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Pune (Maharashtra) [India], January 20: NEURIA, a free mobile application developed by Innoplexus A.G., helping millions of people all over the world with their mental health problems and treatment guidance, has now been launched in India.
We live in a digital world, and there is access to any kind of information at your fingertips, courtesy of the internet. In India, more than 7 million people are affected by dementia, over 12 million from epilepsy, 231 million from migraine, 384 million are affected by tension headaches, and more than 4.5 million from depression. For all these people, it is a major challenge to dive through an ocean of information to find authentic and relevant answers for one's mental health.
NEURIA seeks to support patients living with mental diseases to enjoy a better quality of life by providing individualized information on their options for treatments, clinical trials, and experts. By offering access to the most recent, accurate, and tailored information, NEURIA wants to prepare patients to lead more effective conversations with physicians and consider different treatment options as well as participation in clinical trials. The hope is that this will ultimately result in improved quality of life.
Living a good quality of life through adequate mental healthcare and wellness support is a crucial need for all Indians today. With one of the world's largest youth populations, the country has an incredible demographic divide which can be fully used when support for mental health challenges and neurological disorders is easily accessible.
"Diseases such as Dementia and Parkinson's are too often stigmatized as just 'symptoms of old age'" highlighted Juergen Scheele, Chief Medical Officer at Innoplexus. "Through NEURIA, we want to challenge the status quo and support people living with neurological diseases to have a normal life for as long as possible."
Patients spend a significant amount of precious time searching online and offline for tailored information about their specific needs, time that could be spent on things they enjoy doing or enhance their health. Simply by using a set of questions that patients or their loved-ones answer on sign-up, NEURIA ensures only results relevant to the patient's disease profile are shown.
"We're committed to changing what it means to be diagnosed with a neurological disease – and this means giving patients and their carers the tools they need to get the best treatment journey possible", underscored Dr. Gunjan Bhardwaj, CEO and Founder of Innoplexus.
The NEURIA app is available for download now in India on Android and iOS.
NEURIA is a free mobile application developed for patients who suffer from a neurological disease to offer information on potential treatments, clinical trials, and experts for their disease profile. The app uses the patented artificial intelligence of Innoplexus AG, a leader in drug discovery and development, to scan over 95% of the internet and to analyze hundreds of terabytes of structured and unstructured, public and proprietary scientific data in real-time, constantly updating for updates from official registries, drug approval sites, and clinical trial databases. The extracted information is then curated by a human team of experts. NEURIA was founded in September 2021 by Innoplexus AG headquartered in Eschborn, Germany.
The app has been already available in Italy and Germany, and now it has been launched in India.


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Just a few months back, I wrote about how we are helping companies move to the cloud with a flexible hybrid approach and cost-effective path to Azure. To help our customers realize even greater savings and simplify the migration to Azure, I'm pleased to share some exciting updates to address these customer needs.
Migrate to Azure with free Windows Server and SQL Server 2008 Extended Security Updates
Windows Server and SQL Server 2008/2008 R2 were hugely popular when they launched nearly 10 years ago and have been deployed in millions of instances worldwide. Our customers continue to run many of their business applications on these servers. With the decade anniversary coming, both these versions are nearing end of support – with SQL Server 2008 end of support in July 2019 and Windows Server 2008 end of support in January 2020. We know many customers want to continue with these servers, and we are here to help ensure all our customers have great options.
Today, we are announcing that we will provide extended security updates for three years past the end of support dates for free when running in Azure. This means customers get the efficiency of running servers in Azure, as well as three more years of security updates at no additional cost.
For SQL Server customers specifically, Azure SQL Database Managed Instance, generally available early Q4 this calendar year, provides a dramatically more cost-effective database with complete compatibility to SQL Server. It's truly the best of both worlds. Beyond migration, we can also help you upgrade to a more recent server versions on-premises or upgrade along with your move to Azure. Learn more about all of these options here.
For customers running any version of Windows Server or SQL Server, Azure Hybrid Benefit lets you save money with Azure like no other cloud can. Azure Hybrid Benefit provides up to 55 percent savings of running Windows Server or SQL Server on Azure – why would you run your Windows Server or SQL Server anywhere else?!
Migrate all your workloads to Azure – Linux, MySQL, PostgreSQL, and NoSQL
With over 40 percent of the VM cores on Linux in Azure today, Azure provides support for all popular distributions including RedHat Enterprise Linux, SUSE Enterprise Server, Ubuntu, CentOS, and Debian. Our Azure migration tools also enable you to assess and migrate these Linux distros.
I've seen customers realize phenomenal business results with their migration to Azure. One example is J.B. Hunt, a trucking and transportation provider. They migrated their critical logistics applications to Azure as they digitize their business, while maintaining their on-premises footprint.
"Moving to Azure has helped us keep pace with our business growth and increasing customer expectations. We were able to migrate and modernize several critical Linux, Windows, and Java applications to Azure while continuing to run on-premises operations, thanks to Azure hybrid capabilities. Microsoft met us where we were at and helped us achieve significant business transformation in months, instead of years," says Jay Davidson, Vice President, Technology, J.B. Hunt.
We are also seeing tremendous momentum of MySQL and PostgreSQL on-premises databases migrating to fully managed Azure Database services, and NoSQL databases to Azure Cosmos DB. To make this easier and faster, we will add support for Azure Database for MySQL and PostgreSQL to Azure Database Migration Service by end of this month.
Willis Towers Watson, a leading global advisory, brokerage and solutions company, is using the Azure Database Migration Service to migrate several databases to Azure, without downtime.
"The Azure Database Migration Service was a life saver for us moving our databases to Azure. We successfully migrated over 100 databases to Azure using the service over a period of two months without any downtime or loss of data. This process would have taken us well over six months and days/weeks of downtime for our users were we to using any other method," says Greg Matuskovic, IT Executive and Services Director, Willis Towers Watson.
Last, but not least, to help customers securely move large amounts of data to Azure, we are extending our investments in Azure Data Box with the public preview of Data Box Disk that enables a total capacity of 40 TB. This makes moving very large amounts of data to Azure even easier, and always secure.
With new capabilities enabling migration to Azure combined with unparalleled deals of free extended security updates and Azure Hybrid Benefits, there has never been a better time to move to Azure.
Visit the Azure migration center to learn more and get started with Azure migration today.

