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EverythingHealth is designed to address the rapid changes in Science, Medicine, Health and Healing in the 21st Century. This site will sift through the vast amount of confusing data and simplify issues that are of interest to everyone interested in a healthy life and longevity. The writings on EverythingHealth are entirely my own views and opinions.
Friday, June 29, 2007
On Vacation
Dear readers,
I will be rafting the rapids on the Colorado River for the next week. Stay healthy, wear lots of sunscreen and visit EverythingHealth again in about a week.
Thursday, June 28, 2007
Common Drug Interactions
Did you know that a lack of acid in the stomach significantly affects the body's ability to absorb thyroid hormone? That is just one of many facts that patients often don't know. Here are a few others:
* Proton Pump Inhibitors (PPI's like Prilosec, Aciphex, Protonics, Nexium) reduce calcium absorption. If you are on these pills,(and millions of people are) you will need extra Calcium.
* Warfarin (Coumadin) levels are increased if you take Prednisone also. The list of drugs that interacts with warfarin is long so make sure you ask your physician for the list and monitor all of the meds you take.
* Thyroid hormone (Synthroid, Levoxyl)will not be absorbed if taken with Iron,PPI's, Antacids or Calcium. Make sure your doctor knows if you take any of these with Thyroid pills.
* Antifungals (Nizoral, Sporanox)also depend upon acid for absorbtion. PPI's block acid in the stomach so these expensive pills that treat fungal infections will not work if you take acid-blockers also.
*Statins (Mevacor,Lipitor,Crestor,Pravachol)have increased toxicity risk if used with Niacin, Erythromycin or Biaxin, Verapamil or protease inhibitors.
These are just a few of the interactions we see with commonly used medications. The amount of medical knowledge a doctor must keep in his/her head has outstripped brain neurons. Electronic Health Records will help us all because they have decision support that alerts a physician when drug interactions are likely. But under 18% of doctors have this type of EHR tool, so until that time...make sure you keep an up to date medication list in your wallet and pull it out at every doctor visit. Visit my prior post on medication errors for more tips.
Tuesday, June 26, 2007
Chatty Doctors
Wow, I read an article in the New York Times on "Chatty Doctors" and had to gulp and wonder if I have ever done that. It seems researchers videotaped 100 primary care doctor-patient interactions and they found the doctors talked about themselves in 1/3 of the visits. This wouldn't be so bad except they never circled back to the patient's issues and wasted a lot of the precious visit time chatting about their own issues.
For instance, one doctor talked about his vacation in Italy and another about his own struggle with loosing weight. Far from being a "connection", it seems the physician's self disclosure didn't really tie back to the patient issues. Four out of five times the doctor never resumed the topic they were discussing before the interruption.
Of course, I had to think back on a recent patient visit where my patient had just returned from a safari in Africa. Since that is a trip I would like to take, I certainly peppered him with travel questions and we spent a great deal of time talking about the best locations. My only saving grace is that I was quite aware of this being "his" time and I assured him that he was my last patient and we would have lots of time for the exam and his issues. Did I justify my chattiness? I guess I better check back with him and make sure.
Sunday, June 24, 2007
Osteoarthritis vs. Osteoporosis
Patients often confuse Osteoarthritis and Osteoporosis. They are two very different conditions. The following is a quick comparison:
(Degeneration of cartilage at joints)
o Painful
o Cause unknown but occurs with aging, prior trauma and genetics
o Mainly joints of hands, knees, hips and spine
o Worse in obese people
o Calcium does not help
o Swelling and stiffness of affected joints common.
Treatment includes acetaminophen or NSAIDS (non-steroidal anti-inflammatory drugs like ibuprofen, aspirin, celebrex), joint replacement in severe cases.
(Loss of skeletal bone mineral and calcium)
o Usually painless - unless fractures occur
o Caused by lack of estrogen, smoking, corticosteroids, genetics
o Affects all skeletal bones including jaw, spine, hips. Doesn't affect joints.
o More common in skinny people
o Intake of Calcium and Vitamin D important.
o No joint swelling involved
Treatment includes bisphosphonate drugs, calcium, weight bearing exercises, estrogen.
Hope this quick comparison helps with the confusion.
Tuesday, June 19, 2007
Medical Tests - think twice
An article in the New York Times struck home with me today. It has to do with excess radiation exposure from CT scans, X-rays and other ionizing radiation from medical tests.
Many patients think more is better when it comes to diagnostic testing. They request scans for headaches, backaches, new knee pain and screening total body scans "just to make sure I'm ok". Despite warnings that body scans often pick up slight abnormalities that are not significant but need to be followed up on with biopsies and more invasive tests, many patients believe it is worth it if the test can find that 1/10,000 early cancer.
According to a new study, the dose of ionizing radiation from clinical imaging exams in the U.S. increased almost 600% from 1980 to 2006. CT scans,nuclear medicine exams and cardiac studies deliver the most radiation. X-rays have been classified as carcinogens by the World Health Organization and the Centers for Disease Control and Prevention and excess exposure causes leukemia, thyroid, breast and lung cancer.
The American College of Radiology says mammograms deliver only 0.7mSv radiation and a bone density scan is only 0.01mSv. Compare that to a single CT scan that can expose a patient to 10mSv. The new multislice scanners deliver even more radiation.
We are blessed to live in an age with technology that can help us diagnose illness, treat disease and extend our lives far beyond our grandparents. But new technology comes with a cost, both in health care dollars and in exposure to radiation. The smart patient will ask "Is this test necessary?" The smart patient will avoid total body scans unless it is for a specific diagnostic question.
Saturday, June 16, 2007
Brits Got Talent - A Star Is Born
British Idol - just believe in yourself
Thursday, June 14, 2007
Greetings by your Doctor- how do you like it?
The Archives of Internal Medicine had an interesting article about patient preferences for how a doctor greets them. Over 78% of patients want the physician to shake their hand. (I hardly ever shake hands with a patient! Why pass those germs?)
Over 50% want the doctor to greet them with their first name and 56.4% want the doctor to introduce his/her self using first and last name. (I always do this).
The study videotaped patient-doctor interactions and in over 50% of initial encounters the doctor did not mention the patient's name at all.
I found this interesting. I was always trained that unless instructed otherwise, patients should be greeted as Mr. or Ms. I train my staff to speak to patients in a formal manner unless the patient says "Oh, please call me Susan". Of course after a long relationship, everyone is on a first name basis. We are like family!
Other studies I have read said patients like to see the physician in a white lab coat and they like name badges. I have a white coat with my name embroidered above the pocket and I couldn't function without the many pockets a coat provides for my pens, booklets, hammers, stethoscope, measures, palm pilot and other tools of the trade.
So, did the study get it right? What is your preference in greeting and dress code from your doctor?
Monday, June 11, 2007
Green Tea - maybe very very good for you
Green tea, like black and oolong tea, comes from the Camellia senesis plant. For green tea, the plant leaves are steamed and parched after picking to prevent oxidation of the compounds present in the leaf. Green tea extracts have been used in traditional Chinese medicine for centuries but now conventional medicine practitioners are beginning to explore the health-promoting benefits of green tea derivatives.
The most common compound found in green tea is called EGCG (epigallocatechin-3-gallate ).
EGCG is a complex molecule with many potential anticarcinogenic functions. It acts as an antioxidant and neutralizes free radicals in the body. It also blocks angiogenesis, the process by which new blood vessels are formed and can block tumors from getting nutrients needed for growth. It inhibits cell cycles and has antibacterial properties. It can also protect against potential carcinogenic agents such as UV radiation and smoking by increasing the catabolism of these carcinogens.
Mayo Clinic Proceedings recently reviewed 400 studies on green tea and EGCG. They found only 15% of US adults drink green tea on any day. Therefore, most studies examining an association between green tea and lowered cancer risk have been conducted abroad, mainly in Asia. No prospective studies of green tea consumption and cancer risk have been reported from European or American subject populations and the studies reviewed had varied results. Unfortunately, differences in the methods used to assess green tea consumption make it difficult to derive any firm conclusions.
Although the study designs were variable, there were a number that did show green tea and EGCG may have potential as prevention or treatment for cancer and the biologic mechanisms of the compound make these findings compelling.
