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Search & Read
ShiningWorld Reader
Mr. Do-Gooder and Self-Duty
Terry: Dear James, it's a good feeling to receive your email. It's encouraging and a step in a new direction for me, and I get the sense that you understand what I'm trying to explain. Thank you.
This personality of mine has always been very worried, anxious, shaky and distrustful of life, people and welfare of myself and others. I've had constant nightmarish thoughts just going off every second for many many years, basically. When looking into the concept of co-dependency, it hit me like a bolt of lightning that I've been "living other peoples lives, feeling other peoples feelings, trying to manipulate in thousands of ways circumstances, things and people." I am quite famous in my city as Mr. 12-Step Do-Gooder, fixing everyone.
This co-dependency pattern was totally unknown to me until about a year ago. My understanding of it deepens as it unfolds. I grew up in very stressful and abusive circumstances in a family with heavy addictions, violence and co-dependence. This personality of mine is slowly but surely separating from all this now, and every year I seem to be able to live life on new levels of ease and comfort.
James: One of the most important qualifications for enlightenment is called svadharma. It means "self-duty." Self-duty means taking care of yourself first. If you look after everyone else, you not only do not take care of what you need to take care of for yourself, you actually enable co-dependency so the people you take care of never look after themselves, so they do not work out the karma they need to work out. Nobody benefits with this do-gooder mentality. At the same time the do-gooder identity is a spiritual trap because it makes the person feel virtuous, as if he or she is a cut above all the "selfish" people. Do-gooders are just as self-centered as the rest of us. They only help because it pleases them to do so.
It is good you figured it out and became disgusted with it. One problem that comes when you see through the do-gooder story is that it is often hard to figure out what you need to do for yourself, because you have ignored your own needs for so long. I do not know you well, so I cannot say this applies in your case, but very often the do-gooding impulse is motivated by a desire to be loved. The subconscious thinking is that if you help others they will pay attention to you and need you. This makes you feel powerful and it makes you feel complete. It assuages loneliness.
The problem with it, however, is that it masks a deeper problem: you don't love yourself. When you realize you don't love yourself it is often very painful. Now you have to face the fact that somehow you have picked up the idea that you are not okay.
Nobody is unlovable. Love is the nature of every being. It is not surprising, considering your family situation, that you got low self-esteem. Your parents did not love themselves. The idea that you are not okay is first just a belief and then it unconsciously becomes your identity. So the desire to be loved operates behind everything. It is very frustrating because nobody else can fill the emptiness. Only you can by seeing your true nature.
Your nature is love, so you do not have to seek it outside, only learn to appreciate it. The helping nature is the self-nature, but when it gets caught up in a dysfunctional psychology it becomes ugly. Once your psychology is unmasked all your actions become helpful, but there is no sense of doership, no identity attached to it. Then helping is beautiful.
Terry: I run a couple of businesses, and have a tendency to get very stressed. Before I got sober I had full-blown panic attacks every day and could not function at all in life. When starting to meditate a few years ago, I encountered some very strange "energies" that move around the body. I've gotten some kind of ability to feel other people's energies, even if they don't tell me what's going on.
James: Take your time with the karma yoga section of my book. It will show you how to remove the stress.
Terry: I get visions about the workings of the world and the mind frequently, and I try to write them down when I can. All this sounds perhaps very serious, but I'm a pretty happy guy, laughing a lot and living in amazement at this new freedom I've been given.
James: That is good. You can't really do inquiry if you are unhappy. There is really nothing to take seriously in this life. It is just a dream, a joke really.
Terry: This body seems to get "over-excited" very quickly, and this is very handicapping and painful. Sometimes I read and hear that "spiritual people" go through various kinds of "physical transformations" and perhaps I confuse simple stress-symptoms with these things.
James: I think that is probably right. Spiritual people have a tendency to "spiritualize" things that are just ordinary phenomena. A long time ago I stayed in a Siddha Yoga ashram where these "kriyas" were considered a sign of advanced spirituality. They do happen spontaneously sometimes when the shakti, the energy, is intense, but most of the people there faked them so others would think they were in a high state. It was pathetic.
Spiritual people are very funny. A friend came to visit me last week, and a year ago he was invited to Russia by one of his friends, an energy addict who was a student of a Chinese chi master. The chi master offered to burn my friend's body with the chi energy without touching him. The master did a silly wind-up with his body like a baseball pitcher and then made a gesture as if he was shooting an arrow and let go a big sound. The energy made my friend's shirt catch on fire and burned a spot on his chest about two inches across. My friend said it was very painful. I saw the video of it.
The shirt was actually smoking. There was another demonstration on a fellow whose shirt was off and the burn appeared almost immediately after the chi master did his routine. I asked my friend what he thought of it. He said it was nothing. He could as easily have burned himself with a match. Even if this kind of thing is not ordinary, what does is actually accomplish? It accomplishes a nasty burn on one person's body and a fat bank account for the chi master. I asked about how the chi master got the power and my friend said he suffered like a dog under his master to get it. Now he goes around making money. And people actually think this kind of thing is spiritual.
Terry: Example: I've been reading Nisargadatta for some time, and things happen to my body and energy field. Some very, very dense energies seem to come up, move around and then leave me. It's been going on for at least five years. My spontaneous guess is that it's what Eckhart Tolle refers to as the "pain body" that is being slowly cleaned out of the system. I mean, it's been 30 years for me in some pretty deep, dark vibes, both my own and my family's.
James: Well, things don't really clear up karmically unless you are aware of the root causes. Yes, karma does exhaust over time, just through the process of living, but new stuff takes its place. I would be more inclined to view them as bhakti, a devotional reaction to the ideas. But it is difficult to say. If your mind is dense, bhakti is experienced in this way.
Terry: I hope I answered your question. I have already ordered your book.
James: Good. Take your time with it. Only read a few pages at a time. Make sure you can sign on to the logic as it unfolds. Don't move on until you understand clearly what is being said. This book will make sense of everything you have experienced and read. If it doesn't, I will refund your money.
Terry: Again, thanks for writing, and I'd love to meet you sometime. Malaga sounds nice, I got a friend there as well.
James: I am doing seminars in Germany and Holland in March and April. Maybe you can attend one.
~ Love, James


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Mayo Clinic Health System in Kenyon's Anticoagulation Clinic is utilized by patients with various conditions such as atrial fibrillation, artificial heart valves, history of serious blood clots, clotting disorders or placement of indwelling catheters or ports.
Anticoagulant medications help prevent the formation of blood clots by increasing the time it takes a blood clot to form. Once a patient begins this medication, such as the prescription drug Warfarin, also known by the brand name Coumadin, they need to have their blood analyzed frequently.
Patients meet with a Mayo Clinic Health System registered nurse for their anticoagulation therapy, which includes blood testing to monitor/adjust medication dosages and education of your medication as well as diet and exercise.
For more information or to schedule an appointment, please call 507-789-6171.

subset: commoncrawl


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A sedentary person is one who doesn't spend enough time being active, which according to the MayoClinic.com means completing less than two hours of moderate or 75 minutes of vigorous activity weekly. The number of calories your body burns in a sedentary state is determined by your basal metabolic rate, or BMR.
BMR Formula
Calculate your BMR with the following formula for men from DietNation: 66 + (6.23 x weight in pounds) + (12.7 x height in inches) - (6.8 x age in year). Women should use a different formula: 655 + (4.35 x weight in pounds) + (4.7 x height in inches) - (4.7 x age in years). Multiply your BMR by 1.2 to determine your daily caloric needs in a sedentary lifestyle.
Use your BMR and daily caloric needs to plan a diet and exercise regime to help you lose, gain or maintain your weight, advises Good Housekeeping. Eat the number of calories you calculated for your sedentary needs to maintain your weight with no change in activity, or increase your activity level to help you lose weight.
A 6-foot-tall, 28-year-old sedentary man weighing 200 pounds would calculate his BMR as follows: 66 + (6.23 x 200) + (12.7 x 72) - (6.8 x 28) = 2,150 BMR. Then multiply the BMR by 1.2 to calculate 2,580 calories needed each day. A 6-foot-tall, 28-year-old sedentary woman who weighs 200 pounds would calculate her BMR as follows: 655 + (4.35 x 200) + (4.7 x 72) - (4.7 x 28) = 1,731 BMR. 1,731 times 1.2 = 2,077 calories needed each day.


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A composition of matter is one of the four general categories of patentable inventions, as defined by the United States Patent and Trademark Office. The term "composition of matter", as it relates to patent law, describes any new or non-obvious chemical composition. The development of a new chemical compound would fall under this category, as well as certain mixtures of ingredients. Patents may be granted for a composition of matter claim on the basis of the particular constituents of that material or the amounts of such constituents. Patent protection for a composition of matter relies heavily on evidence proving that the invention achieves at least an unexpected, yet beneficial resulting characteristic.
For more information on intellectual property, please visit Patent, Trademark, Copyright Information.
The content of this article is not intended to be, and does not constitute, legal advice and does not create attorney-client privilege. Consult the attorney of your choice before embarking on any legal matter or any document preparation/filing.Return to Quick Answers
Dr. Thomas R. (Terry) Williamson III is a Patent Attorney practicing in Atlanta, Georgia.
C2008, Williamson Intellectual Property Law, LLC; all rights reserved, world-wide.


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Free shipping on all UK orders over £50
Regular price
A colorful magnetic game that improves concentration, motor skills and getting acquainted with the numbers 1 to 5. The aim is for the children to match the colorful balls with the corresponding animals and numbers.
Size: 23 cm diameter
Material: solid wood
Age 2+
Warning!: Not suitable for children under 18 months. Long cord.


