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As Republican lawmakers are poised to push including cuts to entitlement programs in the deficit reduction debate, a new poll released Monday shows that the majority of Americans would agree to pay higher taxes in order to preserve Social Security.
The National Academy of Social Insurance and Mathew Greenwald & Associates collaborated on the multigenerational poll of 2,000 Americans aged 21 or older, which gauged Americans' perspectives on Social Security and their preferences regarding options to strengthen the program for the future.
Conducted by Ipsos Loyalty in September, the poll explored working and retired Americans' attitudes toward Social Security and the importance of Social Security benefits to beneficiaries' incomes. The study also included a trade-off analysis that enabled researchers to examine how survey respondents weighed the appeal or lack of appeal of various packages of Social Security policy options.
Key findings of the poll showed:
- Americans don't mind paying for Social Security because they value it for themselves (80%), for their families (78%), and for the security and stability it provides to millions of retired Americans, disabled individuals, and children and widowed spouses of deceased workers (84%).
- 84% believe current Social Security benefits do not provide enough income for retirees, and 75% believe we should consider raising future Social Security benefits in order to provide a more secure retirement for working Americans.
- 82% agree it is critical to preserve Social Security for future generations even if it means increasing Social Security taxes paid by working Americans, and 87% want to preserve Social Security for future generations even if it means increasing taxes paid by wealthier Americans.
The trade-off analysis conducted for the study shows that, rather than maintain the status quo, 71% of Americans would prefer a package of changes that increases Social Security revenues, pays for benefit improvements and eliminates more than 100% of the projected financing gap.
The preferred package would:
- Gradually, over 10 years, eliminate the cap on earnings that are taxed for Social Security. This would mean that the 5% of workers who earn more than the cap ($110,100 in 2012; $113,700 in 2013) would pay into Social Security throughout the year, as other workers do.
- Gradually, over 20 years, raise the Social Security tax rate that workers and employers each pay from 6.2% of earnings to 7.2%. A worker earning $50,000 a year would pay about 50 cents a week more each year.
- Raise Social Security's basic minimum benefit so that someone who paid into Social Security for 30 years can retire at 62 or later and not be poor.
- Increase Social Security's cost-of-living adjustment (COLA) to more accurately reflect the level of inflation experienced by seniors.
The package is preferred over the status quo by large majorities of seniors in the so-called Silent Generation, born before 1946 (76%); Baby Boomers, born from 1946 to 1964 (71%); and younger Americans in Generation X, born from 1965 to 1979 (73%) and Generation Y, born in 1980 and after (67%).


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|Number of Vents
|Return Vent Clean
|6 Floor or Ceiling Vent Cleaned
|7 Floor or Ceiling Vent Cleaned
|8 Floor or Ceiling Vent Cleaned
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Location: Arawata, VIC, Australia

subset: commoncrawl


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Investment conferences usually try hard to break up the monotony of hyper-caffeinated stock jocks yapping about efficient frontiers and how to generate alpha. That's why they hire former presidents, retired generals and college sports coaches.
Some of these folks can spin a good yarn and others fall flat, but few if any could match the courage (that's right, not even the generals) and character of the Somalia-born freedom activist Ayaan Hirsi Ali, whom Altegris with great wisdom recruited to speak at its investment conference in Carlsbad, Calif.
In fairness, generals typically have heard shots fired in anger, but they also have whole armies as their security detail.
Hirsi Ali, whose husband Niall Ferguson also spoke at the Altegris conference, is an intellectual, and the ideas she espouses require an enormous amount of courage to express given part of the audience that is listening.
The idea that Muslim girls and women deserve rights and protections those Western societies afford all citizens is threatening to Muslim fundamentalists, who have exhibited a tendency to counter such ideas through terror.
When Salmon Rushdie published a book that failed to win over this audience, he was forced into long-term hiding. The Danish newspaper Jyllands Posten also discovered that satirical cartoons involving Islam's prophet Mohammed are no joke to those who answer ideas with death threats, not once but, as with Rushdie, over many years.
Many non-financial celebrities attempt to win over their investment conference audience with their own investment-related ideas. Not Hirsi Ali. She spoke about the area she knows best—freedom and threats to freedom—and my sense is that financial advisors appreciated the sincerity and urgency of the message.
Speaking to an audience of mainly wealth managers numbering over 400, she made the quite salient point that it was an earlier generation of Americans that created this country's great wealth. Their children then expanded that wealth. Both those generations understood how hard it is to create and sustain wealth. But the current generation mainly consumes, and lacks a full awareness of what created America's political freedom and economic prosperity.
Hirsi Ali grew up in Somalia, Saudi Arabia and Kenya, then moved as a refugee to the Netherlands, where she became a member of parliament. A controversial movie on which she collaborated with Dutch filmmaker Theo van Gogh cost him his life at the hands of an enraged Dutch-Moroccan Muslim. It is ironic that the political and social tensions of the Old World would follow her to the New World, where she and her Harvard-professor husband now live, in Boston.
Of the terror attack last month, Hirsi Ali made the point that the Tsarnaev brothers lived in America and were educated in the city with the finest schools in the world. Yet they had no compunction about trying to murder and maim citizens of their host country.
America is setting itself up for a "takeover"—hostile or friendly, she said in a private chat after her conference address Tuesday afternoon.
The incipient takeover she witnessed in Europe was largely friendly. Churches and community centers were empty, she said, so the government just gave them to radical Islamists.
Similarly, Americans alone will be to blame for any loss in freedom here. A climate of political correctness that does not resist incursions from opponents of freedom is "self-inflicted," she says.
I asked Hirsi Ali what ordinary Americans—financial advisors, for example—might do to contribute to the cause of freedom and prosperity.
"Invest in creating leadership and civil society," she answered.
In Europe, she said, when a problem emerges, people go to the government. "When nothing is done, [the problem] simmers and then explodes."
But when Americans "think something is an issue, they organize resources; and they try and do something about it," she says, citing efforts against cancer, obesity, and heart disease as mainly bottom-up, community-based movements.
So what should advisors do?
"Use your time to educate yourself about the issues and choose your favorite cause. Then help financially and intellectually."
She made no mention of this in either her public or private chat, but her own AHA Foundation confronts honor killings, forced marriages, female genital mutilation and the intrusion of Sharia law into U.S. family law proceedings.
Post-script: Just seconds (!) after writing this blog I received a phone call from my teenage son. "Daddy, did you hear about the bomb, he said?" In milliseconds, my mind generated questions: What could my son know about that I hadn't yet heard? Was there a new terror attack? Was it in our city?
My wife filled in the details: A "suspicious package" was found on a bus that was passing right by his school. Police blocked off the streets surrounding his school while a specially trained squad defused the bomb. My wife and children waited 45 minutes before police allowed cars to enter the area.
It is not yet known who planted the bomb. You'll never hear about this or many similar situations on the news.
But it is a reminder nonetheless that this issue is real. There are people who hate America who are resident here—they're not just foreigners dropping out of the sky from anymore. They are using American freedom to create a climate of fear, which mass murder is wont to achieve, and as occurred in Boston.
There are also a whole lot of psychotic Americans, not aligned with any political ideology per se, who are attracted to violence in schools, as we saw in Newtown and many other cities across America. I have no idea what motivated the attempted bus bombing.
I do know however that the earlier carefree lifestyle Americans once enjoyed, at least so far as security is concerned, is over. We all need to pay up our eternal vigilance dues if we are to enjoy continued liberty. Basic security is the most fundamental freedom since no other liberty can be enjoyed without it.