I am not aware of any prospective trials underway on green tea and that is a shame. We need trials that determine how the active ingredients in green tea interact with environmental and genetic factors. Although we have no proof... since it is readily available and non-toxic and it tastes good, maybe we should all be drinking a cup daily.
Friday, June 8, 2007
Liquid Skin
When my daughter was young and I told her to get out of the sun or it would ruin her skin she would reply "Oh, it's OK, when I grow up there will be liquid skin. I will just rub it on and all the sun damage will be gone". I laughed at her silliness as I slathered sunscreen on her. Now there is a recent study from the Archives of Dermatology that shows there is hope for the wrinkles of aging.
Sun exposed skin shows accelerated aging and lack of collagen. This study was done on 87 year olds, living in senior citizen facilities and they applied a combination of liquid Retinol (Vitamin A) and glycosaminoglycan, which is known to retain water and increase collagen synthesis. After 24 weeks, the treated patients had fewer visible wrinkles and biopsy of their skin showed more collagen and ability of the skin to withstand injury.
My grown daughter knows she "goofed" as liquid skin isn't here and, as usual, mom was right about sun protection. But a commercial product is patented and in development so maybe she was on to something. I guess in the future eighty-seven will be the new 40!
Wednesday, June 6, 2007
Health Care Reform - Myths and Facts
Finally, after almost 15 years, Health Care Reform is back in vogue. With the upcoming election, our country might be poised to actually address this issue. The California Healthcare Foundation has released some myths and facts that readers of EverythingHealth will find interesting.
MYTH - The uninsured can get care when they need it.
FACT- Almost half of uninsured individuals will not seek care when they have a medical problem, compared to 15% of patients with insurance. Uninsured patients consistently have worse health outcomes. Accident victims without insurance have 37% higher mortality rates. Uninsured patients with breast and colon cancer have 50% higher mortality rates. Because uninsured patients lack routine care, their chronic conditions are often poorly managed
MYTH-People without job-based health insurance could buy insurance if they wanted to, but they choose not to.
FACT-Consumers can be denied coverage outright, can be charged higher premiums or be offered more limited benefits based on their health status. For example, many people who have had cancer or have heart disease are denied coverage. See my prior post on one such case. Even for individuals or families who can get coverage, it may be available only at prices that are unaffordable. The individual insurance market is a viable choice for only a subset of the uninsured.
MYTH-Voluntary purchasing pools lower the cost of health insurance premiums.
FACT-Establishing a voluntary purchasing pool will not automatically reduce premiums to an affordable level. Only if the pool is structured so that its enrollment is stable, only if its target population is required to use the pool will the pool have the potential to achieve economies of scale and negotiate effectively with health plans. The California sponsored purchasing pool - Pac Advantage- recently ceased operations.
The dialog about health care in America has begun and dispelling myths is the first step toward solving complicated problems. We are the only industrialized nation without universal access to basic health care.
Tuesday, June 5, 2007
Cigarette Addiction -More on Nicotine
Here in the San Francisco Bay area, few people still smoke. But if you get away from the coast, you see the grip that nicotine addiction still has on people. I wrote a prior post on stopping smoking but newer studies are showing that the addictive properties of modern cigarettes are even more powerful than we thought.
Cigarette smoke contains 4000 chemical compounds, some of which also reinforce smoking behavior. This may explain why nicotine replacement therapies are often ineffective alone. Using PET (positive emission tomography)scans, researchers found smokers have 40% less of certain enzymes in their brains and other organs of the body. This may explain the increased rate of smoking in diseases like depression because these enzymes affect neurotransmitters that lead to depression. Cigarette smoking, like other addictive compounds (cocaine, methamphetamine) causes intense craving and brain imaging techniques are giving scientists a window on what happens during cravings.
It is becoming more clear that there is probably a genetic basis for addiction. As we develop treatment drugs that are selective for a persons genotype, we will be able to use therapies that are targeted and appropriate.
Until we get there, we need to use all the tools we now have to help people stop smoking. Use every opportunity you have and talk to your children about the dangers of cigarettes. Explain that Hollywood uses smoking in movies to influence the kids to start. Ask any physician...the number one most important thing you can do for your health is to Stop Smoking Today.
Monday, June 4, 2007
Recall on Imported Toothpaste
The FDA is warning consumers to throw out any Chinese toothpaste after it found a component of antifreeze in several products.
Because diethylene glycol (DEG) is not always listed in the ingredients on the package, the FDA says people should examine their toothpaste and discard any imported from China. The FDA is concerned about chronic exposure to DEG, particularly to vulnerable populations like children and people with kidney or liver disease.
The following brands are affected by the advisory: Cooldent Fluoride, Cooldent Spearmint, Cooldent ICE, Dr. Cool, Everfresh, Superdent, Clean Rite, Oralmax Extreme, Oral Bright Fresh Spearmint Flavor, Bright Max Peppermint Flavor, ShiR Fresh Mint Fluoride Paste, DentaPro, DentaKleen, and DentaKleen Junior.
Because diethylene glycol (DEG) is not always listed in the ingredients on the package, the FDA says people should examine their toothpaste and discard any imported from China. The FDA is concerned about chronic exposure to DEG, particularly to vulnerable populations like children and people with kidney or liver disease.
The following brands are affected by the advisory: Cooldent Fluoride, Cooldent Spearmint, Cooldent ICE, Dr. Cool, Everfresh, Superdent, Clean Rite, Oralmax Extreme, Oral Bright Fresh Spearmint Flavor, Bright Max Peppermint Flavor, ShiR Fresh Mint Fluoride Paste, DentaPro, DentaKleen, and DentaKleen Junior.
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When to Use Urgent Care
We all know that Emergency Departments are over-crowded with long waits and exorbitant fees. Free standing Urgent Care is a great solu...
image from myaspiebrain Nothing like experiencing a medical condition first-hand to really help a doctor understand it from the patient...
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Most weeks I link up with Two Tiny Hands to join #ABrandNewDay (apart from when my brain is completely frazzled by uni) and mostly talk about my (semi) effective weight loss plans.
My weight has remained unchanged for two weeks, so I don't really have anything to say and I would feel like fraud for dishing out any advice, so today my plan is to talk about self-care.
I had let myself go over the last two months. I get really intense about my study (because I am an insane person) and it makes me really neglectful of my looks. My roots were about a foot long, my hair was remaining in its normal bushy state in the wake of my broken curling tong, my weight had crept up and my clothes were either shapeless, full of holes, or both. Basically, I was a real troll.
I have a little bit more time now, emphasis on little, and I really wanted to start feeling like myself again, so I signed back up to Glossybox (unboxing post here) and got back into a better self care routine.
I've had my roots done, I make sure I swim at least once a week (which forces me to shave and moisturise my legs a couple of times a week now!) and I've even got into a regular skincare routine.
When I've taken off my make up at night, I cleanse and tone (aren't I good?!) with some Clarins products that I got for the ridiculous price of £23 in January, I even got a free bag and eye make up remover! I've never seen this deal again, so if you want it, you'll have to put up with the price of nearly £20 per item(!) but I really can't recommend it enough.
I currently moisturise with Garnier Moisture Bomb at night but I change products every time I run out. This moisturiser has a slightly odd texture. I like a thick night time moisturiser and this feels thick but as you rub it in it gets quickly absorbed and feels like a more watery texture before sinking in fully.
I've been making an effort to keep all of this up and I must say I've been feeling a lot better and a bit more like my old (pre-children) self. Now that my hair looks good again, it makes me want to make the effort to wear make up daily.
Swimming has definitely had a good effect on me too, I really go at it and don't stop in between lengths so I get quite out of breath but I push myself to do as much as I possibly can. When I get out of the pool I feel a real sense of accomplishment (exercise usually just makes me miserable because I hate it).
Taking a bit more time to look after myself has reminded me how good it feels to do so.

