text:
Web-based therapy for chronic fatigue syndrome
Treatment programs via the internet are now used in a variety of health conditions. A new study from the Netherlands has found that teenagers with chronic fatigue syndrome do particularly well when cognitive behaviour therapy is delivered through the internet. Their physical symptoms and their school attendance showed marked improvement after six months. So should web-based CBT be more widely available especially for teenagers?
- Dr Rosanne Coutts
- Clinical exercise physiologist, Southern Cross University
- Professor Andrew Lloyd
- Inflammation and Infection Research Centre, University of New South Wales
- Presenter
- Natasha MItchell
- Producer
- Lindy Raine
Comments (9)
Jayne :
05 Mar 2012 2:20:45pm
This was a great discussion Natasha, Dr Coutts and Prof Lloyd.
I'm sure there'll be complaints (and much handwringing on patient forums)) about your use of the term 'Chronic Fatigue' rather than 'Chronic Fatigue Syndrome' (or to be even more PC, 'ME' and its longer unabbreviated version) but I don't have a problem with 'Chronic Fatigue'. I generally avoid commenting on the state of my health but on the occasions that I do I invariably find 'Chronic Fatigue' is enough, rarely do people need 'Syndrome' added before they 'get' my meaning. Sure, the misunderstanding about what the Syndrome involves occurs often, but adding in or leaving out the word 'Syndrome' doesn't alter that.
I think one of the problems with studies that don't incorporate longer-term follow-up is that, if the short-term outcome is good, then the longer-term consequences are assumed to be good. Anecdotally, this doesn't seem to be the case for some people with ME/CFS, and it is my impression that younger people might fare worse than older in this respect.
MECFS Alert's LLewellyn King has an interview with a young woman who lives one of these anecdotal stories:
I managed to function (school, uni, work) with (undiagnosed) ME/CFS from age 15 to 28 (years) although every day was a chore to get through. Without diagnosis I assumed that others must be as weary as me (they just pushed themselves harder than me); I concluded I was just lazy. By 28 I needed to take 1/2 days off work and sleep 15+ hours a day. Soon after that I was unable to work. That was 26 yrs ago.
In recent years, having found that off-label use of a common medication is helpful, I have attained good physical fitness (through walking) and the exercise definitely assists mood and sense of wellbeing, but unfortunately it doesn't cure the diisease. Getting through each day remains a chore, and tasks of daily living drain me to a degree others seem incapable of comprehending. I get by (which is a level below truely coping; coping is where everything that needs to be done eventually gets done), but there is no energy for social life or working life. I am pretty much completely isolated from friends, family and community (because I have no energy left after chores of daily living; + walking, which is my one pure pleasure).
Simon :
05 Mar 2012 7:33:14pm
I'm going through a cfs remission after 10 years of good energy levels. This time around however i am lucky to have learned from previous lessons and have been able to:
1) organize complete rest (especially before more active days),
2) let all friends and colleagues know dynamics in case i become vague or suddenly need to rest - ask for help when needed.
3) get really good nutrition that is easy to digest (smoothies and fresh veggie/fruit juice)
4) keep busy with things that i can do when i can do them
5) access local health services, keep in regular contact with doctor
6) practice loads of patience
No idea how long this will last but unlike last time, i was able to cut back on work immediately so my health has not deteriorated too much by overextending my energy allowance.
Thankyou for the excellently presented program. I clearly recall during my last period of cfs the feeling of depression upon hearing a segment on this illness which was not sensitively put together. The difficulty of getting people to understand life with cfs (and undoing some of the misunderstandings) is virtually as much a symptom of the illness as fatigue.
06 Mar 2012 4:03:33am
Natasha Mitchell has an excellent understanding of the ME/CFS. It's so great to see a journalist who has a good understanding of the condition and doesn't perpetuate stereotypes about it being laziness or a mental illness. Her previous program on ME/CFS on All in the Mind was one of the best pieces I've ever heard on ME/CFS.
I've been involved in an internet self-help program for this illness for 7 years - the CFIDS/FM Self-Help Course. It has elements of CBT. It definitely helps me to manage my symptoms better. It has been a wonderful resource and has improved my quality of life. But it isn't a cure. It's just a way to manage your condition. I've had the illness for 17 years, and despite pacing and caring for my body I've deteriorated to the point where I am now almost completely bedbound.
CBT and pacing can help reduce symptom severity, but I still live with over 60 highly disabling symptoms. It also takes a great deal of work from the patient - you need to micromanage every aspect of your life. This isn't possible for everyone, or even desirable. I worry that the research focus on CBT obscures the lack of genuine scientific research into the causes and treatments of the illness. The research budget for ME/CFS is just 1% of what it is for Multiple Sclerosis, despite ME/CFS being more prevalent.
I would like to address one thing Dr Andrew Lloyd said. There is quite a bit of evidence that ME/CFS is not just a disorder of the brain. Or if it is, the brain goes on to affect and disregulate every system in the body including adrenal function, the thyroid and the digestive system. There is some evidence of ongoing infection in ME/CFS, it's just unclear whether this is a single infection or the same infection in each individual. There hasn't been enough research yet. A number of studies have also found that people with ME/CFS have a lower circulating blood volume than healthy people - in some cases their blood volume is reduced by up to 50%. You can imagine how this contributes to fatigue, weakness, pain and dizziness.
