapture time.
The HR Solar System
Here's one I've pulled out from the dusty archives… (November 2010)
I was witness to an interesting phenomenon not too long ago – a round of "HR Solar System." Also known as "I'm in HR and I think the planets revolve around me."
At a recent workshop, the speaker posed the following question: "if an employee is getting off track, whose job is it to get them back on board?"
So while I ticked through some answers in my mind – "the employee, the manager" – I really wasn't surprised to hear an answer bubbling up from throughout the audience – "it's HR's job."
Seriously HR? Really?
One thing that always makes me wince is when HR colleagues make statements along the line of "I have to meet with Sally Sue Employee to issue her write-up/written warning/PIP." And Sally Sue works in Accounting. Or Marketing. In other words, Sally Sue is NOT having this performance discussion with her manager – she is having it with HR.
Stop it HR.
HR's role is not to insert itself into every single employee interaction. Our role is to assist the managers by providing them with the coaching, support and guidance so that THEY can have performance discussions with employees who report to them.
Our role is to assist in supporting a culture where employees are treated with dignity and in which there is adherence to laws, regulations and policies. Our role is to work to ensure that our organizations provide the foundational structure and the environment in which the employees can succeed. And ultimately our role is to do all these things in order to impact our organization's performance and success.
The quickness of these workshop attendees to respond "that's HR's role to get an employee back on track" points to a continuing desire to be acknowledged and validated. I saw it happen live. I hear stories about it on a regular basis. Jason Lauritsen wrote a great post about this syndrome over at Practicing HR after the conclusion of the HR Reinvention Experiment in Omaha. He made some great points and readers chimed in with some super comments. Go check it out and then let me know —
—- does HR still view itself as the center of the universe? Do we suffer from Solar System Syndrome?
Like Nailing Jell-O® to a Tree
My grandma was a big fan of Jell-O® – bowls, parfaits, dessert cups and even "Jell-O® Salad" which she loaded with all kinds of stuff. One of her favorite concoctions had shredded carrots and cabbage suspended in lime gelatin which carried the none-too-appetizing name of Vitamin Salad.
I was never the biggest fan.
Now I do to admit to whipping up a batch or two of Jell-O® in my life – sans floating morsels of vegetables of course. The recipe directions on the box are fairly idiot-proof and I've managed to get it right a few times over the years; not too runny, not too chewy – just right. I have, however, learned one lesson over the years – if attempting to add fruit (think strawberries) it's crucial to make sure the fruit is well-dried before mixing it in; too much moisture will throw off that delicate balance of 1 cup hot water/1 cup cold water and leave one with a bowl of liquid that refuses to 'set.'
Nailing Jell-O® to a tree has come to be a metaphor for attempting an impossible task.
- "Trying to get your mother to understand how to use Skype?" "Like nailing Jell-O® to a tree."
- "Convincing the-powers-that-be that tele-work may be a viable option for the workforce?" "Like nailing Jello-O® to a tree."
- "Increasing the robust use of social channels and networks among HR practitioners?" "Like nailing Jello-O® to a tree."
But as with many things in life, sometimes we give up before exploring other options. Does the difficulty in accomplishing a particular task arise due to our own inadequate specifications/details? Do we have an inherent problem when working to move-the-needle forward because we're using imprecise language? Have we identified, and attempted to nail that slippery Jell-O®, in the right sweet spot?
So how DO we nail that elusive gelatinous mess to the tree? If we take a spoonful right from the bowl and hoist the hammer we're bound to fail. But perhaps we:
- Put the Jell-O® in a Ziploc® baggie and then nail the baggie to the tree
- Whip up some Jell-O® Jigglers which are a bit sturdier and may adhere better
- Chop down the tree so it's laying on its side before we commence the hammering
- Cook up a batch of Jell-O® shots, drink them down, and stop worrying about nailing anything to that damn piece of timber
There's not much that's impossible. Sometimes we just need to approach it in a new way.
And one interesting side note – in the UK and some other parts of the world, people call this stuff "jelly." Jelly with carrots and cabbage sounds just as loathsome.
Shopping in your Closet – the HR Dress Code
You know I love the Women of HR, right? I am one. And last week I had a post run over at the site wherein I chatted about dress codes, foolishness, and common sense. Men vs. Women? More like corporate silliness run amok. (post script – that picture, inviting conference attendees to enter an establishment, was taken at the SHRM Annual Conference (2009) in New Orleans. Boo yah!)
The Dress Code policy. There are very few managers or HR professionals who haven't participated in a dress code conversation.
Sadly, in many organizations, when faced with conundrums such as: "How do I tell Sally she needs to wear a bra?" (answer: "Hey Sally, you need to wear a bra.") or "What are we going to do so that Bob irons his shirts? (answer: "Hey Bob, iron your shirts."), the easy lazy answer has always been "Let's write a dress code policy!"