subset: commoncrawl


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WASHINGTON — Going into Tuesday's State of the Union address, President Biden sees a nation with its future aglow.
Republicans take a far bleaker view – that the country is beset by crushing debt and that Biden is largely responsible for inflation. And the GOP now holds a House majority intent on blocking the president.
The harder reality is that the United States is on a tight rope, trying to balance efforts to reduce inflation with the need to stay upright and avoid falling into a recession. That's with the seemingly inherent contradiction of the Federal Reserve's interest rate increases and the unemployment rate falling to a near 54-year low.
Based on past speeches, Biden believes the policies adopted under his watch can fill the U.S. with new factories and protect against climate change. Roads, bridges, sewer systems, ports and internet service would be improved. The middle class would be more financially secure. So would America's place in the global economy's hierarchy.
On Friday, the president said the proof was in the January employment report. It showed 517,000 jobs were added as the unemployment rate fell to 3.4%, making it "crystal clear" that his "chorus of critics" were wrong.
"Here's where we stand: The strongest job growth in history," Biden said. "Put simply, I would argue the Biden economic plan is working."
Republicans are pushing back. They blamed Biden's trillion-dollar plus spending for high inflation and surging gas and food prices. GOP lawmakers want to repeal his tax increases and additional money for the IRS. They oppose his forgiveness of student debt and blame him for the migrants seeking to enter the country at the U.S.-Mexico border.
Neither side captures the fullness of the actual state of the economy.
One group of experts can read the data and claim a recession is on the horizon. A different group can focus on a separate set of figures and see reason to rejoice. It's a disorienting moment.
Biden can celebrate the low jobless rate even as Republicans bemoan inflation that is still running dangerously hot.
"It's the best of times and the worst of times for the U.S. economy, to borrow a phrase," said Mark Zandi, chief economist at Moody's Analytics. "The economy is full of contradictions as it struggles to get beyond the massive global shocks of the pandemic and the Russian invasion of Ukraine."
Zandi said he expects the U.S. economy will "skirt" a recession this year, though many economists believe a downturn will come.
Gus Faucher, PNC Financial Services' chief economist, pegs the odds of a recession this year at 60%. But he said any downturn would be "mild" because "worker shortages will limit layoffs, consumer balance sheets are in great shape, the banking system is solid."
Most people in the U.S. assume the nation is already in a recession, even if they personally feel fine.
Only 24% of adults call the national economy good and 76% say conditions are poor, according to a poll by The Associated Press-NORC Center for Public Affairs Research. At the same time, 57% say their personal financial situation is good. That's unchanged since December, but it has eroded slightly since earlier last year when 62% felt positively about their finances.
The key force shaping the economy right now is the Fed, which has the mission of keeping prices stable and inflation at around 2%. Consumer prices jumped 6.5% last year.
To bring down inflation, the Fed has tried to slow down hiring and growth by raising its benchmark rate over the past year. When Biden delivered the State of the Union Address in 2022, the Fed's benchmark rate was effectively near-zero. It's now over 4.5%, the fastest increase in four decades, and Fed Chairman Jerome Powell said Wednesday that the rate will likely go higher.
"Without price stability, the economy does not work for anyone," Powell told reporters after the Fed board's most recent meeting.
The Fed rate increases mark a major reversal in how the economy operates.
Ever since the 2008 financial crisis, the U.S. central bank had held its benchmark rate near historic lows to bring back growth. That made it easier for tech start-ups because cheap money meant investors expected them to focus on growth instead of profits. Consumers got use to historically cheap rates for mortgages and auto loans.
The past year's rate jumps produced a sudden whiplash. The stock market fell. Prominent tech companies such as Google and Microsoft recently announced layoffs. Even as computer chip companies began building new plants and crediting Biden's policies, the world economy swung from a dearth of semiconductors to a glut. Mortgage rates initially doubled to over 7%, before falling back a bit to 6% last week. The big increase meant monthly payments became unaffordable for would-be homebuyers, forcing many to stay in rentals.
Glenn Kelman, CEO of the real estate brokerage Redfin, said the housing market is stronger than many people expected. But the years of low rates worsened generational inequality. Baby boomers became wealthy as their homes increased in value, but then rates jumped at the time when more millennials wanted to buy and they found themselves priced out.
"A generation ago, boomers owned 21% of U.S. wealth," Kelman said. "For millennials, that number is 7%. They're still on the outside looking in."
Carl Tannenbaum, chief economist for Northern Trust, said he is surprised that the rate increases have hit housing but not employment. Traditional models assumed that efforts to lower inflation would automatically include job losses. But when he talks to companies, most are reluctant to fire their workers because businesses had trouble finding skilled employees during the pandemic.
"Because the supply of labor has been so starved for the past two years, firms are holding on to who they have," Tannenbaum said. "The prevailing wisdom is if we have a recession it's going to be shallow. Firms are going to want to be ready to go."
As much as Biden says his mission is about giving Americans a sense of confidence, his challenge might rest with an economy in which few things are certain.
When the pandemic hit in 2020, the government aid was so overwhelming that a financial market crash turned into a rally. Biden tried to assure the country in 2021 that rising prices were a temporary inconvenience, only to find that inflation defined how many perceived his first two years as president. The expectation was that interest rate increases would ultimately lead to layoffs and higher unemployment, but hiring stayed robust in a sign that the economy is unmoored from traditional expectations.
If Biden faces a challenge on the economy, it might just be that no one really knows what could happen next.
"We're in an environment where there is a lot of uncertainty," said Gregory Daco, chief economist at EY-Parthenon. "The conflicting signals we keep getting on the economy make it very hard to get an accurate pulse."
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Microsoft Security and other updates
Microsoft releases a range of security updates, operating system and other software updates. Rockwell Automation qualifies certain MS updates for software that impacts Rockwell Automation software products.
It is recommended that you implement a controlled system suitable for your application and environment, and follow the guidance below for the distribution of all updates.
Rockwell Automation Qualification of Microsoft Updates
It is strongly recommended that Microsoft updates are not applied or installed until (i) the MS update has been Fully Qualified by Rockwell Automation (ii) the results of our testing have been published and reviewed. "Fully Qualified" means that Rockwell Automation has tested the MS updates with the primary functional areas of the relevant Rockwell Software products. When completed, test results that show the areas tested will be posted for your review.
Rockwell qualifies MS updates for the Microsoft operating systems, MS Offices Products, Internet Explorer and MS SQL Server products within a short period of time of the release of the MS update but will generally qualify MS updates denoted as "Critical" with first testing priority.
Before implementing any Fully Qualified MS updates, you should verify them on a non-production system, or when the facility is non-active, to ensure that there are no unexpected results or side effects.
You may contact us with any test related questions or concerns, however for technical issues we suggest contacting Rockwell Automation Technical Support for troubleshooting assistance.


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When you shop at Zebit, you will be asked to make a down payment and the remaining amount will be split into installment payments over the next 6 months
Payments Frequency
This is a representative example. Product offering can vary based upon creditworthiness of customers and inventory availability for Zebit. Pricing shown is only for the product cost and may not include shipping, handling, or sales tax. Actual down payment may vary by customer creditworthiness and/or individual product. 0% APR for 6 months.
Get StartedDescription
There's beauty in simplicity. These assembled hoop earrings in .925 Sterling Silver make a simple and elegant statement. When you're expressing your truest self, you know you're on the right path. Wear your truth. Made in the USA. Includes gift box packaging.
Assembled Hoop Earrings - Sterling Silver
Price at Checkout: $193.24
Due Today: $48.31
13 Bi-weekly payments: $11.15
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13 Bi-weekly payments: $8.55
Price at Checkout: From $85.99
Due Today: $21.50
13 Bi-weekly payments: $4.96


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This year has certainly been the year of comfortable clothing as coronavirus pandemic lockdowns and safety precautions meant millions of Americans are spending more time at home. Fashion Week collections this fall have featured comfortable fabrics and elastic waistbands.
Justin Bieber is getting into the trend with his new collection of Crocs. The singer shared images on his Instagram account showing off the new partnership, including one of himself cutting intoa cake shaped like the iconic rubber shoe.
"As an artist, it's important that my creations stay true to myself and my style. I wear Crocs all the time, so designing my own pair came naturally," Bieber said in a statement.
"With these Crocs, I just focused on making something cool that I want to wear," he added.
Bieber's shoe is yellow, the signature color of Bieber's clothing brand drew house, with eight custom Jibbitz charms that can be added. It was released Tuesday.
The Crocs X Justin Bieber with drew shoe sold for $59.99 a pair and sold out in just 90 minutesfrom the Crocs website. No word on when more will be available.
Crocs' collaboration with artist Bad Bunny released a few weeks ago and quickly sold out.


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Loire 4 Drawer Bed Box
Part of the stunning Loire contemporary bedroom collection. Offering a fantastic combination of finishes and eye-catching looks combined with a wide choice of practical and stylish items, modern materials and manufacturing processes to create a collection that makes the perfect and affordable choice for a wide range of bedroom sizes and décors.
W: 112cm
D: 41.5cm
H: 50.5cm
Please note: All measurements are approximate but as near to accurate as possible.


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Black Rob F/ Cee-Lo Lyrics
Lookin' At Us Lyrics
[Black Rob]
Yo, yo
Nobody knew where he came from, or got his name from
All we know is he killed Keith with the same gun
He used on Terrell, Tone from outta jail
Now he we livin and makin a lotta mil
Watch that cat, send thugs to stop that cat
But niggas like him always got the gat
Gotta take 'em off, gotta play them all real soon
Call them hoes we hit in Cancoon, get them a room
At the Radison over Madison
I'm imaginin somewhere down the line Im'a have to use my gat again
I'm alright with stayin up all night
And puffin dark chocolate trees til the dark turns light
That nigga seen us, you actin like there's no beef between us
Act like, he ain't got cream swayin the dope fiends around the co'na
You ?fucked my man? he got me on'na
Whole 'notha level, money grippa's a gonna'
Chorus [Black Rob & Cee-Lo]
Aiyyo, I seen how them niggas be lookin' at us
Actin like they wanna do som'thin to us
Cee-Lo, Black Rob just can't be touched
I'll negotiate the matter in gats he trust
In the club one night, war spittin at us
In the corner sippin drinks on some real hush hush
Yeah, I seen how them niggas be lookin' at us
Aiyyo, I seen how them niggas be lookin' at us
[Black Rob]
Made them hoes approach duke on some "How ya doin shit"
Small talk made 'em walk out, thinkin with his *Silence* (Sho' man)
Just like I thought, he about to get caught
They goin all out in the backseat suckin 'em off
Cee-Lo, stay close dogg, we ain't tryin to lose 'em (Alright)
Only thing on my dome is what I'm gon' do to 'em
He killed Keith, I knew that playa since he was small
When he used to ball, and mess with Polly down the hall
Now he ghost, and this crab niggas to blame
Gotta ?fuck him? with his name, Im'a put in his brain
But slow down, he's pullin over, park right behind that Nova
If duke wake up, put 36 in his Rover, cut the motor
He tryin to draw attention to us
This ain't the time baby boy, this is about to blow up
Syncronize ya Rol' up, we got one minute to rock it
Murder's a hard job, but somebodies gotta stop it
Just off the plane on a New York vacation 'ang
Come on, lets get gone, nigga its on a gang
Swervin in the rain, and workin the woodgrain
We did about two ?????next lane?
Now feel the pain
And if its affectin you it involves me in it
And its all great 'cause I get on a niggas ass in a minute
We've established innocence, this Benz ain't rigged
Its easy, accelerate and make those twenties rotate
Even the corner cowboy ??? hennesy straight
Satisfaction, in the midst of all the interaction
I sense tension, here
and some nigga over there's givin us his undivided attention
Aiyyo Rob yo, is that this nigga (Who?)
Is that this nigga that been 'round here fuckin with'choo?
Want you want me to do?
Who you want me to run over, and run through?
With my gun drew, and unleash my wrath upon you
We can battle, but nigga, but pay for the bad news is true
This nigga done did somethin that he can't undo
And anybody who came here with him deserves one too
Is it true fuckin up my good clothes on you, scandalous hoes
I suppose these bullet holes make ya widow keep the casket closed
How you kids gonna get gay back to you, thats how it goes
Cee-Lo, Black Rob, Goodie Mob, Bad Boy, down south
Up top it gon' stop
Chorus x2


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CrossFit is constantly varied functional movements performed at high intensity. All CrossFit workouts are based on functional movements, and these movements reflect the best aspects of gymnastics, weightlifting, running, rowing and more. These are the core movements of life. They move the largest loads the longest distances, so they are ideal for maximizing the amount of work done in the shortest time. Intensity is essential for results and is measurable as work divided by time—or power.
he more work you do in less time, or the higher the power output, the more intense the effort. By employing a constantly varied approach to training, functional movements and intensity lead to dramatic gains in fitness.