Anyway, thank you so much for the thoughtful program. I hope that Life Matters will continue to cover this topic in the sympathetic and knowledgeable way it has done.
Bill :
06 Mar 2012 5:02:38am
I can't understand why CBT is not taught in schools as a matter of course. It has obvious benefits in a lot of areas. Teaching it, together with other related concepts, as part of a normal high school progam makes good sense as a preventative measure. It would also be interesting to see if this group was affected by less depression or psychosis than would be expected in similar groups.
Peter :
06 Mar 2012 12:37:05pm
Unfortunately this study is the latest shot in a dreary and cruel attempt by a small group of psychiatrists in the UK and Holland to classify CFS as psychiatric and forcibly subject patients to psychiatric treatment. Realising patients are resistant to such attempts, they and their cheerleaders have resorted to careful "spin" in their publicity to conceal their attitudes. Phrases like "it doesn't imply CFS is psychiatric" or "we're not saying CFS is psychiatric" get repeated over and over.
This study is carefully silent as to what the content of the cognitive behaviour therapy (CBT) was. In past studies, patient attitudes/behaviours that have been declared to be aberrant include:
(1) The illness is physical,
(2) Sensible attempts by patients to limit their activity to reduce symptoms (this is labelled as "symptom monitoring")and
(3) sick and exhausted patients sleeping during the day.
To those who have the illness, the stupidity and cruelty of such nonsense is beyond belief.
Unfortunately, CBT approaches along with so called "rehabilitation" approaches and graded exercise (GE)have caused a great deal of harm to many patients. A number of very large patient surveys have reported harm with these approaches. The results of one can be seen at P10 of here:
The situation with children is truly shocking. There have been many cases of children being made sicker by such approaches, and when they or their parents complain or resist, the child is taken into Childrens' Services custody to be forcibly treated. In 2010, one patient organisation was battling 50 such threats to children:
The situation is not new, with the BBC Panorama program investigating mistreatment of children by such approaches in 1999:
I am aware of 2 cases of children in Queensland being taken into custody (one for 9 months) and 4 other cases where a child was mistreated or threatened.
Jaye :
06 Mar 2012 12:44:54pm
Thanks to Natasha for her excellent understanding of the issues faced by people with CFS.
While the conventional medical approach that is supported by research data advocates CBT + graded exercise, this approach has significant flaws & limitations, which are rarely acknowledged.
I would like to invite Natasha to apply her capable intellect to some of the philosophical & practical limitations of CBT & to explore alternative recovery models.
I have participated in an outpatient functional recovery program for CFS, which included a yoga class placed rather incongruously alongside CBT & 'mindless' graded exercise. I found this program to be a rather blunt instrument for a condition that requires finely attuned self-awareness within a context of active support to be able to manage well over the long term.
As a yoga teacher with training in dance therapy, meditation therapy & Body Mind Centering, I was inspired by this experience to create a yoga program specifically for people with CFS. Yoga as therapy offers a holistic practice-based approach for body & mind that includes therapeutic support, self-inquiry, self-care, functional recovery, mood regulation & a positive sense of community.
More info: http://theyogateapot.wordpress.com
Humphrey :
06 Mar 2012 7:11:25pm
There are serious flaws in this study. Consider two obvious examples:
(i) The patients who participated in the study were selected according to a set of diagnostic criteria in which it is not necessary to have the defining & distinguishing symptoms of ME/CFS.
Let me explain by analogy: if you select a cohort of "cancer patients", but you use symptoms such as fatigue (common in cancer) as the basis of selection, without requiring patients to have exhibited malignant cell growth, then you could easily design a study that concludes that CBT has a high success rate in curing cancer.
(ii) This study compared the effectiveness of internet-based CBT "with that of usual care". Usual care was defined as CBT-in-person, along with other psycho-therapies (such as group rehabilitation and GET). Put another way, it was comparing the effectiveness of competing forms of psychotherapy.
By my reading, a reasonable interpretation of this study might be that one form of CBT was shown to to more effective than another form of CBT in treating adolescents missing school due to idiopathic (unexplained) fatigue. Such an interpretation has no relevance to those unfortunate enough to actually suffer from ME/CFS, an illness that has been recognised by the World Health Organisation since the 1950s as being a neurological disorder.
Is it plausible that CBT might help actual ME patients? Potentially yes, but only in so far as CBT can (sometimes) also be helpful in other serious conditions, such as stroke, AIDS, cancer, Parkinson's or MS. As in these other conditions, CBT wouldn't constitute an effective treatment for ME; it would merely have peripheral palliative potential. There is no credible published research to demonstrate otherwise.
This is hardly the first time that the ABC has provided misleading commentary in relation to ME/CFS. In future, please look beyond the pseudo-science and cover the serious research into this widely misunderstood illness.
To paraphrase Harvard's Professor Tony Komaroff, there are now more than 4,000 scientific papers documenting the biological etiology and pathology of this illness; we are long past the point at which any credibility can be attributed to those peddling psychological models of the illness.
Professor Komaroff is just one of many to cite the best available epidemiology of ME/CFS and explain that recovery is only ever experienced in freak cases. For something like 99% of sufferers, ME/CFS never ends - no matter what treatments are tried.
