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Best Health Care Center – Noble Hospital, PuneResearch in science and technology has brought about great change in our daily comforts in this 21st century. Along with that we have also been given ill health as our physical activities have drastically reduced. All work and no play is taking a heavy toll on people irrespective of their age and gender.We have been invaded with new diseases and health problems caused due to pollution, changes to the environment, unhealthy food habits, very less or no physical activities and undue stress by long and irregular working hours. Due to all these reasons our visit to the doctor have become frequent. Research in the field of medicine is so advanced that many diseases which were considered fatal are now curable. The long suffering patients are seeing a new dawn of hope.Noble Hospital, Pune is one such hospital dedicated to provide health services to one and all at an affordable price. A multi specialty tertiary hospital, it was established in the year 2007. This 250 bed hospital sprawls over an area of 1, 85,000 sq ft. This modern hospital is a state-of-the-art health care facility with the best doctors and advanced technological setup. The competent doctors of Noble Hospital are a boon to people of Pune who are in need of health care.From the time of establishment the hospital has progressed to reach the new heights in the field of medicine through its services. It is more like a one stop shop for people as the hospital is one of the best diagnostic services in Pune. From the stage of diagnosis to treatment the hospital is self reliant with its own top-notch modern laboratory and radiology facilities.Noble Hospital is capable of handling any kind of emergencies and provides 24hour services in its emergency and trauma unit. Being home for doctors with a great number of years of experience, the hospital provides services in the following areas: Cardiac & Cardiothoracic Surgery, Acupuncture, Ayurveda & Panchakarma, Chest Medicine, Dermatology, Cosmetology, ENT, Diabetology, Dentistry, Endocrinology, General & Laparoscopic Surgery, Gastroenterology, Homoeopathy, Infectious Disease, Nephrology, Neurology, Neurosurgery, Obstetrics & Gynecology, Onco Surgery, Obesity & Metabolic Surgery, Ophthalmology, Psychiatry, Pediatrics and Pediatric Surgery, Urology and Plastic & Reconstructive Surgery.Providing all these services Noble Hospital is an ideal place for solutions to your health problems.
Beautiful Smile – Dentistry at Noble HospitalPeople would kill for a beautiful smile. Beautiful smile enhances a person's beauty and personality. To get that beautiful smile, a little bit of prompt, regular and hard work is required. Boosting your confidence is a set of beautiful teeth which gives a very strong first impression. But that comes only with hard work and dedication towards your dental and oral health.Dental or Oral health, an extremely important part of your daily chore is the basic part of your well being. People may not even realize the magnitude of need of oral health involved in public health and wellness. Your dental and oral health is deeply connected to your overall health.Dental health is not limited to having beautiful set of teeth, it is much more than that. Your teeth may problems like caries, decaying of roots, crooked teeth etc. Dentistry is divided into many branches like orthodontist, periodontist, pedodontists etc.Selecting a dentist is a tedious and responsible work, as a dentist should simply not treat you for your current problem. He/She should be able to solve the problem, and also analyze and help you to make a future plan to maintain your oral and dental health.At Noble Hospital Pune, we have a well equipped and advanced dental facility to cater to the needs of people with dental problems. With the intention of serving people better with good health care, we create a rather informal atmosphere with a team of highly competent dentists with very modern facilities.Dental clinic at Noble Hospital covers the areas of Oral & Maxillofacial Surgery, Periodontists, Pedodontist, Orthodontist, Prosthodontist and Implatntologist. Known as one of the most competent center for Dental Transplant in Pune, we also specialize in procedures like:
- Root Canal Treatment
- Cosmetic fillings
- Prophylaxis and Crown & Bridge work
- Cosmetic treatments like enhancing smile by treating crowded teeth
- Emergencies like fracture of teeth or bones or loosened teeth due to trauma
- Perio-surgeries for stabilizing loosened teeth
- Restorative procedures
- Painless and single sitting root canal
- Pediatric Dentistry
- Imported teeth set with fibre dentures
ThyroidWhat is a thyroid gland?A thyroid gland is an endocrine gland; this means that it manufactures hormones that are released into the bloodstream, which then act as messengers to affect cells and tissues in other parts of the body.Where is the thyroid gland?The thyroid gland lies on either side of your windpipe, with the gland as a whole lying just below your Adam's apple.What does the thyroid gland do?The thyroid gland produces thyroid hormones which it secretes into the bloodstream. If hormone production is insufficient, it can easily be replaced with medication.What do the thyroid hormones do?Thyroid hormones regulate the speed at which your body cells work. If too much of the thyroid hormones are secreted, the body cells work faster than normal, and you have thyroid overactivity or 'hyperthyroidism' (also referred to as "thyrotoxicosis"). However if too little of the thyroid hormones are secreted then the body cells work slower than normal and you have underactivity or 'hypothyroidism'.How is the thyroid gland controlled?Thyroid gland works in conjunction with pituitary, which lies underneath your brain in your skull and senses the levels of thyroid hormones in your bloodstream. If the levels drop below normal, the pituitary reacts by secreting a hormone called the 'thyroid stimulating hormone' which is often called TSH. TSH stimulates the thyroid gland to make more thyroid hormones. Should the thyroid hormone levels rise above normal for example in Graves' disease), the pituitary senses this and slows down or stops making TSH.How is thyroid activity measured?Your doctor will be able to get a good assessment of your thyroid gland activity by taking a history of your symptoms and by a physical examination. However, to gain an exact level of the thyroid hormones, it is necessary to take a small sample of blood, which when analysed in the laboratory will show how much T4 is being made, and how active your pituitary is, by measuring the level of TSH. These tests are sometimes called thyroid function tests or TFTs.How is thyroid disease diagnosed?Thyroid disease can fall under numerous disease entities. Your illness may be due to under or over functioning of the gland or even you could be having a disease where the function of the gland is normal. Treatment depends on the particular disease of thyroid you are suffering from. Your doctor will order necessary investigations as to pin point the diagnosis (TFT, thyroid antibody profile, Ultrasound scanning of neck, FNAC, Nuclear imaging) and then decide on the treatment.How do I suspect hypothyroidism (under functioning of thyroid)?Common complaints include fatigue and lethargy, cold sensitivity, dry skin and lifeless hair, impaired concentration and memory, increased weight with poor appetite and constipation. Patients may also fairly often experience a hoarse voice, tingling of the hands (carpal tunnel syndrome), heavy and later, absent periods, deafness and joint aches. In childhood there may be delayed development and in the adolescent early onset of puberty.The elderly may develop memory disturbances, an impaired mental state or depression, and in rare cases coma can occur, resulting in death if left untreated. Signs include slow movements, face looks puffy due to the accumulation of subcutaneous fluid, cool dry skin, slow pulse rate, thinning of the hair including the eyebrows, slow tendon reflex relaxation time, slow pulse rate and hoarse voice. The thyroid may be enlarged (causing a goitre) in some patients due to accumulation of lymphocytes (Hashimoto's thyroiditis), but in others the thyroid is destroyed by the time of diagnosis and there is no goitre.Nowadays patients often are diagnosed at an early stage of disease, due to increased awareness and improved biochemical testing. Therefore many patients have relatively few of the classical signs or symptoms just listed. In addition, none of the symptoms or signs are sufficiently sensitive or specific for the diagnosis of hypothyroidism, even when combined together.How do I suspect hyperthyroidism (over functioning of thyroid)?Common complaints include fatigue, heat intolerance, sweating, weight loss despite good appetite, shakiness, inappropriate anxiety, palpitations of the heart, shortness of breath, tetchiness and agitation, poor sleep, thirst, nausea and increased frequency of defecation. The elderly may complain predominantly of heart problems with a fast or irregular heart beat, breathlessness and ankle swelling, whereas children tend to have hyperactivity, with a short attention span. Signs include shaky and hot hands, fast or irregular heart beat, inability to sit still, flushing of the face, an enlarged thyroid gland and prominent or bulging eyes.Nowadays patients often are diagnosed at an early stage of disease, owing to increased awareness and improved biochemical testing. Therefore some patients have relatively few of the classical signs or symptoms. In addition, none of the symptoms or signs just listed is sufficiently sensitive or specific for the diagnosis of hyperthyroidism, even when combined together. It is not uncommon for people to worry that they have cancer, because of the associated weight loss.How is thyroid disease important in Pregnancy?For the first 10-12 weeks of pregnancy, the baby is completely dependent on the mother for the production of thyroid hormone. By the end of the first trimester, the baby's thyroid begins to produce thyroid hormone on its own. The baby, however, remains dependent on the mother for ingestion of adequate amounts of iodine, which is essential to make the thyroid hormones. Untreated or inadequately treated, hypothyroidism has been associated with maternal anemia (low red blood cell count), myopathy (muscle pain, weakness), congestive heart failure, pre-eclampsia, placental abnormalities, low birth weight infants, and postpartum hemorrhage (bleeding).Recent studies have also suggested that mild brain developmental abnormalities may be present in children born to women who had mild untreated hypothyroidism during pregnancy on the other hand, uncontrolled maternal hyperthyroidism has been associated with fetal tachycardia (fast heart rate), small for gestational age babies, prematurity, stillbirths and possibly congenital malformations. So, if you have thyroid disease, it is advisable to get an endocrinology opinion prior to planning pregnancy and to monitor thyroid function regularly through gestational period.
Heart attackWhat are the common cardiac/heart diseases?
- Heart attack (this is the commonest cause of death in India)
- Heart failure
- Arrhythmias
- Valvular heart diseases
- Congenital heart disease
What are the risk factors for cardiac diseases?
Non-modifiable risk factors:
- Hereditary (risk is increased by 2 times)
- Gender (males> females)
- Age (increases with age)
Modifiable risk factors:
- Smoking/ Tobacco chewing
- High blood pressure
- Diabetes
- High blood cholesterol
- Obesity
- Physical inactivity
- Stress and behavior
Lifestyle: Dos and Don'ts for a healthy heart Dos :
- Avoid smoking
- Avoid excessive alcohol intake
- Stress and behavioural modification (meditation, yoga, etc.)
- Stay active (regular exercise), loose weight, if needed.
- Regular health check-ups. Take prescribed medications for high blood pressure, diabetes and cholesterol.
- Smoking, tobacco chewing
- Excessive alcohol intake
- Stressful lifestyle
- High cholesterol diet
- Physical inactivity, continue to be overweight.
- Avoid visiting the doctor. Let diabetes, high blood pressure and high cholesterol remain untreated.
What is a heart attack?
- Heart attack (this is the commonest cause of death in India)
- Heart failure
- Arrhythmias
- Valvular heart diseases
- Congenital heart diseases
What are the symptoms of a heart attack?
Heart attacks can cause a wide range of symptoms, from mild to intense. Women, the elderly, and people with diabetes are more likely to have subtle or unusual symptoms. Symptoms in adults may include:
- Chest pain
- Usually in the center of the chest
- Lasts for a few minutes, or comes and goes
- May feel like pressure, squeezing, fullness
- Pain may be felt in other areas of the upper body, such as the jaw, shoulder, one or both arms, back, and stomach area
- Cold sweat
- Light-headedness
- Nausea
- Heartburn
- Abdominal pain
- Numbness, aching, or tingling in the arm (usually the left arm)
