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Dearborn resident Michael Berry received the Community Service Award from the University of Michigan-Dearborn in a ceremony this spring.
July 24, 2009
DEARBORN / July 24, 2009---Dearborn resident Michael Berry received the Community Service Award from the University of Michigan-Dearborn in a ceremony this spring.
Berry has devoted his life to helping the community, both professionally and personally, with education a high priority in his community service efforts. Involved with the UM-Dearborn campus since the early 1970s, Berry currently serves on the Dean's Advisory Council in the College of Arts, Sciences, and Letters and as a senior advisor to Chancellor Daniel Little on issues which affect the Arab American community in southeast Michigan. Berry also served on the founding committee for UM-Dearborn's Center for Arab American Studies. Last year, Berry and his wife, Cindy Hanes-Berry, established an endowed scholarship to provide need-based scholarship support for students on campus.
A senior partner for 50 years in the law firm Berry, Francis, Seifman, Salamey & Harris, he first became involved in politics more than 60 years ago. Berry was active in the 16th Congressional District of the Democratic Party and served as elector for the district in 1960. He also became a precinct delegate and eventually district chairman. Berry is probably best known in the political arena for his years of service on the Wayne County Road Commission, serving from 1967 to 1983, spending most of those years as chairman.
MEDIA CONTACT: Tom Baird
The Office of University Relations
Room 1040, Administration Building
University of Michigan-Dearborn


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Telecare and telehealth: A game changer for health and social care
The Federal Government in Australia has been actively promoting the use of telecare and telehealth, specifically within the senior living sector. Examples include the availability of government grants and incentives to RACFs on the use of telehealth and the promotion of telecare in a community care environment.
This is against a backdrop of people living longer, increasing government budgetary pressures and consumers wanting a greater say in managing their own care.
Deloitte UK recently produced a report on the use of telecare and telehealth. Whilst the report draws on experiences in the United Kingdom, there are a number of parallels with Australia.
The report provides a synopsis of the available evidence on the costs and benefits of telehealth and telecare. This analysis is based on, amongst other things, case studies, discussions with key stakeholders and our own experience with working with technology companies and health and social care providers.
In particular, the case studies (11 in total) provide interesting insights on the potential for, and the potential implications of, telecare or telehealth.

subset: commoncrawl


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HOME San Diego Chargers Gear San Diego Chargers Jackets San Diego Chargers Jackets Mens (52 items) Product ID: 476388
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Be there for your Chargers in the clutch with this Red Zone jacket! A monument to your Chargers pride, this jacket features a tackle twill team logo and an embroidered team name on the chest, a twill team logo football with team-colored embroidered flames, and twill team logo helmets and embroidered flame graphics on the sleeves. On the back, there is a large twill team logo underneath embroidered team name graphics, all of which are overlaying embroidered football field graphics for a radical display of your unstoppable Chargers spirit!
- 100% Cotton fabric
- Heavyweight full button jacket
- Imported
- Interior slip pocket with hook and loop fastener closure
- Officially licensed NFL product
- Quality embroidery
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- Sewn-on stripes on sleeves
- Twill applique logos
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Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