Many years ago, when I was fresh-faced and eager in my new HR career, the organization I worked for felt the need to move from a common-sense (for the most part) one page Dress Code Policy to a FIVE PAGE policy that spelled out everything from the length of one's skirt to the banning of pants/skirts that had pockets on the back. The enforcement of this policy would have necessitated, more than likely, the hiring of Sister Mary Agnes to join our staff and roam about measuring skirt lengths with her ruler. As it was, we were already a tad foolish, differentiating the proper attire based on what floor of the building you worked on. If you were a female, and your office was on the 2nd floor, you were forbidden from wearing pants. Why? That was the Executive Floor (all-male C-Suite at the time) and, apparently, it had been determined that the gals needed to remember their place in the hierarchy.
Now this was a financial institution with drive-through banking stations in the Midwest and in the winter it was not uncommon to hit (and sustain) temperatures well below zero. And as you may recall from the last time you went to a drive-through banking facility the tellers were f-a-r a-w-a-y from you and you probably could have cared less about what they were wearing. Nevertheless, back in the day, the company I worked for decided that these employees were dressing inappropriately when they wore cardigan sweaters over a nice shirt or blouse. Never mind the fact that they wore the cardigan sweaters because working in those drive-thru facilities was like coming down the wind tunnel at Lambeau Field in the middle of January.
Sorry Joanie; time to ditch the sweater. Common sense is no match for our dress code policy.
The other day while Googling some random HR stuff, I came across the slide deck for a New Employee Orientation circa 2007.
There were a number of slides devoted to what to wear/what not to wear. (Spaghetti strap tops and athletic shoes were out; pressed khakis and blazers were in). I guess it was particularly helpful for this organization to point out that while skirts and dresses were always appropriate for women – "Female executives and their assistants may choose to wear suits." I wonder what happened when Grace, the lowly mid-level Purchasing Manager decided to wear a suit? Scandalous!
That, of course, was on the Do/Don't slide for women. And naturally there was a Do/Don't slide for men. The headers of these two slides:
"Men Should Look Nice" and "Women Should Look Pretty."
I am not kidding.
I think about a new employee sitting in a conference room in 2007 (that's only 5 years ago!) with other newbies. She was excited to start her new job, perhaps even making a bit more money than in her last gig. She had been through numerous interviews, got a good vibe from her soon-to-be-boss and felt she made the right decision for her career when she accepted the job offer.
And then she learned what this company considers important for the success of its female employees when she's told She Should Look Pretty.
I wonder how long I would have lasted?
Master This – The Old Boys Club
For those who are die hard lovers of golf, this weekend is a highlight of the year as the world's best players gather in Augusta, GA for The Masters Tournament. I can tell you that Mr. S. is among those who will be glued to the television coverage.
There's an intriguing aspect however to this year's tournament. The Augusta National Golf Club, a private club mind you, is exclusive and traditional. They are famously known for having no women among their 300 or so members and the issue rises to the forefront of the news practically every year around tournament time.
But one tradition may cause a bit of heartburn this year for the Club. Historically, the CEOs of the major sponsors (IBM, AT&T and ExxonMobil) have been granted membership – a bunch of middle-aged white guys joining up with 300 or so other middle-aged white guys to enjoy the privilege of paying exorbitant annual dues and swill $18 cocktails on the 19th hole.
But…IBM has a new CEO. Earlier this year (New Year's Day 2012), Virginia "Ginni" Rometty, a woman, was named as IBM CEO. As of yet, no invitation for membership has been offered to Ms. Rometty. So the debate rages on (both President Obama and Mitt Romney were asked this week to weigh in on the matter) and apparently Ginni Rometty is planning to attend the tournament this week but has yet to offer any statement on behalf of IBM.
Now Augusta National is a private club and they can do what they want. But I, for one, am interested to see how this plays out. Will they extend a membership invitation to her, let the male/female dividing wall come tumbling down, and send a message that times have changed? Or, by refusing to invite her to join, will they send a very clear message of a different sort?
You're Working Too Hard
I like to think that most of us head into the office every day with the desire (and the dedication) to do our best. We like to tackle each day with vim and vigor; we want to solve problems and feel a sense of accomplishment as the day draws to a close. I know I sure do.
But just the other day I had a conversation with a friend named Jeff who told me he's in a work environment where most of his team members live by the rule of let's-do- just-enough-to-get-by.
"You don't have to give that much effort" a co-worker told him. "You're making the rest of us look bad."
"Take your time getting it done; we need to fill up the day so they don't cut our positions" said another cubicle-mate.
"You're working too hard" chimed in a third.