text:
Executive Director of Greenpeace International
© Greenpeace / Sudhanshu Malhotra
Otherwise, this weekend's meeting on Iran's nuclear programme is likely to be yet another missed opportunity, yet another exercise in futility.
Who will meet in Istanbul this Saturday? Iran and the 'P5+1', the five permanent members of the United Nations Security Council and the only "legitimate" nuclear weapons states under the U.N.'s Nuclear Non-Proliferation Treaty (NPT) – the United States, China, Russia, France and the UK, plus Germany.
Together, their collective history with Iran and Israel is one of complexity, pain and – so far as nuclear weapons are concerned – utter hypocrisy. There is no easy solution. What is needed is disruptive diplomacy in which both sides put forward something challenging, and in which everyone gives something up to win peace.
Only four countries sit outside the NPT: Israel, India and Pakistan never signed, and North Korea withdrew.
Prime Minister Benjamin Netanyahu: by joining the NPT Israel can pierce the veil of its policy of "ambiguity", place its facilities under international safeguards, and begin to dismantle its nuclear arsenal. In this way Israel can help end hypocrisy and build trust. Israel does not need nuclear weapons; these do not offer a safety net, instead they provide a destabilising influence throughout the entire region.
President Mahmoud Ahmadinejad: Iran could equally afford to dismantle its entire nuclear programme in favour of smart energy systems, efficient energy use and renewable energy sources. This is not cheap rhetoric. It could be done, and would benefit Iran's people.
In 2007 the Greenpeace ship Rainbow Warrior embarked on a Nuclear Free Middle East tour to address the threat of nuclear weapons in the region and the threat of another "weapons of mass destruction" war.
Greenpeace commissioned a study showing that a combination of decentralised energy systems, renewable energy use and energy efficiency would allow Iran to reduce its dependence on fossil fuels, end its nuclear programme and meet the development needs of its people.
At the same time, Greenpeace activists demonstrated outside Israel's Parliament, the Knesset, arguing, "Nuclear developments and nuclear weapons in any country provoke proliferation and undermine security region-wide."
What about the so-called P5? The high-handed posturing of Iran's principle accusers requires some scrutiny. They are the permanent members of the U.N. Security Council. They are proof that nuclear weapons provide a seat at the top table of global security and thus power politics. Why else would Britain and France still have their own chairs? What right do any of them have to discuss illegal, so- called "preventative" attacks on a country?
Together they stand for over four decades of bad faith. Under the NPT they promised to disarm in return for all other signatories forgoing nuclear weapons. The P5 committed to negotiate away their deadly nuclear arsenals. They have not done so. Instead, they continue to invest; they continue to modernise their nuclear weapons and delivery mechanisms; they continue to undermine global nuclear non-proliferation efforts.
Before accusing Iran of duplicity, the nuclear weapons nations need to stop and reflect. In reality the grand bargain of the 'Atoms for Peace' pact at the heart of the NPT was always a dangerous lie. A diplomatic deceit promising to control the spread of nuclear weapons in return for support in developing nuclear power, an abundant power source that was supposed to be clean, safe and reliable, though it turned out to be dirty, dangerous, and expensive. A pact that Iran agreed to, but Israel has not.
Nuclear power and nuclear weapons are the Janus faces of nuclear technology: you cannot have one without the other. No amount of agreement, treaties and inspection will ever remove the risk and temptation of a nuclear power state becoming a nuclear weapons state.
It can be made harder, but never impossible. Just as the risks of meltdowns are present at every reactor site, the risk of nuclear proliferation is attendant in every nuclear programme and the temptation to balance the possession by others of nuclear weapons is always there. The temptation to enter the arena of Mutually Assured Destruction (MAD) is ever present.
The world does not need nuclear power. Greenpeace's Energy [R]evolution – developed over many years with leading scientists and engineers – shows how we can avert catastrophic climate change, phase out nuclear power and transition to a clean energy system based on smart, efficient use and renewable energy sources.
As the first anniversary of the Fukushima nuclear crisis passes it is even more significant to note that this crisis was man-made, predicated on the inherent failures and risks of civil nuclear power. The earthquake and tsunami may have been natural in origin but the profit-before-safety ethos that pervades all industrial activity left the people of Japan and the world vulnerable to multiple nuclear meltdowns. For all its so-called reliability Japan is down to only one operating nuclear plant.
It is hard to see how any plan to bomb Iran into submission will do anything other than protract the problem and threaten to ignite a powder keg of conflict in the Middle East. As 'The Economist' has noted, bombing Iran will not eliminate the nuclear threat.
In truth, only a world free of all nuclear technology will help to build a workable trust on which to build a lasting peace. In Istanbul, governments should dare to disrupt the endless cycle of hypocrisy, accusation and counter-accusation and take real steps towards peace.
If we are really concerned about human security, if we are really concerned about our children and grandchildren's peace and security, then we should be mustering all investments to move us in a direction of green, clean, renewable energy options. We must recognise that our quest for nuclear energy, the attendant threat of nuclear proliferation, and our reliance on fossil fuel-based energy have been the major drivers of conflict, war and flawed foreign policies.
Prime Minister Benjamin Netanyahu and President Mahmoud Ahmadinejad: those from whom we borrow this world, for whom we keep it in trust and who are always caught up as collateral damage in foolish wars and sanctions – our children – deserve a clean, green future free of the threat of nuclear accidents and nuclear war.
[This post was originally published by IPS]
Born in 1965 and hailing from South Africa, Kumi Naidoo was Greenpeace's International Executive Director from November 2009 until December 2015.
(Unregistered) Sun
Dear Doctor Naidoo,
I do love your evaluations of difficile political situations...if the world would have listened to you suggeting to ...
Dear Doctor Naidoo,
I do love your evaluations of difficile political situations...if the world would have listened to you suggeting to cut defense-budgets by 100 Billion and give it to Africa we all would live in peace and harmony by now!
I would like to take the chance and make you personally (among others) responsible for the recent politic of Barak Obama!
Obama, winner of the Peace-Nobel-Prize, has not only talked during the first 2 years of his presidency, he had started to fight powerful enemies.
Unfortunately political reality, the world in 2008 (and Bush's heritage) were a mess, including the distribution of seats in American congress and senat did not allow him to change things in a way some voices like yours opposed!
During the first 2-3 years of his presidency many people turned away instead of backing up the Nobel-prize-winner who has the intelectual potential and personality to be a responsible politican.
I still remember all this crusading rhetoric of many (including your Tweeds and blogs) having blamed Obama for not changing the world via night.
The USA will vote soon. Having been betrayed by many companions political situation is not looking all that shiny for Obama by now.
Obama has to make political concessions (like in the past for congress and senat) in order to survive. Concessions which I am sure he hates most himself!
I strongly believe Barak Obama is the best option for American presidency. I pray to whoever the new president wont be Romney,
Greenpeace is a environmental organisation focusing on world wide issues such as global warming, deforestation, overfishing, commercial whaling and anti-nuclear issues.
There is a an incredible mass of environmental problems.
Please stop dragging Greenpeace down into politics by permanently falling into pure populism!
Please stop misusing Greenpeace as a stage for your career!
Fight Global warming and Deepwater-Drilling, it would be your job.
Leave the Near East (and USA) for others, please, our fragile earth, therefor Greenpeace, has enough other problems!
Thank you.
