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#private #long #term #disability #insurance, #disability #statistics #disability #facts #disabling #work #injury #disabling #accidents #and #illnesses #disability #insurance #national #safety #council #commissioners #disability #table #disability #and #bankruptcy #disability #and #mortgage #foreclosure #social #security #disability #insurance #(ssdi) #benefit #workers #compensation #benefits #private #disability #income #insurance
This page was last updated on July 3rd, 2013
It happens more often than you'd imagine:
- Just over 1 in 4 of today's 20 year-olds will become disabled before they retire. 1
- Over 37 million Americans are classified as disabled; about 12% of the total population. More than 50% of those disabled Americans are in their working years, from 18-64. 2
- 8.8 million disabled wage earners, over 5% of U.S. workers, were receiving Social Security Disability (SSDI) benefits at the end of 2012. 3
- In December of 2012, there were over 2.5 million disabled workers in their 20s, 30s, and 40s receiving SSDI benefits. 3
Chances of becoming disabled:
The following statistics come from CDA s PDQ disability risk calculator: 4
- A typical female, age 35, 5 4 , 125 pounds, non-smoker, who works mostly an office job, with some outdoor physical responsibilities, and who leads a healthy lifestyle has the following risks:
- A 24% chance of becoming disabled for 3 months or longer during her working career;
- with a 38% chance that the disability would last 5 years or longer,
- and with the average disability for someone like her lasting 82 months.
- If this same person used tobacco and weighed 160 pounds, the risk would increase to a 41% chance of becoming disabled for 3 months or longer.
- A 24% chance of becoming disabled for 3 months or longer during her working career;
- A typical male, age 35, 5 10 , 170 pounds, non-smoker, who works an office job, with some outdoor physical responsibilities, and who leads a healthy lifestyle has the following risks:
- A 21% chance of becoming disabled for 3 months or longer during his working career;
- with a 38% chance that the disability would last 5 years or longer,
- and with the average disability for someone like him lasting 82 months.
- If this same person used tobacco and weighed 210 pounds, the risk would increase to a 45% chance of becoming disabled for 3 months or longer.
- A 21% chance of becoming disabled for 3 months or longer during his working career;
A sample of factors that increase the risk of disability: Excess body weight, tobacco use, high risk activities or behaviors, chronic conditions such as; diabetes, high blood pressure, back pain, anxiety or depression, frequent alcohol consumption or substance abuse.
A sample of factors that decrease the risk of disability: Maintaining a healthy body weight, no tobacco use, healthy diet and sleep habits, regular exercise, moderate to no alcohol consumption, avoidance of high risk behaviors including substance abuse, maintaining a healthy stress level, and effective treatment of chronic health conditions.
To calculate your own Personal Disability Quotient (PDQ), go to:
http://www.whatsmypdq.org .
Disability prevents people from earning a living:
- There were over 2.8 million new Social Security Disability Insurance (SSDI) applications in 2012, slightly lower than in the two previous years, but still 29% higher than in 2007, and 67% higher than 2002 levels. 3
- 61% of surveyed wage earners personally know someone who has been disabled and unable to work for 3 months or longer. 5
- Wage earners who know someone who has been disabled predict their own odds to be higher than respondents who do not. 5
- The average group long-term disability claim lasts 34.6 months. 6
- The average individual disability claim lasts 31.6 months. 7
- One in eight workers will be disabled for five years or more during their working careers. 8
Working Americans underestimate their risk of disability:
- 64% of wage earners believe they have a 2% or less chance of being disabled for 3 months or more during their working career. 5 The actual odds for a worker entering the workforce today are about 25%. 1
- Most working Americans estimate that their own chances of experiencing a long term disability are substantially lower than the average worker s. 5
Disability causes severe financial hardship:
- 90% of wage earners rated their ability to earn an income as valuable or very valuable in helping them achieve long-term financial security wage earners perceive their ability to earn an income as even more valuable than retirement savings, medical insurance, personal possessions, other forms of savings or their homes. 5
- Medical problems contributed to 62% 9 of all personal bankruptcies filed in the U.S. in 2007- an estimate of over 500,000. 10 This is a 50% increase over results from a similar 2001 study.
- Medical problems contributed to half of all home foreclosure filings in 2006. 11
Common causes of disability:
- According to CDA's 2013 Long-Term Disability Claims Review 12. the following were the leading causes of new disability claims in 2012:
- Musculoskeletal/connective tissue disorders (28.5%) *
- Cancer (14.6%)
- Injuries and poisoning (10.6%)
- Mental disorders (8.9%)
- Cardiovascular/circulatory disorders (8.2%)
- The most common causes of existing disability claims in 2012 were:
- Musculoskeletal/connective tissue disorders (30.7%) *
- Disorders of the nervous system and sense organs (14.2%)
- Cardiovascular/circulatory disorders (12.1%)
- Cancer (9.0%)
- Mental disorders (7.7%)
- Approximately 90% of disabilities are caused by illnesses rather than accidents.
* This category includes claims caused by neck and back pain; joint, muscle and tendon disorders; foot, ankle and hand disorders, etc.
Few American workers are financially prepared:
How long could you afford to be without a paycheck?
- Do you save any of your annual income? 48% of U.S. families don't. 13
- Retirement savings? One-third of us have none. 1
- 68% of adult Americans have NO savings earmarked for emergencies. 13
- 65% of working Americans say they could not cover normal living expenses even for a year if their employment income was lost; 38% could not pay their bills for more than 3 months. 5
- Nearly nine in ten workers (86%) surveyed believe that people should plan in their 20 s or 30 s in case an income limiting disability should occur;
- Only half (50%) of all workers have actually planned for this possibility.
- Fewer than half (46%) have even discussed disability planning. 15
Most American workers incomes are not protected:
- About 100 million workers are without private disability income insurance. 1
- 69% of workers in the private sector have no private long-term disability insurance. 1
Think Social Security or Workers' Compensation will cover it?
Better do your homework:
- 65% of initial SSDI claim applications were denied in 2012. 3
- Can your family live on $1,130 a month? That's the average monthly benefit paid by Social Security Disability Insurance (SSDI) at the end of 2012.
- The average SSDI monthly benefit payment for males was $1,256
- The average SSDI monthly benefit payment for females was $993 16
- At the end of 2012:
- 7.3% of SSDI recipients received less than $500 monthly.
- 46% received less than $1,000 per month.
- 93% received less than $2,000 per month. 17
- Less than 5% of disabling accidents and illnesses are work related. The other 95% are not, meaning Workers' Compensation doesn't cover them. 12
- U.S. Social Security Administration, Fact Sheet February 7, 2013
- U.S. Census Bureau, American Community Survey, 2011
- U.S. Social Security Administration, Disabled Worker Beneficiary Data, December 2012
- Council for Disability Awareness, Personal Disability Quotient (PDQ) calculator
- Council for Disability Awareness, Disability Divide Consumer Disability Awareness Study, 2010
- Gen Re, U.S. Group Disability Rate & Risk Management Survey 2012, based on claims closed in 2011
- Gen Re, U.S. Individual DI Risk Management Survey 2011, based on claims closed in 2010
- Commissioner's Disability Insurance Tables A and C, assuming equal weights by gender and occupation class
- The American Journal of Medicine, June 4, 2009 Medical Bankruptcy in the United States, 2007: Results of a National Study; David U. Himmelstein, MD, Deborah Thorne, PhD, Elizabeth Warren, JD, Steffie Woolhandler, MD, MPH
- U.S. Courts, Bankruptcy Statistics, 12-Month Period Ending December 2007
- Get Sick, Get Out: The Medical Causes of Home Mortgage Foreclosures, Christopher Tarver Robertson, Richard Egelhof, & Michael Hoke; August 8, 2008
- Council for Disability Awareness, Long-Term Disability Claims Review, 2012
- U.S. Federal Reserve Board, Survey of Consumer Finances, 2010
- American Payroll Association, "Getting Paid in America" Survey, 2012
- Council for Disability Awareness, Worker Disability Planning and Preparedness Study, 2009
- U.S. Social Security Administration, Disabled Worker Beneficiary Data, December 2012
- U.S. Social Security Administration, Disabled Worker Beneficiary Data, December 2012
Visit the CDA website for more information: www.disabilitycanhappen.org


