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Erectile Dysfunction Predicts Coronary Heart Disease in Type 2 Diabetes
Author + information
- Received October 2, 2007
- Revision received January 30, 2008
- Accepted February 5, 2008
- Published online May 27, 2008.
Author Information
- Ronald Ching-Wan Ma, MA⁎,
- Wing-Yee So, MBChB⁎,
- Xilin Yang, PhD⁎,
- Linda Wai-Ling Yu, MBChB⁎,
- Alice Pik-Shan Kong, MBChB⁎,‡,
- Gary Tin-Choi Ko, MD†,
- Chun-Chung Chow, MBBS⁎,
- Clive Stewart Cockram, MD⁎,
- Juliana Chung-Ngor Chan, MD⁎,† and
- Peter Chun-Yip Tong, PhD⁎,†,⁎ (ptong{at}cuhk.edu.hk)
- ↵⁎Reprint requests and correspondence:
Dr. Peter C. Y. Tong, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, The Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR, China.
Objectives We examined the predictive power of erectile dysfunction (ED) on coronary heart disease (CHD) events in Chinese men with type 2 diabetes.
Background Subjects with diabetes are prone to develop cardiovascular complications. Erectile dysfunction is strongly associated with CHD in cross-sectional studies, but prospective data are lacking.
Methods A consecutive cohort of men with no clinical evidence of cardiovascular disease underwent comprehensive assessments for diabetic complications. Erectile dysfunction was defined according to the definition of the National Institutes of Health Consensus Conference 1992. Coronary heart disease events were censored with centralized territory-wide hospital databases in 2005.
Results Of 2,306 subjects (age: 54.2 ± 12.7 years; follow-up: 4.0 [range 1.7 to 7.1] years), 26.7% had ED at baseline. The incidence of CHD events was higher in men with ED than those without (19.7/1,000 person-years, 95% confidence interval [CI] 14.3 to 25.2 person-years vs. 9.5/1,000 person-years, 95% CI 7.4 to 11.7 person-years). Men who developed CHD events were older; had a higher frequency of ED and microvascular complications; had longer duration of diabetes; and had higher blood pressure, total cholesterol, low-density lipoprotein cholesterol, and urinary albumin/creatinine ratio but lower high-density lipoprotein cholesterol and estimated glomerular filtration rate than those without CHD events. Erectile dysfunction remained an independent predictor for CHD events (hazard ratio 1.58, 95% CI 1.08 to 2.30, p = 0.018) after adjustment for other covariates along with age, duration of disease, and use of antihypertensive agents and albuminuria.
Conclusions In type 2 diabetic men without clinically overt cardiovascular disease, the presence of ED predicts a new onset of CHD events. Symptoms of ED should be independently sought to identify high-risk subjects for comprehensive cardiovascular assessments.
Men with diabetes have a higher prevalence of erectile dysfunction (ED) compared with the general population. In these subjects, the prevalence of ED increases with age and duration and severity of disease (1,2). Studies in different populations have reported frequencies of ED ranging from 20% to 90%, depending on choice of assessment methods (3–6).
Recent studies suggest close associations between ED and atherosclerosis, and ED might serve as a clinical marker for coronary, peripheral, or cerebrovascular diseases (7–12). In cross-sectional studies, strong associations between calculated Framingham coronary risk score and ED have been reported (11,13,14). However, to date, the prognostic value of ED in predicting adverse cardiovascular events such as coronary heart disease (CHD) has not been confirmed in prospective analyses.
In the present study, we examined the impact of ED on the incidence of CHD events in a prospective cohort of Chinese type 2 diabetic men who did not have clinical evidence of cardiovascular diseases at baseline.
Patients and methods
Patients with diabetes were referred from general practitioners and general medical and specialist hospital clinics to the Prince of Wales Hospital Diabetes Centre for comprehensive assessment of complications and risk factors based on the European DIABCARE protocol (15). Between 1995 and 2005, 3,640 men were assessed. Patients with type 1 diabetes (n = 174) defined as acute presentation with diabetic ketoacidosis, heavy ketonuria (>3+), or continuous requirement of insulin within 1 year of diagnosis were excluded from this analysis. Patients with clinically evident cardiovascular diseases, including CHD, stroke, or peripheral arterial disease (PAD), at baseline were not included (n = 548). Information on ED by questionnaire was not available in 612 patients. Hence, 2,306 patients were included in the final analysis. Informed consent was obtained from all patients at the time of assessment to allow use of data for research purpose. The study was approved by the Chinese University of Hong Kong Clinical Research Ethics Committee.
Details of clinical assessments and laboratory assays were described previously (16). Presence of CHD-related events was defined as a past history of myocardial infarction, hospital admissions with heart failure, revascularization, or chest pain with abnormal electrocardiogram or stress test. Presence of stroke was defined as admission with typical neurological symptoms with or without recovery and confirmed on imaging. Peripheral arterial disease was defined as absent pedal pulses confirmed by ankle-brachial ratio ≤0.9 on Doppler ultrasound examination or a history of previous revascularization procedures. None of the patients in this consecutive cohort had a history of stroke, CHD, or PAD. For all study participants, the use of antihypertensive medications, lipid-lowering agents, and angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs) at baseline was also recorded. Antihypertensive medications included all classes of drugs that are indicated for hypertension, other than ACEI/ARB. The use of lipid-lowering drugs included statins and fibrates.
Patients were asked directly whether they suffered from ED according to the definition of the National Institutes of Health (NIH) Consensus Conference 1992 (17). Erectile dysfunction was defined as the inability to attain and/or maintain penile erection sufficient for satisfactory sexual performance. The response to the question was either "Yes" or "No." All patients had at least 2 urinary collections: a sterile, random spot urine sample was used to measure albumin/creatinine ratio (ACR) followed by a timed collection (4- or 24-h) for measurement of urinary albumin excretion rate. The definition of albuminuria was based on the mean value of ACR from both the timed and spot urinary samples. Normoalbuminuria was defined as a mean ACR ≤3.5 mg/mmol, microalbuminuria, 3.5 to 25 mg/mmol, and macroalbuminuria, ≥25 mg/mmol (18). Sensory neuropathy was defined as 2 of 3 abnormal signs or symptoms: numbness in lower limbs or reduced sensation with either monofilament or graduated tuning fork. Estimated glomerular filtration rate (eGFR; expressed in ml/min/1.73 m2) was calculated with the abbreviated Modification of Diet in Renal Disease (MDRD) formula further adjusted for the Chinese ethnicity (19): where SCR is serum creatinine expressed as μmol/l and 1.233 is the adjusting coefficient for Chinese. Chronic kidney disease (CKD) was defined by eGFR <60 ml/min/1.73 m2 (20).
Clinical outcomes
Hong Kong has a heavily subsidized health care system, and 95% of inpatient and chronic care are provided by public hospitals managed by the Hospital Authority. All clinical end points including hospital admissions and mortality were censored on July 30, 2005 with databases from the Hospital Authority Central Computer System, which records admissions to all public hospitals. These databases, including the Hong Kong Death Registry, were matched by a unique identification number, the Hong Kong Identity Card number, which is compulsory for all residents in Hong Kong and used by all government departments and major organizations. With the International Classification of Diseases-9th Revision code, hard CHD events were defined as: 1) acute myocardial infarction (code 410) or death due to coronary cause (code 410, 411 to 414, 428); or 2) other nonfatal CHD (code 411 to 414, procedure codes 36 and 00.66).
Statistical analysis
The analysis was performed with the Statistical Package for Social Sciences (version 11.5, SPSS Inc., Chicago, Illinois) package. Triglyceride and ACR were logarithmically transformed, owing to skewed distributions. All data are expressed as mean ± SD or median [interquartile range], as appropriate. The Student t test or analysis of variance was used for between-group comparisons for continuous variables, and the chi-square test was used for categorical variables. Logistic regression analysis was performed to identify factors associated with ED. Cox proportional hazards regression analysis was used to estimate the hazard ratio with 95% confidence interval (CI) for CHD events. Univariate analysis was performed with variables including ED; age; duration of diabetes; smoking history; use of antihypertensive, ACEI/ARB, or lipid-lowering medications; glycosylated hemoglobin (HbA1c); fasting plasma glucose; baseline status of retinopathy, sensory neuropathy, and ACR; eGFR; body mass index; waist circumference; systolic blood pressure (SBP) and diastolic blood pressure (DBP); low-density lipoprotein cholesterol; high-density lipoprotein cholesterol; and triglycerides. Factors associated with CHD (p < 0.1) on univariate analysis were included in the multivariate analysis. A forward stepwise algorithm (p < 0.10 for entry, and p < 0.05 for stay) was used. A p value < 0.05 (2-tailed) was considered to be significant.
In this cohort of 2,306 subjects (mean age 54.2 ± 12.7 years) with a median follow-up period of 4.0 years (interquartile range 1.7 to 7.1), 616 (26.7%) had ED according to the NIH definition. There was no difference in clinical and biochemical parameters between the 612 in whom information on ED was not available and the remainder (data not shown). Men with ED were older and had a longer duration of diabetes and higher SBP, high-density lipoprotein cholesterol, serum creatinine, and ACR but lower eGFR and body mass index than those without ED. They also had higher rates of retinopathy, sensory neuropathy, albuminuria, and chronic kidney disease and were more frequently using antihypertensive medications or lipid-lowering agents or taking ACEIs/ARBs (Table 1). After adjusting for other confounding factors on logistic regression modeling, ED at baseline was associated with age (odds ratio [95% CI] 1.03 [1.02 to 1.04], p < 0.001), body mass index (0.96 [0.93 to 0.99], p = 0.007), retinopathy (1.91 [1.52 to 2.39], p < 0.001), sensory neuropathy (1.65 [1.32 to 2.07], p < 0.001), use of antihypertensive medications (1.35 [1.07 to 1.71], p = 0.013), and use of ACEI/ARB (1.50 [1.16 to 1.93], p = 0.002).
Although there was no clinical evidence of cardiovascular disease at baseline, new CHD events occurred in 123 (5.3%) subjects during the 4-year observational period, giving an annualized incidence of 12.0/1,000 person-years (95% CI 9.90 to 14.1). In men with ED, the incidence was 19.7/1,000 person-years (95% CI 14.3 to 25.2) compared with 9.5 (95% CI 7.4 to 11.7) in those without ED. Men who developed new CHD events were older and had a longer duration of diabetes, higher SBP and DBP, total cholesterol, low-density lipoprotein cholesterol, and urinary ACR but lower high-density lipoprotein cholesterol and eGFR. These subjects also had higher frequencies of retinopathy, albuminuria, use of antihypertensive medications, and ED at baseline (Table 2).
On univariate Cox regression analysis, age (hazard ratio [95% CI] 1.04 [1.02 to 1.05], p < 0.001), duration of diabetes (1.06 [1.04 to 1.09], p < 0.001), SBP (1.02 [1.01 to 1.03], p < 0.001), albuminuria (3.42 [2.24 to 5.23], p < 0.001), retinopathy at baseline (2.38 [1.66 to 3.41], p < 0.001), eGFR (0.99 [0.98 to 0.99], p < 0.001), use of lipid-lowering agents (1.77 [1.01 to 3.11], p = 0.047), use of antihypertensive medications (2.34 [1.62 to 3.37], p < 0.001), use of ACEI/ARB (2.15 [1.40 to 3.30], p < 0.001), and ED (2.23 [1.55 to 3.20], p < 0.001) were associated with new CHD events. In addition, DBP (1.01 [1.00 to 1.03], p = 0.09) had borderline statistical significance. These factors were entered in a forward stepwise model for multivariate analysis to identify independent predictors. Erectile dysfunction remained an independent predictor of CHD events (hazard ratio 1.58 [95% CI 1.08 to 2.30], p = 0.018), after adjusting for other confounding factors. Other independent factors were age, duration of diabetes, use of antihypertensive medications, and baseline status of macroalbuminuria (Table 3). The Kaplan-Meier curves for CHD events in subjects stratified by ED separated early and continued to diverge over time (p < 0.001) (Fig. 1).