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Lease Terms: 6, 9 and 12 month leases available.
Administrative Fee: $100
Application Fee: $30
Schatten Properties is an equal housing provider. We do not discriminate on the basis of race, color, religion, sex, disability, familial status, or national origin.
All prospects must present a valid driver's license or other government issued photo identification in order to tour the community.
Applications for apartment homes will be accepted on a first-come, first served basis and subject to availability of apartment type requested.
An applicant must be 18 years of age or older and have legal capacity under state and local law to qualify as a lessee and enter into a lease agreement, if approved. All individuals 18 years of age or older must complete an application, and be listed as a lessee on the lease agreement. A valid Social Security card or other approved identification document is required at the time of application. Any omissions or falsifications may result in rejection of an application or termination of a lease.
In order to approve an applicant for residency, the criteria listed below is reviewed:
A criminal background check will be performed on each applicant or occupant 18 years of age or older. Management reserves the right to deny occupancy based on the results.
If the background search reveals any criminal activity, the application must be approved or denied by a Regional Manager.
Criminal reports will be reviewed on a case by case basis for the nature and severity of the crimes, the date of occurrence, and the relation to the safety of residents, employees, and the apartment community.
Applicants may be denied if they have been convicted of crimes involving violence, firearms, terrorism, sex crimes, theft, destruction of property, fraud or financial crimes, acts of animal cruelty, any crime involving a minor, or are considered a fugitive. This includes persons who have received deferred adjudication and/or have not yet satisfied the probationary period of a deferred adjudication for any of the above-mentioned offenses*.
Applicants convicted of the manufacture or sale of controlled substances will be denied.
Arrests listed on the report will only be considered if they are recent and have the possibility of incarceration that would prevent them from fulfilling their lease obligations, or the outcome and current status of the arrest is not included on the report, in which case, further investigation will be necessary to clarify the information.
* This requirement does not constitute a guarantee or representation that residents or occupants residing at this apartment community have not been convicted of, or are not subject to, deferred adjudication for a crime.
All tenants are required to procure and maintain renter's insurance throughout the duration of their tenancy. This insurance must have a minimum of $100,000 liability and property damage coverage. All of our tenants are automatically pre-approved for a sufficient policy through ePremium and may purchase that policy if they wish. Tenants may also purchase a sufficient policy from another licensed insurance company. Proof of sufficient insurance is required on or before the Lease commencement date and at any time at Leasor's request. Any such policy must include lessor as additional certificate holder listed as: PROPERTY NAME / ADDRESS. Tenants are required to provide Lessor with Thirty-day written notice prior to cancellation or alteration of said policy. Please note: a standard renter's insurance policy will cover only the named insured and immediate family members. Any tenants who are not immediate family members must procure their own sufficient insurance policy.
No more than two persons may occupy each bedroom*. The maximum occupancy is:
* Occupants 5 years of age or younger do not count in these occupancy limits. Once an occupant reaches 5 years of age, Lessees must move to an apartment with an adequate number of bedrooms upon expiration of the lease term.
Schatten Properties cannot be held responsible for inaccuracies contained in any information obtained. The applicant may have any erroneous information corrected on their report and resubmit their application.


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I'm one of four Shih-Tzu puppies who where born on November 8th, 2011, three boys and one girl. Our mom is Zsa-Zsa the Shih-Tzu who was found in a state of neglect. Unfortunately we came as a surprise as it was obvious mom had many litters but didn't look pregnant when found.
I'm Jamal, the second born and the only black one at birth. However, I'm becoming a beautiful blond, yet I'm a boy. We are all very lively, friendly and learning quickly to socialize well with our siblings and our foster "dad". In fact, since mommy was a puppy-mill dog, by the time we were four weeks old she was starting to turn us down from nursing.
At that point, she decided to take a break and therefore our foster "dad", Tarzan has been doing all the socialization and teaching that mom should be doing. We are now ready to start going into permanent homes and are looking be adopted by committed people who will love us our entire life.
We had the chance of being born in the care of Sophie's Dog Adoption which gives us a better chance at a real life then if we had been sold to pet shots. Don't abandon us and we will be the most faithful friend you will ever have.


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Yuri Kochiyama Cultural Center
APA Leadership Group
Our Staff
Founded in 1990 by Dr. Lucy Nguyen, the United Asia Learning Resource Center (UALRC) provides a variety of culturally sensitive support services to Asian and Asian American students at the University of Massachusetts Amherst.
Asian and Asian American students constitute the largest minority group on campus. The UALRC provides leadership training through peer mentoring programs, information about resources on and off campus, tutoring services, academic support and advocacy, and a space for students to get advice on all aspects of university life. The UALRC also supervises the Yuri Kochiyama Cultural Center, a student-run center that provides cultural and educational programming.
Our students and staff reflect a rich variety of cultures and traditions, which promote the University's commitment to diversity and educational opportunity for everyone.


