text:
Latex for Much less presented its very first all-latex bed to obtain their goal of giving sleepers with a green and personalized bed mattress. This bed mattress includes a flippable building originating from natural materials.
These features are absolutely attractive. Nonetheless, to help you get marketed on this bed mattress, we're offering you an honest and comprehensive review to figure out how the cushion feels and also whether or not it's the bed mattress of your desires.
Video: LatexforLess Natural Mattress
What Is Latex for Less? Organic Waterproof Mattress Pad Queen
Latex for Less is greater than simply a cushion manufacturer. They likewise use outstanding and also comfy all-natural latex bed mattress, mattress toppers, cushions, structure, and also flexible base.
Their mission is to offer sleepers better sleep. For decades, earnest sleep lovers have actually recognized one key: natural latex is the famous sleep structure there is. Consequently, bed mattress companies are swindling for natural latex bed mattress with markups so high that just a few lucky sleepers were able to experience them.
Latex for Less things or else as well as intend to transform that impact of overcharging natural latex bed mattress. They have actually cut out the intermediaries and partnered straight with farmers to present customers with a single-source natural latex cushion at the most economical cost possible!
Better, Latex for Less does not outsource their manufacturing to large makers. They handcraft each bed mattress in America. Considering that they're investing in their production, they kept work in the house while also decreasing their discharges. Likewise, they've decreased costs without degradation development and also no shortcuts.
Latex for Less Honest Review Organic Waterproof Mattress Pad Queen
Now that we've presented to you the firm, it's time to see if it lives up to the expectations. Does working with farmers as well as decreasing prices actually produce great natural latex bed mattress?
- Building
The Latex for Less mattress advertises a basic building of just two latex layers which comes up to a total comfort of 9″. Because their mattress is adjustable, whichever bed you select to orient, you'll either get a 2″ layer of light as well as airy Talalay latex overlaying a 6″ section of company and also thick Dunlop Latex, or vise versa. On the other hand, the former setup intends to stimulate a "Medium" really feel whilst the latter is identified as "Firm."
However, whichever kind of latex building and construction you get, Latex for Less flaunts on sourcing its latex from one beginning spot, at Sri Lanka. Usually, this is considered to be an advantage since single beginning production ensures far better staff member therapy as well as has a more transparent manufacturing process.
All that being said, allow's dive into these layers as well as see what's going on listed below!
- Cover: The cover is soft as well as breathable as it is built with natural cotton. Additionally, it's quilted with an all-natural wool which creates a mild feel that'll supply you with immediate convenience.
- Tool Layer: As discussed previously, the tool layer makes up 2″ of Talalay latex. This is a light-weight but truly soft and also receptive product. This layer will certainly be positioned over the Dunlop layer permitting you to sink in for some nice stress alleviation while reducing the bounce in a sort of stuck-in-the-bed sensation.
- Firm Layer: The company layer comprises a 6″ dense Dunlop latex. This division constructs a strong structure when placed below the Talalay layer. Once flipped, it transforms right into a firm convenience layer which is ideal matched for sleepers that want to really feel directly positioned on top of the bed. Despite the setup you choose, the latex will certainly be doing a wonderful job of maintaining points cool throughout the framework.
- Suppleness:The firmness score of this mattress includes a 5.5. Comparing this to the industry's standard 6.5 tool suppleness, it is clear that Latex for Less is relatively soft.
You might find that the combination of the quilted wool and also lightweight Talalay latex creates a mild feeling which permits you to sink quite a bit into the bed mattress. This sinkage might ultimately have actually been curbed by the company Dunlop latex foundation yet you'll still experience having an overall soft feel from this mattress. Organic Waterproof Mattress Pad Queen
Pressure Map
It's also essential to keep in mind of a mattress' stress or recognizing where stress factors are most likely to create while resting on top of it. Organic Waterproof Mattress Pad Queen
A good way to determine the pressure map of a bed mattress is by positioning a stress map in addition to the cushion and also pushing your back, side, and also belly.
- Back: Lying on your back, you can truly feel on your own sinking into the bed mattress. The soft Talalay latex will certainly function to fill in the area at your lumbar area. Regardless of this sinkage, you wouldn't really feel stuck in the bed and find it very easy to turn as well as move.
- Edge Support: Scooting closer sideways of the bed, you'll identify rather a deep compression via the leading layer of the bed mattress. Although this may not really feel as if you're rolling out of the structure, you would not say that you'll feel protected either. This most likely ways that you're not able to fully use the entire area of the cushion. This could be a dealbreaker for sleepers that are sharing the bed mattress with a companion.
- Side: Turning to your side, you may feel some strong alleviation at the hips and shoulders. These are typical trouble areas for side sleepers.
- Belly: Stomach sleepers on the various other hand are the opposite in that they favor a firmer bed that maintains the spine in a good, also line. In this mattress, belly sleepers would certainly feel their hips penetrating the cushion, causing them to fall out of alignment with their shoulders.
Motion Transfer Organic Waterproof Mattress Pad Queen
The following text would be to demonstrate as well as show the strength of motion noticeable from either side of the bed mattress. Knowing the high quality of a cushion' activity transfer is very important if you're sharing the bed with a partner. This will permit you to understand what it feels like when your companion tosses and turns in the night.
It is fairly ordinary in comparison to various other foam bed mattress in the sector. In fact, their activity transfer is quite great contrasted to various other all-latex versions. Latex is a really lively material. As a result, mattresses that greatly include latex have a tendency to experience major motion transfer issues. In the event that you and your companion are searching for a latex bed mattress, this might be an excellent product for you.
Is The Latex For Less Mattress Right For You? Organic Waterproof Mattress Pad Queen
Since we've taken a closer take a look at the Latex for Less bed mattress, allow's highlight several of its largest advantages and disadvantages:
- Flippable design including numerous thickness options and 2 firmness choices
- Encouraging close adjusting as well as motion isolation
- No noise
- 120-night rest test without any burglary duration
- 20-year non prorated service warranty
- Free delivery in adjoining U.S.
- Weak side support
- Low-profile options not supportive sufficient for other sleepers
- Fairly warm
Final thought Organic Waterproof Mattress Pad Queen
Latex for Less Mattress is an all-natural latex cushion which certainly caters to sleepers that intend to sleep much better. It is a flippable eco-friendly cushion as well as each side features different firmness degrees. One side features a fire barrier constructed from all-natural woollen as well as a layer of all-natural latex with "medium" firmness. Simultaneously, the opposite side boasts a comparable layer of natural woollen fire barrier and also a layer of natural latex with "company" firmness.
Moreover, the bed mattress is available in 4 numerous thickness options (7″, 9″, 10″, as well as 12″). Likewise, the Latex layer density differs by overall bed mattress height. If you want to attempt this cushion for yourself, do not think twice to contact them from their site.


text:
My confidence took a bit of a knock a few years back. Lots of things changed in my life, the details of which I'm not going to bore you with. Nothing serious, just a couple of setbacks and interruptions that were not particularly welcome.
Things are much better these days. I have felt my confidence return in surges of late. Not quite up to where I was, but getting there. Taking action is helping enormously.
Throughout all of this time, one thing has remained constant. The love and support I've received from the beautiful lady pictured has always kept me going. Without her I … well, I just don't even want to contemplate doing anything without her.
Of course I tell her how I feel each and every day, but I just wanted to put down in writing my love, thanks, gratitude, and overwhelming joy for everything she has done, and continues to do for me. Thank you.
Love you sweetie.

subset: commoncrawl


text:
Two months ago – mid March actually, a fellow LJ – Combo Prof posted a photo of a Stanley 71 1/2 that he'd seen at a antique mall (I think it was). A few messages were exchanged, and he picked it up and sent to me. It was a good deal for me and I much appreciate it. He (Combo Prof) on the other hand, is probably regretting it and thinking me an ungrateful fellow for not following up on the acquisition.
Well, here it is, thanks to a very helpful LJ!
Now I had not previously owned any router plane, so this is a good thing for me.
and here is the blade that was in it – which is a bit less than 7/16" and pretty much used up. I'm sure I could use it but the bevel is all the way back to the stem now, so I would just hone the bottom of it.
SoI'm thinking I'm going to need a (set of) blades. Free shipping from Lee Valley ($40 min) right now, so I'm fixin to do something about it.
I need some advice, though. I'm inclined to buy the full set, but it's about $120. I'm sure I'm not going to use all of them, so can anybody give some advices about that?
Since then, I've also picked up…
Stanley No 66 hand beader and full set of LN blades (no curved fence though).
Miller Falls No 1 (cigar) spokeshave.
and Stanley No 80 scraper.
So, I've added 4 tools that I didn't have and that weren't bench planes (of which I have 26 Baileys!)
I think I'm maturing. No?


text:
New data shows full extent of Swedish aid for 2015
Openaid.se is continuously updated with new data, as new projects are added and new disbursements are made. Some data takes longer to collect. This is often the case with the data that we receive from the other government agencies and … Continued
New data and functionality
Openaid.se is continually updated both with new data and functions. During January and February a number of improvements have been implemented. The site search function now goes through both activity data and documents. At the same time the total number of … Continued