text: NAD Masters Series M2 Direct Digital stereo integrated amplifier Zoom Front Analog audio signal path Back Back Direct Digital signal path Inside Zetex DDFA chip Photos Videos Item #: 745M2 Be the first to write a review Low Stock Free Crutchfield lifetime tech support Free Shipping Your price $5,999.99 Add to cart + Add to wishlist Email me alerts for this product $5,099.99 Scratch & Dent Buy this item and earn up to 6000 Rewards points See more offers and ways to save Special Financing Available x By buying this product you'll earn up to 6000 Rewards points. When you sign up for a Crutchfield account, you'll be enrolled in Crutchfield Rewards. You'll earn one point for every dollar you spend on gear from us. You can turn your points into Rewards Cards that you can use toward future purchases. You can sign up for an account now, or after you complete your purchase (you'll get credit for the points either way). Sign up for a Crutchfield account Overview Details Customer Reviews Q&A Articles & Videos Accessories Our take on the NAD Masters Series M2 by Jim Richardson Everything you always wanted in a stereo receiver, except the radio An integrated amplifier is essentially a receiver without a built-in AM/FM tuner. You get power to drive your speakers, audio controls, and inputs for music source components. Connect an iPod, a computer, a network music player, or any other device that can play Internet radio, and you may find you have no need for an AM/FM radio. A stunning breakthrough in digital amplifier design The M2 Direct Digital Amplifier is the product of a decade-long NAD research project that was followed by three years of product development. Highly efficient, immensely powerful and musically involving, the M2 sets a new performance benchmark for digital amplification. It compares favorably with the world's best amplifiers, regardless of price or design philosophy. "The M2 ... sounds remarkable, with tremendous dynamics, extremely low noise,richly textured and defined bass, and three-dimensional soundstaging."Robert Harley, The Absolute Sound magazine, March 2010 Streamlined signal path dramatically reduces noise Because the M2 handles digital audio signals directly, you won't hear the noise and distortion that's added by the analog amplifying stages found in traditional amplifiers. NAD says this streamlined signal path reduces overall system noise by a factor of three. Without all that noise to compete with, the subtle details you never noticed emerge from music you've heard a hundred times. You perceive the dimensions of the performance space and the rich tonal texture of each instrument. What once sounded like a mere violin now reveals itself as a Stradivarius, and you savor each note as it blossoms and ripens before yielding to the next one. Typical signal path through an analog system The diagram at right shows the signal path of a traditional amplifier setup, which includes as many as 10 steps between the digital audio source and your speakers, including: The digital-to-analog converter and its buffering circuitry. If it's a stand-alone converter, there will be a cable from there to the preamp. The analog preamp and its buffering circuits. If it's a separate unit, then add one more cable to the signal path. The analog power amplifier, which typically places three more stages of circuitry in front of the output stage. M2 signal path The diagram below shows the path the signal from a digital music source takes through the M2 on its way to your speakers. The only stop along the way is to decode the signal. You can think of the M2 as a DAC with a built-in amp. It's that simple, and that's why noise and distortion vanish. Groundbreaking Zetex chip cancels out distortion The Zetex DDFA (direct digital feedback amplifier) chip enables NAD's breakthrough in class D amplifier sound quality. Until now class D amplifiers had been used primarily in subwoofer amps, because their full-range sound could not compete with the sound of the best analog amps. The other thing that makes the M2 unique among class D amps is the use of feedback to minimize distortion in the output stage. If you've ever tried a pair of noise-canceling headphones, then you have a good idea how feedback works: a microphone on the outside of the headphone picks up the noise, and built-in circuitry mixes in a mirror image of the noise to cancel it out. Feedback systems in amplifiers don't use microphones, but the concept is the same. The output signal is compared with the input signal, and a mirror image of the difference (distortion) is introduced in order to cancel it out. This technique has been used for years in conventional amps, but has been impractical in class D amps until now. NAD collaborated with a company called Diodes Zetex on a breakthrough technology called DDFA (direct digital feedback amplifier) for the M2. DDFA requires an extremely robust processor in order to feed the inverted error data back fast enough. If you comprehend such things, the Zetek chip operates at a 108MHz sample rate on a 35-bit-wide data path. The M2 is the first, and for now the only, vehicle on this superhighway. Advanced power supplies Class D amplifiers require hefty and exceptionally quiet power supplies. These parts are large, heavy and costly, but they are absolutely essential. The M2 uses three very substantial and highly efficient power supplies, one for each channel and a third for the input stage and control sections. Excellent performance under the most demanding conditions Digital PowerDrive helps the M2 maintain the lowest possible distortion and deliver breathtaking dynamics, even when driving difficult speaker loads. Digital Soft Clipping is a new take on a technology NAD pioneered in the 1970s. In the unlikely event that you overdrive the M2, this circuit prevents the harsh sound and potential speaker damage that can result when the overdriven amplifier clips the tops and bottoms of the music signal's waveform. Multi-stage fail-safe protection prevents amplifier or speaker damage. Short circuit, DC offset, overheat, and over current faults are handled instantly and an indication of the fault is displayed on the front panel. See more info on this item Highlights:250 watts x 2 channels into 8 ohms (20-20,000 Hz) at 0.004% THD250 watts x 2 channels into 4 ohms (20-20,000 Hz) at 0.004% THDDirect Digital design yields 90 percent amplifier efficiency4-ohm capability allows use with a wide range of speakerssignal-to-noise ratio: 119 dBPowerDrive circuit with automatic speaker impedance sensing delivers maximum dynamic power output regardless of speaker loadfive position digital impedance compensation filter lets you fine-tune the top octave to match the speaker impedanceDigital Soft Clipping (switchable)4 digital audio inputs (2 optical/2 coaxial)one pair RCA analog audio inputsone pair balanced XLR analog audio inputsselectable 48, 96 or 192kHz sample rate for analog-to-digital conversiondigital audio processor loop lets you connect to a computer to take advantage of room correction/equalization programstwo pairs of custom gold-plated speaker binding posts permit bi-wiring12-volt trigger input and output1 IR inputRS-232 interface for advanced custom installationsdetachable AC power cordremote controlweight: 44.5 lbs.17-1/8"W x 5-7/8"H x 20-7/8"Dwarranty: 3 yearsOur 60-day money-back guaranteefloating ground design means M2 cannot be used with external devices such as speaker switchers or headphone adapters that connect left and right channels together Hands-on research from the Crutchfield Labs (what are the Labs?) Features and specs chart | What's in the box? | In-depth notes Features and Specs General Watts RMS per Channel (8-ohms) 250 Watts RMS per Channel (6-ohms) --- Watts RMS per Channel (4-ohms) 250 Frequency Bandwidth 20-20k THD 0.004% Minimum Impedance 4 ohms Signal to Noise Ratio 119 Number of Inputs 7 Phono Inputs No Preamp Outputs No Width (inches) 17-1/8 Height (inches) 5-7/8 Depth (inches) 20-7/8 Weight (pounds) 44.5 Parts Warranty 3 Years Labor Warranty 3 Years Product Research What's in the box? Download owner's manual Integrated amplifier 70" Power cord Wireless remote control (M2) 2 "AA" batteries Owner's manual (English/ French/ Spanish/ Italian/ German/ Dutch/ Swedish/ Russian) Warranty information Our Product Research Team At Crutchfield, you'll get detailed, accurate information that's hard to find elsewhere. That's because we have our own in-house Product Research team — they open the box, verify contents, check the owner's manual, and record dimensions, features and specs. We stay on top of new products and technologies to help people make informed choices. Features Controls Connections Specifications Features Overview: The M2 is a new design of Direct Digital Amplifier, it can accept a digital PCM input directly so the noise and distortion typically added by cascaded analog amplifying stages is completely eliminated. This streamlining of the internal architecture can reduce the residual noise of the overall system by a factor of three. The M2 uses three power supplies; each channel has a dedicated high current power supply in a dual mono configuration and the input stage and control sections have their own dedicated supply with multiple regulated secondary voltages for individual sections. Inputs: Being a Direct Digital Amplifier, the M2 mates well with digital sources. There are two coaxial, one XLR, and two optical digital inputs. There are also two analog inputs, one XLR and one RCA, fed through a state of the art analog-to-digital converter. Direct Digital Feedback: Direct Digital Feedback operates simply by determining the pulse area error, no matter what the cause, and passing this information back to the digital domain where compensation can be made. Conventional amplifier feedback circuit design is too slow to work well with this type of digital amplifier, so the direct digital feedback technology was developed to deliver the solution. A feedback error signal is generated through comparison with a reference signal and then converted to the digital domain at a 108 MHz sample rate prior to being used for digital correction. For Direct Digital Feedback to work correctly requires a very wide bit path and high speed operation. The M2's 35-bit data path allows compensation to be made without truncating any information in the original signal. Running from a master clock frequency of 108 MHz there is enough speed to keep the wide amplifier bandwidth and low noise and distortion in the audio band. PowerDrive: NAD's PowerDrive technology measures each channel's dynamic impedance individually and computes the optimum power supply voltage required to drive the output stage for maximum power and efficiency. Digital Soft Clipping: NAD's Soft Clipping circuit gently limits the amplifier output to minimize audible distortion when the amplifier is over-driven. Using digital precision, this behavior can be controlled; the multi-stage failsafe protection is carefully engineered in the M2 to prevent amplifier or speaker damage under fault conditions. Short circuit, DC offset, overheating, and over current faults are handled instantly and an indication of the fault is displayed on the front panel. Digital Soft Clipping can be turned off for critical listening if you prefer. Digital Processor Loop: The optical digital input/output loop allows you to insert an external digital processor or computer to filter or equalize the signal, or route the signal through a room correction program. The digital processor loop can be applied to any of the input signals, digital or analog. Multiple Amps: With both coaxial and optical digital outputs, multiple M2s can be used to bi-amp or tri-amp advanced loudspeaker systems. Input Level: The volume level of the analog inputs can be trimmed individually before being converted to a digital signal, so there's no volume change when changing inputs; the range is - 9 dB to 0 dB. Sample Rate: The sampling rate of the analog to digital converter can be adjusted; choose 48 kHz, 96 kHz, or 192 kHz. Higher sampling rates allow anti-aliasing filters to take effect further outside the audible frequency range and are generally considered to sound better, especially in the high frequencies. You may need to reduce the sampling rate if you are using the digital processor loop, as many external devices will not operate at 96 kHz or 192 kHz. Impedance Compensation: A digital impedance compensation filter allows fine tuning of the top octave to match the chosen speaker impedance; this can result in perfectly flat frequency response at 20kHz. Options include 2 Ω, 4 Ω, 5 Ω, 6 Ω, 7 Ω, 8 Ω, and >8 Ω. Input Names: The name displayed for each input can be reassigned, up to 20 characters. Remote Control: The M2 wireless remote will control the amp and a compatible NAD CD, SACD, or DVD player. Controls Front Panel: Power: toggle between power on and standby Input: individual buttons for each of the seven inputs; coax 1, coax 2, optical 1, optical 2, aes/ebu (digital XLR), balanced (analog XLR), and single ended (analog RCA) Loop: engage/disengage the optical digital input/output loop Volume: rotary volume control; also used with the menu function Rear Panel: Power: master power switch Soft Clipping: on/off 12 Volt Trigger: auto/off; when in auto position the front panel and remote power buttons are disabled Connections Rear Panel: Speakers: the speaker binding posts will accept single banana plugs, pin connectors, spade lugs up to 0.59" wide, and bare wire up to 10 gauge; a second set of binding posts is for bi-wiring your speakers Coax Inputs: two single RCA coaxial digital inputs; coax 1 and coax 2 Coax Output: single RCA coaxial digital output Optical Inputs: two Toslink optical digital inputs; optical 1 and optical 2 Optical Output: one Toslink optical digital output Loop Input: Toslink optical digital input for the processor loop AES/EBU: single XLR digital input Analog Inputs: stereo XLR input stereo RCA input 12 Volt Trigger Input: 3.5mm mini-jack; turn the amp on/off along with another component 12 Volt Trigger Out: 3.5mm mini-jack; turn on/off another device along with the M2 IR In: 3.5mm mini-jack input, used to control this unit using an optional infrared repeater or the IR output of another component RS 232: the RS-232 port allows connection to a compatible PC or external whole-house control system from companies such as AMX or Crestron Ground: terminal for grounding the chassis of the amp AC Input: 3-pole IEC power input for use with included cord (or optional upgraded cord) Specifications Amplifier Section: Continuous Power: 250 watts x 2 into an 8Ω or 4Ω load, 20 Hz - 20 kHz, no more than 0.004% THD Dynamic Power: 8Ω: 300 watts x 2 4Ω: 450 watts x 2 2Ω: 650 watts x 2 Rated Distortion: 0.004% (20 Hz - 20 kHz from 500 mW to rated power) Signal/Noise: >95 dB (ref 1 watt) >119 dB (ref 250 watt) Damping factor: >2000 (ref 20-200 Hz) Maximum Output Current: >27 amps Power Requirement: AC 120V 60Hz Weight: 44.5 lbs (20.2 kg) Digital Inputs: Input impedance: Coaxial: 75 Ω AES/EBU: 110 Ω Sample Rate: 32 kHz - 192 kHz Frequency Response: 20 Hz - 20 kHz (+/- 0.5 dB) Channel Separation: 90 dB (10 kHz, 4Ω, 1/3 rated power) Analog Inputs: Input impedance: 36 kΩ/200 pF Input sensitivity: 318 mV (at 100 watts) 503 mV (at rated power) Frequency response: 20 Hz - 20 kHz (+/- 0.3 dB) Channel Separation: 80 dB (10 kHz, 4Ω, 1/3 rated power) Be the first to review this product Submit a review and then enter to win a $500 rewards card Review this product: Thanks for taking the time to share your experiences about this product. Please be sure to focus your comments on the product itself. Read our Review Guidelines for more information. Review title * Email Your email won't be visible. Please use the email address that is associated with your order. Display name (e.g., JohnD) Your review will be signed using the display name and location * Your location (e.g., Charlottesville, VA) * Your rating Click on a star to rate the overall product on a scale of 1-5 1500 characters left * Your review Attach a YouTube Review Crutchfield Video Review Guidelines Only submit videos that you made or are authorized to use. Do not submit videos that contain music, video or visuals that are copyrighted and belong to someone else. Please see our Review Guidelines for more information. Submit the URL of your YouTube™ video review or product demonstration. e.g., "http://www.youtube.com/v/o79TWHh598U" 500 characters left Pros 500 characters left Cons * Agree to Terms By checking this box you agree your review becomes the property of Crutchfield, that you are over 18 years of age, that you own or have owned this product, and that you are located within the United States or its territories. Please see our Review Guidelines for more information. We reserve the right (but are not obligated to) review all submissions and edit or remove any review in any manner which we deem necessary. Your review should be posted within seven days. Add accessories for the NAD Masters Series M2 Add Accessories Add a Warranty Connect your speakers to your new amp using superior grade wire for the best results. See all categories & accessories Connect your speakers to your new amp using superior grade wire for the best results. Speaker Wire with Connectors Have your new equipment installed by qualified professionals. Professional Installation Premium audio cables help deliver premium sound quality. RCA Audio Patch Cables Protect your investment from power surges and interference. Power Protection Power Cables Original Monster Cable With gold pin connectors (15-foot pair) 36 people say Your Price: $39.99 Add to Cart AudioQuest Type 4 Speaker cables with pre-attached banana connectors (10-foot pair) Options 10-foot pair-$248.99 15-foot pair-$298.99 25-foot pair-$398.99 Speaker cables with pre-attached banana connectors (10-foot pair) Speaker cables with pre-attached banana connectors (15-foot pair) Speaker cables with pre-attached banana connectors (25-foot pair) 22 people say Your Price: $248.99 Add to Cart Deluxe Audio + Video Component Installation 4 people say Your Price: $139.99 Add to Cart AudioQuest Golden Gate Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Options 0.6 meter/2 feet-$64.99 1 meter/3.3 feet-$68.99 2 meters/6.6 feet-$78.99 3 meters/10 feet-$88.99 5 meters/16.4 feet-$108.99 8 meters/26.3 feet-$138.99 Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Stereo interconnect cable with RCA plugs (1 meter/3.3 feet) Stereo interconnect cable with RCA plugs (2 meters/6.6 feet) Stereo interconnect cable with RCA plugs (3 meters/10 feet) Stereo interconnect cable with RCA plugs (5 meters/16.4 feet) Stereo interconnect cable with RCA plugs (8 meters/26.3 feet) 17 people say Your Price: $64.99 Add to Cart Monster Cable Stereo Audio 200i Stereo interconnect cables with RCA plugs (1 meter/3.3 ft.) 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Stereo interconnect cables with RCA plugs (2 meters/6.6 ft.) 15 people say Your Price: $19.95 Add to Cart AudioQuest Big Sur Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Options 0.6 meter/2 feet-$96.99 1 meter/3.3 feet-$108.99 2 meters/6.6 feet-$138.99 3 meters/10 feet-$168.99 5 meters/16.4 feet-$228.99 Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Stereo interconnect cable with RCA plugs (1 meter/3.3 feet) Stereo interconnect cable with RCA plugs (2 meters/6.6 feet) Stereo interconnect cable with RCA plugs (3 meters/10 feet) Stereo interconnect cable with RCA plugs (5 meters/16.4 feet) 3 people say Your Price: $96.99 Add to Cart AudioQuest Sydney Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Options 0.6 meter/2 feet-$154.99 1 meter/3.3 feet-$178.99 2 meters/6.6 feet-$238.99 3 meters/10 feet-$298.99 Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Stereo interconnect cable with RCA plugs (1 meter/3.3 feet) Stereo interconnect cable with RCA plugs (2 meters/6.6 feet) Stereo interconnect cable with RCA plugs (3 meters/10 feet) 6 people say Your Price: $154.99 Add to Cart AudioQuest Columbia Stereo interconnect cables with RCA plugs (2-meter/6.6 feet) 1 person says Your Price: $644.99 Add to Cart AudioQuest Evergreen Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Options 0.6 meter/2 feet-$31.99 1 meter/3.3 feet-$34.99 2 meters/6.6 feet-$41.99 3 meters/10 feet-$48.99 5 meters/16.4 feet-$62.99 8 meters/26.3 feet-$83.99 12 meters/39.5 feet-$111.99 Stereo interconnect cable with RCA plugs (0.6 meter/2 feet) Stereo interconnect cable with RCA plugs (1 meter/3.3 feet) Stereo interconnect cable with RCA plugs (2 meters/6.6 feet) Stereo interconnect cable with RCA plugs (3 meters/10 feet) Stereo interconnect cable with RCA plugs (5 meters/16.4 feet) Stereo interconnect cable with RCA plugs (8 meters/26.3 feet) Stereo interconnect cable with RCA plugs (12 meters/39.5 feet) 39 people say Your Price: $31.99 Add to Cart Monster Cable Stereo Audio 400i Stereo interconnect cables with RCA plugs (1 meter/3.3 ft.) 6 people say Your Price: $39.95 Add to Cart Panamax M5300-PM Power line conditioner and surge protector 15 people say Your Price: $539.99 Add to Cart Panamax M5400-PM Power line regulator and surge protector 6 people say Your Price: $739.99 Add to Cart Furman Elite-15 PFi Power line conditioner and surge protector 10 people say Your Price: $699.00 Add to Cart Panamax MX5102 Home theater power management with surge protector and battery backup Your Price: $649.99 Add to Cart Panamax MB1000 Uninterruptible power supply (UPS), voltage regulator, and surge protector Your Price: $799.99 Add to Cart Furman IT-Reference 15i Power line conditioner and surge protector with isolation transformer 1 person says Your Price: $2,199.00 Add to Cart Panamax MB1500 Uninterruptible power supply (UPS), voltage regulator, and power conditioner Your Price: $1,299.99 Add to Cart Panamax MR4000 Power line conditioner and surge protector 1 person says Your Price: $199.99 Add to Cart Panamax MR4300 Power line conditioner and surge protector 1 person says Your Price: $299.99 Add to Cart Panamax MR5100 Power line conditioner and surge protector 1 person says Your Price: $439.99 Add to Cart AudioQuest NRG-2 High-quality replacement AC power cable (6 ft.) Options 3 ft.-$123.99 6 ft.-$168.99 10 ft.-$228.99 High-quality replacement AC power cable (3 ft.) High-quality replacement AC power cable (6 ft.) High-quality replacement AC power cable (10 ft.) 7 people say Your Price: $168.99 Add to Cart Why choose SquareTrade? The #1-Rated Protection Plan Thousands of people have reviewed SquareTrade Protection Plans — and made us #1. 5-Day Service Guarantee & Free Shipping We'll repair or replace your item in five business days or less after we've received it, or your plan is free. And, as always, we pay for all shipping. Protection from Normal, Everyday Use Repairing your average mechanical or electrical failure can cost as much as buying a new device. With SquareTrade, you're covered — including parts and labor. 3 Year Protection Plan Your Price: $379.99 Add to Cart 4 Year Protection Plan Your Price: $599.99 Add to Cart For a more in-depth review and enhanced detailed information on the NAD Masters Series M2, please visit the Crutchfield website product page (/ISEO-rccbcspd/p_745M2/NAD-Masters-Series-M2.html ). Find the gear that's right for you Ask an expert Your Crutchfield Advisor knows the gear inside and out. Call 1.888.955.6000 Email Compare with other NAD models NAD Masters Series M2Deliver even more pristine power to your speakers Low StockThe NAD Masters Series M2 features: 250 watts per channel Master Series interference-resistant housing 2 bridge-tied load power amps per channel View All Product Information$5,999.99NAD C 390DDDirect digital integrated amp 3.5 out of 5: In StockThe NAD C 390DD offers: 150 watts x 2all preamp functions are executed in the digital domain for transparent, dynamic, and detailed sound qualityinternal digital-to-analog converter (DAC) technology features 35-bit architecture and 108MHz master clockView All Product Information$2,599.99NAD Masters Series M2Direct Digital integrated Amplifier Low StockThe NAD Masters Series M2 offers: 250 watts x 2ground-breaking Direct Digital design4 digital audio inputs and 2 analog audio inputs (1 balanced XLR)View All Product Information$5,999.99 NAD C 390DDCompare with $2,599.99 You are hereNAD Masters Series M2Get details $5,999.99 × Front Analog audio signal path Back Back Direct Digital signal path Inside Zetex DDFA chip Searches related to the NAD Masters Series M2 Direct Digital stereo integrated amplifier NAD NAD Integrated Amplifiers Integrated Amplifiers under $6000 NAD C 390DD vs NAD Masters Series M2 NAD C 390DD reviews NAD Masters Series M2 vs TEAC A-H01 NAD Masters Series M2 vs NAD C 316BEE NAD Masters Series M2 vs Yamaha A-S3000 NAD Masters Series M2 vs Yamaha A-S2000