- Shortness of breath
- Weakness or fatigue, particularly in the elderly
- Women are more likely than men to have symptoms of nausea, vomiting, fatigue, back or jaw pain, and shortness of breath, either alone or with chest pain
Dos and Don'ts when dealing with a heart attack
- Have the person sit down, rest, and try to keep calm
- Loosen any tight clothing
- Ask if the person takes any chest pain medication for a known heart condition
- Help the person take the medication (usually nitroglycerin, which is placed under the tongue)
- Call for emergency medical help
- If the person is unconscious and unresponsive, call for medical help immediately and then begin CPR
- Do not leave the person alone except to call for help, if necessary
- Do not allow the person to deny the symptoms and convince you not to call for emergency help
- Do not wait to see if the symptoms go away
- Do not give the person anything by mouth unless a heart medication (such as nitroglycerin) has been prescribed
H1N1What is Influenza A (H1N1)?2009 Influenza A (H1N1) (previously referred to as 'new strain of swine flu') is a new strain of the influenza virus that spreads from human to human. Influenza A (H1N1) is a viral respiratory disease that presents flu-like symptoms.What are the signs and symptoms of infection?The symptoms of Influenza A (H1N1) are similar to the symptoms of the seasonal flu. These symptoms can vary in severity from mild to severe, and include the following:
- High fever (>38C)
- Sore throat
- Cough
- Body aches
- Runny nose
- Headaches
- Tiredness
What can I do to protect myself and others against the Influenza A (H1N1)?
Practice good personal hygiene and be socially responsible by:
- Washing your hands regularly and thoroughly with soap and water, especially before touching your eyes, nose or mouth
- Turning quickly away from anyone near you if you are about to cough or sneeze, and do not cough or sneeze at him/her
- Covering your nose and mouth with a tissue when coughing or sneezing. Dispose of the tissue properly in the dust bin after use
- Avoiding crowded places if you are unwell and wear a surgical mask to cover your nose and mouth
- Staying home from work or school when you are sick
- Using a serving spoon when sharing food at meal times. Also, leading a healthy lifestyle helps to build up your immunity and protects you against infection.
- Eat a balanced diet, including plenty of fruit and vegetables
- Be active. Do 30 minutes of physical activity at least 5 days a week
- Learn to relax and get enough sleep and rest
- Do not smoke
There are antiviral medications available to treat Influenza A (H1N1), such as oseltamivir (Tamiflu) and zanamivir (Relenza). They fight against the Influenza A (H1N1) virus reproducing itself in the body. When taken early (within 2 days of the appearance of symptoms), these medicines may:
- Reduce the severity of the infection with faster recovery from the illness
- Prevent serious complications
If you have travelled to any Influenza A (H1N1) affected areas or have come in close contact with a person with Influenza A (H1N1) and have developed a fever (temperature >38oC) with either cough, runny nose or sore throat within 7 days after your return, please contact your doctor.
How does Influenza A (H1N1) spread among humans?
The spread of Influenza A (H1N1) is similar to the seasonal flu. It can be spread when an infected person coughs, sneezes or speaks. It can also be spread when a person touches a contaminated surface and then touches his or her nose or mouth.
Is Influenza A (H1N1) infection serious?
Influenza A (H1N1) in humans can range from mild illness to a serious, life-threatening illness. Deaths from pneumonia and respiratory failure have been reported with Influenza A (H1N1) infection.
Donate bloodWhy should you donate blood?
Blood donation leaves us with a proud feeling of saving someone's life in a beautiful way. It's an experience that no words can define.
Is donating blood painful?
Donating blood is not painful and is completely safe for the donor. It takes approximately 5 -8 minutes to donate blood.
Is it safe to donate blood?
Donating blood is very safe and simple. We only use sterile disposable blood collection bags and needles.
How much blood can I donate?
Each individual can donate up to 350/450 ml. of blood. Your body can replenish this volume within 24 to 36 hours. This depends on the weight of the individual. 350 ml – 45-60 kg. 450 > 60 kg & above.
How often can I donate blood?
Whole blood donors can give blood once every 90 days. Aphaeresis platelet donors can donate more frequently, as much as twice in one week, and up to 24 times a year.
Who is eligible to donate blood?
In India, you can start donating blood at the age of 18 yrs and up to the age of 60 yrs, if you weigh at least 45 kg. and if you are in good health.
Can I get any disease like AIDS or hepatitis or any other disease by donating blood?
No. Only sterile disposable bags and needles are used to collect your blood. These disposable items are for one-time-use only.
What should I eat before making a blood donation?
Eating light snacks and a drink (non-alcoholic) before blood donation makes you psychologically more comfortable.
What should I eat after making a blood donation?
Drink some liquid like tea, coffee, a cold drink, juice, etc. to replenish fluid and eat some snacks like 3-4 biscuits. All this will be available for you at the blood donation site.
Will I be asked any questions before I give blood?
Yes. In order to make this process safe for both the donor, and for the patient receiving blood from our blood bank, we require to ask a number of questions. All details given during this process are treated as confidential.
I've just had a tattoo and am dismayed that I can't donate for 6 months. Why?
There is always an infection risk whenever the skin is pierced. In order to avoid unconsciously passing on such infections, donating blood after a tattoo is not advisable for at least 6 months.
I am a vegetarian, can I give blood?
There is no problem with vegetarians giving blood. The red blood cells, which require iron from the stores in your body, will need to be replaced after the donation. Provided you eat a well-balanced diet, you should be able to replenish your iron supply within a month. However, this may take longer because you are a vegetarian.
I have started taking 75 mg. of aspirin a day to thin my blood and help prevent heart attacks. Will this affect my ability to donate blood?
You can donate blood but, because aspirin may affect platelet function, your donation will not be used for preparing platelets. That is why it is always important to let us know if you are taking any over the counter medication on a regular basis.
Can I go back to work on the same day?
Yes. However, it's unwise to give blood just before undertaking a hazardous hobby or job, such as driving a crane or working for emergency services. It's better to avoid strenuous / laborious work.
What happens during a blood donation?
- You will complete a donor registration form that includes your name, address and a few other details.
- You will be asked a few questions about your health.
- You will go through a simple medical check-up, including checking blood pressure and pulse.
- A drop of blood will be obtained from your fingertip to check your haemoglobin percentage.
- You will proceed to a donor chair where your arm will be cleaned with antiseptic.
- During the donation process, you will donate 350 ml. or 450ml., depending on your weight.
- After the process is over, you will need to rest for about 5-10 minutes.
- Following your donation, you will be given refreshments.
- Please remember to collect your donor card before you leave.
How soon after donating can I practice sports?
Sports can be resumed the day after the donation.
What are the components of the blood?
Blood has the following components and each one takes care of specific needs.
Red Blood Cells: RBCs are administered to replenish blood loss and is usually used to treat trauma and surgery patients. Fresh
Frozen Plasma: Plasma is the liquid part of the blood. It is administered to patients with liver problems, burn cases etc.
Platelets: Platelets help in clotting and are used in treatment when cuts or other open wounds occur. Leukemia, dengue and transplant patients often need platelet transfusions.
How long can the blood be stored at the Blood Bank?
Whole blood can be stored for up to 35 days. The various blood components can be stored as under:
Platelet Concentrate - 5 days
Platelet Aphaerises - 5 days
Packed Cells - 42 days
Fresh Frozen Plasma - 1 year
Cryo Antihaemophilic Factor - 1 year
What are the laboratory tests performed on the collected blood?
- Hepatitis B & C
- Malarial parasite
- Venereal disease (Syphilis)
- Blood group
- Before issuing blood, compatibility tests (cross-matching) is done
Do you charge for issuing blood?
All blood received by you is through voluntary donation.
We don't. The blood itself is free. A processing fee is charged by the blood centre to the patient to cover the cost of collecting, blood typing, testing, storing and distributing the blood. Yes. Voluntary blood donation is the only source of blood.
Points to Remember
- Eat and drink something before leaving
- Increase your fluid intake during the next 24 hours
- Avoid consuming alcohol until you have eaten something
- Don't smoke or chew tobacco for the next 30 minutes to 4 hours
- Avoid climbing steps for the next 30 minutes
- Avoid strenuous physical exertion, heavy lifting or pulling using the arm used for donation for at least 24 hrs
- If there is bleeding from the phlebotomy site (puncture site), raise the arm and apply pressure or use ice pack.
- If you feel faint or dizzy, either lie down or sit for some time.
- Resume all normal activities if no symptoms occur
- Remove bandage after 4 hours.
- Do not hesitate to contact the blood bank if you have any problems or queries
AlcoholWhat happens when a person has a drink?
Alcohol affects everyone. When a person has a drink, the alcohol is absorbed directly through the wall of the stomach and intestine into the bloodstream, where it is distributed rapidly throughout the body. Alcohol changes the function of each cell that it enters.
The liver is the sole organ involved in processing alcohol and only a certain quantity of alcohol can be detoxified over a period of time. In the meantime, excess alcohol affects the brain, heart, muscles and other tissues of the body.
How does alcohol affect the liver?
When the liver has too much alcohol to handle, normal liver function may be interrupted, leading to a chemical imbalance. If the liver is required to detoxify alcohol hour after hour, it can lead to a fatty liver and more seriously, alcoholic hepatitis and cirrhosis.
How much alcohol is safe?
This depends on the individual's body weight, gender, etc.; for example, women are more susceptible to alcohol-related liver damage. Recommendations are that alcohol consumption be limited to less than two drinks a day.
If a person's total weekly consumption of alcohol exceeds 14 drinks, serious damage may be done to the liver.Mixing alcohol and medication may damage the liver. A person should check with his/her doctor about taking essential medication and drinking alcohol. However, alcohol should not be taken with drugs such as paracetamol.
With respect to different types of alcohol, is one safer than another?
No. It is the amount of alcohol present in a drink that matters, not the type of drink. One "drink" is the equivalent of either;
Each of the above has the same effect on the liver, whether taken alone or diluted.
- 12 oz. (341 ml) beer
- 5 oz. (142 ml) wine
- 3 oz. (86 ml) sherry or port
- 1½ oz. (43 ml) spirits (Whisky, Rum, Vodka, Brandy, etc.)
How does a person know if his/her liver has been damaged by alcohol?
More than three-quarters of liver cells may be non-functioning before a person notices any symptoms. But, by then it may be too late to do anything about it. So, it's important to have regular check-ups with a hepatologist (liver specialist), who will be able to detect early signs of liver disease through physical examination and blood tests.
What are the symptoms of alcohol-related liver damage?
If the liver is not performing its functions properly, the rest of the body will soon be affected by the lack of nutrients and excess waste products present in the blood.
Complications arising from liver damage include fatigue, loss of appetite, lowered resistance, jaundice (yellowing of the skin and eyes), swelling of the abdomen, intestinal bleeding, brain dysfunction and kidney failure.
Can alcohol-related liver damage be reversed or cured?
If caught early, minimal liver damage can be reversed if a person abstains from drinking alcohol. When there is no alcohol in the bloodstream, the liver cells will be able to return to normal because the liver has a tremendous capacity to regenerate.
