text:
In today's edition of Dear Mark [1], I cover a topic near and dear to many of your hearts: caffeine [2]. But I don't just cover caffeine; I explore whether caffeine truly does act as a diuretic, especially during exercise, and whether or not caffeine can actually be helpful to athletic performance. Should we all be downing mugs of joe or cups of tea before we hit the gym or head outdoors?
Let's find out.
Dear Mark,
I've been told that drinking coffee prior to, or during workouts is a big no-no, because it's a diuretic and will lead to dehydration, which is no good for performance (or health). But I love an iced coffee right before my workouts. I feel like it helps. It could just be placebo, but if it's not hurting, I'm okay, right?
I wonder if you could give me the lowdown on what the literature says. Thanks!
First, let's tackle the dehydration question. It has undoubtedly become "common knowledge" that coffee is a potent, perhaps the most potent, diuretic, that drinking it is like drinking negative water, and that if you're stuck on a desert island you'd be better off drinking your own saliva than that steaming cup of joe from the Starbucks that inexplicably decided to set up shop on a desert island. Yeah, there are a lot of scary stories about coffee, but does it hold up to scrutiny?
No. A quick search on PubMed turns up a couple German-only studies with vociferously and unambiguously worded titles but no abstracts ("Coffee does not cause dehydration! [3]" and "Coffee does not dehydrate. New studies of Germany's favorite addiction: coffee [4]."), as well as some English ones with abstracts:
- One from the University of Connecticut [5] measured fluid, electrolyte, and renal indices of hydration over eleven days of caffeine consumption in human subjects. Doses of up to 6 mg caffeine per kilogram of body weight had no effect on body mass, urine osmolality (urine concentration), urine specific gravity (concentration of excreted materials in urine), urine color, urine volume, sodium excretion, potassium secretion, creatinine content, blood urea nitrogen (forms when protein breaks down), and serum levels of sodium and potassium, causing the researchers to conclude that caffeine does not cause dehydration.
- Another [6] compared hydration markers in patients who consumed either caffeinated beverages (coffee and cola), non-caffeinated beverages (coffee and other sodas), and/or water. The effect on hydration status was essentially uniform across all beverage categories, regardless of caffeine content.
- And finally, a review [7] from the American College of Sports Medicine found that not only does caffeine not reduce hydration nor induce electrolyte imbalances, it has no effect on heat tolerance during exercise.
I think that settles that. Caffeine does not dehydrate you or cause you to overheat. It's "safe." It's not bad for the active athlete.
But is it actually good? Does it do anything except fail to dehydrate you?
Oh, yeah. Let's dig into the literature to find out what it can do for your athletic performance.
Endurance Exercise
Most of exercise/caffeine literature centers on endurance training and performance. I remember back when I was running, the most oft-cited benefit to caffeine before a race or training was that it would increase the oxidation of fat, thus sparing muscle glycogen [8]. That sounds nice and tidy, and it would be awesome if it were true, but the most recent evidence [9] suggests that caffeine has little, if any, effect on fat or glycogen metabolism [10] during endurance [11] exercise. So what are we to make of the older evidence [12] that does show a difference in fat oxidation after caffeine ingestion? Or the 1992 study [13] that found caffeine reduced the tendency of muscle to burn glycogen early on during extended bouts of exercise, thus "sparing" it for later on?
It may be that caffeine simply makes exercise [14] more tolerable, makes muscles work harder and better, and allows those exercising to do so harder. One study [15] found that while pre-workout caffeine did not spare glycogen, it did boost the endorphin [16] response to exercise. If endorphins are high, exercise is more tolerable, even enjoyable. If caffeine can increase the runner's high, it's also going to make exercise more effective and more self-perpetuating.
Whatever the case may be, the literature is pretty clear that caffeine improves endurance performance [17], perhaps by enhancing fuel partitioning or making exercise more tolerable and enjoyable.
Anaerobic Exercise
The extent of research into the effects of caffeine on anaerobic performance – think sprints [18], weight lifting, and interval training – is limited, but useful literature exists. One review [19], from 2009, noted that while caffeine appears beneficial to speed endurance training (in the realm of 60 to 180 seconds) and high intensity interval training [20] (HIIT), it has limited use in power sports. It may help lower body muscle endurance, but it appears to have a minimal effect on the upper body. The authors propose a number of mechanisms for caffeine's action, including enhanced calcium transport and the old fat utilization/glycogen sparing thing, but the most promising idea is that caffeine simply stimulates the central nervous system [21] enough to blunt adenosine receptors, increase pain tolerance, and dampen perceived exertion.
What about resistance training? In one study, caffeine ingestion boosted trained women's 1RM in the bench press (PDF [22]). In another [23], caffeine seemed to have no effect. A review [24] from 2010 determined that short-term, acute ingestion of caffeine is beneficial in team-based and power sports, but mostly in individuals who did not routinely ingest caffeine. Six of eleven resistance training studies reviewed in the study showed benefits to caffeine ingestion, so the evidence remains fairly equivocal.
Thus, when you drink coffee before lifting heavy things or sprinting, your performance will not suffer – and it may even improve.
It may even be a simpler, less exciting explanation than anything overtly physiological: that the "benefits" of caffeine to physical performance may actually be a cessation of the negative effects of caffeine withdrawal. As Sweat Science points out [25] in a recent post, before double-blind trials on the effect of caffeine on performance, participants must abstain from caffeine for a day or two. If they're habitual caffeine fiends (as many people are), by the time they begin the study they're already suffering withdrawals. Studies on cognitive performance and caffeine have found that when you account for the withdrawal effect, caffeine has little to no benefit to performance. Researchers have yet to examine the withdrawal effect in studies on athletic performance, but it appears a likely candidate for at least some of the reported benefit to caffeine consumption.
It's also important not to lose sight of the fact that most of us are drinking coffee, not popping pure caffeine pills. Coffee contains tons of polyphenols, bioactive compounds that could have beneficial (or negative) effects on exercise performance. Most of the studies are looking at caffeine, so they have to isolate it. But if you're drinking coffee, shouldn't you look for studies that examine coffee? There's a recent one that found ingesting coffee polyphenols increased fat oxidation (PDF [26]). Of course, the caffeine, polyphenol [27], and other bioactive compound contents of coffee are not stable. Coffee is a food made up of hundreds of factors. It's not just a source of caffeine. Based on soil conditions, climate, elevation, roast, and variety of bean, two cups of coffee can display remarkably different characteristics, and it's likely that the effects of each on exercise performance will also differ.
Bottom line, though: if coffee makes you perform better, keep drinking it before, during, or after you workout. At least we can say for sure that it's not dehydrating you.
How does coffee affect your workouts? Better? Worse? No effect? Let me know in the comments!