text:
September 2nd, 2018. A chilly Sunday morning. We meet at Mt Transnational Plaza outside our offices along Mama Ngina at 6.30 AM. Denis, Ralia, and myself. ( Am also Denis). We wait for our driver guide Mr Joseph who was waiting for us in a nearby restaurant having arrived 30 minutes earlier.
We managed to leave CBD at around 6.50 AM. We are to pick some two other hikers; Ceyrol and her boyfriend at Kikuyu. Kikuyu at times can be cold and misty at the same time. We get there and find them waiting for us. They board and we proceed to the View Point where we have a brief stop. On this particular day the weather is not as great. But we still manage a few shots here before proceeding to Mt Longonot.
We arrive at Longonot at 9.45 AM and we proceed to pay the park entry fees. Ksh 300 for citizens. Non Residents pay USD 26 per person.
This group is composed of energetic young ladies and gentlemen. Below Jumpies will say it all in black and white.
Now thats the energy I was talking about.
The hike officially begins.The team is so much psyched up. I have been here several times so i warn them of the task ahead. We crack a few jokes along the way before the mountain starts demanding our full attention.
Didnt I warn you? At this point we are all silent. Kila mtu anapambana na hali yake. The goal is the same, to Summit.
In about an hour we are all at the first view point on the crater. We are hoping to find the pineapple vendors at the hut but its a Sunday and its like they all attends Sunday service. No one is there. So we relax. take a few photos. before proceeding with the hike.
Its a taboo for an Arsenal (Greatest Football Club under the sun) fanatic to be associated with any mechadise from an upcoming club like Man U but now you are 2560 M above sea level and with two Manchester United die-hard fans. They unleash a flag and demand that you hold it as they take photos. You have only two options. To oblige or throw yourself to the crater forest. I opt to oblige.
Its time to go round the crater rim. And for our efforts we are being rewarded with some of the best views from the rim.
It gets tougher as we get closer to the highest peak, Kilele Ngamia Peak.
And finally we get to the top, Kilele Ngamia Peak that stands at 2760 M above sea level.
Descending from here takes us about 90 minutes. Its an easy task for us and extremely difficult for one of us. I will be posting a video of her struggles later on youtube.
We finish going round the crater rim and descend down. We are all feeling exhausted but one thing is motivating us. Lunch. We all want to get to the restaurant so we find ourselves at the van and drive to Gorges Restaurant where we have booked late lunch.
A mini buffet lunch where you are supposed to eat till you are full.
We then board and drive back to Nairobi a happy team.
We plan weekend getaways like these for groups or colleagues and include transport, lunches, guide and fun activities. Get in touch with us to be part of our next trip.
Mobile No: +254723315919
Email: email@example.com
Useful Links
Our Mt Longonot Flickr Gallery (September 2nd Edition)


text:
Jim + Jimmy GmbH Events
Whether together with the company or privately – Jim and Jimmy offers a large number of exciting accompanying programmes for your event.
From clambering up the nine-metre high climbing rock through to a balancing act in the airy heights of the high rope course and right up to full concentration shooting with bows and arrow or a joint challenge in the Jimmy Challenge – regardless of the weather, we offer you the perfect location for your event. The day is rounded off by culinary delights in the stylishly furnished restaurant.
Starting from 4 euros per person
High rope course/ Climbing rock starting from 9 euros per person
Incentive offers starting from 20 euros (e.g. the Jimmy Challenge)
For groups of 2 to at most 250 people
Monday-Thursday 15-20, Fridays 15-22
Saturday-Sunday/Public holidays 10-20
All year round
Jim + Jimmy GmbH
Lerchenkamp 60
31137 Hildesheim+49 (0) 5121 510000


text:
East Buttcrack, Minnesota,
"Hey Eunice, It's getting pretty damn cold around here, maybe it's time we went and visited your sister and that dolt of a husband of hers down in Florida"
"Floyd, you don't like my sister and her husband isn't a dolt, he's just a bit different?" "and besides that the Winnebago hasn't run for a whole year, probably won't even start much less make it all the way to my sisters" "And on top of that what are we going to do once we get there? You don't play golf, you don't fish and you're scared of alligators"
"Well, we could buy ourselves a motorcycle and ride it around?"
"Floyd, last time you rode a motorcycle you were a senior in high school and your brother bet you five dollars you couldn't make it to the end of the block before you crashed his…I was there, you didn't make it ten yards…what makes you think you can ride around Florida?"
"Well, that was then, I'm better at things like that now?"
"Oh really?"
The real truth here was that Floyd was tired of being cold, Florida sounded good but being with his sister and brother-in-law was only just a bit better than being snow bound all winter
So the conversation went on but in the end Floyd won out…well, he was going to buy a motorcycle without telling Eunice. He did all the right the right things, he took the MSF course (telling Eunice he was going to the VFW hall for Bingo), got a bumper carrier for the Winnebago and bought he and Eunice a couple of spiffy looking helmets. Now all he needed was a motorcycle.
Floyd spent the next few days searching ebay for a motorcycle. He found a few that he thought he would like (his ego was well in place at this time…a GSX-R1000, a Honda Superhawk, he even thought about a Gold Wing?) but finally settled on a small bike that would be perfect to ride around town or a little out of town to get away from sister in law and dolt husband, (and Eunice too). It had to be light enough to fit on the bumper of the Winnebago and not scare Eunice.
I found the perfect bike for my friend Floyd this morning on ebay, a Honda CL125. This is a bike that will get you all around town and away from the family when you need to. The Cl125 is a super easy bike to ride, requires almost no maintenance save for changing the oil, lubing the chain, keeping the battery charged and making sure there is air in the tires. This little CL I found today, needs nothing except a new battery. It is super clean, new tires and spokes. This is a very cool little bike. It would also make a very fun little Cafe Racer. Click on the pics below for more info and a lot more pictures.


text:
Travel, media and entertainment start-up Culture Trip is taking a journey from the confines of digital into a magazine tailored for a millennial audience.
The Culture Trip Magazine will aggregate and curate the best stories produced by the media platform's creators. The tech start-up is embracing old media to reach a young audience – seemingly shrugging off often repeated concerns that print is not the format to reach this audience.
Online, the title boasts 18 million monthly unique visitors and a social following of 7 million. In print, it will be published quarterly and will be distributed for free at transport hubs, select hotels, coffee shops and cafes and bespoke events in London. It has set the ambitious target of reaching 100,000 circulation by the end of the year and will publish first in the mag before rolling its content into online platforms.
Natalie Smith, publishing director of the Culture Trip Magazine, said: "It's a myth that millennials don't like print. Many of our millions of users told us that they wanted our inspiring storytelling in a more tangible format and that's what we are publishing.
"You'll find the same brilliant storytelling, the same amazing photography and the same editorial excellence as on our site or in our app - but this time in a beautiful magazine our readers can hold, come back to and share with their friends."
The first issue, released 18 October, features a photographer feature from the World Nomad Games in Kyrgyzstan, that features on the cover of the magazine, a journey into the life of Spanish artist Joan Miro and an interview with former UN employee, Jessica Nabongo, the first black woman to visit every UN recognised country in the world.
Print is increasingly being fostered by brands who see the value in the medium. Earlier this year The Drum explored this phenomenon honing in on Facebook's Grow.


text:
From Joomla! Documentation
Lightweight Directory Access Protocol (LDAP) is a protocol designed to access directory systems over TCP/IP. Because of this various databases provide an LDAP interface such as Microsoft's Active Directory, Novell's eDirectory, as well as more dedicated LDAP solutions such as OpenLDAP.
Joomla! has had a native LDAP library,
JLDAP (changed to
JClientLDAP in ) and a native LDAP authentication plugin. This allows Joomla! to authenticate against LDAP systems out of the box: to configure, go to the Plugin Manager and enable and edit the Authentication - LDAP plugin.
Anda juga dapat membaca tutorial di Plugin Otentikasi Joomla! LDAP: Konfigurasi Direktori Aktif Server Windows 2003.


text:
The new shorter .uk domain names were launched earlier this month, meaning you can now register website.uk as well as website.co.uk. These new domain names cost the same as a .co.uk one does, so it isn't going to break the
Most of us understand that having an email address that ends in gmail, hotmail, yahoo or any of the other free providers is going to make your business look less professional. A free domain name for your website gives the
With 252 million domain names now registered, the chance of finding a good one that hasn't already been taken is quite slim. Everyone is having to get creative. That is why I decided to use a domain hack for my
Usually a website is named the same as its domain name, this makes it easy for people to remember the website and its address on the internet. This isn't a strict rule that has to be followed. Take B&Q for
A Top Level Domain (TLD) is the last part of the domain name. For example, the .com / .net / .org / .co.uk part. When you register a domain name, you will need to select which TLD you want. In


text:
Lafayette man arrested on child molestation charges
TIPPECANOE COUNTY, Ind. – A Lafayette man was arrested on child molestation charges Thursday.
The Tippecanoe County Sheriff's Office says it began investigating 33-year-old Adam Lee Jones in September of 2018 after an initial complaint was received by the Department of Child Services regarding incidents that allegedly occurred in 2015.
An arrest warrant was issued for Jones and he was taken into custody on one felony count of child molesting where the defendant is at least 21 years of age, and four felony counts of child molesting, fondling or touching with a child under 14.
His bond was set at $20,000 cash and $200,000 surety.


text:
Staffing Your MSP for Scale: What Can You Outsource?
How Outsourcing Your NOC Monitoring Can Spark a Virtuous Circle of Growth
Proven Marketing Strategies For Growing Your MSP
How to Scale MSP Operations to Support More Clients
Fast-Growing MSPs: Don't Make These 7 Common Mistakes
Honey, I outsourced the SOC
Managed SOC vs Dedicated SOC: which one is right for you?
Top 3 challenges facing MSPs when scaling SOCs in 2019
Ready to scale your managed security offering? Here are 3 things you should consider first
The SOC 2 Audit covers the design effectiveness of our internal controls including security, availability, and confidentiality. The audit was performed by A-lign, a licensed CPA firm.


text:
Delmhorst F-2000/H Moisture Meter
Digital meter specifically designed for hop producers looking to enhance quality control
- FREE Ground Shipping
- FREE Lifetime Tech Support
- Made in the USA
Part number F-2000/H
Manufactured by Delmhorst Instrument
Not in stock. Usually ships in 1-2 weeks [?]
Need Help? Call a Temperature Engineer 1-800-884-4967
We're open 8:00am to 5:30pm ET
- Bright, clear digital display
- Moisture Range: 8 to 23% on hops and 8 to 40% on alfalfa hay
- Averages up to 100 accumulated readings
- Displays average and highest of accumulated readings
- Built-in calibration check
- Audible, adjustable alarm alerts you when a pre-selected MC has been reached
- Size: 8" x 3" x 1 5/8", weighs just 10 oz
- Rugged construction ensures years of reliable use
- 9V battery
The Delmhorst F-2000/H moisture meter is a digital meter specifically designed for hop producers looking to enhance quality control. The F-2000H is just what you need to produce a high-quality crop every time.
It has a range of 8 to 23% on hops and 8 to 40% on alfalfa hay. Measurements are made by averaging up to 100 accumulated readings and results are shown on a bright, clear digital display. An audible, adjustable alarm alerts you when your pre-selected moisture content has been reached.
The F-2000/H is compatible with Delmhorst moisture electrodes. A built-in calibration check keeps the instrument accurate.
Please consider these optional accessories.


