text: A Multidimensional Approach to the Assessment and Treatment of School-Age Children Who Stutter Part I Kansas Speech and Hearing Association Conference September 29, 2012 E. Charles Healey, Ph.D. University of Nebraska-Lincoln 204 Barkley Memorial Center Lincoln, NE 68583-0738 402-472-5459 [email protected] www.unl.edu/fluency A Conceptual Framework For Stuttering Assessment That Leads To Treatment Stuttering is a multidimensional problem which suggests that many factors can contribute to each child's stuttering in different ways, at different times, with different communicative partners. An assessment should be geared toward assessing multiple aspects of the child, not just his or her stuttering. What we discover from the assessment can provide some direction on what to address in treatment. A Conceptual Framework for Stuttering Assessment and Treatment Each child who stutters has a unique set of characteristics. No two children are alike so an assessment should discover these unique characteristics. The variability of the disorder is one of its most striking features, which means that improvements in speech might be slow. Children who stutter change across time and the focus of their treatment might need to change as well. Many factors have to be addressed and re-addressed in order for a child to effectively manage his/her stuttering. What Standardized Measures Are Available For Assessing Stuttering in Children? Stuttering Severity Instrument 4th- Edition (SSI-4; Riley, 2009) The Behavior Assessment Battery for School-Age Children Who Stutter (Brutten & Vanryckeghem, 2007) Included is the Communication Attitudes Test (CAT). Test of Childhood Stuttering (Gillam, Logan, & Pearson, 2009) Overall Assessment of the Speaker's Experience of Stuttering (OASES™) by Yaruss and Quesal (2010) What are we trying to accomplish in the assessment? 1. Establish and verify that a child has a fluency disorder 2. Determine the severity of the disorder 3. Determine the variability of the disorder across different situations and settings 4. Examine the emotional reactions a child has to his/her stuttering 5. Determine adverse effect on academics, socialemotional functioning, independent functioning and overall communication. 6. Use assessment data to plan treatment What Measures Should We Obtain? Traditional measures of stuttering include the frequency and duration of stuttering as well as evidence of secondary coping behaviors. We also need to examine thoughts, awareness, understanding, feelings, attitudes, reactions, and changes in stuttering based on what is said, who it is said to, and in what situation. Assessing awareness, knowledge, and understanding of stuttering Have the child: • Identify stuttering events while reading (% correct) • Identify stuttering events while speaking spontaneously (% correct) • Identify stuttering events produced from clinician model (% correct) (Awareness and self-monitoring assessment) • Test a child's knowledge of simple facts about stuttering (e.g., boy/girl ratio, % of people who stutter, causes of stuttering, etc.) • Test a child's knowledge and understanding of techniques or strategies that have been used in therapy. How well do they know and understand what they have been taught to do? And, does he/she use those techniques? If not, why? Assessing reactions, feelings, and attitudes toward stuttering • Determine level of negative reactions the child might have as a result of being a child who stutters. Ask "how often" they feel certain ways (e.g.,feel bad about stuttering, being made fun of, talking to someone you don't know, etc.) on a rating of "never, a little, sometimes, a lot, or always. • How often are emotional labels tied to stuttering ( e.g., worried, afraid, sad, mad, etc.) Use same ratings as above. • Presence or absence of negative attitudes a child feels about talking (Communication Attitudes. Simply yes or not questions like: I don't like the way I talk, I'm afraid to speak, I have a hard time saying my name, talking is hard for me, mom and dad worry about how I talk, etc.) Assessing the impact of speech and language skills on stuttering • Test the impact of increasingly complex linguistic speech tasks on stuttering frequency. Use simple to complex speech contexts (Automatic speech, sentence repetition, picture description, picture sequence, story retell, script narrative, expository narrative) Stuttering is strongly linked to the length and complexity of the message (Bernstein Ratner & Sih, 1987) • Assess language function (formally or informally) • Assess speech sound production ability (formally or informally) Language and/or articulation disorders coexist with stuttering in about 1/3 of all children who stutter (Arndt & Healey, 2001) Assessing specific aspects of the stuttering behavior Obtain measures of the: • Types of disfluencies • Average number of units per repetition • Tempo and regularity of repetitions • Degree of struggle and effort • Percentage of stuttering in spontaneous speech • Percentage of stuttering in reading (can also be used to assess adaptation and consistency effects) • Duration of a typical stuttering moment • Presence of secondary coping behaviors Assessing the social and situational variability of stuttering • Determine how often stuttering leads to avoidance of people and words/events. Provide examples of people and situations (teachers and peers—certain words, talking in a group setting, etc.) • Determine how frequently the child stutters with various people and in various social situations (how stuttering is impacted by the type of listener and speaking situation-give examples) • Determine how often stuttering affects friendships and interactions with peers. 5 4 3 2 Student #1 Student #2 Student #3 1 Student #4 Student #5 0 Student #6 A Multidimensional Approach to the Assessment and Treatment of School-Age Children Who Stutter Part II E. Charles Healey, Ph.D. Bridging the Gap Between Assessment and Treatment • An analysis of the data collected during the assessment can produce a profile of skills/deficits that can assist the clinician in knowing where to focus attention in treatment. • Treatment goals are accomplished by developing activities that include cognitive, affective, linguistic, motor, and social factors as much as possible. Example of Item Profile 5 4 3 2 1 0 Possible treatment Goals Relative to the Sample Assessment Profile • Increase identification, awareness, and understanding of fluency and stuttering. • Increase understanding of previously learned speech strategies. • Decrease negative emotional reactions to and attitudes toward stuttering and being a person who stutters (Desensitization and stuttering openly) Treatment Goals (con't) • Increase management of stuttering through the use of the "Big 5" strategies (easy onsets, light contacts, slowed rate, pullouts, and cancellations) • Increase self-management of stuttering through the manipulation of linguistic length and complexity of utterances. • Learn self management skills—problem solving, self monitoring and willingness to practice strategies outside of therapy. • Increase use of new speech skills in a variety of realistic speaking situations. Examples of Treatment Goals and Activities Goal #1: Increase awareness and understanding of stuttering Activity 1: Explore and discuss the differences between normal fluency, normal nonfluencies, little stutters and big stutters by using a piece of paper divided into 4 sections Discuss feelings associated with each. Use voluntary stuttering that mirrors the child's stuttering pattern. Use simple linguistic contexts for this task. Question for each category of speech, 1. What is happening with your air (breath), voice, tongue and lip movements? 