text:
This document contains information for an outdated version and may not be maintained any more. If some of your projects still use this version, consider upgrading as soon as possible.
2.4.0-rc1 (2010-04-01)
Features and Enhancements
- [rev:101871] Updated automatic regression tests (Salad)
- [rev:101670] RedirectorPage ExternalURL field now defaults to http:// to be consistent with the "Another website" option for HtmlEditorField LinkForm
- [rev:101661] tidied up installer process to streamline process. Moved requirements to top and button to bottom and added visual seperation of the individual steps
- [rev:101381] refactored requirements section to hide successful tests
- [rev:101378] Added links to installation introduction text for sources of help and suggested web hosts
- [rev:101246] Improved wording and styling in installer. Added links to server requirements, themes download, tutorial. Decreased vertical space before the "install" button to make it more obvious.
- [rev:101127] Added 'Dependent pages' tab to CMS, to show virtuals, redirectors, and backlinks that point to this page.
API Changes
- [rev:102012] Changed MySQLFulltextSearchable class to FulltextSearchable (applies to all databases)
- [rev:102003] Disallow methods/actions in RequestHandler->checkAccessAction() which are implemented on parent classes (e.g. ViewableData and Object), unless access is controlled through $allowed_actions. This limits information exposure from getters used in template contexts.
- [rev:101833] Allow cached blocks within control and if blocks, as long as that control or if block is contained within an uncached block, not a cached block
- [rev:101155] Add option for DataObjectDecorator::onAfterSkippedWrite()
- [rev:101137] Partial cache adjustments - now supports nested cache blocks (which are independant of their containing cache block), conditionals to control if a given cache block is active, and includes hash of template code in key (so template changes mean cache is invalidated). Changes template control for cache block to
<% cached %>, to which the now deprecated
<% cacheblock %>is aliased, and an additional template control
<% uncached %>has been added.
- [rev:101127] Added SiteTree::VirtualPages() and SiteTree::DependentPages() accessors.
- [rev:102038] #5255 LeftAndMain should include the correct editor.css file so typography from user selected theme in SiteConfig is shown in TinyMCE
- [rev:102026] Fixed SiteTree::page_type_classes() removal of base class (was broken if database driver returned classes in arbitrary order, e.g. in Postgres)
- [rev:102004] Prevent handling of controller actions which return $this avoid infinite loops in RequestHandler->handleRequest (thanks Hamish!)
- [rev:101975] Resetting image sidepanel fields when opening the panel instead of inserting an image, to avoid losing focus of TinyMCE in IE. Using getBookmark() in TinyMCE to save the original location. (fixes #5263)
- [rev:101969] Stop IE6/IE7 from redirecting in admin/assets after deleting multiple folders (fixes #5208)
- [rev:101958] Checking for existing redirections in FormResponse::respond (fixes #5208)
- [rev:101956] Fixed "object not found" javascript error in SecurityAdmin_right.js when changing group nodes (fixes #5179)
- [rev:101939] Ensure that DataObject IDs are numbers and no string equivalents of numbers - 3 not '3'
- [rev:101869] Update Salad tests to match behaviour
- [rev:101867] #4188 simon_w: Let require tags in templates be conditional
- [rev:101866] Recover if a manifestClassParse file doesn't have the necessary content.
- [rev:101812] Added allowed_actions to ContentControllerSearchExtension
- [rev:101810] #5295: Update CMS site name in LHS via Ajax after siteconfig save.
- [rev:101807] fixed undefined error in CTFs. BUGFIX: added action class to actions to allow the popup hook to open links
- [rev:101795] keep ModelAdmin from importing data twice
- [rev:101794] avoid call to non-object
- [rev:101793] preserve the port value if given in HTTP::setGetVar (#5280). BUGFIX: allow username only input rather than user:pass combo.
- [rev:101792] disable function re-enabled
- [rev:101791] deprecated split function replaced
- [rev:101758] fix #5320
- [rev:101747] Always including "Locale" field in Translatable->getCMSFields() regardless of "excluded" page types. Necessary to enable form state serialization for fields like TreeSelectorField on a VirtualPage (fixes #5269)
- [rev:101739] Versioned->publish() with $createNewVersion=TRUE now increases version number of in-memory object (fixes #5261)
- [rev:101737] RedirectorPage types shouldn't appear in "Pages with no content" side report in the CMS Pages tab
- [rev:101724] #5277 Sort of default SiteTree records is now explicitly set to avoid strange ordering set by SiteTree::onBeforeWrite for default records
- [rev:101719] Only show "Roles" tab in admin/security if user has APPLY_ROLES permissions (fixes #5258)
- [rev:101711] Don't replace "home/" URLSegment in SiteTree->RelativeLink() if Translatable is enabled and the homepage is not on the root level (nested URLs allows you to have homepages called "en/home" and "ru/home") (fixes #5244)
- [rev:101668] #5259 RedirectorPage and HtmlEditorField TinyMCE integration now prefixes http:// if no prefix is found
- [rev:101657] #5245 Sometimes page records will have a NULL ParentID value, it should be a number even if it's 0 (thanks wrossiter!)
- [rev:101638] #5243 Undefined Convert functions in ViewableData replaced with working versions. Thanks benediktb!
- [rev:101631] test that the class exists before running subclass tests
- [rev:101623] put back into the SSNavigator the archived site link (#5251)
- [rev:101608] Explicitly specify the many_many's join table name in the join's ON match statement in ManyManyComplexTableField
- [rev:101604] remove the unnecessary DOM manipulation, this is legacy code due to SilverStripeNavigator changes (open #5250)
- [rev:101603] the function makes an assumption we are working on Draft site, and breaks if we are not. Rewritten to be stage-independent, as get_version (open #5231)
- [rev:101602] IE does not accept TD element without a table, repacking into DIV (open #5228)
- [rev:101592] get a object inside transaction block will alway exist
- [rev:101554] tables and column quoted properly
- [rev:101493] tables and column quoted properly
- [rev:101492] results sorted alphabetically for consistency
- [rev:101491] results sorted alphabetically for consistency
- [rev:101392] HTTP::setGetVar() returns a relative URL if a relative URL is passed, to make behaviour closer to 2.3
- [rev:101380] disabling unused file list as feature is still buggy.
- [rev:101375] Fixed closing
</div>which should have been a
</td>for dragfile in AssetTableField
- [rev:101302] Fixed SiteTree->Content link shortcode parsing introduced in r101093 (#5227)
- [rev:101267] #5222 Fixed TreeDropdownField not working on FileIFrameField/ImageField
- [rev:101266] Fixed Folder writing by overloading validate() (was inheriting File->validate() which does extension checks)
- [rev:101266] Fixed Folder::findOrMake() not to create "new-folder" through File->setName() if using a trailing slash in the path (which causes an empty name). Added FolderTest to verify this.
- [rev:101264] Checking for existence of "ShowInMenus" property in Folder->liveChildren() and stageChildren() (#5190)
- [rev:101227] Don't delete index.php after successful installation - in ContentController->deleteinstallfiles(). URL routing might rely on it without mod_rewrite.
- [rev:101227] Require ADMIN permissions for ContentController->deleteinstallfiles() - together with retaining index.php this removed a vulnerability where unauthenticated users can disrupt mod_rewrite-less URL routing.
- [rev:101220] TeamComment table added to dataobjects list
- [rev:101189] Make SS_ReportWrapper::sourceRecords()' arguments optional
- [rev:101175] Fixed quotes around Folder::hasChildFolders() ParentID column
- [rev:101173] Don't run click() on all inputs, but input:radio only
- [rev:101171] Pass correct class to allowPrimaryKeyEditing in yaml fixture
- [rev:101170] Don't recreate a missing draft page when calling SiteTree::doUnpublish()
- [rev:101167] #5216 Installer has issues with click handlers applied to the entire li, be more specific and apply it to the label and input instead
- [rev:101165] Fixed versioning of pages
- [rev:101155] Prevent failed migrateVersion writes from breaking versioning system in future writes.
- [rev:101155] MAke site tree pages go green when you save a new draft.
- [rev:101154] #5214 ViewableData::obj() was creating a DBField without a fieldname argument and caused problems, one example is the version panel of the CMS
- [rev:101153] Ensure that Versioned works on classes with underscores in the names. (from r100905)
- [rev:101138] Fixed issues with broekn link tracking
- [rev:101131] Allow classes to be referred to with casing that differs from their definition.
- [rev:101129] Fixed FileLinkTrackingTest to cope with the empty alt="" and title="" attributes that are created
- [rev:101127] Improved reliabilty of broken link tracking.
- [rev:101127] Don't mark a page as changed on stage if the only thing that has changed is broken link metadata
Minor changes
- [rev:102045] Fixed spelling mistake in ConfigureFromEnv class documentation
- [rev:102018] Fixed VersionedTest arguments in test case
- [rev:102010] Fixed regression from r101752 (adding permission roles button was missing)
- [rev:102009] Fixed indentation
- [rev:101974] Saving TinyMCE editor focus in tinymce_ssbuttons plugin when sidepanel is opened (see #5263)
- [rev:101971] Fixed indentation
- [rev:101970] Fix tests to cope with ID type cleanup changed recently
- [rev:101889] removed duplication of variable and conditional that would never pass
- [rev:101883] take advantage of an alternate path for error pages
- [rev:101882] TreeTitle really should return title, not name.
- [rev:101870] Make Salad accept "login" or "log in"
- [rev:101868] Added missing file for r101867
- [rev:101811] Fixed JSONDataFormatter excaping (fixes #5309, thanks briley)
- [rev:101782] Marked DataObject::has_own_table() as static
- [rev:101754] Removed unnecessary console.*() from cms javascript files
- [rev:101753] Removed unnecessary console.*() from sapphire javascript files
- [rev:101752] Removed unnecessary "show" icons in "Roles" and "Member" ComplexTableFields
- [rev:101751] Removed unnecessary "show" icons in "Roles" and "Member" ComplexTableFields
- [rev:101729] use red font instead of gray when displaying error
- [rev:101723] Fixed getElementsByClassName() usage in AssetTableField.js (fixes #5256)
- [rev:101718] Fixed tab naming in Group->getCMSFields()
- [rev:101698] Respecting folder sort order in admin/assets by adding Folder::$default_sort="Sort" (#5235)
- [rev:101688] Removed fullstop where it wasn't needed
- [rev:101687] Tidied up the layout of the Themes area of the installer slightly - now consistent helptext as other areas
- [rev:101686] Updated CMS Admin Account text to be more precise
- [rev:101683] Altered wording in installer for localised interface
- [rev:101671] Reverted r101670 as it broke assumptions made in RedirectorPageTest
- [rev:101638] Updated ViewableDataTest to verify ViewableData changes
- [rev:101619] Made the default database directory relative to assets ".db" which is more precise than ".sqlitedb"
- [rev:101618] Made SQLite path in installer use DIRECTORY_SEPARATOR so it shows as correct on Windows using backslashes instead of forwardslashes - this is more of a cosmetic thing, as slashes can be interchanged and still parsed correctly by PHP
- [rev:101600] fixed notice level error
- [rev:101353] Removed rewritest.php places in sapphire since it's no longer part of the phpinstaller/branches/2.4 package
- [rev:101341] Made reinstall message more precise by adding web.config to the files that will get overwritten
- [rev:101282] Moved "theme" section further down in the installer, its much less likely to be changed than the database connection and admin account fields.
- [rev:101254] Fixed missing closing
<div>in ContentController->successfullyinstalled()
- [rev:101251] Fixed regression in install.js option selection (see r101173)
- [rev:101172] Fix output format of buildbot test runs to not include colour control codes.
- [rev:101166] versioning test for SiteTree
- [rev:101135] Fixed multifile.js non-standard forEach() reference, using jQuery.each() instead
- [rev:101134] Localized "dependent pages" features in SiteTree->getCMSFields()
- [rev:101132] Fixed test that was relying on bug fixed in r101116
- [rev:101314] ENHNACEMENT Installer no longer asks for firstname and surname for default CMS admin account, this can be changed later on and doesn't need to be entered for installation
./sscreatechangelog --version 2.4.0-rc1 --branch branches/2.4 --stoprevision 101127