In this cohort of Chinese men with type 2 diabetes and no clinical evidence of cardiovascular disease, 26% reported symptoms of ED. Erectile dysfunction was associated with age, disease duration, and presence of other microvascular complications. More importantly, men with ED had a 1.6-fold increased risk of developing CHD events than those without, after adjustment for age, duration of diabetes, and other cardiovascular risk factors.
Previous studies have documented that patients with diabetes are more likely to suffer from ED. In type 1 diabetes, symptoms of ED preceded typical symptoms of CHD by 38.8 months on average (21). Although impotence—a manifestation of ED—is common in type 2 diabetes, most studies were retrospective or cross-sectional in nature. In a cross-sectional survey of type 2 diabetic patients, 34% reported problems of ED (22). Giuliano et al. (1), with the International Index of Erectile Function (IIEF)-5 score, reported that 70% of patients with type 2 diabetes had ED. The association between ED and CHD might be due to their many common risk factors. The prevalence of ED was higher among subjects with diabetes and silent CHD (angiographically proven) than those with diabetes alone. In a cross-sectional study, the presence of ED was associated with a 14.8-fold increased risk of CHD and was the most efficient predictor among other conventional cardiovascular risk factors (8). In another cross-sectional survey, 58% of type 2 diabetic men with angiographic evidence of CHD had symptoms of ED before the development of symptoms of angina (23). These findings strongly support the notion that ED might be a surrogate marker for future CHD, although prospective data are lacking.
Approximately 25% of middle-age men are estimated, with the Framingham Risk Engine, to develop CHD within 12 years (12). In the present study with a median follow-up period of 4.4 years, Chinese type 2 diabetic men with ED had an annualized CHD event rate of 20/1,000 person-years. This represents a 1.6-fold increased risk compared with those without ED. Compared with Caucasians, Chinese subjects are known to have lower risk of CHD (24). However, in this analysis, Chinese men with diabetes and ED had a CHD event rate comparable to the Caucasian general population (25). Importantly, the risk association between ED and new CHD events remained significant after adjustment for other confounding factors. Besides, none of these men had pre-existing cardiovascular diseases, thus strongly supporting that ED is an early marker of CHD in patients with diabetes. Recently, a guideline on identification of cardiovascular diseases in patients with diabetes was published (26). Our results argue that documentation of ED should be included in the assessment of cardiovascular risk.
Age, disease duration, and use of antihypertensive medications are important risk factors for CHD, in agreement with other reports (6,27–29). In addition, macroalbuminuria and ED conferred a 2- and 1.6-fold increased risk of CHD, respectively, independently of these risk factors. There are strong data showing that endothelial dysfunction is an important antecedent event in the development of CHD and atherosclerosis (30,31). There is consensus that albuminuria might be a marker of endothelial dysfunction (32). Although we did not measure endothelial dysfunction in these subjects, we have previously reported that Chinese type 2 diabetic patients with macroalbuminuria and renal dysfunction had reduced forearm flow-mediated dilation with Doppler ultrasound scan (33).
Taken together, it is conceivable that the penile microcirculation might be affected early by metabolic and hemodynamic factors such as hyperglycemia, dyslipidemia, blood pressure, oxidative stress, and glycation end products. These might result in vascular dysfunction giving rise to ED characterized by delay in time to maximal erection, reduced rigidity, and decreased ability to sustain an erection. In these subjects, similar pathological processes might be expected in other parts of the circulation. Impaired endothelium-dependent and -independent vasodilation are present in diabetic patients with ED and precede the onset of overt CHD (34,35).
A potential limitation of the current study is the use of NIH criteria during interview to define ED. Sexuality is a cultural taboo in China. These factors might contribute to the relatively low frequency of ED as compared with other studies (1,2,36). In more recent studies, information on ED was collected by using the IIEF or IIEF-5 questionnaires, which include more objective items, rather than using a single question as in the NIH criteria. Nevertheless, the latter was regarded as the standard for assessment when the current study was initiated in 1995. Besides, other studies have indicated a reasonable correlation between subjective assessment by NIH criteria and more detailed assessment based on the IIEF-5 (1,37). Although this relatively low percentage of subjects with ED is less likely to give rise to type 1 error, it is possible that subjects with more severe symptoms of ED were more likely to respond positively and thus bias the results toward a positive association. Nevertheless, in this prospective analysis, we have collected conventional risk factors and complications at baseline, and ED remained a significant risk factor after controlling for these confounding factors.
There are other limitations to this study. Selection bias might be present when patients are recruited from a single center. However, in Hong Kong, most patients with chronic diseases such as diabetes are managed in a public hospital where care is heavily subsidized. Although variability with single laboratory measurements might introduce errors, our results also demonstrate the benefit of asking a single question on ED and documenting clinical and biochemical measurement on a single occasion to identify subjects at high risk of CHD. When the survey was commenced in 1995, comprehensive cardiac assessments were not routinely performed in asymptomatic patients. Cardiovascular status was based largely on medical history or typical symptoms in the presence of abnormal electrocardiogram or stress test. Thus, it remains possible that patients with silent CHD might have been included in the analysis. Another potential limitation is the limited information on the use of concomitant medications, whereby effects from drugs such as beta-blockers or diuretics could not be separated from those due to other antihypertensive agents in terms of the relative contribution to ED in affected subjects. Although the use of antihypertensive medications was an independent predictor of new-onset coronary heart disease, impotence remains an independent predictor on Cox regression analysis. This finding suggested that the association between ED and new-onset CHD is unlikely to be accounted for by the influence of medications.
To our knowledge, this is the first prospective analysis of a large cohort of asymptomatic men with type 2 diabetes showing the risk association between ED and new onset of CHD events. These results strongly suggest that ED is a surrogate marker for future CHD. Given the preventable nature of CHD, symptoms of ED should be actively sought to identify high-risk subjects for comprehensive cardiovascular and metabolic assessments.
This study was partially supported by an MSD University Grant and the Hong Kong Foundation for Research and Development in Diabetes, established under the auspices of the Chinese University of Hong Kong.
The authors had full access to the data and take responsibility for its integrity. All authors have read and agree to the article as written.
- Abbreviations and Acronyms
- angiotensin-converting enzyme inhibitor
- albumin/creatinine ratio
- angiotensin receptor blocker
- coronary heart disease
- confidence interval
- diastolic blood pressure
- erectile dysfunction
- eGFR
- estimated glomerular filtration rate
- International Index of Erectile Function
- peripheral arterial disease
- systolic blood pressure
- Received October 2, 2007.
- Revision received January 30, 2008.
- Accepted February 5, 2008.
- American College of Cardiology Foundation
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If you know anything about SEO, you will know that updates to the Google rankings algorithms over the past few years have led to an increased focus on mobile-friendly content. A huge percentage of the world's internet users now browse from smartphones and other mobile devices, which means that it's important to make sure that your website is accessible to them.
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A Winter's tale: This week's best books in fiction, thrillers, cooking and more
A book is the ideal Christmas gift, says Hannah Beckerman.
Fiction: The Music shop, Tin Man and Eleanor Oliphant is Completely Fine
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Eleanor Oliphant Is Completely Fine by Gail Honeyman (Harper Collins, £12.99)
Honeyman's debut novel is 2017's biggest-selling hardback debut and with good reason. Eleanor Oliphant is one of society's outsiders: eccentric and lonely but also funny and charming. Her devastating childhood secret is gradually revealed in this wonderful story about compassion and kindness.
Anything Is Possible by Elizabeth Strout (Viking, £12.99)
Pulitzer Prize-winning Strout is a masterful observer of human relationships. Here she tells stories about the inhabitants of a small American town and their broken marriages, PTSD, infidelity, loneliness and poverty. Her prose is among the best you'll read this year.
The Heart's Invisible Furies by John Boyne (Doubleday, £16.99)
Boyne's tender, funny and deeply satisfying novel follows the life of Cyril Avery from his birth in 1940s Ireland to the present, taking in London, New York and Amsterdam against a backdrop of gay rights, the Aids epidemic and political change.
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This Is Going To Hurt: Secret Diaries Of A Junior Doctor by Adam Kay (Picador, £16.99)
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The Modern Cook's Year by Anna Jones (4th Estate, £26)
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Vivek Singh's Indian Festival Feasts by Vivek Singh (Absolute Press, £26)
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Sweet by Yotam Ottolenghi and Helen Goh (Ebury Press, £27)
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Made At Home: The Food I Cook For The People I Love by Giorgio Locatelli (4th Estate, £26)
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Bletchley Park Brainteasers by Sinclair McKay (Headline, £12.99)
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Draw Results Mahira Homes 103
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So, I hate posting in the complaints forum but I'm hoping I can get some answers from people in the similar situation.
I sent my Weapon Mg to be upgraded to Gemini on September 11th, as soon as I received an email that my batch is ready.
During first week, Christine was responsive to my emails and I provided payment information, expecting to get a pick up notice the following week.
Since then I didn't get a single email returned.
I called multiple times and best answer I could get is that my camera didn't pass the QC after the sensor installation.
No other information, no estimated delivery date, no return emails from Christine. Just silence.
I'm hemorrhaging money in rentals because of this.
Have 3 big shoots coming up in October and I have no idea when will I receive my camera.


