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Very Secure FTP Daemon
zh-CN:Very Secure FTP Daemon vsftpd (Very Secure FTP Daemon) is a lightweight, stable and secure FTP server for UNIX-like systems.
- 1 Installation
- 2 Configuration
- 3 Tips and tricks
- 4 Troubleshooting
- 5 See also
Simply install vsftpd from the Official Repositories.
To start the server:
# systemctl start vsftpd.service
If you want it to be started automatically at boot:
# systemctl enable vsftpd.service
See the xinetd section below for procedures to use vsftpd with xinetd.
Most of the settings in vsftpd are done by editing the file
/etc/vsftpd.conf. The file itself is well-documented, so this section only highlights some important changes you may want to modify. For all available options and documentation, one can man vsftpd.conf (5). Files are served by default from
Enabling uploading
WRITE_ENABLE flag must be set to YES in
/etc/vsftpd.conf in order to allow changes to the filesystem, such as uploading:
Local user login
One must set the line to
/etc/vsftpd.conf to allow users in
/etc/passwd to login:
Anonymous login
The line in
/etc/vsftpd.conf controls whether anonymous users can login:
anonymous_enable=YES # Allow anonymous login no_anon_password=YES # No password is required for an anonymous login anon_max_rate=30000 # Maximum transfer rate for an anonymous client in Bytes/second anon_root=/example/directory/ # Directory to be used for an anonymous login
Chroot jail
One can set up a chroot environment which prevents the user from leaving its home directory. To enable this, add the following lines to
chroot_list_enable=YES chroot_list_file=/etc/vsftpd.chroot_list
chroot_list_file variable specifies the file which contains users that are jailed.
For a more restricted environment, one can specify the line:
This will make local users jailed by default. In this case, the file specified by
chroot_list_file lists users that are not in a chroot jail.
Limiting user login
It's possible to prevent users from logging into the FTP server by adding two lines to
userlist_enable=YES userlist_file=/etc/vsftpd.user_list
userlist_file now specifies the file which lists users that are not able to login.
If you only want to allow certain users to login, add the line:
The file specified by
userlist_file will now contain users that are able to login.
Limiting connections
One can limit the data transfer rate, number of clients and connections per IP for local users by adding the information in
local_max_rate=1000000 # Maximum data transfer rate in bytes per second max_clients=50 # Maximum number of clients that may be connected max_per_ip=2 # Maximum connections per IP
Using xinetd
If you want to use vsftpd with xinetd, add the following lines to
service ftp { socket_type = stream wait = no user = root server = /usr/sbin/vsftpd log_on_success += HOST DURATION log_on_failure += HOST disable = no }
The option below should be set in
Finally, add xinetd to your daemons line in
/etc/rc.conf. You do not need to add vsftpd, as it will be called by xinetd whenever necessary.
If you get errors like this while connecting to the server:
500 OOPS: cap_set_proc
You need to add capability in MODULES= line in
While upgrading to version 2.1.0 you might get an error like this when connecting to the server from a client:
500 OOPS: could not bind listening IPv4 socket
In earlier versions it has been enough to leave the following lines commented:
# Use this to use vsftpd in standalone mode, otherwise it runs through (x)inetd # listen=YES
In this newer version, and maybe future releases, it is necessary however to explicitly configure it to not run in a standalone mode, like this:
# Use this to use vsftpd in standalone mode, otherwise it runs through (x)inetd listen=NO
Using SSL to Secure FTP
Generate an SSL Cert, e.g. like that:
# cd /etc/ssl/certs # openssl req -x509 -nodes -days 7300 -newkey rsa:2048 -keyout /etc/ssl/certs/vsftpd.pem -out /etc/ssl/certs/vsftpd.pem # chmod 600 /etc/ssl/certs/vsftpd.pem
You will be asked a lot of Questions about your Company etc., as your Certificate is not a trusted one it doesn't really matter what you fill in. You will use this for encryption! If you plan to use this in a matter of trust get one from a CA like thawte, verisign etc.
edit your configuration
#this is important ssl_enable=YES #choose what you like, if you accept anon-connections # you may want to enable this # allow_anon_ssl=NO #choose what you like, # it's a matter of performance i guess # force_local_data_ssl=NO #choose what you like force_local_logins_ssl=YES #you should at least enable this if you enable ssl... ssl_tlsv1=YES #choose what you like ssl_sslv2=YES #choose what you like ssl_sslv3=YES #give the correct path to your currently generated *.pem file rsa_cert_file=/etc/ssl/certs/vsftpd.pem #the *.pem file contains both the key and cert rsa_private_key_file=/etc/ssl/certs/vsftpd.pem
Dynamic DNS
Make sure you put the following two lines in
pasv_addr_resolve=YES pasv_address=yourdomain.noip.info
It is not necessary to use a script that updates pasv_address periodically and restarts the server, as it can be found elsewhere!
Port configurations
Especially for private FTP servers that are exposed to the web it's recommended to change the listening port to something other that the standard port 21. This can be done using the following lines in
Furthermore a custom passive port range can be given by:
pasv_min_port=49152 pasv_max_port=65534
Configuring iptables
Often the server running the FTP daemon is protected by an iptables firewall. To allow access to the FTP server the corresponding port needs to be opened using something like
# iptables -A INPUT -m state --state NEW -m tcp -p tcp --dport 2211 -j ACCEPT
This article won't provide any guide how to set up iptables, check out for example Simple stateful firewall.
However, there are some kernel modules needed for proper FTP connection handling by iptables that should be referenced here. Among those especially ip_conntrack_ftp. It is needed as FTP uses the given listen_port (21 by default) for commands only. All the data transfer is done over some different ports, which are chosen randomly by the FTP daemon for each session (also depending if active or passive mode is used). To tell iptables that packets on those specific, randomly chosen ports should also accepted ip_conntrack_ftp is required. To load it automatically on boot create a new file in
/etc/modules-load.d e.g.:
# echo ip_conntrack_ftp > /etc/modules-load.d/ip_conntrack_ftp.conf
If you changed the listen_port you also need to configure the conntrack module correspondingly:
options nf_conntrack_ftp ports=2211 options ip_conntrack_ftp ports=2211
Tips and tricks
PAM with virtual users
Using virtual users has the advantage of not requiring a real login account on the system. Keeping the environment in a container is of course a more secure option.
A virtual users database has to be created by first making a simple text file like this:
user1 password1 user2 password2
Include as many virtual users as you wish according to the structure in the example. Save it as logins.txt; the file name does not have any significance. Next step depends on Berkeley database system, which is included in the core system of Arch. As root create the actual database with the help of the logins.txt file, or what you chose to call it:
# db_load -T -t hash -f logins.txt /etc/vsftpd_login.db
It is recommended to restrict permissions for the now created
vsftpd_login.db file:
# chmod 600 /etc/vsftpd_login.db
rm logins.txt.
PAM should now be set to make use of vsftpd_login.db. To make PAM check for user authentication create a file named ftp in the
/etc/pam.d/ directory with the following information:
auth required pam_userdb.so db=/etc/vsftpd_login crypt=hash account required pam_userdb.so db=/etc/vsftpd_login crypt=hash
Now it is time to create a home for the virtual users. In the example
/srv/ftp is decided to host data for virtual users, which also reflects the default directory structure of Arch. First create the general user virtual and make
/srv/ftp its home:
# useradd -d /srv/ftp virtual
Make virtual the owner:
# chown virtual:virtual /srv/ftp
Configure vsftpd to use the created environment by editing
/etc/vsftpd.conf. These are the necessary settings to make vsftpd restrict access to virtual users, by user-name and password, and restrict their access to the specified area
anonymous_enable=NO local_enable=YES chroot_local_user=YES guest_enable=YES guest_username=virtual virtual_use_local_privs=YES
If the xinetd method is used start the service. You should now only be allowed to login by user-name and password according to the made database.
Adding private folders for the virtual users
First create directories for users:
# mkdir /srv/ftp/user1 # mkdir /srv/ftp/user2 # chown virtual:virtual /srv/ftp/user?/
Then, add the following lines to
local_root=/srv/ftp/$USER user_sub_token=$USER
vsftpd: refusing to run with writable root inside chroot()
As of vsftpd 2.3.5, the chroot directory that users are locked to must not be writable. This is in order to prevent a security vulnerabilty. To do this:
# chmod a-w /home/user
You can put this into your
/etc/vsftpd.conf to workaround this security enhancement (since vsftpd 3.0.0; from Fixing 500 OOPS: vsftpd: refusing to run with writable root inside chroot ()):
or alternative:
Install vsftpd-ext from AUR and set in the conf file allow_writable_root=YES
FileZilla Client: GnuTLS error -8 when connecting via SSL
vsftpd tries to display plain-text error messages in the SSL session. In order to debug this, temporarily disable encryption and you will see the correct error message.[1]


