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The Tories are on course to win an overall majority at the next election because Ed Miliband is a worse leader than Neil Kinnock, a former Labour Home Secretary has warned.
Charles Clarke said that Labour has "no narrative" and Ed Miliband is failing to appeal to voters because he has an "assembly of odd policies".
Mr Clarke also criticised Mr Miliband for failing to "set out clearly" how he would control the deficit and said Labour is unlikely to regain public trust in its ability to handle the economy.
The comment from one of Labour's "big beasts" are likely to be seized on by the Conservatives who have consistently lagged behind in the polls.
Mr Clarke told Huffington Post: "I think the most likely outcome is a Tory overall majority. You've got to set out an overall account of what it is. And I don't think we have an account and I think that's Ed's biggest challenge.
"[He has got to] Set out a clear statement of what Labour would actually do. Give people a reason to vote Labour. not an assembly of odd policies like the electricity freeze or whatever. [He] lacks an overall story."
Mr Clarke, who served as Neil Kinnock's chief of staff in the 1987 and 1992 General Elections, said the former Labour leader has "far more qualities" than Mr Miliband.
He said: "Neil has far, far more qualities than Ed Miliband as a leader. Neil was a fantastic leader and brought Labour back towards victory."
However, he suggested that Mr Miliband still has the abilities he needs to become Prime Minister. He said: "I think he has a problem with the population, undoubtedly. He is an intelligent man, he'd be a good prime minister. I don't myself think he's geeky. I think those are offensive-type descriptions. I don't go along with all that stuff."
He criticised both Mr Miliband and Yvette Cooper, the shadow home secretary, for apologising for the influx of Eastern Europeans under Labour.
Her said: "One of my restraints over the last three or four years has been to not attack particularly Yvette and Ed Miliband on what I think are ignorant and ill-informed statements about what happened in this whole process."
Mr Clarke said that Tony Blair, who he served under, has been "damaged" by the amount of money he has made since returning to office but he could still return to British politics.
He said: "Were he a Labour MP, I think he'd have every chance of being elected leader of the Labour Party, which is quite extraordinary, and were he elected leader of the Labour Party, I think he'd have every chance of being elected prime minister, which is also extraordinary."
He added that Gordon Brown, the former Labour leader, should quit the Commons because he doesn't spend enough time there. He said: "He's an elected member of parliament. If he doesn't want to be an MP he should stand down."


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Tony's Motor Service Offers Auto Repair Services You Can Count On!
Tony's Motor Service has been providing customers in the Los Angeles, CA 90064
area with high-quality automotive maintenance and repair services since 2013.
Our experienced mechanics will get your vehicle up and running again, and we'll
keep it in top operating condition.
We provide a range of services, including 4x4 Services, Alignment, Batteries, Brakes, Car & Truck Care, Classic Cars, Domestic Cars & Trucks, Electrical Services, Electronic Services, Engine & Transmission, Engine Maintenance, General Services, Heating and Cooling Services, Import Cars & Trucks, Miscellaneous Services, Towing, Transmission Services and Undercar Services. We're proud of our great mechanics, who have years of experience working on many different types of vehicles. They have the knowledge required to diagnose your problems, and to find affordable solutions to get you back on the road quickly.
Call Tony's Motor Service today at 310-231-0123! You can also send us an email. Either way, we're looking forward to providing you with reliable automotive service!
Areas We Serve
Vehicle Tips
According to recent studies, 5 percent of all motor vehicle fatalities are clearly caused by automobile maintenance neglect.
The cooling system should be completely flushed and refilled about every 24 months. The level, condition, and concentration of coolant should be checked. (A 50/50 mix of anti-freeze and water is usually recommended.)
Never remove the radiator cap until the engine has thoroughly cooled. The tightness and condition of drive belts, clamps and hoses should be checked by a pro.
Change your oil and oil filter as specified in your manual, or more often (every 3,000 miles) if you make frequent short jaunts, extended trips with lots of luggage or tow a trailer.
Replace other filters (air, fuel, PCV, etc.) as recommended, or more often in dusty conditions. Get engine drivability problems (hard stops, rough idling, stalling, diminished power, etc.) corrected at a good shop.
A dirty windshield causes eye fatigue and can pose a safety hazard. Replace worn blades and get plenty of windshield washer solvent.
Have your tires rotated about every 5,000 miles. Check tire pressures once a month; let the tires cool down first. Don't forget your spare and be sure your jack is in good condition.
Check your owner's manual to find out what fuel octane rating your car's engine needs then buy it.
Keep your tires inflated to the proper levels. Under-inflated tires make it harder for your car to move down the road, which means your engine uses more fuel to maintain speed.
Lighten the load. Heavier vehicles use more fuel, so clean out unnecessary weight in the passenger compartment or trunk before you hit the road.
Use the A/C sparingly. The air conditioner puts extra load on the engine forcing more fuel to be used.
Keep your windows closed. Wide-open windows, especially at highway speeds, increase aerodynamic drag and the result is up to a 10% decrease in fuel economy.
Avoid long idling. If you anticipate being stopped for more than one minute, shut off the car. Contrary to popular belief, restarting the car uses less fuel than letting it idle.
Stay within posted speed limits. The faster you drive, the more fuel you use. For example, driving at 65 miles per hour (mph) rather than 55 mph, increases fuel consumption by 20 percent.
Use cruise control. Using cruise control on highway trips can help you maintain a constant speed and, in most cases, reduce your fuel consumption.
Keep your engine tuned. A fouled spark plug or plugged/restricted fuel injector can reduce fuel efficiency as much as 30 percent.
Inspect the engine's belts regularly. Look for cracks or missing sections or segments. Worn belts will affect the engine performance.
Have the fuel filter changed every 10,000 miles to prevent rust, dirt and other impurities from entering the fuel system.
Change the transmission fluid and filter every 15,000 to 18,000 miles. This will protect the precision-crafted components of the transmission/transaxle.
Inspect the suspension system regularly. This will extend the life of the vehicle's tires.
What Our Customers Are Saying
-Sara H.
Let me start by saying that I'm from the Motor City, so my car means more to me than it may someone who wasn't raised in a town where automobiles represent the livelihood of their entire city. When something goes wrong, I take it to heart, so it was important to me to find somewhere I trust. My experience with Mark was awesome. He helped me in a pinch, and was honest, careful, thorough, and -- as icing on the top! -- shook my hand and made me feel like I was back home in the midwest! I recommend Tony's 100%.
-Travis S.
Came in after work today to get my brake light fixed (wasn't working and had tried everything to my knowledge to fix it). There were several cars being worked on but the man up front told me to pull my car around to see if they could fix it or would need more time. Did so and after about 15 minute wait my light was working! Not only had they solved my problem but they didn't charge me at all for taken up their time! All the employees are super respectful and polite and very accommodating! Always recommend this place when you need to be taken care of without being taken for a ride. So sorry I didn't get any names but y'all rock!
I needed some repairs done, in order to pass the smog test. I waited until the last minute, of course! Edwin and Mark rearranged their busy schedule to squeeze me in. They also took care of some other mechanical issues, on the vehicle. I can't thank them enough. Excellent service, fair prices and great guys to deal with.
-Dominic T.
Edwin and his crew are the best in business....a true one stop shop! They do IT ALL! Customer for life! I refer all my friends to them.
-Debbie M.
Edwin and his crew have been servicing my car for several years now. They are an honest establishment and I've always felt well taken care of and never taken advantage of!!
-George T.
I've followed Edwin through all the shops he's worked at or managed over the years. So happy he has his own place now. I usually do my own mechanic work, but when I do take my car in, he is the only person I know I can trust 100%. All my family and friends go to him too.
-Amanda H.
Edwin is the man! Great crew of honest experts! I will never go to another mechanic!
-Dave E.
Tony's is the best shop on this side of town! Edwin, George, and everyone else there are super helpful and will answer all your questions. Just as importantly, their quality of work is excellent. So far I've had them replace an engine mount and a clutch, plus some minor stuff like fluid and filter changes. They will have my business as long as I'm living in LA.
-Adam S.
I went here with a 68 Pontiac GTO that needed work complete asap (issues starting, fuel line leak, various electrical issues). Edwin had the car ready the next day and fixed all the issues and explained thoroughly what had to be done, plus got it all done at a very modest price! He even had a shuttle to pick me up and drop me off once the vehicle was ready. Very happy with his service!

