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As a labor and delivery nurse, I've pretty much seen it all — butts and boobs, blood and babies. Many women, especially new moms, wonder just what goes on in that mysterious delivery room. If you're expecting your first, here are some tips to keep in mind:
1. Poop is good
You may have heard the rumor going around that some women poop while giving birth. I have news for you: It's true. As horrifying as it may sound, pooping on the delivery table is actually a good thing. It tells us that you are pushing the right way. Yay! You may be relieved to hear that your body naturally clears the way for baby before the active pushing stage, so if your nurse gives you the okay, visit the facilities during early labor. And to further put your mind at ease, know that I mean it when I say: your poop is really nothing special.
2. You really don't have to lie down
When you think about birth, what image comes to mind? A woman in the semi-reclined position, sweating while screaming obscenities at her clueless husband, right? Well, believe it or not, you do have a choice in the position that you deliver in. The whole semi-reclined thing came about more for doctors' convenience than anything else. Listen to your body while you are in labor and go with what feels right to you. Depending on limitations from your form of pain relief (like an epidural) you may be able to deliver squatting, standing, side-lying, holding onto a bar, or even on all fours.
3. Bring cookies
This one's important, especially if you deliver at night. I'm a night-shifter, and I can tell you right now that nothing gets a patient more on my top-priority list than the promise of chocolate-chip cookies at midnight. Put a kindly grandma on a grocery run for a post-delivery snack.
4. Think of your birth plan as a birth guide
Nothing ruins a birth plan faster than trying to stick to it. The best births I've seen are the ones with relaxed moms — moms who have a general idea of what they want but are also realistic and flexible when they need to be. A no-intervention, dimly-lit room with soft music and fresh flowers really isn't the goal, is it?
5. Shaving is optional
So maybe you're a little hesitant to let it all hang out in front of what will seem like every doctor, nurse, and random housekeeper in the whole building. That's understandable. But trust me when I say that preggo-scaping is really not necessary. Besides, who's going to blame you for not shaving when you can't even see over that belly? The same rule applies for painting your toenails.
6. Don't be alarmed if your doctor discussed lunch
… Or your nurse, or your midwife, or that person who draws your blood. There is something about sticking their hands up a woman's crotch that always makes healthcare workers want to discuss their lunch plans. Weird, I know.
7. That drape is kind of necessary
If you get a C-section and are worried that you're missing out on the action, take my advice and just go with it. The things your doctor will be pulling out of your body can be quite shocking. And the re-arranging and re-insertion bit is not exactly pretty either. You may not be ready for the sight of your uterus, you know, outside your womb. Enjoy the blue view from above and focus on what really matters — your baby.
8. If you're cool enough, they'll let you catch the baby
Play your cards right and we just might let you try on the catchers mitt. Show us you can handle it (read: don't pass out) and promise not to sue us. Talk to your midwife or doctor during your prenatal check-ups if you think you might want to try your hand (pun clearly intended) at baby-catching. Or have Dad do his part. My husband delivered both of our girls. Coolest.Thing.Ever.
9. Speak up for the important stuff
You do have a say in your labor and delivery. Whether you have your eye on that room with the whirlpool tub or the nurse who delivered your neighbor's sister's friend, you are entitled to the birth you want. But you have to let us know.
10. The real reward comes after birth
Sure, your baby's cute, but I'm not talking about her. I'm talking about that glorious, calorie-laden first post-delivery meal. Giving birth is like the best workout of your life. So go ahead, order the double bacon-cheeseburger with French fries and a chocolate milkshake. You deserve it.
11. Find a focal point
You probably learned this in those childbirth classes you remember nothing from, but this one's actually helpful and really easy. It goes something like this: Find something, anything, to look at during your contraction. Focus on that thing and that thing only through the contraction. Rinse and repeat.
12. In this case, the hips can lie
I know there's some old wives tale out there that promises to predict success in childbirth based on the size of one's hips. But I'm here to tell you that I've seen an 80-pound woman push out a baby the size of a Thanksgiving dinner without so much as a Tylenol. Big hips do not necessarily an easy birth make.
13. Sometimes, we let you sneak in booze
Hey, we're happy for you too. We might just let you sneak in that beer to celebrate.
14. What massacre?
So a bloody battle happened between your legs, but thankfully you'll never know. Labor and delivery nurses are quick on the draw when it comes to cleaning up the aftermath. Look for phrases like "a little tear" or "a quick stitch" for clues to what really happened down there. Hint: Use that squeegee bottle (you'll know it when you see it).
15. You don't have to breathe like that
Really, I'm not sure where that whole hee-haw breathing while giving birth stuff originated. Don't worry about doing it the "right" way. Some women breathe normally, some hold their breath. As long as those little alveoli in your lungs are receiving oxygen, we're good.
16. Think of it as a hall pass
You have permission to say exactly what you've wanted to say to your partner all these years. Every balled-up dirty sock on the floor, every "Honey, have you seen my wallet?" without even looking for it, every last little annoyance — all vented in the perfect cover-up of labor. Now is your chance to let it all out. Your secret is safe with me.
17. Some women are screamers…
… and that's ok. I've seen timid wallflowers transform into raging rivals of ring wrestlers and even one strange case of a woman singing soprano. Hey, whatever it takes. That baby's coming out one way or another.
18. All women labor differently
Try not to listen to your neighbor, your great-aunt Mildred, or even your mom on this one. The fact is, no woman experiences childbirth the same way. My mother swore up and down that contractions were hard but pushing was painless. Fast forward a few months and after cruising through my contractions, I found myself cursing her as I pushed out what felt like a burning bowling ball of fire. You can't predict how labor and delivery will feel for you, so don't even try.
19. Yes, it's a little awkward for us too
No, it doesn't come naturally to us to stick our hands up where the sun don't shine. In fact, I think that's why so many of us are compelled to tell you about that awesome salad we ate for lunch (nerves).
20. Before you, there was Regina
If you've ever wondered just how labor and delivery nurses learn to "check" their patients, allow me to introduce you to Regina. Regina is our resident vagina-in-a-box. We've all paid a visit to Regina in the backroom before turning loose on real, unsuspecting patients. So next time you enjoy a quick and pain-free vaginal exam, just thank Regina.
21. That said, you really can't shock labor and delivery nurses
From a patient watching The Jerry Springer Show while pushing, to a woman who lost her underwear in her girly parts, I've seen it all. So fear not if you have Jekyll and Hyde tendencies when giving birth — we expect it.


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Here is another tourism website filled with ideas for exploring Plymouth Co., Massachusetts:
From this website SAIL 1620: http://www.sail1620.org/history/pilgrim-memorials-around-the-world/215-plymouth-ma.html
Here is a description of the sarcophagus that is a monument to the first 51 Mayflower passengers that died the first winter.
1921 — Cole's Hill Pilgrim Memorial Tomb, Water Street, Plymouth MA
Known as the "Sarcophagus," this 9'8" x 4'4" x 6'5" granite tomb is the final resting place of the bones of the Pilgrims who died the first winter. Their names are listed on one side. Unfortunately, because the names' letters are bronze attachments, they, and those on the other three sides, are constantly subject to vandalism. Inside, a plain pine box 24x12x12 inches contains the bones that had been in the top of the old 1883 Billings Plymouth Rock canopy that was replaced this year. The tomb was ordered by the General Society of Mayflower Descendants at a cost of $25,000. The Pilgrim Society eventually assumed its care and upkeep and then passed it to the Commonwealth of Massachusetts. The Sarcophagus is the site of a memorial sunset service during each triennial General Congress of the Society of Mayflower Descendants.
This website The Plymouth Colony Pages shows a photo and has many of the old homes in the area and beyond. http://plymouthcolony.net/
My quest was to find out more about William White, my Mayflower ancestor, his wife Susanna and their sons Peregrine and Resolved. (Pronounced with the "ed".)
I would like to caution you about Susanna. So far they have not determined what her maiden name was. In the past many have given her the last name of "Tilley" or "Fuller." This is not correct, however, you will see it in very old references and sources. This website gives a brief summary of Susanna White. William her husband is also hard to research.
|My visit to the sarcophagus for the first 51 settlers
|Locating William White's name which was not easy to read 3rd from bottom
|A tribute and more.

subset: commoncrawl


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cybertrash needed a new logo design and created a contest on 99designs.
A winner was selected from 77 designs submitted by 32 freelance designers.
GirlGaming.com is a place where girls can feel at home and have fun. We have flash games made especially for girls. Your job is to make a logo that will catch these girls' eyes and make them say "aww, so cute, how sweet, etc"
Hey everyone, here is a simple list about the logo i need.
1. Audience = 10-20 year old females
2. The site will consist of flash games specially created for girls.
3. Please refer to http://sosfactory.com/logos1.html for the style i am looking for.
4. The Mascot should be a girl in her teens doing something related to playing games.
- I don't care what color scheme you use as long as it looks good.
- Must include "GirlGaming.com"
- Slogan will be "Because girls game too."
- Must have a cute mascot relating to the slogan and theme.
- If you can have the logo in vector form as well for me that will be great, but not required
hm.. i am not sure.. just look at the "wants"
Find out how a design contest works or learn more about our logo design services.


