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Most patients tolerate recovery after sinus surgery very well.
In the past, most patients had a very uncomfortable recovery after surgery on the nose and sinuses. These days, the recovery process is usually much smoother. In our practice, we do not place packing in the nose. In addition, the types of procedures performed these days are much less invasive than what might have been done in the past. These factors can make the entire recovery process much more pleasant.
Of course, there is a recovery process after any surgery, and it is very important to take good care of your nose after surgery. This is what will allow your body to heal properly after surgery.
These are the instructions we give our patients after nasal and sinus surgery with Dr. Goyal. If you are having surgery with a different practice and surgeon, please check with your doctor to see which instructions they would like you to follow.
What to expect immediately after surgery:
- Bleeding: It is normal to experience some bleeding during the first few days after surgery. You may use tissues or gauze under your nose to catch the drainage. You can expect to change the gauze frequently for the first 1 – 2 days. Some patients may need to change the gauze as frequently as every 30 minutes the night of the surgery. You may dab your nose gently with tissue, but do not blow your nose. If you have persistent heavy bleeding, please call our office.
- Stuffiness: Your nose will feel very stuffy and obstructed during your first postoperative week.
- Fatigue: You will feel very fatigued, sometimes for as long as a couple of weeks after surgery. It is best to take this time to rest as much as you need.
- Pain: Most patients do not have severe pain after sinus surgery. But remember that everyone is different and some patients may have more significant pain. Most of our patients do not need any prescription pain medicine. Most use plain Tylenol for pain control.
What to do after surgery:
- Pain medicine: Most of our patients find that their pain is well controlled with over-the-counter Tylenol. Do not use aspirin or aspirin related products (Motrin, Advil, Aleve, etc.) because these medications can increase your risk of bleeding. If you have severe discomfort that is not controlled by Tylenol, please call us at 315-254-2030 so that we can find a better option for you.
- Other medications: Dr. Goyal will let you know if you need other prescriptions after surgery. Most of our patients do not need any prescriptions after surgery.
- Saline rinse: Start using the saline rinse the morning after surgery to irrigate your nose twice a day (with the NeilMed Sinus Rinse kit). You can pick up refills of the salt over the counter at local drug stores or directly from the NeilMed company itself. These irrigations will allow you to clear your nose and sinuses of clots, crusts, and other debris. Use the irrigations at least twice a day, but you may certainly use it more often.
- Saline nasal spray: Using saline nasal sprays throughout the day can also help keep your nose moist. Use a spray like Ocean nasal spray or Ayr nasal spray (or a generic saline spray available over the counter). You should use 2 – 3 sprays in each nostril every 1 – 2 hours throughout the day. Moisture is very important for proper healing.
- Activity: You should get plenty of rest after surgery. Straining, lifting, or pushing yourself too hard can increase the amount of bleeding from your nose. Please take time to rest.
- Returning to work or school: Most patients take 4-5 days off from work or school. It is fine to return to work or school if you are not having bleeding from your nose and your pain is well controlled. Some patients also find that they just don't have the energy to go back for a week or more after surgery. So, a lot depends on how you feel and how much you feel like you can do. When you do return, it is important to stay on light duty at work.
The first week:
- Do not blow your nose. The best way to clear your nose is to use the saline rinse. If you need to sneeze, do not suppress it. Instead, sneeze with your mouth open.
- Do not perform any heavy activity. Avoid bending, straining, or lifting more than 15 pounds. Light walking and normal household activities are acceptable immediately after surgery. You may drive if you are not requiring narcotic medications.
- If you experience stomach upset from your antibiotics, active culture yogurt or acidophilus tablets (available at health food stores) on a daily basis may help. If you develop diarrhea, stop your antibiotics and contact our office. Persistent diarrhea may require further medical evaluation.
Beyond the first week:
You will have frequent return visits to our office. At each visit, we will look in your nose with the endoscope to ensure the nose and sinuses are healing properly. Often times, we will remove crusts, debris, and scar tissue during these visits. The first visit is typically 1-2 weeks after surgery. Some patients find it helpful to take a dose of pain medication about 45 minutes before their first postoperative appointment.
At any time:
Call our office if you experience any of the following:
- Any visual changes or marked swelling of the eyes
- Severe headache or neck stiffness
- Severe diarrhea
- Brisk bleeding
You can also visit our page listing Frequently Asked Questions about Nasal and Sinus Surgery.
If you have other questions about scheduling surgery, having surgery, or the recovery after surgery, please feel free to contact us. In addition to serving patients from the Syracuse, NY area, we treat patients from throughout the Upstate New York region. We treat many patients from Binghamton, Ithaca, Cortland, Utica, Rome, Auburn, Rochester, Buffalo, and Watertown. Our office is located just a few minutes from the major highways in Syracuse, making it easy for patients from all regions of Upstate New York to reach us.
If you are interested in having an evaluation at our office for your nasal and sinus issues, please contact us. You may request an appointment by calling, sending us a text message, or by requesting an appointment online. We are available by phone or text at 315-254-2030. Our office staff is available Monday – Friday, from 8:30 AM to 4:30 PM.
Dr. Goyal has written several articles and book chapters on sinus problems and sinus surgery. Please see these links for more information:
- Information on our website about sinus surgery.
- Dr. Goyal's published papers related to sinus surgery are listed below:
- Goyal P, Hwang PH. In-Office Surgical Management of Sinus Disease: Office-Based Surgical Procedures in Rhinology. Operative Technique Otolaryngol Head Neck Surg. 17(1):58-65, March 2006.
- Goyal P, Leung M, Hwang PH. Endoscopic approach to the infratemporal fossa for the management of invasive fungal sinusitis. Am J Rhinol. 23(1):100-104, January 2009.
- Isaacs SJ* & Goyal P. The role of three dimensional computed tomography in defining frontal recess and frontal sinus anatomy. Am J Rhinol. 23(5):502-505, September/October 2009.
- Nelson JJ* & Goyal P. Temperature variations of nasal endoscopes. Laryngoscope. 121(2):273-278, February 2011.
- French C* & Goyal P. Submucosal Resection of the Middle Turbinate. Laryngoscope. 123(8):1845-1848, August 2013.
Dr. Goyal has written a book chapter about sinus surgery:


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Signis Asia (advocacynews.blogspot.com): SIGNIS Asia President, Lawrence John Sinniah has condemned the killing of Shahbaz Bhatti:
It is with great sadness that we hear the killing of Mr. Shahbaz Bhatti, the minister for religious minorities in Pakistan. Bhatti, 42-was a Roman Catholic. A leaflet left at the assassination site threatened further violence and said that an "infidel Christian" shouldn't have been allowed to head a committee looking at amending of laws.
Both Catholic and Protestant bishops plan to meet today at 5 pm at the residence of Archbishop Lawrence Saldanha at Sacred Heart Cathedral in Lahore.
We call on all SIGNIS Asia members, their partners and friends to condemn the killing and use this time for prayer, reconciliation and mutual respect for all religions. Please include a special prayer for Mr. Bhatti family, minority groups, the meetings by Catholic and Christian groups and especially for the Pakistan Government to work towards greater peace in the region.
See: Christian groups in Pakistan organized street protests and meetings after the assassination of Catholic federal minister for minorities affairs Shahbaz Bhatti yesterday in Islamabad.

subset: commoncrawl


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Loyalty and Commitment of Nonfamily Employees: Competitive Advantage for Family Firms?
Nippa M
MetadataShow full item record
Starting with a review of the current state-of-the-art of strategic management research in the context of family business we address important research gaps, namely the need for shedding light on processes how family firms may develop and leverage unique resources and competitive capabilities as well as the understudied role of nonfamily employees characteristics. Applying a multi-level, transdisciplinary and multi-method approach we develop a model and methodology to test the assumption that family firms may gain a substantial competitive advantage through developing a workforce that is characterized by exceptional degrees of loyalty and commitment.


text:
To get a (CPL commercial Pilot license), you must have passed 10+2 examination with Physics and Mathematics
As an Air Hostess / Flight Steward, one's job welcoming guests, giving instructions to the passengers on how to use safety measures during crises, catering foods and drinks to the passengers and answering passengers| inquiries on facilities and services. They are supposed to provide First Aid to passengers who feel sick.
Eligibility Criteria for Air Hostess/Flight Steward/Cabin crew:
Pay-scale: Approx 35k to 2-3 lakhs depending on airlines.
Ground staffs are there for facilitating the help to the customers, from the ticket counter to the taking care of the customers at the airport.