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Zarontin (Ethosuximide) capsule
Parke-Davis Div of Pfizer Inc
Zarontin (ethosuximide) is an anticonvulsant succinimide, chemically designated as alpha-ethyl-alpha-methyl-succinimide, with the following structural formula:
Each Zarontin capsule contains 250 mg ethosuximide, USP. Also contains: polyethylene glycol 400, NF. The capsule contains D&C yellow No. 10; FD&C red No. 3; gelatin, NF; glycerin, USP; and sorbitol.
Ethosuximide suppresses the paroxysmal three cycle per second spike and wave activity associated with lapses of consciousness which is common in absence (petit mal) seizures. The frequency of epileptiform attacks is reduced, apparently by depression of the motor cortex and elevation of the threshold of the central nervous system to convulsive stimuli.
Zarontin is indicated for the control of absence (petit mal) epilepsy.
Ethosuximide should not be used in patients with a history of hypersensitivity to succinimides.
Blood Dyscrasias:
Blood dyscrasias, including some with fatal outcome, have been reported to be associated with the use of ethosuximide; therefore, periodic blood counts should be performed. Should signs and/or symptoms of infection (e.g., sore throat, fever) develop, blood counts should be considered at that point.
Drug-Induced Immune Thrombocytopenia:
Drug-induced immune thrombocytopenia (DITP) has been reported with ethosuximide. In the reported cases, the onset of symptoms occurred 1 to 3 weeks after initiation of ethosuximide; one patient had recurrence of symptoms within 1 day of a subsequent re-challenge with the drug. In those cases in which the platelet count was specified, the nadir was 2,000 and 3,000/mm3. When DITP is suspected, discontinue Zarontin, monitor serial platelet counts, and treat as appropriate. If possible, assess the presence of drug-dependent antiplatelet antibodies. Avoid future use of Zarontin in patients with history of ethosuximide-induced DITP.
Effects on Liver and Kidneys:
Ethosuximide is capable of producing morphological and functional changes in the animal liver. In humans, abnormal liver and renal function studies have been reported. Ethosuximide should be administered with extreme caution to patients with known liver or renal disease. Periodic urinalysis and liver function studies are advised for all patients receiving the drug.
Systemic Lupus Erythematosus:
Cases of systemic lupus erythematosus have been reported with the use of ethosuximide. The physician should be alert to this possibility.
Suicidal Behavior and Ideation:
Antiepileptic drugs (AEDs), including Zarontin, increase the risk of suicidal thoughts or behavior in patients taking these drugs for any indication. Patients treated with any AED for any indication should be monitored for the emergence or worsening of depression, suicidal thoughts or behavior, and/or any unusual changes in mood or behavior.
Pooled analyses of 199 placebo-controlled clinical trials (mono- and adjunctive therapy) of 11 different AEDs showed that patients randomized to one of the AEDs had approximately twice the risk (adjusted Relative Risk 1.8, 95% CI: 1.2, 2.7) of suicidal thinking or behavior compared to patients randomized to placebo. In these trials, which had a median treatment duration of 12 weeks, the estimated incidence rate of suicidal behavior or ideation among 27,863 AED-treated patients was 0.43%, compared to 0.24% among 16,029 placebo-treated patients, representing an increase of approximately one case of suicidal thinking or behavior for every 530 patients treated. There were four suicides in drug-treated patients in the trials and none in placebo-treated patients, but the number is too small to allow any conclusion about drug effect on suicide.
The increased risk of suicidal thoughts or behavior with AEDs was observed as early as one week after starting drug treatment with AEDs and persisted for the duration of treatment assessed. Because most trials included in the analysis did not extend beyond 24 weeks, the risk of suicidal thoughts or behavior beyond 24 weeks could not be assessed.
The risk of suicidal thoughts or behavior was generally consistent among drugs in the data analyzed. The finding of increased risk with AEDs of varying mechanisms of action and across a range of indications suggests that the risk applies to all AEDs used for any indication. The risk did not vary substantially by age (5–100 years) in the clinical trials analyzed.
Table 1 shows absolute and relative risk by indication for all evaluated AEDs.
Indication | Placebo Patients with Events Per 1000 Patients | Drug Patients with Events Per 1000 Patients | Relative Risk: Incidence of Events in Drug Patients/Incidence in Placebo Patients | Risk Difference: Additional Drug Patients with Events Per 1000 Patients |
Epilepsy |
1.0 |
3.4 |
3.5 |
2.4 |
Psychiatric |
5.7 |
8.5 |
1.5 |
2.9 |
Other |
1.0 |
1.8 |
1.9 |
0.9 |
Total |
2.4 |
4.3 |
1.8 |
1.9 |
The relative risk for suicidal thoughts or behavior was higher in clinical trials for epilepsy than in clinical trials for psychiatric or other conditions, but the absolute risk differences were similar for the epilepsy and psychiatric indications.
Anyone considering prescribing Zarontin or any other AED must balance the risk of suicidal thoughts and behavior with the risk of untreated illness. Epilepsy and many other illnesses for which AEDs are prescribed are themselves associated with morbidity and mortality and an increased risk of suicidal thoughts and behavior. Should suicidal thoughts and behavior emerge during treatment, the prescriber needs to consider whether the emergence of these symptoms in any given patient may be related to the illness being treated.
Patients, their caregivers, and families should be informed that AEDs increase the risk of suicidal thoughts and behavior and should be advised of the need to be alert for the emergence or worsening of the signs and symptoms of depression, any unusual changes in mood or behavior, or the emergence of suicidal thoughts, behavior, or thoughts about self-harm. Behaviors of concern should be reported immediately to healthcare providers.
Serious Dermatologic Reactions:
Serious dermatologic reactions, including Stevens-Johnson syndrome (SJS), have been reported with ethosuximide treatment. SJS can be fatal. The onset of symptoms is usually within 28 days, but can occur later. Zarontin should be discontinued at the first sign of a rash, unless the rash is clearly not drug-related. If signs or symptoms suggest SJS, use of this drug should not be resumed and alternative therapy should be considered.
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS):
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), also known as multi organ hypersensitivity, has occurred with Zarontin. Some of these events have been fatal or life-threatening. DRESS typically, although not exclusively, presents with fever, rash, lymphadenopathy and/or facial swelling, in association with other organ system involvement, such as hepatitis, nephritis, hematologic abnormalities, myocarditis, or myositis, sometimes resembling an acute viral infection. Eosinophilia is often present. This disorder is variable in its expression, and other organ systems not noted here may be involved. It is important to note that early manifestations of hypersensitivity (e.g. fever, lymphadenopathy) may be present even though rash is not evident. If such signs or symptoms are present, the patient should be evaluated immediately. Zarontin should be discontinued if an alternative etiology for the signs or symptoms cannot be established.
Usage in Pregnancy:
Ethosuximide crosses the placenta.
Reports suggest an association between the use of anticonvulsant drugs by women with epilepsy and an elevated incidence of birth defects in children born to these women. Data are more extensive with respect to phenytoin and phenobarbital, but these are also the most commonly prescribed anticonvulsants; less systematic or anecdotal reports suggest a possible similar association with the use of all known anticonvulsant drugs.
Cases of birth defects have been reported with ethosuximide. The reports suggesting an elevated incidence of birth defects in children of drug-treated epileptic women cannot be regarded as adequate to prove a definite cause and effect relationship. There are intrinsic methodological problems in obtaining adequate data on drug teratogenicity in humans; the possibility also exists that other factors, e.g., genetic factors or the epileptic condition itself, may be more important than drug therapy in leading to birth defects. The great majority of mothers on anticonvulsant medication deliver normal infants. It is important to note that anticonvulsant drugs should not be discontinued in patients in whom the drug is administered to prevent major seizures because of the strong possibility of precipitating status epilepticus with attendant hypoxia and threat to life. In individual cases where the severity and frequency of the seizure disorder are such that the removal of medication does not pose a serious threat to the patient, discontinuation of the drug may be considered prior to and during pregnancy, although it cannot be said with any confidence that even minor seizures do not pose some hazard to the developing embryo or fetus.
The prescribing physician will wish to weigh these considerations in treating or counseling epileptic women of childbearing potential.
Ethosuximide is excreted in human breast milk. Because the effects of ethosuximide on the nursing infant are unknown, caution should be exercised when ethosuximide is administered to a nursing mother. Ethosuximide should be used in nursing mothers only if the benefits clearly outweigh the risks.
Ethosuximide, when used alone in mixed types of epilepsy, may increase the frequency of grand mal seizures in some patients.
As with other anticonvulsants, it is important to proceed slowly when increasing or decreasing dosage, as well as when adding or eliminating other medication. Abrupt withdrawal of anticonvulsant medication may precipitate absence (petit mal) status.
Information for Patients:
Inform patients of the availability of a Medication Guide, and instruct them to read the Medication Guide prior to taking Zarontin. Instruct patients to take Zarontin only as prescribed.
Ethosuximide may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a motor vehicle or other such activity requiring alertness; therefore, the patient should be cautioned accordingly.
Patients taking ethosuximide should be advised of the importance of adhering strictly to the prescribed dosage regimen.
Patients should be instructed to promptly contact their physician if they develop signs and/or symptoms (e.g., sore throat, fever), suggesting an infection.
Patients, their caregivers, and families should be counseled that AEDs, including Zarontin, may increase the risk of suicidal thoughts and behavior and should be advised of the need to be alert for the emergence or worsening of symptoms of depression, any unusual changes in mood or behavior, or the emergence of suicidal thoughts, behavior, or thoughts about self-harm. Behaviors of concern should be reported immediately to healthcare providers.
Prior to initiation of treatment with Zarontin, the patient should be instructed that a rash may herald a serious medical event and that the patient should report any such occurrence to a physician immediately.
Patients should be encouraged to enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry if they become pregnant. This registry is collecting information about the safety of antiepileptic drugs during pregnancy. To enroll, patients can call the toll free number 1-888-233-2334 (see PRECAUTIONS: Pregnancy section).
Drug Interactions:
Since Zarontin (ethosuximide) may interact with concurrently administered antiepileptic drugs, periodic serum level determinations of these drugs may be necessary (e.g., ethosuximide may elevate phenytoin serum levels and valproic acid has been reported to both increase and decrease ethosuximide levels).
To provide information regarding the effects of in utero exposure to Zarontin, physicians are advised to recommend that pregnant patients taking Zarontin enroll in the NAAED Pregnancy Registry. This can be done by calling the toll free number 1-888-233-2334, and must be done by patients themselves. Information on the registry can also be found at the website: http://www.aedpregnancyregistry.org/
See WARNINGS.
Pediatric Use:
Safety and effectiveness in pediatric patients below the age of 3 years have not been established. (See DOSAGE AND ADMINISTRATION section.)
Body As A Whole: Allergic reaction, Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS).
Gastrointestinal System: Gastrointestinal symptoms occur frequently and include anorexia, vague gastric upset, nausea and vomiting, cramps, epigastric and abdominal pain, weight loss, and diarrhea. There have been reports of gum hypertrophy and swelling of the tongue.
Hemopoietic System: Hemopoietic complications associated with the administration of ethosuximide have included leukopenia, agranulocytosis, pancytopenia, with or without bone marrow suppression, eosinophilia, and thrombocytopenia (see WARNINGS ).
Nervous System: Neurologic and sensory reactions reported during therapy with ethosuximide have included drowsiness, headache, dizziness, euphoria, hiccups, irritability, hyperactivity, lethargy, fatigue, and ataxia. Psychiatric or psychological aberrations associated with ethosuximide administration have included disturbances of sleep, night terrors, inability to concentrate, and aggressiveness. These effects may be noted particularly in patients who have previously exhibited psychological abnormalities. There have been rare reports of paranoid psychosis, increased libido, and increased state of depression with overt suicidal intentions.
Integumentary System: Dermatologic manifestations which have occurred with the administration of ethosuximide have included urticaria, pruritic erythematous rashes, Stevens-Johnson syndrome, and hirsutism.
Special Senses: Myopia.
Genitourinary System: Vaginal bleeding, microscopic hematuria.
Acute overdoses may produce nausea, vomiting, and CNS depression including coma with respiratory depression. A relationship between ethosuximide toxicity and its plasma levels has not been established. The therapeutic range of serum levels is 40 mcg/mL to 100 mcg/mL, although levels as high as 150 mcg/mL have been reported without signs of toxicity.
Treatment should include emesis (unless the patient is or could rapidly become obtunded, comatose, or convulsing) or gastric lavage, activated charcoal, cathartics, and general supportive measures. Hemodialysis may be useful to treat ethosuximide overdose. Forced diuresis and exchange transfusions are ineffective.
Zarontin is administered by the oral route. The initial dose for patients 3 to 6 years of age is one capsule (250 mg) per day; for patients 6 years of age and older, 2 capsules (500 mg) per day. The dose thereafter must be individualized according to the patient's response. Dosage should be increased by small increments. One useful method is to increase the daily dose by 250 mg every four to seven days until control is achieved with minimal side effects. Dosages exceeding 1.5 g daily, in divided doses, should be administered only under the strictest supervision of the physician. The optimal dose for most pediatric patients is 20 mg/kg/day. This dose has given average plasma levels within the accepted therapeutic range of 40 to 100 mcg/mL. Subsequent dose schedules can be based on effectiveness and plasma level determinations.
Zarontin may be administered in combination with other anticonvulsants when other forms of epilepsy coexist with absence (petit mal). The optimal dose for most pediatric patients is 20 mg/kg/day.
Zarontin is supplied as:
NDC 0071-0237-24: Bottles of 100. Each capsule contains 250 mg ethosuximide.
Store at 25° C (77° F); excursions permitted to 15–30° C (59–86° F) [see USP Controlled Room Temperature].
Revised June 2023
ZARONTIN, (Ză rŏn' tĭn)
Capsules, Oral Solution
Read this Medication Guide before you start taking ZARONTIN and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or treatment. If you have any questions about ZARONTIN, ask your healthcare provider or pharmacist.
What is the most important information I should know about ZARONTIN?
Do not stop taking ZARONTIN without first talking to your healthcare provider.
Stopping ZARONTIN suddenly can cause serious problems.
ZARONTIN can cause serious side effects, including:
1. Rare but serious blood problems that may be life-threatening. Call your healthcare provider right away if you have:-
fever, swollen glands, or sore throat that come and go or do not go away -
frequent infections or an infection that does not go away -
easy bruising -
red or purple spots on your body -
bleeding gums or nose bleeds -
severe fatigue or weakness
2. Drug reactions that may affect different parts of the body such as your liver, kidneys, heart, or blood cells. You may or may not have a rash with these types of reactions. These reactions can be very serious and can cause death. Call your healthcare provider right away if you have any of these symptoms:-
joint pain and swelling -
muscle pain -
fatigue, weakness -
low-grade fever -
pain in the chest that is worse with breathing -
skin rash -
swollen lymph glands -
swelling of your face -
yellowing of your skin or the white part of your eyes
3. Like other antiepileptic drugs, ZARONTIN may cause suicidal thoughts or actions in a very small number of people, about 1 in 500.
Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:-
thoughts about suicide or dying -
attempts to commit suicide -
new or worse depression -
new or worse anxiety -
feeling agitated or restless -
panic attacks -
trouble sleeping (insomnia) -
new or worse irritability -
acting aggressive, being angry, or violent -
acting on dangerous impulses -
an extreme increase in activity and talking (mania) -
other unusual changes in behavior or mood
Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. -
Keep all follow-up visits with your healthcare provider as scheduled.
Stopping ZARONTIN suddenly can cause serious problems. -
Stopping a seizure medicine suddenly in a patient who has epilepsy can cause seizures that will not stop (status epilepticus).
What is ZARONTIN?
ZARONTIN is a prescription medicine used to treat absence (petit mal) seizures.
Who should not take ZARONTIN?
Do not take ZARONTIN if you are allergic to succinimides (methsuximide or ethosuximide), or any of the ingredients in ZARONTIN. See the end of this Medication Guide for a complete list of ingredients in ZARONTIN.
What should I tell my healthcare provider before taking ZARONTIN?
Before you take ZARONTIN, tell your healthcare provider if you:
have or had liver problems -
have or have had depression, mood problems or suicidal thoughts or behavior -
have any other medical conditions -
are pregnant or plan to become pregnant. It is not known if ZARONTIN can harm your unborn baby. Tell your healthcare provider right away if you become pregnant while taking ZARONTIN. You and your healthcare provider should decide if you should take ZARONTIN while you are pregnant. -
o If you become pregnant while taking ZARONTIN, talk to your healthcare provider about registering with the North American Antiepileptic Drug (NAAED) Pregnancy Registry. The purpose of this registry is to collect information about the safety of antiepileptic drugs during pregnancy. You can enroll in this registry by calling 1-888-233-2334.
are breast-feeding or plan to breast-feed. It is not known if ZARONTIN can pass into breast milk. You and your healthcare provider should decide how you will feed your baby while you take ZARONTIN.
Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Taking ZARONTIN with certain other medicines can cause side effects or affect how well they work. Do not start or stop other medicines without talking to your healthcare provider.
Know the medicines you take. Keep a list of them with you to show your healthcare provider and pharmacist when you get a new medicine.
How should I take ZARONTIN?
Take ZARONTIN exactly as prescribed. Your healthcare provider will tell you how much ZARONTIN to take. -
Your healthcare provider may change your dose. Do not change your dose of ZARONTIN without talking to your healthcare provider. -
If you take too much ZARONTIN, call your healthcare provider or your local Poison Control Center right away.
What should I avoid while taking ZARONTIN?
Do not drink alcohol or take other medicines that make you sleepy or dizzy while taking ZARONTIN without first talking to your healthcare provider. ZARONTIN taken with alcohol or medicines that cause sleepiness or dizziness may make your sleepiness or dizziness worse. -
o Do not drive, operate heavy machinery, or do other dangerous activities until you know how ZARONTIN affects you. ZARONTIN can slow your thinking and motor skills.
What are the possible side effects of ZARONTIN?
See "What is the most important information I should know about ZARONTIN?"
ZARONTIN may cause other serious side effects, including:
Serious allergic reactions. Call your healthcare provider right away if you have any of these symptoms: -
o skin rash -
o hives -
o sores in your mouth -
o blistering or peeling skin
Changes in thinking, mood, or behavior. Some patients may get abnormally suspicious thoughts, hallucinations (seeing or hearing things that are not there), or delusions (false thoughts or beliefs). -
Grand mal seizures can happen more often or become worse
Call your healthcare provider right away, if you have any of the symptoms listed above.
The most common side effects of ZARONTIN include
Tell your healthcare provider about any side effect that bothers you or that does not go away.
These are not all the possible side effects with ZARONTIN. For more information, ask your healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store ZARONTIN?
Store ZARONTIN capsules at room temperature, between 59°F to 86°F (15°C to 30°C). -
Store ZARONTIN syrup (oral solution) at 20°–25°C (68°–77°F). Preserve in tight containers. Protect from freezing and light.
Keep ZARONTIN and all medicines out of the reach of children.
General information about ZARONTIN
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use ZARONTIN for a condition for which it was not prescribed. Do not give ZARONTIN to other people, even if they have the same condition. It may harm them.
This Medication Guide summarizes the most important information about ZARONTIN. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about ZARONTIN that is written for healthcare professionals.
For more information, go to www.pfizer.com or call 1-800-438-1985.
What are the ingredients in ZARONTIN?
Active ingredient: ethosuximide
Inactive ingredients: Polyethylene glycol 400, NF; D&C yellow No. 10; FD&C red No. 3; gelatin, NF; glycerin, USP; and sorbitol.
Oral Solution
Inactive ingredients: Each 5 ml (teaspoonful) of oral solution contains 250 mg ethosuximide in a raspberry flavored base. Also contains citric acid, anhydrous, USP; FD&C red No. 40; FD&C yellow No. 6; flavor; glycerin, USP; purified water, USP; saccharin sodium, USP; sodium benzoate, NF; Sodium Citrate, USP; sucrose, NF.
This Medication Guide has been approved by the U.S. Food and Drug Administration.
June 2023
PRINCIPAL DISPLAY PANEL - 250 mg Capsule Bottle Label
capsules, USP)
250 mg
100 Capsules
Rx only


