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Spring Meeting: New Officers Elected
We were a sponsor of the Millersville Native Plants in the Landscape Conference along with Bowman's Hill. Our new Banner was on display. Click HERE to view it.
Latest Newsletter
Our Summer 2017 Newsletter is out. Click HERE to read.
Upcoming Field Trips
Click on Field Trips in the menu on the left for details and directions to the remaining 2017 Field Trips.
- July 8, Saturday, 10am: Green Lane Reservoir, Montgomery County, PA
- July 15: Bowman's Hill and Schiebers' Garden, Bucks County, PA Other Events
- June 23 MANTIZ Bioblitz at Green Lane Park 11 am until 11 am Sat June 24.
- PHS Begonia Propagation Workshop Join Meadowbrook's Greenhouse Manager Nate Roehrich on Wednesday, July 19, 1 to 3 p.m., for a hands-on workshop focusing on propagation of begoinas and tips for maintenance. Enroll at PHS>
The purpose of the Delaware Valley Fern & Wildflower Society shall be to encourage the enjoyment of native Ferns and Wildflowers by cultivating and propagating them in the home and garden; by studying them in their wild habitats, gardens and conservatories; by promoting their conservation and preservation; and by providing a forum for the exchange of information and expertise.
Membership in the DVFWS is open to anyone who is interested in native ferns and wildflowers and is willing to support the society. Two general membership meetings are held each year and many field trips are scheduled each weekend to areas rich in botanical interest. Membership is available for individuals or for a household for one year or three years. For additional information contact any of the officers.
Join us! Renew! Print and mail in the membership form.


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Published time: 27 Jul, 2017 14:48 Labour leader Jeremy Corbyn, a lifelong Euroskeptic, reportedly told Venezuelan President Nicolas Maduro that EU institutions are bad for the poor. The Daily Mail – which calls the democratically-elected Maduro Corbyn's "dictator pal" – says the Labour leader made the comments in 2014, a ...Read More »
'Opportunities missed' to stop radicalization of British brothers killed fighting in Syria – report
Two teenage brothers from Brighton who were killed while fighting in Syria were radicalized under the noses of police and social services, a damning report has found. Abdullah Deghayes, 18, and his 17-year-old brother, Jaffar, are the subjects of a serious case review published by the Brighton and Hove Local ...Read More »
Transgender troops welcome in British military after Trump ban, say generals
Published time: 27 Jul, 2017 10:59 In the wake of President Donald Trump's shock ban on transgender troops serving in the US military, senior British officers have insisted the UK has no intention of following suit. Trump took to Twitter on Wednesday to confirm that the ban on transgender service ...Read More »
Excessive force? London police point assault rifles at men in traffic stop (VIDEO)
Published time: 27 Jul, 2017 10:52 Police in London have been accused of using "excessive force" after being caught on video pointing assault rifles at two young men as they held their hands in the air. Mobile phone footage posted on Facebook shows two armed officers aiming their weapons at ...Read More »
Brexit plans in chaos as govt contradicts itself over migrant free movement
As the government announced the start of a year-long study on the effects of EU migration, to help ministers craft a post-Brexit immigration system, Tory MPs have been making contradictory remarks on when exactly free movement will end. Read more Home Secretary Amber Rudd has commissioned the Migration Advisory Committee ...Read More »
Calais migrants 'hijack truck after attacking British driver with brick'
A British truck driver was attacked and left for dead in Calais, northern France, when migrants hijacked his vehicle in a bid to enter the UK, it has been reported. The incident comes as Human Rights Watch released a report condemning the "routine" abuse of asylum seekers by French police. ...Read More »
Policeman who filmed couple having sex from helicopter had 'swung' with housewife, court told
Published time: 26 Jul, 2017 15:23 A police officer dismissed for filming a couple having sex on their patio from a force helicopter is now accused of swinging with them and supplying the husband with a copy of the film. The court heard how Police Constable Adrian Pogmore, an aerial ...Read More »
Tory govt must refund millions to workers as employment tribunal fees ruled 'unlawful'
Published time: 26 Jul, 2017 13:18 The government must pay back millions of pounds in employment tribunal fees after the Supreme Court ruled the charges introduced by former Prime Minister David Cameron are "unlawful and unconstitutional." Wednesday's "landmark" decision marked a victory for the public sector trade union Unison, which ...Read More »
Tributes pour in for Muslim teen 'raped, murdered & stuffed in freezer' in 'honor killing'
Published time: 26 Jul, 2017 12:45 Online tributes are pouring in for Celine Dookhran, the 19-year-old whose body was found mutilated and stuffed inside a freezer at a £1.5 million London property. People took to Facebook and Twitter to mourn the "beautiful" young woman's brutal death. My heart is breaking ...Read More »
Grave robbers targeted Princess Diana's burial site 4 times, brother reveals
People have been trying to steal from or dig up Princess Diana's grave, with four attempts being made over the last 20 years, her brother has revealed. Read more Earl Spencer said the decision to bury Diana on an island at Althorp, the Spencer family estate, rather than in the ...Read More »

subset: commoncrawl


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Cheap flights from Florida to Tirana
Travel > Europe > Albania > Florida to Tirana flights
In warm summer nights or clear afternoons, you can choose some restaurant with a view, like Dreri, Lion Park, Nena Mbretershe or Juvenilja Castelo. As their names suggest, all these restaurants are situated in the proximity of a park, and most of them have a terrace and offer a combination of Albanian and Italian dishes.... (read more in our Tirana Nightlife)
Check current prices for flights to Tirana at our partners' sites:
Search and Compare cheap Flights
Cheapest flights found for the next 6 months(click city name to see more / use right arrow to view later months)
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Version: 1.4
Platforms: Android
Distribution Type: Freeware
Downloads: 1073
File Size: 7066 Kb
Asma' Al-Husna (Names of Allah) - The 99 names of Allah in Islam. Each name is displayed in arabic with its transcription and translation. You can also learn the names thanks to the audio playback.
This application is translated into 8 languages:
- english language,
- german language,
- french language,
- Spanish language,
- indonesian language,
- italian language,
- russian language,
- turkish language.
If you have remarks, please email me.


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Featured property
Featured property
5 Bedrooms Detached House for sale
Somertrees Avenue, Grove Park, London, SE12
A huge five bedroom double fronted detached family house with a fantastic 185ft garden in this popular road just a few minutes walk of grove park station.
4 Bedrooms Semi Detached House for sale
The express estate agency is proud to offer this realistically priced opportunity all interest and offers are invited.
£650,000 Guide Price
4 Bedrooms Semi Detached House for sale
Refurbished and extended four bed, two bath semi detached house ideally located for grove park station.
Spacious and beautifully presented 1930's family home with a huge beautiful garden, large driveway, off street parking and a garage. located in a prime position close to local…
3 Bedrooms Semi Detached House for sale
Chinbrook Road, London, SE12 9QL
Larger than average three bedroom semi detached home located within walking distance of grove park rail station and the prestigious eltham college. redecorated throughout with a new…
4 Bedrooms Semi Detached House for sale
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£485,000 Guide Price
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*guide price 485,000 - 500,000*newly redecorated 1930s semi-detached house, boasting private garage, unrivalled extension potential and 90ft garden - set on one of the most desirable…
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Marketed by:
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Tel: See phone number 020 8857 8857
Website: Go to Agent Website


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Thank you, Barack Obama! (No, Really!)
Recently I had an epiphany about how wrong it is that many of us have been badmouthing Barack Obama, blaming him for everything that's gone wrong with the United States since he was elected into public office. Instead of blaming him for all the damage he's created, we should be thanking him. Think of what you did BO (Before Obama) with all of your spare time. We mainly went about our business working and raising our families. Most of us weren't involved in politics at all—we simply voted for whomever represented our party affiliation.