text:
ISSN (print): 2318-8111
ISSN (online): 2358-0429
How to cite
Lucas RE, Fonseca ALF, Dantas RO. Neck circumference can differentiate obese from non-obese individuals. MEDICALEXPRESS 2016;3(4):M160403 http://www.dx.doi.org/10.5935/MedicalExpress.2016.04.03
Neck circumference can differentiate obese from non-obese individuals
Raquel Eduardo Lucas; Ana Laura Ferreira Fonseca; Roberto Oliveira Dantas
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Department of Medicine, Ribeirão Preto, SP, Brazil
E-mail: email@example.com
Received in
April 18 2016.
First Review in May 6 2016.
Accepted in May 22 2016.
BACKGROUND: Obesity is an important problem of public health with increasing prevalence in the population. The diagnosis is made based on body mass index (BMI) levels; the objective of this study was to determine whether the measurement of the neck circumference may be an option to differentiate non-obese from obese individuals.
METHOD: Neck circumference was measured using a graduated tape over the thyroid cartilage, in 50 non-obese individuals (66% women) and 97 obese individuals (65% women), diagnosed by BMI.
RESULTS: Neck circumference was higher for obese than for non-obese individuals and higher in men than in women. The values of neck circumferences greater than 42 cm for men and 36 cm for women were associated with obesity, with high sensitivity (98%) and specificity (96%). There is a positive association between neck circumference with weight and BMI in women. Age has a negative correlation with BMI in obese individuals. Obese women have less height than non-obese.
CONCLUSION: Neck circumference can differentiate obese from non-obese individuals, with high sensitivity and specificity. It is higher in obese than in non-obese individuals, higher in men than in women, and is associated with the grade of obesity.
Keywords: Obesity, Neck circumference, Body Mass Index.
OBJETIVO: A obesidade é um importante problema de saúde pública, com crescente prevalência na população. O diagnostico é fundamentado no índice de massa corporal (IMC). No entanto, a circunferência do pescoço pode ser uma alternativa para diferenciar obesos de não obesos.
MÉTODO: Circunferência do pescoço foi medida sobre a cartilagem cricóide, usando uma fita graduada, em 50 indivíduos não obesos (66% mulheres) e 97 indivíduos obesos (65% mulheres) diagnosticados pelo IMC.
RESULTADOS: A circunferência do pescoço foi maior em obesos comparados aos não obesos, e maior nos homens quando comparados às mulheres. Medidas acima de 42 cm para homens e 36 cm para mulheres foram associados à obesidade, com alta sensibilidade (98%) e especificidade (96%). Nas mulheres houve associação positiva entre os valores da circunferência do pescoço com o peso e o IMC. Nas pessoas obesas houve correlação negativa entre idade e IMC. A altura das mulheres obesas foi menor do que a das mulheres não obesas.
CONCLUSÕES: A medida da circunferência do pescoço pode diferenciar pessoas obesas de não obesas, com alta sensibilidade e especificidade. Ela é maior em obesos que não obesos, maior em homens do que em mulheres, e é associada com o grau de obesidade.
Palavras-chave: Obesidade, Circunferência do Pescoço, Índice de Massa Corporal
Obesity is an important problem of public health with increasing prevalence in the population.1,2,3 It is associated with comorbidities, such as type 2 diabetes, chronic kidney disease, depression, stroke, coronary artery disease and other diseases, which have a significant economic impact.2,4
The diagnosis of obesity is made based on body mass index (BMI) levels, which represents the weight in kilograms divided by the square of the body height in meters (kg/m2). The World Health Organization classified non-obese individuals as those with BMI from 18.5 to 25.0 kg/m2, overweight with BMI between 25.0 and 30.0 kg/m2 and obese for individuals with BMI over 30 kg/m2, class I with BMI from 30 to 35 kg/m2, class II with BMI from 35 to 40 kg/m2 and obese class III (severe obesity) with BMI over 40 kg/m2.
The measurement of neck circumference has been described as a good method to differentiate obese from non-obese individuals,5,6,7 but this measurement may suffer the influence of cultural variables of each country. Neck circumference is a marker of upper body subcutaneous adipose tissue distribution and a reliable index for obesity.5 A clear difference between non-obese and obese individuals can be established.6 Neck circumference is associated with cardiovascular risk factors, metabolic syndrome, and fatty liver disease.8-10 The measurement is influenced by gender and BMI; it may also be influenced by height and age. There is a positive correlation between neck circumference and weight, BMI, waist circumference, hip circumference and with the waist/hip ration in Turkish adults.7
This study evaluated the neck circumference in men and women, obese and non-obese, the correlation of weight and BMI with neck circumference, the correlation between BMI and age and the difference in height between obese and non-obese individuals in the Brazilian population. Our hypothesis was that neck circumference is related with BMI, gender and weight of the individuals, and that neck circumference may differentiate severe obese from non-obese subjects.
Neck circumference was measured in 50 non-obese and in 97 obese volunteers. Non-obese volunteers included 17 (34%) men and 33 (66%) women, aged 30 to 42 years; in 40 (80%) BMI from ranged 18.0 kg/m2 to 25 kg/m2 and in 10 (20%) it ranged from 25 kg/m2 to 30 kg/m2. The obese group included 34 (35%) men and 63 (65%) women, aged 18 to 63 years, eight (8%) with BMI from 35 kg/m2 to 40 kg/m2 and 89 (92%) with BMI over 40 kg/m2. The included volunteers did not have digestive, cardiac or respiratory diseases, no previous surgical treatment for obesity and were not taking drugs for weight loss. The study was conducted at the University Hospital of the Medical School of Ribeirão Preto, University of São Paulo, and the protocol of the investigation was approved by the Human Research Committee of the University Hospital of Ribeirão Preto, case number HCRP 15919/2014. Written informed consent was obtained from each participant and the anonymity of each volunteer was preserved.
Neck circumference was measured with the individuals seated on a chair, the head in a neutral position, looking straight ahead. A graduated tape was used that was passed around the neck, over the thyroid cartilage. Measurements were taken after the researchers had received training in the measurement of neck circumference. The results were compared between obese and non-obese individuals, and the influence of gender, weight and BMI on neck circumference was evaluated.
Statistical analysis was done using the unpaired t-test, the analysis of covariance (ANCOVA) test, adjusted weight, and the correlation coefficient of Spearman (rho). Differences were considered significant when p < 0.05.
There was no difference in age and height between non-obese and obese individuals (Table 1), even though non-obese women were taller than the obese women (p = 0.02). Neck circumference was larger in men vs. women and in obese vs. non-obese (Table 2).
The limits of neck circumference, which can differentiate obese from non-obese individuals, were 42 cm for men and 36 cm for women (Figure 1). These values determined a sensitivity of 98% and a specificity of 96% of the neck circumference measurement in the diagnosis of obesity.
In women there was a positive correlation in neck circumference and weight for obese and non-obese individuals and with BMI for obese (Table 3). In men there was a positive correlation between weight and neck circumference in obese individuals.
The correlations between neck circumference, weight and BMI were stronger in women than in men (Figure 1). In obese individuals, age exhibited a negative correlation with BMI (Table 4).
The measurement of neck circumference is an easy and simple way to evaluate obesity. Taking the present results into consideration, it is possible to say that a neck circumference greater than 42 cm in men and greater than 36 cm in women is an indication of obesity. A previous study in non-diabetic individuals described that a neck circumference greater than 37 cm is an indication of obesity.11 For metabolic syndrome, the best cut-off point is 39 cm for men and 33 cm for women.6 The limit for obesity in adolescents was found to be 38 cm for men and 33 cm for women.11 The results of these different studies were similar to that which was found in our study. The observed differences may be a consequence of the method of measurement and of the population characteristics of each country. Normal values should be defined for each country or region and with an established method of measurement. Under these conditions, neck circumference is able to separate non-obese from obese individuals, at least class III obesity. The sensitivity for the neck circumference measurement in adults in the diagnosis of obesity was previously found to be 98% in men and 100% in women, and the specificity as 89% in men and 98% in women6, similar with the results we found of 98% sensitivity and 96% specificity in all groups.
In women, but not in men, we found a good correlation between weight and BMI with neck circumference. The lack of correlation in men might be a consequence of the smaller number of men included in the study (n = 51) compared with the number of women (n = 96). The measurement of neck circumference in men is different than the measurement in women, which may be a consequence of anatomic differences and not only caused by obesity.
Obese women had less height than non-obese. It is possible that in women the shorter height causes a predisposition to obesity, a situation that is not clear or may even be absent in men. It is also interesting to note that the aging process is associated with a lower BMI in obese individuals, which may be a consequence of the clinical treatment for obesity these patients receive, which may have some effect later in time, even knowing that most of them still have severe obesity. The decrease of weight with age was not seen in non-obese individuals. It was described in a recent study that high general adiposity is more frequent in men than in women and in older age groups.12 Different populations may have different genetic, social, geographic characteristics, as well as different levels of food availability, physical activities and other influences relevant to the development of obesity. It is not easy to arrive at conclusions that are the same for all populations. However, the neck circumference measurement is a good indicator of obesity for all of them.
There is an important racial/ethnic influence in the prevalence of overweight and obesity.1 Some countries have a significant variation in their racial/ethnic distributions which can influence the distribution of the prevalence of obesity. The diagnosis of the condition is of great importance to establish prevention and treatment; in this context, the neck circumference measurement should be of value.
This investigation has some limitations. The number of men included should be higher and the neck circumference measurement could have been performed by more than one investigator. However, we have presented clear results which demonstrate the value of the measurement to define obese individuals.
Neck circumference is an important predictor of some complications of obesity, such as sleep apnea,13,14 high blood pressure in children and adolescents,15 difficulties in mask ventilation,16 cardio-metabolic syndrome,17 erectile dysfunction,18 metabolic syndrome,8,9 cardiovascular risk factors,8 and fatty liver disease.10 These associations demonstrate the importance of the neck measurement, which translates the grade of obesity of the individual and the possibility of complications.
Neck circumference is higher in obese than in non-obese individuals, higher in men than in women, and is associated with the grade of obesity. The neck circumference measurement has a high sensitivity and specificity in the definition of obesity.
Raquel E Lucas: participated in the planning, in the measurement, and in making the decision to submit this manuscript to MedicalExpress. Ana Laura F Fonseca: participated in the planning, in the measurement, and in making the decision to submit this manuscript to MedicalExpress. Roberto O Dantas: participated in the planning, in the write and in making the decision to submit this manuscript to MedicalExpress.
Authors declare that there is no conflict of interest regarding the publication of this paper.
1. Wang Y, Beydoun MA. The obesity epidemic in the United States - gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29(1):6-28. DOI: http://dx.doi.org/10.1093/epirev/mxm007
2. Ortiz VE, Kwo J. Obesity: physiologic changes and implications for preoperative management. BMC Anesthesiol. 2015;15:97. DOI: http://dx.doi.org/10.1186/s12871-015-0079-8
3. Ng M, Fleming T, Robison M, Thomson B, Graetz N, Margono C, et al. Global, regional and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766-81. DOI: http://dx.doi.org/10.1016/S0140-6736(14)60460-8
4. de Gonzales AB, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, et al. Body mass index and mortality among 1.46 million white adults. N Engl J Med. 2010;363(23):2211-9. doi: http://dx.doi.org/10.1056/NEJMoa1000367.
5. Aswathappa J, Garg S, Kutty K, Shankar V. Neck circumference as an anthropometric measure of obesity in diabetics. N Am J Med Sci. 2013;5(1):28-31. doi: http://dx.doi.org/10.4103/1947-2714.106188.
6. Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res. 2001;9(8):470-7. DOI: http://dx.doi.org/10.1038/oby.2001.61
7. Saka M, Türker P, Ercan A, Kiziltan G, Bas M. Is neck circumference measurement an indicator for abdominal obesity? A pilot study on Turkish adults. Afr Health Sci. 2014; 14(3):570-5. doi: http://dx.doi.org/10.4314/ahs.v14i3.11.
8. Limpawattawa P, Manjavong M, Sopapong R. Can neck circumference predict metabolic syndrome? An experience from a university community. Endocr Pract. 2016;22(1):8-15. doi: http://dx.doi.org/10.4158/EP15902.OR.
9. Aoi S, Miyake T, Harada T, Ishizaki F, Ikeda H, Nitta Y, et al. Neck circumference has possibility as a predictor of metabolic syndrome in postmenopausal women. Hiroshima J Med Sci 2014;63: 27-32.
10. Huang BX, Ihy MF, Wu T, Zhou JY, Liu Y, Chen XL, et al. Neck circumference, along with other anthropometric indices, has an independent and additional contribution in predicting fatty liver disease. PLoS One 2015; 10: e0118071. doi: http://dx.doi.org/10.1371/journal.pone.0118071.
11. Ferretti RL, Cintra IP, Passos MAZ, Ferrari GLM, Fisberg M. Elevated neck circumference and associated factors in adolescents. BMC Public Health. 2015;15:208-17. DOI: http://dx.doi.org/10.1186/s12889-015-1517-8.
12. Kowalkowska J, Poinhos R, Franchini B, Afonso C, Correia F, Pinhão S, et al. General and abdominal adiposity in a representative sample of Portuguese adults: dependency of measures and socio-demographic factors' influence. Br J Nutr. 2016;115(1):185-92. doi: http://dx.doi.org/10.1017/S0007114515004055.
13. Wysocki J, Charuta A, Kowalcze K, Ptaszynska-Sarosiek I. Anthropometric and physiologic assessment in sleep apnea patients regarding body fat distribution. Folia Morphol. 2015;ahead of print. DOI: http://dx.doi.org/10.5603/FM.a2015.0127
14. Duarte RLM, Magalhães da Silveira FJ. Factors preditive of obstructive sleep apnea in patients undergoing pré-opertive evaluation for bariatric surgery and referred to a sleep laboratory for polysomnography. J Bras Pneumol. 2015;41(5):440-8. http://dx.doi.org/10.1590/S1806-37132015000000027
15. Kuciene R, Duskiene V, Medzioniene J. Association of neck circumference and high blood pressure in children and adolescents: a case control study. BMC Pediatr 2015;15:127-36. DOI: http://dx.doi.org/10.1186/s12887-015-0444-2
16. Leoni A, Arlati S, Ghisi D, Verwej M, Lugani D, Ghisi P, et al. Difficult mask ventilation in obese patients: analysis of predictive factors. Minerva Anestesiol 2014;80(2):149-57.
17. Zhou J, Ge H, Zhu M, Wang LJ, Chen L, Tan YZ, et al. Neck circumference as an independent predictive contributor to cardio-metabolic syndrome. Cardiovasc Diabetol 2013;12:76-82. doi: http://dx.doi.org/10.1186/1475-2840-12-76.
18. Akin Y, Gulmez H, Bozkurt A, Nuhoglu B, Usta MF. Usage of neck circumference as novel indicator of erectile dysfunction: a pilot study in Turkish population. Andrologia 2014;46(9):963-70. doi: http://dx.doi.org/10.1111/and.12181.


