text:
- insulin human
injection, solution
Eli Lilly and Company
Humulin® R U-100 is a polypeptide hormone structurally identical to human insulin synthesized through rDNA technology in a special non-disease-producing laboratory strain of Escherichia coli bacteria. Humulin R U-100 has the empirical formula C257H383N65O77S6 and a molecular weight of 5808.
Humulin R U-100 is a sterile, clear, aqueous, and colorless solution that contains human insulin (rDNA origin) 100 units/mL, glycerin 16 mg/mL and metacresol 2.5 mg/mL, endogenous zinc (approximately 0.015 mg/100 units) and water for injection. The pH is 7.0 to 7.8. Sodium hydroxide and/or hydrochloric acid may be added during manufacture to adjust the pH.
Adequate insulin dosage permits patients with diabetes to effectively utilize carbohydrates, proteins and fats. Regardless of dose strength, insulin enables carbohydrate metabolism to occur and thus to prevent the production of ketone bodies by the liver. Some patients develop severe insulin resistance such that daily doses of several hundred units of insulin or more are required.
Regulation of glucose metabolism is the primary activity of insulin. Insulin lowers blood glucose by stimulating peripheral glucose uptake by skeletal muscle and fat, and by inhibiting hepatic glucose production. Insulins inhibit lipolysis, proteolysis, and gluconeogenesis, and enhance protein synthesis and conversion of excess glucose into fat.
Administered insulin, including Humulin R U-100, substitutes for inadequate endogenous insulin secretion and partially corrects the disordered metabolism and inappropriate hyperglycemia of diabetes mellitus, which are caused by either a deficiency or a reduction in the biologic effectiveness of insulin. When administered in appropriate doses at prescribed intervals to patients with diabetes mellitus, Humulin R U-100 restores their ability to metabolize carbohydrates, proteins and fats.
As with all insulin preparations, the duration of action of Humulin R U-100 is dependent on dose, site of injection, blood supply, temperature, and physical activity.
Humulin R U-100 is human insulin with a short duration of action. With subcutaneous use, the pharmacologic effect of Humulin R U-100 begins approximately 30 minutes (range: 10 to 75 minutes) after administration of doses in the 0.05 to 0.4 units/kg range. The effect is maximal at approximately 3 hours (range: 20 minutes to 7 hours) and terminates after approximately 8 hours (range: 3 to 14 hours). With intravenous use, the pharmacologic effect of Humulin R U-100 begins at approximately 10 to 15 minutes and terminates at a median time of approximately 4 hours (range: 2 to 6 hours) after administration of doses in the range of 0.1 to 0.2 units/kg. The time course of action of any insulin may vary considerably in different individuals or at different times in the same individual.
A 48-month multicenter, open-label, single-arm study was conducted in insulin-naive patients with type 1 or type 2 diabetes (N=129) to assess the safety and efficacy of Humulin R U-100. Humulin R U-100 and Humulin® N (alone or in combination) were administered by subcutaneous injection. Eighty-four percent of patients were Caucasian. Fifty-seven percent of the patients were male. The mean age was 45 years (range: 4 to 83 years). The average weight was 72 kg.
Total mean (± SD) glycohemoglobin improved from baseline to endpoint (baseline: 14.3 ± 3.1%, endpoint: 10.1 ± 2.8%). Hemoglobin A1c was not measured in this study. At baseline, patients weighed 72 ± 23 kg; at endpoint mean weight was 80 ± 22 kg. At endpoint, mean (± SD) total daily insulin doses for Humulin R U-100 were 0.18 ± 0.17 units/kg. At 48 months, 16 patients (21%) reported hypoglycemia. During the study, 4 patients experienced diabetic ketoacidosis.
The intravenous administration of Humulin R U-100 was tested in 21 patients with type 1 diabetes. The patients' usual doses of insulin were temporarily held, and blood glucose concentrations were maintained at a range of 200 – 260 mg/dL for one to three hours during a run-in phase of intravenous Humulin R U-100 followed by a 6-hour assessment phase. During the assessment phase patients received intravenous Humulin R at an initial dose of 0.5 U/h, adjusted to maintain blood glucose concentrations near normoglycemia (100 to 160 mg/dL).
The mean blood glucose levels during the assessment phase for patients on Humulin R U-100 therapy are summarized below in Table 1. All patients achieved near normoglycemia during the 6-hour assessment phase. At the endpoint, blood glucose was within the target range (100 to 160 mg/dL) for 20 of 21 patients treated with Humulin R U-100. The average time (± SE) required to attain near normoglycemia was 161 ± 14 minutes for Humulin R U-100.
a Results shown as mean ± Standard Deviation. |
Time from Start of Infusion (min) | Mean Blood Glucose (mg/dL) Intravenousa |
0 | 220 ± 11 |
30 | 204 ± 17 |
60 | 193 ± 18 |
120 | 172 ± 28 |
180 | 153 ± 30 |
240 | 139 ± 24 |
300 | 131 ± 22 |
360 | 128 ± 18 |
Humulin R U-100 is indicated as an adjunct to diet and exercise to improve glycemic control in adults and children with type 1 and type 2 diabetes mellitus.
Humulin R U-100 may be administered intravenously under proper medical supervision in a clinical setting for glycemic control (see DOSAGE AND ADMINISTRATION and Storage).
Humulin R U-100 is contraindicated during episodes of hypoglycemia and in patients hypersensitive to Humulin R U-100 or any of its excipients.
Needles or syringes must never be reused or shared between patients. Sharing poses a risk for transmission of blood-borne pathogens.
Any change in insulin should be made cautiously and only under medical supervision. Changes in insulin strength, manufacturer, type (e.g., regular, NPH, analog, etc.), species, or method of administration may result in the need for a change in dosage.
Fluid retention and heart failure with concomitant use of PPAR-gamma agonists: Thiazolidinediones (TZDs), which are peroxisome proliferator-activated receptor (PPAR)-gamma agonists, can cause dose-related fluid retention, particularly when used in combination with insulin. Fluid retention may lead to or exacerbate heart failure. Patients treated with insulin, including Humulin R U-100, and a PPAR-gamma agonist should be observed for signs and symptoms of heart failure. If heart failure develops, it should be managed according to current standards of care, and discontinuation or dose reduction of the PPAR-gamma agonist must be considered.
Hypoglycemia is the most common adverse reaction of all insulin therapies, including Humulin R U-100. Severe hypoglycemia may lead to unconsciousness and/or convulsions and may result in temporary or permanent impairment of brain function or death. Severe hypoglycemia requiring the assistance of another person and/or parenteral glucose infusion or glucagon administration has been observed in clinical trials with insulin, including trials with Humulin R U-100.
As with all insulin preparations, the time course of Humulin R U-100 action may vary in different individuals or at different times in the same individual and is dependent on dose, site of injection, blood supply, temperature, and physical activity.
Adjustment of dosage of any insulin may be necessary if patients change their physical activity or their usual meal plan. Insulin requirements may be altered during illness, emotional disturbances, or other stresses. Concomitant antihyperglycemic agents may need to be adjusted.
The timing of hypoglycemia usually reflects the time-action profile of the administered insulin formulations. Other factors such as changes in food intake (e.g., amount of food or timing of meals), injection site, exercise, and concomitant medications may also alter the risk of hypoglycemia (see PRECAUTIONS, Drug Interactions).
As with all insulins, use caution in patients with hypoglycemia unawareness and in patients who may be predisposed to hypoglycemia (e.g., the pediatric population and patients who fast or have erratic food intake). The patient's ability to concentrate and react may be impaired as a result of hypoglycemia. This may present a risk in situations where these abilities are especially important, such as driving or operating other machinery.
Hyperglycemia, diabetic ketoacidosis, or hyperosmolar coma may develop if the patient takes less Humulin R U-100 than needed to control blood glucose levels. This could be due to increases in insulin demand during illness or infection, neglect of diet, omission or improper administration of prescribed insulin doses or use of drugs that affect glucose metabolism or insulin sensitivity. Early signs of diabetic ketoacidosis include glycosuria and ketonuria. Polydipsia, polyuria, loss of appetite, fatigue, dry skin, abdominal pain, nausea and vomiting and compensatory tachypnea come on gradually, usually over a period of some hours or days, in conjunction with hyperglycemia and ketonemia. Severe sustained hyperglycemia may result in hyperosmolar coma or death.
Insulin stimulates potassium movement into the cells, possibly leading to hypokalemia, that left untreated may cause respiratory paralysis, ventricular arrhythmia, and death. Since intravenously administered insulin has a rapid onset of action, increased attention to hypokalemia is necessary. Therefore, potassium levels must be monitored closely when Humulin R U-100 or any other insulin is administered intravenously. Use caution in patients who may be at risk for hypokalemia (e.g., patients using potassium-lowering medications, patients taking medications sensitive to serum potassium concentrations).
Severe, life-threatening, generalized allergy, including anaphylaxis, can occur with insulin products, including Humulin R U-100 (see ADVERSE REACTIONS).
Localized reactions and generalized myalgias have been reported with the use of metacresol as an injectable excipient.
Frequent glucose monitoring and insulin dose reduction may be required in patients with renal or hepatic impairment.
Some medications may alter insulin requirements and the risk for hypoglycemia and hyperglycemia (see ADVERSE REACTIONS, Drug Interactions).
Pregnancy Category B. All pregnancies have a background risk of birth defects, miscarriage, or other adverse outcome regardless of drug exposure. This background risk is increased in pregnancies complicated by hyperglycemia and is decreased with good glucose control. It is important for patients to maintain good control of diabetes before conception and during pregnancy. Special attention should be paid to diet, exercise and insulin regimens. Insulin requirements may decrease during the first trimester, usually increase during the second and third trimesters, and rapidly decline after delivery. Careful monitoring is essential in these patients. Female patients should be advised to tell their physician if they intend to become, or if they become pregnant.
Studies show that endogenous insulin only crosses the placenta in minimal amounts. While there are no adequate and well-controlled studies in pregnant women, an extensive body of published literature demonstrates the maternal and fetal benefits of insulin treatment in patients with diabetes during pregnancy. Humulin R is a recombinant human insulin that is identical to the endogenous hormone; therefore, reproduction and fertility studies were not performed in animals.
Careful glucose monitoring and management of patients with diabetes during labor and delivery are required.
Endogenous insulin is present in human milk. Insulin orally ingested is degraded in the gastrointestinal tract. No adverse reactions have been associated with infant exposure to insulin through the consumption of human milk. In a study of eight preterm infants between 26 to 30 weeks gestation, enteral administration of Humulin R did not result in hypoglycemia. Good glucose control supports lactation in patients with diabetes. Patients with diabetes who are lactating may require adjustments in insulin dose and/or diet.
Hypoglycemia is one of the most frequent adverse events experienced by insulin users.
Symptoms of mild to moderate hypoglycemia may occur suddenly and can include:
Signs of severe hypoglycemia can include:
Early warning symptoms of hypoglycemia may be different or less pronounced under certain conditions, such as long duration of diabetes, autonomic diabetic neuropathy, use of medications such as beta-adrenergic blockers, changing insulin preparations, or intensified control (3 or more insulin injections per day) of diabetes.
Without recognition of early warning symptoms, the patient may not be able to take steps to avoid more serious hypoglycemia. Patients who experience hypoglycemia without early warning symptoms should monitor their blood glucose more frequently, especially prior to activities such as driving. Mild to moderate hypoglycemia may be treated by eating foods or taking drinks that contain sugar. Patients should always carry a quick source of sugar, such as hard candy, non-diet carbohydrate-containing drinks or glucose tablets.
Administration of insulin subcutaneously can result in lipoatrophy (depression in the skin) or lipohypertrophy (enlargement or thickening of tissue).
Local Allergy – Patients occasionally experience erythema, local edema, and pruritus at the site of injection. This condition usually is self-limiting. In some instances, this condition may be related to factors other than insulin, such as irritants in the skin cleansing agent or poor injection technique.
Weight gain can occur with some insulin therapies and has been attributed to the anabolic effects of insulin and the decrease in glycosuria.
Insulin may cause sodium retention and edema, particularly if previously poor metabolic control is improved by intensified insulin therapy.
A number of substances affect glucose metabolism and may require insulin dose adjustment and particularly close monitoring.
Drugs that may increase the blood-glucose-lowering effect of Humulin R U-100 and susceptibility to hypoglycemia:
Drugs that may reduce the blood-glucose-lowering effect:
Drugs that may increase or decrease blood-glucose-lowering effect:
Drugs that may mask the signs of hypoglycemia:
Excess insulin may cause hypoglycemia and hypokalemia, particularly after intravenous administration. Hypoglycemia may occur as a result of an excess of insulin relative to food intake, energy expenditure, or both. Mild episodes of hypoglycemia usually can be treated with oral glucose. Adjustments in drug dosage, meal patterns, or exercise may be needed. More severe episodes with coma, seizure, or neurologic impairment may be treated with intramuscular/subcutaneous glucagon or concentrated intravenous glucose. Sustained carbohydrate intake and observation may be necessary because hypoglycemia may recur after apparent clinical recovery. Hypokalemia must be corrected appropriately.
Humulin R U-100, when used subcutaneously, is usually given three or more times daily before meals. The dosage and timing of Humulin R U-100 should be individualized and determined, based on the physician's advice, in accordance with the needs of the patient. Humulin R U-100 may also be used in combination with oral antihyperglycemic agents or longer-acting insulin products to suit the needs of the individual patients with diabetes. The injection of Humulin R U-100 should be followed by a meal within approximately 30 minutes of administration.