So as of right now, I am personally thanking Obama. Because of him, millions of us are now fighting to defend and protect our constitutional rights.
We are fighting election fraud and we are defending freedom of religion–meaning people can worship as they choose without government interference and can assemble without fear of Uncle Sam knocking on the door attempting to dictate the sermon.
Yes, We the People should be thankful that Barry has reminded us how fragile our liberty can be, causing so many of us to stand strong with a united front to protect our rights.
Now, because of Obama, we are acutely aware of what "freedom of speech" really means. People are up in arms about the government attempting to control what individuals and privately owned corporations can and can't say.
And speaking of arms, we have also been reminded of how very important our 2nd Amendment–the right to bear arms – really is. We should definitely be thanking Barry for this one because more people are buying guns than ever before. Thank you, Barry, for waking up that drowsy giant.
If Obama weren't in office, ordinary people would still be pressing the snooze button. Thankfully the alarm has gone off and people are in wake-up mode with the throttle on full blast.
Our constitution wasn't much of a conversation piece before 'ol Barack came along. Now, ordinary American citizens have drawn a line in the sand and said, "No more, enough is enough!"
Before his placement into the Oval Office, Americans went on their merry way and didn't get involved in "issues" because there wasn't a need to. Many folks thought, "The government knows what it's doing". Sure, a few politicians were crooks, but there's always a bad apple in every barrel.
But then, Obama came along and suddenly we were learning about things like Sharia Law. His administration scolded us when we questioned it saying, "Come on people, you're being overzealous and judgmental! There's nothing to worry about, just a few people wanting to practice their particular brand of faith.
So you see my fellow patriots, we should be thanking Barack Hussein Obama for showing us what we're fighting for. Now, more than ever, ordinary Americans are getting involved to protect all rights for all people—no matter their color, creed or anything else–as our constitution provides.
People have had enough of corrupt politicians and their land grabbing political correctness, striving to shaft the United States into the dark ages. So indeed, we should be thanking the president for bringing us back to life to take a stand and saying, "No More – here's the line in the sand." No more complacency. Thanks to this administration, we've been reminded what this great nation was originally intended for – government of the people, for the people, by the people with freedom for all, Under God, with liberty and justice for all, and reminded us that the United States is worth fighting for!
Join the conversation!
We have no tolerance for comments containing violence, racism, vulgarity, profanity, all caps, or discourteous behavior. Thank you for partnering with us to maintain a courteous and useful public environment where we can engage in reasonable discourse.
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Watch Featured Movies
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|Posted by withit062714 5 years, 10 months ago
What a great ol' movie! It's got enough panache to make the film's original tedious social commentary still come off as totally campy! (Oh ya, and Dollface, aka Trixie LaRoux, gives this flick "5/strip searches outta 5...my-right-handa-God-I-ain't-lyin'" etc, etc...) =^.^=
|Posted by arossi 6 years, 8 months ago
Eleanor Parker got a Best Actress Oscar nomination for this film!
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Man is accused of forging documents to trick people into paying him for properties he did not own.
Rental scam cost victims Dh200,000, charges say
DUBAI // A salesman is accused of forging a property ownership certificate and using it to defraud people interested in renting homes, a Dubai court heard this morning.
The Pakistani man, AS, 38, is accused of posting online advertisements offering villas and other residential units for rent, the Dubai Criminal Court of First Instance was told.
In October 2010, records said, he presented a fake ownership certificate to a two victims who responded to the adverts.
The records said AS photocopied the certificate, then changed the information on it before presenting it to the potential renters.
He is also accused of forging the lease contract by adding his name as the owner of the property, prosecutors said.
Prosecutors said that last year he presented the forged documents to the victim LM, who paid him Dh200,000 for what was supposedly a lease on a unit.
Another victim, RA, a 30-year-old safety officer from Jordan, told prosecutors he also read the advertisements and contacted the defendant, agreeing to rent from him after seeing the forged documents.
Police said that during investigations AS confessed, records show. He added that he was not authorized by any of the units' owners to advertise their property or lease it to others.
AS told police investigators that he showed a forged Pakistani passport as part of the scam.
The next hearing was scheduled for March 14 to summon AS.


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A PhD or Doctor of Philosophy is a postgraduate academic degree awarded by universities. Once one attains a PhD he or she may often be referred to as a doctor.
A PhD degree is the highest degree students can earn in any field of study. Rigorous and intense, PhD programs are available only to students who have completed master's degree program, applied to a particular PhD study course and been accepted by administrators overseeing the PhD program.
The Netherlands is a constituent country of the Kingdom of the Netherlands, consisting of twelve provinces in North-West Europe and three islands in the Caribbean. English speaking students will have no problems finding suitable courses. For international students applying to universities in the Netherlands, several scholarships are available.
Top Doctoral Programs in Business in Netherlands 2017
The International Business School, The Hague (IBSH), offers a PhD programme in Business and Management studies, in cooperation with Sapienza University of Rome, Italy. The PhD programme is part-time, and therefore well-suited for professionals that want to get a doctorate in combination with their career. [+]
PhD - Doctor of Philosophy in Global Studies (60 credits) [+]


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The Bristan Atoll is located in the Sea of Songs in the Great Ocean, and in which lie both Alais and Ge'en.
It features on an old map Ragnar drew in 1996/7, and appears to have been either added at a later date or perhaps altered at some point.[1]
- ↑ Ragnar's blog - early Arcadia map


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- Anonimowy
- USA, Kobieta, 25-30
- Nowicjusz
- 4 Recenzje
Great place to stay with a quick walk to the old town. Above all, these are great people. My friend and I were in a minor car accident and the host's son, Samir, came and translated for us and helped us with the police. The family was incredibly kind and helpful. The terrace is also a great place for a cup of coffee or a glass of wine at night.
- Anonimowy
- Rumunia, Kobieta, 25-30
- Obieżyświat
- 23 Recenzje
We stayed here only for one night, therefore we could not experience much. I felt the owner could have invested a bit more in the facilities, otherwise the place was very clean and quite close to the city centre...good value for money though.
- Anonimowy
- Kanada, dwójka, 41+
- Nowicjusz
- 4 Recenzje
We loved our room with balcony overlooking the city. It is on the opposite side of the river to the old town but just a short walk. The owners picked us up from the bus station which was very helpful as it is not obvious to find. This is a family home with guest rooms and not a hostel. Great value for money.
- Anonimowy
- Anglia, Kobieta, 25-30
- Nowicjusz
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Friendly hosts, great view and amazing homemade breakfast.
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text:
This was first published on September 27, 2010.
During the 2006 Winter Olympics, I watched an Italian female figure skater finish her Olympic routine. She had retired in 2002, but came out of retirement just to skate in her home country. She really didn't have a chance to medal, but it was enough for her to skate at home. Near the end of her program she did two spin jumps in a row and nailed both of them. She threw up her hands and you could just feel the joy. I actually got chills and thought that, even though she might not realize it, she was bringing glory to God by doing what she had been gifted to do and thoroughly exulting in doing it well. It reminded me of what Eric Liddell said in Chariots of Fire - "God made me fast, and when I run I can feel His pleasure."
How would our lives be if we recognized what God made us to do, and felt His pleasure when we did it to the best of our ability? What would our witness to the culture look like? I suspect far different than it currently does.
Thursday, October 16, 2014
Blast From the Past: Exult in What You Do
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Spy camera disguised as car key fob coming soon1/5
A new spy camera is due to be available in the UK next month that takes the form of a everyday object most people would not glance twice at (unless, of course, they've read this news story).