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When you first find out that you are expecting, it may seem like your pregnancy will last forever — but your new baby will be here before you know it! Which is why it is important to start planning for your baby's delivery as soon as possible.
Caryn Douma, RN, a clinical neonatal nurse specialist at Texas Children's Newborn Center, offers a 3-step birth plan that will help you feel confident and collected when the labor contractions begin.
The Three Bs
As a neonatal nurse, I often meet women who are expecting for the first time and don't know how to begin planning for their baby's arrival. The first thing I tell them is to take a deep breath and start thinking about "the three Bs": The Big Picture, the Basic Plan and the BUMP (Baby Urgent Medical Plan). Each "B" is an important step toward preparing for delivery day!
Step #1 – The Big Picture
The first step in preparing your birth plan is to think about your philosophical beliefs about birth and determine how you can have the most satisfying experience possible coupled with the best care available. To begin, start thinking about how you envision your birthing experience.
Each doctor and hospital operates under different philosophies of care. You'll want to familiarize yourself with the various birthing options in your area to find the right environment and caregivers for you and your family. For example, some hospitals practice a more traditional model of care where mom and baby are cared for individually and are separated during the "transitional" period just after birth. At St. Luke's Episcopal Hospital and Texas Children's Hospital, we offer family-centered maternity care, where parents are involved in all aspects of the birthing process, and the mother is encouraged to express her preferences. In addition, with family-centered maternity care, one nurse cares mother and baby together, pediatricians perform exams and care in the mother's room so families can participate and learn and babies are never separated – even after a cesarean section delivery – unless it is medically necessary a trip to the nursery is requested.
When assessing the big picture, I suggest you make a list of your preferences and philosophies about labor, delivery and the first few hours with your newborn, followed by a list of questions to ask the people and organizations you are considering. When you start to see that others around you respect your wishes and share your ideas, you'll know you're on the right track.
Step #2 – The Basic Plan
Once you've given some thought to your birth beliefs and overall goals and have your list of questions ready for hospitals and caregivers, you should prepare a list of your preferred basics – or rather, the who, what, when, where and how of the birth.
In terms of the "who," there are numerous options available to you. You may choose to see an OB/GYN or midwife for prenatal care and delivery and you may want to add a doula – or birth support person – to your line-up of health care providers. Regarding technique (or the "how"), you may choose all medication options available, or you can express your desire for a more natural birth. While "when" you deliver isn't always within your control, there are times when you can choose to be induced on a particular date, but you should discuss this with your doctor as some studies have shown that scheduled inductions are not always best for baby. As discussed above, to determine the "where" it's important to choose a hospital with a maternity program that meets the needs of you and your baby.
After you have made the your list of preferences, I recommend making appointments to visit the hospitals you are considering– most offer a free tour for expectant parents – to learn more about their services and philosophies. Make sure to have your list of questions handy in order to ensure that you find the right center and caregivers for you and your baby.
Step #3 – The BUMP
Hopefully, your pregnancy and birth will go smoothly and as planned. But even with the healthiest and most "normal" pregnancy, an unexpected complication can arise which is why it's important to have a Baby Urgent Medical Plan, or BUMP, prepared. This way, should a complication be diagnosed during your pregnancy, or arise at birth, you will already have an emergency plan in place.
The first thing you'll want to understand when preparing your BUMP are the different levels of neonatal intensive care units (NICUs) and what each level represents. NICUs can be designated level 1 through 3, based on differences in how they are staffed, level of medical expertise and services. For example, the highest-level NICUs (NICU IIIC) guarantee a neonatologist on-site 24/7 and a wide-array of full-time pediatric specialists and advanced technologies to care for your baby's specific medical needs.
By identifying the NICUs in your area and familiarizing yourself with what services are offered at each, you'll be one step ahead should a complication arise. Many people don't realize it, but if your baby needs a higher level of medical care, you as a parent have the right to request that your baby be transferred to the NICU of your choice. So it's good to research the options available to you. You should write down the addresses and phone numbers for the highest-level NICUs in your area and keep them with you – just in case!
If a complication is identified before birth, you'll want to talk with your doctor to determine ahead of time if delivery at a high-risk center is a better option for you and your baby, and what, if any, in-utero intervention options are available. This is important because studies have shown that delivering at a high-risk center has increases the chances of a positive outcome for babies with complications.
While most women never need the BUMP, having one ready to go can provide peace of mind as you embark on this new and very exciting time in your life.
Provided by The Texas Children's Hospital
About The Texas Children's Hospital
Ranked #7 nationally for neonatology by U.S.News &World Report, Texas Children's Hospital is the leader in the Southern United States in the treatment of babies born complications or prematurely. The physicians at Texas Children's Newborn Center are international leaders in neonatology and neonatal surgery. Texas Children's Newborn Center is home to one of the largest Level IIIC neonatal intensive care units in the country and is committed to providing premier, complete treatment for newborns in need. For more information, visit www.texaschildrens.org.


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Dead State Discussion
Trainer Tools and Resources
Anyway, there really isn't much to do yet. Fix the well, fix the flight attendant and the game's about over. Gave me a tiny bit of an XCOM feeling every once in a while. Apart from that, we'll just wait and see. Lots of zombie games coming, zombies are the new vampires
I'm guessing it's because the game was updated on June 27, while the last update for the trainer is from early May.
It also appear this will be the last alpha build, the next will feature far more content.
I know it's pain keeping up with the updates especially on early access games, so thank you for your hard work.
(note that this one is not an unreasonable diarrhea of patches, so far they've updated it quite steadily only once a month, chances are they will continue until a complete release is out).
[Edited by SethVonNod, 7/2/2014 11:16:53 PM]
CheatHappens Trainer Monkeys Project Lead.
* Updated game trainers and cheats daily
* Get notified when new cheats are added
* Request which games get new trainers
* Priority support with any problem
firewall and other security software.
on trainer and game.
version and distribution.


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Shane Woolman, June 29th 2017
This is a mix I put together for the April installment of Healthy Living, Bambooman & Sloe Loris's monthly show on KMAH Radio. The brief was pretty much 'anything goes' and it was loads of fun to do. Expect field & archive recordings, psychedelia, electro, poetry, dub, jazz and more… I've tried to mix it up […]
Dom Fox,
Let Google's AI pick out intelligently categorized sounds for your virtual drum machine. Sample. Rinse. Repeat. Wishing the library was a bit more adventurous. No gastric accidents to be found here. Radiantly yours, Dom Fox – East Grand Forks, MN
Dave Wesley, June 28th 2017
Framework Radio is a very interesting and unique podcast focused on sound hunting, field recording, phonography, etc. They put out a new show a couple of times per month and they have over 600 shows in their archive. This is fantastic sample food if nothing else. From their info page: framework began broadcasting in june, 2002 […]
Dave Wesley, June 27th 2017
Check out these deconstructed Porto, Portugal street scenes embedded in murky dub techno. Archaic Anahata Avenidas 86_7 – EPv1 by Dave Wesley
Droidbeard, June 26th 2017read more
Dave Wesley, June 25th 2017
A melange of tracks taken from The Wire Magazine's prolific Wire Tapper series on the latest installment of ResonanceFM's Adventures In Music And Sound radio programme. Tulipomania at about 1 hour and 12 minutes. Very cool radio program. Very cool classic track from Tulipomania. Viva la musical revolution. Much needed. Dig deeper. With restless demeanor […]
Wesley Mayhem, June 22nd 2017
This album is the real deal. Instant classic. Growing up in Etter, Minnesota, in the 70s, in the middle of nowhere… in a house in the middle of a field (which was perfect for UFO landings)… with a father that cranked outlaw country music on a kick ass quadraphonic hi-fi… even for a rocker like me, […]
Dave Wesley, June 21st 2017
This experimental grimy release is like gentle rain to my ears after the dull programmed sonic assaults of off-Sonar events (Barcelona) and Primavera Sound (Porto) in these last weeks. I promise myself to be more careful about how I spend my sonic time from now on! Tick tock. Hear my post-festival sonic salvation at Hardwax: […]
Droidbeard, June 13th 2017
Please contact the editor in chief if you know the address of the shop in the picture. He will get the info to me. Thanks Droidbeard – Eau Claire, WI


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I'm living in the U.K. this year, and that means I need to be in the know of tradtitional English foods. My first meal here made by my roommate was beans and toast with fried tomatoes, so I was off to a good start. One of the things I have quickly discovered is 'pudding.' Pudding in England just means dessert. Luckily for me during the holiday season I was treated to many English puddings and there was one thing that they all had in common: custard poured on top. The tricky part is that the best way for me to describe custard is by comparing it to vanilla pudding, which I have found confuses the people here.
While the language of desserts may be confusing, Alpro Soya Custard is simple and delicious. It comes in a 500ml carton from your local grocery store and can be served hot or cold. You can even drink it straight from the carton if you choose. The most traditional way that I have seen custard served is heated and poured onto a cake, like a Christmas pudding (see, it's complicated). The cold custard is a little thicker and reminds me a lot of plain vanilla pudding. The taste is sweet, vanilla, and soy-y and it is creamy but not too heavy. When Alpro soy custard is heated, it becomes thin and has more pronounced vanilla and nut flavours. I really enjoy it either way, and for less than a pound per carton, you can't go wrong!
– dairy free
– Non GM soy
– gluten and wheat free
– nut free
Cake recipe by Sugar and Cinnamon