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AMBA, Blessed, Dad, Growing Up, Hugs, Inspiration, Love, Memories, Multiverse, Mum, Parenting, Poem, Poetry, Twins, Wardy
A simple little momento…. There will come a day when reflecting on 'what was' will bring a tear to your eye.
Our 'little terrors' grow up all to fast…
I am Blessed
Blessed I am
To have multiple kids,
My rascals, my lovables
My own tin lids.
The havoc and disaster
They bring to our home,
Leaves it somehow
Like the Twilight Zone.
Snot and sickness
They never eat peas,
There's another nudie run
Keep your nappy on please.
Teething, fighting
We always run late,
When choosing their clothes
There's always a debate.
Yet when no ones around
And it's just one on one,
I hear magical things
And have lots of fun.
The little I love yous
And the cheekiest grin,
A cuddle or two
I've just had a win.
Those melting moments
That you'll never see,
Makes all of the difference
Between my kids and me.
NKW Copyright 2014


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Midfielder completes switch to Ewood ParkRoyals midfielder Hope Akpan has today joined Blackburn Rovers on a permanent deal.
Akpan, 23, has signed a two-year contract with Gary Bowyer's side.
The midfielder joined the Royals in January 2013 from Crawley Town, having first coming through the ranks at Everton.
Akpan made an immediate impression for us in the Premier League with assists against Chelsea and Newcastle, and went on to make a total of 39(+24) appearances for the Royals, scoring once. He also broke onto the international stage with Nigeria and earned his first caps for the Super Eagles this year.
Hope was nominated for a Football League PFA Player In The Community Award for his work with local youngsters whilst at Reading, and we would like to send him our best wishes as he moves to Ewood Park.
Manager Steve Clarke said: "Last season was a frustrating one for Hope Akpan due to injury and lack of game-time. It is an area of the pitch where we are well covered and it would be wrong to deny Hope the chance to play matches and start to move his career forward again. He was always a good person in my squad with the correct attitude towards training and I wish him well for the future."


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Skip to 0 minutes and 0 seconds In essence, all steam locomotives work the same. Fire in the firebox here, generates hot gases which pass through copper tubes within a boiler full of water. Steam gathers in the dome up here, which the driver can then release with the regulator, down into the pistons which in turn drive the wheels, generating forward momentum. The driver was often an older man, operating on worked experience more than formal training. His associate, the fireman, was often younger. More of an apprentice role, he would shovel coal from the tender here into the engine. We're standing on the footplate of Coppernob, Edward Berry's 1846 locomotive for the Furniss Railway in Lancashire. As you can see, it's pretty exposed.
Skip to 0 minutes and 46 seconds Apart from the copper dome, which gave it its nickname, there is no protection for the crew, who could have been thundering along the line at 30 - 40 miles an hour in whatever weather. This was a very, very dangerous job.
Introducing what engine drivers did
From the footplate of an 1840s locomotive held at the National Railway Museum, Oliver Betts explains the key tasks of the driver and fireman.
© University of Strathclyde