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You can customize the ribbon to make it the way that you want it. You can change default tabs, create custom tabs and custom groups to contain your frequently used commands.
For more information about other things you can do to customize the ribbon, see Customize the ribbon.
Watch what you can do to customize the ribbon
Choose commands from list
To customize the ribbon or the Quick Access Toolbar, you should be familiar with the Choose commands from list. The following are the lists that you can choose commands from:
Popular Commands This list displays by default and contains some of the most frequently used commands in a Microsoft Office program.
Commands Not in the Ribbon This list shows the commands that are not already in a tab and group on the ribbon. If you are not sure what list to use, you might want to use the All Commands list, because this list shows all commands available in an Office program.
Macros This list shows the macros that are available for you to use and add to the ribbon.
File Tab This list shows the commands that are available on the Microsoft Office Backstage view — what you see after you click the File tab. For more information about the Backstage view, see What and where is the Backstage view.
All Tabs This list shows you the tabs that are installed with, or built-into, an Office program, including the contextual tabs that appear when you are working with specific items, such as tables or SmartArt graphics.
Main Tabs This list shows you the tabs that are installed with an Office program, but not the contextual tabs that appear when you are working with objects such as tables, drawings, or SmartArt graphics.
Tool Tabs This list includes the contextual tabs that appear when you are working with a specific object or tool, such as a drawing, tables, or SmartArt graphics.
Custom Tabs and Groups This list shows the tabs and groups that you created to customize your ribbon.
Change a default tab
One of the first things to decide is if you need to create a new tab or modify a default tab. A default tab is one of the tabs installed with or built-into an Office program.
To help make your decision you need to know what you can and cannot do to default tabs.
Things you can do include:
Adding a custom group, and then adding commands to this custom group.
Renaming a default tab or group.
Changing the order of the tabs and groups.
Hiding a tab.
Switching back to use the default tabs and groups.
Some things you can't do are:
Adding commands to a default tab.
Adding commands to a default group.
Changing the icon assigned to a default tab or group that is visible when you resize the ribbon.
Go back to the default tab or hide a tab
You have three choices to go back to the default tabs, the ones installed with an Office program.
Click the Reset command to either reset all customizations including the ones you made to the Quick Access Toolbar.
Click the Reset command to reset the tab that you select.
Hide a default or customized tab.
Important: If you ever want to use your customized ribbon again, you should export it before you click Reset. For more information about exporting or importing ribbon customizations, see the Share your ribbon customizations section below.
Create your own tab
See how to create your own tab and groups and add commands to the new custom groups.
Share your ribbon customizations
You can import customization files to replace the current layout of the ribbon and Quick Access Toolbar. By being able to import the customization, you can keep Microsoft Office programs looking the same as your coworkers or from computer to computer.
Important: When you import a ribbon customization file, you lose all prior ribbon and Quick Access Toolbar customizations. If you think that you might want to revert to the customization that you currently have, you should export them before importing any new customizations.

subset: commoncrawl


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Everyday scenes are very hard to come by on film, simply because most people prefer to record significant events and family activities, and yet this is exactly the sort of footage most in demand by archive users today, as they research how we used to live. Fortunately, some film-makers took the trouble to record street scenes, buildings, transport and so on in our towns and villages, including rural life.
Locations covered include Portsmouth, Southampton, Winchester, Basingstoke, Gosport, Eastleigh, Havant, Alton, Minstead, Lymington, Burghclere, the Isle of Wight, Chalton, Petersfield, Romsey, Fordingbridge, Weymouth, Lyndhurst, Botley, Dorchester, Salisbury and Christchurch.
Tricorn Centre, Portsmouth 1973


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Hey Vicky! We would love for you to get involved in your Mom Bloggers Circle. Please make sure to accept my friend request so we can get you connected with others in our circle. It's a great way to get your blog out there and to meet other mom bloggers like you.
Hi Vicky,
I'm very late (several months) on saying "welcome to MBC and Moms Over 40 group." Thanks for selecting Be A Featured Mom in 2013 as one of your favorites.
Have a great day,
InSeason Mom Cynthia


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OMAHA, Neb. -- With about three weeks to go before the competition to determine the U.S. Olympic swimming team, elite athletes like Katie Hoff and Michael Phelps don't have to turn heads at the final Grand Prix meet this weekend.
Many swimmers are using the Mutual of Omaha Swimvitational as an opportunity to compete in the pool that will hold the Olympic trials and to tweak technique and strategy. There's not even any suspense about who will be the overall winner of the eight-event Toyota Grand Prix series and the $20,000 prize. With a 35-point lead, Phelps could be a no-show and still pocket the cash.
So Hoff will not duel Northern Virginia's Kate Ziegler in the 800-meter freestyle or compete in her signature freestyle and individual medley events. And Phelps won't be lighting up stopwatches in the 400 IM or 200 butterfly, events in which he holds world records.
Towson's Hoff will swim six events: the 100 and 200 breaststroke, 100 butterfly, 100 and 200 backstroke and the 50 freestyle.
"She doesn't need to swim her best events every time to be OK," says Paul Yetter, Hoff's coach. "These are fun events, and she can do well in them."
Hoff, who turned 19 this week, says she wants to avoid putting pressure on herself.
"That's why I didn't want to be swimming anything I would at trials. I didn't want to be comparing. I just don't do that," she says.
Yet Hoff is excited about her final event of the meet - the 200 backstroke, where she has the top-seeded time.
"I can't swim it at trials," she says of a schedule conflict with the 800 freestyle. "But I've always liked it, and I think I can do well in it."
Phelps will be in four events: the 100- and 200 freestyle, the 100 butterfly and 100 backstroke.
It should be a relatively stress-free meet for the swimmer from Rodgers Forge, who recently turned up the intensity of his training with a lengthy stay in the high altitude of Colorado Springs, Colo. Despite some issues with his new swimsuit - he's broken several drawstrings in the Speedo LZR Racer and briefly switched back to his old suit - he has been swimming well.
At the Santa Clara (Calif.) Grand Prix last month, Phelps beat Aaron Peirsol in the 100 backstroke, the first time the six-time Olympic gold medalist has defeated Peirsol in a backstroke event. Though he's unlikely to swim the backstroke in Beijing, it does bode well for Phelps' time in the 400 IM, an event he has been less than pleased with the past several months.
Phelps' coach, Bob Bowman, has continued his policy of not releasing what events Phelps will swim at the Olympic trials until the last possible moment, so the Swimvitational might be the last time he'll swim the 100 freestyle this year. When Phelps burst onto the international scene four years ago, his strength was his incredible endurance and his ability to conserve energy for late in the race. But over the past 18 months, he has shown the swimming world he's also a force to be reckoned with in sprints.
At a Grand Prix meet in April, he finished second to Brazil's Cesar Cielo by .07 of a second in the 100 freestyle, but swam the fastest time of his career (48.41).
Yetter says getting accustomed to the pool is particularly important for the backstroke, where a swimmer loses visual contact and can stray diagonally. Almost all of the North Baltimore Aquatic Club swimmers competing in the Omaha meet and at trials have a backstroke event this weekend.
"It's nice to be in the environment, to gauge the walls and get comfortable with it," he says. "The [other] nice thing about going to Omaha before the trials is that you get to know where everything is, the hotel, the warm-up pool, and how long it takes to get there.
"Katie is ready to go. If she's feeling good, I'm feeling good."
email@example.com email@example.com


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Are you the kind of person who feels guilty after each bite, or someone who likes to source your food locally and ethically - or from the freezer straight into the microwave?
For many of us, our relationship with food is a complicated one, and like most, you probably have a signature 'eating type'.
Because eating is such a vital part of our everyday lives, it's little surprise that our relationship with food is closely linked to the type of person we are.
According to food coach and author of Eat Right for Your Personality Type, Karen Knowler, most of us fit into one of a number of common 'eating personalities' that reflect our character and reveal a lot more than our food preferences.
From the 'functional eater' who likes things in life to be convenient and fast-paced, to the 'sensual eater' who enjoys the simple pleasures in life, take a look to see which is your food style… and what it reveals about your personality.


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ESPN's Back To School Fair – Saturday, August 11th
Townsquare Media and Solarity Credit Union Back To School Fair presented by Mike Olson Dodge. This fun event at Meadowbrook Family Fun Center will feature a performance by Eisenhower cheer squad, magic with Dave Ettl, Story Time with the Mayor of Yakima, a super hero costume contest and so much more! Fun, interactive activities including a petting zoo with instruments from Ted Brown Music and computer games from Midstate Computers.
Free for all ages!
Meadowbrook Family Fun Center
Noon - 5 P.M.


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The degenerative evolution from multicellularity to unicellularity during cancer
(Submitted on 14 Aug 2014)
Theoretical reasoning suggests that human cancer may result from knocking down the genetic constraints evolved for maintenance of the metazoan multicellularity, which, however, requires a critical test. Using xenograft-based experimental evolution we characterized for the first time the full life history from initiation to metastasis of a tumor at the genomic and transcriptomic levels, and observed metastasis-driving positive selection for generally loss-of-function mutations on a set of multicellularity-related genes, which is further supported by large-scale exome data of clinical tumor samples. Subsequent expression analysis revealed mainly expression down-regulation of multicellularity-related genes, which form an evolving expression profile approaching that of embryonic stem cells, the cell type with the most characteristics of unicellular life. The theoretical conjecture predicts that genes born at the emergence of metazoan multicellularity tend to be cancer drivers, which we validated using a rigorous phylostratigraphy analysis on the birth rate of genes annotated by Cancer Gene Census. Also, the number of loss-of-function tumor suppressors often predominates over activated oncogenes in a typical tumor of human patients. These data collectively suggest that, different from typical organismal evolution in which gain of new genes is the mainstream, cancer represents a loss-of-function-driven degenerative evolution back to the unicellular ground state. This cancer evolution model may explain the enormous tumoral genetic heterogeneity in the clinic, underlie how distant-organ metastases originate in primary tumors despite distinct environmental requirements, and hold implications for designing effective cancer therapy.