The average range of total daily insulin requirement for maintenance therapy in insulin-treated patients without severe insulin resistance lies between 0.5 and 1 unit/kg/day. However, in pre-pubertal children it usually varies from 0.7 to 1 unit/kg/day, but can be much lower during the period of partial remission. In situations of insulin resistance, e.g. during puberty or due to obesity, the daily insulin requirement may be substantially higher. Initial dosages for patients with diabetes are often lower, e.g., 0.2 to 0.4 units/kg/day.
Humulin R U-100 may be administered by subcutaneous injection in the abdominal wall, the thigh, the gluteal region or in the upper arm. Subcutaneous injection into the abdominal wall ensures a faster absorption than from other injection sites. Injection into a lifted skin fold minimizes the risk of intramuscular injection. Injection sites should be rotated within the same region. As with all insulin, the duration of action will vary according to the dose, injection site, blood flow, temperature, and level of physical activity.
Intravenous administration of Humulin R U-100 is possible under medical supervision with close monitoring of blood glucose and potassium levels to avoid hypoglycemia and hypokalemia.
For intravenous use, Humulin R U-100 should be used at concentrations from 0.1 unit/mL to 1 unit/mL in infusion systems with the infusion fluids 0.9% sodium chloride using polyvinyl chloride infusion bags.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. Never use Humulin R U-100 if it has become viscous (thickened) or cloudy; use it only if it is clear and colorless. Humulin R U-100 should not be used after the printed expiration date.
Not in-use (unopened): Humulin R U-100 vials not in-use should be stored in a refrigerator (2° to 8°C [36° to 46°F]), but not in the freezer.
In-use (opened): The Humulin R U-100 vial currently in-use can be kept unrefrigerated as long as it is kept as cool as possible [below 30°C (86°F)] away from heat and light. In-use vials must be used within 31 days or be discarded, even if they still contain Humulin R U-100.
Admixture: Infusion bags prepared with Humulin R U-100 as indicated under DOSAGE AND ADMINISTRATION are stable when stored in a refrigerator (2° to 8°C [36° to 46°F]) for 48 hours and then may be used at room temperature for up to an additional 48 hours.
Do not use Humulin R U-100 after the expiration date stamped on the label or if it has been frozen.
Humulin R U-100, Regular, insulin human injection, USP (rDNA origin), 100 units/mL, is supplied as follows:
Literature revised March 11, 2015
Marketed by: Lilly USA, LLC, Indianapolis, IN 46285, USA
Copyright © 2011, 2015, Eli Lilly and Company. All rights reserved.
(rDNA ORIGIN) 100 UNITS PER ML (U-100)
Do not share your syringes with other people, even if the needle has been changed. You may give other people a serious infection or get a serious infection from them.
SOME PATIENTS TAKING HUMULIN® (HUMAN INSULIN, rDNA ORIGIN) MAY REQUIRE A CHANGE IN DOSAGE FROM THAT USED WITH OTHER INSULINS. IF AN ADJUSTMENT IS NEEDED, IT MAY OCCUR WITH THE FIRST DOSE OR DURING THE FIRST SEVERAL WEEKS OR MONTHS.
Humulin R may cause serious side effects, including:
Treatment with TZDs and Humulin R may need to be adjusted or stopped by your healthcare provider if you have new or worse heart failure.
Insulin is a hormone produced by the pancreas, a large gland that lies near the stomach. This hormone is necessary for the body's correct use of food, especially sugar. Diabetes occurs when the pancreas does not make enough insulin to meet your body's needs.
To control your diabetes, your doctor has prescribed injections of insulin products to keep your blood glucose at a near-normal level. You have been instructed to test your blood regularly for glucose. Studies have shown that some chronic complications of diabetes such as eye disease, kidney disease, and nerve disease can be significantly reduced if the blood sugar is maintained as close to normal as possible. Proper control of your diabetes requires close and constant cooperation with your doctor. Despite diabetes, you can lead an active and healthy life if you eat a balanced diet, exercise regularly, and take your insulin injections as prescribed by your doctor.
Always keep an extra supply of insulin as well as a spare syringe and needle on hand. Always wear diabetic identification so that appropriate treatment can be given if complications occur away from home.
Humulin is synthesized in a special non-disease-producing laboratory strain of Escherichia coli bacteria that has been genetically altered to produce human insulin. Humulin R [Regular insulin human injection, USP (rDNA origin)] consists of zinc-insulin crystals dissolved in a clear fluid. It takes effect within 30 minutes and has a duration of activity of approximately 4 to 12 hours. The time course of action of any insulin may vary considerably in different individuals or at different times in the same individual. As with all insulin preparations, the duration of action of Humulin R is dependent on dose, site of injection, blood supply, temperature, and physical activity. Humulin R is a sterile solution and is for subcutaneous injection. It should not be used intramuscularly. The concentration of Humulin R is 100 units/mL (U-100).
Human insulin from Eli Lilly and Company has the trademark Humulin. Your doctor has prescribed the type of insulin that he/she believes is best for you.
Always check the carton and the bottle label for the name and letter designation of the insulin you receive from your pharmacy to make sure it is the same as prescribed by your doctor. There are two Humulin R formulations: Humulin R U-100 and Humulin R U-500. Make sure that you have the formulation prescribed by your doctor.
Always check the appearance of your bottle of Humulin R before withdrawing each dose. Humulin R is a clear and colorless liquid with a water-like appearance and consistency. Do not use Humulin R:
If you see anything unusual in the appearance of Humulin R solution in your bottle or notice your insulin requirements changing, talk to your doctor.
Not in-use (unopened): Humulin R U-100 bottles not in-use should be stored in a refrigerator (36° to 46°F [2° to 8°C]), but not in the freezer.
In-use (opened): The Humulin R U-100 bottle you are currently using can be kept unrefrigerated as long as it is kept as cool as possible [below 86°F (30°C)] away from heat and light. In-use bottles must be used within 31 days or be thrown out, even if they still contain Humulin R U-100.
Do not use Humulin R after the expiration date stamped on the label or if it has been frozen.
Your doctor has told you which insulin to use, how much, and when and how often to inject it. Because each patient's diabetes is different, this schedule has been individualized for you.
Your usual dose of Humulin R may be affected by changes in your diet, activity, or work schedule. Carefully follow your doctor's instructions to allow for these changes. Other things that may affect your Humulin R dose are:
Illness, especially with nausea and vomiting, may cause your insulin requirements to change. Even if you are not eating, you will still require insulin. You and your doctor should establish a sick day plan for you to use in case of illness. When you are sick, test your blood glucose frequently. If instructed by your doctor, test your ketones and report the results to your doctor.
Good control of diabetes is especially important for you and your unborn baby. Pregnancy may make managing your diabetes more difficult. If you are planning to have a baby, are pregnant, or are nursing a baby, talk to your doctor.
Insulin requirements may be increased if you are taking other drugs with blood-glucose-raising activity, such as oral contraceptives, corticosteroids, or thyroid replacement therapy. Insulin requirements may be reduced in the presence of drugs that lower blood glucose or affect how your body responds to insulin, such as oral antidiabetic agents, salicylates (for example, aspirin), sulfa antibiotics, alcohol, certain antidepressants and some kidney and blood pressure medicines. Your healthcare provider may be aware of other medications that may affect your diabetes control. Therefore, always discuss any medications you are taking with your doctor.
Before you use Humulin R, tell your healthcare provider if you:
Exercise may lower your body's need for insulin during and for some time after the physical activity. Exercise may also speed up the effect of an insulin dose, especially if the exercise involves the area of injection site (for example, the leg should not be used for injection just prior to running). Discuss with your doctor how you should adjust your insulin regimen to accommodate exercise.
When traveling across more than 2 time zones, you should talk to your doctor concerning adjustments in your insulin schedule.
Hypoglycemia (Low Blood Sugar)
Hypoglycemia (too little glucose in the blood) is one of the most frequent adverse events experienced by insulin users. It can be brought about by:
Symptoms of mild to moderate hypoglycemia may occur suddenly and can include:
Signs of severe hypoglycemia can include:
Therefore, it is important that assistance be obtained immediately.
Early warning symptoms of hypoglycemia may be different or less pronounced under certain conditions, such as long duration of diabetes, diabetic nerve disease, use of medications such as beta-blockers, changing insulin preparations, or intensified control (3 or more insulin injections per day) of diabetes.
A few patients who have experienced hypoglycemic reactions after transfer from animal-source insulin to human insulin have reported that the early warning symptoms of hypoglycemia were less pronounced or different from those experienced with their previous insulin.
Without recognition of early warning symptoms, you may not be able to take steps to avoid more serious hypoglycemia. Be alert for all of the various types of symptoms that may indicate hypoglycemia. Patients who experience hypoglycemia without early warning symptoms should monitor their blood glucose frequently, especially prior to activities such as driving. If the blood glucose is below your normal fasting glucose, you should consider eating or drinking sugar-containing foods to treat your hypoglycemia.
Mild to moderate hypoglycemia may be treated by eating foods or drinks that contain sugar. Patients should always carry a quick source of sugar, such as hard candy or glucose tablets. More severe hypoglycemia may require the assistance of another person. Patients who are unable to take sugar orally or who are unconscious require an injection of glucagon or should be treated with intravenous administration of glucose at a medical facility.
You should learn to recognize your own symptoms of hypoglycemia. If you are uncertain about these symptoms, you should monitor your blood glucose frequently to help you learn to recognize the symptoms that you experience with hypoglycemia.
If you have frequent episodes of hypoglycemia or experience difficulty in recognizing the symptoms, you should talk to your doctor to discuss possible changes in therapy, meal plans, and/or exercise programs to help you avoid hypoglycemia.
Hyperglycemia (High Blood Sugar) and Diabetic Ketoacidosis (DKA)
Hyperglycemia (too much glucose in the blood) may develop if your body has too little insulin. Hyperglycemia can be brought about by any of the following:
In patients with type 1 or insulin-dependent diabetes, prolonged hyperglycemia can result in DKA (a life-threatening emergency). The first symptoms of DKA usually come on gradually, over a period of hours or days, and include a drowsy feeling, flushed face, thirst, loss of appetite, and fruity odor on the breath. With DKA, blood and urine tests show large amounts of glucose and ketones. Heavy breathing and a rapid pulse are more severe symptoms. If uncorrected, prolonged hyperglycemia or DKA can lead to nausea, vomiting, stomach pain, dehydration, loss of consciousness, or death. Therefore, it is important that you obtain medical assistance immediately.
Rarely, administration of insulin subcutaneously can result in lipoatrophy (seen as an apparent depression of the skin) or lipohypertrophy (seen as a raised area of the skin). If you notice either of these conditions, talk to your doctor. A change in your injection technique may help alleviate the problem.
Local Allergy — Patients occasionally experience redness, swelling, and itching at the site of injection. This condition, called local allergy, usually clears up in a few days to a few weeks. In some instances, this condition may be related to factors other than insulin, such as irritants in the skin cleansing agent or poor injection technique. If you have local reactions, talk to your doctor.
Systemic Allergy — Less common, but potentially more serious, is generalized allergy to insulin, which may cause rash over the whole body, shortness of breath, wheezing, reduction in blood pressure, fast pulse, or sweating. Severe cases of generalized allergy may be life threatening. If you think you are having a generalized allergic reaction to insulin, call your doctor immediately.
Information about diabetes may be obtained from your diabetes educator.
Additional information about diabetes and Humulin can be obtained by calling The Lilly Answers Center at 1-800-LillyRx (1-800-545-5979) or by visiting www.LillyDiabetes.com.
Patient Information revised February 25, 2015
Marketed by: Lilly USA, LLC, Indianapolis, IN 46285, USA
Copyright © 1997, 2015, Eli Lilly and Company. All rights reserved.
HUMULIN® (HU-mu-lin) R
insulin human injection, USP (rDNA origin)
vial (100 Units/mL, U-100)
Do not share your syringes with other people, even if the needle has been changed. You may give other people a serious infection or get a serious infection from them.
Correct Syringe Type
Doses of insulin are measured in units. U-100 insulin contains 100 units/mL (1 mL=1 cc). With Humulin R, it is important to use a syringe that is marked for U-100 insulin preparations. Failure to use the proper syringe can lead to a mistake in dosage, causing serious problems for you, such as a blood glucose level that is too low or too high.
Syringe Use
To help avoid contamination and possible infection, follow these instructions exactly.
Disposable syringes and needles should be used only once and then discarded by placing the used needle in a puncture-resistant disposable container. Properly dispose of the puncture-resistant container as directed by your Health Care Professional.
Preparing the Dose
Mixing Humulin R with Longer-Acting Human Insulins
Follow your doctor's instructions on whether to mix your insulins ahead of time or just before giving your injection. It is important to be consistent in your method.
Syringes from different manufacturers may vary in the amount of space between the bottom line and the needle. Because of this, do not change:
Injection Instructions
Instructions for Use revised February 25, 2015
Marketed by: Lilly USA, LLC, Indianapolis, IN 46285, USA
Copyright © 1997, 2015, Eli Lilly and Company. All rights reserved.
insulin human injection, solution |
Labeler - Eli Lilly and Company (006421325) |
Establishment | |||
Name | Address | ID/FEI | Business Operations |
Eli Lilly and Company | 006421325 | API MANUFACTURE(0002-8215) , MANUFACTURE(0002-8215) , ANALYSIS(0002-8215) , LABEL(0002-8215) , PACK(0002-8215) |
Establishment | |||
Name | Address | ID/FEI | Business Operations |
Covance Laboratories, Inc. | 006453670 | ANALYSIS(0002-8215) |
Establishment | |||
Name | Address | ID/FEI | Business Operations |
Hospira, Inc. | 030606222 | MANUFACTURE(0002-8215) , ANALYSIS(0002-8215) |


