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21 Responses to "Trigger Finger in Rheumatoid Arthritis"
Best care for my trigger finger has come from my family practice doc. HIs skills and knowledge are completely sufficient, and he takes a little more time, pays a little more attention than specialist such as an orthopedist, even though rheumatologist (excellent physician, this is not a complaint) seems concerned about PCP doing this work for me. I've had more in 2nd, 3rd, 4th fingers, on an off since early 1990's — long before RA diagnosis circa 2003.
Keyboard work was definitely an aggravating factor to most occurrences. Family doctor is nearer to my home and more accessible and less costly than specialist for care.
So many crazy things with ra/rd I have had issues with my elbow it happened gradually and I must have adapted until I went and seen a new dr and he asked how long my arm had been contracted like that? My arm was parallel to my body and I had not even noticed. I responded really well to steroids and was able to reverse it. I hope u have the same luck.
Are you saying that the locked fists I wake up with many mornings is trigger finger?
I was diagnosed with RD in 2008. During flares my hands are tightly balled fists when I wake up and it takes some work to get them loose and open. It feels as if the knuckles are locked in place. I've mentioned this to my rheumy before and they didn't seem to care much about it.
I have it in both thumbs, so far injections in both, 2 on my writing hand. I wear braces at night and during the day if they feel like they are 'acting up'. I have 3 different sets of braces for my hands/wrists – for differing occasions of pain levels. It gets old in a hurry, for sure.
I got the official RA/RD diagnosis April 21, 2014.. just 3 years ago! So fairly new to all of this!! I did have a trigger finger before that and thankfully it cleared on its on.. however I still have that achey feeling at the base of that finger and worry it will start up again!!
So many things to be concerned about and nobody to talk to!!
God bless you for all you are doing!!
Without you out there, where would the RA/RD Community be!!!
Take care of yourself and Roo!!!
Been praying for you all!!!
Ginger in Ky❤
What a timely article for me as my left palm is full of corded knots. The rheumatologist refused to inject my hand this week stating that the structure is so tight that if he pierced it with a needle to inject it could tear the tendon resulting a emergent surgery vs. the planned surgery he wants me to have. I also have carpal tunnel syndrome in both hands. I am going to bypass my scardy-cat Rheumatologist and see my ortho for injection evaluation. I do not make a good surgical patient due to diabetes.
This topic is so timely for me! I spent 2015 with trigger finger and had no idea what to do! I saw the primary and had X-rays and said that it was due to arthritis, gave me a NSAID. Done…In 2016, an NP suggested that I see a Rheumatologist (pos ACCP). The rheumatologist said that it was due to arthritis. Yesterday, my new Rheumatologist said, "oh that's trigger finger". By the way, he spent two hours with me and is re-evaluating me for RA. I was diagnosed last year but want a second opinion after my experiences with Dr. Do-little, I I . This is my favorite site and it has helped me cope! Thank you!
My left hand was in a fist complicated by ulnar drift. I had four joint replacements. The results are not perfect, but the pain was diminished.
Hi all,
I have just been recently diagnosed with this fun disease. 2 years ago I woke up and there were huge lumps on my hands. Very odd. No pain. I thought I popped something playing with my dog. (yes I'm serious) Then my whole hands blew up and I couldn't use them! yikes! So I went to my primary Dr. and she said, "boy you get some strange stuff happen to you". yup. so she had no damn idea what was wrong with me. prednisone. That made me just feel awful. I went back to her and told her what it was doing to me and she said, hmmm… can you pee in this cup? Sure, why not. Off I went. Now, my symptoms were, constant urination, extremely blurred vision, and last but not least I couldn't stay awake. I hit a car because I fell asleep while sitting in traffic. Ok. so she come back into the room and says welp you are diabetic! WHAT?! How? UGH!! Still have no idea why I cannot use my hands mind you. So off to the endo I go. Got all kinds of neat meds. Yikes. Oh and she took blood to test for all kinds of fun stuff. One of the tests was RA. Came back negative. Cool. She suggests I go to see an ortho for carpal tunnel. k. he sends me for all kinds of neat tests. Says you need surgery. uh no. He says but I want you to see a Rheumatologist first to rule out RA because if you have that then that's probably what is causing all of this inflammation. k. Go see RA doc. He tests me for RA too but says it's just a formality because you are text book. k. Here goes more meds. I was so overwhelmed I was in tears when I left that office. I was 48 years old and called my mother crying! After she calmed me down I realized I can do this. I am 50 now and boy let me tell you, God is testing me! I am at my wits end. Methotrexate caused issues with my liver. Now I have a liver specialist. oi. I am now on orencia and am in the middle of a huge long lasting flare. Everything in my body hurts. Joints I didn't even know I had are hurting. Fat little fingers. Still have to work though because, well, bills don't pay themselves. So here I am today changing my whole life to get rid of this God awful disease as well as diabetes. I am changing my diet, because of course I'm fat. I am have been listening to pod casts and learning what to eat and how to be healthy. So here goes another journey!!
To my RD friends I have found an amazing product made from Kannaway.
The CBD Oil sauve starts to reduce my inflammation in 15 minutes or less. It can't fix our joint destruction, but it helps with inflammation anywhere on your body. Trigger fingers do not happen since staring this product. Please look into this Kannaway Company…it's amazing. Please DM for more information.
I have that problem in my right thumb, it always happens when I'm working and you can't do a darn thing about it until it decides to loosen itself up!
O my goodness I just happened on this site and I'm thrilled!' U r all talking about me!!! I thought I was just weird!! I feel so validated!!!! RA Dr. and pain management along w/ many many many injections in hands for trigger finger all 10! ? But it has kept me going! But the blurred vision , the constant need to pee(sorry) and some of the other symptoms I had no idea were related! My Dr. has never associated all my symptoms to RA! Although she's the one who diagnosed! Go figure! Now I feel rather stupid not doing some research myself! As I stated I've had injections to many to count and doc wants to do surgery , so I'm wondering if any of u have had the surgery and ur experiences,recovery time ,and did it help! So very very happy I found this site!! Thank u all for sharing!! So wonderful to know I'm not alone and not loosing my mind thinking it's just me!! GOD BLESS EACH AND EVERYONE ONE OF U !!❤
My trigger finger is always just swollen up like a balloon and can't extend out straight or make a fist. And the radiating pain makes it hard to hold a pen or carry heavy objects.
My first trigger finger was at age 16. Two steroid shots and surgery fixed it…for 2 years. Then another round of shots and another surgery to completely cut the tendon. Biopsy shows tissue had rheumatoid factor. Rheumatologist said no way I have RD. Fast forward another 4 years to the age of 22 and another trigger finger surgery. Once again, biopsy shows rheumatoid factor. That is how I was diagnosed 7 years ago. My bloodwork has never shown a positive RF but those two surgery biopsy did, and I have all the symptoms.
I was diagnosed with RA/RD March 2017. Mine started with both left and right Carpal Tunnel syndrome. I had the release surgery done and was overwhelmed with how great the results were. I had so much pain with CT. I couldn't sleep for more than an hour straight. I kept getting up to shake my hands and arms out to no real relief. Daytime was difficult, too.
As I was healing my hand surgeon noticed a lump on the top of my left hand. It was very painful, but I thought it must have something to do with my surgical healing, perhaps extra pressure was put on the top of my hand while the doctor did my Carpal Tunnel Release surgery. He detected it as synovitis and suggested I see a Rheumatologist asap. I did and here I am now with a disease I never had heard of before. I also acquired 3 trigger fingers within a few weeks. Steroid shots have helped them a lot.
I have lots of other stiff going on, but I'll stick to the topic here regarding hands.
Thank you for your very informative website! Blessings to all.
I had 5 trigger fingers on my left hand released about 8 years ago and just had 2 injected on my right hand a month ago. It has help. I have had 4 knee replacements and a hip. My hands and feet are bad. I've had w shoulder surgeries for impingements. My back and neck as well as elbows are very painful. I've had numerous back and neck injections. I am on narcotics to allow me to keep moving.I'm on simponi and Arava. I also have fibromyalgia. My breathing has gotten much worse and I am told will continue to do so. I also have IBS, another autoimmune disease. Don't know what else can fail!
I've had ra since 4 years now. First discovered and in my right hand in my index finger which took me awhile to find out that it was RA. Finger feels like it keeps getting worst can't take the pain anymore seriously thinking about surgery does anybody have any ideas? did anybody do it ? how did it go? Let me know thanks god bless you all..
I am having trigger finger surgery on Monday 12/18! My middle finger is horrible and I am hoping for relief. Interesting enough, my blood work shows inflammation, has for two years now, and the Rheumatologist has started Plaquinel. My RF factor is negative, but have symptoms. Will be having additional blood work in February to look deeper into blood cells etc. It's crazy how things happen in our bodies. Good luck everyone
So I'm only 15 and I was diagnosed with trigger thumb and will be getting surgery next month. I'm just wondering: is this considered a type of arthritis?
I have been dealing with a very fast moving RA within the last 3-4 years. I can't tell you how much this site has at least given me hope that what I have been telling my RA doctor about my symptoms is real. Why do RA doctors seem to just blow off what you tell them? There are so many symptoms to this disease. I am no longer working now recently because of my condition.
Did your doctor recommend a steroid injections first? For my first few trigger fingers I had surgery on them, the last few I had injections, so much easier! Good luck