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Addressing Addiction in the Jewish Community
By Howard Reznick, LCSW-C
The "compulsive need for and use of a habit-forming substance (as heroin, nicotine, or alcohol) characterized by tolerance and by well-defined physiological symptoms upon withdrawal; broadly: persistent compulsive use of a substance known by the user to be harmful." That's the definition of addiction, according to Webster's Dictionary. But that definition doesn't tell the whole story. It doesn't touch on the toll addiction takes on the user, his family, his friends, his employer or his community. It also doesn't hint at the broken promises, the failed relationships, the crushed dreams or the shattered hearts.
Addiction is a disease that's tough to endure and even more difficult to shake. Denial is big part of addiction. Nobody wants to have any disease, but with addiction, denial comes along with the illness. With cancer, there's an initial denial but people eventually move past it. With addiction, denial is more integrated into the disorder and therefore harder to overcome. Just like sneezing with a cold — it's a given.
There's no way to know who among us will fall victim to addiction. It's an equal opportunity disease that doesn't discriminate based on race, religion, gender, etc. and no one can say "not in my family; not in my neighborhood."
Every ethnic group has its own set of issues when it comes to addiction. In some cultures drinking is so pervasive that abstaining could alienate a person from family and friends. In others, intoxication is so unusual, that it can force an individual to question his cultural identity.
For Jewish people there are cultural nuances and religious sensitivities which come with their own set of unique challenges. On one hand so many Jewish rituals are based around alcohol: a Jewish boy is exposed to wine at his bris; at the Passover Seder people are instructed to consume four cups of wine; and on the holiday of Purim, intoxication is encouraged to elevate the learner to a higher level of understanding the spiritual dimension of Jewish history. On the other hand, over indulgence is looked down upon, illustrated by the common belief that "Jews aren't addicts."
Whether it's alcoholism or problems with other drugs or behaviors like gambling, addiction is no stranger to the Jewish community. As far back as 30 years ago, Rabbi Abraham Twersky, M.D., one of America's leading authorities in addiction medicine, first addressed the Baltimore Jewish Community about the then increasing pervasiveness of these disorders.
Once we overcome denial that addiction exists among our friends and neighbors, the key to 'clearing the path' is to understand and remove barriers to addiction treatment and recovery. In 2018, Baltimore's Jewish Community can look forward to more innovative ideas and support at Understanding Addiction and Recovery, a free two-part program sponsored by Jewish Community Services, The Baltimore Board of Rabbis, Sol Levinson & Bros., Inc., Edward A. Myerberg Center, JCC of Greater Baltimore and JMore.
Part 1: The Disease of Addiction
Tuesday, October 9, 2018 • 7-9pm
Weinberg Park Heights JCC
Park 2: Addiction Treatment Options
Tuesday, October 23, 2018 • 7-9pm
Rosenbloom Owings Mills JCC
Registration preferred: jcsbalt.org/AddictionPrograms or 410-466-9200
Both programs will feature breakout sessions and Narcan overdose response training. If you're concerned about yourself or someone close to you, Jewish Community Services can provide helpful resources for counseling, treatment options and prevention education. For more information, call 410-466-9200.
By Howard Reznick, LCSW-C, is Manager of JCS Prevention Education.


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NEW YORK (October 18, 2013) – The 3rd Annual Halloween Pups on the Runway, to benefit The Sato Project, will be presented in New York City on Friday, October 25 from 6pm to 9pm at Toyota of Manhattan, located at 645 11th Avenue, New York, NY 10036.
The Halloween Haunted House will include spooky treats, musings by Madrette the pet psychic, followed by the Canine Costume Contest to feature costumes in categories such as: Glamour, Hilarious and Matching Pawrent. Famed Fashion Dog Designers and Celebrity Guests will be the judges for the Costume Runway Contest for fantastic prizes. A portion of the proceeds from the independently produced Halloween Costume Ball, by Pups on The Runway will benefit The Sato Project.
Tickets are $25 in advance, $30 at the door and entry to the Halloween costume contest will be $10. Attendees are welcome to bring leashed dogs. Get tickets now at https://pupshalloweencostumeball.eventbrite.com/
About The Sato Project
The Sato Project is a non-profit, 501(c)(3) organization dedicated to rescuing abandoned and abused animals from Puerto Rico. They primarily work on Dead Dog Beach, an infamous dumping ground where dogs are abandoned and abused on a daily basis. The volunteers of The Sato Project are the only source of food, fresh water, and love for the dogs of Dead Dog Beach. Since its inception in November 2011, The Sato Project has rescued, vetted, rehabilitated and adopted out over 500 of these dogs. Every dog averages $800 in vet's bills before it travels to the US to meet its forever family. The volunteer-based organization operates on donations only. They opened their first sanctuary in Boston during the Summer 2013. You can find them at http://thesatoproject.org/.
# # #


text: I can't believe Christmas is right around the corner...Thanksgiving is next week already! I can't wait! This year has gone by so fast..I'm ready for 2013 though. Speaking of Christmas I thought it would be fun to compile wish lists... I'm going to start with myself then post up Gabby's list..etc.. *My Wish List* 1. A classic timeless watch (Great Staple piece to have in … [Read more...]


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- Latest available (Revised)
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This is the original version (as it was originally made).
14. In this part—
"the appointed day" means the day appointed by order under Article 1(2) for the coming into operation of Article 3;
"the Board" means the Police Complaints Board for Northern Ireland;
"terms and conditions of employment" includes terms and conditions relating to superannuation benefit.
Latest Available (revised):The latest available updated version of the legislation incorporating changes made by subsequent legislation and applied by our editorial team. Changes we have not yet applied to the text, can be found in the 'Changes to Legislation' area.
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Canadians have been talking about health care spending for what seems like an eternity, and as such, it is an eye-glazing topic for most folks.
Perhaps this is because a sense of fatalism has set in; no one can see a way in which we can make the system better with so many other spending demands and the competing appeals for lower taxation.
Now, however, might be a good time to un-glaze those eyeballs and pay attention to a battle brewing between Justin Trudeau and the provinces. The outcome will have meaningful consequences for two important areas: mental health services and home care.
Check comments for late-breaking news
Ottawa provides transfer payments to the provinces for health care (among other things), with the relatively rich provinces subsidizing the poorer ones. The Constitution limits the federal government's ability to dictate how the provinces spend this money – and nowhere is this fact played out with more acrimony than in health care.
The current federal transfer payment offer contains a controversial provision: a top-up that must be spent on mental health services and home care. So far, only three provincial governments – all in Atlantic Canada – have accepted this arrangement. The others, B.C. included, are holding out for a better deal.
These are two vastly under-funded areas – even though everybody knows that increased funding for them would decrease the load on hospitals and the medical system in general. This is particularly true in the area of mental health.
The Canadian Mental Health Commission in 2012 recommended that nine per cent of health care spending be put towards mental health. None of the provinces have achieved that target, and the results are evident for all to see.
Hospitals are over-burdened by patients who, given better outpatient and home care support, would have avoided hospital stays in the first place (that is, if there were available beds, which is rarely the case). And it is the cost of hospital services that puts significant pressure on health care budgets.
But direct costs to the health care system are just the beginning. Communities suffer when folks living with mental illness do not get the assessment, treatment, and support they need in a timely manner.
Here on the Coast, the Arrowhead Clubhouse is a prime example of what happens when the regional health authority (Vancouver Coastal Health) can't support the needs of adults living with a mental illness.
Arrowhead has roughly 140 members – a number that grows weekly. Of these, about 40 attend the clubhouse daily and depend on its doors being open for peer support, fellowship, help with everything from transit passes to tax returns, and referrals to medical and legal help.
Arrowhead plays a vital role in keeping vulnerable patients safe, supported, and off the streets. Ask anyone in the medical or law enforcement system, and they'll say that without the clubhouse, these systems would be over-burdened.
Yet not a dime of funding for Arrowhead comes from Vancouver Coastal Health. There simply isn't the money. As a result, if the constant search for alternate funding does not pan out, then Arrowhead will revert to a four-day week. And that would be devastating.
If we wish to improve mental health services and home care, then members of the community and our MP, Pam Goldsmith-Jones, must urge the B.C. Government to drop the politics and take the federal funding offer currently on the table.