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A badass loner employs his own peculiarly noxious ways of pulling a boy out of paralyzing grief in "Hesher." Debuting director Spencer Susser redeems his willfully antisocial central character via a climactic act of charity bordering on love, but prior to that goes out of his way to spike every scene with gratuitous provocations and repetitive vulgarities that become old very quickly. Still, the violent anarchist with a giant upraised middle finger tattooed on his back played with manifest enthusiasm by Joseph Gordon-Levitt will appeal to more than a few young males, giving this indie with 22 producers a good shot at an active commercial life.
"Hesher" is far from the first picture to make something of its own from the basic premise of Jean Renoir's "Boudu Saved from Drowning," that being the invasion of a household by a wayward, unstoppable, transformative force of nature. Here, the interloper is a Charles Manson lookalike with a tat on his chest of a guy blowing his brains out, who, without benefit of an invitation, plunks himself down in a modest San Fernando Valley home whose occupants are suffocating with the depression of mourning.
Prepubescent T.J. (Devin Brochu) goes through the motions of attending school, but is obsessed with retrieving from salvage the car in which his mother died in a wreck two months earlier. Dad (Rainn Wilson) has turned into a vegetable, while Grandma (Piper Laurie) is at least able to put food into the mouths of the sad, dysfunctional males. In a particularly grating subplot, little T.J. is violently bullied for unknown reasons by a much bigger boy, and Dad's half-hearted effort to participate with his son in "transformational grief therapy" washes out.
In this menagerie of emotional zombies, Hesher has free rein. Physically threatening and scarily temperamental, the long-haired heavy-metal freak lounges around in his underwear, watches porn, fills the house with variations on the F-word and soon gets T.J. in enough trouble to land him at the police station. Never supplied with an ounce of backstory, Hesher is a hyperactive volcano that erupts several times daily; whatever the reasons, he betrays no trace of giving a damn about anyone or anything.
One vaguely bright spot in T.J.'s life is a literally accidental relationship he forms with impoverished grocery cashier Nicole (co-producer Natalie Portman, sporting outsized Sarah Palin-style glasses that give her a queasily strong resemblance to — Sarah Palin). Typically, Hesher spoils the budding friendship by meanly badgering the boy about when he's going to make it sexual, while in his spare time giving Grandma pointers on how to use a bong.
Young auds who reflexively find this sort of flagrant transgressiveness amusing will no doubt take the picture to heart. But the problem with the script by Susser and David Michod, working from a story by Brian Charles Frank, is that Hesher's uncouth behavior is so aggressively pushed to single-minded, crudely exploitative effect. The ending is meant to have made the ordeal all worth it, but while the payoff does possess a certain purgative effect akin to the benefits of tough love, the value of the journey for the audience, as opposed to the characters, is highly questionable.
Levitt, in a flamboyant about-face from "500 Days of Summer," is undeniably charismatic as the from-nowhere wild man whom you'd never want to meet in real life, but who is memorable after a fashion onscreen. An appealing blond kid, Brochu holds his own and then some as he gets into innumerable physical and verbal scrapes.
Tech package is OK, with colors in the interiors overly subdued even for the sought-after mood.


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Maj. Tad Kepley of the Lexington Police Department was appointed to police chief by City Manager John Gray at the Lexington City Council's Monday night meeting.
Maj. Tad Kepley of the Lexington Police Department was appointed to police chief by City Manager John Gray at the Lexington City Council's Monday night meeting.
"We are getting someone with outstanding credentials," Gray said.
Kepley will assume the position that will be vacated by the retirement of current Police Chief John Lollis, according to a press release from the city manager's office. Kepley is a 27-year veteran with LPD, serving as Major of Administration since 2009. He was originally hired in 1985 as a patrol officer, following in the criminal justice footsteps of his father who rose to the ranks of a major with LPD before his retirement in 1983. In 1996, Kepley was promoted to lieutenant and then to captain in 2005. He now occupies the same office space his father held for the final three years of his service after the current police department building was erected in 1980.
"I'm very honored and excited at the same time. I appreciate City Manager John Gray's confidence in me to do the job. We have a great police department and I'm excited to be a part of such a professional organization," Kepley said.
Kepley was a 1993 graduate of the Criminal Investigator's Academy at the North Carolina Justice Academy; received an advanced law enforcement certification from the North Carolina Criminal Justice Standards Division in 1995; named Outstanding Young Public Servant of the Year in 1998 by the Lexington Jaycees; 2002 graduate of the Administrative Officers Management Program at North Carolina State University; 1995 graduate of the 183rd Session of Federal Bureau of Investigation National Academy; named Law Enforcement Officer of the Year in 1998 by the Lexington Area Crimestoppers; and a 2005 graduate of Western Carolina University with a bachelor of science in criminal justice.
The promotion will be effective Saturday after Lollis serves his final day Friday. Kepley will start his first day, continuing the effort of Lollis to reduce crime and make the city a safer place.
"We're going to be focused on crime and we're going to be focused on safety of Lexington's citizens," Kepley said.
Kepley will be sworn in as police chief 2 p.m. on Wednesday at Lexington City Hall.
"If you look at Tad's (Kepley) career, you can see he's trained his entire career for this appointment," Gray said. "He has a good vision for the city and we are extremely fortunate to have someone of Tad's caliber."
Rebekah Cansler McGee can be reached at 249-3981, ext. 228, or at firstname.lastname@example.com.