text:
Happy Friday, friends! I hope everyone's been having a great week. They keep on seeming to fly by over here. I was solo parenting for a lot of last week and part of this one. Eric and A went on a big boy trip to go visit Eric's brothers in California while I was home with my little nugget and baby C. They had a great time and got to enjoy that beautiful Cali scenery and warm sun. It's one of my favorite places to visit so I'm already looking forward to the next time we make a trip out there with all of us.
Other than that it was a typical week for me filled with doctors appointments and everyday life. They have us taping baby C's lip area down now. It's the center part right under the tip of your nose, and can I just tell you it is so hard for me to get the hanging of making a knot in the center of these tiny braces rubber bands. I've had them flinging all over the place, shooting off into the air never to be found again, popping me in the face, it's kind of comical and also frustrating at the same time. I know it's all a process and when we first started putting in his NAM and making the strips for that it felt like we would never get the hang of it, and here we are, three months later of him wearing it and we could practically do it in our sleep. Actually, we have had to do it in our sleep when he pulls it out at night.
Anyway, here's a look at some of my favorites...
Girls Brunch:
My sweet friend hosted a girls bubbly brunch over the weekend and it was the perfect break and social interaction I needed with my friends after having the boys by myself. When she found out I wasn't able to find a sitter for them she offered to have them come along which was so sweet of her. Thankfully they were really well behaved and little nugget made a new bff. Her adorable corgi, Reggie, is just the cutest and most dapper little man. Little nugget followed him all around and also fell in love with one of her cats. Her food was delicious, complete with a tater tot bar. Yes, please!
Special Time With The Nugget:
As I mentioned Eric and A were away so I got to soak up a lot of one on one time with this sweet guy. It was a great week weather wise so we had a lot of walks and times of kicking around the soccer ball. It worked out well because I brought the baby's swing outside and he got to swing away while I ran around with the nugget and was able to keep an eye on the baby. I also took him to a workshop at Home Depot where he got to build a birdhouse and absolutely loved being able to hammer the nails. Give that boy a hammer (of course with supervision) and he is so happy. We finished off with a lunch at Chick Fil A and then my mom and sister came over for dinner that night.
Flowers In Bloom:
The flowers really started to pop up all over the place around here and we are loving these new sights. I know my allergies won't be thanking me in a few weeks, but for now, I am enjoying every moment of it. I seem to get really bad when the trees start budding not necessarily flowers. It's been so fun to see baby C taking in so many first experiences. I think no matter how many kids you end up having there's something so special about enjoying these times with each of them. I shared more about our flower fun here.
We've been t-ball strong over here and I am so happy that A has been enjoying it. It's a breath of fresh air from his previous soccer days. They're getting ready for their first game so it will be interesting, and fun, to see all of them out there trying their best. Little nugget is a hard age when he's just not old enough to make the team. He's been a great sport though cheering his brother on from the sidelines. It will be fun next year to see them together again. That's one of the great benefits of having them close in age.
Favorite Finds:This section contains affiliate links in which I get commission for purchases or clicks made at no additional cost to you. Thank you for your continued support.
I'm happy to say that the boys Easter baskets are set. I love being able to cross things off my list earlier than expected. That rarely happens. So when it does, it's a beautiful thing. I did almost forget that I needed a basket for the baby but was able to grab one that thankfully wasn't picked over. Some of my favorite staple items and new finds that I'm adding to their baskets are things like these sunglasses, this 3D puzzle that I think A is going to love, new flip flops, The Easter Bunny's Helper book, and Happy Easter, Mouse. For the baby I got him new hanging toys for his carseat, socks, and a set of bandana bibs. I have a bunch of other little things I'll be adding too, like garden gloves, work books, some gummies, sidewalk chalk etc.
Baby C is also turning 5 months over Easter weekend (how is that possible??). I couldn't resist this adorable bunny cap for his monthly picture. You guys know I can't resist a good pair of sunnies and when they're on sale that's an even bigger win. I know these might be a little out there for some, but they were really fun to me and sometimes I enjoy a pair that's the nigger the better. If sunglasses are a thing for me then there is no point in having a bunch that all look the same. I have been loving these oversized mustard frame ones (they also have them in brown) and almost every time I wear them I get a compliment when I'm out somewhere. I also love these half red frame glasses (also available in tortoise and taupe). I will say, they don't really seem red to me though. They are in the red family but my initial thought of them is that they're closer to coral which is perfect for summer. And these prices, you can't go wrong. I also hit a sale on this grey open front cardigan that has been perfect for these in between days. Not to mention, I'm sure I'll also get a lot of use out of this in the fall. I have been loving pieces that I can wear over multiple seasons.


text:
Delicious & easy weeknight dinner or bring to work lunch.
As an entrepreneur, I'm constantly running around to meetings all over the city. And when there is an hour or two break in between, I typically head to the nearest Le Pain Quotidien to grab lunch or a warm lemon, honey, ginger tea. It's absolutely my favorite chain cafe, as they have tons of healthy and even organic options. There food is extremely high quality, and you can taste it.
So, this little number here was inspired by one of my fave dishes off the menu, a quinoa tabouli salad. They serve it over a big bed of baby greens with chickpeas and avocado. (If you're there, order that or the lentil avocado salad, my other fave).
I love making large batches of quinoa dishes, as they save well, and can easily be served cold or reheated throughout the week. You can make this as an easy dinner, or as part of a salad jar to bring to work for the week.
|Prep Time
|10 minutes
|Cook Time
|35 minutes
- 1 cup quinoa
- 2 cups water
- 3 small/medium beet
- 1 cup parsley leaves chopped
- 2 Tbsp. fresh lemon juice
- 1 Tbsp. olive oil
- pink salt to taste
- Preheat oven to 450. Cut the greens off of the beets, leaving about 1 inch or so of the stems. Scrub well but leave skin on, and put into tin foil pouches.
- (Cut a piece of aluminum foil, put 1 beet in the center then bring two ends of foil together, fold over, leaving some space between fold and the beet, and then twist the sides closed as well. You want to leave space within the packet, but make sure all the sides are sealed well so steam doesn't escape).
- Bake for 35-40 minutes, or until a fork easily pierces the beet. The size of beet will determine cook time. Then, remove from oven. Ideally put on plastic gloves so you don't stain your hands. Open packets and using two pieces of paper towel, run the skin right off. Remove stem and dice. Set aside.
- While beets roast, prepare quinoa. In a medium saucepan, bring water and quinoa to a boil. Cover and lower heat to low, allowing to simmer for 10 minutes, until all water is absorbed and the grains are puffed up and translucent. Turn off heat and keep in pot until ready to combine with beets.
- In a medium size bowl, add the quinoa beet, parsley, mint, lemon juice, olive oil, salt and pepper and stir well until fully incorporated. The quinoa will turn a gorgeous shade of red.
- Serve over a bed of baby greens, with chickpeas, and avocado.
Maria Marlowe
Maria Marlowe is a holistic nutrition and wellness coach who uses real food to help her clients improve their health, weight, and skin. She offers a 28-day healthy eating meal plan that teaches you how to batch cook, as well as one to clear up acne. Her most popular program is EatSLIM, a 10-week online group glass that guides participants to develop healthy eating habits that stick – and lose weight, boost their metabolism, improve their digestion, and quit sugar.
She writes healthy and delicious plant-based recipes for her popular blog. She is also the author of the #1 New Release on Amazon, The Real Food Grocery Guide, the most practical guide to selecting the healthiest foods, without going broke, which has been praised by Dr. Oz and InStyle magazines. You can find her on instagram @mariamarlowe.