14 April, 2012 at 21:36
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Grateful Child
"We must recognise that our quest for nuclear energy, the attendant threat of nuclear proliferation, and our reliance on fossil fuel-based energy...
"We must recognise that our quest for nuclear energy, the attendant threat of nuclear proliferation, and our reliance on fossil fuel-based energy have been the major drivers of conflict, war and flawed foreign policies."
What a great and brilliant post this is kumi. Thank you so very much.
How disturbing it is to think of the greed that drives men to ever increasing and obscene profits, ...and that it ultimately filters down to the poorest of children. As you well know, as the price of gas goes up, ...food and commodities escalate in lockstep, ...equating to millions of children living on the poverty line, inevidably dying in increasing numbers. How sad, and unacceptable their insideous greed, violating so many helpless chldren
15 April, 2012 at 2:29
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p.s. Sun: Actually, considering the president of the United States has a great deal to do with the health of the earth and it's people, I think ...
p.s. Sun: Actually, considering the president of the United States has a great deal to do with the health of the earth and it's people, I think Kumi's critique's are very appropriate. But really, who do you think you are to set parameters and boundaries of what Kumi and Greenpeace can and cannot engage in? I welcome Kumi's remarks and clearly see the things that should know no compromise.
"...If I'm elected president, the very first thing I will do is bring our boys home, ...and you can take that to the bank." ___Barrack Obama, campaign promise.
Yes, ...anything is better than one of the Republican climate change deniers, but nothing is worse than an ungrateful child. Thanks Kumi, for your life long service to our earth's children, and our humanity. To see inside your heart, has been my greatest reward.
15 April, 2012 at 3:19
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(Unregistered) Abigor
Personally, I find this post a great deal of common sense. I agree with Dr. Naidoo's critiques. I do think that fossil fuels, nuclear weapons etc....
Personally, I find this post a great deal of common sense. I agree with Dr. Naidoo's critiques. I do think that fossil fuels, nuclear weapons etc. are the main causes of war in the world today.
However, I would like to point out that: 1: the main country that makes a fuss over nuclear weapons is the USA. Why? Because only countries with nuclear weapons can have a chance of standing up to the USA - which brings us on to 2: the USA embraces a policy of 'total war', fighting everywhere a the same time, even to the point of fighting in space."We're going to fight IN space. we're going to fight FROM space and we're going to fight INTO space." C-in-C of space (USA). The USA's policy is universal hegemony through military power. It's mission statement is 'full spectrum dominance'.
Why? 3: The USA wants oil to keep on living its life. And no-one, and nothing, will stand in its way. President Obama is beginning to try and challenge this - the Keystone XL pipeline? - but the chances of his re-election are very low. I bet that the next president will approve the pipeline.
Greenpeace: I commend your efforts, but there is no force on Earth that will stand in he face of the USA - or nuclear proliferation. Sun is right. Focus, please, on things that can be changed, not things that are out of the control of any.
15 April, 2012 at 9:26
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The Nuclear Non-Proliferation Treaty grew out in some large part from the Theory of Mutually Assured Destruction (MAD).
The Nuclear Non-Proliferation Treaty grew out in some large part from the Theory of Mutually Assured Destruction (MAD).
Essentially M.A.D. puts forth the idea that no one will likely win in an exchange of nuclear weapons.
US corporate business games are one thing; Lying, failure to deliver as promised, litigation that continues for years, starting fights that militaries have to finish, subjugation of governments and regimes, all this I can not in good conscience support,
when nuclear weapons are involved I and others agree with The Theory of MAD; in an exchange of nuclear weapons probably no one will win. All will probably lose and will lose a lot.
15 April, 2012 at 17:59
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Hey, Gratefuel Dead, and Listener...
you are so right, all of us agree with you. But you not getting the point. All of us including Docto...
Hey, Gratefuel Dead, and Listener...
you are so right, all of us agree with you. But you not getting the point. All of us including Doctor Naidoo can talk all day long about any problem in the world shouting out the solution... especially one of us does so for the last two years raising his hand to any political flash point that I start to wonder what this person's career planning looks like...we will find out.
But this is not the point!
With Obama's first day in office there were said to be something like 2000 Lobbyists having arrived in Washington. The day President Obama started to clean up Bush's mess Oil- and Energy Industry, traditionally strongly linked to Republicans, had sent an army of about 2000 well paid experts whose only purpose was to torpedo Obama.
There is NO doubt, that Obama had started to fight powerful enemies!
There is NO doubt about the changing distribution of seats in American Senat and Congress which put Obama in chains for times!
All this is called political reality...and it is found somewhere beyond the cracker-barrel!
There is NO doubt about how a wide range of persons worldwide started to talk about Obama at mentioned cracker-barrel instead of backing up our Nobelprize-Winner!
Among these persons there was a Doctor of political sociology, and worse: he was talking the name of Greenpeace.
Of course Oil and Energy is happy about any cracker-barrel Obama has lost...but every day the CEO from Greenpeace International is beating on Obama they now the 2000 Lobbyists were expensive, but the best Investment they have done for long.
Every day Greenpeace beat Obama in the past 2 years they leaned back, opened a bottle and smiled.
PS: by the way: Romney has announced his first trip when president will bring him to Israel...not to Canada were American Presidents traditionally used to go on their first trip abroad.
PPS: you dont get my point? I DO BELIEVE IT WOULD BE A GOOD IDEA IF GPI DOES NOT TOUCH CERTAIN THINGS AS LONG AS THEIR IS OTHER PROBLEMS! Of course we can try to find solutions in the Near East etc. when there is no more other problems like global warming, deepwater-drilling, overfishing...
Until all these problems are solved: Greenpeace, please do not touch Isreal, Near East and other politcally sensitive Areas which are a mess for decades, sometimes for hundreds or thousands of years.
Or did Doctor Naidoo just suggest Israel to scrap a weapon which they officially do not even have up till now?
Shit, what a great Idea, so simple...why didnt nobody think of this earlier?
This is called POPULISM! Like suggesting to cut defense budgets by 100 Billions and give it to Africa!
PPPS: thanks Abigor, I feel understood...this seems to be something valuable in the age of stupid.
15 April, 2012 at 21:07
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Thank you Greenpeace for this great action in front of West Africa...
For me having spent 4 years in black-Africa...wrong, 3.5 years in 3...
Thank you Greenpeace for this great action in front of West Africa...
For me having spent 4 years in black-Africa...wrong, 3.5 years in 32 black African countries including Mauretania, Senegal, and Gambia (and half a year in South Africa which I know only one South- and/or African who considers it to be Africa although he rather looks Indian) ....
...having spent 4 years of my life on the African continent, some of thisb time on the beaches of Saint Louis and Kafountin...
...for me these Super-Trawlers in front of the coast of West Africa have always been one of the most PERVERTED Symbols of Western World's Ignorance...subsidized by European Union...shit, I suffer a lack of words!
I am honest here, all my African friends would love you for it if they knew you...lets move on to global warming now, please!
PS: who I am? I am a surgeon...I cut out bad parts of society. Coincidently I happen to be a Rainbow Warrior for 35 years, and one of the best trained rebels you will meet...
15 April, 2012 at 21:21
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...and I consider myself to be the godfather of Rainbow Warrior III.
I baptized her while Doctor Naidoo was singing nicely.
...and I consider myself to be the godfather of Rainbow Warrior III.
I baptized her while Doctor Naidoo was singing nicely.