text:
|Design Products
|Design Concepts
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|Services for Design
Lexon USB HUB
4 Port usb port replicator for USB Plugs and devices.
€ 50
Supplied by: Design Mega Store.
Keywords: usb hub, usb port replicator, universal serial bus port hub, usb port hub, usb, port replicator, hub for usb devices, connect multiple usb products, connect many usb devices
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text:
Get Your Own Copy of Rock-Solid Living In A Quicksand World at
Get Paperback or Kindle.
Matthew 5:1–12
Now when He saw the crowds, He went up on a mountainside and sat down. His disciples came to Him, and He began to teach them.
He said: "Blessed are the poor in spirit, for theirs is the kingdom of heaven.
Blessed are those who mourn, for they will be comforted.
Blessed are the meek, for they will inherit the earth.
Blessed are those who hunger and thirst for righteousness, for they will be filled.
Blessed are the merciful, for they will be shown mercy.
Blessed are the pure in heart, for they will see God.
Blessed are the peacemakers, for they will be called children of God.
Blessed are those who are persecuted because of righteousness,
for theirs is the kingdom of heaven.
"Blessed are you when people insult you, persecute you,
and falsely say all kinds of evil against you because of Me.
Rejoice and be glad, because great is your reward in heaven, for in the same way they persecuted the prophets who were before you."
Before Jesus began this rock-solid lesson fifteen chapters ago, He tried to get away to a secluded spot where He could teach His disciples. It is clear from the first verse that He saw the crowds, and He responded by getting away from them. He needed to teach the disciples—and us—some of the most important words ever taught. He needed to teach—yes, about the blessed life— but even more, He needed to talk about how to have a solid foundation for truly living; therefore, He went up into the mountains and sat down. This is what teachers did in those days. They sat down to teach; yet by the time He had been teaching for a while, the crowds were all around Him again, especially at the end of what we call "The Sermon on the Mount."
The Crowds
Matthew 7:28–29
When Jesus had finished saying these things, the crowds were amazed at His teaching, because He taught as one who had authority, and not as their teachers of the law.
Notice the text doesn't say crowd but crowds. People flocked to listen to Jesus, because His words were like those of none other before Him, and He spoke with great authority. He was being salt and light, and He was an example of that city on a hill (literally, as He was on a mountaintop). People were drawn to Jesus. They were drawn to these words of foundational living that could pull them out of the quicksand of their everyday lives. And, this time, it was not the miracles that drew them. No loaves or fishes were being distributed. Only words that offered savor to their souls drew them. Only the light bringing them out of darkness into light magnetically pulled them to Him. Words of deep, abiding sustenance called to the crowds and provided for the special needs that only a city on a hill could supply. Yet, at first, these grand, life-transformational teachings were directed at only twelve people—and one of them could not be trusted. Now, however, crowds…well…crowded Him.
We began our journey as if we were sitting on a mountaintop with Jesus looking out over a great valley of His teachings (Most likely, He was sitting on a solid rock.) Our vantage point was and is clear. We could see the yard, the tree, the gate through this valley with the stepping-stones of life placed ever so deliberately and clearly along the way. We could also see the people on the Broadway. Indeed we had and have a clear view.
So what kind of valley does Jesus talk about as He gazes from His mountaintop back to the future? He talks about a blessed valley or a happy valley. He talks about a valley that is for those of us who want life and want it to the fullest. He talks about a valley where the saints of God have tread, do tread, and will tread. He talks about a valley where it is clear we will be challenged again and again, but it is a valley where each child of God can truly win. He talks about a valley where the travelers look not just for earthly reward but also for a heavenly highlighted gain. He talks about a valley that will take us beyond the valley of the shadow of death to a place in the universe we call heaven. And while we are on the way, He talks about a valley that will provide rock-solid living in this quicksand world.
Rock Climbing on A Mountain Called "Bless-ed."
So as Jesus looks down in the valley, we also have the perspective of looking up to the Rock—Jesus. Here in this valley, we have eight blessed stones, or boulders, over which we are to climb. As we accomplish this mountain climbing, we are more able to get a sound footing for living life fully. And to negotiate these stones successfully, our perspective must indeed be focused on Jesus and on a heavenly view. If we look only from the earthly view, or worldly view, this teaching will appear insane or, at the least, irrelevant. Those on the broadway likely will view this climb as downright weird. The apostle Paul might comment as follows: "But people who aren't spiritual can't receive these truths from God's Spirit. It all sounds foolish to them and they can't understand it, for only those who are spiritual can understand what the Spirit means" (1 Corinthians 2:14 NLT).
The Poverty Stepping Stone
So what are these stepping-stone boulders that can and will bless our lives as we travel on them? The first stepping-stone is the poverty stone. It is the one where we recognize our powerlessness or inability to live by ourselves independently from God and the place from which we can see that we are spiritually bankrupt without God. From here we can see Jesus, but we can see much more. We can see that we need Him to be the Lord of our lives. From this vantage point, we can see just how poor in spirit we are. If we have been walking on Broadway Lane, we can see that we can reach out our arms or cry from our hearts, "Jesus, save me from this muck and mire we call life. Lift me up, Jesus, and place me on solid ground. I don't want to live in my own power, Lord. I want to turn my will and my life over to you." Take this step and you are given an eternal promise: yours will be the kingdom of heaven.
The Grief Stepping Stone
The second blessed stepping-stone is the grief stone. Here on earth, as we mourn the loss of those who die, we don't have to mourn alone. We don't have to drug or stifle our pain, but we can identify it and give ourselves permission to grieve. We can then turn our grief over to the Lord, by prayer and surrender. We can open our hearts to let the Blessed Comforter come into our lives and provide us—one day at a time—with the comfort and strength we need.
It always amazes me how the world has taught people to medicate grief rather than to journey through the valley of the shadow. It's interesting how some people tell others not to cry, when two things men and women have in common are tear ducts. It is covering up revelation when we say to grieving folks, "Be strong!" What we really mean is "bury those emotions." It still surprises me when I hear people tell other wounded souls to "deal with it." The result of following that advice is not dealing with the grief at all.
Why not stand, reach out, allow, and grab hold? Why not stand on the solid rock? Why not reach out to Jesus by the Comforter's power? Why not allow Jesus, the "man of sorrows acquainted with grief" to help us to grow and to grieve the painful, stormy issues of life? Why not grab hold of the grip of grace and be comforted by God's own blessed Holy Spirit? Why try to handle it all alone? Why not be blessed, while we mourn, so that we will be comforted.
The Meekness Stepping Stone
The next blessed stepping stone is the Meekness stone. If ever there is a stepping-stone that is misunderstood, it is this one. Many seem to think that meekness is related to being a wimp, a weakling, or a person who is afraid of his or her own shadow—to the point of never taking a stand for fear of being disliked or harmed by those who may be stronger. This is not meekness.
Take, for example, Moses. "Now the man Moses was very meek, more than all people who were on the face of the earth" (Numbers 12:3). You can say a lot about Moses, but if you have read anything about Moses's life, you will know that he was anything but a wimp. So, what does this tell us about meekness? I think it tells us that a good synonym for meekness would be a word I would like to make up. Meekness could be called "yieldedness." Moses was at his best when he yielded himself to the Creator, who made him into one of the most powerful men ever. He denied his old ways, and he followed Almighty God.
We, who are Christ followers, are to be yielded people as we stroll across the stepping-stones Christ puts in front of us. It makes no difference if others choose another way, because this is the life-giving way. It is the way whereby we receive God's power to truly live and be free. We are to deny ourselves and take up our crosses and follow Jesus along the solid, life giving path that He walked before us. We are to yield, and once His powerful Holy Spirit comes on us, we are eligible to receive the very character of God (the fruit of the Spirit). We are eligible to receive the Spirit's gifts and grace. We are to receive, in the end, and inheritance of the earth. So step right up and climb over this boulder. Take hold of your inheritance. Be a yielded person to whom God can and will give a purpose, life, and—yes—real estate called planet earth. Now that is quite a "location, location, location."
The True Food and Water Stepping Stone
Next we come to the stepping-stone that satisfies our hunger for eternal food and spiritually life-giving drink. This food will never make you fat, but it will satisfy your soul, and it is a drink from a wellspring that never runs dry. There are any number of self-help books that are supposed to aid us. Many sell millions of copies and tell us how to give our lives more meaning and purpose. It seems there are many who seek the next gee-whiz pop-psychological babble to get their lives under control. People hunger and thirst for help for their lives. But Jesus does not talk only about such earthly minded ideas as self-help. He offers us a means of stepping on this kingdom-of-God stone so that we will fill our hungering and thirsting for the eternal.
Jesus' life is truly righteous, and He knows how to impart it to the one who has walked over the poverty stone, the grief stone, and the yieldedness stone. Because He lives, others can indeed live as well. He offers miraculous power that truly feeds the soul and quenches the eternal human spirit's thirst for God. He offers the blessing of being empowered to live in the right way. He offers to those who hunger for God's holy or healthy living the satisfaction of that hunger. He offers the way—the right way—for people to actually do more than exist and muddle through life. He offers to fill the emptiness of souls. He offers to quench the thirst of a parched spirit, providing life and true happiness.