subset: commoncrawl


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Skip to main content
South Chicago is one of the city's oldest and most historic communities. Once a bustling mix of working class families, its prosperity was always tied to the local steel mill, the immense South Works. When the steel industry collapsed, and South Works closed, the fortunes of the community took a disastrous turn. Unemployment led to increased crime, abandoned homes and disappearing services. But South Chicago is nothing if not resilient, and with the enlightened leadership of Claretian Associates and its development team, South Chicago Workforce and Sam Marts Architects and Planners, a turnaround is well underway. A two-year community planning process gathered neighbors to envision a new community. When it was complete in 1998, the plan called for new affordable homes on the neighborhood's empty lots, big enough for large families. Claretian Associates responded with New Homes for South Chicago. Built in three phases, the 17 new single-family homes and 8 two-flats have transformed the mostly vacant lots of the area between Brandon and Mackinaw, just west of the South Works from 88th to 92nd Street. A local, community-based contractor hired and trained neighborhood labor and the entire project was assisted by the New Homes for Chicago Program. Claretian Associates committed themselves to building homes that were affordable both to buy and to maintain by including a variety of energy efficiency features. All mechanical systems, appliances, windows, and lighting represent the newest in green technologies. The houses were constructed with Structural Insulated Panels (SIPs) that provide strength and high insulation values. Some of the homes also come with rooftop solar panels, providing 1.2 kilowatts of electricity to the household. This makes New Homes for South Chicago the largest residential solar project in Illinois. Despite a host of construction challenges, including lots below street level, Claretian Associates and their general contractor, South Chicago Workforce, remained focused, and today the large homes on oversized lots are complete and occupied. This project sets South Chicago on course for a bright future and earns Claretian Associates, Inc. the 2005 Outstanding Non-Profit Real Estate Development Award.
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Reports from Amsterdam
Pat Aufderheide, of the Center for Social Media, Washington, writes from the Amsterdam Documentary Festival: http://bit.ly/fZvasU "Slow food"-like documentary cinema (one on Cuba) http://bit.ly/fsnpmS European doc filmmakers emulate the U.S. fair use model http://bit.ly/dPdgls Turning found footage into film–including award-winning film about Guantanamo http://www.centerforsocialmedia.org Advertisements
Angela Martin
Angela Martin has been a film and video editor of mostly documentary material, a tutor and course leader for the BA in Film and Media Production at Sheffield Hallam University, and, prior to that, a commissioning editor at BFI Publications, as well as a contributor to books and journals on film. She is now enjoying … Continue reading
Michael Nyman
Saturday 29 January 7.30 pm Screening and discussion: NYman with a Movie Camera, (Michael Nyman, 2010, 64mns) In a new work called NYman With A Movie Camera, Michael Nyman has conducted a really interesting experiment by taking the music he wrote a few years ago for Vertov's Man With A Movie Camera, and employing it … Continue reading
Geopolitical Considerations and the Location of Cultural Memories
Geopolitical Considerations and the Location of Cultural Memories Sharon Lin Tay This presentation will explore cosmo-politics as an approach for new digital documentary forms. As much as we need to historicise the material, social, cultural, political, aesthetic, and ideological dimensions of culture, a cosmopolitan approach as articulated by Kwame Anthony Appiah also spatialises discourse about … Continue reading
Beyond the Quick Brown Fox
Beyond the Quick Brown Fox: Singapore Pangram Jesvin Yeo Looking at the intersection of language, painting, installation, design, and the performative, Jesvin Yeo discusses the ways in which her Singapore Pangram illustrates the cultural and linguistic specificities of Singapore. Her artistic practice looks at the forbidden and the pushed aside, such as Singlish, pidgin Singaporean … Continue reading
When disciplines collide
When disciplines collide: Objects, Imaginations, Narratives Michael Tan Penetrating beyond the banal percept of flip-flops, Michael collaborated with sociologist Caroline Knowles to navigate through China and Ethiopia to animate the life-worlds that have been downplayed by the economics of matter. This project proposes a different way of seeing and thinking about everyday objects. It also … Continue reading
Open Space Documentary
Towards a Theory and Practice of Open Space Documentary Nikki Draper and Patricia Zimmermann This presentation on the theory of Open Space explores consider new forms of documentary practice within digitality. The paper will discuss, as an example, Open Space's collaboration with the Syndicate Collective, an audio-visual super-collective of VJs and DJs based in Singapore. … Continue reading
Bright Lights and Soft Shadows
Bright Lights and Soft Shadows: ethical practices of artifice and authenticity in the use of field recordings in a documentary art context Angus Carlyle My paper will focus on an ongoing research project which centres on a farm that is surrounded on all four immediate sides by the complex of Narita International Airport, Japan. The … Continue reading
The Oxidation of the Documentary
The Oxidation of the Documentary – on the films of Wang Bing Manuel Ramos The work of the filmmaker Wang Bing gives us the chance to re-think the grounds from where to relate documentary cinema and the political. In this paper I explore the singular (dis)articulation of social function and aesthetics in films such … Continue reading
Redefining Documentary
Redefining Documentary: Jakobson's Paradigm Charlotte Govaert While literary theorists have long abandoned the idea of defining their art with ontological, epistemological or teleological finality, documentary theorists are still struggling to provide a statement that describes the nature of their study object. This paper aims to contribute to the debate regarding the problematic of … Continue reading


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Already have a MyChart account? If you want to request an appointment with a provider that you have seen in the last three (3) years, log in by clicking in this box to Request an Appointment using your MyChart account.
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To make an urgent appointment, please call us at either 414-805-3666 or 800-272-3666.
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To request an appointment, please complete as much information as possible. If you do not already have a Froedtert & the Medical College of Wisconsin physician, our staff will be happy to help you find one that meets your needs.
A representative will call you within one business day to schedule your appointment. It is important that you provide adequate telephone information in order for us to reach you.


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About Magic
Minimal Overhead
We keep our operation lean and our infrastructure
streamlined. We don't spend money on posh skyscraper offices,
cappuccino machines, under-trained staff or private jets.
Business Savvy Staff
Everyone on our staff has had considerable
freelance experience. We have found that that people with experience
as independants are more confident, proactive, detail oriented,
more efficient, more highly and diversely skilled - and best
of all they have great business sense.
Multitalented Staff
We have brought together some of the the
most multitalented people in the industry for one reason - to
save you money. Mono-talent people are always more expensive
than multi-talented people. We bring more talent, vision, and
results per person than anyone in the industry.
Precise Team Size
With Magic Melon you pay only for the people
who actually do the work. You don't pay for all the directors,
middle managers, receptionists and IT support staff of a traditional
firm. We take care of all that ourselves. You don't need 35
people if you have 5 of the right people. We give you only the
right people for your project.
Minimal Bureaucracy
We keep our strategic and production processes
very streamlined to save you money. We have been working with
the web from the beginning and know the best ways to get things
done quickly. If there is a better technology out there we'll
find it, test it, and use it to your advantage.
Infinitely Scaleable
With such a multitalented staff you will
rarely need more people as your project grows. But if it does
need more people we have a huge number of affiliates and top
notch specialists on call. Even if you project needs 50 or more
people we can pull them in in a heart beat. You never pay for
extra staff unless you need them.
Superb Client Service
At Magic Melon you will only find people
that know how important happy clients are. We depend on our
reputation and build it every day. When you work with us, you
won't find anyone who doesn't understand this. If you choose
us your project will be successful.
We are an entirely new breed of internet development
company, one that is smaller, faster, cheaper and much more valuable
to its clients.
We do not pitch hype, only return on investment.
Our total project costs are usually 50% less than
industry standard for comparable work so your site will have a
much better chance of turning a profit in this lifetime.
How do we do it?
We are a mid-size firm with the same capabilities
as much larger firms. We are an integrated marketing firm.
Marketing strategy assessment, development and deployment
in traditional and internet media Including:


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Employer Spotlight: Real Canadian Superstore
In June, the Real Canadian Superstore in Langford hired TeenWork participant Andrew to join its seafood department to look after the crabs, lobsters and other shellfish, while also providing excellent customer service.
Andrew, a Grade 12 student, brings his determined work ethic, willingness to learn and a passion for helping others to Superstore three days a week. The teen is one of a trio of employees who keep the department running smoothly.
Todd Sloan, Superstore's seafood manager, provides Andrew with a strong and positive mentoring presence, while also giving the young man room to work and grow independently. He has nothing but praise for Andrew's work.
"Andrew completes everything that is asked of him and has such a fun, positive and upbeat attitude," Todd says. "He has a relentless and continual willingness to learn any new task that will help the store improve in any capacity. Andrew is always reliable, communicates any and all problems he encounters, and works extremely well with others."
Todd says collaborating with the TeenWork program has been a great experience.
"Aside from getting to employ and work with Andrew, it is very exciting to know that the TeenWork program is always there for both Andrew and Superstore and is looking out for the needs of everyone involved," he says.
TeenWork has supported Andrew in achieving success in his position as he builds independence and takes on more responsibilities. For example, Andrew has begun monitoring the temperature of the seafood tanks and conducting health checks on the lobsters, crabs and other shellfish to ensure they are healthy, fit for consumption and looked after properly. These tasks all require numerous skills, and Andrew has done very well in learning them.
For the past four months, Andrew and the Superstore's seafood team have worked swimmingly together and both are looking forward to continued success in the months to come.
TeenWork thanks the Real Canadian Superstore for working with our job coaches, for being an inclusive employer, and for providing such a positive influence in the lives of young people with disabilities in our community.
Return to the TeenWork Employer Spotlight main menu. Go to Top


text: Marco Scholten schrieb: > >> Hi, >> >> how can I set a proportional font in a Gtk::Label? >> >> Is this possible? >> >> I will write a text and i need a proportional font, because of the >> spaces between the characters. When I use the normal font, there will be >> more space for _ than - (example). >> >> So, how can I use proportional font. It must be proportional, if the >> user change the font in his config, the font in my app must be the same >> as I set it. >> >> Can anyone help me?? >> >> Thanks, Daniel > > > Don't you mean a monospaced font? > Anyway, you can set the font of your label with Gtk::Label::modify_font(). > > Yes, you are right, I mean monospaced fonts. I can't find a description of the function in the API-Documentation. How can I modify the font? Can you give me an example, please? My Gtk::Label is called game. My compiler prints an error: no matching function for call to `Gtk::Lable::modify_font(...)' Thanks, Daniel


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I love how SL seems to be a world within the Northern Hemisphere – no really I do, because nothing cheers me up more during my Winter than looking at Summer Fashion in world. Makes me feel warmer already. But while the temperature climbs for me (and starts to slowly drop for SL) that means one thing – get your Summer gear now before it's gone (because yes, I will be wearing a bikini in SL's snowy Winter hehe).
In the spirit of seasons gone awry, below is my latest addition from Rowena's Designs – a skirt and top number with the cutest belt that ties it all together to spell 'Spring', in five different HUD driven colours!!
Fall into Spring….
Skirt, Top and Belt – Alicia by Rowena's Designs (150L, bargain!)
Hair – Alyssa by Rumina (in-world free Group Gift)