text:
Your Redmond City Council opened this year by welcoming two new councilmembers and electing new leadership. I was honored to be elected by my fellow councilmembers as the new council president and am pleased to have David Carson as vice president. New members Jeralee Anderson and Steve Fields brought fresh perspective to the council.
As the environment is important to our community, we enrolled Redmond in Puget Sound Energy's Green Direct program. Soon, Redmond will be purchasing all of our energy from dedicated local renewable energy. This will reduce our carbon emissions and save tax dollars.
Community members had requested that council make all meetings more accessible, so we moved our committee meetings to the council chambers. This change has allowed us to stream them online just like our evening meetings. You can also look up past meetings and watch or listen to them on demand. Thanks to our staff who overcame many challenges to make this possible.
A priority of council this year was affordable housing. In partnership with Imagine Housing and Esterra Park, Redmond is bringing below market rate housing to the Overlake neighborhood. Work on improving the accessory dwelling unit (ADU) permit process is also underway to allow homeowners ways to add housing and value to their properties.
Our 2019- 20 budget will provide new opportunities. Reducing our environmental impact will continue with funding for both an environmental sustainability program manager and study. These will allow us to evaluate programs we already have in place and investigate new ways to reduce our impact on climate change. As part of our goal to increase our tree canopy from 38 percent to 40 percent in the next 30 years, our new budget funds for an additional four acres of tree canopy.
Improving Hartman Pool is part of this budget. This investment will keep the pool working for many years and make it a much more pleasant place to swim. The city is also working with King County, and the cities of Bellevue and Kirkland on exploring the concept of a regional aquatic center. We strive to work with our partners to help to meet the needs of our community and region.
Over the past year, the city has evaluated our community involvement process. We will use this data to improve our community interaction on a council level. Our ombudsperson process is currently under review and we seek to be more responsive to the public, improve transparency in our policy development process and make changes to our neighborhood conversations to make it easier for the public to engage.
If you would like to more information about our meetings, please visit our city website at redmond.gov. We would love to hear from you about these programs and any others that you see as important to you and our community. As always, you can contact us through email at firstname.lastname@example.com.
I am enthusiastic about what the new year will bring for Redmond. I wish you and your families a very happy new year.
Angela Birney is president of the Redmond City Council.


text:
Tatum Floral Jumpsuit
Regular price $32.99 Sale price
Adopt a boho-chic look this season by getting your hands on this Tatum Floral Jumpsuit. The lively print playsuit will keep you looking great while feeling comfortable. All you need is a pair of tan sandals and tassel crossbody bag.
- Material: Polyester
- Length: Full Length
- Fit Type: Loose
- Fabric Type: Woven


text:
Buy & Sell
Extra Services
'Memory of Eyes' photo exhibition looks back
Date Posted: 2012-05-04
Forty years after Okinawa was handed back to Japan by the United States, Okinawan photographic scenes are drawing attention in art circles in Japan, and now ten Okinawan photographers are showcasing their works at a Memory of Eyes exhibition opening Tuesday.
Okinawan photographers are sometime called hunter eyes by the Japanese art world because they have been taking pictures before, during, and after World War II and the Battle of Okinawa, and on to the present. The ten who have organized the exhibition that starts May 8th and runs through May 20th at Ryubo Department Store in downtown Naha City have been watching the upheaval periods in Okinawa, and are using the 40th Anniversary of the Reversion to share their works.
The 10 say we want a lot of people to see our works, pictures taken by Okinawans. They want to show the changing of Okinawa to all generations. All members of this exhibition are Okinawan and most have been taking pictures of Okinawa since before the reversion in 1972. We want as many as people as possible to have a chance to think of Okinawa more deeply when viewing our Okinawan works at the venue.
The photographic artists are Yasuo Higa, Koushichi Taira, Kenshichi Heshiki, Mao Ishikawa, Toyomitsu Higa, Nobuo Miyara, Seishin Higa, Kazushi Iha, Anna Irei, and Linda Iha. The exhibition will be held on the 6th floor of Ryubo Department Store in the Naha Shimin Gallery from 10 a.m. to 7 p.m. daily through the 19th, and until 6 p.m. on the final day, May 20th. Entry is free to everyone.


text:
Product details
Keep active feet happy (and cosy) in these colourful printed socks. Our packs come with three cotton-rich pairs, decorated with emoji or cute bunny prints. A ribbed top stops them from slipping down or being pulled off by busy little fingers.
- MUL: Stripe/Cool 74% cotton, 19% polyamide, 6% acrylic, 1% elastane. Faces 63% cotton, 18% polyamide, 18% acrylic, 1% elastane
- PNT: Spot 77% cotton, 22% polyamide, 1% elastane. Floral 74% cotton, 25% polyamide, 1% elastane. Check 81% cotton, 18% polyamide, 1% elastane
- Machine washable
* Imported
Shipping & Returns
Shipping Standard
FREE (On Orders Over $49)
3-6 Business Days Standard
$5 (On Orders Under $49)
3-6 Business Days Expedited
2-3 Business Days Express
1-2 Business Days
We operate a 365 no-quibble return policy. However, If an item is returned within 90 days of purchase, we will refund the full amount or offer an exchange.
We are happy to exchange any item within 90 days of receipt, no questions asked. However you may have to pay for returns postage.


text: The State Targeted Response (STR) Technical Assistance (TA) Consortium was created to support efforts in addressing opioid use disorder prevention, treatment and recovery. This project was funded by SAMHSA to provide local expertise in communities to help address the opioid public health crisis. The main goal is to respond quickly to requests for education and training resources to address the opioid crisis. Email email@example.com or call 401-270-5900. STR-TA website.


text:
XXVIJune 16th, 2015
I turned 26 today. I'm grateful to see another year. The past 365 days have been filled with several ups and downs, but each moment has helped me grow. My hope is to experience positive growth with each year. It's easy to say, "I want to be a 'better' person," but what does that really mean? I reflected today and was reassured that I want to more open, passionate, loving, understanding, helpful and inspiring. I also want to learn and experience what it means to be a good husband, continue being a good friend and get back to being a good leader. Cheers to another year.