The new miniature camera is cleverly disguised as a car remote control key fob and can record 640x480 AVI video with audio as well as taking still images.
Offering the "ability to conduct up-close covert surveillance", retailer Thumbs Up says: "Attach it to your keys to discretely to record conversations and events without anyone noticing that you have a camera".
"Holding a set of keys in your hand is perfectly natural and it would also be completely unremarkable to put your keys down on a table in front of you. If you position them carefully, you can record everything that you want it to, without anyone noticing that they're on camera".
Obviously only to be used for the forces of good, the tiny digi-cam boasts 2GB of internal storage while there's a mini USB port for transferring the footage to a PC and recharging the device and the camera can timestamp the video too.
The spy gadget goes on sale from Thumbs Up UK from the end of September priced at around £60.
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Nurse's Drug Guide 2011 TR
by: MobiSystems • 456
All Android applications categories
by: MobiSystems • 456
Everything nurses need to know about 1000 common medications -- in one pocket-sized guide!
*** Fully Functional 7-Day Trial ****
Specifically geared towards patient-care, this instant-access guide provides registered nurses with essential, up-to-the-minute information on the selection and administration of 1,000 commonly used medications. This nursing classic is revised annually to reflect approval of new drugs, changes in usage of current drugs, and withdrawal of older ones.
* Organized alphabetically by generic drug name
* Mechanisms of action
* Common usage and dosage
* Side effects
* Drug Interactions
* Nursing implications
* New drugs
* Patient education
* Expanded coverage of medical herbs
"This very useful drug reference will easily fit in your lab coat pocket. The information is accurate and up to date. Due to size constraints, only the most frequently used medications are included in this book. This book retains its value by being revised yearly and maintaining a database of the most current information."--Doody's Review Service
Biographical note
Author Profile
Judith Barberio PhD, RN, APN, C, ANP, GNP, FNP, SNC is a Clinical Assistant Professor at Rutgers University School of Nursing. In addition to being the author of the annual Nurse's Pocket Drug Guide, she has conducted research on chronic illness, primary health care in urban settings, pharmacology and pain control, and health policy. She is also President of the Rutgers University School of Nursing Alumni Association.
A search tool
Featuring various search options to help you find the words you need more easily, including:
* A quick search of words while you type
* A 'fuzzy filter' for when you are not sure of the correct spelling of a word
* A 'keyword' search for finding key words within phrasal verbs
* A wild card search facility which can replace a letter or a group of letters
A learning tool
The dictionary app includes a number of features which help you to expand your vocabulary further:
* A 'Favourites' feature allows you to create your own categories and lists of words
* Your last visited words are all saved in your 'History', so that you can quickly look back at recently checked words
* Discover a new word every day with the 'Daily' feature
* Ability to have dictionary Word of the Day as a widget on the device home screen
* See words in context with example sentences
* Online and offline modes supported, the offline mode allows you to download the whole dictionary and work independently from data connections
Tags: nurse's drug handbook tr apk , guide for nurses , nurses drug handbook apk offline , blog drug apk , officesuite oxford dictionary of english apk 4.2.048 , free nurse's drug handbook full version , nurses drug handbook tr apk , free nursing dictionary apk , ems pocket drug guide paid version
from 456 reviews
by chris keeble
Feb 17, 2017 | "Poor"
24 hr trial, then $13.00
by kuntham k
Nov 29, 2016 | "Poor"
Not badd
by manoa titus
May 25, 2016 | "Awesome"
by Carla Phillips
Nov 22, 2014 | "Poor"
Not a Free app!! You get it loaded, 1 day trial. Then need to purchase. Don't waste your time. There are other apps just a good and STAY free.
by priyanka sharma
Nov 13, 2014 | "Great"
by Nick Warner
Sep 30, 2014 | "Great"
Being a nurse myself I found this app useful as I could look up drugs immediately without having to trawl through books. It is a very comprehensive guide to all the main drugs on the market.
Download Nurse's Drug Guide 2011 TR
Free - V4.3.136 - 4M
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Riddick - Details About Upcoming Director's Cut
Earlier this year, Riddick director David Twohy was not so sure about a possibly longer Director's Cut of his movie and was coy about details. Now, with the film in cinemas, he's more relaxed and talks to the guys over at Collider a little more freely. A little more info on the nature of the additions and their probable runtime is shared in the interview:
Release: Sep 11, 2013 - Author: Mike Lowrey - Translator: Mike Lowrey - Source: Collider
Jul 23, 2017 976-EVIL on Blu-ray
Jul 23, 2017 Between Night and Dawn - New Romero Box
Jul 23, 2017 Blood Feast Remake Cut for R-Rating
Jul 23, 2017 Antropophagus Remastered by 88 Films
Jul 23, 2017 No Extended Version for Alien: Covenant
Jul 23, 2017 Cult of Chucky Also Gets an R-Rated Version
Jul 23, 2017 Hatchet: New Cut in Sight
Jul 23, 2017 Spider-Man: Homecoming - Trailer Scene Not in It
Jul 23, 2017 Cabal Cut of Nightbreed About to Be Released
Jul 23, 2017 Carpenter's The Thing in UK by Arrow Video


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Lotte Lemor
Flere idéer fra Lotte
Globular ceramics: Ken Price at Hauser and Wirth in London | Wallpaper*
Coby Whitmore; nice illustration style
Google Image Result for http://photos1.blogger.com/x/blogger/6238/3237/1600/223850/1097230987676.jpg
willem de kooning
A selection of men with #beards from Ray Turner's Population exhibition. Ray Turner travels the country to meet and paint members of the community in the cities where Population is shown. Their portraits join hundreds of others in the ever-expanding Population exhibit. #art #oilpainting #portraiture
working Progress_ARBOREA
Aura Hakuri
- Alex Pinna


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Sign In for your personalized experience!
United through music we dance into the Future!
Sommer, Sonne, Strand und gleichzeitig die heißesten aktuellen Musik Acts – da...
Harrison Mills and Clayton Knight are the two masterminds behind Odesza and they are set to release their next album 'A Moment Apart' this fall which is available for pre-order and on Spotify.
Odesza partnered up with Native Instruments who are the makers of...[more]
Tre Sera known as Trevor Vesneski is a musician based out of LA with an impressive history of singing, songwriting, production alongside DJ-ing.
November 2016 was the beginning of his solo project and in just three tracks since then, Tre Sera has imprinted h...[more]
André Campos Romero (DJ Nochi) Artista costarricense nacido el 2 de mayo de 1990 con su poca edad y gran talento conocido por el sobrenombre de "Nochi".
Graduado del ...


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Workcamp Details
Description: Volunteers are going to work near the area of the former concentration camp Ravensbrück, which was established in 1939 by the SS and became the largest concentration camp for women during the time of fascism. During the 6 years until its liberation in April 1945 about 132.000 women and 20.000 men were brought into this camp to work. Thousands of them lost their lives here. Today this place is a memorial. The memorial is close to the small town Fürstenberg/Havel, situated in the north of the federal state Brandenburg, about 80 km north of Berlin. Please check this site to inform you: http://www.ravensbrueck.de/mgr/neu/.
Type of Work: The group will do some maintaining work on the area of the women's concentration camp. There are many different tasks to be done: cleaning the area of wild growing vegetation, environmental work and investigation work. Your help will be needed to clean sculptures, to prepare a working site and to do other works outside.