Every published study of the morbidity of ME/CFS places it among the worst of all disease conditions. For example, research published by the CDC ranks it as comparable (in terms of impairment) to full blown AIDS, the terminal stages of liver failure, and chronic, obstructive lung disease.
Professor Nancy Klimas (University of Miami) is an immunologist and microbiologist.
Peter :
07 Mar 2012 12:16:05pm
Unfortunately a recent study (Nunez et al in the March 2012 edition of Clinical Rheumatology) found that CBT and graded exercise in fact made the CFS patients worse. Further, a Dutch study (Koolhas et al 2008) found 38% of the patient group had been adversely affected by CBT.
This dovetails with a number of patient surveys reporting problems eg 2001 Action for ME survey found 38.8% of patients had been made worse by graded exercise.
Mac Hoban :
10 Mar 2012 1:19:47am
I notice when my CFS is stronger I can still do most of the things I do at other times but it requires much effort and my muscles are stiff and sore afterward. My HSC biology says muscle soreness after exercise is due to adenosine diphosphate being metabolized, creating lactic acid which affects the muscles. It's as if there's a shortage of adenosine triphosphate, the usual source of muscle energy.
Sometimes I experience a fleeting depression in the first day or two of a "bout" of CFS but what I notice mostly is I sweat two or three times more and my clothes have a heavy musty smell. Also my poo smells different when my CFS is bad although my diet is unchanged.
No amount of CBT is going to affect these things. My CFS is a physiological condition not an attitude.
I practiced as a psychologist for many years and I'm a big fan of CBT but its relevance to CFS is tangential. I'm sure there's a study somewhere that shows CBT helps kids who are dealing with a broken leg.


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Leaky tank and leaky face.
Trip Start Apr 10, 2010
174Trip End Apr 10, 2011
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Side of the road.
After the mornings affairs we went to a house & abbey at Mottisfont that used to be an old priory in the 1200's that had been turned into a house in the 1500's. One room in the house was stunning and had been painted by Whisler in the 1900's, it was a tromp lieu. The day was freezing (our coldest yet), and with no real intention of meandering through the gardens we stumbled across a mosaic lady who taught us how to do it! Very fun and probably something we would like to get into when we get back home.
With the day not yet over we headed out to see the infamous Stonehenge. In warmer circumstances it would have been nicer to spend more time there, but with the icy winds and our soft Aussie skins, we walked around it as fast as possible and left.


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Hi everyone, for the past few months I have been bouncing around DG and finally decided to join this past week. omg! there is such an abundance of knowledge and wonderful folks here. I hope to gain alot of information on gardening, landscaping, plants , recipes, and hopefully meet new friends. Being a newb, i'm still learning my way around Dg, but i'm sure it wont take me too long. I really enjoy looking at many of the photos posted in Dg. Gives me alot of ideas in my own yard. The dust bunnies will just have to wait for a rainy day. LOL
Hi , from Tennessee
hello and welcome from upstate new york. glad you are now a regular member of the DG family. this is a great site and it's a load of fun. hope you are checking out all the different forums. don't forget the recipe forum. lots of good stuff there. dust bunnie can always wait for a rainy day.
Hey!!! Welcome.. This is a Wonderful place!
I look forward to seeing you around...
Welcome to Dave's Garden!! ^_^
Lildinks, welcome to a great community! I am sure you will find forums that will suit you to a tea. There are some that I haven't even visited yet. It can be overwhelming. Enjoy!
Hi everyone -thx for your warm welcomes. I have been bouncing all around in forums and wow so much knowlege and good reading. lol dust bunnies still sittin pretty! Wish blessings to everyone
LOL... If you run out of "Dust Bunnies" let me know I will SASBE ya some...
Welcome lildinks, you'll find DG's a nice place and an informative one at that. I have relatives in your area: Barltett, Germantown. Spent most all my Summers as a kid in Memphis as my mother's siblings and their kids were there.
Again, welcome. Lee
Hi,Lildinks,1st time I've been on the welcome thread and noticed you live near my city,I live in the southeast section of Memphis,Tn. My sister and grandson live in Bartlett.I've lived in Memphis all my life.I look foward to Dave's every Monday,especially the Trash to Treasure thread.Welcome
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text:
Midnight Cry
To and from
beats the drum
and so creates the sound
that goes around
the chambers at night.
That makes the baby cry
and make the owl try
and scare off the crows
just as the wind blows
and rocks the earth into a restless sleep
and the coyotes take the life of another sheep.
The whole world goes cold
colder than the molders mold
as he tries to make whats old
brand new.
You see where were headed when we become anew!
That great howl in the distance up in the mountains
its th wolf showing all resistance
to keep away from the fountains.
© Copyright 2017 Dalton Mercer. All rights reserved.
Status: Finished
Genre: Other
Poem / Other
Poem / Other
Poem / Other
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text:
Angel Food Cake
|Egg whites
|Cream of tartar
|1 1⁄2 Teaspoon
|1⁄4 Teaspoon
|1 1⁄2 Cup (24 tbs)
|Cake flour
|1 Cup (16 tbs), sifted
|Vanilla extract
|1 1⁄2 Teaspoon
Beat egg whites until foamy.
Add cream of tartar and salt; beat until soft peaks form.
Add sugar, 2 tablespoons at a time, beating until stiff peaks form.