text:
Re: Stormont-Vail HealthCare
Link from 2/24/20 HIStalk showing NextGen in use at SVHC:
Photo #3 shows a screen.
From Gamara: "Re: Epic. Random stuff found in Googling Epic." Good sleuthing, although some have turned up previously The following organizations appear to be going Epic: Stormont-Vail HealthCare (KS – above), University of Colorado Hospital (CO), The Mount Sinai Medical Center (NY), Maricopa Integrated Health System (AZ – old), University of Miami Health System, South Broward Hospital District.
From LookingForAnswers: "Re: Epic. They're winning deals like Cerner did 15 years ago when they were small. Cerner seems to be a revenue-churning machine that the public can participate in by buying stock. The only people who benefit from Epic are the owners and/or Judy. Which company has made more millionaires? Which company will change the face of HIT for the long run?" Here's the real question: why can't Cerner, with all its billions in market capitalization and name recognition, compete with Epic for new sales? As has been asked of other Goliaths (Microsoft, GM, Dell, GE, etc.) how could Cerner, given its ample lead time and resources, let the once-tiny David called Epic beat them year after year? My theory is threefold: (a) even entrepreneurial big companies naturally evolve into highly ineffective corporate bureaucracies that are motivated by fear and executive entitlement, the antithesis of innovation; (b) publicly traded companies let their numbers drive their business instead of vice versa, and (c) corporate Darwinism would have Cerner just buying Epic outright, but Judy throws a wrench into that evolution by refusing to sell the company.
But all is not lost: we don't know Epic's profitability, so Cerner may be beating them where it counts. And we know that Cerner has built a business that could weather Neal's transition or sale to another organization, but we don't know that with Epic. What I care about most is why Epic beats Cerner for every important deal, which would seem to indicate that Millennium isn't up to the task. In other words, a $6 billion market cap company with a single, fairly low-rated product line that's getting hammered by a smaller and much higher-rated competitor should think about developing a better product. Here's another way to look at the value of ongoing R&D: the only company that beats Cerner consistently in new sales is also the only one with a newer product.
From JA: "Re: Epic. More details on the Yale and Epic adventure." Yale Medical Group describes their plans for Epic, also mentioning that a CMIO will be hired who will share time with the School of Medicine and Yale-New Haven Hospital. The specific Epic features that seemed to seal the deal were the obvious ones: ambulatory-inpatient integration and MyChart, areas in which Millennium is clearly inferior.
From Dave U. Random: "Re: Epic. Google RGHS+Epic." Rochester General Health System has chosen Epic.
From SEC Fan: "Re: University of Michigan. CareWeb does many things well (less than they claim), but they have installed Eclipsys Sunrise over the last five years for inpatient. Interesting that after 3+ fails at EMR, they get one right and now replace it." Thanks for reminding me. That's another big Eclipsys loss to Epic, six years after the contract was signed and less than two years after Sunrise went live at UM.
From The PACS Designer: "Re: Windows Phone 7. The mobile phone marketplace will have more competition soon, as Microsoft has announced the beta for Windows Phone 7." It had better be good if it's going to displace the iPhone, Android, and BlackBerry this late in the game. I don't see Microsoft as being good at come-from-behind victories; it's better at running a prevent defense to protect the leads it generated a couple of decades ago. On the other hand, Windows 7 was a hit, so maybe they're finally getting it.
From Vendor CEO: "Re: HIStalk. I have really enjoyed watching your progression. It's kind of like watching the New York Times and Murdoch sites (HIT rags) try to get customers to pay for their sites while hordes of readers are rushing to all the free specialty news sites (HIStalk). Fascinating!" Thanks. Maybe I'm the open source alternative, a marginally skilled but enthusiastic spare bedroom pseudo-journalist trudging home to a PC after a long day at the hospital.
Listening: new from Grand Mal, which sounds like the Rolling Stones playing a smoky New York club in 1973.
Tom Ogg is named CIO of Akron Children's Hospital, coming from Oakwood Healthcare Systems (MI).
Stuff you can do here: (a) put your e-mail in the Subscribe to Updates box to your right and be the first to know; (b) use the Search All HIStalk Sites box to dig through all HIStalk-related sites, including the 7+ years since HIStalk has been around; (c) send me your secret information and rumors via an anonymous Rumor Report, the lifeblood of HIStalk; (d) Friend or Like us on Facebook; (e) support my sponsors by giving their ads an occasional look and click; and (f) send in a pitch-free Readers Write article.
Not many readers think the final Meaningful Use requirements are too hard for providers to meet, but beyond that, it's pretty much even as to whether they're too easy or about right. New poll to your right: who benefits most from Most Wired-type awards?
A reader mentioned a JAMIA article last week, eliciting only a general reply from me since I didn't have access to the full text version. Thanks to the folks at AMIA, who read my comment and hooked me up with anonymous access to their site so I can give a better answer next time around.
This from Weird News Inga: a medical practice sues its landlord over rights to a meteorite that crashed through the roof and into their examination room. The landlord claim it belongs to them, but the doctors say the landlord plans to renege on their promise to sell it to the Smithsonian for $5,000. The doctors say they'll honor that deal and send the money to Doctors Without Borders for Haitian relief.
These rumors come up all the time, but once again Oracle comes up as a potential acquirer of Cerner. An Oracle VP supposedly claimed the company will spend $70 billion on acquisitions over the next five years, which always leads to talk about vertical markets such as healthcare, which means Cerner.
Duke University researchers develop software to predict MRSA drug resistance, offering it free to researchers.
Interesting: All Children's Hospital (FL) will become part of Johns Hopkins Medicine (MD). In related news, the governor of Maryland wants to position the state as a health IT leader, citing a statewide HIE, EHR implementations, and recruitment of HIT professionals.
Re: Stormont-Vail HealthCare
Link from 2/24/20 HIStalk showing NextGen in use at SVHC:
Photo #3 shows a screen.
"Here's the real question: why can't Cerner, with all its billions in market capitalization and name recognition, compete with Epic for new sales?"
I first emailed Cerner two weeks ago, then I called them early last week looking for information on one of their products. This on behalf of one of the biggest hospital groups in the country. I still have not heard back from them, via phone or email. Thats pretty shocking. That and the product has consistently been shown to fail. They just don't seem to want it anymore.
No HIE in play here – even though the physician could access the record from Maui, he was forced to FAX the information to the hospital.
Re: Epic – there is another overlooked factor that may explain the current Epic 'revenue-churning' phenomenon. It is what I like to call the "lemming effect". In the pro fee space first there was MCSI, then Science Dynamics then IDX and now Epic. Unfortunately even though Epic has a very strong product, many healthcare institutions buy them now simply because they are afraid of being left behind and if "everyone is doing it, I should too". My Mom used to have something to say about that kind of thinking…
I think University of Michigan is keeping Eclipsys inpatient and using Epic outpatient. That would explain why they announced the deal at $20 million. No way you could do Epic both in and outpatient for $20 million.
Re: Windows 7 phone. I'm not sure how well this phone will fit in with the current market, or how it'd perform better than MS's (many) other attempts at producing a competitive mobile device. I have been pleasantly surprised by Windows 7 on my new computer though: it's got some definite improvements that I've already become used to, and yearn for when I switch back to my older XP model. Whether that translates as well into a phone I'll leave for better judges than I.
Speaking of smart phones, I'd love to hear from any users/owners how well the new Federal Register website works on a mobile platform. It's just been launched today, and includes some great new features.
How in the world is Epic going to execute and implement all those large systems??? There are more yet to be announced!
From everything I have heard, the Windows Phone 7 will be underwhelming at launch. Its only potential strength at this point is its developer tools, which are Silverlight-based. Only hands-on experience will answer the main questions, which are:
a) Will the Silverlight sandbox have sufficient access to the phone? If not, it will turn out like Java's J2ME–useless.
b) Will the Silverlight environment run fast enough? There's a reason why both Android and the iPhone allow native (low-level) API calls.
I've had the same thoughts about the Epic parallel with Cerner from many years ago. It will be interesting to see if Epic handles the massive growth better than Cerner did. If not, they will eventually be headed in the same direction.
It is far simpler to keep a smaller live client base happy (and with fewer modules), but once you get a huge installed base and a plethora of modules, AND are still trying to implement a large quantity of new clients, the challenge to a vendor is significantly harder — and that is where Epic is now.
I wish them well and do think being a private company is in their favor. Back when we went with Millennium 12 years ago, Epic wasn't a possibility. I suspect if we were making the decision today we'd follow the recent masses to Epic, though I'm not yet convinced that we would be much better off in the long run.
HealthcareIdiotSavant, was it "would you run off a cliff if Johnny runs off a cliff?"
Any investment banker worth his or her salt would advise Judy to cash in now, at the peak of success. It's going to be more and more difficult to manage the burgeoning portfolio of accounts, and more and more likely that Epic will find itself challenged by as yet unknown new competitors. Imagine the bidding war which an Epic sale would generate. Unimaginable riches.
Judy will never sell. NEVER GO PUBLIC is commandment number one. And if you think Judy is going to take the advise of an investment banker, you don't know Judy. Didn't Epic have a billboard in Madison a few years back that simply said MARKETING SUCKS-Epic Corporation ?
Making money is not her favorite thing, getting the bulk of the country, or the world, on an enterprise number, now that is what floats her boat.
Personally I think it was refreshing for hospitals to have an alternative to the Ken doll boring suits that came in selling the "other" products. She picks her customers, calls her own shots, no press releases that mean nothing, no BS.
I am wondering what your opinion of the Dell/Perot Consulting Business is as a long term venture. Do you see them around in 10 years, or do you see them fizzling out sooner? Any additional comments / inputs would be welcome.
Yale Medical Group describes their plans for Epic, also mentioning that a CMIO will be hired who will share time with the School of Medicine and Yale-New Haven Hospital.
I fought this exact battle bewteen YNHH and YSOM 15 years ago. Email me (via Mr HIStalk) for why I think such a position is not a good idea.
Cerner promises too much, too soon – they have trouble saying "no" during the sales cycle to big clients. They do a terrible job meeting their software delivery commitments, and they do not invest enough time and money into testing the software and fixing defects. They have never wanted to do that. The software is so tightly integrated between all their products and single architecture (which I think is a good thing), but it also means that the code has complex tentacles – you change one simple thing in one area and it has negative effects in other areas/products.
Cerner is a superior product to EPIC in many ways, unfortunately, a lot of the featues within Cerner are not as reliable as the fewer features in EPIC. A feature is only good if you can use it. EPIC promises less and delivers slightly more. Cerner always promises more than they can deliver – by the date they promise.
At the end of the day, people will trust and gravitate to the products that do what they say they will do – even if it is less than what they want.
But, I still believe (although many will disagree with me) that Judy's older architecture and antiquated programming language will eventually catch up with her. I know it hasn't happened quite yet – but someday, she will be forced to rewrite everything whether she wants to or not.
The #1 commandment is "Never mention patient information to anyone." "Never go public" is the first principle. Otherwise, Certifiable pretty much hit it on the head.
Anonymous online form
Rumor line: 801.HIT.NEWS


text:
Direct2D Sample Videos
ChartDemo.wmv -- Although D2D can render thousands (the exact amount depends on the video hardware that's used, quality of drivers, amount of memory, etc) of anti-aliased primitives per second, there are some cases where even greater performance is required. ChartDemo demonstrates an alternative approach that uses aliased lines and rectangles (primitives that have been highly optimized in D2D) along with MSAA rendering (via D3D interop). With this approach, ChartDemo is able to scale much further.
Chomp.wmv -- This demo started out as a simple 2D Pac Man-like game and, gradually, we kept adding features; for example, zooming, god-mode and, unlike the original Pac Man game, our variation maps the playfield onto the outside faces of a cube, and rotates the cube to the closest contiguous face as the Chomp character runs through the tunnels. One other important note is that the playfield is rendered entirely using anti-aliased vector primitives -- not bitmaps -- so features such as zooming can be accomplished without scaling artifacts.
SciFiText.wmv -- This sample combines Direct2D and Direct3D to achieve what is commonly known as the "scrolling Star Wars text effect". An application can render Direct2D content into a Direct3D surface, and then display that surface at an angle to the camera.
SimplePathAnimation.wmv -- This sample demonstrates how to use a Direct2D Path Geometry to drive a path animation. Every D2D geometry exposes a ID2D1Geometry::ComputePointAtLength method, which can be used to obtain a point and tangent vector for any given length.
TextExtrusion.wmv -- This sample illustrates how DirectWrite, Direct2D, and Direct3D can be combined to create a text-extrusion effect. Text geometry is generated using a custom IDWriteTextRenderer that calls into IDWriteFontFace::GetGlyphRunOutline. D2D geometry operations are then used to eliminate self-intersections and tessellate the front and back faces. Side faces are generated by walking the text geometry and emitting quads. DWrite hit-testing is also used for positioning of the cursor. Finally, the generated triangles are sent to D3D for rasterization.