text:
Actress Kristin Chenoweth, who was recently announced as a recurring guest star on Season 4 of "The Good Wife" as a dogged political reporter, was hospitalized Wednesday (July 11) after an accident on the set. Sources tell TMZ that K-Chen was struck by a piece of lighting equipment and fell, hitting her head on the ground.
911 was called just after 5 p.m. ET. A witness says, "That area is a vortex for wind … and a big guest of wind blew the lighting off the scaffolding." The witness says Chenoweth appeared to be "out cold" and that the witness thought she was dead at first.
A FDNY rep says that Chenoweth is being treated for "minor injuries."

subset: commoncrawl


text: Home / Products / 1 Light Pendant | Brushed Nickel Larger View Choose background color Rollover to Zoom Close Visualize Kichler lighting and Sherwin-Williams paint all in one tool. Today's homeowners have seemingly unlimited options when it comes to colors and finishes. With so many possibilities it can be daunting to find just the right match. Not any more. Match your lighting and your wall color with our intuitive visualization tools. Choose your Sherwin-Williams Color Family Color palette belongs to Sherwin-Williams, a registered trademark of the Sherwin-Williams Company. © 2013 Sherwin-Williams Company. All rights reserved. Other Kichler Products Products in the same collection 42044CH42044NIMER42044OZ42044OZMER42047CH42047OZ42141CHCLRView all products in this collection Everly Collection1 Light Pendant | Brushed Nickel 42044NIMER (Brushed Nickel) bvseo_sdk, net_sdk, 220.127.116.11 CLOUD, getAggregateRating, 47ms REVIEWS, PRODUCT bvseo-msg: The resource to the URL or file is currently unavailable.; Product Description: The design of this 1 light pendant from Everly collection is based on decorative blown glass containers. It features mercury glass and is made memorable with the use of vintage squirrel cage filament bulb. Contemporary or traditional, this pendant can be used singularly or in multiples to elevate every room. Available Finishes Shop, Buy or Order Locally Submit Lighting Showroom Landscape Lighting Distributor Electrical Distributor Available online at these fine retailers! Technical Information Weight:3.96 LBSChain/Stem Length:36.00"Safety Rated:DryBase Backplate:4.75 DIAMax Stern Tilt:90 DegreesOverall Height:49.00"Max Wattage/Range:100WBulb Product ID:4071CLRMax Stem Tilt:90 DegreesCollection:Everly CollectionWidth:12.00"Height:10.50"Lamp Included:Not IncludedLight Source:IncandescentSocket Base:MediumNumber of Bulbs:1Lamp Type:A19Max Watt:100WLead Wire Length:73.00"Glass Description:MercuryVoltage:120VNumber of Lights/LEDs:1Finish:Brushed Nickel Related Documents:High Res Images 42044Download bvseo_sdk, net_sdk, 184.108.40.206 CLOUD, getReviews, 0ms REVIEWS, PRODUCT bvseo-msg: The resource to the URL or file is currently unavailable.;


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Minerva Mi-Performer Pro Silicone Custom IEM
"Specification Price: £385 Medical grade Silicone Full shell (can request different) Dual driver balanced armature 1.4m non removable cable. Kevlar reinforced clear cable. Ear impressions and Otoscopy included – Hidden hearing audiologists Colour/etching options (£10 extra each) I've had this IEM for a year now. I think it's time to share my thoughts, starting from..." --CantScareMe
Minvera Mi-1
Hear the music you love like never before. The Mi-1 custom headphone makes your tracks sound better than ever and blocks out annoying noise from the world around you. You'll hear music clearly and they are so comfortable you'll forget you're wearing them. Handcrafted to exactly match your ear canal, this custom headphone will change the way you listen to music. Mi-1 is just ...
Superlux HD 381
"Intro TL;DR: The Superlux HD381F is an IEM that pops tags with its exceptional sound quality in its cheap-looking and completely unassuming package. Before I begin, I would like to first thank George at Gearbest.com for providing a review sample of the Superlux HD381F in exchange for my honest opinion. I would like to clarify that I am neither affiliated with..." --thatBeatsguy