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Over 100 years later under the Farberware brand, Farber's attention to detail and commitment to quality and innovation can be seen in every piece that bears his name. Farberware's signature Classic line continues to be a part of America's culinary heritage. Farberware cookware offerings have expanded to include an array of wares from aluminum nonstick essentials to gourmet quality hard anodized and stainless steel products.
From quality cookware to cutlery, bakeware, tea kettles and more, Farberware brings traditional craftsmanship together with style and the latest technical advances.


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Hemstitched Supima® Flannel Cases 167 167
hold up so well! These sheets aren't only beautiful and wonderfully soft right out of the package, but hold up well and just continue to get softer and more cozy after every wash. August 22, 2014
the most beautiful flannel The look and hand of this hemstitched flannel is the nicest I have ever seen, and the colors are gorgeous. April 14, 2014
wonderfully soft and thick flannel. glad I have this new bedding. March 30, 2014
Wonderfully Soft! We have enjoyed our GH signature sheets for many years. On a recent sale bought the hemstitch flannel sheets. They are as soft and cuddly as you can get. We love them. They are sized to fit the larger mattresses. At this point, only 2 washings with absolutely no pilling. March 24, 2014
flannel sheet This is thick, soft, washes well--I love it! It was more expensive than others I considered but well worth the money. March 14, 2014
Heavenly sheets I bought a flat sheet to go underneath my duvet cover which is linen and chilly in the winter. It is the softest, warmest, coziest sheet ever. I have only washed it once and it is still lovely. Hope it stays that way. The white is pure white, not at all dingy. I'm very happy with this purchase. February 11, 2014
(10 Questions : 13 Answers)
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Age: 35-44
Gender: Female
3 years, 3 months ago
Answer:yes. .they are extremely generously sized.
3 years, 1 month ago
boston and naples
Answer:These fitted sheets have a 12" pocket depth. They also have an encased elastic around the full perimeter. They can accommodate up to a 15" mattress.
3 years, 3 months ago
2 answers
Are these 5 or 6 ounce flannel sheets?
Age: 35-44
Gender: Female
3 years, 2 months ago
Media, PA
Answer:The paintbrush flannel sheets are 5 oz.
Age: 45-54
Gender: Female
2 years, 11 months ago
Minnesota, USA
Answer:6 ounces
3 years, 2 months ago
Age: 35-44
3 years ago
Answer:Sorry, this item does not offer comforter covers.
3 years ago
Top 50 Contributor
Answer:Some of them do....usually tells you on the site
Age: 55-64
Gender: Female
2 years, 10 months ago
lewes DE
Age: 35-44
Gender: Female
2 years, 3 months ago
Answer:The double flat sheet is 81 X 96 inches. The queen flat is 90 X 102 inches. The king flat sheet is 108 X 102 inches.
2 years, 3 months ago
Age: 45-54
Gender: Female
1 year, 11 months ago
Answer:The Pomegranate color is a dark salmon.
1 year, 11 months ago
Product:19512-Hemstitched Supima® Flannel Bedding