Sprinkle flour over egg white mixture, 1/4 cup at a time; fold in carefully.
Fold in vanilla.
Pour batter into an ungreased 10 inch tube pan, spreading evenly.
Bake at 375° for 30 to 35 minutes or until cake springs back when lightly touched.
Invert pan; cool 40 minutes.
Loosen cake from sides of pan using a narrow metal spatula; remove from pan
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 1936 Calories from Fat 31
% Daily Value*
Total Fat 3 g4.9%
Saturated Fat 0 g0%
Trans Fat 0 g
Cholesterol 0 mg
Sodium 1066.6 mg44.4%
Total Carbohydrates 427 g142.2%
Dietary Fiber 15.5 g62%
Sugars 303.2 g
Protein 59 g117.1%
Vitamin A Vitamin C
Calcium 13.2% Iron 3.3%
*Based on a 2000 Calorie diet


text:
Hi Everyone And Welcome To My Account My Name Is Blackie24682 Its Named After A Horse I Met. I Love Roller Coasters Skiing Snowboarding And Skateboarding. I Have A Group Called Bull Run Middle School. (PLEASE JOIN) If You Want Me To Build Anything For You Ask I Also Do Studio Mode Thank You For Reading Hope You Like Roblox Bye. :D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D:D: Read More
◉ #### #### MIDDLE SCHOOL ◉ Strive For Greatness. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Re-Founded by: ############ 08/12/2016! Re-Founded By: XxDiamondKkSlayz 10/17/2016 No Copyright Infringement Intended Home Of the Tigers! We Care for every Student's education. All Credits and Rights go to #### - If you harass HRS they will demote you! -Goal 1500 members Less
This is Total Drama Island, ROBLOX version! Compete against your friends, foes, strangers for a total of one million dollars (not really)! Create alliances, make enemies, vote people off! Lose or win, it's a fun experience! You're competing on the island of Wawanakwa, and staying in filthy cabins with complete strangers. Who will win? Who will lose? Find out now on Total Drama Island ROBLOX Edition! Questions or Concerns will be answered here anonymously: ask.fm/TotalDramaQuestions Guidelines: http://www.roblox.com/Forum/ShowPost.aspx?PostID=119037643 Host App.: http://www.roblox.com/Forum/ShowPost.aspx?PostID=119049990 Founded by: Webkinz22 and TheMagicMan73 Get in a season Late Card http://www.roblox.com/Get-in-Late-Card-item?id=119945654 +1 Vote (your vote counts as 2!): http://www.roblox.com/1-Vote-PRE-ORDER-50-OFF-item?id=127844485 -Official Member and Head of the Total Drama Union-
This is the FALLEN Skate Group !! ======================================= Do YOU like to skateboard? Then this is the group for you VERY ACTIVE!! fun and full of style :D ======================================= Promotions: you will either need a video or picture/decal to send to one of the manager's or bosses . They will have a look and decide. Please do not bug them or myself we also have lives xd I said that nicely right? whahah :3 ======================================= The FALLEN Skate Park : http://www.roblox.com/FALLENS-Forbidden-warehouse-place?id=47616167 <---- we hold here contests too :D =======================================
Join Bull Run Eagles today. We have great/friendly members, and a great leader, Black. ! [50+ MEMBERS] Motto:"We will never ever give up and became the best of the best!." ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Bull Run Eagles, is yet to become the best group. We will try hard to do everything we can. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Guide [READ&LEARN]: [If you want to get promoted then listen to high ranks and obey their rules! If you ever fool around and, making fun of other people, it may just result as a ban. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ How to get promoted: There are many ways to get promoted. The fist thing you have to do is to make sure you show up at classes. The rest will be explain later. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ [Teams:] We have many teams, and yet more are going to be made in the future. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ [Uniform Shirt, Uniform Pants]: Our uniform and shirt will be out in the future. ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ [News]: Try to find people to join the group s
Join Date
Place Visits
Forum Posts
Help Me Build Message Me For Admin
join Bull Run Eagles to come in
act like this is ur school no expanding without permission and follow all rules send me massage to join


text:
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Samara Butler
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Local bowling, Nov. 9. 2014 - Reading Eagle
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legacy.com: Samara L. Butler
Dec. 12, 1945 - Oct. 5, 2010 GOSHEN - Samara L. Butler, 64, died Tuesday at her home. She is survived by 1 daughter, Rose Marie Miller; 7 sons, Martin and James Butler, Larry
findagrave: Butler, Samara L Young
12/12/1945 - 10/5/2010, Goshen (Elkhart County, Indiana)
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Catholic Central rally falls short vs. Schenectady
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text:
Three years ago, the sub compact cameras did not produce an image that could compete with a compact camera.
When Canon came out with the SD500 in Feb of 2005, things changed; they had the right combination of CCD sensor and lens. That camera is still a winner.
The sub-compact camera can be a problem for many people, it is more difficult to hold steady.
If you want a sub-compact camera, choose one with optical image stabilization and you should be a happy camper.
I'm looking to buy a digital camera and I'm not sure whether to buy a subcompact or just a regular compact. I know that compacts have more manual controls and higher optical zoom than subcompacts but neither of these are important to me. The only thing I care about is quality of picture, and I figure that perhaps the compact's lenses are better since they are bigger than that of subcompact cameras. But otherwise, I would prefer the subcompact since it's smaller.