If we want this blessedness, we need to get hungry and thirsty—not for the world system with its limited life perspective but for the lifestyle of the kingdom of God. We need to get hungry for the heavenly bread that came down in the form of a baby named Jesus and who grew to be the Savior of the world. Eat this food and drink this bread, and find the power to live a godly life.
The Mercyme Stepping Stone
Over the last several years, I have heard the word "karma" being used quite a lot here in the United States. Usually when this word is spoken, it is followed by "what goes around comes around." And when I have heard it used, it is usually in reference to someone who has behaved badly toward someone else; so the one exemplifying bad behavior is reminded that actions do not take place in a vacuum. What people give out, they will get back. Now I don't think a whole lot of the ideology of karma, but I have learned—as I have shared in other places in this book—that we usually reap what we sow. We reap apples from apple seeds, oranges from orange seeds, tomatoes from tomato seeds, and so it goes, on and on.
The mercy stone is a stepping-stone toward happiness: Jesus is quite clear that the happy person (or the blessed person) is a merciful person. These people are blessed or happy because their mercy will beget more mercy. Merciful people, it seems to me, are low-stress people. They are not usually stressed out because they do not carry around a lot of grudges against other people. Merciful people tend to be more forgiving and less judgmental. They really take a load off their spirits by lightening their own burdens. They simply let go of a critical spirit that can bind a person in heavy chains, emotionally speaking. It's like Jesus said: merciful people set themselves up to obtain mercy as a result of their own actions and as a blessing from Almighty God.
The Pure Heart Stepping Stone
The pure-heart stone is very interesting to me. Happiness comes from a pure heart, because a pure heart results in seeing God. That seems like a big deal to me. It's a big deal because once we've gotten our seventy-plus years here on earth over, we go on to our eternal reward. We will either see God or we will not see God. I don't think there are too many human beings who, when this life is over, don't want to see God. I know that it is my priority to see God one day, because I have walked with Him most of my life. Not seeing God would be the ultimate failure of all failures. Needless to say, I want my heart to be pure.
How does a heart become pure? The writer of Hebrews says, "Since we have a great high priest over the house of God, let us draw near to God with a pure heart in full assurance of faith, having our hearts sprinkled to cleanse us from an evil guilty conscience…" (Hebrews 10:21–22; emphasis mine). It is clear that our Great Eternal High Priest—who is Jesus—is clearly involved in making our hearts pure. In fact, He not only makes our hearts pure, but He does away with our guilt and our shame. He simply changes our consciences for the better. If you read the entire book of Hebrews, you will get all the information you need regarding how He accomplishes this as a part of God's eternal covenant.
Suffice it to say, this pure heart comes when we place our faith in Jesus. A miracle of grace occurs when we give our lives to Jesus. He is not only the high priest who mediates the eternal covenant that purifies our lives, He is also described as "the Lamb of God who takes away the sins of the world." (See John 1:29.)
Again, those who are unspiritual will think this is foolishness. This is because those traveling on the broad way do not intend to live a life that reflects a pure heart; therefore, these unspiritual minded people journeying on Broadway Lane don't make it their life's goal to be pure in heart. Their quicksand thinking is just the opposite. Theirs is a life of eating, drinking, and being merry. Theirs is a life of partying on for tomorrow they may die. Seeing God in the here and now is the last thing they want. They don't think God would like what they do. And they are correct. He wants them happy and on a solid footing. He wants them on the narrow way, where true blessedness and happiness is prevalent and where seeing God is the goal. "Broadwayites" see such a God-fearing viewpoint as narrow-minded. They see people who want to be pure in heart as people who cling to their God, their guns, and their religion.
So step right up! Make a choice! Choose this day whom you will serve. Decide whether you want to be truly happy and eternally blessed. Make your choice. Walk on the solid, foundational stone path that will lead you to see God and will bless you eternally. Be a person who believes in the Son of God, Jesus, and let Him make you pure in heart and eternally safe. Or you can choose the shortsighted way that will drown you in quicksand, and it will rob you of that which truly brings happiness.
The Peacemaker Stepping Stone
Now as we traverse the peacemaking stones, we really need to take time out to think about what Jesus is saying here. What does He mean when He says that peacemakers are blessed people and that they are called children of God? I think that, first of all, He means that a peacemaker is a person who has peace with God. You really can't produce that which you don't have. You cannot give away that which is not in your possession. Anyone who has not settled the peace treaty regarding his or her own soul cannot really bring peace to others. More peace—and true peace—comes from within, and it is about having a settled relationship with God. It is about the peaceful relationship Jesus gives to us individually, even in troubled times.
Let me share with you a paraphrase of Jesus's own words: "Peace I leave with you. My peace I give to you, and it is not the kind of peace the world gives. It is the kind of peace that does not let your heart be troubled or afraid" (John 14:27). Here, Jesus speaks to His disciples, who are children of God, and He actually talks to them while they are troubled and afraid. He talks to people who are in a relationship with Him about a gift that He gives to them as God's children. He gives them the very important gift of peace. He does not talk about the absence of war or preventing war. He talks about children of God finding peace with God and passing that peace on to other people.
The apostle Paul speaks of this in the book of Romans. He explains that all people have sinned and deserve the unpeaceful experience of being separated from God, punished for their sin, and lost eternally; however, he goes on to say that Jesus came for the purpose of taking our sin upon Himself. He came to take our punishment and to remove our condemnation and judgment by taking that upon Himself as well. He then went on to say that placing our faith in Christ causes us to be credited as righteous and holy people in God's sight. The term he uses is "justified." Then he ties it all up in Romans 5:1, where he said, "Therefore being justified by faith, we have peace with God through our Lord Jesus Christ."
Paul says that those who place their faith in Jesus are forgiven of every sin and are credited with being pure in heart. They are not held accountable for any sin committed, and they are not condemned. They are not separated from God. Because they are justified or credited with being righteous by the Almighty. They have peace with God right now, and so do we when we have such a relationship with Jesus. God has signed a peace treaty for our souls.
So what are we to do with this relationship of peace with God? Since we have peace with God, we are to make peace. We are to pass our peace along. We are to help others enter into their own eternal peace treaty. Because we have found peace with God through our Lord Jesus Christ by placing our faith in Him, we are to encourage our friends, our relatives, our associates, our neighbors, and everyone else to know Jesus. It really is true that to know Jesus is to know peace with God, but to have no Jesus in our lives is to have no peace.
Jesus says it this way in the same chapter where He promises to leave His peace with us: "I am the way, the truth, and the life. No one comes to the Father but by Me" (John 14:6). Because Jesus is the way to the Father, the truth about everything, and the source of life, He is the one who gives us peace so that we can have peace and make peace as children of God. What a happy thought this is…a happy thought indeed…a blessed thought indeed!
The Foundational Rocks For God's Persecuted People
When I began this section of the book, I started to treat these two stones (based on the tenth through the twelfth verses) as separate stepping-stones; yet, as I looked carefully at them, I realized they are different facets of the same stone. Persecution is so prevalent today that it is uncanny. Even as I write these words, I have watched the news and have seen how children in Iraq are told by ISIS to deny Jesus Christ or die. The children said they had always loved Jesus, and they could not deny Him. These religious fanatics immediately cut off their heads. Jesus was waiting for these children in heaven. Theirs was (and is) indeed the kingdom of heaven.
Hundreds of thousands of people who would and do not deny Jesus suffered (and are suffering) at the hands of these hideous terrorists. Yes, others were beheaded, raped, whipped, and even stoned to death. All this continues even at the time I am writing this book. These demonic people slaughtered and are slaughtering children right in front of their parents. On the authority of God's Word, all of these who have died are truly blessed, and they are shouting for joy in heaven, as they are in the very presence of the loving Savior who died for their sins! They are happy, as He promised! Many grieve down here regarding their loss, but in heaven there is singing and dancing and no more persecution.
Here in the United States, we are not being beheaded and tortured, but the secularist movement is going out of its way to avoid saying anything against the Islamic faith. At the same time, these same people are doing everything they can to belittle Christ followers. I know because I have experienced this firsthand. It's not hard to find people telling lies about Christians and falsely accusing them. It's not hard to find people treating those who stand for Christ in such a way to cause them to lose their jobs, if possible. And this is being done simply because the Christ follower believes what God Almighty has taught. It's not difficult to find obvious (and not-so-obvious) persecution among the saints of God who truly stand for Christ and His teachings.
Jesus tells us to rejoice; that is, He tells us to have joy on top of joy. He gives us a rock-solid stepping-stone on which to stand. He tells us that there is an eternal heavenly reward for us, and He makes it very clear that great is our reward in heaven. He also makes it ever so clear that we are in good company because the prophets of old were also persecuted like this. He tells us that we are in great company indeed!
Be Blessed. Be Happy. Take a Leap of Faith To Jesus. Walk on HIS STEPPING STONES to Eternal Life.
God Bless You.
Chaplain Mac