This is a fairly small work group and the supervisor is right in the trenches so there's no possible way (absent total obliviousness) that he's not aware of these conversations … or these work habits. The necessary work is getting done – no question there – but it's apparently minimal output.
And poor Jeff feels caught in the middle. He's got the desire and the dedication to do his best each day. He heads into the office loaded with vim and vigor and gusto, ready to learn and contribute even more. But he's getting the message that it's perfectly acceptable, and somewhat preferable, to do just-enough-to-get-by. And it frustrates him…to the point where he's starting the search for another job.
Just a tad freakin' insane that a department and an organization could potentially lose people BECAUSE they want to work…and are being held back from doing their best. Am I right?
I dunno. Maybe even after all these years in the People Business I'm still a bit of a Pollyanna – always able to find something to be "glad" about no matter the circumstances. So in this case I guess I can be glad that hard-working Jeff is putting himself out on the market – and may be available to fill a position at my company.


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Full-Service Dentistry Personalized for Your Smile
Diamond Dental is a comprehensive dental practice that provides a wide variety of high quality dental services and procedures to address our patients dental health needs. By combining quality patient care with advanced dental technology, we are able to treat patients of all ages safely and comfortably. We offer a wide variety of services for patients throughout the Malden Massachusetts area and the surrounding communities.
Our doctors are talented and caring general dentists who provide preventive dentistry, cosmetic dentistry and restorative dentistry with a focus on your individual needs and preferences. Our patients come first. We treat our patients like family and help them achieve a beautiful, healthy smile that lasts a lifetime.
Our doctors advanced training and knowledge of modern dentistry enable them to deliver comprehensive care with skilled precision to improve your smile and overall oral health. They treat every patient with a gentle touch and compassionate demeanor.
Diamond Dental has been serving the Malden community. You will be assured quick and friendly service. We offer general dentistry and other services which include crowns, bridges, root canals, dentures, crowns, dental implants, tooth extraction and more.
Emergency Dental Care in Malden Massachusetts
Our team makes every effort to treat dental emergencies the same day they occur. Contact one of our Diamond Dental offices during regular business hours to be worked in between previously scheduled appointments. For after-hours care, call (781) 338-0818 to receive instructions on how to reach us in an emergency. Otherwise, dial 911 for immediate medical help.
You Deserve to Get the Best Dental Services in Massachusetts
Diamond Dental provides a wide variety of dental services to meet your whole family's oral health needs, whether it's preventive care or restorative solutions, our dental team can help. To find out the right dental treatment options for you, call (781) 338-0818 for a consultation or Email Us.


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Fashion Merchandising Career Forum
Thu, February 28, 2013 | LBJ Student Center
Join us for the 4th annual Fashion Merchandising Carer Forum. Last year we had over 400 attendees. We have planned a full day of career plnning and networking activities:
-Keynote Address by Tim McLarty - SVP, Kohl's
-Luncheon Presentation by Dave Eske - SVP, Stores HR Trasformation Initiative, JCP
-Breakout session and Career seminars by industry experts
-Afternoon Internship and Career Fair
-Eco-bag Design Competition
For more information, see our website, or email Bobbie Moore at firstname.lastname@example.com.


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10 Sep Private Hire Discounts at Adventure Dock
Imagine having the entire 90m long Adventure Dock floating obstacle park all to yourself! Well it is now possible and we have some end of season discounts to help make it mega affordable for you and your team to come and take over Adventure Dock. You can have a 'Free For All' style session of fun which allows your team to tear up the park in whatever order and style they like! Or we can organise time trials to see who can get around the park the quickest. Time trials can be done in small teams or individually, either way it is great fun!
We can cater for groups of anything up to 80 people and the price includes the wetsuit, buoyancy aid and helmet for everyone. People just need to bring swimwear and towels. After the amazing session on the water, you and your team can go and enjoy drinks and food at a number of incredible restaurants, cafes and bars around Albert Dock.
Make a booking for September: 30% off standard prices
Make a booking for October: 50% off standard prices
Standard Prices
Weekend: £850 per hour
Weekday: £750 per hour
For private hire info, please email us at email@example.com


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For Prospective Students
Admission Requirements
Office of Admissions, 415.485.3204
Prerequisite Requirements — A list of the seven prerequisite courses required for admission to the Nursing program coursework. High school students applying to pre-nursing should consult with the Office of Admissions regarding minimum grade and test score criteria.
Before entering the Nursing program, admitted students must meet the health clearance requirements of all associated agencies in order to ensure the safety and well-being of patients encountered in the clinical setting. This includes a physical, health history, two step TB screening, and required immunizations. It also includes drug test and background check. Please contact the Department of Nursing for more detailed information.
