text:
Glossary of Insurance Terms
Actuarial Value (AV) – the average value of the benefits that a certain health plan covers, calculated as a percentage of total costs. For example, if the actuarial value of a plan is 75, then the consumer will pay 25 percent of the costs of the benefits he or she receives. Actuarial value is an average for a population with a range of patients, so it does not always accurately reflect the cost sharing of each individual. Actuarial value is used to rank insurance plans in the insurance marketplaces so that consumers have a general sense of the coverage offered by plans. The ranking has four tiers—bronze, silver, gold and platinum—with platinum plans having the highest actuarial value.
Affordable Care Act (ACA) – the comprehensive health care reform law enacted in March 2010. The law was enacted in two parts: The Patient Protection and Affordable Care Act was signed into law on March 23, 2010 and was amended by The Health Care and Education Reconciliation Act on March 30, 2010. The name "Affordable Care Act" is used to refer to the final, amended version of the law.
Appeal – after insurance issues a denial of coverage for either a claim or a request for prior authorization, you submit written information to justify why a service should be covered; this is called an appeal. The appeals process generally has 2-3 levels.
Benefit Exclusion – when a plan refuses to cover certain health care providers, services or products. The most common exclusion obstacle faced by PH patients is that their drug is not on their plan's formulary, the limited list of drugs subject to coverage under the plan. Most plans establish steps – called an exception process – which you can take to petition for certain health care benefits.
Benefit Limitation (Benefit Cap) – a limit set by the insurance company on the amount of money (cost limit) or product that they cover (quantity limit). a limit set by the insurance company on the amount of money (cost limit) or product (quantity limit) that they cover. Benefit limitations can be for different time periods: annual or lifetime. However, under the Affordable Care Act, it is now illegal for insurance companies to impose lifetime caps. Starting 2014, it will also be illegal for insurance companies to impose annual caps.
Cost Limit – a limit on the amount of money an insurance company will pay for benefits. For example, you may have prescription coverage up to $2,000 per year. If you have spent more than $2,000 in prescription costs, your insurance company will not cover additional prescription costs for the rest of the year.
Quantity Limit – a limit on the number of services, prescriptions, or products allowed over the course of a particular benefit period. For example, you may have a limit of three prescriptions per month.
Benefit Management – a process, such as prior authorization or step therapy, through which a suggested treatment plan must be reviewed and approved before it is implemented.
Return to top
Case Management – a planned approach to manage services or treatment for an individual with a serious medical problem. Its dual goal is to contain costs and promote more effective interventions to meet the patient's needs.
Catastrophic Coverage – coverage provided by the insurance company after the beneficiary has personally paid a certain amount of medical expenses out-of-pocket as predetermined by the payer.
Certificate of Coverage – document that specifies the benefits issued to a member of group health insurance. This can change yearly depending on what an employer group elects to purchase.
CHAMPVA – a health benefit program for the families of veterans with 100 percent service–connected disability and surviving spouse or children of a veteran who dies from a service-connected disability.
Children's Health Insurance Program (CHIP) – an insurance program jointly funded by state and federal government that provides health insurance to low-income children and, in some states, pregnant women in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage.
Claim – information submitted to the insurer by the member or health care provider for the payment of services under a policy.
Coinsurance – the percentage of allowed charges for covered services that you are required to pay. For example, the health insurance may cover 80% of charges for a covered hospitalization, leaving you responsible for the other 20%. This 20% is known as the coinsurance.
Consolidated Omnibus Budget Reconciliation Act (COBRA) – a federal law that allows individuals leaving a company to continue the health insurance policy they had when employed. COBRA applies when individuals lose or leave a job. The individual is allowed to pay group rates plus a set administrative fee, usually for up to 18 months.
Coordination of Benefits (COB) – method of integrating benefits payable under more than one health insurance plan so that the insured's benefits from all sources do not exceed allowable medical expenses.
Copayment (Copay) – a set amount determined by the insurance company that you pay when you receive covered services. For example, you may have a copayment of $15 every time you visit your Primary Care Physician.
Cost Sharing – the term that insurance plans use to describe costs they "share" with the beneficiary. Because the beneficiary has to pay out of his or her own "pockets," these costs are also often known as out-of-pocket costs. The most common forms are deductibles, copayments, and coinsurance.
Creditable Coverage – drug coverage that pays, on average, as much as or more than the standard Medicare Part D drug coverage. Insurance companies are required to inform beneficiaries of whether their coverage is creditable. If a patient's drug coverage is considered creditable coverage, then the patient is not required to purchase Part D coverage once they become eligible for Medicare and can enroll in a Medicare Part D plan without penalty after the initial enrollment period.
Deductible – the amount of money that you have to pay before your insurance plan pays for any medical care or prescriptions. Deductibles can vary between the insured and eligible family members. An individual deductible would need to be paid before the insurance company will pay for medical care. If the whole family is covered under one family member's insurance, then a family deductible is the amount of money that the entire family would have to pay first before the health insurance company would pay or reimburse for medical care or prescriptions.
Department of Insurance – a state-level regulatory agency that oversees and enforces state insurance laws. Each state has their own Department of Insurance, generally designed to serve consumers in a professional and timely manner by regulating the industry's practices and encouraging a healthy marketplace.