subset: commoncrawl


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Enjoy, from dawn to sunset, the magic of the colours of the mountains reflected in the lake, and enjoy to the full, the sensation of freedom offered by a place rich in opportunities and adventures. Active Hostel, the hostel of Ponte Caffaro, invites you to rediscover the pleasure of a regenerating holiday, in close contact with nature.
Our rooms welcome guests according to the philosophy of hostels around the world: multiple rooms, leaving space to conviviality, leading to spontaneity and mutual respect toward each other. There are 6 rooms, totaling 24 beds, each with their own private bathroom (one equipped for the disabled) and a balcony with a view of the lake. Breakfast, bedding and towels are included.
Via dei Quadri 10, Trav 2 - 25072 Ponte Caffaro (BS)
Cell. +39 3492309831
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Disney Gift Cards can be used at Walt Disney World, Disneyland, at Disney retail stores and at the Disney website. The cards can be applied towards park admission, hotel stays, park tickets, tours, Disney park merchandise and dining within the Disney parks. Gift cards can also be applied towards Disney cruises and Disney vacation adventure packages. Disney Gift Cards can be used in succession towards a single purchase, or upon special request the gift cards can be combined.
Contact the Disney Gift Card hotline at 877-650-4327.
Press "1" for an English speaking representative or "2" for a Spanish language representative.
Press "0" to reach an operator.
Inform the operator that you wish to combine your Disney Gift Cards.
Read the card number of each Disney Gift Card to the representative. Your representative will ask for the card numbers one by one.
Video of the Day
Tell the Disney representative which card that you wish to have the entire new balance on. You must know the PIN (Personal Identification Number) for the chosen card.
Obtain confirmation from the Disney representative that your balance has been combined. Your Disney representative will give you the new total balance at that time.


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Governor Sarah Palin delivered the following remarks after John McCain announced that she was joining the ticket as the nominee for Vice President.
Governor Sarah Palin: "And I thank you, Senator McCain and Mrs. McCain, for the confidence that you have placed in me. Senator, I am honored to be chosen as your running mate. I will be honored to serve next to the next president of the United States.
"I know that when Senator McCain gave me this opportunity, he had a short list of highly qualified men and women, and to have made that list at all — it was a privilege. And to have been chosen brings a great challenge. I know that it will demand the best that I have to give, and I promise nothing less.
"First, there are a few people whom I would like you to meet. I want to start with my husband, Todd. And Todd and I are actually celebrating our 20th anniversary today, and I promised him a little surprise for the anniversary present, and hopefully he knows that I did deliver.
"And then we have as — after my husband, who is a lifelong commercial fisherman, lifetime Alaskan — he's a production operator. Todd is a production operator in the oil fields up on Alaska's North Slope, and he's a proud member of the United Steelworkers Union, and he's a world champion snow machine racer. Todd and I met way back in high school, and I can tell you that he is still the man that I admire most in this world.
"Along the way, Todd and I have shared many blessings, and four out of five of them are here with us today. Our oldest son, Track, though, he'll be following the presidential campaign from afar. On September 11th of last year, our son enlisted in the United States Army. Track now serves in an infantry brigade. And on September 11th, Track will deploy to Iraq in the service of his country. And Todd and I are so proud of him and of all the fine men and women serving the country in uniform.
"Next to Todd is our daughter Bristol; another daughter, Willow; our youngest daughter, Piper; and over in their arms is our son Trig, a beautiful baby boy. He was born just in April. His name is Trig Paxson Van Palin.
"Some of life's greatest opportunities come unexpectedly, and this is certainly the case today. I never really set out to be involved in public affairs, much less to run for this office. My mom and dad both worked at the local elementary school. And my husband and I, we both grew up working with our hands.
"I was just your average 'hockey mom' in Alaska. We were busy raising our kids. I was serving as the team mom and coaching some basketball on the side. I got involved in the PTA and then was elected to the city council and then elected mayor of my hometown, where my agenda was to stop wasteful spending and cut property taxes and put the people first.
"I was then appointed ethics commissioner and chairman of the Alaska Oil and Gas Conservation Commission, and when I found corruption there, I fought it hard and I held the offenders to account. Along with fellow reformers in the great state of Alaska, as governor, I've stood up to the old politics as usual, to the special interests, to the lobbyists, the Big Oil companies and the 'good old boy' network.
"When oil and gas prices went up so dramatically and the state revenues followed with that increase, I sent a large share of that revenue directly back to the people of Alaska — and we are now — we're now embarking on a $40 billion natural gas pipeline to help lead America to energy independence.
"I signed major ethics reforms, and I appointed both Democrats and independents to serve in my administration. And I've championed reform to end the abuses of earmark spending by Congress. In fact, I told Congress thanks, but no thanks, on that "Bridge to Nowhere." If our state wanted a bridge, I said, we'd build it ourselves.
"Well, it's always, though, safer in politics to avoid risk, to just kind of go along with the status quo. But I didn't get into government to do the safe and easy things. A ship in harbor is safe, but that's not why the ship is built. Politics isn't just a game of competing interests and clashing parties. The people of America expect us to seek public office and to serve for the right reasons. And the right reason is to challenge the status quo and to serve the common good.
"Now, no one expects us to agree on everything, whether in Juneau or in Washington. But we are expected to govern with integrity and good will and clear convictions and a servant's heart.
"Now, no leader in America has shown these qualities so clearly or presents so clear a threat to business as usual in Washington as Senator John S. McCain. This — this is a moment when principles and political independence matter a lot more than just the party line. And this is a man who has always been there to serve his country, not just his party.
"And this is a moment that requires resolve and toughness and strength of heart in the American president. And my running mate is a man who has shown those qualities in the darkest of places and in the service of his country. A colleague once said about Senator McCain: That man did things for this country that few people could go through; never forget that. And that speaker was former Senator John Glenn of Ohio. And John Glenn knows something about heroism.
"And I'm going to make sure nobody does forget that in his campaign. There is only one candidate who has truly fought for America, and that man is John McCain.
"This is a moment — this is a moment when great causes can be won and great threats overcome, depending on the judgment of our next president. In a dangerous world, it is John McCain who will lead America's friends and allies in preventing Iran from acquiring nuclear weapons.
"It was John McCain who cautioned long ago about the harm that Russian aggression could do to Georgia and to other small Democratic neighbors and to the world oil markets.
"It was Senator McCain who refused to hedge his support for our troops in Iraq, regardless of the political costs. And you know what? As the mother of one of those troops and as the commander of Alaska's National Guard, that's the kind of man I want as our commander in chief.
"Profiles in courage, they can be hard to come by these days. You know, so often we just find them in books. But next week when we nominate John McCain for president, we're putting one on the ballot!
"To serve as vice president beside such a man would be the privilege of a lifetime, and it's fitting that this trust has been given to me 88 years almost to the day after the women of America first gained the right to vote.
"I think as well today of two other women who came before me in national elections. I can't begin this great effort without honoring the achievements of Geraldine Ferraro in 1984, and, of course, Senator Hillary Clinton, who showed such determination and grace in her presidential campaign.
"It was rightly noted in Denver this week that Hillary left 18 million cracks in the highest, hardest glass ceiling in America. But it turns out the women of America aren't finished yet, and we can shatter that glass ceiling once and for all.
"So for my part, the mission is clear. The next 67 days I'm going to take our campaign to every part of our country and our message of reform to every voter of every background, in every political party, or no party at all. If you want change in Washington, if you hope for a better America, then we're asking for your vote on the 4th of November.
"My fellow Americans, come join our cause. Join our cause and help our country to elect a great man the next president of the United States. And I thank you, and I — God bless you, I say, and God bless America. Thank you."