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Complete Sacramento State Notes (PDF)
SACRAMENTO, Calif. – After securing its first outright regular season WAC title in program history, Sacramento State (35-21, 21-6) looks for another first – winning the WAC Tournament and earning a bid to the NCAA Tournament. The Hornets are the top seed in the six-team, double elimination tournament at the new Cubs Park in Mesa, Ariz.
The tournament begins on Wednesday, but the Hornets won't open play until 7 p.m. on Thursday against the lowest seeded winning team from the first day of competition. Every Hornet tournament game will air live on HornetSports.com/Radio with Andrew Tomsky, J.D. Fox, and Kyle Madson providing the play-by-play. Live stats and video (for a fee) can be found on the WAC Tournament Central page.
Quick Pitch
With their walk-off victory over North Dakota the Hornets clinched their first outright regular season WAC title in program history and finished two games ahead of Grand Canyon...The Hornets lead the WAC in batting average (.286), slugging percentage (.387), hits (543), home runs (29), ERA (3.22), saves (11), and opposing batting average (.242)...With a win on May 3 the Hornets clinched the third consecutive 30-win season for the program, a feat not accomplished since nine straight 30-win seasons from 1985-1993...The Hornets went 21-6 in regular season WAC play with 12 of their conference wins coming by five runs or more, including four 7-inning games that ended via the mercy rule...Sacramento State had an 11-4 overall record against the five other teams that qualified for the WAC Tournament and won four of the five series against those teams.
WAC Champions
With its walk-off victory over North Dakota on Saturday the Hornets clinched their first outright regular season WAC title in program history. The squad was one of three teams to finish tied for first place at the end of the 2012 season but are the sole regular season champion for the first time in 2014. Sacramento State also secured the top seed for the WAC Tournament, where the six qualifying schools will fight for the league's automatic bid to the NCAA Championship. As the top seed Sacramento State will get a bye on the first day of the tournament before playing the lowest-seeded winning team from day one at 7 p.m. on Thursday, May 22. Action begins at the state-of-the-art Cubs Park in Mesa, Ariz. on Wednesday at 3:00 p.m.
How the WAC was Won
Sacramento State won the WAC regular season title with a 21-6 record and did so dominantly, as 12 of the team's 21 WAC wins were by five runs or more, including four games that ended after the seventh inning due to the 10-run mercy rule. In regular season WAC play the Hornets hit .310 with 20 home runs and 155 RBIs, averaging 6.4 runs per game with a .438 slugging percentage and .381 on-base percentage. Five Hornet starters hit better than .300 in conference games and the team had a WAC-best .977 fielding percentage. Hornet pitchers totaled a 2.21 ERA in conference play with a .217 opponent batting average while allowing just 2.7 runs per game. Weekend starters Brennan Leitao, Sam Long, and Justin Dillon combined to go 14-1 in the WAC and each had ERA's below 2.25.
Hornets WAC Tournament History
Sacramento State will be making its sixth all-time appearance in the WAC Tournament and will play for the league's NCAA automatic bid for the third consecutive year. The team's best showing at the tournament came in 2012, which also took place in Mesa at HoHoKam Park. The Hornets won their first two tournament games in 2012 but lost to Fresno State in their first elimination game and fell again to the Bulldogs 4-3 in 13 innings in the title game. Sacramento State lost its first two games at last season's tournament and went just 1-6 overall in its first three appearances from 2006-08.
Scouting The Tournament
Sacramento State had a combined 11-4 record during the regular season against the five other teams that qualified for the WAC Tournament. The team went 3-0 against both #5 Seattle U and #6 New Mexico State, was 2-1 against both vs. #3 Utah Valley and #4 Bakersfield, and was 1-2 against #2 Texas Pan-American. The Hornets have faced both New Mexico State and Bakersfield once before in the tournament, scoring an 8-5 win over the Aggies in 2008 and losing, 7-1, against the Roadrunners last season. Seattle U, Utah Valley, and Texas-Pan American will be playing in the WAC Tournament for the first time.
WAC at Wrigley West
The 2014 Western Athletic Conference tournament will be played at the Chicago Cubs new Spring Training complex in Mesa, which was completed in December 2013. The $99 million new winter home of the Chicago Cubs includes a 15,000-seat ballpark reminiscent of historic Wrigley Field.
Senior Send Off
Senior center fielder David Del Grande made a lasting memory in front of the home crowd on Sunday as he, one of six Hornet seniors playing their final home game, hit a walk-off home run leading off the bottom of the ninth. Del Grande also had a key double leading off the bottom of the seventh and senior Will Soto followed with the fly ball to right field that allowed Del Grande to advance to third and score on a safety squeeze. Senior catcher Blake Hugaert made his first career start in the game as the designated hitter and had two at bats, while Clay Cederquist, Hunter Greenwood, and Scott Loper didn't play on Sunday but all saw action in front of the Hornet crowd in their final home games last week.
Top of the Order
Sophomore Nathan Lukes' phenomenal play as of late as made him an all-WAC first team selection as he leads the team with a .371 batting average to go with a .449 on-base percentage and has reached base in 36 consecutive games. He leads the WAC and ranks 10th in the NCAA with 85 hits this season and leads the league and ranks 50th nationally with 49 runs scored. Lukes recorded a hit in 26 of the 27 WAC games the Hornets have played and has a hit in 50 of 56 games overall. He has started in right field in every game this season, primarily hitting leadoff, and has 10 stolen bases and 22 RBIs. He had a career-high 20-game hitting streak, the longest by any WAC player this season and tied for the fourth longest in program history.
Willing to Sacrifice
Sacramento State leads the WAC and ranks 8th nationally in an often overlooked but important statistical category: sacrifice flies. The squad has recorded 33 sacrifice flies this season, which ties for 8th best in the NCAA and is eight more than the second highest total in the WAC. Every Hornet starter has at least one sacrifice fly this season, led by seven from senior David Del Grande, which is the 19th-best individual total in the nation. Additionally, Hornet catcher Dane Fujinaka is tied for second in the WAC and is No. 57 in the NCAA with 11 sacrifice bunts this year.
Leitao Leading the Way
Junior right handed pitcher Brennan Leitao tied the Sacramento State program record for career wins with his 23rd career victory on Saturday against North Dakota, equaling the high mark set by Erik Bennett in 1987-89. In 10 WAC starts, Leitao went 7-0 with a 1.43 ERA, allowing just 10 earned runs over 63.0 innings with a 52/9 strikeout to walk ratio and a .214 opposing batting average. For the season he is 8-3 with a 2.16 ERA and a .231 opposing batting average with just 23 earned runs allowed in a team-high 96.0 innings pitched.
Three Times Thirty = 100
With its win over Chicago State on May 3 the Hornets secured the program's third consecutive thirty-win season, the longest such streak since a string of nine straight 30-win seasons from 1985-1993. The squad has now won exactly 100 games over the last three seasons to rank among the most winning programs in California.
The Closer
Sophomore Closer Sutter McLoughlin earned his ninth save of the season on May 4, bringing his career total to 26 saves to tie the program career record held by Mike Frame. He is also now just three saves behind the WAC career record of 29, set by Caleb Dudley of Louisiana Tech last season. Prior to that game McLoughlin had just two save opportunities over the previous 25 Hornet games and none since April 12th. McLoughlin was an NCBWA preseason All-American and has named to the NCBWA Midseason Stopper of the Year watch list in April. He had a17-inning scoreless streak to open the year and in 26 appearances is 4-2 with 1.99 ERA and a .215 opposing batting average with a 33/9 strikeout to walk ratio.
Delivering in the Clutch
As a team Sacramento State is hitting .297 this season with runners in scoring position. David Del Grande, Rhys Hoskins, Brandon Hunley, Dane Fujinaka, Nathan Lukes, and Ryan Locke are al11 hitting better than .300 in those spots. Conversely, Hornet opponents are hitting just .229 off of Sacramento State pitching with runners in scoring position this season. The Hornets are also hitting .327 this year with the bases loaded.
Most Outstanding
Junior first baseman Rhys Hoskins was named WAC Player of the Year on Monday after leading the conference in home runs (9), doubles (16), and slugging percentage (.563) and ranking second in runs batted in (45) and total bases (103). He has 15 multi-hit and 12 multi-RBI games this season, and hitting .360 with six home runs and 32 RBIs in the WAC, driving in more than one run per game in conference play.
The Earlier The Better
Sacramento State's success this season has often been tied to its ability to build an early lead, as the team is 27-2 on the year when leading after six innings and 3-17 when trailing (5-2 when tied). The Hornets are also 28-6 when scoring the first run of the game but 7-15 when the opponent scores first.
They've Got The Power
The Hornets have hit 25 home runs over the last 36 games after hitting just four homers through the first 20 games of the year. Junior Rhys Hoskins leads the WAC with nine home runs while freshman Brandon Hunley and senior David Del Grande each have six as Sacramento State has three of the top-four home run hitters in the conference. Hunley and senior Will Soto each hit grand slams on March 30 at New Mexico State, a game in which the Hornets totaled five home runs.
In For The Long Haul
Freshman LHP Sam Long, who should still be finishing high school this semester, has allowed just 69 hits and 23 earned runs over 82.1 innings pitched this year for a 2.51 ERA, the fifth best ERA in the WAC among qualified pitchers. The team won each of the first nine starts made by Long this season and went 7-1 in the WAC games he has started, with five scoreless outings. He has thrown seven shutout innings three different times in WAC play and had seven strikeouts over seven scoreless innings at Texas-Pan American to help the Hornets recorded the first win of the year against Sam Street.
Bullpen Ace
Junior Alex Palsha is tied for 8th in the NCAA with 33 appearances this season and has tied the program record for appearances in a season set last season by Brandon Creel. He had gone 14.1 consecutive innings, over 10 appearances, without allowing a run or even a hit before Bakersfield scored against him on April 26. He still has a 1.76 ERA this season, pitching in a variety of mid to late-game situations. He is 5-1 and has two saves over 51.0 innings of relief, allowing just 30 hits and 10 earned runs this season with a .176 opponent batting average. The team has not played more than two consecutive contests without Palsha taking the mound and he has thrown as many as three innings on two occasions. In WAC play he allowed just three earned runs and 12 hits in 25.0 innings, holding hitters to a .141 average.
Big In a Pinch
Senior Clay Cederquist is 4-for-7 and redshirt freshman Ryan Locke is 5-for-11 pinch hitting this season. As a team Sacramento State is 13-for-38 (.342) overall in pinch-hit at bats this season. By comparison, Hornet opponents are just 6-for-34 (.176) pinch-hitting against the team.
Street Beat
On May 10 the Hornets did something no other team has been able to do this season: beat Sam Street. The Texas-Pan American senior from Australia entered the game 11-0 in 12 starts with a 1.69 ERA, tied for the NCAA lead in wins. The Broncs led 1-0 after two innings when the game was suspended, and Street continued on the mound in the resumption the following day. In the seventh inning the Hornets benefited from a UTPA error but came through with three hits in the inning and pushed across three runs, all with two away. That was all Hornet freshman Sam Long needed as he faced the minimum through seven shutout innings to give Street his first loss in a calendar year to the day.
Big Hit
Senior David Del Grande was hit by a pitch twice in the series at Grand Canyon to equal and then break the program record for career hit by pitches. He was plunked for the 39th time in his career in the ninth inning on April 12 and earned his record-breaking 40th hit by pitch in the ninth inning the following day, surpassing the previous record held by David Flores. He was hit just four times as a freshman but 16 times as a sophomore and had 13 more in his junior season with 10 so far this year.