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Contest Rules
Contest Rules
1. Contests are open to all persons eighteen (18) years of age or older, unless specified in contest rules, except employees and the families of the Elyria-Lorain Broadcasting Company, promoters and sponsors of this contest.
2. How to win: No Purchase is necessary to enter this contest. Entries will be accepted by the method described with each specific contest.
3. Condition of accepting prize. Terms and Conditions: In all cases of awarding prizes, the winner must sign an affidavit of eligibility (The Rules), a W9 tax form (if prize value is $600 or over,) and provide a photocopy of valid ID. All forms must be completed within 30 days of winning notification, or winners will forfeit their prize. As a condition of entering the contest, the winner agrees to be bound by these rules and consents to the use of his/her name, likeness and/or voice for additional publicity and advertising purposes carried out by sponsors without additional compensation. All entrants release The Elyria-Lorain Broadcasting Company, their advertisers, promoters of this contest, and their employees from any and all liability with respect to, or in any way arising from the contest, and acceptance or use of the prize, including liability for personal injury or death. Elyria-Lorain Broadcasting reserves the right to select alternate winners at random. There is no cash value and this prize cannot be refunded, transferred or exchanged. If winner cannot use the prize but accepts the prize, the winner will still receive a 1099 and is responsible for all taxes.
4. The Prize is as described with each specific contest.
5. If the taxable value of this prize is $600 or over, all federal, state, and local laws and regulations apply. All taxes, including sales tax and federal tax, are the sole responsibility of the winner. Void wherever restricted or prohibited by law.
6. For call in to win contests, a "sounder" or cue to call or announcement will be aired, along with a message instructing listeners to call for a chance to become a winner. Listen to the Station and be the designated numbered caller to the Station's contest line. The correct caller will either automatically win the announced prize or be required to perform a task (i.e., answering a trivia question correctly), as determined by the Station and announced during the cue to call to win. Prizes for Call In to Win or "Cue to Call" Contests conducted by the Station will vary and be announced prior to the cue to call in. Listen to the Station for details on specific giveaways and for the times to play. The dates, times, winner selection and prizes will vary with each station giveaway, as determined by the Station and announced during the cue to call. Winner must be the designated caller to the phone number announced; the designated caller, if eligible, will be a winner. If Company determines the designated caller is not eligible, the Company may select the next consecutive eligible caller as the winner. Listeners may be listening via the Station stream on the Internet: please be advised that you may be listening to a delayed stream of the radio signal, which may vary depending on your computer's memory capacity and the speed of your internet connection. For that reason, we strongly recommend that you turn on your radio to the Station to participate in any call-in contest to be sure you are participating in "real time." The Company assumes no responsibility for contestants not making timely phone calls to the station as a result of the delays in the Internet stream. WARNING: Online listeners to streamed broadcasts may experience a lag in transmissions due to buffering limitations. Contest Participants should not rely on streamed broadcasts.
7. For online contests start by logging onto the Station's website during the stated contest period and follow the contest information. Valid contest entries must contain all information requested and must be received by the station on or before the deadline for registration. Limit one (1) online entry per name and/or verified email address. Internet entries will be deemed made by the authorized account holder of the email address submitted at the time of entry. Incomplete and/or multiple entries will be disqualified.
8. Elyria-Lorain Broadcasting reserves the right to change these rules at anytime during the promotion for any reason. Copies of these rules are available by sending a self-addressed stamped envelope (SASE) to ATTN: Rules Request, 10327 Milan Road, Milan, Ohio 44846 or visit our website at http://www.wlkrradio.com.
WLKR 2016 Labatt Grill Giveaway Rules
- NO PURCHASE IS NECESSARY TO ENTER THIS CONTEST. This contest is open to all persons eighteen years or older, except employees and their families of the Elyria-Lorain Broadcasting Company, its advertisers and promoters of this contest. The stated parties and promotional participants are not liable for any injury or death incurred because of this promotion.
- NO PURCHASE, REGISTRATION FEE OR MONETARY DONATION IS REQUIRED TO ENTER THIS CONTEST. To enter, sign up at wlkrradio.com June 27, 2016 – August 19,2016.
- GRAND PRIZE DRAWING. The grand prize winner will be announced Monday, August 22, 2016. Exact time to be determined. The winner agrees to sign a contest release form as a condition of receiving the prize package and agree to allow the use of his/her name, likeness and/or voice for additional publicity and advertising purposes for a period of one year from the Grand Prize drawing date, without additional compensation. WKFM/WLKR also reserves the right to amend these rules at any time during the contest. All decisions of WKFM/WLKR and its staff are final. Odds of winning are based on the number of entries received.
- CONDITIONS OF ACCEPTING THE PRIZE. The prize cannot be refunded, transferred or exchanged. Winner must fill out proper tax forms as provided by WKFM/WLKR and is responsible for reporting all winnings to the IRS. Retail price of $759.00
- GRAND PRIZE FULFILLMENT. Winner will be contacted by an official from WKFM/WLKR. Winner must pick up certificates within 30 days of being notified.
- COPIES OF THESE RULES are available by sending a self-addressed, stamped envelope to: "2016 Labatt Grill Contest" c/o WKFM/WLKR-FM, 10327 Milan Rd., Rt. 250, Milan,OH 44846.


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Healthy Eating For Successful Living in Older Adults
Calvary Christian Church
47 Grove St. Lynnfield
March 9-April 13
Refreshments will be provided
OR TO REGISTER, contact:
Kelsey Magnuson
Healthy eating is an evidenced based program for diverse community-dwelling adults age 60 and older. The overall goal of healthy eating is to increase self-efficacy and general well-being by improving participants' knowledge of nutritional choices as well as supportive physical activity
Healthy Eating is a program for seniors who want to learn more about how nutrition and lifestyle changes can promote better health. The program focuses on heart and bone healthy nutrition strategies to help maintain or improve wellness and prevent chronic disease development or progression.
Healthy eating uses the USDA's MyPlate as a framework. The main components of the program include:
The program also includes recommendations and support for physical activity in conjunction with sound nutrition practices. Through participation in the program, individuals build a sense of empowerment as they accomplish incremental changes.
Healthy Eating incorporates education, support and a practiced skill set that includes goal setting and problem solving through group processes led by a lay leader. The lay leaders are persons with little or no formal training in nutrition, whose primary roles are to foster group dynamics and model appropriate behavior change techniques. Following a detailed script, lay leaders guide the process in such a way that participants learn how to implement changes from each other.
The workshop is conduction over six sessions, meeting weekly for 2 ½ hours per session:
Week 1: MyPlate, 2010 Dietary Guidelines, label reading and exerc
Week 2: grains, vegetables fruits, water and exercise
Week 3: protein, eggs, legumes, dairy, and exercise
Week 4: fats, sweets, and exercise
Week 5: apply our skills, grocery shopping
Week 6: putting it all together: meal preparation or cooking demonstration
For more information, please contact:
Kelsey Magnuson, Healthy Living Program Community Coordinator