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CME Disclosure
Joyce A. Tinsley, M.D., Addiction Psychiatrist, Old Lyme, CT
Dr. Tinsley reports (Family Member/Employee) Boehringer Ingelheim.
This is an overview of practices in addiction psychiatry. In particular, it refers to problems inherent in diagnosing and treating patients with alcohol and other substance use disorders. A proper assessment of substance use has the potential to decrease morbidity and mortality in those who are dependent on substances, and in those whose misuse leads to unsafe health and social practices. This article presents suggestions for working with patients who erect barriers to discussions about their substance use. There are tools clinicians can integrate into their practices that may simplify these discussions. New interventions have joined time-tested drug and alcohol treatments, in part as an outgrowth of the scientific understanding of addictions.
The National Institute on Drug Abuse (NIDA) defines addiction as a chronic, often relapsing brain disease that causes compulsive drug seeking and use despite harmful consequences to the individuals who are addicted and to those around them (1). Among those who misuse substances, patients with chronic and relapsing use may be the easiest for physicians to identify. Frequently, there are negative consequences that have begun to spill into one or more life areas. Even so, it may be difficult to talk to these patients about their use and the trouble it creates in their lives. Not only is it important to identify patients with substance use disorders, but also there is a growing emphasis on identifying those with risky patterns of use. The aims are to prevent the development of an alcohol or drug use disorder and to thwart substance-related morbidity. NIDA defines addiction as follows:
This definition highlights the scientific underpinnings of addiction as well as behavioral, psychological, and social ramifications. Decades of crafting and refining definitions preceded this one. At center are people who continue to use substances even though it causes trouble for them. This definition recognizes that other people are affected, a fact that is not often highlighted in this way. The work to define alcohol dependence has helped clinicians think about other substance use disorders. Nearly 35 years ago, Edwards and Gross (2) introduced the term "alcohol dependence syndrome." They made a significant contribution with an emphasis on criteria that pointed toward a spectrum of severity. Most of the criteria they set forth are stated or implied in the DSM-IV-TR.
In content, the NIDA definition and the DSM-IV-TR (Table 1) criteria are related. The physical manifestations of tolerance and withdrawal cited in DSM-IV-TR result from chronic, excessive use of a substance, as described in the NIDA definition. The next three DSM-IV-TR criteria refer to the NIDA-defined compulsive drug seeking: using more of the substance or for longer periods of time than intended, the desire to discontinue one's use or efforts to control one's use, and spending a great deal of time on activities related to one's use. The last two criteria, giving up important activities because of substance use and continued use despite consequences, are examples of compulsive drug seeking and of being unable to control using despite harmful consequences of the addiction. Addiction erodes the user's values and priorities. Another way one may think about substance dependence addresses patients' arguments that they can control their use. They recite instances of stopping for periods of time or limiting use for a particular occasion. Yet their statements fail to prove they are normal users because even though they are able to stop or reduce their intake, when they use their substance of choice, they cannot trust themselves. Their use is unpredictable in its timing, in the amount used, or in the consequences they experience. A salient point in understanding behaviors associated with addictions is the inability to predictably control one's use.
DSM-IV-TR Diagnostic Criteria for Substance Dependence and Abuse
In 1985, Khantzian (3) proposed the "self-medication hypothesis." The idea that some patients use substances to deal with uncomfortable affective states was not new; however, publication of the hypothesis energized discussions about the impact that numbing negative affects could have on the development of addiction. Although substances can be a salve for unpleasant affective states, it is only one of the contributors to substance dependence. The following is an example of how medicating negative affects with alcohol or drugs might lead to substance dependence: an anxious patient begins to use alcohol before attending social functions to ease his or her tension; once alcohol is determined to be reliable in erasing negative affects, it is used in other situations to relieve emotionally painful states. Dawson et al. (4) showed that the successful navigation of transitional life events such as graduating from college, getting married, and gaining employment effect recovery, whereas failure to manage major life events has a negative impact on recovery.
The connection between affective states and substance use disorders is clear in patients with comorbidity. The term "dual diagnosis" frequently is applied to this concept; however, because the prefix "co" means "with" or "together," the words "comorbidity" or "cooccurring disorders" more accurately reflect the conditions of those who have two or more interacting entities. A patient may have a myriad of psychiatric and medical disorders as well as a set of social problems. To assess such patients, clinicians try to untangle the interplay of one diagnosis on another.
Psychiatric disorders occur in patients with substance use disorders so frequently that every patient must be carefully assessed for comorbidity. Although some axis I and II psychiatric disorders are comorbid with substance use disorders more frequently than others, evaluations of all patients must be thorough.
Affective states contribute to some cases of substance use disorder and may have a role in perpetuating the course of addiction. However, those with substance use disorders are a heterogeneous group of people with complex etiologies. As scientific advances contribute to the field's growing knowledge, the multifaceted and intricate nature of addiction will probably become increasingly apparent.
From 2001 to 2005, the National Institute on Alcohol and Alcohol Abuse (NIAAA) conducted the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) (5), the largest and one of the most comprehensive epidemiological studies on alcohol and other drug addiction. More than 43,000 people were surveyed for current and previous use of alcohol and other substances, comorbid conditions, and treatment services. Designers of the study included safeguards to help ensure that the sample adequately surveyed minorities. Among adults in the United States, 30% are estimated to be at risk for problems related to the use of alcohol; further, 25% of that group most likely have an alcohol use disorder. According to NESARC, 17.6 million people (8.46%) have an alcohol use disorder as defined in APA criteria (6).
NESARC provides a data set that researchers will glean for many years in an effort to understand how substance use, comorbidity, and treatment services impact patients. Not only did the study inquire about the ways respondents used alcohol and utilized treatment services, it made similar inquiries about the use of tobacco and illicit drugs. In addition to those with an alcohol abuse disorder, 2% of the population met the criteria for the abuse or dependence on an illicit drug, and 1.1% met the criteria for both a comorbid alcohol use disorder and an illicit drug use disorder (6, 7).
When NESARC was compared with its predecessor survey, the 1991—1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES), NESCAR (2001—2002) showed that the number of people with an alcohol use disorder had increased by greater than 3 million individuals, more of whom abused alcohol than were dependent on it. This was a change from the previous decade. Of note, by 2002 higher rates of alcohol abuse were observed in young blacks and young Hispanics of both sexes. Rates of dependence rose among Asian men and young black women (8).
Many patients who misuse substances present challenges in identification, diagnosis, or intervention. Some clinicians are uncomfortable dealing with these challenges. Motivation may come from the knowledge that a substance use disorder is a brain disease, similar to other familiar disorders. In addition, patients respond to treatment. In an analysis of NESARC data, Dawson et al. (4) found that among survey respondents who had met the alcohol dependence criteria for more than 1 year, nearly one-fifth were abstinent. Approximately one-half remained dependent or had only attained partial recovery. The remainder drank in either low-risk or at-risk amounts.
The psychiatrist's training in nonjudgmental support can be useful when working with addicted patients. The first evaluation is typically the best time to ask about substance use, as a part of the routine history. At some point the clinician must find out the patient's pattern of use and obtain an estimate of the amount he or she uses. Further inquiries include the age at which the patient began using each substance, information about the patient's peak use, whether the patient has stopped or has limited use, a description of withdrawal symptoms, and the episodes of detoxification or treatment. This line of questioning can raise defensiveness.
Starting with past use and associated events may ease the transition into questions about the present. Questions about spousal concern may allow the patient to divert attention to another. Furthermore, fact-based questions are easy to answer: the patient has either been involved in a treatment program or has not or has had a charge for driving under the influence or has not. Behaviorally oriented questions such as those in the DSM-IV-TR that refer to consequences of one's use may also be more palatable early in an interview (9, p. 47).
Collateral sources of information, such as family members and previous care providers, may be consulted if it seems prudent to gather additional information. Even though the patient does not often relate social or medical ills to substance use, clinicians can be aware of signs that point toward substance use. Table 2 shows a list of common signs. Domestic life is often the first area that is disrupted in the context of substance-related disorders. Social relationships, finances, work or school, and legal problems are other life areas that may be affected. In addition, the psychiatrist may witness a decline in the patient's condition or an inadequate response to psychiatric interventions. "Red flag" medical complaints include headaches, insomnia, erectile dysfunction, hypertension, and frequent accidents.
Common Signs That May Signal Substance Use Disorder
Information about U.S. drinking patterns can be an effective way for clinicians to show patients how their drinking patterns compare with those of others. Doing this at the first appointment indicates to the patient that he or she is not targeted for questions about drinking. To determine a patient's level of risk, NIAAA suggests asking the following three questions (10):
Approximately 30% of patients are drinking "at risk." Approximately 10% are among the heaviest drinkers (Table 3). The patient with an alcohol problem may believe that most people drink in a similar manner. Proof that this is a fallacy can be a powerful educational tool. If not initially, the clinician may later discuss health problems that result from heavy drinking. Table 4 shows the NIAAA-defined Maximum Drinking Limits For Healthy Adults (10). Both patients and clinicians can refer to the amount of alcohol consumed by referring to the "standard drink." When patients tell a clinician the number of drinks consumed, the clinician should be certain both are using the same definition. NIAAA defines a standard drink as "12 oz of beer, or 5 oz of wine, or 1.5 oz of 80-proof spirits."
Maximum Drinking Limits for Healthy Adults*
U.S. Adult Drinking Patterns
Nearly 3 in 10 U.S. adults engage in at-risk drinking patterns*,** and thus would benefit from advice to cut down or a referral for further evaluation. During a brief intervention, you can use this chart to show that (1) most people abstain or drink within the recommended limits and (2) the prevalence of alcohol use disorders rises with heavier drinking. Though a wise first step, cutting to within the limits is not risk free, since motor vehicle crashes and other problems can occur at lower drinking levels.
Screening tools are not diagnostic; however, they are designed to identify individuals for whom further assessment is recommended. As such, sometimes they are used before the formal interview; at other times, they are woven into it. Screening instruments differ from the DSM-IV-TR criteria. The purpose is to establish a diagnosis for an individual suspected of having a substance use disorder.
The majority of patients have a positive attitude about screening (11). A positive screen indicates that more specific testing is needed to determine the presence or absence of disease. The ideal test should have high sensitivity, the ability to detect people who have the disorder; it should also have high specificity, the ability to exclude those without the disorder. A noninvasive test is ideal for screening populations. More than 100 screening tools are available to help determine whether or not a patient has a substance use disorder, although none has been proven to be successful as a diagnostic tool (12). Most of these were developed to screen for alcoholism; however, similar questions may be applied to drug use.
The CAGE is a four-question screening instrument that has gained widespread use because of its brevity and the ease with which it can be integrated into the patient history. Its acronym makes it simple to remember. It has been adapted for use in special populations, including use in screening for substances other than alcohol and in obstetrics. The questions ask the patient about having felt the need to cut down, feeling annoyed because of criticism about drinking, feeling guilty because of alcohol use, or ever having an eye-opener in the morning. Studies have borne out its utility, especially among moderately to severely impaired alcoholics (13). Two "yes" responses are considered a positive result, indicating the need for further inquiry. Studies have shown that the CAGE is relatively sensitive and specific in identifying those with a substance use disorder (14, 15). Although it may miss identifying patients who have a mild disorder (16).
CAGE-AID, adapted to include drugs, and DAST, the Drug Abuse Screening Test, are specifically for those with suspected illicit drug use (17). Another resource is the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST), available on the NIDA Web site (18). This questionnaire may be clinician-administered or computer-based. An affirmative response to prescreening questions about whether one has used drugs from any class gives way to questions about quantities and consequences, allowing the physician to determine level of use (19).
Other questionnaires that are frequently used and that can be easily scored are the Alcohol Use Disorders Identification Test (AUDIT) (20, 21) and the Michigan Alcohol Screening Test (MAST) (22). AUDIT is a 10-item questionnaire that has shown a high level of validity and reliability. It is more quantitative than the CAGE. It takes about 5 minutes to complete; thus, some clinicians like it because the patient can fill it out in the office beforehand. MAST is more qualitative, asks 25 questions, and is particularly useful for identifying alcohol dependence.
Other screening tests commonly used include the T-ACE (23) and the TWEAK (24), developed for use in pregnant women. The T-ACE, modeled on the CAGE, replaces the question that refers to guilt with one on tolerance, "How many drinks does it take to make you feel high?" An answer of more than two drinks is considered tolerance in the T-ACE. This is different from establishing the presence or absence of tolerance using DSM-IV-TR criteria, which is a qualitative rather than a quantitative assessment. Questions about tolerance are not thought to be as emotionally laden as those about guilt. Each question is 1 point, except the question on tolerance, which is 2 points. A score of 2 is required for a positive test. Researchers validated the T-ACE and the TWEAK, finding that each was more sensitive than the CAGE in pregnant women (24—26). The TWEAK borrows from the CAGE, T-ACE, and MAST.
Most drugs are metabolized in the liver, with alcohol being notorious for causing hepatitis or cirrhosis. Even in the absence of disease, the liver may show signs of overwork, in which case abnormal liver function test results are found. An elevated γ-glutamyltransferase (GGT) level signals physicians that alcohol may be a problem. Another organ system susceptible to damage from excessive drinking is the bone marrow. Toxicity may result in an elevated mean corpuscular volume (MCV). Neither test alone is accurate enough to be used routinely to screen for alcohol dependence (12). However, the combination of elevations in GGT level and MCV is more suggestive of alcohol as a cause for the abnormal laboratory results than elevations in either result alone. Values for triglyceride and uric acid levels may also be elevated. A combination of abnormal laboratory findings that suggest organ toxicity related to alcohol should make the clinician suspicious of an alcohol use disorder (9, p. 51).
The presence of carbohydrate-deficient transferrin indicates recent heavy alcohol consumption. Normally, carbohydrates bind to transferrin in the liver; however, heavy drinking prevents the addition of carbohydrates. The test results normalize within 2—4 weeks of abstinence. Positive test results can be expected if the subject consumes at least 60 g (five drinks) of alcohol per day for 2 weeks, often before there are other signs of relapse (27). Its usefulness appears to be greatest as a tool to monitor relapse in heavily drinking men (28).
Drug tests are commonly used if the clinician suspects substance use. However, interpretation of the test depends on when the patient last used the drug and the length of time the drug is detectable. Some substances are rapidly cleared from the body; cocaine is a notorious example. On the other hand, a heavy user of cannabis may test positive for 3 or 4 weeks. Clinicians who order routine urine drug tests cannot assume that the test will pick up all illicit substances. A call to the testing laboratory can clarify which substances are included. If a situation demands a high level of accuracy, a gas chromatography-mass spectrometry analysis can be ordered. For instance, gas chromatography-mass spectrometry analysis is ordered in employee screening or when a treatment recommendation depends on the test (9, p. 176).
It may surprise some clinicians that substance-abusing patients are as compliant with treatment as most other patients with chronic illnesses such as asthma, diabetes, or hypertension (29). One can extend the analogy to include schizophrenia and affective disorders. When clinicians view substance abuse as a chronic disease, the logical approach becomes management.
A treatment program typically addresses a number of issues affected by one's addiction. Family therapy is often indicated. Psychotherapy is nearly always part of the recovery program, often in the form of group therapy. Many programs incorporate 12-step groups. Increasingly, treatment includes pharmacotherapy to target the addiction. The goal for most patients with substance dependence is abstinence. However, both short-term and long-term treatment goals depend on the severity of the substance use disorder, the presence of a psychiatric disorder, and the patient's medical condition. Initially, some patients with a substance use disorder cannot agree to long-term abstinence; an argument before detoxification or before they are engaged in the recovery process may lead to termination of the therapy. For them, a more effective approach is to focus on the first steps of the process rather than on what the patient must do in the coming months or years. Thinking long term is often overwhelming to the patient who cannot imagine being without the substance of choice.
Most patients are treated outside of the hospital. Outpatient programs range from the least restrictive level of care, rendered on an individual basis or in group counseling, to partial hospital programs. Outpatient treatment requires the patient to sustain abstinence long enough for the brain to recover so the patient can engage in treatment. Other considerations as to the appropriateness of outpatient care include withdrawal symptoms, support within the home and social environment, and stability of psychiatric and medical problems. Residential programs that occur outside of hospitals are designed for people who cannot achieve abstinence as outpatients but do not meet the criteria for hospitalization. Hospital-level care is most often indicated for those who are psychiatrically unstable or those at risk for severe or complicated withdrawal (30).