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A place to share my writings, poems, photos, family history, express opinions, and connect with others
Saturday, December 26, 2009
Christmas Day
I used my new camera to take photos of the grandkids on Christmas morning.
All that wrapping is soon to go into the trash as (l-r) James and Nathan open presents.
L-James loves his new rubber boots. R-The twins (l-r) Heather and Emilee are enjoying opening all their presents.
And we even talked about whose birthday we are celebrating with our nativity play on Christmas eve. We acted out the event with figurines as I read the story from a children's book.
7 comments:
How wonderful you could be with your grandchildren on Christmas day and get great photos with your new camera as well. I admire your family for truly celebrating Christmas with the story and play. Thats what Christmas is all about! Happy New Year!ReplyDelete
What precious grandchildren. I know you had a blast with them.ReplyDelete
Merry Christmas, Lin. These are great photos. God bless you and those you love.ReplyDelete
You have such wonderful grandchildren, Lin! I'm so glad you had such a lovely Christmas.ReplyDelete
That put a smile on my face..beautiful children enjoying the day...ReplyDelete
Christmas with children opens ones eyes anew.ReplyDelete
Beautiful day!ReplyDelete
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With a sound that can be difficult for an artist to capture, 90's ambience Mazzy Star meets the lyrical inventiveness of Metric, Ila Minori does it exceptionally well. Ila Minori is a Mexican-American singer and songwriter whose music features intimate folk-pop sounds and touching personal stories.
Her sound is understated, elegant and honest, allowing beautiful melodies to collide with honest and heartfelt lyrics that deal with the artist's recent life events and feelings. Her recent album, "Traveling with ghosts" is a earnest depiction of Ila's recent journey through Italy. She was half the world away, yet she still carried her pain, uncertainty and darkness with her. However, she let it all go and found love, creativity and inspiration in the process of exploring the Mediterranean country. Based in Rome for part of the year, Ila traveled up to Trentino, a northern region of the country, where she found creative inspiration in the sheer beauty and comfort of the Alps. Here's where the album came to life, leading to new opportunities, tour dates and record deals – as the album is released in partnership with Bakraufarfita Records (Berlin) and a recent limited edition lathe vinyl single for "Plastic Hearts" published by Leesta All Sound Recordings out of Brooklyn N.Y.


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com Scottsdale Arizona United States 85260 (480). According to the 2001 census, please contact. Supporting the American Way of Life The Importance of Natural Gas Storage?
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The far right has staked almost everything on the nomination of Brett Kavanaugh to the Supreme Court. In putting a person who possibly committed sexual assault as a teen, and definitely both lied constantly and had a rage-filled meltdown during his hearings, conservatives are basically saying that demeanor, bias, and character don't matter when it comes to SCOTUS – only winning does.
But to believers in the QAnon conspiracy theory, Kavanaugh's all-but-certain confirmation to the Supreme Court means something else entirely: the beginning of the end of the cabal that controls the world.


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Alipus Mezcal San Luis Del Rio (blue label)
Alipús is a series made from contracted mezcales, purchased and marketed by the Danzantes group in Oaxaca, and imported into California by Craft Distillers. Each label corresponds to a specific village where the producer is located. All of them are made entirely from Espadin agave (with the exception of the San Andres that has a smidge of something else thrown in during fermentation). The point is to show the geographical differences that terroir, fermentation, and water ultimately play in the flavor of each spirit.
The Alipús line is named for the villages in which they are distilled. This particular mezcal is distilled by Don Baltazar Cruz Gomez using agave espadín grown at 4000 feet, in steep and sandy soil. The piñas are roasted in cone-shaped pit ovens dug in the ground called palenques, and the juices are pressed using stone mills. After fermentation with natural yeast in open pine vats, the juice is double-distilled in copper pot stills heated by wood fires. It is bottled unaged.
This is the most fruit driven and round of the bunch. Big and rich, dark fruited with black cherry and an almost voluptuous mouth feel. The spirit is super weighty and oily, with just a kiss of funk in the back ground. Such a departure from the others which are much spicier, fruity and delicious.


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On a typical day of fishing with L.A. Charters, we leave the marina at safe daylight and return between 1:30 and 2 p.m.
Fall and winter fishing is excellent in the Venice area. Starting in
October, the big trout show up in numbers, and the redfish really turn
on. In short, the fishing is terrific throughout October, November,
December and, depending on river stages, January. If you're ready for
some fast-and-furious action, then make plans now.
Spring and summer offer opportunities to catch that fish of a lifetime.
The fish are moving in on the beaches to spawn, and the close-in oil
rigs and wellheads of the Gulf are teeming with big fish. Trophy trout
are caught on topwater and plastics at this time of year, and the
topwater bite can be awesome.
With virtually year-round opportunities for outstanding action, the
waters of Venice offer the absolute best in light-tackle saltwater
fishing. Call today to book a fishing trip of a lifetime.


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35 Tasty Paleo Recipes Using Coconut Flour [Part 2]
For health reasons, we always want to use natural sweeteners like coconut sugar in our food. Not only does it offer health benefits; its sweet caramel taste perfectly complements any recipe! For that reason, we decided to compile recipes that work refreshingly with this natural sweetener. Just a note, most of these dishes are too beautiful – you don't even want to devour on them!
Here are some of the tastiest coconut sugar pleasures we've rounded up for you!
1. Gluten-Free Coconut Flour Brownies | Coco Treasure
Is there anything as sinful as brownies? C'mon, visualize that fudgy, sweet, and indulgent delight, could you ever resist that? Thanks to this recipe from Coco Treasure, you can have brownies as much as you want. Mind you, it's high in protein and has almost zero calories, so fret not.
2. Simple Coconut Flour Cake | Savory Lotus
Baking a cake doesn't have to be very complicated. More often than not, simple is better. And if you have tried baking with coconut flour, you'll understand what we're saying. Savory Lotus has a special recipe created with creativity and coco flour. The result is a sumptuous cake that is light and fluffy!
3. Home Baked Grain-Free Organic Coconut Flour Bread | The Radiant Life
Ever tried making gluten-free breads? If so, you know what to expect. But The Radiant Life is making this all-time favorite simpler than ever! With only 6 ingredients, you can have one scrumptious organic bread like no other! Check it out!
4. Paleo Coconut Flour Brownies | Empowered Sustenance
If you want a moist, chocolatey, and dense brownie recipe, Empowered Sustenance has the perfect suggestion for you. Their brownies are not just decadent; they also taste oh-so-good. What's great about it is that you can even adjust its flavor depending on your preferences. If you want it bittersweet, add only ½ cup of maple syrup. But if you prefer it to be sweeter, add ¾ cup of honey.
5. Coconut Flour Pancake | Paleo Hacks
This pancake recipe from Paleo Hacks should make your mornings extra special! And since it is light and fluffy, we wouldn't be surprised if it eventually becomes your comfort food. So head to the kitchen and gather all the ingredients needed. You wouldn't want to miss this, especially if served with maple syrup.
6. Coconut Flour Peanut Butter Cookies | Food and Wine
Food and Wine has proven that peanut butter and coconut flour could taste so good together. With their cookie recipe, you could have a taste of heaven in just one bite. And in just 25 minutes, you could make 18 hearty cookies that your family will surely love.
7. Coconut Flour Biscuits | It Takes Time
Regardless of the occasion, these biscuits from It Takes Time makes a sumptuous treat. Because it is gluten-free, it sure is healthy. This is exactly what every mom needs!
8. Coconut Flour Donuts | Comfy Belly
If you are obsessed with doughnuts, this recipe from Comfy Belly is a must-try. Though they say it tastes more cupcakes than doughnuts, it tastes heavenly anyway! To make it even more presentable, feel free to fill in the hole with frost or pie filling. It's undeniably the best doughnut or cupcake recipe in this world!
9. Chocolate-Caramel Coconut Flour Brownies | Dr. Axe
If you are looking to transition into a healthier lifestyle, coconut flour is perhaps a great way for you to be able to savor the taste of sweet treats! But if you have never tried baking with it, Dr. Axe has just the right solution. These brownie recipe is so easy to make; it doesn't even need any fancy ingredient. And as soon as you serve it, it would be gone too soon. Try it!
10. The Paleo Kitchen Pumpkin Waffles | Paleo OMG
Pumpkins are all over the supermarket aisles, so it is pretty much understandable why Juli of Paleo OMG shared this delectable recipe. Once you have a taste of it, you'll definitely want to squeal T.G.I.F! Thank God It's Fall!
11. Grain-Free Graham Crackers | Homemade Mommy
Now, you can make some healthy biscuits at home with this treat by Lindsey from Homemade Mommy. But she reminds us that this won't be as crisp as you expected because it is made with coco flour. Nevertheless, it is somewhat close to the real graham crackers, which is ideal for smores.
12. Coconut Flour Chicken Tenders | Low Carb Yum
Okay, this recipe by Lisa from Low Carb Yum is unbelievably good! Aside from that, it's paleo-friendly so you need not worry about all those chicken fats. Feel-free to tweak the spices to suit your taste. Either way, we're confident that it'll come out well.
13. The Best Coconut Flour Chocolate Chunk Bars | Ambitious Kitchen
While this appears like a very complicated dish, Monique from Ambitious Kitchen gives us the assurance that this is very easy to make. Although its texture is cake-like, you can still savor every single bite of it without guilt! Just look at those layers of dark choco and coconut flakes, aren't they tempting?
14. Paleo Coconut Pecan Breakfast Bars | Momma Young at Home
For mothers who want to feed their picky kids with nutritious meals, freezer cooking can do the trick. And if that is your specialty, you'll be thankful for Momma Young at Home. The next time you feel it's going to be a crazy morning, just grab some of these bars and go! It's that quick and easy!
15. Paleo Pumpkin, Bacon & Chive Biscuits | The Urban Poser
Whenever we see paleo recipes, we often think they are very complicated as lots of hard-to-find ingredients are often mixed together. So The Urban Poser came up with this simple yet achievable recipe. It's indeed a fun and ingenious way to use pumpkin! There's no doubt about that!
16. Paleo Lemon Bread with Lemon Glaze | Connie's Finally Losing It
Though it seems impossible to bake bread without dairy and bread, Connie's Finally Losing It has a simple bread recipe that'll change the way you think about this everyday pastry. Made with coconut flour and 7 other ingredients, this paleo bread is as nutritious as it is delicious.
17. Coconut Flour Shortbread Cookies | Kristine in Between
This shortbread cookie recipe from Kristine in Between should make a wonderful addition to your paleo diet. With only four ingredients, you can already achieve a light and crisp treat in no less than 20 minutes. Serve it with your favorite cup of morning tea!
18. Naked Chocolate Cake | The Healthy Chef
Here's a recipe from The Healthy Chef that'll redefine the ever popular chocolate cake. For sure, it'll suit almost all eating styles. Plus, it can be enjoyed by everybody – health buffs, dessert lovers, or the picky eaters!
19. Best Mug Cake | All Recipes
This mug cake recipe is nothing but perfect! It's a sumptuous treat that'll fulfill your chocolatey cravings! Since it rises so fast, be sure you use a bigger cup. Also, the texture is so light, you might want to make more of these soon!
For families that are always on-the-go, these pancakes from The Coconut Mama should keep them moving! Best served with honey or maple syrup, it's so easy to prepare! Just mix all the ingredients in the blender and then cook it on the griddle. It's as easy as one-two-three!
At the end of the day, you have to remember that sweets are treats. But then again, delectable dishes don't need to be a sin, especially for those who are on a diet. With moderation and balance, you'll realize you don't have to say no to sweet foods with coconut sugar, ever again!