PS: if you dont agree...feel free to believe in offical version with Melina Laboucan Massimo von der Cree First Nation aus Alberta.
PPS: have you ever seen a cat playing with a caught mouse? I caught one aswell...
15 April, 2012 at 22:50
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If anyone wants to be fully au fait with the problems that face us - humans - today, such as the USA's 'full spectrum dominance', or the f...
If anyone wants to be fully au fait with the problems that face us - humans - today, such as the USA's 'full spectrum dominance', or the fossil fuel problem, or even the ridiculous US Supreme Court ruling that a man has no rights over his own body parts, the I would recommend The Big Earth Book, by James Bruges. It is eye-opening.
15 April, 2012 at 23:43
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Sun: You say we've missed the point, but I think your point is quite clear. You've come in here with cloak and dagger to bury a knife in a g...
Sun: You say we've missed the point, but I think your point is quite clear. You've come in here with cloak and dagger to bury a knife in a good man's back, and well, to talk about yourself and what a great person you are. That is the most obvious thing in your posts.
It's called constructive criticism, ...calling out Obama and trying to hold him to his campaign promises. These issues should be, and need to be held up in front of him and for accountablility. Will you tell me that Grateful Child has no business speaking out and being involved in middle east politics? I would encourage every world figure to speak out against any subject, ...yourself included. We voted for change, and for whatever reason, that change has not happened. Here, I've got a petition for you to sign, ...perhaps this will help serve as constructive criticism, and call attention to one of Obama's promises. That is our intent, not a personal career. Or do you think we should just turn a blind eye? Thank you for speaking out Kumi and for holding those in power accountable to the ecological and social changes we really need in this world.
Now I'll just turn my cheek while you try to force the issue with more insults and telling us all how wonderful you are.
This petition from Credo, please sign it and let Obama know we are all deeply concerned, ...otherwise, he may never know - http://act.credoaction.com/campaign/fraud_task_force/?rc=fb_share1
16 April, 2012 at 16:41
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Martina, UK, 15 years old: "The Arctic matters to me because it's a beautiful place and home to many animals, it would be such a shame to destroy it. I drew young children because they are loving and they are the best hope for the future, they symbolise hope as well as global community. The dove and the other animals are there not just to represent peace but also the beauty of the natural world."
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Hirsutism is excess male-pattern hair growth in women. The coarse, dark hair can occur in areas such as the face, chest, and back.
True hirsutism is often due to an increased level of a male sex hormone called androgen. The main circulating androgen is called testosterone. This hormone is normally found in both men and women. There are certain medical conditions or medications that may cause an elevation in the levels of this hormone in women.
The most common cause of hirsutism is polycystic ovary syndrome . Sometimes the cause is unknown, Other less common include:
- Congenital adrenal hyperplasia
- Some forms of Cushing syndrome
- Adrenal tumors
- Ovarian tumors
- Pituitary tumors
Certain medications, including:
- Minoxidil
- Cyclosporine
- Phenytoin
- Anabolic steroids
- Diazoxide
- Progestin-containing medications (such as oral contraceptives)
Sometimes excess hair growth is due to the person's ethnic background or family tendencies.
Presents as excess hair growth on the face, arms, back, armpits, groin, or chest. Symptoms and signs of some disorders associated with hirsutism may include:
- Abnormal or absent menstrual periods
- Acne
- Male-pattern baldness
- Deepened voice
- Increased size of clitoris
- High blood pressure
- Increased muscle mass
- Enlarged ovaries
- Enlarged adrenal glands
- Abnormal cholesterol levels and glucose intolerance
You will be asked about your symptoms and medical history. A physical exam will be done. The diagnosis is made by the distribution and degree of hair growth.
Your bodily fluids may be tested. This can be done with blood tests.
Images may be taken of your brain or abdomen if tumors are suspected. This can be done with:
Treatment is directed at hair removal, reducing hair growth, and the underlying cause of the hirsutism.
Hair Removal
Methods of removing hair include:
- Shaving
- Bleaching
- Chemical treatment (depilatories)
- Waxing
- Electrolysis
- Laser treatment
- Intense pulsed light (IPL)—uses high-intensity pulses of light to remove hair; unlike laser treatment, IPL uses a range of wavelengths
Medications that may help reduce hair growth include:
- Spironolactone
- Finasteride
- Flutamide
- Oral contraceptives
- Metformin
- Eflornithine
Treatment of Other Conditions
If you are diagnosed with a condition that may be causing hirsutism, proper treatment may resolve the hirsutism. Weight loss may also play a role in reducing underlying hormonal imbalances.
Revision Information
- Reviewer: EBSCO Medical Review Board Michael Woods, MD, FAAP
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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Definition of 'koulibiaca'
Nearby words of 'koulibiaca'
Definition of koulibiaca from the Collins English Dictionary
Life on the edge
The desire to push the boundaries has been a motivator in many a daring expedition, testing the human spirit and physical abilities to the utmost. Indulge your adventurous spirit by exploring some associated 'extreme' vocabulary. Will you have the survival skills to master our quiz?
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Unlock language with the Paul Noble method
No books. No rote memorization. No chance of failure. Your chance to have a one-to-one lesson with best-selling language expert Paul Noble, try a FREE audio sample of his brand new Mandarin Chinese course.
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Learning English: Making suggestions when travelling
Take a boat? Stay overnight somewhere? This article looks at some useful phrases you can use when discussing options about what to do when travelling.
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Collins English Dictionary Apps
Download our English Dictionary apps - available for both iOS and Android.
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Collins Dictionaries for Schools
Our new online dictionaries for schools provide a safe and appropriate environment for children. And best of all it's ad free, so sign up now and start using at home or in the classroom.
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Word lists
We have almost 200 lists of words from topics as varied as types of butterflies, jackets, currencies, vegetables and knots! Amaze your friends with your new-found knowledge!
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Pressure helps blood flow through blood vessels. Hypertension occurs when this pressure gets too high. When this happens in the blood vessels in the lungs, it is called pulmonary hypertension.
As a result, the right side of the heart needs to pump harder to move blood against the pressure. If left untreated, the right side of the heart can eventually fail.
The blood vessels in the lungs are sensitive to oxygen. The lower the level of oxygen, the narrower the vessels become. Higher pressure will be needed to push blood through the narrow blood vessels. Pressure will also increase when there is more blood in the lungs than normal.
There are many different causes of pulmonary hypertension in children, such as:
- Birth defects that affect the heart, such as septal defects and leaky heart valves
- Deformity of the chest wall (pectus excavatum)
- Conditions like scleroderma , sickle cell disease , lupus , and HIV
- Chronic lung disease
- Blood clots in the lungs
Pulmonary hypertension can also be inherited. This is called familial pulmonary hypertension. In other cases, the cause is unknown.
Risk Factors
Factors that may increase your risk of pulmonary hypertension include:
- Being born with a heart defect or a deformity of the chest wall
- Having certain conditions, such as scleroderma, sickle cell disease, lupus, and HIV
- Having heart or lung disease
- Having a family member with pulmonary hypertension
- Living in a high altitude
Symptoms may include:
- Progressive shortness of breath
- Blue coloring of skin around mouth, hands, and feet
- Chest pain or pressure
- Fast heart rate
- Chronic cough
- Fatigue
- Fainting and lightheadedness
- Ankle or leg swelling from fluid retention
If your child has any of these symptoms, talk to the doctor right away. These symptoms may be caused by other conditions.
You will be asked about your child's symptoms and medical history. A physical exam will be done.