Alcohol-related diseases vary in severity. Fatty liver and mild alcoholic hepatitis can be cured. However, advanced alcoholic hepatitis can result in serious illness. When cirrhosis develops, the structure of the liver is permanently damaged. The symptoms, signs and outcome of cirrhosis depends upon the associated hepatitis and also at which stage the patient has stopped alcohol abuse. If there is severe hepatitis, or the patient has been too late in stopping alcohol abuse, then it eventually leads to liver failure and death.
Abstaining from alcohol can be associated with a slow, but marked, improvement in liver function. If necessary, a hepatologist may also suggest that a person be treated with new drug therapies. In many cases, these treatments allow people to live normal lives.
Back Pain
Our Back
Spine is made up of a series of 33 vertebrae (bone) and disks (elastic tissue).
First three sections of the spine:
- Cervical Spine: Neck – C1 through C7
- Thoracic Spine: Upper and mid back – T1 through T12
- Lumbar Spine: Lower back - L1 through L5
Why to talk of BACK PAIN?
- No 1 reason in < 45 yrs to limit activity
- 2nd highest complaint in OPD
- 5th most common cause of Hospitalisation
- 3rd leading cause of Surgery
- Commonest cause of absenteeism in work.
- Common in young people < 45yrs
- Only 1/3rd of total expenditure of Back pain is on Medications, rest all is on disability payments.
- Treatable.
Classification anatomical
- Neck pain
- Upper back pain
- Lower back pain
Classification- duration
- Acute (less than 4 weeks)
- Sub acute ( 4 to 12 weeks)
- Chronic ( greater than 12 weeks)
Classification – cause
- Musculoskeletal
- Infection
- Malignancy
- Traumatic
- Metabolic
- Mechanical / non specific 98% has no serious underlying pathology
- Secondary 2% caused by underlying pathology like infection, malignancy
- Symptoms
- Predisposing factors
- Complications PID ( slipped disc)
- Prevention - Ergonomics
Symptoms / complaints
- Acute / sudden low backache -catch
- Leg pain - SCIATICA
- Backache with leg pain
- Tingling numbness in leg
- Weakness in leg
Predisposing factors for Back Pain
- Lack of Exercises
- Sitting for long time
- Occasional Lifting weights
- Travelling
- Regular exercises
- At least 5 days a week
- Walking 30 min is basic salary.
- Gym exercises is bonus.
- Games like Lon tennis / badminton are to be played if you are FIT not for FITNESS.
Sitting for long time
- Common in IT industry
- Work station should be properly designed acc to ergonomic standards.
- Frequent breaks in between are needed But sitting for 12 to 16 hrs a day is UNNATURAL
Lifting weights
- A 60 yr farmer can lift a bag (60 kg) 35 yr doctor can't lift his son (20kg)
- Proper training – how to lift weight
- Tone of muscles- regular exercises
- Regularity in lifting
- Occasional lifting of wt with improper tech & muscle tone – slipped disc.
For 40km Car better than bike
100km Bus better than car
150km Volvo better than bus
300km Train better than volvo
1500km Plane better than train
Less travelling better than Back pain.
Worst combination for Back Pain
- Two wheeler riding
- Sitting for long time
- Lack of regular exercises
- Occasional lifting of weight.
Other Predisposing factors
- Obesity – lack of anterior abd. wall support
- Stressful working conditions
- Smoking
- Anxiety / depression
- Physical-
- leg pain
- Weakness in leg
- Paralysis of muscles of leg
- Chronic backache
- Billions of dollars are spent on the backache problems.
Slipped disc / herniated disc
- Most common neurological impairment associated with Back pain
- 95% of PIDs occur in last two lumbar levels
PID (prolapsed intervertebral disc)
- Common 15 to 45 yrs because of maximum intrahydrolic pressure in matrix.
Intradiscal pressure in diff postures
HENCE lifting wt in bending position with knees straight predisposes to slipped disc.
Treatment of Acute lumbago Non operative
- STRICT BED REST for initial 7 days.
- Not to sit up
- Can stand up
- No bending
- No travelling
- No exercises during acute phase
- Traction/SWD/IFT/Injections & medicines
Treatment Operative
- Conventional/standard discectomy operation
- Microlumbar discectomy
- Endoscopic discectomy
Regular exercises –
- At least 5 days a week
- Exercises during pain free period.
- Proper posture at working place.
- Decreased stresses at working place.
Exercises for the office
- One of the biggest injury risk factors is static posture.
- Try to spend at least 5 minutes every hour away from your computer.
- Remember to ONLY stretch to the point of mild tension.
- Try to incorporate the stretches into your daily routine. This slide provides some illustrations of simple active stretches to perform at the office.
Hand Exercises
- Tightly clench your hand into a fist and release, fanning out the fingers. Repeat 3 times
Back and Shoulder Exercises
- Stand up straight, place your right hand on your left shoulder and move your head back gently. Do the same thing for the right shoulder
- Move head sideways from left to right and back to left
- Move head backwards and then forward
Computer and Desk Stretches
- Sitting at a computer for long periods often cause neck and shoulder stiffness and occasionally lower back pain. Do these stretches every hour or so throughout the day or whenever you feel still. Also be sure to get up and walk around the office whenever you think of it. You'll feel better.
MYTH: Advise of hot fomentation on
- MYTH: Advise of hot fomentation on day1
- FACT: Heat aggravates inflammation while cold helps decrease. Hence first 48 hrs use ice.
- MYTH: Complete rest to neck & use of collar
- FACT: Rest or no movement, increases spasm, thereby increasing pain. Hence continue pain free movement.
- MYTH: No pillow
- FACT: Proper pillow helps support the contour of spine. Without a pillow there is excessive strain on the muscle which in turn aggregates the problem.
Workstation Ergonomics
Make your work area more comfortable & productive
"Ergon"(Gr): Work and strength
"Nomos" (Gr): The study of,
Defined: The study and principles of work
Purpose of Ergonomics
- The improvement of human health, safety, and performance through the application of sound people and workplace principles
Purpose of Ergonomics
To Make the job fit the person instead of the person fit the job.
Disciplines Involved with Ergonomics
- Engineering Sciences
- Physical Sciences
- Biological Sciences
- Social and Behavioral Sciences
- Sub-areas: mechanics, physics, chemistry, biomechanics, anatomy, physiology, anthropology, sociology, psychology.
Benefits of Ergonomics
- Improved Health and Safety for Workers
- Higher morale
- Improved quality
- Improved productivity & competitiveness
Benefits of Ergonomics
- Lower absenteeism and turnover
- Fewer workplace injuries & health problems
- Reduced Workman's Compensation rates
Why Implement Ergonomic Principles?
- Injuries and illness can be avoided or minimized
- Costs can be curtailed
- Companies can remain competitive
- Productivity can be improved
Office Of Horrors
Ideal Office
Workstation Essentials
- Adjustable and supportive chair
- A fixed height desk with a height adjustable footrest, or, an adjustable desk
- Top of screen is at or below eye level
- Monitor positioned to reduce glare and reflections
Sufficient area to enter and move about the work area and allow for frequent changes in posture Storage for personal items and work requirements Work Environment
- satisfactory temperature
- not too noisy
- appropriate lighting
- good air quality
CorrectSummary of BACK PAIN & ERGONOMICS
- Lack of Exercises,
- Sitting for long time,
- Occasional Lifting weights
- Travelling are common causes of Back Pain.
TAKE HOME MESSAGEWE are responsible for musculoskeletal health in INDUSTRY
- Regular exercises, proper ergonomic advise will decrease chances of Back Pain and CTDs
Neck PainNECK PAIN( NECK TENSION SYNDROME )CAUSES OF NECK PAIN
- Wrong posture during ADLs: Sleeping; eg: improper pillow Sitting; eg: with shoulder shrugged/ neck forward attitude Standing; eg: holding phone between the ear and shrugged shoulder
- Heavy bag on shoulder
- Infection: incase of flu; sudden jerks to the neck during very forceful sneezing
- Sudden recreational activity: sport/ gym
- Stress, anxiety
- Pain in the neck; either on 1 side or both the side
- Reduced movement of the neck
- Extension of the neck will be more painful
- Swelling along with tautness of that part and sometimes redness
- History
- On observation: increased contour indicating swelling; posture
- On examination: spasm
- cervical ROM restricted
- Investigations: X ray, MRI etc.
- Anti-inflammatory drugs
- Muscle relaxants
- To reduce pain
- Hot packs
- Pain relieving modalities
- To relieve myofascial pain:
- Myofascial release (MFR)
- To release trigger point:
- Cyriax deep friction
- Local Ultrasound massage
- To reduce muscle tightness & increase ROM-
- Stretching exs to pectorals, trapezius, levator scapulae, subocipital muscles Mobilization of facetal joints
- To increase muscle strength:
- Strengthening exs with theraband
- With free weights
- Postural correction
- Ergonomic advice:
- Desk modification
- Computer n accessories modification
Exercises for the office
- One of the biggest injury risk factors is static posture.
- Try to spend at least 5 minutes every hour away from your computer.
- Remember to ONLY stretch to the point of mild tension.
- Try to incorporate the stretches into your daily routine.
This slide provides some illustrations of simple active stretches to perform at the office.
Hand Exercises
- Tightly clench your hand into a fist and release, fanning out the fingers. Repeat 3 times
Back and Shoulder Exercises
- Stand up straight, place your right hand on your left shoulder and move your head back gently. Do the same thing for the right shoulder
- Move head sideways from left to right and back to left
- Move head backwards and then forward
Computer and Desk Stretches
- Sitting at a computer for long periods often cause neck and shoulder stiffness and occasionally lower back pain. Do these stretches every hour or so throughout the day or whenever you feel still. Also be sure to get up and walk around the office whenever you think of it. You'll feel better.
Computer and Desk Stretches …
MYTH: Advise of hot fomentation on
Ideal Office
WE are responsible for musculoskeletal health in INDUSTRY
- Root Canal Treatment
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Post Graduate Diploma in Emergency Medical Services
- 6 months Course
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- Candidate should submit the prescribed application form duly completed along with 3 passport sized photographs and an attested copy of the degree / REGISTRATION certificate at the time of admission
- Course duration - 9 academic months
- Theory & Practical - 6 months Supervised Internship - 3 months
- Weekend course, teaching will be conducted for 8 hours every weekend. i.e. on Sunday's (9 am – 6 pm) for the first 6 months
- 85% attendance mandatory
Post Graduate Diploma in Hospital and Healthcare Management
- 1 Year Course launched in association with Yashwantrao Chavan Maharashtra Open University
- Graduates in Engineering, Science, Medical Science, Pharmaceuticals etc
- Admissions are open for PGHHCM in June
- Candidate should submit the prescribed application form duly completed along with 3 passport sized photographs and an attested copy of the degree / REGISTRATION certificate at the time of admission.
- Course duration – 1 year
- Weekend course, teaching will be conducted for 8 hours every weekend. i.e. on Saturday's (9 am – 6 pm)
- 85% attendance mandatory
For further details please contact Course Coordinator :
Dr. Pankaj Bhise – 9764042247 / 66285000 – Extn 5466
Patient's Stories
Lokesh Singla
Jul 13, 2013
Virtual Tour
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The 27th National Conference of Foot & A…
The 27th National Conference of Foot & Ankle Society "IFASCON"...Read more
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Meet the expert from Mumbai for "Free Facial Assessment &...Read more
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Count : 300+ people Addressed by : Dr Vaishali Chavan -(...Read more
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Walk-in interview for MD/ DNB/ DA for Registar / Full...Read more
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Recently two patients having swine flu were treated successfully in...Read more
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text:
Is there any way to show related tables's result in ArcGIS viewer for Flex? Like identifying in desktop?
Take the 2-minute tour ×
Geographic Information Systems Stack Exchange is a question and answer site for cartographers, geographers and GIS professionals. It's 100% free, no registration required.
Not in the current version (3.0), but the next version (3.1) will support showing related records.
Update: version 3.1 was released in December 2012 and supports editing related records. This functionality is provided by the RelationshipInspector component which is also part of the AttributeTable and PopUpInfo classes.
3.1 allows viewing and editing of related tables, they have to be in table format and not a layer.