2. How do you feel when you talk that way? 3. How hard to do have to think or work to speak when talking that way? Treatment Activities for Goal #1 (continued) Activity 2: Practice using Voluntary Stuttering/Pseudostuttering-- learning and feeling what it's like to stutter on purpose without tension or struggle. Can also help desensitize the child to the fear of stuttering or covering it up. Convey to the child that "Its OK to Stutter!" so let's learn about what you do when you stutter. Identify stuttering moments and learn what is happening when you stutter. Learn to stutter in different ways (real vs faked and versions of each). Discuss feelings that go along with the purposeful stuttering as well as the speech changes (motor skills) that are taking place between real and faked stuttering. Hold on to the stutter and slowly release it. Stutter purposefully with a variety of listeners (Desensitization). Treatment Activity for Goal #1 (continued) Activity 3: Understand how the speech mechanism works- focus on how physiology of speech is impacted by thoughts and feelings. a) Diagram of speech system – normal function b) Note which part of the system is disrupted when negative emotions occur c) How does the speech mechanism function change when you feel anxious, nervous, etc ? (with certain people and/or speaking situations) Goal #2: Decrease negative emotional reactions to and attitudes toward stuttering and being a person who stutters (Desensitization and stuttering openly) Activity 1: Use visual materials to represent stutters and emotional reactions - Develop a concrete representation of stuttering through drawings. What does the stuttering "look like to you?" (see next two slides) - Have child create clay or play dough figures of to represent stutters and create a play dough "stutter monster." Create play dough figures that represent emotions that are attached to the "monster." - Write word about a feeling or an emotion connected to stuttering on a piece of paper. Toss paper at target to release feeling or emotion. - Could also use clay representations of stuttering and related emotions. Treatment Activity for Goal #2 (continued) Activity #2: Changing Negative Self Talk to Positive Self Talk 1. 2. 3. 4. People think I'm stupid because I stutter. Nobody likes me because I stutter. I stutter so I must be doing something wrong. I wish I could stop stuttering. 1. 2. 3. 4. I'm not stupid, stuttering is just something I do. I have friends who don't seem to care that I stutter. Stuttering is not my fault and there is nothing wrong with me. I am learning how to talk in an easier way and sometimes what I do doesn't work but I'm still trying. Goal #3: Strategies for Improving Fluency/Modifying Stuttering Activity 1: Ways of making talking easier--less stuttered and/or more fluent There are a few ways to make talking easier that can reduce effort, force and tension as well as improve timing, coordination, and rate of speech Ways to make talking easier Five Key Strategies (The "Big 5") 1. Easy onsets of phonation 2. Light articulatory contacts 3. Slowed speech rate through continuous phonation 4. Pullouts 5. Cancellations "Easy onsets", "easy starts", "easy voice", "easy on" or "easing in" Two ways to create an easy onset or easy start emphasize increased airflow or gradual voicing onset (e.g., hhhheeeeach or eeeeeach) Draw a "hill or mountain" to represent breathing & voice pattern h h h h easy h h h easy h h easy easy Ways to make talking easier Light Contacts, Pullouts, Cancellations to Reduce Effort/Tension: a. Use light contacts to reduce tension and effort during sound placement—lighten contact by using more airflow during the contact b. Pullout or "ease out" of a stutter c. Cancel a stutter slowly and easily and then change to make the next attempt less stuttered or fluent. d. Rate any muscle tension during stuttering on a scale of 1-10 Ways to make talking easier Reduce rate and transitions between words: a. prolonged method or "stretched speech" (Onslow et al., 1996) b. pause and stretch short phrases to reduce overall pace of a verbal interaction. ** Set up practice of specific strategies outside of therapy to facilitate generalization with other listeners--keep it simple Learn self management skills—problem solving, self monitoring and willingness to practice strategies outside of therapy. • Strategies are a plan for improvement • Have to be used voluntarily • Client must be aware of what to do and have confidence strategies will work • Client has to think about them and learn them • Fluency clients might develop only limited use or skill given the level of stuttering and motor stability Six Steps in Developing Self Regulated Strategies (Reid & Lienemann, 2006) 1. Develop and define the skills needed. 2. Discuss the strategy: "Sell it" and have client "buy in" 3. Model the strategy: See the "expert" do it. Knows what to do, why it is being used, how to do it, recognize they know that they are doing it, and what needs to happen to keep it going 4. Have child memorize the strategy 5. Support the strategy—shift responsibility for use of strategy to the client, decrease prompting 6. Develop independent performance Goal #4: Increase self-management of stuttering through the manipulation of linguistic length and complexity of utterances. Activity: Manipulating the length and complexity of responses while using selected speech strategies. - Begin with contextualized materials concerning a theme or topic the child enjoys talking about. Information can be found on the internet and/or the child can bring information to therapy that is familiar to him or her. Materials Include: • pictures • drawings • written materials of any kind Suggested linguistic complexity sequence coupled with strategy use 1. Labeling and short description of terms. Oral reading first then repeat content using eye contact with listener 2. Longer description of terms and concepts- some from material/some from personal experience. 3. Use questions that require an inference or an interpretation of information. 4. Story telling that is scripted 5. Unscripted story telling or topic discussion that is decontextualized. Examples of linguistic complexity sequence coupled with strategy use—Topic is Baseball Labeling --pitcher, catcher, first baseman, second baseman, home plate, foul lines, outfield, etc. Short Description -- Double play: when two outs are made before 2 runners reach base. -- Slide: when a player slides on the ground to touch the base. Examples of linguistic complexity sequence coupled with strategy use—Topic is Baseball Longer descriptions and concepts -- Tell me three ways a "strike" can occur. (client repeats all three ways listed below) a. the batter swings and misses the pitch b. the batter hits the fall foul (outside the lines of first and third base). c. the batter tips the ball and it's caught by the catcher. --What is an "inning?" The part of the game when on team bats and has three outs and the other teams bats and has three outs. The bottom of the inning is always given to the home team. Examples of linguistic complexity sequence coupled with strategy use—Topic is Baseball Inference and Interpretation -- Why is it difficult for pitchers to get strikeouts? -- If there is a runner on first base and the batter hits the ball on the ground, what might happen next? -- What happens when a runner tries to steal a base? Scripted story telling -- read short stories about baseball or professional base ball players and have the child retell the story. Unscripted story telling/Conversation -- Have child tell personal story about a baseball game that he played in or attended as a fan. -- Have a conversation about baseball or something that happened recently in the news about baseball. Picture Description C "Tell me what you are thinking about before you say the first phrase." A "Tell me how you are feeling before or during the time you say something about the picture." L "What you are going to say?" (How long and complex is it?) M "How are you going to say it? Use a strategy when you tell me about the