So, bottom line: forgetting about all the other features, is the picture of compact cameras significantly better than that of sub-compact cameras (assuming that I will not use the manual modes)?
Any camera recommendations?
Thanks for your help!


text:
Custom Meta TagsActions
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EBV Elektronik supports its customers with a very broad portfolio of RF automotive solutions, reflecting its advanced technical skills: its products range from keyless entry systems, radio ICs and GPS modules, through eCall and C2x solutions, to support for mobile communications and radar projects in the automotive sector.
Wireless communication is an important part of everyday life in the broad field of consumer electronics where Bluetooth, BLE, WLAN and other RF technologies already play a significant role.
In only a very few areas are RF components as relevant to the system or of such central importance as in many hi-rel systems: from avionics via space applications to applications in the defence field.
In the traditional industrial sector, there are various applications of RF semiconductors. From measurement technology through networking in the context of industrial automation to welding/jointing - and separation processes.
A wireless service interface is a solution to eliminate medical risks due to hygiene and cleaning. RF semiconductors make various diagnostic methods possible in the first place: from the pulse rate meter of the ambitious athlete to MRI scans.
Renewable Energies
The meaningful exploitation of renewable energies also requires intelligent consumers and an intelligent load using as well wireless network control for an automatic meter reading infrastructure.


text: We all know that those brand name peanut butter cups in the bright orange wrapper are damn good but if you can't eat peanut butter then these are your go to alternative. I was skeptical that they would taste blah being that they were not the "real deal". If you are unfortunate enough to deal with allergies then you know there are some pretty bad "allergy free" foods out there. We have tasted some things that I would label as not edible. I was wrong in my assumptions of these fine chocolatey delights. They were delicious and most importantly, Linden thought they were tasty! With his allergies there are limited kinds of chocolate he can eat. Kudos to Sun Cups for making allergy free goodies taste awesome!


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You missed it This great deal for iLoveKickboxing.com is over. But don't despair, we've got more great deals every day.
One Month Unlimited Kickboxing Classes, a Pair of Boxing Gloves, and Four Small Group Personal CrossFit Training Sessions
You once crooned along to the catchy Right Said Fred anthem, but lately you've been far removed from feeling "too sexy for your shirt." If you want to be catwalk-ready in no time, today's deal from iLoveKickboxing.com is music to your ears: Pay $50 for one month of unlimited kickboxing classes, a pair of boxing gloves, and four small group personal CrossFit training sessions (a $295 value). Fans will be singing your praises as you lose weight, improve coordination, and build strength and stamina -- not to mention self-confidence. Strut down to one of four locations, and be prepared to get your sexy back -- and reveal you're no one-hit wonder.
PAID VALUE EXPIRES ON March 1, 2022
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651-338-3474 | get directions
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8900 Walnut Street, Rockford, MN 55373
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403 Central Avenue East, St. Michael, MN 55376
763-238-5354 | get directions


text:
Serves 12
This famous soup is a fixture on every Tuscan trattoria menu. Although it's traditionally made a day or more before serving and then reheated, it may also be eaten fresh.
1 lb. dried cannellini beans
1/2 cup plus 2 tbsp. fruity extra-virgin olive oil
2 cloves garlic, crushed
4-5 fresh sage leaves
Salt and freshly ground black pepper
2 medium yellow onions, peeled and chopped
2 carrots, peeled and thickly sliced
2 ribs celery, trimmed and thickly sliced
2 medium potatoes, peeled and thickly sliced
1 large bunch swiss chard, trimmed
and coarsely chopped
1 bunch cavolo nero or kale, trimmed
and coarsely chopped
1/2 small savoy cabbage, cored
and coarsely chopped
1 cup chopped canned Italian plum tomatoes
3 thick slices day-old country white bread
1. Cover beans with cold water and soak in a large pot for at least 4 hours or overnight. Drain, then add 12 cups water, 2 tbsp. Of the oil, garlic, and sage. Cover and bring to a simmer over medium heat. Season to taste with salt, reduce heat to medium-low, and gently simmer, stirring occasionally with a wooden spoon, until beans are tender, 1-2 hours more. Season to taste with salt and pepper.
2. Remove beans from heat, set aside, and allow beans to cool in cooking liquid. Reserve 1 cup cooked beans, then purée remaining beans along with the cooking liquid and set aside.
3. Heat 1/4 cup of the oil in the same casserole over medium-low heat. Add onions and cook until soft, about 20 minutes. Add carrots, celery, potatoes, chard, cavolo nero, and cabbage, stirring well. Add tomatoes, cover, and cook until greens wilt, about 20 minutes.
4. Add puréed beans and simmer, covered, for about 1 hour. Add bread and reserved beans, stir gently, cover, return to a simmer, and cook about 10 minutes more. Season to taste with salt and pepper, then refrigerate overnight.
5. The next day, preheat oven to 375 degrees F. Heat soup in a casserole in the oven, uncovered, stirring occasionally for about 30 minutes, then cook for 30 minutes more without stirring. Drizzle with remaining 1/4 cup oil and serve.