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You may have heard that former Colts and Broncos great Peyton Manning has announced his retirement. He left the game as the career leader in touchdown passes and yards (on top of other, less notable records). He has been lauded by an adoring media and legions of fans, and deservedly so. However, with all the attention given to modern players, we often fail to properly remember former greats – legends of the game who paved the way for the sports celebrities of today.
More than relics from days past, these men were trailblazers who helped legitimize the sport we have grown to love. Unlike the iconic sports figures of today, many of these players were actual heroes, serving in the military and coming home to work full-time jobs to support their families. Before quarterbacks were millionaires, they were mostly indistinguishable from the everyman. Except on Sundays. On Sundays, they became giants.
Today, we'll honor those giants, and the stars who followed them, as we look at the lush history of the career passing yards record.
Quarterbacks to Hold the Career Passing Yards Record
Arnie Herber (11 years as record-holder)
The NFL didn't maintain official tallies for non-scoring stats until 1932, so the original title holder is, by default, the leading passer from 1932. That honor belongs to Packers legend Arnie Herber. A Green Bay native and Packers fan since childhood, Herber played football locally at the University of Wisconsin before transferring to the now defunct squad at Regis College in Colorado. Upon his return home, he worked as a clubhouse handyman for the Packers. In 1929, he received an invitation from coach Curly Lambeau to try out for the team at the young age of 20. He became one of the NFL's most dynamic players and helped the Packers win two titles in his first two seasons. He was just 22 when the league began keeping statistics, and the numbers show a young man who was already the premier quarterback of the era.
If you want an example of how much the game has changed, note that Herber led the league in attempts and yards that season with 101 and 639, respectively. Given the spotty record-keeping of the antebellum NFL, it's hard to know if he led the league the entire year or just finished the season on top. However, it's likely he did lead the entire season, as he had the advantage of playing a September 18 game against the Cardinals a week before other teams saw any action. He also had the advantage of playing for one of just two teams that played in 14 games that year.1 He pushed the record to 6749 yards before his first retirement in 1940. In 1944, the New York Giants convinced him to come out of retirement to provide leadership to a deflated wartime roster. He added 1292 yards to his career total, but by that time his record had already fallen to the next man on the list.
Sammy Baugh (16 years, 2 months as record-holder)
Slingin' Sammy Baugh was already a legend coming out of college, with many believing he had a bright future in the NFL or MLB. Fortunately for Washington, and for fans of the game's history, Baugh chose to play in the nation's capital, where he was drafted sixth overall in 1937. He was an instant star, leading the league in passing yards as a rookie, while taking first team All Pro honors and leading his team to an NFL championship. Despite the hyperbolic praise lavished on many players, few ever actually change the way the game is played. Baugh is one of those rare players, having ushered in a new era in which the quarterback was the field general and undisputed leader of the offense. He deserves at least a modicum of reverence from every great subsequent passer who walked in his footsteps.
By 1943, Baugh had picked up two more All Pro selections and another league title. He entered the season as the leader of the defending champions and just 124 yards shy of the record. He picked up the needed yardage in the first game of the season, a 27-0 blowout win over the Brooklyn Dodgers. He kept would-be record-breakers at bay by adding several more outstanding seasons to his illustrious career. By the time he called it quits after the 1952 season, he had amassed 21886 passing yards. His 16 plus years as the record-holder is the second longest reign in history, and it is evidence of his place as the grandfather of the modern NFL quarterback.
Automatic Otto Graham is among the greatest ever to play the position, and he is certainly the most successful. He famously led the Browns to ten consecutive championship games, winning seven of them.2 He was unquestionably the best quarterback in the AAFC and was arguably the best player in all of professional football during his career. However, his place in the record books comes with an asterisk. While Graham technically passed for 10085 yards in the AAFC, the NFL does not officially recognize those accomplishments. As far as The Shield is concerned, his professional career began after the 1950 merger.3 Because his record isn't official, I will not count it as such either; however, I am going to give credit where credit is due and at mention his achievement.
Graham entered 1955, the final year of his storied career, needing just 23 passing yards to take the record away from Baugh. Despite splitting snaps with backup George Ratterman, Graham broke the record in the first game of the season, a home loss to Washington. He finished the season with a career-low 1721 yards, but he went out with a third NFL championship and the unofficial passing record. If we ignore the level of his competition in the AAFC and instead focus on the brevity of his career, the fact that he was able to break the record is incredible. He only played ten seasons of professional football, but he led his league in yards five times, finished second twice, and finished fourth two other times. His swan song was the only year of his career in which he finished lower than fourth, but he did pick up an MVP award to go with his third NFL title ring, which is a fine consolation. By the time he hung up his cleats, Graham had passed for 23584 yards as a pro.
Bobby Layne (4 years, 10 months as record-holder)
Detroit Lions luminary Bobby Layne is sometimes viewed as the quarterback who bridged the gap between the Graham and Unitas eras. However, the Layne arguably at least shared the early fifties with Graham. He was a hard partying, hard running, hard nosed player who earned universal respect from teammates and rivals alike. His word was law on the field, and his play backed it up. He captained the ship for the last great NFL teams the city of Detroit has seen, leading the Lions to the promised land in 1952 and 53.4 He was a feared passer and the league's first great scrambler.Layne had an innate ability to rally his team in high pressure situations, and he is credited as the father of the two-minute drill.
By 1959, he was an elder statesman on the downside of his career. He was one year removed from being traded to the Steelers and two years removed from leading the Lions to the last of his three championships. He came into the season 1809 yards short of the passing record. In the last game of the season, a 35-20 win over the Cardinals, Layne surpassed Baugh, ending the year with 22063 yards. In an age with primitive training and conditioning techniques, as well as outmoded medical technology, Layne's reckless style of play wore on his body. He played three more abbreviated seasons in Pittsburgh before calling it a career.5 By that time, he had accumulated 26768 passing yards.
Y.A. Tittle* (2 years, 1 month as record-holder)
Yelberton Abraham Tittle is an interesting case because he unofficially broke Layne's passing record in 1962 and then officially broke it in 1964. This is because, like Graham before him, gained a large chunk of yardage in the AAFC. In two seasons with the upstart league's Baltimore Colts, he threw for 4731 yards that aren't recognized by the establishment. However, since he was able to play at a high level until he was 38 years old, he eventually claimed the record anyway. In a delightful turn of events, it was an unceremonious exile from the west coast and a sojourn in New York that led to the highest highs of his career. Once the Colts folded after the merger, Tittle became the starter for the 49ers for ten seasons. Shortly before the 1961 season, San Francisco traded the 34 year old passer to the Giants, a move that likely enabled him to break the record.
Throwing to talents like Del Shofner and Frank Gifford, Tittle seemingly found the fountain of youth, throwing for the fourth, first, and second highest yardage totals of his long career from 1961-63.6 He came into the 1964 season just 227 yards away from officially taking the crown. He managed to do so in the second game of the season, a 24-27 loss in Pittsburgh. By the end of the season, it was clear the legend had little left in the tank, and he retired with 28339 passing yards next to his name in the official record book. His two seasons with the record is the shortest reign of any record-holder.
Johnny Unitas (10 years as record-holder)
Considered by many to be the greatest quarterback in the long history of the NFL, Johnny Unitas changed the nature of the position indelibly. Like Baugh before him, he took on a larger portion of the offense than previously seen from quarterbacks. He commanded the respect of his teammates and the fear of his opponents, and he was the game's first real field general. When Unitas was on the field, he called the shots, and the men around him knew to follow (and they followed him to three titles). He was as tough as they come, standing tall in the pocket amid the wanton rage of the enveloping pass rush. He could make any throw and wasn't afraid to challenge even the greatest defensive backs of the era.
After becoming a full time starter, Unitas finished in the top five in passing yards for eleven consecutive season, skyrocketing his way to the top the record books. Coming off a 1965 season that saw him earn his fourth first team All Pro selection, Unitas was just 1494 yards behind Tittle for the passing record. In the seventh game of the season, a 17-3 win over the Rams, the mythic passer broke the record on a 252 yard passing day. He tacked on another MVP season the following year before suffering a 1968 preseason arm injury that noticeably inhibited his abilities. A few more lackluster seasons and an ignominious exit in San Diego saw Unitas raise his career total to 40239 yards.
Fran Tarkenton (19 years as record-holder)
A man of modest stature, even for his era, Fran Tarkenton considered by many to be a scrambler who was too small to effectively play the position. Despite his success in Minnesota, head coach Norm Van Brocklin disapproved of the quarterback's tendency to leave the pocket to avoid pressure and traded him to the Giants prior to 1967. Tarkenton's presence elevated the previously downtrodden New York team, and the Mad Scrambler was able to exact revenge over the dominant 1969 Vikings, handing them one of their only two losses of the year.7 Minnesota gave up a king's ransom to get Tarkenton back, and he rewarded them with an MVP bout and three Super Bowl appearances.
He entered 1976 needing 1399 passing yards for the record. He broke the record in the middle of the season in a close loss at Chicago, and he finished the year with 2961 yards. He followed that up with two more seasons, including a career-high 3468 effort in his final year at the age of 38.8 He ultimately put up 47003 passing yards. Despite playing nearly all of his career in the Dead Ball Era, Tarkenton held the record longer than any other quarterback. He's also the only quarterback whose record successor wasn't active at any point during his own career. The fact that his records outlasted the Coryell and Walsh revolutions of the Eighties is a testament to how consistently well he performed.
Dan Marino (12 years, 1 month as record-holder)