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subset: commoncrawl


text:
I migrated this blog to my YouTube Channel - Click here to view.
Articles on this site are out of date since some go back to 2006.
Regulations and property ownership may have changed since publication.
It is your responsibility to know and obey all regulations and not trespass on private property.
Trout Hike - Patuxent River (Howard Chapel - Upstream)
Monday, March 5, 2007
Unless stated otherwise, this
article was authored by Steve Moore
Finally, access points may be different or restricted based on changes in property ownership since posting the original article. It is up to you to make sure you are fishing where it is legal.


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It took me a while to decide how to most accurately describe the situation that has been visited upon the New England fishing communities that are and since colonial times have been dependent on the groundfish fisheries.
NILS STOLPE: The New England groundfish debacle (Part IV): Is cutting back harvest really the answer?
While it's a fact that's hardly ever acknowledged, the assumption in fisheries management is that if the population of a stock of fish isn't at some arbitrary level, it's because of too much fishing. Hence the term "overfished." Hence the mandated knee jerk reaction of the fisheries managers to not enough fish; cut back on fishing. What of other factors? They don't count. It's all about fishing, because fishing is all that the managers can control; it's their Maslow's Hammer. When it comes to the oceans it seems as if it's about all that the industry connected mega-foundations that support the anti-fishing ENGOs with hundreds of millions of dollars a year in "donations" are interested in controlling. Read the article here
In the Featured Writer column drop menu.
The latest from Dick Grachek - CLF NMFS AND LAWSUITS
Who Owns Fish Under Briberization? The Kleptocracy – Featured Writer Stephen Taufen
Todays International news at Fisheryworld.com
The Big Green Money Machine – how anti-fishing activists are taking over NOAA
CONQUEST OF THE OCEAN - Taking over the fishing regulations of a nation involves vanity and corruption -


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Small bowel obstruction means the small intestine is partially or totally blocked. When this happens, the contents of the intestine cannot properly get out of the body. Stools, fluid, and gas build up inside the intestine. This is a potentially serious condition that requires urgent medical care.
Bowel obstruction may be caused by a mechanical problem. In this case, something inside the body blocks the movement of material through the intestine.
It can also be caused by ileus , a slowing down or stopping of bowel activity. Ileus is a nonmechanical type of obstruction, which may also be referred to as pseudo-obstruction.
Mechanical small bowel obstruction may be caused by:
- Adhesions—scar tissue left behind, in most cases by previous abdominal surgery
- Intussusception —telescoping of the intestinal wall
- Volvulus—the intestine twists on itself
- Impacted foreign bodies—items that were swallowed and got stuck
Ileus may be caused by surgery on the intestine or certain medications such as opioids.
Risk Factors
Factors that may increase your chances of small bowel obstruction include:
- Hernias
- Crohn disease —an inflammatory bowel condition
- Abdominal, joint, or spine surgery
- Swallowing a foreign body
- Decreased blood supply to the small bowel
- Abnormal growth of tissue in or next to the small intestine
- Tumors in the small intestine
- Cancer
- Infection in the lining of the small intestine
- Kidney disease
- Long-standing diabetes
- Rarely, gallstones
Symptoms of small bowel obstruction often occur in combination. Small bowel obstruction may cause:
- Abdominal fullness and/or excessive gas
- Distension—abdomen feels stretched out more than normal
- Pain and cramps in stomach area
- Vomiting
- Constipation
- Diarrhea
- Bad breath
Ileus pain is often less severe than mechanical small bowel obstruction.
You will be asked about your symptoms and medical history. A physical exam will be done. The exam will include listening for bowel sounds in your stomach. Very high pitched bowel sounds heard through a stethoscope suggest mechanical bowel obstruction. Conversely, ileus often produces no bowel sounds.
Imaging tests are used to evaluate abdominal structures. These may include:
Treatment depends on the cause and severity of the obstruction. You will usually require treatment by a specialist. Your doctor will also treat you for any underlying conditions that contribute to small bowel obstruction.
Initial Care
Before any surgical treatment or procedure can begin, you may need to be stabilized. This may include:
- Monitoring and IV fluids—Observation at a hospital may be needed to see if the blockage will get better on its own. No food will be allowed and fluids will be given through an IV.
- Nasogastric tube—A tube is inserted through the nose and into the stomach to remove fluids and gas, which can promptly relieve pain and pressure. It will be left in place until the intestines are working well.
- Catheterization—A tube is placed in the bladder to drain and test urine.
After the blockage is relieved, nutrition is given through an IV or feeding tube until you are able to eat solid foods. Other treatment for small bowel obstruction includes:
Medications may include:
- Pain relievers
- Oral triple therapy—to reduce gas, bloating, and improve symptoms
- Muscle stimulants—to promote muscle contraction in the intestine
- Antibiotics—to treat bacterial infections
Surgery may be needed if you do not respond to medical treatment, or in the following circumstances:
- Intestinal strangulation, which may be caused by volvulus or intussusception
- Cancer
- Abdominal adhesions
- Hernias
- Peritonitis
There are no current guidelines to prevent small bowel obstruction. Managing any underlying conditions such as Crohn disease, can reduce your chances.
Revision Information
- Reviewer: EBSCO Medical Review Board Daus Mahnke, MD
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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Acromegaly is a rare disorder caused by an excess of growth hormone (GH). GH controls the growth of soft tissue and bone. Elevated GH causes an excess of bone and soft tissue growth. It can cause serious complications and early death if not treated.
In young children, bone growth is still occurring. Excess GH can cause a similar condition called gigantism. Gigantism causes dramatic growth in children.
The pituitary gland is a small gland located at the base of the brain. It produces many hormones, including GH.
In most cases, the elevation of GH is caused by a benign tumor of this gland. In a small number of cases, cancerous tumors of other organs, such as the pancreas , adrenal , or lung , may be the source of excess GH.
Risk Factors
Acromegaly is more common in people aged 40-45 years old. Family history of acromegaly may rarely increase your risk of this condition.
Symptoms usually develop slowly over time.
In children, the bones grow longer and cause soft tissue swelling. If not treated, children can grow to a height of 7-8 feet.
Symptoms and complications in adults may include:
Abnormally large growth and deformity of the:
- Hands—rings no longer fit
- Feet—need a bigger size shoe
- Face—bulging of brow and lower jaw
- Jaw—teeth do not line up correctly when the mouth is closed
- Lips
- Tongue
Skin changes, such as:
- Thickened, oily, and sometimes darkened skin
- Severe acne
- Excessive sweating and unpleasant body order due to enlargement of the sweat glands
- Deepening voice due to enlarged sinuses, vocal cords, and soft tissues of the throat
- Difficulty sleeping due to a blocked airway
- Swelling in the neck
- Fatigue and weakness in the legs and arms
- Joint pain, especially in the jaw
In women:
- Irregular menstrual cycles
- Abnormal production of breast milk
- In men— erectile dysfunction
You will be asked about your symptoms and medical history. It is helpful for the doctor to have pictures of yourself when you were younger. A physical exam will be done. Acromegaly is often not diagnosed until years after it begins.
You will have blood tests.
Images may be taken of your bodily structures. This can be done with:
The goals of treatment are to:
- Reduce production of GH to normal levels
- Stop and reverse the symptoms caused by excess GH
- Correct other endocrine abnormalities, such as thyroid, adrenal, and sex organs
- Reduce tumor size
Treatment may include:
The tumor that is believed to be causing acromegaly may be removed. In most cases, this is the preferred treatment. However, drug treatment is increasing in popularity.
Radiation Therapy
In adults, external beams of radiation are used to shrink the tumor. It is most often used when surgery cannot be used or when medications have failed.
Medications may be given to:
- Reduce the level of GH
- Shrink the tumor before surgery
There are no current guidelines to prevent acromegaly. Early treatment will help to prevent serious complications.
Revision Information
- Reviewer: EBSCO Medical Review Board Alan Drabkin, MD
- Review Date: 03/2018 -
- Update Date: 02/17/2016 -