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Mispriced companies are rare diamonds in the stock market's rough. If you want to find them, you'll have to search through a whole pile of rocky rejects first.
That's why every member of our Motley Fool Global Gains research team has to present one new stock idea to the rest of us each month. While the ideas we like best end up becoming official Global Gains recommendations, we've passed on a number of promising companies, waiting for either a better valuation or greater certainty regarding an aspect of their business.
Below, I've listed two of the companies we're still mulling over, along with the reasons why they intrigue us. If they sound good to you, consider adding them to your own watch list as well.
Potential investment thesis: This well-run maker of high-quality power tools has a revered global brand, and it's trading at a valuation that prices in just 4% to 5% free cash flow growth over the next decade. Given global infrastructure building plans, the company's best-in-industry balance sheet (more than $1.1 billion in net cash), and its proven sales networks in emerging markets such as Eastern Europe, Southeast Asia, the Middle East, and Latin America, Makita should perform substantially better than that.
Potential points of failure: As a premium brand, Makita could lose business or pricing power to lower-priced competition, particularly in China. Infrastructure spending also depends on government spending, which may or may not be in the cards, given the state of sovereign balance sheets. All told, this is a competitive space, with other players such as Black & Decker
What we're waiting for: Given the still-uncertain outlook for the construction sector, and Makita's greater-than-60% revenue exposure to North America and Europe, 4% to 5% annual free cash flow growth for the next 10 years may be optimistic. I'd like to get a better price on the shares.
Core Laboratories
Potential investment thesis: As global oil and gas consumption continues to increase, and E&P costs keep rising, energy companies will seek to improve production efficiency. Core Laboratories' reservoir description and production enhancement products and services are the most advanced in the world, helping clients determine the best way to drill a well to increase the recovery factor beyond the industry's dramatically low 40% average. No competitor can boast similar size or scope, and Core Labs should see healthy growth as energy prices rebound and E&P companies invest in growth.
Potential points of failure: Core is only brought in after oil or gas has been discovered and is ready for drilling. If a decline in energy prices or exploration slows drilling, Core will suffer. Furthermore, any countries that proceed with drilling bans in the wake of the Gulf of Mexico oil spill could also hurt Core's prospects.
What we're waiting for: Unlike many energy industry stocks, Core Labs is up more than 30% this year, despite all of the headwinds facing the industry. That means there are now some pretty aggressive growth expectations baked into the price of the stock. Before buying shares, I'd like to see more news from E&P companies and potential core customers such as Chesapeake Energy


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So this September there is a feminist conference in Nottingham, in their about they describe their aims;
We are firm in our belief that women and girls are facing an ever-increasing attack on their rights, which needs not only to be challenged, but to be stopped. It is for this reason that we have decided to act and try to engage women from all backgrounds to stand up, debate and demand their fundamental rights
All backgrounds sounds wonderful doesn't it? As sex workers are fighting for their rights, and female sex workers face particular dangers and oppressions, from the removal of their children by social services to increased risk of rape and murder, we share a demand for fundamental rights. The right to be treated as other women are would be a wonderful start, the right to have attacks on us treated the same as attacks on "good women" would be a huge step. So where do we sign up, perhaps we could even speak at a workshop, explain how a society that devalues women's work also devalues sex work, or how slut shaming harms all women?
Ahhh, we of course forgot one thing, all backgrounds means all nice, good, non sex working women, because dirty whores would clutter the place up. From their events page;
OBJECT, a human rights organisation challenging the sexual objectification of women, whose campaigning has led to a change in legislation,The Co-operative, who offer different models of empowering women and lifting them out of poverty and Nordic Model Advocates, who are campaigning for the UK to adopt the Nordic model of prostitution laws.
For those unfamiliar with it the Nordic Model is one where sex work is de facto made illegal, since it makes paying for sex an illegal act. It is also described as End Demand, having no interest in sex workers rights or harm reduction, proponents of it instead have an ideological objection to sex work. The group, normally known as Normas, base a lot of their claims on discredited research and down right lie about the legal position of sex work in the UK. This was a tactic also used by Rhoda Grant, saying she thought it was wrong a woman could be arrested for prostitution but her client could not. In the UK that is simply not the case, while there are many bad laws around sex work the exchange of money for sexual services is perfectly legal.
Object you may be more familiar with, although you may not be aware they have harassed street workers and picketed clubs putting dancers out of work. This lack of concern for sex workers rights is no surprise though, and continues to this day with their loose the lad mags campaign.
So instead of a day for all women of all backgrounds, that wants to fight for their fundamental rights, we have a day for a small, very vocal campaign against sex workers rights, with groups who have no problem with putting the jobs of working class women at risk. One of the most worrying aspects of this is the list of people supporting them, again from the FAQs
The Co-operative Membership, Nottinghamshire and Mansfield TUC, NUT and the WEA.
Nottingham and Mansfield TUC seem to be unaware sex workers are members of the GMB and we have certainly not been consulted about this. They can be contacted via facebook https://www.facebook.com/pages/Nottingham-and-Mansfield-Trades-Council/ or here ;
Nottingham & Mansfield Trades Union Council
Richard Buckwell
4 Aubrey Road
Nottinghamshire NG5 2LA
Secretary: Richard Buckwell
Please if you have two minutes, email, supporting a conference that wants a change in the law that puts workers lives at risk, and is opposed by the workers, is not how any trades-union should act.
If you are a member of the NUT do you know money is being given to fund this event? Have you been consulted? Have the NUT researched the real harm the Nordic model brings? Your shop steward is the person to contact.
If you are a co-operative member the same applies. You have the right to say, not in my name. The Coop works on a regional level, so if you are from Nottingham you can contact your local representatives here. http://www.co-operative.coop/membership/have-your-say/our-committees/regional-boards/central–eastern-regional-board/
The antis have huge funding from US religious groups, we only have facts, and the voices of those who support us.
Uodate: Despite the comment from the organisers below the conference is showing itself to be opposed to sex workers, sex work and harm reduction, Ireland is currently considering laws that will actively endanger women, NWC has speakers from SPACE international, and Irish group fronted by Rachel Moran and Justine REilly. One of whom has never been seen by a single Irish sex worker where she claims to have worked, , the other a convicted pimp and brothel manager. Thanks NWC, you arent just throwing us inver the bus you are reversing it back over us.
Related articles
- NEW: PRESS RELEASE – SWOU respond to Rhoda! (glasgowswou.wordpress.com)
- SCOT-PEP's press release on Rhoda's defeat (glasgowswou.wordpress.com)
- New Zealand's model of sex work respects rights (thestar.com)