Study Theme: In the memorial, there are many possibilities to read about the history of the women's concentration camp and about the background of fascism. Volunteers can use materials from the library and the archives in different languages. A main topic for the study part will be the special camp, where the participants work. A "Listening Lab" workshop is planned. Please bring along an object, which you would like to integrate into this sound installation and/or a musical instrument. You will also participate in the 13th "Ravensbruecker Genereationenforum", a meeting with former inmates.
Accommodation: Youth hostel
Requirements: For this Workcamp it is necessary to have (very) good English skills! German skills are beneficial. Please bring an object as an audio source.
Approximate Location: Fürstenberg / Havel
300 Projects available today!
Hors Tribu Festival (Môtiers NE)
28 Jul 2017 - 12 Aug 2017
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All Celebrities News (Jul 26, 2017 2:24:49 pm UTC)
|Brooke Shields, Susan Lucci, Orfeh, and More Set for CELEBRITY AUTOBIOGRAPHY
Thu, 20 Jul 2017 12:30:00 GMT
New York's funniest show, Celebrity Autobiography: THE 2017 EDITION has 2 special Hamptons shows on August 25 at Guild Hall and an upcoming NYC show on August 28 at 7pm at The Triad (158 West 72nd Street) which will feature stars of stage & screen ...
Read more
Calvin Klein's Fall '17 Campaign Highlights New Denim Collection
Mon, 24 Jul 2017 23:40:00 GMT
brooke shields, marching band uniforms, workwear and western wear make for an eclectic Fall '17 collection and campaign by Calvin Klein. The brand released its new campaign, titled Calvin Klein 205W39NYC, on Monday, for the collection designed by Calvin ...
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Pukwana woman arrested on child abuse charge after being found with meth
Fri, 21 Jul 2017 10:10:00 GMT
While conducting the traffic stop, the officer identified the driver as 25-year-old brooke shields, who the officer had stopped a week prior and found with marijuana and drug paraphernalia, according to court documents. Shields said she knew her son was ...
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Brooke Shields, 52, covers BARE BUST as she strips TOPLESS in sizzling throwback shot
Sun, 16 Jul 2017 22:42:00 GMT
The now 52-year-old beauty - who starred as Emmeline Lestrange in the 1980 flick - dared to bare as she covered her breasts with her long brunette locks in the racy offering. Brooke flaunted her washboard abs and golden tan in the barely-there ensemble ...
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Style Swoon: From Bella Hadid's rock star belt to Sienna Miller's ear candy, FEMAIL reveals the fashions that caught our attention this week
Fri, 21 Jul 2017 09:12:00 GMT
Pay attention to your gut, to that little voice inside you, and go with it,' she advises. brooke shields, 52, stuns on the pages Social Life Magazine this month. By placing women over fifty in the pages of the magazine, editor-in-chief, Devorah Rose ...
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'Outdaughtered' Dad Reveals Struggle With Postpartum Depression
Mon, 24 Jul 2017 14:03:00 GMT
Thanks to celebrity moms like Chrissy Teigen, Hayden Panettiere, and brooke shields speaking out about their struggles with postpartum depression (PPD), the condition has received much needed attention and become increasingly destigmatized a major ...
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Calvin Klein Collection Just Got a New Name and a New California Campaign
Mon, 24 Jul 2017 16:39:00 GMT
Pieces from the raved-about, "all-American" fall collection have already begun to trickle into stores, including the pair of flared jeans with brooke shields' iconic Calvin Klein Denim ad stitched above the back pocket. The jeans are part of the brand's ...
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Montauk's Surf Lodge Leans Into Its Cool-Kid Reputation with a Premiere for Rose McGowan's New Short Film
Mon, 24 Jul 2017 11:07:00 GMT
Photograph by Allan Tannenbaum/Polaris Images/Insight Editions. brooke shields takes a pizza break while playing Tita in King of the Gypsies, 1978. Photograph by Allan Tannenbaum/Polaris Images. The Rolling Stones, minus drummer Charlie Watts, visit ...
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14 Must-Have Beauty Products For Traveling
Mon, 24 Jul 2017 08:51:00 GMT
If your beauty routine is more Frida Kahlo than brooke shields, keep reading to discover the best tweezers, brow gel, stencils, and more. And for the truly adventurous, brows can even make a (literally) colorful statement.
Read more
Introducing Raf Simons's New Generation of Calvin Klein Muses
Mon, 24 Jul 2017 09:39:00 GMT
The models featured in Vanderperre's images are particularly relevant at the moment. Skipping both the sultriness that once defined CK's denim ads brooke shields, anyone? and the slick futurism of the old school collection ads, Simons's first ...
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My wife and I have stayed here 1-2 times each year since 2003. Every room has been clean and every bed has been comfortable. There was a change in management 2 years ago, and the service and quality at this hotel remains excellent. We will continue to stay here when in Tuscaloosa.
- Reservation Options:
- TripAdvisor is proud to partner with Orbitz, Hotels.com, Choice Hotels, Expedia, Agoda, TripOnline SA, Travelocity, Cancelon, Cheap Tickets, Hotwire and getaroom.com so you can book your Quality Inn reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Quality Inn Tuscaloosa
- Tuscaloosa Quality Inn


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About 13 Results found. From 1997 - 2015
Event Coverage - 24 Jul 2017Moving past tree planting, expanding our definition of forests and restoration
Secondary forests are often neglected and overregulated in forest management – recognizing and governing those spaces is essential for proper landscape restoration
Video - 21 Mar 2017Forests and energy: What's the connection?
An interview with DG Peter Holmgren and Scientist Himlal Baral
Quiz - 21 Mar 2017Think you know forests?
Test your knowledge with our quiz for the International Day of Forests
Interview - 7 Mar 2017Gender and Forests
New reader compiles 30 years of research conducted on this perennially relevant topic
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Research shows that food and forests go hand in hand
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13 Feb 2017Mother Nature often knows best
Why policymakers shouldn't overlook the benefits of natural regeneration in forest and landscape restoration
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A new publication analyzes the current challenges of sustainably managing forest resources in Cameroon
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Drawing upon comparative work across six countries, scientists evaluate the impacts of conservation efforts
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The country has set ambitious policies to derive 23 percent of its energy from renewable sources by 2025. How can this be achieved?
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Partnerships and integration key to achieving climate and sustainable development goals in the region.
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A-Fib Recurrence Post Ablation: Should you Have a Second Ablation? or Anti-Arrhythmic Drug Therapy?
It's disappointing when your heart doesn't return to normal sinus rhythm (NSR) after your catheter ablation. What's your next step, your follow-up treatment?
In his study, researcher Evgeny Pokushalov asked several related questions:
"If A-Fib recurs after a patient's initial catheter ablation procedure, which is the better follow-up treatment? A second catheter ablation or taking antiarrhythmic meds?"
The Three-Year Study
In this study, 154 paroxysmal A-Fib patients who had a failed ablation were divided into two randomized groups.
A catheter ablation can profoundly change one's life. And, even if you need a second ablation one.
Study Results
After three years, researchers found A-Fib present in 5.6% of the re-ablation group. In the antiarrhythmic drug group, 18.8% had A-Fib.
A second significant finding was the rate of paroxysmal A-Fib progressing to 'persistent A-Fib'. The re-ablation group had a progression rate of 4%, while the progress to "permanent A-Fib' was 23% in the drug therapy group.
Expected and Unexpected Findings
I had expected (and it was confirmed) that the group getting a second ablation would have better results than the group on antiarrhythmic drug (AAD) therapy.
…progress to permanent A-Fib was 23% in the drug therapy group.
What I didn't expect was the rate of progression to persistent A-Fib in the second group. Nearly one-fourth (23%) of patients taking antiarrhythmic drugs progressed to persistent A-Fib after a failed ablation!