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Here's one way to end gridlock in Washington: Snow!
House Republican leaders had a rough start to their week when, with clear skies outside, they appeared to have trouble getting their party to agree to a critically important deal to raise the debt ceiling.
Should leaders appease their base and try to hold the debt ceiling hostage in exchange for other legislative priorities, such as raising military pensions or stopping insurance bailouts under Obamacare?
Or should they play nice with Democrats and the president and simply vote to raise it, allowing the Treasury to borrow money to pay its bills by a Feb. 27 deadline?
With just a handful of days left in session before that deadline, it wasn't clear what they would do.
But then the storm clouds rolled in, along with warnings of a massive snowstorm that would paralyze Washington, D.C., on Wednesday — including airports members of Congress rely on to get home for the long President's Day holiday.
Suddenly, House Speaker John Boehner, R-Ohio, appeared to have made up his mind: He was going to make this quick and as painless as possible.
Sure enough, Tuesday marked the first time in three years that the House passed a year-long debt ceiling increase without trying to tie any strings to it.
The Senate, after a little drama, passed the bill Wednesday.
Boehner may have paid a political price for his decision — it angered many conservative members of his party, and some tea party groups are circulating a petition to end his speakership — but at least he's home, safe and warm in Ohio today.


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Men and women have been shown to exhibit different motivations and behavior in their charitable giving, but little research has been done about how boys and girls learn to become charitable adults, according to the Women's Philanthropy Institute at the Indiana University Lilly Family School of Philanthropy.
The institute's recently released Women Give 2013 study investigated two ways in which parents teach children about giving and whether girls and boys respond differently to those approaches. It also examined whether differences existed by age, income and race.
The study sample comprised children from the millennial generation (born 1980 to 2000) across two time periods, 2002 to 2003 and 2007 to 2008, within the same households.
Key findings included the following:
- Boys and girls were equally likely to give to charity
- Nearly 90% of subjects age 8 to 19 gave to charity
- Girls were more likely than boys to volunteer their time
- Most children across all income levels had parents who talked to them about giving to charity
- Talking to children about philanthropy was equally effective regardless of the child's gender, race and age.
- Talking to boys and girls about charity was more influential on children's giving than whether the household donated to charity
- There was no evidence that talking to children about philanthropy was more effective in one income group than in another.
The 2013 report is the fourth in a series of research reports conducted at the Women's Philanthropy Institute that focus on gender differences in giving to charity. A previous report showed that boomer women were more charitable than their male counterparts.
Check out Boomer Women Much More Charitable Than Male Counterparts on ThinkAdvisor.


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The Spanish Sun
A version of this article appears in the July/August 2008 issue of Home Energy Magazine.
July 01, 2008
With a name nearly synonymous with sun, Spain has become one of the European Union's top vacation destinations. The tourism industry has taken a liking to Spain's fair-weather resources, but with every passing sunny day, the country is missing out on millions of euros in renewable energy revenue. A wind industry leader, Spain has only 407 MW of installed PV production. This leaves this could-be sun factory of Europe around 2,200 MW behind Germany, a country less well known for sunbathing.
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Deutsche Grammophon has been making recordings for over 114 years.
So we have a huge catalogue!
One of the ways we help you find your way through our archives is by organising our recordings into thematic series.
In the three sections in the left menu, you will find the complete listing of the series we introduce you to here. Each entry has a short text explaining its focus. Included is a link to the series website or to its complete discography in the catalogue.
Bach Masterworks
The greatest Bach recordings on Deutsche Grammophon and Archiv Produktion in a 50-CD Box Set. Explore the different genres on the Edition website.


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You've heard me lament that women's financial sophistication doesn't seem to be improving. In a 2013 Allianz study, twice as many women as in 2006 (62% versus 35%) said they were interested in learning more about financial planning, retirement planning and investing. Yet 70% said financial information was hard to understand, compared with only 44% in 2006. It's no wonder that women are twice as likely as men to report high or overwhelming levels of financial stress, according to Financial Finesse.
What we've got here, as Strother Martin told Paul Newman in "Cool Hand Luke," is failure to communicate. Its consequences are shockingly apparent when women who relied on the financial savvy of others are all of a sudden on their own.
One advisor who focuses on helping this type of client is Barbara Shapiro, president of HMS Financial Group in Dedham, Mass. Besides holding CFP credentials, Shapiro is also a Certified Divorce Finance Analyst (CDFA). Reading an article she recently wrote for attorneys, "Dealing with the Financially Unsophisticated Spouse," I realized that anyone who deals with divorcing or widowed clients needs to understand how to reach this audience.
Olivia Mellan: Are we mostly talking about women here?
Barbara Shapiro: Typically, yes, but anyone who has abdicated their financial responsibility to somebody else is the subject of my article—anyone who is now trying to make rational decisions without any information. This applies not only to divorce, but to anyone who needs to make financial decisions and doesn't know where to start: widows, people who have inherited a lot of money. We try to educate everyone who walks in here, but people in the process of divorce have that extra layer of anxiety.
OM: What's going on in these folks' brains?
BS: Dr. Daniel Goleman, a psychologist, journalist and author of "Emotional Intelligence," coined the phrase "amygdala hijack" for when a person's inappropriate emotional response overrides their general intellectual functioning. That's when they get that glazed-over, deer-in-the-headlights look we've all seen. My article focuses on how to deal with it.
OM: What's your first step?
BS: The first step is to relax them so I can get a feel for their baseline comfort level. In our office we have lots of things that people can relate to like Disney cels, Red Sox memorabilia, model cars, baseball stadium models and Fazzino 3D pictures. Our focus is on helping the client relax and feel comfortable, so we spend a lot of time at the beginning chitchatting. When we feel they are ready to move on, we finally ask, "How can we help you?"
We never send preprinted questionnaires in advance. There are certain questions we want to ask, but we write things down the old-fashioned way. With divorcing clients, I don't take any notes. It's a way of trying to establish an interpersonal conversation.
OM: What have you learned about people's attention span as far as integrating new information?
BS: The average attention span is about 45 minutes, but with these deer-in-the-headlights folks it's much shorter. In client meetings, keep monitoring when they are saturated. Sometimes they'll say, "I've had it," but even if they don't, their body language—fidgeting, looking around the room, etc.—makes it inordinately clear. You might revert then to casual chatting for a while, offer the client a soft drink or take a bathroom break.
If a couple comes in where both people are on board, you can accomplish a lot in one meeting. With someone who's unsophisticated or frightened, I typically plan on taking three meetings to accomplish the same thing. It takes a lot of patience, educating and reassurance that financial expertise is not intuitive.
OM: Many women say learning about money is boring. They want information that's simple to understand. Do you take this into account?
BS: I often tell clients that if they've run a household, it's a lot like running a small business. There are certain things we need to communicate, but we use examples rather than just facts and figures. For instance, instead of talking about a 3% rate of inflation, I talk about seeing that the price of milk has gone up from $3.50 to $3.60.
OM: Tell me about what you call the "Circle of Support."
BS: This is an arrangement with the client in the middle and all the professionals they may need around them. In a divorce situation, you might have a therapist, the attorney, a mortgage broker and the CDFA. This community of experts should interact among themselves for the benefit of the client. Obviously, the client gives them permission, but they function like a team. Each one will talk to the client about their specialty and will communicate on whatever level is necessary for the client to understand the choices they need to make.
That means the client can call the mortgage person to find out whether they should refinance. Or the mortgage broker or the CDFA might say, "Let's call the CPA so we know what your total tax situation looks like." And of course, what may be right from a financial perspective needs to fit into what the attorney's strategy might be.
In the meantime, the client is interacting with all these people and hearing the same information from each person in a slightly different way. Hopefully it will resonate with them so they make a better-informed decision.
OM: You're saying that without this reinforcement, a client might zone out and miss or mishear important points?
BS: I've had people come into my office—bright, articulate people with this amygdala hijack issue—who are convinced their attorney told them things that I am sure no attorney ever said, such as "I can live in the same house as my ex even if he's paying alimony" or "I'll get 100% of his Social Security when he retires."
OM: What do you do about these false beliefs?
BS: You correct them, patiently, but what's scary is if they are going around telling their friends that their lawyer or their advisor said such-and-such. The Circle of Support can correct this kind of misinformation.
The other thing is that many professionals aren't aware of different learning styles. There have been times when we are seeing a couple and I'll interrupt the proceedings because I notice one of them has a question. When I saw their eyes going back and forth over the same lines, I knew they weren't getting it.
When someone is stuck, the challenge is to communicate simply and effectively to them without infantilizing.
OM: How do you do that?
BS: You say the same thing patiently in many different ways. Or leave the topic for a while and keep going back to it until you're comfortable that they've internalized it.
OM: In your former life you were an educator who taught math to language-impaired kids. Do you think financial planners without these skills can learn how to tune into their clients as you do?
BS: It will take some practice, but if they look at their work from a process perspective and not a product perspective, they can learn how to track their clients better. They need to learn to put themselves in the client's shoes.
It's like going to a doctor and getting a diagnosis you don't understand. The doctor has to find words you can understand for your condition. And you, the patient, need to provide your own input into treating what you have. The days of a doctor—or a financial advisor—giving a Sermon on the Mount are long gone.
OM: Can you give an example from your practice?
BS: I worked with a divorcing client whose husband was a high-powered portfolio manager. She had a choice of whether to take a buyout payment or a percentage of his annual bonus. When she asked me what I would do, I told her I would take the buyout, but it was her decision. She said, "I know how big his bonuses are. I'd like to choose the bonus." Everything went fine until the market crashed and there wasn't any bonus. The client told me, "I used the bonuses to pay my share of the kids' college tuition. Now I'll have to take the tuition out of other savings. But it was my decision, and I guess I goofed."
OM: Studies show that the financial literacy gender gap is widening. Has this been your experience?
BS: I've encountered some younger women who aren't interested in learning about money. They could easily find themselves behind the eight ball one day.