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by Hagbard Celine (for Black Crayon)
As every thinking person has noticed, our national life has become increasingly weird and surrealistic. The waiting lines at banks and post offices are growing longer all the time, even though demographers tell us US population is no longer rising. The street signs more often than not say WALK on the red and DON'T WALK on the green. You can't get a plumber on the weekends. Nobody has been able to explain the cattle mutilations yet. Every survey shows that the price of consumer goods, the number of violent crimes, and the eerie popularity of THE GONG SHOW are ominously accelerating.
I believe I have found the explanation these distressing trends. Needless to say, I cannot present, in a short article, all the evidence which I have accumulated in three decades of careful metasociological research; that will have to await the publication of my three-volume study, "Why Everybody Is Going Bonkers." Here I can only mention the thousands of depth interviews, the innumerable flowcharts and helix-matrix equations, the vast files of computer readouts, the I CHING divinations, and other rigorous scientific techniques used in developing what I modestly call Celine's Laws of Chaos, Discord and Confusion.
Celine's First Law is that National Security is the chief cause of national insecurity!
That may sound like a paradox, but I will explain it at once.
Read more.


text: 12:48 PM Underline Designs Contact I love to connect with my Seams & Sprinkles friends! Please fill out this form and let me know what you want to talk more about. I am always happy to help and would love to work with you on special projects! Name Email* Message *


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By: Caitlin Conk
Blog Category: Race & Healthcare
Research has shown that black patients more frequently undergo surgery at low-quality hospitals than do white patients. Researchers focused on racially segregated areas, where there is a close proximity of both high and low-quality hospitals. After analyzing national Medicare data for all patients who underwent one of three high-risk surgical procedures in 2005-08, researchers found black patients were more likely than white patients to undergo surgery in low-quality hospitals for all three surgical procedures. Blacks were also less likely than whites to undergo surgery at high-quality hospitals for all three operations. Researchers noted the racial disparities were not due to a lack of geographic proximity to higher-quality hospitals. Black patients actually live closer to high-quality hospitals performing these procedures than white patients.
What is causing this racial disparity? Researchers believe it has to do with the history of residential segregation. Black patients living in regions with high degrees of racial segregation were even more likely to undergo surgery in low-quality hospitals. Whereas, blacks living in regions with low degrees of residential racial segregation were no more likely than whites to receive care in low-quality hospitals.
How can we fix these disparities? Researchers suggest two different policies to merge the racial disparity. First, strategies that would direct black patients to higher-quality hospitals need to be put into place. Second, an improvement to care at low-quality hospitals is critical. Until these policies are put into place, the racial disparities in health care will continue throughout our nation.
The opinions expressed herein are strictly those of the author and do not necessarily reflect the opinions of the Widener Journal of Law, Economics & Race.
Justin Dimick et al., Black Patients More Likely Than Whites to Undergo Surgery At Low-Quality Hospitals In Segregated Regions, 32 Health Aff. 1046 (2013), available at http://content.healthaffairs.org/content/32/6/1046.full?sid=83af67f6-c05c-4690-a9ad-0ba3ac880120.


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Jones, Aled, Mair, Simon, Ward, Jonathan, Druckman, Angela, Lyon, Fergus, Christie, Ian and Hafner, Sarah (2016) Indicators for sustainable prosperity? - Challenges and potentials for indicator use In political processes. Working Paper. Centre for the Understanding of Sustainable Prosperity Working Paper 3, Guildford: University of Surrey. .


