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The mitral valve is important in heart function. Heart valve replacement surgery involves replacing valves that do not function properly or that have been damaged. The surgery is generally reserved for patients whose valves cannot undergo other types of repair. The replacement surgery is performed under general anesthesia, and entails replacing the mitral valve with mechanical or biological replacements. The surgery also requires a heart-lung bypass machine.
|Starting from $6,500
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Medanta – The Medicity is among India's largest and most renowned multi-super specialty healthcare center with a capacity of 1250 beds, 29 super specialty units and more than 800 accomplished doctors. Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with the cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs. Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale, especially for procedures like Liver transplant, intestine transplant and Knee Replacement surgery.
Artemis is a world-class tertiary care multi-specialty hospital established in 2007, accredited with JCI and NABH certificates, is a 400+ bedded hospital, designed and constructed in strict accordance with International guidelines. More than 400 full-time doctors, 11 centers of excellence, 40 specialties. Pioneer in health-care services, offering advanced medical & surgical procedures with a wide-ranging inpatient and outpatient services. Endowed with state of the art facilities, updated technologies, and advanced equipment for predictive, diagnostic and therapeutic imaging.
Indraprastha Apollo Hospital is a world renowned multi-specialty tertiary care hospital, which was established in 1996. The 695 bedded, state-of-art facility is outfitted with the most modern technology operated by highly trained professionals across all its 52 specialties and provides world class medical care to all the patients, domestic or foreign. Indraprastha Apollo Hospital, New Delhi, houses highly accomplished and experienced doctors across all the specialties, and especially in Cardiology and Neurology, who are dedicated towards providing best medical treatment to their patients.
B L Kapoor Hospital is a renowned multi-super specialty tertiary care healthcare facility supported by a top-notch infrastructure with 650 beds capacity, 125 critical care beds and 17 modular operation theaters (OTs). The facility houses highly accomplished 150 specialists along with well trained clinical and paramedical staff, who endeavor to provide uncompromised medical care to all its patients. BLK Hospital, accredited by NABH and JCI, stringently maintains the highest quality of clinical care and has well set-up research and clinical labs, accredited by NABL, ensuring prompt diagnosis and therapeutic care.
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Fortis Memorial Research Institute is an outstanding multi-specialty quaternary care hospital, having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists. Accredited by NABH and ISO, FMRI is 1000 bedded medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialties, who aim to provide the best quality medical care to all the patients, national as well as international. This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
If you are not sure about which hospital to choose, consult our team for free.
We will recommend a quality hospital for you and even get you comparative quotations from providers across the globe.
Fortis Escorts Heart Institute is a premiere multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care. The 310 bed hospital is globally renowned centre boasting of admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery. The hospital holds pride in housing some of India's best and most accomplished surgeons who have many national and international awards to their credit.
Aster Medicity is one of the largest multi-specialty quaternary care hospitals with 8 Centres of excellence in Kerala, established by Aster DM Healthcare which is founded by Azad Moopen. A 670-bedded hospital with excellent outpatient and inpatient services along with critical care and emergency services, operating under highly trained and qualified medical experts and staff. This hospital has brought together most advanced technology, state-of-the-art infrastructure, and soothing surroundings along with some of the best specialist to ensure outstanding clinical care and quality treatment.
Dr. Anil Bhan
Director - Cardiac Surgery
Dr. Ashok Seth
Dr. Hemant Madan
Director and Sr. Consultant
Dr. (Col.) Salil Garg
Senior Consultant & Head Cardiology, Unit- II
Dr. Manjinder Singh Sandhu
Director - Cardiology
4.3 average based on 112 reviews.
My daughter is completely cured from hr birth defect. She will play like all the other kids. Thank you everyoneEdna Fhantu for Artemis Hospital
Staff made my stay very comfortable. The Surgeon and surgical team are brilliant. Nurses and all staff were fantastic and put me at easeGrace Nigoha for Fortis Escorts Heart Institute
The hospital is very moderate in terms of technology and whole set-up. The room I was transferred to after the surgery was also not good and as per standard.
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Testing Behavior, Not Just Results
When you were a student, did you ever lose partial credit for an exam question that you answered correctly because you did so for the wrong reason? Or because you didn't show your work? Hold that thought.
Last week, I noted that if you're trying to verify a program's average performance, no single test will establish either that the program is performing as it should or that it is not doing so. For example, Quicksort, the algorithm that I used for last week's example, usually runs in O(n log n) time, but it might be as slow as O(n2). If a single test shows that it is running in O(n2) time, is the slowness a bug or a coincidence?
Similar reasoning applies to multiple tests. Although repeated tests can make one more confident that the program's performance is as it should be, but certainty is never completely attained; it is merely approached. How, then, does one verify that such a program is behaving properly? One way is to examine not only what results the program produces but also the steps that it performs along the way. In the case of Quicksort, for example, detailed examination might be able to verify that that the program actually implements the Quicksort algorithm, not just that it produces correctly sorted results and usually runs in the amount of time one would expect.
In the case of Quicksort, it's not terribly difficult to determine whether the algorithm is doing what it should — provided that one can put monitoring code inside the implementation itself. Quicksort involves three steps:
- Choose a pivot element.
- Rearrange the elements of the sequence so that all elements that are less than the pivot precede all elements that are equal to the pivot, which in turn precede all elements greater than the pivot.
- Recursively sort the two subsequences that are unequal to the pivot.
Each of these steps is easy to verify — so long as what the program does to carry out these steps is visible to the test code in the first place. Such verification might use a special "test version" of the Quicksort code, which would describe (i.e., write onto a log file) what it was doing as it went along. This version might start by reporting the position of each element in its input sequence, then identifying which element it chose as the pivot. It might continue by reporting each pair of elements that it swaps, and then, for verification, how the elements had been rearranged at the end of step (2).
The result of running Quicksort instrumented in this way would be a file that traces all of the operations that the Quicksort program performs. The test program might then take actions such as verifying that the elements being swapped were actually part of the sequence, that after the swaps were finished, the sequence met the ordering requirements outlined in (2), and that the reordering was followed by the appropriate recursive calls.
This kind of verification is similar to the idea of asking students to show their work on an exam. For Quicksort, and many other programs, it is not enough for a tester to verify that the program produces the right answer; it is also important that it do so in the right way and for the right reason.
Testing a program by instrumenting it and looking at the resulting log is often called "white-box testing," as opposed to "black-box testing," which looks only at a program's documented behavior. White-box testing is an essential tool in a number of contexts. We have just seen one such context: verifying indirectly that a program's performance will be reasonable by verifying directly that it uses an algorithm known to have reasonable performance. However, this context is far from the only one.
For example, programs often use resources while they are running and release those resources when they are finished. Memory leaks are an obvious example of failing to release resources when needed, but memory is not the only resource that must be managed in this way. If you look only at a program's overt behavior, you may not be able to know with confidence whether or not the program is leaking memory. For that matter, the operating system may not even report memory usage accurately. Nevertheless, for testing purposes, one might instrument such a program by logging every time the program allocates or frees a resource. One might then run a program that examines the log files to ensure that every resource that is allocated is also freed — exactly once.
White-box testing is hardly a new idea. In fact, one form of white-box testing has been around since the earliest days of computing, namely parity checking. Although many small computers these days do not include parity checking, it was an essential tool in earlier computers because memory and processors were much less reliable than they are today. Even arithmetic units often did parity checking on their computations, analogously to how one might use casting out nines to verify a hand computation. If every memory operation and every computation carries a small amount of extra information that acts like a simplified model of the data or computation, then hardware failures become much easier to detect. In effect, a parity bit is a rough way of tracking what is supposed to happen during a computation. If the parity check is correct, that does not prove that the computation itself is correct; but a parity-check failure proves that something is broken.
There is (at least) one other context in which white-box testing is important, and that is in making sure that a program does not attempt any undefined operations — especially not operations that rely on dangling pointers or out-of-range indices. Next week I'll talk about why these kinds of operations are so important to detect and prevent, and how white-box testing can help in doing so.