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Danger in the Shower: 2008 Forum Looks at Hot Water
A version of this article appears in the January/February 2009 issue of Home Energy Magazine.
January 02, 2009
On average, water heating accounts for 15% of residential energy consumption. In the past few years, there has been an explosion of interest in meeting domestic hot water needs more efficiently. New hot-water-generating technologies, structured plumbing approaches, new demand reduction devices (for example, improved showerheads), and programs for stimulating market uptake of new approaches are all being discussed by individual communities of interest, with limited dialogue among them. In order to foster the dialogue and explore the issues associated with hot water, the American Council for an Energy Efficient Economy (ACEEE) sponsored an important conference on this topic in June 2008 in Sacramento, California. One of the many topic areas covered at the conference was that of domestic showers and shower systems. Presentations were focused on the current standards development work under way by the American Society of Mechanical Engineers (ASME) standards committee, the EPA WaterSense program, and others; the current market trends in domestic shower systems; and the technical aspects of the plumbing systems designed to protect people who take showers from thermal shock and scalding. This conference was of particular importance to the water and energy utilities, because these groups had expressed concern over the new low flow rates on ...
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February 2015. OK, it was a bit out of character for me. I was in New York City, attending the second day of the annual Westminster Kennel Club Dog Show. Westminster is the oldest and most prestigious dog show in
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More Fun and Philosophy in the Andrews Experimental Forest
In my last story posted here, "Explorations in Oregon's Andrews Experimental Forest," I described some adventures during a two-week residency in October, 2019. My opportunity to be there was thanks to the Spring Creek Project for Ideas, Nature, and the Written Word, a collaboration between Oregon State University and the US Forest Service. I was …...
Explorations in Oregon's Andrews Experimental Forest
The H.J. Andrews Experimental Forest, located in the Willamette National Forest on the western slope of the Cascade Range, is one of 84 experimental forests in a network established by the U.S. Forest Service. It is one of the most well-studied forests in the world, famous for the long-term...
Deep Ecology in the Mammoth Cave Area Biosphere Reserve, Kentucky
The Ecological Society of America (ESA) held its annual meeting in Louisville, Kentucky, from August 11-16 this year. I depend on these annual events to catch up with the cutting edge of ecological research and thinking that is relevant to my ecological consulting, and with ecologist friends and colleagues from across the country. Field trips …...
Report from a Season at Cascade Head
February 2019. My last posting, "Monarch Field of Dreams: Reprise," came at the end of September. Now I should explain why it's been so long since I've written anything here. I've just returned to my home base in a Washington DC suburb after nearly four months at Cascade Head on the Oregon Coast. At the …...
Monarch Field of Dreams: Reprise
In the spring of 2010, I dug up a few milkweed plants along a bike path I often ran along and transplanted them to my garden. As I wrote then in a blog titled "Field of Dreams of Monarchs," I had a very optimistic "if you plant them, they will come" vision. And, sure enough, …...
Canoeing Louisiana's Manchac Swamp with Ecological Aliens and the Voodoo Queen
My flight from Washington, DC, to New Orleans on the first Friday of August was delayed for seven hours by mechanical problems, so instead of getting to my hotel in time for happy hour in the French Quarter, I arrived at 1:30 AM, exhausted. The next morning, I headed for Café Beignet on Royal Street, …...
Walking on the Trembling Prairie
As we stepped out into the open marsh after crossing over the tree-covered spoil bank along the canal by which we had reached this place on a large pontoon boat, the feel of the ground was immediately, noticeably different. We pushed our way through chest-high grasses and other marsh plants, watching carefully where we placed …...
More Colorado Fires and Firemoths and More
On a trip to Colorado two years ago, in July 2016, I was driving down from a trailhead in the Indian Peaks Wilderness Area after a glorious hike to Arapahoe Pass when I saw the plume of smoke pushing up to the east, high enough to start forming a "pyronimbus" cloud – essentially a thunderhead …...
The Internalization of a Land Ethic: A Visit to Coon Valley, Wisconsin
US Highway 14 drops into the town of Coon Valley after passing through Viroqua and Westby in the scenic landscape of the Driftless Area, a unique pocket of American geology, 85% of which is in western Wisconsin. The repeated pulses of the ice ages that pushed continental ice sheets across most of nearby North America …...
A Morning at the University of Wisconsin Arboretum in Madison
"I have to go there!" I wrote in the margin beside this sentence written by Aldo Leopold in 1934: "If civilization consists of cooperation with plants, animals, soil, and men, then a university which attempts to define that cooperation must have for the use of its faculty and students, places which show what the land …...
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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. Red Kap mens shirts even start as low as $19.20. At Unbeatablesale.com, we celebrate the quality of our service, not just our products. We take every step we can to make sure your online shopping experience is simple, secure, and efficient.Shopping for a gift and can't decide what to buy? No problem! We offer gift cards so you can shop hassle-free and always get the perfect gift. Shop Unbeatablesale.com with confidence today!


text: Wednesday, December 19, 2012 CER Projects to Study Rehab for Stroke, Nonsurgical Spinal Stenosis Treatment The Patient-Centered Outcomes Research Institute (PCORI) yesterday approved 25 awards, totaling $40.7 million over 3 years, to fund patient-centered comparative clinical effectiveness research (CER) projects under the first 4 areas of its National Priorities for Research and Research Agenda. The projects approved for funding include those that will study rehabilitation services for survivors of acute ischemic stroke, nonsurgical treatment methods for patients with lumbar spinal stenosis, and a patient-centered risk stratification method for improving primary care for back pain. Other projects seek ways to improve patient-clinician communication, reduce selected health disparities, and improve the way health care systems operate. The projects were approved by PCORI's Board of Governors through a competitive, multi-stage review process that incorporated patients, caregivers, and other stakeholders in the evaluation of proposals. Applications were evaluated on scientific merit, engagement of patients and other stakeholders, methodological rigor, and fit within PCORI's research priorities and research agenda. The awards are part of PCORI's first cycle of primary research funding and selected from among nearly 500 completed applications submitted earlier this year.