Admission Process for Transfer Students
Dominican offers direct entry to the nursing program for transfer students. Transfers should declare Nursing on their general application to the university.
All students will go through a competitive selection process primarily based on prerequisite and cumulative GPA. All seven prerequisites should be completed (or in progress) at the time of application to the program. There is a five year recency requirement for anatomy, physiology, health science chemistry, and microbiology. The TEAS is NOT required for admission to the Nursing program.
Students should start their inquiry process regarding nursing admission by contacting the Office of Admissions, 415.485.3204. Questions specifically about the nursing major can be directed to Erin Aradi, Student Services Administrator, Dept. of Nursing.
Transfer students enrolled and in good standing at an accredited RN Nursing school or who have been enrolled and in good standing within one semester, may apply for advanced standing in the major. All missing prerequisite courses must be completed within one semester of matriculation to Dominican University of California. Course equivalency for previous nursing education is evaluated on a case-by-case basis.
Transfer students who have less than a passing grade in more than one required class for Nursing (within the last five years) or those who have been disqualified from another program are not eligible for admission to Dominican's Nursing program.
*If you are a student whose nursing education was obtained outside of the U.S. and you have been informed by the Board of Registered Nursing that you must take certain nursing courses in order to sit for the NCLEX licensing exam in California, contact the Internationally-Educated Nurses program.*
Transferable Courses from Other Colleges and Universities
Before applying, check out our transfer course equivalency chart to see whether your classes satisfy the university's Nursing prerequisite requirements. We also have general education articulation agreements with many Bay Area community colleges. Any course not listed on the equivalency chart will be evaluated based on the student providing a course description or syllabus.
High School Students
The following high school classes are considered minimum preparation for the college-level prerequisite classes required for Nursing majors:
4 years English
2 years college preparatory math -- algebra, geometry, etc.
2-4 years of science -- biology, chemistry; physics and computer science also recommended
3-4 years of social studies
2 years international language
LVN 30 Unit Option
In compliance with the regulations of the California Board of Registered Nursing, Dominican University of California offers a LVN 30 unit option for LVN's who are currently licensed in California and who wish to prepare only for licensure as a registered nurse in California. Upon successful completion of the required courses, the student is eligible to take the NCLEX-RN Examination for licensure. This program does not lead to a BSN and licensure may not be recognized in all states.
Admission to the LVN 30 unit option is on a space-available basis. In order to enter clinical nursing classes, students must have a 3.25 cumulative grade point average and have completed Microbiology and Human Physiology (with a grade of B or better).
LVN's who are interested in the full BSN program must enter at the beginning of the nursing program and complete all BSN requirements.
Courses required for the LVN 30 unit option:
Human Physiology
up to 5
up to 5
Nurs 2014 Health Assessment Across the Lifespan
Nurs 2150 Geriatric Foundations
Nurs 3106 Psychiatric & Mental Health Nursing
Nurs 4100 Advanced Medical-Surgical Nursing
Nurs 4200 Leadership & Nursing Care Management
NCLEX Pass Rates
Review the California Board of Registered Nursing website for information regarding Dominican's most recent pass rates on the NCLEX.
Clinical Lab Fee
Clinical lab fees become part of students' tuition expenses once they enter the Nursing program (i.e., Second Year Nursing) and continue until graduation. These fees help sustain the successful operation of the Skills Lab, Assessment Lab, and Simulation Labs where students spend over 200 hours learning and refining the mandatory skills for patient care. Specifically, they support the cost of purchasing equipment and supplies; training actors for practicing clinical scenarios; maintenance and/or replacement of high-fidelity and low-fidelity equipment; repair and maintenance of the recording systems; implementation and maintenance of the electronic medical records system; and all other materials essential to developing the laboratories into simulated hospital environments and optimal learning experiences.


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Made it through another week! Have you noticed that pretty much all of my posts have started that way? Well, I've come to accept that this is the new normal for me...or at least it will be for many, many years to come!
I've decided to combine my #FitReaders posts with my Monday check in posts. Fridays are my busiest days of the week and I was just having too much trouble finding a pocket of time to do that post. I'll also be changing my "weeks" from Friday-Thursday to Sunday-Saturday. I might be missing some info in February while I do this...well, I know I'm missing info...
I upgraded my phone this week, which ended up being a huge headache. Part of this mess up was that I lost some of my FitBit data AND my "proof" of my February 5K. Sigh...so, you'll have take my word on it...
February Goals:
1. At least 81,000 steps/week
Sunday - 7959 Steps (3.58 miles)
Monday - 5571 Steps (2.5 miles)
Tuesday - 9294 Steps (4.18 miles)
Wednesday - 8129 Steps (3.65 miles)
Thursday - 6225 Steps (2.8 miles)
Friday - 5559 Steps (2.5 miles)
Saturday - 11,285 Steps (5.07 miles)
TOTAL: 54,022 Steps (24.28 miles)
Folks, I haven't met this goal once this month. Sigh...