subset: commoncrawl


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Probably nothing comes as close to motherhood and apple pie in the realm of economics as financial literacy, a wholesome concept that seemingly everyone can embrace.
Yet surprisingly, the cause of financial literacy has taken a bit of a beating in recent years. Last week, the hoary British newsweekly The Economist published an article ("Teacher, Leave Them Kids Alone") pointing out the disappointing results of such programs.
The article cited research by Lauren Willis of Loyola Law School in Los Angeles suggesting that the checkbook-balancing-type curriculum these programs offer may be no match for the complex products and decisions consumers must make.
Harvard Business School professor Shawn Cole and Wellesley economics professor Gauri Kartini Shastry have also dogpiled on financial literacy. In a December 2010 paper, the two scholars showed that state-mandated high school financial literacy programs failed to encourage savings behavior, a basic goal of such programs.
To be sure, there are many scholars who have positive things to say about the efficacy of financial literacy programs, like Wharton's Olivia Mitchell and George Washington University's Annamaria Lusardi.
While the academic war rages on, AdvisorOne readers likely feel they are on the front lines of the financial literacy battles they confront daily in their efforts to help clients plan for various lifecycle goals. In that spirit, we asked Merrill Lynch advisor Aubrey Lee Jr. (left) how financial literacy rates in the daily conduct of his Detroit-area practice.
A financial advisor for nearly 26 years, Lee has addressed financial literacy issues on a volunteer basis, usually in the context of high school "Career Day" type events, though he has specifically addressed long-term financial planning issues as well.
Nevertheless, it is in daily interactions with clients where the advisor, who heads the Aubrey Lee Jr. Group in Merrill's Novi, Mich., office, most regularly confronts literacy issues.
"When I work with clients, I think it's important to be on the same side of the table in terms of my clients having a basic knowledge around how stocks work, how bonds and fixed income work…I'm least comfortable when a client says, 'Aubrey, I trust you, just go ahead and do it.'"
The academics have various ways of measuring financial literacy, but Lee's got his own definition based on his many years dealing with the needs of his Midwestern clientele. It boils down to having a common vocabulary to discuss financial issues.
"It's about understanding the basics, so that when I say I'd like you to put 30% of your money into a class of investments like stocks or bonds, if I use a word like 'cash' you know it may be a money-market fund. "If I talk about a muni bond, you know I'm talking about debt," Lee continues. "Then when we talk about asset allocation, we have a certain amount of money in stocks, bonds, money-market funds and cash, and why that is important. From there we can become a little more granular."
Despite the efforts of financial literacy promoters, or perhaps as an indicator of their inefficacy, financial concepts and products with which financial advisors work daily are often quite bewildering to non-professionals.
Lee advises on a number of corporate 401(k) plans, and regularly goes over the basics at quarterly meetings, and in meetings with individual participants.
"We approach planning from a goals-based wealth management strategy," Lee says, meaning he does not map out a plan before ascertaining "what is important to [the client] in the next one to three years; in the next three to five years; and for five years and beyond."
In his more than a quarter-century of advising, Lee has seen an impact from his educational approach.
"I think about the families I have that have children at an early age that learned about investing and saving. What I have seen is that those offspring tend to be more responsible—better savers."
"To watch a client achieve his or her goal—that's the real reward that I receive," he adds.
While that next generation of clients is already opening up 529 accounts for their kids, in some instances, the financial literacy Lee had a hand in initiating took deeper root:
"There was a young man that I had spoken to 20-plus years ago," he says. "He went on to become a money manager out in San Francisco. There was another young lady who was the daughter of one of my clients. Her parents asked me to speak to her, and she went on to become a financial advisor down in Florida; that was very rewarding."


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The Geometer's Sketchpad® is the world's leading software for teaching mathematics. Sketchpad® gives students at all levels—from third grade through college—a tangible, visual way to learn mathematics that increases their engagement, understanding, and achievement. Make math more meaningful and memorable using Sketchpad.
Elementary students can manipulate dynamic models of fractions, number lines, and geometric patterns. Middle school students can build their readiness for algebra by exploring ratio and proportion, rate of change, and functional relationships through numeric, tabular, and graphical representations. And high school students can use Sketchpad to construct and transform geometric shapes and functions—from linear to trigonometric—promoting deep understanding.
Sketchpad is the optimal tool for interactive whiteboards. Teachers can use it daily to illustrate and illuminate mathematical ideas. Classroom-tested activities are accompanied by presentation sketches and detailed teacher notes, which provide suggestions for use by teachers as a demonstration tool or for use by students in a computer lab or on laptops.
The McGraw-Hill Companies is no longer distributing Tinkerplots and Fathom. We're dedicated to the success of students AND their teachers, and continue to offer a wide array of educational products that meet the needs of today's classroom. Your sales representative will be happy to provide you with alternative product options. To find your sales representative, please visit www.mheducation.com/prek-12.


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0.0059 Dogecoins to US Dollars is your chosen operation. International currency exchange rate DOGE to USD for today is 0.00166. To make other conversions please use the sidebar "I need more" to your right. How much is 0.0059 Dogecoins to US Dollars? 0,00 is todays conversion result. CNV.to is using the latest data from authority sources to calculate 0.0059 Dogecoins to US Dollars. For more information about chosen currencies see the DOGE to USD history chart for 7 days, 1 month, 3 months, 6 months and a year.
CNV.to currency converter uses officially available data from International Currency Rates. Exchange rates update every minute.
Reversed currencies - Convert 0.0059 US Dollars to Dogecoins
CNV is providing you with history chart for Dogecoins to US Dollars (DOGE to USD) exchange rates fluctations. It displays the dynamics between two currencies. Time frame can be changed, please choose: 7 days, 1 month, 3 months, 6 months and 1 year period.
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Sashika Nisansala
Meemessa is the largest Sinhala song collection in the cyber space and we offer you the best of Sinhala songs over thousands of artists and their songs for you to download for free Check us out and start downloading Sinhala music for free at meemessasinhalasongs.com right now! Sashika Nisansala mp3, Sashika Nisansala song, Sashika Nisansala song free download, Sashika Nisansala mp3 download. SashikaNisansala, Sashika, Sasika Nisansala
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Puzzle Levels
Puzzle Categories
Download a FREE Solution for your puzzles!
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Profi Cube - 6-Pack
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Product Information
|Make a cube out of the 6 pieces
|Level 9 - Gruelling
|Happy Cube
|Foam Puzzles
Product Description
The Profi Cube has black areas in the 6 foam colours. Although it contains many symmetrical puzzle parts, there is only one way to build each model into a cube. A real challenge! The symmetrical pieces do make it easier to build the larger combinations. Suitable for age 7 and up.
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Our fulfillment center is operational and we are still here to serve your collecting needs! The Dave & Adam's sales team is working remotely from home to get your orders processed and shipped out in a timely manner.
We sincerely thank you for your business!
Sean & DC are also set up at their homes to conduct breaks. We look forward to seeing you in some breaks!
Stay indoors & stay safe!
Dave & Adam's
2011/12 Upper Deck Fleer Retro 1961-62 #JO3 Magic Johnson Orange
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Borussia Dortmund needed every bit of its first-leg advantage to stave off a comeback attempt by Real Madrid and reach the Champions League final for the first time since 1997.
Karim Benzema scored in the 83rd minute and Sergio Ramos in the 88th, putting Real Madrid in position to advance with one more goal. But Dortmund held on for a 4-3 aggregate win following a 2-0 loss Tuesday night.
"They put a lot of pressure on us," Dortmund midfielder Kevin Grosskreutz said. "However, we are a great club and deserved to go through."
Bundesliga champion Bayern Munich has a four-goal advantage on Barcelona ahead of Wednesday's game. The Champions League final is May 25 at London's Wembley Stadium, setting up the possibility of the first all-German final in soccer's top club competition.
"Wembley will be one of the greatest moments in our lives, but whichever team we meet, we will not be the favorite," Dortmund coach Juergen Klopp said. "In Wembley everyone will see we are not going to be satisfied with just being a finalist."
Madrid, which has not reached the final since winning its record ninth title in 2002, was eliminated in the semifinals for the third straight year under coach Jose Mourinho. Trailing Barcelona by 11 points in the Spanish League with five games left, Real's only realistic hope for a title this season comes when it hosts Atletico Madrid in the Copa del Rey final on May 17.
Mourinho is expected to leave after his third season, perhaps to return to Chelsea in England's Premier League. Asked whether he will remain with Madrid next season, Mourinho replied: "Maybe not." He then said, "I love to be where people love me to be."
"I know in England I am loved. ... I know I'm loved by some clubs, especially one," he said. "In Spain the situation is a bit different because some people hate me."
Dortmund's last visit to the final since 1997 was a 3-1 victory over Juventus at Munich's Olympic Stadium for its only European title.
Robert Lewandowski, who scored all four goals for Dortmund last week, missed two good chances in the second half, shooting over the crossbar in the 49th and hitting the crossbar a minute later. Diego Lopez kept Madrid in the series when he dived to save Ilkay Gundogan's close-range shot in the 62nd.
English referee Howard Webb called for five minutes of stoppage time, creating a nervy finish after Ramos' goal.
"It's a shame. Sometimes you lose. That is football," Ramos said. "In Dortmund we should have played the way we did tonight. We feel for the fans. It's a shame to have been so close, but the missed chances in the first half were costly."
No team has overcome a three-goal deficit from the first leg in a Champions League knockout stage matchup since Deportivo La Coruna beat AC Milan 4-0 in the 2003-04 quarterfinals for a 5-4 aggregate win.