subset: commoncrawl


text:
Sign the Keystone XL Pledge of Resistance
signed the pledge
UPDATE: In late April, president Obama announced he would be delaying a final decision on Keystone XL until a route through Nebraska can be finalized. A ruling on the route from the Nebraska Supreme Court is unlikely to come before the end of the year, and could take much longer.
The potential trigger for our pledge of peaceful and dignified civil disobedience - if the State Department finds Keystone XL to be in our national interest - is not likely to come any time soon.
The most important thing for our Pledge of Resistance is that all of us are ready to spring into action when needed, and that the threat of mass civil disobedience to block Keystone XL remains credible, known and continues to grow. We will continue to bird dog the president and the secretary of state. To weigh in at every opportunity with our activism. To hold the line in the Senate against legislative efforts to go around the president and jam through the pipeline. And to make sure this administration knows that tens of thousands of us are ready get arrested if that's what it takes to stop this pipeline.
Over the past year, more than 95,000 people have signed the pledge, and we've trained more than 500 local Pledge of Resistance leaders to deploy these tens of thousands of people in peaceful, dignified civil disobedience if necessary. Read the original call to action below, and sign the pledge to let the President know you're standing with us, and prepared to risk arrest to stop Keystone XL.
Original call to action: March 6, 2013:
The State Department's release of its Draft Supplemental Environmental Impact Statement in March was one of those days that remind us of just how steep a hill to climb this fight against climate change is.
Even with a president who recently professed a lofty goal of getting all cars off of oil, even with one of our stronger climate hawk senators as the new secretary of state, the State Department still released a joke of an environmental assessment of the Keystone XL pipeline, taking us one big step closer to approval of this project that should be a no-brainer of a rejection.1
Obliviously ignoring the consensus among oil executives, bankers, and environmentalists, who all agree that Keystone XL is central to speeding the extraction of tar sands,2 the State Department found the project is "unlikely to have a significant impact" on tar sands development. This is coward's logic.
This assessment was a vehicle for the White House to test the waters and see if the public will stand by, and buy this false and cynical argument that the tar sands will just get burned anyway. That while NASA's chief climate scientist's assertion that Keystone XL will spell 'game over' for the climate may be true,3 it is essentially irrelevant. That we should let the bankers and the oil companies profit while the planet inevitably burns.
Well, we won't. And so, that day reminded us of something else, too: Those two weeks in August of 2011, when the peaceful and dignified arrest of 1,253 people over two weeks at President Obama's front door effectively stopped what was considered a virtually guaranteed presidential approval of Keystone XL.
There is still time to convince President Obama to change his mind and reject Keystone XL. But with the president ignoring every possible sign Mother Nature can send, it is once again incumbent upon us to send a message he can't ignore.
That's why CREDO is joining with Rainforest Action Network, The Other 98%, Bold Nebraska, Hip Hop Caucus, 350.org and Oil Change International to launch the Keystone XL Pledge of Resistance.
It is time for us to pledge to resist. That is, we are asking you to commit - should it be necessary to stop Keystone XL -- to engage in serious, dignified, peaceful civil disobedience that could get you arrested.
Will you join us in pledging resistance to the Keystone XL pipeline, including - if necessary - pledging to participate in peaceful, dignified civil disobedience?
If tens of thousands of people stand up as President Obama mulls his final decision, and commit to participate in civil disobedience if necessary, we can convince the White House that it will be politically unfeasible to go forward. That is, our goal is not to get arrested. Our goal is to stop the Keystone XL pipeline -- by showing enough opposition to Keystone XL that President Obama will reject it. But if he shows clear signs he that he is preparing to approve it, we will be ready.
It goes without saying, this isn't a usual ask. It is not for everyone. So we want you to carefully consider if this is something you can commit to be a part of.
Here's exactly what we have in mind: The State Department is now considering the more than one million comments on its sham assessment opposing Keystone XL - including a very critical comment from the EPA. While we wait for the Administration to finalize its environmental assessment we will petition, rally, make phone calls, and comment through official channels. But that may not be enough.
The release of the final SEIS will start a 90 day National Interest Determination, which we expect to finish sometime in the fall. That is the moment of truth. If the Obama administration issues a Draft National Interest Determination finding that Keystone XL is in our national interest, that will trigger action on our pledge to resist.
So we are asking you to pledge, if necessary after the release of the draft National Interest Determination, to join with others in your community and risk arrest in acts of dignified, peaceful civil disobedience, all over the country.
Will you join us in pledging resistance to the Keystone XL pipeline, including - if necessary - pledging to participate in peaceful, dignified civil disobedience?
Most events will be outside Washington, D.C., because this decision will affect all of us, where we live. So we want to see the beautiful sight of actions across the nation -- including a wide variety of symbolic targets like State Department offices, TransCanada corporate lobbies, Obama Organizing for Action meetings, banks that are financing tar sands oil development, areas ravaged by Superstorm Sandy, and along the pipeline route. Some brave souls have started this work already. We need to support their efforts and make them much, much bigger.
You can pledge to participate or you can pledge to help organize an action in your community. We'll need tons of volunteers. And soon, we'll announce organizer trainings so local leaders and activists who want to can get the tools they need to organize an action near them.
You shouldn't make this pledge lightly. We certainly don't ask lightly. We ask in the belief that there are tens of thousands of people out there who feel as strongly about this as we do; who believe that these circumstances call for extraordinary action, and want to be part of that action in their community. And we ask with the faith that those who commit to participate and organize actions will participate only in the most dignified manner. After all, we are the conservatives, standing up for a safe and secure future for our families. It is those we protest, those who profit from radically altering the chemical composition of our atmosphere -- and the prospects for survival of humanity - that are the radicals.
But what is more frightening than asking you to join us in committing to acts of civil disobedience across the nation, is the prospect of coming up short in the fight against Keystone XL.
Our time is short to convince President Obama to change his mind. We do not know how many people's pledges, and how many pledged actions, it will take to convince President Obama to resist the big money, dirty energy, inside-the-beltway pressure and take a stand to protect our nation from the greatest threat of all.
So we need you. Literally, you might tip the balance.
We hope you can join us. If you are so moved, make the pledge. And share this pledge with friends and family so that those who are ready and willing to be arrested can be counted in the pledge to resist. We'll send you more information soon.
Becky Bond, Michael Kieschnick & Elijah Zarlin, CREDO Action
Amanda Starbuck, Rainforest Action Network
John Sellers, The Other 98%
Jane Kleeb, Bold Nebraska
Rev. Lennox Yearwood Jr., Hip Hop Caucus
May Boeve & Bill McKibben, 350.org
Steve Kretzmann, Oil Change International
- "Keystone XL pipeline would have little impact on climate change, State Department analysis says" Washington Post, 3/01/13
- "Keystone XL: In their own words" 350.org
- "Game over for the climate," James Hansen, the New York Times, 5/9/12


text:
Learn more about the Audi A4: Audi A4 Reviews, Pricing, Specs and more »
IF you are in the market to buy a used Audi A4, there are a few different models you should look at. The A4 was produced since 1994, and is deemed a compact executive car. The first round of A4's were from 1996 to 2001 and there were both gasoline and diesel engines. They came standard as an inline 4 cylinder, but there were more V6 engine options. A used Audi A4 Avant was the wagon car in the fleet, while the A4 sedan was the more popular option at the time. From 2001 to 2005 the B6 (2nd generation if you will) models came out. They included the Avant and sedan, but also added in a cabriolet. A used Audi A4 Cabriolet is one of the best used convertibles you can buy, and they are quite affordable. Models from 2005 and older should garner under $20,000 for ones in good condition. These cars also had V6 engines, in both diesel and gasoline. A turbo engine became involved as well, and was upgraded during this time. All of the cars in these year ranges received top safety ratings from the Insurance Institute for Highway Safety. From 2005 to 2008 came the B7 models, and are more of the certified pre owned type of vehicles that you see. These models incorporate more engines in selection, as well as power, with more of them being standard turbo engines. Tiptronic automatic transmissions were introduced, and almost all the models had fuel injectors. If you are lookng for a used Audi A4 for sale, then please check out the CarsDirect website for listings in your local area.Show More »
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The New Mexico Attorney General's Office has a new partner in fighting crime: the Recording Industry Association of America.
For the first time, the two entities teamed up to investigate illegally copied CDs. The duo started working together after the Attorney General's Office received a complaint about Krazy Kat Music. The RIAA offered its assistance.
The Attorney General's Office confiscated about 7,400 CDs that agents suspect were pirated. Every seven duplicated CDs sold count as a fourth-degree felony, which carries a standard sentence of 18 months in prison.
Agents from the Attorney General's Office raided the store on the morning of Tuesday, July 22. Investigators also seized CD burning equipment and four computers. "This was the largest operation we know of in New Mexico," says Phil Sisneros, AG spokesperson. "There was a substantial amount of duplication going on."
Monica Padilla, who works at Mecca Records CDs and Books, says she's troubled by the relationship between the Attorney General's Office and the RIAA. She says the RIAA might be getting preferential treatment from the attorney general, because it represents the multibillion-dollar music industry. "There's conflicts regarding distribution of wealth and certain areas getting more attention because of wealth," Padilla says. "The marriage of government and corporations has been around since this country started, so it's not surprising."
The more eyes and ears we have out in the field, the better. All law-enforcement agencies have constraints because of manpower and funding, so if we can get help from private industry, we welcome that.
Phil Sisneros, AG spokesperson
Padilla adds that the attorney general's wasting time and money raiding stores that sell burned CDs. "There are probably other things that should be higher priorities," she says.
Sisneros says the Attorney General's Office accepts help from anyone interested in stopping crimes. "The more eyes and ears we have out in the field, the better," he says. "All law-enforcement agencies have constraints because of manpower and funding, so if we can get help from private industry, we welcome that."
Krazy Kat co-owner Ed Stange declined to comment. His lawyer, David Freedman, says it's too early to assume anything about the case. "There's no doubt that there are serious questions as to whether or not my client knowingly disseminated any material contrary to law," Freedman says. "The fact that they carted off a bunch of CDs doesn't, in and of itself, mean anything. It's not what it appears to be."
Freedman declined to go over specifics of the case, because he hasn't seen any of the seized material. "We haven't had a chance to look at what was taken and see if there's any validity to what the state is claiming."
Attorney General Gary King will decide whether to file charges against Krazy Kat. The RIAA has been investigating Krazy Kat since 2001, according to Sisneros. After a complaint from a competing store, the attorney general began investigating Krazy Kat about six months ago, he says.
Brad Buckles, the RIAA's executive vice president for anti-piracy, declined to comment on the Krazy Kat investigation specifically. But, he says, his department has conducted thousands of investigations into retail stores, flea markets and other outlets across the country.
Buckles says after his investigators discover pirated CDs are being sold, the RIAA asks local law enforcement to take action. "It's then the police's job to do anything about it," Buckles says.
RIAA investigators don't have the power to make arrests or press criminal charges, but several of them accompanied attorney general agents during the raid on Krazy Kat. They wore T-shirts with "RIAA" written in large letters on the back. Sisneros says these investigators were brought along to help attorney general agents identify CD copying equipment and other items.
The marriage of government and corporations has been around since this country started, so it's not surprising.
Monica Padilla of Mecca Records CDs and Books
Buckles says the RIAA estimates the bootlegging industry in America takes in about $350 million a year. He says it's difficult to estimate how much money the music industry loses as a result, but it's greater than $350 million, because bootlegged CDs are typically sold for less than retail.
Buckles says he knows the RIAA can't stop everyone from selling burned CDs, but he still thinks raids and investigations help curb the problem. "I compare it to speeding in that you know you can't catch all the people that do it," Buckles says. "But just think if we didn't enforce speeding laws. Everyone would do it, and we'd have chaos on the roads."
Sisneros says the Attorney General's Office is concerned with pirating because it hurts New Mexico. Instead of paying $15 for a CD, customers are paying only $4 or $5. "We're talking about a lot of money that should, by all rights, be going into our economy," he says. "It doesn't take a genius to figure out that it's going to have a negative effect."
Colleen Corrie, who owns Charley's 33s and CDs, says the city can ill afford to lose another local music outlet. "I would hate to see another store close," Corrie says. "There are fewer and fewer of them around in Albuquerque."
Corrie also says places that sell illegally copied CDs give other record stores a bad name. "I hope it doesn't have a negative effect on all of us," she says. "It might hurt our reputation."