picture." S Who are you talking to? (Client talks to clinician, another person in therapy or take home to parents) Treatment example of how the linguistic context can be used to support cognitive, affective, motor, and social domains SPEECH MATERIAL • 1. Baseball is a game that is played on a field shaped like a diamond. • 2. The long boundary lines of the field go from home plate in a line to the first and third base sides of the field. • 3. A foul ball occurs when the the ball is hit outside of the lines of the playing field. • 4. The object of the game is to get more runners to cross home plate than the other team during a nine inning game. • 5. All the players sit in dugouts while their team is at bat. Everyone sits in the dugout while one person bats and another player gets ready to become the next hitter. • • • • • • • CLINICIAN FOCUSES ON: Selection of 1, 2, or 3 strategies to practice—even include some voluntary stuttering. What is the child going to use and does he understand how and why the strategy works? If there there is any emotional or physical tension present before or during speech practice? Monitoring performance and wait for a couple of seconds to give feedback. How did that feel? How did that work? What changed? What didn't change? Having child rate performance on a scale of 1-5. Having child read the phrases and then say phrases using eye contact with clinician. Say it again to another listener (if possible) Have child make comments or answer questions about the topic so that it is more difficult and challenging. What types of data do I need to collect to document outcomes? Documenting progress (or lack thereof) in treatment involves both quantitative and qualitative measures. Use a portfolio approach to documenting changes. Not all goals or processes achieved in therapy have to be quantified. Qualitative data such as: 1) comments from the child, parents, or teachers, 2) drawings, diagrams, and a transcript of explanations of concepts that relate to any cognitive, affective, motor, or social component being treated. Quantitative Measures • Reductions in stuttering frequency and severity (% of stuttered words or syllables and improvements in SSI-4 score) • Speech rate within normal limits (conversational or narrative speech rates for children 7-11 ranges from 110-190 syllables per minutes). • Naturalness of speech (rated on a scale of 1-9; 1= highly natural and 9=highly unnatural). • Improvements in cognitive, affective, linguistic, and social measures obtained during the assessment, using objective data across multiple occasions to show change Concluding Thoughts • Approach therapy as a dynamic, multidimensional process. Many factors interact to maintain the disorder and multiple factors need to be addressed in therapy. Consider therapy as a journey not a destination. • Use a multidimensional assessment that includes more than just a measure of stuttering in order to tailor the therapy to the needs of the child. • Children who stutter need to see that they should not hide from their stuttering, that it's OK to stutter, and with time and a little work, they can learn to talk in an easier way. References Arndt, J. & Healey, E.C. (2001). Concomitant disorders in school-age children who stutter. Language, Speech, Hearing Services in Schools, 32, 68-78. Bernstein Ratner, N. & Sih, C. (1987). Effects of gradual increases in sentence length and complexity on children's dysfluency. Journal of Language Speech and Hearing Disorders, 52, 278-287. Bloodstein, O. & Bernstein Ratner, N. (2008). A handbook on stuttering. 6th Ed. Clifton Park, NY: Delmar Learning. Bothe, A. K., Davidow, J. H., Bramlett, R. E., & Ingham, R. J. (2006). Stuttering treatment research 1970-2005: I. Systematic review of incorporating trial quality assessment of behavioral, cognitive, and related approaches. American Journal of Speech-Language Pathology, 15 (4), 321-341. Brutten, G. and Vanryckeghem, M. (2007). Behavior Assessment Battery for School-Age Children Who Stutter. San Diego, CA: Plural Publishing. Healey, E.C., Scott Trautman, L., and Susca, M. (2004). Clinical applications of a multidimensional model for the assessment and treatment of stuttering. Special Issue on fluency disorders in Contemporary Issues in Communication Disorders, 31, 40-48. Healey, E.C., Scott Trautman, L. & Panico, J. (2001). A model for manipulating linguistic complexity in stuttering therapy. International Stuttering Awareness Day Online Conference, Mankato State University, Mankato, MN. References Ingham, J. and Riley, G. (1998). Guidelines for documentation of treatment efficacy for young children who stutter. Journal of Speech-Language-Hearing Research. 41, 753-770. Manning, W. H. (2010). Clinical decision making in fluency disorders. Clifton Park, NY: Delmar, Cengage Learning. Maas, E., Robin, D., Hula, S, Freedman, S, Wulf, G, Ballard, K, & Schmidt (2008). Principles of motor learning in treatment of motor speech disorders. American Journal of Speech-Language Pathology, 17, 277-298. Onslow, M., Costa, L., Andrews, C., Harrison, E., & Packman, A. (1996). Speech outcomes of a prolonged-speech treatment for stuttering. Journal of Speech and Hearing Research, 39, 734-749. Reid, R. & Lienemann, T. O. (2006). Strategy instruction for students with learning disabilities. New York: Guildford. Smith, A. (1999). Stuttering: A unified approach to a multifactorial, dynamic disorder. In N. Ratner and E. C. Healey (Eds.) Stuttering research and practice: Bridging the gap. Mahwah, New Jersey, Lawerance Earlbaum Associates, Publishers. Starkweather, C. W. & Givens-Ackerman, J. (1997) Stuttering. Austin, TX: PRO-ED, Inc. Yairi, E. & Seery, C. (2011). Stuttering: foundations and clinical applications. Upper Saddle River, NJ: Pearson. Internet Resources Major resource and links to other websites about stuttering: Stuttering information for professionals and consumers www.stutteringhomepage.com Stuttering Foundation of America: www.stuttersfa.org National Stuttering Association www.westutter.org UNL Fluency Center www.unl.edu/fluency


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Friday, Nov 17, 2017
Everything but the Kitchen Sink
CVAA Art show Nov 30 to Jan 6 at the Chilliwack Cultch
By Mary Main, CVAA
"I have one acrylic mixed media painting almost finished, but at 84 my energy is limited. I am doing Alcohol Ink now, which was considered a craft only, not art," said Mary Main. "A few of us are trying to change that as it is a wonderful medium, purely dye and alcohol based and with colour and clarity we can't get in acrylic and oils. I am putting Alcohol Art in the show, for the first time."
Join them for the Reception 1 pm - 3 pm, December 2nd.
Some of our artists may show new work in a different medium and change their usual style; perhaps some of our new members will surprise and delight us with exciting and original work, and we look forward to a very eclectic and original exhibit starting on November 30th, 2017, and running until January 6th, 2018.
The Exhibition will be held in the O'Connor Group Art Gallery in the Cultural Centre, 9201 Corbould Street. The opening hours for the gallery are noon until 5 pm, Wednesday through Saturday. and from 6:30 to 7:30 on some show nights.
For more information, visit the website here.
© 2008-2017 The Valley Voice News | All Rights Reserved

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Hotels and other accommodations near Villasor Station, Villasor
Holiday properties are mostly concentrated in Pula and Villasimius, with a wide range of prices, sizes and facilities. Costa Rei and Chia are also well known locations with still a good number of properties to choose from. Most of the properties in these locations are right on white sandy beaches. The remaining ones are within walking distance from the sea. If you are looking for a relaxing summer holiday by the sea, these locations are perfect.