2. At least 2 dedicated workouts
Well, I did get one workout in yesterday.....
3. Complete the #FitReaders Virtual 5K at some point this month
I did this yesterday...and I took a picture of the workout summary on the treadmill...then everything hit the fan with my phone and the picture vanished. So, I have no proof. Sigh.... As I said, you'll have to take my word for it.
So, February wasn't a good month for my goals. Even when I did complete a goal (the 5K) it didn't completely work out.
The good news is that March will be better. Because I did so badly on my goals this month, I'm going to keep the same goals for March.
Now, onto the books!
Right Now, I'm reading:
I only started this last night, so I can't say much about it right now. It is about a Jewish family, and I actually really enjoy Jewish literature, so I'm expecting it to be pretty good. I have to get it done quickly, though.--I'm hoping to have a review up on March 8th!
I started this one a while ago and put it aside. I decided to give it another try and it's working a little better for me this time around. Still, it hasn't pulled me in like some of Moriarty's other books, so we'll see how it develops.
Yep, still working on it! As I say every week, this is my "toilet" books. Because the essays are almost all fairly short, it makes for good bathroom reading!
Right now, I'm listening to:
I really wish I that I hadn't already read this book. When I read it last year, I didn't particularly like it. However, the narration for the audiobook is outstanding and I think I would have enjoyed the book more if I had listened to it rather than read it.
So, guess what....remember that phone issue I had? Well, one other nasty side effect is that it "lost" where I was in this book. Yes, just this one...the 37 hour audiobook (it kept the bookmark for The Girl on the Train), so I guess I'm starting this one over again.....sigh! I'd probably get through it faster if I would turn off the Hamilton cast album!
Last week, I read:
This was my first e-galley from Penguin's "First to Read" program. I won't say much about the book (because I want you to come back and read my review!), but I found the app I had to use--Bluefire--to read the book to be a pain. I wish that their e-galleys were compatible with either Kindle (ha ha! I know that will never happen) or Kobo. Just opening the file was a challenge!
Again, I won't say much as the review is going up on Thursday. I will tell you this...there will be a giveaway!
So, that's my week. Here's hoping for a calmer one with fewer technical issues coming up!


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Lakeshore's new campus fitness complex has been open for almost two months, since September 12th.
We wanted to hear student opinions about the new facilities, so we went to the complex to ask student gym-goers about their experiences. Although it is difficult to convince gym-goers to stop their workout to take part in an interview, we found a few students willing to share their experience.
Here is what they had to say:
"The facilities are amazing. Ana and I come early in the mornings, before our nine o'clock class, so it's always quiet. There is tons of room, and so many different machines to use. The changerooms are not the cleanest, but what can you expect from a male changeroom?" – Jordan
"I agree with Jordan, the building is amazing. The amount of space is great and one of my favourite parts of the building is the view. I haven't had a chance to take any classes yet, but I am excited to try some in the future." – Ana
"I am enjoying it a lot. I have been here around five times and taken many of the classes. It is nice because other gyms don't always have classes, so it's nice as students to be able to take advantage of that. It's nice that I can come here between and after my classes as well. It's convenient." – Sara
"I like to come here to work out with my buddies. It's a great way to keep in shape. I try to come most days in the evening. It's nice to have a social area on campus that I can hang out with friends from my program, without being in a classroom. " – Mack
To get a better idea of how the gym was received overall, we asked a staff member at the complex how they felt students were enjoying the new facilities, and how the new gym compares to the old one:
"For the most part, it has been really, really good. Everyone seems to be liking it. It is way bigger, way better. There is way more equipment. You can't compare it at all."
So, how can you make use of these facilities?
A gym membership is included in all Humber and Guelph-Humber student fees. All you need to do is go into the building, sign a form and then show them your student ID card with a copy of your timetable and you're good to go. Easy! (I did it, and it literally took five minutes…)
If you are looking for information regarding programming at the facility, check out the Fitness section of Humber's website. Or, just go in and talk to the staff, they have been extremely friendly and helpful in all my interactions with them.
Monday – Friday
6:30 a.m. – 11 p.m.
8 a.m. – 5 p.m.
Your health is important. If you need help getting on the right track, IGNITE's Student Lifeline offers students consultations with nutrition experts.


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http://rockymountaintypehouse.com/qCR4GV-8 Courtesy
recommended you read Highly Effective
- Opens and closes doors so gently that it sounds like a music box lullaby.
- Commits acts of kindness like turning off lights in the kitchen or living room…even if they've gone upstairs already.