The Message is Clear
To reduce your risk of progressing to persistent A-Fib, if you have a failed ablation, you are best served getting a second ablation rather than relying on antiarrhythmic drugs.
There benefits from a catheter ablation even when the patient's A-Fib has not been eliminated? Yes! To learn more, see: Are There Benefits from a Failed Ablation? Yes!
A-Fib Patients' Best Advice #5: Get Treatment Sooner Rather Than Later
Don't wait. Don't delay. Get Treatment as soon as practical.
Daniel Doane, Sonora, California, USA: "I didn't realize how continued A-Fib so drastically remodels your heart. Get your A-Fib taken care of. It won't go away. It may seem to get better, but it will return.
Roger Meyer, Columbus, Ohio: "I can now say, first hand, that there ARE bad effects from A-Fib and especially from A-Fib that is not treated early. My best advice: Don't let A-Fib wreak its havoc untreated!"
Joan Schneider, Ann Arbor, M: "Know that paroxysmal AF becomes chronic. Drugs only work for so long. Heart modification will occur, and options will become few. Get with a great EP and/or AF clinic and find your cure."
Don't Delay—Seek Your A-Fib Cure.
'The Top 10 List of A-Fib Patients' Best Advice" is a consensus of valuable advice from fellow patients who are now free from the burden of Atrial Fibrillation. From Chapter 12, Beat Your A-Fib: The Essential Guide to Finding Your Cure by Steve S. Ryan, PhD.
Did You Get Yours? Steve's A-Fib Alerts: July 2017 Issue
It's convenient! Get all your A-Fib news in one compact, easy-to-scan newsletter! Read the July 2017 jam-packed issue here.
Join other readers from around the world. From Brazil and Chile to the Ukraine, from the U.K. and Ireland to Australia, and the U.S. and Canada to the Philippines, A-Fib patients are reading Steve Ryan's A-Fib Alerts July 2017 issue.
Subscribe NOW to get your issues sent directly to your desktop via email. I'll send you:
♥ advancements in A-Fib treatments, relevant research findings and evolving technologies
♥ A-Fib stories of hope and encouragement by patients seeking their cure (or best outcome)
♥ free downloads, online resources and special offers
♥ Frequently asked & answered questions from patients and their families
Sign-up Bonus:
SAVE up to 50% off my book, Beat Your A-Fib: The Essential Guide to Finding Your Cure, by Steve S. Ryan, PhD. Sign-up and receive your discount codes by email. (There's no risk! Unsubscribe at any time.) Subscribe NOW.
Lifestyle Changes or Alternative Treatments Working for You? Contribute to 2nd Edition of 'Beat Your A-Fib'
All Atrial Fibrillation patients! We need your input!
We are planning the 2nd edition of our book, Beat Your A-Fib: The Essential Guide to Finding Your Cure.
New chapter: Non-Surgical/Non-Drug Treatments: We need five or six anecdotes or stories for a new chapter to focus on non-drug and non-surgical treatment options.
Have lifestyle changes or alternative methods reduced or eliminated your symptoms? Email us!
Is exercising or stress-reduction techniques working? Weight-loss or dietary changes? Use of minerals or supplements? Chiropractic treatment or Yoga? Other means of improvement? We're interested in anything that's helping you.
You don't have to be 'cured' to share your story. Just actively pursuing your best outcome.
Email us. If something is working for you, we'd love to hear from you! Just email us with your contribution: firstname.lastname@example.com or firstname.lastname@example.com.
♥ ♥ ♥
Beat Your A-Fib: Continues as a Bestseller on Amazon.com
A-Fib Patients: Seek to Cure Your A-Fib —Not Just Manage It
For many A-Fib patients their best outcome came about only when they told their doctors, "I want to cure my A-Fib not just manage it."
From Beat Your A-Fib: The Essential Guide to Finding Your Cure
Don't Settle for a Life on Meds
You don't have to live a life on medications. Seek your cure. For encouragement, browse our library of over 90 first-person stories by patients, many now A-Fib-free. Go to our Personal A-Fib Stories of Hope.
Learn All Your Treatment Options
To start, educate yourself about Atrial Fibrillation and review all your treatment options on our page: Treatments for Atrial Fibrillation.
Next, move on to the guidelines we've posted: Which of the A-Fib Treatment Options is Best for Me? Then, discuss these treatment options with your doctor. This should be a 'team effort', a decision you and your doctor will make together.
You can be free of the burden of Atrial Fibrillation. Don't just manage your A-Fib. Seek your Cure.
Magnesium Deficiency & Fatal Arrhythmias: Two Videos with Dr. Carolyn Dean
Mineral deficiencies like magnesium (Mg) can force the heart into fatal arrhythmias. Magnesium is one of the most common nutritional deficiencies. It's chronically lacking in most diets. Almost everyone with A-Fib is magnesium deficient.
Two Videos About Magnesium Deficiency with Dr. Dean
We have two videos in our A-Fib Video Library featuring Dr. Carolyn Dean, author of The Magnesium Miracle, talking about magnesium deficiency and calcium overload:
"The Best Way to Supplement Magnesium" with Dr. Carolyn Dean. Getting nutrients through food is not always possible; discusses side effects of too much Mg and how you can tell if you have a deficiency.(3:39) Go to video.
"Importance of Balancing Calcium & Magnesium". Dr. Dean discusses the importance of balancing your intake of magnesium and calcium (2:1); the benefits of both and why you need to have both in the body; the problem of 'calcium overload'. (2:30) Go to video.
Should You Take Magnesium Supplements?
As Dr. Carolyn Dean states, it's hard to get enough magnesium from today's food. Magnesium has been depleted from the soil by industrial scale farming. Therefore, A-Fib patients should consider taking magnesium supplements. (Note: it takes about 6 months of magnesium supplements to build up healthy level of Mg.)
For more about magnesium, see my article: Cardiovascular Benefits of Magnesium: Insights for Atrial Fibrillation Patients.
My Top 5 Articles: Surgical Treatment Options for Atrial Fibrillation
When drug therapies fail or if not a candidate for catheter ablation, patients look to surgical treatments to reduce the risk of stroke, to ease symptoms or to cure their Atrial Fibrillation.
Here are my top 5 articles about the Maze & Mini-maze surgeries and role of the left atrial appendage:
- The Cox-Maze & Mini-Maze Surgeries and the Hybrid Surgery/Ablation
- Advantages of the Convergent (Hybrid) Procedure
- Considering a Mini-Maze? Don't Destroy the Ganglionic Plexus
- The Role of the Left Atrial Appendage (LAA) & Removal Issues
- The Watchman™ Device: The Alternative to Blood Thinners
Mini-Maze Surgery with Cardiac Surgeon Dr. Dipin Gupta
Cardiothoracic surgeon Dipin Gupta, MD, discusses this surgical treatment for persistent atrial fibrillation. The Mini-Maze is done without open-heart surgery and using a small incision on the side of the chest. Published by MedStar and Cleveland Clinic. March, 2015 (4:35) Go to video->
A-Fib Patients' Best Advice #4: Don't Just Manage Your A-Fib with Drugs. Seek your Cure.
Drugs have a role, but other treatment options target a cure.
Daniel Doane, Sonora, California, USA, shares his mistake: "Don't think that the medication is a long term solution. Don't put up with nasty side effects. That was the mistake I made. I thought I could tough out the medication as long as I stayed out of A-Fib."
Terry DeWitt, Massachusetts, USA, advises act sooner than later: "I knew I could continue on medication for several years, but I was concerned about the remodeling of my heart. …I would need an ablation…and sooner seemed better when my heart was still strong."