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There is no new material required for this meeting. In fact, your presence is optional. At the time of this meeting the last exam will be available and you might be already working on it. The idea is of this lecture is simply to provide extra help.
For those who plan to attend, I'd recommend to quick review and work on problems related to the last exam. Look over for things that need clarification and problems you'd like to see done. Bring all your questions to class, or post them in advance in Piazza (or Blackboard's appropriate forum).
(There is no video to watch.)
Back to the TOP, Lectures or to Main Page.
In class I will answer any questions, except one too closely related to the questions on the exam.
Back to the TOP, Lectures or to Main Page.
After the class, you should have all (or most, depending on the time) questions answered.
Back to the TOP, Lectures or to Main Page.

subset: commoncrawl


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The eye can be taken a look at with relative ease regarding both its function and its structure. A functional examination consists of the ability to relocate the orbit and the reaction of the student to light and accommodation.
The function of the eye may be checked in a number of methods. The client may be asked to recognize illuminated letter or objects of differing sizes on what is called the Snellen chart.
On the other hand, the examination of the structural part of the eye might be made in several ways. Tension within the eyeball is measured by a "tonometer." In specific diseases, specifically in glaucoma, the stress in the eyeball is increased noticeably.
It needs to be well remembered that a patient with an eye problem may have other problems. Frequently other physical conditions are primary and affect the eye as a repercussion. The appearance of the eye can alert the patient and the physician to problems in some disruptions of other parts of the body even prior to other signs present themselves.
One's dependence on sight is emphasized when one faces a short-term or possible irreversible loss of this essential sense. When restorative procedures are looked for, certain types of vision correction such as contact lenses or glasses are recommended.
On the other hand, some individuals are troubled with that they have actually some framed lenses or contact lenses in front of their eyes.
For this reason, advanced surgical operations were developed to encourage decreased usage of contact lenses or glasses. Among which is the now popular LASIK eye surgical treatment.
Essentially, LASIK eye surgery is the short-term for "Laser-Assisted In Situ Keratomileusis." Like its concrete counterpart, LASIK eye surgical treatment is another type of vision correction. The only difference is that with this kind of surgery, one's vision is remedied completely.
With LASIK eye surgery, the refractive mistakes in read the article the cornea are completely transformed. This can be done using an "excimer laser."
The main purpose of this surgical treatment is to produce a threadlike, rounded "flap" in the cornea using a blade referred to as "microkeratome." In a series of unfolding and laser processing, the cornea is lastly reformed, allowing better the eye to direct more light into the retina.
Appeal vs. Disadvantages
Amidst the growing appeal of LASIK eye surgery, there are still disadvantages that individuals must understand. Probably, the main reason that this kind of eye surgery has actually become well accepted is since the majority of its cases had been go right here successful.
Nevertheless, in spite of its success, there are still some drawbacks. Here is the list:
1. It is an operation applied to the most sensitive part of the eye
Due to the fact that LASIK eye surgery involves the operation of the retina, which is among the most delicate portions of the eye, the majority of people state that the operation can be extremely risky.
Simply puts, a easy mistake might practically trigger an person's life time loss of sight. It is essential find more information to think about lots of aspects before deciding whether LASIK eye surgery is the best corrective measure one has to undergo.
2. It is not a perfect treatment
LASIK eye surgery may remedy your vision but it does not necessarily mean that it can give you a twenty-twenty. Even if statistical reports show that 70% of the clients might have 20/20 vision, this does not always imply they have ideal vision too.
Given all these things, it can be deduced that, in spite of the popularity of the operation, LASIK may not always be the perfect eye surgical treatment the way the majority of individuals view it
On the other hand, the assessment of the structural part of the eye might be made in several ways. It must be well kept in mind that a client with an eye problem might have other problems. Frequently other physical conditions are main and impact the eye as a effect. The look of the eye can signal the patient and the physician to difficulties in some disruptions of other parts of the body even prior to other signs provide themselves.
Like its tangible counterpart, LASIK eye surgical treatment is another form of vision correction.
- 254 Visitors


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Brickworkz LEGO mosaics : Gallery : "Cold War Museum Logo"
LEGO Mosaic: "Cold War Museum Logo"
Click for larger version.
This piece was commissioned by Gary Powers Jr., founder of the Cold War Museum and son of famous CIA U-2 pilot Gary Powers. Gary saw the Brickworkz gallery at C3 and wanted a cool way to showcase his new museum. He contacted Brickworkz in August and the Lego mosaic made its debut at Gallery 5 in downtown Richmond, VA during a Russian Art exhibit.
Gary's plans are to travel with the mosaic, using it as a showpiece to get attention and support for the Cold War Museum that he champions. Presently, the Cold War museum is online only, but plans are underway for a physical museum in Lorton, Virginia.
I was very pleased and honored to be a part of this build, considering the importance of his cause. Using education to prevent political struggles is something we can all get behind. (learn more about the Cold War Museum at www.coldwar.org)
Visit the Brickworkz / Coldwar page to watch the building of this LEGO mosaic, and don't miss the time-lapse video of the assembly, shown below! Just click Play to get started.
Interested in a LEGO mosaic of your own?
Learn more about our process or contact a Brick Artist today to get started! We will work with your design ideas to make your project really POP!
Home | About Us | Gallery | Videos | How it Workz | Clientz | Contact Us


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What better way to follow on from life drawing than with our very own mocktail making class in July!
We were joined by Shanie from Atomic Cherry Mobile bars who taught us how to make two non-alcoholic cocktails a Mojito and a Peach Bellini although there was the option to add alcohol for those not driving.
We also held a mini pub quiz in the break and the alcohol themed raffle went down a treat.
Some of us finished the evening off with a few drinks at the Beachhouse after the meeting


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German and Economics (Full-Time, 2018 Entry)
What will I learn?
This new joint degree enables you to acquire in-depth relevant linguistic and cultural studies, including a year abroad, while developing your ability as an analyst of international economic phenomena. 50% of your degree will be in Economics and 50% in the School of Modern Languages and Cultures.
How will I learn?
You will have around 13 hours of contact time per week. We employ a variety of teaching styles, including: lectures, often to the whole year group; seminars of about 15 students, in which the emphasis is on student participation; and written and spoken language classes in small groups. You will spend the rest of your time studying independently, preparing for classes, reading the primary texts, writing essays and working on your language skills.
How will I be assessed?
We will track your progress through language assignments, essays, presentations, portfolio submissions and examinations (written and oral). Throughout your course you will receive detailed, personalised feedback to help you to improve your skills.
What opportunities are there to study abroad?
You will spend a year of your course abroad, normally in year 3. We offer placements at carefully chosen partner institutions through the University's study abroad scheme or through independent partnerships. It is also possible to work for the British Council as an English language assistant, or to set up an independent work placement.
Entry requirements
A level AAB, to include A level in a modern or classical language, and GCSE Maths Grade A/grade 7 or equivalent.
International Baccalaureate 36 points, to include 5 at IB Higher Level in a modern or classical language and either GCSE Maths Grade A/grade 7 or 5 in Higher Level/6 in Standard Level Maths.
These offers normally exclude General Studies and Critical Thinking.
Contextual data and differential offers Warwick may make differential offers to students in a number of circumstances. These include students participating in the Realising Opportunities programme, or who meet two of the contextual data criteria. Differential offers will be one or two grades below Warwick's standard offer (to a minimum of BBB).
Access courses Access to HE Diploma (QAA-recognised) including appropriate subjects with distinction grades in level 3 units. You must meet essential subject requirements.
Essential subjects A level in a modern or classical language at minimum grade B and GCSE Mathematics grade A or equivalent.
Warwick International Foundation Programme (IFP) All students who successfully complete the Warwick IFP and apply to Warwick through UCAS will receive a guaranteed conditional offer for a related undergraduate programme (selected courses only). For full details of standard offers and
conditions visit Warwick IFP for more information.
We welcome applications from students with other internationally recognised qualifications. For more information please visit the international entry requirements page.
Further Information
Taking a gap year Applications for deferred entry are welcomed.
Interviews We do not normally interview candidates for any of our degree courses but may do so if we receive an application from someone with 'non-standard' qualifications.
Department offer holder days Candidates will be invited to one of four departmental offer-holder Open Days once they have been offered a place. Open Days take place during the spring term. Find out more about our main University Open Days and other opportunities to visit us.
What modules could I study?
We offer a wide variety of modules exploring German language, culture, society and history as well as economics.
More information about modules and the structure of this course can be found on the School of Modern Languages and Cultures website.
*The modules mentioned above may be subject to change. Please read our terms and conditions for more detailed information
What careers can a Warwick degree in German and Economics lead to?
Our graduates work for organisations including: United Nations, the Ministry of Defence, British Airways, BBC Sussex, Nestle.
Examples of our graduates' job roles include: Lead European marketer, Freelance translator & Editor, German Language Teacher, Project Controller, European Graduate trainee, Events Assistant.
Economics and Industrial Organization
Economics, Politics and International Studies
Economics and Global Sustainable Development
Hispanic Studies and Economics
MMORSE (Mathematics, Operational Research, Statistics and Economics)
MORSE (Mathematics, Operational Research, Statistics and Economics
- Modern Languages
Essential information
Entry Requirements
A level: AAB, to include A level in a modern or classical language, plus GCSE Mathematics grade A/grade 7 or equivalent.
IB: 36 points, including 5 at IB Higher Level in a modern or classical language, plus either GCSE Mathematics grade A/grade 7 or 5 in Higher Level/6 in Standard Level Maths.
UCAS Code
Degree of Bachelor of Arts (BA)
4 years full time (30 weeks per academic year), including a year abroad
Department website
School of Modern Languages and Cultures
Alex Humfryes - German and Business Studies
Goury Mahesh - Economics, Politics and International Studies
Location of study
University of Warwick, Coventry
Tuition fees
Find out more about fees and funding
This information is applicable for 2018 entry.