Cooking Beans
Cooking beans correctly is a matter taken very seriously in Tuscany. Marco Noferi, a farmer in Paterna, not far from Arezzo, explained to writer Lori Zimring de Mori the three cardinal components for preparing dried beans so that they end up tender but firm, with a dense, rich flavor:
Saveur Cooks Authentic Italian
Savoring the Recipes and Traditions of the World's Favorite Cuisine
By the editors of Saveur Magazine
Chronicle Books, 2001
9-5/8 x 10 in; 320 pp
$40.00 Hardcover
Recipe reprinted by permission.
This page created May 2002
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"Gossip Girl" guest star and former Disney tween sensation Hilary Duff is getting hitched!
Duff's boyfriend of more than two years, hockey player Mike Comrie, 29, popped the question while the couple was vacationing in Maui this week, according to HollywoodLife.com. These pics seem to capture the proposal in action. You be the judge!
]]>Follow Zap2it's Dish Rag on
Twitter and Facebook for more celebrity dish and
More Hilary dish:
Hilary Duff's father leaves court in handcuffs
Hilary Duff hits back, Joaquin Phoenix defends rap, Sam Lufti sues Britney, Nicole Kidman gets licked? Photo credit: Wireimage


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Two more trailers have hit the internet since YouTube was refreshed.
Firstly, "CBGB", with "Harry Potter"'s Alan Rickman playing club owner Hilly Kristal (and Ashley Greene – Clint's favourite – as some pretty young thing; typecast much!?).
In addition, there's a "Thor : The Dark World" trailer online. Not enough superhero movies around, glad they made another.
We also have a new one for "Captain Phillips" – the next film Tom Hanks will win an Oscar for.


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Stratego is a military strategy board game for two, with a checkered playing field of 10 X 10 with 40 closed figures on each side. The figures are represented by cut cylinders. Thr cut side of the cylinder faces the player and displays the rank of the piece. The rank of enemy figures is revealed during attack. The goal is to detect and capture the enemy's flag. The history of the game: Stratego has its roots in medieval China.
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Born in 1973 Marco Acerbis graduates in architecture from Politecnico di Milano in 1998. From 1997 to 2004 he lives in London where he works with Lord Norman Foster's Studio. Over these years he collaborates on the construction [...]
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Inspiring Elementary Learners: Nurturing the Whole Child in a Differentiated ClassroomBy: S. Joy Stephens (author), Kathleen Kryza (author), Alicia M. Duncan (author)Paperback
1 - 2 weeks availability
Description'One of the very few professional resources that I could not put down. I recommend this book to every teacher I work with, and I use it every day in my work with teachers and students' - Diane Fleming, Advanced Placement Coordinator Sioux City Community Schools, IA. 'This is differentiation at its best! This valuable resource provides the tools necessary to meet the wide range of student needs and abilities within a classroom. It will be a timeless resource that all educators will want on their desk' - Jeannie Donoghue, Professional Development Director Bureau of Education and Research.Inspire a love for learning through differentiated lessons and activities! Today's classrooms are more diverse than ever before, with students of many languages, cultures, backgrounds, abilities, and skills all in one room. This accessible resource illustrates how elementary teachers can use differentiated instructional techniques to nurture a love for learning in socially, culturally, and academically diverse learners. "Inspiring Elementary Learners" offers step-by-step instructions for creating a learning environment that engages all students, and provides creative strategies that can be easily implemented in the classroom.The authors include lesson examples and assessment rubrics across the core subject areas, showing how to cultivate a community of learners who honor themselves and each other. Based on current educational research on metacognitive strategies, learning styles, constructivist thinking, and choice theory, this handbook helps educators: design lessons to foster students' intrinsic motivation; teach for deep understanding while meeting content standards; and, create and implement differentiated strategies. This practical guide provides teachers with the tools they need to reach, teach, and inspire diverse student populations and cultivate an engaging classroom environment.
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About AuthorKathleen Kryza consults internationally for her company, Infinite Horizons, and also presents nationally for the Bureau of Education and Research (BER). Kryza has more than 20 years experience in motivating and reaching children, educators, and others through her teaching, consulting, coaching, and writing. Her expertise is in working with students in special education, gifted education, alternative education, and multicultural education. She has a master's degree in special education and is an adjunct professor in special education at the University of Michigan-Dearborn. Alicia Duncan is a consultant, program coordinator, and teacher trainer for the Waterford School District in Waterford, Michigan. She shares her expertise across the state of Michigan and throughout the nation in reaching and teaching English Language Learners, gifted students, culturally diverse learners, and inclusion students through differentiated instruction. She has a master's degree in ESL teaching methodology. S. Joy Stephens has taught middle and high school students of all levels and abilities in differentiated science, math, and foreign language classrooms. She is a presenter and trainer in practical strategies for differentiating classrooms and inspiring students. She has a master's degree in biology.