Dan Marino may be the greatest pure passer in the game's history. Although he was rather statuesque in the pocket, he possessed an incredibly fast mind and a throwing motion as poetic as anything ever penned by Shakespeare. This lethal combination not only allowed Marino to avoid sacks better than anyone in the 95 year history of the league, but it also allowed him to lead an aerial assault on defenses, often forcing them to locate the ball before they were able to diagnose a receiver's route. Other passers of his era had greater team success, but no one else struck fear in the hearts of defenses the way Marino did.
In his second season, he produced arguably the greatest season any quarterback has ever had, shattering existing records in Ruthian fashion. After four years in the league, Marino held two of the top three single season passing totals in history. After a decade of play, he owned five of the top fifteen spots. It was clear from early on that the record was his to lose. In just his thirteenth season, Marino broke the record with a 9-yard out to Irving Fryar during a home loss to the Patriots. He tacked on four high-volume seasons after that, for good measure, and retired with a seemingly insurmountable 61361 passing yards.
Brett Favre (7 years, 11 months as record-holder)
Brett Favre fought through a life-threatening car crash, addiction to medication to battle crippling pain, personal tragedy, and hand of time moving ever-closer to midnight to become one of the greatest and most beloved sports figures in modern history. A welcome respite from cool and calculated quarterbacks of the WCO lineage, Favre was a throwback to those halcyon days of dirt and blood. He exhibited passion and grit reminiscent of Bobby Layne, and his youthful exuberance – even at an old age – was infectious. His arm was as strong as anyone's in the fabled history of the game, and he wasn't afraid to use it – for better or for worse.
In 2007, Favre appeared to be near the end of his career. He was a decade removed from the last of his three consecutive MVP awards, and a dozen years had passed since his only Super Bowl win. Then, at the age of 38, he led the Packers to a 13-3 record and produced one of the greatest seasons of his legendary career. In the fourth quarter of a week 14 blowout victory over the Rams, Favre broke Marino's record with a 7 yard pass to Donald Driver. After famously moving on to New York, and then to rival Minnesota (where he played at an MVP level at age 40), Favre retired with an astounding 71838 passing yards.
Peyton Manning (we'll see)
When Manning entered the league, he was a breath of fresh air to fans weary of seeing quarterbacks forced to submit to the will of their coaches. In a post-Walsh league, quarterbacks were generally treated as chess pieces, but the cerebral Manning harked back to an era when the quarterback played the role of Grandmaster. After Favre's retirement following the 2010 season, Peyton Manning was 17010 yards shy of the record and showed no signs of slowing down. Then he had a series of neck surgeries that threatened to end his career. He lost some of his arm strength and had to relearn how to use his own body in order to advance his already legendary career. After being recruited by John Elway to play for the Broncos, few expected Manning to play well enough for long enough to approach the record. To the surprise of the masses, he strung together three consecutive MVP type seasons, including a 2013 bout that saw him break the season records for yards and touchdowns. He entered the final season of his career trailing the record by 2147 yards.
In a week ten match against the rival Chiefs, Manning needed just two yards to tie the record. He did so on his second pass of the game, a four yarder to Ronnie Hillman. It was big news when he broke the touchdown record with a four-score performance in a blowout victory over the 49ers in prime time. However, he was less celebrated for breaking the career yardage record because he happened to do so in a losing effort and the worst game of his career. History will remember the game for Manning breaking the record, but those who saw the performance firsthand will likely remember the feeling of seeing a god become human before their eyes. Despite the objectively worst season of his career, Manning picked up a second Super Bowl ring and was able to retire with the titular record (71940 passing yards).
The Future of the Career Passing Yards Record
Any discussion of the future of this record is, of course, speculative. However, it is often a fun exercise to theorize who may one day hold the record. Before getting into that, let's look at a chart displaying the record's progression.
As the visual shows, the progression lines for record-breaking quarterbacks has become more and more vertical as the passing game has opened up. We also see that, outside of Baugh and Tarkenton, passers tend to hold the record for a relatively brief period of time. And, with the exception of Tarkenton, every record-holder had some overlap with the quarterback who eventually dethroned him.
Perhaps most importantly, the last three quarterbacks to break the record had long, generally healthy careers. Unless there is a drastic rule change, a quarterback will have to stay healthy and play for a long time in order to see his name at the top of the list. Not only that, but he will have to play very well for almost the entirety of his career. Marino, Favre, and Manning were consistently great and had consistently high usage rates, which saw their volume stats reach unprecedented levels.
With that in mind, there are three active quarterbacks who are in the running to usurp Manning.9 I'll start with some anecdotal discussion and move into some simple arithmetic.
Brees is 37 years old and continues to play at a high level for a pass-heavy offense. Since he joined the Saints, he has averaged 4856 yards per season, including four seasons over 5000 yards. He currently trails Manning by 11037 yards, which means he could have the record in 2018, provided he remains both healthy and competent. The catch, of course, is that a 37 year old quarterback is guaranteed neither health or competence for the remainder of his career. Despite the recent media narrative (based largely on his lack of team success), Brees has showed little signs of slowing down recently. However, next year or the year after could end up being the year he finally flips tails.
Stafford's name is thrown around a lot as a possible successor to the record. He's an incredibly inefficient passer, but he has averaged 4635 yards per season since finally shaking the injuries that hindered him early on. However, I'm not ready to climb aboard the Stafford train. He'll be 28 next year and would have to average nearly 4600 yards per season till he reaches 37 in order to break the record. While this is mathematically possible, one major thing keeps me from buying it: I've watched him play, and he's not good enough to be around when he's 37.
The most highly touted prospect since Manning himself, Luck began his career like a true gunslinger. He averaged 4319 yards per season over his first three years, which put him on pace to break the record in about 17 seasons. Then 2015 came around, and he missed 9 games to injury. If he can bounce back healthy for most of his remaining career and can continue to air it out over that time, it isn't unrealistic to count him out. When you consider the trend the NFL has followed with regards to rules affecting the passing game, it stands to reason that Luck will have an easier time catching Manning than will Brees or Stafford.
Let's take a look at the same chart from above with the three quarterbacks added.
I'll use some very simple math to estimate their chances of breaking the record. I'm going to borrow Bill James's Favorite Toy model to do so. It's pretty simple:
- Calculate how many yards each player needs to reach the record (NEED).
- Estimate the remaining years left in his career (24 – 0.6 * age)
- Calculate a three year weighted average from the previous three seasons [(year n-1 * 3) + (year n-2 * 2) + (year n-3)] / 6
- Calculate a Projected Remaining Total (PRT) by multiplying the numbers from steps 2 and 3.
- Find the percent likelihood the player will match the record (PRT / NEED) – 0.5
Brees needs 11037 yards. He's 37, giving him an estimated 1.8 years left. His three year weighted average is 4946, giving him a Projected Remaining Total of 8903 yards. That gives Brees an estimated (8903/11037 – 0.5 =) 30.7% chance at the record.
Stafford needs 45964 yards with 7.2 expected years left. His three year weighted average is 4325, giving him a PRT of 31140 and a 17.7% chance at the record.
Luck needs 57102 yards with 8.4 estimated years left. His three year weighted average (omitting his injury season) is 4255, giving him a PRT of 35738 and a 12.6% chance at the record.
The formula, as James suggests, is fun to toy around with, but it does produce some intuitive results. It gives Brees a pretty high shot at the record (given that records are, by their very nature, unlikely events, a 30.7% chance is a massive one). It also rewards Stafford and dings Luck for their rookie year ages. Stafford, who came into the league at 21, posted a 5000+ yard season when he was 23. Luck, on the other hand, went pro at 23. It's worth noting, however, that Luck did have more yards by 23 than Brees, and he does figure to play out the rest of his career in an environment more conducive to passing.
We can save further discussion of the future for the future. For now, let's appreciate the road that got us here.
- The Bears were the other team. Four other teams participated in 12 games, and two other teams competed in 10 games. It was basically the Wild West at this time in the league's history. Herber still led the league in yards per game, but his 45.6 to 44.9 advantage over Walt Homer barely earns him the top spot. ↩
- That's six straight title games and three victories in the NFL, and a four-for-four run in the AAFC. ↩
- The official story is that the AAFC refused to provide the NFL with game books after the merger, so the elder league refused to include any stats or honors in its record books. Some believe that the NFL was simply embarrassed by the dominant Cleveland Browns and refused the AAFC's stats out of spite. No one outside of the decision makers knows for sure, but it is at least worth mentioning that the AAFC was somewhat inferior competition, on average. Yes, the Browns were likely the best team in all of professional football, and the 49ers were good too. However, the average NFL team was much better than the average AAFC squad. The AAFC was incredibly top-heavy; of the thirteen Hall of Fame players on AAFC rosters, six played for the Browns, and three more for the Yankees. That's 69% of HOF players on two teams. If you include Hall of Fame coaches Paul Brown and Ray Flaherty, that number becomes 73% (they coached the two aforementioned teams). Cleveland was a great team in the NFL, but it was a juggernaut in the AAFC. ↩
- He also led the Lions to the 1954 title game, where they lost to a superior Cleveland squad. ↩
- He started 9 of 12 games in 1960, 6 of 14 in 1961, and 11 of 14 in 1962. ↩
- He also led the Giants to three consecutive championship games, but he was unable to add any hardware to his trophy case. ↩
- Tarkenton's Giants also gained the most yards and scored the most points of any team to face the mighty Vikings defense. ↩
- This was the only year of his career he played after the Mel Blount Rule was introduced. Let that sink in. ↩
- Note that I have not included Tom Brady. He currently sits in fifth place and is 13912 yards shy of the record. He is older than Brees and has fewer yards. He'd have to average 4637 yards per season over the next three years in order to break Manning's record. He'll need even more if Brees breaks the record first. It's not impossible, but I don't see Brady putting up that kind of volume when he's 41. ↩