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We all use tools and access resources to keep us reacting quickly and professionally in this ever changing industry. On top of that, every day I get requests from people to test or review new resources, think up ideas to build internal tools and many more get developed that I may or may not even be aware of. So how is one to sort through everything out there, separate the good from the bad, the expensive from the inexpensive and figure out how to tell when the price difference is worth it?
As one who both loves testing new ways of looking at data and also being a business owner who enjoys finding the best possible ROI on hardware and software alike I thought I'd put together my 78 favorite resources based on what they yield and what they procude from a dollar-in-dollar-out perspective.
I've divided these resources into nine sections. They are:
- SEO tools
- Link building tools
- Coding tools
- Conversion tools
- Convenience tools
- Social media tools
- Forums
- News & blogs
- Social profiles
Please note, there's no specific order to this list, they're all worth looking at. And please, in the comments below include your feedback on these tools or suggestions for additional tools to look at that fit the "free or affordable" theme of this article.
Also, be warned that I'm a hug fan of Firefox and so some of these tools are Firefox extensions though many are also available on Chrome.
SEO Tools
- FREE – Google's Keyword Suggestion Tool: A great resource for exploring keyword possibilities. Make sure to understand the different between broad match and exact match and also consider that this is a PPC tool. The number of estimated searches are those conducted for a phrase, not estimated unique searchers.
- FREE – SEO Quake: A great free extension for Firefox, Chrome, Opera and Safari. Gives quick access to key factors such as PageRank, position, age, etc. for the site appearing on a search results page. When on a site, more information is available such as quick links to diagnose issues, a link through all nofollow links for quick recognition, etc.
- $99/month – SEOmoz: A whole slough of professional-grade tools make this worth the price of admission. Tools cover everything from links to onsite to social media.
- FREE – Copyscape: The free version lets you check a page on your site to see how often it's been copied (and if you rank wellà it probably has been). Also good for testing upcoming copy for potential issues.
- $99/month – RavenTools: A full suite of SEO, link building, social media and advertising tools. It doesn't quite match the SEOmoz suite for pure function but the reporting abilities have some advantages.
- FREE – SEO For Firefox: A free Firefox extension from SEO Book. Along the lines of SEO Quake but different data sources.
- FREE – XML Sitemaps: A free XML sitemap generator.
Link Building Tools
Overlap – SEOmoz and RavenTools are listed under SEO tools but much of their suites are dedicated to link building.
- ~$50/month (there is free access but it's not overly useful) – Majestic SEO: Offers some very useful tools for tearing apart your competitor backlinks. From comparing multiple competitors to finding niche link hubs to break down individual domains into very thorough data, this is one of my go-to tools when I'm researching competitor backlinks.
- FREE – Blekko: We were all sad when Yahoo! retired their link counts. Blekko is a solid backup with the classic link: command.
Coding Tools
- FREE – Web Developer Toolbar: This Firefox extension give you quick access to a number of useful functions such as turning on an off aspects of a page (images, scripts, etc.) Quick access to website verification tools, ability to outline elements on a page such as table cells and much, much more.
- FREE – Webmaster Tools: Find errors on your site, broken links (both internal and external) and so much more.
- FREE – Firebug: This Firefox extension allows you to look at any page on the web as usual or select specific elements and see what code (including lines in style sheets) is responsible for the appearance of that element. As you select different areas on the web page, Firebug changes the code displayed. Great for isolating issues and reviewing competitor's code.
- FREE – CSS Validator: A free W3C tool that validated your CSS for compliance.
- FREE – Markup Validator: A free W3C tool for the validation of your code.
- FREE – WAI (Accesssibility) Validator: Easily the most difficult of the validations this tools helps make sure your site complies with accessibility standards. If nothing else, you'll end up with virtually perfect code if you can pull this off.
- FREE – Xenu: Run a crawler over your site and find all your broken links.
- FREE – Redirect Checker: Check the status of a redirect and make sure it's delivering the right response.
- FREE – Page Speed Test: Test the speed of your page and get suggestions on how to improve it. You can also compare the results with another site.
Conversion Tools
- FREE – Google Website Optimizer: Run A/B tests free with this tool from Google.
- FREE – Google Analytics: It's not possible to get into all the details and features here save to say, it's worth reading up on all that it can do and poke around and test all the functionality. Every time I do, I find fun new ways to look at visitor data.
- $59/10 heatmaps – Attention Wizard: Gives an algorithm-generated heatmap of your page. Good as a first stop when you're looking at a redesign or A/B testing.
- $9/month – Crazy Egg: Produces a heatmap of your pages based on user behavior such as clicks, scrolling, etc. and can break it down by traffic source.
- $99/month – ClickTale: Record visitors and watch how they interact with your site.
- $39/visitor – User Testing: Send visitors through your site and listen to them interact. Visitors will record their visits following your directions and provide feedback on what they like and don't like. A great tool during a redesign.
- FREE – Wirify: A fun tool that turns any web page into a wireframe. For $6 more you can buy a credit that makes the wireframe editable.
- FREE – Five Second Test: Visitors land at a snapshot of your site, view it for 5 seconds and then answer questions. With the free version you'll have to earn tests by viewing the pages of others. They have paid services from $20/mth.
Convenience Tools
- FREE – FireFTP: It's an FTP client built into the Firefox browser. Effective and very convenient.
- $99/year – Advanced Web Ranking: A highly customizable ranking report generating software. I've tried many, this is my favorite.
- FREE – Search Status: Gives access to PageRank on the fly but also, with the click of a button gives fast access to Google caches, Trends, related links and more.
- $12.95/month – MetroFax: There are many Internet-based fax providers out there, I'm just listing the one I use. Far better than the typical fax scenario.
- FREE – Domain Tools – Quick and easy access to domain information including registration, server details and location and some basic SEO information.
- FREE – Character Count: When you're crafting titles and descriptions you need to stick to the right lengths. I generally write them directly into the tool so I know as I go how many characters I have to "play with".
- FREE – Archive.org: View old copies of the web. Ever wonder what Google looked like back in 1998? Click here and wonder no more.
- FREE – Fireform: Firefox form filler. Saves a ton of time.
- $78.66/year – HMA: Not the perfect proxy solution but an extremely good one at the price. Great for seeing exactly how rankings appear from different locations on the fly or running systems as though they're from another IP address in a different location.
- FREE (single project) – Basecamp: A client management, communication and productivity tool. It's one thing to do all the work, it's another to report that you've done it and know that anyone from your company (or your clients) can find that information easily.
Social Media Tools
- FREE – Tweet Deck: A good piece of software for organizing your Twitter profiles.
- FREE – Twellow: A directory of Twitter users to help you find people in related niches faster.
- FREE – Twitter Feed: Used right, this service allows you to automate things like Tweeting and Facebooking your blog or other useful resources.
- FREE – Hootsuite: Allows you to manage multiple social profiles quickly and easily.
- SEO Chat: Always lots of folks around to help though it's rankings in the SERPs, also add a lot of new people who may be less experience but still hazard a guess.
- High Rankings: A great forum and Jill (Whalen) tends to hang out there a lot to weed out the crud.
- Black Hat World: I'm not suggesting you join the dark side but these folks know a few tricks that you should probably know about too. Being aware of what others may use against you can be extremely valuable. They do also chat traditional, Google-santioned strategy as well.
- Digital Point: This forum has been around for ages and has almost 50,000 active members. As always, you have to watch who you listen to but if you've got question, ask here and you'll get answers.
- Web Pro World: An active user base and large array of subjects being discussed.
- Adobe: While this isn't an SEO forum, pretty much all of us use one Adobe product or another. Questions get answered quickly here.
News and Blogs
- Search Engine Watch: I'm not an employee of Search Engine Watch but I am a biased author. That said, it's my first go-to when I'm looking to find out what's going on in the search world.
- Google's Blog: The official blog of Google. Get news from the horse's mouth.
- Bing Blogs: Believe it or not, Google doesn't have 100 percent market share. Bing's blogs are a good read too.
- Webmaster Radio: Too busy to read? Webmaster Radio plays live radio geared to webmasters and Internet marketers and the podcasts can be downloaded for convenient later listening.
- Matt Cutts: The personal blog of Google's Matt Cutts. While his opinions are rightfully tainted with a Googley spin, there's always wisdom in them; even if you have to read between the lines.
- Search Engine Land: Another good daily news source.
- SEOmoz: Apparently they get a hat tip for tools as well as information. Rand Fishkin and the SEOmoz team do a solid job of giving good advice that's easy to understand.
- Search Engine Journal: Up-to-date news that crosses a lot of related territory.
- SEO By The Sea: The search world from a more technical perspective. From patent analysis to viewing "what may be", Bill Slawski does a bang-up job of summarizing the areas many of us get glassy-eyed thinking about.
Social Profiles
Note: I'm including only Twitter and Google+ so you can follow them without those included beinging inundated with Facebook "friend" requests.
- Google+ – Matt Cutts: Google's Head Of Web Spam
- Twitter – he's on there too.
- Google+ – Search Engine Watch: Their official G+ page.
- Twitter – Search Engine Watch: SEW's official Twitter profile.
- Google+ – Search Engine Land: Their official G+ page.
- Twitter – Danny Sullivan: Editor-in-Chief, Search Engine Land.
- Twitter – Lee Odden: CEO of TopRank Online Marketing
- Google+ – SEOmoz: their official G+ page.
- Twitter – Rand Fishkin: CEO of SEOmoz.
- Twitter – Andy Beal, CEO of Trackur
- Twitter – Brian Eisenberg: Well-published author and conversion optimization guru.
- Twitter – Ralph Tegtmeier: A top notch black hat SEO better known as fantomaster.
- Twitter – Mike Grehan: Global VP Content, Search Engine Watch, ClickZ, SES Conference and Expo.
- Twitter – Barry Schwartz: CEO of RustyBrick, Executive Editor of Search Engine Roundtable.
- Twitter – Dave Davies: CEO of Beanstalk SEO (I had to include myself somewhere in the list)
- Twitter – Daron Babin: Co-founder of Webmaster Radio.
- Twitter – Dave Naylor: Head of Search Marketing at Bronco.co.uk.
- Twitter – Brent Tabke: Founder of WebmasterWorld.
- Twitter – Ann Smarty: Seasoned SEO and owner of MyBlogGuest.com.
- Twitter – Brent Payne: Owner of BaldSEO (aptly named).
- Twitter – Jonathan Allen: Director of Search Engine Watch.
- Twitter – Aaron Wall: Founder of SEOBook.
- Twitter – Todd Mailcoat: SEO Consultant and all-round solid guy.
Related reading
How to lead SEO teams and track its performance effectively: Experts' tips
Leading an SEO team is not an easy task. Nine industry experts share how to effectively guide your SEO team and assess their performance.
SEO is a team sport: How brands and agencies organize work
I interviewed 31 people, from Content Specialists to SEO Directors, and CEOs to ask them about how teamwork and workflow affect SEO operations and success.
Seven SEO tips for image link building to generate more traffic
Your images, infographics, and memes, too, can be used for link building to turn your page into a link magnet. Image link building tips with examples.
The Transformation of Search Summit 2019: Speakers, agenda, FAQ
The Transformation of Search Summit 2019 will take place in New York on Oct. 25. Speakers include experts from Disney, Pinterest, Mastercard, and Microsoft.