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Introducing Bethune Lofts at The Buffalo Meter Company - loft living in an established residential neighborhood in North Buffalo. Located at 2917 Main Street near Hertel Avenue, the 87-unit complex takes full advantage of the area's many amenities and provides exceptional style, comfort and convenience to tenants. Rents from $950 - $2,000/month.The Metro Rail system is within 1 block of Bethune Lofts, the University at Buffalo's South Campus, and the Hertel Avenue shopping and dining district are in close proximity. Our adaptive reuse of this historic building incorporates sought-after amenities while maintaining the building's unique character and charm. A wide variety of unit types is available, highlighted by a stunning "penthouse" on the top floor. Contact us for a showing today!
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Bony Ribcage
Published on 4/25/2013 by AdiosMaricon
The severed rib bones of a skeletal being.
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Dropped By Creatures:
Cathedral of the Night - Ancient Groundskeeper
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Here are some pictures of my 23 y/o GF sleeping. She's got some amazing tits. For now she still doesn't like to be taken nude photos from her. Tho' she is truly beautyful (look at the last picture!)! Maybe you can coax her?
December 2018 20:54:33
Anyway we took some friends to our cabin, went out for a hike and found a cool spot for pictures. The activity commenced and I just kept snapping pics. A few others just to display you how incredible she is. Glad viewing.
December 2018 16:25:50
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December 2018 4:8:40
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eres una preciosidadtienes un cuerpo espectacularpipelufemema1975
you sell your black panties?
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dark-skinned blob is hideous. Nicer ways to conceal identities. Too bad Naturist project is now accepting such monstrous technics.
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Another wtf post.Nudist project posted this........
If he would attempt moving in and out, she might not have to masturbate so much.
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fine pics hope to see shortly more
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Another nice selection of ladies. Very likely a bit too many skinny ladies and too many landing strips for my liking, but still very good. Thanks.
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Excellent "bush," By the way, and I applaud you for demonstrating your face as well.
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Way overrated! Pic 1 had NO milk cans. The domineering poser was a turnoff. Attempt 2.2
Fill all fields


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Jessica Dimon
Cincinnati's It GIRL!!! Jessica is the Show
Director at CLUBnonta a local night club that was designed for entertainment.
Jessica hosts a hot male strip show every Tuesday night. Sexy female strippers
every Thursday night. FRIDAYS is our BEST of drag SHOW! Starring 4 of the best
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Jessica is the hostess..
Sundays are for all new entertainment! Its a show all about the new girls!! http://www.facebook.com/l/05def;www.clubnonta.com 18 and up. Northside Cincinnati