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If you are looking for a dumpster rental in Celebration, FL and this is your very first time renting one, you may not know the place to start. Deliver my Dumpster can be contacted at to provide you with any specific info concerning how to rent one in Celebration. Florida may have restrictions or regulations that Deliver my Dumpster will bring to your attention. For the most part, renting a roll-off container in Celebration is easy to do. Think about meeting your requirements and figure out which unit is going to be best for you, and when you decide, there isn't much left to do. All there is left to do is call, place your order, wait for it to arrive, fill it up, and have it picked up and emptied. Dumpster Rental is much easier than lots of people think.
If you want to find dumpster rental services in Celebration, FL take the time to discover what variety of choices are available to you. Make a price comparison for many different units. Consider the rental contracts available lengths. Request information should you be worried about environmental factors. Most standard units should be obtainable in your area of Florida. In determining which unit is best, consider the amount of space you've got under consideration. Think about how your unit is going to be delivered and used to be sure your selection accommodates your preferences.
When you really need to rent a dumpster in Florida it is necessary that you're renting the right one so you don't find yourself paying extra to get a second one later. Measure out the space you have to house a unit. Be conscientious when explaining the amount of waste you will have and its weight. If required, get advice from your construction crew about what might work best. On your site, there may be requirements you have to meet dealing with waste removal in addition to the size you need. Dependant upon what you need to utilize it for, certain features like a lid may be needed in Florida. Deliver my Dumpster can provide you advice on how to handle these restrictions so that your dumpster stays within code.
To avoid having your trash dumpsters delivered to Celebration before you want it, contact Deliver my Dumpster to specify the precise day that's most convenient for the delivery. Notify us about when you construction starts. How long do you anticipate generating waste during the construction period? Ask whether you should be present to receive the dumpster. Going over your rental time can cost you. Exceeding the proposed rental time can result in extra fees for every day you happen to be late on returning your dumpster. If Celebration requires you to have a permit for the usage of your rental, there is a chance you will be hit with a fine in the event your rental time exceeds the length of your permit. You can consult Deliver my Dumpster by calling to receive any further information you need about dumpster rental services in Florida.
Celebration has certain rules relating to dumpster safety. The polices cover all facets such as where a dumpster can be used, how much waste it must accommodate etc… To prevent people from stuffing landfills with dangerous substances, big devices, etc…, Celebration has dumpster rental rules about what one could throw-away in the units.
It is easy to know and understand these basic safety regulations. Please contact Deliver my Dumpster at and we will be delighted to communicate with you; we have all the details which will keep you safe. Dumpster rental Hennessey, OK is yet another location we service so don't forget to find out more about the other main cities.
It is simple to figure out most of the security guidelines because they are based on common sense. The process to fill the dumpster units would be spelled out by your rental organization and the items that you're permitted to put in the units will be regulated by Celebration, FL. The vehicle which is transporting the unit should not be damaged by the methods of filling up employed by the users. The units shouldn't contain waste that is spilling or falling out; it's one more major safety problem that must be dealt with.
Some limitations in the usage of roll-off dumpsters have been deemed by the construction regulations in Florida
All the restrictions that are applicable for Celebration will be completely listed by Deliver my Dumpster. Before you start utilizing the rental, ensure that you get a comprehensive list of these rules. Costly penalties may result should you transgress any of these regulations.
The laws of Florida regarding how to fill the dumpster is supposed to enhance safety and efficiency.
The primary intention of the majority of the polices in Florida would be the removal of toxic and dangerous materials. The process for risk-free loading of the units on top of the pickup truck and loading of units may also include policies of Deliver my Dumpster. The organization will detail all of this whenever you make your rental.
Celebration locals need to be aware of concerns on their home in addition to following the regulations. They can impact the utilization of the rental units.
Get in touch with Celebration to see if there are any environmental restrictions in your town that could affect where you can place your rental. We also offer service to dumpster rental Watonga, OK among other regions and states around the country. Having ample room to gain access to your rental is as important as addressing other safety issues and restrictions. Space for the pickup truck to access the unit for loading is also included in this.
If you have got any more issues regarding restrictions in Celebration, FL or general safety concerns, Deliver my Dumpster is reachable at to respond to all your questions.
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Sponsored by:
Read, Relax, Repeat.
Loyalty Long summer days are a perfect opportunity to read anywhere, anytime. Check out this summer's must-reads and the IndigoKids summer reading program.
Summer is the season to kick back and relax. Whether you're going to a cottage or heading to the beach, the longer summer days are a perfect opportunity to read anywhere, anytime.
With screen-time increasing across Canada, it's important to find fun ways for the whole family to unplug — which is why Indigo is encouraging children to read with the IndigoKids summer reading program.*
From May 13 through July 28, Indigo plum® members receive one stamp for each kid or teen book purchased. Once a total of eight stamps have been collected, members can redeem up to $10 off their next in-store purchase of any kid or teen book or toy.
Whether you're encouraging your child to read for pleasure or buying your book-loving teen the hottest new fiction novel, the IndigoKids summer reading program can help your child take the next step in their reading journey.
Read and redeem this summer
Reading is a richer experience when you're a plum member. The Indigo plum program is free to join and lets you earn five points for every dollar spent. Points can be redeemed in-store and online, so your next summer read can be on your doorstep with the click of a button. As a member, you also receive personalized recommendations and offers for both you and your kids as well as access to exclusive events, contests, first peeks at sales, and invites to private shopping events.
This summer's must-reads
* Receive 1 stamp for each kids/teen book purchased at a Canadian Indigo, Chapters, Coles and Indigospirit store. Collect a total of 8 stamps and redeem for a maximum $10 off your next in-store purchase of any kid/ teen book or toy. Valid May 13–July 28th, 2019 instore only (excluding kiosk orders). Excludes kid's tech, and American Girl® products/services. No cash value or price adjustments. Limit one card per transaction. Card forfeited upon redemption and will not be replaced or honoured if copied, altered, lost, damaged, or stolen. !ndigo, Chapters, Coles, plum and Enrich Your Life are registered trademarks of Indigo Books & Music Inc.


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Many customers are searching for "Loan Splash Similar" If you've fallen behind on your bills, you may feel as though you will never be able to catch up. It's important to remember that there are things you can do if you want to get your finances back on track. LoanSplash payday loans can protect you from overdraft and reconnection fees. They can save you money and protect your finances. You can use LoanSplash.com promo code Loan Splash Similar.
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Living with a long-time partner is similar to an extended sleepover, but you have to face responsibilities. Instead of talking about your dreams, crushes, and plans for the weekend, you must discuss bills, mortgages, and other fees. You think about who foots the next groceries or whose card swipes the register the next time you go to the mall.
For bickering married couples, the subject of money is long past their stage. New live-in partners and long-time partners are still not used to the idea. They still need to adjust to the concept of 'joint ownership,' sharing, and delegation of finances. Since money is always a sensitive matter, you must prepare yourself before diving into the topic.
Use these five tips to manage your household's income and expenses.
1. Keep a cool head during disagreements
Each of you is likely to have a viable solution to split your household finances. However, none of it will work if you both want to force your idea into the situation. That will only make matters worse.
You must both recognize the effect of your viewpoints. They are all valid and likely to solve your financial issues. When you don't agree on money matters, remember to keep a cool head. Learn to respect your partner's feelings about money. Establishing a common ground helps you create a picture of where you want to lead your home finances. Identifying your financial goals clears the air and leads you to follow a distinct track.
2. Establish a bill paying system
A comprehensive and well-constructed bill paying system is seamless and takes the least amount of time to settle bills. Having a consistent place for your receipts, checks, and invoices help you sort them quickly when in your house and lot. Have different envelopes, folders or filing system for utility bills, credit card bills, car repairs, health insurance, grocery receipts, and business invoice. You can find out which is urgent and due using this method.
Next, set up regular times to pay your dues. It can be every month or quarterly depending on the nature of the bill. You can settle the half every 15th and the rest during the end of the month. Following the schedule keeps you within your budget. It also minimizes the occurrence of impulse spending.
To settle payment, you can open a joint account and use it to debit utility charges. You can divide your expenses amongst yourselves and pay the bills through individual accounts if the joint account is not possible. Last but the least, you can make a fraction out of the total amount of expenses especially if you earn more than your partner. If you earn 20,000 and the other earns 15,000, you can vouch for two-thirds of the bills while remaining is for them.
Don't forget to check online payment facilities of establishments. Some of these payment platforms help you dodge processing and other associated fees. Thus, you save more.
3. Have separate bank accounts
It's nice to share things when in a relationship, but you must give yourselves some room. A bit of space is healthy especially when talking about finances. It feels empowering to have extra money to save or spend without consulting anyone, even if it is your partner.
Maintain separate savings accounts and personal credit card. You need the account to build your credit record in case you need to borrow from the bank. Having personal savings also saves you in times of difficulty.
4. Limit your liabilities
Long-term couples or live-in partners unmarried still have the right to extricate themselves from their partner's past liabilities. If your partner decides to buy a car because you both need it, the decision is his or hers. You don't have to pay for its repairs, upgrades, and insurance especially if you didn't agree or commit to the decision. The same privilege applies to your partner.
As much as possible, limit your common properties. Limited joint properties lessen expenses and disagreements. Don't contribute money when purchasing a major asset when ownership is under one person. It will not be legally yours.
5. Talk about it
Open the idea of a joint account once you are fully committed to the relationship. Married couples often resort to mutual savings to achieve their long-term goals. They plan their dream house and lot, vacation, retirement, or their children's education. Talk about your plans for you to prepare accordingly.
Besides your goals, it's also necessary to open up about each spending habits. You must voice out your opinion to your partner especially of their spending goes out of control. It's normal to spend once in a while, but staggered monthly fees can cause arguments in a relationship.
Marriage and living in together is a financial partnership. The partners must compromise and cooperate for the relationship to be successful. Adopting a system, communication, and knowing each other's limit on finances are some ways to allocate household cash accordingly.
Updated on 13. September 2020
Home Based Business Infonet