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Mystery Shopper Jobs in Walsall
Here's your opportunity to shop & dine out, and get paid.
Your job is simple. There are currently over 200 department stores, restaurants, and service oriented companies eagerly seeking individuals to rate and evaluate their customer service at their local branches.
You get paid to submit your shopping experiences, and also get their meals, entertainment, products, and services completely free. These are just some of the perks of being employed as a mystery shopper.
High pay, work at your own pace & schedule, and most of all you'll love your work.
No experience needed. Must be 18 years of age or older to apply.
Priority preference is given to those applicants who are in Walsall, as there is a shortage of mystery shoppers in this area.
Want to get started? Mystery Shoppers Jobs can connect you with companies that are looking to hire mystery shoppers all throughout Walsall.
You can become a mystery shopper today! Click Here!


text: Along with our large quantity of in-stock online retail products, we offer the best price for our quality, brand-name products, with a price match guarantee. HOWARD ELLIOTT home decor even start as low as $40.80. Most of all, we pride ourselves on our superior customer service and customer satisfaction - it's what keeps us in business! We accept most major credit cards as well as Paypal and have a money back guaranty on products returned within 30 days, so shop now for worry-free savings!


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A farmer shows off his crop of 'Sanqi' at an open market in Wenshan, Yunnan Province. Panax pseudo-ginseng, or 'Sanqi', is well reputed since the ancient times for its effect of quickening blood flow, dissolving stasis, and eliminating swelling and pains. Wenshan is the origin and main production area ofpanax pseudo-ginseng.
© Simon Lim / Greenpeace
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Genre: Drama , Romance
Plot: The title of this movie is All the Bright Places which was first released in the year 2020 and takes part in the drama, romance genres. You can enjoy the 107 minutes of it here, on FMovies, for free. As far as the storyline goes you can watch the trailer. FMovies provided a link for this movie where you can watch it in HD.


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Re: "Due process kicked off campus," May 15 George F. Will column.
George F. Will was right to criticize the Education Department's civil rights office, where I used to work, for its attempts to "micromanage schools' disciplinary procedures."
For example, it discourages colleges from allowing cross-examination in sexual misconduct cases. That is unwise, because the Supreme Court called cross-examination the "greatest legal engine ever invented for the discovery of truth" in Lilly vs. Virginia (1999). Colleges have been ordered to allow it in a few court rulings, like Donohue vs. Baker (1997).
Cross-examination helps colleges debunk false allegations and reach the right decision.
Hans Bader, Arlington, Va.
This letter was published in the May 21 edition.
Submit a letter to the editor via this form or check out our guidelines for how to submit by e-mail or mail.


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BMW X1 (13-15) Clear Bra
2-3 Business Days
The clear bra is a strong and invisible poly-urethane protective film that applies directly onto the surface of your vehicle. This kit is custom pre-cut to fit and protect the leading areas of your hood, fenders, mirrors, and entire front bumper from all normal wear and tear. Our paint protection films are manufactured by the industry's leading paint protection manufacturers right here in the USA. This allows us to give you reassurance by providing you with a 5 year product warranty.
All clear bra paint protection kits include installation tools, kit diagrams, and instructions to assist you with the installation process. You can also watch video tutorials below in the installation tab.
- Transparent protection film that adheres onto your paint
- Protects against rock chips, sand-blasted


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Charles Schwab (SCHW) reported a 17% jump in third-quarter profits to $290 million on Tuesday, while its earnings of $0.22 per share topped Wall Street estimates by $0.02.
Its revenue jump of 15% to nearly $1.4 billion represented a 13-year record for the firm. Plus, the firm says it anticipates sales growth to outpace costs by 3%-5% next year.
The company's client results "supported double-digit percentage increases in all three of our main revenue sources and 15% overall revenue growth versus the year-ago quarter," according to CEO Walt Bettinger.
"Even with the continued headwind created by an interest rate environment that remains at historic lows, our third-quarter revenues surpassed all our prior quarterly results save the extraordinary spike we experienced at the height of the Internet bubble," Bettinger said in a statement.
In the second quarter, the brokerage group saw its sales rise just 4% to $1.34 billion, while expenses jumped 9% in the period.
Schwab has more than $2 trillion in client assets, the CEO notes, and they have been growing at a compound annual rate of 10% over the past five years. Clients that own about half of these assets are enrolled in Schwab programs that include "some form of ongoing advice, reflecting a decades-long evolution at Schwab beyond our discount-brokerage roots," he added.
Of the $1 trillion, some $890 billion are client assets tied to accounts with independent advisors. The rest are enrolled in one of Schwab's eight retail advisory offerings.
These two groups of assets each had 17% year-over-year increases.
"Our work on this front continues, as we provide an alternative to the traditional Wall Street model by offering sophisticated, needs-based approaches designed to enable today's investors to get the help that's right for them," the CEO said.
Net new assets in Q3 were close to $43 billion, up 97% from the year-ago period and, Bettinger says, "the highest in Schwab history for a summer quarter."
The number of active brokerage and banking accounts improved in the latest period, though the figure for corporate retirement plan participants dropped as expected due to Schwab's consolidation of its plan recordkeeping technology platforms.
Citi's Conundrum
Citigroup (C) said Tuesday that it had a third-quarter profit of $3.23 billion profit in the third quarter, missing analysts' estimates, but handily topping last year's net income of $468 million with a nearly 600% increase.
It blamed a 26% decline in bond trading and fallback in U.S. mortgage activity. (In last year's third quarter, the bank recorded a $2.9 billion loss on its Morgan Stanley Smith Barney joint venture.)
"We performed relatively well in this challenging, uneven macro environment," said CEO Michael Corbat, in a press release. "While many of the factors which influence our revenues are not within our full control, we certainly can control our costs, and I am pleased with our expense discipline and improved efficiency year-to-date."
Overall, securities and banking sales dropped 2% from the prior-year period to $4.7 billion, while the unit's net income shrank 16% from last year to $989 million. Private bank revenues, however, improved 1% to $614 million.
"With the environment remaining challenging, we will continue to focus on all aspects of our business to improve client satisfaction and shareholder results consistent with our strategy," Corbat said.
Check out JPMorgan Reports First Loss Under Dimon; Analysts Say Not to Fear on ThinkAdvisor.


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Vaginismus is an uncontrolled, involuntary spasm of the muscles that surround the vagina. These spasms can cause pain when something is about to be put into the vagina, like a tampon, penis, or medical device. This can cause sexual intercourse or a routine pelvic exam to be painful. It is a complex disorder. It is both a psychological and physical condition.
Vaginismus is not common. It can cause severe physical and psychological pain.
Vaginismus is usually a response to past sexual trauma or other painful events. The fear of pain can start a painful muscle spasm. Sex is then associated with fear and pain. Sometimes no obvious cause can be found.
There are 2 forms of vaginismus, primary and secondary. Primary vaginismus is diagnosed in women who have never had successful sexual intercourse due to pain or the anticipation of pain. Secondary vaginismus is diagnosed if a woman has had a successful experience without painful intercourse in the past.
Risk Factors
Factors that may increase your chance of vaginismus include:
- History of sexual abuse or trauma
- A frightening childhood medical procedure
- Painful first intercourse
- Relationship problems
- Sexual inhibition
- Fear of pregnancy
- Memory of previous pain due to infection, surgery, or other gynecologic conditions
Symptoms of vaginismus can range in severity. Women with this disorder are not able to have sexual intercourse without pain. Some women may also have pain during pelvic exams or while inserting a tampon.
You will be asked about your symptoms and medical history. A physical exam will be done. A vaginal spasm may be detected during the pelvic exam. This can confirm the diagnosis of vaginismus.
The insertion of a speculum (device used to gently open the vagina) may be impossible. Vaginal fluid may be minimal. In severe cases, local or general anesthesia may be used to perform an exam.
Treatment usually combines counseling, education, and muscle exercises. Treatment options include:
Kegel Exercises
Kegel exercises cause the repeated contraction and relaxation of the pelvic muscles. The exercises can help improve control over the vaginal muscles.
Vaginal Dilation Exercises
Vaginal dilation exercises use the patient's own fingers or plastic instruments called dilators. The dilators are gradually increased in size and placed in the vagina over time. Patients may be asked to place the dilators themselves. The program is supervised by a healthcare provider. Women may be asked to practice Kegel exercises while the dilators are in the vagina.
After patients have reached a level of comfort, sexual intercourse is attempted.
Educational Treatment
Fear of sex is a large part of this disorder. Educating women is an important part of treatment. Women are taught about sex organs and how they work. The sexual response cycle and common sex myths are also discussed.
Depending on the cause, psychological counseling is often central to the treatment of vaginismus. It is particularly helpful to those with primary vaginismus due to sexual abuse or trauma.
To help reduce your chances of getting vaginismus, talk to your doctor or healthcare provider right away if you experience pain with intercourse. Vaginismus can become an automatic response if the pain is not treated promptly.
Revision Information
- Reviewer: Beverly Siegal, MD, FACOG
- Review Date: 11/2018 -
- Update Date: 12/11/2015 -