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Intranasal Ketamine Produces Long-Lasting Antidepressant Effects
It has been known for years that ketamine, an anesthetic at higher doses, can quickly produce anti-depressant effects when delivered intravenously. However, these effects typically last only a few days. New research is exploring how to extend the antidepressant effects of ketamine.
Researcher Ella Daly and colleagues recently compared a form of ketamine called esketamine, this time delivered intranasally, to placebo in people with tough-to-treat depression that had resisted other treatments. Daly and colleagues randomized participants to receive one of three different doses of intranasal esketamine (28mg, 56mg, or 84mg) or placebo twice a week.
All of the doses of intranasal esketamine improved participants' depression compared to placebo, with higher doses producing more sustained improvement. After the 2-week double-blind study, participants could choose to continue (or begin) taking esketamine for another nine weeks, tapering dosage slowly from twice a week to once every other week by the end. The participants were then monitored for another eight weeks. The intranasal esketamine doses they received led to sustained improvements in depression that lasted, in some cases, through the eight weeks following their final dose.
Side effects were not severe. Ketamine can produce dissociative sensations, but these tended to dissipate with two hours of administration.
Johnson and Johnson Pharmaceuticals funded this research, which was presented at a scientific meeting in 2015, and they plan to continue researching intranasal esketamine in the hopes of getting Food and Drug Administration approval for the drug.
Ketamine: Equal Efficacy When Given With Lithium Or Valproate
Studies of rodents with depression-like behaviors revealed that the combination of low (sub-therapeutic) doses of lithium and infusions of ketamine produced antidepressant-like effects. Researchers believed this might mean that in humans, lithium might have a unique effect potentiating the effects of ketamine.
In a small study by Mark J. Niciu presented at the 2015 meeting of the Society for Biological Psychiatry, patients with bipolar depression taking lithium or valproate mood stabilizers were given ketamine infusions or control infusions. In the 23 patients taking lithium and the 13 taking valproate, ketamine's antidepressant effects were significantly better than placebo, but there was no difference between lithium and valproate with regard to these antidepressant effects. These preliminary data in a small number of subjects do not support the proposition that lithium augments the effects of ketamine in depression.
Ketamine Temporarily Reduces Suicidal Thoughts
Intravenous ketamine can bring about rapid improvement in depressive symptoms among people with treatment-resistant depression. Because of its rapid effects, which can appear after only two hours, ketamine is being investigated as a treatment for people with suicidal thoughts.
At the 2015 meeting of the Society of Biological Psychiatry, Laili Soleimani and colleagues presented a poster about their recent double blind, randomized, controlled pilot study of ketamine inpatients and outpatients who scored highly on a measure of suicidal ideation. The 24 participants were randomized to receive either a single intravenous infusion of ketamine (0.5mg/kg) or a single infusion of midazolam (0.045 mg/kg), which shares ketamine's anxiety-reducing effects but does not have antidepressant effects. They reported suicidal thoughts at 24 hours post-infusion, 48 hours, 72 hours, and 7 days. At 48 hours, those who received ketamine reported significantly reduced suicidal ideation compared to those who received midazolam, but this effect was no longer significant at the 72-hour mark.
The findings show that ketamine can briefly reduce suicidal ideation, and that the treatment is safe and tolerable for patients. This pilot study paves the way for further study of ketamine to reduce suicidal thinking in people who are at high risk for suicidal behavior.
Ketamine Improves Sleep and Reduces Suicidal Thoughts in Certain Patients
Intravenous ketamine is known for its fast-acting antidepressant effects, which can appear within two hours of an infusion. Researchers are now investigating its use for the reduction of suicidal thoughts. In a study presented in a poster at the 2015 meeting of the Society of Biological Psychiatry, Jennifer L. Vande Voort and colleagues compared the sleep of patients whose suicidal thoughts decreased after a single ketamine infusion (0.5 mg/kg over 40 minutes) to those whose suicidal thoughts remained.
Study participants whose suicidal thoughts diminished after one infusion of ketamine had better sleep quality the following night, with fewer disruptions in sleep than among those who did not have an anti-suicidal response to ketamine. The participants who responded well to ketamine had sleep quality similar to that of healthy controls.
Vande Voort and colleagues hope that these new findings about ketamine's effect on sleep may provide clues to the biological mechanism behind ketamine's effect on suicidal ideation.
Bloomberg Covers Ketamine as a Depression Treatment
Over the years, we've tried to keep readers updated about ketamine's use as a fast-acting antidepressant. Bloomberg Business recently covered how the drug is being used by some to treat depression.
Meta-Analysis Shows Effectiveness of Ketamine for Bipolar and Unipolar Depression
Ketamine, an anesthetic sometimes used intravenously in the treatment of depression, can bring about rapid onset of antidepressant effects. A new meta-analysis by researcher Michael Bloch and colleagues presented at a recent conference showed that ketamine's maximum antidepressant effects occur within one day of administration, and its effects remain significant (compared to control conditions) one week following infusion. Ketamine's effects were diminished in patients taking other medications. There was a trend for better response in patients with bipolar disorder than with unipolar disorder.
Bloch and colleagues analyzed eight earlier studies including a total of 180 participants. In each study, ketamine had been compared to a control condition, either an infusion of saline solution or of midazolam, which mimics ketamine's sensory effects but does not have antidepressant effects. The researchers are calling for more meta-analyses of ketamine studies to determine which patients respond best to ketamine and how to sustain ketamine's effects.
Editor's Note: In another poster presented at the same conference, James Murrough reported that patients with slower processing speed responded best to ketamine. Other findings have shown that those with a history of alcohol abuse and a common genetic variant of brain-derived neurotrophic factor (BDNF), the val-66-val allele of proBDNF, are more likely to respond to ketamine.
Lithium Extends Anti-Depressant Effects of Ketamine in Mice
While it can sometimes take weeks for the effects of antidepressant treatments to appear, intravenous ketamine can produce antidepressant effects in as little as two hours. However, ketamine's effects fade after three to five days. New animal research by Chi-Tso Chiu et al. explores whether adding lithium to ketamine treatment can produce more sustained antidepressant effects.
Mice who are restrained by being placed in a tube for several hours (chronic restraint stress) exhibit a behavioral and neurochemical profile that resembles human depression. When Chiu and colleagues pretreated these stressed mice with sub-therapeutic doses of lithium (600 mg/L) in their drinking water for several weeks, a sub-therapeutic dose of ketamine (2.5 mg/kg of body weight) was enough to produce robust antidepressant effects in the mice, while neither drug alone was effective at these doses.
The combination of ketamine and lithium also restored the density of spines on the dendrites of neurons in the medial prefrontal cortex. Post-treatment with lithium (1200 mg/L) for several weeks was also successful in extending the effects of a single (50 mg/kg) ketamine injection.
Both lithium and ketamine affect the intracellular signaling pathway mTOR. Ketamine activates the pathway, increasing levels of synaptic proteins and dendritic spine density. It also increases brain-derived neurotrophic factor (BDNF) and the BDNF receptor TrkB. BDNF is important for learning and memory.
When lithium was added to the treatment of the mice with ketamine, the mTOR and BNDF pathways were further activated. Lithium also inhibits the receptor GSK-3, supporting ketamine's rapid-acting antidepressant effects.
Ketamine treatment can produce oxidative stress, in which toxic free radicals can endanger cells, and the addition of low doses of lithium also completely prevented this neurochemical side effect.
Chiu and colleagues hope that the findings of this study in mice can eventually be applied to research in humans in the hopes of finding a clinical option that would sustain the rapid-onset antidepressant effects of ketamine for the long term.
Rapid-Onset Antidepressant Treatments
At the International College of Neuropsychopharmacology (CINP) World Congress of Neuropsychopharmacology in 2014, several presentations and posters discussed treatments that bring about rapid-onset antidepressant effects, including ketamine, isoflurane, sleep deprivation, and scopolamine.
Ketamine's Effects
Multiple studies, now including more than 23 according to researcher William "Biff" Bunney, continue to show the rapid-onset antidepressant efficacy of intravenous ketamine, usually at doses of 0.5 mg/kg over 40 minutes. Response rates are usually in the range of 50–70%, and effects are seen within two hours and last several days to one week. Even more remarkable are the six studies (two double-blind) reporting rapid onset of antisuicidal effects, often within 40 minutes and lasting a week or more. These have used the same doses or lower doses of 0.1 to 0.2mg/kg over a shorter time period.
Attempts to sustain the initial antidepressant effects include repeated ketamine infusions every other day up to a total of six infusions, a regimen in which typically there is no loss of effectiveness. Researcher Ronald Duman is running a trial of co-treatment with ketamine and lithium, since both drugs block the effects of GSK-3, a kinase enzyme that regulates an array of cellular functions, and in animals the two drugs show additive antidepressant effects. In addition, lithium has been shown to extend the acute antidepressant effects of one night of sleep deprivation, which are otherwise reversed by a night of recovery sleep.
Ketamine's effects are related to the neurotransmitter glutamate, for which there are several types of receptors, including NMDA and AMPA. Ketamine causes a large burst of glutamate presumably because it blocks NMDA glutamate receptors on inhibitory interneurons that use the neurotransmitter GABA, causing glutamatergic cells to lose their inhibitory input and fire faster. While ketamine blocks the effects of this glutamate release at NMDA receptors, actions at AMPA receptors are not blocked, and AMPA activity actually increases. This increases brain-derived neurotrophic factor (BDNF), which is also required for the antidepressant effects of ketamine. Ketamine also increases the effects of mTOR, a kinase enzyme that regulates cell growth and survival, and if these are blocked with the antibiotic rapamycin, antidepressant effects do not occur.
In animal studies, ketamine increases dendritic spine growth and rapidly reverses the effects of chronic mild unpredictable stressors on the spines (restoring their mature mushroom shape and increasing their numbers), effects that occur within two hours in association with its rapid effects on behaviors that resemble human depression.
About 50–70% of treatment-resistant depressed patients respond to ketamine. However, about one-third of the population has a common genetic variation of BDNF in which one or both valine amino acids that make up the typical val-66-val allele are replaced with methionine (producing val-66-met proBDNF or met-66-met proBDNF). The methionine variations result in the BDNF being transported less easily within the cell. Patients with these poorly functioning alleles of BDNF are less likely to get good antidepressant effects from treatment with ketamine.
Ketamine in Animal Studies
Researcher Pierre Blier reviewed the effects of ketamine on the neurotransmitters serotonin, norepinephrine, and dopamine. In rodents, a swim stress test is used to measure depression-like behavior. Researchers record how quickly the rodents give up trying to get out of water and begin to float instead. Blier found that ketamine's effects on swim stress were dependent on all three neurotransmitters. For dopamine, ketamine's effects were dependent on increases in the number of dopamine cells firing, not on the firing rate, and for norepinephrine, ketamine's effects were dependent on increases in burst firing patterns. Each of these effects was dependent on glutamate activity at AMPA receptors. Given these effects, Blier believes that using ketamine as an adjunct to conventional antidepressants that tend to increase these neurotransmitters may add to its clinical effectiveness.
Important Anecdotal Clinical Notes
Blier reported having given about 300 ketamine infusions to 25 patients, finding that two-thirds of these patients responded, including one-third who recovered completely, while one-third did not respond to the treatment. Patients received an average of 12 infusions, not on a set schedule, but according to when they began to lose response to the last ketamine infusion. If a patient had only a partial response, Blier gave the next ketamine treatment at a faster rate of infusion and was able to achieve a better response. These clinical observations are among the first to show that more than six ketamine infusions may be effective and well tolerated. Read more
Antidepressants and Ketamine Induce Resilience in Animals Susceptible to Depression-Like Behavior
To study depression in humans, researchers look to rodents to learn more about behavior. Rodents who are repeatedly defeated by more aggressive animals often begin to exhibit behavior that resembles depression. At the 2014 meeting of the International College of Neuropsychopharmacology (CINP), researcher Andre Der-Avakian reported that in a recent study, repeated experiences of social defeat led to depressive behavior in a subgroup of animals (which he calls susceptible), but not in others (which he calls resilient). Among many biological differences, the resilient animals showed increases in neurogenesis in the dentate gyrus of the hippocampus.
Chronic treatment of the susceptible animals with the selective serotonin reuptake inhibitor (SSRI) antidepressant fluoxetine or the tricyclic antidepressant desipramine, which both increase neurogenesis, also reversed the depressive behavior in about half of the animals. A single injection of the anesthetic ketamine (which has rapid-acting antidepressant effects in humans) reversed social avoidance behavior in about 25% of the animals. One depression-like symptom was anhedonia (loss of pleasure from previously enjoyed activities), which researchers measured by observing to what extent the animals engaged in intracranial self-stimulation, pressing a bar to stimulate the brain pleasurably. The effectiveness of the drugs in inducing resilient behavior was related to the degree of anhedonia seen in the animals. The drugs worked less well in the more anhedonic animals (those who gave up the intracranial stimulation more easily, indicating that they experienced less reward from it.)
Ketamine for Chronic PTSD
We reported in BNN Volume 17, Issue 6 in 2013 on researchers' efforts to treat symptoms of post-traumatic stress disorder using the drug ketamine. This research by Adriana Feder et al. has now been published in the journal JAMA Psychiatry.
In the study of 41 patients with post-traumatic stress disorder, patients showed a greater reduction in symptoms 24 hours after receiving intravenous (IV) ketamine than after taking IV midazolam, a benzodiazepine used as an active placebo control because it produces anti-anxiety and sedating effects similar to ketamine's. The patients ranged in age from 18 to 55 years of age and were free of other medication for two weeks before the study. Ketamine was also associated with reduction in depressive symptoms and with general clinical improvement, and side effects were minimal.


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Relevant literature on regulation
- The Advertising Standards Authority (ASA) & the Committees of Advertising Practice (CAP) CAP Consultation (Regulatory statement) (2017) Food and soft drink advertising to children Regulatory statement
- The Advertising Standards Authority (ASA) is the UK's independent regulator of advertising across all media. They apply the Advertising Codes, which are written by the Committees of Advertising Practice (CAP)
- How food and drink should be marketed to children in broadcast media.
- The Advertising Standards Authority (ASA) will begin to enforce the new restrictions from 1 July 2017.
- In line with its proposals, CAP will introduce a new placement restriction and make amendments to existing rules on the creative content of advertising. The rules will:
- – Prohibit HFSS advertising from appearing in children's media (children defined as being under 16);
- – Prohibit HFSS advertising in other media where children make up a significant proportion of the audience;
- – Prohibit brand advertising (including, branding such as company logos or characters) that has the effect of promoting specific HFSS products, even if they are not featured directly;
- – Apply to all media, including advertising in online platforms like social networks and techniques such as advergames;
- – Use the Department of Health (DH) nutrient profiling model to differentiate between HFSS and non-HFSS products; and
- – Allow advertisements for non-HFSS products to use promotions and licensed characters and celebrities popular with children to better promote healthier options.
- British Heart Foundation (2014) Briefing: Junk food marketing to children campaign
- Action needed
- Introduce consistent and effective regulations to protect under-16s across all forms of media. The new regulations should:
- – Include all marketing techniques.
- – Distinguish between healthy and unhealthy products using a validated nutrient profiling model.
- – Establish a means of determining whether a product or promotion is targeting children.
- – Move the responsibility for developing, monitoring, and evaluating advertising regulations to a body independent of the advertising industry.
In Dutch
- O. Hansen-Staszynski (2017) Waarom je nu moet stoppen met de manipulatie van het puberbrein. Frankwatching. https://www.frankwatching.com/archive/2017/03/10/waarom-je-nu-moet-stoppen-met-de-manipulatie-van-het-puberbrein/
- Recent literature on the development of the adolescent brain is sufficient cause to ban all advertising and marketing activities targeted at adolescents.