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Needing a schematic for the Neve EV10862 quad input pcb. Anybody got one?
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Neve's founding father was Rupert Neve, who formed Neve in 1961. Since then, things have gotten, shall we say, interesting..
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Re: EV10862
Drop me an email to walrus1 at gmail dot com and I'll send you a jpg of the circuit.
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The economy is powering through global headwinds and market volatility and continues to perform well. The U.S. Macro Forecast report includes forecasts for the economy, labor markets, construction and their effects on the office and industrial property markets.
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Frequently Asked Questions about Sweets
Q. What are your most popular sweets?
A. The most popular are the 'bon bons'. Strawberry followed by lemon. 'Flying saucers' are also winners. The staff like liquorice and the aniseed balls and the old fashioned 'Black Jacks' are a timeless favourite.
Q. Where do the sweets (lollies) come from?
A. They are all manufactured the UK. We order quite small quantities from the Australian importer so that they are fresh. This means we may not always have what you are looking for.
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A. We wish we did, but we think we would eat it all ourselves. Sorry!
Q. Are your sweets gluten free or suitable for people with nut allergies?
A. Unfortunately we cannot guarantee that sweets are suitable for people with gluten intolerance or nut allergies.


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Bold, colorful banners encourage students and create a positive learning environment. Use these large banners to produce eye-catching displays or celebrate special occasions. Each banner measures 69'' x 13'' (175.3 x 33 cm) - nearly 6' (1.8 m) long! 1 per package.
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2,225 questions
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Hey guys im putting up some images of two of my best specimens...would like your thoughts! The more circular one is 14 carats and the pitted one is 34 carats.
Looks more like ruby than sapphire, though you'd be entirely safe by calling it corundum. Nice examples from North Carolina though.


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When was the last time you had the chance to look at what your home needs? Improvement wise, you may need to add "spice" into it. It does not necessarily mean that you need to spend much to get the look that you have always wanted in your home. It can simply mean doing some touchups to your home's exterior.
You will be able to identify what your home needs once you have noticed that the exterior looks bland, or one that is lacking in color. New paint colors can accentuate and highlight the exteriors and make it look more inviting especially to friends and family who have always wanted to come in and see what is inside it. Painted accents can definitely add character to your home exterior in a number of ways:
Add color to your entranceway
The front door is always visible from the street. It is the first point with which visitors come in contact with your home. It may have paint on it but always ask if the color highlights the features of other parts of your home. If you notice that it is quite in the same color hue as that of the other parts of your home then now is the time to add a touch of different color into it. Add character to your entranceway with paint shades like black, dark green, and deep red. These extraordinary color choices will definitely spell the difference and make your entranceway a standout. These are considered very practical colors too since they can conceal fingerprints and smudges.
Focus on your shutters as well
Your plain, old shutters may also need some help. This can be a perfect way to add style to your exterior. You can opt to color the shutters with the same color as that of your front door or entranceway. But it is also perfectly fine to choose a different color if you wish to. The main thing to bear in mind herein is to choose a color that complements or contrasts with that of the color of your siding. The choice can be difficult at some point but it is always alright to copy the color you have seen in another home.
Highlight your home's special architectural features
Highlighting will include painting it with accents that will make it a real standout. When you have chosen the right color to accentuate this part of the structure, nothing can ever go wrong. Give them their own color treatment that will definitely enhance your home's exterior.
Try accentuating the periphery
Make the periphery of your home catchy just by adding a touch of great colors into it. You can paint outdoor furniture with interesting colors. You can also paint your bare, wooden fence with a complementing color choice. Do the same if you have a birdhouse or a doghouse in your backyard. Just don't go overboard with this and everything will turn out right.
What to bear in mind when choosing colors for your home's exterior
As you have seen, there are many different ways by which you can use painted accents to add character to your home. Remember to make sure that you check at the colors available at a local paint store or at a home center nearby. There are different color schemes out there that you will be surprised about knowing that they blend well together. Palettes must include those that are similar to your siding then from there, you can choose accent colors to highlight your doors, shutters, and anything else found outside your home.
The best solution to achieve the character you want in your home's exterior include hiring an exterior painting company in Denver. We are one of the best choices in this regard!


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Photographer's Note
A monk studying in the monestary at Boddhi-tataung. (Actually 1/10th sec, at 86.5mm eq., hand held.)--- Thanks, Adam K. for the critique. I can't show you the background for this shot since I cropped 'in camera' except for a little bit of floor on the left.
Critiques | Translate
Mrcurtain (421) 2002-12-11 1:22
Beautiful colors. I wish that I could see more of the background for context.
adam (860) 2002-12-11 2:28
The complimentary red color of the clothing and floor combined with the sharp crop make for a powerful image. I like the L-shaped placement of his arm on one side and red cloth on the other.
Bayleaf (1484) 2002-12-13 20:10
I was thinking that being given just a glimpse of the background makes me imagine a group of other monks in the background. What might they be doing? All studying? Meditating? Playing poker..?(doubtful) It might just be a bunch of robes left on the floor and this guy is studying in solidute...
I just don't know. And I like that.
Great shot!
rziya (542) 2002-12-17 18:59
Really a strong photo. With a thema, color and posture. I think the color (red) and the naked right arm are the strongest parts of the photo.
torque (32) 2002-12-20 4:34
Either more background or more foreground... I imagine that the polished floor would have an effective reflection. Other than that I really like the colours, light and the context.
Porteplume (4000) 2003-02-19 14:44
All those reds fit perfectly and with the right sharpness, it makes a perfect image!
benbroug (811) 2003-03-06 14:27
Fantastic photo!! The intense concentration of the monk reading the book is captured beautifully. The position of the monk and the simple red robe makes this an exceptional photo.
xevi (591) 2003-06-17 9:28
Perfect shot, I like a lot the red tones and the sharpness. Very good capture!.
carolynanna (1324) 2003-08-07 18:16
Such a great shot. What colours, what emotion. That's what it's all about.
roconnell (327) 2003-08-12 4:10
Gorgeous! Such a range of tone and so hard to do with red on red! Beautiful composition and detail.
iamxa (3103) 2003-10-17 11:49
Beatiful colors, good crop, clothes with detail do depth , nice, very nice. The diagonal ground lines, the diagonal book line, the diagonal clothes line and the second box (the arm) makes the photo very good composed. I'm sorry for my englis, but I hope you understand I like all your photo.
maciekda (19895) 2004-01-15 4:57
great scene Bob, you captured him at the perfect moment. I really like the way you composed the picture and the whole scene it is really well framed. I also like all those red colors. great work.
CoolDan (2516) 2004-02-15 14:22
La photo est très bien réussie et les couleurs sont magnifique. Étrange façon d'étudier... Bravo.
eleparc (24063) 2004-02-23 17:33
great colors and composition; very dear to me! he looks very concentrated!
ianmcall (1213) 2004-02-27 22:41
Great colours and an interesting shot. He is so intent he notices nothing but the book.
AdiAdar (2500) 2004-08-26 12:21
Just beautifull..
aimeric (265) 2004-09-18 9:01
learning and concentration are well rendered, bravo
nice colours
Dionysos (1234) 2004-10-01 9:24
One of the best pictures I have ever seen in TE.
Durius (1288) 2004-12-31 1:56
Nice color, very nice capture, at very special moment ...
keribar (43841) 2005-02-26 16:19
Hi Bob,
I agree with Adam as far as the L shape of the arm is concerned. But for me what makes really the picture is the red background which covers almost what remains out. Gives me the desire to go to Myanmar again. Take care - Izzet
marieaude (1196) 2005-04-25 6:45
Very nice photo with great colors. It's really a shame that occidental people or monks just wear dark and mude colors..... I like to see too the concentration of this monk studying. Thanks. Marie-Aude
GTheodos (15) 2006-05-04 8:22
Colors, composition, subject all on the money. Two thumbs up.
Hi Bob, like this as it shows a new slant on an old subject. Good and unique. Colours and clarity are excellent. TFS. Murray.
livinitout (942) 2008-02-17 20:11
Hey Excellent capture. The moment is a great. Good intensity on the mans face and in the overal shot. The colours are warm. The floor looks like it could be eaten off of.
I'm actually surprised at the sharp quality considering the long exposure time you've used hand held. Well done.
Photo Information
- Copyright: Bob Wallace (BobTrips) (1857)
- Genre: People
- Medium: Color
- Date Taken: 2002-01-30
- Categories: Daily Life
- Camera: Olympus C-2100UZ, 7-70 mm IS, ISO 100, 2 meg Digi
- Exposure: f/2.8, 1/8 seconds
- Photo Version: Original Version
- Theme(s): people, humain, Les gens, Colour: Red - Rood - Rouge, RED COLOUR, I'm reading - I'm looking for some answers, RED COLOUR 3 [view contributor(s)]
- Date Submitted: 2002-12-10 23:43
- Favorites: 11 [view]