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Summer "Bucket List"
Places to go...
- Nearby state park for a nature walk
- Zoo
- Botanical Gardens (St. Louis and one here in town)
- Grant's Farm
- Butterfly House
- Magic House
- On a picnic
- Swimming pool
- Splash pad
- Farmer's Market
- Out for ice cream
- Strawberry picking
- Library
- Horse Stables
- Tour candy shop (make and sell best candy in town)
- Play at the park (try to go to as many different ones as we can, as well as our favorites)
- Huge fish tank at Bass Pro Shop
Things to do...
- Play with sidewalk chalk
- Paint with water
- Play in the rain
- Plant seeds and watch them grow
- Play with shaving cream
- Fly a kite or balloon kite
- Play in the mud
- Play with an ice block
- Make and play with a toddler sprinkler
- Have a toddler car wash
- Play with water balloons
- "Swim" in kiddie pool in backyard
Food to make...
- Mini personal pizza
- Cookies
- Smoothies
- Ice Cream floats (root beer or cream soda)
Crafts to do...
- Finger paint
- Edible necklace
- Make and play with bathtub puffy paint
- Handprint/footprint craft (thinking garden stone)
- Decorate t-shirts (one for Avery and one for baby #2)
We have a good start on the list and have been having a great time doing them, it has definitely kept us busy. I love that it makes what we are doing more intentional and we don't have those "what in the world are we going to do today" moments, we simply look at the list and pick something that interests us! Anything in particular you have done or are planning on doing this summer with your toddler or preschooler? I'd love to hear your ideas!


text:
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Links relacionados
- Citado por Google
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SAMJ: South African Medical Journal
versión On-line ISSN 2078-5135
versión impresa ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.99 no.7 Cape Town jul. 2009
How do doctors learn the spoken language of their patients?
Colin PfaffI, *; Ian CouperII
IMB BCh, MMed (Fam Med), DCh, DA, Dip HIV Man, Division of Rural Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
IIBA, MB BCh, MFamMed, Division of Rural Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
BACKGROUND: In South Africa, many doctors consult across both a language and cultural barrier. If patients are to receive effective care, ways need to be found to bridge this communication barrier.
METHODS: Qualitative individual interviews were conducted with seven doctors who had successfully learned the language of their patients, to determine their experiences and how they had succeeded.
RESULTS: All seven doctors used a combination of methods to learn the language. Listening was found to be very important, as was being prepared to take a risk or appear to be foolish. The doctors found that it was important to try out the newly learned language on patients and additionally stressed that learning the language was also learning a culture. The importance of motivation in language learning, the value of being immersed in the language one is trying to learn, and the role of prior experience in language learning, were commonly mentioned. The doctors deeply valued the improved rapport and deeper relationships with patients that resulted from their language learning efforts.
In South Africa, many doctors consult across both a language and cultural barrier. However, studies have shown that patients prefer being addressed in their own language1 and that their satisfaction after a consultation in their own language is higher.2-5 The second-biggest obstacle, after income, in access to services was assessed to be doctors not being able to speak their patients' language, in a Cape Town study.5 In a similar study, doctors not being able to speak the same language as their patients caused ethical dilemmas, negative attitudes between staff and patients, and decreased quaility of care.6
Interpreters are used to overcome these limitations but involve disadvantages; they are frequently unavailable,6 may impose their own views on consultations,7 may make translation errors8-12 and cause frustration among staff who are asked to perform this role in addition to their other duties.13
In contrast, communication and understanding of patients' complaints after learning their language is improved.14 Ellis15 has described how to use the consultation effectively as an ideal language learning environment, gives suggestions on how to do so, and stresses the importance of learning culture and cultural metaphors of illness as part of language learning.
The theory of second-language learning has moved from the traditional grammar and translation methods to more communicative methods. Krashen's 'natural approach'16 suggests that language is acquired from the hearing of adequate input (as a child acquires a language) and not by learning formal grammatical rules. The latter can only correct language that has been acquired through listening. The Brewsters17 suggest an 'immersion experience' by living with speakers of the language. Ellis included several of their tools, such as loop tapes, as being useful in a consultation when learning a language.15 Others disagree with a purely communicative approach to language learning and emphasise the importance of learning formal grammar.18,19
Many doctors would like to be able to speak their patients' language.6 However, very little guidance exists on how to do this successfully in a busy practice. We aimed to investigate the experiences of doctors who had effectively learnt the language of their patients so as to guide those who also wish to do so.
A pertinent sample was selected of eight doctors who met the inclusion criteria of working with patients whose language was not the doctor's first language and being able to see patients without an interpreter, and who described their language proficiency as 'good'. Doctors were excluded if they had not learnt the second language while practising as a professional, had learnt it for other reasons (e.g. to try to find work), or had learnt a language similar to their first language.
Free attitude interviews were used. Subjects were asked the same exploratory question: 'How did you learn the spoken language of your patients and what were your experiences in learning the language?' The audio-taped interviews were transcribed verbatim. Themes were identified by using contrastive analysis by the researcher together with the supervisor. Cut-and-paste techniques were used to analyse common themes. Subjects validated the analysis of each interview.
Our aim was to study eight doctors, but only seven were found who met the inclusion and exclusion criteria; one was excluded as he had started learning the language as a child and not as an adult professional. We recognised that if the degree of fluency required had been set lower, many others would have qualified. All the doctors interviewed were white males, partly owing to the exclusion criterion that the interviewees must not be from a language group similar to the language that they had learned.
Key themes emerged from analysis of the data. Many different methods were used by each interviewee to learn the languages. The consultation was commonly used for language learning by asking how to phrase certain questions, then trying them out with a patient and, over time, understanding what the patient was saying in reply. Immersing oneself in a community where the language was spoken was found to be useful, as was having a personal tutor. In contrast, formal language classes were felt to be unhelpful, and produced students who were good at grammar tests but unable to communicate with people. Book learning and UNISA courses both met with mixed success. Books were felt to be useful for learning grammar but not vocabulary. UNISA courses were felt by some not to be helpful early on in language learning but another felt that they enabled understanding of rules once the language was learnt. One doctor reported language tapes to be a failure and did not use these after they had been bought.
The importance of listening in learning a language was a very strong theme. Listening was important both in the consultation where two translations were constantly heard and also in non-medical situations such as church services. Listening was important to expand vocabulary and understanding of implied meaning and, as such, language learning was seen by one doctor as an indicator of how much the doctor was listening to and integrating with the second-language people. Learning by listening was also related to learning styles and preferences; one doctor felt that he had an 'ear orientation', and another that he had a 'musical ear'.
Being prepared to take a risk or appear foolish was another common theme. Several doctors told stories of mistakes that they had made with hilarious consequences. Pride, or being seen as distant from the people, was then seen as a hindrance to this process; this was closely linked to risk taking and was surmised to be a possible reason why some doctors learnt more than others.
Having to try out the language with patients was commonly mentioned, including listening to the phonetics and trying them out, attempting to work without an interpreter, or trying various words to see which were ones used locally.
The role of language in building deeper connections was a strong theme. Speaking the language was seen as establishing a deep relationship with patients; their faces changed, a rapport developed, hearts and doors were opened, and friendships developed. Speaking the language removed barriers between doctor and patient, helping them to communicate at another level, which was impossible using an interpreter. Confidentiality in the doctor-patient relationship was improved. Patients loved to speak their native language with the doctor, even if they could speak English.
Many participants described how learning a language was also learning a culture. This was particularly true for the principle of 'hlonipha' meaning respect and how people deal with each other. This emotional bonding with a culture gave language learning added enjoyment. Learning the culture was also part of identifying with the local people.
Motivation was crucial to successful language learning, including being inspired by others who could speak well, frustration in working with interpreters, wanting to interact at a different level, or learning out of necessity as interpreters were not available. Other motivations included inherent interest in the grammar of the language or appreciating its beauty.
Being fully immersed in an environment where the language was spoken was very helpful in learning language and culture. Two doctors had a 'full immersion' experience in the language by living in the village where they were working. Two others mentioned regular short periods of immersion of a few days at a time of staying in the community or on church weekends. However, immersion in the environment by itself is insufficient for learning; one must have a good reason for wanting to learn.
Prior experiences of learning a language were very helpful in learning another language.
A diagrammatic representation of the above themes appears in Fig. 1.
Theories of second-language learning have shifted from emphasising the grammar/translation method, to more communicative approaches. Our research showed that doctors used several approaches to language learning, but placed a strong emphasis on more communicative approaches. However, almost all used some grammar learning too, either with a tutor or from books. Although some communicative approach advocates have claimed that formal grammar learning is not necessary,16 others have criticised this purely communicative approach as it produced speakers who made many errors that could have been corrected easily by knowledge of a few simple rules.18
The emphasis of these doctors on a communicative approach is shown by the importance they placed upon the role of listening in language learning. Some linguists claim that meaningful language acquisition, as opposed to learning rules, can only be aquired by hearing enough spoken language, and they even suggest a silent period when all emphasis is placed on listening rather than trying out new words.16 These doctors found, as Ellis15 suggested, that consultations were ideal for this sort of language learning.
As language learning in this setting was voluntary, motivation clearly provided a key role. Motivation is often central in predicting language achievement20 and only thereafter do other cognitive and affective factors play a role.21 Even in a military setting, where soldiers learnt Korean or Spanish as part of their training, motivation and attitude were important predictors, after aptitude of second-language proficiency.21 Krashen suggests that attitude and motivation provide a 'filter' through which sounds must pass before they can become useful in acquiring language.16 Students with good attitude and strong motivation have a 'lower filter' and therefore learn quickly from what they hear; our research supports this theory. One doctor said that just being in a language-rich environment was not enough; rather, motivation to learn a new language was a key influence.
The motivation that sustains language learning often came from the rewards gained from deepening relationships with patients, staff and community members, again emphasising a communicative approach. These rewards in turn led to increased motivation to further improve learning of the language, so establishing a cycle of language learning (Fig. 1). Greater language proficiency, through various communicative methods of learning, further deepened relationships which in turn further increased motivation to learn more, and so the cycle gained momentum.
Language learning is often seen as a noble goal but one that is difficult to achieve, especially in the context of a busy working practice. Our research shows that it is achievable and provides pointers on how it can be done (Table I), the importance of a communicative approach, and the key role that motivation plays and how this motivation is sustained through the reward of deepening relationships. We hope that these findings will inspire more South Africans to embark on the journey of learning the language of their patients, so leading to improved patient care and satisfaction and understanding for doctor and patient.
1. Ahmed WIU, Kernohan E, Baker MR. Patients' choice of general practitioner: influence of patients' fluency in English and the ethnicity and sex of the doctor. J Roy Coll Gen Pract 1989; 39: 153-155. [ Links ]
2. Freeman GK, Rai H, Walker JJ, et al. Non English-speakers consulting with the GP in their own language a cross-cultural survey. Brit J Gen Pract 2002; 52: 36-38. [ Links ]
3. Bucci W, Baxter M. Problems of linguistic insecurity in multi cultural speech contexts. Ann N Y Acad Sci 1984; 433: 185-200. [ Links ]
4. Carrasquillo O, Orav J, Brennan TA, Burstin HR. Impact of language barriers on patients' satisfaction in an emergency department. J Gen Int Med 1999; 14: 82-87. [ Links ]
5. Levin ME. Language as a barrier to care for Xhosa-speaking patients at a South African paediatric teaching hospital. S Afr Med J 2006; 96(10): 1076-1079. [ Links ]
6. Schlemmer A, Mash B. The effects of language as a barrier in a South African district hospital. S Afr Med J 2006; 96(10): 1084-1087. [ Links ]
7. Andreyev HJN. Getting the message across. BMJ 1987; 294: 1534-1535. [ Links ]
8. Wood B. Interpreters in the medical consultation a literature review. S Afr Fam Pract 1993; 14: 347-53. [ Links ]
9. Launer J. Taking medical histories through interpreters: practise in a Nigerian outpatient department. BMJ 1978; 2: 934-935. [ Links ]
10. Marcos LR. Effects of interpreters on the evaluation of psychopathology in non English speaking patients. Am J Psychiat 1979; 136: 171-174. [ Links ]
11. Ebden P, Bhatt A, Carey O, Harrison B. The bilingual consultation. Lancet 1988; 1: 347. [ Links ]
12. Elderkin-Thompson V, Cohen-Silver R, Waitzkin H. When nurses double as interpreters: a study of Spanish-speaking patients in a US primary care setting. Soc Sci Med 2001; 52: 1343-1358. [ Links ]
13. Drennan G. Counting the cost of language services in psychiatry. S Afr Med J 1996; 86: 343-345. [ Links ]
14. Wright CM. Language and communication problems in an Asian community. J R Coll Gen Pract 1983; 33: 101-104. [ Links ]
15. Ellis C. Learning Language and Culture in the Medical Consultation. Johannesburg: Sue McGuniness Communications, 1999. [ Links ]
16. Krashen S. The Natural Approach. Oxford: Pergamon Press, 1983: 1-61. [ Links ]
17. Brewster ET, Brewster ES. LAMP (Language Acquisition Made Practical). Pasadena: Lingua House, 1976. [ Links ]
18. Hammerly H. Fluency and Accuracy: Toward Balance in Language Teaching and Learning. Bristol: Longdunn Press, 1991: 1-40. [ Links ]
19. Pica T. Questions from the Language Classroom: Research Perspectives. TESOL Quarterly 1994; 28: 49-79. [ Links ]
20. Beebe LM. Risk taking and the language learner. In: Seliger HW, Long MH. Classroom Orientated Research in Second Language Acquisition. Rowley, Mass.: Newbury House, 1983: 141-150. [ Links ]
21. Gardner RC, MacIntyre PD. A student's contributions to second language learning. Part II: Affective variables. Lang Teach 1993; 26: 1-11. [ Links ]
Accepted 20 February 2009.
* Corresponding author: C Pfaff (firstname.lastname@example.com)