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Leprechaun Ski Beanie
Here's a leprechaun hat with something different. EARFLAPS! It has a textured belt, golden buckle, and earflap braids. It's cool enough to wear year-round!
ADULTS: 21-23" around
KIDS: 18-20" around
BABIES (6-12 months): 17-18" around
You have permission to sell finished items made from my patterns, but do not use my pictures. If you sell online, please link back to my shop:
Original Design by Liz from Playin' Hooky Designs
- Buy this pattern plus 2 more and you'll get a deal! Use the code Pick3 during checkout for $2 off your purchase of 3 patterns!
- If you're really in need of some great patterns, get $10 off when you buy 10 patterns with code Pick10.
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Official Music Video of Zion I & The Grouch's "Drop It On The 1" from the new album Heroes In The Healing Of the Nation. Directed by Pete Lee. Produced by Allen Price.
Zion I & The Grouch – Drop It On The 1 (Official Video)
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Yzerman says he's happy with his roster so far
by Staff Writer / Edmonton OilersVANCOUVER -- Steve Yzerman isn't exactly preparing his victory speech yet, but after two games Team Canada's Executive Director seems pleased with the roster he assembled.
Canada owns an 8-0 win over Norway but needed a shootout to take down upstart Switzerland 3-2 on Thursday in front of a tense-but-raucous crowd inside Canada Hockey Place.
"I think we played pretty hard and the pace of the game has been good in both games," Yzerman told NHL.com in a phone interview Friday. "We'd like to pick up our power play percentage (3-for-13). We'd like to be more of a threat, but that's usually the case on teams that haven't had a chance to play together a while. It usually takes a while for your power play to come together. In general, after two games we're happy with the way we're playing."
Some of the Canadians' issues are obvious to anyone who watched their first two games closely.
Coach Mike Babcock is still searching for the proper fit on Sidney Crosby's right side. He seems to like Rick Nash on the left, but he has used Patrice Bergeron, Jarome Iginla and Jonathan Toews on the other side.
Iginla scored a hat trick after moving to Crosby's right wing against Norway, but the chemistry didn't return against Switzerland and Babcock put Bergeron back in that spot. By the end of the game, Toews was there.
"I think we can play anybody on Sid's line and it would work fine," Yzerman said, downplaying any concern he may have over the position. "The coaches are doing some different things, seeing what works best not only for his line but for other lines, trying to maximize everybody's abilities and put people in the right spots. I really don't think we should make too big of a deal about it."
Canada also seemed to have difficulty controlling its emotions for parts of Thursday's game.
For instance, Switzerland scored the tying goal on a delayed penalty because Chris Pronger lost his cool by retaliating against Swiss forward Andres Ambuhl.
Pronger got checked hard by Ambuhl -- but instead of skating away he went after him, cross-checked him and kept jabbing away with his back to the play. After Patrick von Gunten's shot from the left circle deflected into the net off Patrick Marleau's left skate, Ambuhl went back at Pronger and got right in his face.
Fortunately, Pronger didn't react to that.
"I wouldn't read a whole lot into that other than, you know what, you can't retaliate," Yzerman said. "You know that time and again, but again that's the human element that comes into it for all of us. We have all done things in a game that made us go, 'I shouldn't have done that,' but I wouldn't read too much into that. It was his guy and the other guy throws the puck at the net, it hit Patrick Marleau's skate and that's just the way the game is sometimes."
The emotional aspect of the game is something Yzerman understands all too well from his playing days. He said it's part of being in a tournament like this or a playoff series in the NHL, and it's what makes the game great.
"I think it'll be fast very and it'll be somewhat physical. Both teams have some guys that checking is a part of their game, but for the most part it is two very skilled teams that like to go up and down the ice. I think it should be a really entertaining game."
-- Team Canada Executive Director Steve Yzerman
Not on Friday, though. Babcock gave his players the entire day off to do whatever they wanted in Vancouver.
Yzerman was hoping some of them take in another event to drink in the Olympic experience, but most importantly he feels the day off is good for their bodies as they prepare for what should be their toughest game so far against Team USA on Sunday.
"Our players have had a busy week, playing a lot of games on the weekend in the NHL and traveling all the way out here and getting prepared for your first two games," Yzerman said. "I think it's important to have a day off for them to regroup and just get refreshed here, and it's a bonus to get out in a beautiful city. The weather is nice so they can go see an event or just go and relax in Vancouver. It'll help them prepare for their next game."
And what about that next game, the anticipated showdown between North Americans?
Yzerman played a pivotal role the last time the Canadians and Americans squared off in the Olympics eight years ago in Salt Lake City. He had an assist in Canada's 5-2 win in the gold medal game, helping his country end a 50-year drought.
"I think it'll be fast very and it'll be somewhat physical," he said of Sunday's rematch. "Both teams have some guys that checking is a part of their game, but for the most part it is two very skilled teams that like to go up and down the ice. I think it should be a really entertaining game."
Contact Dan Rosen at email@example.com


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General Forums >> Introductions >> Suggestions for future LEO
Suggestions for future LEO
5 posts back to top |
Posted almost 5 years ago I am currently in the Army but will be getting out in about a year or so. I just want to have myself prepared, that's why I'm asking questions now. I am a Sergeant and hopefully be leaving as a Sergeant promotable. If not, I made Sergeant right at my 2 year mark (the earliest I could possibly make it). I am just about finished with an Associates Degree in Criminal Justice and will easily have it done before I leave the Army, and hopefully somewhat started towards a Bachelors. I am looking for suggestions of what positions I should look into (police officer, border control, corrections, etc) and what areas I should look at. I am really looking for anywhere on the east coast preferably. Thanks. |
4585 posts back to top |
| Posted almost 5 years ago Your sergeanting in the military will assist in preferential hiring during the application process for most agencies. Complete your B.A. This will provide you good leverage for hiring and subsequent promotions in the future. Most agencies are now requiring at least some college, while others may require an actual B.A. As far as law enforcement, it's really up to you. Big City PD, Small City PD, Tiny Hamlet PD, County Deputy, DHS Border Patrol, .... the career choices are wide open. At this time, there is a trend in hiring new officers, when in the last few years hirings were generally lean. In the U.S., most agencies are small: Up to 20-30 officers. NYPD is of course the anomaly with about 30,000+ sworn. You have to figure out if you will like working in a rural or urban environment, where you want to raise a family, what kind of salary you'll take, and it goes on and on and on. You have to narrow down what kind of weather you will tolerate: Working in snowy conditions, 100% humidity (like Florida), moderate to hot-hot temps. Keep in mind, you'll be wearing a ballistic vest your entire road/street/patrol career. To be clear, a Corrections position is generally not a sworn officer/deputy position. Salaries and retirement plans may be commensurate with that distinction alone. Check out the PoliceLink.com Facebook page. It was established in 2008. |
5 posts back to top |
| Posted almost 5 years ago I am originally from Michigan, so used to snow. Also, being in military, I have experienced varied weather climates...Oklahoma, Georgia, Texas, and Kuwait. As far as my family, we like more rural...but not a place to where we'd have to drive 30-45 minutes to the next major city. I will have the associates done for sure, and plan to try to take a classes while being employed as well for my B.A. As far as pay, im generally looking to get what I make from the military now, which calculated out is roughly $3300 a month (just about $21 an hour if my calculations are right for a 40 hour work week). |
699 posts back to top |
| Posted almost 5 years ago Make sure you take into account cost of living if salary is one of your deciding factors. 21 dollars an hour is a pretty small paycheck in New York, but in Montana, it'll get you a pretty nice living. You mentioned "we" in your post. If there is a wife involved, I'd choose a location close to her friends and family. She'll need a good support system with you being a new officer. |
5 posts back to top |
| Posted almost 5 years ago Yes, I have a wife and a daughter who turned 1 last month. 99% of my wifes friends and family is in Michigan, where we're from, but she doesn't want to move back to Michigan. |
699 posts back to top |
| Posted almost 5 years ago I guess that solves that! |


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Readers of the Guardian and Observer newspapers will get a couple of nice free gifts this weekend (Saturday 19th and Sunday 20th February) in the shape of two Doctor Who audiobooks!
The Hounds of Artemis (by James Goss) is narrated by Matt Smith while The Rings of Steel (Stephen Cole) is told by Rory Williams actor Arthur Darvill.
Not too much is known about either of these titles at present – however regardless of this the Guardian are offering a great opportunity to bolster your Doctor Who audio collection for free (or at least the price of a couple of weekend newspapers).
In addition to these titles, a free Doctor Who download from Tom Baker's Hornet's Nest series (by Paul Magrs) is also available by purchasing a copy of the Guardian every day next week!


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Båstad | ||
A street adjacent to the central square
Coordinates: 56°26′N 12°50′E / 56.433°N 12.833°ECoordinates: 56°26′N 12°50′E / 56.433°N 12.833°E | ||
Country | Sweden | |
Province | Skåne | |
County | Skåne County | |
Municipality | Båstad Municipality | |
Area[1] | ||
• Total | 6.27 km2 (2.42 sq mi) | |
Population (31 December 2010)[1] | ||
• Total | 4,961 | |
• Density | 792/km2 (2,050/sq mi) | |
Time zone | CET (UTC+1) | |
• Summer (DST) | CEST (UTC+2) | |
Website | http://www.bastad.se |
Båstad is a locality and the seat of Båstad Municipality, Skåne County, Sweden, with 4,961 inhabitants in 2010.[1]
The town of Båstad is located in a sheltered bay with the Hallandian ridge stretching behind it. The town borders the shore, whereafter the terrain raises until the dense vegetation of the ridge takes over.
The first city privileges were granted in the 14th or 15th century, when the area belonged to Denmark. The first certain date is 1513 when it was re-granted. At the time, the name in print was Botstœdœ, which would translate to "Boat (landing) place".
In 1658 the area was conquered by Sweden, and Båstad was given new "special" privileges in 1664, because it was of too insignificant size to receive the full royal charter as one of Sweden's cities. The minor privilege allowed the town to be used for commerce, handicraft and hostelry. The minor privilege was in effect until 1858 when it got proper rights as a merchant town, or köping. It has been the seat of Båstad Municipality since 1971.
Båstad is best known for its tennis tournament Swedish Open on the ATP Tour, held each summer since 1948. The tournament boasts the largest number of courts in the country, and has fostered many internationally successful tennis players, such as Magnus Larsson. It attracts some 20,000 visitors and puts the town in a festive mood for a few weeks. Since 2009, the women's WTA tournament previously held in Stockholm is also played in Båstad as part of the Swedish Open.
The city is also home of the Troentorp Clog, formerly known as Båstad Clogs. Troentorp Clogs have been handcrafted in Båstad since 1907 and continue to be produced with the original wooden design.
The Church of Båstad or Saint Mary's Church is located in central Båstad. It was constructed in the 15th century. It is a Romanesque church, and contains several wall paintings from various centuries; a madonna image; and a Danish altarpiece, among other things.
A few kilometers outside of Båstad there is a large garden called Norrviken Gardens, which was founded by Rudolf Abelin in the 1900. It has once been chosen as the most beautiful park in Sweden, and the second most beautiful in Europe in 2006.[2]
Notable people[edit]
- Carl Adolph Agardh (1785–1859), botanist, born in Båstad
- Arne Bjerhammar (1917-2011), geodesist notable for independently describing Moore-Penrose pseudoinverse in 1951, born in Båstad
Wikimedia Commons has media related to Båstad. |
- ^ a b c "Tätorternas landareal, folkmängd och invånare per km2 2005 och 2010" (in Swedish). Statistics Sweden. 14 December 2011. Archived from the original on 10 January 2012. Retrieved 10 January 2012.
- ^ "Norrvikens trädgårdar" (in Swedish). Båstad Municipality. Archived from the original on 21 August 2010. Retrieved 4 September 2011.
External links[edit]
KML file (edit • help) |