ContentsList of Figures Preface Acknowledgments About the Authors 1. Growing Lifelong Learners 2. The Inspiring Classroom: Theory Into Practice 3. Building Community, Honoring Individuals 4. Apprenticeship Learning: Nurturing Lifelong Learners 5. Flexible Grouping 6. Teaching for Meaning 7. Instructional Elements to Differentiate 8. Deep and Dynamic Design #1: Choice Menus 9. Deep and Dynamic Design #2: RAFT Plus 10. Deep and Dynamic Design #3: Tiered Lessons 11. Deep and Dynamic Design #4: Contracts 12. Deep and Dynamic Design #5: Stations 13. Deep and Dynamic Design #6: Compacting 14. Assessment and Grading in the Inspiring Classroom 15. Learning to Grow an Inspiring Classroom 16. Reaping the Harvest: Creating an Inspiring Legacy Resources References Index
Product Details
- publication date: 20/10/2008
- Format: Paperback
- Number Of Pages: 264
- weight: 703
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A haul of nearly one thousand chainsaws has been seized in Dover after it was found the products had serious safety faults.
Trading standards seized nearly 486 boxes containing the self-assembly chainsaws that had arrived in the UK from China, with their final destination believed to be Poland.
According to reports, the chainsaws had a number of faults, including kill switches, which are supposed to stop the chainsaw from rotating immediately, taking up to five seconds longer to stop.
Failures were also found with the brakes, meaning that no matter how hard they were pushed they could not slow down the chainsaws rotating blade.
Mark Rolfe, Kent County Council's trading standards manager said that the seizure was critical in stopping these "dangerous products" from being sold to unwitting consumers.
He said: "Not only should they be banned from sale in the UK, but even if they were intended for sale in Poland, we would not approve exporting them.
"As well as blocking the entry of these into Europe, we have put out a Europe-wide warning to try and protect consumers across the EU from these dangerous products."
According to paperwork accompanying the boxes, the value of each box was just £2.30, over £50 cheaper than what similar chainsaws from China would usually fetch.
It is now believed that chainsaws will be destroyed, with Trading Standards saying that they could be donated to charities, who could sell off the spare parts for scrap.Reuse content


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Skinessence Medispa
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Make your skin look 10 years younger at Skinessence Medi Spa Featuring a serene atmosphere and a varied palette of skin treatments, the salon promises to exceed all your expectations.…Book Appointment
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Located in the heart of the Italian Forum in Leichhcardt, Epigenesis is one of the top places for cosmetic injections and hair extensions. The company uses advanced and sophisticated technology…Book Appointment
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text: I thought we could discuss what everyone thinks Saturday Mornings will look like in the fall 0f 2013, 5 years from this fall. For ABC I think they will have Good Morning America from 7-10 and air a Disney Channel block from 10-12 consisting of their current shows by then. For CBS they will probably be just news all morning. For NBC they will probably be a hit with Qubo and making their own shows by then. For FOX they will probably air DIC cartoons that local stations air around the country right now. The CW will probably keep 4kids and be renamed just 4KIDS TV since Fox probably will have given up their rights to 4kids shows. I bet Spectacular Spiderman will probably be on its sixth season and near cancellation. The CW will probably be the only ones getting ratings too. What does everyone else think?


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From Zane's Dogster Photos[ View profile page ]
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My what big white teeth you have!
...I can see a little of myself in this pic
Wildebeest creates the perfect present for new dog parents.16
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Up to date voucher codes on your websiteCodesHUB is an up to date web service providing voucher codes, discount codes and offers for hundreds of online retailers. You can easily integrate our data into your website and help to convert your visitors into customers.
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Recreation Pets Dogs Breeds Working Group Newfoundland Clubs
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Sites 18
Colonial Newfoundland Club
Breed information, photos, events, breeders, and rescue. Serves Virginia, Maryland, D.C. and West Virginia.
Columbia River Newfoundland Club
Events, photographs, links, Newfoundland pet information, and webrings. Camas, Washington.
Genesee Region Newfoundland Club
Events calendar, membership application, rescue, water work, brags, and photos. New York.
Great Lakes Newfoundland Club
Events calendar, rescue, membership application, links, mailing list. Michigan.
Heart of America Newfoundland Club
Calendar of events, membership, and rescue. Serves Iowa, Kansas, Missouri, Nebraska, and Oklahoma.
Mid Essex Newfoundlands Group
Includes photograph galleries, upcoming events details and club information. United Kingdom.
New-Pen-Del Newfoundland Club
Breed information, breeders list, health, rescue, membership application, events, draft and water work.
Newfoundland Club of America
The official parent club of the breed in the United States. Breed information, health, calendar, water and draft work, membership information, and photos.
Newfoundland Club of New England
Calendar, event reports and photos, membership application, mailing list, rescue and referral.
Newfoundland Club of Northern California
Events calendar, show results, membership information, puppy buyers guide, and health glossary.
Newfoundland Club of Southern California
Breed and club information.
The Newfoundland Club UK
The official parent club of the breed in the United Kingdom. Guide for prospective owners, breed information and standard, membership, health, events calendar, water work, and photos.
North Central Newfoundland Club
Events calendar, health, rescue, membership information, and prospective owner frequently asked questions. Illinois, Wisconsin, Iowa.
Northern Newfoundland Club of Great Britain
Events calendar, information on their activities, newsletter, show results, and how to join.
The Pacific Northwest Newfoundland Club
Prospective owner guide, breeder list, membership information, rescue, event reports, calendar, water and draft work, newsletter, photos. Oregon, Washington.
PennOhio Newfoundland Club
Events calendar, water and draft test results.
South Eastern Ontario Region, Newfoundland Dog Club of Canada
Water and draft tests and seminars, social events, calendar, photos, and member email list. Ontario.