text: Hi guys I need help and I fancy somebody here can solve my problem. I have a network here with 10 fixed pc's, 5 Macs and a few more laptops both PC and Mac. All are running OSX 10.2+ and XPsp2. Well basically I want to install a central file server to allow the users to share files. Any ideas of what to buy and what software I'll need to allow both Operating Systems to connect with it? The users aren't exactly tech savvy so I'd prefer they access files through a standard GUI rather than some mad command line or FTP interface. Hope your expertese can help me out. Thanks in advance.


text:
Since buying my new CrockPot, I've been exploring healthy new recipes to make. Although I've used a CrockPot plenty in the past, I found myself in newfound territory since I've been trying to eat clean lately. Simple clean eating proved to be a challenge for me when it came to the CrockPot since most of the dishes that I'm used to making are more down home meals than fresh and fit ones. I hit up some recipes online and in my cookbooks, but those haven't had a lot of what I'm looking for. So, you guessed it – I'm experimenting!
This CrockPot Squash that I made is incredibly easy, clean and delicious. The best part is that it's very basic and open for your own taste preferences and creativity.
– Use any squash that you prefer…I used Banana Squash here because it was on sale 🙂 Other popular varieties are Butternut Squash and Spaghetti Squash.
– Cut off the ends/stems, scoop out the seeds inside and place inside the CrockPot… I also had to cut my squash in half so they would all fit inside.
– Pour in your liquid… I used about a cup of chicken broth. Vegetable broth, water and homemade stock are other good options too.
– Put the top on and cook on High for 6 hours… I cook pretty much everything in the CrockPot on this setting because it's the perfect timing for cooking while I sleep. I assemble and start the CrockPot when I go to bed, then wake up to the smell of home cooking, box it all up and go on with my day, great food in hand!
– When finished, scoop the insides of the squash off the skin and into a bowl.
– Add whatever flavoring you prefer… I added salt, pepper, italian seasoning and garlic. Get creative with this part to make it something you love – add a little butter or margarine to make it more creamy, spice it up with cayenne pepper and red pepper flakes, dice up fresh herbs from the garden.
The end result is kind of a play on mashed potatoes. It's equip with all the same creamy and delicious elements but made with ingredients that will keep you on track to reaching your health and fitness goals.


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Position: English Instructor
Credentials: BA, MA
Classrooms: Language Arts
Jennifer French-Jurgens is a Sophomore World Studies English and AP Language and Composition teacher. She completed her student teaching here in Adams 12, and in 1996, began teaching at the middle school level. Jennifer moved to Legacy high school during the 2012-2013 school year. She received a BA in English from Metropolitan State College of Denver and a MA in curriculum and instruction from Colorado Christian University. She has served as department chair, professional learning community facilitator, and she has served as mentor to students in a games club, coffee club, and most recently, Legacy High School's Gay Straight Alliance.


text: Hey everybody. Yes, this is a silly question, and the sad part is I've actually dedicated an hour or so to finding the answer, and have come up empty handed. I just recently starting playing AA, and I finished training, fixed punkbuster and started deploying on training missions. The problem is, I can't determine who is a friend and who is an enemy. Is there some kind of uniform difference? They all look like the same shade of camoflauge to me. Is it something else? helmet color? How do you tell the difference b/w foe and friend???? So far I've just been shooting at whoevers shooting at me..not very effective I assure you. Help!!!


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When we talk about Website for a company , we need to be sure about what website shall do for us. After talking to some of clients we reached to a conclusion that everybody has a different idea about website
- We need site for Business Purpose – For web based sale / Shopping Carts
- Company Website for Information Purpose
- E commerce Website to show products to clients (Domestic and Abroad) | Product Showcases
Actually a website is an extension of your business in the virtual world. What we need to know is what actually we need and how many pages shall be there.
Before you talk to any web designer make some points as below :
What is a Static Website : A website where a designer or a developer can upload matter and images , can change the programs and script as needed. A normal website of around 7- 10 pages should cost you around 7K to 10K including ( First year WebSpace and Domain name) this cost may differ from one web service provider to other.
Dynamic Website (Customized or With well known CMS) :
A website where designer shall design the website as your wishes and shall give a backend Content Editing Control panel where you can also edit and add images and matter, although this is easy but to a limit it has certain boundaries of what a client or back-end user can do or add.
An Approximate costs for around 10 to 15 Pages starts from 10K including ( First year WebSpace and Domain name) this cost may differ from one web service provider to other.
- Some Designer and Developers initially use WordPress, Joomla and also other CMS are available to use by developer and novice users as well.
- Although it seems easy to work on Opensource CMS but to some extent you would always need a expert who can really create what you are looking for.
- If you have creative eye and good knowledge of WORD (MS) you would be able to handle CMS to some extent. If you are still not sure better hire a Creative Web Designing Company and save some time.
I need a website for my company what should I do. What shall be the costing of Website.?
- Our prices are dependent on many factors, it's impossible to say in one sentence..
- To get a better idea of the cost of what you want to build, just give a quick phone call to design agency
- There shall be a few questions about the nature of the site and your business,
- What sort of interactivity the site will have, your graphic design needs, etc.Then we'll be able to give you a tentative figure.
- If you're still interested, we'll come to your place of business and come up with a firm quote.
If you talk to a web developer who gives you an instant quote, or provide you a unrealistic down prices for website development and hosting just ignore them , since website development is a process based and dependent on client end needs NOT A PRE-DEFINED PACKAGE.
You may find ridiculous offers ranging from Under a thousand to Few a thousand bucks all included (First Year) when you google , I would rather say don't fall for them, be realistic to your business and your needs.
Sometimes your website needs are so basic that you don't need a full blown site hence you may save a fortune, time and headache. A simple consultation with an expert shall make up your mind before blindly investing a fortune in a website.
Just Imagine telling someone you want a house and having them immediately giving you a price for that house. Any salesperson with a common sense would want to know your Actual Requirements, Place , Facilities and other things you're looking to purchase, right?
The same goes for building web sites. Depending on the features you want for your web site, the cost can be anywhere from a few thousand rupees to a hefty amount over a lakh..
What are your requirements from us for website designing.
Remember : All we need is
- Your Company Logo
- Your company profile
- Images relevant for your website in case you don't have we can search and buy them for you
- Type of Business – Product or Services
- If products – We need your Products Images and related matter
- Your area of business target
- Contact to be published on website
Others provide Websites for 3000 to 4000 for 5 Pages . Do You do the same.
Actually , this totally depends on the resources others are using. Please understand costing for a website depends on some points.
- Domain Cost : Starts from Rs.300 to 1000 (.in to .com,org or others)
- Webspace : Amount of Space On Dedicated or Shared Hosting Rs.800 to 2500 (for 1 GB Space)
- Designing Cost : It should be around Minimum Rs.3000/- to 7000/- (For normal CMS Sites)
- Support & AMC : Included for 1st Year but subsequent year it may vary from vendor to vendor
Do you provide SEO Services. ??
Yes we do.
Do you provide copywriting services? How about photography?
Yes we do provide these services, but actual charges shall be different from the Web Design Packages.
Do you provide web hosting services?
Yes we do provide all web services Web Hosting, Mail Server Hosting , Dedicated Servers, VPS Servers, Domain Registration etc…


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Gallo-Belgic gold stater. 1st century BC.
Tribe : Morini type but possibly struck in Britain.
Denomination : Gold stater derived from a Philip II type.
Size : 16.5 x 18.2 mm Weight : 15.02 grams.
Reference : Sear Greek - 121. V-56 (type IV).
Grade : gVF
Obverse : An almost blank raised area derived from a very crude head of Zeus on the Philip II gold staters, but with no identifiable features (as is normal for this type).
Reverse : A crude and disjointed horse galloping right, with a pellet below and assorted markings above.
This type was first issued by the Morini tribe in Gaul in the 1st century BC. During the invasion of Gaul by Julius Caesar in 57 BC large numbers of these coins were brought to Britain Celts fleeing there, and it is likely they continued to strike the type there for at least a short time.
利率: 04/18/19


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I wore boots for the first time yesterday, and that means fall is here. Embrace the change of season with some amazing soup! My good friend Jenn told me about this recipe for Kale Tortellini Soup and she said it was just perfect. Jenn zinged it up a bit using Tabasco for herself (a girl after my own heart) and kept it mild for the kids. Kale is so good for you and I love incorporating it into dishes for the family, if you need to bone up on why kale is such a superfood click here. I absolutely LOVE pesto and so do the kids (surprisingly enough) and while I am tempted to make this myself, I might just invite Jenn and her adorable twins over so she can make it for us... Recipe from Eating for England (makes 6-8 servings)
- 1 tbsp olive oil
- 2 large cloves garlic, minced
- 1 tbsp dried red chili flakes
- 5 cups vegetable stock (or 3 cups vegetable stock and 2 cups water)
- 14 ounces chopped tomatoes with their liquid
- 3/4 -to a whole bunch of kale, roughly chopped and tough stems removed
- 8 ounces fresh or frozen cheese tortellini (Feel free to use normal pasta instead of tortellini if you like, or maybe beans instead.)
- 1 tbsp good quality pesto
- salt and fresh ground black pepper, to taste
- In a large heavy bottomed pot, heat the oil over medium heat. Add the minced garlic and saute until soft but not browned – 1 to 2 minutes. Add in the dried red chili and saute for another minute.
- Pour in the vegetable stock (and/or water) and chopped tomatoes and simmer for 15 minutes. Add the tortellini and cook until tender, about 6 to 8 minutes. Stir in the kale and cook until the leaves are wilted and the ribs are tender, 3 to 4 minutes.
- Stir in the pesto, taste and season with salt and pepper to taste. Serve immediately.