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The Tug-of-War Between Recognition and Engagement
Employee engagement principles provide the opportunity to turn recognition costs into investments by putting the focus on the end-result
Over the last two decades, the recognition field has become a multi-billion-dollar business with over a dozen leading solution providers and hundreds of smaller ones across the U.S. Companies spend billions on service awards and related recognition programs; several best-selling books, most notably Chester Elton, author of The Carrot Principle, and Dr. Bob Nelson, author of 1,501 Ways to Reward Employees, helped draw unprecedented attention to the field and the importance of employee inspiration.
In addition, Recognition Professionals International has created a formal certification and awards program that has advanced best practices, and industry leaders such as Rideau, Globoforce, Achievers and others have published their own books, research and other information highlighting the importance of recognition and best practices.
Without the work of these individuals and organizations, it's questionable as to whether there would ever have been an engagement movement. In fact, many recognition companies have begun to talk about employee engagement on their websites and how recognition can enhance it. So what is the difference between recognition and engagement?
According to Businessdictionary.com, recognition is: "Communication between management and employees which rewards them for reaching specific goals or producing high quality results in the workplace. Recognizing or honoring employees for this level of service is meant to encourage repeat actions, through reinforcing the behavior you would like to see repeated." And here is its definition of employee engagement: "The emotional connection an employee feels toward his or her employment organization, which tends to influence his or her behaviors and level of effort in work-related activities. The more engagement an employee has with his or her company, the more effort they put forth. Employee engagement also involves the nature of the job itself – if the employee feels mentally stimulated; the trust and communication between employees and management; ability of an employee to see how their own work contributes to the overall company performance; the opportunity of growth within the organization; and the level of pride an employee has about working or being associated with the company."
Recognition is a critical component to employee engagement, but as the definition above implies, it takes more than recognition alone to foster the proactive involvement of all those critical to organizational success. It turns out that while corporations and their recognition firms have traditionally placed the focus on recognition, it's only one of a number of key tactics required to engage people to accomplish critical goals. In the world of employee engagement, organizations invest in strategies and tactics that help achieve concrete financial or other performance goals – not simply employee happiness, but improved talent retention and recruitment, maximum service levels for both external and internal customers, continuous performance improvement and innovation, wellness, safety, etc.
Employee engagement doesn't replace recognition. In fact, recognition is a critical part of employee engagement efforts and will continue to prosper with the emergence of engagement. In the world of employee engagement, recognition is one of many tools that address all of the necessary levers of engagement to achieve critical goals that support the brand, culture and the actions or behaviors that drive success, either internally in terms of quality, productivity and wellness, or externally in terms of increased customer engagement and loyalty. In other words, employee engagement focuses on promoting key actions employees can take to contribute to success not only by using recognition, but also by integrating the other levers of engagement required to foster the proactive involvement of people in a way that contributes to concrete success, as the Businessdictionary.com definition implies. These include such tactics as management, coaching, career laddering, communications, learning, innovation, collaboration and analytics.
Recognition focuses on the need for employees to feel valued and supported; employee engagement focuses on the specific results an organization is seeking to achieve in a measurable way by addressing all of the levers of engagement. While addressing extrinsic and intrinsic motivational drivers is important, recognition alone simply isn't enough to foster the proactive involvement of people to achieve key organizational results.
While recognition programs are traditionally viewed as a cost center allocated to human resources budgets (and frequently subject to cuts during difficult times), employee engagement is a profit center. The point isn't simply to recognize people for the right behaviors – important enough – but also to gear everyone's passions, capabilities and interests toward helping to achieve concrete measurable goals from which all can benefit. Recognition focuses specifically on the intrinsic or extrinsic motivational drivers that, while important, aren't alone sufficient to produce a measurable return on investment. When an organization purchases recognition, it's creating a cost center based on purchasing "things" or "software," when the opportunity of employee engagement is to create a profit center based on achieving specific goals through people. Employee engagement principles provide the opportunity to turn these costs into investments by putting the focus on the end-result: employees engaged specifically to achieve critical organizational goals, rather than on the thing, "recognition," or even a state of "engagement" or some other happiness metric.
This isn't just a matter of nomenclature; it drives the entire approach to how organizations utilize dollars allocated to traditional recognition programs. With recognition, one considers the best ways to recognize people, for what actions, and considers how people will be trained to recognize one another, share information on technology and perhaps measure levels of engagement over time. This is all an important component of engagement and should be implemented by experts. The focus on employee engagement shifts the program design process and planning process in a way that provides a more clear return-on-investment than the traditional recognition model by addressing not only recognition, but the levers most necessary in an organization's circumstances to achieve specific, measurable goals. Those same dollars allocated to recognize people can get even more mileage when integrated with all of the levers needed to achieve concrete organizational goals – not to mention the "warm and fuzzy" benefits of having an engaged workforce.
Organizations seeking to profit from employee engagement in a measurable way require a different approach that starts specifically with what the organization is trying to accomplish in terms of increased customer or employee retention; more customer or employee referrals; more of the behaviors or actions required to fulfill brand promises; specific actions that improve external or internal service, productivity, or wellness; etc.
It's almost impossible to develop a program to address an organization's specific engagement goals with any pre-conceived solutions as to the type of program, award or technology required. Each organization is a snowflake with its own unique goals, culture, practices and technology platforms. If the goal is simply to recognize people for whatever the company wishes to recognize, there are dozens, if not thousands, of reward and technology solutions. If the goal is to focus the recognition dollars on promoting behaviors that contribute to brand equity through customer satisfaction or to the bottom line in other ways, then it's simply impossible to provide a pre-packaged solution focused solely on recognition, social or otherwise.
Employee engagement program design requires understanding the organization's specific goals and its culture, history, assessment processes, learning, communications, career development, coaching and other practices already in place. Just a small investment in a zero-based planning process to develop an engagement business plan yields a level of potential return-on-investment hard to achieve in any other area of business.
Managers of recognition programs and their solution providers have a big stake in the traditional focus on recognition, rewards and technology, as this is the way business has been done for years. For some recognition planners, employee engagement involves issues outside of their area of influence and therefore pose a complication they'd rather avoid. For some solution providers who have invested millions in selling recognition and technology, it may be difficult to make the shift because of their roots and investments. For others, it will be an opportunity to add additional value within their organizations or with their customers.
But as more and more recognition and technology providers claim to help improve employee and customer engagement, companies can benefit by understanding what this really means. Of course recognition engages, but do all recognition companies develop recognition or engagement programs or both? In other words, do they sell recognition or do they sell zero-based employee engagement strategies, tactics and campaigns to achieve specific objectives utilizing whatever levers of engagement make sense?
Enterprise Engagement: The Textbook, published by the Enterprise Engagement Alliance; the Conference Board's Engagement Institute; and Great Britain's Engageforsuccess.org movement all underline that recognition is just one element required to profit from employee engagement strategies which, they all agree, address the following issues:
- There is a clear engagement strategy with a return-on-investment.
- Employees have a clear idea of the mission and the behaviors that drive success and how they can grow.
- People are capable of doing what is asked – i.e., they have the training to do what is necessary to excel.
- There is a clear understanding of the role of every person in fulfilling the brand promise.
- People feel supported by the organization, have generally positive feelings when at their work and even have fun sometimes.
- There is a sense that everyone at every level can contribute and feel empowered to help innovate and continually elevate standards.
- Performance results are shared with all the necessary feedback so that the lessons can be used to improve performance in the future.
Many organizations can develop highly appealing and appropriate awards for performance; others can provide technologies that recognize people and create community. When it comes to employee engagement, the real challenge is to develop the appropriate program leveraging your organization's current resources whenever necessary that achieves measurable results, so the program becomes a profit center.
For organizations making the shift to employee engagement profit centers, the best way to start is with one part of the organization or one specific challenge the company faces – or in the words of Enterprise Engagement: The Textbook contributor Gary Rhoads, Professor of Marketing and Entrepreneurship at the Marriott School of Business at Brigham Young University, identifying "a dragon to slay."
Employee Engagement | Recognition |
Goal: To foster the proactive involvement of people to achieve critical, measurable organizational goals. | Goal: To create a culture in which people feel valued and supported, as well as recognized for their accomplishments. |
Methods: Based on an analysis of the goals, assessment data, interviews with management and employees, and other input, create a zero-based engagement plan that integrates all of the levers necessary to accomplish a desired result, including recognition, communications, training, and innovation, ROI measurement. | Methods: Based on the same sort of analysis employed with any program design, create a plan designed to foster a culture in which people feel valued and recognized for their contributions; this generally involves and employee engagement survey, other assessment, and management training and coaching. |
Deliverables: A unique strategy with a clear return-on-investment that includes the specific engagement levers necessary, including rewards and recognition, social media, communications, learning assessment and other tools to achieve the desired goals. | Deliverables: A strategy to recognize people for their accomplishments through technology, rewards, recognition and social networking, and to measure that impact on culture and outcomes whenever possible. |
Business model: Organization pays an upfront program design and set-up fee and pays the rest out of incremental dollars or other material benefits generated as a result of the program. | Business model: Organization sets aside a budget for the program, whose costs are generally based on how much people recognize one another for designated behaviors. |
Technology: The organization has a choice of multiple technologies or other solutions based on its needs, but often faces the challenge of integrating all of the levers of engagement on to one platform; i.e., communications, learning, rewards and recognition ROI measurement, etc. | Technology: A wide variety of recognition solutions exist, including many with social recognition features, badges, awards, peer-to-peer recognition and more. In many cases, the company has to purchase the technology provided by the reward provider; however, several awards-neutral options exist. |
Rewards and Recognition: The organization can select from multiple options based on its specific needs. | Rewards and Recognition: The organization generally has to use the rewards provided by its recognition service provider. |
Return-on-Investment Measurement: The organization can track the specific return-on-investment based on the goal it is seeking to achieve in terms of sales, productivity, quality, service, retention, wellness, safety, etc. | Return-on-Investment Measurement: The organization can track usage of the program, the behaviors rewarded, the cost, the levels of employee retention and referrals, etc. and the relationship of those behaviors to organizational goals. |