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Ben Affleck Gossip
Ben Affleck gossip, latest news, photos, and video.
The single Amber
Wenn, Taylor Hill/ Getty Images
Amber Heard is asking for spousal support in her divorce claim. She filed for divorce just three days after Johnny Depp Full Story
Ben Affleck's Miami blonde?
The Miami Herald published this item yesterday in its entertainment section: A Miami Uber driver who recently drove Ben Affleck (he swears it was him!) and a young blonde woman from The Standard to Miami International Airport last Sunday says all did not appear well in Affleck's love life. Full Story
Ben Affleck is Autistic Bourne
Ben Affleck, as has been noted several times, has just been through one of his downward spirals. He's had the crash—divorce, high-profile professional embarrassment—and now it's time for The Climb Full Story
Batfleck Big Homie
"Big Homie better grow up" is what Beyoncé sings in Sorry on Lemonade. I compared B's Lemonade to Jennifer Garner's Vanity Fair last week – click here Full Story
I saw him first… in London
Fred Duval/ Jeff Spicer/ Vera Anderson/ Getty Images
It's not often we get pictures of Oscar Isaac who I saw first. So, even though I don't have much to say, I'm posting these pictures anyway. Full Story
Ben Affleck's power play
FameFlynet, Splash News
It was reported last week that Ben Affleck is now executive producing the upcoming Justice League movie. Officially it's because he wants to "support" Zack Snyder's vision. Full Story
Jennifer Garner's Lemonade?
I received a click-baity alert email from Radar Online yesterday and couldn't help myself. Title: RADARONLINE.COM EXCLUSIVE: Back Together! Ben Affleck & Jennifer Garner Spotted In The City Of Love There's nothing new here. Full Story
Gwyneth, Ben, and Jen
Kevin Mazur /LUCY NICHOLSON /Jeff Kravitz /Getty Images
An email with the best headline just arrived in my inbox from the National Enquirer, claiming an exclusive: Gwyneth Paltrow Plays Peacemaker To Ben Affleck And Jen Garner! It's the National Enquirer, so by the time you read this post, there's probably going to be a denial. And, yeah, you shouldn't believe the story, but not just because the source is so sketch. Full Story
Ben's next climb
Bauer-Griffin/ Bauergriffin.com/ Splash News
Ben Affleck stepped out yesterday. Some photo agencies are saying he was leaving the therapist's. Gives me a great excuse to write about how he's going to heal his latest cycle of shame Full Story
Superhero Face Punch is crashing
Batman v Superman is still making a ton of dough, crossing $680 million worldwide, but at the rate it's dropping, it really might not break the much-needed $1 billion. Superhero Face Punch was expected to suffer a big drop in its second week in release, and it landed on the worst end of the estimate, losing 68% in week two. Full Story
Still a knucklehead?
Buzzfeed's Anne Helen Petersen wrote a great piece about How Jennifer Garner Went Full MiniVan Majority tracking her career from Alias to Miracles From Heaven. Thank you, Anne, for the LaineyGossip mentions in the article. I came up with that expression almost 10 years ago and, at the time, it was used in reference to Jennifer Aniston, her appeal and her fan base. Full Story