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"Big Data" Discussion
Date: Monday, April 28, 2014
Time: 4:30 PM to 5:30 PM
Location: Higley Auditorium
Meet & Greet
Date: Tuesday, April 29, 2014
Time: 10:00 AM to 11:00 AM
Location: 220 Burton Morgan Center, Light refreshments will be provided!
Susan Whiting is a C-level executive and Board Director working with multi-national corporate and not-for- profit organizations in the US. She retired as Vice Chair at Nielsen in 2013, after a 35-year career with the company. Susan is known for building Nielsen's most visible franchise in television measurement during the cable, telecommunications and media industries' digital transition. She started her career with Nielsen in the management training program and rose through the ranks to senior leadership and Board roles with global responsibilities. Susan has an intimate knowledge of consumer behavior across international markets with three decades of active operational and leadership experience at this top market research company measuring consumer buying behavior and media viewership in 100 countries.
In the past decade, Susan has served as a top advisor and director for consumer, technology and financial services companies, working with executive leadership, external business partners, clients and investors. In addition to her roles with Nielsen, where she led global client relations, communications, marketing, public and government affairs, corporate social responsibility, and diversity initiatives, Susan held Board roles with a number of corporate and not-for-profit entities, including MarkMonitor, acquired by Thomson Reuters in 2012, and Wilmington Trust, acquired by M&T Bank in 2011. She currently serves as a Board Director for Alliant Energy Corporation, an investor-owned, publicly-traded company. She is also a Board Director for The Trust for Public Land, and a Trustee for Denison University and the Peggy Notebaert Nature Museum in Chicago.
Corporate social responsibility and community development initiatives are cornerstone interests for Susan's business and leadership activities. She champions growth, diversity and change initiatives as an executive leader. Her not-for-profit Board and Trustee leadership roles reflect her passion for education, science and diversity, as well as her personal interests in supporting nature and education for future generations.
Susan graduated from Denison University with a degree in Economics.


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I just read a great post on Getting a Great Genealogical Education for Little or No Money! by Valerie Elkins on her blog Family Cherished.
I enjoyed her focus on creating a genealogy education plan first, and then finding options to meet your needs. She lists some good ideas for free or inexpensive genealogy education available online, and I encourage others to read her piece.


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The Jewish Community Foundation of Greater MetroWest NJ (JCF) on July 3
announced that it has received a $5 million Jewish camping gift, representing a
record-breaking amount for North America.
Given in support of a permanent Jewish camping fund, the gift "will create the first endowed full-time Jewish camp position in a federation in North America," according to a press release from the Jewish Federation of Greater MetroWest NJ, of which the JCF is the planned giving and endowment arm.
"[The gift] will also provide ongoing support for several related programs: as many as 250 incentive grants for first-time overnight campers each summer, more affordable camp options for families, a 'pipeline' program to encourage Jewish day campers to transition to Jewish overnight camp, and 'innovations; funding for programs that bring the power of Jewish camp to the community year-round," the press release said.
Jeremy Fingerman, chief executive officer of the Foundation for Jewish Camp, said in a statement that the Greater MetroWest community's Jewish camping efforts "will set the standard for others across North America."


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Wabash College begins celebration of its 175th year this fall with an all-time record enrollment of 917 men, the largest number of students since 2002 when enrollment was 912 at the start of the fall term.
The high enrollment is due to several factors, including consistently large and stable freshman classes and increasingly high retention from the freshman to sophomore year. This year, the Admissions Office recruited exactly 250 freshmen and two transfers, and nearly 90 percent of the Class of 2010 returned for its sophomore year.
Wabash President Pat White says that young men are attracted to the College because they are taken seriously here.
"Young men all across the country see in the Wabash mission to help them to think critically, act responsibly, lead effectively and live humanely, that here is a college that will take them seriously and ask them to achieve more than they thought possible," said White. "Our retention remains strong because Wabash men on campus see that the College delivers on the promise of its mission and they see the transformation in their own lives."
Wabash has also received high praise in surveys such as the National Survey of Student Engagement and The Princeton Review's "Best 366 Colleges" guide. Wabash students annually rank in the 90th percentile in the level of their engagement and interaction with faculty, according to NSSE. In addition to giving Wabash scores of 98 for academics and 99 for financial aid, The Princeton Review ranked Wabash second nationally in its "Best Classroom Experience" category, seventh in "Professors Make Themselves Accessible," and eighth in "Professors Get High Marks."
"We work well together because we are focused on teaching and learning," President White said of the collaborative nature of the College community. "Every person on campus recognizes a role in helping the development of these young men. The students are at the center, and teaching and learning, wherever they happen — inside the classroom, outside the classroom, at work, in casual interaction with faculty and staff — are at the heart of Wabash. We work well together because we never lose sight of our focus."
The College's alumni are to be credited, as well. Wabash is coming off an Annual Fund year in which it raised more than $2.7 million in student support from alumni, parents, and friends. The College's endowment has reached an all-time high of $380 million, which officials say allows Wabash to continue its historic tradition of generous scholarship and financial aid programs.
All of this provides Wabash a position of strength from which it will mount a yearlong strategic planning process beginning this month. President White kicked off the Sphinx Club Chapel Talk series by outlining the planning process.
"As Wabash celebrates it 175th year we continue to respond to the wants of the country as the founders noted," said President White. "We celebrate the past by looking to the future from a position of great strength, with our highest enrollment ever, faculty and staff, alumni and friends committed to the mission of the College, and students ready to work hard to achieve their best imagination of all they can accomplish."


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Holiday Inn Portland hotels are provided below. Search for cheap and discount Holiday Inn hotel rates in Portland, TN for your business gathering or personal travels. We list the best Holiday Inn Portland hotels/motels so you can review the Portland Holiday Inn hotel list below to find the perfect place.
We will also provide Portland, TN hotels/motels that are comparable to the quality of Holiday Inn.Booking a group or meeting? Set up a group hotel block in Portland TN
How should we direct your call?


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When releasing the first version of the "my Skills Map" web site, I had focused on the functionality, but provided a minimalist look. I had planned to work with a designer to come up with a "real" look.
After looking for designers for a while (not easy!), I finally found someone to help me. I hope you'll enjoy the new "look" and the logo!
As a note, I just revamped the look for this blog so that it matches the site.
Tags: marketing


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not sure if you are still on this forum
you posted once that you had the single talking loud by willi williams. willi himself needs a copy of the version. if you see this (or anyone else reads this and has a copy) pls email me rasadam12 at gmail and i'll forward it on to Willi. give thanks. ras adam simeon


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Esophageal cancer is a cancerous (malignant) tumor of the esophagus. This is the tube that moves food from the mouth to the stomach.
Alternative Names
Cancer – esophagus
Causes, incidence, and risk factors
Esophageal cancer is not common in the United States. It occurs most often in men over 50 years old.
There are two main types of esophageal cancer: squamous cell carcinoma and adenocarcinoma. These two types look different from each other under the microscope.
Squamous cell esophageal cancer is linked to smoking and
Adenocarcinoma is the more common type of esophageal cancer. Having
- Backwards movement of food through the esophagus and possibly mouth (regurgitation)
- Chest pain not related to eating
- Difficulty swallowing solids or liquids
Heartburn Vomiting blood
- Weight loss
Signs and tests
Tests used to help diagnose esophageal cancer may include:
Barium swallow Chest MRIor thoracic CT(usually used to help determine the stage of the disease) Endoscopicultrasound (also sometimes used to determine the stage of disease) Esophagogastroduodenoscopy(EGD) and biopsy
- PET scan (sometimes useful for determining the stage of disease, and whether surgery is possible)
Stool testing may show small amounts of blood in the stool.
When the cancer is only in the esophagus and has not spread, surgery will be done. The cancer and part, or all, of the esophagus is removed. The surgery may be done using:
Open surgery, during which one or two larger incisions are made. Minimally invasive surgery, during which a 2 – 4 small incisions are made in the belly. A laparoscope with a tiny camera is inserted into the belly through one of the incisions.
Radiation therapy may also be used instead of surgery in some cases when the cancer has not spread outside the esophagus.
Either chemotherapy, radiation, or both may be used to shrink the tumor and make surgery easier to perform.
If the patient is too ill to have major surgery or the cancer has spread to other organs, chemotherapy or radiation may be used to help reduce symptoms. This is called palliative therapy. In such cases, the disease is usually not curable.
Beside a change in diet, other treatments that may be used to help the patient swallow include:
Dilating (widening) the esophagus using an endoscope. Sometimes a
stentis placed to keep the esophagus open.
A feeding tube into the stomach.
Photodynamic therapy, in which a special drug is injected into the tumor and is then exposed to light. The light activates the medicine that attacks the tumor.
Support Groups
You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone
Expectations (prognosis)
When the cancer has not spread outside the esophagus, surgery may improve the chance of survival.
When the cancer has spread to other areas of the body, a cure is generally not possible. Treatment is directed toward relieving symptoms.
- Pneumonia
- Severe weight loss from not eating enough
Calling your health care provider
Call your health care provider if you have difficulty swallowing with no known cause and it does not get better. Also call if you have other symptoms of esophageal cancer.
To reduce your risk of cancer of the esophagus:
Do not smoke
Limit or do not drink alcoholic beverages
Get checked by your doctor if you have severe GERD
Get regular checkups if you have Barrett esophagus
Related:Gastrostomy feeding tube – bolus, Jejunostomy feeding tube , Esophagectomy – discharge , Alcohol use and safe drinking, Barrett's esophagus, Gastroesophageal reflux disease, Esophagectomy – minimally invasive, Esophagectomy – open


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BCG's Global Refining Model provides insights into the current and future refining and petroleum products markets.
Leading refining companies are using the Global Refining Model to test internal views of oil product supply and demand and the outlook for refining margins. The model also helps companies analyze the competitiveness of refining portfolios, the impact of economic and regulatory environments, the outlook for refinery projects, and the trends that will impact value chains.
Specifically, the model can help refining companies:


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Why?? R. Kelly Cartoon: To Catch A Predator [Comedy Spoof]
Some cartoonist releases a comedy spoof. R. Kelly Cartoon: To Catch a Predator
Please click the "Report" button below if the video on this page is not working properly.
Comments will only be displayed by verified emails. No Spamming or Racism.