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The Dog That Didn't Bark
Thursday, April 29, 2010
The Magistrate's Blog: The Dog That Didn't Bark In The Night.
I rarely agree with Bystander at The Magistrate's Blog. He has those moral calluses that policemen, magistrates and judges acquire from long labour at the coal face of justice. He tends to see everyone as a potential offender and is particularly unfond of motorists. Yesterday, however, he made a good point; one also made by Henry Porter in his foxhole behind enemy lines at The Guardian;
What is worrying is the chill that has descended on civil liberties, as though freedom was some minority issue for eccentrics, rather than the oxygen of democracy. The failure of the Conservatives and the Liberal Democrats to raise the attack on liberties by the Labour party and so signal its vital importance to the electorate is one of the more depressing aspects of the last few weeks.
Poor dear Henry underestimates the issue. Freedom is not subordinate to democracy. Democracy is of no value unless it serves to protect freedom. It can sometimes be better to be a subject of a tyrannical but limited monarchy than a citizen of a big State kleptocratic democracy.
Labour's worst crime has been its onslaught on Liberty. Five long years and thousands of words ago, that onslaught inspired me to start this blog. This election is a disappointment to me in so many ways, but the key one is this. For all that Labour has done, Liberty is not an election issue.
Our infantilised electorate has been under the clumsy care of Mother State for so long that the bars of its play pen have become its horizon. As Bystander says, echoing Porter;He goes on to make the interesting point, of which I was only vaguely aware, that thousands of new crimes are largely enforced not by the courts but by legions of public servants;
The logic is simple, Bystander. It's not about the command given, but the response. These offences are not about restraining wrongs at all. They are about training citizens to instant obedience, and state servants to command. The more illogical, for that purpose, the better. When you call your dog to heel, do you want him to consider why? Labour only knows that the state, when guided by it, knows best. In its view, that's all we need to know. To question is to be insubordinate.
I began to blog as a disillusioned Conservative. I could not understand why my then party was no longer making the case for freedom. Blogging introduced me to a band of others who believe the state should be subordinate to the citizen, but we are few, far apart and often more inclined to bicker than to unite against tyranny. I fear we may have achieved nothing but to give some future Stasi a convenient list of doors upon which to knock in the night.
Consider the language of election coverage. According to our press (and Bystander) we are choosing who will "govern" or even "rule" us. Consider the key issues; they are all to do with the performance of the State, not its size or scope. The children want a newer, stronger playpen and more and brighter toys. They don't care how mummy affords them and they certainly have no desire or inclination to grow up and buy their own. I may yet have the satisfaction of outliving the Labour Party, but I despair of outliving its evils.