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Steve Jobs's last public appearance was a very different kind of product unveiling: He appeared before the city council of Cupertino, Calif., forever Apple's hometown, to pitch plans for a gigantic new headquarters building that looked like a UFO planted in a serene forest.
Today, we learned that the campus's construction has been delayed until 2016, according to Bloomberg's Peter Burrows.
Apple has filed new plans and a new timetable with the city of Cupertino, California. The latter pushes back the start date on the campus until 2014.
Cupertino's environmental impact report likely won't be completed until next June.
Apple has made modest changes to the plan for the 176-acre site:
- Moving a 1,000-seat auditorium farther away from a road
- More parking spots
- The removal of a footbridge over a creek
- Adding a new building to house utility equipment
- Tweaking the construction plan so Apple doesn't have to truck away any dirt
The main spaceship building is unchanged. It will house 14,000+ employees in 2.8 million square feet. The campus will have 7,000 trees.
Cupertino will post the new plans online after Thanksgiving--after it has added enough servers to handle the crush of web traffic from around the world.


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The Washington Redskins just blew the NFC East race wide open with a 17-16 win over the New York Giants on Monday night at FedEx Field.
The Redskins, once left for dead at 3-6, have won three in a row and now sit only one game behind the Giants for the division lead.
Robert Griffin III didn't have his best statistical game, but he received help from his running game and a defense that refused to break. The Giants seemed to have the ball all night, but they found the end zone only once. First-half drives of 11 plays and 13 plays produced just three points.
The Redskins took the lead with 6:38 to play in the fourth quarter on an 8-yard touchdown pass from Griffin to Pierre Garcon, who is healthy and playing like the premier receiver Washington paid him to be. That's when the defense stepped up, forcing the Giants to punt on each of their next two possessions.
The intense race for the playoffs is in full gear. Check out the latest situation in the postseason chase. More ...
After the second punt, the Redskins took over with 3:51 to play and ran out the clock, thanks to three huge first downs. Alfred Morris, who ran for 124 yards and now is over 1,000 for the season, sealed the game with a hard 6-yard gain on third-and-3.
The NFC East now is a legitimate three-horse race. The Giants still pace the division at 7-5, but the Redskins and Dallas Cowboys are right behind at 6-6. The Giants still should be considered the favorites, but something special could be brewing in D.C.
Follow Dan Hanzus on Twitter @DanHanzus.


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Consumer spending inMarinas
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Wrapp Index is based on real-time transaction data. While we hope it will be of interest to you, Wrapp is not responsible for any decisions you make based on the data.


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Seven medals are up for grabs Tuesday, the 11th day of competition in Sochi, where fog has given way to rain.
If the weather cooperates, freestyle halfpipe skiing will make its Olympic debut, women's giant slalom and men's snowboard cross get underway, while the men's biathlon 15k will finally get its start after two consecutive days of delays.
Summer Olympic stars Lolo Jones and Lauryn Williams also make their Winter Games debut in the two-man bobsled race at Sochi's Sanki Sliding Center.
Scroll down for viewing details on the events you shouldn't miss.
12:30 a.m. ET: American Mikaela Shiffrin makes her Sochi (and Olympic) debut Wednesday on the Rosa Khutor giant slalom course. The 18-year-old enters the competition a medal favorite as does Austrian Anna Fenninger, the Sochi super-G gold medal winner. USA's Julia Mancuso will also be on hand, though she is not expected to contend for a medal. Watch the first of two giant slalom runs here. The final begins at 4 a.m. ET here.
1 a.m. ET: If you missed Meryl Davis and Charlie White's gold-medal winning figure skating performance, watch a replay of the ice dancing competition, plus men's large hill team ski jumping on NBC.
1:30 a.m. ET: Men's snowboard cross will finally get underway after thick fog forced organizers to cancel the event Monday. Look out for Americans Nate Holland, Nick Baumgartner, Trevor Jacob and Alex Deibold. Seth Wescott, who has won the gold every single time the event has been in the Olympics didn't make the team after returning from an injury. This leaves the field open to newcomers. Tune in here for the first elimination rounds. (A seeding round was skipped because of Monday's cancellation.)
2 a.m. ET: NBC has a second round of replays of Monday's men's aerials competition, figure skating and two-man bobsled.
3 a.m. ET: Both U.S. hockey teams have off Tuesday, but six other games are on the lineup, including four men's playoff qualification games, all available via livestream. First up is Slovenia-Austria. The winner will play Sweden in the quarterfinals. Watch here. Scroll down for details on three other games at 7:30 a.m. ET and noon.
5: 30 a.m. Maybe Tuesday will be the day the men's biathlon 15k mass start finally gets underway. The event has been cancelled two days ina row over a thick blanket of fog that moved into the Sochi area and has stubbornly hung around. If it does begin, Ole Einar Bjoerndalen could finally do what he has been waiting to do--win his 13th career medal and become the most decorated individual Winter Olympian. Watch him try here.
5:45 a.m. ET: Short track skaters compete for the medal podium in the women's 3000m relay heats. The event is not a U.S. strong suit, but tune in here for the penultimate day of action on the short track ice. The event wraps up Friday.
7 a.m.: Nordic Combined, the ski jumping-cross-country hybrid, continues Tuesday with the large hill, 10k portion. America's defending Olympic champion in the event, Bill Demong, is not expected to continue his reign. He placed 24th in the normal hill event last week. The favorites Tuesday are Akito Watabe from Japan and Magnus Krog from Norway. Tune in here.
7:30 a.m. ET: Russia plays the next hockey game of the day against Norway, which it has to (and should easily) beat to move on to its next matchup against Finland. Watch live here.
8 a.m. ET: Americans Emery Lehman and Patrick Meek go up against a crew of Dutch speed skating giants who could sweep Tuesday's 10,000m event. The Netherlands' best hopes are Sven Kramer (who notched the fastest time in the Vancouver race but was disqualified for failing to change lanes on a lap), Jorrit Bergsma and Bob de Jong. Tune in here.
10:15 a.m. ET: Lolo Jones and Lauryn Williams are back. The track stars make their Olympic bobsled debut in the two-man competition. Williams will be paired up with Elana Meyers. If she manages to win gold, she would be just the second athlete to do so in both Summer and Winter Games. Jones will be teamed up with Jazmine Fenlator and is going for her first Olympic medal, Summer or Winter. Watch the first two of four runs here.
12 p.m. ET: For even more men's hockey, check out the Czech Republic-Slovakia game here, and Switzerland-Latvia here. The winner of the former game will play the U.S. in quarterfinals, while the winner of the Switzerland-Latvia Game will advance to play Canada.
12:30 p.m. ET: Halfpipe is back, though this time the freestyle skiers will take a crack at the course. American David Wise is a gold-medal favorite. Teammates Aaron Blunck, Lyman Currier adn Torin Yater-Wallace will also compete in the debut Olympic competition. Watch live here.
3 p.m. ET: Tune in to NBC for some afternoon replays of the men's speed skating competition and individual large hill Nordic combined.
8 pm. ET/PT: NBC prime time has highlights from the day's giant slalom competition, halfpipe, short track and bobsled events.