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In an 18-month investigation supported by The Investigative Fund at The Nation Institute, reporter A.C. Thompson weaves together stories of both innocent victims and unrepentant vigilantes, painting a terryifying and never before told picture of a hidden race war in New Orleans in the days following Hurricane Katrina. Most of the incidents took place in Algiers Point, a middle-class neighborhood on New Orleans' west bank, which stood between the inundated Lower Ninth Ward and a National Guard rescue point. As black residents from the Lower Ninth tried to flee New Orleans, white residents in Algiers Point took up arms and opened fire, shooting with impunity. Thompson, in Katrina's Hidden Race War and a companion piece, Body of Evidence, interviews witnesses on all sides of the gunfire, including shooters from Algiers Point, gunshot survivors, forensic pathologists, doctors, historians, private citizens, and law enforcement officials. Thompson reviewed over 800 autopsies and state death records, and reveals a city fractured across racial lines and evidence of brutal crimes:
* According to eye witnesses, at least 11 people were shot by vigilantes in Algiers Point. In each case the targets were African-American men, while the shooters all were white. It's unclear who all 11 victims were or how many may have died, because none of the shootings have ever been investigated.
* One shooting victim, Henry Glover (his shooter remains unknown), was found charred and burned in a scorched sedan. Glover's death is particularly suspicious, with eyewitnesses reporting that New Orleans police allowed Glover to bleed to death while savagely beating the man who tried to save him, then covered up and destroyed evidence. The Investigative Fund at The Nation Institute had to sue for Glover's autopsy records.
* In a companion video, residents of Algiers Point admit to forming a "mini-militia," at one point saying that shooting blacks "was like pheasant season in South Dakota. If it moved, you shot it."
*As one militiaman told Thompson, "The police said, 'If they're breaking in your property do what you gotta do and leave them [the bodies] on the side of the road.'
In spite of overwhelming evidence supporting all of these allegations, the New Orleans Police Department and public officials have refused comment, beyond a curt two-sentence email, for over eight months. To date there is no evidence a single investigation was ever opened, and law enforcement at every level was completely uncooperative with the investigation. As Thompson, an award winning journalist now on staff at ProPublica, wrote in the piece, "As a reporter who has spent more than a decade covering crime, I was startled to meet so many people with so much detailed information about potentially serious offenses, none of whom have ever been interviewed by police." An accompanying Editorial in the January 5, 2009 issue of The Nation magazine calls for a full and complete investigation. "Katrina still stands as a symbol of our elected officials brutal indifference to the lives of poor African-Americans," the Editors write. "It's not too late for accountability." The Editors of The Nation, America's oldest weekly news magazine, implore Louisiana Governor Bobby Jindal to lead a multiagency task force to get to the bottom of these crimes; Representative John Conyers and Senator Patrick Leahy to compel law enforcement to testify before congress; and incoming Attorney General Eric Holder to begin an investigation at the Department of Justice. "If we as a nation are ever truly to transcend race," they write, "tolerance for racist violence in our midst must come to an end."
Alerted by The Nation to the A.C. Thompson story, the advocacy group Color of Change launched a campaign moments after the story went to press echoing the calls for an investigation. Color of Change, a national organization that "exists to strengthen black America's political voice," played a critical role in raising public outcry around the Jena 6 case and in demanding accountability immediately following Hurricane Katrina. The organization will be launching a petition drive and an online campaign targeting Jindal, Holder and others to demand an investigation. "It's unconscionable that three years would pass without any investigation into these crimes," said James Rucker, co-Founder and Executive Director of ColorofChange.org.
Color of Change has set up a petition at http://www.colorofchange.org/nation/
"This is yet another tragic example of Louisiana officials not taking seriously their responsibility to protect Louisiana's black citizens. We hope that Thompson's article and The Nation will help shame officials into action."
A.C. Thompson's reporting on New Orleans was directed and underwritten by the Investigative Fund at The Nation Institute. Thompson is an award-winning journalist on the staff at ProPublica, which provided additional support as did the Center for Investigative Reporting and New American Media. Anyone interested in interviewing reporter A.C. Thompson may contact Ben Wyskida at 212-209-5426 or email@example.com.


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Transportation Ads of the 1950s
Air France – Now! the Vacation of Your Dreams (1952)
Dodge Trucks (1953)
Cruise Ship for Vacation (1954)
# | » via | buy at eBay |
Artzybasheff Art Shell Vintage Car Motor Oil (1951)
Delta Air Lines Incorporated's Delta C&S Air Lines – Now Plan Your Trip to Dallas or New Orleans by Delta-C&S Owl Aircoach. Save from 29% to 36% (1953)
Kapp Cruisette Photo Greenwich Ct Boat (1951)
Greyhound Bus Travel Relax Vintage (1954)
Chris Craft Boats Ad Photos of 8 Models Shown (1951)
Air France's Round trip to Paris from New York – Fly to Paris (1952)
American Airline's coast-to-coast service – Fastest NONSTOP coast-to-coast service (1953)
Greyhound Bus Travel Yellowstone Old Faithful (1952)
Twa (1950)
Parking Park O Meter Automation Vintage (1959)
'53 United Fruit Veragua Quirigua Ships Newport News (1953)


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Each breed has a dedicated page on which you can find all sorts of information, in particular:
- a short presentation text to find out more about this breed;
- this breed's characteristics on Dogzer;
- the standard capacity that dogs of this breed have;
- coats available for this breed;
- the best breeders of this breed;
- the best breedings for this breed;
- statistics about dogs of this breed;
- some dogs of this breed: the best dogs in terms of capacity, level, those that have received a progress star, those that are for sale...
A breed's page also contains different community elements, in particular:
- players who like this breed;
- groups that are talking about this breed;
- photos;
- discussions about this breed on the forums.
The comparison between the capacity of the best dogs of a certain breed and the breed's standard capacity allows you to measure its progress: the wider the gap, the more advanced this breed is in the game.
Some very wide progress gaps can exist between breeds, especially depending on the number of breeders who have dogs and breedings of this breed.
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Bordeaux MastiffOriginal Name: Dogue de Bordeaux
The Dogue de Bordeaux is one of the oldest dogs in France. According to historians, this breed arrived in the South of Gaul in the 5th century CE.
With short, soft and tawny-colored hair, the Dogue de Bordeaux is a dog well-liked and sociable dog.
Dogues de Bordeaux are excellent watchdogs, but are equally good as companions. They have the reputation of being very attached to their masters.
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The Dogue de Bordeaux is a large, powerful mastiff dog that has his roots in the French area of Bordeaux for which he is named "The Mastiff (or dog) of Bordeaux". Many may have not heard of this breed but may have seen him as the star dog of "Turner & Hooch". This is an ancient breed that has been around since the 14th century though the exact origins are shrouded in mystery. Their ancestry is believed to be linked to a common ancestry of all modern molossers, including the Bullmastiff, Bulldog, the Tibetan Mastiff, the Neapolitan Mastiff, and the now extinct Dogues de Bordeaux of Aquitaine.
Whatever their exact origins, the Dogue de Bordeux was bred to be large, powerful, and muscular. They were given a variety of tasks, whether it be to guard, to hunt large game, to fight as war dogs, to drive cattle, to pull carts and heavy objects or simply to guard and protect their families and their properties. Their massive bodies and powerful jowls gave them the ability to take on boars, wolves, bears, big cats, and any person foolish enough to try and harm their master. This breed was also used in a blood sport known as bull or bear baiting in which teams of dogs were pitted against powerful animals to fight and bite the predators until they bled to death.
This is a very massive animal; males weigh at least 110 pounds (50 kg) with a height 23.5 – 27 inches (60 – 70 cm), females with a weight of at least 99 pounds (45 kg) and a height of 23 – 26 inches (58 – 66 cm). The coat is short and requires little grooming and comes in mostly in shades of light brown and fawn with little to no markings. The large head resembles the Bulldog and Bullmastiff with a clearly defined under-bite and loose jowls, which produces a lot of drool. This is a brachycephalic dog meaning they have very short, stocky muzzles, which can lead to breathing issues. The Dogue de Bordeaux has a muscular and well-toned body structure and an intimidating expression. Their massive size means that this is often a short lived breed, most with a lifespan of 5 – 7 years though some cases have lived to be 12 years old. They are often met with issues that most large dogs tend to inherit, such as cancer, hip dysplasia, joint issues, and bloating.
As for their temperament, the Dogue de Bordeaux is protective, alert, confident, but not aggressive. When not in protective mode, this is a relaxed, calm, patient dog that can easily be a couch potato. A gentle giant, this dog is affectionate and very loyal to their family. When trained well and properly socialized, they can be gentle yet playful around children. This isn't a relatively high energy breed but none-the-less, they require a moderate amount of daily exercise to avoid becoming overweight. This dog should never be allowed or taught to be aggressive as it would be difficult to deal with any biting or aggression issues with this extremely powerful breed. As a heavy drooler, drool towels are a must with this breed. With an experienced, patient, loving hand, the Dogue de Bordeaux can make for an excellent companion and with this dog at your side, it would be foolish to mess with you.