Max Jussila, Shanghai, China, says meds are for the short term: "Do not listen to your doctors if they suggests medication as a long-term solution! The doctors who see medication as a solution commit serious negligence and are ignorant of the terrible nature and consequences of Atrial Fibrillation."
Don't Just Manage Your A-Fib with Meds. Seek your Cure.
'The Top 10 List of A-Fib Patients' Best Advice" is a consensus of valuable advice from fellow patients who are now free from the burden of Atrial Fibrillation. From Chapter 12, Beat Your A-Fib: The Essential Guide to Finding Your Cure by Steve S. Ryan, PhD.
Spotlight: 3 Recent A-Fib Personal Stories of Hope and Encouragement
Our Personal Experiences stories are one of the most visited areas of A-Fib.com. Dozens have shared their personal experience (starting with the Steve Ryan's story in 1998). Each story is told in their own words. Many stories span years, even decades. Symptoms will vary, and treatments choices run the full gamut as well as their 'Lessons Learned'.
Recent Additions to our Gallery of A-Fib Personal Stories
These A-Fib patients have been where you are right now. Each author tells their story to help bolster your determination to seek a life free of A-Fib.
Frances Koepnick from Athens, GA, was diagnosed with silent persistent A-Fib in 2014. Unlike many other stories on A-Fib.com, Frances was familiar with Atrial Fibrillation. She's the third person in her family with A-Fib—after her mother and older sister. (However, they both had paroxysmal A-Fib). Read about her 3-year journey to a life free of the burden of A-Fib. Continue reading Frances' story.
Charn Deol, Richmond, BC, Canada. It's been a 23-year ordeal for him. He was 43 and had just returned to Canada after working for years in Southeast Asia when he was first aware of a few skipped heartbeats. A week later, the irregular heart beating got worse and was diagnosed as A-Fib. At the same time, Charn was discovered to have a second medical problem—very high levels of mercury in his blood. Continue reading Charn's story.
Roger Finnern, from Tempe, AZ, shared about 4 years in chronic asymptomatic Atrial Fibrillation. He writes about being on amiodarone, how he did a sleep apnea study (at home), and used acupuncture to help reduce his A-Fib symptoms. He writes, at age 67: "I had a cardiologist who wanted me to do nothing but take a low dose aspirin and live with it. After two years of being in Chronic A-Fib, I went out on my own…"continue reading Roger's story.
For more personal experiences, go to Personal A-Fib Stories of Hope and Encouragement.
Note: Patients sharing their personal experiences are often quite frank about the treatments received, their doctors and medical centers. Their opinions are their own.
How about you!? Do you have a personal A-Fib experience to share with other patients? It can be your own story or perhaps the story of your spouse, parent or sibling. Just tell the story from your point-of-view. If you are interesting in offering your insights and 'lessons learned', read how to write and submit your A-Fib story!
The Threat to Patients with "Silent A-Fib" How to Reach Them?
'Silent A-Fib' is a serious public health problem. Anywhere from 30%-50% of those with A-Fib aren't aware they suffer from A-Fib and that their heart health is deteriorating.
In his A-Fib story, Kevin Sullivan, age 46, wrote about his diagnosis of Silent A-Fib.
"I was healthy, played basketball three times per week, and lifted weights. I started to notice on some days playing basketball, I was having some strange sensations in my chest. And sometimes, difficultly catching my breath. But the next day I would feel fine. I assumed this was just what it felt like to get old."
He writes, that at the time, he happened to see a cardiologist about medication for high cholesterol:
"I went to see a cardiologist. They looked at my heart with ultrasound and asked if I could feel "that." I asked them what they were talking about, and they told me that I was having atrial fibrillation. That was the first time I had ever heard of the phrase."
'Silent A-Fib' vs. 'Symptomatic A-Fib'
Silent (asymptomatic) A-Fib can have similar long-term effects as A-Fib with symptoms. Silent A-Fib may progress and get worse just like symptomatic A-Fib. Increased fibrosis may develop, the atrium may become stretched and dilated, the frequency and duration of the unnoticed A-Fib attacks may increase over time (electrical remodeling).
Silent A-Fib may progress and get worse just like symptomatic A-Fib.
Is "Silent A-Fib" Really Silent? Some people question whether "silent" A-Fib is really silent (from a clinical aspect). Even with Silent A-Fib, one loses 15%-30% of normal blood flow to the brain and other organs which certainly has an effect. (For Kevin Sullivan, he experienced occasional pain in his chest and shortness of breath while playing basketball.)
Those with Silent A-Fib may get used to their symptoms, or they write off the tiredness, dizziness or mental slowness like Kevin Sullivan did. Nonetheless, almost everyone in Silent A-Fib is affected and changed by their A-Fib to some extent.
'Silent A-Fib' More Dangerous: Increased Risk of A-Fib Stroke
When left untreated, A Fib patients have a 5X higher chance of stroke, and a greater risk of heart failure. Often, an A-Fib patient is hospitalized or dies from an A-Fib-related stroke without anyone ever knowing the patient had A-Fib.
And if the patient with A-Fib survives, they have about a 50% higher risk of remaining disabled or handicapped (compared to stoke patients without A Fib).
Tactics to Find Undiagnosed 'Silent A-Fib'
Today, during a routine physical exam, general practitioners (GPs) will listen to your heart with a stethoscope and would notice if your heart beat was irregular. After a certain age, your exam may also include an ECG (EKG), and the tracing would show if you are in Atrial Fibrillation, even if your not aware of it. Cardiologists routinely perform an ECG and catch Silent A-Fib (like Kevin Sullivan's cardiologist did).
But, to be detected, A-Fib must be present at the time of the ECG, and we know that A-Fib is often intermittent. If intermittent A-Fib is suspected, your EP has an array of A-Fib wearable event monitoring devices (like the band-aid-size 'Zio patch' monitor).
What if A-Fib isn't even on the patient's radar? What's the remedy? More frequent and regular screenings! But how? First, by healthcare personnel teaching 'at-risk age groups' how to use pulse-taking palpation (which can be readily taught). See also the VIDEO: "Know Your Pulse" Awareness Campaign.)
Second, through community-sponsored health screening events when patients who are interacting with their healthcare provider for another reason, such as an annual flu vaccination.
Think of the lives and permanent disabilities that would be saved by inexpensive screening and easily administered monitoring for Silent A-Fib.
The Future of Screening for Silent A-Fib: Heart-monitoring apps and devices are growing in popularity. Two FDA-approved devices are the iPhone app called Cardio Rhythm, and the AliveCor Kardia device that connects to a app-equipped smartphone.
In this emerging era of 'wearable' technology, the wearer, themselves, may be the first to detect an irregular heart beat.
What Patients Need to Know
If you have A-Fib, discuss it with your family and friends. Answer their questions. Because A-Fib runs in families, urge your immediate family members to discuss A-Fib with their doctors.
Encourage your friends over 60 years old to do the same. Support community-sponsored health screening events.
You Can be A-Fib Free—Just Like Me!
In honor of U.S. Independence Day this week (July 4th), let's celebrate! A big cheer and hooray for all our A-Fib.com readers who are now free of the burden of Atrial Fibrillation.
To be inspired, go to Personal A-Fib Stories of Hope and Courage, and read my story. Or choose from over 90 stories by others who have been where you are now.
I found my freedom from A-Fib. You can too! You don't have to settle for a lifetime on drugs. Seek your cure.
A-Fib-Related Stroke Risk: Watchman Better Than a Lifetime on Warfarin
Background: The most prescribed anticoagulant, warfarin, reduces the A-Fib-related risk of stroke by 60% to 70%. Most A-Fib clots (90%-95%) come from the Left Atrial Appendage (LAA).