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Studied Homeopathic Remedies
- Topical Combination Homeopathic Remedy containing Arnica montana, Calendula, Hamamelis, Aconite, Belladonna, Bellis perennis, Chamomilla, Echinacea angustifolia, Echinacea purperea, Millefolium, Hepar sulphuris calcareum, Mercurius solubilis, Symphytum, and Hypericum
- Oral Homeopathic Remedies : Arnica , and a combination of Arnica, Rhus toxicodendron, and Sarcolactic acid
- Traditional Homeopathic Remedies : Hypericum, Belladonna, Arnica, Symphyrum, and Rhus tox
Although vigorous exercise is one of the most important steps toward good health, it can also have "side effects," ranging from muscle soreness to injury. While these adverse consequences of exercise can be minimized by graduated training and careful activity, problems may develop anyway.
Homeopathic treatments (especially topical creams) are quite popular for such sports-related conditions, and, as we shall see, they have shown some promise in studies.
Scientific Evaluations of Homeopathic Remedies for Sports-related Injuries
There is some evidence to support the use of homeopathic creams for the treatment of sports injuries.
However, studies of oral homeopathic remedies for exercise-induced muscle soreness have not been promising.
Topical Combination Homeopathic Treatments for Sports Injuries
Investigators performed a double-blind, placebo-controlled study of 69 people with sports-related ankle sprains to test the efficacy of a combination homeopathic ointment. 1 The particular product tested contains a combination of the following 14 homeopathic preparations: Arnica montana, Calendula, Hamamelis, Aconite, Belladonna, Bellis perennis, Chamomilla, Echinacea angustifolia, Echinacea purperea, Millefolium, Hepar sulphuris calcareum, Mercurius solubilis, Symphytum, and Hypericum .
During the 2-week trial, all of the participants received electrical muscle stimulation. The investigators also applied cream—either the treatment cream or another cream without any medicine in it—a total of seven times during the study. The results showed that people given the real treatment recovered more rapidly than those given placebo.
In another double-blind, placebo controlled study, researchers evaluated the effectiveness of the same homeopathic ointment, as well as a modified version of the ointment, for the treatment of various mild to moderate sports injuries, including sprains. 2 All of the approximately 100 participants in the trial had slight to moderate sports-induced injuries that had occurred in the past 4 days. The first application of ointment and a bandage was applied by the investigators on day 1 of treatment. Then, the participants applied the ointment themselves, twice daily, for 14 more days. The results were promising. By the end of the trial, participants using either form of the ointment experienced significantly superior improvement as compared to those taking placebo, according to some but not all measures.
Oral Homeopathic Remedies for Sports-related Muscle Soreness
A double-blind, placebo-controlled study tested homeopathic Arnica (30X) in 519 long distance runners, but did not find positive results. 3 Participants took five pills twice daily, beginning the evening before a race and continuing for four successive days. Evaluation after the race showed that Arnica was no more effective than placebo for reducing post-race soreness or speeding recovery.
Previous, much smaller studies had found some suggestion of benefit for long distance runners, but the results were, in general, not statistically significant. 4,5
A double-blind, placebo-controlled study, conducted in the physiotherapy department of a homeopathic hospital in England, evaluated the efficacy of an oral homeopathic preparation in the treatment of muscle soreness caused by stepping exercise. 6 The remedy used was a combination of Arnica, Rhus tox, and Sarcolactic acid . The results showed no statistical difference between the treatment group and the control group.
Traditional Homeopathic Treatments for Sports-related Injuries
In classical homeopathy , there are many possible homeopathic treatments for sports injuries, to be chosen based on various specific details of the person seeking treatment.
If you have an injury that is very sensitive to touch and you would describe the pain as shooting, violent, tingling, or cutting, and you feel worse at night and in the cold, then you may match the symptom picture for homeopathic Hypericum . Note: an injury with symptoms like these suggests nerve involvement, indicating an urgent need for physician examination.
If you feel worse when exposed to motion, drafts, and heat, and during the afternoon, and if you are experiencing spasms, shooting pains, tearing sensations, jerking, trembling, swelling, redness, and heat, possibly with cold extremities, then you may fit the classic symptom picture for homeopathic Belladonna .
If you have a sprain with a great deal of swelling and inflammation of the soft tissue around a joint, the homeopathic remedy Arnica might be recommended. Arnica is also commonly used as a remedy for exercise-induced muscle soreness.
If you have an injury to a bone, cartilage, or tendons, and if touch, motion, and pressure all aggravate you, while warmth helps you, you may fit the symptom picture for homeopathic Symphytum . Many homeopathic practitioners use Symphytum after Arnica if deep pain or soreness remains after the initial soreness has cleared.
If you have stiff, painful muscles brought on by straining, overlifting, or getting wet when already hot and perspiring, and if your muscles seize up with rest but loosen with exercise and heat, then you may fit the traditional homeopathic indications for Rhus tox .
Other Natural Options
For herbs and supplements that be useful for sports injuries, see the Sports Injury article.
For a thorough explanation of homeopathy, including dilution of therapies, see the Homeopathy Overview .
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 09/2014 -
- Update Date: 09/18/2014 -


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Mercury astronaut Scott Carpenter dies at 88
Carpenter also uttered famous words: 'Godspeed John Glenn'
Astronaut Scott Carpenter, the second American to orbit the Earth, has died, NASA said on Thursday. He was 88.
The first American in orbit was fellow Mercury astronaut John Glenn. Carpenter also uttered the famous words: "Godspeed John Glenn."
Carpenter's flight was marred by technical glitches and ended with the nation waiting to see if he had survived.
"We, the whole NASA family, are mourning with Scott's family. We have lost a true pioneer. I shall long remember him not only for his smarts and courage but his incredible humor. He kept us all grounded," said NASA Administrator Charlie Bolden. "We will miss him greatly."
Carpenter was one of the Mercury Seven astronauts chosen by NASA. He was a backup pilot for Glenn in the preparation for America's first manned orbital space flight in February 1962, according to a NASA biography.
Carpenter flew the second American manned orbital flight in May of that year. Flight time was four hours and 54 minutes.
He was born in Boulder, Colo., and attended the University of Colorado, where he studied aeronautical engineering.
With Carpenter's death, Glenn is the lone survivor of the Mercury Seven.
Carpenter's memoir, "For Spacious Skies: The Uncommon Journey of a Mercury Astronaut," was published in 2003.
"He was one of the good guys and a good friend, a pioneer who made significant contributions to our country," said Dick Gordon, command module pilot for Apollo 12.