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Manila: Gunmen ambushed a truckload of policemen and village guards who helped guard a village festival, killing nine and wounding two others day in a mountainous central Philippine province, officials said.
The gunmen raked the victims` truck with rifle fire before dawn in the foothills of Mount Kanlaon in La Castellana town in Negros Occidental province. Among the dead were a police officer and several village guards, police officer Gary Genelaso said by telephone.
Police set up road checkpoints and launched a manhunt for the attackers, Genelaso said.
Army and police officials said the attackers may have been communist New People`s Army guerrillas or armed men from an illegal logging syndicate.
The killings are the latest in a flurry of gun violence that has revived calls for tighter gun controls. The country has long grappled with communist and Muslim insurgencies, crime and armed groups controlled by politicians, warlords and powerful families.


text: Seller: easternbazaarstore (194) 100%, Location: Medina, 41451, Ships to: Worldwide, Item: 264265366378 Avicenna Ibn Sīnā Al Isharat Wa-t- Tanbihat Arabic Philosophy Sufism Book Philosophy Sufism BOOK الإشارات والتنبيهات لابن سينا طبع في القاهرة بدار المعارف طبع المجلد الأول عام 1983 والمجلد الأخير اكتملت طباعته عام 2017 الكتاب كامل في 4 مجلدات printed in Cairo Dar AL-MAAREF New Brand What you see is an old and interesting Philosophy Sufism book (Al Isharat Wa-t- Tanbihat). The author of this book is (Ibn Sīnā) Avicenna . It is completed book. It is 4 volumes. The volume measures are 23.7 cm x 16.9 cm. You get what you see in the scans. Please inspect the pictures, they are part of the description. Please Read Very Well Before Bidding: I am ready to answer any question, and try to describe to my best; and to show many necessary pictures of items I list. PayPal is the preferred method of payment. Contact us if you will pay by other means. All Sales are Final: This is because we only list Authentic & Genuine items; and we describe in details the item's condition. And we show high-resolution scans and pictures. We also pack & tighten very well our deliveries; so no damage can happen during postage. We see No Logical Reason for returning items. We post items within 2 business days after clear payment. Our mail leaves Saudi Arabia in 2 days to the destination. For known and sometimes unknown reasons, the mail is delayed at the destination. This delay may be due to "Slow" delivery process or for "Security Investigation". So, we are not responsible for that delay. We only post via Registered Mail, and our transporter is Saudi Post Company. Estimated Delivery Times: Europe & United States: 2-4 weeks. Canada & Latin America: 3-4 weeks. Far East & Australia: 2-3 weeks. Africa & Middle East: 1-3 weeks. We do not deliver mail to Palestine & Israel. Shipping & Handling cost: of this book is $26 and this includes the followings: Bubble-Envelop (1-4$). Card board for tightening (1$). Nylon sheet for protection. Registration fee (2$). Signed Receipt fee (2$). Postage fee (according to weight & destination). We Combine Shipping: You pay shipping cost for only ONE ITEM (the heaviest one), and the others are posted for no shipping charges in the same envelop or box. You may pay a little extra fee if the weight become out-of-range. Payment must be received within 5 days of auction closure. For other method of payment, please contact me as there is a collection fee deducted by your or my bank. This must be added to the final due. GUARANTEE: The buyer has right to return the item if it is not as described. Feedbacks: I always deliver positive feedbacks to buyers upon payment. I also try my best to treat my clients as very valued customers. And, I expect the same treatment & feedbacks from them. Please do not hesitate to ask me for any help. Good communication will make the transaction smoother for all involved. I wish you all the best of luck.


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Committee Funding
From StarsOrg
RUSA Committees are allotted a $50 budget to use for supplies. These funds can also be used to make conference calls via the ALA conference calling service. The cost is $25-30 for a short (hour long) call, and ALA will bill RUSA. Contact the STARS chair for more information.


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How to Help My Child if I Am Concerned or a Court Has Determined that He/She Has Been Abused
How to Help My Child if I Am Concerned or a Court Has Determined that He/She Has Been Abused
Session 5 of the series Dealing with High-Conflict People in Separation, Divorce & CoParenting
Session 5 – How to Help My Child if I Am Concerned or a Court Has Determined that He/She Has Been Abused
In Session 5, Bill Eddy shows the way you deal with your child is very important, in terms of not appearing to influence your child, while also supporting your child and getting professional assistance.
This is a digital audio lasting approximately 30 minutes. Please note: this is not a CD. You will receive an email with a link to listen to the audio.
About the Series - click on each to read more and purchase
Session 1 – High Conflict Separation & Divorce Basics
The basics about what makes a case "high conflict" and how to prepare yourself.
Session 2 – Managing Your Case When You Don't Have an Attorney
This session provides information about managing your high-conflict separation or divorce when you do not have an attorney representing you. These are difficult to navigate without an attorney, so you will need to be prepared with a clear strategy.
Session 3 – Educating the Court about High-Conflict Personalities
It can be difficult for courts to get a full understanding of a case in the brief time they have with each family. This session helps you understand the most effective way to present information about high-conflict personalities to the court.
Session 4 – How to Handle False Accusations
False accusations often accompany high-conflict cases. This session helps you prepare for and respond to them.
Session 5 – How to Help My Child if I Am Concerned or a Court Has Determined that He/She Has Been Abused
The way you deal with your child is very important, in terms of not appearing to influence your child, while also supporting your child and getting professional assistance.
Session 6 – Managing Your Relationship with a High-Conflict Co-Parent
Having a manageable relationship with a high-conflict co-parent is imperative for the best interests of your children. This session provides you with tools and techniques to best manage that relationship.
Session 7 – Managing Relationships with Your Children During & After a High-Conflict Divorce or Separation
Kids are sometimes used as weapons or leverage in high-conflict cases and may have turned against one parent. This session gives you the tools that you can use to manage the relationship without fighting it out in court.
Session 8 – Should I Request a Custody Evaluation?
A custody evaluation may or may not be the best option in your case. This session helps you determine whether to request one or not.
Session 9 – Types of Custody & Access (Visitation/Parenting Time) Arrangements, and Requesting Supervised Visits
This session explain various types of custody and parenting time arrangements that are in the best interests of the children, and helps you determine whether to request supervised visits or not.
Session 10 – For Grandparents: Having & Managing Relationships with an Adult Child and Grandchildren When the Other Parent is High-Conflict
This session is specifically for grandparents who experience difficulties having a relationship with their grandchildren or an adult child due to a high-conflict parent.
Session 11 – Preventing Your Child from Developing High-Conflict Behaviors from the Other Parent's Influence
This session offers steps you can take yourself to keep your children from developing high-conflict behaviors.
Session 12 – When to go to Court and When to Handle It Yourself
Knowing when an issue requires court intervention or not can be confusing. This session offers guidance when making this decision.
Session 13 – Best Use of Parent Coordinators, and Educating Parent Coordinators About High-Conflict Personalities
In jurisdictions that use Parenting Coordinators, knowing when and how to utilize their services and how to educate them about high-conflict personalities is helpful.
Series Description
The series is for separating or divorcing parents, and for professionals who want to know more about the most important issues that parents deal with in high-conflict divorce and separation, and co-parenting with a high-conflict parent.
In this digital audio series, Bill Eddy, LCSW, Esq., co-founder of the High Conflict Institute, discusses 13 of the most important issues that parents deal with in high-conflict divorce, separation and when co-parenting with a high-conflict parent. Based on the "High-Conflict Personality" theory he developed, he discusses a subset of the 5 personality disorders that drive high-conflict people, including Borderline Personality Disorder, Narcissistic Personality Disorder, Paranoid Personality Disorder, Histrionic Personality Disorder, and Antisocial Personality Disorder.
These sessions help you understand what's going on in the other person's mind and how to manage the relationship during and after the divorce or separation and as a co-parent. Information is provided on how to do the opposite of what you're used to doing and what you "feel" like doing – a must when dealing with a high-conflict person. Financial info (child support & asset division) is included, along with info for grandparents.
This series is for parents, grandparents and other family members and focuses on issues that arise in high-conflict separation, divorce, child custody and co-parenting disputes, and helps you with on-going relationship management with a high-conflict co-parent and with your children.
Bill Eddy, LCSW, Esq. is a lawyer, therapist, mediator and co-founder of the High Conflict Institute. He developed the "High Conflict Personality" theory (HCP Theory) and has become an international expert on managing disputes involving high conflict personalities and personality disorders. He provides training on this subject to lawyers, judges, mediators, managers, human resource professionals, businesspersons, healthcare administrators, college administrators, homeowners' association managers, ombudspersons, law enforcement, therapists and others. He has been a speaker and trainer in over 25 states, several provinces in Canada, Australia, France and Sweden.
As an attorney, Bill is a Certified Family Law Specialist in California and the Senior Family Mediator at the National Conflict Resolution Center in San Diego. Prior to becoming an attorney in 1992, he was a Licensed Clinical Social worker with twelve years' experience providing therapy to children, adults, couples and families in psychiatric hospitals and outpatient clinics. He has taught Negotiation and Mediation at the University of San Diego School of Law for six years and he is on the part-time faculty of the Straus Institute for Dispute Resolution at the Pepperdine University School of Law and the National Judicial College.
He is also the developer of the New Ways for Families method of managing potentially high conflict families in and out of family court, and Parenting Without Conflict online parenting course for separating and divorcing parents.