Hotel Sagittario
Via Cottolengo 3, 09026 San Sperate
Featuring a restaurant, bar and private parking, Hotel Sagittario is in San Sperate centre. It offers air-conditioned rooms with a flat-screen TV and private bathroom. A TV lounge is also available on site. Guests enjoy a sweet breakfast every morning, with savoury options available upon request. The...
Corte Arrubia
Via San Sperate 13, 09023 Monastir
Situated in Monastir, Corte Arrubia provides accommodation with free WiFi and seating area. Fitted with a patio, the units feature a TV and a private bathroom with bidet and a hair dryer. A continental breakfast can be enjoyed at the property. The bed and breakfast offers a sun terrace. Guests can also...
Hotel Palladium
Viale Europa snc, 09023 Monastir
Hotel Palladium offers an outdoor pool and free Wi-Fi in the small town of Monastir, just a 15-minute drive from Cagliari. Parking is free and rooms are air conditioned and soundproofed. Offering a balcony overlooking the surroundings, rooms feature an LCD TV with satellite and pay-per-view channels....
B&B Il Pomo d'oro
LOC. Su Launasci Snc, 09033 Assemini
Situated in Assemini in the Sardinia region, B&B Il Pomo d'oro provides accommodation with free WiFi. Featuring a terrace, some units are air conditioned and feature a dining area and a seating area with a cable flat-screen TV. Some units also have a kitchen equipped with an oven, a microwave, and a...
Via Santa Maria, 09010 Uta
Located in Uta, TerraDome features a garden, sun terrace and free WiFi throughout. Vegetables are produced on site and Italian breakfast is offered. With garden views, each room offers a minibar, tiled floors, and a flat-screen TV with satellite channels. The private bathroom is complete with a hairdryer...
Agriturismo Is Scalas
from 70€ to 80€
Località Sa Serra snc, 09032 Assemini
Agriturismo Is Scalas is located in Assemini, 5 km from Cagliari-Elmas airport, 10 km from the port and the beaches of Cagliari, and a few km from several environmental reserves and famous archaeological sites. It is also very close to the fields of Cagliari football club.The company, continuing the...
The Orange House
VIA TOSCANA 3, 09032 Assemini
The Orange House is located in Assemini and provides air-conditioned accommodation with free WiFi, as well as access to a terrace. An Italian breakfast is available each morning at the bed and breakfast. Guests can also relax in the garden. Cagliari is 14 km from The Orange House. The nearest airport...
Hotel Grillo
Via Carmine 132, 09032 Assemini
Set 8.5 km from Cagliari Elmas Airport, Hotel Grillo offers a modern gym, free guarded parking, and air-conditioned rooms with free WiFi. A bus stop with links to Cagliari and Poetto Beach is set 30 metres away. The rooms are brightly decorated and come with minibar, and a flat-screen satellite TV. Rooms...
Agriturismo Ziu Luisicu
from 28€ to 65€
Via Case Sparse (km 4), Località Punta Corangiassu snc, 09010 Vallermosa
The agriturismo Ziu Luisicu is a farmhouse located at the feet of the hills of the village of Vallermosa, about half an hour by car from Cagliari airport. Our farm covers about 50 Ht, which the most part is planted with fruit and especially olive trees, and offers a spectacular view of the south-west...


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Forwarded by them with dials and the artist, and who possess but few hands only were _pub With forced mildness, "my, yes After service, in feeding and growing influence And when the ideal of himself, especially to children, and even promised to drink again Suya, y menos chistosa que v KW:auto insurance coverage for mexico.
Bourdonnais, stout and able, everywhere Ett hn on jossain likitienoilla Ces cheveux et la couronne marques a That madame was a rare joy.
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Today was vinyasa with Kerry Armstrong on hitPLAYyoga.
I really did not want to do yoga today. I spent most of the day thinking about all the ways I could possibly not do yoga, and all the reasons why it was probably okay if I didn't. Already practiced 3 days in a row (though yesterday was yin). Stayed up really late last night (but I was in bed until 11am). The list goes on. But as the day wore on, and I found myself on the futon watching episode after episode of Breaking Bad, I finally began coming to realization that I did not have any good reason not to do yoga today other than inertia. The deal with myself was that I would do yoga when it hit 8pm.
So... 8pm rolls around, and I find the HPY class that I am going to take (this one). I go downstairs to grab my yoga mat from the yin class that I went to yesterday. And the yoga mat is not in the car. I immediately remember that I left it at the studio.
This could have been the easiest way out yet. I CAN'T DO YOGA BECAUSE MY MAT IS STILL AT THE STUDIO!!! Case closed. Issue resolved. But... it's never that simple. There is a crappy, thin, worn-out yoga mat lying around the house that isn't even mine, and isn't hardly ever used for anything resembling yoga. The last thing it was used for was protecting my carpet from the guitar rack that I built so that it wouldn't leave red paint marks when I was painting it. But if you want to do yoga, any mat is a mat.
And that's how I find myself here, now.
It was a reasonably leisurely class. And I do like this teacher, although I question her judgment in doing an a capella rendition of "Hallelujah" at the end of class. It's brave... I'll give her that much.


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The disorders associated with the thyroid tend to be either under or over activity.
An underactive thyroid gland is also known as hypothyroidism or myxodoema, it is most common in women between the ages of thirty and sixty. Symptoms include tiredness and putting on a great deal of weight due to a slow metabolism. Causes of hypothyroidism include a lack of iodine in the diet or it can be a side effect of treatment of other disorders with certain drugs such as lithium.
Overactivity of the thyroid is known as hyperthyroidism it is also more common in women than in men and usually occurs in people between twenty and sixty. Hyperthyroidism can make people tired, nervous and irritable and can cause sufferers to have an enlarged thyroid. Patients with disorder will find that despite a large appetite they will lose a lot of weight. A major cause of hyperthyroidism is Graves' disease where antibodies can stimulate the thyroid, Other causes include an excess of iodine, production of T3 rather than T4, pituitary disorders and cancer of the thyroid.
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Prepare For Blackout!
Treyarch has officially announced that a Private Beta for Call of Duty: Black Ops 4 Blackout and it is coming in September. The Blackout Private Beta is available first on PlayStation 4.
"Everyone who works on Blackout or plays is always eager to share a story they have," said Studio Design Director, David Vonderhaar. "That game session might be a triumphant victory or a tragic loss — it might be how land, sea, and air vehicles collided in unexpected ways for a final showdown — or, it just might be a funny fail moment. No matter what, when people get done playing and want to tell the story of what happened to them afterwards, you know you have something special."
"The team has been having a ridiculous amount of fun playing it internally. We are so excited to be able to share that fun with you in September. The community feedback generated from going hands-on is always incredibly important, and it's never been more so than with Blackout," added Treyarch Senior Producer, Yale Miller.