subset: commoncrawl


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Featured Events
- Brad Paisley Tickets
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Sep 26, 2015
Billy Currington
Billy Bobs - Fort Worth, TX
Billy Currington Ticket Information
Billy Currington has made a career out of his radio-friendly hits ever since his first single, 2003's "Walk a Little Straighter," hit the top 10 of Billboard's country charts. In addition to securing the No. 1 country singles slot with songs like "Let Me Down Easy" and "People are Crazy," this down-to-earth singer-songwriter has become a seasoned live entertainer, thanks to performances at massive festivals like Taste of Country and Stagecoach. Browse the Billy Currington tour dates above to attend a specific show, and then use our pricing and location filters on the next page to zero in on one listing. After clicking "Buy," you'll be taken to the checkout screen to finalize the transaction.
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Series: BioLogos Basics (8 entries)
So what is BioLogos? Well it all began with a scientist and a book.
The Resource Finder has powerful filtering features — check out the tutorial to learn more.
So what is BioLogos? Well it all began with a scientist and a book.
A common challenge to evolutionary theory is that while life does indeed change over time (what is known as microevolution), no one has ever seen one species evolve into another species (macroevolution).
This entry was originally posted on February 17, 2010. In this video conversation, Jeff Schloss makes the observation that when we use the term "evolution", it is not always exactly clear what we are actually discussing unless we denote the intended usage.
In this video Conversation, Denis Alexander asserts that contemporary Christians are not taking the early chapters of Genesis seriously enough.
Yesterday, biology professors Randy Moore and Sehoya Cotner raised the concern that workshops focused on evolution-related training do not reach creationism-based biology teachers. Today, we'd like to focus on BioLogos' efforts to address that divide through our Biology by the Sea workshops.
As he endeavored to learn more, David was intrigued by Francis Collins book The Language of God because Francis did not present evolution as a rival theory to Christian faith, but as something that described God's method of creation.
In today's video, Dr. Rick Colling states that evolution is not merely the imposition of death and destruction and survival of the fittest. Rather, it is about second chances.
In today's video, Oxford physicist Ard Louis discusses the famous debate between renowned evolutionary biologists Stephen Jay Gould and Simon Conway Morris over the idea of evolutionary convergence.
In this video, Pääbo covers a lot of ground, noting several lines of genetic evidence for the evolution of modern humans from earlier hominids in Africa, as well as for the interbreeding between early humans and Neanderthals.
In this video, physicist Ard Louis describes that our value and purpose do not come from whether or not we were created by an evolutionary mechanism. Evolution may tell us something about how we were created, but it is not the source of our worth.
In this video, Aaron Daly offers his thoughts on theistic evolution, creation, and how Christians should handle disagreements over these issues. Most of all, Aaron highlights the need for love in our discussions with one another, especially when we disagree.
It is our sincere hope that, above all else, the film can become a focal point for some of the big questions that inevitably arise at the intersection of science and faith.
If death did not exist before Adam and Eve, how could God have used evolution to create man? And what about predators and natural catastrophes such as the mass extinction of the dinosaurs?
In this video Conversation, Rev. N.T. Wright responds to the controversy in evangelicalism about evolution. Is this a "culture war" issue?
In this video Conversation, Rev. N.T. Wright responds to the question, "If you take Genesis in a non-literal fashion, especially the creation stories, why take anything in the Bible literally—such as the Gospels? Do you take the Gospels literally?"
To understand and apply Genesis 1 correctly, we have to consider issues of genre and intention. Too often these chapters are read as if they present a purely straightforward historical and even scientific account of cosmic and human origins.
In this video Conversation, Joel Hunter acknowledges the risk that pastors take when preaching on Genesis—and in particular, when they approach it with an attitude of humility, allowing the possibility that the text was not meant to be understood in literal terms.
By all accounts, my faith should have perished the moment I started asking questions about faith and science. All my life I'd been taught that I had to choose—between believing the Bible and believing my science book, between honoring God and embracing evolution.
In these two brief video Conversations, John Walton discusses the problem of trying to integrate ancient scripture with our modern worldview.
In this video Conversation, N.T. Wright explores how the ancient Jewish audience read Genesis before and up to the time that Jesus arrived. He asserts that readers of Genesis today who focus simply on the number of days of creation and whether there is evidence in the text pointing to an old or new earth—are in effect not reading the complete text.


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You are a huge Kyle Busch fan! Show off your #18 pride with this Official replica full zip jacket from Chase Authentics. It features Busch's sponsors on the front and back along with his name on the back. Everyone at the track will know who you are rooting for with this Kyle Busch jacket!
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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.