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My top photos
Comments 1
xxx 06/07/2012 17:57Hello,
How are you today? I hope you are fine. My name is Miss Linda Desmond. I am single looking for honest and nice person. Somebody who i can make friend with. today i saw your profile and became interested in you. I don't care about your color, ethnicity, Status or Sex. Upon your reply to this mail I will tell you more about myself and send you more of my picture. I'm sending you this beautiful mail, with a wish for much happiness.this is my email (email@example.com) I am looking forward to hear from you.please contact me directly to my box i have more to tell u there..
Warm regards,
Miss Linda.


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If you are labeled correct, you are going Rx->Rx/Tx->Tx and it is not the "BAITE" board, you will need to cross the connections Rx->Tx and Tx->Rx. When you upload, you will need to hold the reset and wait till the Tx on the USB2TTL board Tx LED Flashes 2x. You might want to test with the UNO Optiboot and the Duemilanove 328 boards in the Arduino IDE.Later, you might want to hook up a 0.1uF cap to Atmega pin1 and your USB2TTL RST (DTR?).
I would guess the Windows driver is not installed. Can you open your device manager and verify the FTDI USB serial driver? Write back and let me know; I'll monitor this thread.


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Write a News Story
Meet a Pioneer Pilot
Amelia Earhart Home
Back to
Story List
Where's Amelia?
By: April M.
Arizona, Age 11
What happened? No one really knows what happened, but there are many theories. Amelia started her last flight on June 1st; she was determined to be the first person to fly around the world at the equator. Unfortunately, she never made it. When she left to go to Howland Island, she never got there. It was cloudy that day and her navigator, Fred Noonan, uses the stars and sun to navigate, so that wasnt much help. Also, some people say that she didnt fill up (fill her gas tank) all of the way when she left.
President Roosevelt got 66 planes and 9 naval ships, even divers, to look for the lost partners, but they were never found. Some say that Noonan was beaten by the Japanese; others say they sank to the bottom of the sea. This is one of those many things we may never know. May be in the future well have advanced technology enough to find her, but who knows?
Back to
Story List


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Pachyderm Developer Documentation¶
Welcome to the Pachyderm documentation portal! Below you'll find guides and information for beginners and experienced Pachyderm users. You'll also find API references docs.
If you can't find what you're looking for or have a an issue not mentioned here, we'd love to hear from you either on GitHub, our Users Slack channel, or email us at firstname.lastname@example.com.
Note: if you are using a Pachyderm version < 1.4, you can find relevant docs here.


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Munkus Beaver wrote:Alright, I have internet!
First off, a picture of my house from an aerial view:
And a view from my house from the front:
And what is left from the vacant house across the street:
Munkus Beaver wrote:Hell, this was just me putting down the most life-altering and significant possible things on my list. PAX in August just got a 'woo.' I'm sure if you just focused on the things that were HOLY SHIT BIG HUGE DEALS this year you could do the same. I just happened to have something happen every single fucking month D:
EDIT: This was in response to Sara's post
Personface wrote:Munkus i'm pretty certain you are immortal.
Edcrab wrote:During the heat death of the universe, Munkus and Stale, having transcended into cosmic energy beings, will beat the shit out of each other to avoid boredom
Pony just watches
The Geebs That Is A Pony wrote:all things considered
this year was pretty uneventful


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AlisonO necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 101 diseños de 20 diseñadores freelance.
Our business name and range of services has evolved, and we need to introduce new branding to support this. We need a corporate logo, and letterhead, business card and complementary slip layouts.
McQueen Wealth Management
McQueen Wealth Management is an established financial planning business that has evolved to include all aspects of wealth management, including investments, estate planning, insurance and accounting services.
The business has a strong heritage built around the "McQueen" name, and is a modern and innovative financial planning practice, with a team of highly professional financial planners and associated staff.
We want our corporate identity to portray an image of strength, stability and dependability, as well as being modern and innovative.
We are happy for first round submissions to only include the logo, with the stationary designs submitted once the logos have been reviewed.
- We envisage that the logo will be simple, clean and uncluttered, with the McQueen Wealth Management name accompanied by some form of simple graphic.
- The URL for the business is mcqueenwm.com.au, hence the logo could highlight McQueen and the W and M.
- The colour palette used in the logo should reflect the professional nature of the business: silver, grey, dark blues, dark green, maroon etc. No more than two to three colours should be used.
- The logo needs to work reproduced in black and white where limited printing facilities are available.
- File formats: We need pdfs of the logo and layouts, as well as .eps and .jpeg files for artwork, online and printing.
- The business information to be used on the sample layouts are as follows:
Address: Level 4, 437St Kilda Rd, Melbourne 3004, Victoria, Australia
Tel: (03) 9865 8111
Fax: (03) 9865 8100
URL: mcqueenwm.com.au.
- The business card sample can use the name Kingsley Oldfield, Chief Executive Officer.
Email: firstname.lastname@example.com.
- McQueen Wealth Management belongs to a financial services dealer group, whose logo needs to be included on the marketing materials, on the reverse side of the business card, and on the bottom left hand corner of the letterhead and comps slip. The competition entries don't need to include this, but must leave these areas blank to accommodate it.
We are happy to allow the designers artistic license in the competition. However some things we don't think are likely to work for our business include:
• Large blocks of colour, as they tend to not re-produce well when printed from a home printer, or faxed.
• Cliched symbols for financial services firms such as arrows or charts.
• An overly busy or cluttered design.
Descubre cómo funciona un concurso de diseño u obtén más información sobre nuestros servicios de diseño de logo.


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THERE IS LITTLE DOUBT THAT IN the past, landscape design and maintenance have been more about appearance than anything else. Today, however, landscape businesses have to offer their clients a great deal more than just a pretty yard. With water shortages and rationing already in force in many parts of the country, people are seeking ways to conserve yet maximize water use.
If you can find a way to minimize your clients' water-guzzling landscapes into efficient, water-conserving powerhouses that will save owners money, you will have an endless stream of clients clamoring for your services. If you can make them also aesthetically pleasing, that's just another plus.
One way to accomplish this is to become eco-friendly, using drought-tolerant and native plant material that thrives on less water.
Most of the time, it takes a great deal of expensive plans and many meetings to bring new ideas before a residential client or commercial property manager. But once in awhile, you'll find a long-time client who is so passionate about water conservation, that she'll actually approach you.
Such was the case with Kat Stimac, property manager for Mid Valley Properties, Inc., Calabasas Hills, California. The timing couldn't have been better. Having just completed an interior renovation of a building at an industrial business park, the owners also wanted to renovate the landscaping for that building.
Built in 1979, the business park in Reseda, California, has nine buildings on the property. With a 30-year-old irrigation system and tired landscaping, the owners knew it was time for a face lift. Between rebate programs offered, new technology and the availability of sustainable plants, all the pieces were now starting to come together.
The owners would use one building as a test case, and put they put Stimac in charge of the project. Once the landscaping was completed, they would have a blueprint for the other eight buildings on-site.
Partnering with the owners was Dworsky Landscape Services, Gardena, California. Although the property had been well maintained for a number of years, not much had changed since the original installation. About a year ago, Dave Dworsky, CEO of Dworsky Landscape Services, acquired the company that was maintaining the the property. In addition to their normal landscape services, Dworky has a number of employees who are trained to work with native and drought-tolerant plant material. This crew has also become Irrigation Association-Certified Technicians.
Stimac contacted Dan Dworsky, regional manager of business development, and explained her ideas for the renovation. Dworsky was confident that they could meet the requirements. He assigned general manager Julio Lopez to start an assessment.
It was important for Stimac to be directly involved with the choices for the plant material. "I wanted to keep the number of plant types to a minimum and choose an analogous color scheme with cool overtones to play off the strong accent colors of the building. Also, I wanted a sense of whimsy and play." With the overwhelming variety of plant material available and the need to keep project costs down, they decided the best way to make decisions was to take a field trip to the nursery together.
After completing his initial assessment, Lopez immediately noticed that the current irrigation system was old, inefficient and had only one zone covering both the plant and grass areas.
"That's not the way it's done anymore," said Lopez. "Using the newest low-precipitation sprinkler heads, I knew we could accomplish significant water savings. The first thing we needed to do was split the area. In order to do that in an efficient way, we needed to take out the old system and re-wire everything."
Another problem was that the water from the existing sprinkler heads were not properly aligned, causing overlapping, so some areas of turf were getting much more water than others. "Water was spraying everywhere," Lopez said, "In addition, the plant material was definitely the wrong type, and installed incorrectly for our drought-plagued area."
Once Dworsky got the green light for the plan, he sent a crew to remove a few trees that had overgrown and were now threatening the foundation of the building, and were keeping the sun from the plants. Then, they reconfigured the shape of the plant beds, removing some of the turf to create a more efficient design.
He showed Stimac that by removing some of the turf and making wider beds for plant material, the integrity of the landscape would not be compromised.
Old pipes and valves were replaced, and new MP rotators from Hunter were installed in the turf areas. By using low precipitation-rated sprinkler heads, Mid Valley was on its way to lower water bills.
Low-volume dripline was placed in the planter areas to deliver water directly to where the plants needed it: at the root-zone. This served to not only eliminate water waste, but also redirected the spray away from the impermeable pavement and windows surrounding the landscape.
To regulate the irrigation schedule, Lopez replaced the property's old controller with a new two-wire ACC decoder smart controller and a state-of-the-art Solar-Sync weather station sensor. The weather station will measure rain levels and current temperature, then recalculate irrigation timing at each station in the complex, based on their specific conditions.
"We installed decoders in all valves, so we can have the capability of adding more valves to separate turf and planters. This will save the property owner money and save water by automatically calculating each plant's watering needs," Lopez said.
The planter area was tilled to ensure optimal water drainage of the soil. The field trip with Kat to the nursery was educational and yielded some great choices. Plant material was matched to the California climate and also to the plant's ability to thrive in sun or shade.
By mixing a variety of native plants with drought-tolerant plants, Dworsky accomplished exactly what Stimac had envisioned. The new landscape not only reduced the water consumption, but also beautified the area as well.
The entire 2,100 square-foot project took a little less than three weeks to complete. Now, with a basic blueprint for the rest of the complex, Dworsky estimates that Mid Valley Properties can expect a 30 percent decrease in water costs and a reduction in potential costs from water damage to the buildings.
"We want to see how the new landscape holds up over several months," said Stimac. "If this turns out as well as we think it will, we'll start retrofitting the irrigation at the other eight buildings one-byone and replant as needed. Our goal is water reduction first. The longterm cost savings and a rebate help to justify the initial expense and frankly, it's just smart."