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Sage in Sausalito, California
Archive for January, 2007
Writer Mama Hat sitings!Published January 31, 2007 Writer Mamas Closed
I've got rhythm, I've got writing…and two puppiesPublished January 31, 2007 Freelance writing , Puppies , Writer Mamas , Writing 4 Comments
Well, success at last. Check this out: two puppies sleeping in their kennel while Samantha is at pre-school and I am working. (!!!)
Sorry, naysayers, but I knew I could do it all along. 🙂
Got naysayers? Repeat after me: I know I can, I know I can, I know I can…
Not to say that we have achieved Nirvana around here, but when you are used to managing your writing with, in my case, your kid, your work, your husband's somewhat erratic schedule, and everything else, the idea of folding in more responsibilities seems doable because it all comes down finding your rhythm.
A holistic attitude doesn't hurt either. I like win-win-win because it means what is good for everyone involved. In my family's case it would be win-win-win-win-win-win-win-win (and that's just for the creatures with legs).
I've been working on my writing rhythm for seven years. I've learned how to balance it with the ups and downs of motherhood and a family. And now…puppyhood. Times two. Can I do it?
Of course, I can, silly.
Not perfectly, of course. But certainly so it's all manageable eventually. And that's what moms who want to write are always going for, right? Go for manageability. It's good enough for today. Things come together when you know they can.
Bottom line is this: you can do anything you set your mind to. Today I woke up and said, "I AM the alpha dog."
Who's in charge? Me. Not the puppies.
I will get my work done, even if the puppies are yipping in the background because they haven't gotten used to their kennel and the new routine. We'll figure it all out. But I'm the alpha around here. I'm setting the routine, gradually and as it becomes apparent to me.
It's a process and amen for that.
But I'm in charge. There isn't anybody home right now but me…and two sleeping puppies.
Who's in charge of your writing career?
"Who is the alpha dog?"Published January 30, 2007 Puppies 2 Comments
When I was asked this question about our pups, I wasn't exactly sure.
Neither seemed much more "alpha" than the other.
However, the two of them have busted out of their pen twice already today.
Apparently, I need to be the alpha dog.
You gotta do what you gotta do, I guess. 🙂
But look how sweet they are…
Market-view with Abigail Green—Essayist ExtraordinairePublished January 30, 2007 Career Development , Contests/Markets , Freelance writing , Journalism , Writer Mamas , Writing 2 Comments
Yahoo! Here's my first Market-view with a writer mama. The purpose is to provide insights that will help all of us writer mamas get our words into print. Hope you like it!
Christina: What was your writing and revising process like for your recent Christian Science Monitor essay, "Maybe being different isn't so bad"?
Abby: The essay started out as an entry for my blog, http://diaryofanewmom.blogspot.com last March when I was 6 mos. pregnant. With several of my entries, I had the intention of turning them into stand-alone essays that I'd try to get published elsewhere. For this one, the blog entry was the rough draft, and then I revised the essay as I tailored it for different markets. I submitted versions of this piece to the Washington Post, Women's Health, and a Writer's Digest contest before selling it to the Christian Science Monitor. They wanted it cut down by about 300 words, which I did. And by that time I'd had my baby so I had to modify the ending a bit!
Christina: What do you now know about what it takes to break an essay into the CSM that you didn't know before?
Abby: CSM has very clear writers' guidelines which usually come as an autoreply to submissions. For instance, this was the response I got:
[Our essays] are first-person, nonfiction explorations of how one responded to a place, a person, a situation, an event, or happenings in everyday life. Tell a story; share a funny true tale. The humor should be gentle. We accept essays on a wide variety of topics. At the moment, we are looking for more first-person essays on gardening, travel, parenting (your personal experiences, not just advice for someone else), home, family, and food (including, if it's pertinent, a recipe. Word count should be less than 1,000 words. Essays of less than 450 words are always needed, and there's a current need for essays of 800-950 words.
For the record, I have submitted several essays to them in the past that didn't sell.
Christina: Any general advice for moms who are trying to get their essays published in paid markets?
Abby: Tailor your essay for your ideal market. As much as possible, mimic the subject matter, voice, and headlines of the essays they publish. No matter how good your essay about your newborn is, it won't sell to a magazine that's targeted to moms of preschoolers, for example. Similarly, if a publication runs 500-word essays, they're not going to make an exception for your 1,200-word masterpiece.
That said, I will often end up with 3-4 versions of an essay — different lengths, different leads — and modify them slightly each time I send them out to fit that particular market.
Also, if you've got a good idea for an essay, go ahead and write it even if you don't have a market in mind. I have dozens of essays sitting on my computer that I periodically dust off and send out again, perhaps tweaking them slightly or updating them with a more timely lead or ending. I have sold essays years after I wrote them. Fortunately, many essay topics don't have an expiration date.
Abigail Green
Freelance Writer
Thanks for visiting Abby's blog! Tell her, the WM sent you!
E-mail from my parents re. puppies purchasePublished January 29, 2007 Puppies 1 Comment
Have you lost your minds?
Oh, this is going to help me write. I'm sure of it.Published January 28, 2007 Humor , Puppies , Writer Mamas , Writing 2 Comments
Don't ever take me into a pet store, close to my daughter's birthday, and then look up at me with big brown eyes (in this case, my husband's) and utter the words, "But I LOVE her."
Because I will say something like, "Well, then we may as well get two so they can keep each other company."
What??? THAT was practical?
And here we are. Not just a book coming out in thirty days (mine). Not just Grease, the musical, to mount over at the high school (my husband's show). Not just a trip to Israel for A WEEK (my husband's brother's wedding). But puppies too?
No, seriously, we didn't have enough going on. Much better now.
Last words to my husband, "Don't EVER take me into an orphanage."
Practical Pep Talk: You are the QueenPublished January 27, 2007 Career Development , Freelance writing , Journalism , Writer Mamas , Writing 1 Comment
From a poster-in-progress called…
How to Use Tiny Scraps of Time to Carve Out a Writing Career
Declare your right to write
If you don't already have a little "you time" during the day that you can use for writing, work it out somehow so you can steal an hour regularly. The idea of taking an hour here and there to build a writing career gradually is not going to ruin anyone's life (though it may require a household adjustment in the short run).
Remember, you are the queen of your castle, so rule it. 😉
Inquiring minds want to know: Do you feel like the queen of your castle already or not? Share how you feel with other writer mamas by posting a comment…


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Throwback Thursday
Who has one of these?
Or maybe one of these?
Or maybe this one?
Leave a comment if you remember them! And as always, if you like the blog, come join us on our Facebook page, too!
Joyce Wheaton permalink
If you still have those books you truly are a Disney Geek !!! lol I had them all but not the forsight to keep them. I wish I had.
I shared a lot of my favorite hardback souvenir guides…
I have to throw this one in, too!
It's a large collection of the books I own about Walt Disney World history.
I pretty much collect any ephemera I can. I just haven't scanned my brochures and paper stuff. I do have over 750 books about Disney in my personal library!
I used to have the middle one… my parents got it for me as a birthday gift… when I turned 27 or so 😉
But it was in a box that disappeared during a move. I need to find a new one.


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Acme::SuperCollider::Programming - Representing the Community for SuperCollider Programming
In a cruel under-representation of the true scale and awesomeness of the SuperCollider Programming community, one popular ranking index has ranked SuperCollider as the 96th most popular language.
Clearly, this is not a realistic ranking of the SuperCollider Programming profession.
To those who would undervalue the hard-working members of the SuperCollider Programming collective, we say NO! NO MORE!
By leveraging the 3-4,000 pages that will be created for this distribution, mentioning Acme::SuperCollider::Programming, or
Acme-SuperCollider-Programming, all of which can be happily found with a search for
+"SuperCollider Programming", this distribution will help to restore the ranking of the SuperCollider Programming language to a more accurate and realistic position.
Bugs should be reported via the CPAN bug tracker at
http://rt.cpan.org/NoAuth/ReportBug.html?Queue=Acme-SuperCollider-ProgrammingFor other issues, commercial enhancement or support, or other assistance with Perl Programming, please contact Adam Kennedy directly.
Adam Kennedy <firstname.lastname@example.com>
Copyright 2009 Adam Kennedy.
This program is free software; you can redistribute it and/or modify it under the same terms as Perl itself.
The full text of the license can be found in the LICENSE file included with this module.


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"Mothers - Follow Your Instincts"
A Guest Post by Debbie Davidson
Note: Many of you have rejoiced with me at some of the deeply important posts that Heather Schopp has graced this blog with.
Now, I am honored to say that Heather's sister, Debbie, helps us appreciate an important message that she first shared with Heather a number of years ago.
What was that message? Simple. "Follow Your Instincts"! In this case, we are here talking about your maternal instincts.
I've taken a bit of a risk and shared some of my own experiences in several posts on this blog about information I have heard from mothers over the years. Note one of those posts here:
After hearing it over and over again, I finally saw that what we might call "that still small voice", "mother's intuition", a "moral center" or however one wishes to define it is so important for mothers to listen to and heed.
Of course, in the context that I heard about mother's intuition, it was always in the context that the mother's I was hearing from were saying things like spanking "never felt right", "didn't sit well with me", "I did it against my will", etc. I have heard this same message scores of times and one can easily search the web for these phrases and one will come up with dozens of blogs with mothers saying exactly the same thing.
We can see stories these days all over the web of the guilt and shame mothers felt when they listened to the advice of well-intentioned but often misguided religious leaders telling women messages that were diametrically opposed to what their own motherly voices or personal intuitions were telling them and guiding them.
Thankfully, today, many more mothers are open to listening to these voices because a new environment of women's empowerment exists which in times past just did not exist.
Join me in here sitting at the feet of some great teachers who I am deeply honored to learn from. These messages are words spoken by sincere God loving Christian women who call on the name of the Lord Jesus with the deepest reverence. Let these words minister to you as they have to me because they come from a very special place in the heart of a Christian mother.
What you will find here is truthful, simple, practical, elegant, lovely thoughts that will touch your soul.
To find my name mentioned among these words is indeed a deeply special honor which I find so touching and humbling.
"wise words from my sister Debbie Davison, who was the first
person to tell me "follow your instincts" ..... Heather Schopp
"It took years for me to realize that my motherly instinct was a
gift from God, something to be listened to; not ignored and stifled.
It took many years to slowly awaken to the reality and truth that
insights I offered as a mother were more valuable than the latest
in child discipline (even those which came from Christian
leaders like Dr. Dobson, who I followed) or church leaders.
In addition, much of the counsel I received from my obstetrician
and pediatrician about childbirth and nursing was downright
Fortunately, I followed my instincts on some things. On other
issues, like child discipline, however, I followed inaccurate
Scriptural interpretations.
For that I am not only deeply grieved, but angered: that hitting
children was and is still promoted by many Christian leaders.
Since we are Christ followers, Christians, of all people, should
be advocates and protectors of those who are vulnerable, just as
He was. This includes children from the moment of conception.
Mothers, if you are told to do something that is cold and harsh
to your child, the person telling you, whether a husband,
grandparent, physician, or pastor, is very likely wrong.
I implore you to read books by Samuel Martin and Stephanie
Cox which address Scriptures quoted by pro spanking
As a Christian, I believe that Scripture is God given, inspired,
and relevant to our daily lives; however, it behooves us to ensure
it is being interpreted properly.
History is rife with examples of the misinterpretation and
misapplication of God's Word. It is very difficult to revisit a
topic like spanking, particularly if the deed is done.
However, it is always appropriate to study God's Word,
especially on such an important subject as child rearing.
And it is never too late to either change our behavior or
acknowledge that our choices were misguided and wrong and
ask forgiveness.
For those of us who have the privilege of being grandparents, it is
a precious option."
a precious option."
Note: For more information about Stephanie Cox's book (which I have wholeheartedly endorsed, please visit Stephanie's FB page here - https://www.facebook.com/GentleFirmness
Download my free ebook here - http://www.biblechild.com/assets/thy-rod-and-thy-staff-they-comfort-me-mar-2013.pdf
Hard copies of my book available on Amazon - http://www.amazon.com/Thy-Rod-Staff-They-Comfort/dp/0978533909


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I am making a visual novel and writing about!
Read other posts in this series:
Making a Visual Novel – The Story
Creating a production schedule is one thing – sticking to it is a completely other ball game. I think we gave ourselves a seven week deadline for each game. I don't know if its enough time, but it's the time we're trying to make it happen.
Because this is a visual novel, most of the work has to go into the story. For a game of this size, I wanted to give the story as much room to breathe as possible.