text:
State, Nation, and Religion in the Muslim World
A research network coordinated by Professor Elisabeth Özdalga
The guiding idea behind this research network has been that Islamism and nationalism should not be conceptualized as each other's opposites (as if one would be fundamentally religious and the other fundamentally secular), but that much of recent Islamic ideologies/discourses had better be analyzed as expressions of nationalism.
The notion that there is a special incompatibility – antagonism even - between Islam and liberal democracy has proved to be exceptionally unwavering. In spite of extensive and scathing criticisms it has received this conception seems as powerful as ever, and continues to be so on both sides of the ideological divide: among Islamist hardliners as well as Islam's most fierce adversaries among secularists and/or Westerners. As such this fallacy continues to hamper the understanding of the social and political developments in today's Middle East. It does so in a double respect as it impedes both analyses of problems underlying the democratic deficiencies, and efforts to grasp the general meaning of various Islamic movements. An important part of the problem is that, when linked up, these two notions – Islam and democracy – are conceptualized in very general and, consequently, essentialist terms. It is the aim of this research network to force that deadlock in order to contribute to the opening up of new perspectives in the study of religious, ethnic and national identities and their relations to political institutions, especially at the national level.
Nationalism is double-faced: it contains an external, easily visible (over-communicated); and, an inner, less explicit dimension (under-communicated). For the external, often also authoritarian form of nationalism Benedict Anderson (Imagined Communities, 1983) has used the concept of "official nationalism."
For a long time nationalism has been identified with "official nationalism." However, this image is insufficient, since it overlooks the inner, less explicit dimensions of nationalism, as they make themselves felt through religion – in a Middle Eastern context mainly Islam – and other discourses and/or narratives, like fictional literature.
So far three conferences have been organized by the network acting within the framework of this project:
- Islamism, the State and the Quest for Community
Venue: Centre for Middle Eastern Studies, Lund University, 21-24 May, 2008 (Organizer: Docent Leif Stenberg).
- Islamism and Nationalism: Competing, converging or overlapping ideologies?
Venue: CIDOB Foundation, Barcelona 4-5 June, 2009 (Organizers: Professor Fred Halliday and Dr. Eduard Soler).
- The Uses of History and the Politics of Memory
Venue: The Danish Institute in Damascus, 14-17 October 2010 (Organizer: Professor Catharina Raudvere).
On the initiative of Professor Umut Özkirimli (Istanbul Bilgi University/London School of Economics) and Dr. Spyros A. Sofos (Kingston University, London), the network has made an agreement with Palgrave for a book series edition entitled Engaging Islam and Nationalism: State, Community and Religion in the West and the Muslim World. Three volumes are presently under preparation.
The fourth and final conference, organized by Professor Elisabeth Özdalga and Dr. Daniella Kuzmanovic, will be held on 12–14 October, 2012, at the Swedish Research Institute in Istanbul under the title of Literary Constructions of Nation and Religion: Insights from the Muslim World.
This conference aims at exploring the multitude of ways in which literary narratives and national identity formations are intertwined in order to better comprehend the complex role of fictional literature as representation as well as agent in the constructions of national identities. How do these issues emerge in the modern Middle East and/or Muslim world?
Despite the profound impact of mass media like TV and internet, the role of fictional literature in the formation of identities, particularly national identities, must not be forgotten. Literary narratives offer insights into the complexities of social and political power relationships, illustrating how relations between state, nation, religion and identity are forged and how various authentic and imagined communities are constructed and reconstructed.


text:
In June, my sister came to spend two weeks with us. The weekend she was arriving, I was coming from Atlanta and she was coming from Montreat (near Asheville). The church van said I could meet them anywhere along I-95 to pick her up so naturally I chose Savannah.
After a long morning of walking on the river, buying pralines, and shopping in the historic district, we were getting kind of hungry. While we were shopping in Nourish I asked the sales woman her favorite lunch place (anywhere but Paula Deen's). She referred us to Cafe Zeum.
Located in the atrium of the Jepson Center for the Arts, Cafe Zeum is cute, modern, and, it appeared, off the beaten path of tourists. The waiter told us that everything on the menu was made in house from scratch.
We both ordered the same dish for lunch – chicken salad on a biscuit with a mixed green salad. The salad was lightly dressed in a delicious vinaigrette. The chicken salad wasn't overdressed (I'm not a huge fan of mayonnaise) and it had red grapes in it (which I love in chicken salad). The biscuit is actually what sold both of us and it didn't disappoint.
I wish we had saved room for dessert but sadly both of us were too full (plus we had a bag full of pralines to munch on in the car). I give Cafe Zeum two big thumbs up and will definitely be back there of lunch again when I'm in Savannah. It a delicious (and affordable) lunch off the beaten path.


text:
All Photos are "clickable" to enjoy a larger view.
Last night I completed quilting, binding and putting a label on my Rockin' Robin Quilt which I started last year as part of a fantastic quilt-along hosted by Jen at Reanna Lily Designs, Anne Marie at Gen X Quilters, Heather and Megan from Quilt Story, Melissa at Lilac Lane, and Lisa Marie at That Crazy Quilty Girl (you should check out their blogs – they are very talented quilters!). If you want to make a quilt like this, you can get the links to the tutorials by checking out the quilt along post.
In case you are wondering about the name of this quilt, here is what Jen wrote:
This concept was a Row Robin. Do you know what a Row Robin is? It is a quilt made in, usually, horizontal rows and each row is a different style or type. Many times ladies would pass the quilt along to the next person in the group and add a row. The quilt would continue to be passed around until it arrived back to the original owner- with all sorts of surprises- from fabric, to design, to technique. It is really a neat idea. Round Robin quilts are done this way, around a center medallion quilt.
So using this idea as the jumping off point I thought-
- Let's make sure the rows are modern and hip.
- Let's have the quilter be able to customize the row or quilt size.
- Let's do our own sewing, so we're certain the pieces/colors will be pleasing at the end.
Pretty cool, huh?
So let me tell you a little about my quilt.
This is a 58″ X 58″ lap quilt. I used Bonnie and Camille's Bliss fabric as the primary fabric, although there are also some other fabric lines represented too. I wanted the quilt to be completely reversible and so I pieced the back using left over blocks from the front.
I decided to free motion quilt this one using a meandering stipple design.
This quilt has a really fresh feel to it with all the white and the pops of red and turquoise.
I hand embroidered the label and then decided to make it part of a house which I then stitched onto the back. I like how the label blends in with the rest of the design.
Finally I used a deep, Kona red solid for the binding.
I can't wait for the summer weather when I can drape this quilt over the porch swing and use it when the nights are cool!


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Illustrator Gallery - Nina Mata
Nina Mata
I grew up as a typical latchkey kid from Queens, New York. My family emigrated from the Philippines when I was 6 years old. Because my parents worked and went to night school, I spent a lot (like a whole lot) of time drawing. My after school activities usually involved watching Bob Ross, Reading Rainbow and finding adventure in books.I studied commercial arts in the High School of Art & Design and studied Illustration at The Fashion Institute of Technology of NY.I now create work for trade and educational publishing as well as kids apps. I try my very best to represent the beauty and diversity of our world.
I currently live in New Jersey with my husband Aaron, our 3 yr old daughter and Tabi, the cat.
I am proudly represented by Christina Tugeau & Christy Ewers of CATugeau Artist Agency.


text: In November, it is time for our final lawn Fertilizer application this year. Now that the weather has cooled and we are watering less, you will notice that the grass is growing more slowly. Reduce your mowing frequency to only every other week until spring. You can probably get away with edging your lawn once a month now as well. The time you save from mowing may need to be spent raking. Clean up leaves as they fall, to prevent mildew and fungus spores from spreading. Turn off the irrigation system once rains start. Water the garden only if there's no rainfall for more than a week and a half. Even if there is no rain, we only need to water 2-3 times a week, and 7 minutes per station. Inspect drains, and make sure you are prepared for the coming wet weather. Backyard garden enthusiasts, plant strawberries in the first half of the month for maximum fruit harvest. Space plants 1 foot apart in rich, loose soil in full sun. The "straw" in the name comes from an old practice of mulching around the berries with straw to prevent the berries from rotting on the soil. Use garden cloths instead for your home garden. Better yet, just be diligent in picking, and expect a few lost fruits.