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Bishop Gulick's Report
I don't exactly know why I said yes when Paris Ball proposed that I serve as chaplain to the 8 and 9 year old camp at St. George's this past summer. I think I have had a residual fear ever since 1993 when I was elected bishop that being kicked up to management would compromise some of my best values and skills for ministry, especially in the arena of experiential Christian formation. So this past July for the first time in 44 years I was again on the staff of St. George's Camp. I loved it! And I learned, or more precisely I had an instinct deeply confirmed, that the campaign that we are in for Shrine Mont Camps is not a prolonged do-good moment for an institution that has garnered the affection of Virginia Episcopalians, but rather, it is part of a must-be-claimed strategy for the Evangelization of the culture in this post-Christian era that is our present reality.
Let me illustrate: I had about a week with the campers and decided that I wanted to tell them about Jesus. Chaplain's sessions divided rather neatly: His birth, His maturation on His visit to Jerusalem, His calling of disciples, His ministry of teaching, His ministry of healing, His death and His resurrection. Each day I had the creative and passionate support of the staff who helped me, the story teller, bring the story to life as Joseph and Mary fled to Egypt, thus making Jesus an immigrant (all true Christian formation is subversive!); James and John were called from their dad's fishing nets; prodigal sons returned home; a liturgy of healing occurred where I anointed the counselors, and they anointed the campers after the campers whispered their fears, and anxieties into the counselors' ears. The staff members were passionate in their efforts, the kids amazingly focused, and the responses that I am about to describe are sticking like glue in my mind six months later.
One kid said: "Thanks for telling me those stories; I have never heard them before."
Another said. "I think Jesus healed me. I am not afraid anymore." And as evidence of that healing the comfort toy she had been clutching was left safely on her bunk.
Another said, "My dad's Jewish and my mother was raised Methodist, but we just don't go to church… my favorite part of camp has been chaplain's time."
Of equal significance were the conversations that this in-depth plunge in the Gospel occasioned with our young adult staff. One counselor said," It really changes the conversation about immigration when you realize Jesus Christ was a refugee." Another staff member, a lifelong Episcopalian, after he had helped me depict a St. Georges's camp version of what Passover was like when Jesus and his parents celebrated it in Jerusalem said, " I have been Episcopalian all of my life, but never realized the essential link of the Eucharist and Passover. I will never think about Holy Communion in the same way again."
When I last worked for St. George's from 1965-1970 I did not think of the experience as primary Evangelism. I would have described it even then, in low church Virginia, as a kind of discovery of a Catholicism… the faith taught to my friends at St. James' in Richmond, or Trinity Charlottesville was the same faith we held in Catlett… we Episcopalians were something larger than our local franchise and we were excited to live that together on the Mountain. That still is not a bad thing to discover!
There has been a shift. I would guess that at least one-third of the campers in the session I participated in at St. George's were either un-churched, or at best had a vague amount of Episcopal or other Christian DNA, but no lived experience of the Gospel. This has probably been increasingly true for over a decade. I know from direct testimony that a child vaguely related to an Episcopal Youth Group in Richmond, came back from camp two summers ago and asked her mother's permission to be baptized.
Shrine Mont camps are not just places and memories that we treasure; they are increasingly one of our primary methods of direct Evangelism. As that part of camp life becomes even clearer and even more owned, I hope it will help this diocese move more courageously into an abundant harvest in Virginia that the Lord of the Harvest trusts us to claim for His glory. I hope that some lessons learned about the successful proclamation of the Gospel on the Mountain will transform our churches. There are too many places where survival is the strategy, not evangelism. Many of our churches are still trying to own their share of the market where four Episcopal Churches exist within seven miles and all are trying to find ordained leadership and have not had a word of conversation among each other about common evangelistic or mission strategy. The joint work of common mission in Northern Fauquier County between Leeds, Delaplane, and Upperville are a glorious exception that has yet to become our missionary norm. Shrine Mont Camps can lead the way in the glorious opportunity "to tell the old, old, story" but they are not the only context.
Because our Bishop has a dear friend named Justin Welby, I recently had dinner with the Archbishop. He said that he had recently been up to his waist in water, baptizing adults in a cattle watering trough that had been moved into a village church yard. He said that if we don't become a baptismal community there will be virtually no Church in England in about a decade. I found that both a stunning comment and a clarion call. Having just read Archbishop Welby's recent biography I came across the words the Archbishop recently delivered to the Methodist Conference: "We do not want to be useful. We want to be the revolutionary, society-changing, transforming, extraordinary, Spirit-filled church of God."
My experience on the Mountain this past summer infected me with a similar urgency. Part of they way we will need to measure the effectiveness of the next season of mission on the Mountain, a mission that the good folk of this diocese have already committed $1,743,219 towards, is how many came to hear the gospel of God's love in Jesus Christ on that mountain…. and we will need to ask that same primary question of our churches. We need to spend more time in the baptismal waters and much more time getting people ready to take the plunge and be thrust out into this hurting world alive to God in Christ Jesus our Lord. It's the Holy Gospel of our Lord and Savior Jesus Christ that we shout not only on the Mountain but in all we do as The Episcopal Church in Virginia. This Gospel is not just worth our money… it's worth our life.


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Join Us Today!
Don't strum alone...
Supertones, The - One Voice
This guitar tab is from the CD:
Supertones, The - Ace Troubleshooter
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One voice by the Supertones >From "Chase the Sun" copyright 1999 BEC Recordings Tabbed by Andrew Drudge intro: B x4 G B G B Verse: (B G A) x4 Chorus: (G D G A) x2 Verse Chorus G D A B x4 Chorus G D A B x4


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- andreasAsked on July 11, 2014 at 05:02 PM
hi there.
do I have a jobform login if I signed of for jobform via dropbox? All I did was connect my dropbox to jobform but now I am wondering how I can access my forms without having access to my dropbox (in case I am at a different computer)? Please advice?
- JotForm SupportBDAVIDAnswered on July 11, 2014 at 05:23 PM
I see you created your form in a guest session, meaning you were not logged in when the form was created, be aware that this form relies on your browser's cookies, if they are purged, you may lose access to your form.
Please sign up for a free account at "http://www.jotform.com/", and reply back with your account username, so we can transfer the form if it is not automatically carried over to the registered account.
- MercuryFundAnswered on July 11, 2014 at 05:47 PM
My account user name is MercuryFund.
Thanks for transferring these forms. The links do not change after the transfer correct?
- KadeJMAnswered on July 11, 2014 at 06:40 PM
No, they do not change, nor do you lose any of the received data so there isn't any need to worry about that. I can confirm that I see 2 forms on your current account for " MercuryFund " and your guest account lists none. You can view and check them on your My Forms page.


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Anyone who loves their 1980's television shows will remember the ever popular "Knight Rider" starring David Hasselhoff. It was one of his most famous roles next to "Baywatch" – but he wasn't the main star. It was the beefed up Trans Am that made the entire show big and gave us a chance to dream of owning our own car that could talk back to us. This famous car was dubbed KITT.
KITT could shoot at people, drive itself, and had a nasty attitude when it wanted all while trying to get a hold of the bad guys. Because of its popularity it is no wonder that they decided to revive the show – but in order to do that they had to duplicate the car. However, instead of using another Trans Am they chose to use something that was more iconic for this generation.
Designer Harald Belker took the Shelby GT500KR Mustang and turned it into a real life KITT. At least one that we would believe. He is famous for creating the Batmobile in Batman and Robin and the space shuttle in Armageddon. The Mustang was given a truly unique look that would separate it from the pack. It was hard for Belker to accomplish this because the model had not yet been created.
One of the best features of the new Shelby GT500KR KITT Mustang was its new air ride suspension that get it a lower ride height. This enables it to morph easily into attack mode when the bad guys pulled out the bug guns. This features gives it a more aggressive look to scare anyone off who tries to come at it.
Although the show might not be as good as we had hoped the Mustang beats out the Trans Am by far. It is a more advanced looking KITT that is able to kick butt faster then ever and in style!