Your child's bodily fluids may be tested. This can be done with blood tests.
Images may be taken of your child's bodily structures. This can be done with:
Your child's lung function may be tested. This can be done with pulmonary function tests .
Most cases of pulmonary hypertension are due to another condition. In this case, the underlying cause will be treated.
If the cause cannot be determined, your child may be treated with medication, such as:
- Medication to lower blood pressure in the lungs
- Anticoagulants to prevent blood clots from forming
- Diuretics to help the body eliminate extra fluid
- Nitric oxide to relax the muscles in the arteries of the lungs
Your child may also need oxygen therapy to increase the oxygen getting into the blood stream.
In severe cases, a lung transplant may be needed.
To help reduce your child's chance of developing pulmonary hypertension, get your child proper treatment for conditions that may lead to pulmonary hypertension.
Revision Information
- Reviewer: EBSCO Medical Review Board Kari Kassir, MD
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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Articular cartilage cushions the femur (thighbone) and tibia (shinbone) where they meet in the knee, allowing them to move freely and easily. Chondromalacia patella is a softening or wearing away of the articular cartilage on the undersurface of the patella (kneecap).
Chondromalacia patella is caused by repetitive motion and misalignment of the kneecap.
This can occur due to:
- Birth defect in knee alignment
- Weak quadriceps
- Muscle strength imbalance between the inside and outside of the thigh
- Direct trauma
Risk Factors
Chondromalacia patella is more common in adolescents and young adults. Other factors that increase your risk of chondromalacia patella include:
- Participation in activities like running, skiing, cycling, or soccer that put repeated pressure on the patellofemoral joint
- Knock-knee abnormality of the leg
Symptoms may include
- Acute or chronic knee pain that worsens slowly over time
- A popping or cracking sound as the knee is flexed and extended
- Increased pain when climbing stairs, squatting, kneeling, or running
- Pain and stiffness in the knee after it is flexed for a long period of time
You will be asked about your symptoms and medical history. A physical exam will be done.
Your knee may need to be viewed. This can be done with:
Talk with your doctor about the best treatment plan for you. Options include:
Supportive Care
The knee will need time to heal. RICE is often the main part of treatment:
- Rest—Activities may need to be restricted at first.
- Ice—Ice therapy may help relieve swelling.
- Compression—Compression bandages can provide gentle pressure to help move fluid out of the area.
- Elevation—Keeping the affected area elevated can help fluids drain out or prevent fluids from building up.
Prescription or over-the-counter medications may be advised to reduce pain.
A physical therapist will assess the knee. An exercise program will be created to help recover and to strengthen the muscles in the leg.
In most cases, surgery is not needed. But surgery may be needed if other treatments are not helpful. Surgical procedures include the following:
- Moving the quadriceps muscle insertion on the lower leg to improve alignment
- Releasing the lateral thigh muscles and tightening the medial muscles
- Smoothing over the undersurface of the patella
- Implanting cartilage taken from one's own knee
To reduce your chances of chondromalacia patella, take these steps:
- Maintain a healthy weight to reduce stress on your knees.
- Properly warm up before exercising or doing any physical activity.
- Maintain proper strength by exercising the quadriceps, calf muscles, and hamstring muscles.
- Use proper footwear for your sport. You may need orthotic support to help correct misalignment.
- Slowly increase activity to avoid stress on the knee.
- Use proper form and technique for any sport.
Revision Information
- Reviewer: EBSCO Medical Review Board Teresa Briedwell, PT, DPT
- Review Date: 03/2018 -
- Update Date: 02/28/2014 -


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Weight Management: Controlling Portion Sizes
Most people consume far more calories than they realize. The culprit? A warped sense of portion size.
Did you know that a portion size is different than a serving size? If not, you are not alone. Since the mid-1980's, portion sizes have grown. This means Americans eat more calories than we need without realizing it. One way to bring yourself back to a healthy weight is to manage your calorie intake. The US Department of Agriculture recommends that you enjoy your food, but eat less. By doing so, you will not have to completely eliminate foods you like. You will just have to control portion sizes.
Serving Sizes Essential to Good Nutrition
Experts say that understanding the concept of standard serving sizes is essential to good nutrition. Standardized serving sizes help consumers, health professionals, and food manufacturers find a common language for the sake of communication.
Although serving sizes are standardized, individual portion sizes will vary because people have different caloric requirements. Portion size also depends on a person's specific weight management goals and health needs. For example, pregnant and breastfeeding women may require larger portions of food than do women who are not pregnant or nursing.
Nutritional Needs Vary
Portion sizes and overall dietary requirements depend on several factors, including activity level. For example, an inactive person may only need ¾-1 cup of cereal in the morning, which is the usual serving size of most varieties. But someone who runs several miles a day or who engages in other forms of aerobic exercise may need 2-3 standard serving sizes.
To help determine a standard serving size, measure out what is listed on the "Nutrition Facts" food label.
Ways to Estimate Portion Sizes
What is a portion size? Try following these models to approximate portion sizes:
- A small bar of soap = one serving (3 ounces) of meat, poultry, or fish
- A closed fist = one serving (1 cup or 8 ounces) of pasta
- Your thumb = one serving (1 1/2 ounces) of cheese
- A tennis ball = one serving (1 ounce) of cereal
When at home:
- Take time to eyeball the serving sizes of your favorite foods using some of the models listed above.
- Measure out single servings onto your plates and bowls, and remember what they look like. Figure out how many servings should make up your personal portion, depending on whether you need to lose, gain, or maintain weight.
- Avoid serving food family style. Serve up plates with appropriate portions in the kitchen, and do not go back for seconds.
- Consider using smaller plates, bowls, or glasses.
- Never eat out of the bag or carton.
- If you feel hungry, go ahead and eat a healthy snack. It may help you eat smaller portions at meal time.
When in restaurants:
- Ask for half or smaller portions.
- Eyeball your appropriate portion, set the rest aside, and ask for a take out container before you eat.
- If you order dessert, share it, or choose a healthier option like fruit.
Seek Dietary Guidance
If you are unsure about your personal nutrition requirements, go to the Choose My Plate website to get eating recommendations based on factors like your age, sex, and activity level. For an even more individualized plan and for motivation, seek the advice of a registered dietitian. These professionals can create individual menus and food plans that are suited to your specific weight management and overall health goals.
- Reviewer: Michael Woods, MD, FAAP
- Review Date: 02/2017 -
- Update Date: 02/03/2017 -


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As the Senate on Wednesday announced a last-minute, bipartisan debt ceiling deal, the nation's top securities industry trade group laid out the fiscal problems that could ensue if Washington lawmakers ultimately fail to resolve the fight that has brought the U.S. to the brink of default.
Former Sen. Judd Gregg (R-N.H.), CEO of the Securities Industry and Financial Markets Association (SIFMA), blamed both Republicans and President Barack Obama for their refusal to compromise and warned that the Treasury expects on Thursday to reach the limit of the extraordinary funding measures it has already taken for funding U.S. debt.
"Clearly, there is significant damage to the Republican brand in its willingness to be a party of fiscal destruction," Gregg said in a media call, adding that Obama "has done himself considerable harm by not negotiating on this."
The Senate budget deal, which contains almost none of the Republican efforts to hamper Obama's health care law, would fund federal agencies at current levels through Jan. 15 and extend the nation's borrowing authority through Feb. 7. The House has agreed to vote on the funding plan, and, if passed, it would then be sent back to the Senate for final passage, which may be completed late Wednesday or early Thursday.