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Saturday, June 29, 2013
Flower Shop with Soft Sky
I'm glad they brought back Soft Sky to the color families! It's the closest thing to a "baby blue" that we have, in my opinion. I like it paired with the Midnight Muse.
The Flower Shop bundle comes with the stamps and matching punch at a 15% savings. I REALLY like that!
Supplies you'll need to make this:
Stamps: Flower Shop Bundle (132727 W/132726 C), Four You (130535 W/130538 C)
Ink: Soft Sky (131181), Midnight Muse (126860)
Paper: Soft Sky (131203), Midnight Muse (126843), Very Vanilla (101650)
Other: Big Shot (113439), Beautifully Baroque embossing folder (130917), Pansy punch (included in the Flower Shop Bundle above), Midnight Muse 3/8" Stitched Satin ribbon (126847), Large Pearl Basic Jewels (125577), Stampin' Dimensionals (104430)
Order your supplies on-line here!
Posted by tonistamps at 4:23 PM
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KidKraft Addison Toddler Bed - White
The Kidkraft Addison Toddler Bed helps make the transition from a crib to a regular bed as easy as possible. This wooden bed has a hip, modern design and would look great in any young child's bedroom. Matches KidKraft Addison Toddler Side Table! Features low to the ground access for kids, side rails to keep kids safe and secure, and fits most crib mattresses. Recommended for ages 3 and up. Made of wood. Measures 57.4"L x 31.25"W x 22.25"H.


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Well i've been looking around and there are a bunch of places to get Nx and mesos like Prizerebel
im atm trying Linkbucks since you don't have to do anything but set out a link somewhere and have people click on it and you'll get money. the Downside is you need a Paypal account and have some way to have people click your link. and you can do pretty much anything on the link Make a Blog Funny story. Story of your life whatever and have people click your link to make money. my Refer link is right here: http://www.linkbucks.com/referral/129103 use it or not ^-^ doesn't matter but i think it's the lazy persons way who knows alot of people or has a good community forum to make some spare cash ^-^
please help me out or others if they used my Referral link make some extra cash.
P.S. i'll be updating that blog every once in a while ^-^
Kanbi Yume♪ Aishiteiru tsuneni♥♥♥チルウ-チャン♥私の世話をしてください


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- Warning: no
- Gender: Unisex
- Age Range: 5-7 Years,8-11 Years,12-15 Years,Grownups
- Brand Name: candice guo
- Puzzle Style: 3D Puzzle
- Material: Paper
- Style: Cartoon
- Model Number: 2013010735
NICI plush toy stuffed doll
3D paper building model
Plastic puzzles
Alloy car model
Montessori wooden toy
3D wooden puzzle model
3D building block model
Magnetic learning box
Magnetic ball stick
Baby bed rattle circle
Dear friend, welcome to candice guo's store.
Our store is professional children toy store, you can find many different kinds of toys, also anything you can tell me.
It is for your baby's good to choose a good store.
Here we guarantee high-quality product and fast-rate service.
Thank you very much!
Children favourite toy gift 3D puzzle paper model 2012 Noah\'s ark boat ship P622H the Bible version free shipping
Product Name: Le cubic 3D three-dimensional jigsaw puzzle " P622H Noah\'s Ark - the Bible edition "
Products: exquisite packaging paper box, a transparent plastic film, plastic packaging
Packing size: 30*22*4 CM
Product weight: 350 gram
Products: imports of paper and EPS foam board, products through a number of patent certification, in line with the EU EN71, American ASTM F963 and the international IS08124 standards
Puzzle number: 113PCS
Product size: 41*24.1*16.2CM
1) we provide free shipping for most customer,and the defaut mode of transport is China Registered Air Mail.We send items to Post Office in 2-3 days,then they will need 7-60 days to delivery item to you, different country need different time.We hope you can understanding us,thank you very much!
2)If you need specified transport mode,like FedEx,DHL,UPS,EMS ...Please contact us,we will adjust price for the shipping fee,don\'t worry,it is must be the best price too.
Feedback :
1)Your Feedback is really important to us, please take a few seconds to leave great feedback if you are satisfied with our product or service, thank you so much !!
2)We always offer the lowest price for best goods and service to you.
3) Please contact us before leaving neutral(3 stars) or negative(1-2 stars) feedback. We will try our best to solve the problem and leave you a happy shopping mood here. Thank you!
Return Policy:
We guarantee your zero risk purchase experience here.
We offer full refund to you, if the product has any quality problem.
Contact us :
If you have any questions or need any help, please feel free to contact us! Thank you !
Thank you for your support !!!
- Unit Type: piece
- Package Weight: 0.5kg (1.10lb.)
- Package Size: 20cm x 20cm x 5cm (7.87in x 7.87in x 1.97in)
- Unit Type: piece
- Package Weight: 0.5kg (1.10lb.)
- Package Size: 20cm x 20cm x 5cm (7.87in x 7.87in x 1.97in)


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YOU MEET COSMOPROF is the business matching software developed and realized by Cosmoprof Worldwide Bologna to help you in setting up B2b meetings that will take place exclusively during show days at exhibitors' booth. YOU MEET COSMOPROF gathers international top buyers and exhibiting companies seeking to collaborate and achieve mutual commercial benefits.
B2B meetings are the best way for companies to get in touch with potential partners.
YOU MEET COSMOPROF is a tool dedicated exclusively to Exhibitors and selected Buyers conceived to find new products, partners and suppliers and to set up meetings onsite.
Users can communicate, express preferences about products, people and companies and arrange meetings. YOU MEET COSMOPROF generates a calendar of pre-fixed meetings providing high level of networking and advanced search functions. It is a buyer-supplier matching system that helps participants to preview target suppliers/buyers' profiles and pre-schedule onsite meetings efficiently.
The service has no cost for selected buyers and exhibitors.
• Innovative b2b matchmaking platform that connects 1,000+ buyers with 2,500+ exhibitors (data refer to 2017's edition)
• Advanced search features: consult the list of exhibitors through different filters
• Online system for meeting request
• Personal meeting schedule to explore business opportunities onsite
• Easy online registration and complete profiling tools: provide your company data and start finding the right partners for your business


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The best preparation for law school is a high-quality liberal arts education where you can develop outstanding writing, communication and critical-thinking skills. As a St. Bonaventure prelaw student, you will take classes that will hone these skills.
The St. Bonaventure Prelaw Program includes a combination of instructional and advisory activities that are designed to facilitate admission into law school and success once there.
You will have a prelaw advisor who is available from the start to guide and support you. You will also have the direction of top-notch faculty, no matter what major you choose. You will have the opportunity to get hands-on experience through participation in the SBU Prelaw Society, the Mock Trial Team, the Model United Nations and various legal internships. By the time you graduate, you will be fully prepared to apply to the law school of your choice.
St. Bonaventure University, with its innovative liberal arts core, its commitment to academic excellence, and its dedication to the Franciscan values of citizenship and service, provides a unique opportunity to acquire the skills, knowledge, and values that you will need to meet the challenges of law school and beyond.
For more information, please go to:
The Center for Law and Society
Paul and Catherine Beltz Family Scholarship
This past weekend, the SBU Mock Trial Team competed at the American Mock Trial Association's State College Regional Tournament, hosted by Penn State University.
The SBU team was one of only seven teams to qualify to advance to the next stage of AMTA national tournament competition. Twenty-six teams competed at the regional event.
The next stop for the team is the Opening Round of the Championship Series in Lancaster, Pa., March 23-25.
In addition to the team's success, three SBU mockers received individual awards in recognition of their outstanding performance at the regional tournament. Receiving all-regional attorney awards were Keegan Miller and Devin Geiger. Keegan is a senior philosophy major and the team's captain. Devin is a junior philosophy major. Only 16 of 156 attorneys competing at the tournament received this award.
Trevor North, a sophomore political science major, received an all-regional witness award. Only 13 of 156 witnesses received this distinction. Congratulations to all three for outstanding performances. Way to mock!
Application forms, procedures and additional information
There are many ways to experience
St. Bonaventure for yourself
Learn more about the programs that interest you


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More Popular Issues
See how voters are siding on other popular political issues...
Results from Constitution Party
Last answered 5 hours ago
936 votes
12,398 votes
Distribution of answers submitted by Constitution Party.
Data includes total votes submitted by visitors since Aug 18, 2016. For users that answer more than once (yes we know), only their most recent answer is counted in the total results. Total percentages may not add up to exactly 100% as we allow users to submit "grey area" stances that may not be categorized into yes/no stances.
Choose a demographic filter
* Data estimated by matching users to U.S. Census data block groups via the American Community Survey (2007-2011)
Learn more about Yemen
In March 2015, Yemeni President Abdu Rabbu Mansour Hadi was removed from office during a civil war with the Shiite Houthis movement. The Houthis were led by former President Ali Abdullah Saleh who was removed from power during the 2011 Arab Spring. Neighboring Sunni Saudi Arabia viewed President Hadi's removal as a threat and responded by conducting airstrikes against the Houthi's in Yemen. Saudi Arabia's allies, including the U.S., U.K. and Egypt, suspected Iran was behind the Houthi uprising and responded by providing military aid to the Saudi armed forces. The United Nations declared the airstrikes a violation federal law after several hundred civilians were killed in the first month of the airstrikes . Proponents of the intervention, including Secretary of State John Kerry, claim that the Houthis are being supported by Iran and U.S. intervention is necessary to maintain the balance of power in the region. Critics argue that the U.S. should not be involved in a conflict which has killed hundreds of innocent civilians. See recent Yemen news
More stances on this issue
NO - Let the Arab countries settle their own conflicts! Keep all jihadists that support sharia law out of our country and our allies countries!. 2 years ago from a Constitution in Athens, WI
Only humanitarian aid. 2 years ago from a Constitution in Bismarck, ND
The only reason we give support to some of these countries is to be allowed to keep our military bases in place and protect our mainland. 2 years ago from a Constitution in Weatherford, TX
If Saudi Arabia PAYS the U.S., I would consider it. 2 years ago from a Constitution in Omaha, NE