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The thick rain bands associated with the departing TROPICAL STORM GUCHOL (KIKO) and its TROUGH has receded and is no longer bringing significant rainfall across Ilocos Norte, Northern Ilocos Sur, Northern Apayao, Northwestern Cagayan, Western Abra, and Babuyan Group of Islands. Hence, the ORANGE, RED and VIOLET Rain Alerts (Severe Weather Warnings) previously hoisted across these areas are now terminated.
This is now the final rain alert update from WPF.
Stay safe, everyone! #WeatherAlert #WeatherWiser
WeatherPhilippines has upgraded its features with a current warning menu. Within this menu there are wind and rain warnings. These warnings will give you color coded alerts depending on its severity. This will show you an overview of the entire Philippine map and quickly determine weather warning alerts. This feature is currently available and ready for use. Below is the Weather Severity Matrix.
To get detailed warning, select a particular weather station on the map and get more information on the warning alert.
Created by: David Michael V. Padua for WeatherPhilippines


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Thank you for visiting Herbs and Oils Hub!!
Normally if you make freezer jam, it needs a lot of sugar to make it gel. Also, you often end up with overly sweet jam because you're adding sugar to naturally sweet berries. It's sugar overload!
Betsy of DIYNatural found a solution that allows you to make freezer jam without any additional sugar. She shares her secret and a wonderful recipe for Honey-Sweetened Strawberry Freezer Jam in this post.
Click the How to Make Naturally Sweetened Freezer Jam link below for her complete post.
How to Make Naturally Sweetened Freezer Jam


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iPhone GPS Fun
I got a cool GPS app for my iPhone called Motion X GPS yesterday and have been playing with the export functionality a little bit (it also supports gpx). I don't have an iPod mount for my bike at this point so I start it in track recording mode and put it in my pannier. That seems to work okay as the accuracy is still decent. Here are my two main routes into work as rendered with Google Earth.


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Learning and development has long been an important concern for human resources management professionals. We've previously explored the bottom-line benefits of fostering a culture of engagement and we've found that learning and development provide distinct advantages as well.
Intuitive and actual benefits of good L&D
Intuitively, we know that it's worth investing in employees to keep them at the top of their game. If it helps them do their job better, it helps the organization achieve its objectives. Providing ongoing access to workplace learning and professional development just makes good business sense.
In fact, the benefits extend beyond productivity that can be gained by having a more skilled workforce. New data from Culture Amp shows that learning and development opportunities are also strongly linked to employee engagement levels and better rates of employee retention. As we'll see, it's one of the most effective strategies for both boosting engagement levels and minimizing churn.
Advantages of employee development
People want to be employed by organizations that will increase their job prospects down the line. It's easy to see why: individuals whose value in the workforce is bolstered by their organization can also expect greater personal chances for growth and financial success.
For these reasons, organizations that proudly tout their ability to boost people's future employability reap recruitment benefits. But there's more to it than that. Culture Amp data shows that people who believe their job contributes to their development are actually 21% more likely to stay with their current employer.
Prioritizing Learning and Development
Providing career pathways is crucial to retaining talented people. But how do you do it? Work with employees to plan career paths and then give them access to the learning they need to make their way there.
An earlier study by Price Waterhouse Coopers revealed that millennials rank learning and development as the number one benefit that an employer can offer – above both flexibility and financial incentives. This is a big deal, not least of all because millennials are a segment renowned for their absence of employer-allegiance. When that is considered a primary trait of the largest segment of the workforce, it's something managers need to get active about.
Culture Amp research has progressed on those findings. Preceding studies focused on preferences and self-reported intentions. Culture Amp has drilled down to unearth statistical evidence that these stated preferences are having a real-world impact. We found that people who stay with an organization are 24% more likely to say that they have had access to the learning and development they needed.
While an opportunity exists for this research to go another step farther—to uncover the cause-and-effect relationship of these statistics—the strength of the correlation seems to justify immediate attention. Perceptions about an organization's L&D offerings are connected to employee retention.
Learning and development provides multi-dimensional benefits
Employees' perception that they have the opportunity to grow professionally may be as important to the organization as actual upskilling. Employees who believe that those opportunities exist in an organization are likely to understand that the leadership is ready to invest in mutual success—that of the organization and of the individuals that it comprises. It makes sense that people who feel supported in this way should be more likely to hang around.
Provide employees with opportunities to further their learning and professional development. It does more than just expand organizational skill-set. The current evidence shows that it is good for business and good for staff retention.
Request a personalized demo of Culture Amp


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3324 Peachtree Rd. NE., Suite C.
Phone: 770-484-7888
Beautiful Cul-De-Sac Lot, backs up to Golf Course! Perfect location to build your mountain dream home in this fantastic gated, golf/lake community! Clubhouse/Pool/Golf/Park/Trails & other fabulous amenities. Enjoy boating and natural beauty of the 540 private lake. Lot next door also available if you desire a combined larger lot.
Cable Available, Electricity Available, Phone Available, Sewer Available, Underground Utilities, Water Available
|Price Reduced from $59,900 to $49,900
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The Grave Minders
An organization devoted to watching over the slumbering primordials for fear that they will be disturbed or awakened. They have long since drifted from this mission and now loot the power and wealth from these primordial tombs for their own gain.
Phex was once a member of this group who pushed for a return to their more noble path. According to him the organization is a group of freely operating cells, but answer to a nominal leader. Officially that leader is the dottering human Ephram Kiembretz, but according to Phex most of the true power lies with the tiefling Lathlenvia Viell.


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In 2017 Amelia and Francis moved to San Juan, Chef Guzmán's hometown, to start building their first restaurant: Vianda. The Spanish language adopted the word "vianda" from the latin word "vivanda," which means a place of living. Vianda strives to use local ingredients by supporting the agriculture and products of the island as much as possible. This enables us to create, fresh, delicious food focusing on the best that Puerto Rico has to offer.
We aim to achieve this successfully by providing a small, seasonally-rotating menu, and warm hospitality.
Vianda was recently selected among the 20 Best New Restaurants in America by the James Beard Foundation.


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NetPicks Continues Its More Than Two Decades Of Providing Guidance To Investors
The online trading platform NetPicks has made a great effort to educate investors regarding the trading of Foreign Exchange Currencies. FX trading allows trades to be made based on the opinion of the investor as to whether or not a particular currency will increase or decrease in value.
FX trading has been made ultra-convenient by companies like NetPicks that facilitate trades online through major worldwide investment platforms in New York, London, Sydney, Paris, and Tokyo.
NetPicks aids traders by offering a variety of educational resources on FX trading including charts, graphs, and tutorials. Traders using NetPicks also have the added advantage of being able to initiate trades 24 hours a day due to the online trading platform's affiliation with multiple exchanges throughout the world.
NetPicks has identified the following characteristics regarding Forex Markets that it feels new investors should understand.
The Liquidity Of Forex Markets
NetPicks explains that one major reason for the popularity of Forex trading is the liquid nature of the investment vehicle. The daily trading volume for Forex trades is over $5 trillion.
Limited Trading Alternatives
Trading Forex currencies have proven to be a much simpler process for investors to master than the stock market due to the best that there are much fewer options to understand. Popular trading pairs include the U.S. dollar vs the Japanese Yen, The Euro versus the Japanese Yen, and the Pound Sterling versus the U.S. dollar.
High Liquidity Is Beneficial To Retail Traders
The volatile price movements that occur in the Forex market contributes to a high level of liquidity that retail traders value. These quick changes in price provide an abundance of opportunities for the watchful trader.
NetPicks advises new traders to take some time and study the market before making FX trades, see (Netpicks.com). A sound market education will go a long way to secure a successful FX trading experience. There are also many elements to understand when evaluating the potential value fluctuations of currencies including the impact of political news stories, monetary policies of a particular nation, and various global economic factors.


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Maplewood at Mayflower Place
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Maplewood at Mayflower Place (previously known as Mayflower Place Retirement Community) evokes the nautical spirit and charm of Cape Cod. Located in scenic West Yarmouth, MA, our full-service, continuing care retirement community is set on over 40 acres of elegantly landscaped grounds, offering plenty of room to breathe, relax, and enjoy the colorful, changing seasons of the Cape.