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17 members Latest Activity: Feb 16 Local players around Mt. Pleasant and Columbia Heights NW, DC
870 members
Latest Activity: Mar 11
Tennis partners in the metro DC area. Everyone welcome from beginner to advanced. Browse through the players on the right.
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Morning's Promise
Antonio Amen 8/11/2012 3:09:59 AM
Hi! Jeff, beautiful photo. #1479833Gord MacEachern 8/11/2012 3:20:42 AM
That's a great reward Jeff, very beautiful capture! #10271341Mary K. Robison 8/11/2012 3:30:03 AM
Clearly worth every minute slogging through the brush, Jeff! Glorious sunrise, lovely reflection, and perfect composition. #10271349Carolyn M. Fletcher 8/11/2012 3:31:25 AM
Definitely worth the trip. It's always nice to get your sunrise fix. LOL #10271351Tammy M. Anderson 8/11/2012 4:02:28 AM
Beautiful colors and reflection, Jeff. #10271374Linda D. Lester 8/11/2012 4:05:43 AM
I would love a morning like this! Beautiful! #10271380Randy K. Baldwin 8/11/2012 4:12:33 AM
Very nice sunrise Jeff. #10271388Jack Gaskin 8/11/2012 4:22:25 AM
This is what makes getting UP & OUT EARLY WELL WORTH IT !!! Love the sun across the water.Jack #10271407
Douglas Pignet 8/11/2012 5:22:31 AM
lovely colors and lighting...well done #10271513Bojan Bencic 8/11/2012 5:38:17 AM
Beautiful scene, Jeff. Fantastic capture. #10271531Lynn M. Whitt 8/11/2012 6:18:31 AM
Beautiful colors and reflection. #10271579Monnie Ryan 8/11/2012 6:49:13 AM
Wow! What an amazing scene! #10271595Ujjwal Mukherjee 8/11/2012 7:34:25 AM
As we can see the reward was handsome,Jeff!! Beautiful scene and capture!! #10271633Amalia Sylvia Arriaga Salinas 8/11/2012 9:22:10 AM
Beautiful colors and lighting Jeff!,Lorna Shutter 8/11/2012 9:25:22 AM
Wow! I think you'll be rewarded with more than this view, Jeff ... This image looks like a Big Winner to me!!! Hope we see it again and again! Absolutely stunning! :) #10271692Bill Johnson 8/11/2012 9:46:27 AM
Jeff, Outstanding capture. This may be back again. #10271719Laura E. Swan 8/11/2012 9:46:34 AM
You early birds inspire me to get up sooner. I MUST TRY IT! HeeHee! (First I have to figure out how to got to bed at a decent time).Such wonders you witness and record, and you do so well at it Jeff! Really beautiful!
-Laura :D #10271720
Linda S. Smith 8/11/2012 10:01:44 AM
Well worth the hike Jeff! Just gorgeous! #10271730Husain Akhtar 8/11/2012 10:51:46 AM
Terrific morning scene and image! #10271805Jill Odice 8/11/2012 11:32:28 AM
Well worth the effort involved Jeff:-) #10271860isabel C. Zepeda 8/11/2012 11:34:04 AM
JeffThat was worth waiting for,so beautiful ,grate photo
Anita Hogue 8/11/2012 11:41:29 AM
This was certainly your lucky day! It's gorgeous! #10271893Tiia Vissak 8/11/2012 11:44:04 AM
great tones, light & framing! #10271903Emile Abbott 8/11/2012 11:50:29 AM
It was worth the trip and patience Jeff. Nature rewards the early bird. A great reward for Jeff. #10271926Robert Goodman 8/11/2012 12:25:09 PM
Hi Jeff,The color and lighting is wonderful my friend.Stunning capture!!! #10272005Jyri Vissak 8/11/2012 12:53:02 PM
I agree with my daughter. Well done! #10272017Mike Clime 8/11/2012 12:56:37 PM
Beautiful sunrise and the best part of the day, Jeff! #10272021Lorraine A. Cook 8/11/2012 1:23:08 PM
After reading your description...first thing that came to mind is an 'oldie', titled,..."The Wanderer". Am I giving my age away, Jeff??(LOL)<:)) And, I LOVE that song and WHAT a reward you were gifted, Jeff!Thank for Sharing this STUNNING SUNRISE, My Friend!<:)) #10272040
Patrick Rouzes 8/11/2012 1:46:33 PM
Magical,mystical & exceptional early morning capture, Jeff! Good luck with this beauty!John Connolly 8/11/2012 1:56:10 PM
It's a bit like finding a pot of gold at the end of rainbow Jeff! What a glorious sunrise and start to a new day! #10272078Stephen Zacker 8/11/2012 2:22:33 PM
Like the warm light and reflections. Stunning #10272100Phillip R. Connolly 8/11/2012 4:51:42 PM
A great sunrise capture, Jeff. I love the sky and the excellent foreground that adds so much interest! Well done and worth the effort getting there!Phil #10272200
Tammy Espino 8/11/2012 7:31:06 PM
Worth the walk :) #10272340Barbara Waldoch 8/12/2012 1:39:03 AM
Awesome! #10272521Avril Young 8/12/2012 2:44:04 AM
wow, it is beautiful Jeff, wonderful light and reflections...Beautiful! #10272542Jeff Robinson 8/12/2012 2:44:29 AM
Thanks Everyone!! Jeff #10272543Mary Dimitriw 8/12/2012 4:09:48 AM
Stunning Jeff, it always pays to get out there early! #10272626Inge S. Lasmana 8/12/2012 7:07:10 AM
So peaceful, love the color and lighting. Great shot Jeff #10272875Carolyn J. Connolly 8/12/2012 7:22:45 AM
WOW, Jeff - no wonder this scene greeting you made that long hike in the dark feel SO-O worthwhile!! REALLY beautiful, my friend!! :-) #10272912Raymond Pauly 8/12/2012 9:41:01 AM
Wonderful capture, Jeff! #10273070Ann H. Belus 8/12/2012 10:39:23 AM
Absolutely gorgeous sunrise; sure worth the hike, Jeff! #10273121Jodi Zimmer 8/12/2012 3:57:19 PM
BEAUTIFUL! #10273401Ellen Hodges 8/12/2012 4:34:20 PM
Absolutely beautiful with gorgeous color and reflections, Jeff!!! #10273445Nancy L. Green 8/12/2012 5:36:12 PM
I LOVE the beautiful reflections and the great comp in this wonderful image, WTG Jeff!! <>< #10273496Amanda J. Tanner 8/13/2012 2:29:45 AM
Beautiful is not enough for this wonderful image! Great capture Jeff! #10273792Jeff Robinson 8/13/2012 3:40:09 AM
Thank You!! Jeff #10273824Terry Cervi 8/13/2012 6:57:47 AM
Your trek was well worth it, Jeff! This is gorgeous! #10274030Usman M. Bajwa 8/13/2012 7:35:36 AM
You were well rewarded for your efforts by Mother Nature, hope the judges follow suit, Jeff. Good luck!UB. #10274085
Julianne Bradford 8/13/2012 9:17:41 AM
Beautiful Jeff! #10274150Karen Celella 8/13/2012 3:30:42 PM
Gorgeous reward, Jeff! #10274498David Phalen 8/13/2012 5:26:12 PM
Thank you for making the effort to capture this image of spectacular beauty!! #10274619Rona L. Schwarz 8/13/2012 9:27:16 PM
Well it was certainly worth it, Jeff! All your BP friends thank you for that effort! What a spectacular sunrise - love the way the lake shimmers in the early morning and those fabulous reflections. Bet we see this again! #10274841Renee Doyle 8/13/2012 10:18:18 PM
Well worth the effort!!! Gorgeous Jeff! #10274870Jeff Robinson 8/14/2012 3:22:12 AM
Thank You! Jeff #10275014Eivor Kuchta 8/14/2012 9:35:58 AM
It's so nice to be out on location before the sun rises and see a new day come to life. What a lovely composition, with the little pool in the foreground! Wonderful light, of course. #10275551Marijana Fajgl 8/14/2012 2:50:16 PM
Amazing view, Jeff! Love it! #10275926Jeff Robinson 8/14/2012 3:36:21 PM
Thank You! Jeff #10275993Sabrina Ryan 8/15/2012 8:35:31 AM
Simply Beautiful capture, Jeff! Worth the hike #10276827Jeff Robinson 8/15/2012 2:56:10 PM
Thank You Sabrina! Jeff #10277227JO ANN CLEVELAND 8/15/2012 7:14:59 PM
What an awesome capture of this beautiful place Jeff..that golden light is an indicator of a Gold Win I hope...love it!jo ann c.
Ken Smith 8/15/2012 8:01:43 PM
Can't beat that, Jeff...beautiful scene! #10277593Jeff Robinson 8/16/2012 3:13:55 AM
Thank You ! Jeff #10277917Gail Vitikacs 8/17/2012 9:27:37 AM
Fabulous scene Jeff! Happy Friday! #10279785Katherine Kuhn 8/17/2012 11:27:39 AM
Spectacular color & reflections, Jeff! Well-worth your walk in the dark, I'd say! #10279897David M. Montero 8/17/2012 3:52:52 PM
Love the inclusion of the mini-cove in the center and the cloud reflections in the water. Nicely composed Jeff! #10280133Jeff Robinson 8/18/2012 3:02:47 AM
Thank You! Jeff #10280529Carol A. Grady 8/19/2012 6:21:36 PM
What a wonderful capture Jeff. You've inspired me to try to do the same down at Thurmond Lake in SC!#10282302
Jeff Robinson 8/20/2012 3:07:56 AM
Thank You Carol! Jeff #10282542Bill Houghton 8/21/2012 4:38:07 PM
Stunning image Jeff. Love the sky. Bill #10284644Jeff Robinson 8/21/2012 4:48:54 PM
Thank You Bill! Jeff #10284656Cassie L. Woodlee 8/22/2012 5:02:44 AM
Breathtaking! #10285308Jeff Robinson 8/22/2012 4:12:59 PM
Thank You Cassie! Jeff #10286005Donna LaMattino Pagakis 8/23/2012 7:21:15 AM
What a great image, well worth the hike. Incredible work Jeff! #10286773Jeff Robinson 8/23/2012 3:47:28 PM
Thank You Donna! Jeff #10287312
After a 30 minute hike in the dark (using flashlights), along a path through heavy brush that parallels the creek, this was the view at the mouth of lake I was rewarded with as the sun came up!
Tamron 18-270 Di at 18mm. ISO 200, 1/1600 @ f4.0, EC +1/3 (N&L)
Exif: F Number: 4, Exposure Bias Value: 0.33, ExposureTime: 1/1600 seconds, Flash: did not fire, compulsory flash mode, ISO: 200, White balance: Auto white balance, FocalLength: 18.00 mm, Model: Canon EOS 50D
Uploaded on 8/11/2012 3:03:50 AM
Entered into contest on 4/30/2016 5:50:41 AM
Camera: Canon EOS 50D Digital SLR Camera
Copyright for this gallery photo belongs solely to Jeff Robinson. Images may not be copied, downloaded, or used in any way without the expressed, written permission of the photographer.
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I really can't think of a whole bunch of stuff to write about. I've been busy with odds and ends. So, let me just mention a few things. On the radio show last night I debated Tim Staples, from Catholic Answers. It was interesting. I demonstrated how he was being illogical in saying that water baptism is necessary for salvation but also not necessary at the same time. That violates logic. Anyway, the show went on like that for awhile. Hopefully, in January we will pick out where we left off. His schedule and my schedule don't coincide until then. If You are interested in hearing our discussion, please go to http://carmpodcasting.blogspot.com/. Last night on paltalk.com I had a debate with a woman on whether or not Jesus has a divine nature. It went on for about two hours. She did not understand the Trinity concept or the idea of the incarnation. Even though I explained both to her she continued to ask the same kinds of questions that were answered in my explanations. Also, since the context of the debate was in a voice chat room, the debate was done verbally. But there were also people doing chat text and a lot of them were "less than polite" as they attacked the deity of Christ and my person. The debate should be uploaded the next day or two at http://carmpodcasting.blogspot.com/ if you are interested in checking it out. |
Charlotte, NC Apologetics Conference |
The North Carolina trip was excellent. The apologetics conference was huge and I really enjoyed it. I made a lot of connections. Lord willing, perhaps I will be able to have a booth there next year or maybe even speak. I definitely recommend attending if you're able. |
St. Louis Missouri |
I'll be in Missouri from Dec. 3rd to Dec. 10th visiting family and making some connections with a couple of guys who do video work. It looks like they will be doing the video editing and production for CARM. So, if you are in the area of St. Louis/Cape Gerardeau and would like to get together at a restaurant or something, please e-mail me at email@example.com. |
Washington D.C. | I'll be in Washington, DC on the weekend of the 26th of January, 2008 teaching at a church. As in the previous two paragraphs, if you are in the area and would like to possibly get together at a restaurant, please let me know at email@example.com. |
CARM Needs Staff | CARM needs staff. In June of next year Ryan Turner will be joining me for full-time ministry. He's twenty-three and will be graduating with a Masters in Apologetics. He came out here in June of this year and spent 10 days with me. He's a great guy and he understands how much CARM can do, and how much help is needed. I praise God for this young man.
Are you interested in a ministry opportunity? I am Looking for people who don't mind working hard, who will have cultists praying against them, who don't mind facing spiritual difficulties, who will have to raise their own support, who can do research, write, don't mind learning the ins and outs of CARM, and are willing to move here to Boise, Idaho. Glamorous, huh? I wish I had enough money to hire three people right now. I need a programmer Web person, an administrator, researchers, writers, video editors, audio editors, etc. The goals are to produce teaching materials in writing, audio, and video formats. There is so much to do and I'm absolutely buried. I know that you might be wondering why we can't do this over the Internet. Some things can be done that way, but not everything. I need people on site. I need people to interact with, to brainstorm with, to sit with for long periods of time and train, to have them do video shoots with me, answer emails, maybe help with radio, etc. In short, I need to disciple people on how to be better apologists, how to write, and how to do everything necessary to continue this ministry and/or produce their own. You can be male or female. You have to agree to the CARM statement of faith, and I prefer people who are educated and/or experienced in their field of expertise. But I must reiterate; this is not an easy ministry. It is time-consuming, often unrewarding, frustrating, etc. But, there are rewards. You get to know that what you produce will affect thousands of people for years to come. This ministry is a challenge and it is not for the fainthearted. Interested? If so, contact me at email@example.com. |
Love and Hate Mail
Matt Slick CARM President |