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NeoStrata is a line of highly effective skincare products under the global NeoStrata Company. NeoStrata Company is a dermatology based cosmetics brand that is home to a number of skincare lines including NeoStrata, Exuviance, CoverBlend, and Psorent. As the namesake line of the NeoStrata company, Neostrata products aim to provide skincare professionals with high performing options to meet their client's needs. From facial cleanser to chemical treatments, NeoStrata's advanced tech savvy formulations are distributed to customers of all skin types across the world.
Popular NeoStrata Products
NeoStrata Foaming Glycolic Wash: At the top of the list of fan favorite NeoStrata products is the celebrated NeoStrata Foaming Glycolic Wash. This NeoStrata facial cleanser is designed to provide a powerful cleanse for those well versed in the use of glycolic acid. The NeoStrata Foaming Glycolic Wash works to provide multiple skin benefits upon use including gentle exfoliation, decongesting clogged pores, and promoting skin cell growth. With a powerful, pH-balanced formulation that contains a robust 18% of glycolic acid to smooth the surface of the skin and 2% Lactobionic acid working as cell renewer, this particular NeoStrata facial cleanser is not recommended for those who have sensitive or easily irritated skin. Those who are familiar with using glycolic acid based products and have normal skin conditions are urged to use the NeoStrata Foaming Glycolic Wash twice daily for optimal results.
NeoStrata Facial Cleanser: For those that prefer a more sensitive cleanser than the NeoStrata Foaming Glycolic Wash, the NeoStrata Facial Cleanser is a preferable option. This NeoStrata cleanser is a daily, soap-free, facial wash that is designed to remove all traces of dirt, oil, and makeup. The NeoStrata Facial Cleanser also works as a gentle exfoliator that removes dead skin cells and other impurities without irritating or drying the skin. You'll also receive a host of anti-aging benefits within the NeoStrata Facial Cleanser with the inclusion of known age fighting ingredients. With its hypoallergenic formulation that is fragrance, dye, and paraben free, the NeoStrata Facial Cleanser is a great option for those of all skin types including sensitive, healing, or acne prone skin. This NeoStrata Cleanser is also designed to be used twice daily for the best results.
NeoStrata Eye Cream: After the NeoStrata cleansers, the NeoStrata Eye Creams are next in terms of popularity. The original NeoStrata Eye Cream is a super moisturizing cream designed to combat the signs of age around the eyes by reducing the appearance of wrinkles and fine lines. The NeoStrata Eye Cream is infused with Vitamin E and B5 as well as green tea, evening primrose, and avocado oil which help to soothe and protect this delicate area of the skin. The inclusion of nourishing hyaluronic acid within the NeoStrata Eye Cream helps to fight dryness and lock in moisture while anti-aging polyhydroxy acid gluconolactone work to visibly reduce fine lines and wrinkles. Though highly effective, the NeoStrata Eye Cream is Ophthalmologist tested and gentle on eyes as evidenced by its hypoallergenic, fragrance-free, paraben free, and dye-free formulation. The NeoStrata Eye Cream is suggested to be used twice a day for ideal results.
NeoStrata Bionic Eye Cream: Another popular NeoStrata Eye Cream for those who need a little more than the original version can offer, is the NeoStrata Bionic Eye Cream. This NeoStrata Eye Cream is designed to neutralize the appearance of dark circles and visibly reduce other imperfections including inflammation that causes puffy eyes, fine lines, and wrinkles. The NeoStrata Bionic Eye Cream is infused with its star ingredient of vitamin K which directly targets the leading cause of dark under eye circles, leaky capillaries. Within this NeoStrata Eye Cream, you'll also find common anti-aging ingredient lactobionic acid which works to protect collagen and help to firm the skin. Completing the multipurpose NeoStrata Bionic Eye Cream formulation is the inclusion of soothing green tea and cucumber extracts which help to reduce puffiness around the eyes. This NeoStrata Eye Cream is also Ophthalmologist tested and fragrance, dye, and paraben free. The NeoStrata Bionic Eye Cream is recommended to be used twice a day as needed.