text: The Center for International Emergency Medical Services (CIEMS) is a 501(c)(3) nonprofit organization based in Colorado, Boston, and New York that was formed in 2006 for the purpose of improving emergency services systems worldwide. The Center is currently developing partnerships with organizations wishing to support its goals, and seeking individuals who have an interest in International Emergency Services Development. This site is being updated on a regular basis. Please sign up for our announcement list on google groups to be notified of major updates and opportunities.


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SOMERSWORTH — Tami Provost of Rochester encouraged Somersworth Middle School students to take simple steps toward a more healthy lifestyle at an assembly Friday morning.
Provost, a certified personal trainer, is the developer of Fit on the Fly, a national wellness program praised by First Lady Michelle Obama. The program promotes habits Provost used to become fit after struggling with her weight and self esteem issues since childhood: eating breakfast, drinking water, "shaking off sugar," sleeping smart and moving more.
In her presentation, Provost made being healthy as easy as possible for students. She told them they don't need to worry about eating the perfect breakfast, it's just important that they have something. She encouraged students to drink from the water fountain whenever they pass by and to move as much as they can each day, even if it's just for ten minutes.
"Our body is amazing," she said. "We have 75 trillion cells in our body, but only 100 are in our taste buds. I used to let those 100 cells control the rest of my 75 million."
Diane Sedler, teacher of Family Consumer Science, organized the assembly. She saw an article in the newspaper about Provost's program and contacted her to come speak.
Sedler teaches students how to make healthy meals during her classes, which all students attend for a portion of the year. She encourages them to eat healthy and shows them substitutes for recipes. Students do make cookies in her class, however, Sedler makes sure to show them how much sugar goes into the food.
"This isn't just about combating obesity," Sedler said. "You can be really unhealthy but still be thin."
Cara Green, food services director for Somersworth, said that Somersworth Middle School has always had whole grains, fruits and vegetables. This year, they're working on their snack program and involving students in the process. Students have participating in snack tastings and will name the snack bar, which opens Feb. 4.
"You can't just cram eating healthy down their throats," Sedler said. "You have to let them be apart of the process. You've got to get them involved in the choices."
Along with the presentation, which was filled with fun facts and videos featuring celebrities, the 435 students received free yogurt cups supplied by Chobani at lunch and each classroom received posters with the five steps.
Chris Faro, district manager for Cafe Services, which provides the food services for Somersworth as well as other area school districts, attended the program and is looking to implement it in his other districts. Provost's workshops are free to every school in the state.
"I'm really looking forward to working to keep the program going and instilled as a culture, through physical education and nutrition as well as our offerings," Faro said.
More information about Fit on the Fly can be found at www.FitOnTheFly.net.
Fit on the Fly presentation works to keep Hilltop kids healthy
SOMERSWORTH — Tami Provost of Rochester encouraged Somersworth Middle School students to take simple steps toward a more healthy lifestyle at an assembly Friday morning.


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Cliftonville secure draw
Cliftonville were held to a 0-0 draw by Hungarian side Debrecen in Tuesday's Champions League second qualifying round first leg at Solitude.
The Danske Bank Premiership hosts begin fairly brightly, with Chris Curran, Joe Gormley and Martin Donnelly bringing saves out of Nenad Novakovic.
But Debrecen threatened more and more as time went on and they hit the woodwork through Ibrahim Sidibe in the 56th minute.
As their opponents continued to make attempts on goal, Cliftonville offered little in response until the final 10 minutes, in which skipper Ronan Scannell and Curran were unable to convert decent opportunities.
Substitute L'Imam Seydi then did likewise for the visitors in the dying seconds.
Use a Facebook account to add a comment, subject to Facebook's Terms of Service and Privacy Policy. Your Facebook name, photo & other personal information you make public on Facebook will appear with your comment, and may be used on ESPN's media platforms. Learn more.


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Bill Glasheen wrote:And your point is???
So, Justin... I am scathing of people who smoke because I used to smoke a pack of Marlboro a day, and had the cahones to quit cold turkey.
This is exactly my point. Good for you that you had the combination of biology and upbringing that made it possible for you to go cold turkey on your pack a day habit. The difference in vision is that I refuse to dismiss people who aren't thusly constituted.
I don't see why someone who lacks your fortitude deserves to be scorned, and worse, have their health care needs overlooked. It sounds like you're basically making a might makes right argument. Personal responsibility matters, but I don't think it's reasonable to cater only to smart (emotionally or otherwise) people.
As for your pro-business bias, yes I know you worked in academia. It's not just because you currently work for big business (though any honest researcher has to consider their own money-influenced bias), it's the pattern of things you've said over the years.


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The Way of the Dog: The Art of Making Success Inevitable
The Way of the Dog: The Art of Making Success Inevitable
ISBN: 978-1-119-95008-0 June 2011 Capstone 170 Pages
Download Product Flyer
Why a dog? A dog has only two states of thought, which are happy, and waiting to be happy. When it has a task to do, it sees the beginning and the end. It doesn't become anxious or depressed at the size of the job, but just undertakes it and deals with obstacles as they come. It always succeeds.
Geoff Burch taps into the core of great personal development writing in The Way of the Dog. He focuses on the two big questions - what do you want to do with your life and how do you do it? By following the way of the dog, each obstacle in your path is dealt with unfailingly, one at a time. And if you don't know where you're going or what you need to make you happy, the sheepdog will show you how to recognise a sheep and not to waste time with goats. The Way of the Dog offers timeless, accessible, fast-paced, funny and memorable advice. Inspiring lifestyle wisdom is brought out through simple storytelling.
Plan your course through life and overcome every obstacle in your path by adopting The Way of the Dog's route map to success. Unlike the instructions in flat-pack furniture, anyone can understand it, it is easy to do, and the outcome will not be a surprise or a disappointment. The Way of the Dog contains the secrets of success.
Table of contents
Acknowledgements ix
The Way of the Dog – The Story about the Story xi
The Way of the Dog – Instructions for Use xliii
The Way of the Dog 1
The Way of the Dog in a Nutshell 123
About the Author 127
"Humourous, uplifting and full of sensible information, this book takes a sideways look at finding out what you want to do with your life and how to do it" (www.allthatwomenwant.co.uk - May 2005)
"will entertain, be thought-provoking and encourage us to stand back and look at life from a different angle" (News Letter Northern Ireland, May 31 2005)
"this delightful little book works on two levels" (Oxford Times, 27 May 05)
"…offbeat but very readable…a lesson in dogged determination…" (Business Life. July / August 2005)