text:
The opponent's Attack points are reduced by 4 points or up to a minimum of 4. If the opponent's number of Attack points are lower or equal to 4, then the ability has no effect.
The opponent's Ability is cancelled if they have one.
Oh look, level two looks like her and octavia have been going to the same hairdresser.
fatandgay - Veteran Sunday 01/02, 09:55 Oh look, level two looks like her and octavia have been going to the same hairdresser. They like to discuss the latest trends Fun fact, Ottavia beats ratanah pill for pill until 8 pillz in So some ppl are gonna say well then why is she banned N I'll say What, you don't read? http://www.urban-rivals.com/community/forum/?mode=viewsubject&subject_page=0&id_subject=1107471 "Admittedly Ratanah was banned less often than Shakra but we calculated that her ban would greatly help in reducing the Roots' dominance while still making them playable. Whereas Shakra's ban would have left the Roots with very strong chances of building powerful half-decks for a reasonable amount of stars."
the only reason she is banned is so that Shakra stays playable!!!
X-Bapra-X , Most of the cards you mentioned have awesome POSSIBLE stats, While Ratanah HAS awesome stats. She was banned due to her "solidness".(opinion) Come on with her SOA, she can block most DMG RDCRS. 8 Power is amazing while 5 Damage is good-decent. In my opinion, she deserves to be banned. Rate Green if you agree. -divinefist-
Ratanah -- SHould it be elo banned or not? Let's take a look at other cards similer to this (4 star cards) that are not elo banned striker - possible 8 , 6 with SOA Blaaster - possible 10 , 6 Linda- Possible 8,8 Crassus- possible 7,7 and Poison toro- possible 9 , 5 with SOA sylth- Possible 8,13 Gibson- 8,4 with SOB +8 attack Bryan- Possible 7,7 with SOA Edd- 7,5 with SOB and -12 attack Kenny- possible 6 ,18 with SOB Sting- possibe 10,4 with SOB Yayoi- 7,6 with SOA Kerry- 6 ,6 with SOB and +12 Attack Petra- 7,5 with SOB and -8 opp. Attack Coby- possible 8,7 with +8 attack Buck- possible 9,7 Nellie- possible 8,6 with -10 opp. Attack Ratanah- 8,5 with SOA -4 opp. attack Should this card be elo banned? In my opinion if you take a look at similar cards from other clan this is a normal card so my opinion is this should not be elo banned vote this comment if you think ratanah shouldn't be elo banned..
Ratanah should be unbanned from the perma banned list since Shakra is now perma banned.... Roots need strong playable cards in ELO and Ratanah being unbanned from the perma banned would be a good start... A new Roots being released would be a great idea too since Roots haven't gotten a new release for a really long time since Gertjan and he is out of new blood...
@X-Bapra-X Your argument is poor. Like what Smeyli said, Those stats are possible, where as Ratanah's are straight-down solid. Soa? She is still an 8/5. Sob? They get to keep their ability. Wow. DR? Most of them are blocked, and most Pussycats don't beat her anyway. And if you haven't noticed; Ratanah beats Striker pill for pill, Ratanah beats Blaaster Pill for pill, Ratanah beats Linda pill for pill (not to mention Linda becomes 4 damage), Ratanah beats Crassus pill for pill, and for 1 more pill after 3 pills. Ratanah beats Toro, AND she has 8 damage where as Toro has 6. Ratanah beats Sylth pill for pill, and Sylth has no point in winning considering he would have no poison, Ratanah has trouble with Gibson, admittedly. Ratanah beats Bryan pill for pill Ratanah has a lot of trouble with Edd, up until 8 pills she loses. Ratanah beats Kenny pill for pill, Ratanah might lose to Sting, but he is situational, Ratanah beats Yayoi pill for pill, Ratanah beats Kerry 4 pills and up, Ratanah beats Petra 4 pills and up, Ratanah may lose to Coby, but he becomes 8/3, Ratanah beats Buck, Ratanah beats Nellie after 2 pills. So, in theory, Ratanah is better than all of them AND against other cards. And just to give you more shame; http://www.urban-rivals.com/community/forum/?mode=viewsubject&subject_page=0&id_subject=1107471 Yeah. I guess you can't read yet.
Ratanah -a very good 4star card for Roots -she is an 8/5 card with an ability of -4attack min.4 which is hard to shut down..and she also has SOA (stop opp ability) -she can deal a max damage of 7 (with fury) cutting opp life in half -high power and decent damage plus a great ability added with SOA makes her a great attacker and addition in any Roots deck..
I'll say the same thing about Ratanah that I said about Hawk. Ratanah is an epic card totally deserving of it's ELO ban. The whole point of ELO is to remove the best, most game dominating cards in order to force players to use STRATEGY and DECK COMPOSITION, instead of CLINTZ and PLAY TIME to win. Ratanah dominates a game with her mighty stats and clan bonus, especially for 4 stars. She's quite possibly one of *the best* 4 star cards in the game, lagging somewhat behind Graksmxxt and Jackie. Let's keep removing the best cards in UR to keep ELO both COMPETITIVE and FUN, and DON'T LET IT BECOME like Type 1, with older players armed with Lyse Teria Cr, Jackie Cr, Guru Cr, etc, dominating matches easily. If Smokey or Striker were ever to be permabanned, it'd be outrageous. But Ratanah? She blows both of those cards away in terms of sheer danger to the opponent.
Love this card but dont ya think her final stage looks a little too empty? I mean the picture looks wierd compared to all other cards. No offence
anybody notice she's a lv4 Kiki Cr with a higher minimum
Reviewing Ratanah's price (-)Can't be used in ELO but I think that there is still chance for her to get off the permanently banned list . It is still a minus from her (-)Can't be used in DT Standard, ok no biggie, she is just one of many. Still a minus from here (+)She can most definitely be used in Survivor Extented, and I think that this is a big plus from here. Am I the only one that thinks Roots are the cheapest choice to go? At least for this mode. She can also be used in Deathmatch. (+)She can be used in Daily Tournaments Extented and she has no penalty points. Plus of course. Verdict: The character ranges from 13k to14k I'd say she is quite underpriced so I would recommend that you buy her as soon as possible. It won't be long before the sellers realise that it is worth much more
@BapraNoFry-Sure, their stats are close(if unopposed, and used correctly), but Ratanah kills almost all of them. Pill for pill, Ratanah beats Striker, Blaaster, Linda, Crassus, Toro, Sylth, Bryan, Edd is debatable, Kenny, Yayoi, Kerry after a few pillz, Petra after a few, Buck and Nellie. And those are just the ones from your list. Crassus, Linda, Coby and more all have next to 0 damage against her, too.
The fact that there are 8 banned Roots this week, Come on UR
The only reason this card was banned was so that Shakra could remain playable BUT NOW Shakra IS BANNED SO UNBAN RATANAH


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Home > Patients & Visitors > Health Library > Ear Infection and Hearing Loss
An ear infection may sometimes cause a temporary or reversible hearing loss. This generally occurs because the infection blocks sound from passing through the ear canal or middle ear to the inner ear. When sound is blocked like this, it is known as conductive hearing loss. You may hear sounds as muffled or indistinct.
See a picture of the ear.
Types of infection that may cause temporary or reversible hearing loss include:
Ear infections are most common in children, but they can occur at any age. This cause of hearing loss can almost always be found during a normal visit to your doctor.
ByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency MedicineSpecialist Medical ReviewerCharles M. Myer, III, MD - Otolaryngology
Current as ofNovember 20, 2015
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Current as of: November 20, 2015
Author: Healthwise Staff
Medical Review: William H. Blahd, Jr., MD, FACEP - Emergency Medicine & Charles M. Myer, III, MD - Otolaryngology
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1426 West Highway U Troy , MO
Friday March 8th & Saturday March 9th , 7pm - midnite
Looking for something different to do after the Transworld Haunt Show closes in the evening ?
How about a bus tour featuring a Haunted Attraction , Dinner , & Silent Auction ?
What better way to get inspiration & fresh ideas for your own haunt than by visiting other haunted attractions !
This tour features Motor Coach transportation , trip through Mr Bills Thrills, and dinner for only $55.00 per person ( all fees included )
Plus the opportunity to bid on items throughout the Haunt !
Dinner consisting of your choice of beef brisket or pork steaks (plain or BBQ) , your choice of 2 sides , bread & soft drink .
And no need to decide your food choice now, it will all be ready when you arrive, and can decide then what your in the mood for .
The tour is March 8th & 9th and you can take advantage of the bus tour or drive yourself and pay onsite by Cash / Credit .
Concessions will be available onsite if you prefer not to stop along the way .
The bus will leave the convention center at 5:30pm each night and should return by midnight !
Please remember that bus tickets are extrememly limited as we were only able to reserve 1 bus for each night !
So if you plan on going you need to purchase tickets soon ! http://springthrills.ticketleap.com/
The attraction will be open from 7pm to midnight for those who are driving .
For more information, directions or link to purchase tickets visit www.mrbillsthrills.com
Some of you have visited Mr Bills in past years and know it really features our actors.
We pride ourselves on our actors, and spend a lot of time and effort on actor training !
Mr Bills Thrills is an intense trip through The Time Zone, The Haunted Barn, Cavern of Doom, The Black Zone, & Trail of Terror
Comments from Attendees of our 2012 Tour
>My wife and I really enjoyed your haunt. Once I entered your haunt I gave it my full attention , your haunt shows what can be
accomplished with GREAT Actors. Your actors were giving it 100% and it showed. Please keep up the good work.
I know you do it for your community and that is a great thing. The joy all of you bring to others is PRICELESS.
> I particularly liked the guy with the meat hook and the chains across his chest. He wouldn't get out of my face,
then he came on the bus to taunt us all again before we left. I am a haunted attraction actor and that is what I would have done.
What a trooper. I got a real kick out of him.
> Was great, 2 thumbs up. - Wilson was fabulous!
> I just wanted to let you know how much we enjoyed your attraction this weekend. Your Cue Line Actors were the BEST
Id seen anywhere in a long time, and that is what makes a GREAT haunted house! Especially the Tall Creepy one who got
on the bus with us at the end!! Your haunt was definitely more our style. I love the more realistic and outdoor haunts.
Happy Haunting for many years to come.....we hope to be just as successful as you all one day!
> Thanks again for opening your haunt to us during the show. I can tell you have put a lot of work and lot of pride into
Mr. Bill's Thrills and it was not unnoticed.
>We had a fun time at your farm. Enjoyed your staff and also the little ones. They were so cute in scarying us.
Future haunters - which is how we feel about our kids.