Sen. Ted Cruz (R-Texas), who took a leading role in forcing a government shutdown by linking a debt deal to his attempt to defund the Affordable Care Act, said he would not attempt to block the Senate proposal. The government shutdown was in its 16th day on Wednesday.
The markets surged on the news, with the three major indexes all closing more than 1% higher.
During the debt crisis, SIFMA has been busy setting up protocols for the settlement and processing for daily transactions in Treasury securities, said Rob Toomey, SIFMA's managing director and associate general counsel, who was on the call with Gregg.
"Over the last few months, we've done contingency planning in operations in the case of a default event," Toomey said Wednesday. "We have put in place a playbook, which is to get everybody on the same page with appropriate risk management as we move through a failure to pay by Treasury, although market participants do expect that payment will be made tomorrow."
While SIFMA believes that market participants are operationally prepared to deal with a Treasury failure to pay, it is also clear that clearing and settling transactions in Treasury securities would be challenging if the Treasury defaults on its debt.
If the Treasury reaches its limit for extraordinary measures on Thursday, it will only be able to fund government operations through cash on hand and tax receipts, according to SIFMA. Treasury estimates that it will have $30 billion on hand as of Thursday. In addition, a Treasury bill of $120 billion is scheduled to mature on Thursday, with another $93 billion bill scheduled to mature on Oct. 24. On Oct. 31, Treasury must make principal and interest payments on a number of bills and notes. Gregg noted that there are costs associated with Washington lawmakers' threatened refusal to fund government debt, and that treatment "the underlying disease" of ballooning U.S. debt should not be tied to the nation's repayment of the debt it has already created. "Certainly, over the past weeks, higher risk premiums are built in at Treasury auctions," Gregg said. "It's a compounding event, and it's not a good event for taxpayers."
Meanwhile, billionaire investor Warren Buffett told CNBC on Wednesday that if the U.S. did anything to damage its 237-year reputation for paying bills on time, it would be both "a pure act of idiocy" and "asinine."
Threatening to not raise the nation's debt limit "after you've already spent the money" is a "political weapon of mass destruction" comparable to poison gas, Buffett said. "I know it's been used in the past, but we used the atomic bomb back in 1945 but we decided we weren't going to do something like that again."
Check out Bob Rodriguez Grades Obama, Calls Government 'Chaos' Top Threat on ThinkAdvisor.


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Monday, March 30, 2020 | 2:16 pm:In order to help protect patients, family members and health care workers from the spread of COVID-19, no visitors are allowed at any of Wake Forest Baptist Health's outpatient or inpatient facilities, except in certain situations.Learn moreAt this time, Wake Forest Baptist Health is following state and national guidelines and is limiting COVID-19 testing in the outpatient setting to only patients ill enough to require admission to the hospital.
More COVID-19 Updates
A wart is a small area of hardened skin that usually has a bumpy surface. Warts come in many sizes, colors, and shapes. They can appear anywhere on the body. Kids get them most often on the hands, feet, and face.
Anybody can get warts, but kids get them more often than adults do. Lots of kids get warts, although some kids never get any warts at all. Doctors really don't know why some kids get warts. (But they're sure it's not from touching frogs or toads!) It could be that some people's immune (say: IH-myoon) systems, which fight infections, make them less likely to get warts.
The good news is that most warts won't make you sick or cause a health problem. And if a wart is bothering you, a doctor can remove it.
Viruses cause warts. They're called humanpapilloma (say: pah-pih-LOH-mah) viruses, or HPV for short.
HPV viruses are like other germs. The wart virus loves warm, moist places like small cuts or scratches on your hands or feet. Once the virus finds a nice warm place on the skin, a wart begins to develop. Warts can grow for many months — sometimes a year or more — before they are big enough to see. So if you do get a wart, you may never know where you came into contact with HPV.
If you touch a towel, surface, or anything else someone with a wart has used, you can pick up HPV. Kids who bite their fingernails or pick at hangnails get warts more often than kids who don't. That's why it's important to avoid picking, rubbing, or scratching a wart, whether it's on another person or on your own body.
Most warts don't hurt. But a wart can be annoying if it's on a part of your body that gets bumped or touched all the time. Different kinds of warts grow on different parts of the body. Some warts are smooth and flat. Some are big, rough bumps. Others are tiny and grow in clusters.
Here are some types of warts:
In general, the treatment for a wart depends on the type of wart a person has. It's a good idea to have a doctor look at a wart before trying to treat it, especially if it is on the bottom of your foot. Corns, calluses, and plantar warts all can form areas of thick, hard skin on feet, and it isn't always easy to tell them apart.
For some kinds of warts, the doctor may even suggest that you don't need medicines to make them go away. In time, these warts will disappear on their own. Warts can be hard to get rid of because the thick layers of skin make it hard for medicine to reach the virus that causes them. There are many ways to treat warts, but treatments can sometimes be tricky. After a wart seems to be removed, it might come right back.
Sometimes, a wart can be treated with medicine you can buy at the drugstore. These medicines contain mild acid that removes the dead skin cells on the wart. A grown-up applies the medicine or you just wear a little medicine patch in that spot. Over time, the wart crumbles away from the healthy skin.
In other cases, you need a doctor to help you get rid of a wart. Here are some common ways to get rid of warts:
With any of the treatments above, the doctor will take steps to prevent you from feeling pain while the wart is being removed. And after it's all over, you can wave goodbye to your wart!
Reviewed by: Patrice Hyde, MD
Date reviewed: January 2014
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Grow Your Performance Contracting Revenues
A version of this article appears in the September/October 2009 issue of Home Energy Magazine.
September 04, 2009
With a well-trained, properly outfitted, and certified home performance contracting company, you can set your self head and shoulders above the competition and have access to new revenue streams.
Once you become a trained, outfitted, and certified building performance contracting company, you can put yourself in a position to take advantage of new revenue streams that you probably could not access before. These include building retrofits and new-construction projects that require some or all of the following: higher-quality workmanship than is required for "average" or "code-compliant" jobs; compliance with program installation standards requiring attention to detail; test-in/test-out documentation using diagnostic equipment and protocols, such as blower door tests and duct tightness testing; zonal pressure balancing and/or air balancing of distribution systems; and combustion appliance safety tests. Investor-owned utilities (IOUs), municipals, and electric cooperatives all need contractors who can meet their standards and are willing to help introduce their programs directly to the public. How can you take advantage of the demand for these types of service for these services in your area? First, identify all the entities in your area that need quality contractors in order to meet their goals. If you can deliver performance that meets or exceeds their standards, they will probably send you business. At least, you will make their list of qualified, or program-partnering contractors. Here are few examples ...
To read complete online articles, you need to sign up for an Online Subscription.
Once an order has been placed there is an automatic $10 processing fee that will be deducted with any cancellation.
The Home Energy Online articles are for personal use only and may not be printed for distribution. For permission to reprint, please send an e-mail to firstname.lastname@example.com.


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Primary biliary cirrhosis (PBC) is a chronic condition inside the liver. It is swelling in a part of the liver called bile ducts. Over time, this swelling can cause permanent damage to the bile ducts.
The liver creates a fluid called bile. The fluid is sent out of the liver through bile ducts. The bile then moves to the gallbladder and the small intestine. Bile helps break down food in the intestines. PBC makes it difficult for bile to move out of the liver. The bile is not able to pass through the damaged bile ducts. As a result, the bile backs up into the liver. This leads to liver damage.