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Other Proposed Natural Treatments
There are many possible causes of hearing loss, ranging from wax in the ear canal to problems with the nerves that receive sound and transmit it to the brain. Two of the most common causes are age-related hearing loss (presbycusis) and noise-induced hearing loss. The treatment for hearing loss depends on its cause, and for that reason medical consultation is essential.
In this article, we discuss a few herbs and supplements that have shown promise for various forms of hearing loss. See also the article on tinnitus for hearing problems that involve ringing in the ears.
Principal Proposed Natural Treatments
Two natural treatments have been evaluated in double-blind, placebo-controlled trials for the prevention or treatment of hearing loss.
Magnesium for Preventing Noise-induced Hearing Loss
Long-term exposure to loud sounds, such as gunfire or rock music, can cause permanent hearing loss. A 2-month, double-blind, placebo-controlled study of 300 military recruits found daily supplementation with magnesium helped protect the ear from noise-induced damage. 1 The dosage used in this study was quite small—only 167 milligrams (mg) of magnesium daily—but tests showed that even this amount was sufficient to raise magnesium levels inside cells and apparently protect the ear from damage. Soldiers who received the magnesium were less likely to experience permanent hearing damage than those in the placebo group, and when they did experience hearing damage, it was less severe.
It is not clear how magnesium might protect hearing. Studies in animals suggest that magnesium deficiency can increase the stress on cells involved with hearing and thereby make them more susceptible to damage caused by intense noise. 1 However, human magnesium deficiency is believed to be rare, so it is possible that supplemental magnesium acts in some entirely different way.
At present, only the use of noise-reduction devices (e.g., headsets that block sound) have been proven effective for preventing noise-induced hearing loss, and this study does not indicate that magnesium supplements can replace this tried-and-true approach. However, this study suggests that a safe, low dose of magnesium may add an additional level of protection.
For more information, including dosage and safety issues, see the full magnesium article.
Ginkgo for Treating Sudden Hearing Loss
Some people develop hearing loss suddenly, usually in one ear. This condition is called "unilateral idiopathic sudden hearing loss." Its cause is unknown, but problems with circulation may play a role in some cases. The herb ginkgo biloba is thought to increase circulation, and for that reason it has been tried as a treatment for this condition.
In a double-blind, placebo-controlled trial, 106 participants with a carefully defined form of sudden hearing loss were given either a full dose of ginkgo extract (120 mg twice daily) or a low dose of the herb (12 mg twice daily). 2 The lower dose was chosen in the belief that it couldn't possibly offer any benefit, and would therefore serve as placebo. However, researchers were surprised to find that most participants in each group recovered by the end of the 8-week trial. There are two possibilities to explain this: low-dose ginkgo is effective, or many people with sudden hearing loss recover on their own anyway.
Because both groups improved to such a great extent, the overall results of the trial did not prove ginkgo effective. An exploratory look at the data provided some tantalizing hints that high-dose ginkgo may have helped ensure full recovery, but for statistical reasons these tantalizing hints can't be taken as proof.
Another double-blind study compared ginkgo to pentoxifylline, a circulation-enhancing drug used in Germany for the treatment of sudden hearing loss. 3 The results indicate that ginkgo was at least as effective as the medication. However, because pentoxifylline is not a proven treatment for this condition, the results prove little.
Additional research will be necessary to discover whether ginkgo is actually effective for sudden hearing loss. For more information on this herb, including dosage and safety issues, see the full ginkgo article.
Other Proposed Natural Treatments
A study in animals suggests that the supplement lipoic acid might help prevent age-related hearing loss. 4 Another animal study suggests that melatonin may help prevent hearing loss induced by noise. 5
Free radicals are naturally occurring substances that cause damage to many parts of the body, including the ear. Antioxidants are substances that fight free radicals. Antioxidant supplements have shown promise for preventing various forms of hearing loss, including age-related hearing loss and hearing damage caused by medications. 6–9 Commonly used antioxidants include the following:
- Citrus bioflavonoids
- Coenzyme Q 10
- Lipoic acid
- Lutein
- Lycopene
- OPCs (oligomeric proanthocyanidins)
- Vitamin C
- Vitamin E
Other natural treatments sometimes used for various forms of hearing loss, but which lack meaningful scientific support, include folate , manganese , myrrh, potassium , vitamin B 1 , vitamin B 2 , vitamin B 6 , vitamin B 12 , and zinc .
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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Teaching in Roane County Schools
Roane County, West Virginia
Getting Started in Roane County Schools
District Financials
Total District Revenue:$25,712,000
Percent of Revenue from Roane County County:14 %
Percent of Revenue from West Virginia: 69 %
Percent of Revenue from US: 16 %
Comparing districts in WV (See all Districts in WV)
Largest Districts
Highest Total Education Expenditure
- Public Elementary/Secondary School Universe Survey Data, Common Core of Data (CCD) 2015-16, National Center for Education Statistics, https://nces.ed.gov/ccd/pubschuniv.asp
- Local Education Agency (School District) Finance Survey (F-33) Data, Common Core of Data (CCD) 2013-14, National Center for Education Statistics, https://nces.ed.gov/ccd/f33agency.asp
Teaching Schools in West Virginia
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Parliamentary sitting calendar
Go to the full calendar of events
This annual report of the Department of the Senate documents the department's performance for the financial year ending 30 June 2010.
The report is presented in six parts.
Commentary by the Clerk on performance and significant matters that affected the department, and a description of role, aims, structure and functions
Tools to assist the reader:
The report is presented for tabling in the Senate pursuant to section 65 of the Parliamentary Service Act 1999. It is also produced to meet the information needs of interested people, including:
The report is available on the department's website: http://www.aph.gov.au/senate/dept/index.htm.
This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from the Commonwealth. Requests and inquiries concerning reproduction and rights should be addressed to the Commonwealth Copyright Administration, Attorney-General's Department, National Circuit, Barton ACT 2600 or posted at http://www.ag.gov.au/cca.
Web address of this report: http://www.aph.gov.au/senate/dept/annual10/index.htmProduced by the Department of the Senate
Printed by CanPrint Communications Pty Ltd for the Department of the Senate
Coordinated and edited by WordsWorth Writing (02) 6232 7511
Cover photographs:
Front (left to right): Senate in session, courtesy of AUSPIC; meeting of the Select Committee on Regional and Remote Indigenous Communities at Napranum, Queensland, courtesy of the committee
Back (left to right): students from Kurrajong Public School, New South Wales, involved in a parliamentary role-play, courtesy of the Parliamentary Education Office; departmental staff member preparing a Senate committee room, courtesy of the Parliamentary Education Office
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Because ADHD develops during childhood, the information presented here focuses on children. The primary symptoms of ADHD are inattention, hyperactivity, and impulsivity. At some time in their lives, all children are inattentive, hyperactive, or impulsive. However, children with ADHD have symptoms that are noticeably more severe and consistent. They have difficulty in school and with their family and peer relationships.
There are several different types of ADHD. Some children are mainly inattentive and do not display signs of hyperactivity (classic attention deficit disorder [ADD]). However, some are hyperactive, some are impulsive, and others exhibit a mixture of these symptoms.
Behaviors linked to ADHD can last into adulthood, often resulting in problems with relationships and employment. Specific symptoms include:
Inattentive (classic ADD)
- Easily distracted by sights and sounds
- Does not pay attention to detail
- Does not seem to listen when spoken to
- Makes careless mistakes
- Does not follow through on instructions or tasks
- Avoids or dislikes activities that require longer periods of mental effort
- Loses or forgets items necessary for tasks
- Is forgetful in day-to-day activities
- Has difficulty organizing tasks
- Hyperfocuses on certain activities
- Has difficulty with transitions
- Is restless, fidgets, and squirms
- Runs and climbs and is not able to stay seated
- Has difficulty playing quietly
- Talks excessively
- Blurts out answers before hearing the entire question
- Interrupts others
- Has difficulty waiting in line or waiting for turn
Combined (most common type)
- Has a combination of the above symptoms
People with ADHD also can have:
- Depression
- Anxiety
- Conduct disorder
- Substance abuse
- Learning disorders
- Tourette Syndrome
- Bipolar disorder
- Insomnia
- Constipation
- Encopresis —leaking stool
- Enuresis —inability to control urination
- Cigarette use
Revision Information
- Reviewer: EBSCO Medical Review Board Adrian Preda, MD
- Review Date: 09/2018 -
- Update Date: 09/17/2014 -


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The purpose of screening is early diagnosis and treatment. Screening tests are given to people without current symptoms, but who may be at high risk for certain diseases or conditions.
Screening Guidelines
The American Dental Association recommends a regular dental checkups every 6 months. Screening for periodontal disease should be part of every regular dental examination.
Screening Tests
- Dental exam—Your dentist will perform a careful survey of the appearance of your gums. Each tooth will be checked for looseness, and your dentist will use a probe to identify and measure any spaces, known as pockets, between your gums and teeth. If you have periodontal disease, these pockets will measure more than 3 millimeters (mm) in depth.
- Dental x-ray—This type of x-ray may reveal whether or not the bones that support your teeth show signs of deterioration. Evidence of bone loss around teeth is one of the signs of more advanced periodontal disease.
Revision Information
- Reviewer: Michael Woods, MD, FAAP
- Review Date: 09/2017 -
- Update Date: 11/01/2017 -