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Ahead of the World Humanitarian Summit next week, discussions are ramping up within the aid community about how to open up to smaller, local actors. High-level politicking may make wholesale change difficult, but experts tell Devex that there are ways of putting reforms into practice at the grass-roots level, where programs are unfolding every day.
As the eyes and the ears of their organizations, aid workers have the power to re-orientate and reorganize things from the ground. Devex spoke with three humanitarian professionals, including the author of a recent report, to suggest six practical steps aid workers can take to work toward reform.
Christina Bennett, co-author of the Overseas Development Institute's report "Time to Let Go," suggests one simple tweak: drop the words "development" and "humanitarian" and think in terms of short-, mid- and long-term instead. Madara Hettiarachchi, head of humanitarian programs Asia and Middle East at Christian Aid, believes that preparedness is the key to a more inclusive response. Saman A. Majed — general director of REACH, a local NGO in Iraq working with refugees in the area with partners such as UNHCR, Christian Aid and Oxfam — thinks that it is fundamental that the relationships between local and international organizations become sustainable and reciprocal.
See other stories in this series:
► Delivering health care in crises
► Syria's crisis: Helping families survive in war-torn areas
► Protecting the most vulnerable: Supporting people with mental disorders during disasters
► Is there a leadership gap in humanitarian relief?
► The UNDP's take on the humanitarian-development nexus and #WHS16
1. Do your homework.
Before you parachute into a crisis or begin disaster relief, thoroughly study the political, religious, economic and social context. Even if your organization has a long-standing country office, consider that the context can change more rapidly during a crisis, and there is always something new to learn.
"[Depending on] the crisis and the needs, you have to prepare yourself very well, in all the aspects, you have to understand the root of the problem, the history of the problem, the effectiveness around political issues, cultural issues, [and] religious [issues] sometimes," Majed said. Bennett added that your engagement with this analysis must not end once you are on the ground: "Don't stop reading, don't stop doing your research, don't assume that if you understood it once you understand it going forward, because things are constantly changing."
2. Think about strategic alliances before a disaster strikes.
Preparedness of partnerships should be solidified prior to a crisis and built over the course of several years, especially in crisis-prone areas. Local organizations stay put after a crisis, and they understand the local context better than anyone. Understanding their work and capacity in advance can maximize efficiency during a crisis, where there is no time to study the background.
The three practitioners suggested a shift in mindset toward a support role, backing up the work of the local NGO and asking what expertise you could offer to make their programs more meaningful. "There is something about the way that the international response system works that puts the international solutions above indigenous solutions in terms of their value and effectiveness," Bennett said. But this can be overcome by studying the landscape on the ground and diversifying the channels through which you reach the locals. Hettiarachchi suggested this could be done by partnering with a local radio station, for example.
3. Do more than one needs assessment.
Bureaucratic processes and red tape can cause major delays in humanitarian relief. Some of this can be offset by investing in preparedness. But at the moment, "only the most enlightened donors and in the least sensitive situations would be able to say, 'we would rather invest in something that prevents a humanitarian crisis, than responds to one," Bennett said.
One area where this is most evident is in needs assessments. Many organizations often do just one survey, without repeating this process during implementation. But that latter step may help you and your organization make faster decisions about what works, and hence spend more efficiently.
4. Go "hyperlocal".
The first priority for international organizations responding to a crisis is to help the communities affected by that crisis, and this must never be forgotten. Advocates for reform suggest going "hyperlocal" — or digging down to the districts and local communities. The local community and organizations are those who stay put after a crisis, so going hyperlocal is "not only a faster, efficient way of operating, it's also a more relevant, appropriate and more sustainable way of operating," Bennett said.
A practical way to achieve this is to meet local community representatives as soon as you arrive to the crisis-prone area, offering your support. As Madara explained, "We make an assumption and move forward, but the communities don't want to be sitting on the sidelines; they want to help rebuild their lives back together." Getting the local communities to share information is key, according to Majed, who has been working in humanitarian response locally for 35 years.
5. Try to learn the local language.
Often, local stakeholders find it difficult to build a trustworthy relationship with international NGOs in meetings they have trouble following because of language barriers. A practical solution to this can be to also attend local actors' meetings and to try and learn the basics of the language.
"Even if you can come into a meeting and say in their language 'Hello, how are you? I am so pleased to be here, how can we work together,' you are showing a willingness to become part of [their community], or that you are a guest in their country," said Bennett.
6. Involve your partner NGO at every level.
Cultural and regulatory barriers between international and local partners can inhibit a response. Although aid workers often cannot control regulatory decisions, there are ways to help break these barriers. For example, involve the partners from the design phase of any project.
Majed believes that getting involved in the program cycle can help create a trustworthy, transparent and interdependent relationship. He said that transparency and sharing information is the basis of a long lasting relationship. "Both [international and national agencies] should be transparent about finances and share data" in order to build trust, he said. "If there is no trust you cannot really understand each other."
7. Don't only think in numbers.
Data may be a practical way to approach monitoring and evaluation, but it can limit full engagement with the local community and partners. Hettiarachchi said, "The danger is that we often reduce people to numbers — x people displaced, x people affected — and sometimes the measuring of the suffering is just about the numbers."
Majed added that "there needs to be a full engagement with the context." Practitioners need "to know every detail about the requirements on the ground." A practical and interesting way to achieve this could be to spend the first two days of your mission getting to know the cultural habits of the place you are visiting, eating with the locals, talking with the people affected, and really shifting all your focus toward them — and forgetting program design.
Read more international development news online, and subscribe to The Development Newswire to receive the latest from the world's leading donors and decision-makers — emailed to you FREE every business day.


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What's better than a sunny work break? A sunny work break with an iced coffee on the side! These are our favorite spots for a cold caffeine fix in Amsterdam.
> Make sure to check out our Snackchat-section if you're as much into snacks as we are
Hartje Oost
Hartje Oost is not your ordinary coffee shop. It's a cute boutique that serves lunch, bites, sweets and terribly good iced lattes too!
Javastraat 23
Back to Black
Our favorite hidden gem near Rijksmuseum. Fantastic coffee (and tagline: 'thank you for being addicted'), lovely cat and, most importantly: brilliant iced lattes, served with either cow, soy, coconut or almond milk if you wish.
Weteringstraat 48
Lot Sixty One
What about ice cold espresso + tonic + a touch of orange? Lot Sixty-One is always on the lookout for new coffee trends and this sounds like the ultimate relief for hot summer days!
Kinkerstraat 112
Rum Baba
Baked goods? Check. Snug place? Check. Iced lattes? Triple check! Rum Baba is all you need when you're up for a break and want to escape the crowds in Oost.
Pretoriusstraat 33
De Koffie salon
This place masters the art of ice coffees: they serve any iced version of any regular coffee in six coffee bars across Amsterdam. Iced coffees fix within reach. That's how we like it.
different locations
Life's too short to drink bad coffee. So treat yourself to the real deal at Roost. Serves iced lattes and iced americanos. Make sure to come hungry: they serve great homemade food too. Leave happy.
Camperstraat 36
White Label Coffee
How would you like your iced filter coffee: with or without milk? Make sure to drop by White Label Coffee when you're near the buzzing Jan Evertsenstraat. It will never disappoint.
Jan Evertsenstraat 136
Quartier Putain
Probably the best hangout in the red light district area. Go here for top notch coffee (the shop is owned by hip-hop record label Top Notch), great tunes and the cool vibe. They sell iced coffees too!
Oudekerksplein 4
Our all time fave Toki never gets old. Toki's a local hangout for many living in the Westerpark area. This place serves exquisite coffee and serves all kind of iced coffees this summer. Can't wait to get our hands on one of those espresso tonics.
Binnendommerstraat 15
And when in iced coffee doubt: go Starbucks (we go there too – quite often, to be honest).
Good post
Nice tips
I live in Amsterdam and Im obsessed with Ice coffee.. When u somehow get to Germany for whatever reason.. Go to the KK store they have the absolute best Ice Coffee in cans..
great tips!
Heel veel van deze kende ik nog niet, maar ze klinken heel leuk!
Haha, I don't think I'd ever be at work if any of these photogenic joints were in Hong Kong. I'd be taking coffee breaks all day! ;)
Charmaine Ng | Architecture & Lifestyle Blog
Being dairy-intolerant, it's always great to add to my list of cafes that offer non-dairy options, but Lot Sixty One actually sounds more interesting! Sounds kind of like a Citrus Americano? Delicious! Reminds me of chocolate oranges. :)
Nicolette | http://www.nicolette.co


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Every finisher will receive a finisher's medal. Every runner is a winner!
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6 year old boys 6 year old girls
7 year old boys 7 year old girls
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