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About LIM College
LIM College Student and Professor Appear on The Today Show
Appear on fashion segment about the "Little White Dress"
Student Erica Blum appeared as a model on the Today show on a segment about "The Little White Dress" presented by LIM College Fashion Merchandising Professor Sarah Shirley.
Erica modeled an off-white dress that was an example of a good shade of white to wear for paler skin tones. She is a student in Prof. Shirley's "Applied Fashion Styling" class. View the clip, which aired on the May 4th edition of the Today show in the 10 a.m. hour.


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As the last of the Baby Boomer Generation turns 50 and more baby boomers are retiring, AARP celebrates the generation that changed the world.
Also of Interest
- 21 great movies we thought you ought to see
- Why men should date women their own age
- Shopping for health insurance? The health insurance marketplace is now open
Visit the AARP home page for great deals and savings tips


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Cortisol Manager
Everyday trials and tribulations can create elevated stress hormones for patients and practitioners alike. But there is a natural solution. Specific herbs and nutrients have been shown to help the body better respond to stress and support the body's relaxation response.Cortisol Manager is a safe and natural formula combining an effective dose of phosphatidylserine with stress reducing ingredients and cortisol-lowering botanicals to help reduce stress hormones and relieve occasional sleeplessness.
Similase Pure Plant Enzymes
High potency, comprehensive support for the digestion of all food groups. Physician formulated and recommended! The Similase line of digestive enzymes provides comprehensive combinations of acid-stable enzymes to support complete digestion of all types of foods, including carbohydrates, proteins and fats.* Integrative Therapeutics offers a suite of Similase targeted formulas to meet every patient's needs.
Integrative Therapeutics is the nation's leading distributor and manufacturer of high quality nutritional supplements to health care medical practitioners and their patients.
For more than 30 years, Integrative Therapeutics products have been purchased and used by medical professionals and researchers, in the US and around the world. Integrative Therapeutics' top 50 products and their ingredients have been the subject of more than 2,500 independent, peer-reviewed and published clinical trials and studies.
Integrative Therapeutics manufactures its products in a drug GMP-audited facility, meeting and exceeding the standards established for drug manufacturing. As such, Integrative Therapeutics is required to document all aspects of manufacturing, confirm product efficacy and ensure safety through rigorous testing. As the cornerstone of their commitment to quality, Integrative Therapeutics products are the B.E.S.T. that science and nature have to offer:
Schwabe North America (SNA), producer of the Enzymatic Therapy, Nature's Way and Integrative Therapeutics brands, is a leading manufacturer and distributor of high-quality dietary supplements. Their focus on quality assurance includes both internal and external quality evaluations.
As part of their internal quality control procedures, they have developed a multi-million dollar state-of-the-art laboratory with advanced analytical equipment that is staffed by highly trained chemists and microbiologists. This facility allows them to monitor and test ingredients and products at various points during the manufacturing process. These tests include:
Their external quality standards include performing Good Manufacturing Practice (GMP) audits of suppliers, verifying that suppliers have the proper manufacturing licenses and that all materials or products made for SNA are produced under GMP conditions.
SNA is also certified as an Organic Processor by Quality Assurance International (QAI). QAI confirms annually that our manufacturing processes and facilities are compliant with the National Organic Program (NOP) rules for the production of organically certified products.
Schwabe North America will continue to increase their investments in raw materials, manufacturing equipment and quality control personnel and technology to ensure that their products are of the highest quality and efficacy. They believe that only through this unyielding commitment to quality materials and quality processes can they continue to Enhance Life Through the Power of Nature.
Pharmaca's selection of Integrative Therapeutics products includes safe, trusted dietary supplements backed by the best practices of science and nature. These Integrative Therapeutics vitamins and supplements offer digestive, immune, cognitive and cardiovascular support using unique formulas that are tested for quality and potency. At Pharmaca, you'll find some of Integrative Therapeutics' most popular products, including Cortisol Manager, Liquid Calcium Magnesium and other great supplements.
Pharmaca Integrative Pharmacy is your source for natural health products. Browse our online selection of products from all of the best natural brands, or visit one of our pharmacy locations and talk with one of our licensed practitioners. From natural beauty products and cosmetics to vitamins, herbs and supplements, we offer high-quality natural wellness products for the whole family! Start exploring—shop by brand or by condition to find the perfect natural health products for your body, skin, home and more.
The products and claims made about specific products on this site have not been evaluated by Pharmaca.com or the United States Food and Drug Administration and are not approved to diagnose, treat, cure or prevent disease. The information on this site is for educational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. Pharmaca Integrative Pharmacy will not assume liability for any cross-contamination of ingredients, misprints, or adverse reactions to any ingredients in the products we carry. The products sold here may contain lead and other substances that are known to the state of California to cause cancer and birth defects and other reproductive harm. Prices and promotions are subject to change without notice. All content on this web site is copyrighted by Pharmaca Integrative Pharmacy unless otherwise stated. All online offers and prices are valid for online purchases only, and may be different from those in our retail stores. Free shipping offer may not apply to all orders and all states; see shipping policy for full details. Copyright © 2009 – 2015 by Pharmaca Integrative Pharmacy. All rights reserved.


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Gallery: Saint Petersburg Unveils Primorskiy Zoological Park Studded Wi...
As population density in Saint Petersburg has risen over the years, city's roads and sidewalks have become increasingly crowded. The city decided one way to ease this congestion was to relocate the historic zoo, so they created an international competition to design the best zoo possible.
The architects' proposal moves the zoo outside of the town, creating a sprawling escape that covers 300 hectares of land. Inspired by Pangea, the zoo was designed to represent a reunion of South East Asia, Africa, Australia, South America, North America and Eurasia. The area chosen has an ample water supply, so the team designed a lake-like zoo, with each "continent" represented by islands. Each island will contain ecological samples and animals indigenous to each continent. "North America" and "Eurasia" will be connected by a pack of ice from the Arctic Pole. Bubbled steel and glass domes cap the animal pavilions, and lush greenery and foliage surrounds the entire park.
The zoological park was also designed to be respectful of the environment and green consciousness. In the past, zoos have looked almost like prisons for animals. Tanat, Nani, Beckmann and N'Thépé eschew that stereotype, creating an oasis that offers a bit of respite from congested city life.
Via Bustler
Images Artefactory for TN Plus & Beckmann N'Thépé
4 Comments
April 26, 2011 at 3:16 pm
Да чуваки тему говорят. Баобабы на улице – без купола заметим – это вообще как понимать…
Yes, this is secret preparation for moon..it looks sow.
April 25, 2011 at 8:18 am
They tried enclosing a replicated natural system in a bubble. Biosphere 2 was a miserable failure. Built by an oil millionaire, it explored the possible use of closed biospheres in space colonization, and allowed the study and manipulation of a biosphere without using our own. These mini-missions were, of course, far too short to attempt any meaningful agriculture or animal husbandry. No data was gathered that might have been useful in estimating whether the Biosphere itself was capable of sustaining eight people for two years. During the first year the eight inhabitants experienced hunger as they adapted. During the second year, the crew produced over a ton more food, average caloric intake increased, and they regained some weight lost during the first year. They consumed the same low-calorie, nutrient-dense diet which had been extensively studied in research on extending lifespan through diet. The crew worked to manage the increasing CO2 by occasionally turning on a CO2 scrubber, activating and de-activating the desert and savannah through control of irrigation water, cutting and storing biomass to sequester carbon, and utilizing all potential planting areas with fast-growing species to increase system photosynthesis. Others called it New Age drivel masquerading as science.
April 23, 2011 at 4:31 pm
That may be a secret preparation for moon colonization.
April 22, 2011 at 7:30 pm
So… looks lovely, but you might as well try to put it on the moon… I think they'll have a tough time getting all that tropical foliage and growing any hundred year old baobab trees in a sub-arctic region where the average winter temperature drops to -10c for a good 4 months.


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Discontinued Product
Upgrade your Image
- Whether you're into movies, TV, sports, or gaming, this high-definition LCD TV makes you feel like you're part of the action. With full HD 1080p resolution, Intelligent Sensor which automatically adjusts the picture based on its surroundings, and multiple AV modes that optimize picture quality, you'll see every detail as it's meant to be seen.
Design, features and specifications subject to change without notice. Screen images simulated and/or dramatized. Some features in videos may not be available on all models. Please refer to the TECHNICAL SPECIFICATIONS tab for a complete list of features by model.
Design, features and specifications subject to change without notice.


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Office of Registration & Student Records
The Office of Registration & Student Records provides information to NYULMC students as they progress through their medical career. Information provided on this site includes the Academic Calendar, Electives, Clerkships, National Resident Matching Program (NRMP), Electronic Residency Application Service (ERAS) and information related to credentials for graduates. Information for some sections is time sensitive and will be posted when appropriate for the current academic year.


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Products >
Molecular_Biology >
Gene_Transfer_and_Expression >
Aureobasidin A (AbA) is a cyclic depsipeptide anti-fungal antibiotic with a molecular weight of approximately 1.1 kDa. It is isolated from the filamentous fungus Aureobasidium pullulans R106. The yeast selection marker Aureobasidin A inhibits inositol phosphorylceramide (IPC) synthase, a yeast enzyme that is expressed from the AUR1 gene and is toxic to fungi and yeast at low concentrations (0.1–0.5 µg/mL), including Saccharomyces cerevisiae, Schizosaccharomyces pombe and Candida albicans. Aureobasidin A may be used for stringent drug selection of transformed yeast containing a mutant AUR1-C cassette, which confers resistance to Aurobasidin A, and is used to screen for Aspergillus nidulans transformants with the pAUR316 vector from Takara Bio. A major advantage of Aureobasidin A over conventional nutritional selection markers is that Aureobasidin A offers a much more stringent screen by killing non-transformed cells rather than merely retarding their growth.
For research use only.
Lyophilized. Reconstitute in ethanol or methanol to a stock concentration of 0.5-5.0 mg/mL. Store stock solution at 4°C.
Product is nearly insoluble in water.