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I'd been working a lot, even got a volunteering job a few days a week in the afternoon. Sometimes I have to skip lunch, ouch!
I got very hungry on Saturday, you know, housework plus the paper work I have to take home from school... Maybe that's just an excuse, but my lunch was delicious lol
Regular pasta became extra healthy with two sauces, bologna and spinach. Bologna has ground meat, seasoned with Worcestershire sauce. garlic, onion, sea salt, basil, oregano and a bay leaf, of course, tomato and tomato paste; the fancy touch is a couple of olives in it. The Spinach sauce is super easy, just cook the spinach leaves a couple of minutes on a little boiling, salted water, then remove, let set and put it on the blender with a couple of peeled garlic gloves, half an onion, pepper and pecorino cheese (you can add a little milk and cream cheese to get a softer taste). Sprinkled with olive oil and pecorino (yep, like it way better than Parmesan).
Then there's the salad. Tomato, cucumber, apple, celery, lettuce, red bell pepper with a youghurt sauce, made with plain youghurt, goat cheese with herbs, thyme, sea salt and pepper.
Dessert was sweet plantain. Boil the plantain, cut in thick pieces, with sugar, grounded cinnamon and cloves. Water should only cover the plantains, so it thickens and make a nice syrup.
Yum!!!! Happy cooking!


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Teachers stop copying, beaten up by students during madhyamik exams
Some Madhyamik examinees beat up three teachers including the assistant head master and ransacked rooms of Nagendranath High School at Mudipara in Jalpaiguri as they were not allowed to copy during English examination on Tuesday.
On Wednesday morning, the students entered the school building to appear for Geography examinations. The school gate was opened around half-an-hour ahead of the examinations. Total 324 students are appearing for examinations at same school.
According to information, the examinees rushed inside the school and before anyone could have understood anything, some of them started ransacking some rooms. They damaged furniture, fans and other valuables in some classrooms.
When the students were damaging the valuables, others were tried to find a safe place inside the school premises.
Hearing a loud cry, the teachers rushed to the classrooms and found that the students were breaking the tube-lights. They had not even spared the ceiling fans. When the teachers intervened to bring the situation under control, the students pushed them and allegedly passed lewd comments. The teachers were even beaten up.
The assistant headmaster Babulal Das received injuries on his right leg. The two other teachers Sandip Chowdhury and Ramesh Chandra Roy were also injured. The situation came under control when other teachers intervened. The injured teachers were taken to hospital for treatment.
However, the Geography examination on Wednesday started at the right time and all the students had appeared for the examination.
The assistant headmaster said he doesn't know that why the students ransacked the classrooms. "We may try to ascertain the reason behind the incident," he said.
It may be mentioned that many pieces of papers containing answer were found from toilets and behind the school premises. Thus, it was suspected that the students ransacked the classrooms as they were not allowed to copy in Tuesday's examination.
The West Bengal Board of Secondary Education (WBBSE) has asked the school authorities to send a report in this connection and necessary steps will be taken after receiving the report.
Meanwhile, Chief Minister Mamata Banerjee Wednesday stopped near Gokhale Memorial School on her way to Nabanna finding some Madhyamik examinees waiting to enter the examination centre. The examinees approached the Chief Minister as soon as she came out from her car. She wished good luck to the examinees and left the place after a few minutes.


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The etymology and origins of sword and dagger nomenclature and terms
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2nd October 2017, 05:34 AM
Timo Nieminen
Join Date: Mar 2012
Posts: 412
Originally Posted by
Ibrahiim al Balooshi
In noting the above pictorial on Quillons I deliberately placed Tulvar in the mix. The rainguard extension is in itself a type of quillon which can trap an opponents sliding blade and either snap it or disarm him...with a twist of the wrist. Comments please.
, rather than
. While it can, in principle, trap blades, the main use is more everyday-functional, to fit the sword securely in the scabbard without ratting, and without making it difficult to draw. A similar function is performed by the Chinese tunkou and Japanese habaki (though on the inside of the scabbard rather than the outside).
Langets like this look like a fairly late development - the earliest that come to mind are some 13th century examples from Central Asia.
Langets which sit flush against the blade can have different functions: reinforcement of the attachment of the blade to hilt, reinforcement of the base of the blade, secure attachment of the guard to the blade.
Then there are langets which extend along the grip, which help secure the guard to the grip.
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England and Italy's footballing rivalry is a long, if unremarkable one, with tensions rarely more fraught than they were during the 1934 clash at Arsenal's ground, which was dubbed the "Battle of Highbury".
It took Italy 40 years to beat England, and when they completed a 1973 double over them, future Three Lions coach Fabio Capello scored both in Turin and at Wembley, as Alf Ramsey's tenure ended miserably.
A goalless 1980 European Championship contest was matched 32 years later at Euro 2012, while in between Gianfranco Zola ended Ian Walker's international career in a 1997 World Cup qualifier, only for England to gallantly register a draw in the final match in Rome to secure automatic qualification ahead of the Azzurri.
Both sides will meet for the 24th time in Manaus on Saturday. Two European nations in the Amazon for their first World Cup match has all the makings of a tepid draw...


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I decided to do a spin off of the owls that we made for Halloween and make turkey's the leaves are almost all finished changing colors but there are still a few beautiful trees on our street. E and I had to walk a ways to gather up these beauties but it was so worth it.
Every time I see a red maple leaf it makes me ache for Canada. I love my country very much!
Then we made another kind of turkey. E was pretty excited about painting!
We were pretty impatient waiting for the paint to dry so we stuck it over the heat register.
Sometimes it "accidentally" flew away. :)
E helped me match all the leaves by size, shape and color. Then we hot glued them on. I think this is my favorite craft o far!
These leaves were brilliant. You couldn't buy leaves prettier than this!


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Your login works with all Adventure Projects sites
Password help
We're part of the REI Co-op family,
where a life outdoors is a life well lived.
I'm a minnesotan headed to the Morro Bay area for a vacation in about a month. I would really like to get some climbing in with my girlfriend and brother. We would be top roping. Where are some great places to top rope preferably with some good views. We do have a car to drive but don't want to drive much over an hour. I have a full rack so protection is no issue.
Here is the closest toproping to Morro Bay, at either Rockland or Park Ridge Rock, which are formations at Cabrillo Peaks (the view of the estuary is superb):
For longer routes and, in my opinion, better climbing, try Cracked Wall at Bishop Peak. This is in San Luis Obispo, which is about twenty minutes from Morro Bay:
I'll step in and verify and back what frank said. Spot on info. I grew up in morro bay and both spots are awesome.
Thanks guys! I appreciate it
While I would argue the word awesome, it is fun climbing at Cabrillo. Pacific Ocean at your back.


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Custom Search
Minnesota Heartland Railroad
Eastern Division
The MHRR Eastern Division, July 1, 1965, is modeled in S (1:64th) scale by Ted Larson. A layout based on NASG's S-MOD module standards is under construction. One mainline mainline uses code 100 rail for S-scale model trains. The other uses code 148 and code 125 rail to enable operation of American Flyer and "hi-rail" S-scale trains. Yard and industrial track will be a mix of code 83, 70, and 55 rail. Track is a mix of flex track and handlaid. It may come to pass that modern trains will also run, especially GN trains; per this link.
MHRREAST Index:
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Counseling services
Did you know 1 in 7 women and 1 in 10 men/partners experience emotional health complications surrounding the time of pregnancy and after baby arrives?
Did you know 1 in 4 pregnancies ends in loss and 1 in 8 couples struggle with infertility?
Relationships are put to the test during this time of life as the number of stressors and changes come at you.
Many aspects contribute to your emotional health being affected during the reproductive years. Mental health IS health.
Individual, couples and family counseling services are provided at our office, by home visits and via telehealth services (privacy compliant videoconferencing).
Ahora ofrecemos servicios terapeuticos en Espanol.
Prenatal preparation
Evidence and common sense tell us education can be very helpful in preparing for welcoming a new family member. This course is focused on the emotional journey one takes beginning in pregnancy. Special focus is also given to preserving your relationship as you become parents. This a time of big changes and possible challenges.
Perinatal loss.
Sometimes what is supposed to be the happiest time of your life is not. Perinatal loss describes loss at any stage of pregnancy, stillbirth or infancy. This includes when your baby has a life-limiting diagnosis.
We are here to serve and support you through and after this process. You do not have to navigate this time alone.
Call us (352) 278-2538
Sleep consulting
The importance of sleep exists throughout our lives from the day we are born to the day we leave Earth, yet most of us are poorly equipped with knowledge as to why, how much is healthy, what to expect with a baby, etc. We also know that lack of sleep and interrupted sleep have strong negative correlations to both brain and body. Parents need sleep and babies and growing children need sleep. Where's the SLEEP? We are here to help!
Professional training & consulting
Lauren DePaola, LCSW offers speaking/presentation services, professional training and consulting related to perinatal mental health and parenting.
Call for more info.: (352) 278-2538
Find great literature on perinatal mental health HERE


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XML Data Feed Parse
Budjetti $30-100 USD
I run a network of affiliate sites. Some of my affiliates send xml data feeds via FTP in a compressed file format (zips or tars). The XML files, after being un-compressed, are between 10megs and 2gigs -- depending on the company.
This script will need to unzip the files, parse the xml and insert the data into a mysql database.
Added a file with xml structure example..
Myönnetty käyttäjälle:
7 freelanceria on tarjonnut keskimäärin %project_bid_stats_avg_sub_26% %project_currencyDetails_sign_sub_27% tähän työhön
This project will be 100% completed if you award it for us. view PM for detail. Thank you. EncodedArt Inc.
I have experiense in XML technologies and I'll do this job with hi quality. Please choose my bid.
I have a good hand on XML and PHP. I can do the job if selected.