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Groupon still on ASA naughty step with more complaints upheld
Groupon has yet again been busted by the Advertising Standards Authority for misleading customers with separate promotions on its website.
This brings the grand total of complaints brought against the e-coupon outfit to 50 for the year, and 2011 isn't even over yet.
MyCityDeal Ltd, which trades as Groupon, was told that claims one of its ads made about breast enhancement were misleading, because it wrongly made punters believe that boob growth was possible in most cases.
It first appeared on Groupon's site on 31 August and was headed "Six Sessions of IBE Breast Enhancement for £99 at Beautopia Spa (£1,200 value)".
Text below that stated: "Highlights, Microbeam energy technology, Designed to lift or enhance breasts, Discretion and confidentiality assured."
The ad claimed that customers would achieve typical growth of between a quarter and two cup sizes within five to six weeks, the ASA said in its ruling.
"We noted that the ad included a disclaimer that individual results may vary, and that Groupon said they had based the claim on previous results attained by the spa," the watchdog added.
"However, we considered that patient data for six patients, provided by the spa carrying out the treatments, was not sufficient evidence to substantiate the claim that the treatment was capable of achieving breast growth. As a result we concluded that the ad was misleading."
The ASA ruled that the promotion, which breached codes including misleading advertising and exaggeration, must not appear again in its current form.
Separately, the ASA also upheld a complaint against Groupon for an email and website promotion that stated "One Year Midweek Delivery Pass Plus £40 Worth of Groceries for £39 from Ocado (£110 Value)".
The promotion, advertised in July this year, continued by saying: "Those in need of a Groupon grocery guardian can receive assistance with £40 worth of groceries, as well as a one year midweek delivery pass, usually priced £69.99, to summon their defender vendor bearing Grouponic goods throughout the year for no extra fee ...
"Groupon holder will become eligible to sign up for a one year midweek delivery pass (£69.99 Value) within seven days of receiving ordered groceries."
The claim about the value of the midweek pass was challenged by four complainants, the ASA said.
Ocado disputed that its advert had misled customers and Groupon backed up the online grocer's rebuttal.
Despite that, the ASA upheld the complaint, after noting that a six-month delivery deal from Ocado was set at just £14.99 on 28 July, suggesting that an annual pass should cost the customer no more than £29.98.
The only £69.99 annual deal offered on the site was one that allowed customers to select any day of the week for when their groceries should be delivered by Ocado.
"In the absence of any evidence that compared the value of the promoted pass at £69.99 with an equivalent product, or that demonstrated how this price was calculated, we considered the 'value' of the promotional item had not been substantiated and therefore concluded that it was misleading," the ASA said.
It ruled that the ad must not appear again in its current form and told Groupon to ensure statements of value were accurate representation of the price at which the product was normally offered.
The e-coupon site was also told to make clear to its customers the manner in which price statements were calculated when such promotions were advertised on the website.
If it's on the internet it must be 'SECRET', right?
Groupon has been under investigation by the Office of Fair Trading since July this year. The OFT has yet to confirm its conclusions from that probe.
Oddly, the ASA decided to put out a statement late last week saying it had referred Groupon to the OFT, even though this in fact happened many months ago.
That press release led to many news outlet wrongly claiming that the OFT investigation had been kept "secret" until now.
In reality, the probe into mounting complaints brought against Groupon in the UK has been ongoing for about five months, information about which has been available on the OFT's website.
The ASA has formally investigated and upheld complaints against Groupon's advertising on 13 separate occasions. It has informally resolved 37 cases, following gripes about the company.
If Groupon wants to avoid upsetting regulators while circling the drain, then it really needs to stop making so many boobs. ®


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SAMJ: South African Medical Journal
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versión impresa ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.100 no.10 Cape Town oct. 2010
Approval of chronic medication
To the Editor: In response to Professor Rayner's letter to the SAMJ,1 I would like to point out that Discovery Health was able to resolve the case before it was published in your journal. Professor Rayner has indicated to us in writing that he would have withdrawn his letter to you, had it not been too late to do so.
Discovery Health formulates its funding policies using evidencebased medicine and in consultation with South Africa's various professional specialist societies and leadership. In the case of diabetes mellitus, current SEMDSA guidelines (published in 2009) do not recommend the use of HbA1c for diagnosis. We are aware of the American Diabetes Association statement referred to by Professor Rayner, which recommends the use of HbA1c as a diagnostic test. This continues to be debated in national forums, and in fact the most recent SEMDSA guidelines released in August 2010 reaffirm the position that HbA1c should not be used alone as a diagnostic criterion for diabetes or pre-diabetes.
We recognise that individual cases do sometimes merit exceptional decisions on clinical grounds. The doctors we employ, some of whom are referred to in Professor Rayner's letter, have the challenging task of applying our funding policies in a way that is fair and consistent, taking into account both the best interests of individual patients and our membership base as a whole. They do so with great care. In this specific case, we failed to recognise up front that a clinical exception could have been made. Going forward we will endeavour to further enhance this aspect of our service.
The sustainability of our members' medical scheme benefits depends on our ability to responsibly apply the principles of evidencebased medicine wherever possible. We will always actively engage with the health care profession and the various representative societies to ensure that our funding decisions are clinically sound, but as noted above, there are often complex cases in 'grey areas' and we acknowledge that we do and will make errors in some of these situations. We always try to correct these as quickly as possible, and we appreciate the feedback we receive, which assists in improving our overall approach. We call on all health care professionals to work with us in a spirit of co-operation, rather than conflict. Finding the balance between what is best for each patient and for our private health care system as a whole is a complex task, and needs an active partnership between responsible funders and practitioners.
Jonathan Broomberg
Chief Executive Officer, Discovery Health
1. Rayner B. Approval of chronic medication - Discovery Health hits new lows. S Afr Med J 2010;100:482. [ Links ]


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Waterloo Police Investigate Robbery and Aggravated Assault
On Sunday October 19th, 2008 at approximately 1:31 AM, officers of the Waterloo Police Department were dispatched to the parking ramp near the corner of W. 4th and Commercial Streets on a report of a robbery.
As officers were responding to that incident, they became aware of an Aggravated Assault that was occurring near the intersection of W. 5th and Cedar Streets.
As a result of the investigation into these incidents the following people have been charged with the following:
Dareysha Tarbor, 25 years old, of 408 E. 8th Street, Waterloo, 2nd Degree Robbery.
Darsjon Tarbor, 17 years old, of 408 E. 8th Street, Waterloo, 2nd Degree Robbery, and Willful Injury.
Darterio Tarbor, 21 years old, of 9110 Dewberry Street, Anchorage, Alaska, 2nd Degree Robbery, and Willful Injury.
The investigation continues and no further information will be released at this time.
Sgt. K.A. Rogers
Investigations Division
Waterloo Police Department