- Doesn't take up a lot of space. It's almost like they're invisible.
cyclosporine eye drops price in india Effective
- Inherited the type of bladder that rarely needs to be emptied.
- Volunteers to take the small room that has no closet. Never complains about it.
- Gets a low-maintenance haircut in order to minimize bathroom time and prevent Drain v. Hair conflicts.
- Yells "FIRE!" (at a deafening volume) if you're both heading to the bathroom. This gets you every time. They get to the bathroom first.
- Senses when you're about to fall asleep and starts playing the steel drums. They still have no effing rhythm. It's been seven months.
- Memorizes your schedule in order to prevent you from using the bathroom, kitchen, or common areas in your times of need.
- Is always around the house. Always. Except for the ONE TIME you leave your keys at home.
- Appoints themselves, publicly and officially, as Ruiner of Your Domestic Life.
Highly Effective
- Keeps the kitchen spotless by never physically entering the room.
- Avoids the bathroom except to wail in it mournfully from time to time. (It has the best acoustics in the house.)
- Sheds neither hair nor skin cell in this mortal realm.
- Buys a dishwasher for the apartment as a gift.
- A f*cking dishwasher.
- Brings two vacuums when they move in, stores both in your bedroom.
- Loves vacuuming, especially when you are reading or trying to REM.
- Doesn't know how to use a mop or a broom, but goddamn they can vacuum.
- Collects hair from your comb and plants it all over the bathroom.
- Knows the roaches personally and sends them e-vites to the stovetop after you've cooked a meal.
- De-alphabetizes your books whenever you leave the house.
Highly Effective
- Visits the neighbors often, although the neighbors have never mentioned meeting them.
- Forms deep, spiritual connections with everyone they encounter.
- Has elite friend groups that you're dying to meet.
- Knows a bartender at all pubs within a 15-mile radius.
- Has humble, good-looking friends with cool jobs like Feng Shui Engineer or Cupcake Artist or Postage Stamp Designer. They always leave housewarming gifts.
- Is a member of a motorcycle group. Circles the block for an hour before the group shows up.
- Is a member of a helicopter group. Launches helicopters from the roof above your bedroom.
- Is a member of NASA. Launches rockets from the backyard. Has yet to give you a free tour or a moon rock.
- Keeps up with your exes and frenemies. Fills them in about what your life is actually like even though your social media profiles boast that your life is dreamy and enviable.
- Knows someone who could set up super fast Wifi for the house at a low cost. Refuses to act on it.
Highly Effective
- Enchants you with their haunting singing voice and unearthly musical range.
- Excites and unnerves you with their ethereal, billowy style.
- Has a real presence. Sometimes, you can't fall asleep because their presences is so powerful.
- Convinces ConEd to run the heat and AC at absolutely no charge.
- Anticipates others' emotional shifts and uses humor or genuine compliments to derail sadness, anger, or frustration.
- Is bubbly and intriguing via text or email, but is too loud for comfort in person.
- Does every vocal act at a scream — can you imagine a yawn or a hiccup as a scream? Somehow they're capable of that. (Don't even ask about the way that their sneezes break the sound barrier.)
- Has slightly more charisma than you.
- Makes sure you never forget that.


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Jun.13 (GMM) Michael Schumacher's run of bad luck in 2012 is hard to fathom, according to Peter Sauber.
Team boss Sauber, who was instrumental in bringing the seven time world champion into F1 in the early 90s, said that in the third year of his comeback with Mercedes, Schumacher is finally at the wheel of a worthy car.
"But I have to say that Schumacher's bad luck is incredible," Sauber told the Swiss newspaper Blick, referring to yet another technical problem for the 43-year-old in Canada.
In F1's new high-reliability era, Schumacher has failed to finish five of the seven races so far, and is therefore ranked only narrowly ahead of 2012's non-scorers fielded by Caterham, Marussia and HRT.
"I've never seen it in Formula One before. I feel really bad for him," said Sauber.
Mercedes team boss Ross Brawn apologised to Schumacher in the team's official post-race statement after Canada, and in the media denied the great German is being given inferior equipment, attention or mechanics.
Brawn now tells Bild newspaper: "Our goal is 100 per cent reliability. We have achieved this with Nico (Rosberg)'s car but not for Michael.
"We are giving this the highest priority."
But with his contract expiring this year, it is rumoured Schumacher is losing patience with the situation.
It was rumoured he left the Montreal circuit immediately after his retirement without attending his normal engineering de-brief or waiting for the chequered flag.
"Michael did do a debrief with his engineers," Brawn insisted.
"In Canada, he wanted to avoid the big traffic jam that happens after the race.
"One of Michael's special skills that we value the most is his team spirit, which he shows especially in difficult situations."