text:
Spokane Bike Scene Publicity
My friend John Speare just mentioned on his blog that last week's Inlander features a cover article by Joel Smith on the growing Spokane bike scene. It's a nice article and John figures pretty prominently throughout because of his many contributions. There's also a nice blurb about the local Spokane bike bloggers and I got a mention there along with several other great cycling blogs around here which is cool:
Although David Blaine wrote about bikes on his blog before Cycling Spokane ever launched, Speare's blog was the first to make bikes its exclusive focus. It's not the last, however, as Cycling Spokane begat 100km.us, a bike blog by 34-year-old Gonzaga computer tech support Jason Gilman, who was inspired by Speare's blog to re-enter the world of bike commuting. Gilman's and Speare's aren't even the only blogs that treat bike issues, though. Blaine has discontinued his old Great Divide-centric blog and opened a new one, Double-Butted Spokane. Blogs like Fresh Abundance, Elephant Pilot Messengers, FBC Spokane and 26InchSlicks also regularly discuss cycling. Even MetroSpokane, the must-read blog on development and urban issues in Spokane, has begun to concern itself more with bikes as a progressive means of transportation and entertainment in Spokane.
We've come along ways in the last couple years and I'm excited to be a small part of the movement here in Spokane.


text:
The central topic of MOSA Conference 2018 was: 'It's a small world'
The chosen topic enables us to discuss human health and disease on different levels, ranging from the cellular level to a global perspective. For instance, the spread of infectious diseases, antimicrobial resistance as well as the increasing prevalence of non-communicable diseases will be approached from different viewpoints. Additionally, the role of microorganisms concerning human health and disease will be discussed. Further examples for interesting aspects of this field are accessibility of health care or health problems associated with nutrition. Additionally, we are open to all other subjects matching into the conference slogan.
This topic will be of great value for students as well as researchers from different disciplines since it replenishes the regular curriculum with important new perspectives. Furthermore, awareness and knowledge concerning potential global health threats is crucial for all health professionals. We are looking forward to interesting lectures, stimulating workshops and inspiring discussions.


text: NGC 1499, California Nebula in bi-color narrowband hydrogen-alpha and sulfur 2. I captured this data on the 25th, but didn't have time to capture oxygen 3 frames with high clouds moving in and the moon rising. Even so, I like the way this turned out with the two bandpasses, almost fluorescent. NGC 1499 is about 1000 lightyears away, and if you haven't guessed, it's called "California Nebula" because if you flip this image 90 degrees counterclockwise it looks like the state.


text:
After a lengthy closed session discussion at their meeting Wednesday afternoon, the University of Louisville board of trustees voted 10-3 to fire the school's longtime athletics director Tom Jurich.
This move comes three weeks after news of the latest scandal involving the UofL men's basketball team broke, as the program was swept up by a nationwide fraud and corruption sting into NCAA programs. Federal prosecutors in New York alleged on Sept. 26 that multiple UofL coaches were involved in a scheme to bribe two recruits into attending the school, which led to UofL's interim President Greg Postel placing both Jurich and Hall of Fame basketball coach Rick Pitino on administrative leave the next day.
Jurich took over as the UofL athletics director in 1997 and led their sports teams through a renaissance, as their football and baseball programs joined the basketball program in belonging to the elite in the NCAA. Jurich was among the most celebrated athletic directors in the country when the basketball program was rocked by the escort scandal in 2015, leading to significant penalties handed down by the NCAA against the program, including the vacation of their 2013 championship victory.
Before the trustees voted to fire Jurich for cause, trustees Brian Cromer, Diane Medley and Ronald Wright spoke up in defense of the athletics director, thanking him for transforming the UofL athletics department and campus and urging their colleagues not to fire him. However, all of the other trustees voted to fire Jurich, including chairman J. David Grissom and Papa John's founder John Schnatter — the latter of which had strongly criticized Jurich's leadership earlier this year.
In a prepared statement after the meeting, Postel — who does not have a vote on the board — thanked Jurich "for his years of service and many contributions to the university," but did not expand on the reasons for his firing. Postel also expressed confidence in interim AD Vince Tyra, saying he will "lead the department in a way that best serves the university, and our student athletes, both on and off the field."
"To our student, faculty, staff and Cards fans, this is out opportunity to demonstrate the unity and integrity that define being a Louisville Cardinal," said Postel. "When I walk around campus I'm always inspired when I see a student wearing one of our t-shirts that reads 'Rise to the Occasion.' Right now, we need to challenge ourselves to do just that."
In his Sept. 27 letter to Jurich informing him that he was being placed on leave, Postel stated that the athletics director had negotiated UofL's $160 million Adidas deal "without timely or appropriate consultation" with him or members of the UofL Athletic Association board. Postel also stated that Jurich's contract requires him to properly supervise coaches and assure their adherence to law and NCAA policies, and that the negative publicity for UofL caused by this scandal was "unacceptable."
Jurich's attorneys countered in letters to Postel and the trustees that he had in fact negotiated the Adidas contract transparently with UofL leadership, and that Postel was showing a "lack of respect" for his client.
Pitino was officially fired for cause on Monday by a unanimous vote of the UofL Athletic Association board, despite the objections of Pitino's attorneys, who argue that the coach was unaware of any bribe scheme and should not be held accountable for the actions of rogue assistant coaches. However, citing the previous escort scandal, Postel argued that Pitino allowed a "pattern and practice of inappropriate behavior," and that parting ways with the coach was "in the best interest of the university."
In a statement released after the trustees fired Jurich, his legal team at Frost Brown Todd said they were "disheartened" by the decision and "believe that their vote to terminate his contract was done in haste with inaccurate information that should have had no bearing on continuing his employment."
"Tom Jurich maintained a professional athletic department that was the envy of universities across the country," continued the statement of Jurich's attorneys. "He has done nothing illegal, nor violated any NCAA rules. Tom has been a great steward for the University of Louisville Athletics brand."
The statement added that the Jurich family "would like to thank the senior staff, coaching and department staff, student athletes, colleagues at UofL, donors, fans and everyone who live and reside in the city of Louisville for the opportunities and support they've provided throughout the years. With that said, Tom has instructed us to vigorously defend his rights and reputation under his long-standing contract with the University of Louisville."
This story has been updated.


text:
Oil Free Hummus To all my readers, I want to wish you all a "Happy 2018!". With the new year, I know many of you have made some resolutions to live a healthier and happier life. That being said, I wanted to start the first recipe of the year with this oil free hummus. Traditional hummus … Continue reading Oil Free Hummus
Category: Snacks
Seed Butter Crisps
Seed Butter Crisps It must be the holidays because everywhere I go, they seem to be selling peanut brittle. As a kid, this use to be a favorite treat of mine with its sugary crispy peanut bits. However, as I got older... I couldn't eat dairy, and my kid couldn't have peanuts. Let's not even … Continue reading Seed Butter Crisps
Pea Shoot Shrimp Summer Rolls
Pea Shoots Shrimp Summer Rolls Recently, my friends at Pilates Barre of NJ took me to the Happy Harvest Hydroponic Farms. These ladies were working on balancing clean living with clean eating and thought I would enjoy the field trip. I have to admit outside of Disney World's EPCOT, I have not seen a working hydroponic … Continue reading Pea Shoot Shrimp Summer Rolls
Seed Butter Cookies
Seed Butter Cookies I am always trying to make a healthier treat for my kiddos (and myself). Let's face it, sometimes we just need a cookie! This year, the kids have also been working so hard on their swimming that I feel they needed a healthy treat that would provide some extra protein. Given that … Continue reading Seed Butter Cookies
Cauliflower Tots
Cauliflower Tots There is one thing that is constant with my kids and it's that they love tator tots. There is no faster way for them to get to the dinner table than me saying "tator tots"! This may also be true for some of the grown ups in my life...heh heh. As you all … Continue reading Cauliflower Tots
Watermelon Mint Smoothie
Watermelon Mint Smoothie Many times when I talk about summer, I talk about strawberries but we really can forget about the watermelon. Where would 4th of July be without the wedges of watermelon with our barbecue? I know that after a long day on the beach, my kids rush to the fridge to get a … Continue reading Watermelon Mint Smoothie
Strawberry Cobbler
Strawberry Cobbler This year, strawberry season started on Memorial Day weekend. It was a great way to spend time with my family and just be outside. We tried a new farm not too far from us and was pleasantly surprised. It wasn't the biggest farm but it was well kept and had a good amount of … Continue reading Strawberry Cobbler
Cajun Popcorn
Cajun Popcorn Popcorn in our family is pretty big. Its one of those snacks that all 6 members of the family will eat. Lately the older members of the family wanted to try some of the specialty flavor popcorns that we see at the store. The only problem was that it contain allergens that we … Continue reading Cajun Popcorn
Wacky Orange Spiced Muffins
Wacky Orange Spiced Muffins This recipe is based on the idea of the "Wacky Cake". The Wacky Cake is a cake recipe that was the result of scarce ingredients during the Great Depression. The cake is not supposed to have milk or eggs, as those were scarce ingredients or were considered expensive. This makes it … Continue reading Wacky Orange Spiced Muffins
Sweet and Sour Pickle Radish
Sweet and Sour Pickle Radish Recently, I found some radishes called Watermelon Radish. It's really a testament to the saying "beauty is skin deep". From the first glance it looks like any other radish but when you cut in it...the inside is a glorious magenta rimmed with the color green. My philosophy is whenever you have … Continue reading Sweet and Sour Pickle Radish


text:
Please feel free to use any of the following
images for your link to the Boondocking Guide.
Subject to our approval, the Boondocking Guide will link to any website offering free information of interest to RV enthusiasts, campers and boondockers.
Commercial websites are also welcome provided they are of specific value to boondockers and fit the context of our website.
Exchange links would be appreciated but not necessary.
Sorry, we will not accept dealers or suppliers in a link exchange arrangement unless offering content that is unique and of specific interest to boondockers.
URL: http://www.boondockingguide.com
Text link: A guide to free or low cost
camping in the western U.S.A., Canada and Mexico including on route travel stops,
services and the internet's best RV links.
Last Updated: December 19, 2012


text:
Contact Us
please call us at 480-544-2800.
Your personal information is for our Dental Office only and will be used solely to contact you. We will not give away or sell your information to anyone. See our Privacy Policy for more information.
Office Hours
Mon 8:00 AM - 5:00 PM
Tues 10:00 AM - 7:00 PM
Wed 9:00 AM - 6:00 PM
Thurs 8:00 AM - 5:00 PM
Fri 7:00 AM - 3:00 PM
Sat Closed
Sun Closed
To better meet our patients' needs, we are proud to offer appointments on select Saturdays and emergencies are always welcome. Give us a call to schedule or learn more!