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|When Short is Long Enough
Share |
When Short Is Long Enough
by Brent Roske
"Nobody ever paid 12 bucks to see a short film."
1. Career Boost? Possibly. In my experience there are two types of people in Los Angeles: people who make things and people who talk about it. Producing a short film is a tangible goal and puts you in the category of "Doers." And once your short film is completed, you never know where it could lead. Napoleon Dynamite started as a short film and then went on to become a feature and gross $45 million at the box office. ('Jenny Craig'-type disclaimer: Results May Vary.)
2. Work With Your Heroes. As all you fine and gifted PGA members know, asking successful people for favors in this town – even the ones you've known for over a decade – can be a herculean task. But to ask that same person for just a few evenings to work on a short film can be that easy favor that makes them feel all fuzzy all over. Know a famous actor? Maybe a DP with some great credits? Coordinate a weekend and have fun on set. We all made movies with our friends when we were kids – keep it light and enjoy "Doing for Doing's sake." And always have good food on a gratis set. Comfortable chairs, too.
3. Awards Are Sexy. When you finish your short film (and keep it under 10 minutes to help with festival placement) and you actually like it, you'll be surprised at how many people will want to show it places. Withoutabox.com has quickly turned into the clearinghouse for every festival in the world, and in an afternoon of clicking your laptop, you can enter all the biggies. This year has seen a drastic increase in the number of fests that accept digital screeners as well, so you won't even have to drive to FedEx in your jammies.
4. Oscars Are Really Sexy. So it breaks down like this: Every year, of the thousands and thousands of short films that get made, only a relative few get qualified for the Oscars. Last year, only 76 short films made it to qualification. To qualify, you have to have either won a major festival (Sundance, Cannes, Toronto, etc.) or have your short shown theatrically in Los Angeles for three ticket-selling days. Your film also has to be transferred to a 'DCP' file for the theatrical run. These hurdles aren't cheap, but last year you had a 1 in 7.6 chance of making the Academy Short (short) List of 10. Some notables with Short Film Oscar nominations: Walt Disney, Peter Sellers, Jeff Goldblum and even Taylor Hackford.
So – is producing a short film for you? The above are a few reasons why it may be. Here's one more: It felt pretty good at Cannes telling Gus Van Sant that my short film African Chelsea was playing at the Palais the next morning. So get out there and do it. Make it happen. Build your wagon. Do or do not – there is no try.
Brent Roske is an Emmy-nominated director; his short film African Chelsea, starring Corinne Becker and Oscar nominee Sally Kirkland, is qualified for this year's Oscars.


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20 February 2012 at 1.47pm | 2 Comments
All at the Royal Opera House are saddened to hear of the death of soprano Elizabeth Connell at the age of 65.
Born in Port Elizabeth, South Africa, the singer moved to London in 1970 to study at the London Opera Centre. Two years later she made her professional debut as a mezzo-soprano, before switching to soprano repertory in 1983.
Her Royal Opera debut was as Viclinda in I Lombardi alla prima crociata in 1976, and she went on to sing a number of roles with the company including Eboli (Don Carlos), Vitellia (La clemenza di Tito), Fiordiligi (Così fan tutte), Leonora (Il trovatore), Leonore (Fidelio), Elettra (Idomeneo), Odabella (Attila) and the title role in Elektra.
She sang to acclaim for international opera houses and festivals including The Metropolitan Opera, La Scala, Vienna State Opera, ENO, Glyndebourne and Bayreuth.
Her last appearances with The Royal Opera were as Gertrud in Hänsel und Gretel and as the title role in Turandot, both in December 2008, receiving critical acclaim. Our thoughts are with her friends and family at this time.


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Do all of these:
- Tell what is meant by family, duty to family, and family meetings.
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- Plan your own budget for 30 days. Keep track of your daily expenses for seven days.
- Take part in at least four family meetings and help make decisions. The meetings might involve plans for family activities, or they might be about serious topics that your parent wants you to know about.
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And do two of these:
- With the help of an adult, prepare a family energy-saving plan. Explain what you did to carry it out.
- Tell what your family does for fun. Make a list of fun things your family might do for little or no cost. Plan a family fun night.
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Ask the Experts
I'm often wondering on the golf course how I can balance the speed of my round with playing a round of golf that's respectful of etiquette, my playing partners and my own enjoyment.
Is the shoulder turn on the backswing the same amount regardless of the length of the club, or do you turn less the shorter the club? Related question: Is the arm swing shorter with shorter clubs?
3 Aug 2011 - 1:53pm - 0 Comments
I struggle from bunkers, especially in two cases. If the ball is perched in the sand, and I am green-side, how should I play the ball? I struggle with spin and consistency, and I am wondering if I should pick the ball clean or hit down on it.
3 Aug 2011 - 1:52pm - 0 Comments
I am hitting a lot of iron shots off center towards the toe of the club. I checked my lie and it is center. Any suggestions on drills to get the shots more toward the center of the club?
3 Aug 2011 - 1:50pm - 0 Comments
I need a tip for hitting the long irons, 3-5. I hit the lower irons fine and feel quite comfortable. I can hit the long irons, however the feel and ease is just not there.
3 Aug 2011 - 1:47pm - 0 Comments
Hi Jim, I'm about a 10 handicap, and I'm trying hard to perfect my swing. I hit the ball very well, but often topple forward toward the target (like Gary Players step through drill).
3 Aug 2011 - 1:44pm - 0 Comments
I've been playing for two yrs now and love the game, but the problem is that nature cheated me out and I only stand 5'-5" tall. On an average drive, I probably hit the ball 220 yds or so. I can't help feeling cheated when I see 6'+ tall guys hammering the ball.
3 Aug 2011 - 1:44pm - 0 Comments
I've been golfing for several years. For the life of me, I still can't hit any long irons. I've tried different things, taken lessons but just can't get it together. I've been told the hybrids are the way to got but I think I need to fix my fundamentals first.
3 Aug 2011 - 1:39pm - 0 Comments
I just started learning how to play golf from and instructor and was wondering does power come with time and comfort from your swing or is that it when you get your swing somewhat sound. I'm 24 years old with a background in football and wrestling and do lift 3 times a week.
3 Aug 2011 - 1:39pm - 0 Comments
Should I keep my left arm completely straight when hitting the ball and how far should I stand from the ball at set- up.
3 Aug 2011 - 1:33pm - 0 Comments
My 16 yr old hits a nice little draw, but lately he sometimes starts to push the ball straight right. I think he quits on his follow through, maybe trying to guide the ball instead of crushing it.
3 Aug 2011 - 1:32pm - 0 Comments
How much of a putting stroke would you put down to being confident standing over the ball? I seem to be having a bad run with the putter and feel my confidence is slipping over those tricky putts that we all enjoy.
3 Aug 2011 - 1:29pm - 0 Comments
I had always had trouble in the past coming over the top and hitting either a fade or slice but I started practicing holding my right elbow to my side and closed my stance a little by dropping my right foot back and now I draw the ball and hit it much further.
3 Aug 2011 - 12:27pm - 0 Comments
When I start the down swing do my hips start first or does my hips and hands start at the same time. As of now I'm either pushing my shots a little right or blocking them out. I'm making solid contact but my shots are about 10 to 15 yards right of the target.
3 Aug 2011 - 12:23pm - 0 Comments
What is the best way of ensuring the swing is on plane during the early part of the take away?
3 Aug 2011 - 12:23pm - 0 Comments
I carry a 5 handicap but when I get in trouble it is usually because I pull my driver straight left. Usually my driver goes strait or fades just a little. What do you think happens when I pull it dead left
3 Aug 2011 - 12:21pm - 0 Comments
How can you break the habit of pulling up when approaching the ball ? I have got in the habit of pulling up and when doing that I top the ball and don't get a solid hit.
3 Aug 2011 - 12:19pm - 0 Comments
On short wedge shots from 75 yards in I am constantly pulling the ball left of target and short. Can you help me understand what I am doing wrong?
3 Aug 2011 - 12:14pm - 0 Comments
I was having problems getting my ball off the ground from the tee, so I moved the ball well forward in my stance. I was getting the ball up, but now I have a bad hook with a lot of spin. From the tee the ball goes about 70 yards hooking then dives straight to the ground.
3 Aug 2011 - 12:14pm - 0 Comments
Rolling of the wrist or closing the club face release is that something I do? or it just follows a good grip and set up I still hit to many slices and hard fades
3 Aug 2011 - 12:12pm - 0 Comments
Home » Ask the Experts