Indeed, on his official website, Schumacher said it is "completely understandable" that F1 teams' reliability records are not always perfect.
"I won't lose my nerve or my faith in the team," he said.
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Breast Cancer on Direct Mail CDs
The Academy of Medicine in Malaysia has highlighted the need for early detection of breast cancer with this double CD case, with one pink compact disk and one missing. The direct mail campaign instructed Radiology Malaysia's database of women on how to self-test for breast cancer. The CD itself included a Quicktime file with an invitation to visit the clinics web site for check for further information and make an appointment for a mammogram. "Detect breast cancer before it strikes. To find out how insert and play."
The Missing CD was developed at Publicis Malaysia in 2004 by creative director/copywriter Steve Clay, creative director Ted Royer, copywriter Herbie Phoon, art director/designer Chow Kok Keong, designer Loo Kok Seng.
Filed under: Breast Cancer, Direct Market
Tagged: Publicis, Publicis Malaysia
Location: Malaysia


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International Women's Day
This International Women's Day, women around the globe will go on strike to protest labor inequality, fight for an end to dehumanization and discrimination against women, demand harsh penalties for femicide cases, promote state guarantees of economic rights and show the world what a day without women looks like.
The worldwide strike joins the tide of women-led movements across the planet that continue to resist patriarchal and gendered oppression on a daily basis by leading battles against sexual and state violence, calling for reproductive rights and fighting for a world that respects the environment.
This International Women's Day, teleSUR takes an in-depth look at women's struggles for social justice on the front lines of resistance across the Americas and beyond.
If You Watch One Thing
Reproductive Rights
Peru Clinics to Provide Free Morning-After Contraception Pill
In an important step for reproductive rights, Peru has, for the first time, given the greenlight for medical personnel to offer free emergency contraception, known as the "morning-after pill," through the country's health centers. READ MORE
Women Demand Safe Access to Abortions Around the Globe
According to the World Health Organization, an estimated 47,000 women die every year due to complications in the 22 million unsafe abortions around the world. Pro-choice advocates have long argued that outlawing abortion won't stop women from seeking the procedure, but it will push them to dangerous last resorts. READ MORE


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Anjuli Solanki draws inspiration from the conceptual dynamics of culture and society. Her work is largely influenced by cross cultural intersections and identity deconstruction; South Asian heritage and exposure to Pacific North-West First Nations and Rwandan contemporary art. Anjuli is a self-taught painter, and joined the Artists' Network as soon as she moved to Toronto in 2012. Her work can be found in collections in Calgary, Vancouver, Toronto, London, and Kigali.
My art practice primarily uses oil and canvas, but has also explored temporal public art and found objects. I enjoy experimenting, exploring, and using different artistic material – something which I hope to explore further through PATCH. I hope that my work would influence the public realm by creating vibrant, more enjoyable, and safer spaces for people to traverse through, but also have the potential to inspire creativity.
Painting, Mixed Media
© 2020 The PATCH (Public Art Through Construction Hoarding) Project - all images are copyrighted by the artist, unless otherwise noted


text:
- Browse bikes
- Top bikes
- Tools
- News & reviews
- Forums
- Free classifieds
Gibbs Quadski 2013
2013 Gibbs Quadski specifications, pictures, reviews and rating
2013 Gibbs Quadski. Picture credits - Gibbs. Submit more pictures.
|Gibbs' profilation of this bike
|The Quadski reaches speeds of 45 mph on both land and water and transitions between them in seconds. At the press of a button, the Quadski's wheels retract after entering the water and deploy when approaching land.
|General information
|Gibbs Quadski
|Do you know this bike?
Click here to rate it. We miss 1 vote to show the rating.
|Engine and transmission
|1300.00 ccm (79.33 cubic inches)
|Engine type:
|In-line four, four-stroke
|Top speed:
|45.0 km/h (28.0 mph)
|Valves per cylinder:
|Fuel control:
|Double Overhead Cams/Twin Cam (DOHC)
|Chassis, suspension, brakes and wheels
|Front suspension:
|Independent coil springs and hydraulic dampers
|Rear suspension:
|Independent coil springs and hydraulic dampers
|Front brakes:
|Single disc
|Rear brakes:
|Single disc
|Physical measures and capacities
|Dry weight:
|535.2 kg (1,180.0 pounds)
|Overall height:
|1,400 mm (55.1 inches)
|Overall length:
|3,200 mm (126.0 inches)
|Overall width:
|1,600 mm (63.0 inches)
|Ground clearance:
|230 mm (9.1 inches)
|1,800 mm (70.9 inches)
|Other specifications
|Color options:
|Red, blue
|Further information
|Insurance costs
|Compare US insurance quotes from the nation's top providers.
|Parts finder
|Chaparral provides online schematics & OEM parts for the US. 2Wheels offers first time 2Wheels buyers $10.00 off now. Same day shipment to the US. Also check out our overview of motorcycle webshops at Bikez.info.
|ATV parts
|Sixity.com sells ATV parts with free shipping to the US.
|Ask questions
|Join the 13 Gibbs Quadski discussion group or the general Gibbs discussion group.
|Related bikes
|List related bikes for comparison of specs.