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Ukraine launches operation against insurgents
SLOVYANSK, Ukraine (AP) -- Ukrainian forces launched an operation Thursday to drive pro-Russia insurgents out of occupied buildings in the country's tumultuous east, prompting new threats from Russian President Vladimir Putin.
Within hours of the Ukrainian operation, which killed at least two pro-Russia militants, Russia's defense minister announced new military exercises for troops massed near Ukraine's border.
The statements by Putin and Russian Defense Minister Sergei Shoigu sharpened anxiety over the prospect of a new Russian military incursion into Ukraine. Russia's foreign minister warned a day earlier that any attack on Russian citizens or interests in eastern Ukraine would bring a strong response.
In Kiev, Ukraine's acting president accused Russia of backing and supplying the separatists in the east and demanded that Moscow stop its intimidation campaign and leave his country alone.
Oleksandr Turchynov said in an address to the nation Thursday that Russia was "coordinating and openly supporting terrorist killers" in eastern Ukraine, where government buildings in at least 10 cities have been seized by pro-Russia gunmen.
Turchynov said Russia must pull back its troops from the Ukrainian border and "stop the constant threats and blackmail."
In St. Petersburg, Putin decried what he described as Ukraine's "punitive operation" and threatened Kiev with unspecified consequences.
"If the Kiev government is using the army against its own people this is clearly a grave crime," Putin said.
Russia already has tens of thousands of troops stationed in regions along its border with Ukraine. The latest Russian military exercises will involve ground troops in the south and the west and the air forces patrolling the border, Shoigu said.
NATO Deputy Secretary General Alexander Vershbow sharply criticized Russia for making "veiled threats" and said Russia should pull its troops back to their barracks.
The Ukrainian government and the West worry that Putin would welcome a pretext for a military intervention in eastern Ukraine. Putin denies that any Russian agents are operating in Ukraine, but insists he has the right to intervene to protect the ethnic Russians who make up a sizeable minority in eastern Ukraine.
Earlier in Tokyo, President Barack Obama accused Moscow of failing to live up to "the spirit or the letter" of a deal last week to ease tensions in eastern Ukraine. If that continues, Obama said, "there will be further consequences and we will ramp up further sanctions."
Pro-Russia forces say the interim government has also not lived up to the Geneva deal by not making nationalists in Kiev disarm and withdraw from their occupied buildings.
With no appetite in the U.S. for a military response, Obama is largely banking on Putin caving under a cascade of economic sanctions targeting his closest associates. But the success of that strategy also depends on European nations with closer financial ties to Moscow taking similar action, despite their concerns about a boomerang effect on their own economies.
"I understand that additional sanctions may not change Mr. Putin's calculus," Obama said while on a Tokyo visit. "How well they change his calculus in part depends on not only us applying sanctions but also the cooperation of other countries."
Slovyansk, a city 160 kilometers (100 miles) west of the Russian border, has emerged as the focus of the armed insurgency in eastern Ukraine.
The Ukrainian Interior Ministry said military and special police forces killed "up to five terrorists" while destroying three checkpoints north of Slovyansk on Thursday. One government member was wounded, it said.
Stella Khorosheva, a spokeswoman for the Slovyansk insurgents, said two pro-Russia fighters were killed at a checkpoint in the village of Khrestyshche, 10 kilometers (six miles) north of the city. She said checks were being made at hospitals to see if there were other casualties.
The situation was quiet in Slovyansk itself, but checkpoints inside the city were abandoned and it was unclear where the pro-Russia insurgents manning them had gone.
Khorosheva said the pro-Russia militia later regained control over the checkpoints where the clashes took place. By Thursday afternoon, an AP reporter confirmed that some of those checkpoints were back in the hands of insurgents.
Khorosheva declared that the fighters were ready to repel any attack by government troops.
"We will defend ourselves to our last drop of blood. We are ready to repeat Stalingrad," she told The Associated Press, invoking the memory of the Soviet army's victory over German forces in 1942-43.
At least 10 Ukrainian government armored vehicles were seen on the road north of Slovyansk and two helicopters circled over the area. Troops ordered residents in the area to keep away during the operation.
Near the town of Makatikha, several miles (kilometers) north of Slovyansk, pro-Russia militia set fire to rows of car tires in an apparent attempt to reduce the visibility from the air. An Associated Press reporter saw about two dozen militiamen manning checkpoints along the road earlier in the day.
In the southeastern city of Mariupol, Interior Minister Arsen Avakov said his forces had cleared city hall of the pro-Russia protesters who had been occupying it for more than a week. He did not describe the operation. The Ukrainian city sits along the main road between Russia and Russia's newly annexed Black Sea peninsula of Crimea.
Yulia Lasazan, a spokeswoman for Mariupol's police department, told The Associated Press about 30 masked men armed with baseball bats stormed the building in the dark early Thursday and started beating the pro-Russia protesters. Five people were taken to a hospital, she said.
It was not clear why the protesters, some of whom are believed to be armed, did not resist but called local police instead. Lasazan said local police now controlled the perimeter of Mariupol city hall and were negotiating to get the remaining protesters to leave.
Ukraine is going through its biggest political crisis since the 1991 fall of Soviet Union, set off by months of anti-government protests that led to President Viktor Yanukovych's flight to Russia in February.
Yanukovych's ouster sparked wide anger in his support base in Ukraine's east. The insurgents, who claim Ukraine's post-Yanukovych government consists of nationalists who will suppress the east, are demanding regional autonomy or even annexation by Russia.
Ukraine and Russia reached a deal in Geneva last week to defuse the crisis, but pro-Russian insurgents in the east -- and right-wing militants in Kiev -- have defied calls for all sides to disarm and to vacate the buildings they are occupying.


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(CNN) -- Researchers announced this week that they've found a new gene, ALS6, which is responsible for about 5 percent of hereditary Lou Gehrig's cases.
The discovery of a new gene mutation may allow those with ALS in their family to be tested.
It's being called a "momentous discovery" by the Amyotrophic Lateral Sclerosis Association.
Scientists at Massachusetts General Hospital, the University of Massachusetts and Kings College in London found the mutation by doing detailed sequencing of the genes in several families with an inherited form of ALS. The findings are published in the February 27 issue of the journal Science and were partially funded by the ALS Association.
ALS, a disease of the nervous system, impairs muscle movement and eventually results in total paralysis. It was brought to national attention in 1939, when famed Yankee baseball player Lou Gehrig's illness was diagnosed as amyotrophic lateral sclerosis, or ALS. Today, the disease is most commonly known by his name.
ALS6 is a protein normally found inside a cell's nucleus, but in patients with Lou Gehrig's disease, it is found outside the nucleus and sometimes forms unusual clumps.
ALS researchers are unsure why this occurs but believe this finding, combined with a gene they discovered last year, TDP-43, may lead them to a firmer idea of what causes this deadly disease.
Both genes help in building and transporting proteins and making sure they're in the right place in cell structure -- a process called RNA processing.
Lucie Bruijn, senior vice president of research and development at the ALS Association, likens this process to building an engine: If there are parts missing or placed in the wrong place or in the wrong way, the engine doesn't work right.
"Everything has an exquisite role and has to be in the right place, and any imbalance ... can cause things to go awry," Bruijn said.
"It's exciting because what it's starting to tell us now is that we might be starting to get an underlying theme," Bruijn said. "We now have two genes with similar function strengthening the idea that alterations in RNA processing is important in ALS. A completely new direction and also involved in many other neurodegenerative diseases."
She believes this gives researchers "huge" potential to develop new therapies.
And new therapies are needed.
There is no cure and only one treatment for ALS, a neurodegenerative disease that seems to progressively attack the nerve cells in the brain and spinal cord. These attacks can cause symptoms such as muscle weakness, twitching, cramping and thick speech, eventually leading to paralysis. According to the ALS Association, the disease strikes a little more than 5,600 people every year, and about 10 percent of those cases are hereditary.
The discovery of this new gene mutation will also allow those with ALS in their family to be tested for another gene (this makes three genes). Bruijn says a test "will be possible; however, currently, it is not widely accessible" and "it would only be used in familial ALS patients."
All About ALS - Lou Gehrig's Disease • Genetic Testing


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I'd Rather Be with You Babe (yes I do)
I'd rather beeeeee with youuuuuuuuuuuu
Rather be, rather
Rather be, rather
Rather be, rather
Rather beee with youuuuuu
Ay though I love you hate that bitch that's always with you
aShame I gotta put up with her shit just to get you
She thru another fit you had to split because she was wit you
And now I'm at the crib all alone damn I miss you
Ay when we first met you was too tense for me to get through
And then I got you loose it's like a glove how I fit you
Your two lips they smell like tulips so official
My niggas'll probably clown me if I told 'em that I kissed you
But you clean as a whistle Wet as a tissue in the toilet
Love to hit that spot get you hot like I boil it
Even let ol' girl watch she enjoy it
Even though she make it hard for me to see you
Knowing that I need you
Now look, don't make a grown nigga beg that ain't fair bitch
Just take them clothes off oh look you got your hair did
For me looks good She said oh you so sweet
Now get me while you can you bout to have to wait a whole week
Ah hell not the beast really I don't give a fuck
Well since you already bleedin' that mean I don't get to cut
Ay Look I'm already fienin' so just let me slide thru
Tell your homegirl relax and let me get inside you
Because that booty mad thick behind your juicy ass lips
I'm trying to get you hot and wet you know Jacuzzi that shit
Then I'm bustin' like an uzi in this bougie ass chick
The only reason that I put up with this moody ass bitch
Is... you.
Rather be, (Hey baby its... you) rather
Rather be, (Now baby its... you) rather
Rather be, (Hey baby its... you) rather
(And I...) rather beee with youuuuuu
She said I love you she talks tellin' me to kiss her up
But when her friend visits I doesn't get it much
Its soo-woo season and shawty dick teasin' now for that reason
Now my shit is like a crip sneaker
Listen love of my life I'm tryin' to get some, uh-tention
You don't gotta listen just give a fuck
Your mouth I don't need your legs you can keep
Just tryin' to get up in your jeans re-sew your seams
And your pussy was the cameo but stole the scene
So I got my camera on your cameltoe say cheese
Two lips blowin' kisses, muah to my mistress
Goodbye to my girl when I'm in it
I'll take you out shorty but let me know its mine
I'll paint you with my tongue and stay in those bikini lines
See it's a part of you I gotta be a part of
But every other part of you make me wanna depart and
Baby look at what you started, why am I working for it
Why are we still conversing when I'm sure you've heard the chorus
I'm sure you get the point and I prefer you throw it urgent
Your mind can say no but she can't control the urges
Because your booty mad thick behind them juicy ass lips
Trying to get you hot and wet you know Jacuzzi that shit
Then I'm bustin' like an uzi when I'm thru with that shit
The only reason why I put up with this stupid ass bitch
Is because of you.
Rather be, rather
Rather be, rather
Rather be, rather
(And I...) rather beee with youuuuuu
Uh, and how I wish I would've met you first
Never had a chance to try
Cause your overprotected friend saw the lust in my eyes
So you she would hide
Because she thought of me as a typical guy
Which you know I'm differ-right
You listenin' to her
Leaving you with empty nights
Recognize shawty, be real with ya'self
Mama feelin' herself literally
And I wondering if I mention this to get rid of me
Cause every time you come by to kick it
And I open up the door you bring her cranky ass with you
Influencing your decisions I can't even get a minute
Without her making attempts to go and hog up all of my attention
She talk and I don't listen
I'm just picturin' me stickin' and movin' you moanin'
Music on the counter in the kitchen
This better be that niggas bitch reachin' for my zipper
Cause they figure there is no way that my dick is big I beg to differ
If they let the research droop I so get it
She know you'll never be the same if I hit it
You know you longing for the stroke so you drippin'
She smoking and that will be the scapegoat for sippin'
Oooo your booty so thick behind them juicy ass lips
Trying to get you hot and wet you know Jacuzzi that shit
Then I'm bustin' like an uzi when I'm thru with that shit
The only reason that I put up with this bougie ass bitch
Is... you
Rather be, rather
Rather be, rather
Rather be, rather
(And I...) rather beee with youuuuuu
Wale paroles Rather Be With You (Vagina Is For Lovers) paroles traduction biographie chansons lyrics discographie clips videos mp3s