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Queen Transcendent
The Fit Expert
Jessamy, Peter, and Matthew from our Boston (Faneuil Hall) store says:
The Elizabeth is a gorgeous shoe that fits a bit narrow. Unless you have particularly narrow foot, you may have to size up a half size to accommodate the width.
Designed by Fluevoger Jody Elizabeth for John's world-reknowned Open Source Footwear Program, The Queen Transcendent Elizabeth featured a unique heel inspired by Cabriole legs of 18th century Louis XV furniture, specifically the "ball and claw" foot design. Using a Bellevue last, a 3.5" ornate "ball and claw" heel, a 0.75" comfy platform, and tunite soles, The Elizabeth demanded sophistication and class. Smooth and glossy Polido leathers with a rub-off finish gave The Queen Transcendent Family an antiqued and timeless look. Exceed your own expectations.
Instagram @fluevog #vog_elizabeth
Found in: Heels, Womens, Open Source, Queens
Jessamy, Peter, and Matthew from our Boston (Faneuil Hall) store says:
The Elizabeth is a gorgeous shoe that fits a bit narrow. Unless you have particularly narrow foot, you may have to size up a half size to accommodate the width.
Love love love1
Hello beautiful
Not comfortable at all
Freakishly awesome
First Vogs...not my last
Another Fluevog Masterpiece
Can't. Stop. Staring.
Secret White Ones!
Freaking awesome!
Tip on fitting: your size is not what you think it is. You will need to go up at least half a size, though if you have wider feet I'd go up a full one.
Worth it!
Who knew?
Well, Alan put a pair of 9s on my feet (I usually wear an 8.5 and just as Alan suspected, that was too small/tight) and I was transformed.
But I held off. I was "good." But I kept looking at them online, salvating. Then boom, the Annual Sale and they're $100 off! Plus I had a credit with the store. What was a girl to do but call up the NYC store (I live upstate now) and get these girls shipped to me ASAP!
I'm a long time vog wearer, since 2000 with over a dozen pairs. These are up there with my favorites. I find them to be very comfortable despite looking like they wouldn't be. I love an ankle strap as my feet otherwise slip in the heel to the point of me abondoning heels sans ankle strap. The style of the heel couldn't be cooler and I love the buffed pink on the toes and heels. I consider myself to have wide feet but no issues with width here.
Thanks to Alan at the NYC store, as well as Paul who hooked my up over the phone.
Time to go break some hearts!
love emmmm
Happy Boxing Day Sale Delight!
Bring on the SHOE-OFF!
Gorgeous shoes, fit a little small.
Wedding shoes
Best birthday present ever................
Gorgeous purple heels
Additional colors for the Elizabeth's?
Hotter Than Queen Lizzy Herself!
I have smaller feet, so I found that the size I typically wear (6) worked just fine, I didn't need to go up a size. Getting them in green and I think they'll look fantastic with my dress paired with black and white striped tights (because I can!).
Extremely comfortable (once you put the second shoe on) and I felt incredibly stable.
Gorgeous color, amazing design, and lovely all around!
Curse you, Boston store, for being so convenient.
They're definitely quite rigid at first like everyone has said, and they're quite snug right at the edge of my toes. After wearing them of short distances and simply sitting in them while watching TV, they've loosened up considerably. I expected them to be pretty uncomfortable simply because of the height (and I was planning to just suck it up and deal) but the platform mitigates it considerably. Size-wise, I'm usually an 8.5 in most shoes, but a 9 or 9.5 in most Fluevogs, but a 10 in these fits me the best. Definitely expect to go larger in these than you'd expect.
Pretty AND wearable!
As Amazing as you think they are!!!
In LOOOVE!
I am so pleased with them, though they were a bit right across the top of the toe area, they have now become a perfect fit! So many complements on these gorgeous ladies, kinda does make you feel like a queen and sorta spoiled! Hehe! :)
Love these shoes!
Or maybe in blue!
Bitter sweet
But i have a problem spending nearly 400$ on shoes only to have them come to me too tight and with the heel on crooked. I did order these a size larger, it's a smart idea, but the vamp was still too tight for me to be able to wear them out of the box so i needed to stretch them before i could wear them. Once they were stretched and i was able to wear them i discovered a heel was on crooked and so walking is funny. I can't believe "hand made" shoes have so little attention payed to them so as to not notice a crooked heel. On top of this no one from the L.A. store ever called to check on the product despite requesting my number.
I have very narrow feet, to the point where I can't wear some of my favorite styles. These fit like a dream...and the sales person recommended arch supports will be my new life saver.
They're even a seriously danceable shoe. Baroque salsa, yes please!
Thank you, Fluevog!
The best shoes in the world....
Finally, I ordered a pair, after agonizing over colour choice, in green and I am in awe of their beauty. Such an amazing work of art!
Sizing: I am a 9 in most shoes, and usually a 9.5 in Fluevogs. I ordered a 10 in these and I am very glad I did as they *just* fit, but are tight across the top. I will stretch them and they will be fine. Apart from that, they are very comfortable.
Thanks Denny @ San Francisco store
Thank you Allen & Granville Store!!!
Allen made my day when he mentioned that they come in larger sizes now. The Gastown staff (susie?) secured me my green dream shoe in Toronto...on order. so many other customers commented as i paraded around, even to a tour of tourists outside the window i got to model for! classy, i love that these are customer driven and the postmodern 'furniture' heel got imbedded. just wish is was wood... these shoes are AAAmazing. likely my fave of dozens. ]:o) my friend bought red, looks like we are off to OZ (or to transcend some Christmas function in red and green elizabethans!) Great service all round.
Worth every cent...
Now, to get to the part I know you all want to hear about--sizing. Before I ordered these I read all the reviews saying to size up, but my experience with Fluevogs has been that most run a little too wide for my liking. I have skinny little bony feet with no arch to speak of, so I usually have to buckle 'em tight or lace them as small as they'll go. When the email came from the nice SA in New York wanting to know if I would like to size up from the 6.5 I had requested to a 7, I declined as she had explained that most people were finding these shoes very narrow which was the reason they were going a size up. Well, let me tell you, if you have narrow feet like me, you will be in heaven with these shoes! My usual 6.5 fit perfectly in all the right ways, with no sliding or roominess anywhere, just the way I like them. Finally! I think I heard the Hallelujah chorus in the background as I slipped them on, because this never happens. If you have average to wider feet, then yes, I would say you should consider getting a half or maybe even a full size larger than the one you usually take.
Bottom line: I don't normally shell out full price for shoes, but these were *so* worth it.
Things you should know...
So Unique
Pinterest Elizabeths!
Great design but runs very small
unique shoes.bet they'd be ideal in emerald green!
Fit small but are amazing
These shoes!
I got them in the burgundy, 9.5, my usual 'vog size. They fit like a dream! I wore them for the first time on Friday, all day, and didn't have a single issue. Comfortable, stable, and eye catching! I seriously had people just staring at my feet, working up the courage to ask me where on earth I got my shoes!
Can't Wait for Christmas!
These make my legs look so gorgeous. I might need a second pear for "indoor only" wear :P They are just SO SEXY!
true to size for me at 6.5
Stable .... and snug!
Best Fluevogs Ever!!!!
Super Star
Tiny but fantastic
So amazing!
However, the DC store contacted me after I placed my order and warned me that they've been having people go up half a size with this shoe. That turned out to be excellent advice. I've got a wide foot, and while I usually take a 7 in Vogs, the 7.5 is snug on my feet and I'm glad I didn't risk the lower size. Thanks for watching out for me, DC!
bigger sizes please!
and I was OK that you guys ran small as you went up to 12 (and 13 in some). except for these - and I am heart broken as I know if you had them in my size when I was in the Haight Street store, I would have walked out with a pair (:`(
Prettiest Pair Yet?
I'd love to see these in a Royal Blue leather with a black wash, too. And hopefully more of this heel shape. I can't wait to wear this lovelies out on the town!
#vog_elizabethLoad More


text:
The drumbeat of warnings about an imminent market crash continues to rise in volume — which is probably only to be expected five years after the Lehman Brothers crash, during which time the market's value has increased by more than a third of its 2008 value.
While market watchers share the same high anxiety, the reasons given often vary widely. Robert Wetzel of EconomicPolicyJournal.com interposes market valuations this summer with the summer of 1987, before the historic crash of Black Monday in October of 1987. Needless to say the charts matched up pretty closely. Wetzel's explanation: the move from savings to consumption coinciding with a collapse in the money supply in both periods.
And apropos of that 1987 crash, Swiss investor Marc Faber, whose claim to fame is warning investors to exit the market before that event, also advocates selling out of the current market because of emerging-market upheaval, chaos in the Middle East and rising U.S. interest rates.
Portfolio manager John Hussman (right) has been expecting a market correction for some time, but recently has added the warning that the impending crash will be with us for a decade. His primary reason is that, because of quantitative easing, investors have been lax in demanding a risk premium for their equity ownership. "Once the risk premium is beaten out of stocks, there is no way out, and nothing that can be done about it. Poor subsequent returns, market losses, and the associated destruction of financial security are already baked in the cake."
While short-term market swings do not typically coincide with broader economic news, nevertheless those long-term trends seem to be mainly negative and gaining force. The latest jobs report showed unemployment falling from 7.4% to 7.3%, resulting from an increase in 169,000 jobs.
But as many commentators have noted, the "gains" in employment appear as they do because the overall labor force keeps shrinking as people drop out of the job market. The labor participation rate moved down from 63.4% to 63.2% between July and August, meaning there are 312,000 fewer workers.
Labor force participation has steadily declined over the last several years, and the latest jobs report shows it has reached its lowest point, at 63.2%, since 1978. The rate hovered north of 67% at its apex in 2000, but it has fallen hardest since 2009.
A more street-level view of the economy reflects another distressing trend. A new Gallup survey shows the number of Americans who have lacked sufficient money to buy the food they or their family need rose to 20% in August — just shy of the 20.4% experiencing this level of distress during the heart of the global downturn in November 2008.
– Check out these related stories on ThinkAdvisor:


text:
Current Staff and Administrative Openings
Resumes may be submitted at: email@example.com.
Clark University is an Affirmative Action, Equal Opportunity Employer. We strongly encourage members from historically underrepresented communities – inclusive of all women- to apply.
Internal applicants should have at least one year's experience in their present position. Transfer of successful applicants will be effected at a time mutually agreeable to both departments.
Clark offers regular full time staff outstanding benefits including: free life and disability insurance; choice of health plans with University contribution; 3-4 weeks vacation depending on appointment; free evening undergraduate and master's level courses for employee plus various tuition discounts for family members; 10% University contribution to retirement plan after 2 years of employment in higher education; free use of athletic and fitness center, and many more.


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Lobster Mustard Cushion
A one-to-one personal service with our in-house design team, who are on hand to help find the best rug for your space.
- Home Approval Service
- Style or sizing advice
- Custom and bespoke rugs
- How to care for your rug
Front Door Delivery: FREE
Our delivery partner will automatically schedule delivery and advise you of the delivery date directly. You will receive tracking information to monitor delivery progress, which will take place between 9:00am and 5:00pm. If you are not there to take delivery, a card will be left and you will be able to collect the product(s) from your local UPS Access Point at your convenience.
Delivery and Installation: £75
Our delivery partner will be in touch with you directly to propose a delivery date and a 3 hour time slot for you to confirm (or for you to reschedule if it is not convenient). The driver will give you a courtesy call up to 30 minutes prior to arrival. Delivery will be made to the room and placement of your choice, furniture can be moved to accommodate the position and the rug will be installed with high quality underlay. All packaging will then be removed.
We deliver to most national and international destinations. Deliveries to all international addresses will take longer, but we try to send all orders by the quickest route possible. Delivery charges for outside the UK are calculated by volumetric weight, and are calculated at the checkout.
If you wish to place an online order for delivery to the USA, South America or The Caribbean, please visit our United States Online Store.
For delivery to Europe, please visit our European website.
We want you to be delighted with your purchase, so if you are not completely happy, you may return it to us within 21 days of receipt for a full refund or exchange - provided that the item is returned complete and in original condition. The Rug Company will cover the cost of shipping returns within the UK, other than items purchased from The Archive Sale. Charges will be incurred for shipping outside of the UK.
To return an item, please contact us first by telephone or email. We will then arrange for UPS to collect the item from you. Returns can be collected from your home, work or alternative address.
It is recommended that you keep the original packaging in order to make returning items easier. If you no longer have the original packaging we can suggest alternatives or send you new packaging free of charge.
We accept Mastercard, Visa, American Express, Visa Debit and Maestro. All payments are made securely online and your credit card details will not be saved.
Luke Edward Hall is a London-based artist and designer. He established his studio in the autumn of 2015 and since then has worked on a broad range of art and design commissions and projects and has collaborated with a variety of companies and institutions including Burberry, Christie's and the Royal Academy of Arts. His colourful aesthetic is informed by a love of history, an appreciation of beauty and a sense of playfulness.


text:
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Virgin Remy Hair:
REMI AND VIRGIN HUMAN HAIR EXPORTS All Rights Reserved.(Terms of Use)
Developed and Managed by Infocom Network Ltd.


text:
Grain products, including whole grains, are best known for providing valuable fiber in the diet. Whole grains may help in weight loss and decrease your risk of cancer, heart disease, and diabetes. Grains come from cereal, bread, pasta, or rice. Eating whole grains is not a new way to eat, but a change to what you are used to. Making the change is not as hard as you may think. Here is an overview of how to get you and your family on the road to a healthier diet.
Why Whole Grains are Good
Whole grains contain the entire grain kernel. You may have heard of bran and (wheat) germ. They are parts of the whole grain.
Whole grains are available in a variety of foods such as pasta, cereal, breads, and crackers. They are best known for their fiber content, but they also supply important nutrients and are low in fat. In fact, whole grains are associated with many health benefits such as lower cholesterol, weight control, and prevention of illnesses like diabetes. Whole grains fill you up faster and take longer to digest.
Many of the grain products that we eat are made from refined flour. This means the grain is processed to a point where some or all the nutritional value is gone. Sometimes nutrients are added back into the product but they are not as healthful as an unprocessed whole grain. This means we get the calories without gaining nutritional benefit.
You already eat foods made from grains, making your diet rich in whole grains will only require some fine tuning.
Making the Change to Whole Grains
The United States Department of Health and Human Services recommends making at least half the grains you eat whole grains.
When you think about all the cereals, breads, or pastas that you and your family eat each day, you can see how many chances you have to introduce whole wheat to your diet. It may be easier to start with breakfast since this meal tends to have the largest servings of grain products.
The taste, texture, and feel of whole grain products may seem different than what you are used to. Experiment with different types of whole grain products. If whole wheat bread doesn't work for you, try whole grain pastas or snacks. There are many different products available to help you sneak whole wheat in to your diet without a lot of sacrifice. But, beware, not all whole grain products are created equal.
Become a Label Reader
Take time to read and understand nutrition labels. Sometimes labels can be tricky. True whole grain products will be made of 100% whole grain. These may include some of the following examples:
- Whole wheat
- Oatmeal
- Quinoa
- Whole grain or brown rice
- Popcorn
- Whole rye
- Whole grain barley
Be careful of words like wheat, stoned wheat, enriched wheat, or seven grain. They may not be whole grains. Color can also be deceiving. Brown color can be just a dye or brown sugar and white products may have some whole grains.
Gradually replace the refined grains you eat with whole grains. Before you know it, you will be eating whole grains all the time. Your final goal should be to have at least half the grains you eat be whole grains.
- Reviewer: Michael Woods, MD
- Review Date: 10/2016 -
- Update Date: 10/24/2014 -


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PORTSMOUTH — New Hampshire's own GRAMMY Award-winning guitarist Ed Gerhard will present his popular annual Christmas Guitar Concert — in its 30th year — on Friday, Dec. 14 and Saturday, Dec. 15 at the Unitarian Universalist Church, 292 State St. Showtime is 7:30 p.m.; doors open 6 p.m.
Gerhard is celebrating the highly anticipated release of his new CD "There and Gone," a collection of original compositions and covers including a stunning arrangement of "Imagine/Across the Universe," "I'm So Lonesome I Could Cry" and a concert favorite on Weissenborn, "Killing the Blues."
About Gerhard
From Tokyo to Rome and venues across the U.S., Ed Gerhard's music has touched audiences all over the world. Performing on 6-string, 12-string, slide guitar or Acoustic Hawaiian Lap Slide, Gerhard captivates his audiences with virtuosity, generosity and sly humor. Known for his gorgeous tone and compositional depth, Gerhard can move a listener with a single note. Scott Alalrik of the Boston Globe said it best when he wrote 'Gerhard does not write instrumentals. He writes songs only a guitar can sing.
Gerhard's relationship with the guitar began at age 10, when he happened upon classical guitar master Andr�s Segovia on TV. "I'd heard all the pop music on the radio and maybe a little of that 1960s folk stuff, but this was the first time I'd ever heard the guitar all by itself and the sound just instantly got me," he remembers. Ed finally got his first guitar at 14. His initial interest in classical guitar changed dramatically when he heard the music of bluesman Mississippi John Hurt. He quit lessons after the third one. He took some informal lessons with friends and learned by ear, slowing down LPs to half-speed to pick out the tricky parts. At fifteen, Ed was already beginning to perform in local church basement coffeehouses, playing solo and jamming with friends.
In 1977 Gerhard moved to New Hampshire where he has resided ever since. Joining a thriving folk and acoustic music scene proved invaluable for the young guitarist. "There seemed to be no limitation on places to play back then, or more importantly, what you could play" says Ed. "You could play anything you wanted as long as people stayed around and drank." When Gerhard was not performing solo he could often be seen sitting in with other musicians. "I loved to play, it didn't matter if I was solo or sideman." During this period Ed began composing and arranging music for solo guitar, using a staggering array of alternative guitar tunings.
Based truly on the quality of his work, Ed built his considerable reputation, beginning with his debut album "Night Birds" in 1987. It garnered a spot in the Boston Globe Critics Poll Top 10 Albums of the Year." Shortly after the album's release, Windham Hill Records included Ed on its Guitar Sampler (Vol. 1). One of the highlights of the three hundred thousand unit selling Sampler, "The Handing Down" introduced the world to the beauty of Ed Gerhard's music. "That one piece made me a lot of friends around the world," Ed says.
Ed released his eighth CD "Sunnyland" in homage to his early blues heroes. He was awarded a GRAMMY for his inclusion on the CD "Henry Mancini; Pink Guitar." Warner Brothers, MelBay and Hal Leonard have all released Ed Gerhard's music in books.
Along with players like Ben Harper and David Lindley, Gerhard's unique approach to the Weissenborn (an acoustic Hawaiian lap slide guitar) is playing a significant role in reinvigorating interest in this somewhat esoteric but beautiful instrument. Ed's style of Weissenborn playing is unique in that he composes and arranges music for solo Weissenborn with beautiful melodies, complex chords and moving basslines, unusual for an instrument that normally serves an accompaniment role. Ed is featured in the book "Lap Steel Guitar" alongside legendary players like Greg Leisz, David Lindley, Jerry Byrd and more
In a true collaboration of guitarist and guitar maker, Breedlove Guitars released the "Ed Gerhard Signature Model" guitar. The guitar became one of Breedlove's best selling guitars and won the "Player's Choice Award" by Acoustic Guitar Magazine. Breedlove has released a Gerhard Weissenborn copy in collaboration with Gerhard. Here they have combined traditional design with innovative features and contemporary wood combinations.
Food drive
In the season of giving there will be a food drive at the concert. Bring a nonperishable food item to benefit Seacoast Family Food Pantry and receive a $1-off coupon for any CD at the CD tables. Tickets are $28 at the door or $25 in advance at Lovell Designs, Portsmouth; Exeter Music, Exeter; Ear Craft Music, Dover or 603-664-7200 and www.virtuerecords.com