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Stagecoach has announced a number of changes to their bus routes throughout Thanet.
Some routes will now only serve certain areas during peak times, and some will no longer operate at all.
A Stagecoach spokesperson explained the reasoning behind the changes: "These changes are designed to help improve the timekeeping and reliability of our bus services which have been affected by increasing road traffic congestion in the area.
Kent Live has broken down all of the services in Thanet which will be altered when the changes come into effect on April 15.
The 'Breeze' routes - 8, 8A and 8X
The routes that the 8 , 8A and 8X take will stay the same, running between Margate and Canterbury, but many journeys will be retimed.
The 8A and 8X will now only serve Broadstairs during peak morning and evening times.
Route 8 will start and finish at Westwood Cross, and serve the QEQM Hospital and Margate.
Route 8A will start and finish at Northdown Park Estate in Palm Bay, and run as it does now via The Wheatsheaf and Laleham Corner.
You will still be able to use the 8A to travel from Westwood, Broadstairs and Kingsgate to Canterbury during the morning and evening peak times on weekdays, weekends and bank holidays.
If you live in Kingsgate, there will be a new hourly 33 service to and from Broadstairs and Margate. These buses are timed to connect with 'Breeze' buses to and from Canterbury.
The 8X buses in the morning and evening between Broadstairs and QEQM Hospital will continue to operate, but will be renumbered 40.
Route 9
Some early morning and evening 9 buses will be retimed.
Route 32
The last service from Margate to Dane Valley and back will be retimed.
Route 33
The 33 will no longer serve Minnis Bay. The new route will run hourly between Margate and Broadstairs via Cliftonville and Kingsgate.
Northdown Park will also no longer be served by this route - it will be served by the 8A instead, as mentioned above.
Route 34 and 34X
The 34 will double in frequency between Minnis Bay and Margate to make up for the loss of route 33 . These will run every 15 minutes.
Buses that continue beyond Margate to and from Ramsgate will run every 30 minutes.
Route 34X will no longer operate.
Route 34 will continue to provide a half hourly service between Newington and Ramsgate.
School buses
The following school bus routes will be altered or retimed:
- 932 - the afternoon bus from King Ethelbert School will be retimed
- 942 - the morning bus from Cliffs End will run a few minutes earlier throughout the route. The afternoon bus will finish at Minster Church and won't continue to Manna Hutte.
- 943 - the morning bus from Minster serving Monkton, St Nicholas and Birchington will be retimed throughout the route.
- 944 - the afternoon bus will still depart at 2.38pm but with revised running times along the route.
- 946 - this bus will depart Victoria traffic lights at 7.31am and run a few minutes earlier throughout the route.
- 948 - The 7.54am bus from Northdown Park, the Wheatsheaf will depart 5 minutes earlier. The 8.07am bus from Margate will depart 6 minutes earlier. Both will have revised timings along the route.
- 949 - The 7.48am bus from St Peter's Railway Bridge will depart 12 minutes earlier with revised timings along the route.
For full school bus timetables visit the Stagecoach website.
New printed timetables will be available on buses from April 9.
Join the We Love Thanet group
We've created a Facebook group for people who live in and visit Margate, Ramsgate, Broadstairs and its surrounding areas to connect, share ideas and post about where we live.
We will keep you informed about the latest updates from around Thanet, as well as exciting events and positive news.
And do share any stories or links which are important to you, or any questions you'd like to ask for people to help you with.
Join the group here.
You can also follow us on Twitter here.


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Wine Country Rodeo
PRCA Rodeo
Saturday, August 3 - 7:30 PM
If you love the rough and tumble action of professional rodeo, youll love the PRCA Rodeo at the Sonoma County Fair! Professional cowboys compete for top dollar in saddle bronc riding, steer wrestling, team roping, bareback riding, calf roping, barrel racing, bull riding and more. Bring the whole family to this showcase of pro rodeo skills. Find out more about the sport of professional rodeo.
Please Note: This show requires an event ticket in addition to Fair Admission. (ALL persons 2 and older require a ticket for these concerts and shows in addition to Fair admission. Children 6 and under are admitted to the Fair free every day.)


text: Today we published a flowchart on our sister website, Tax-Charts.com, regarding Form 5471 filing requirements. There are 17 free flowcharts at Tax-Charts.com. The new Form 5471 flowchart assists in the determination of whether a U.S. person needs to file a Form 5471 as a Category 2, 3, 4, and/or 5 filer. The flowchart also addresses the attribution rules relevant to each category, as well as the applicable exceptions to the filing requirements. Form 5471 is... Read more →


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The biggest potential complication to a diabetic going minimalist is the presence of neuropathy. If there is neuropathy (loss of sensation), steps can be taken to slow or reverse it before barefoot activity is undertaken. It is NOT recommended if you are completely neuropathic.
If you are a diabetic and looking for alternative, natural, holistic, or complementary means of fighting diabetes, please visit this link on the national center for complementary and alternative medicine's website for helpful suggesions: http://nccam.nih.gov/health/diabetes/CAM-and-diabetes.htm
My favorite two alternative treatments that I suggest to diabetics are as follows:
1. For early neuropathy, Alpha lipoic acid (ALA) 600mg daily, works wonderfully. Thought to aid in nerve function, studies in Europe has shown its effectiveness for improving neuropathy symptoms and pain, especially in diabetic neuropathy.
2. Green tea has been shown to have beneficial effects on blood glucose level. There are conflicting studies out there about its true effects, but green tea is not a bad item in your diet no matter what, especially if it helps change your lifestyle. Replacing that soda or other sugary drink with tea (with a little sugar, honey or artificial sweetener) is better for a diabetic whether or not it has potential blood glucose stabilizing effects!


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Tamamushi lacquer ware combines concepts of "chemistry of traditional craftsmanship and science" and "product for overseas market".
The origin of Tamamushi lacquer ware is tied to the recovery of Sendai. It contributed to the recovery and development of Sendai after the crisis like The Great Depression, World WarⅡ and Great East Japan Earthquake.


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Addition of frontal EEG to adult home sleep apnea testing: does a more accurate determination of sleep time make a difference?
- 135 Downloads
Home sleep apnea testing (HSAT) typically does not include electroencephalogram (EEG) monitoring for sleep assessment. In patients with insomnia and low sleep efficiency, overestimation of the sleep period can result from absence of EEG, which will reduce sleep disordered breathing (SDB) indices and may lead to a false-negative result.
To validate a single channel frontal EEG for scoring sleep versus wake against full EEG during polysomnography, and then to examine the utility of adding this single channel EEG to standard HSAT to prevent false-negative results.
Epoch-by-epoch validation for sleep scoring of single channel EEG versus full PSG was first performed in 21 subjects. This was followed by a separate retrospective analysis of 207 consecutive HSATs in adults performed in a university-affiliated sleep center using the Somte (Compumedics) HSAT with one frontal EEG as well as chin EMG, nasal airflow, oxyhemoglobin saturation, respiratory effort, pulse rate, and body position. Each study was scored twice, with (HSATEEG) and without the EEG signal visible (HSATPolygraphy), to calculate AHI4 and RDI and the effect on OSA diagnosis and severity. Analyses were repeated in 69 patients with poor sleep suggesting insomnia plus Epworth Sleepiness Scale < 7 as well as in 38 patients ultimately shown to have sleep efficiency < 70% on HSAT with EEG.
Measurements and main results
Single channel and full EEG during polysomnography agreed on sleep versus wake in 92–95% of all epochs. HSAT without EEG overestimated the sleep period by 20% (VST = 440 ± 76 min vs TST = 356 ± 82 min), had a false-negative rate of 8% by AHI4 criteria, and underestimated disease severity in 11% of all patients. Sub-group analysis of patients with subjective poor sleep suggesting insomnia did not change the results. Patients later shown to have low sleep efficiency had lower SDB indices and a 20.8% false negative rate of sleep apnea diagnosis.
Although overall false negative rates using HSATPolygraphy were moderate, suggesting utility for ruling out OSA, there was a specific subgroup in whom there were significant missed diagnoses. However, we were unable to identify this subgroup a priori.
KeywordsObstructive sleep apnea Home sleep apnea testing Electroencephalogram OSA diagnosis Portable monitoring
Apnea-Hypopnea Index based on hypopneas with 4% oxygen desaturation
American Academy of Sleep Medicine
Epworth Sleepiness Scale
Home sleep apnea testing
Obstructive sleep apnea
Respiratory Disturbance Index based on hypopneas with either 4% desaturation or arousal/arousal surrogate
Sleep disordered breathing
Total sleep time
Valid signal time
This research was funded in part by grants from the NIH K24HL109156 (Principal Investigator: Ayappa, Indu), and the Foundation for Research in Sleep Disorders.
Compliance with ethical standards
Conflict of interest
All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
For this type of study formal consent is not required.
Supplementary material
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The Global Talent Stream was launched on June 12, 2017 and is a two-year pilot under the Temporary Foreign Worker (TFW) program. The Global Talent Stream is divided into category A and B and both have a $1,000 processing fee per position, which must be paid for by the employer, and requires the employer to work with ESDC to create a Labour Market Benefits Plan.
To qualify under Category A, an employer must be referred to the Global Talent Stream by one of Employment and Social Development Canada (ESDC)'s designated partners and must be hiring unique and specialized talent. Unique and specialized talent is indicated by:
To qualify under Category B, an employer must be seeking to hire highly-skilled foreign workers for a position found on the Global Talent Occupations list.
Under the Global Talent stream, TFWs must be paid the median wage for the occupation in the region of the work being done.
ESDC will work with employers to create a Labour Market Benefits Plan that meets both mandatory and complimentary benefits.
IRCC has announced a strategy to set a two-week standard for processing visas and work permits for high-skill talent for companies doing business in Canada. This initiative will target high-skilled workers outside Canada in National Occupational Classification (NOC) codes 0 and A.
There has also been a new short-duration work permit exemption introduced for short term research for work of less than 15 or 30 days in a year for NOC 0 and A positions with academic research terms of 120 days or less.
If you would like assistance with your immigration needs, please contact us.
Calgary: (403) 452‑9515
Vancouver: (604) 985‑9512
Toronto: (416) 643‑7177
North America: 1 (800) 932‑1190