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The Azocyclotin Market 2017 examines the performance of the Azocyclotin market, enclosing an in-depth judgment of the Azocyclotin market state and the competitive landscape globally. This report analyzes the potential of Azocyclotin market in the present as well as the future prospects from various angles in detail.
The Global Azocyclotin Market 2017 report includes Azocyclotin industry volume, market Share, market Trends, Azocyclotin Growth aspects, a wide range of applications, Utilization ratio, Supply and demand analysis, manufacturing capacity, Azocyclotin Price during the Forecast period from 2017 to 2022.
To Get Sample Report Click Here: http://qyresearch.us/report/global-azocyclotin-market-2017/#inquiry
Manufacturers Analysis and Top Sellers of Global Azocyclotin Market 2017:
1 Chemieliva Pharmaceutical
2 Haihang Industry
3 Hangzhou J&H Chemical
4 Leap Labchem
5 Zhejiang Hongxin Chemical
At the beginning, the report covers the top Azocyclotin manufacturing industry players from regions like United States, EU, Japan, and China. It also characterizes the market based on topographical regions.
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Featured News - Current News - Archived News - News Categories
Toshiba Business Solutions, local businesses sponsor Citizen of the Year
The Grand Island Chamber of Commerce will honor six individuals and one business on Thursday, April 25, as Citizens of the Year.
In announcing the winners, the chamber said award recipients "have given much of their time and talents in making Grand Island the wonderful community it is today."
Award winners are:
•Educator of the Year - Marty Allen
•Ministry - Rev. Kevin Backus
•Community Service Person of the Year - Beverly Kinney
•Civic Person of the Year - Paul Leuchner
•Performing Arts Award - Jim Watz
•Business of the Year - Wavelengths
•Lifetime Achievement Award - Linda Tufillaro
The awards ceremony will be held at the Holiday Inn Grand Island with WIVB-TV Channel 4 Luke Moretti serving as master of ceremonies.
The chamber also thanked Toshiba Business Solutions for once again showing its support for the Citizen of the Year dinner and awards ceremony. Zaccaria, Citizen of the Year Planning Committee member, thanked Ryan Bopp, an account executive from Toshiba Business Solutions for the company's generous contribution.
The chamber acknowledged SNAP Fitness, First Niagara Bank, Grand Island Optical, and Four Points by Sheraton Hotel for showing their support of this event by contributing a bronze sponsorship. Representatives of the four groups are pictured with Liz Wilbert, chair of the Citizen of the Year Planning Committee: SNAP Fitness Manager Maryanne Fechter; Four Points by Sheraton Hotel's Teresa Costello; First Niagara Bank Branch Manager Mike Samland and Grand Island Optical's Dr. Bill Waldron.
Platinum sponsors to date are the Holiday Inn Grand Island and Niagara Frontier Publications. Silver sponsors to date are Toshiba Business Solutions and Key Bank. Bronze sponsors to date are Aceti's Wine and Spirits, Sam Long Landscaping and Excavating, Liz Wilbert of Realty USA, Creative Leather Concepts and Island Ship Center, McMahon's Family Restaurant, Mr. Best Wrench, Riverside Federal Credit Union, Citizens Bank, SNAP Fitness, First Niagara Bank, Grand Island Optical and Four Points by Sheraton Hotel.


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obesityproject needed a new logo design and created a contest on 99designs.
A winner was selected from 35 designs submitted by 9 freelance designers.
A leading health prevention research center needs your help!!
We have been actively involved in promoting multicultural community and family health for over 25 years, working with parents, children, churches, schools, workplaces and more to encourage active lifestyles.
With the arrival of the new decade, we're excited to soon launch a new project focusing on preventing obesity in Latin-americans by promoting physical activity and nutrition. Given that we'll be working on both sides of the Mexican-American border, our project name will be bilingual:
GOL (Guide to Obesity prevention in Latin America and U.S.)
GOL (Guía para la prevención de Obesidad en América Latina y EE.UU.)
While the project is studying Latin-Americans at large, it will also be analyzed and evaluated on a professional/scientific level.
We need your help in designing a logo for our obesity prevention project! With a focus on physical activity and diet/nutrition, options abound in terms of themes to incorporate into the final logo and we'll leave this up to all the creative folk out there.
A few minor suggestions about things to keep in mind:
- in Spanish, "gol" means goal. Feel free to incorporate soccer or goal themes!
- the letters GOL should somehow form part of the logo
- we would ask that the winning designer be kind enough to take the final image and create an "English" logo with a caption added below the image, and a "Spanish" logo with a translated capition added below the image.
The English text would be:
Guide to Obesity prevention in Latin America and U.S.
The Spanish text would be:
Guía para la prevención de Obesidad en América Latina y EE.UU.
The files we will require are:
Print file format - .ai (CMYK)
Web file format - .jpg and layered .psd (RGB)
Please do not use any stock images or clip art in the logo.
Find out how a design contest works or learn more about our logo design services.


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The Department of the Interior's (DOI) Bureau of Ocean Energy Management (BOEM) will hold the first-ever competitive lease sale for renewable energy on the U.S. Outer Continental Shelf. The auction, scheduled to take place on July 31, will offer 164,750 acres offshore Rhode Island and Massachusetts for commercial wind energy leasing.
The wind energy area (WEA) is located 9.2 nautical miles south of the Rhode Island coastline. BOEM will auction the area as two leases, referred to as the North Lease Area and the South Lease Area. The North Lease Area consists of about 97,500 acres and the South Lease Area covers about 67,250 acres, notes BOEM.
Additionally, BOEM has determined that nine offshore wind developers are legally, technically and financially qualified to participate in the upcoming lease sale. They include the following:
- Deepwater Wind New England LLC;
- EDF Renewable Development;
- Energy Management Inc.;
- Fishermen's Energy LLC;
- Iberdrola Renewables;
- Neptune Wind LLC;
- Sea Breeze Energy LLC;
- U.S. Mainstream Renewable Power (Offshore); and
- US Wind Inc.
According to a report recently released by the Department of Energy's National Renewable Energy Laboratory, the North Lease Area has the potential for installed capacity of 1,955 MW and the South Lease Area 1,440 MW.
Together, these areas could support enough electricity to power more than 1 million homes, a significant increase over what BOEM had originally estimated last year.
According to the DOI, the lease areas will be auctioned simultaneously. Under the procedures, BOEM will consider non-monetary factors, such as if a bidder holds a joint development agreement or power purchase agreement, and monetary factors. The non-monetary phase of the auction will begin on July 29 and the monetary phase on July 31.
BOEM also has made available a revised environmental assessment (EA) for commercial wind lease issuance and related activities within the WEA offshore Rhode Island and Massachusetts. The EA considers reasonable foreseeable environmental and socioeconomic impacts from issuing renewable energy leases and conducting site characterization (e.g., surveys) and assessment (e.g., installation and operation of meteorological towers and buoys) activities in the designated offshore area.
As a result of the analysis in the revised EA, BOEM issued a Finding of No Significant Impact, which concluded that reasonably foreseeable environmental effects associated with the commercial wind lease issuance and related activities would not significantly impact the environment.
The DOI's announcement was lauded by offshore wind advocates.
'The competitive lease sale for two offshore wind farm sites off the coasts of Rhode Island and Massachusetts is a vital step forward for the offshore wind industry,' says Jim Lanard, president at the Offshore Wind Development Coalition.
'Eligible offshore wind developers will now have the opportunity to compete for the leases, and the auction winners will then propose projects that will provide clean, emission-free energy, create jobs and manufacturing opportunities. The Port of New Bedford in Massachusetts and the Port at Quonset Point in Rhode Island will have the opportunity to serve these and other offshore wind farms, thereby creating significant economic investments in these communities and high-skilled jobs for their residents. This is a great day for our nation's workforce and for the environment,' he adds.


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The Board of Foreign Missions (later, World Missions) was organized by the General Synod in 1832. The board was under the direction of the RCA but was also under the authority of the American Board of Commissioners for Foreign Missions. David Abeel led the first mission of the RCA to the island of Borneo in the Dutch East Indies in 1836. Missions also sprouted in four primary target areas: Japan, India, China, and Arabia. In 1857, the board broke away from its ties with the American Board of Missions and established independent missions. Under its current name, the board is still active. This collection consists of annual reports (1857-1968)
Publication Date
Grand Rapids, Michigan
Board reports, Annual reports, Reformed Church of America, RCA, Dutch, Protestantism in America, Dutch Americans, Protestants
Archival Science | Library and Information Science
For access to the full register for this collection, visit http://digitalcommons.hope.edu/collection_registers/10/ Contact the Joint Archives of Holland for more information.
Recommended Citation
"133rd Annual Report of the Board of World Missions" (1965). Annual Reports. 110.