Southeastern Newfoundland Club
Calendar, event information, rescue, membership application, current newsletter, and photos. Georgia, Alabama, North and South Carolina.
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Results 1 to 3 of 3
Thread: No Draining
March 5, 2009, 08:25 AM #1Junior Member Registered User
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- 12-17-08
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- 6
No Draining
I am so filled with fluid and feel totally crappy. I have had no problems being on Pd, however Monday my machine alarms slow drain. I had just had my tube replaced after six months. Tried standing and moving around to get it going, but no luck.. It filled after a couple of slow flow, Now I have about 2000ml fluid in my stomach and it won't drain out.
I tried manually drain and nothing happened. I'm not constipation and ruled that out,
I never had a problem before draining until my PD nurse change the tubing. I went on Tuesday to have it exchange, but no luck. Still will not drain. Tried heparin, but there was no fibrin and my fluids are clear. I went for xray yesterday and have an appointment with the Kidney Doc today. My stomach and side hurts so bad. Any advice I'm all EARS, I NEED TO GET THIS FLUID OUT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!1
Last edited by llaarkin; March 5, 2009 at 08:28 AM.
March 5, 2009, 05:23 PM #2Resource/Policy Associate Registered User
- Join Date
- 06-25-04
- Location
- Kansas
- Posts
- 1,769
We are not physicians and it's good that you're to see your kidney doctor today. You might want to look at this thread:
After you see your doctor, please let us know what you learn and what he/she recommends.Beth Witten MSW ACSW LSCSW
Medical Education Institute, Inc.
March 6, 2009, 02:14 PM #3Junior Member Registered User
- Join Date
- 12-19-07
- Posts
- 28
HI I am actually going through the exact same thing.. I fill can't drain and having bad pain..It turns out my catheter moved upward and is up near my breastpone instead of down by pelvis My pain is all on the one side and gets severe.. Have you had the test done where they put the dye in the catheter ?? that is how we found out what was wrong with mine.. The other thing that was mentioned to me is the omentum (sp) it is a fatty tissue that clogs the opening of the catheter that can be cut away..Best of luck to you I am suffering with you. I hate going to the clinic for dialysis and have become spoiled by pd
Similar Threads
Pain When DrainingBy DBurgejr in forum PD For PatientsReplies: 1Last Post: February 16, 2012, 09:42 AM
New PD pain, not related to drainingBy Irritated Girl in forum Judith Bernardini, PD NurseReplies: 1Last Post: November 4, 2010, 02:52 PM
Problems Draining?!?!By ima_angel_21 in forum PD For PatientsReplies: 7Last Post: December 21, 2008, 09:22 PM
Omemtum removal for better PD drainingBy Anonymous in forum PD For PatientsReplies: 1Last Post: January 27, 2006, 10:27 AM
shoulder pain after drainingBy clholt in forum PD For PatientsReplies: 3Last Post: December 20, 2005, 11:32 PM


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The Horse Forum (http://www.horseforum.com/forumindex.php)
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- - Close Contact Jumping Saddle (http://www.horseforum.com/au-tack/close-contact-jumping-saddle-88653/)
Close Contact Jumping Saddle
Estate 17inch black close contact jumping saddle. Made in Walsall England this is a true close contact saddle with thin panels, no knee/thigh blocks and long girth points so you can get close and personal with your horse. Medium 51/2inch gullet. Well used but sound. Unmounted. $300 Photos avail email wocparc @ gmail . com
Well, we still have it so are open to offers as it is just in the way here
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The Horse Forum (http://www.horseforum.com/forumindex.php)
- Horse Tack Reviews (/horse-tack-reviews/)
- - High Horse Eldorado Saddle by Circle Y (http://www.horseforum.com/horse-tack-reviews/high-horse-eldorado-saddle-circle-y-190137/)
High Horse Eldorado Saddle by Circle Y
I just bought this saddle off ebay. Very nice saddle, very well made. It is cordura and leather saddle. Lightweight and seems to fit my narrow TWH great. The seat is super comfy and the stirrups are endurance type trail stirrups which are also very comfortable! Can't wait to go on a trail ride in it, only rode around my place for a few minutes. Very happy with it so far, will give an update after I ride in it a little more!
Okay, update. Rode in it today for about an hour going up and down hills and also walking and gaiting and I LOVE IT!!! The seat is padded, but you sink down into it instead filling like you are sitting on a pillow. My horse seemed to like it and it stayed in place. When I took it off I had a nice, even sweat pattern without any dry spots!! So happy!!
Whoo! It's gorgeous!
Very nice!
It looks great on him and love the color!!!
Hi, I wanted to order one of these myself but am concerned that my horse is too narrow. Can you please describe your horse's back?
Many thanks!
Thanks everyone! I am still really liking this saddle! I have been trail riding in it a lot and it still fits him great!
jwescher- My horse's back is very narrow with high withers. He has plenty of room in the gullet for his withers! I think they make this in regular and wide, just make sure you get regular. Good luck if you do get one... hope it fits your horse as well as mine!
:-)If it's not a lot of trouble would you mind posting a straight on photo of the front of the saddle? I appreciate your help so much and have some excitement back that this saddle might work.
Yes, I can try to get a pic of it and post on here. I am going out of town tomorrow so I will try to get it on here before then!!
Thank you so much!!!!
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