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As an effort to continue promoting recycling, FHDC created a special contract for residents to sign as part of their lease agreement. The contract is signed by residents after they receive the "how to recycle" class. The main goal is to engage residents to make them understand the importance of their participation in the recycling program.
The NumbersApartment complexes: 4Housing Units: 150 Costs avoided annually: $23,092


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Posted On:
24 April 2012
Posted By
Prayudha Nurdiansyah
Categories :
Culture and Heritage
West Java Art and Cultural Parade 2012 in Sukabumi
Posted on : 24 April 2012
Categories : Culture and Heritage
On 31 March 2012, the usually quite town of Sukabumi became alive with sparkling colors and vibrant music as 1000 of artists from all over the province of West Java gathered to take parts in the West Java Art and Cultural Parade 2012.
Initiated by the Tourism and Cultural Office of West Java Province, the event featured the procession of West Java traditional arts and cultural forms from 8 cities and regencies including Purwakarta Regency, Bogor City, Sukabumi Regency, Bandung City, West Bandung Regency, Cianjur Regency, Sukabumi City, and Cimahi City. Showcasing the richness of West Java art and cultural treasures, the event successfully illustrated the three branch of West Java's culture which are Melayu Betawi, Priangan, and Dermayon Kacirebonan.
Among some of the arts and cultural performance presented were Mapag Panganten (Traditional wedding parade) Ringrang and Jangkrik Art, Wayang Hihid (Bamboo Puppets), Budak Pamayang, Ngabungbang, Dangkolung, Angklung Buncis, Gagarudaan, Kuda Renggong, Pencak Silat Martial Art and many more.
Aimed to preserve the traditional art and culture of West Java, the event was not simply an exhibition of traditional performances since each art forms and cultural display contains wisdoms and values of the ancestors that has been passed down for generations. Aside from sukabumi, this year the West Java Art and Cultural Parade will also be held in Karawang, Banjar, and Indramayu.
Photo by Prayudha Nurdiansyah.


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Ben Volin @BenVolinPBP
RT @nbc6: #BREAKING #Dolphins DB Jonathon Amaya arrested for battery after argument with cab driver in Miami Beach: http://bit.ly/9z9Knh
bye bye Jonathan
Please God, let me see 1 Dolphins Superbowl victory before I die.
I am sure booze was involved. So stupid. However, let the information come out before making your mind up.
It was also his birthday. damn, getting arrested on your birthday must suck
The cabby was a seattle or Jets fan.
At least he was smart enough to take a cab. Will this free up a spot for egnew?


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11 Flowers (Wo 11)
Eleven-year-old Wang Han lives with his family in a remote village in Guizhou province. Life is tough, but they make the most of what little they have. When Wang is selected to lead his school through their daily gymnastic regimen, his teacher recommends that he wear a clean, new shirt in honor of this important position - a request that forces his family to make a great sacrifice. But one afternoon, soon after Wang is given the precious shirt, he encounters a desperate, wounded man, who takes it from him. The man is on the run, wanted by the authorities for murder. In no time the fates of Wang and the fugitive are intertwined.
Cast: Wang Jinchun
Produced by:
Directed by: Xiaoshuai Wang
Written by: Xiaoshuai Wang
Running time: 1hr 55min
Opens: Feb 22, 2013 NY
|Theaters for Today
Pick a day
on this day.


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|Topic Review (Newest First)
Well, my kH is really high, and GH just slightly high. I'm sure I'm over 200-250 TDS at least. So the idea of watching TDS and adding RO water could be one of the "keys". I have noticed most of the guys who run really high light tanks successfully (Tom, Speedie, etc.) all have pretty soft water. I also know when I was at my parents house with this tank (they have well water and it's reasonably soft too) I didn't have these issues. Both places I've lived with municipal water systems, BBA has been an issue from the get-go. And I haven't done anything drastically different from place to place.
It IS probably time to clean the filters.
I put a large plant mass in within the first week (big order from AP.com) I'm running purigen in the 2217. The 2217 was used to re-establish the bio from the very beginning (it was running on the tank pre-move.)
I have cut back on the lighting, and I got home early enough today to see it. It looks like the BBA is simply holding ground but not spreading like it was. That's good.
I'm having issues with my Ludwiga Glandulosa dropping leaves and having a bare stem at the bottom. What can I do to help with that? I thought that was a light issue and obviously I can't add more light..... so what to do?
|I've seen BBA in indoor KOI ponds with no direct light and no plants. Would raising the co2 help? Point I'm making is BBA can strike anywhere even in very low light situations. If the tank is really dirty you see this quite often. How many times do you go into LFS and see BBA in some very poorly light setups? Keeping the tank clean of organic waste allows much moer flexibility with everything.
"but weekly spot dosing of excel"
really?? doing excel as spot dosing... I must try.
Reduce the light intensity below 40-50 micromols of PAR at the substrate, and BBA becomes just a minor nuisance. I doubt that we can ever totally eliminate it, so we can ignore its threat, but for reasons I don't really understand, if you can provide all of the CO2 the plants need, and not be stunted from a shortage of carbon, BBA tend not to be a problem. With low light, the plants don't grow fast enough to need much carbon, so BBA isn't a big problem. With high light it is hard to get enough CO2 in the water to meet the plants needs, so BBA is a continual threat.
Someone else will have to figure out why that could be true, but it has been found to be true by a lot of people. When someone comes up with a different way to avoid BBA problems I will be one of the first to offer congratulations. (And, it won't be the first time I was wrong.)
I also have two tanks: one high tech with co2 , the other one is low tech with no co2 .
The high tech always have bba , but weekly spot dosing of excel keeps it in check.
The plants in my low tech came from my high tech , so I was sure I was going to have same problem , to my surprise the BBA in my low tech didn't grow till the filter get clogged up while I was away. Once filter was cleaned , bba gave up , till I overstocked the tank. I then invested in TDS meter and started topping the tank off with RO water instead of regular tap water . TDS went down from 220+ to 150 and no more BBA .
I really think cleanliness of the water combined with stable parameters of the water is the key for BBA free tank.
houseofcards - What are your suggestions then? Not trying to start a flame war on here, I'm just looking for suggestions. I feel like I've been "towing the line" as far as what to do as a standard guide, but something is off. I think it is beneficial to the community to start looking at ideas and systematically working through them to see what has a serious effect on BBA's ability to grow.
So for now, I've cut my lighting period back and adjusted the "lead in" time for CO2 before lights kick on. When I was doing my 50% WC this week I cut/scraped/trimmed as much BBA out as I could so I can monitor the growth over this week.
Pending results of the changes thus far what would be the most logical next step?
|There are many factors to BBA in regards to any setup. You can't just say there's not enough Co2 for light. Most of these threads the first advise given is raise you co2 and then you look at the OP's tank and there's like no plant mass in there. You can raise the co2 up the yin-yang and it's not going to do a thing.
Its been proven that sufficient co2 in retrospect to your lighting and avoiding fluctuations will greatly reduce your chances of getting it and also can cause it to start disappearing.
Though in my experience i don't think the correlation is what we think... Examples my 125 i had co2 going 24/7 running two 80 Watt bulbs at a time and still got bba even after raising the lighting,my co2 ran out and lost a ballast, still running two so really lighting didn't change and i have little to no BBA
Another example my 10 gallon sponge filter with a small aquaclear, no co2 and a single t8 on top... No bba, or algae of any kind for that matter, yet have dropped random plants in and it grows about anything.... Even dropped a Java Fern with BBA in. The BBA is gone... I can't even begin to speculate
Sent from a dark corner in my happy place
Hoppy, what would you suggest to help increase how well CO2 is diffusing into the water? If I'm getting build up into the Cerge reactor then it's not diffusing fast enough correct? So how would you rectify that?
I adjusted all my timers yesterday. With lighting I cut the 4x period down to 2 hours instead of 4 and the total light period to 7 hours vs 8 and the CO2 now cuts on a full 2 hours before the lights (was just 1.5.)
BBA is nature's way of telling us we don't have enough dissolved CO2 in the water for the amount of light we have. If you have tried doing a really thorough cleaning, and pruning to get rid of all traces of BBA, and it still comes back, you just don't have enough CO2 for the amount of light you have. You can either work on the CO2 or decrease the light.
To get more CO2, without killing the fish, make sure your tank water is very well oxygenated, by setting up the filter outlets and powerheads to ensure having the whole water surface rippled, not splashing, but getting close to doing so. Then, to really be sure, install a wet/dry filter, which does a great job of dissolving oxygen into the water. With well oxygenated water, the fish can live with much more CO2 in the water, making it less of a gamble to increase the CO2.
Don't rely on a drop checker or bubble rate alone to determine that you have enough CO2. You need to slowly increase the CO2 bubble rate, a little bit at a time, then wait while watching the fish and plants to see if the plants respond favorably. If they do, and, of course, if the fish don't show obvious distress, slightly increase it again, and repeat the watching. It works best if you watch the plants for a few days to be sure they are responding. Once you reach a bubble rate, where a further slight increase doesn't do anything for the plants, you have the right CO2 bubble rate. (This can only work if you are dosing more than enough of all of the nutrients the plants need, so only the CO2 and light are determining how fast and well the plants grow.)
mitch_p - I've considered pulling one of the bulbs out and seeing if the fixture will run without one. My only worry is that I'll lose the intensity that some of my plants love so much.
brainwavepc.com - It's a standard 75g - 48"x20"x18"
willknowitall - I've never been completely satisfied with the diffusion of this thing either. I've always felt it was a waste as well. I don't have a bubble checker (my gf's dog actually chewed it up....) but I'm at similar settings to what I've always used which put me at bright green/yellow. I need to get another bubble checker and I'm considering going to a different type of CO2 set up. Maybe a different reactor or switching to a pH monitor to do 24/7 injection control.
kevmo911 - I have plenty of flow. I'm running a 2262 for bio and a 2217 for the heaters/reactor/extra mech filtration. I do the 50% WC each week. I imagine I'll need to spot treat this coming week to keep it from spreading any more. I just think that's a stop gap and don't want to rely on spot treating for the length of this set up. I think the K2SO4 is according to the EI suggestions here on TPT, but I'll look into it and back it off if not. At this point I'm willing to give anything a fair try, because I've consistently had an issue with it cropping up the same way every time I set the tank up.
Sometimes algae just happens. But with that in mind, there are a couple things to make sure of first.
at 14-15" above the water, your light probably aren't *too* bright. However, your bubble count is useless to anybody else because of all the factors involved. So how's your drop checker? If it's at least solid green, pushing toward yellow, you're probably fine. And your ferts are probably fine as well.
Also, how's your water flow? Any powerheads on top of the canister?
And, while you dose EI, do you do 50% water changes weekly, as per EI? Just checking - a clean tank definitely helps.
I've had excellent success with spot-dosing Excel using a syringe (available at any pharmacy for a couple bucks). Just turn off the water flow, squirt a double dose on trouble areas, let it sit for 15 minutes, and turn the flow back on.
API Algaefix is also an algaecide that some folks have had success with.
You're probably overdoing it with the KSO4, but I'm not sure that's a cause of algae - just unnecessary for most folks.
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As most of you know Rand has been running a series of Juniors tournaments. We have played 2 of the tournaments so far. I noticed at the first two that most of the kids were playing with there player pack disc. That's fine, but I think they need more plastic. These kids are new to the game and most of them have fallen in love with disc golf just like the rest of us.
That being said, I asked Rand if he would mind me getting some things together for CTP's and for handouts. We are approaching the last of this 3 tournament series. I'd love to send these kids off with all the things they need to start playing disc golf away from this series of tournaments.
I'm calling on you to help me gather some products for this cause. I need discs, minis, bags, towels, etc... Anything that you are willing to give that is disc golf related. The last tournament is in October. I'll be at Georgia States, Lake Russell, and the Augusta Classic tournaments. I'll ask all of the TD's if they mind me putting a box out at tourney central. Everything I collect will go back to these kids. Please help me in giving them a great disc golf experience.
BTW, if you have kids or have friends with kids then bring them out. This tournament is very laid back and really fun. The kids are having a blast learning this great game. Even if the kids haven't thrown a frisbee before they will have a place in the Junior Triple Crown. I want to see the last event full of kids.