An alternative to anticoagulants, the Watchman occlusion device closes off the LAA. FDA approved, it's a very low risk procedure that takes as little as 20 minutes to install. Afterward, you would usually not need to be on blood thinners.
Effects of a Lifetime on Warfarin
Warfarin (brand name Coumadin) and other anticoagulants work by causing bleeding and are inherently dangerous.
Among other bad side effects, long-term use of anticoagulants such as warfarin have been known to not only cause hemorrhagic strokes, but also microbleeds in the brain leading to dementia. (For more, see Patient on Anticoagulation Therapy for 10 Years Develops Microbleeds and Dementia).
A 2015 study found evidence of microbleeds in 99% of subjects aged 65 or older. When imaging strength was magnified, even more microbleeds were detected. Microbleeds are thought to be predictive of hemorrhagic stroke.
Conclusion: according to current research, to reduce microbleeds, ditch the anticoagulants. You'd do better having a Watchman device installed than spending a lifetime on warfarin.
Note: there's no guaranteed way to avoid a stroke altogether.
What About the New Anticoagulants (NOACs)?
Does this research apply to the new anticoagulants like Pradaxa, Xarelto, Eliquis and Savaysa/Lixiana? Technically no. This research only applies to warfarin.
But intuitively one would expect the same general principles to apply. All anticoagulants cause bleeding. That's how they work.
Caveat—Long-Term Effects of Watchman?
What are the long-term effects of leaving a mechanical device like the Watchman inside the heart? We know that, after a few months, heart tissue grows over the Watchman device so that the LAA is permanently closed off from the rest of the heart.
It seems unlikely that complications would develop after a long period of time as has happened with warfarin. But we can't say that for sure until enough time has passed. The first clinical trial installation of the Watchman device in the US was in 2009 and in Europe in 2004. So far, no long-term complications have developed.
EPs Installing the Watchman Device
Want to learn more about the Watchman? See my article, The Watchman™ Device: The Alternative to Blood Thinners.
To find EPs installing the Watchman, I highly recommend selecting an electrophysiologist (EP) who is certified in "Clinical Cardiac Electrophysiology". For a list of EPs meeting this criteria, see Steve's Lists of A-Fib Doctors by Specialty: Doctors Installing the Watchman.
Chocolate and Reduced Risk of Atrial Fibrillation: A 13-Year Study
In 2017, there's more on the health benefits of chocolate! Accumulating evidence links chocolate to heart health and now, a lower risk of atrial fibrillation.
A 13-year Danish study published in 2017 tracked the health of 55,000 participants, aged 50–64 years. During the period, more than 3,300 cases of atrial fibrillation emerged. All of the participants had completed detailed questionnaires about their lifestyles, everything from exercise habits to what they ate and drank, including how much chocolate they consumed.
Study Results: Chocoholics Delight
"Our study adds to the accumulating evidence on the health benefits of moderate chocolate intake," said lead author of the study Elizabeth Mostofsky of Harvard School of Public Health.
Compared to those who ate a 1-ounce serving of chocolate less often than once a month, the risk of atrial fibrillation was:
• 10 percent lower among those who ate one to three servings a month
• 17 percent lower among those who ate one serving a week
• 20 percent lower among those who ate two to six servings of chocolate a week
Benefits of All Types of Chocolate
Dr. LeWine added that while scientists aren't sure why chocolate seems to boost heart health, it may be related to flavonoids, a type of antioxidant produced by plants.
Flavonoids are particularly abundant in cacao beans and have been shown to help lower blood pressure, improve blood flow to the brain and heart, prevent blood clots, and fight cell damage. They've also been shown to help thinking skills.
To Avoid A-Fib: How Much Chocolate?
The study results found "the rate of atrial fibrillation was 20 percent lower for people consuming two to six 1-ounce servings [of chocolate] per week".
While no recommended daily amounts have been set when it comes to chocolate (or cocoa flavonoids), the European Food Safety Authority suggests that 200 mg of cocoa flavonoids per day is a good target for the general population.
What Patients Need to Know
To reap the various health benefits of chocolate, the higher the cocoa content of the bar, the better. Look for chocolate bars with 70% cocoa or more. You may have to do some detective word, as the amount of cocoa used in chocolate varies a lot (and the amount of flavonoids in chocolate is not always listed.)
Your best bet is to stick with dark chocolate. As a general rule, dark chocolate has more cocoa and therefore more flavonoids than milk chocolate (and less sugar and saturated fat).
A-Fib Patients' Best Advice #3: Don't Believe Everything You're Told About A-Fib
'Don't let anyone tell you A-Fib isn't that serious, or just learn to live with it'.
Ken Hungerford, New South Wales, Australia: "During this period I asked three cardiologists about these episodes, and they all basically told me to simply put up with them."
Sheri Weber, Boyce, Virginia: "I questioned the cardio doctor about my future with A-Fib. His response was to tell me many people live with A-Fib and did not suggest any treatment aside from medication."
Warren Welsh, Melbourne, Australia: "I experienced several years of unnecessary suffering by accepting an opinion of one specialist who said I would have to live in A-Fib.
I believe that unless there are special circumstances…any advice on treatment that is not directed towards a possible cure should be questioned."
Don't Believe Everything You're Told About A-Fib.
'The Top 10 List of A-Fib Patients' Best Advice" is a consensus of valuable advice from fellow patients who are now free from the burden of Atrial Fibrillation. From Chapter 12, Beat Your A-Fib: The Essential Guide to Finding Your Cure by Steve S. Ryan, PhD.
The Warfarin Myth: A Quiz About Foods and Vitamin K
Taking warfarin to manage your increased risk of clots and A-Fib stroke? Have you been told to avoid foods with vitamin K to prevent excess clotting? To separate the facts from the myths about warfarin and vitamin K, take our 5 question quiz.
A 5 Question Quiz about Warfarin and Vitamin K
1. True or False: Warfarin and vitamin K actually work against each other in your body.
True. Vitamin K helps your blood clot. Warfarin makes your blood clot more slowly. Your INR level is monitored to keep them in balance.
2. True or False: When taking warfarin, you should limit foods with high levels of vitamin K like dark, leafy greens.
False. You don't need to avoid foods with vitamin K. The key is to consistently maintain your daily level of vitamin K.
Don't confuse vitamin K with the K on the periodic table for potassium. One's a vitamin, the other is a mineral.
3. True or False: Vitamin K information is not included on most packaged food nutritional labels.
True. So it's often hard to determine the amount of vitamin K in your food.
4. True or False: To be safe, it's better to maintain a low level of vitamin K in your diet.
False. Don't avoid vitamin K foods. Vitamin K is an important nutrient especially for bone strength, brain function and cardiovascular health.
5. True or False: A vitamin K supplement may actually help stabilize your INR levels.
True. Some experts suggest that a low-dose vitamin K supplement (50-150 mcg/day) may help stabilize fluctuations in INR.
The Facts About Warfarin and Vitamin K
Well, how'd you do on the quiz? Did you learn something? So, if you're on warfarin, you now know the facts from the myths:
• You can eat dark, leafy greens rich with vitamin K
• You need to maintain a consistent intake of vitamin K
• Most nutritional labels won't help when checking for the amount of vitamin K
• Vitamin K is important for bone strength, brain function and cardiovascular health
• A low-dose vitamin K supplement may help stabilize your INR
Misinformation Surrounding Warfarin
Prolific A-Fib blogger Dr John Mandrola (Dr. John M.), posted about misinformation surrounding warfarin patients and vitamin K. He wrote:
"I am so utterly tired of correcting this mistake….Patients on warfarin can indeed eat green vegetables; they should just eat them consistently. I have vegetarians who do beautifully on warfarin. The problem comes when people vary the weekly dose of vegetables."