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Lori K needed a new logo design and created a contest on 99designs.
A winner was selected from 237 designs submitted by 54 freelance designers.
Blue Apron Baking Company
We are a husband and wife team opening up a local bakery. This has been our goal for nearly ten years and we are beyond excited to see this happen. Our primary product is soft crust breads and sweets (cookies, cinnamon rolls, scones, etc.). We will use fresh organic ingredients, no preservatives and nothing more than a day old. We will be grinding flour and baking all product on the premises. We also plan to offer celebration cakes (birthdays, weddings, etc). We hope the bakery will be a fun, welcoming shop where people in the community will become regular customers.
We will be located in Northville, MI, a suburb of Detroit. We want to appeal to the local community, specifically families with children, and others who appreciate fresh, wholesome ingredients and delicious sweet treats. Our location is surrounded by many neighborhoods, but also many businesses.
We are looking for a logo to represent our bakery, Blue Apron Baking Company.
We want the logo to be classic, with clean lines - no cartoon characters (like smiling cupcakes). We want to be sophisticated without being pretentious. We aren't necessarily looking for the logo to be a blue apron (as the primary focus) but we'd like it to be incorporated somehow if possible. We like the idea of the logo being contained in a circle, square or the like, something that we can easily have made into stickers to put onto product bags and containers. We are open to color in the logo - maybe blues and browns, but it needs to translate well to black and white (for faxing, etc). We do plan to have the employees wear blue aprons, with our logo printed on them. We are picturing a royal blue, but we are open at this point.
A couple logos we like:
One we don't like:
If it fits with the design, we had thought it might be nice to add as fine print 'Family owned since 2011'. We want people to know that we are a locally owned business, not a franchise. But only if it fits with the design, not a must have.
Find out how a design contest works or learn more about our logo design services.


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Code: DS-CAD-AIR
Brand: Crafter's Companion
- Product Details
Die'sire 5" x 5" 'Create-a-Card' Love is in The Air Metal Die by Crafter's Companion
If you like the look of intricate paper-cut or laser-cut shapes and want to create your own versions in next-to-no time then these specially designed cut and emboss dies are perfect for you. The Create-a-Card cut and emboss dies do not cut around the outside edge which means you can line them up with your folded card blanks to cut beautifully detailed aperture and lace designs for gorgeous creations. The way they've been designed means that you can add even more detail simply by running them through the machine twice – once to cut and then once, using the embossing mat, for stunning embossed results. These dies are also incredibly versatile.
This unique design is called Love is in The Air and is ideal for all of your beautiful crafting projects!
This metal die measures approx 5" x 5" (127mm x 127mm).
- Delivery & Returns
Shipping costs will vary according to the value of your order. If you're from the UK, you will pay no more than £3.95. However, if your order value exceeds £20 then standard delivery is FREE!
You can upgrade to a courier delivery should you wish. Click here for the full shipping information. If you are not happy with your purchase and wish to return an item or items, please click here to see our full returns policy. Please note, we cannot refund or exchange digital purchases.
If you are a Loyalty Club Member, priority dispatch and shipping discounts are available. Click here to join our Loyalty Club - it's absolutely FREE and there are loads of other exciting benefits for members!!


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LOCTITEå 241 is designed for the locking and sealing of threaded fasteners which require normal disassembly with standard hand tools. The product cures when confined in the absence of air between close fitting metal surfaces and prevents loosening and leakage from shock and vibration.
Particularly suitable for applications on less active substrates such as stainless steel and plated surfaces, where disassembly with hand tools is required for servicing.


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Web Design Company Patiala
Sommet Solutions Pvt. Ltd., one of the best design services Patiala welcomes you. Our skilled specialists offer professional web design services Patiala that attract our potential customers on a single look. Our web designs Patiala are not only attractive and eye-catching but are completely informative.
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Sommet Solutions Pvt. Ltd. is the next upcoming website design company Patiala offering its clients the latest web designs that too in affordable prices. Our web design Patiala includes all the latest technologies, all creativity and best finish, within a price that is cheap and easily affordable by every one of you.
Our every next cheap web design services Patiala is an improved version of the previous one in terms technology and design. Sommet Solutions Pvt. Ltd. is a web design, web development, software development and SEO company in Patiala. In case you want success in website design, then our web design Patiala is the best option to start with. We promise a better return of investment by offering top class web design services.
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Our affordable website design, great quality service and 100% customer satisfaction are available for you all around the clock. So, contact us soon, to get the best web design services Patiala.


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Ralphie B. needed a new logo design and created a contest on 99designs.
A winner was selected from 38 designs submitted by 14 freelance designers.
For All Fankind
I am a media consulting firm that runs a number of blogs and marketing ventures. I am an avid sports fan and want to use this website to get appeal to fans and turn the focus from the athletes back to the fans who make the pros who they are.
I'm looking for a logo that I can use to brand the website, tshirts, business cards, etc.
Men 18-49, Washington DC market and national
I am starting a new site all about the fan in the sports experience.
I need a logo that exemplifies that. I have a specific idea in mind but I am open to alternatives.
the first design I am looking for is one with the words For All Fankind and a Foam finger.
The idea in my head is that FOR be on one line, All be on the second and FANKIND be on the third. This would have an L shaped pattern with the foam finger nestled above the 'KIND' in FANKIND. Foam finger should right hand, palm facing out of the screen with a slightly bent pointer finger, bending toward the N in Fan. I do not like the foam fingers where the finger is pointing straight up for this design.
Update: I want the design to be more vertical than horizontal.
Again I am open to other designs but this is what I look forward to going with if nothing better is presented so you should work on this first.
Designs will be based on the effects of the words and the picture used for the foam finger. I would also like to see as many colors submitted as possible with red, blue, green, orange, yellow and purple and black. Besides accents the finger and words should be same color.
Update: Please add a small ".com" to the end on the bottom right corner. The ".com" should be visible but not seen as integral or inmportant as the other 3 words.
Good luck.
Find out how a design contest works or learn more about our logo design services.


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(CNN) -- African leaders signed a U.N.-backed deal on Sunday meant to bring stability to the Democratic Republic of Congo.
Government forces are battling the M23 rebel group in the eastern part of that country.
"It is my earnest hope that the framework will lead to an era of peace and stability for the peoples of the Democratic Republic of the Congo and the Great Lakes region," U.N. Secretary-General Ban Ki-moon said in a statement.
Opinion: How Obama can end Congo conflict
The agreement calls for cooperation among nations to "preserve and protect the territorial sovereignty" of the Democratic Republic of Congo, he said.
Ban praised the framework but stressed that it marks just the beginning of a "comprehensive approach that will require sustained engagement."
The deal was signed in the Ethiopian capital of Addis Ababa by envoys of several African nations, including Uganda and Rwanda. Representatives from the rebel group were not involved.
Ban said that a U.N. special envoy would be appointed to support the deal's implementation.
South African President Jacob Zuma said the agreement represents an opportunity.
Opinion: Hope for an end to world's deadliest war
"This framework in itself does not provide all the answers, it is an instrument that points the Government of the DRC, its immediate neighbors and the international community in a direction that will take this country out of the current morass," Zuma said at the signing ceremony. The possible deployment of an intervention brigade of U.N. troops has been mentioned as a way of stabilizing the nation's restive eastern region.
The agreement had been expected to be signed last month, but was delayed because of what Ban described as "procedural issues."
The M23 group was named for a peace deal of March 23, 2009, which it accuses the government of violating. The soldiers, mostly Tutsis, became part of the national army through that accord.
However, they broke away from the Congolese army in April, complaining they weren't being promoted as promised and because of a lack of pay and poor conditions.
Fighting between the M23 and the army has displaced close to a million people in North Kivu province and more than 300,000 in the southeastern province of Katanga, according to the United Nations.
The unrest continues a cycle of misery in eastern Congo, a mineral-rich region at the epicenter of political and ethnic conflict involving its neighbors to the east, Uganda and Rwanda.
The area has been embroiled in violence since 1994, when Hutu forces crossed the border from Rwanda fearing reprisals after the genocide in that country.
CNN's Joseph Netto and Nana Karikari-apau contributed to this report.


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Jianshui Zitao Clay Teapot Xishi Style With Flowers - 60ml :: FREE SHIPPING
$ 124.99
We had a small handful of these teapots made special for us. Each features a flower pattern that is unique and individual. The flowers are not painted or glazed. They are created with inlaid clay added before firing. It cannot wash off. The design is brushed on with ink first. Then using special tools the pattern is carved out. Utilizing special blends of the 5 different colors of clay available in Jianshui the color is added by pressing wet clay into the carved out patterns. After drying the excess clay is carved back to the original shape of the teapot revealing the pattern you see.
This teapot is single fired and unglazed. Jianshui Zitao is a true clay which lacks any sand. The natural minerals in the clay will enhance the flavor of your tea. Jianshui is in Yunnan, and the clay used in these teapots comes from the same mountains that grow puerh tea trees. We appreciate that connection. We blogged about this unique town here.
This is a special teapot. The flower pattern pictured is a unique work of art. This teapot ships with a storage box and an embroidered bag. This teapot was hand tested by us before sale. The lid fits and they seal well. It will pour fast and easy.
This is a tiny teapot that will easily sit in a single hand. It measures about 8.5cm from tip of spout to end of handle and around 5cm tall. Volume measurements are rounded to the nearest tenth number. Yours may hold a few ml more or less.
You will get the teapot pictured.
Check out our video series from Jianshui:
Epacket Shipping Information:
This will be shipped from China via ePacket. We can ship ONLY to the United States, Canada, United Kingdom, France, Germany, Israel, Saudi Arabia, Russia, Norway, Ukraine, Australia, Hong Kong, South Korea, Malaysia, Singapore, New Zealand, Austria, Belgium, Switzerland, Denmark, Hungary, Italy, Luxembourg, Netherlands, Poland, Sweden, Turkey, Finland, Ireland, Portugal, Ukraine, and Mexico.
If your country is not listed please email us and we will quote you a shipping rate.
Shipping is included in the price for the countries listed. Shipping usually takes 2 weeks on average, but lately has been taking longer. If you purchase multiple items from our online store this will ship separately from China.
Please refer to our Shipping Policy page for more information.