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Broad benchmarks of U.S. stocks ended April adding to declines, while Treasury bonds gained as more data about the U.S. economy raises concerns about how strong growth will be.
The S&P 500 Index /quotes/zigman/3870025 SPX lost 0.4%, or 5 points to 1,398. This month, it's down 0.8%.
The Nasdaq Composite Index /quotes/zigman/123127 COMP lost 0.7% for the day and has declined 1.5% this month. Both indexes include Apple Inc. /quotes/zigman/68270 /quotes/nls/aapl AAPL which has lost 2.6% itself.
The Dow Jones industrial Average /quotes/zigman/627449 DJIA pared the day's losses to 15 points, or 0.1%, to close at 13,214. That was enough to erase the index's loss for the month.
Yields on 10-year notes /quotes/zigman/4868283/delayed 10_YEAR , which move inversely to prices, fell 2 basis points to 1.93%, touching their lowest level in two months.
The euro /quotes/zigman/4867933/sampled EURUSD slipped further to $1.3242, off slightly for the day and down 0.8% in April. The session's reports on Spain's economy and bank downgrades added to concerns that the region's sovereign debt crisis is far from resolved.
That also weighed on commodities, with oil for June delivery /quotes/zigman/2203144 CLM2 off six cents, or 0.1%, to end at $104.87 a barrel. For the month, crude futures are up 1.8% as positive first-quarter earnings from lots of U.S. heavyweights stoked hopes of more oil consumption and investors still believe U.S. Federal Reserve officials could spring to action to help the economy along.
Gold /quotes/zigman/661661 GCM2 added to its third monthly decline, falling 60 cents, or less than 0.1%, to settle at $1,664.20 an ounce. The precious metal lost 0.5% in April.
– Deborah Levine
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Showing 1-24 of 57 items found in Outdoors & Play
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Alto Vineyards - Alto Pass
This award-winning winery's original Shawnee Hills Wine Trail location (Alto also has a Champaign outpost) offers free wine tasting and a gift shop, in addition to spring, summer and fall festivals with music and food.
CITY:Alto Pass
Bald Knob Cross
A national symbol of faith, this 111-foot-tall cross, when illuminated at night, can be seen over an area of 7,500 square miles atop the most prominent elevation in Southern Illinois. The cross is surrounded by the Shawnee National Forest.
CITY:Alto Pass
Big Muddy River
Visitors can canoe from Riverside Park in Murphysboro to Rattlesnake Ferry in LaRue Pine Hills.
Blue Sky Vineyard
Along the majestic Shawnee Hills Wine Trail you'll find Blue Sky Vineyard—a stunning Tuscan-inspired winery and vineyard. Stroll through the vineyards, enjoy wine tastings, and relax on the outdoor terrace with the rolling countryside as your tapestry.
Burns Hunting Club
Located 1.7 miles west of Illinois Route 148 on Grassy Road just south of the Crab Orchard Wildlife Refuge. Waterfowl hunting on 960 acres. Guides available. One of the top three harvest clubs in the southern Illinois quota zone.
Cannon Park
This beautiful Carterville park includes a community center, baseball field, skate park, walking path that surrounds a fishing pond, volleyball courts (sand), playground, pavilion, gazebo, and memorial garden. Ballfields and shelters can be reserved.
Cedar Lake
Located in the Shawnee National Forest, this 1,750 acre lake has 40 miles of shoreline, a maximum depth of 60 feet, and 10hp limit on boat motors.
Cedar Lake Trail
A 10-mile trail on the west side of Cedar Lake from north to south. Encircles Little Cedar Lake.
Chester Country Club
Golf the par 9 course at this country club.
Crab Orchard Golf Club
Located between Marion and Carbondale, this 18-hole, semi-private par 70 course features lush zoysia fairways and a practice area with target greens. Crab Orchard made Golf Digest's 2008/09 "Best Places to Play" list.
Devil's Backbone Horse Camp
Provides a scenic riding trail for riding enjoyment. Two acres fenced in for horses, several electrical and water hook-ups. Located west of Grand Tower, the site overlooks the Mississippi River. Horse trails are open year 'round.
CITY:Grand Tower
Devil's Backbone/ Devil's Bake Oven
A ridge that runs parallel to the Mississippi River. Offers spectacular views, but with a steep ascent and descent (not an easy hike).
CITY:Grand Tower
Devil's Kitchen Lake
This 810 acre lake with a maximum depth of 90 feet and a 24-mile shoreline is part of the Crab Orchard Refuge. It is stocked with rainbow and brown trout and provides largemouth bass, bluegill, sunfish, crappie, channel catfish, bullheads, and carp. Boat ramps are available. Boats have a 10-horsepower limit. Camping is available.
DuQuoin State Fairgrounds
The DuQuoin State Fairgrounds are located in the heart of Southern Illinois. A State owned facility, hosts several major events each year, including the annual DuQuoin State Fair. Grounds are open to the public year round.
CITY:Du Quoin
Fountain Bluff
Prehistoric dwellers left their marks on the rock walls. Petroglyphs depict animals, humans, geometric figures, and crosses.
Giant City Park Campground
Class A campground with separate tent and trailer camping for equestrians. Also, a youth group camp and primitive walk-in tent sites.
Giant City Stables
Enjoy the beauty of Giant City State Park on horseback. All trail rides are guided by experienced wranglers. Lessons & pony rides also available.
Giant City State Park
Spectacular woodlands and sheer sandstone walls create a challenge for rock climbing and rappelling, as well as hiking. Outdoor lovers will also find horseback riding, a lookout tower, cabins and a swimming pool. Dine at historic Giant City Lodge, known for its homemade fried chicken dinner. Two different locations in Giant City State Park near Carbondale give you climbing options. A trail behind the picnic shelter takes you to a set of steep bluffs known as Shelter #1 near the Makanda entrance; another climbing area of the park includes the steep sandstone cliffs in Devil's Standtable. Plan to bring all of your own equipment since no permanent anchors are allowed. Ropes are permitted in both areas. After rainstorms, the wet sandstone gets really slippery. Use caution when grabbing for ledges as copperhead snakes warm themselves on the rocks during sunny days.
Hickory Ridge Golf Course
This 18-hole golf center is the highest-rated public golf course in Southern Illinois, earning four stars from Golf Digest. The course offers discounted "twilight hours" rates for unlimited play after 4pm.
Hickory Ridge Public Golf Center
One of the most challenging courses in Southern Illinois, this championship caliber 18-hole layout plays over 6,800 yards from the back tees. The course has a distinctive links appearance, even though it is cut through the typically hilly local terrain.
Hot Wheels Skatium
Hot Wheels Skatium, a new state of the art skating rink, is located by the former Ike Auto Park location outside of Carbondale. We offer skating for those of all ages; skates for rent are available from a child's size 8 to an adult's size 15. We have numerous fun-filled family nights, and we can also accommodate your birthday parties or private parties.
Johnson Creek Recreation Area
Recreation area includes group camping, walk-in camp sites, swimming, and picnicking facilities. Handicap accessible restrooms and fishing pier.
Kinkaid Lake State Fish and Wildlife Area
Sandstone bluffs and rolling hills surround the lake and oak-hickory forest. Picnicking, fishing, boating, and hunting opportunities available.
Kinkaid Lake Village Marina
Located on Lake Kinkaid, the marina offers camping, boat slip rental, and boat rental. They have a restaurant, bar, bait shop, camping and boating accessories, and water toys. In addition, you can also purchase your fishing license.