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- Case Report
- Open Access
Mycobacterium tuberculosis osteomyelitis in a patient with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS): a case report
© Mannepalli et al; licensee BioMed Central Ltd. 2010
- Received: 14 October 2009
- Accepted: 23 February 2010
- Published: 23 February 2010
The incidence of tuberculosis is increasing in the United States. Extra-pulmonary involvement is more common in patients with HIV/AIDS. The diagnosis of Tuberculosis osteomyelitis requires a high degree of suspicion for accurate and timely diagnosis.
We present a case of a 49 year old Caucasian male with HIV/AIDS who presented with a four-month history of soft tissue swelling in the left proximal thigh unresponsive to various broad spectrum antibiotics who was eventually diagnosed with Mycobacterium tuberculosis osteomyelitis of the left proximal femur.
- Osteomyelitis
- Sinus Tract
- Left Thigh
- Gluteus Medius
- Positive Tuberculin Skin Test
Case report
A 49 year old Caucasian male with HIV/AIDS was admitted with a four-month history of soft tissue swelling in the left proximal thigh. He initially noticed a small red nodule on the skin over the left thigh which eventually increased in size and ruptured with yellowish-green drainage. He reported that he had visited the emergency room at that time and was diagnosed as having a left thigh abscess which was incised and drained. No cultures were obtained during that visit. He was seen in follow-up at the HIV clinic where cultures of the drainage were obtained and he was given a prescription for minocycline. He had resolution of the drainage but relapsed 1 month later with pain and drainage from the left hip while still taking minocycline. He presented to the hospital in a "desperate attempt to seek medical attention" secondary to the persistent pain, swelling, yellowish drainage and difficulty with ambulation requiring the use of crutches.
On review of symptoms, the patient reported severe pain of the left lower extremity and hip which had gradually worsened to a severity scale of 10 out of 10. He denied any trauma to the site, associated fevers, or chills. No other acute symptoms were reported by the patient.
Patient denied any significant past medical history except HIV which was initially diagnosed in 2000. His nadir CD4 was 247 cells/mm3 and he was started on antiretroviral therapy in 2001. At his last clinic visit less than 3 months prior, he had an absolute CD4 count of 540 cells/uL and a HIV RNA viral load of < 50 copies on his current regimen of zidovudine/lamivudine and lopinavir/ritonavir He reported no known drug allergies. In reviewing the out-patient records, patient also had a history of a positive tuberculin skin test in 2002 for which he reportedly took 6 months of isoniazid and vitamin B6. The outpatient records also indicated that he had complaints of swelling and drainage from the left hip as far back as 2002. He had one bacterial culture growing Stenotrophomonas spp. for which he was treated with trimethoprim-sulfamethoxizole and ciprofloxacin with partial resolution of drainage. Subsequently he had multiple negative bacterial cultures from this drainage, and multiple courses of antibiotics between 2002 and 2003. Specimens for acid-fast bacilli were sent in 2002 for which the smears were negative but the sample was insufficient for AFB culture. Since 2003 and the time of this presentation he has had episodes of exacerbations and remissions of the current problem but lacked funding for further diagnostic work-up. He smoked one pack of cigarettes per day but denied any alcohol or recreational drug use. He denied any recent travel or exposure to any animals. The patient had been homeless for several years, but denied history of incarceration.
On evaluation the patient was thin and poorly nourished, but in no acute distress. The blood pressure was 110/50 mm Hg, pulse 74 beats per minute, temperature 97.9°F, and respirations 18 breaths per minute. In general, he appeared to be cachectic. His cardiovascular, gastrointestinal and respiratory system examination was normal. A 7 cm × 4 cm fluctuant, tender soft tissue swelling was present on the lateral aspect of the left proximal thigh. A sinus tract was present distal to the left greater trochanter with yellowish green drainage oozing from the sinus and it could be probed with a swab to a depth of approximately 5 cm. There was no erythema of the surrounding skin. Motor and sensory examinations were normal and there was no lymphadenopathy noted in the inguinal areas.
Routine laboratory data were normal, including complete blood count, renal and liver function tests. Erythrocyte sedimentation rate (ESR) was 255. Plain x-ray images of the left hip and femur were negative for any bone abnormality. Blood cultures were negative.
The patient was admitted with a diagnosis of left thigh soft tissue abscess with sinus tract. A bedside incision and drainage procedure was performed by General surgery. Cultures from the incision and drainage initially grew Streptococcus agalactiae and treatment was started with clindamycin IV by the primary team. Due to the chronicity of the wound, further evaluation with a MRI was pursued specifically to rule out underlying tumor or osteomyelitis.
The differential diagnosis considerations included chronic pyogenic osteomyelitis, primary bone tumor, secondary metastasis, inflammatory arthritis, sarcoma, or tuberculous osteomyelitis.
The antibiotics were changed at this time to meropenem, vancomycin and levofloxacin to empirically treat the most common etiologic agents of osteomyelitis while awaiting a more definitive diagnosis. Although tuberculous osteomyelitis was considered, it was lower on the differential and levofloxacin was added to give adequate therapy for pseudomonas as a potential pathogen. The patient then underwent a CT-guided percutaneous biopsy of the left greater trochanter to confirm the diagnosis. Cultures of the bone biopsy were negative for aerobic and anaerobic organisms as well as fungi. Acid fast bacilli smears were also negative. The histopathology on the CT-guided bone biopsy did not reveal any active osteomyelitis. The patient was transferred to our long-term care unit with the plan to complete a 6-week course of empiric treatment for osteomyelitis with piperacillin/tazobactam, vancomycin and levofloxacin. The cultures eventually grew Mycobacterium tuberculosis at 5 weeks.
The patient was then started on a 4-drug anti-tubercular therapy with isoniazid, rifampin, ethambutol, pyrazinamide and vitamin B6, based on the susceptibility pattern of the Mycobacterium tuberculosis isolated. A work-up to evaluate for pulmonary tuberculosis was negative. The patient was discharged with follow-up by a home wound care team, as well as, outpatient directly-observed therapy for tuberculous osteomyelitis for a total duration of nine months.
At his out-patient follow-up visit at our clinic he has shown good clinical improvement with complete closure of the sinus tract. He does, however, continue to complain of left hip pain but is able to ambulate without any assistive device. The Orthopedic service did not recommend any immediate surgical intervention and he will be followed up by orthopedics also as outpatient.
The incidence of tuberculosis is increasing in the United States [1]. Some of the factors attributing to this rise include the increasing number of people with HIV, increased international travel and the increase in the aging population (1). One fifth of the cases of tuberculosis have extra - pulmonary involvement and this is more common in patients with HIV/AIDS. HIV/AIDS is an important risk factor for reactivation of the latent tuberculous infection [2]. Due to the higher incidence of extra - pulmonary tuberculosis in HIV-infected patients, clinicians should always consider it in the differential diagnosis of osteomyelitis. An important opportunity for diagnosis was missed in this case at his emergency room visit when no cultures were sent from the incision and drainage procedure.
The diagnosis of tuberculous osteomyelitis requires a high degree of suspicion for accurate and timely diagnosis. Challenges in the diagnostic work up include lack of familiarity with the spectrum of tuberculous osteomyelitis bone lesions and not considering it in the differential early on [3]. The incidence of skeletal manifestations in tuberculosis is very low, (only 1-3%) and the spine is most commonly involved, followed by femur, tibia and fibula [4]. Tuberculous osteomyelitis occurs secondary to lymphohematogenous spread of Mycobacterium tuberculosis from a pulmonary focus [5].
Clinical symptoms are very nonspecific and can include insidious onset of pain, swelling, decreased range of motion and difficulty ambulating. Patients may also have weight loss, night sweats, generalized malaise and decreased appetite. Tuberculosis of the bone can go unnoticed for a long time until there is extension of the disease to skin and adjacent structures including the joints [[1, 3], and [4]].
A significant challenge in the diagnosis of tuberculous osteomyelitis is that the smears for acid-fast bacilli are often negative, leading to a delay in diagnosis while waiting for the organisms to grow in culture media [6, 7]. Polymerase chain reaction or nucleic amplification assays may be helpful in obtaining an earlier diagnosis; however, a negative result does not rule out tuberculosis.
Radiological findings include metaphyseal or epiphyseal destruction without sclerosis, sequestration, periosteal reaction and joint involvement. Unlike pyogenic osteomyelitis, there is sparing of the articular margins and cartilage space. Sometimes a solitary lytic lesion may be seen which can mimic neoplasia [[1, 4], and [8]].
A positive tuberculin skin test is an important clue in patients with tuberculosis, but it can be negative in 10% of the patients. Although in some patients the ESR can be elevated, it is often normal [9, 10]. The gold standard for diagnosis is the isolation of Mycobacterium tuberculosis from cultures of bone biopsy material. Histopathology of the bone lesions also is very helpful in confirming the diagnosis [[1, 4], and [11]].
Differential diagnosis
Patients with a diagnosis of tuberculous osteomyelitis should be evaluated for pulmonary tuberculosis and in the hospital setting placing the patient in respiratory isolation would not be unreasonable, until this is ruled out. The Centers for Disease Control (CDC) published Guidelines for the Treatment of Opportunistic Infections recommends including a chest radiograph in the evaluation of suspected HIV-related TB regardless of the possible anatomic site of disease. "Sputum samples for AFB smear and culture should be obtained from patients with pulmonary symptoms and chest radiographic abnormalities. .....A positive AFB smear result in any specimen (sputum, needle aspirate, tissue biopsy) represents some form of mycobacterial disease but does not always represent TB. Because TB is the most virulent mycobacterial pathogen and can be spread from person to person, patients with smear-positive results should be considered to have TB disease until definitive mycobacterial species identification is made." [13]
Patients with the diagnosis of tuberculous osteomyelitis should be treated with anti-tubercular multi-drug therapy. First line treatment commonly includes isoniazid, vitamin B6, rifampin, ethambutol and pyrazinamide. Final therapy should always be based on the susceptibilities of the Mycobacterium tuberculosis isolated. Other second line agents include aminoglycosides, and quinolones [[1, 6, 11] and [14]].
The duration of treatment may vary from 6 months to 12 months. Patients may need up to 12 months or an even longer course of therapy based on the clinical response. The CDC recommends a 6- to 9-month regimen (2 months of INH, RIF, PZA, and EMB followed by 4--7 months of INH and RIF) for patients with extrapulmonary TB and states that 'for CNS disease and bone and joint TB, many experts recommend 9--12 months' [13] The World Health Organization (WHO) guidelines also endorse a 6-9 month regimen of anti-tuberculous therapy [14]. Surgery is rarely indicated in early cases. Radical debridement is only indicated in advanced disease, or if there is no improvement on medical therapy. Patients that develop significant joint involvement may need arthrodesis or total joint arthroplasty [[1, 6, 11], and [13]].
Diagnosis of Mycobacterium tuberculosis osteomyelitis requires high degree of clinical suspicion for accurate and timely diagnosis. Tuberculous osteomyelitis should be considered in the differential in patients with persistent or recurrent skin and soft tissue infections, especially in patients with risk factors of immunosuppression or a positive tuberculin skin test.
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Authors' Affiliations
- Watts HG, Lifeso RM: Current Concepts Review - Tuberculosis of Bones and Joints. Journal of Bone and Joint Surgery. 1996, 78-A (2): 288.Google Scholar
- Goodman PC: Tuberculosis and AIDS. Radiol Clin North Am. 1995, 33: 707-17.PubMedGoogle Scholar
- Walker GF: Failure of early recognition of skeletal tuberculosis. Brit Med J. 1968, 1: 682-3. 10.1136/bmj.1.5593.682.PubMed CentralView ArticlePubMedGoogle Scholar
- Vohra R, Kang HS, Dogra S, Saggar RR, Sharma R: Tuberculous osteomyelitis. J Bone Joint Surg Br. 1997, 79: 562-6. 10.1302/0301-620X.79B4.7618.View ArticlePubMedGoogle Scholar
- Vallejo JG, Ong LT, Starke JR: Tuberculous osteomyelitis of the long bones in children. Pediatr Infect Dis J. 1995, 14: 524-6.View ArticleGoogle Scholar
- Agarwal S, Caplivski D, Bottone EJ: Disseminated tuberculosis presenting with finger swelling in a Patient with tuberculous osteomyelitis: a case report. Ann Clin Microbiol Antimicrob. 2005, 4: 18-10.1186/1476-0711-4-18.PubMed CentralView ArticlePubMedGoogle Scholar
- Glassroth J: Diagnosis of tuberculosis. Tuberculosis. A Comprehensive International Approach. Edited by: Reichman LB, Hershfield ES. 1993, New York, Marcel Dekker, 149-165.Google Scholar
- Abdeleahad IF, Bianchi S, Martinoli C, Klein M, Hermann G: Atypical extra spinal musculoskeletal tuberculosis in immunocompetent patients, a review. Part 1: Atypical osteoarticualr tuberculosis and tuberculous osteomyelitis. Can Assoc Radiol J. 2006, 57 (2): 86-94.Google Scholar
- Tripathi AK, Gupta N, Khanna M, Ahmad R, Tripathi P: Tuberculosis presenting as osteolytic soft tissue swellings of skull in HIV positive patient: a case report. Indian J Tuberc. 2007, 54: 193-195.PubMedGoogle Scholar
- Fisk TL, Hon HM, Lennox IL, et al: Detection of latent tuberculosis among HIV infected patients after initiation of highly active anti-retroviral therapy. AIDS. 2003, 12: 1102-1004. 10.1097/00002030-200305020-00027.View ArticleGoogle Scholar
- Vaughan KD: Extra spinal osteoarticular osteomyelitis A forgotten entity?. West Indian Med J. 2005, 54 (3): 202-10.1590/S0043-31442005000300009.View ArticlePubMedGoogle Scholar
- Yuen MC, Tung WK: An uncommon cause of foot ulcer: tuberculous osteomyelitis. Emerg Med J. 2001, 18: 140-141. 10.1136/emj.18.2.140.PubMed CentralView ArticlePubMedGoogle Scholar
- CDC: Guidelines for Prevention and Treatment of Opportunistic Infections In HIV- Infected Adults and Adolescents. MMWR. 2009, 58: 1-198.Google Scholar
- WHO/CDS/TB/2003.313 Treatment of tuberculosis: guidelines for national programmes, third edition. Revision approved by STAG. 2004Google Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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Apart from teaching, engineering and medical industries which jobs actually require a degree? In the UK accountancy and law have seperate exams to become professionally qualified.
EDIT: to give more context I'm the equivalent of a high school teacher and occasionally advise students on their career path. Thinking back over my past, if I know what I know now most likely I would have left school as early as legally possible, got a job and worked my way up in the labour force; I would have studied economics and philosophy in my own time- I take a similar position to Gary North on these matters. However I'd like to be able to back up my tentative position with some stats. So if any of you have an links that would be useful or any comments on the value of achieveing a degree I'd like to hear them?
This was prompted by the go HAM thread,
The atoms tell the atoms so, for I never was or will but atoms forevermore be.
Yours sincerely,
To be honest, I think even the professions you listed would be better off without degree requirements, not because "college is bad" but because even by the 18th century, it had already become basically a State-administered guild certification system. In Alexandria, around the turn of the era, it was common to hear philosophers, geometers, astronomers, etc. lecturing in the street. If you heard a lecture and you liked the teacher, you could approach him and make an arrangement for tutelage in the subject of interest. Of course, there's nothing wrong with a business that caters entirely to this sort of economic activity (ala a University) but I think the ancient business model is a real reality-check on the nonsense that it has evolved into. I could have learned everything for my bachelor's that I needed to know for the job I have in no more than two or two and a half years. And the best way to have learned it would have been to begin an apprenticeship after about the first year. The first year of book-learning is just so the master who takes you on is able to talk to you (you have to know your ABC's before you can read). And the goal of becoming an apprentice is to eventually stand on your own two feet... to be a professional with a shingle out on Main Street. The economic component has become completely lost in the cattle-chute model of University->Corporation->Retirement.
Clayton -
All I can say is to tell you how I approach this when someone asks me for a recommendation.
I tell them to be VERY sure the degree they wind up paying for is the best way to get into the field of their choice. Also that there is a financial advantage in it.
Take my field, for example. In Art History, the kinds of museum jobs I wanted definitely require the Ph.D. However by the time I got there (judging by the financials after my bachelors') I would have a student loan bill that utterly exceeded anything I should be paying for on the salary I could expect to get.
It wasn't financially viable. I could have learned any of that stuff on my own practically for free; I should only have paid for it in the knowledge that it would be a sound investment in the long run.
@ Clayton- I entirely agree that it has become a state sponsered guild system. My question was merely pragmatic: given the present institutional structures which require a degree for employment in that field beyond the ones I mentioned?
Under a sane system practically all training for a vocation would be an old apprentice system. Hook up to one master, shadow him, do the menial tasks and learn. Then after a number of years become your own man becoming self employed or being employed elsewhere. No ridiculous day release to college and paper work- just learning how to do a job well to satisfy consumer wants.
@ Lady Saiga- I too am pretty hot on asking whether the degree route is in fact the best one for their chosen career. Most people assume they have to go to university but in most cases they need not.
@Physio: On the completely pragmatic front, these are I think some of the big variables:
a) Field. If it's certain fields like medicine, law, etc. there is no possibility of not getting certified, as you mentioned. At least, not in the "developed" world. You may think outside the box, however, if you are thinking of going to some less fascistic part of the world.
b) Family expectations. If your family expects you to "get certified-up", especially if they're paying for some or all of it, then just go with it. The key is de-programming yourself and getting realistic expectations about the real world despite the mind-f*** that is college...
c) Your propensities. Are you entrepreneurial? If not, then forget about trying to "go it alone" educationally, too. The same self-motivation and drive that is required to run a business is required to qualify yourself for a technical/specialist field.
d) De facto apprenticeship. I've written on this before, but if you're going into any kind of specialist field, even if you do go to college, you should think about how you're going to become a de facto apprentice once you arrive to your career. College fills your head with delusions of grandeur so that you think you're already a "somebody" just by virtue of graduating. In fact, once you show up for your first day of work, you're a nobody... yes, you got the job, but you have no experience.
e) Decide whether you want to climb the corporate ladder. If this is the way you want to go (it is a possible route), then you need to "re-tool" your mindset and start thinking in "cog in the machine" mode. You need to start thinking how you are going to play the status game, how you're going to get "heads" under your "command" and so on. You need to start thinking like an up-and-coming, mid-level officer in the Pentagon. It's all about status, rank, heads under your command, etc.
f) Venturing. This is another route. Google "James Altucher" "Y combinator" for some outside-the-box thinking.
Strictly speaking? Nothing requires university per se. Although with some things, like accountancy, law, surgery, psychology, dentistry, medicine, engineering etc., you want people who are competent and well trained doing them. Though in the UK, unless you know a trade or have an entrepreneurial mind, good luck getting decent paying work without a degree.
Freedom of markets is positively correlated with the degree of evolution in any society...
Some good advice there Clayton. One of the issues we face in the UK is that, even though student debt can get really high, it doesn't feel expensive since you only start paying the debt back after reaching a particular earning threshold. Further with the loans you get you can live quite comfortably for the years at University. Consequently many people go for the reason I did: I liked Economics so I'll study it at university. I did have some career ambitions, that of becoming an Economics Professor, but that went out of the window when I got fed up with the whole rotten system. As I stated before since I have little interest in pursuing medicine, law or engineering I would tell my then 16 year old self to get a job.
My main point here is that many people do a degree without a thought of what career they'll pursue so I'm trying to open up avenues for the older kids I know at Church and those I teach. Most of them think they'll go to University since that is what everyone else is doing.
@ Jon- being a home national in country without a degree in your subject will mean it is incredibly difficult to get a job in those fields. Further from what I have seen the content of a lot of degrees have little relevance to what is actually required to be competent at a job in that field.
Yes, I edited my reply with that in mind.