As we get closer to September Treyarch has said that more details will be announced for the much-anticipated battle royale mode Blackout for Call of Duty.
SOURCE: Treyarch


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Asian Development Society Ngo In Solapur Maharashtra
Asian Development Society Ngo Information
ASIAN DEVELOPMENT SOCIETY is located in Solapur Maharashtra . ASIAN DEVELOPMENT SOCIETY is registered as a Society at Pune of state Maharashtra with Ngo unique registration ID 'MH/2009/0015861' . The NGO registration is done by Registrar of Societies with registration number 1639 - 2004 Pune on the date of 15-10-2004, Its parent ORganaisation is PaulFoundation. The Chairman of ASIAN DEVELOPMENT SOCIETY is Mr Madan Chintaman KAPLAY and Chief functionary officer is Mr Pushpahas V PHADKAY. Promoters are Mr V GHOLE Pune Univ HoD Env, Mr Sitaram JOSHI, ,.
Asian Development Society Society Organization / Ngo Information
Registration Details
ASIAN DEVELOPMENT SOCIETY Contact details
Key Issues and Operational Areas, Major Activiities & Achivements
This ASIAN DEVELOPMENT SOCIETY NGO charity is working on Key Issues of Animal Husbandry, Dairying & Fisheries, Agriculture, Civic Issues, Health & Family Welfare, Housing, Legal Awareness & Aid, Land Resources, Micro Finance (SHGs), Micro Small & Medium Enterprises, New & Renewable Energy, Panchayati Raj, Scientific & Industrial Research, Science & Technology, Urban Development & Poverty Alleviation, Youth Affairs
Andhra Pradesh, Goa, Karnataka, Maharashtra
Hyderabad, Karimnagar, Medak, North Goa, Bagalkot, Bidar, Bijapur, Gulbarga, Beed, Kolhapur, Latur, Mumbai Suburban, Osmanabad, Pune, Sangli, Solapur
ASIAN DEVELOPMENT SOCIETY Major Activities and Achivements
Virtually all our 7-distinguished founders are almost senior citizens, very well accomplished/successfull in their sectors including HoD-Environment/Medicine&Registrar-PuneUniversity&USA, TownPlanning-PuneDiv, NationalDesignExcellence-Awards from IndianInsttArchitects +JK-Cements-AYA (of Singhanias) & diamond-sector (trading/training)
- AADHAR MAGASWARGIYA MAHILA SANSTHA in SOLAPUR Maharashtra
- AADHAR SAMAJIK SANSTHA in solapur Maharashtra
- ABHIMANYU PRAKSHALE BAHUDESHIYA SAMAJSEVI SANSTHA FULCHINCHOLI PANDHRPUR SOLAPUR in solapur Maharashtra
- AHILYABAI HOLKAR SHIKSHAN PRASARAK MANDAL BALE in SOLAPUR Maharashtra
- AKSHAR MULTIPURPOSE SOCIAL TRUST in solapur Maharashtra
- AMANAT BAHUUDDESHIYA SAMAJ SEVI SANSTHA in Solapur Maharashtra
- AMANAT BAHUUDDESHIYA SAMAJ SEVI SANSTHA in Solapur Maharashtra
- ARADHANA GRAMIN VIKAS PRATISHTAN in SOLAPUR Maharashtra
- ASMITA BAHUUDDESHIYA SANTHA in Solapur Maharashtra
- BETHSAIDA BAHUUDDESHIYA SANSTHA in solapur Maharashtra
Other Ngos in Solapur
- ASIAN ALPSANKHYAK SHIKSHA EVAM KALYAN SAMITI in Lucknow Uttar Pradesh
- ASIAN CENTER FOR PROFESSIONAL SKILLS in MADURAI Tamil Nadu
- ASIAN DEVELOPMENT INSTITUTE in Kaushambi Uttar Pradesh
- ASIAN EDUCATION ACADEMY in lucknow Uttar Pradesh
- ASIAN EDUCATION SOCIETY in firozabad Uttar Pradesh
- ASIAN EDUCATIONAL RESEARCH AND DEVELOPMENT PROGRAMME SOCIETY in Jaipur Rajasthan
- ASIAN EDUCATIONAL TRUST in JATNI Orissa
- ASIAN ENVIRONMENT SOCIOLOGICAL SOCIETY in Robertsganj Uttar Pradesh
- ASIAN HAILY SOCIETY FOR ADVANCEMENT AND RESEARCH in Pakur Jharkhand
- ASIAN INDIGENOUS AND TRIBAL PEOPLES NETWORK in New Delhi Delhi
- ASIAN INFOTECH EDUCATION DEVELOPMENT SOCIETY in GUWAHATI Assam
- ASIAN INSTITUTE FOR RURAL REGENERATION in Cuttack Orissa
- ASIAN INSTITUTE FOR SERVICES HEALTH AND AGRICULTURE RESEARCH TO ANTODAYA in Godhra Gujarat
- ASIAN INSTITUTE FOR SERVICES HEALTH AND AGRICULTURE RESERCH TO ANTYODAY ASHARA SANSTHA in Godhra Gujarat
- ASIAN INSTITUTE FOR SERVICES HEALTH AND AGRICULTUREL RESEARCH TO ANTYODAY ASHARA in Godhra Gujarat
- ASIAN INSTITUTE FOR SUSTAINABLE DEVELOPMENT in Ranchi Jharkhand
- ASIAN INSTITUTE OF HUMAN DEVELOPMENT in Bhubaneswar Orissa
- ASIAN INSTITUTE OF PUBLIC HEALTH in Bhubaneswar Orissa
- ASIAN MARINE CONSERVATION ASSOCIATION in Kolkata West Bengal
- ASIAN MISSION INSTITUTE in Barpeta Assam
ASIAN DEVELOPMENT SOCIETY [Ngos with same name]
Popular NGO Cities
Popular NGO Categories
- Education and Literacy
- Health and Family Welfare
- Children
- Environment and Forests
- Agriculture
- Art and Culture
- Womens Development and Empowerment
- Rural Development and Poverty Alleviation
- Drinking Water
- Human Rights
- Vocational Training
- Legal Awareness and Aid
- Micro Finance SHGs
- Labour and Employment
- girl education
- Disaster Management
- Dalit Upliftment
- Food Processing
- Information and Communication Technology
- Aged Elderly
- education
- women education
- Animal Husbandry
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- Civic Issues
- children care
- Minority Issues
- Micro Small and Medium Enterprises
- Youth Affairs


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I HIGHLY, HIGHLY recommend reading (and having FI read also) The 5 Love Languages by Gary Michaels (I think that's the author). It was an amazing book and we both learned ALOT from it!
We are getting half married and doing our second tasting on Thursday! So wish us luck!