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Happy Birthday Flickr
Now that Facebook's birthday celebration is winding down, it is time to celebrate the other social network turning ten this month – Flickr.
The image sharing service has become very popular over the last decade, with nearly 2 million groups sharing 1 million photos every day according to a blog post from the company.
"We were the first significant online community where you could store, organize, tag, and share digital photos," the blog post states. "Before Flickr, there was no widespread way to share your photos with friends, family and the wider public."
SUBSCRIBE FREE to Website Magazine - 12 Issues
It is also important to note that Flickr has made some big announcements as of late. In December, for example, the photo sharing site made it easier for web professionals to embed publicly shared images and videos from the Flickr platform onto their websites. Plus, back in May, the company also started offering users a free terabyte of space.


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I will start with saying I was impressed with this conference. It was very well run and organized nicely. Not to mention that the food was great! I tried to capture the highlights for me of the sessions I attended, and concluded with at least one takeaway from each session. Please feel free to come by and see me to discuss more, or give me a call. So, here you go:
Scaling Online Course Development: Redesign of a Process
Grace Whitaker Instructional Designer CCC Online
Massaged a process that was already developed.
Course already exists before they get involved. 49,000 enrollments in 2015.
Very new team! 60 - 90 courses per year. per I.D. Around 20
Focus on:
- Accessible
- Navigation
- Fully Aligned
The process is the super power!
Design with the end in mind.
Determine Who does what when where and why. I.D's were coming into the process late. They really didn't change the process, just how it was implemented.
Big change bringing I.D. Into the beginning the process. Having a SME Contract and On-boarding (3hours), templates, formalized quality assurance of content, checklist's created to check for accessibility, course alignment, etc. Made sure they had a consistent message. Needed to get all of them on the same page.
They are Quality Matters peer review certified.
Takeaways for me:
- They only work with courses that already exist.
- The super power is the process
- They are definitely a production shop.
- On-boarding process - we should consider this!
- Consistent message is critical.
Agile Instructional Design AIDNet
Taylor Kendal Metropolitan University
Inter domain adaptation is a good and needed thing.
Little has changed with Instructional Design over the years.
Move to agility and efficiency and away from B.S.
Adapt to Institutional Needs
Gather Objective Perspectives
Create Strategic Coalitions
Separate from what has always been done.
Networked Team Structure
Empowered and self-organized
Strategic integration of technology
Takeaway for me:
Really do need to look at possible changes and improvement opportunities.
Engaging Online Discussions
Nicole Marcisz Regis University
What indicates engagement in a discussion?
Put these into your rubric.
Socratic Questioning
Ask for Clarification
Probe Assumptions
Probe Rationale
Explore to understand other viewpoints.
Probe the consequences
Ask questions about the question.
Takeaway for me:
Have the rubric encourage engagement. Foundation for Critical Thinking.
Humanizing Your Online Course
Mike Coste and Amanda Hardman Red Rocks
Put SKIN on it - social, kinship, interactive, new (our group came up with this.)
Text Can't Replace You.
Voice adds
Personal Phone Calls
Introductory and Check-In Videos
Office Hours offered
Remind.com - reach students where they are at. Texting.
Twitter can imbed into WorldClass.
Facebook - uses groups, but has limitations.
Takeaway for me:
The faculty plays a major part in humanizing any course!
SOS Saving Online Student Success
Kate Miller CU Online
They heart students so took a new path. 5 Team members.
Students may feel like they are on a deserted island.
They have:
- Online Student Success Course
- Improved Technology - Zoom
- Better Communication - leveraged social media and podcasts
- Focus on the online community - campus services available to online
Has webinars for students after course starts to cover more aspects of the LMS (Canvas). Share inspiring true stories.
Going to have a Roaming Helpdesk, so students can try out online courses or support current issues. She actually bought a hot-dog cart.
Showed a video where student shared their thoughts. I kept hearing how much communication was going on with the professor.
Takeaway for me:
I really think we should consider building an online student success course. I will say again Zaption is a tool we should investigate more as a tool we promote.
3 Essential Strategies for Student Success in Online Learning
Josh Riemer Atomic Learning
1 in 3 students drop out of college after the first year.
Create a Sense of Community
Build-Self Management Skills
Provide Support
LMS Training
Google Drive
Microsoft Office
Takeaway for me:
There really wasn't any major takeaways for me with this one. Wasn't clear what the 3 strategies were.
Using Video Assignments to Engage Students
Alex Marinez University of Denver
Using phone to create the videos, always have phone in landscape.
People remember stories so make sure video has a good story.
Why create video assignments?
Demonstration mastery of skill
Communication skills evaluation
Memorable learning experience
Non-synchronous activity, better use of class time
Learn new technology and modern communication skills
Good group or individual project
iMovie to speed up a drawing. Very neat presentation.
For every minute of video should plan on one hour effort time.
Videos of 2 - 3 minutes are best.
Keeping Students Organized
Project title and intent (Google doc)
Team roles and responsibilities
Script and storyboard
Give examples to them
Takeaway for me:
You don't need expensive equipment. Personal opinion, video is a great tool, but need to use it to enhance the learning, not to just have it. With that said, I think we can include video more in our courses.
Using mobile apps and digital resources to increase student engagement
Jon Johnson Red Rocks Community College
- community with instructor
- other students
- and content.
Google Forms - great way to do a poll. Could replace clickers.
Can imbed Twitter into D2L.
Clipboard is an app that searches the web for articles on subjects that you say you are interested in.
A lot of free games out on the web.
#1 thing - Instructor presence in class.
Take away for me:
Technology can really enhance the #1 thing for increasing student engagement, but it can't take the place of the instructor. Imbedding Twitter into D2L is a pretty neat capability.
I like how Ling did her post on this conference!


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Save Your Scissors is a lavender crelly base with neon pink hexes and squares, lavender, plum and teal hexes, aqua and white dots plus sparks of silver holo.
It is a tribute to City and Colour for the Girly Bits Cosmetics Concert Series Collection.
This product hasn't received any reviews yet. Be the first to review this product!