text:
All Natural Goat Milk Lotion and Soap
Goat milk soap is very nourishing and hydrating for your skin. It is not harsh and moisturizes as it cleans.
8oz pump bottle.
AlidaLee Gingerich– Aug 17th 2016:
For a few years now, my whole family have used the liquid soap & lotions from the Goat's Good. This has been the answer to my daughter's teenage acne. She struggled to clear up her skin & could not find the answer until we found these products. We will not use anything else. It is the best for dry skin – no alcohol that dry's & it is not greasy. It helps with shaving rashes & to soothes contact dermatitis. You can not do better that these products. AlidaLee
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text:
Vancoplus is indicated for the treatment of serious or severe infections caused by susceptible strains of Gram-positive (including methicillin-resistant strains) and Gram-negative pathogens.
Complicated skin and skin-structure infections (including cellulitis, myositis and necrotizing fasciitis) caused by:
- Staphylococcus aureus
- Staphylococcus epidermidis
- Streptococcus pyogenes
- Viridans group streptococci
- Escherichia coli
- Enterobacter cloacae
- Klebsiella oxytoca
- Klebsiella pneumoniae
- Proteus mirabilis
- Morganella morganii
- Serratia marcescens
- Bacteroides fragilis
Empirical therapy in meningitis, central nervous system (CNS) infection like brain abscess, suppurative intra cranial infections and Epidural abscess Meningitis caused by:
- Haemophilus influenzae
- Neisseria meningitidis
- Streptococcus pneumoniae
- Staphylococcus epidermidis
- Escherichia coli
Prophylaxis of shunt infections:
- Staphylococcus aureus including MRSA.
- Staphylococcus epidermidis
- Vancoplus is contraindicated in patients with known allergy to the cephalosporin class of antibiotics or vancomycin or any other ingredient of the medicinal product including Larginine.
- Vancomycin solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products.
Dosing Considerations & Recommended Dose
Vancoplus is recommended twice daily not less than three days by slow intravenous infusion over 60 minutes. It is not to be diluted with calcium containing solutions
Dosage Adjustment
Hepatic dysfunction:-
Vancoplus dose adjustment is not needed for patients with hepatic dysfunction.
Renal dysfunction: The major route of elimination of active components of Vancoplus component i.e., vancomycin and ceftriaxone is through kidneys. Approximately, 50-60 % of ceftriaxone and 90% of vancomycin is eliminated in urine and the rest is excreted via the bile into the faeces. In general, renal impairment decreases the clearance of the drug and thus increasing the accumulation of drugs which are primarily eliminated by kidneys. Therefore; less dosage is needed for achieving the same therapeutic effect.
Special patient groups
Elderly: These dosages do not require modification in elderly patients provided that renal and hepatic functions are satisfactory. However, dosage reduction may be necessary to a greater extent than expected because of decreasing renal function and auditory function should be monitored.
Patients with impaired renal function: Dosage adjustments must be made to avoid toxic serum levels. In premature infants and the elderly, greater dosage reductions than expected may be necessary because of decreased renal function. Regular monitoring of serum levels is advised in such patients, as accumulation has been reported, especially after prolonged therapy.
Patients with hepatic impairment: No dosage adjustment is required if provided renal function is normal. If the patient has hepatic and renal impairment together than the dose will be adjusted.
Dosage adjustments in patients with both hepatic dysfunction and significant renal disease, caution should be exercised and the Vancoplus dosage should be adjusted
Missed Dose:
One should not administer a double dose to make up for a missed one.
Vancoplus is recommended by slow intravenous infusion over 60 minutes and it should not be diluted with calcium containing solutions.
In critically ill conditions, for the indications where the amount of infusion cannot be higher, Vancoplus 1.5 g can be diluted in minimum 100ml of the infusion. Similarly for Vancoplus 3 g can be diluted in minimum 200 mL of the infusion. Once reconstituted, Vancoplus should be used immediately. The color may get darkened during storage but it does not affect the efficacy of product if stored up to 24 h at refrigerated condition and up to 12 h at room temperature.
In the case of over dosage of Vancoplus, nausea, vomiting, diarrhoea can occur. Supportive care is advised, with maintenance of glomerular filtration. Ceftriaxone and vancomycin are poorly removed from the blood by hemodialysis or peritoneal dialysis. Haemoperfusion with Amberlite resin XAD-4 has been reported to be of limited benefit for vancomycin removal. Hemofiltration effectively removes vancomycin from the blood.
Warning & precautions
Hypersensitivity reactions
Before therapy with Vancoplus is instituted, careful inquiry should be made to determine whether the patient has had any previous hypersensitivity reactions to ceftriaxone, any other cephalosporin, or to any penicillin or other beta lactam drug. This product should be given cutaneously to test penicillin-sensitive patients or to any patients who has demonstrated some form of allergy. If an allergic reaction occurs, Vancoplus should be discontinued and the appropriate therapy instituted.
Infusion related reactions
Rapid bolus administration of Vancoplus (e. g. over several minutes) may be associated with exaggerated hypotension, including shock and rarely cardiac arrest. Vancoplus should be administered over a period of not less than 60 minutes to avoid rapid-infusion-related reactions. Stopping the infusion usually results in prompt cessation of these reactions. Vancoplus should be used with caution in patients with renal insufficiency because the risk of toxicity is appreciably increased by high, prolonged blood concentrations of Vancomycin.
There have been reports that the frequency of infusion-related events (including hypotension, flushing, erythema, urticaria, and pruritus) increases with the concomitant administration of anesthetic agents. Infusion-related events may be minimized by the administration of Vancoplus as a 60 minute infusion prior to anesthetic induction.
Administration site reactions
Vancomycin is irritating to tissue and must be given by a secure intravenous route of administration. Pain, tenderness, and necrosis occur with inadvertent extravasation. Thrombophlebitis may occur, the frequency and severity of which can be minimized by slow infusion of Vancoplus and by rotation of venous access sites. The safety and efficacy of Vancoplus administered by the intrathecal (intralumbar or intraventricular) route or by the intraperitoneal route have not established.
Interaction with calcium-containing products
Do not use diluents containing calcium, such as Ringer's solution or Hartmann's solution to reconstitute Vancoplus vials or to further dilute a reconstituted vial for IV administration because a precipitate can form. Precipitation of ceftriaxone-calcium can also occur when Vancoplus is mixed with calcium-containing solutions in the same IV solutions, including continuous calcium-containing infusions such as parenteral nutrition via a Y-site. However, in patients other than neonates, Vancoplus and calcium-containing solutions may be administered sequentially of one another if the infusion lines are thoroughly flushed between infusions with a compatible fluid. In vitro studies using adult and neonatal plasma from umbilical cord blood demonstrated that neonates have an increased risk of precipitation of ceftriaxone-calcium.
Clostridium difficile associated diarrhea
Clostridium difficile associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, therefore it is important to consider its diagnosis in patients who develop diarrhea in association with antibiotic use.
Hemolytic Anemia
An immune mediated hemolytic anemia has been observed in patients receiving cephalosporin class of antibacterials including ceftriaxone. Severe cases of hemolytic anemia, including fatalities, have been reported during treatment in both adults and children. If a patient develops anemia while on Vancoplus, the diagnosis of a cephalosporin associated anemia should be considered and Vancoplus should be stopped until the etiology is determined.
Ototoxicity has occurred in patients receiving Vancomycin. It may be transient or permanent. It has been reported mostly in patients who have been given excessive doses, who have an underlying hearing loss, or who are receiving concomitant therapy with another ototoxic agent, such as an aminoglycoside. Serial tests of auditory function may be helpful in order to minimize the risk of ototoxicity.
Alteration in prothrombin time
Alterations in prothrombin times have occurred rarely in patients treated with Ceftriaxone. Patients with impaired vitamin K synthesis or low vitamin K stores (e. g, chronic hepatic disease and malnutrition) may require monitoring of prothrombin time during Vancoplus treatment. Vitamin K administration (10 mg weekly) may be necessary if the prothrombin time is prolonged before or during therapy.
Reversible neutropenia has been reported in patients receiving Vancomycin. Patients who will undergo prolonged therapy or those who are receiving concomitant drugs that may cause neutropenia should have periodic monitoring of the leukocyte count.
Prolonged use of medicinal product
Prolonged use of Vancoplus may result in overgrowth of non-susceptible organisms. Careful observation of the patient is essential. If super infection occurs during therapy, appropriate measures should be taken.
Hepatic effects
There have been reports of sonographic abnormalities in the gallbladder of patients treated with ceftriaxone; some of these patients also had symptoms of gallbladder disease. These abnormalities appear on sonography as an echo without acoustical shadowing suggesting sludge or as an echo with acoustical shadowing which may be misinterpreted as gallstones. The chemical nature of the sonographically detected material has been determined to be predominantly a ceftriaxone-calcium salt. The condition appears to be transient and reversible upon discontinuation of Ceftriaxone and institution of conservative management. Therefore, Vancoplus should be discontinued in patients who develop signs and symptoms suggestive of gallbladder disease and/or the sonographic findings described above.
Cases of pancreatitis, possibly secondary to biliary obstruction, have been reported rarely in patients treated with ceftriaxone. Most patients presented with risk factors for biliary stasis and biliary sludge (preceding major therapy, severe illness, and total parenteral nutrition). A cofactor role of ceftriaxone related biliary precipitation cannot be ruled out.
General precautions
- Doses should be adjusted in patients with marked decrease in the renal function to compensate for reduced clearance.
- Dosage adjustments should not be necessary in patients with hepatic dysfunction; however, in patients with both hepatic dysfunction and significant renal disease, caution should be exercised and the Vancoplus dosage should be adjusted
- In order to minimize the risk of nephrotoxicity serial monitoring of renal function should be performed and particular care should be taken in following appropriate dosing schedules.
Special population
A moderate amount of data on pregnant women pregnancy outcomes indicates no malformative or feto/neonatal toxicity. In a controlled clinical study, the potential ototoxic and nephrotoxic effects of vancomycin hydrochloride on infants were evaluated when the drug was administered to pregnant women for serious staphylococcal infections complicating intravenous drug abuse. Vancomycin hydrochloride was found in cord blood. No sensorineural hearing loss or nephrotoxicity attributable to vancomycin was noted. One infant, whose mother received vancomycin in the third trimester, experienced conductive hearing loss that was not attributable to vancomycin. Because vancomycin was administered only in the second and third trimesters, it is not known whether it causes foetal harm. Animal studies do not indicate reproductive toxicity. Blood levels should be monitored carefully to minimize the risk of foetal toxicity. Ceftriaxone crosses the placental barrier. Safety in human pregnancy has not been established. Reproductive studies in animals have shown no evidence of embryo toxicity, fetotoxicity, teratogenicity or adverse effects on male or female fertility, birth or perinatal and postnatal development. In primates, no embryo toxicity or teratogenicity has been observed. Therefore Vancoplus should not be used in pregnancy unless absolutely indicated.
Nursing mothers:
Caution should be exercised when Vancoplus is administered to a nursing woman. Vancomycin is excreted in human milk, but at therapeutic doses of vancomycin no effects on the breastfed newborns/infants are anticipated. Caution should be exercised when Vancoplus is administered to a nursing woman. It is unlikely that a nursing infant can absorb a significant amount of vancomycin from its gastro-intestinal tract
Pediatric Use: The data regarding pediatric use of Vancoplus is limited. However, health-care professional discretion is required to use Vancoplus in pediatric population wherein benefit vs risk should be evaluated.
Geriatric Use: The pharmacokinetics of ceftriaxone were only minimally altered in geriatric patients compared to healthy adult subjects, whereas the natural decrement of glomerular filtration with increasing age may lead to elevated vancomycin serum concentrations. Therefore, Vancoplus dosage
schedules should be adjusted in elderly patients.
The data from phase III studies and post marketing surveillance study suggest that Vancoplus is generally well tolerated. The adverse reactions mainly included injection site reactions (phlebitis), skin rashes, gastrointestinal adverse reactions (nausea, vomiting), headache and chills. All were of mild intensity.
No serious adverse event (SAE) was observed with Vancoplus use.
Concurrent and/or sequential systemic or topical use of other potentially neurotoxic and/or nephrotoxic drugs, such as amphotericin B, aminoglycosides, bacitracin, polymyxin B, colistin, viomycin, or cisplatin, when indicated, requires careful monitoring. In an in vitro study antagonistic effects have been observed with the combination of chloramphenicol and ceftriaxone. The potential of interactions cannot be excluded in one of the common ingredient is an interaction substance for another drugs.
The drug-drug interaction of Vancoplus as fixed dose combination is not being reported.