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Trying to get some sleep!
Ins and Outs of Webcam Modeling Forum and How to Make Tons of Money as a Webcam Model
Moderator: wmf
6 posts • Page 1 of 1
Trying to get some sleep!
I find working at night to be the most lucrative, but I also find getting any real sleep during the day to be difficult. It seems like as soon as I am ready for some shut eye, the neighbors are waking up to work on vehicles, cut grass/snow blow, what have you. I never noticed the insane amount of daytime noise around here until I started working at night.
Re: Trying to get some sleep!
That?s seriously a excellent put up ! Added to my favourite phorums checklist.. I?ve been reading your web site last couple of weeks and get pleasure from each bit. Thanks.
Re: Trying to get some sleep!
I don't worry about being up nights. Since I am home during the day, I can pretty much take naps, as needed. I don't want to lose out on the money I make at night.
6 posts • Page 1 of 1


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This forum is specially designed for our hostspeech members to provide them benefit .All members should have a currently active account to enjoy this advantage.
Rules and regulations under the hosting industry for the announcement of this forum
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Read before starting a post or submitting a thread, these Rules & Regulations served as the terms of services of these forums, if anyone not able to follow these rules would get lifetime ban.


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For his second album, Symphony for Improvisers, Don Cherry expanded his Complete Communion quartet -- tenor saxophonist Gato Barbieri, bassist Henry Grimes, and drummer Ed Blackwell -- to a septet, adding vibraphonist Karl Berger, bassist Jean François Jenny-Clark, and tenor saxophonist Pharoah Sanders (who frequently plays piccolo here). The lineup has a real international flavor, since Barbieri was from Argentina, Berger from Germany, and Jenny-Clark from France; Cherry had gigged regularly with all three during his 1964-1965 sojourn in Europe, and brought them to New York to record. With all the added firepower, it's remarkable that Symphony for Improvisers has the same sense of shared space and controlled intelligence as its predecessor, even when things are at their most heated. Once again, Cherry sets up the album as two continuous medleys that fuse four compositions apiece, which allows the group's improvisational energy and momentum to carry straight through the entire program. The "Symphony for Improvisers" suite is the most raucous part of Cherry's Blue Note repertoire, and the "Manhattan Cry" suite pulls off the widest mood shifts Cherry had yet attempted in that format. Even though the album is full of passionate fireworks, there's also a great deal of subtlety -- the flavors added to the ensemble by Berger's vibes and Sanders' piccolo, for example, or the way other instrumental voices often support and complement a solo statement. Feverish but well-channeled, this larger-group session is probably Cherry's most gratifying for Blue Note.
Don Cherry
Symphony for Improvisers
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The dark times came to Vvanderfell. Vivec loses his power, Imperial Legion convened to Cyrodiil and forces of Dagoth Ur prepare to invade Morrowind. Make allies or deny them and keep going by yourself. You are Nerevarine. And the destiny of Morrowind is belong to you.
Only registered members can share their thoughts. So come on! Join the community today (totally free - or sign in with your social account on the right) and join in the conversation.
Thanks to our tester SanTelvanny for this video.


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Red Gate Software will be providing a free, full-day SQL Server event called SQL in the City in Los Angeles, CA on October 28, 2011. It will be held at the Skirball Cultural Centre in the Santa Monica Mountains, just outside of Los Angeles.
The event will provide six hours of free SQL Server training, with a focus on how Red Gate tools can be used to help make SQL Server DBAs and Developers more productive.Speakers will include Steve Jones, Grant Fritchey, Brad McGehee, Denny Cherry, Kalen Delaney, Aaron Nelson, and Ike Ellis, all SQL Server MVPs.
To find out more about this free event, and how to register, visit www.sqlinthecity.com.


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For reasons I can't follow, he seems to want to know if I'm a Severian or not.....
What's your point? We're getting a bit past the borderline of trolling here.
Honestly, I don't....
I accept the decisions of all seven ecumenical councils regarding Christological and Triadological language (Which, by the way, requires both 'out of' and 'in' when talking about the natures of Christ in one hypostasis and prosopon). Now what's your point?
Fair enough, more or less. But get to your point.
The nature of one's objections here is the important thing. For example, 'one incarnate nature' is only acceptable if we understand it to mean in fact 'one subject with both human and divine natures'. This is dealt with in the canons of the 5th Ecumenical council. If it is understood to mean 'one subject out of two subjects', then it is illegitimate. If it is understood to mean 'one universal out of two universals' this is also illegitimate. Likewise, criticism of Chalcedon that reads 'in two natures' as 'in two subjects' is a valid criticism of Chalcedon that had to be addressed. This is why further precision of language was demanded by each council. Someone who continues to use 'one nature' language after nature is explained by the Councils as being a universal and hypostasis as being a particular falls under the councils' anathemas. That's why we can read Cyrill's 'one nature' language as the standard of Orthodoxy but must condemn Severus. That said, I have no desire to go down a Christological rabbit-hole, which this thread is not about. I'm just using it as an illustration and anyone who wants to discuss that stuff should start their own thread. Rather, my point is that many of the criticisms of transubstantiation are either invalid or highly, highly problematic-- the objection out of anti-Latin prejudice, the objection out of acceptance of the Lutheran or other Protestant understanding of the Eucharist, and the objection out of a fear of 'philosophy'. It may be that there are objections to transubstantiation that do not fall into this list, however, none of them that I have seen are objections to the mainstream Orthodox and Roman Catholic understanding of transubstantiation. For example, if someone wants to reject transubstantiation because they read it as some kind of metaphysical mechanism and not a gloss of 'become', then this is a valid criticism insofar as anyone who sees transubstantiation as a mechanism is in fact committing an error. But, it's a bit of a straw man, as this is not the normal understanding of the term...
What do you all think of this article (written by a Protestant) concerning the real presence of Christ in the Eucharist?http://www.justforcatholics.org/a181.htmParticularly, the Patristic quotes provided?
Quote from: Severian on October 31, 2012, 05:42:21 PMWhat do you all think of this article (written by a Protestant) concerning the real presence of Christ in the Eucharist?http://www.justforcatholics.org/a181.htmParticularly, the Patristic quotes provided?The way the Fathers were interpreted were wrong and actually puts the person in the same problem he accused the Catholics of.
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The Ravens continue contract negotiations with Vonta Leach and they remain the front runner to sign the two-time Pro Bowl fullback. It was initially believed that Leach would make a decision by Friday. However, talks will now continue into the weekend.
"As far as I know, nothing has changed," Harbaugh said. "We're patient about it right now. We haven't forced the issue. We're looking at some of our guys and we're seeing where we're at with our roster right now. I believe Ozzie and Vonta are still talking."
The Ravens, who drafted Harvard fullback Kyle Juszczyk in the fourth round of April's draft, terminated the contract of Leach in June after they failed to agree to a restructuring of his $3 million base salary for 2013. . Leach hit the free agent market but has received only tepid interest and made one visit to the Miami Dolphins who did not offer him a contract.
The New York Giants reportedly made Leach a contract offer for the veteran minimum though they seemingly moved on Friday by signing Ryan D'Imperio.
End zone
Starting left guard Kelechi Osemele (right hamstring) missed Friday's practice, but should return in a day or two, according to Harbaugh. … Right guard Marshal Yanda (shoulder surgery) and safety Anthony Levine (undisclosed) passed their physicals and were taken off the physically-unable-to-perform list. Levine participated in Friday's practice. … Harbaugh said that Albert McClellan is competing for a roster spot at inside linebacker, not on the outside where he has played some in the past. … Ravens' single-game, regular-season tickets went on sale Friday and sold out in less than 15 minutes. … Boston Marathon victim Erika Brannock, a 29-year-old preschool teacher from Towson who lost her left leg below the knee and needed multiple surgeries to save her right leg, was a guest of the Ravens at practice. Several Ravens, including running back Ray Rice and wide receiver Torrey Smith, spent time with her after practice, and Harbaugh called Brannock a "courageous, courageous person." Clutching a Ravens' football autographed by several players that she said she would cherish, Brannock added, "All of this has been so strange. I was just this preschool teacher from Towson and now they're all excited to see me."