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Greetings to new iSchoolers, and welcome back returning students! It's a new year and a new semester is about to begin. This time of year has many thinking about the goals they want to accomplish in the upcoming months. In this post I'd like to offer some encouragement and advice for your academic and professional resolutions. I hope that new students especially find it helpful as you begin your journey in the study of information.
Resolution #1: Learn something new.
- We're still a few days away from the start of the spring semester, but you can jump start your learning this year by taking an online course at Lynda.com. All current UT iSchool students have free access to Lynda.com's expansive library of video tutorials. Whether you want to learn a new programming language (or brush up your existing skills), increase your proficiency in using a particular software program, or master professional soft skills, there is a course on Lynda.com that will keep your brain occupied until classes start. Learn how to access Lynda.com with your UT EID here.
- Don't forget: iSchoolers can take a limited number of courses outside of the iSchool. There are only three core courses that all master's students are required to take. Otherwise, students are free to build a course of study however they choose. Students are encouraged to take courses that may not be explicitly related to their intended profession. Taking courses outside of a student's comfort zone can be an incredibly valuable experience and expand a student's understanding of the interdisciplinary information field. Courses from the LBJ School of Public Affairs, the College of Liberal Arts, and the Moody College of Communication are popular among iSchool students. You can also find a list of technology courses at the iSchool and in other departments at UT here.
Resolution #2: Do more this year.
- Every year, one of my goals is to read more books. Some years I'm more successful than others. That's part of the reason I started doing semiannual reading challenges on my blog. Writing book reviews definitely keeps me motivated to read more and I enjoy sharing the great stories I come across with other readers. Maybe reading more is one of your goals this year too. If so, there are tons of book recommendations on Info Portal from your fellow iSchooler, Alex Peterson. And if you do read a great book, magazine, or journal article this year, write a review and share it with us!
- Perhaps you're looking to gain more professional experience in 2017. I'm sure that's a goal on every iSchooler's list of resolutions. The iCareers website is a great resource for finding job opportunities in the information field as well as capstone opportunities for those soon-to-be graduates. If you've still got a few semesters left until your capstone, projects are also a good way to build skills and experience for your professional portfolio. The IT Lab has hardware, software, and specialized equipment available as well as Teachers Assistants (TAs) known as "Purple Shirts" who can provide instruction on using lab technologies. You can also find tutorials for much of the software in the IT Lab at Lynda.com. Your time in the master's program goes by very quickly so I'd encourage you to work on as many projects as possible, both in and outside of the classroom, in order to build up an impressive portfolio of work that you can show prospective employers when you go on the job hunt after graduation. You're welcome to showcase your exceptional work on Info Portal by submitting a blog post here.
Resolution #3: Get involved.
- The easiest way to get immersed in the information profession is to join a student organization. There you can meet other students with your professional interests, participate in events on campus and in the community, and even network with working professionals in the field, many of whom are UT iSchool alumni! You may also get a student discount by joining the professional organization through the student chapter. Check out the recaps on Info Portal to learn about some of our student organizations' past activities, and if you attend a student event this year share your thoughts on the experience here. Visit the Info Portal events calendar to view upcoming student events and easily add them to your Google, Apple or Outlook calendar. Also, make sure that you're subscribed to The Insider listserv as many student events are announced there.
- Finally, don't discount volunteering. As your fellow iSchooler Johnny Rovell said in this blog post, "Volunteering is an amazing way to give back, get involved, supplement your education, and make professional connections in your field." Attending school here in the state capital gives iSchool students a wealth of opportunities to volunteer with amazing cultural heritage institutions, technology user groups and organizations, and state/local government institutions. If you're transitioning from another career field then volunteering is a great way to test the waters of your professional area of interest. It's also an excellent opportunity to network and build relationships with people who will eventually become your colleagues in your intended profession. Some volunteer positions entail working on projects and other skill-building opportunities which you can add to your professional portfolio as well. Win-win!
Best wishes for a fantastic 2017, iSchoolers!


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Let's pretend I have a box. I have decorated the inside of my box according to my ideas about what the world is. There are the things I prefer, the things I don't prefer and a whole story about why the world is the way it is. And every time I leave my bedroom I put the box over my head. It's a habit now, I don't even notice it any more.
I also decorate according to my memories of what life outside the box looks like. When I was very young I had no box at all and life was very challenging. A lot of the box decorations are based on my childhood. The only other time I see life box-less is when I'm out and about and things have changed so much that I collide with something, a detail that isn't represented accurately enough in my box. Then I have to take my box off and deal directly with life – this is exciting but scary, and frequently painful. Of course, I hurry home and update my box decorations to avoid repeating that collision.
Which means when I go out into the world wearing my box on my head I'm very confident and can focus 110% on the things I think are important. Very handy for achieving things on a to-do list.
I put my box on every morning and go out to school or work or shopping or the retirement village. It almost doesn't matter where I am because my box never changes. The decorations fade or fall off but I replace them and make up new characters: the show must go on!
If things get extreme, my box can filter out not only the things that make me uncomfortable or disappointed but the very acknowledgement that life can actually be uncomfortable or disappointing! Such relentless, grotesque positivity can bring some spectacular achievements: right up until adrenal fatigue and the weight of stress blows the box to pieces.
There's an Alan Watts quote I'm very fond of:
Our problem is that the power of thought enables us to construct symbols of things apart from the things themselves. This includes the ability to make a symbol, an idea of ourselves apart from ourselves. Because the idea is so much more comprehensible than the reality, the symbol so much more stable than the fact, we learn to identify ourselves with our idea of ourselves.
Alan Watts, The Way of Zen
So, what's the view from your box look like?


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Paul Chryst is certainly taking a unique approach in reconstituting his Wisconsin coaching staff.
Earlier this month, Chryst hired Jim Leonhard as his new defensive coordinator despite the latter having just one year of experience as a coach at any level. Now, reports have surfaced that Chryst is bringing Bob Bostad back to Madison to fill a vacancy on the staff.
While Bostad was an offensive assistant during his first tour of duty with the Badgers, he'll be a defensive coach in this latest stint. Specifically, he'll serve as UW's inside linebackers coach.
Bostad would technically replace Justin Wilcox, the coordinator Leonhard replaced after Wilcox took the head-coaching job at Cal last month.
From 2006-11, Bostad was an assistant for the Badgers — the first two seasons as tight ends coach, the last four as offensive line coach. After spending four seasons as the line coach for two NFL franchises — Tampa Bay Buccaneers (2012-13), Tennessee Titans (2014-15) — Bostad spent the 2016 season as tight ends coach at Northern Illinois.
In a coaching career that spans 27 seasons, this would be Bostad's first job on the defensive side of the ball.
UPDATED 12:59 p.m. ET: Wisconsin has confirmed the hiring of Bostad.
Bob Bostad has returned to the #Badgers' coaching staff.
Welcome back, Coach.#OnWisconsinhttps://t.co/BxDTObC1HH
— Wisconsin Football (@BadgerFootball) February 24, 2017


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Istory, also known as (Easterly, イストリー?, lit. Isutorī) is a town in Final Fantasy V located on the northwest part of the World Map.
Points of Interest
On the northwest part of town, there is a garden with eight flowers. If the player walks on them and stops at the southeastern flower, a frog will pop out of the ground and drop the spell Toad.
There is a sheep in the northeast part of town. If the player stands behind it and interacts with it, the sheep will kick the player, sending him flying next to a Bard. If the player talks to him they will learn Romeo's Ballad.
Item Shop
Magic Shop
Armor Shop
Outside (Bartz's World)
Outside (Merged World)
Musical Themes
Like in many different towns, ("Harvest", ハーヴェスト?, lit. Hāvesuto) plays in Istory.
Other appearances
Final Fantasy XIV
One of the original servers in Final Fantasy XIV was named Istory. It was merged with the Mysidia server into the Gungnir server.