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Madhya Pradesh government, which is developing water-based tourism near big dams in the state, is targeting to attract private investment of Rs 100 crore in this segment in the next four years. "We are working to attract nearly Rs 100 crore private investment in the water tourism segment during the next four years," Minister of State for Tourism and Culture Minister Surendra Patwa told reporters on Sunday.
Watch What Else is Making News
The investment is being sought for tourism-related activities near Punasa dam (Narmada river) of Indira Sagar Project in Khandwa, reservoir of Chambal river in Mandsaur, Son river in Shahdol district and Bargi dam (Narmada river) in Jabalpur, he said.
The government is organising a month-long "Jal Mahotsava" (water festival) on Hanuwantiya Island in the backwaters of Punasa Dam from December 15, Patwa added. He said some private companies have evinced interest to open hotels and resorts near Hanuwantiya Island.
In the past, MP Tourism Development Corporation has said it plans to introduce tourism activities like water sports, mini-cruise liner, boat rides and houseboats in the state.


text: Leonid Udovenko is a Russian graphic designer and graffiti artist based in Kaliningrad. Leonid began in the music scene from a young age through his mother who was a performing pianist and teacher. While studying computer engineering in university and exploring graffiti, he eventually got into professional graphic design work – blending the different art forms together. He worked in print, too, going from a trainee to foreman in an advertising agency. This lead to his interests and mastery in bauhaus, suprematism, geometry, constructivism and typography. Mixing shapes, colors and letters in order to create a bigger meaning formed of minute details. Most of Leonid's work now revolves around the music scene. Leonid is Dotted Music's Creative Director. He's created brand identities and websites for dozens of music artists and start-ups served by Dotted Music.


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Are you a Carer?
A carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, addiction or a mental health problem cannot cope without their support.
Anyone can become a carer and carers come from all walks of life, all cultures and can be of any age.
If you are a carer then you need to look after yourself as well. There are organisations available to help and support. They all work with each other to provide the best support for you.
If you need support call one of the following organisations or click on this link to view available services
West Norfolk Carers
Can help give unpaid carers of all ages relief from their overwhelming feelings of loneliness, responsibility and helplessness. They provide professional support and advice to help overcome the emotional, financial and physical challenges presented by the caring role.
Call them... (01553) 768155
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Tested on Libby's (but probably true for all)*
(Times are for how long it lasted after consumption)
0.3 Hours - Hallucinations
1 Hour - Temporary Blindness
1.5 Hours - Loss of Motor Skills
4 Hours - Headache & Dizziness
4 Days - Stomach Cramps & Gas
**Momentary Death Occurs After 40 Hours**
*These are only known side effects, and they may not appear in all people. These were suffered by Dan Smith, who is not representative of the general populace...his stomach is stronger.**
**This is just an additional disclaimer to say "Libby don't sue us". We are poor and cannot afford our own educations. Most of our money goes towards buying your products.


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- GCSEs
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In this section
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- University
Choosing a University or College
Personal Statement Editing and Review Service
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Choosing A University
Choosing which universities to apply to can be a difficult task, with over 150 institutions across the UK and only five places allowed on your UCAS form.
Here we break down the factors that are worth taking into consideration when making your university shortlist. If you're applying to university in the U.S, check out our Choosing The Right College section.
1. Location
Unless you already four or five specific universities in mind, location is a good way of starting to create a shortlist. Research the local environment of each university that interests you, and decide if it's the sort of community you can see yourself living in over the next few years.
Think about how far away from home you want to be (remember, the further away you are the more costly it will be to visit at the weekends or during holidays!), and whether you want to be in a bustling city or a quieter, more rural location.
2. League Tables
A good way to start researching universities is to look at university league tables.
You can look at university ratings in the Guardian, which allows you to filter institutions by subject. So if you've already decided which degree course you want to do, you can see which are the best universities to attend for studying that particular subject.
This will allow you to see how well a particular university is doing in comparison to others by recording marks for research quality, student satisfaction, entry standard, completion, plus other important aspects.
A higher placing in the table generally means facilities, grades and teaching standards are better. A higher ranking usually also means more student satisfaction, better career prospects and more money spent per student.
However, remember that going to a university higher up in the league tables does not automatically mean you will achieve better grades – whilst the quality of the teaching, etc. may be better than other universities, it is down to the individual student how well they perform during the course.
You can also check out our dedicated section to UK University League Tables for more information, plus our own university reviews section, for honest views on life at various universities straight from students who've attended them.
Unistats.com is a useful website that allows you to research subjects and universities before deciding where to apply to.
Here you can compare subjects, compare universities and colleges, look at student satisfaction ratings and find out the figures for getting a graduate job after completing a course.
Unistats also has the results of the National Student Survey and some statistical information on universities, colleges, subjects and teaching style.
3. Student support and services
Check whether the university offers all the necessary support to students to maintain their well-being – this includes careers advice, a personal tutor system, counselling, a safety bus, and a union society.
You'll need a decent support network throughout your time at university if you're going to complete your studies successfully, and achieve your best possible grade.
4. Social life
The social side of university is a very important part of student life, so it's important to make sure the range of social, sports and cultural activities and clubs offered by the university match your requirements.
Taking a degree isn't all about studying – you need to balance your life as a student with some fun!
It may take you a little while to find the right balance between working and socialising, but you will find your feet eventually.
5. Friends
Some students let their friend's choice of university influence their own decision on which institution to attend.
Whilst you may feel better having the security and comfort of your friends around you, it also reduces the chances of you striking up new friendships.
This could isolate you from the main crowd, which you don't really want if you're going to be studying with these people for three years.
Even if you go to the same university as your friends, you may actually find that you won't see them very much if they are taking a different course and therefore have a different timetable.
6. Open Days
You can also visit the universities you are thinking of applying to by going to one of their open days.
These will be advertised on their website, and will allow you to get the feel of a place by going on a tour with one of the attending students, as well as offering you the opportunity to ask questions about the social environment, facilities, and any other aspects you wish to know more details on.
Don't forget to contact the university for a prospectus, or grab a copy on the open day, as this will have information on courses and the institution in general.
Making a decision
Having already decided the course you want to do will make narrowing down a university to attend easier.
If you are still uncertain what course you will be taking, it is worthwhile checking out the teaching quality, facilities and social aspects of universities and compare them to try and pinpoint some specific areas where you would be interested in attending university.
Looking at the factors above, it's important to realise that you should consider many things when choosing your university – there's no point making a decision based on one or two characteristics, as you are likely to find it doesn't meet all your needs.
Each university is unique, although won't appeal to every prospective undergraduate – it may take a bit of research, but hopefully you will find a university that attracts you more than others, and you will know this is the right one for you.