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HARVEY MILK (Buy CDs by this artist)
My Love Is Higher Than Your Assessment of What My Love Could Be (Yesha) 1995
Courtesy and Good Will Toward Men (Reproductive) 1997
The Pleaser (Reproductive) 1998
As a performing unit, Athens, Georgia's Harvey Milk named, of course, after the assassinated gay San Francisco politician is harder to pigeonhole than a jacked-up sugar freak having an epileptic seizure. You wouldn't expect a band that can do entire sets of either Hank Williams or REM to play original material more aligned with Black Sabbath, ZZ Top and AC/DC, but then again, therein lies the Milk's singular charm. On My Love Is Higher Than Your Assessment of What My Love Could Be, guitarist Creston, bassist Steven Tanner (formerly of Atlanta's Seersucker) and drummer Paul Trudeau offer nearly an hour of intricately laid out sludge. Sung as if Tom Waits brushed his teeth with hot tar on a daily basis, Creston's bittersweet lyrics wrap passionate and heartfelt depth around a 20-pound sledgehammer. Sultry as a summer night in a blood-splattered abattoir.
The sparse, nearly minimalist arrangements led by pianos and crashing rhythms on Courtesy and Good Will Toward Men threaten to implode throughout the vinyl-only album's four sides. On the final side, the cover of Leonard Cohen's "One of Us Cannot Be Wrong" provides a soothing wet towel for the forehead before the record returns to uncharted, decidedly more abstract territory.
In 1996, only a few months after recording Courtesy and Good Will Toward Men, Trudeau was replaced by Kyle Spence (formerly of The Martians and Fiddlehead). The band's songwriting also underwent a change. The Pleaser is, start-to-finish, a rock and roll album. No more of the silence that was used so lovingly on the two previous albums. The trio's affection for Zeppelin and Kiss, which had been conjured only abstractly in the past, takes center stage and refuses to leave (a good thing). But that relegates dynamic variety and lyrical content to the back seat. Spence's take on John Bonham paces the band's embracer of all things heavy and '70s, and the album grooves mightily, all the way to "Rock And Roll Party Tonight," the clenched-fist anthem that ends it.[Henry H. Owings]
This piece was first published in Badaboom Gramophone #3 and appears here with permission.
All contents copyright 2007 Trouser Press LLC


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IDP Corner: Week 4
The end of the first quarter of the season is an exciting time of the year: players start to come back from suspensions, it's officially Autumn, pumpkin spice everything (even Pringles got it one year man), and apples (if you're in New England I suggest getting them from Cardigan Mountain Orchard). Love a good apple! Pumpkin spice needs to take a couple years off, then we can talk again. I digress, it is also the cusp of where we start to figure out what teams are doing thematically this year for play calling, and how we can adjust to that for fantasy football.
Let's get down to this week's business:
Defensive Linemen:
Margus Hunt: This big man has so much talent (man crush alert), yet never seems to end up all that super productive. I bring him up this week, not because of his talent, but due to the likelihood of Seattle getting up early and then just running as much as possible.
Michael Brockers: Even with Aaron Donald back for two weeks, Brockers has been the productive defensive lineman for the Rams. Dallas will continue to try to prove Ezekiel Elliott was not just a flash in the pan, so both Brockers and Donald should see plenty of chances at grabbing tackles.
Vontaze Burfict: Guess who is back… tell a friend. Expect Nick Virgil or Vincent Rey or both to have downturns in their production with Burfict back. Isaiah Crowell has had some productive running games against the Bengals, and with the Browns passing game being as inconsistent as it has been this season, I think you'll see them try to push right towards Burfict early and often.
Joe Schobert: Speaking of the Browns, with Jamie Collins out this week, Schobert has a good deal to gain. Given he is the starting middle linebacker, his numbers have already been nice (not amazing, but nice) to start the season, and that Cincinnati has been leaning a little more on Joe Mixon, I think the runs will come Schobert's way.
Adarius Glanton: Tampa Bay's defense just got bitchslapped by the injury bug, Kwon Alexander is out, David Levonte and T.J. Ward are both doubtful. It would make sense that Kendell Beckwith will see an uptick in his already decent production this year, but Glanton I think has the better chance at seeing a real pop in point this week, as well longer if Alexander is out more than just this week.
Defensive Backs:
Captain Munnerlyn: My favorite NFL name from last season is going to pop back up this week. I could be wrong and projected starter Kevon Seymour could have a rocket of a game, that said Seymour hasn't recorded a single IDP point this season, while Munnerlyn has, not many, but 400% more than Seymour. Either way, Carolina is playing the Patriots who do love to pass, there should be plenty of work to go around.
Adoree Jackson: Deshaun Watson proved last week that he can produce in high pressure situations. This TEN/HOU matchup could get really exciting or could be a run plodding snoozefest, I think we'll get some passing fireworks though. Logan Ryan is the likely DeAndre Hopkins matchup, which leaves Jackson to cover… who ever gets put on that side of the field. While Watson did make a concerted effort to get Hopkins the ball last week, he was also spreading his passes out, which is why I think Jackson will get a chance to shine.
Good luck to you all this week. If you have any questions of the Guru family, be sure to reach out to us through any of the ways listed below. We are in fact everywhere, so join in the fun!
Twitter – @TFFGurus, @TheFantasyBoys, @DaFantasyFather, @DecoyLife
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Marsa Plaza
Dubai Festival City, UAE
- Client:
- Al Futtaim
- Status:
- Complete
This large-scale residential development is in the high profile Dubai Festival City precinct. With approximately 100,000sqm of total floor area, the project comprises a 500 key residential tower rising out of a 2,000sqm retail podium. The residential dwellings are a combination of both privately owned apartments and serviced apartments operated by the Intercontinental Hotel Group.
Situated in a high profile position adjacent to Dubai Creek, one of design challenges was to maximize the panoramic views across the water for as many apartments as possible, which was solved by having long thin arced structure facing the water that is book-ended by two spherical towers.
SIMILAR PROJECTS: Meydan Apartment Tower UAE, Four Seasons Hotel & Residences , Masdar City Centre, Astana Railway Station Kazakhstan


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Is that not magic!
The Barclay Harvey trophy was won by the Tarland Club with Balmoral the runners-up.
And from the photo below, they didn't stop as it got dark!
Many thanks to Anne Malcom for the photos. The Editor is very jealous! But we did have snow this morning at Lockerbie.


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Fresh Approach
With a deep regard for history, San Francisco interior designer Nicole Hollis adds a burst of contemporary elegance to an 1866 townhouse
When Stephanie and Rowan Trollope hired acclaimed San Francisco designer Nicole Hollis to renovate and redesign their Russian Hill townhouse two years ago, Hollis, noted for her deft deployment of modernism, was immediately captivated by the opportunity to bring the historic property into the 21st century
Originally built in 1866, the three-story house had been renovated by California architect Julia Morgan in 1916, and still maintained the elegant Victorian air and classical proportions. Today, Morgan's classic Italianate, stucco exterior is still intact.
"In this day and age, it's important to remember the woman who paved the way for all women in design and architecture."
"The work of Julia Morgan has always been an inspiration to me," says Hollis of the groundbreaking Beaux Arts-trained figure behind Hearst Castle. "In this day and age, it's important to remember the woman who paved the way for all women in design and architecture. I was very honored to be working on one of her homes."
This was to become a multipurpose residence: a family home for three children, and a home office for their father. Rowan Trollope is senior vice president and general manager of Internet of Things (IoT) and applications at Cisco Systems Inc. He is also an accomplished international mountaineer who wanted a storage/workroom for his rock-climbing equipment and his Triumph motorcycle.
San Francisco architect Aleck Wilson opened up the house to all-day southern sun, as well as the ultra-private garden. The light-drenched living room now flows to the kitchen and dining room.
Hollis set about identifying what was timeless and what should be contemporized, without being trendy. Taking a high-low approach and blending furnishings from different eras and styles, spanning LED tube light pendants by of-the-moment talent Bec Brittain to 1950s Italian lounge chairs in ebonized wood, Hollis followed the family's mantra to prioritize comfortable, easy living, with nothing too precious.
The kitchen features a custom island designed by Wilson, and a black-and-steel La Cornue stove. The custom oak-and-brass dining table, designed by Hollis, is centered on the original historical fireplace and antique surround with a painting over the mantel by Christopher Badger.
The original ballroom on the second floor was converted into a romantic master bedroom, complete with the original antique French marble fireplace. "There were no closets so we imagined monoliths with satin-polished brass doors, to create a soft golden reflection in the room and incorporate closets, a TV and a headboard," says Hollis.
"Stephanie and Rowan have been great clients with real vision and appreciation for design and art," she adds. "They allowed me freedom to create an environment that embodies their personal style."
With hints of the future and the evolving family, the house nonetheless continues to pay homage to Julia Morgan, whose influence lingers in every room.
Photography by DOUGLAS FRIEDMAN.
Written by DIANE DORRANS SAEKS.


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Concered about an upcoming formulating task? The following, Ta, FL instructor Anna M. testimonials the ways to authoring a research paper that can assist you
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Most individuals will not prepare investigation paperwork just for fun. So, to help make this assignment less complicated on you, go with a question that you will like. For instance, when the pieces of paper is actually for an English language group as well as your choice book should be to Destroy a Mockingbird . compose it on that. Should your favourite dog is giraffes and therefore the old fashioned paper is perfect for a biology classification. compose it about the actions of giraffes.
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Anna M. educators in Chemistry, Algebra, Calculus, and a lot more in Ta, FL. She is a Chemistry huge from the University or college of Southern Florida, and has now enjoy teaching basic close to secondary school students. Find out more on Anna on this site!
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