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"While there are a number of ways to address estate tax liabilities and retirement savings distinctly, developments in the life insurance arena are providing new and potentially better options. These strategies are highly versatile to meet the evolving needs of the individual many years into the future."
By Stephen K Lehnardt
As those in business well know, there are really only two ways to deal with a potential business liability: proper planning and execution on the one hand, and proper use of insurance on the other. Many find both approaches can also work in tandem to effectively achieve their estate planning and retirement goals.
The use of insurance to deal with an estate tax liability inevitably brings us to the topic of life insurance. In fact, an interesting approach was advocated recently in a Forbes article titled "Life Insurance For Estate Taxes And Retirement." Why life insurance? Well, while the fundamental risk life insurance is meant to resolve is the loss of income upon the death of a breadwinner, it can cure the problem of illiquidity when estate taxes are due. That is especially helpful if real estate or other illiquid assets are what is driving your estate to taxation in the first place.
These sorts of insurance already have to be balanced so as not to create further tax liabilities. How does the life insurance work for you in life? As you can read the original article, there are ways to draw upon it in the form of a loan for retirement income without actually eliminating the death benefits payout.
There is much to say on the topic, but knowing the option is there can make a world of difference in how you structure your affairs. What else can you do and what else are you concerned about? When considering life insurance, remember to consult with competent estate planning legal counsel.
For more information in Liberty, MO and the Kansas City Area about effective planning for insurance and to access free information and tools to organize your estate, visit our elder law and estate planning website.
Reference: Forbes (June 11, 2014) "Life Insurance For Estate Taxes And Retirement"
Image Credit: Public Domain. Original poster created by the U.S. Bureau of Special Services during World War II, sometime between 1942 and 1945. Poster located in the National Archives.


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|2 0 1 4
|d e c e m b e r
• Chris has just returned from a tour of the UAE with the Urban Fox Orchestra Steelband. The tour was on the invitation of the UAE Government to help celebrate its 43rd year of Independence. UFO played concerts in 5 different states, including Abu Dhabi for Sheik Mohammed and the tour was a great success.
|j u l y
• Chris has completed the jazz arrangement for the song 'Darling Harbour' for Australia based, singer-songwriter Marcus Mckintosh, The song contains piano, string orchestra a la Nat King Cole and is a tribute to the Sydney harbour of the same name.
• He is also in the final stages of composing and recording the score to The First Film. Some early feedback:
"... The music is beautiful... " Amma Asante (writer/director: Belle).
"... The artistry and skill of a film composer has never been more apparent to me than working at this present time with Chris Barnett... He has the patience of a saint ... Yet what he has created delights me and makes me cry." David Nicholas Wilkinson - (director/producer: The First Film).
"Chris Barnett is a very fine composer" Phil Davis (actor/director).
f e b r u a r y
• "Happy belated new year. I took the opportunity to attend my first Berlinale Film Festival this February, and found Berlin a lovely place, cultural and artistic. Whilst there I visited the Jewish Museum as part of my research for the concerto. The museum involves a 'tour' which is at least an hour long and is a very special and wonderful tribute to the Jewish people. I have found a great deal of admiration for the German people too in the way that they continue to face these horrors of the Nazi regime with openness, honesty and dignity." CB
Chris has completed the teaser music for the feature film, Skinny Buddha, a romantic comedy from Monk3ys Ink Films, directed by Drew Cullingham. He is currently scoring The First Film, a documentary, directed by David Nicholas Wilkinson.


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Mar 8, 2018
Thursday, 8th March, 2018
Snow - double whammy - shortlisted!
Well, what on earth was that all about? When I woke up this morning, we'd been ambushed by snow! I left as soon as I could fearing the worst on the roads and crawled into Woolton.
Once at school I joined in with a very happy band of volunteers in clearing a pathway to school.
There were others as well! We had a lot of fun working to get the school ready and well done to our students who started arriving, perhaps a little later than usual but they came in numbers. The gold medal has to go to Caitlin in Y10 - first across the threshold!
It was both International Women's Day and the Birthday of Francoise (St. Julie's ace supporter and friend.) I've posted videos on the Prayer Wall. The videos featured 10 members of staff and some Y11 students - another example of St. Julie's pulling together!
As if to emphasise this, we had a visitor this afternoon who told us we had been shortlisted for the Archdiocesan Spirituality in our School Award. So well done everyone - we've all played our part in that!
You can see the video which formed part of our award on the home page of this website!


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For my Norwegian readers, a good tip now is that Lindex has half off already sales prices (online and in store), which is a great discount. It seems like they have not sold out all of the Matthew Williamson collection, so if you have been thinking of getting some, the time is now:)
I love my oversized coat that I got this fall, it can now be yours for 375,- here.
Also these bags are really decorative:)
HERE for 375,-
here for 150 NOK.
They also have some nice statement-accessories on sale:)
PS. the addictional 50 per cent off you will get when you check out online!


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Field Beans Green Manure Seeds
Green Manure Seeds from Sow Seeds Ltd
Field Beans are an overwintering green manure and is generally winter hardy. It germinates well in colder weather from September-November.
Field Beans are particularly good on heavy soils and their deep roots are not only able to penetrate & break up the soil but fix nitrogen too. Its foliage will add some organic matter to the soil but to help suppress weeds further it is often sown with grazing rye.
Field beans are part of the legume family therefore sow after summer legumes to overwinter in a crop rotation plan. Follow with Brassicas and they will benefit from as nitrogen helps to promote the green leafy growth that we eat e.g cabbages/kale.
Either cut down and dig in during spring or cut down, allow to re-grow and then dig in. Best to dig in before flowering and 3-4 weeks before area required for new seasons planting.
Field Beans Green Manure Seed Information
|When to Sow:
|September, October, November.
|Growing period:
|Ideal Soil Type:
|Clay, Heavy, Most.
|Nitrogen fixer:
|How to Sow:
|Clear area of weeds especially perennials ones, rake soil to a fine tilth. Either sow 10cm apart in rows 20cm apart by 5cm deep or broadcast sow seed and dig in to a depth of 5cm, the spread will not be as even but on small domestic areas it may not be as important.
|The green manure should be cut down before flowering when the stems are nice and soft as they decompose quicker, retain more beneficial nutrients and are easier to incorporate into the soil. They can be dug into the soil by turning over into the top 15cms or left on the top as a mulch, the worms will drag down the organic matter and help to aerate the soil.
|Sow Rate:
|20 grams per square metre.
|Pack Weight / Area:
When to Sow Field Beans Green Manure Seeds
We deliver to all countries within the EU including: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom.
Due to export restrictions on seed we are unable to deliver to any counties outside the EU.
Click here to view our delivery charges.


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Welcome to my blog. I'm obsessed with food and cooking, and most of all cookbooks.
A rating of every cookbook recipe I try based on how likely they'll see another day in my kitchen
No redeeming qualities to report. The first time I made this recipe was also the last time I'll make it. Luckily, I rarely come across a recipe that deserves this poor rating.