Twelve-step groups are a mainstay of contemporary addiction treatment. Alcoholics Anonymous (AA) chapters have proliferated throughout the United States and abroad, since William Wilson, Bill W., and Dr. Robert Smith, Dr. Bob, met in 1935. In 2010 TIME Magazine listed Mr. Wilson as one of the 100 most influential people of the century which was recognition not only of Bill Wilson but also of AA and other self-help groups that have become part of our culture (31).
Among those who receive a treatment service, 80% use AA as part of their recovery program (32). Although some patients' rejection of AA is part of their resistance, AA is not a fit for everyone. Chapters differ depending on the makeup of the groups, so it may be helpful to suggest that a patient try several groups before declining AA attendance. A common objection is the spiritual nature of AA and its emphasis on a "higher power." Encouragement to broaden the concept beyond the traditional God may work for some; alternatively, a group such as Women for Sobriety, Smart Recovery, or Secular Organizations for Sobriety may be recommended. Others have objections that should be explored. Because AA is widespread, it has the advantage of easy access to meetings. Self-help groups for people with other drug addictions, such as Narcotics Anonymous, Cocaine Anonymous, and Marijuana Anonymous are modeled on AA. Little data on the efficacy of these groups exist; however, patients and clinicians continue to support self-help groups as a mainstay of treatment.
Behavioral therapies teach patients techniques to override the internal and external cues that move them toward their substances of choice. Cognitive behavior therapy (CBT) is one such therapy. Its aim is to teach patients to look at the rewards as well as the negative consequences of using. Patients study the sensibility of their choices. When they can recognize triggers to use, patients learn to anticipate and avoid situations that lead to using. Evidence supports its efficacy in the treatment of alcohol, cannabis, cocaine, methamphetamine, and nicotine abuse (33).
Contingency management interventions allow patients to earn inexpensive items in exchange for drug-free urine samples. This form of treatment has been effective for treatment retention and for helping patients remain drug-free after treatment. Studies have shown its usefulness in addictions to alcohol, stimulants, opioids, marijuana, and nicotine (34, 35). The community reinforcement approach is based on the principle that substance use is perpetuated because the patient's environment contains inadequate reinforcers. This approach encourages use of natural reinforcers that come from the family or social community (36, 37).
The goal of motivational enhancement therapy (MET) is to move the patient closer to abstinence by exploring his or her ambivalence about change. The effectiveness of MET varies, depending on the type of substance the patient uses. Treatment for marijuana-dependent patients appears to be more successful when MET and CBT are combined. However, for other drugs (including heroin, cocaine, and nicotine) results are mixed (38). Evidence shows the effectiveness of MET in motivating alcohol-dependent patients to engage in treatment and to assist them in maintaining abstinence (39).
Motivational strategies share similarities with the tools psychiatrists use in supportive psychotherapy. Motivational interviewing includes the following techniques: giving advice, working on solutions to tangible problems that relate to one's sobriety, comparing the desirability of change with one's failure to act, practicing empathy, providing feedback, clarifying goals, and active helping, such as assisting a patient arrange for a medical appointment while he or she is still in the office (40).
The readiness for change model (precontemplation, contemplation, determination, action, and maintenance) helps to inform the clinician as to the motivational techniques that may be most beneficial to the patient (41). Patients in the precontemplation stage may be thought of as being in deep denial. These individuals may not realize there are problems or that those problems rest with them. For these patients the doctor might initially use an educational approach, such as comparing their use with that of others in the population by citing data on U.S. drinking patterns. In the contemplation stage, the individual struggles with the ideas of changing his or her behavior. The doctor may explore the patient's ambivalence by facilitating discussion about the gratification that using brings and about the patient's rationale for wanting to stop. In the determination stage the patient has made a decision. The clinician's role is to reinforce this resolve. Then the patient takes action and finally maintains the change. However, these stages do not necessarily flow smoothly from one to another, and the rate at which movement occurs is unpredictable.
Couples therapies and family therapies have had a place in treatment programs for many years. Adolescents have unique needs, and most programs recognize the place for family therapy. An example of a successful form of family work is multisystemic therapy (MST), which addresses the adolescent's antisocial behaviors and substance abuse. MST occurs in a familiar environment, and treatment retention is high (42).
Brief interventions can be efficacious in reducing the misuse of alcohol in outpatients. The goal is to moderate a person's consumption and eliminate harmful drinking practices (43). There is hope that integration of brief interventions into primary care practices proves comfortable for patients, will reach large numbers of patients, and that the interventions will be easily administered to patients. The increased use of such interventions in emergency departments, in prenatal clinics, in psychiatric offices, and on college campuses holds the promise of reducing morbidity and mortality. Most studies have been conducted in outpatient settings. A recent study demonstrated that medical inpatients who misuse alcohol may benefit as well. Those receiving the most benefit tended to be younger adults, women, and individuals with alcohol abuse rather than dependence. The study also raised the possibility that patients who abuse drugs are candidates for brief intervention (44).
Brief therapy generally consists of fewer than five sessions that provide feedback about the individual's use of alcohol and his or her responsibility for change. More studies are needed about the populations that benefit from this form of therapy. There are questions about how to define a brief intervention (43). Unfortunately, the lack of a standard definition hinders research studies and their translation into practice.
An example of a brief intervention is a trial of low-risk drinking that adheres to the NIAAA guidelines for daily and weekly consumption in patients who are at-risk drinkers but who are less severely affected by alcohol. Along with a low-risk strategy, the patient would be warned about risky behaviors, such as drinking when driving and maintaining abstinence during pregnancy.
Medications used in the treatment of addictions are increasing in importance as more is learned about which ones to use and in whom to use them. Despite the growth in the number of effective medications, none will supplant the usefulness of psychotherapy or social attention in the foreseeable future.
The accelerated growth in pharmacotherapeutics may be attributed to scientific advancements, primarily in understanding the neurobiology of addiction. The length of time between the marketing of medications that target substance dependence has been shortening over the past 50 years. The best example is the treatment of alcohol dependence in the United States. Disulfiram (Antabuse) became available in 1951, followed by naltrexone (Revia) 40 years later and acamprosate (Campral) followed only 10 years after naltrexone. A similar pattern emerges for medications developed for both nicotine and for opioids.
Methadone. The medications available for treatment of opioid dependence are methadone, buprenorphine, and naltrexone. For four decades maintenance with methadone has been the mainstay of treatment. Methadone is a full μ-opioid agonist. This means it fully attaches to the receptor to produce effects similar to those of other opioids that fully attach to the receptor, such as heroin. The difference between methadone and heroin is pharmacodynamics. Methadone has a slower, steadier action compared with the quick burst of euphoria that heroin produces. When methadone is securely attached to the μ-opioid receptor, the "high" heroin generates is negligible. With compliance, methadone maintenance improves employment records, curtails criminal activity, decreases the risk of needle-sharing, and reduces morbidity from HIV infection (45, 46). The dose of methadone that is effective depends on the individual's habit.
Methadone has received a great deal of criticism despite the positive effect it has on life circumstances. It is dispensed through federally registered clinics; however, clinics are sometimes situated in locations with high crime rates. There may be a paucity of support resources, and addicts may divert methadone by selling their quotas for profit.
Buprenorphine. Buprenorphine, the other maintenance treatment for opioid dependence, became available for office-based prescription in 2002. Licensure to prescribe buprenorphine requires physicians to complete a brief course and have access to referral resources that are capable of providing psychosocial services. Buprenorphine is a μ-opioid partial agonist with enough agonist activity to prevent craving and enough antagonist activity to block the euphoria of opioids. Another benefit of a partial agonist is its ceiling effect. An increased dose does not correlate with an increased drug effect; thus, death from overdose is rare. Buprenorphine is typically administered in a sublingual tablet of a buprenorphine/naloxone combination in a 4:1 ratio. Adding the naloxone antagonist causes significant withdrawal symptoms when the combination tablet is used intravenously, which further decreases its potential for diversion to the street for profit (47).
Not all patients are good candidates for treatment with buprenorphine. High-dose heroin users may not be satisfied with partial agonist treatment. Sedatives and alcohol elevate the risk of death in buprenorphine overdose. The patient needs to follow through with an office-based treatment program and commit to the rules of the program (48).
Naltrexone. Naltrexone is an opioid antagonist. It blocks the receptor site, which prevents an agonist from attaching to produce drug effects. Because it does not activate the receptor site, it lacks opioid effects and does not prevent craving. Addicts seldom prefer antagonist treatment, and the retention rate is low. The incentive for abstinence must be greater than the desire to use opioids. Most heroin addicts are poor candidates for naltrexone. On the other hand, people whose livelihoods depend on remaining drug-free are good candidates for naltrexone. Medical professionals constitute one such group. Their licensing boards can mandate the requirements necessary to maintain licensure. These are likely to include documented administration of the medication and random urine samples. Naltrexone should not be administered until 7 days after one's last dose of an opiate (9, pp 162—169).
Disulfiram. Disulfiram (Antabuse) was the first U.S. Food and Drug Administration (FDA)-approved treatment for alcohol dependence. To some degree, newer medications have supplanted its use. However, it remains a potent aversive medication for patients with relapsing alcohol dependence. Those with experience treating patients with disulfiram have a deep appreciation for the sobriety patients can achieve as part of a monitored, abstinence-based program. However, the liabilities of disulfiram are better known than its potential benefits. Patients who do best participate in a monitoring program administered through a clinic or other agency or perhaps a spouse. The added psychological benefit may be that each day the patient decides to take disulfiram, he or she decides not to drink. Some patients take it during high-risk situations such as social occasions where alcohol will be served. It may be administered on a 3- to 4-day cycle, which makes it more conveniently prescribed in an office-based practice. Cyclic administration works because enzyme inhibition can be adequately effective for 6 days, even though the product's insert carries the warning that a reaction can occur as long as 15 days after the last dose (49). The patient's blood alcohol content should be zero before the first dose of disulfiram. Some patients find they can drink while taking a 250-mg dose. In that case, an adjustment to 500 mg is indicated.
Disulfiram interferes with the liver's degradation of alcohol. Under normal circumstances ethyl alcohol is metabolized to acetaldehyde, which the enzyme aldehyde dehydrogenase further breaks down to acetate. However, when disulfiram inhibits the action of aldehyde dehydrogenase, then acetaldehyde increases to toxic levels. This leads to skin flushing, headache, and nausea. One safeguard for patients is that when they feel mild symptoms within minutes of drinking, they usually stop and avert advanced symptoms. The effect is dose-related, and a reaction typically lasts 30—60 minutes. In severe reactions there can be hypotension and respiratory distress. If an ethanol-disulfiram reaction occurs, the patient must know what to expect. The safest route is assessment in an emergency department where treatment is supportive; however, many episodes are self-limiting (50).
The risk of hepatitis is rare; however, it has the potential for significant morbidity and even mortality. Baseline liver function tests should be obtained, with testing again after 1 month and again after 3—4 months. Hepatitis is most likely to occur within the first several months of treatment (51). Patients must be carefully selected for their physical health and psychiatric health status, cognitive abilities, social stability, and treatment resources to make compliance realistic. The prescribing psychiatrist has a responsibility to become a miniexpert in the use of disulfiram before prescribing it.
Naltrexone. Alcohol has a complex mechanism of action, affecting several neurotransmitters including γ-aminobutyric acid (GABA), glutamate, dopamine, and opiate systems. Because of this, medications that act on different systems may be effective in treating alcohol dependence. In 1994, naltrexone, an opioid antagonist, became available for use in the treatment of alcohol dependence. Its ability to block the μ-opioid receptor leads to suppression of an alcohol-induced rise in β-endorphin levels. Because naltrexone attenuates the rewarding effects of alcohol, compliance may be a problem. In such a situation, the physician might consider the once-monthly depot preparation. A key to the effectiveness of naltrexone is enhancing adherence; greater efforts to counsel patients or the use of depot medications are ways to accomplish this.
The ideal patient for naltrexone therapy seems to be one who is motivated to stop drinking, has episodes of heavy intake, experiences strong craving, and has a family history of alcohol dependence (52—54). The individual should be past the risk of alcohol withdrawal. Drug testing should confirm the patient's report that neither illicit nor prescription opioids are in his or her system. Baseline liver enzyme levels should be obtained, and tests should be repeated every month during treatment. Hepatotoxicity may occur in some patients although it is most likely to occur in obese patients treated with doses of ≥100 mg daily (54). Any patient taking naltrexone should carry a medical card to alert health care providers that the patient takes the medication and that opiate analgesics are ineffective in patients taking naltrexone.
Acamprosate. Acamprosate acts on the GABA and glutamate systems. One theory is that it attenuates protracted withdrawal symptoms, theoretically making it ideal for patients who struggle with severe alcohol dependence. Another possible mechanism is to modulate the patient's response to cues that would typically trigger drinking episodes. Since its FDA approval, the medication has failed to gain a robust following. It is not known why results of European studies have been favorable but results in the United States have been less so. It may be that a subtype of alcoholism responds preferentially (53). Acamprosate is excreted by the kidneys and is not metabolized in the liver, which makes it advantageous in patients with liver disease. This medication is associated with few side effects.
Nonapproved medications. Of the nonapproved medications, topiramate holds the most promise at this stage. It potentiates GABAergic transmission, blocks certain glutamate receptors, and probably dampens the rewarding effects of alcohol. Side effects tend to be mild, with the exception of an increased risk of kidney stones. Baclofen, like topiramate, acts on the GABA system. Excreted by the kidneys, it too has potential for those with established liver disease. Its efficacy has been demonstrated in small trials (53). Until its utility is proven in larger studies it remains in the category of promising medications, especially in early-onset alcohol dependence. Odansetron, a serotonin-3 receptor antagonist, has garnered long-standing interest (55). At present, it is used to treat nausea from chemotherapy and other medical problems. It is not available in doses needed for patients with alcohol dependence, and its use is limited to research trials.
In a recent article, Johnson (56) presented cases in which treatment was based on clinical subtyping, informed by scientific knowledge of how medications exert their effects, patients' clinical presentations, and the medication side effects. Typology has long been considered key to the clinical understanding and ultimate treatment of alcohol-dependent patients (57—60). Subtyping alcoholism shows promise as a method of choosing the correct pharmacotherapeutic agents, especially as a broader range of medications become available. In the future, pharmacogenetics may provide additional guidance (56).
Researchers are working to find treatments for these commonly abused drugs. Thus far, there are hopeful areas of research on both drugs. Understanding the neural mechanisms they act on should help in finding medications to aid recovery. Marijuana is enjoying a surge in research largely because of the discovery of cannabinoid receptors and endocannabinoids, which are naturally occurring in humans (61).
Scientific advances have informed medication trials for cocaine addiction. Dopamine, simplistically termed the reward neurotransmitter, increases in the presence of cocaine, and chronic use dysregulates dopamine. Two medications, disulfiram and modafinil, blunt the dopamine-mediated euphoria that cocaine causes (62). Topiramate is another possibility for treatment of cocaine addiction because it may attenuate cue-induced craving (63). Most novel of the treatments under study are vaccines that stimulate production of cocaine-specific antibodies (64).
The rate of advancements in scientific discovery creates excitement in the field among those who wait for what Vocci et al. (65) terms "second-generation" medications for addictions. These would launch a series of events to target molecular sites, theoretically treating multiple addictions caused by similar neural pathways. The beneficiaries of advancements are patients and others who have substance-related hardships. Improved methods for assessing substance misuse and providing efficacious interventions in various populations are underway, with the promise of decreasing morbidity and mortality attributable to intoxication. Tools for assessment are available for clinicians who decide to incorporate them into their practices. Assessment begins the process of behavioral change for those with various degrees of substance misuse, abuse, and dependence. Both psychotherapeutic treatments and medication management of substance use disorders are a reality, and evidence points to more specific treatments being within reach.
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Please don't beat me, I don't mean to drag this on, however...
Bengal Pro....on -10 post, mod on 4, draw stop on 'A' of Adjustable= 29" DL
now I felt like I was anchoring a little too far with my thumb release, so I want to try going to 28.5".
Mod is now on 3.5
my question...do I need to move the draw stop closer to the '-', or can it stay where it is?
I've read that it will decrease the valley/let off, which I would rather not do.
thanks in advance,