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'Survivor: Nicaragua': You can't fire me, I quit!
We hardly recognized "Survivor: Nicaragua" Wednesday night, as the show's comfortable rhythms were undone by two castaways leaving without a vote or a medical emergency. They simply quit.
In losing NaOnka Mixon and Purple Kelly Shinn, the season lost two of its most memorable characters - memorable for entirely different reasons.
NaOnka joins the rolls of players you would never want to meet in real life but love to watch on television, somewhere high on the list topped by Russell Hantz and Jonny Fairplay. In truth, the real NaOnka probably was nicer than the one we saw; she seemed to make strong friends in Chase and Alina, for instance. But her ability to be nasty, vindictive, selfish - and clueless about her shortcomings - made her the season's great villain.
She ended her stay perfectly: refusing to help the others so she could enjoy a last reward, and maintaining at Tribal Council that she could have won the season - forgetting, it seems that votes from the jury would have been required.
Purple Kelly stood out for a different reason. In a disappointing season full of weak players, she was the weakest - and a good candidate for the worst castaway of all time.
As with many bad players, Purple Kelly lasted a long time because she represented an easily manipulated vote for some stronger player. But she never took part in forming strategies, didn't stand out in the challenges and rarely spoke. When she did, half of every sentence consisted of "like."
Purple Kelly's shining moment came at the Tribal Council that ousted Brenda, when she admitted that she had no idea what was going on. She lived 24/7 with the others, doing pretty much nothing but playing the game of "Survivor," and she somehow was unaware of the biggest play of the season.
She did, however, score one of the best nicknames in "Survivor" history. Congratulations, kid.
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Petronas Carigali Sdn Bhd
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Daily Dish: Lindsay Lohan's Fashion Gig in Jeopardy
Will LiLo last at Ungaro?
-Carolyn French
Just last week Lindsay Lohan endured an alleged breakdown after her ex Courtenay Semel begged her to check back into rehab, and now she's on the verge of having her fashion line for Emanuel Ungaro ripped away from her.
CEO Mounir Moufarrige is battling with Ugaro's chairman, Asim Abdullah, over the star's future involvement in the company.
"Asim wants her out now," a fashion insider slipped to Page Six. "Department stores in the States have already told him they won't be picking up the line if Lohan remains a collaborator, so it's a serious issue."
Sounds as if Lohan should have thought twice before creating nipple-baring ensembles that were "cheesy and dated," as WWD so sweetly put it. (The New York Post)


text: Sure, Android users don't have fingerprint scanners (well, maybe one), but that doesn't mean you're stuck when it comes to security. Here are some of the best apps you can download to boost security on your phone without buying all-new hardware. Of course, it's worth pointing out that any lock screen


text:
Personal Touch
In the old days, small donors may often have had good reason to feel that their contributions were lost in the maw of a mammoth charity. No longer. Technology — the Internet and mobile communication — has changed everything, to the point where the $5 you give online today can be half a world away tomorrow, on the ground and doing good.
Experts like Kari Dunn Saratovsky, a vice president of social innovation at the Case Foundation, which is pushing the use of new technologies to "democratize" philanthropy, say that it's all about empowering people whose sense of social purpose may run deeper than their pockets.
"There is a great deal of good that can come from opening up the process of philanthropy and helping redefine what it means to champion a cause you personally care about," she says. "We feel strongly that social media are helping level the playing field to allow all of us to see ourselves as philanthropists."
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text: Possible Alfa Romeo SUV Spotted?Matt Hardigree2/13/08 3:45pmFiled to: Spy PhotosAlfa Romeo SUVFiat LineaFiat PalioFiat SUVPalioSuvFiat29EditPromoteShare to KinjaToggle Conversation toolsGo to permalink We have a bit of a mystery on our hands here. A loyal reader sent over a bagful of shots he managed to grab of what appear to be some seriously camouflaged Fiats traipsing through what we have been led to believe is Peru. The two testers — a sedan and two SUV-type vehicles and although the sedan is somewhat easy to identify — it's got to be a Fiat Linea, a Linea test vehicle or a Fiat Grande Punto sedan — what it's doing in camo is hard to say. The SUV's the intriguing one. At first pass it looks like a Palio Adventure (for the South American market), though it appears to be riding slightly higher. Then we remembered the Alfa Romeo 4x4 mule spotted dolled up as a Fiat Palio. This comes on the heels of a mention of the Alfa SUV as part of the company's planned turn around. We may be stretching, but we're not sure why they'd cover up a Palio. Any thoughts? (Thanks to Alfonso). Reply29 repliesLeave a reply


text: The Common Names of Plant Diseases lists have been prepared by authorities on the given plants and include approved common names, along with the associated pathogens or causes. The collator's or collators' names and the date each list was posted are provided with the list. Anyone who would like to propose a change to a list should complete this form and submit it according to the directions provided.


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The Navier-Stokes equations consist of the continuity equation, the momentum equation with Newton's viscosity law and the energy equation with Fourier's conduction law for a continuous fluid. They are underdetermined and not explicitly solvable. They must generally be solved numerically using CFD.
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text: Paste Web URLs in File Upload Dialogs for Quick Uploads from One Web Site to AnotherAdam Pash7/08/10 11:30amFiled to: Windows TipTimesaversShortcutsWindowsWindows shortcutsTopClipsVideo DemonstrationGizmodoLifehacker Video742EditPromoteShare to KinjaToggle Conversation toolsGo to permalink If you want to upload a file to a web site and that file's already on another site—say, an adorable dog photo from Flickr to your blog—this handy shortcut shaves a few steps off how you're probably doing it.AdvertisementRather than save the file to your desktop, then opening the upload file dialog and navigating to where you downloaded the file, you can just copy the URL to the file and paste that URL in the Select File dialog. When you hit Open, Windows takes care of downloading the file from the original server and then uploads it to the server in question without requiring the extra steps from you. It's maybe not a life-changing revelation, and it's also not new, but it was new to us, and is a nice shortcut to have in your arsenal.[via @spolsky]


text:
Library Home ||
Full Table of Contents ||
Suggest a Link ||
Library Help
http://home.netcom.com/~bitart/ | |
Robert J. Krawczyk | |
Illustrated introductions to spirolaterals and strange attractors. See a self-running demonstration of a variety of spirolaterals, or generate one of your own and see all the reversals. The link of current exhibits lists installations showing strange attractors and spirolaterals on display around North America. | |
Levels: | Middle School (6-8), High School (9-12), College |
Languages: | English |
Resource Types: | Articles, Web Interactive/Java |
Math Topics: | Fractals, Euclidean Plane Geometry, Triangles and Other Polygons, Art, Architecture |
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WildFire Pepper Spray 1 lb.with Pistol Grip
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This item cannot be shipped 1-Day or 2-Day Service.
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Great for Outdoor Trips
1 WildFire Pepper Spray 1 lb.with Pistol Grip
In the Box


text:
How did a budding American theatre director make her way from Chicago to Prague in 1993, set up her own business, and put down long-term roots?
Nancy Bishop belonged to a number of "storefront" theatre groups – small companies performing in unusual venues such as shopfronts and industrial spaces – in Chicago during the late 1980s.
"At the time I was directing The Memorandum, one of Václav Havel's plays, and many of us, young artists in the theatre, were signing a petition to get Havel released from prison. The cold war was a constant backdrop in that period, but I must say I was barely aware of Czechoslovakia until we started to read about Havel," says Bishop.
After the fall of the Berlin Wall, Bishop began to make contact with Americans who had settled in Prague.
"In 1993 Black Box Theater, an English-language theatre company based in Prague, invited me to direct a play there. When I got to Prague, it just seemed too interesting to leave. I directed a succession of plays and eventually took over as artistic director at Black Box."
In the first half of the 1990s Prague attracted an influx of young westerners who were drawn to the city's atmospheric old town, extensive cultural offerings and reasonable rents.
Meanwhile many Czechs were trying to find their feet in an emerging market economy and deciding on the direction their country should take. On 1 January 1993, in the so-called Velvet Divorce, Czechoslovakia dissolved into the Czech and Slovak republics.
Bishop created a successful business in what was close to the perfect storm of an appealing urban landscape, relatively low wages, and longstanding knowhow in film-making and post-production.
Setting up as a casting director seemed to Bishop like a logical step. "Because I was the artistic director of a theatre company, I knew a lot of actors. By 1995 or so, Prague was becoming a prime shooting location for many international productions, including American studio films."
Nowadays Bishop's main input in a feature film or a made-for-television drama is to identify scenes and roles that can be cast on location, as well as auditioning and contracting actors. She has kept her business base in Prague but now works across much of Europe and books actors in the US, notching up credits on Mission: Impossible – Ghost Protocol and The Bourne Identity among other productions.
Starting a business in a fledging market economy with only a rudimentary knowledge of the local language (today, Bishop describes her Czech as "functional, I still make quite a few grammatical errors") was always likely to be an uphill struggle.
"Things have improved but when I first arrived, Czechs often didn't really see that business could be done to the benefit of both parties. When cutting a deal, I used to find quite a few situations where Czechs were more interested in ripping you off once rather than ensuring you would come back again," says Bishop.
"I started to get used to a different way of negotiating – sometimes it involved bringing a bottle of rum to meetings."
Bishop has also had glimpses of life under the communist system: "In a building where I was renting an office, I was driving out of the courtyard on one occasion, and the woman at reception told me that they would be checking my trunk when I left the following day because they were changing the heating system. I couldn't figure out what one thing had to do with the other. Later my assistant explained to me that under communism, Czechs would take every opportunity they could get to score something off the state, so they assumed that people who worked in the building would be stealing the radiators."
Bishop stays in the Czech capital as much for the lifestyle as for the casting opportunities on her doorstep.
"I can walk out of my home and go shopping the old-fashioned way, at street vendors, butchers, bakeries, vegetable shops and farmers markets. Most Americans live isolated from each other, and have to drive to get anywhere or meet someone. In Prague, there is the opportunity just to go out at the last minute and meet friends at a pub or café without any forward planning," says Bishop.
"I can also take my dog anywhere. Sometimes it appears that Czechs like dogs more than they like people and Leni always gets served first. She even comes to the theatre with me. She's seen at least three different versions of Hamlet."
For Bishop, home is a period apartment in the Vinohrady district, 10 minutes' walk from Wenceslas Square. The unit has high ceilings, original hardwood floors and a south-facing balcony overlooking a cobbled street.
"I have flower boxes and a table out there where I eat breakfast on summer days. But I'm the only one in my building who uses the balcony. I'm told that this is another vestige of communist times when people were paranoid, and sometimes for good reason, about their neighbours spying on them."
Bishop shares the virtually universal gripe of North American expats in Prague about the unsmiling service in some shops, and misses the proximity to the ocean of her native New England. "Back home, it's also much sunnier. Central Europe has very grey weather," says Bishop. But she has taken up the local pastime of hiking in the uplands and wooded valleys of Bohemia and, like many Czechs, drinks the sulphurous water that bubbles from the springs at Karlovy Vary during her annual visit to the town's international film festival.
Is Bishop in Prague for the long haul? "I tried to leave Prague on several occasions," she says, "but each time I returned ... Franz Kafka wrote to the effect that Prague is like an old crone, she doesn't let go."
Buying guide
• Prague's dining scene has improved and diversified in recent years
• The historic city centre was made a Unesco World Heritage Site in 1992
• Despite Prague's popularity with Russian investors, its property market is stagnating after the average price for secondhand apartments fell 4.6 in 2011
• Although violent crime is rare, overseas residents and visitors are often fall victim to pickpockets
What you can buy for ...
£100,000: A studio flat in a renovated period building within walking distance of the old town
£1 million: A 200 sq metre, three-bedroom duplex apartment in a prime position close to Charles Bridge


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Ok as I have found in the last few days learning to do anything in Vray can be tricky due to the lack of good beginner/advanced tutorials. That's why I have been reading the Vray online manual for the last few days and trying to make myself accustomed to Irradiance mapping...
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