Reclaim the Benefits of Vitamin K
Safety first. When on warfarin, don't make any changes to your vitamin K intake without first talking to your doctor.
If you and your doctor decide that you can increase your vitamin K intake, the key is to be consistent on a daily schedule. If consumption of vitamin K does affect your INR, your doctor can always adjust the warfarin dosage.
For a practical reference about foods with vitamin K, check out the online 'Vitamin K Finder' at the ptinr.com website.
Her Mother & Sister Had Atrial Fibrillation, Then She Develops Silent Persistent A-Fib
Frances Koepnick from Athens, GA, was diagnosed with silent persistent A-Fib in 2014. Unlike many other stories on A-Fib.com, Frances was familiar with Atrial Fibrillation. She's the third person in her family with A-Fib—after her mother and older sister. (However, they both had paroxysmal A-Fib). Read about her 3-year journey to a life free of the burden of A-Fib:
"I was diagnosed with atrial fibrillation (A-Fib) at age 69, while undergoing a pre-operative physical examination prior to hip replacement surgery. This was a surprising development since my A-Fib was completely "silent" with no symptoms.
Six Cardioversions: Not a Long-Term Solution: Eventually, I underwent a total of six cardioversions in an attempt to return my heart to normal sinus rhythm. Three of these procedures were electrical cardioversions and three were by means of intravenous drugs. I soon learned that cardioversion is rarely effective for maintaining normal sinus rhythm over a significant period of time. I asked a lot of questions— and managed to irritate several physicians.
I asked a lot of questions— and managed to irritate several physicians.
Consulted Five Cardiologists: I eventually consulted a total of five cardiologists. The advice of the first two cardiologists was to "just take my medications and live with A-Fib". I have a background in anatomy/physiology as well as microbiology, so I asked a lot of questions— and managed to irritate several physicians." …continue reading her story…
Which Doctor for Your A-Fib? The Plumber vs. The Electrician
The Plumber vs. the Electrician
"Cardiologists focus on the vascular function of the heart—think 'plumber'. Electrologists specialize in the electrical function— think 'electrician'.
Atrial Fibrillation is an electrical problem. Don't hire a plumber to fix an electrical problem."
Finding the Right Doctor for You: When diagnosed with Atrial Fibrillation, you need to find the best heart rhythm specialist, a Cardiac Electrophysiologist (EP), you can afford. An EP is a cardiologist who specializes in the electrical activity of the heart and in the diagnosis and treatment of heart rhythm disorders.
See our article to learn how to find the right doctor for you and your treatment goals.
New Category of Personal A-Fib Stories: 'Natural Therapies and Holistic Treatments'
With so many personal A-Fib stories on A-Fib.com (over 95), you may want to read those similar to your own. Our 'Listed by Subject' page displays cross-referenced stories in five major Themes/Topics and several sub-categories.
New Subject Category: Natural Therapies and Holistic Treatments
We often receive requests from A-Fib.com readers seeking non-pharmaceutical and non-surgical treatments options for relief of their A-Fib symptoms. Our new category is crossed-referenced by these topics. Just click on the story number to jump to that A-Fib experience.
Natural Therapies and Holistic Treatments
• Yoga: 94, 59, 27
• Chiropractic: 81, 59, 9
• Acupressure/Acupuncture: 94, 68, 59, 9
• Meditation: 68, 59, 17
• Naturopathy: 73
• Nutrition/Diet: 73, 71, 59, 31, 17
• Natural Remedies: 66
This list will continue to grow as we add new personal A-Fib stories. So, check back from time to time.
Search A-Fib.com by Subject, Keyword or Phrase
You can go beyond our Personal Experience stories to find more about alternative treatments. Search our site by keyword, name or phrase. Just use the 'Search' box found in the upper right corner of every web page.
Have an A-Fib Story to Share? It can be your own story or perhaps your spouse, parent or sibling. Read how to write and submit your A-Fib story.
Considering a CryoBalloon Ablation? Seek an EP also Skilled in RF Ablation Techniques
Recently a patient, still in A-Fib after a CryoBalloon ablation, sent me their Operating Room (O.R.) report which is a blow-by-blow account of the EP's actions during the procedure.
In my review of their report, after cryoablation of the Pulmonary Veins (PV), the patient was still in A-Fib. It appears the EP did not to make any attempt to map and isolate non-PV triggers. Instead the EP simply electrocardioverted the patient to return him to normal sinus rhythm (NSR). This may work in some cases, but for this patient the ablation was a failure.
Your O.R. report is a historical record of the EP's actions during your ablation.
When Considering a CryoBalloon Ablation
When selecting your electrophysiologist (EP), be cautious. For the best results, you want an EP who is not only experienced with CryoBalloon, but also, when needed, can use RF to map and isolate non-PV triggers.
Stay away from EPs who only do CryoBalloon ablation. Some EPs with little or no expertise with RF catheter ablations are now doing CryoBalloon ablations because they're easier (i.e. less demanding) and faster to perform (more lucrative).
Seek an EP with Both Sets of Skills
A dual skill-set approach is supported by a study of about 75 paroxysmal A-Fib patients undergoing their first CryoBalloon ablation. Researchers found about 30% of patients required the additional use of RF focal lesions to achieve isolation (to restore normal sinus rhythm).
Most RF-experienced EPs who are now doing CryoBalloon ablations, have the ability and skill to use focal point RF techniques, as needed, to make you A-Fib free during your CryoBalloon ablation.
What Patients Need to Know
In the patient's case above, an EP experienced in mapping and making RF lesions, could have used these additional skills and tools to locate and ablate non-PV sources of A-Fib signals, and hopefully return the patient to normal sinus rhythm (NSR) at the conclusion to the ablation.
To find the right electrophysiologist (EP) for your CryoBalloon ablation, seek out RF-experienced EPs by asking these probing questions:
"What do you do if I'm still in A-Fib after you do the CryoBalloon ablation? Will you use RF focal lesions to achieve isolation?"
To learn more about these research findings see By Combining RF and CryoBalloon Ablation Techniques, Do Success Rates Increase?
A-Fib Patients' Best Advice #2: Should You Dump Your Doctor?
'Don't be afraid to fire your doctor'.
Sheri Weber, from Boyce, VA: "I wish I had realized that the first doctor you see is not necessarily the right one for you. I fooled around way too long, believing what my cardio doctor said. I should have been thinking outside the box. Run―don't walk―to the best specialist you can find in your area."
Michele Straube, Salt Lake City, UT: "My experiences with cardiologists were hit and miss. Some told me the best they could do was medicate me so I could walk from the bed to the window and back. …I changed doctors."
To be cured of your A-Fib: You may need to 'fire' your current doctor. Seek a heart rhythm specialist, an electrophysiologist (EP), who will partner with you to create a treatment plan—a path to finding your cure or best outcome. To make this happen, see Finding the Right Doctor for You and Your A-Fib.
The first doctor you see is not necessarily the right one for you.
'The Top 10 List of A-Fib Patients' Best Advice" is a consensus of valuable advice from fellow patients who are now free from the burden of Atrial Fibrillation. From Chapter 12, Beat Your A-Fib: The Essential Guide to Finding Your Cure by Steve S. Ryan, PhD.


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MOSCOW, March 31. /ITAR-TASS/. Russian President Vladimir Putin called Turkish Prime Minister Recep Tayyip Erdogan to congratulate him on the convincing victory of his Justice and Development Party in the March 30 municipal elections.
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