text: Thursday, November 01, 2012 GAO Self-referral Study on Imaging Finds Excessive Costs, 'Unacceptable Risks for Beneficiaries' A report issued yesterday by the Government Accountability Office (GAO) based on Part B claims data found that self-referred magnetic resonance imaging (MRI) services increased by approximately 84% from 2004 to 2010, whereas non-self-referred MRI services only increased by roughly 12%. For computed tomography (CT) over the same time period, the number of services performed by self-referrers increased by approximately 107%, in contrast to an increase of roughly 30% by non-self-referrers. GAO also found that in 2010 "providers who self -referred made 400,000 more referrals for advanced imaging services that they would have if they were not self-referring." As a result, GAO concluded that "financial incentives for self-referring providers were likely a major factor driving the increase in referrals." Further, GAO estimated the fiscal impact of the 400,000 improper referrals on the Medicare program was "more than $100 million" just in 2010. However, aside from the monetary cost to the nation, GAO also highlighted the "unacceptable risks for beneficiaries" resulting from additional radiation exposure, particularly in the case of CT services, associated with these unnecessary referrals. Yesterday's report is the first of a series from GAO on self-referral. Additional reports are expected on self-referral in physical therapy, anatomic pathology, and radiation therapy. Upon release of the report, the Alliance for Integrity in Medicare (AIM)—a coalition of provider organizations, including APTA, committed to ending the practice of inappropriate physician self-referral—applauded the findings. AIM said the report "substantiates our ongoing concerns with the misapplication of the in-office ancillary service (IOAS) exception to the physician self-referral law." The coalition urged Congress to "heed these critical findings and pass legislation to remove advanced diagnostic imaging, anatomic pathology, radiation therapy, and physical therapy from the IOAS exception, while preserving the ability of truly integrated multispecialty practices to continue providing high-value, high-quality care for Medicare beneficiaries under the self-referral law." APTA will issue a separate statement, which will be highlighted in an upcoming News Now article, on GAO's report. Eliminating physician referral for profit in physical therapy is one of APTA's public policy priorities. The Foundation for Physical Therapy recently awarded a $300,000 high-impact research grant to Jean Mitchell, PhD, to investigate the influence of physical therapy referral characteristics and practices on quality, cost effectiveness, and utilization.


text:
Screaming headlines of dubious reports purporting that 401(k) plan participants raiding their retirement savings are au courant these days.
But a Bank of America Merrill Lynch study released Thursday suggests an opposite trend, and the fact that Merrill's retirement plan management encompasses 2.5 million total plan participants and plan assets of $98.1 billion gives weight to the study's quite upbeat conclusion: that 2012 was a model year and that Americans are fortifying their retirement readiness.
"Of all participants in their retirement plans taking an action, we like to measure how many are taking positive actions and how many negative actions," said Kevin Crain (left), head of institutional retirement and benefit services for Bank of America Merrill Lynch, in an interview with AdvisorOne.
The firm's just-released annual and fourth quarter 2012 study shows that 81% of plan participants took positive actions such as initiating or increasing 401(k) plan contributions, while just 19% took negative actions such as taking loans or withdrawals from their plans.
Crain called that the "strongest" outcome he has seen since Merrill has been conducting its plan participant studies, beginning with the first quarter of 2009.
The Merrill executive cited two key reasons for the success Merrill plan participants enjoyed in the previous year.
One factor has been plan design features that encourage positive behavior.
"There's a lot of effort now by companies, plan sponsors working with us as a provider, to make efforts to make it easier to get employees to stay engaged," Crain says.
"They're not just use auto enroll, they're initially deferring at a higher rate than they used to," he adds, noting that salary deferral rates of 4%, 5% and 6% are becoming a new normal in comparison to the 1%, 2% and 3% rates that once prevailed.
"What's good about that is most companies match contributions, so you're maximizing the employee savings," Crain says.
Merrill has increased its training of its top plan advisors, currently numbering 150, but with plans to expand the group who receive this high-level training, to convince plan participants of the merits of not just selecting a high initial deferral rate, but opting for an automatic annual deferral rate increase.
Crain describes plan participants as a generally passive lot. Once in a program, they tend not to take any actions, for better or worse. So, even if they're deferring at a decent rate, they tend not to increase later contributions.
But, if they initially sign up for an auto-increase of their salary deferral, they tend to leave that in place, too. "They keep getting bumped up; eventually we get them from 5% to 10%. With a company match, that's a pretty good annual contribution," he says.
The Bank of America Merrill Lynch study also described the integration of employee health care and 401(k) plan enrollment as another key plan design innovation that made it more likely employees would take advantage of their employer's plan.
"When plan sponsors present employees with an easy 'one-click' option to enroll in or make a contribution change to their 401(k) plans during the annual health benefit process, we have seen significant increases in plan participation among new employees and in plan contributions among existing participants," the report states.
The second key reason, aside from plan design improvements, leading to 2012's exemplary results was promoting more face time with financial advisors. Specifically, employers offered in-person meetings were 67% more likely to increase enrollment or contributions in a company plan.
"There was a 30% increase in plan sponsors using face-to-face meetings," Crain says. "They say, "Hey, this is great. I can tell our employees that another benefit I'm bringing them is financial education.' In the old days, it was all about enrolling but now it's much broader."
Today, the firm encourages its plan advisors to promote general financial education as a benefit to the plan sponsor and participant alike. Rather than just signing people up, these education sessions are "about how to save in general and ways to save; how to budget in general and ways to budget; how to manage expenses in general and ways to do it," Crain says.
The firm reports that tens of thousands of employees attended seminars or face-to-face meetings with a Bank of America Merrill Lynch financial professional last year at their place of work, a trend it hopes to encourage in future years based on the results of its 2012 model.