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They've been fertile.
And multiplied ... and are divisive ... their usual, mathematical selves. :-P~~~~~
But wait, there's more! Charts on John McAfee, Petraeus-Gate, and Sesame-Gate, with "mouse over to zoom in", at http://lilsarg.com/ -- thanks for pointing us there!
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The Language of Archetypes
- Discover the Forces that Shape Your Destiny
- Letto da: Caroline Myss
- Durata: 12 ore e 14 min
- Discorsi
- Data di pubblicazione: 29/08/2006
- Lingua: Inglese
- Editore: Sounds True
Sintesi dell'editore
Altri titoli dello stesso
Cosa ne pensano gli iscritti
- Alan
- 05/12/2008
A truely awesome value, you NEED this book.
Ok, it is an audio book in original form, I know.
There are not allot of people that come along and can point you in the right direction, or more importantly, give you the tools to choose the right direction. Caroline Myss is both, depending on what you are looking for. Either way, I think everyone from teen to into their 70's should listen to this book. She teaches you to know yourself first, and then you can, if you choose, identify other people's Archetypes. Listen very carefully to her, know where the line is and what you are crossing when you do this, it is easy to misuse what she teaches you. If you use your knowledge as a weapon, well, just don't do it. What you become is the shadow-side of your own archetype. You don't want that.
One last note, I cannot finish this review before commenting on some of the others, sorry, it's just in me. I think some misunderstand her, either by choice or not. Don't mistake her coarseness at times for raw feeling, or for heaven's sake, DON'T take it personal. LISTEN..., that is all I can say.
66 su 69 utenti hanno ritenuto utile questa recensione
- Toni
- 14/07/2007
The Language of Archetypes
Caroline Myss is a genius in understanding and teaching of our purpose for being.Her explanation of God are so extraordinarily easy to understand and comprehend.This book I feel is a smooth transition to all of her previous work.She truly understands the energetics of humans.If you are on a path of self discovery and have asked yourself why you are here and for what purpose, this is a MUST read.
42 su 44 utenti hanno ritenuto utile questa recensione
- Jaclyn
- 16/07/2008
I found these lectures very informative as well as meditative! Sometimes while I listened I took notes... other times I danced. I shared the author's ideas with friends and family. She definately had an effect on me! I was somewhat familiar with Carl Jung's archetypes before listening to these CDs, so this all wasn't completely new material... it's just that the way the author presents her ideas is so practical, it really helped me to understand myself and everyone around me with more compassion and awareness. I also laughed more than a few times. Ms. Myss has such a matter-of-fact way of stating things... I couldn't help but laugh at some of my own deep-set belief patterns.
Overall, I was very impressed.
33 su 35 utenti hanno ritenuto utile questa recensione
- Joy
- 06/01/2007
Finding Your Life Purpose
This is the most excellent book/lecture on finding your life purpose ever written. Purchasing it will change your life. If you are tired of stumbling through life not really knowing why you are here, or how to discover why things happen in your life, she will help you discover your life's true meaning.
34 su 37 utenti hanno ritenuto utile questa recensione
- Sheila
- 27/03/2010
Fascinating, thought-provoking
Caroline Myss is not as widely known as she should be. The study of archetypes in our lives is not a new idea; it dates back to ancient philosophers, and is well-known to modern psychology. However, it is not a common topic for the average person. I propose that it SHOULD be, and Ms. Myss has put it into a context that will appeal to the average reader. We all regularly use this "language" of archetypes when we point out the "bully" in the school yard or the "princess" at work. But rarely do we look carefully at the characterics that make these traits so easily and naturally identifiable to us all. When seen through fairy tales, movies, and common experiences, these traits suddenly come alive and you (the reader/listener) will discover a whole new view of the world and of yourself. You will soon find that you can see the REASON for another's behavior (and your own as well) in a way that will provoke thought, understanding, and compassion. I recommend THE LANGUAGE OF ARCHETYPES as the first step into this delightful, insightful and astonishing world. You will find you want to learn more.
21 su 23 utenti hanno ritenuto utile questa recensione
- Sabrina
- 21/07/2011
Captivated from the first click
This book is a wonderful introduction to and expansion of the concepts of archetypes and how they apply to our everyday existence. I have been looking for a title that would help me gain a modern day view of Jungian psychology. Caroline Myss is interesting to listen to and very informative. She concretely explains the 'language' in such a way that the casual listener can understand while at the same time offering the budding expert enough to whet the palate. She is truly a master teacher!
13 su 14 utenti hanno ritenuto utile questa recensione
- Addison
- 10/08/2011
Too much opinion Not enough "fact"
I realize that this isn't exactly a topic that is generally accepted as documented "fact" to begin with, but I felt that this book was pitiful. I would say this book is 15% archetypes, and 85% the author ranting about her life and the fact that she is right and everyone else is wrong. I am generally able to listen to about anything. I listen to books on quantum physics for crying out loud. This was terrible. I listened for almost 3 hours before she started actually getting in to individual archetypes. When she finally did, she kept going into asides that completely took away from any learning process that was being started. Unless you love this author specifically, and are a huge fan of her personal agenda I would highly recommend finding another read. That is my personal opinion of course.
26 su 30 utenti hanno ritenuto utile questa recensione
- Jami
- 10/11/2011
Be Aware That This is a Live Speech...
If you like Myss' works, this will not disappoint as it contains great in-depth explorations of the relationship between various aspects of our personalities and the traditional Archetypes that she covers, but be aware this is a live speech rather than an actual reading of a book, which can be fun as there is some audience feedback and interaction, but can also be frustrating as there are times Myss starts to talk about a particular situation or Archetype, but then gets distracted and wanders off elsewhere. If you want a more structured discussion about archetypes, consider reading her "Sacred Contracts" book.
In terms of performance, I have to confess that the more Myss ages, the more unpleasant I find her voice and mannerisms. The early audios weren't bad, but listening to her here made me want to stab myself in the eye with a pencil. I just had to stop at one point and haven't listened any further. Make sure you listen to the sample first to see if you can handle her voice before you purchase.
28 su 34 utenti hanno ritenuto utile questa recensione
- lilnjndatdid
- 19/01/2019
Entertaining yet missing practical guide
Learning the archetypes are interesting and a bit overwhelming with so many types and some that seem could overlap. You can tell she has some issues with some folks of certain archetypes as she gets a bit aggressive in talking about some. What's missing for me is a real practical guide about how to learn the message of the archetype and move forward successfully to change patterns. I think even a few detailed thought out examples would really help this book be more than a very basic index of archaetypes
2 su 2 utenti hanno ritenuto utile questa recensione
- C. M. Otto
- 20/06/2013
The potential to Heal the Soul if you do the work!
This is an amazing body of work. If you are willing to look deep into yourself and acknowledge all that resides there you could come out a healed and healing force in the Universe. The only caveat is you must be honest with yourself or you will be wasting your time and money. We are all good at hiding the truth from ourselves, it is the ego's way of staying in charge. But if you want to control your destiny then it is time to take back your power. This book can help you do that.
5 su 6 utenti hanno ritenuto utile questa recensione
- Abby Wynne
- 02/08/2014
Caroline Myss at her best
Highly recommended, as well as the theory behind each archetype, Caroline builds on what we already know with her point of view, client stories and her opinions. Yes she lectures us in this, she gets passionate and angry, and soft, but that's why we love her!!
Well worth a listen, in fact you might want to put it away after the first listen, and listen again a year later to pick up what you need to be reminded of!
8 su 8 utenti hanno ritenuto utile questa recensione
- lisa
- 07/04/2013
Interesting but a lot to take in
As usual Myss is passionate about what she teaches, loads of info given but not always that indept with regards to individual archetypes, not sure it's been the best audio book I've heard by Caroline Myss in terms of helping self development. I would of liked to hear more about what to do if you are stuck with a certain archetype but I guess the volume of different ones meant there wasn't much room for more detailed advice. This is not to dismiss it, it's worth a listen if your into your archetypes.
5 su 6 utenti hanno ritenuto utile questa recensione
- Soosi
- 02/12/2011
Not what I expected at all
From listening to the sample this title gripped my attention and I thought, "wow, this is going to answer a few questions". Either I missed something or the sample was the most interesting part of this. Couple this with the voice of the author having a song-like quality that distracted me throughout (you know when someone has a peculiarity in their diction and you stop listening to the words and focus on the peculiarity?) I don't wish to be mean, this is only my opinion, perhaps if I had bought the book and read it myself it would have been more enjoyable. I hope this helps others to decide on this title.
10 su 14 utenti hanno ritenuto utile questa recensione
- Northness
- 30/03/2018
very informative
Lots of good information here. Clearly presented. Easy to listen to. If you like her it's worth a listen.
1 su 1 utenti hanno ritenuto utile questa recensione
- Michelle-Jayne
- 14/03/2018
understanding patterns and behaviours
so much depth love it . i will listen again to do some study work
1 su 1 utenti hanno ritenuto utile questa recensione
- Amazon Customer
- 15/07/2017
beyond-a workbook
down to earth Carolyn M. invites us reasers going past superficial and learning to discern deep soul patterns. she brings this very comprehensive matter in an authentic way with humoristic contrasting examples so recog isable in our dily lives. to listen to again and again to gain clarity.
1 su 1 utenti hanno ritenuto utile questa recensione
- Lala B
- 06/05/2017
Superb, detailed, entertaining. Caroline myss at her finest detailing archetypes and how archetypes can be related. She applies these to everyday life so totally relatable to. As usual there is no hiding from yourself with her work!
Highly recommended
1 su 1 utenti hanno ritenuto utile questa recensione
- helen dickinson
- 26/11/2016
An audio book to listen to over and again. Caroline is very easy to listen and puts the archetypes to us in an approachable way.
1 su 1 utenti hanno ritenuto utile questa recensione
- m
- 20/11/2016
not sure I'm convinced
it was entertaining and humorous but not compelling or convincing. her other stuff is better
1 su 1 utenti hanno ritenuto utile questa recensione
- Amazon Customer
- 09/08/2019
I enjoyed this book very much very informative highly recommendI. intend to read it over and over again