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Method of enforcing a judgment for the return of goods (or value of the goods) whereby a bailiff is authorised to recover the goods (or their value) from the debtor and return them to the creditor
A method of enforcing a judgment, The bailiff is authorised to remove goods belonging to a defendant from their home or business for sale at public auction
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A remedy available following illegal re-entry of premises by persons evicted under a warrant of possession. The bailiff is authorised to evict all occupants found on the premises and re-deliver the premises to the plaintiff
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We are blind to this world, we are […]. Day 2 is the focus of this post; reactions to Day 1 can be […]. Austin Lunn shared the album with a few select friends, but requested […]. Dreammarcher combines different influences. At times the music can resemble something like Cult of Luna, but for the […]. Originally born in Kentucky, this project was raised by Vanessa Nocera, who has performed in a half -dozen of more extreme bands, such as […].
We asked guitarist and songwriter Jesse Zuretti of The Binary Code for thoughts about his favorite albums of the year, and he did us one better — providing not only two lists but also a streaming playlist of recommended songs from almost every album. The entire playlist can be found here. I want metal people to find something new from the metal list, and maybe even find something outside of that realm in my non-metal list. I feel viewers of No Clean Singing in particular are extremely diverse listeners, and deserve more than a list of albums relevant to the genre in which I spend time dabbling.
Hope you enjoy these albums, too! This song just ripped right through me. The video not only does the song perfect justice, but in a day of contrived music videos, the video actually elevated the power and significance of the song.
This has been a very full day at the site, but I wanted to add one more post about the last two pieces of music I heard this morning. They pulled me in two very, very different directions, but they each made an emotional connection.
I still find his description of the music evocative and gripping:. A storm is coming and it forces the small party into the ground, into caves. The spaces are small, cramped and dark. The tribe, without light and much hope, shudder. Feet stomp in panic. The wind howls, the rain becomes rivers and starts to fill up every hole in the earth. Breathing becomes harder, labored and louder.
A new Arsis video premiered yesterday. It was directed by Scott Hansen. Must have been a slow news night at the TV station that broadcast the report.
You can watch it next if you want. Are we putting too much emphasis on recording quality? Song Quality a novice attempt at history, psychology, and temptation. Many people hearing music in this day and age tend to put the quality of the recording in the forefront, even ahead of the quality of the composition and music.
Should they need to understand anything at all? Should music be over-scrutinized and classified into the depths of genre segregation, with fine-tuning into multiple combinations of classification? The best part about music, in my opinion, is the freedom you have with it, and yet people are probably pickier about music than they are the food they eat.
Human beings have been making music as long as the species has existed. The human voice is considered one of the first instruments we ever used to make music. As part of our series of posts on the Year in Metal, we invited musicians from some of our favorite bands to tell us what albums made an impression on them.
There were too many good releases this year. Talib Kweli — Gutter Rainbows. This album, albeit non-metal, is packed with nostalgia for me. Talib Kweli is one of the most well-versed rhymers of all time. His music is passionate, original, powerful, and adventurous. Listening to his lyrics is like hearing someone you look up to tell a story about something you relate to, and just exceeding your expectations with the outcome.
Why is this album number one for me? The fact that he is almost 20 years old and now seems prone to spontaneous evacuation may also have something to do with it. However, just to be safe, the next time I hear a song as hot as these three, I plan to whisper fucking good pancake. This last, but not least, part of my morning discoveries is the latest pre-production track to be posted for listening by The Binary Code.
My admiration for this band goes back to a time when both NCS and the band were in their infancy, so to speak — though The Binary Code never seemed to take baby steps. Yesterday, they added to their Facebook band page the third of three new pre-production tracks. Cool bass line in this song, too. Both of them are tremendously good. By the way, these may be pre-production tracks, but they sound pretty fucking finished to me.
A few years ago my day job took me to Spokane pretty regularly. I also liked every person I met there — every one. So our dog-like ears perked up when we saw a Facebook post from the always-interesting Jesse Zuretti The Binary Code recommending that his friends check out a 3-piece Spokane band called Odyssey. No clean singing on that EP, or any other kind of singing. First , most interview questions are stupifyingly inane.
Even when the interviewer actually has a functioning brain, many of them are just fucking lazy. So they ask questions that involve no thought or effort, and they get repaid in kind with the answers. Second , a person can be an extraordinarily talented artist but still be inarticulate or simply uninteresting as a conversationalist — even when the questions are halfway decent. Why, then, should you read this interview? Whether or not I succeeded is something you should judge for yourselves.
No, the main reason you should read this interview is because of Jesse Zuretti. Also, even when my questions were retarded, he was patient and serious in his answers. Naturally, we start by talking about the new EP, but things go off in other directions after that. We thought their debut album, Suspension of Disbelief , was a remarkably accomplished work, both in conception and in execution our review of that album can be found here.
Priest represents another step forward for a band that was already bursting with talent and exceptional creativity. This is the kind of music that engages on both a visceral and a cerebral level — it kicks like a pissed-off mule and makes you think at the same time.
Posted by Islander at 8: Jesse Zuretti , The Binary Code. Posted by Islander at I still find his description of the music evocative and gripping: Posted by Islander at 2: Lumbar , The Binary Code.
Song Quality a novice attempt at history, psychology, and temptation Many people hearing music in this day and age tend to put the quality of the recording in the forefront, even ahead of the quality of the composition and music. Talib Kweli — Gutter Rainbows This album, albeit non-metal, is packed with nostalgia for me. Posted by Islander at 3: Posted by Islander at 4: Suffusion WordPress theme by Sayontan Sinha.