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- A masterfully crafted 14k Yellow gold setting securely holds a splendid 7x5 mm Pear shaped all natural Blue Topaz gemstone. The stone is hand set in a wonderful basket setting allowing for a light reflection that is matched by no other setting style. The pendant hangs from an 18 inch chain also crafted in smooth 14k Yellow gold. This hand selected, high quality, all-natural genuine stone consists of a deep color and pure clarity that is simply dazzling. Your purchase comes with a Manufactures Certificate of Guarantee assuring the natural authenticity of all materials used to craft your custom necklace.
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text: Wednesday, November 28, 2012 CMS Clarifies Implementation Date for Home Health Functional Reassessment Requirements for 2013 As a follow-up to the issuance of the Home Health Prospective Payment System Calendar Year (CY) 2013 Final Rule, the Centers for Medicare and Medicaid Services (CMS) has updated its website to clarify that the therapy provisions will be effective for episodes beginning on or after January 1, 2013. This clarification can be found under the first bullet on the CMS HHA Center Webpage. In the CY 2013 final rule published November 2, CMS finalized 3 revisions regarding the requirement that a qualified therapist complete a functional reassessment of the patient at the 14th and 20th visits and every 30 days: 1. If a qualified therapist missed a reassessment visit, therapy coverage would resume with the visit during which the qualified therapist completed the late reassessment, not the visit after the therapist completed the late reassessment. 2. When multiple therapy disciplines are involved, if the required reassessment visit was missed for any one of the therapy disciplines for which therapy services were being provided, therapy coverage would cease only for that particular therapy discipline. 3. In cases where the patient is receiving more than one type of therapy, qualified therapists must complete their reassessment visits during the 11th, 12th, or 13th visit for the required 13th visit reassessment and the 17th, 18th, or 19th visit for the required 19th visit reassessment. However, CMS also states in instances in which patients receive more than one type of therapy, if the frequency of a particular discipline, as ordered by a physician, does not make it feasible for the reassessment to occur during the specified timeframes without providing an extra unnecessary visit or delaying a visit, then it will still be acceptable for the qualified therapist from each discipline to provide all of the therapy and functionally reassess the patient during the visit associated with that discipline that is scheduled to occur closest to the 14th Medicare-covered therapy visit, but no later than the 13th Medicare-covered therapy visit. Likewise, a qualified therapist from each discipline must provide all of the therapy and functionally reassess the patient during the visit associated with that discipline that is scheduled to occur closest to the 20th Medicare-covered therapy visit, but no later than the 19th Medicare-covered therapy visit. APTA is working with CMS to address issues that may arise regarding implementation of these provisions. For a comprehensive summary of the final rule, visit APTA's website. E-mail firstname.lastname@example.com with questions regarding implementation of the 2013 functional reassessment requirement changes. Comments I need clarification on two regulations. 1. If a patient is recertified (new 60 day episode) , the 30 day calendar tracking continues into the new episode. Or does it start at recert date. 2. If a therpist discharges a patient before the an assessment is due, say visit 9, do they need to do a reassessment at d/c? Posted by Maggie Kniele on 12/4/2012 1:25 PM (1) The requirement for the qualified therapist to reassess the patient at least every 30 calendar days is not reset due to the certification of a new 60 day episode by the physician. The "30 day clock" runs from the time the therapist completes the reassessment until the next 30 day interval – regardless of multiple episodes of care. Additionally, please note that the 30 day requirement is for each discipline separately, which is slightly different than the requirement to complete the functional reassessment at the 13th and 19th visit, which is the combined count of all therapy visits by all disciplines. (2) No, there is no need for the qualified therapist to complete a functional reassessment as the patient did not meet the 13th visit threshold. Posted by News Now staff on 12/7/2012 3:16 PM If a therapist performs a recert within the 5 day window of the episode does that visit count as 1 for the new cert or does that fall in the prior episode count. Posted by Ryan McElhinny on 3/29/2013 1:05 PM I wanted to know if we have PT and OT and we have a total of 9 visits together combined and patient goes into the hospital, when we perform a ROC and PT and OT go to perform Post Hospital Re Evaluation do we start the 13th and 19 count all over or do we still count total visits from initial evaluation and POC. Posted by Kimberly Galvan on 10/9/2013 3:27 PM I would like clarification; PT, OT and ST are treating the patient. We performed 8 visits, then the patient was hospitalized. ROC was done, and therapy went out to do new evals visits 9, 10, 11 - can we use the 9th and 10th eval visits as re-assessments? Posted by Stephanie Hansen on 10/30/2013 9:17 AM My question is similar to the above question by Stephanie Hansen on 10/30/13. Does an evaluation and/or a re certification done by the therapist count as a FRA? Posted by Barbara Lynch on 1/6/2014 6:31 PM I would just like clarification, s/p hospitalization does the count for the 13th/19th restart. Meaning does the ROC PT eval and ROC OT eval then become #1 and #2 or do we continue the count from the very first evaluation? Posted by Vanessa on 1/26/2014 2:45 PM If a therapist does an evaluation on say 1/25 and nursing is in home also then nursing for some reason failed to do the recert which was due by or on 1/29 then can the PT turn his PT eval into a recert and patient being dicharged from nursing on 1/25 but PT still in home? This was January mistake discovered in February that Nursing did not recert when suppose to Posted by debbie on 4/17/2014 10:58 AM Can someone clarify for me, please, if the 30 day reassessment has to be exactly on the 30th day?? or can it be a couple of days before? Thanks!!! Posted by sahily on 9/10/2014 9:47 AM Does the Doctor need to signed the therapist assessment and re-evaluation is this mandatory? Thank you, Posted by Olga Miranda on 9/11/2014 4:31 PM If the PT does not get the 30 day reassessment completed within the 30 day time frame does the PTA have to wait until the PT does complete an assessment before returning to treat the patient? Posted by Kim on 7/16/2015 2:05 PM When a Registered therapist does his/her 11-13th reassessment note is she/he required to do a separate regular visit note? Posted by Daisy Saliganan on 1/4/2016 11:54 AM