The exact cause of PBC is unknown. It appears to be an autoimmune disorder. This means the immune system is attacking health tissue. It is not known what causes an autoimmune reaction. It is likely due to a combination of genetic and environmental factors.
Risk Factors
PBC is more common in women. Other factors that may increase the chances of PBC:
- Family history
- Viral hepatitis—both hepatitis B and C
Symptoms of PBC include:
- Fatigue
- Itchy skin
- Abdominal pain, especially in right upper abdomen
Signs of liver damage:
- Yellowing of the skin and/or eyes— jaundice
- Spider veins
- Xanthelasma—yellow deposits around eyelids
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Blood tests will help to determine the extent of liver problems. They may also help look for causes like a hepatitis infection or autoimmune disorder. A liver biopsy will also help determine how much liver damage has occurred.
Detailed pictures of the bile ducts may be needed. To get these pictures, your doctor may order:
- MRI scan
- CT scan
- Ultrasound
- Endoscopic retrograde cholangiopancreatography (ERCP)
There is no known cure for PBC. However, a variety of treatments may help to manage symptoms. Treatment can also help to slow the progression of liver damage and reduce the possibility of complications.
Talk with your doctor about the best treatment plan for you. Treatment options may include:
Certain medications may help control itching. Ursodeoxycholic acid may also help to move bile through the bile ducts.
Your doctor may recommend vitamin supplements. The low levels of bile may make it difficult for your body to breakdown food. As a result, you cannot get enough vitamins from food. Vitamins A, D, K, and calcium are commonly recommended.
A healthy, well-balanced diet helps your overall health. Your doctor may recommend supplements if you are having trouble reaching your nutrition goals. You should also avoid raw shellfish if you have cirrhosis.
Avoid alcohol or other items that can affect your liver. Talk to your doctor about any medications you are taking. Even some over-the-counter medications can be harmful with cirrhosis.
Liver Transplant
A liver transplant is the only complete cure for PBC. It is only considered when other treatments are unable to control symptoms.
Revision Information
- Reviewer: EBSCO Medical Review Board Daus Mahnke, MD
- Review Date: 03/2018 -
- Update Date: 05/08/2014 -


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The heart is made up of 4 chambers. The 2 upper chambers are the atria and the 2 lower chambers are the ventricles. The sinoatrial (SA) node, located near the top of the right atrium, produces electrical signals that are sent to the atrioventricular (AV) node. The AV node then sends the signals to the ventricles, which are the primary pumping chambers of the heart. The electrical signals are transmitted smoothly from the atria to the ventricles, causing rhythmic muscle contractions that pump blood to the rest of the body.
There are 3 types of heart block, ranging from mild to serious:
- First-degree heart block—This is the mildest form of heart block. In this case, the electrical signals from the SA node move more slowly than normal to the AV node, but all signals reach the ventricles. There are usually no symptoms, and heartbeat and rhythm are normal. This type of heart block is often found in well-trained athletes.
Second-degree heart block—A second-degree heart block means that some of the electrical signals are not reaching the ventricles. This causes dropped beats. There are 2 types of second-degree heart block:
- Type I second-degree heart block, also called Mobitz Type I or Wenckebachs AV block—The electrical signals become increasingly delayed with each heartbeat, causing a beat to be missed.
- Type II second-degree heart block, also called Mobitz Type II—In this type of heart block, some of the electrical signals do not reach the ventricles. This is less common, but more serious.
- Third-degree, or complete, heart block—This is the most serious type of heart block. In this condition, no electrical signals are able to reach the ventricles. The ventricles compensate by contracting on their own, but at a much slower rate than is safe for the heart to maintain full function.
Third-degree heart block is very serious and requires immediate care from your doctor. First- and second-degree heart block should be diagnosed by your doctor, who will help you determine the best course of treatment, if any.
Heart block often occurs when there is underlying heart disease. The causes of heart block include:
- History of heart disease, such as a heart attack , heart failure , valvular problems, and endocarditis
- Hereditary heart defect
- Use of certain types of medications such as beta-blockers, calcium channel blockers, or digitalis
Risk Factors
Factors that may increase your chances of heart block:
- History of heart disease
- Use of medications
Heart block may cause:
- Lightheadedness
- Fainting
- Chest pain
- Shortness of breath
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a cardiologist or arrhythmia specialist.
Tests to evaluate the heart can be done with:
The course of treatment will depend on the type of heart block you have. Generally, treatment is not necessary for first-degree heart block.
Talk with your doctor about the best treatment plan for you. A pacemaker may be inserted for some cases of second-degree heart block, and all cases of third-degree heart block. A pacemaker is a device that generates electrical signals to stimulate heart muscle contractions.
To help reduce your chances of heart block:
- Obtain treatment for any condition that may cause heart problems or heart disease. This will help prevent heart block.
- If possible, avoid medications that can cause heart block.
- Maintain a healthy weight and lifestyle. Get regular exercise, eat a heart-healthy diet, and minimize stress.
- Avoid excessive consumption of alcohol and caffeine.
- If you smoke, talk to your doctor about how you can successfully quit.
Revision Information
- Reviewer: EBSCO Medical Review Board Michael J. Fucci, DO, FACC
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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Click here to view an animated version of this procedure.
An appendectomy is the removal of the appendix. The appendix is a small, blind-ended tube that is attached to the large intestine.
Reasons for Procedure
An appendectomy is most often done as an emergency operation to treat appendicitis . Appendicitis is inflammation of the appendix. It can be caused by an infection or obstruction.
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Bleeding
- Infection
- Damage to other organs
- Reaction to anesthesia
- Blockage of the bowel
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect
Prior to Procedure
Your doctor may do the following:
- Physical exam
- Blood and urine tests
- Imaging studies of the abdomen may be done to find the appendix and look for evidence of infection or inflammation, including:
IV fluids and antibiotics will be started right away. Since appendicitis is an emergency condition, surgery is almost always done as soon a possible after the diagnosis is made.
General anesthesia will be used. You will be asleep during the procedure.
Description of the Procedure
Three small incisions will be made in the abdomen. A laparoscope (small tool with a camera on the end) will be passed through an incision. Gas will be blown into the abdomen to make it easier for the doctor to see. Other tools will be inserted into the incisions. The camera will send images to a video screen. These images will be used to find and remove the appendix.
The appendix will be detached from surrounding tissue. Any bleeding from the blood vessels will be stopped. The appendix will then be tied off and cut out. The incisions will be closed with stitches or staples.
After Procedure
The removed tissue is examined by a pathologist.
How Long Will It Take?
1-2 hours
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay
You may go home on the same day, if the surgery was routine. If infection, rupture, or other complications happen, the stay will be longer.
Post-procedure Care
You will be asked to get out of bed about 6 hours after surgery.
Your bowels will work more slowly than usual. Chewing gum may help speed the process of your bowel function returning to normal.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chance of infection such as:
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Recovery takes about 1-2 weeks.
When you return home:
- Rest, and take it easy for 1-2 weeks.
- Do not exercise or do heavy lifting for one or more weeks as directed by your doctor.
- Gradually increase activities as approved by your doctor.
- Care for the incision as instructed to prevent infection.