text:
Lighttpd is "a secure, fast, compliant, and very flexible web-server that has been optimized for high-performance environments. It has a very low memory footprint compared to other webservers and takes care of cpu-load. Its advanced feature-set (FastCGI, CGI, Auth, Output-Compression, URL-Rewriting and many more) make lighttpd the perfect webserver-software for every server that suffers load problems."
- 1 Installation
- 2 Configuration
- 3 Troubleshooting
- 4 See also
Install the lighttpd package from the official repositories.
Basic Setup
The lighttpd configuration file is:
/etc/lighttpd/lighttpd.conf. By default it should produce a working test page.
To check your
lighttpd.conf for bugs you can use this command - helps finding misconfigurations very fast:
$ lighttpd -t -f /etc/lighttpd/lighttpd.conf
The default configuration file specifies
/srv/http/ as the document directory served.
It may be necessary to add a user and group for
http if you do not already have one. That user needs to have write permissions to
/var/log/lighttpd as well, so we will make it the owner of the folder:
# groupadd http # adduser http # chown -R http /var/log/lighttpd
To test the install:
# echo 'TestMe!' >> /srv/http/index.html # chmod 755 /srv/http/index.html
To start the server:
# systemctl start lighttpd
Then point your browser to
localhost, and you should see the test page.
To start the server on every boot:
# systemctl enable lighttpd
Example configuration files are available in
Install fcgi. Now you have lighttpd with fcgi support. If it was that what you wanted you are all set. People that want Ruby on Rails, PHP or Python should continue. Template:Box Note
First copy the example config file form
/usr/share/doc/lighttpd/config/conf.d/fastcgi.conf to
The following needs adding to the config file,
server.modules += ( "mod_fastcgi" ) #server.indexfiles += ( "dispatch.fcgi" ) #this is deprecated index-file.names += ( "dispatch.fcgi" ) #dispatch.fcgi if rails specified server.error-handler-404 = "/dispatch.fcgi" #too fastcgi.server = ( ".fcgi" => ( "localhost" => ( "socket" => "/run/lighttpd/rails-fastcgi.sock", "bin-path" => "/path/to/rails/application/public/dispatch.fcgi" ) ) )
Then in
include "conf.d/fastcgi.conf"
For PHP or Ruby on Rails see the next sections.
Install php and php-cgi (see also PHP and LAMP).
Check that php-cgi is working
php-cgi --version
PHP 5.4.3 (cgi-fcgi) (built: May 8 2012 17:10:17) Copyright (c) 1997-2012 The PHP Group Zend Engine v2.4.0, Copyright (c) 1998-2012 Zend Technologies
If you get a similar output then php is installed correctly.
/etc/php/php.ini has the directives enabled:
cgi.fix_pathinfo=1 open_basedir = /srv/http/:/home/:/tmp/:/usr/share/pear/:/another/path:/second/path
And that the files are world readable,
# chmod -R 755
/etc/lighttpd/conf.d/fastcgi.conf add:
server.modules += ( "mod_fastcgi" ) #server.indexfiles += ( "index.php" ) #this is deprecated index-file.names += ( "index.php" )
fastcgi.server = ( ".php" => ( "localhost" => ( "bin-path" => "/usr/bin/php-cgi", "socket" => "/run/lighttpd/php-fastcgi.sock", "max-procs" => 4, # default value "bin-environment" => ( "PHP_FCGI_CHILDREN" => "1", # default value ), "broken-scriptfilename" => "enable" )) )
Then in
include "conf.d/fastcgi.conf"
Finally reload the configuration
# systemctl reload lighttpd
Using php-fpm
There is no adaptive spawning anymore in recent lighttpd releases. For dynamic management of PHP processes, you can use php-fpm.
# pacman -S php-fpm # rc.d start php-fpm
/etc/php/php-fpm.conf. More details on php-fpm can be found on the php-fpm website. You should also note that when you make changes to /etc/php/php.ini you will need to restart php-fpm
/etc/lighttpd/conf.d/fastcgi.conf add:
server.modules += ( "mod_fastcgi" ) index-file.names += ( "index.php" ) fastcgi.server = ( ".php" => ( "localhost" => ( "socket" => "/run/php-fpm/php-fpm.sock", "broken-scriptfilename" => "enable" )) )
Install eacceleratorAUR from the AUR.
Add own config file for eaccelerator:
zlib.output_compression = On cgi.fix_pathinfo=1 eaccelerator.cache_dir="/home/phpuser/eaccelerator/cache"
safe_mod to
On in my setup, but this is not required.
Try a php page
Create the following php page, name it index.php, and place a copy in both /srv/http/ and /srv/http-ssl/html/
<?php phpinfo(); ?>
Try navigating with a web browser to both the http and https address of your server. You should see the phpinfo page.
Check eaccelerator caching:
# ls -l /home/phpuser/eaccelerator/cache
If the above command outputs the following:
-rw------- 1 phpuser phpuser 456 2005-05-05 14:53 eaccelerator-277.58081 -rw------- 1 phpuser phpuser 452 2005-05-05 14:53 eaccelerator-277.88081
Then eaccelerator is happily caching your php scripts to help speed things up.
Ruby on Rails
Install and configure FastCGI (see #FastCGI above).
Install ruby from [extra] and ruby-fcgiAUR from AUR.
Follow instructions on RubyOnRails.
Python FastCGI
Install and configure FastCGI (see #FastCGI above).
Install flup:
# pacman -S python2-flup
fastcgi.server = ( ".py" => ( "python-fcgi" => ( "socket" => "/run/lighttpd/fastcgi.python.socket", "bin-path" => "test.py", "check-local" => "disable", "max-procs" => 1, ) ) )
Put the test.py in the root of your server (don't forget to chmod +x it)
#!/usr/bin/env python2 def myapp(environ, start_response): print 'got request: %s' % environ start_response('200 OK', [('Content-Type', 'text/plain')]) return ['Hello World!'] if __name__ == '__main__': from flup.server.fcgi import WSGIServer WSGIServer(myapp).run()
Thanks to firecat53 for his explanation
Generate an SSL Cert, e.g. like that:
# mkdir /etc/lighttpd/certs # openssl req -x509 -nodes -days 7300 -newkey rsa:2048 -keyout /etc/lighttpd/certs/www.example.com.pem -out /etc/lighttpd/certs/www.example.com.pem # chmod 600 /etc/lighttpd/certs/www.example.com.pem
To make lighttpd SSL-only (you probably need to set the server port to 443 as well)
ssl.engine = "enable" ssl.pemfile = "/etc/lighttpd/certs/www.example.com.pem"
To enable SSL in addition to normal HTTP
$SERVER["socket"] == ":443" { ssl.engine = "enable" ssl.pemfile = "/etc/lighttpd/certs/www.example.com.pem" }
If you want to serve different sites, you can change the document root inside the socket conditional:
$SERVER["socket"] == ":443" { server.document-root = "/srv/ssl" # use your ssl directory here ssl.engine = "enable" ssl.pemfile = "/etc/lighttpd/certs/www.example.com.pem" # use the path where you created your pem file }
or as alternative you can use the scheme conditional to distinguish between secure and normal requests.
$HTTP["scheme"] == "https" { server.document-root = "/srv/ssl" # use your ssl directory here ssl.engine = "enable" ssl.pemfile = "/etc/lighttpd/certs/www.example.com.pem" # use the path where you created your pem file }
Note that you cannot use the scheme conditional around ssl.engine above, since lighttpd needs to know on what port to enable SSL.
Server Name Indication
To use SNI with lighttpd, simply put additional ssl.pemfile configuration directives inside host conditionals. It seems a default ssl.pemfile is still required, though.
$HTTP["host"] == "www.example.org" { ssl.pemfile = "/etc/lighttpd/certs/www.example.org.pem" }
$HTTP["host"] == "mail.example.org" { ssl.pemfile = "/etc/lighttpd/certs/mail.example.org.pem" }
Redirect HTTP requests to HTTPS
You should add "mod_redirect" in server.modules array in
server.modules = ( ... "mod_redirect", ... )
$SERVER["socket"] == ":80" { $HTTP["host"] =~ "example.org" { url.redirect = ( "^/(.*)" => "https://example.org/$1" ) server.name = "example.org" } }
$SERVER["socket"] == ":443" { ssl.engine = "enable" ssl.pemfile = "/etc/lighttpd/ssl/server.pem" server.document-root = "..." }
To redirect all hosts to their secure equivalents use the following in place of the socket 80 configuration above:
$SERVER["socket"] == ":80" { $HTTP["host"] =~ "(.*)" { url.redirect = ( "^/(.*)" => "https://%1/$1" ) } }
To redirect all hosts for part of the site (e.g. secure or phpmyadmin):
$SERVER["socket"] == ":80" { $HTTP["url"] =~ "^/secure" { url.redirect = ( "^/(.*)" => "https://example.com/$1" ) } }
Output Compression
/etc/lighttpd/lighttpd.conf add
var.cache_dir = "/var/cache/lighttpd"
Then create directory for a compressed files:
# mkdir /var/cache/lighttpd/compress # chown http:http /var/cache/lighttpd/compress
Copy example configuration file:
# mkdir /etc/lighttpd/conf.d # cp /usr/share/doc/lighttpd/config/conf.d/compress.conf /etc/lighttpd/conf.d/
Add following in
include "conf.d/compress.conf"
Lighttpd downloads .php files
If lighttpd downloads
.php files instead of "initializing" them you probably missed to add these lines to your
server.modules = ( "mod_fastcgi", ) fastcgi.server = ( ".php" => (( "bin-path" => "/usr/bin/php-cgi", #depends where your php-cgi has been installed. Default here. "socket" => "/tmp/php.socket", "max-procs" => 2, "bin-environment" => ( "PHP_FCGI_CHILDREN" => "16", "PHP_FCGI_MAX_REQUESTS" => "10000" ), "bin-copy-environment" => ( "PATH", "SHELL", "USER" ), "broken-scriptfilename" => "enable" )))
Styles (CSS) not working properly
The default lighttpd config does not include a mimetype definition for CSS so when standards compliant browsers get text/html instead of text/css they get confused and nothing displays properly. To fix this add an entry for CSS.
mimetype.assign = ( ".html" => "text/html", ".txt" => "text/plain", ".jpg" => "image/jpeg", ".png" => "image/png", ".css" => "text/css", "" => "application/octet-stream" )
New lines are not needed and are only used here for readability.
Note: The "application/octet-stream" declaration must be at the end. It is a catch-all, and any declarations after it will be ignored.