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INGLEWOOD, Calif. (November 24, 2012)—Betfair Hollywood Park will offer wagering Saturday, Dec. 1 on a $100,000-guaranteed Pick 7, part of the opening day program at Gulfstream Park.
The 10-cent minimum bet, which will have a mandatory payout, will feature races in the $850,000 Claiming Crown, which is being run at Gulfstream for the first time in 2012.
Entries for the Claiming Crown will be taken Wednesday, Nov. 28. Approximate post time for the start of the Pick 7 is 11:15 a.m. PST.
The races in the sequence are the $100,000 Iron Horse for older horses at 1 1/16 miles, the $100,000 Express for older horses at six furlongs, the $100,000 Rapid Transit for older horses at seven furlongs, the $100,000 Glass Slipper for older fillies and mares at seven furlongs, the $125,.000 Tiara for older fillies and mares at 1 1/16 miles on turf, the $125,000 Emerald for older horses at 1 1/16 miles on turf and the $200,000 Jewel for older horses at 1 1/8 miles.
Copyright © 2009-2014, Hollywood Park. All rights reserved.


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Camp Name: Irving Park
Camp Location: Chicago, IL
Camp Description: Spend time outdoors and indoors as experienced staff lead adventures that promote a healthy spirit, mind and body. Going to a summer camp is not only a memory that your child will cherish forever, but it also has the potential to change their life. As our children today are surrounded by modern technology, spending time in the great outdoors can be an eye-opening and rewarding experience. Summer camp allows your child the opportunity to learn new skills, form wonderful relationships with their peers and learn more about themselves.
Sponsoring YMCA: YMCA of Metropolitan Chicago
YMCA Location: Chicago, IL
Job Description and Required Certifications: Under the direct supervision of the Program Director, assist in the management of staff and group activities. Scope of Responsibilities: Implementation of the daily program, which will include activities that are developmentally appropriate. Directly responsible for leading and caring for a group of children on and off site. Guide campers through varies activities; instruct as needed. Provide attention to campers with special needs without neglecting any camper. Apply basic youth development principles in working with campers through communication, relationship development, and respect for diversity, involvement and empowerment of youth. Camp Unit Leader serves as a mentor and role model to camp counselors and in communicating important information to the counselors and providing direction and suggesting improvements when needed. Coordinate and communicate with parents regarding camp questions and/or concerns during camp. Help staff with specific camper issues and concerns. Ensuring the safety of staff and their campers at all times and Assures campers are properly supervised at all times. Be aware of and implement safety guidelines. Participate in the development and implementation of program activities for campers within the mission and outcomes. Maintain high standards of health and safety in all activities for campers and staff. Provide the daily care of each camper within your supervision. Be a role model to campers and staff in your attitude and behavior. Follow and uphold all safety and security rules and procedures. Set a good example to campers and others in regard to general camp procedures and practices including sanitation, schedule, and sportsmanship. Assist in the overall program structure of day camp; planning and running of all camp activities, including theme days or other special events; be part of all aspects of day camp life when not directly involved in day camp activities; take part in early drop-off and late pick-up on a rotating basis with Program Staff Team. Responsible for leading or assisting with the teaching of activities. Be alert to equipment and facilities to ensure utilization, proper care, and maintenance is adhered to; report repairs needed promptly to the director. Additional duties as assigned.
Salary Information: $10 per hour
Room and Board Provided: No
How to Apply:
Apply Online: https://careers-ymcachicago.icims.com/jobs/4981/job
Apply By Phone:
Contact: Jennifer Boyd
Copyright © 2014 YMCA of the USA. All rights reserved.
The YMCA is a nonprofit organization whose mission is to put Christian principles into practice through programs that build healthy spirit, mind and body for all.