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As promised here is another great giveaway for you all. These are actually back ups which I probably will not get to...sooo why not give it away to my amazing readers. All of your great comments and support is the reason why I continue to blog <3
My 2 year bloggerversary is coming up in Dec :D So the giveaways will keep on coming!
You can win 3 brand new limited edition MAC products!
- MAC Slimshine in Gentle Simmer
- MAC Dazzleglass in Roman Holiday
- MAC Iridescent Powder in Belightful
* This an INTERNATIONAL contest!
* One Winner will be chosen
* You must be a follower of my blog
* You must be 17+
Contest ends: November 21, 2010 @ 12:01 AM
* Don`t forget to press submit to make sure your info goes through!


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Governor, First Lady promote literacy with Read Across Georgia
Gov. Nathan Deal, First Lady Sandra Deal, Georgia Department of Early Care and Learning Commissioner Bobby Cagle and state School Superintendent John Barge today joined together to kick off "Read Across Georgia" month in the North Wing of the state Capitol.
"We must increase the percentage of children reading well and independently at grade-level because this lays the groundwork for all of their future academic and career endeavors," said Mrs. Deal. "This past year, I had the opportunity to visit 100 counties and 170 schools emphasizing to parents, teachers and mentors the importance of being proficient in reading. I look forward to seeing what we can accomplish during my Read Across Georgia initiative this year."
As a part of the celebration, DECAL will sponsor "Georgia Reads Aloud Day" on Tuesday, March 19. On this day, parents, child care providers and the entire community are encouraged to make a special effort to read to children of all ages. Classrooms are also invited to enter a contest for the "Most Books Read" between the hours of 7 a.m. and 6 p.m. on March 19. The winning classroom will receive a special visit and reading from Mrs. Deal and DECAL Commissioner Bobby Cagle. Downloadable book lists, bookmarks and certificates for storytellers are available here.
"Reading can have a huge impact in the lives of our state's youngest learners and 'Read Across Georgia' and 'Georgia Reads Aloud Day' are great ways for everyone to get involved," said DECAL Commissioner Bobby Cagle. "Both programs support Governor Deal's goal to have all of Georgia's children reading on grade level by third grade."


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We just recorded this today April 1st 2016, and it's 45 minutes of a relaxing spring rainstorm. It has birds, soft and hard rain, thunder, and even a few sirens in the far far distance at times. This is a great video to fall asleep too. Bookmark this page, and come back. Also be sure to share and like. We are going to test the video tonight when we sleep..you should give it a try too. Sure beats a $30 dollar sound machine with a 10 second rain loop.
Picture of girl in rain can be downloaded here
Download the wav version of this file here (400MB)
the BG image is also creative commons and download it here
As always be sure to give us credit and reference if you use our audio in your projects. We've had hundreds of issues with people not leaving credit, and then when we go to use the sound we recorded…we get hit with copyright automated warnings. Please help us out. Have a great day and sleep well.