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Sword Of Siberia10
The large surface and sturdiness of this umbrella provide additional protection against the rain than the small umbrellas and help prevent the strong winds from turning your umbrella inside out. Stand out from the crowd during the rainy days by adding photos, logos or personal message to make this umbrella unique and personal. It makes a great gift all year round
Made of 100% polyester pongee waterproof fabric
Image imprinted using heat sublimation technique to prevent discoloring
Measures 51 inches in diameter and 39.5 inches long
8 ribs made of carbon fiber for ultimate support
Each rib consists of 3-section aluminium for flexibility and strength
Gripped plastic handle for firm hold
Production of photo umbrellas take about 5-7 business days, please be more patient on your customized photo umbrella, thanks.
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HP's accessibility goal is to design, produce and market products and services that can effectively be used by people with disabilities.
For US public sector customers, our efforts are supported by and guided by nationwide initiatives and legislation, including Section 508 of the Rehabilitation Act (at the federal level) and a host of state laws and policies.
Read more about Section 508 and other legislation.
Section 508 requires federal agencies to research accessibility features before purchasing technology products. HP offers a Voluntary Product Accessibility Templates (VPAT) product database to provide detailed information on the accessibility features that support Section 508 requirements.
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We're still working in Moody County, South Dakota.
Our digital archive is not yet complete in Moody County. We're working hard to make our entire archive easily accessible. We're opening several counties a week, but we have an enormous archive (some 25 million photos), so it may take us a little while to get to Moody County.
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text: Changsha The capital of Hunan Province, Changsha is big, brimming with people, and one of China's mostly rapidly modernising cities. The birthplace of Mao Zedong, one of China's most revered political figures, Changsha also serves as the gateway to the stunning countryside beyond. Infused with nature, history and blessed with beautiful geographical terrains as well as locations to explore that include the scenic area of Wu Ling Yuan (Zhangjiajie), which is a UNESCO World Heritage Site, and Fenghuang ancient town, Changsha is a good starting point for adventure in China. Top 5 Must Do's Wulingyuan, Zhangjiajie Wulingyuan, Zhangjiajie is a scenic and historic interest area in Hunan Province, noted for its quartzite sand stone pillars. A visit to the area's Golden Whip Stream is a must. There is a walking path along the length of the stream, from where you can look up and feel completely surrounded by grand karsts. Yuanjiajie*, located in the Northwest of Zhangjiajie National Forest Park and Tianzi (Son of Heaven) Mountain Nature Reserve offer otherworldly thrills. While at the park, don't miss the Hundred Dragon Elevator; claimed to be the highest and heaviest outdoor elevator in the world and a perfect place to snap a memorable photo. *Filming location for the film Avatar. Tianmenshan Mountain National Park, Zhangjiajie Tianmen Mountain of Tianmen Mountain National Park is home to a cable car considered to be the 'longest passenger mountain cableway in the world', able to accommodate 98 cars and stretching to a total length of 7,455 metres. At the mountain top, you can experience the "Walk of Faith", a 50 meter long glass walkway. Furthermore, journey into Tianmen Cave, a natural water-eroded cavity with the highest ceiling in the world. Fenghuang ancient town Fenghuang is a town on the western boundary of Hunan Province. The majority of the city's population is comprised of the Miao and Tujia minorities. The Ancient Fenghuang (Phoenix) City is known as the "most beautiful small city in China" and is famous for its surrounding mountains and rivers as well as ancient, primitive architecture. Fenghuang becomes dazzlingly illuminated come nightfall and it is highly suggested that visitors take the night tour of the ancient town to enjoy the beautiful scenes of Tuojiang, Diao Jiao Lou, Shiban Street, North Gate Tower, Hong Qiao and more. For those who are into night life, Fenghuang also offers worthy pubs and bars. Wuyi Square Shopping Circle The go-to place for some shopping, dining and entertainment! Malls, department stores, hotels and restaurants light up bustling Wuyi Square all the way up to Huangxing Nanlu Walking Street. Hunan cuisine Hunan food is considered one of the Eight Great Traditions of Chinese cuisine and is well known for its hot and spicy flavour, fresh aroma and deep colour. It is an absolute must to try authentic Hunan cooking when in Changsha. Recommended dishes include Changsha-style stinky tofu and steamed fish head in chili sauce, as well, packs of dried kiwi from Zhangjiajie make a tasty souvenir. To and from Airport Transportation To Duration Fare Bus Changsha downtown 40 minutes CNY 15 Changsha South Coach Station 25 minutes CNY 15 Taxi Changsha downtown 35 minutes CNY 100 Your awesome getaway awaits you right here! Book now Quick Facts Currency Chinese Yuan (CNY) Electricity 220 V 50Hz LanguageMandarin Time zone UTC+8 Tel code +86 871 Religion Confucianism, Buddhism, Taoism Want to read more? DOWNLOAD FREE Discover China Travel Guide now! Weather APR - OCT Warm season Average: 20°C - 29°C Sunny and warm.Overall nice weather, good time to visit. NOV - MAR Cold Season Average: 16°C - 24°C Chilly and cold. The coldest month is January, be sure to prepare your winter jacket and warm clothing. View how you can fly in with our interactive map! Map it out Check out these other destinations! Australia Gold Coast Melbourne Sydney Cambodia Siem Reap China Changsha Hangzhou Kunming Shanghai Wuhan Xi'An Hong Kong Hong Kong India Kochi Indonesia Bali Bandung Jakarta Solo Yogyakarta Japan Nagoya Osaka Tokyo Malaysia Kota Kinabalu Kuala Lumpur Kuching Langkawi Miri Penang Myanmar Mandalay Nepal Kathmandu Singapore Singapore South Korea Busan Taiwan Taipei Thailand Bangkok Chiang Mai Krabi Phuket Surat Thani Vietnam Hanoi Ho Chi Minh City


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Tramadol is a unique non-narcotic and non-anti-inflammatory analgesic medication used for the treatment of moderate pain. It has many effects in the body, including some that relate to endorphins and others that involve serotonin.
There are two case reports that possibly implicate tramadol in serotonin syndrome. 1,2 This syndrome is caused by excessive levels of serotonin, which bring about various dangerous side effects.
Since St. John's wort and 5-HTP might increase serotonin levels, and SAMe (S-adenosylmethionine) has reportedly caused serotonin syndrome, combining any of them with tramadol could be risky.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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A central line-associated bloodstream infection (CLABSI) occurs when bacteria enters the bloodstream through a central line catheter . A central line catheter is a long, thin tube that is inserted through a vein until it reaches a larger vein close to the heart. It is used to deliver medication, nutrition, IV fluids, and chemotherapy.
If bacteria start to grow on the central line catheter, they can easily enter the blood and cause a serious infection. This can lead to a condition called sepsis, which occurs when bacteria overwhelm the body.
Bacteria normally live on the skin. These bacteria will sometimes track along the outside of the catheter. From the catheter, they can get into the bloodstream.
Risk Factors
Factors that may increase your chance of a CLABSI:
- Having a catheter for a long time
- Having a catheter that is not coated with an antimicrobial—a substance that kills bacteria
- Having a catheter inserted into a vein in the thigh
- Having a weakened immune system
- Being in the intensive care unit
- Having an infection elsewhere in the body or skin
CLABSI may cause:
- Fever
- Chills
- Fast heart rate
- Redness, swelling, or tenderness at the catheter site
- Drainage from catheter site
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include:
- Blood tests and cultures
- Urine tests
- Sputum tests
- Echocardiogram
Talk with your doctor about the best treatment plan for you. Treatment options include the following:
- Antibiotics—Antibiotics are medications used to treat an infection. The kind of antibiotic you will be given depends on which bacteria is found in your blood.
- Central line care—Often, the central line catheter will need to be removed and replaced by a new catheter.
At the Hospital
When you are getting a central line placed, the staff will follow a series of steps to reduce your risk of infection.
There are also steps that you can take to reduce your risk of infection:
- Ask the staff to take every precaution to prevent an infection.
- Tell the staff right away if the bandage needs to be changed or if the site is red or sore.
- Ask everyone entering your hospital room to wash their hands. Do not allow visitors to touch your catheter.
At Home
- Follow all instructions concerning your central line.
Learn how to take care of your catheter:
- Follow specific instructions about showering and bathing.
- Before touching the catheter, wash your hands or use a hand sanitizer. Wear gloves when touching the area.
- Change bandages as directed.
- Wash the catheter caps with an antiseptic.
- Do not allow anyone to touch the catheter or the tube.
- Check the insertion site daily for signs of infection, such as redness and swelling.
- Call your doctor if you think you have an infection.
Revision Information
- Reviewer: EBSCO Medical Review Board Michael J. Fucci, DO, FACC
- Review Date: 03/2018 -
- Update Date: 05/11/2013 -


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The Broca Food Market, 209-211 Mantle Road
The Broca Food Market, west of the station, is finally opening for business.
The sister business to The Broca cafe, its contents have remained a closely-guarded secret until now, but owner Erin has finally spilled the beans. It will be a "community green grocers and grocery store, selling a load of delicious fresh fruit and vegetables, eggs and milk from a kent farm co-op."
Its official opening is December 13th to coincide with the Christmas market on Coulgate Street.
The chip and pin machine isn't up and running yet, so it's cash only until the 13th.


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Een stoepbord is de ideale eye catcher en klantenlokker. Ideaal voor het presenteren van uw boodschap in binnen- en buitenlucht. Stoepborden van hoge kwaliteit, beschikbaar in vele formaten.
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In addition to our extensive offering of existing and own brands we also supply an ample range of neutral products. These non-branded products can be found in our webshop under the 'brand name' Neutraal (neutral). Neutra(a)l products are available in virtually every product category, from cardboard boxes, disposables and cleaning materials to office articles, carrier bags, gift packaging and many more.
Quality and affordability
Our neutral range offers an exceptional combination of quality and affordability. You can be sure that the Neutraal products are priced as low as possible – you are not paying for a brand name! We can guarantee quality thanks to our own laboratory which tests every product and ensures compliance with various specifications and legal requirements. We have the necessary certifications to do this including ISO 9001, BRC-IoP, FSC and GS1 DAS.
Own printing
The Neutraal products are ... neutral, so as standard are not printed. This makes them ideal for use within your own packaging concept. If you opt for a larger quantity you can have the products printed exactly as you wish with your personal logo, text or image. Feel free to ask about the options.


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GoLearnTo is recommended by the National Geographic as they explore Solo Travel: Going it alone.
The Telegraph recommends GoLearnTo in their feature on 25 holidays that could change your life.
Conde Nast recommends GoLearnTo in their feature on the best learning holidays.
The Guardian features GoLearnTo in their article on 10 best language with activity holidays around the world.
The Sunday Times recommends GoLearnTo holidays in their feature on the 50 best holidays in Greece.