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Our accounting and business software solutions were developed right here in Australia.
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Jump to: Previous Version | New Features | Enhancements | Fixes and Improvements | Next Version
The service module allows tracking of service related items, requests and actions and it facilitates invoicing the work and material used to complete a service.
Ability to purchase fixed assets through purchasing module
The Purchase Requisition functionality can now facilitate Asset acquisitions.
Comparative profit & loss report added
In addition to the existing Month-To-Date and Year-To-Date profit and loss report, we have added a comparative profit and loss report, allowing users to compare the state of the business to that of previous years. (CR151127841)
Customisable Information Panel
The Information panel (accessed by pressing F9) is now fully customisable. Users can add or remove fields and even create a tabbed window.
Ability for users to export / import product barcodes
Product barcodes can now be bulk imported by exporting a product list spreadsheet, adding the relevant barcodes then importing the updated spreadsheet into Sybiz Vision. (CR161232208)
Expansion of post-processing correction mechanism
Change of delivery address, delivery instructions and bank reconciliation end date can be updated on already processed transactions except orders and quotes (CR161031442, 160529658, 160730429)
Special pricing for head office / branch office customers
Branch offices now use any special prices that are defined for their head office. This saves users from having to enter special prices for each of the offices of a company they do business with. (CR160931067)
Posting receipts and payments for jobs straight from cashbook
Sybiz Vision cashbook now has the ability to post receipts and payments relating to jobs directly. This accommodates companies with a process where entering job costs is cashbook centric rather than job centric. (CR150726474)
Custom Pivots support drill-down to underlying data
Custom pivots are a flexible way to look at data in Sybiz Vision, turning your data into valuable information. The pivots are now even more powerful with the added ability to drill down into individual lines.
New From on Periodic Bills
Sybiz Vision's New From functionality is now available for Periodic Bills. Data is carried across to reduce entry time when creating multiple similar transactions. (CR160931045)
Ability to reverse lines
Swap the debit and credit lines on a journal or locations on a stock transfer, creating a reversal of what was originally entered or processed. Any selected offsets will not be reversed but cleared from the transaction.
Expanded emailing options
Exchange, Outlook and SMTP email servers are now supported.
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Additional information on sales and purchase transaction documents
Users can now choose to show Amount Paid, Amount Outstanding and Due On (Date) information on all sales and purchase transaction documents.
New budget field in Profit & Loss report
Year to Date profit & loss reports can be further customised to include budget figures. (CR160931203)
Sales by product report now displays the order/delivery customer details
The sales by product report now gives a clearer picture of which customers ordered and received goods. This is especially relevant when dealing with head and branch offices, where the customer who ordered products is not necessarily the customer who received the invoice. (CR161131870)
Enquiring on a product from stock fulfilment
The stock fulfilment feature in Manufacturing now displays reorder levels, lead times and other information in addition to quantity required. (CR161232215)
New filter option on outstanding quotes and orders reports
Outstanding quotes and outstanding order reports can now be filtered by the sales representative who looks after the customers involved. (CR161131876)
Sales representatives and analysis codes can now be linked to jobs
Sales representatives can now be linked to jobs. This allows greater analysis should the sales representative that is normally linked to the customer differ. Analysis codes can also be directly linked to jobs. (CR160529868)
More efficient entry of dates and times
Data entry can be completed solely with the keyboard across all forms where times and dates are entered, including timesheets, making the process easier and faster. (CR161232229)
Delivery date column in stock allocation
The stock allocation screen can now display the delivery date of orders. This helps the user decide what orders to prioritise if stock is limited. (CR170232776)
Back-to-back purchase order resembles sales order more closely
Both purchase and sales screens when processing a back-to-back order will display items in the same order, making visual comparison and verification easier. (CR170232746)
Saved transactions can be viewed in relation to inventory
While already visible when drilling down on the relevant customer or supplier, any saved transactions can now be viewed by drilling down into inventory items. (CR161232349)
Extensions to New From functionality in transactions
Any prices in a transaction are duplicated into the next transaction when using the New From feature. A notification will advise users to refresh prices if they wish to use the latest instead. (CR160228528)
Supplier's product code added to purchase transactions
All purchase transactions now have the ability to also include the supplier-defined product code for quick reference and verification. (CR151227986)
Discount on header of purchase transactions
If a supplier offers a discount on all lines of a purchase transaction this can now be set at the header level, as with sales transactions. (CR161232155)
Irish VAT 3 return now includes boxes ES1 and ES2
The Irish tax return includes boxes ES1 and ES2 for services to and from EU countries. These boxes are now added to the GL report. (CR160931282)
Additional data available in purchase and sales detail reports
Purchase and sales detail reports can now be further customised with codes, group codes and sort codes fields for jobs, accounts and products. (CR160931255)
More custom fields supported in Job estimates
Job estimates now support custom fields on headers as well as lines. (CR160228743)
Pay and Process support for advanced jobs
Advanced jobs now support pay and process, making it possible to use pay and process in combination with posting methods by stage or cost centre. (CR151027349)
Visual indication of linked information
To indicate that there is linked information, such as attachments, notes, reminders or CRM activities, the UI now displays the relevant buttons in bold. (CR150324876)
Expanded functionality of processed sales quotes
Sales quotes now accept adding new lines after processing. (CR170232780)
Additional account information on invoices
Sales invoices can include total outstanding and overdue amounts (CR161232261)
Charge now updates correctly on purchase delivery and invoice when cost is changed before a quantity is entered. (CR170333233)
Transaction batch history report shows the correct entry time. (CR170333134)
Creditors aged balance report shows last payment in correct currency. (CR170232940)
A straight purchase credit no longer shows a cost of 0 (zero). (CR170433427)
Fixed issue where line type in Cashbook and Journals could not be changed. (CR170333259)
All quantity fields are now carried over when converting from Sybiz Vision Classic. (CR170333349, 170232875)
Special price discount for a customer is now applied correctly to job costs. (CR170433468)
Base currencies that use a full stop as a 'thousands' unit separator now round and display correctly. (CR150726238, 161232361, 150927187)
Invoice enquiry no longer checks for processing rights instead of access rights. (CR161232320)
Custom grids now allow editing and selecting of cells without restoring layout. (CR161232271)
Quantity & Value Report no longer shows incorrect profit values. (CR161132017)
Changing products from non-diminishing to diminishing is prevented unless Quantity on hand is 0 (zero). (CR161131912)
Solved issue where transaction properties were not always passed to breakpoints correctly. (CR161232359)
"Fix out of range products" utility renamed "Fix out of range prices." Have also made a number of UI and speed improvements. (CR161232363)
Ability to mark all lines as counted within a stocktake even if counted quantity is 0 (zero). (CR160830707)
Screens for Open transaction and Add document now maintain state. (CR170132489)
Fixed an issue in Change Log where on import it showed all rather than imported products as changed. (CR161031491)
Previously serial or lot tracked products can now be made tracked products again. (CR170232846)
A CRM category can now be immediately applied when it is created from within the activity form. (CR170232801)
Selecting an email preview now shows the email address in the To field. (CR170232792)
Unit charge no longer has rounding issues when changing labour quantity in timesheets. (CR170132627)
Fixed an issue where the Postings node in GL enquiry would occasionally display transactions twice. (CR160529756)
Locking mechanism no longer allows two conflicting bank reconciliation screens to be open. (CR170132554)
Export has been made considerably faster for large data sets. (CR170232821)
Fixed an issue where purchase orders created by stock fulfilment were sometimes processed while configured to only save. (CR170232686)
The search panel shown when using New From no longer displays duplicate source transactions. (CR170232848)
Conditional formatting on the stock allocation window is now correctly saved for the user. (CR170232838)
Fixed issue where the active transaction window sometimes appeared behind the main Sybiz Vision window if its document was set to print. (CR170232696)
Suggest order wizard no longer splits orders with one per location setting. (CR170333062)
Validation now prevents simultaneous deliveries by different users to cross order limit. (CR170333053)
Purchase GL account can now be selected on purchase template. (CR170433418)
Resolved issue where some custom views or additional information would disappear after refreshing or logging out. (CR161232281, 161232269, 161232065)
Assemblies manufactured on delivery show margins and mark-ups based on their estimated costs. (CR160730605)
Debtor and Creditor statement reports as well as customer and supplier aged balance list reports now use the current session date to determine aging when run as part of a report set. (CR160529619)
Fixed 'Invalid column name' error in BIC Purchases Master and Sales Master reports (CR160328824, 170232798)
BIC Year to Date reports only include amounts of the relevant period (CR160529850, 161131998, 151127752)
Processing a job estimate after deleting a line no longer causes an error (CR170533812)
Inclusive mode purchase transactions that are created with New From based on a transaction processed prior to version 16.20 can now have their unit price changed (CR170533831)
Previewing a GL cashbook payment from the GL history enquiry screen now displays the correct transactions (CR170533827)
Job estimates show the job and line details on the forms (CR170533819)
When the information panel is opened for a product using F9, it now shows the correct sales order value (CR170533813)
JC payments in cashbook no longer cause an error when a tax value is added (CR170533805)
SQL queries on custom reports can be created and edited with both the SQL editor and the query builder (CR170533867)
Customisation will be populated with data without the need to parse the query prior to saving. If the query is invalid the user is prevented from saving the customisation (CR170533847)
Designer can be accessed in all customisations (CR170533853)
Visipay.Net staff link can be linked to a Vision.Net database (CR170533835)
Cashbook payments and receipts show supplier and customer details (CR170533895, 170533912)
Charge updates properly when changing labour type in a Service Action (CR170533938)
Customer import no longer throws an error (CR170533906)
Purchase invoice lines with equal positive and negative quantities of the same item no longer cause incorrect accrual postings (CR170634115)
A divide by zero error that in rare cases appeared on the customer enquiry screen has been corrected (CR170634212)
Stock allocation grid allows editing on the fly of allocated quantity and the reserve date. Only if the grid is currently read-only, a restore default layout is required. (CR170634225)
Included fix for import of fixed asset depreciation book (CR170534047)
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