text: My friend has last year's ridge hunter model and is looking to get rid of the TRG and get a rod/slide set up instead. Can anyone let me know which rod is the one to use for this application? I think he emailed Martin? I was unsure why he couldn't get them replaced right through Martin. I kind of figured guys were getting new rods/slides and strings out of the deal, but anywho.... just need the rod type/length needed. THANKS ALL!


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- Classes & Events
- View Related
- Heart Attack and Stroke Screening
- Monday, Oct. 27
Heart Attack and Stroke Screening
Monday, Oct. 27
Register for a heart attack and stroke screening with the CardioHealth ultrasound to learn your risk of developing heart disease.
Presented by Sharp Memorial Hospital
Cardiovascular disease is the leading cause of death in the United States. Register for a CardioHealth ultrasound and learn your risk of developing heart disease.
The CardioHealth ultrasound allows doctors to better assess risk and helps you take steps to prevent heart attack and stroke. With the pass of a wand, doctors can scan patients for hidden plaque build-up and increased thickness in the artery wall, both common signs of cardiovascular disease.
The heart attack and stroke screening includes:
- Advanced blood pressure screening (SphygmoCor® XCEL technology), which includes blood pressure at and around your heart and an indirect measurement of arterial stiffness which provides information about the health of your arteries and risk for heart disease and stroke
- Lipid cholesterol panel
- 10-year-heart attack risk
- Blood glucose test
- Cardiac c-reactive blood test
- CardioHealth carotid ultrasound
- Review of family history
- Body fat measurement
- Body mass index (BMI) and hip to waist ratio
- Homocysteine blood test
- Metabolic syndrome screening
- Heart-health consultation
- Ankle-brachial index ultrasound to detect peripheral arterial disease (PAD)
Following your screening, you will receive a personal consultation to discuss your findings and answer any questions you might have. If needed, we will design a follow up treatment plan involving your primary care physician.
The CardioHealth ultrasound is offered as part of the vascular screenings and executive health assessments available at the Cushman Wellness Center at the Sharp Memorial Outpatient Pavilion.
Special Instructions
Please do not eat or drink anything other than water for at least 12 hours prior to the screening (regular medications are okay).
Upon registration, please remember to provide your legal name, mailing address and date of birth.
Please arrive for your appointment 15 to 20 minutes early to allow for parking and registration procedures. Upon arrival, please check in at the Sharp Memorial Outpatient Pavilion concierge desk.
What to Bring
Feel free to bring water and a snack to eat after the screening. Please wear comfortable clothing that will allow access to your neck, arms and lower extremitites, including your ankles.
Parking Information
Patients and visitors may park in the parking structure on Health Center Drive. Parking fees may apply.
Related Events
Helpful Links
Heart Attack and Stroke Screening
If you have questions about an event or anything else, our consumer information specialists are here to help you. Specialists are available Monday through Friday, 8 am to 6 pm to take your call. Call 1-800-82-SHARP (1-800-827-4277).
We have received your request. A consumer information specialist will contact you within one business day.


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The Ace Hotel Shoulder Bag features a relaxed "worn in" look that's timeless. On the inside, there are padded sleeves for your MacBook and iPad as well as plenty of organizer pockets for all your essentials.
First opened in Seattle in 1999, Ace Hotel set out to redefine the experience of travel mixing uncluttered comfort with a distinctive, eclectic vibe. Inspired by an equal appreciation for the analogue and digital, the Ace Hotel collection is designed for anyone who appreciates the look, feel and performance of classic American-made materials like waxed cotton canvas.
Fits up to a 15" MacBook Pro
A better experience through good design.


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INGLEWOOD, Calif. (June 23, 2011)—Making his first start since April 14, Lucky Primo led nearly every step of the way to win the $71,800 Golden State Cup Thursday at Hollywood Park.
An 8-1 shot in a field reduced to five after the scratch of Nahem, Lucky Primo was one of three upsets in the Pick 6, so there will be a carryover of $64,989 when racing resumes Friday night. Post time is 7:05 p.m. The Pick 6 begins in the third race.
Owned by J B K Stables and Jason Litt and trained by Joshua Litt, Lucky Primo set rapid fractions while he and the filly Logical Single opened up about 10 lengths on the rest of the field, put away the 5-2 second choice to draw well clear entering the stretch and easily held 1-2 favorite Norvsky safe. The final margin was 2 ½ lengths in a race restricted to California breds.
Bred by the Litts and Dennis O'Neill, the 5-year-old Atticus gelding out of the Personal Flag mare Live Free Or Die won for the fourth time in 11 starts. He increased his earnings to $236,632.
Ridden by Tyler Baze, who doubled Thursday, Lucky Primo ran the mile on turf in 1:34.49. He is now 2-for-2 on the Hollywood Park grass, having previously won a $53,120 allowance June 26, 2010. He paid $19, $5.40 and $2.60.
Second as the public choice for a third consecutive race, Norvsky returned $2.20 and $2.10. The show price on Renegade Storm, who finished one length behind Norvsky, was $2.80. Completing the order of finish were Baton Roo and Logical Single, who was coming off a victory against her own sex in the Fran's Valentine Stakes May 22.
Jockey Martin Garcia didn't have a mount in the Golden State Cup, but had his second consecutive multiple win day at Hollywood Park. After having four victories Sunday, Garcia had three more Thursday, winning the second with Tuesdays With P, the fifth with Tenacious Tina and the eighth aboard Favorable.
At the conclusion of the Friday night program – approximately 10:30 p.m. – a concert featuring English Beat will begin at the North Park Lawn.
Copyright © 2009-2014, Hollywood Park. All rights reserved.