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Fans of just about any age can now show their loyalty by displaying a Riddell collectible helmet in sizes and price categories that fit every fan's needs. From pocket size collections to full-size authentics, current and throwback, individually and in sets, we pride ourselves on offering everything a collector might dream to own.
Our helmets are used extensively by autograph collectors to showcase their favorite athlete's autograph. Whether it's on a mini, deluxe replica, or authentic helmet, a star player's autograph will shine best when it's on a Riddell collectible.
Begin your collection today! We're confident that once you own or give one of our licensed collectible helmets as a gift, you'll be back for more.
This helmet is for display only. It is not intended to be worn or used as a protective helmet.


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Wild West Prarie Tales & Stories 140 Detective and Mystery new for 2015 135 Outlaw Westerns 121 Top 100 Best of Detective Mystery 46
eBook (PDF), 127 Pages
Price: $9.99
Four bonus books in one Bundle… Kids Animal, Detective, Flying Aces and Western books comes highly recommended and its one you'll really enjoy. The very best in Action Adventure , Thrillers and Mystery Short stories. You are sure to enjoy these fabulous stories all award winners and best of selections! Highest Recommendation! Read one Today! Flying Aces Arial Adventures Incredible high flying adventure stories that are sure to have you burning through pages…. Fantastic Stories of the old west you are sure to enjoy! These Action and Adventure books are Highly recommended!
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A Biographical Timeline
Eugene Drucker, violin
The Emerson String Quartet was formed at the Juilliard School in 1976. It takes its name from the great American poet and philosopher Ralph Waldo Emerson (1803–1882). Eugene Drucker and Philip Setzer have shared the responsibilities of first and second violin since the Quartet's inception, with Lawrence Dutton becoming the ESQ violist in 1977, and David Finckel becoming the ensemble's cellist in 1979. Ever since the quartet's first appearances at the Vermont Music Festival in 1977 it has been acclaimed for its insightful performances, dynamic artistry and technical mastery. Important commissions and premieres include compositions by Mario Davidovsky (1980), Ronald Caltabiano (1981), Maurice Wright (1983), George Tsontakis (1984), Gunther Schuller (1986), John Harbison (1987), Richard Danielpour (1988), Richard Wernick (1991), Wolfgang Rihm (1993), Paul Epstein (1994), Ned Rorem (1995), Edgar Meyer (1995), Ellen Taaffe Zwillich (1998), Joan Tower (2003), and André Previn (2003). The ensemble has won numerous awards, including the prestigious Naumburg Award (USA) for Chamber Music in 1978, eight Grammy awards, and three Gramophone awards.


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We promise to ship your items 1-2 weeks after you make your online purchase because we know you can't wait to get your hands on the awesome items that you just purchased.
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Creating custom Gutenberg blocks with PHP. No React, Webpack or Babel. Beautiful syntax, powerful features.
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SpotlightSPOTLIGHT is a Deutsche Grammophon series that puts the focus on great vocal recitals of great artists from the Sixties and Seventies. These are one-to-one transfers of original LPs.
The launch features five sensational names and albums - some appearing for the first time on CD, one appearing for the first time ever! The design concept is to take over the original LP releases and reproduce them, as far as possible, in the CD format: welcome back, Big Yellow Cartouche!
Full Discography


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Sedation Dentistry in Amherst, MA 01002
While most patients have a comfortable experience in our practice using only local anesthetic, for others even thinking about dental visits is stressful or traumatic.
With that in mind we've done everything we can to make your visit to our office as comfortable as possible. Beyond our many patient amenities, an additional offering we feature for very anxious patients (and sometimes just for long appointments) is oral sedation.
Oral sedation Amherst, MA 01002 involves taking a short course of medication (which is started either the night before or an hour before the appointment) that allows you to relax and in a sense "zone out" for your visit. Some patients who are typically fearful end up even falling asleep while we work and we gently wake them when we are through.
If this sounds like an option you'd like, please mention it when you schedule your next appointment. We will work with you (and your primary care physician, if necessary) to ensure that you have the safest, most comfortable experience possible!
Ways to Relieve Anxiety
Oral Sedation Amherst, MA 01002 — Oral sedation (given by mouth) is a popular option for many people precisely because it does not require the use of needles. Oral sedatives are either swallowed whole in pill form or can be dissolved under the tongue. Both methods work in a matter of minutes. A variety of oral sedative and anxiolytic (anxiety-dissolving) medications have been developed through extensive research and testing to make your experience of dental treatment as comfortable and relaxing as possible. All have long safety records after decades of use, and several even have "amnesic" properties, meaning you will remember little to nothing, even though you are conscious throughout the treatment. Commonly prescribed medications include Valium®, Halcion®, Sonata®, Ativan®, Vistaril®, and Versed®. To learn more, view our chart on Types of Oral Sedatives
Inhalation Conscious Sedation — Nitrous oxide, a sedative you inhale, has been used in dental offices for nearly 100 years. It is a relatively poor pain reliever but a very good anti-anxiety medication. It is administered through a nasal hood, which resembles a small cup that is placed over your nose. The oxygen mixed with nitrous oxide provides a light-headed or even euphoric feeling, which is quick to wear off so there is no "hangover" effect. All bodily functions remain essentially normal during the use of this sedative, which is very safe.
IV Conscious Sedation Amherst, MA 01002 — Sedatives delivered directly into the bloodstream intravenously (into the vein) are more potent than when taken orally, and the amnesic effects may be more profound. Because IV sedation has an almost immediate effect on the body and its functions — including heart rate, blood pressure and breathing — there is a higher degree of risk associated with it than with other types of sedatives. There is also a higher level of training required for those who administer it. As with all sedation (except nitrous oxide), you must be monitored with specialized equipment throughout your IV sedation treatment. The main advantage is that drugs administered this way work immediately and the level of sedation can be adjusted more quickly and easily. And with most sedatives, you won't remember a thing about your dental procedure after the sedative wears off.
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Searching for movers to help load a truck, unload a container or just lift heavy furniture in Weatherford, Oklahoma? We've got you covered! On MovingLabor.com you can find, compare and hire a local moving labor company in less than five minutes! Get started by comparing prices in your zip code or give us a call, it's that easy.
The top rated moving companies that provide labor-only moving services in Weatherford, Oklahoma are shown below. To see their pricing and compare them to other local movers enter your move date and zip code above.


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Every website in the internet has two things in common one is domain name and the other is hosting. Without these the website is not visible. The hosting is the space in which website resides. All the files of the website are kept there which are fetched and served when a request is generated by putting the domain name in the browser. Hosting is the disk space which is measured in mb, gb etc. given to the clients for keep their files.
InfoSky Solutions is one of the leading and reliable Web Hosting Company in Dhrangadhra. InfoSky Solutions offers various type of hosting packages. We offer Llnux Web Hosting in Dhrangadhra and Windows Web Hosting in Dhrangadhra. If you run ecommerce website, Cms website, inventory online applicaton, we have special web hosting packages for these applications. Our network is designed for high avalibility and High security so our web hosting service is most reliable for you.


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John McLaughlin hosts this weekly, half-hour public affairs program in which he and four other pundits discuss current political news in a roundtable format. Regular guests are Pat Buchanan, Eleanor Clift, Rich Lowry, and either Clarence Page or Mort Zuckerman.
There are no upcoming air times for this episode.
Funding for The Mclaughlin Group is provided in part by:


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Famous queen phrase song motivational phrase motif typographic seamless pattern design in red and blue colors
This casual bucket styled handbag is great for everyday use with the interior divided into separate compartments and pockets. Hand-crafted and assembled, design images are heat transferred onto the polyester fabric to prevent color fading.Bag exterior made from leather except designed areas.Bag interior made of nylon.Twin leather handstraps measuring 12" in length.Measures approximately 10.5"(w) x 8"(h) x 4.5"(d).
If you order more than 50 pcs items (can be combined), please click here to contact us for whole price quotation, please include the SKU# and the quantity you want for each of them. For order less than 50 pcs, please order directly from our website.


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