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I have had one heck of a month, with these last 2 weeks being extra insane. My 9 month old son had to under go surgery last month (which went amazingly well! He is quite the trooper!). That alone made me a basket case, but in addition to that I had oodles and oodles of homework, tests and exams for school, we put our house up for sale and have had to juggle phone calls and showings, and 2 out of my 3 kids have taken turns being sick for the last 2 weeks straight. I have never cleaned up more poop or puke in my life. I swear every time they move something is squirting out from somewhere. It's horrible.
On top of all of that, my husband had to go in yesterday for further testing on a lump they found in his armpit. He has already had skin cancer below his eye that was surgically removed less than a year ago, so we were a little on edge about these recent findings. Luckily God has looked out for our family once again, and it turned out not to be cancerous. He was scheduled to go out of town on a fishing trip with his father, and postponed it until we knew what was going on. After we got the news, his trip was back on. THEN, our son spiked another high fever and started vomiting....again. Awesome. I felt that it was a sign telling him not to go on his trip. After that, our almost 16 year old dog ran away. Yes, ran away. He can hardly move, and is on his death bed, but still managed to escape from our garage. Another sign? I thought so.
We frantically searched for 2.5 hours, and finally found him. I was sure that my husband was going to stay home due to our extremely eventful and exhausting day...but to my surprise he packed the car and was out the door faster than lightening. I know how much he really enjoys this annual trip with his dad, and how excited his dad gets, but being a little selfish, I was upset that he left me high and dry with sick kids. The icing on the cake is that the cabin they go to his so high in the mountains that there is no cell phone service. Even better right?
After a very difficult bedtime routine due to sickness, I finally got the last of the kids to sleep by 10pm. 2 hours after normal bedtime. I just sat down to do some homework, when the baby woke up with another fever and vomiting. This continued 8 more times throughout the night. The last time I got puked on, I broke down in tears. I took my vomit covered clothes off, climbed back in bed, and cried myself to sleep.
I got a total of maybe 3 hours of shuteye, resulting in having a short fuse all morning with my older 2 kids. They have been on timeout more today than any other day. I don't know if they are deliberately being bad, or if I just feel like that because I'm so physically and mentally drained. Either way, it's been exhausting.
At one point, my 3 year old was on timeout for climbing into the bathtub in her swimsuit, turning the water on (right after I told her not too), and splashing it all over the place because "she wanted to pretend she was at a water park!". While crying sitting on the timeout mat, my 2 year old walked up to her, squatted down to her level, and said "STRAIGHTEN UP" right in her face before strutting past her and playing with all of her favorite toys. Nap time can't come soon enough, and I'm hoping we all can start on a new page when we get up. Myself included. Come on Sunday!!
99.99% of the time I look like a disheveled hobo who lives on the streets. I'm covered in baby food and spit up, juggling preschool projects, potty training, and crawling simultaneously (along with pursuing a nursing degree for myself). Ever since I became a wife and mother of 3, my world has turned in to a real life sitcom filled with laughter, craziness, and sheer chaos. I tell it how it is and save the sugar coating for craft-time. Here is a (mostly hilarious) glimpse into my world.
Saturday, April 13, 2013
Even when I think I can't...I know I can
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text: The last one's just a placeholder, still waiting on funds for the fourth habitat. And obviously we're gonna need more intrepid hamsternauts to populate the city, even as it is now it's kind of empty. Can't wait to get some fish and plants in there. A small shark or octopus, maybe?


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Glitch-hug 2010, Robert Overweg, Left 4 dead 2
Glitch up in the air 2010, Robert Overweg, Left 4 dead 2
The facade 2010, Robert Overweg, half-life 2
The facade 2, 2010, Robert Overweg, Left 4 dead 2
Junkyard 2010, Robert Overweg, Grand theft auto 4
Minding my own business,2011, Robert Overweg, Grand theft auto 4
Whale car, 2011, Robert Overweg, Grand theft auto 4
Top 5 images courtesy of TAG The Hague
The photographs come in two editions limited to 5 pieces. Glossy print on dibond with plexiglas in front of photo 72 x 41 cm or Satin print, glossy finish on aluminum, 72 x 41 cm
Artist Statement, Glitches
I try not to follow the roads I am supposed to take, but try to seek out my own path within and outside the given boundaries of the game. I find joy in making use of a glitch/error which gives me the possibility to have a different look at the virtual world. Flying around and running through walls which I am not supposed to do gives me a sense of freedom and the ability to move in ways I can't in the physical world. I want to look behind the curtain of the virtual facade and show it to the world.
I hope that my view of the virtual world will in the long run make us think about actually using the new possibilities that the virtual world offer us and try to create a more innovative and challenging virtual world.


text:
Returned Missionary Manual
- Introduction to the Course
- 1. Another Perspective on Wealth
- 2. Setting Personal Goals
- 3. Budgeting and Measuring Financial Health
- 4. Understanding Credit
- 5. Consumer and Mortgage Loans
- 6. Debt and Debt Reduction
- 7. Time Value of Money 1: Present and Future Value
- 8. Time Value of Money 2: Inflation, Real Returns, Annuities, and Amortized Loans
- 9. Insurance Basics
- 10. Life Insurance
- 11. Health, Long-term Care, and Disability Insurance
- 12. Auto, Homeowners, and Liability Insurance
- 13. The Home Decision
- 14. The Auto Decision
- 15. Investments 1: Principles
- 16. Investments 2: Application
- 17. Learning to Give
- 18. Decide to Decide
16. Investments 2: Application
Investments 2: Beginning Investing - Application
Learning Outcomes
There are three objectives for this section:
A. Understand and Use the Priority of Money
B. Understand the Risks and Benefits of the Major Asset Classes
C. Understand the Risk and Return History of the Major Asset Classes
Properly prepare yourself to invest and understand what you will be investing in before you begin your investment program; these are important keys to success.
Chapter Reading
Please read the chapter on "Investments 2: Beginning Investing - Application" (PDF)
Slide Presentation
Please click here for the slide presentation for this chapter
We are currently preparing the video for this chapter.
Here are the assignments for "Investments 2: Beginning Investing - Application"
The following learning tools may be helpful with this chapter:
Roth Versus Traditional: Which is Better?
Expected Return Simulation and Benchmarks
Additional Materials
Optional Readings:
A Banker's Dozen: Guidelines for Wise Investing
Greed, Selfishness, and Overindulgence


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Hotels Apartments Farmhouses and Villa Rentals
Plug and Process Loads PPLs consume about one third of primary energy in buildings. PPL efficiency has become pertinent in achieving aggressive energy targets. Energy reduction strategies and applications cover a wide variety of electronic, computer, refrigeration and cooking devices, as well as equipment essential to buildings that operate in the hospitality sector in your community. PPL Control Strategies vary by building type:
Turn it off promotes occupant awareness to turn equipment off when not in use, including training, newsletters, emails, signage, videos, reminders, updates and incentive programs.
Advanced Power Strips APSs are similar to conventional power strips that are often used to plug multiple electronic devices into a wall outlet and have built-in technology to save energy when the devices are not in use. APS Technical Specification offers guidance on the APS procurement process and selecting effective APS models. The Better Building Alliance has developed a one-page how-to guide on properly installing APS.
Find out More about Utility incentives for APSs in your Community
Equipment with Low-Energy and ENERGY STAR® Certified Equipment. Significant energy savings can be achieved by replacing old, inefficient equipment with low-energy or ENERGY STAR® certified equipment.
Built-in automatic low-power state functionality, such as standby and sleep modes saves energy. Automatic low-power states provide limited control, but when configured correctly are inexpensive and effective energy-saving strategy.
Design Strategies new construction and major retrofit projects offer design teams new PPL reduction opportunities to identify and remove standard specifications, operations, and design standards that limit energy-saving opportunities.
Space Efficiency is achieved by consolidating rooms, common and dining areas. Equipment in these areas is used more efficiently when consolidated rather than distributed, thus lowering PPLs.
Integrating PPL controls with other building systems by integrating electrical system and control outlets at workstations, achieved by installing switches, vacancy sensors, timed disconnects and controlling outlets through the building management system.
Sub-metering and control options for new properties and extensive retrofits. PPLs should be aggregated onto dedicated PPL electrical panels; circuits can be integrated into a building control system to turn off PPLs during nonbusiness hours. These panels also allow for easy energy sub-metering.
Connect with Tema
for PPLs in Hotels Farmhouses and Villa Rentals
Knowledge Tourism
email@example.com arezza.org