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Jockey Quotes
DAVID FLORES, TURBULENT DESCENT, Winner: "She's been working very, very well. The race came up perfect for us. I was comfortable the whole way. The outside post worked out very well for her. She showed what she's made of today. I'm so confident in her. Hopefully, she'll stay in one piece. I can't say thanks enough to (trainer) Mike (Puype) and the owners. The main thing with her is the track. She's never been beaten on the synthetic. We'll take it one at a time to the Breeders' Cup."
EDWIN MALDONADO, IZZY RULES, Second: "She ran a great race today. She just got beat by a better horse. I'm really happy with her race. I'm not disappointed at all because she ran her race and the best horse won."
Trainer Quotes
MIKE PUYPE, TURBULENT DESCENT, Winner: "You want to see her come back to form because she's a brilliant filly. Her campaign took its toll with four travel trips. Believe me when I tell you, the track was very hard at Santa Anita the day she ran (Grade I La Brea Stakes last Dec. 31). She's very partial to synthetic tracks and I'm just happy to have her back in form. David (Flores) did a great job, he got the jump on Teddy's Promise. That's where post comes in. He had a great post and out broke the other horse, got in position and basically settled her into a perfect trip. I was a little worried that (Izzy Rules) could shake loose because she was the lone speed on paper. The lone speed is dangerous at any track, any time."
JOHN SADLER, SWITCH, Fourth: "I don't know, maybe she's lost a little speed. She probably wants a little longer right now. The (Grade II, $200,000) A Gleam (Handicap July 14) is possible, but we might take her out of town."
Copyright © 2009-2014, Hollywood Park. All rights reserved.


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"Of all the attitudes we can acquire, surely the Attitude of Gratitude is the most important and by far most life changing. " Zig Ziglar
"What you GET by achieving your goals is not near as important as what you BECOME by achieving your goals." Zig Ziglar
"The foundational stones for a balanced success are Honesty, Character, Integrity, Faith, Love and Loyalty." Zig Ziglar
"When you THROW DIRT at people, you're not doing a thing but LOSING GROUND." Zig Ziglar
"Where you start is not nearly as important as where you finish." Zig Ziglar
Zig Ziglar was a giant in the motivational speaking field who inspired millions of devoted fans around the world with his wisdom, wit and generous spirit. Even if you'd never heard of this inspirational motivational speaker/leader, you'd have come across his quotes on this blog and elsewhere. His hugely popular quotes are found all over the internet and I, like many others, used them for emphasis and to give clarity to a point of view. When I heard Zig had passed away, I was saddened by the loss of an inspiring teacher/speaker, motivator, author, wordsmith, and visionary. As far as motivational speakers go, he was best of the best…
Of course motivation is not permanent. But then, neither is bathing; but it is something you should do on a regular basis." Zig Ziglar
"The chief cause of failure and unhappiness is trading what you want most for what you want right now" Zig Ziglar
"You were Designed for accomplishment , engineered for success and endowed with the seeds of greatness." Zig Ziglar
"We don't meet people by accident. They are meant to cross our path for a reason." Zig Ziglar
"When you have nothing to hide you have nothing to fear. When you do the right things in the right way you have nothing to lose because you have nothing to fear." Zig Ziglar
Zig Ziglar, a World War II veteran, grew up in Yazoo City, Mississippi, and worked as a salesman for a number of companies before devoting his energies to motivation and performance training work. Even though he started his motivational career in his 40s, he traveled, spoke, taught and published over 30 hugely successful, motivational books in the span of 40 years. I loved his warmth and kind smile and how, when he spoke, everyone in a room felt he spoke directly to them and their struggles… I will miss that. I have put together some of my favorite Zig quotes and I encourage all to read his books (See listed books below). More below
"Among the things you can give and still keep are your word, a smile, and a grateful heart." Zig Ziglar
"I Honestly believe I have felt your feelings. I HAVE WALKED IN YOUR SHOES. You may have made some mistakes and you may not be where you want to be, but that has NOTHING to do with your future." Zig Ziglar
"Money will buy you a bed but not a good night's sleep, a house but not a home, a companion but not a friend." Zig Ziglar
"You don't have to be great to start but you have to START to be great." Zig Ziglar
"Look Back in forgiveness, forward in hope, down in compassion and up in gratitude." Zig Ziglar
After 9/11, I threw myself wholeheartedly into the real estate business. I'd spent years in academia and wanted a change, and Zig's books, like See You At The Top, Better Than Good: Creating a Life You Can't Wait to Live, and Sell Your Way to the Top, were there to guide me and cheer me on. I turned to his writings for motivation and courage and even attended events where he spoke powerfully and beautifully about many topics including; living a fulfilling life, developing excellence, sharing goodwill, honoring others and self, and creating a balanced life. Zig passed away today at a hospital in Plano, Texas. He had pneumonia and was 86. He is survived by his wife of 66 years, Jean, his son Tom, and two daughters, Julie Ziglar Norman and Cindy Oates. May he Rest In Peace… Thank You Zig!
What are your thoughts? Did you hear Zig Ziglar speak over the years? Do you have any favorite Zig Ziglar quotes that touch your heart? What are your memories of him? Do share! Thank you.
*Please bear with me as I continue to catch up on your blogs and commenting… Thank you all for your patience! :-)
Positive Motivation Tip: Follow your dreams fearlessly. As Zig would say: Fear has two meanings… The choice is yours.
PHOTO CREDITS/ATTRIBUTIONS: All photos Zig Ziglar at Cow Palace, via Wikipedia Zig Ziglar memorial via His Facebook Page
Until Next Time…
Ask. Believe. Receive. ©
Elizabeth Obih-Frank
Mirth and Motivation
Positive Kismet
Goals: Setting and Achieving Them on Schedule By: Zig Ziglar
Sell Your Way to the Top By: Zig Ziglar
5 Steps to Successful Selling By: Zig Ziglar
A View From The Top By: Zig Ziglar
Born To Win The Ultimate Seminar By: Zig Ziglar
See You At The Top 25th Anniversary Edition By: Zig Ziglar
Success and the Self-Image By: Zig Ziglar
How to be a Winner By: Zig Ziglar
Embrace the Struggle Living Life on Life's Terms By: Zig Ziglar and Julie Ziglar Norman
How to Get What You Want By: Zig Ziglar
Top Performance: How To Develop Excellence In Yourself And Others by Jim Savage, Zig Ziglar, Krish Dhanam, Bryan Flanagan
Secrets of Closing the Sale by Zig Ziglar
Something to Smile About: Encouragement and Inspiration for Life's Ups and Downs by Zig Ziglar
Over the Top by Zig Ziglar
How to Be a Winner and Influence Anybody: The Fruit of the Spirit As the Essence of Leadership, by Zig Ziglar, James Merritt
You Can Reach the Top by Zig Ziglar
Selling 101: What Every Successful Sales Professional Needs to Know by Zig Ziglar
God's Way is Still the Best Way (Spanish) by Zig Ziglar, Marcela Robaina (Translator), Madeline Diaz (Editor)
Dear Family by Zig Ziglar
The One Year Daily Insights by Zig Ziglar, Dr. Ike Reighard
Better Than Good: Creating a Life You Can't Wait to Live by Zig Ziglar
Ziglar on Selling by Zig Ziglar
Raising Positive Kids in a Negative World by Zig Ziglar
Courtship After Marriage: Romance Can Last A Lifetime by Zig Ziglar
The Secret of the Wooden Witness by Zig Ziglar, Sal Murdocca (Illustrator)
Embrace the Struggle: Living Life on Life's Terms by Zig Ziglar, Julie Ziglar Norman
Network Marketing For Dummies by John P. Hayes, Zig Ziglar.
Zig: The Autobiography of Zig Ziglar by Zig Ziglar
Staying Up, Up, Up in a Down, Down World: Daily Hope for the Daily Grind by Zig Ziglar
God's Way is Still the Best Way by Zig Ziglar
Ziglar on Selling: The Ultimate Handbook for the Complete Sales Professional by Zig Ziglar
Success For Dummies by Zig Ziglar
Paperback, For Dummies (March 1998) by Zig Ziglar
Great Quotes from Zig Ziglar by Zig Ziglar
Conversations With My Dog by Zig Ziglar
Confessions of a Grieving Christian by Zig Ziglar
Zig Ziglar's Life Lifters: Moments of Inspiration for Living Life Better by Zig Ziglar
Zigology: Zig Ziglar on Life, Love & Faith by Zig Ziglar
Breaking Through to the Next Level by Zig Ziglar
Zig Ziglar's Leadership & Success Series: Library Edition by Zig Ziglar
Better Than Good by Zig Ziglar
Qualities of Success & Biscuits, Fleas and Pump Handles: Library Edition by Zig Ziglar, Zig Ziglar (Narrator)
Winning With a Balanced Life by Zig Ziglar, Zig Ziglar (Narrator)
Winning With a Balanced Goals Program by Zig Ziglar
Qualities of Success by Zig Ziglar, Zig Ziglar (Narrator)
Biscuits, Fleas and Pump Handles by Zig Ziglar, Zig Ziglar (Narrator)
Zig Ziglar's Little Instruction Book: Inspiration and Wisdom from America's Top Motivator
by Zig Ziglar
Persuasive Selling and Power Negotiation: Develop Unstoppable Sales Skills and Close Any Deal by Made for Success, Brian Tracy (Narrator), Zig Ziglar (Narrator)
Christian Motivation for Daily Living: The Complete Series by Zig Ziglar, Zig Ziglar (Narrator)
Zig Ziglar's Leadership & Success Series by Zig Ziglar, Zig Ziglar (Narrator)
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