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ContactCriminal UnitPhone: 503.655.8643 Option 1
HoursMonday through Friday, excluding legal holidays, from 8 am – 12 pm and 1pm – 5pm
807 Main Street, Room 200Oregon City, Oregon 97045 Map
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Extensive experience with SMEs with regards to management software / ERP solutions and management of the ICT infrastructure.
A thorough knowledge of the local situation
Expertise in the management of various sectors
Exchange of knowledge and experience
Joint investments in Research and Development and in Marketing and Commercial activities
Guarantee of high quality in starting up projects and follow-up services (both in applications and systems)
Reliability, Common Sense, Solidity
The success of projects implemented by NAV-lab and their continued growth are due to three factors:
1The quality of the proposed solutions:
Tempo Zero for Microsoft Dynamics NAV
(CfMD) that allows you to activate ERP, taking into account the needs of the typical Italian company. Tempo Zero evolves into models for vertical sectors.
Microsoft Dynamics 365 / Ms Dynamics CRM, adaptable to any company situation and with specialized functions and solutions for vertical markets.
2The quality of assistance provided
3The ability to activate a continuous exchange of know-how, which is the basis for further improvements
The value of the NAV-lab network is recognized by Microsoft Italy, ranking among the top Italian Dynamics partners, and is recognized internationally by Microsoft Corporate.
NAV-lab is part of the President's Club for Microsoft Dynamics, reserved for the best Microsoft partners worldwide.
The club is only for those who have achieved important goals for growth in both sales propositions of solutions related to Microsoft Dynamics, bringing significant added value to customers.
Indeed, the value of the group NAV-lab is recognized by our customers, who are satisfied both with the solutions and the follow-up assistance provided.


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Pediatric Anesthesia Fellowship
The Pediatric Anesthesiology Fellowship at IU School of Medicine is an ACGME-accredited one-year post-residency program that provides comprehensive training in all aspects of pediatric anesthesiology. Fellows train at Riley Hospital for Children, which is Indiana's only hospital devoted exclusively to providing comprehensive care to children. Graduates can expect to leave the program fully prepared in the conduct of anesthesia for neonates, infants, children, and adolescents undergoing the full spectrum of surgical subspecialty procedures including cardiac, major neurologic and transplantation surgery.
Operating Facilities
The main operating room area at Riley Hospital consists of a three-pod pre/post anesthesia area; 16 large, modern operating rooms with modern technology; two Interventional Radiology suites; and two Cardiac Cath Lab suites. The Riley Outpatient Center includes a six-room Operating Suite with an associated Day Surgery and PACU area. This facility is physically connected to the main hospital. Additional anesthetics, including MRI, CT, Radiation Therapy, Nuclear Medicine and ERCP, are administered in remote locations within the hospital. Riley Hospital is a full trauma center, provides pediatric transplantation, and continues to have the highest patient acuity level in the United States. More than 20,000 anesthetics are performed at Riley each year.
Didactic Schedule
A didactic teaching program dedicated to fellowship training is an integral part of the Pediatric Anesthesiology Fellowship, and fellows play an active role. Weekly lectures presented by members of the anesthesiology faculty cover all areas of pediatric anesthesiology—from basic pediatric physiology to the management of specific congenital cardiac lesions, designed to prepare fellows for the Pediatric Anesthesia board exam. Fellows also attend the Pediatric Anesthesia Division Journal Club, Morbidity and Mortality Sessions, and Division Grand Rounds as part of the fellowship core curriculum. Training leading to PALS certification is provided to all fellows as are mock oral board sessions.
Work Schedule and Benefits
Pediatric anesthesiology fellows have clinical responsibilities on weekdays in addition to a call schedule. Call is taken from home. When on call, fellows participate in cases that occur "after hours" or on weekends. Fellows are free from clinical responsibilities the day following call. Salary and benefits, including health insurance, vacation and meeting days, are commensurate with the PGY-5 resident level at IU School of Medicine with an additional stipend for the mandatory research component. Find details about employment terms and benefits through the Office of Graduate Medical Education.
Application Information
Fellowship applications are accepted only through the Electronic Residency Application Service (ERAS). Find information about admission requirements and processes through the IU School of Medicine Office of GME. Information about the anesthesiology match is available through the National Residency Matching Program. Applications are accepted October through May, and interviews occur March through June.