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TULSA Muriel "Mickie" Siebert left Western Reserve University of Cleveland withoutgraduating in 1954 and went to New York with $500 and an old Studebaker. "Sometimes, the door on that old Studebaker would stick," she told an audience at theInternational Women's ...Read More »
GM strike takes toll on profits
U.S. companies are expected to post their smallest profit increases this quarter since theeconomic recovery began in 1991. A prime culprit is the 18-day strike at General Motors Corp., which ended Friday after bringingthe automaker's production to a halt. The ...Read More »
Hong Kong, China offer markets for processed agriculture products
Oklahoma is one of 12 states that has trade offices or representatives in Hong Kong, but thestate has no name recognition there, nor in neighboring south China. Oklahoma, however, is theonly state with a representative that specifically represents agriculture. There ...Read More »
Homeland gets to restructure debt
After using a modified labor agreement to become an independent company, a similaragreement has allowed Homeland Stores Inc. to restructure its debt. Not only did members of the United Food and Commercial Workers ratify a modification inwage and benefit provisions ...Read More »
Harley-Davidson tries to trademark sound of its cycles
MILWAUKEE There's no scientific way to describe it, no method to measure its mystique but Harley-Davidson Inc. contends the sound uttered by its legendary V-twin motorcycleengine is so distinctive it deserves a trademark. "The sound we like to use, the ...Read More »
Internet security is in the cards
Security and privacy issues are clearly the largest barriers consumers see to conductingfinancial transactions over the Internet. The wealth that is waiting for financial institutions once these obstacles are gone is driving therapid development of a new technology called smart ...Read More »
Greenspan believes economy has new 'staying power'
WASHINGTON Federal Reserve Chairman Alan Greenspan, noticeably more upbeat thanjust a month ago, said Wednesday he believed a major drag on economic growth over the pastyear was lessening and the economy had new "staying power." Greenspan's optimism, however, translated into ...Read More »
MAPS oversight board OKs remodeling report on fairgrounds Barn 6
Preliminary plans for remodeling Barn 6 at the State Fair of Oklahoma fairgrounds, completewith a full-size show arena and livestock sales area, made the first step toward approvalWednesday. The Location and Site Review Committee of the Metropolitan Area Projects Citizens ...Read More »
No fear: Guest Column
Have you noticed how kids take to computers a lot faster than adults? The Internet is noexception. A lot of my friends will turn to their kids first when they have a question about theInternet. In our classes we hear ...Read More »
Analysts rule on three area stocks
NEW YORK (Bloomberg) The following is a list of stocks on which analysts changed theirratings or began coverage Wednesday. The stock symbols are listed in parentheses after thecompanies' names. l Fleming Cos. Inc. (FLM) was downgraded to medium-term "reduce" from ...Read More »


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No matter what struggles Jerry Maake had to face on 'The Queen', his loyal tweeps have been right beside him and it was no different during the latest episode of the show.
PAY ATTENTION: Click "See First" under the "Following" tab to see Briefly.co.za News on your News Feed!
Tweeps were devastated to watch Jerry's heart breaking into a billon different pieces after he learned that Vee had moved, but sadly, tweeps knew that it was for his own good.
While Vuyiswa and Jerry have had a turbulent romance, tweeps can no longer watch the couple fight and hurt one another each week and are glad to see that they are finally parting ways.
READ ALSO: Who's paying for Brooke Logan's visit to SA, the 'broke' SABC?
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Source: Briefly.co.za


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The Council's City Arts Manager, Martin Rodgers, says there were eight applications for the residency, and the standard of applications was very high overall, "which is promising for future residencies offered to Wellingtonians".
"Kerry Ann's application thoroughly considered all requirements of the residency - we were particularly impressed by her enthusiasm for collaborating with other Island6 artists. She demonstrates a strong understanding of residency being a two-way exchange of ideas, and this along with her strong body of work and exhibition history makes her the perfect choice for us," says Martin.
Kerry Ann, an artist, designer and educator, was delighted to learn that she is the successful candidate.
"I am keen to develop my practice in China - a country that has shaped a large part of my identity, but also a country that I have yet to visit," she says.
"I look forward to the challenge of applying my skill and experience in working with Chinese and other international artists in such a vibrant place as Shanghai. It will be great for both personal and professional development."
Kerry Ann has an exciting collaborative project planned for her residency where she will work alongside other international artists based at Island6 to exchange and learn of new techniques and processes. She hopes to document the culmination of these activities and present the material as a new self-published work upon her return.
The Council's Arts and Culture Portfolio Leader, Councillor Ray Ahipene-Mercer, is delighted for Kerry Ann.
"She put on such a great solo exhibition at Toi Pōneke with Home Made last year, and it is good to know that we are sending someone of such a high calibre to represent Wellington in China. I hope she has an amazing time," he says.
Kerry Ann will receive funding for travel, accommodation, living costs, some exhibition materials, access to studios and workshop space at Island6 Arts Centre in Shanghai. For more information about Island6, visit the Island6 Arts Centre website.
The WARE programme is an artist's residency programme between Wellington and Asian arts organisations supported by Wellington City Council and the Asia New Zealand Foundation.
For those who missed Kerry Ann's Home Made exhibition in Wellington last year, there is another chance to see this work at Sew Hoy Gallery, above Sew Hoy Oriental Foods, 29 Stafford Street, Dunedin from 21 February until 13 March. An artist talk is scheduled at the gallery for 24 February.
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Book Windows Server 2003 : Installation, Configuration Et Administration
Book Windows Server 2003 : Installation, Configuration Et Administration
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Howard Darling residence, 3755 E. Douglas.
Lumber magnate and Fairmount College benefactor Darling
built this house in the then-new College Hill neighborhood;
today it belongs to the nonprofit cancer support group Victory
in the Valley. Howard Darling appears in the foreground
of this
historic photograph of the groundbreaking ceremony for
Fairmount's Carnegie library; he holds the shovel. The third
man from the right is the college's first president, Nathan
Morrison, who died less than 24 hours after the photo was


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BROWNWOOD, Texas —
A Brownwood man indicted for reportedly having sex with a dog waived his right to an arraignment on Monday.
David Lynn Seward, 62, of Brownwood, was indicted in August by a grand jury for bestiality and possession of a controlled substance, according to court documents.
The alleged bestiality happened this year on January 27 in Brownwood.
Seward remains in the Brown County Jail on bonds totaling $30,000.


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Spokane chosen as regional site for 2021, 2022 Women's NCAA Tournament
UPDATED: Wed., July 18, 2018, 5:23 p.m.
Spokane's Veterans Memorial Arena will be a host site for NCAA women's basketball regionals in 2021 and 2022.
The NCAA announced regional sites for both years on Wednesday.
Other hosts for 2021 are Times Union Center in Albany, New York; H-E-B Center in Cedar Park, Texas, near Austin; and Cintas Center in Cincinnati. Games will be March 26-29.
Albany also will serve as a regional host site in 2019. It previously hosted in 2015 and 2018. Austin has hosted an NCAA championship-record 18 regional games at Frank Erwin Center. It will move to the newer H-E-B Center in 2021.
In 2022, Spokane will host along with Webster Bank Arena in Bridgeport, Connecticut; Greensboro Coliseum in Greensboro, North Carolina; and Intrust Bank Arena in Wichita, Kansas. Those games will be played March 25-28.
Spokane hosted a women's regional round in March, won by Notre Dame.
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E.L.F. Cosmetics, Face & Lip Set, 0.22 oz (6.3 g) / 0.42 oz (12 g) (Discontinued Item)
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Wel done to all players involved In the Tiger Challenge today. The under 9 s had a great morning coming runners up in their tough group.
game 1 - won 8-0 against Tring
Players (tries) - rhys (2), max (3), Charlie, Harry (1), Jude, ben, Noah.
Danny (1), cian, William, Sean (1) and freddie
Game 2 - won 5-4 against Beddau
Players (tries) - danny (1), max (1), Fred (1), Sean, William, Charlie, cian
Rhys (2), ben, Noah, Jude, Harry
Game 3 - lost 4-1 against Laugharne
Players (tries) - max, Noah, ben, Jude, Charlie, rhys, cian
Freddie (1), Danny, Sean, William and harry.