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Blue Letter Bible offers several daily devotional readings in order to help you refocus on Christ and the Gospel of His peace and righteousness.
Recognizing the value of consistent reflection upon the Word of God in order to refocus one's mind and heart upon Christ and His Gospel of peace, we provide several reading plans designed to cover the entire Bible in a year.
Hymns Supplied Through the Gracious Generosity
of the Cyber Hymnal Website
Words & Music: Clara H. Fiske Scott; first appeared in Best Hymns No. 2, by Elisha A. Hoffman & Harold F. Sayles (Chicago, Illinois: Evangelical Publishing Company, 1895)
Open my eyes, that I may see
Glimpses of truth Thou hast for me;
Place in my hands the wonderful key
That shall unclasp and set me free.
Silently now I wait for Thee,
Ready my God, Thy will to see,
Open my eyes, illumine me,
Spirit divine!
Open my ears, that I may hear
Voices of truth Thou sendest clear;
And while the wave notes fall on my ear,
Everything false will disappear.
Open my mouth, and let me bear,
Gladly the warm truth everywhere;
Open my heart and let me prepare
Love with Thy children thus to share.
The Blue Letter Bible ministry and the BLB Institute hold to the historical, conservative Christian faith, which includes a firm belief in the inerrancy of Scripture. Since the text and audio content provided by BLB represent a range of evangelical traditions, all of the ideas and principles conveyed in the resource materials are not necessarily affirmed, in total, by this ministry.
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Daniel Thwaites | End of the beginning
I planned this week to review the administration's first year's performance, so I still want to squeeze that in. And I intended to acknowledge, in passing, the media-assisted, but mostly unwarranted low-level triumphalism. But honestly, I don't find the celebrations annoying or even inappropriate.
The Government has survived with a one-seat majority, settled down into governing, and is even doing reasonably well in some areas. In others, of course, we have slow-moving disasters in the making. The Cabinet ranges from an Ed Bartlett, with an easy 10/10, to a Ruel Reid, 0/10, with most falling somewhere in-between. So on balance, I would give them the old Roy Forrester: "Weatherwise, it's partially cloudy with chances of severe thunderstorms."
But following this week's Budget, where I might have said, "It's too early to judge," and left it at that, I now have to add a paraphrasing of Winnie (Churchill, not the Pooh): "Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning."
With 'Phase It Een, Part Two', Audley has rubbed the remaining shine off the ball. By which I mean that things feel fundamentally different after the announcement of this second raft of taxes. Please note, it's the final weekend pretax rum. Stockpile, because you will need it.
Of course, this claating is all to (appear to) fulfil an unwise election promise. But notwithstanding the posturing that promises have been kept, in reality, they've long been cast aside, and grotesque monsters taken their place. When the electorate was being sold the bag-o'-tricks about an immediate $1.5-million income tax threshold, I can't recall hearing anything about "shifting to indirect taxation", although I can guarantee Jamaicans would have had something to say about their gas, electric, and food bills getting jacked up.
The main reason to recall the promises - and this is always reason enough - is for jocularity. It's worth remembering, for instance, that when Audley and Andrew were challenged about their numbers (Peter Phillips called them Tweedledee and Tweedledum), they insisted that they had done all the maths and that everything added up perfectly: There would be income tax relief without any new taxes being levied on the public.
They were challenged a second time, and again they denied knowledge of a tax package to be levelled on the people. Then history, by which I mean the archives of The Gleaner, will show they were challenged a third time, and that they denied a third time. That's when a cock crowed thrice.
Now everything is happening as was foretold by the prophets who warned, even then, that the plan would crucify poor people.
Never mind the florid imagery. Truth is, in light of Audley's Budget, if I were looking to package the story of the last year outside of the public-relations tinsel prosperity, the administration itself has gifted us about a dozen narrative arcs too complete and perfect for even a novelist to dream up. You will undoubtedly have your own favourites, but here are a few:
1. Opening: Fire-breathing Andrew denouncing "expropriation" of poor people's NHT money when, reeling from Audley's first stand at the Finance wicket, the previous Government enacted what we were then assured was a one-off dip into the Fund to forestall national bankruptcy;
Closing: This Budget, with Audley's bromides about children needing self-esteem while announcing an $11.4-billion drawdown ... just because ... well, there's an election promise that you will need to be able to argue that you kinda kept.
2. Opening: The sombre statements from the IMF and economists that the alarming levels of Jamaica's public debt had to be controlled as a matter of national survival;
Closing: This month's announcement that public debt is rising, but will be recorded as declining based on implementing a friendlier accounting policy. If you don't like the numbers, change how you count, not what you're doing.
3. Opening: The glee when Red Stripe's owners, having repatriated a national brand, announced expansion plans based on harvesting cassava. Cassava to rahtid! The 'green shoots' of the new economy.
Closing: The owners warned, last week, that it might withdraw the investment because of punishing taxes.
4. Opening: The giddiness of most of the trade unions during last year's electioneering when raising the income tax threshold effectively baited a hook that was then lowered in front their faces. RJR reported that Helene Davis Whyte, president of the Jamaica Confederation of Trade Unions, by no means the most enthusiastic of the lot, called the proposal "a good one".
Closing: Helene Davis Whyte describing as 'almost criminal' the burden coming for public-sector workers: "The tax package was not properly thought out and the personal income tax relief is not based on sound economic principles."
5. Opening: Jubilant people, hope refreshed, who had heard on the radio that "Anju 'Oliness" was going to give them an extra $18,000 every month.
Closing: The same people throwing back up the cables to tief light, because regularisation with the JPS is now definitely out of reach. They've just got the double whack of increased taxes on fuel, and application of GCT to small electricity consumption. In effect, a highly regressive double tax package on the upper lower class and the lower middle class who dare own a fridge and maybe a washing machine. Happy International Women's Day.
6. Opening: For this one we must climb back to the economically reckless blanket removal of means-testing from the public health system, which plunged an improving system downward by starving it of funds.
Closing: The announcement of GCT on group health plans, meaning, inevitably, more pressure on the overburdened public system. Thus, in the much-abused name of equity, Jamaica will return even more resolutely to health apartheid.
And even with all of those, I would probably go with the story of two building proposals to capture the essence of the derailment that I'm calling "the end of the beginning". The administration, instead of struggling to end the animal treatment of prison inmates by accepting some money from the British, haughtily rejects it, but signs an MOU with the Chinese to construct a comfortable Parliament.
- Daniel Thwaites is an attorney-at-law. Email feedback to email@example.com.


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"In Your Pocket: What's Your Sex?" is a film with seventeen short works screened in it that are each no longer than four minutes long. The inspiration for Marc Wisniewski, the curator of the film was to allow members of the LGBT community to represent themselves through digital and video recording. Self-documentation is a new possible way of expression for the directors in the community and because they are the ones making the recordings, they are able to avoid being misrepresented by filmmakers who tend to enforce and contribute to growing LGBT stereotypes. The directors in this film were told to only film with their smartphones and had no official direction or design. The LGBT community is often represented by people who are not members themselves and because of this, they control the depictions of LGBT people in their films. The hope behind In Your Pocket: What's Your Sex? was to give personal control to LGBT members to their representation. Overall, the film opened up new ideas and I was able to better understand the views of labeling, sexual liberty and how sex does not define gender. The LGBT community proves that through expression comes a greater understanding of their views.
The power of labels, liberty of sex and how people should not be defined by their sex or sexual orientation are all recurring themes throughout the film. One of the clips in this film that was sent in by YouTube sensation Kiley May is entitled "You Are Not Your Genitals". They used their phone to make a video explaining the difference between a person's sex, sexuality, and gender. There are many misconceptions about these words and the synonymic use of them is what May was trying to advertise against by informing people of their technical meanings. They describe sex as a physical act as well as the biological anatomy between a person's legs while heavily emphasizing that sex and gender are not to be used interchangeably. Sex has been defined as a simple categorization between male and female bodies. As mentioned in a lecture by Professor Tolmie "…queerness, anything to do with the gender spectrum, racial diversity or even tolerance" (Twilight & 50 Shades of Grey) are not marketed enough in today's popular culture. Kiley emphasizes that gender is "between the ears" and that is more important than what is "between the legs". This view rejects the stereotypical views that gender is based on one's sex. Instead, he emphasizes the importance of "acquiring ourselves as feminine, masculine or even androgynous" (Burack 3). He also emphasizes the importance of an all-inclusive spectrum. For example, one can feel more masculine one day and more feminine another; gender is never static.
Furthermore, all clips voiced a battle between the stereotypical viewpoints on sex and the highly disputed novel perspective. The first group clips include Tunnel Vision, My Sex is Genderless, Labels, and Pigeon Hole. As depicted through the titles, all clips expressed the narrow mindedness and limitations that come with labeling others. My Sex is Genderless consisted of two persons making out and touching one another. The way it was filmed made it hard to judge the sexes of both people because it was only filmed the waist up. When I couldn't determine their sex I realized that labeling comes with the obsession for knowing. By being unable to identify their sex, the labeling that comes with gender or sexual orientation is then diminished, leaving less power towards categorizing sex. These set of films emphasize the need for one to just be themselves without labels, and the only way to start is to first understand the power labels have and take its entitlement of categorizing people away. It is a misunderstanding that "…people tend to think sex as primarily a biological function…biology in only one part of the context of desire" (Auletter 42). This means that a human's biology does not dictate their sexual desires.
Ageless, Fucking Butterflies, Take it off, and Creature Probably, all focus on the freedom of sexual expression. The LGBT community in these films express the happiness and pure joy that can come from the freedom to love and be who you want to be. While Creature Probably includes people dancing around with one another having a good time expressing open sexuality while answering the question "What is Your Sex?" The answer as to the identification of one's sex or gender is insignificant because it is a spectrum and the possibilities are infinite. The main message that was obtained is that happiness comes with freedom of expressing and representing any sex, gender and sexual desires even if they break the boundaries that societal norms build. "As gender variations becomes normalized they become arenas, 'for playful exploration' of our possibilities" (Auletter 61) and these possibilities are why people must rethink the basic gender binary. The belief of gender binary should be replaced with the idea of an existing spectrum and that gender is never static.
Works Cited
Auletter, Judy Root, and Judith Wittner. Gendered Worlds. New York: Oxford University Press, Inc., 2012. Print.
Burack, Cynthia. "Gender Socialization." Gender, Race, & Popular Culture. Canada: Pearson, 2014. 3-6. Print.
Tolmie, Jane. "Twilight & 50 Shades of Grey." Queen's University. Queen's University, Kingston, ON. 4 February 2014. Lecture.
Winiewski, Marcin. "IN YOUR POCKET: WHAT'S YOUR SEX? SHORTS." Reelout. http://www.reelout.com/event/7pm-whats-your-sex-shorts/ Accessed Feb 25 2014.


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Dallas Campus Doctorate Degrees in Nursing Administration
There are several campus based Doctorate level Nursing Administration Degrees available. Explore GradSchools.com to review on campus Nursing Administration Doctorate programs and accredited campus based Colleges and Universities.
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The Graduate Program at UTA offers a variety of flexible scheduling options for courses that include evenings and weekends. Students have an option to complete their MSN and PhD with full-time or part-time study.