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The Local newsletter is your free, daily guide to life in Colorado. For locals, by locals. Sign up today!
It's late, maybe 1:30 a.m. I'm sitting on the floor of our two-bedroom suite at the Patterson Inn, peering out an east-facing window. Even at this hour, the streets below are alive with the after-midnight crowd for which Denver's Capitol Hill neighborhood is known. Every now and again, I glance over at the king-size bed where my husband lies asleep, sure the revelers will have disturbed him. But he does not stir, leaving me alone to consider the remarkable place in which I find myself tonight.
The Patterson Inn, located at the corner of 11th Avenue and Pennsylvania Street, opened as a nine-suite bed-and-breakfast in October 2012, but the mansion is not what you might call new-build. In fact, the nearly 14,000-square-foot red sandstone home with French Chateau and Richardsonian Romanesque features was built in 1891 by Thomas B. Croke, a Denver-area businessman and later a state senator.
Croke bought the land—three lots on what was then known as Block 77 of Brown's Bluff—and commissioned Isaac Hodgson Jr. to design the main structure and a carriage house. In those days—a few decades after the Pikes Peak gold rush, just 15 years after Colorado became a state, and 17 years before the Capitol building was completed—the elevated east side of Denver was quickly becoming the place to live for the city's elite. Croke and his family moved into the lavish new home, but, according to historical documents, they didn't stay long. Although the reason Croke left his recently completed home may never be known, a flailing economy and the silver market crash of 1893 could have been factors that led him to make a real-estate deal with Thomas Patterson, the subsequent and best-known owner of the home.
Although the nighttime air is cool, I open the window and try to imagine what the area might have been like 120 years ago. At that time, Denver bustled with a population of roughly 100,000 inhabitants who worked in wholesale trade, manufacturing, agriculture and ranching, and mining, or for the railroads. Ladies decked out in high-necked, puffy-shouldered blouses and bell-shaped skirts and men in narrow trousers and tailored jackets strolled along these neighborhood streets. Horse-drawn carriages plied the roads. Thomas Patterson—who was a majority owner of the Rocky Mountain News—his wife, Kate, and their two daughters would've been seen coming and going from what became known as the Croke-Patterson Mansion, a structure listed on the National Register of Historic Places.
The green glow from the digital clock flashes 2:10 a.m., and I decide it's finally time to close the window, slide under the down comforter, and shut my eyes. As I tiptoe toward the bed, though, a chill catches my bare legs and a feeling of unease stops me where I stand. I look around the Cheshire suite—a whimsical accommodation with an Alice in Wonderland theme, bright colors, quirky furnishings, and a beautifully renovated bathroom—to see and hear nothing that could've caused my angst. I shrug it off, but as I pull up the covers I can't help but ask myself a question: Could the rumor that the Croke-Patterson Mansion is haunted be true?
Although the light of day helps, there's little argument that the Croke-Patterson Mansion—now the Patterson Inn—looks haunted from the outside. There's the vaulted, multilevel dark gray roof. The turrets and towers. The small windows in odd locations. It's got that Beauty and the Beast, creepy-old-castle vibe. But Brian Higgins—the Denver architect who fell in love with the old house, bought it with his family, and fully renovated it—isn't keen on talking about the eerie folklore that surrounds his property. Instead, he wants people to think of it as an upscale and charming inn nestled into one of Denver's hippest urban communities.
And, of course, the Patterson Inn is both of those things. Rooms start at $169 per night, a rate that includes a wine and hors d'oeuvres hour as well as a breakfast of quiches, meats, cheeses, pastries, fruit, juices, coffee, and teas in the dining room. The refinished hardwoods, the original stained glass windows, the detailed plasterwork, the 1890s-era weight-and-pulley windows, the restored chandeliers—the house is simultaneously old and new, and decidedly enchanting. Each bedroom's decor is loosely based on a movie—Prague takes its cue from Harry Potter, the Library from Clue—and has a smattering of one-of-a-kind pieces of furniture and complementary artwork. The beds are unquestionably comfortable. The bathrooms have amazing showers. The flat-screens are what you wish you had in your own home. And the location is within walking distance of some of the city's trendiest restaurants, coolest bars, and most popular tourist attractions.
Still, it's hard to ignore the Patterson's past and the mysterious anecdotes—some real, some unconfirmed—that the mansion can't seem to shake. Tales abound of a frail female spirit who roams the home's grand staircase; of eerie cries of an infant from a bygone era; of dogs living in the house that jumped to their deaths from the third-level tower room window; of the cold spot just in front of the large mirror in the main foyer; and of the suicide of a doctor's wife from cyanide gas poisoning. Higgins knows the stories. In fact, he was so acutely aware of the house's history and associated legends that he decided to film the demolition and renovation process, which began in October 2011 and lasted through September 2012.
When Higgins bought the mansion for $565,000—a bargain for the area—he knew he would need to spend at least that much to rehabilitate the dilapidated home. The red sandstone on the exterior was in need of repair. The plumbing and most of the electrical would need to be replaced. And he'd have to install an elevator. Although there were hiccups along the way—like knocking down a ceiling only to find another ceiling above it, and an unexplained fire on the second floor just days before the inn was supposed to open—Higgins says the overhaul didn't give him more than he could handle as an architect and developer. In other ways, though, the house did divulge more than he could've imagined.
"We pulled items out of the walls that really took us back to the early days of the house," Higgins says. "Things like old children's clothing, a newspaper from 1891, eyeglasses from the turn of the century, clips from a garter belt, and a large candle from the '40s." Higgins even found small, old glass vials about the size of AA batteries that had been thrown into a fireplace. There is, of course, no way to determine to whom the items belonged; however, Higgins knows these details—as well as his forthcoming documentary film—will only add to the rich lore of the Croke-Patterson Mansion.
Hours before my late-night windowside musings, my husband and I stroll the blocks surrounding the Patterson Inn. Although we live less than five miles from Capitol Hill, we've never wandered on foot through the area's leafy streets. Tucked amongst apartment buildings and high-rises are remnants of the neighborhood the Pattersons once knew. Every few blocks a historic home—the Capitol Hill, Boettcher, and Grant-Humphreys mansions—stands resolute in the face of time and reminds us why this part of Denver, and more specifically a long section of nearby Grant Street, was once called Millionaire's Row.
After our twilight amble, we head to the intersection of Grant Street and Seventh Avenue, where we duck into the seven-month-old Vesper Lounge for a cocktail—the on-tap old fashioned seems appropriate, although the Silver Gin Fizz is just as tasty. We chat with the barkeep until it's time to walk next door to Mizuna, one of Denver's finest fine-dining establishments, for our dinner reservation. Over seared veal tenderloin, Skuna Bay salmon, and a bottle of Syrah—we know we're walking "home," after all—we talk about our plans for the next morning.
From the inn, we have our choice of easy-to-walk-to attractions—a handful of places that, even though we live in Denver, we sometimes forget to make time to enjoy: the Molly Brown House Museum, the Denver Art Museum, the Clyfford Still Museum, Cheesman Park, and the History Colorado Center. As we linger over a dessert of warm chocolate cake, we decide to wait until the morning to settle on a destination. After all, in the backs of our minds we know we could choose a different option altogether: sleeping in late, relishing in a breakfast we didn't cook, and spending some time in a home that is an extraordinary experience in its own right.


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Join Troop 159
Boy Scouting is for boys who are 11, or are at least 10 years old and have completed the fifth grade or have earned the Cub Scout Arrow of Light Award, through 17 years old. Boys experience a vigorous outdoor program and peer group leadership with the counsel of an adult Scoutmaster to achieve the BSA's objectives of developing character, citizenship, and personal fitness. Camping, fun with friends -- and more. It's the adventure of a lifetime.
Give your son a valuable gift by encouraging him to join Boy Scouting today. The time you invest in him today will make a difference in the person he becomes tomorrow.
We meet weekly on Tuesdays at the American Legion on Hwy 21 at 7pm.
For information contact Scoutmaster David Wellman (979)220-8962


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On March 9th the Federal Aviation Administration requested comments from the public on drone test sites. On May 8th, lengthy comments were submitted by Not 1 More Acre! and Purgatoire, Apishapa & Comanche Grassland Trust. The FAA asked all the wrong questions, but still got a lot of the right answers. When the drone accidents start, and you're told "Nobody could have known," refer them here: PDF.
I would have asked "Should weaponized drones be permitted to exist on earth?" and "How can surveillance drones possibly comply with the Fourth Amendment?" The FAA asked:
"The Congressional language asks the FAA to consult with and leverage the resources of the Department of Defense and NASA in this effort. Since many public operators already have access to test ranges and control the management and use of those ranges, should the management of these new test ranges be held by local governments or should private entity [sic] schedule and manage the airspace?"
Not 1 More Acre! replied:
"Neither. Although the pilot UAS [Unmanned Aircraft System] program is a Congressional mandate, and the timelines are accelerated, the complexities and potential dangers of integration of UAS into civilian airspace must not be delegated to local governments or private organizations in the name of expediency, entrepreneurship, or profit. . . . The wording of Question A suggests that the FAA is contemplating abdicating its inherent authority to manage the NAS [National Airspace System] by ceding broad discretion over UAS flight operations. . . .
". . . The primary driver of the move to integration has clearly been contractors funded by the DOD, working in concert with the secretive Joint Special Forces Operation Command, the Department of Homeland Security, and the CIA, among others. . . . Private defense [sic] contractors increasingly woo local law enforcement agencies and other community groups with grants to help fund the purchase of new UAS. The FAA should not allow any other federal agency to usurp its authority over the NAS or circumvent the pre-decisional public disclosure requirements of NEPA [National Environmental Policy Act] including agencies like the CIA, NASA, and JSOC which are not transparent or accountable to the public."
Of course, there's a catch. Even the accountable agency has, naturally, ceased to be accountable:
"However, the FAA has never conducted any NEPA review related to UAS. The agency has never prepared an Environmental Impact Statement or Environmental Assessment to disclose the potential impacts of UAS to the public and agency officials, despite issuing hundreds of Certificates of Waiver and Authorization to some 60 public agencies."
Have you heard about the 51st State for Armed Robotic Drones?
The 63 drone sites in the U.S.?
The 30,000 drones planned for U.S. skies?
The habit drones have of crashing even on their own?
While initially cheaper than manned planes, unmanned drones of the sort used now tend to require many more personnel: 168 people to keep a Predator drone in the air for 24 hours, plus 19 analysts to process the videos created by a drone. Drones and their related technologies are increasing in price rapidly. And to make matters worse, they tend to crash. They even "go rogue," lose contact with their "pilots" and fly off on their own. The U.S. Navy has a drone that self-destructs if you accidentally touch the space bar on the computer keyboard. Drones also tend to supply so-called enemies with information, including the endless hours of video they record, and to infect U.S. military computers with viruses. But these are the sorts of SNAFUs that come with any project lacking oversight, accountability, or cost controls. The companies with the biggest drone contracts did not invest in developing the best technologies but in paying off the most Congress members.
What could go wrong?
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Premium Burp Cloths - June
Baby burp time is suddenly on point thanks to the trendy, beloved fabrics that made you fall in love. Who would have thought baby could spit up in style? The front of each fashion forward burp cloth comes in modern, chic patterns on 100% cotton. When "fashion meets function". With these burp cloths, the dreaded leakage of spit up and drool onto parents clothing are a problem of the past! A middle fleece layer provides superior absorbency, stopping those unpleasant baby fluids in their tracks. A generous
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Product Details
- 100% cotton fabric on front and back of the cloths
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- Pack of 3. Makes the best gift set for new parents, new grandparents or baby showers.