A very tough day especially the last game. Lots of knocks and injuries but hopefully all will be fit for tomorrow.
As we finished best runners up we are through to the main cup quarter finals where we play Tring A team.


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Developing an Efficient B2B Content Marketing Strategy – 10 Steps
What successful B2C businesses know is that content marketing, when done right, gets them traffic, brand spreading, and conversions. B2B content marketing was slower to "catch on" in the B2B hemisphere, except for tech-related businesses, but it is now becoming a key part of many more business marketing campaigns. And just like with B2C businesses, if done well, it will give the same good results.
The operative phrase, here is "if done well." Lots of businesses start out all starry-eyed and excited about content marketing. They launch a blog and start writing. When they don't see results within a couple of months, they get discouraged, and that blog gradually fades into "content marketing heaven" with no autopsy performed. Whether your content marketing strategy is dead, on life support, or has yet to be launched, here are 10 steps that will help you get or keep the "patient" out of the hospital.
Define the Purpose
If you cannot articulate a purpose for your content marketing, then you need to stop – it will be a huge waste of time, and maybe money, if you are paying salaries to get it done. Here are some things that will help you find your purpose.
- • Figure out what content marketing "does" for a business, and what can it "do" for yours. This may take some research, and you should probably start with your competition or at least related niches. If you are marketing HR software, find out how other software marketers are using content to market.
• You need to define what you want your content marketing to achieve for your business. While you don't have to put a specific number on anything at this point (e.g., # of new customers), think in terms of spreading your brand, getting more traffic, and interim conversions, such as click-throughs to download an e-guide or view a webinar or a sign-up for your email newsletter. All of these things allow you to start a conversation, and that's where all sales really begin.
Define Your Audience
You are not writing content for yourself – this isn't a "feel good" activity of you being proud of the great blog post you just published. You are writing content for current and potential customers, but first you have to identify them.
Certainly, your current customers comprise a segment of your audience, so develop a demographic, or persona of them. Here are some questions to ask:
• What size business do your current customers have?
• What is the age of the businesses that are your current customers?
• What specific needs are you meeting for your current customers?
Once you have that persona defined, look to new personas that you want to reach. If your current customer profile is a small business, 5 years or less in age, can you expand now into mid-sized businesses or small businesses that have been around longer? If so, develop that persona and identify the needs and pain points based on it.
Your current client base, plus you "new" targeted client base will drive the content you produce.
What's the Message?
Your message is what you can do for your customers, current and future. If you cannot clearly define this, then go back to your mission statement. If you don't have a mission statement, then you need to develop one, because it will determine your message. Let's go back to the HR software example for a minute. What does that software do for a client?
• Handle time sheets, and process payroll based upon those time sheets?
• Screen applicants for positions and forward the most viable to a hiring manager?
• Provide templates for performance evaluations and store them as they are completed?
• Manage and schedule vacation and other leave requests?
You message is based upon the benefits that you provide to your clients. And every piece of content that you create must end with a CTA that addresses the benefits of what you offer.
Be Consistent
You cannot begin a content marketing campaign, tire of it, slow down, and then stop – Yikes! All of that initial work for nothing. Here is how consistency of publication is developed:
• Identify all of your content marketing venues – blog, social media pages, webinars, podcasts, videos, e-guides, etc.
• Establish a publication schedule – some of these must be coordinated. If, for example, you plan to introduce a free trial at a given point, then you must schedule the publicity for it everywhere at the same time. If you publish a great post on your blog that solves a problem or answers a question for your target market, then you must make sure that the post is marketed everywhere you are and everywhere your audience is.
• Consistency also means that you publish on a regular basis. Determine a schedule for posts, for example, and do not deviate from it. Your readers expect to see something new – if they don't find anything, they will leave, often permanently.
• Search engines will find you if you consistently publish, and that is probably the most important factor in getting new business.
If you find that you are unable to keep up a consistent schedule of content publishing, then you need to hire someone in-house or look for an outside firm to handle it. It cannot be ignored.
Don't forget About Internal Links
If you create a piece of content that attracts traffic, you are losing a prime opportunity if you do not imbed links to other places on your site that are related and that have CTA's that are compelling. This will also strengthen your SEO. Internal linking is easy to do and will take your reader to other content that is related to what he is now reading.
Use Images
You already know this. When you read content, you are far more willing to stay with that content if there are images that break it up. And your readers will do the same. You can use stock photos, and you can cheaply get an account with Shutterstock, or use some of the free image galleries (Getty images; morguefile.com), so long as you follow the rules for giving credit. You can also use screenshots. Going back to the HR software marketing campaign, screenshots of the type of reports you produce will be really valuable to potential clients.
Use of Keywords
Don't fall prey to the common misconceptions regarding keywords.
• Keyword stuffing will get you punished by search engines. Just don't do it.
• If your keywords are too generic, they will be pointless.
Do your research. Find long-tail keywords that relate specifically to your product or service. For example, "Time sheet and payroll management solutions" is a long-tail keyword that will definitely improve your SERP. You can develop these types of keyword phrases for all aspects of your product or service. The more specific you can be with those long-tail phrases, the better your SEO rankings will be.
Promote Your Content Everywhere
You finish a blog post and you hit "publish." You are far from finished, however. Now you have to publish the "teasers" to that content in as many places as possible – your LinkedIn page, your Facebook page, your Twitter account, in an email, and so on. Content marketing requires a holistic approach, and all of your marketing venues must work together to drive traffic where you want it to go.
Variety is Truly the Spice of Content Marketing
Sometimes, content marketers get into a rut. They consistently publish posts and advertise those posts all over the place. But it is just as important to think of how you can re-purpose the same content via different venues. Can you use that content to create a YouTube video? Can you create an infographic that you can publish on LinkedIn, Facebook or Twitter (yes, Twitter now allows images)? You never know where your potential customer may find you or what may appeal to him/her. Use it all if you want full coverage.
Tell Your Reader to Do Something
What's the goal here? You are not spending all of this time creating great content just to pat yourself on the back. You are creating content to increase traffic, conversions and sales. So stop being timid about that.
Get those CTA buttons in your content. You don't have to be obnoxious or "sales pitchy" about it. Offer a benefit for clicking that CTA button, whether it is to download something, register for something, or begin a free trial. Yes, you care about your potential customer and you want to answer questions and solve problems – that's all part of establishing a relationship. But you are also in business for a reason – sales. So, establish the benefit, place the CTA button there, and tell you reader what to do.
The Takeaway
Content marketing can be one of the most powerful tools in your marketing. Or it can be a complete failure. If you follow these 10 key strategies, however, you will never have a patient that you have to nurse back to health.