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Rugby World Cup 2011
Scotland hatch plan to halt Tuilagi
ESPNscrum Staff
September 28, 2011
Manu Tuilagi has been in sensational form for England at the World Cup © Getty Images
Scotland defence coach Graham Steadman is anticipating some colossal collisions in Saturday's must-win World Cup Pool B bout with England and is backing Andy Robinson's men to prevail.
Steadman is the man who must mastermind a defensive strategy to cope with England's fearsome strike runners, including Manu Tuilagi and Chris Ashton, as Scotland seek to win by eight points or more - thus denying their neighbours a losing bonus point - to advance to the quarter-finals.
While aware of the threat England pose, the Yorkshireman, a former Great Britain rugby league international, is backing Scotland to cope. On the midfield battle in particular, Steadman expects the collisions to be "massive", adding: "It will be good viewing."
Samoa-born Leicester centre Tuilagi has scored four tries in five Tests for England.
"We'll pay him attention, we know what he's about," Steadman said. "He is a threat if he gets a bit of momentum off quick ball, so we've got to get up and stop his momentum. The personal battles against that particular player we've got to make sure we come out of on top, because if he gets a head of steam he can cause problems.
"It's going to be an interesting match-up but whichever pairing we go with in midfield, I'm sure they'll do a solid job for us."
Scotland are set to name their team at 0900 local time on Thursday (2100BST on Wednesday), with Graeme Morrison poised to line-up at inside centre and Nick De Luca, Joe Ansbro and Sean Lamont in contention to join him in the midfield. Tuilagi is set to line-up alongside Mike Tindall in the centre for England and the duo will run hard and straight at Scotland.
Steadman added: "We've got our own little game plan in place to try and cause them one or two problems and we know if those two guys are allowed to get a bit of space, with a view to playing off the front foot, we're going to be back pedalling a little bit."
Steadman is also wary of wing Ashton, who scored a hat-trick in the 67-3 win over Romania. He added: "They've got the strike power of Ashton, who has not fired on all cylinders to date and he'll be looking for a big one at our expense at the weekend.
"I know he scored three in his last outing - we may say it was against inferior opposition. Without being disrespectful to the Romanian boys, I'd like to think they're not going to get the same kind of space they were offered against their last opposition.
"There are going to be a number of questions asked, but I'd like to think we can trust the systems that are in place."
Steadman also recognises England fly-halves Jonny Wilkinson and Toby Flood offer different threats which Scotland must be able to nullify. Steadman believes the breakdown will be key on Saturday and an area where Scotland must perform.
"That's where the game's won and lost in terms of momentum," he said. "It's something we pride ourselves on and we know we can't afford to let them get a head of steam on because off the back of that they've got a backline that can certainly pose problems."
Scotland last beat England by eight or more points in 1986. In the 25 years since, Scotland have won four times - in 1990, 2000, 2006 and 2008 - all by a six-point margin and all at Murrayfield.
There are many permutations, with England, Scotland and Argentina, who play Georgia on Sunday, all in contention to advance to the last eight. Scotland, though, are focusing on the result, first and foremost.
"We can't look too far in front of where we are at this moment in time," Steadman added. "We know what's required, but we've got to get the victory first and if the scoreboard takes care of itself, having played well for the 80 minutes, we can come off the field happy."
Scotland scored four tries against Romania, but did not cross the whitewash in the rain-soaked matches with Georgia and Argentina. Steadman added: "We've just got to be a little bit more clinical with the opportunities we create.
"If we're not clinical we'll be looking at the worst-case scenario which I don't even want to think about."
Gloucester second row Jim Hamilton is a doubt for the match with a knee injury and Saracens No.8 Kelly Brown is undergoing concussion protocols following a head injury sustained against Argentina.
Richie Gray is making good progress following a hamstring problem and could be joined in the second row by tournament captain Alastair Kellock if Hamilton fails to recover. Euan Murray is likely to return at tight-head prop after missing the Pumas fixture as it fell on a Sunday.
© ESPN Sports Media Ltd.
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Can a Kaposi sarcoma flat lesion, occur in one day, ie suddenly. I have about a dime size lesion on my thigh and it occurred in one day. it blanches though, can it still be Kaposi. Has been there a week unchanged.
Kaposi's sarcoma (K.S.) lesions do not blanch and dime-sized lesions do not appear within one day.
K.S. was a major problem during the early years of the epidemic. Today it is seen only rarely. K.S. is caused by human herpes virus type 8 (HHV-8). It occurs most frequently in bisexual and gay men. (We still don't completely understand why.) Topically it presents as flat or slightly raised dark purple skin spots. It can also affect the lungs, gastrointestinal track, mouth and other internal organs. K.S. often gets better dramatically when effective antiretroviral therapy is begun. However, it's also worth noting that K.S. can sometimes occur even with high CD4 cell counts. You can read much more about K.S. in the archives. I'll reprint a sample below.
Finally, and perhaps most important, are you HIV positive or just worrying about potential HIV symptoms indicating that you might be HIV infected? If you're unsure about your HIV status, get tested. If you're HIV positive and concerned about a new skin spot, have your HIV specialist evaluate it, OK?
Good luck.
Dr. Bob
Will my Kaposi Sarcoma lesions go away after treatment? Mar 23, 2009
I was diagnosed with KS approx 2 years ago. After that I underwent weekly chemotherapy for 1.5 years and then electron radiation daily for 10 sessions. Although, the CT Scan now shows the KS has receeded, the dark black marks are still all over my face and body. Can I expect these marks to go away?
If not, do you recommend that I possibly look into Laser therapy?
Response from Dr. Frascino
The best treatment for Kaposi's sarcoma is effective combination antiretroviral therapy that drives HIV plasma viral load to undetectable levels and allows for significant immune reconstitution (increase in CD4 cell count). In addition there are a variety of other measures, including both systemic and local chemotherapy, radiation and cosmetic procedures that may help. Your HIV specialist in conjunction with an HIV-knowledgeable oncologist should be able to advise you what your best options are. Certainly you should look into all your options, including laser therapy. Unfortunately I can't provide more specific advice without the benefit of a physical examination and more complete review of your medical history, past treatments and response to therapy so far. I'll reprint some information from the archives below that hopefully you'll find helpful.
Good luck.
Dr. Bob
ks (KAPOSI'S SARCOMA) May 9, 2007
Hi Dr Bob,
Just logged back in over the last couple of weeks... my bf started his meds in jan and his cd 4 has come up to 500 and he is undetectable at mo . He seeems so much healthier and has much more energy but has just been diagnosed with KS - he had a biopsy and his doc, who is an amazing guy said that they will wait to see what the HIV drugs will do - however they may have to look at other treatments if they don't clear. You couldnt give me some advice, what does this mean ? is it life threatening ? his doc said to wait until july and they will see then. What are your thoughts, I seem more worried than him!
Im prob just been a big poof yeah?
Love to you keep up the fab work ,
Worried UK x
Response from Dr. Frascino
Hello Worried UK,
That your boyfriend is responding both virologically (undetectable viral load) and immunologically (CD4 count skyrocketing to 500) is excellent and extremely encouraging news! Congratulations! Kaposi sarcoma (KS) is a type of cancer triggered by a herpes virus called Human Herpes Virus 8 (HHV-8). KS affects about 20% of HIVers who aren't taking anti-HIV drugs. The rate of KS has dropped dramatically (over 80 %!) since the introduction and increased use of HAART (highly active antiretroviral therapy) in the mid-1990s. KS occurs eight times more frequently in men than women and involves the development of many new, tiny blood vessels. This process is called angiogenesis.
KS on the skin is not life threatening; however, if the lesions are extensive, they can be disfiguring and make walking difficult if the feet and legs are involved. KS can spread to other body parts, such as the lungs and other internal organs, and become much more serious, even fatal.
The best treatment for KS is potent, effective HAART. This has been shown not only to stop further growth and spread of KS, but also to make existing lesions melt away. There are also a variety of other treatments that can be used for skin lesions if HAART is not working. These include:
Local injections of cancer chemotherapy drugs
Interferon alpha
Panretin gel (retinoic acid)
Liquid nitrogen
- Surgical excision
If KS has spread to internal organs, then systemic (whole-body) treatment is recommended. Doxil (doxorubicin), DaunoXome (daunorubicin) and Taxol (paclitaxel) have all been shown to be helpful.
There are also a variety of more experimental approaches being studied. These include anti-cytokine therapies to slow down the growth of KS, monoclonal antibodies and anti-angiogenesis drugs.
Your partner's HIV/AIDS specialist's advice seems right on track to me. Good luck to you and your partner. Give him a big hug from me, OK?
Dr. Bob