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Andrew Ackermann Family History
Andrew Ackermann Family History
Written by Wilma Ackermann
Hard times had fallen on the war-weary German farmers during the 18th and 19th centuries. Catherine the Great had been a German princess who married Czar Peter of Russia. Upon her husband's death she became the Czarina, and was faced with the problem of feeding Russia's burgeoning poor and hungry in the large cities. Empress Catherine recalled the excellent farming practices of her native land. Knowing that the farmers facing hardships in Germany, if enticed to become Russian immigrants, could improve the cultural level of Russian peasantry. In July 1763, Catherine II published a manifesto inviting German farmers to settle on the steppes of Russia. Among the privileges promised were freedom from military service for their sons, and assurance of retaining their identity by keeping their German culture; food, customs, language, and choice of religious denomination. In the 1700's and 1800's, thousands of Germans left their homeland in groups to settle in Russia, mainly in the Volga River region, the area north of the Black Sea, and Crimean Peninsula.
In 1808 great-grandfather George Ackermann and wife Margret, along with friends, departed from their village Baden (near the present border of France), located in the province also named "Baden," to farm on the steppes of South Russia north of the Black Sea. They chose to live among former acquaintances from the nearby province of Rhineland-Pflaz, who had settled in the Black Sea area some years earlier and had established a colony which they named after their German village "Rorhbach." To promote peace and harmony, Catherine II required members of a certain church denomination to settle in the same village/colony. These German colonists faced great difficulties as pioneers in Russia, breaking the sod of the steppes to raise grain and planting vineyards, as well as constructing colony buildings of sod because of a scarcity of trees. With perseverance and strong belief in God's faithfulness, they flourished and created a satisfying life for themselves, producing the much-needed food in due time. As the years passed they grew to ten times their original number. Churches and schools were established by the German Russians. Their prosperity created jealousy between them and their Russian neighbors and trouble ensued.
Great-grandfather George Ackermann and wife Margret nee Voagt reared a family of seven sons who were all born in Rohrbach, South Russia. Grandfather Peter, their second son, was born in September 19, 1850. Over a century later, major changes took place in how the Russian government saw these German colonists. In 1874, during the reign of Czar Alexander II, new laws were enacted that restricted the original privileges promised these Germans; young men were constricted into service to serve in Russian wars. In addition, a decade later Czar Alexander III issued a policy which threatened the cultural identity of the German villagers. Fortunately, word reached these distant people that immigrants were welcome in America for an opportunity to settle and become owners of farmland in the Midwest Plains under the 1862 Homestead Act. Seeing a bleak future ahead for themselves and their children, many German-Russians emigrated from South Russia (presently the Ukraine) and the Volga River area (further north in Russia) in search of a better life in a land of promise; the United States of America.
(The above includes excerpts from an article "The Germans from Russia" by Edna Boardman, which follows this family history write-up.)
At age 36, Grandfather Peter Ackermann and wife Margret nee Boehlender immigrated to the United States with their family of eight children in October 1886, accompanied by his brother Jacob and family. They made their ocean voyage in the ship's steerage class and presumably landed at Ellis Island, where they then took the train west. Upon arrival at Chicago in November, the brothers parted and with their families went to separate Midwest locations. At that time, the U.S. government required new immigrants to have sponsors. In 1873, a group of German-speaking colonists from the Black Sea area had arrived in Sutton, Nebraska, settled north of town on flat land, and broke the prairie sod to start farming. Since several of them had been acquainted with our grandparents when they all lived in Rohrbach, South Russia, they agreed to sponsor this large Ackermann family. There was a verbal understanding with our grandfather that in future years their financial loan would be repaid with labor by his children. So, with help from these church friends, grandfather Peter was able to settle with his family on a farm near Lushton, Nebraska, within a year or two. Sometime in 1891 grandfather Peter Ackermann moved from the Lushton area to the farm four miles northwest of Grafton, Nebraska. Records show that he bought our ancestral farm on March 19, 1894. Grandfather's brother Jacob went to Yankton, South Dakota, with his family to join a German-Russian farm community, but later moved to Eureka, South Dakota, near the North Dakota border. A younger brother, Fredrick and family came to Sutton in 1903 and sometime later settled and farmed in Loveland, Colorado. Four of the Ackermann brothers and families were left behind in South Russia. Grandfather grieved over letters from them telling of the atrocities they were suffering. Money he sent to help them in Russia was confiscated by Communist authorities. (See attached information on Siberia gulags in 1930's.) For some time Dad had contact with relatives in South Dakota because two of his brothers had moved there. Before the arrival of automobiles, their visits were infrequent since travel meant a long trip by horse and carriage or buggy. (Railroads in Nebraska ran east and west, but at that time no trains in our area went north and south.)
Dad's parents, Peter and Margret Ackermann, had 15 children; six boys and nine girls, two having died in infancy and one girl at age 8. The oldest eight were born in Russia and the younger ones in the United States. Our father, Andrew was the second youngest of the children. Dad was born on December 22, 1891 at the farmstead home where he lived his entire life and died there. Grandmother Margret suffered a tragic death at age 53 near Fairfax, South Dakota, on March 19, 1905 during a visit with relatives on a farm. Sketchy information reveals that there was a prairie fire started in the area and everyone available helped beat out flames with wet sacks. From this exertion she became ill and soon died of pneumonia, undoubtedly from smoke inhalation, exhaustion, and overheating.
Grandmother Margret's grave site may be in South Dakota. Twelve years later on November 27, 1911, grandfather Peter married Margaretha Hust Rauscher. She was the widow of Peter Rauscher, whose seven out of eleven children were living on their own. Our second grandmother was the oldest sister of our grandmother Huber. They later moved to Sutton, spending retirement years in a house two blocks northeast of downtown. Grandfather Peter died February 2, 1936 at age 85. (It was reported that upon death there were a total of 942 descendants.) Second grandmother Margaretha died December 11, 1936 at age 84. They are both buried in the Sutton cemetery, but her grave lies next to her first husband.
Mother's parents were Peter and Elizabeth Hust Huber. Grandmother Huber, the youngest daughter of George Philipp and Elizabeth Woehl Hust, was born Rohrbach, South Russia, in August 30, 1873. She immigrated to Nebraska with her parents June 1877, and settled on a farm north of Sutton, this Hust family having been one of the early pioneers who broke the Nebraska sod. Out of the 12 children in the Hust family, seven survived; six daughters and one son. Great-grandfather George Philipp Hust died in their Sutton home in town on March 31, 1914 at age 83, having been married 64 years. Great-grandmother Elizabeth Hust died December 1, 1926 at the old age of 96 (almost 97). We older girls recall her as being an agile old lady in long black dress wearing a large crocheted black shawl on her head, giving us visiting kids orders while she was living her last years with our Huber grandparents on their farm. Upon her death in 1926, two church funerals were held for her the same afternoon because of her many descendants. The only information available on grandfather Peter Huber, Jr. is that he was born in Rohrbach, South Russia in February 21, 1869 and immigrated to Nebraska, probably in the 1880's, with his parents Peter Huber, Sr. and Anna Maria Hofmann Huber. He married Elizabeth Hust Huber on February 21, 1893 and they farmed 9½ miles northeast of Sutton in Fillmore County in School District #8. In 1898 they became charter members of the newly established Free German Salem Reformed Church. They had 14 children; eight sons and six daughters (one girl dying shortly after birth). Grandfather Huber died July, 27 1932 at age 69. Grandmother Huber lived on the farm with son Ruben until they moved to Sutton in 1945. In April 1965 she entered the Sutton Community Home and passed away just three weeks short of age 92 on August 9, 1965. She was mourned by ten of her children, 57 living grandchildren, 128 great-grandchildren and 12 great-great-grandchildren. Most early Huber relatives are buried in the Hofer cemetery adjoining the grounds of the Free German Salem Reformed Church approximately seven miles north-east of Sutton, Nebraska. (See book "The German-Russians: Those Who Came to Sutton.")
Our parents, Andrew Ackermann and Elsa Katherina Huber were married on March 28, 1916, at her parent's home in Fillmore County. Andrew Ackermann was born in Grafton, Nebraska, on December 22, 1891, and died on our farm on January 11, 1953 at age 61. Elsa Katherina Huber was born on her parents' farm in Fillmore County on November 11, 1895, and died on our farm near Grafton, Nebraska, on June 15, 1931, age 35.
Their nine children are:
Name, Birth Date; Death Date
Lydia Ackermann, b. April 15, 1917; d. June 10, 1996
Sarah Ackermann, b. November 15, 1918
Luella Ackermann, b. April 8, 1920; d. January 9, 1921
Elizabeth Ackermann, b. October 25, 1921; d. September 28, 1991
Wilma Ackermann, b. April 7, 1923
Esther Ackermann, b. February 25, 1926
Rachel Ackermann, b. November 6, 1927
Gilbert Ackermann, b. September 7, l929
Benjamin Ackermann, b. June 15, l931
(For complete records of births/marriages/deaths, refer to genealogy books of Peter Ackermann, Sr. and George Phillip Hust, which some of our family members possess.)
After the death of our father, the eight living children had equal share of the 320 acres of farmland. Dad had made no will, but according to Nebraska State Law an equal inheritance was decreed. Court records show the Andrew Ackermann estate land value in 1953 at 1/8 interest was $8,000. Dad owned 240 acres but there was still a mortgage on the "South 80" located two miles southwest of our farm. We asked Henry Rath, a neighbor and good friend to Dad, to be our Executor. He strongly encouraged us to buy this land. After some deliberation, our decision was unanimous to sell this eighty acres since each of us was unwilling to borrow money to pay off our share of its mortgage. We sold it in 1953 to Henry Rath at the land value stated by the court. The money received was divided equally, each one of us receiving 1/8 share of the South 80. That year we had a farm sale of most of the furniture and machinery, equipment, etc. Gilbert purchased what he needed in order to continue to work the farm as our renter. Oscar Roemmich agreed to be our Agent since he was best qualified to handle our farm business and provide guidance to Gilbert before, during and for a few years after his return home from service in Korea. Gilbert bought the 160 acres, on which the homestead was located, in the spring of 1960 for the amount of $16,000 at appraised land value of $100 per acre. The seven of us each a received a check of approximately $2,200 (legal fees deducted). He did not purchase the eighty across the road to the south of the farm quarter section. (This land from grandfather Ackermann's estate had been purchased by Uncle Karl Neuharth in 1936. He held the mortgage for some years while Dad worked the land until he eventually purchased it when there were years of higher crop yields.) Gilbert farmed these eighty acres as our renter, all of us retaining equal share for over 20 years.
In 1974 Lydia asked Gilbert to purchase her ten acres, and he agreed to buy her share at a price she and husband Oscar offered, the transaction being handled by a lawyer. Then in 1976, Elizabeth asked Gilbert to buy out her share, and Gilbert legally bought her ten acres at the price she quoted. Sarah, Wilma, Esther, Rachel, Gilbert and Benjamin each held on to their inherited ten acres for over 40 years. Our annual checks for being land owners averaged between $350 and $450. In late 1995 Gilbert informed us that he had been approached by Jack Kness with a good offer to purchase our eighty acres and asked if we might consider selling. We had an amicable group discussion in a meeting with a Sutton lawyer, with Ben absent but giving his consent by phone/mail. All signed the legal document after reaching an agreement to sell the land to the potential buyer at his quoted price. The court procedure was handled by the lawyer and the land sale was closed on February 27, 1996, the six of us each receiving a check in amount of $13,538 (legal fees deducted). Gilbert was able to continue working the land now owned by Jack Kness. After his retirement, Gilbert sold his farm (farm buildings now badly deteriorated and fallen house debris removed) to the Hahn Brothers in the spring of 2000, the value of land per acre having increased considerably since 1960. It is to be noted that all land transactions were handled by lawyers, the involved parties agreeing on the land values at time of sale. As you can see, none of us got rich when we sold our shares of Dad's farm. Nevertheless, we cherish our memories of this place we called home for so many years and "letting go" gave us a feeling of nostalgia and loss. This farm located 4½ northwest of Grafton, Nebraska, was the Ackermann ancestral farm for 106 years, having been purchased by grandfather Peter in 1894 and sold by brother Gilbert in 2000; now our "land legacy lost."
(The following is information from Internet websites which is regarding the plight of German-Russians throughout the years. Also, there are many books in libraries that can be checked out, the names of which can be found listed on the Internet.)
The Germans from Russia are a group of people, mostly farmers, who moved in the 1700s and 1800s from Germany to areas in eastern Europe near the Volga River, the Ukraine, and Crimea. Their numbers grew from 23,000 in 1768 to more than a million in the early 1900s. Beginning as early as 1849, about 300,000 immigrated to the United States and Canada, with similar numbers going to Central and South America. Today some 6,000,000 in North America trace their ancestry to Germans who were born in Russia. Since the fall of the communist system, thousands more have reclaimed their German identity and live in Germany.
On July 22, 1763, Catherine the Great of Russia published a manifesto inviting stressed, war-weary families from western Europe and the area that is now Germany to come to Russia. Catherine II, a princess from the German province of Anhalt-Zerbst, had become Russian as a consequence of her marriage to Czar Peter. After Peter's death, as Czarina, she was faced with the problem of feeding Russia's burgeoning cities. She believed Russia's steppes, vast areas of vacant land similar to the prairies of North America, could do this if farmed properly. Catherine remembered how excellent the farmers had been back in her home country and thought they could improve both the farming practices and cultural level of the Russian peasantry. The first arrivals settled along the Volga River and became known as Volga Germans.
In 1804, Catherine's grandson Alexander I again set up recruiting offices in Germany, this time aiming to populate the Crimean Peninsula and the area north of the Black Sea. Emigration from Germany to Russia continued for as long as a century, some recorded as late as 1862. The group descended from the families invited by Czar Alexander I identifies itself as Black Sea Germans.
After initial difficulties common to pioneering, their villages, often called colonies, flourished and grew from 300 to ten times that many. They created a satisfying life for themselves and produced the much-needed food.
At Czarina Catherine's insistence, each village was of the same religion. A little over a quarter were Catholic, and most of the rest were Lutheran, though some were Mennonite, Evangelical, Baptist, and a few others. Always they sought to keep their identity, which with time was no longer entirely German but never truly Russian either. Their distinctive culture (food, customs, language, musical style, attitudes) became remarkably similar throughout the villages.
After awhile, major changes took place in how the Russian government
saw these
German enclaves. Some feared they were not entirely loyal to Russia. There was
jealousy among the Russian neighbors over the Germans' prosperity. In 1874, during
the reign of Czar Alexander II, freedom from military service was ended. The
colonists felt deeply betrayed by the suspension of this promise because it had been
embedded in both manifestoes and in a separate agreement with the Mennonites. Then
Czar Alexander III, who reigned 1881-1894, instituted a general Russification
policy, which threatened the cultural identity of the German villagers.
In 1862, the United States instituted the Homestead Act, and word reached to far-away Russia. It provided an alternative to the increasingly marginal existence in the colonies caused by the new laws and by a shortage of farmland. The act promised 160 acres of free land to current citizens and newcomers who would live on the land for five years and improve it. Similar calls from Canada and the countries of South America induced many colonists to move westward.
Those who immigrated to North America came first in a trickle. The very first became wine growers at Kelly's Island in Lake Erie near Sandusky, Ohio in 1849. California also attracted wine growers because grapes had been their favored crop in the far south of Russia. Around Fresno, California, they produced raisins, and some worked in the sugar beets in Colorado. The largest groups who followed settled primarily in the wheat growing areas of Manitoba, Saskatchewan, North Dakota, South Dakota, Kansas, Nebraska, and Washington State. Some moved to Argentina, Paraguay, and Mexico.
Many of those who remained in Russia suffered intensely during the communist era. Collectivization of farms and enforced atheism undermined their way of life. Trains pulling boxcars full of Germans and other out-of-favor ethnic groups from the Ukraine snaked to icy Siberia, where they found themselves in primitive circumstances. Exact numbers are elusive, but scholars estimate that, during communist times in Russia, some one million ethnic Germans died of outright execution, starvation, and harsh conditions related to deportation and life in the labor camps.
Some Germans from the Ukraine survived and, as conditions improved, their numbers grew once more. In 1970 there were some 1,846,000 ethnic Germans living in the Soviet Union. Today large numbers emigrate to Germany. Others live throughout Asia in Siberia and the Asiatic republics, such as Kazakhstan and Tajikistan, the countries to which they had been deported.
As in Russia, in the Americas there was not enough farmland for all the children in the typically large German Russian families. So they moved on, taking their strong work ethic into other kinds of agricultural work, manufacturing, business, and eventually other professions careers and government.
Edna Boardman
October 19, 2002