text:
I first started hiking and backpacking in the Wind River Mountains of Wyoming some fifty years ago. As I mentioned in a previous article about how Pine beetles are devastating pines in the American west, the two real changes I have seen in the Winds over the years have been that the pines are beginning to die on a large scale and that the glaciers are melting.
I remember one Wind River trip in particular that really brought this home to me. In about 1980 I went on a 12 day backpacking trip into the northern Wind Rivers with a good friend. In those days everyone doing any serious hiking in the Winds always carried an ice axe; it was just something you needed on a regular basis.
In the first couple of days of this trip I remember using my ice axe to cross a long, steep, icy snowfield that the trail cut across; using an ice-axe was something I absolutely needed to have in case I slipped, and began rocketing down the steep slope. I needed to be able to do what is called a self arrest using my ice axe.
Something like this had happened to me in the Tetons several years earlier. I did slip on a very steep snowfield, while carrying a very heavy pack. If I had not had my ice axe, I would clearly have been dead.
Anyway, back to that Wind River trip. A couple days later my friend and I crossed a high, trail-less pass to get into Tibcomb Basin and I used my axe to glissade seven or eight hundred feet off the pass and down into the basin. No slips, but the axe was necessary for a safe descent.
The following day we hiked up toward Gannett Peak, the highest peak in Wyoming, and spent all of one afternoon climbing a long, steep snowfield where we kicked steps and used our ice axes continually.
Then, later in the trip, while hiking on a main trail we topped a rise to see that the trail on the lee side of the rise had disappeared under a huge, very steep, very icey snowfield. In order to get down at all, ice axes were an absolute essential. And all this wasn't in the early spring, it was in the middle of September when most of the snow had melted.
Seven years ago I made the almost identical trip in the Wind Rivers with my wife, one of my sons and his wife. We were planning to climb some of the higher peaks so we took ice axes. I figured, just like twenty years ago, we would be constanting using them. As it turned out, we never used them once on the entire trip, even on the highest peaks or passes. There wasn't even a hint on snow on any of the trails we used. The difference in Titcomb basin was particularly striking. None of the miles-long snowfields my friend and I had spent so much time climbing and descending with ice axes on the previous trip did not even existed anymore. They had all turned into large, completely dry, snow-free scree fields. (Scree fields are large areas of rocks and boulders that have been created by ancient glaciers.) The Wind Rivers had turned from a land of ice and snow and rock into a land of rock and bare earth.
Even though we were climbing on large extensive snowfields on the first trip, not on any real glaciers, the glaciers are also disappearing in the Wind Rivers and all over the Rocky Mountains. This was very apparent on the long summer photo-shoot I did in 2015. It was particularly apparent in my visit to Glacier National Park that year.
In 1850 there were 150 named Glaciers in the Park. Now there are 26. (This was in 2013. There are less now. ) Back in the 1990's the USGS was predicting that Glacier National Park would have no glaciers left at all by 2030, now they are predicting that this will happen by 2025 or even sooner. In 1850 there were 21.6 square kilometers of glaciers in the Park, by 1974 this had shrunk to 7.4 square kilometers and today there are only tiny scraps of glaciers left.
I can remember hiking the wonderful trail to Grinnell Glacier in Glacier National Park when I was a little kid of 10 or 12. I remember thinking that the glacier was huge, that it covered the whole side of the mountain. Undoubtable this was partially the result of my memory magnifying everything I had seen as a kid. But still, when I repeated the hike in 2010, the glacier seemed to be a shred of the gigantic expanse of snow and ice that was there on my childhood hike. And in fact, Grinnell Glacier has, by official measurement, shrunk by ninety percent over the past century.
Below is a link to an article by the USGA on the Retreat of Glaciers in Glacier National Park. There are some pretty astounding before-and-after images of melting glaciers in the park.
Below is a page with 60 links to some pretty graphic videos of melting glaciers in Glacier National Park and elsewhere. There is absolutely tons of really graphic evidence for the fact that glaciers are rapidly disappearing all over the world.
The Wind River Mountains, Teton National Park, Glacier National Park, and Rocky Mountain National Park are all going to be glacier-less in the next five or ten or twenty years. It's hard to predict exactly when this will happen; but even if the glaciers last twenty years, that is less than a blink of the eye in geologic time. Without glaciers these great National Parks will be very different places ecologically and scenically. The old world of glacial clad peaks is rapidly becoming a thing of the past. It all makes me pretty sad.
Bill McKibben was one of the first people to bring climate change to public attention in 1989 with his book, "The End of Nature." This book isn't really an ecology book, it is more of a philosophical discussion of what global warming means for human beings. The basic concept of the book is that the idea of nature we have always had, now no longer exists. For thousands of years human beings have thought of nature as something beyond man, something that would always endure no matter how badly man screwed things up; nature was something beautiful and eternal that was separate from man and which would last forever and never change. Mckibben says that with global warming, this is no longer true. Now man is actually changing nature in his relentless consumption of the bounties of the earth.
The End of Nature is only one of McKibben's many, many books and articles that are very much worth reading. I highly recommend him.
Mckibben's latest book was published in April of 2019.
I wrote this article for my photography website quite a while ago. It has been very obvious that glaciers all over the world have been melting for at least thirty years.
Originally published in 2010
Edited and re-written in Nov 30, 2013
Edited and re-written in May, 2019


text:
"Now, when they ask you what you like to read, don't mention Kipling." Dad's words of wisdom when I was preparing for university interviews; probably not best, he agreed, to profess admiration for he who wrote of The White Man's Burden and Gunga Din. I love Kipling, but I'll be the first to admit he's politically incorrect and hasn't exactly aged well.
Still, it must have pained Dad to have to acknowledge that Kipling has his problems, and his detractors. Not for nothing did he have a shelf filled with the man's work:
Even though they're not all bound in the same style, it's very clear that this is a collection. Looking at these books reveals that most, if not all of them, used to belong to someone called J.A.C Turner; there are prices penciled in the front, meaning they were probably bought second hand. Were they given to Dad as a present? Possibly, although there's nothing written in any of them to indicate that. Did he buy them himself, all in one go? Again, possibly; he probably wouldn't have had the budget as a young medical student in the 50s, but he was well off enough in later life. I do know he was quite pleased with the edition he had of The Jungle Book, since it featured illustrations done by Kipling's father, J. Lockwood Kipling:
Dad was pretty much raised on Kipling. It would have been strange if he hadn't been; his father, Morris, was born circa 1903 in the area of India that would become modern day Pakistan, was raised speaking both English and Hindustani, and entered the army as was customary for the Blake males. In addition, Dad and his parents went to live in India when he was about three and stayed there for four years, returning to England just as the Second World War was gearing up.
Kipling was rather inescapable at this point.
Kipling was one of the myriad of authors Dad liked to quote to us. A lot. Chances were, if a quote or extract wasn't from Shakespeare, there'd be a fifty percent chance it was from Kipling, whether from his poems or his short stories or his novels. Dad and I liked to recite the last verse of Gunga Din to each other over meaningless activities like finishing breakfast or tidying up. He loved to read us the very short story The Gardener.
A major part of my early years was sitting on Dad's lap – and later on the floor, when I got too big for said lap – as Dad read The Jungle Book to us. I can remember jumping in shock and delight as he made the hissing noise of Rikki Tikki Tavi – "Rikk-tck-tck!" – and leaning against his knee as he sang us the Seal Lullaby from Kotick.
Then, of course, there were the Just So Stories. My sister and I both received our own copies of the stories over the years
although my copy was rather more fortunate when it came to pictures:
My copy also contained two extra tales, Ham and the Porcupine and The Tabu Tale. Of all the stories in the book, Dad and I most loved to read about the father and daughter, Tegumai and his daughter Taffy, who were very clearly meant to Rudyard Kipling and his eldest daughter Josephine, his 'Best Beloved' for whom the Just So Stories were written. I remember growing sad when I read, in the introduction to my book, that Josephine died when she was only six and that much of Kipling died with her.
And now…well.
It may be that 'The Tabu Tale" was not gathered in with the others because, with its final reminder that 'she was taken everywhere that her Daddy went,' it was too heart-rendingly personal. Kipling's haunting story "They" encapsulates his anguished sense of loss, as does the two-part poem, "Merrow Down," which accompanies the Taffy stories:(1)
For far – oh very far behind,
So far she cannot call to him,
Comes Tegumai alone to find
The daughter that was all to him.
(1) Neil Philip, Introduction to The Complete Just So Stories, Albion Press Limited, 1993


text:
Today marks a new challenge over at CAS-ual Fridays, this week is Mapquest! Get out those map papers, embellishments and stamps and create something that goes! Here is my card using the challenge.
Using Mama Elephants Wanderlust set, I stamped the road map image in three different colors. I then stamped the large banner sentiment, cut it out and popped it up. I finished it off with some sequins.
Thanks for stopping, I do hope you'll play along, there is a fab prize from CAS-ual Fridays Stamps!
Paper: Marshmallow Bazzill
Ink: Red Currant, Harvest, Island Fresh Ink; Onyx Black Versafine Tsukineko
Embellishment: Sequins Studio Calico


text:
Sometimes all it takes to turn a rainy, hectic day around is a great lunch date.
This is exactly what happened when my friend Nicole and I caught up over lunch at Magnolia Bistro. After a heaping plate of Huevos Con Diablo (my favorite) and lots of laughter I managed to talk Nicole into photographing and guest staring in another lunch date outfit post!
The last time Nicole appeared in a Wore Out outfit post it was snowing, so it seemed fitting that when we met for lunch this week it poured rain. On Nicole: Cardigan, Dress, & Flats: Target, Necklace: Lia Sophia.
I love the navy and mustard color combination Nicole is wearing. Both colors are bright and bold while being somewhat neutral striking a complimentary balance. Nicole's outfit is effortlessly chic and perfect for transitioning from a day at the office to post work drinks with the girls.
Trench Coat: Forever 21, Shirt Dress: The Clothes Exchange Pop-up Shop, Belt (taken from H&M tunic), Speckled Ring: Kohl's, Wellies: Dick's, Earrings: Savannah, GA
When I found this pinstriped shirt dress at The Clothes Exchange I somewhat confused. There were two, belt sized holes through either side of the dress but no belt. After trying various techniques I decided my best option was to put the middle of the belt around my back and feed the ends of the belt through the dress, crossing them in front and tying them in bow. I ended up liking the gathered look that resulted but plan on experimenting more with other belt/ruching options. Any thoughts or suggestions would be much appreciated!
What new colors and/or pieces are you experimenting with this spring?