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Sunday, August 21, 2011
The Weighting Game
13 comments:
- jessicagv said...
Good for you. Its not easy, but it is absolutely worth it. Make sure to set yourself goals through the process.
For me it was little things. the first 10 pounds got me a pedicure. teh next 10 got me a new pair of shoes. At 30 pounds I got a new outfit, (because boy did I need it!)
It is easier if you conquer it in little goals. Make it not a diet but a change that you can sustain over a lifetime.
Surround yourself with people who will help you on the journey but not judge when you falter....
Jessica (@ZandCsMom)
- August 21, 2011 at 12:57 PM
- Natasha C. said...
Start slow and include him in your journey. It is what I am doing and it is working. We talk about being a healthy family and what we can all do together to accomplish this. We go for walks after dinner, we just bought all of us new bikes and I have a babysitter 2 times a week so that I can go to the gym and get some just for me time in. I am a big stress eater as well and I did a huge house purge to get rid of all the bad stuff (cookies, candy, leftover halloween candy, etc...) so I can't even go there if I try!
And if you can, I would highly recommend that you find a personal trainer to help you get going....I know that I need that kind of outside accountability to keep me going and so we made room in our budget for this extra expense.
You can do this Mama! For you and for your boys!
Much love, Natasha~
- August 21, 2011 at 12:59 PM
- charlene said...
You've taken the 1st step-admitted to yourself that you are ready to make a change.That is the hardest.Now talk to your doctor. My experience with weightloss is that medical supervision is a key to keeping it off.Taking it off is the relatively easy part-keeping it off is what matters in the long run!
You CAN do this. And you know you have to-for yourself first and then for your family. Baby steps!
- August 21, 2011 at 1:03 PM
- wratwrds said...
Big hugs, Heather. And good for you. The best move in this game is to talk about it together, honestly, and to take action. (I think it's a head game too. You all deserve to feel good and feel good about yourselves... : )
It can be a family plan to feel better via eating more healthfully and getting active together. It can be fun.
Incentives have always worked for us and lots of active playing around.
Anyway, I'm rooting for you.
- August 21, 2011 at 1:03 PM
- Dara said...
Hi Heather! This is so great - you can absolutely do this! Where do you live?... I want to help!
- August 21, 2011 at 1:40 PM
- Sherry C said...
I know you can do it!! You seem to achieve everything you set your mind too. I'm cheering for you!! If you ever need a walking/running or work out buddy I'm just around the corner and way out of shape even though weight is not an issue for me I haven't worked out in years.. James is 11 and it's been that long.
- August 21, 2011 at 4:06 PM
- Kath said...
You can do it my friend and I am here and want to help you! Putting your health first will help set your family into motion and get everyone on track. Start with you and then do it as a family- it will be the best thing you ever did for all of you! You can come with me anytime to the gym and we can work together! I highly recommend getting a trainer they are worth every penny and will make you accountable to a plan of action.... XO
- August 21, 2011 at 7:31 PM
- TJZMommy said...
wow...great support will make such a difference.
I hope that I'm mentally ready to take on a challenge. I know that with help, I can get to a point where I feel like the best ME.
Dara...I'm in Richmond Hill, near Kathryn. I'd love to talk to you about some ideas.
- August 21, 2011 at 8:00 PM
- BLOOM - Parenting Kids With Disabilities said...
Heather -- you are such a beautiful woman! You are strikingly beautiful.
Something that has helped me deal with stress is exercise. Why don't you join a club and purchase 6 personal training sessions so you will have a specific routine and someone can show you how to do everything?
The club is also a time for you to be on your own and have a hot tub, etc. -- treat yourself!
People are so friendly at the club I belong to -- everyone is rooting everyone else on.
Please -- don't ever try to look like the women in the magazines -- they don't even look like that in real life.
It sounds like you have a great discussion going with Ty. Hugs xo
- August 21, 2011 at 8:24 PM
- Lisa said...
I like what Jessica said, "Surround yourself with people who will help you on the journey..." You are such an amazing parent. The way you communicate with Ty... awesome. Hugs to you mama.
- August 21, 2011 at 11:37 PM
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- August 22, 2011 at 8:46 AM
Heather! You are amazing and no matter what you think about yourself you need to know you are a beautiful person inside and out and you need to believe this! We have been going through something similar. A couple of weeks ago a car full of "boys" drove by me and yelled "Ewe, you fat pig!" I have never experienced anything so horrible in my entire life. Not that their opinion matters much to me, but it still hurt. And it triggered those feelings I have about my body shape. So I talked to my hubby and we got a game plan together. We set up proper meal planning, following the Canada Health food guide to ensure we are getting all the nutrients we need. And we sat with Ana to explain that we are going to eat healthy as a family, and explained to her that healthy doesn't mean being skinny, but means making sure that your body has the right fuel it needs to run properly and that your body also needs exercise to run properly. So we set up activity nights. Slow start, but a good one. We go to the park and play tag, or soccer or catch with Matthews ball. We do this 2-3 times a week right now for an hour. We plan to try and move this up to a higher frequency. The most difficult part is sticking to it. We also allow for treat day. Every Friday. We all pick one treat that we really wanted throught the week and we enjoy it! And once a month we will have family junkfood night! We order in and watch a movie. I have heard the key is not to deprive, but to make healthier choices. We want Ana (and Matthew) to know how to do this themselves and enjoy it! Its been only a couple of weeks, but we are doing well with sticking to it. I found using a calendar for meal and activity planning seems to be the key. We know its there and has to be done! Good luck! xoxoxo
- August 22, 2011 at 1:25 PM
- Gingermommy said...
I too struggle and always have. I wish I could offer you advice and I would take it myself, but it is hard. I have joined gyms, dieted and eat healthy but nothing changes other than my stress levels. I am so scared to go to the upcoming conference because I have nothing to wear. So much of what you wrote reminds me of myself. Thank you for sharing your struggles, it comforts me to know I am not alone. Be healthy and healthy
- August 26, 2011 at 5:34 PM


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The Department of Finance manages the City's financial affairs. It collects revenues, manages and invests cash, manages City debt, and controls financial processing. Its responsibilities include managing payroll, purchasing, assessment operations, maintaining financial records and reports, and enforcing financial policies and standards.
The Department is composed of six units: the Director's Office, Accounting, Treasury, Assessment, Parking and Municipal Violations, and Purchasing.
The hours for all units except Parking are 9 a.m. to 5 p.m. Monday through Friday, when City Hall is open. The hours for the Parking Bureau are listed below.
Downtown parking is available at several locations near City Hall, 30 Church St. (map)
Hours for Bureau of Parking sub-divisions:
The Bureau of Parking was formed July 2009 as a consolidation of municipal parking functions that were in the former Department of Economic Development; the Departments of Environmental Services, Finance and Police.
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New appointed chiefs shall apply for admission to the executive training program within two (2) months of the date that he or she initially takes office and must successfully complete this program within six (6) months of initially taking office. However, if this program is not being offered during that time period, then the police chief must successfully complete the next available executive training program that is offered after intially taking office. In addition, if there are available openings after being filled by persons mandated to attend, then with the Executive Director's approval town marshals, deputy chiefs or other high-level administrative officers may attend this training.
The police executive training program shall include topics in civil liability, use-of-force, firearms, and emergency vehicle operation; along with media relations, policy making, discipline, accounting/ administration, labor laws, cultural diversity, and other department and/or administrative programs. Additional training may include topics that would benefit newly appointed chiefs and/or other administrative staff serving in this position. This training will consist of not less than forty (40) hours of instruction, participation, and an evaluation/examination.
You may contact the Academy at (317)839-5191 and ask for Lieutenant Steven Guthrie or Captain Perry Hollowell for additional information on this training.
ILEA Fee: $450 Residents/$300 Commuters.
If a department needs to cancel a student from an ILEA in-service class, it must be done no later than five (5) working days prior to the start of the class. If a student does not show up or cancellation is made any closer to the start of the class, the agency will be responsible for payment in full for this class.
This is only a brief course description. Reporting instructions contain the correct times and information you will need in regards to this course. "Reporting Instructions" are located at the top right corner of this page.


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This sophisticated loafer features a unique Mary Jane design. A stretchy ankle strap cinches this fabric and patent leather look shoe, which is sensible and comfortable yet stylish and professional. Its wedge heel gives this shoe the height of a smart pump, while its patent accents provide the necessary shine and class to make it appropriate for any setting.
Department: Women's ShoesStyle: BYTHEWAY


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About Sultan Abdul Halim Airport
Popularly known as the Alor Setar Airport, the Sultan Abdul Halim Airport serves Kedah and neighbouring states.
Located 13km from Alor Setar town, the Sultan Abdul Halim Airport serves Malaysia Airlines, Firefly and Air Asia.
With its newest terminal opening in 2006 and its runway extended to 2,745m, the Sultan Abdul Halim Airport can handle up to 800,000 passengers annually and has the capacity to meet Airbus 330 operations' needs.
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Malaysia Airports had undertaken to
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Stop Texting and Driving - It Can't Be Said Enough
Texting while driving is now illegal in most states, but so far, it hasn't stopped texting from being a constant threat to our...View Full Post
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Texting while driving is now illegal in most states, but so far, it hasn't stopped texting from being a constant threat to our...View Full Post