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ICD-10 Diagnosis Code S91.141A
Pnctr w fb of right great toe w/o damage to nail, init
Diagnosis Code S91.141A
Short Description: Pnctr w fb of right great toe w/o damage to nail, init
Long Description: Puncture wound with foreign body of right great toe without damage to nail, initial encounter
This is the 2018 version of the ICD-10-CM diagnosis code S91.141A
Valid for Submission
The code S91.141A is valid for submission for HIPAA-covered transactions.
Code Classification
Information for Medical Professionals
- 893.1 - Open wound toe-compl (Approximate Flag)
Information for Patients
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body. Foreign bodies are more common in small children, who sometimes stick things in their mouths, ears, and noses.
Some foreign bodies, like a small splinter, do not cause serious harm. Inhaled or swallowed foreign bodies may cause choking or bowel obstruction and may require medical care.
- Bezoar (Medical Encyclopedia)
- Eye - foreign object in (Medical Encyclopedia)
- Foreign body in the nose (Medical Encyclopedia)
- Foreign object - inhaled or swallowed (Medical Encyclopedia)
- Splinter removal (Medical Encyclopedia)
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Toe Injuries and Disorders
Fourteen of the 26 bones in your feet are in your toes. The toes, particularly your big toe, help you move and keep your balance. Playing sports, running, stubbing your toe, and dropping something on your foot can damage your toes. Wearing shoes that are too loose or too tight can also cause toe problems. Certain diseases, such as severe arthritis, can cause toe problems and pain. Gout often causes pain in the big toe.
Common toe problems include
- Corns and bunions
- Ingrown toenails
- Sprains and dislocations
- Fractures
Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.
- Broken toe - self care (Medical Encyclopedia)
- Bunion removal (Medical Encyclopedia)
- Bunions (Medical Encyclopedia)
- Clubbing of the fingers or toes (Medical Encyclopedia)
- Hammer toe (Medical Encyclopedia)
- Hammer toe repair (Medical Encyclopedia)
- Hammer toe repair - discharge (Medical Encyclopedia)
- Polydactyly (Medical Encyclopedia)
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Wounds and Injuries
Also called: Traumatic injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.
Other common types of injuries include
- Animal bites
- Bruises
- Burns
- Dislocations
- Electrical injuries
- Fractures
- Sprains and strains
- Bleeding (Medical Encyclopedia)
- Crush injury (Medical Encyclopedia)
- Cuts and puncture wounds (Medical Encyclopedia)
- Electrical injury (Medical Encyclopedia)
- Gunshot wounds -- aftercare (Medical Encyclopedia)
- How wounds heal (Medical Encyclopedia)
- Laceration - sutures or staples - at home (Medical Encyclopedia)
- Lacerations - liquid bandage (Medical Encyclopedia)
- Surgical wound care (Medical Encyclopedia)
- Surgical wound infection - treatment (Medical Encyclopedia)
- Wet to dry dressing changes (Medical Encyclopedia)
- Wound care centers (Medical Encyclopedia)
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ICD-10 Footnotes
General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.


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