Call Your Doctor
Call your doctor if any of these occur:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision sites
- Cough, shortness of breath, chest pain, or severe nausea or vomiting
- Increased abdominal pain
- Persistent nausea or vomiting
- Lightheadedness or fainting
- Passing blood in the stool
If you think you have an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Daus Mahnke, MD
- Review Date: 11/2018 -
- Update Date: 03/23/2015 -


text: Porsche Newport Beach is a proud member of the nationwide network of AutoNation dealerships. AutoNation is America's Largest Automotive Retailer with over 250 dealership locations representing 35 manufacturer brands operating in over 15 states. Since 1996, AutoNation has sold and serviced over 12,000,000 new and pre-owned vehicles. There are many benefits to being part of the AutoNation family. Below we have outlined some reasons why you should choose AutoNation for all of your automotive needs.


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Outback Steakhouse
150 Dorset St., Ste. 200 Send to Phone
802-862-0003 | Make Restaurant Reservations | Menu
OpenLunch & Dinner daily
- Dress code: Casual
- Full bar
- Kid-friendly
- Take-out available
- Wheelchair accessible
* Click here for rating key
Outback Steakhouse Restaurant Review: At the Outback Steakhouse chain, where the service is friendly and the atmosphere convivial, you can enjoy vaguely Australian fare such as the Bloomin' Onion, a huge fried sliced onion with a spicy tinge, grilled shrimp and chicken and the signature Outback Special steak. Wash it all down with a New South Wales Sangria, Sauza Gold Coast 'Rita or imported Aussie Foster's Lager and you'll feel just like Crocodile Dundee. Gluten-free menu. Other locations.


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Puzzle Levels
Puzzle Categories
Download a FREE Solution for your puzzles!
Click Image to Enlarge
Product Information
|Make a square of equal colors
|Level 7 - Challenging
|Recent Toys
|Other Misc Puzzles
|4 in x 4 in / 10 cm x 10 cm
|Cardboard Box
Product Description
CrossTeaser is a unique 3D game for young and old. Fascinating in it's simplicity yet hard to solve. Rotate a colour wheel of your choice into the open space. The colour wheels can be moved on both sides of the game. With every movement, the colour changes. Every colour wheel is identical. Move them to achieve: A square of equal colours appears, with the middle section vacant.
How to play:
1. Working from either side, press down on any peg to push it into the open space.
2. With every move, the color facing will change.
3. Solve by getting a solid color on the top and bottom. The space in the middle will be open.
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Rule #1 - Be Patient - Rule #2 - Don't ask when, if you don't contribute - Rule #3 - You have coding skills - LinuxMCE's small brother is available: http://www.agocontrol.com
After years of running MythTV, for this next installation I will be relying entirely on AV switching of the Motorola cable box.I am interested in VDR, for sure, but it will need an unknown amount of work to get it working in the US market. My faith in MythTV has declined exponentially, with each release of the software, between the idiotic backend protocol changes (some deliberately done to make it HARDER for systems like ours to talk to MythTV), and the ever increasing instability between badly written VDPAU code, or the fact that MythTV is slow all across the board, I'm done with MythTV. Either I will be retrofitting VDR with features we need, or a new PVR will be written from scratch.-Thom


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Just got these stickers back from the printer, after a long while in the making. Stoked! A rip-off of the ubiquitous, One Less Car sticker from Microcosm. The bottom says, 'Fewer Smug Emissions'.
Most people, at least here in Los Angeles, 'get it', but I want to clarify more on the meaning of this and I'll do so in my all-time favorite format, FAQ's.
What's wrong with driving a prius? They get great gas mileage!
Yes, they do. When I need to rent a car for a trip (PA/VA MTB adventure!) I always try to get one. But buying a prius and making no other changes in how one travels every day in a city is not a paradigm shift. Cars are environmentally and socially damaging in many ways beyond fuel use. The energy and resources required to build and ship them, the destruction the space created for automobiles does, the separation of being in a 2,000 pound box, etc. And many hybrids drivers use it as an excuse to just drive more often!
To a cyclist, a prius is just a small hummer.
Isn't this splitting hairs? Why critique people who are trying to make a difference?
Are they really trying? How much of a difference are they making? Buying a prius and not making any fundamental changes, ie walking, biking, public transit, etc, is easy and non-threatening. What makes that worse is the smugness of hybrid drivers, as if what they are doing requires great risk or vulnerability.
On my bike I risk my life every day for what I believe is the right thing to do. Prius drivers are constantly being patted on the back for what they do while cyclists are still being criticized for being in the way and demanding too much.
Can't we all get along?
Ever been cut off by a prius with an Obama sticker? It happens more often than it should. The tipping point for the One Less Prius sticker was nearly being hit by one such vehicle IN THE BIKE LANE on Sunset Blvd. The guy gave me the finger when I threw my hands up.
But I drive a prius and I'm nice to cyclists!
Great, congratulations on being civil. And you want to be patted on the back for this? Get on a bicycle and join us in the streets, where we put our body behind what we believe. Get out of the safety of your metal box and feel what we feel, live what we live.
Cyclists are smug too! Isn't this a contradiction?
Yes, some are. But who has more sweat-equity? Who is literally busting their ass for what they believe?
Okay, okay, I'm beginning to understand. Where can I learn more?
There are plenty of bicycle resources here in Los Angeles in the sidebar of this blog. Derrick Jensen just wrote a fantastic article, Forget Shorter Showers, about the importance of political change over personal change, that is appropriate for everyone interested in environmentalism.
Where can I get a sticker?
In person. Look for me on the bike.
Wow, I've gotten quite a lot of criticism for this sticker. While it is always great to see people thinking, most comments (here and in random forums for automobilists) can be easily dismissed with, 'Did you actually read the post?' or 'Do you have a sense of humor?'
It still comes down to the fact that driving a prius is not a paradigm shift and has similar environmental, social and community health repercussions as an SUV. It changes very, very little. Is it a better option when one is forced to drive? Yes. I made that clear in the first question. And note the sticker does not say, 'Fuck you for driving a prius you mindless, selfish bastard'. It's a joke on people taking themselves too seriously. Can every single person in the world use a bike for every trip? Of course not. I never said that. But most urban people could use bicycles for many of their trips. Unfortunately, our cities are not set up this way, they continue to use 2,000+ pounds of metal to go 2 miles and real change never crosses their mind.
Those who ride a bicycle are taking more of a risk (one that is often exaggerated) and we do not have the infrastructure to make it more feasible. Reducing the risk and getting this infrastructure is the paradigm shift I am busting my ass for every day!
See you in the streets.


text: Warning: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in ..../includes/class_bootstrap.php(430) : eval()'d code on line 134 Tags - Silver Investor Community Discussion Forums - SilverSeek.com Help Remember Me? Silver Forums New Posts FAQ Calendar Community Groups Albums Member List Forum Actions Mark Forums Read Quick Links Today's Posts View Site Leaders What's New? SilverSeek.com Advanced Search Tags If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. Tag Cloud These are the 19 most used thread tags banker secrets bargain silver bullion crypto silver debt slavery denarius discount gold khazarian kabbal longevity manipulation new world order pension fund real money rothschild russian hacker savings guarante spot price trump bullion undervalued Search by Tag Tag Search Enter a tag to perform a search for tagged content. -- vB4 Default Style -- White-Blue -- SilverSeek.com Forums -- White-Black -- Default Mobile Style Contact Us SilverSeek.com Forums Archive Top All times are GMT -5. The time now is 21:12. Powered by vBulletin® Version 4.2.2 Copyright © 2020 vBulletin Solutions, Inc. All rights reserved.