Durable Medical Equipment (DME) – medical equipment that can withstand repeated use, is not disposable, serves a medical purpose, is generally not useful to an individual in the absence of sickness or injury and is appropriate for use in the home. For Medicare beneficiariesm, DME – such as home oxygen – is covered under Medicare Part B.
Return to top
Employee Retirement Income Security Act (ERISA) –a federal law that governs pension plans and private health insurance provided by self-funded institutions (employers or organizations who pay for medical bills out of their own funds). ERISA requires insurances providers to disclose plan benefits and funding levels, as well as ways to manage and access your benefits. ERISA also provides certain rights, such as the right to appeal a denial of benefits and a right to judicial remedies.
Essential Health Benefits (EHBs) – a set list of benefits that insurance plans must include if they are sold through a state's health insurance marketplace. EHBs will be required beginning in 2014 and are intended to eliminate major benefit gaps currently present in many small plans. For example, the Department of Health and Human Services estimates that 62 percent of individual health insurance plans currently lack maternity care coverage, which will become a required benefit in 2014.
Exception Process – steps outlined by your insurance company that you can take to petition for certain health care benefits ordinarily not covered on your insurance plan. If you and/or your doctor are able to show that your prescribed service or product is the best one to treat your condition and that no other satisfactory alternative is available, the plan may agree to make an exception and cover the drug for your care.
Explanation of Benefits (EOB) – a description, sent to patients & health care providers by health plans, of benefits received & services for which the health care provider has requested payment.
Family and Medical Leave Act (FMLA) – a federal law that guarantees up to 12 weeks of job protected leave for certain employees when they need to take time off due to serious illness or disability, to have or adopt a child, or to care for another family member. When on leave under FMLA, you can continue coverage under your job-based plan.
Federal Povery Level (FPL) – a measure of income level issued annually by the Department of Health and Human Services. The FPL is used to determine your eligibility for certain benefits and programs, such as Medicaid.
Flexible Spending Account/Arrangement (FSA) – an arrangement you set up through your employer to pay for many of your out-of-pocket medical expenses with tax-free dollars. These expenses include insurance copayments and deductibles, and qualified prescription drugs, insulin and medical devices. You decide how much of your pre-tax wages you want taken out of your paycheck and put into an FSA. You don't have to pay taxes on this money. Your employer's plan sets a limit on the amount you can put into an FSA each year.
There is no carry-over of FSA funds. This means that FSA funds you don't spend by the end of the plan year can't be used for expenses in the next year. An exception is if your employer's FSA plan permits you to use unused FSA funds for expenses incurred during a grace period of up to 2.5 months after the end of the FSA plan year.
Formulary – an approved list of prescription drugs subject to coverage under a specific insurance plan.
Genetic Information Nondiscrimination Act (GINA) – a federal law that prohibits insurance providers and employers from discriminating on the basis of genetic information.
Grandfathered Health Plan – as used in connection with the Affordable Care Act: A group health plan that was created—or an individual health insurance policy that was purchased—on or before March 23, 2010. Grandfathered plans are exempted from many changes required under the Affordable Care Act. Plans or policies may lose their "grandfathered" status if they make certain significant changes that reduce benefits or increase costs to consumers.
Health Insurance – protection that provides payment of benefits for covered illness or injury.
Health Insurance Exchange or Marketplace – online marketplaces where consumers can compare and purchase insurance plans. A provision of the Affordable Care Act, insurance marketplaces will open for enrollment on Oct. 1, 2013. Each state will have its own marketplace, which will either be operate by the state, the federal government or as a joint partnership of the two. The marketplaces will employ insurance marketplace "navigators" to help consumers understand the process and choose insurance plans.
Health Insurance Portability and Accountability Act (HIPAA) – a set of laws that provides rights and protections for participants and beneficiaries in group health plans. HIPAA protects your personal information while also allowing healthcare administrators to conduct necessary business operations. It also outlines standards for portability and pre-existing conditions.
Health Maintenance Organization (HMO) – a payer that provides services for members in a particular geographic area. Services are provided through a network of doctors, hospitals and other medical providers selected by the plan. Members are required to obtain care from this network of providers in order for their care to be covered, except in cases of emergency.
Health Savings Account (HSA) – a medical savings account available to taxpayers who are enrolled in a High Deductible Health Plan. The funds contributed to the account are not subject to federal income tax at the time of deposit. Funds must be used to pay for qualified medical expenses. Unlike a Flexible Spending Account (FSA), funds roll over year to year if you do not spend them.
High Risk Insurance Pools – state programs that enable people with health problems to join together to purchase health insurance; even with subsidies, premium rates are high because pool members are high risk.
Indemnity Plans – also known as traditional health insurance, indemnity plans pay a certain percentage of the charges billed by the provider, and the patient is responsible for the balance.
In-Network – a list of providers who participate in a health plan's provider network. By using in-network providers, you may have lower copayments, and may not need prior authorization for services.
Itemized Bill – a type of bill for inpatient hospital services that lists every charge, grouped into specific categories.
Return to top
Lifetime Maximum Benefit (Lifetime Cap) – a lifetime maximum benefit is the highest amount of money that your insurance company will pay to cover you for healthcare expenses. For example, you may have a $1 million lifetime maximum benefit. If your healthcare costs go over $1 million, then your healthcare costs will no longer be covered by that insurance plan.Under the Affordable Care Act, it is now illegal for insurance companies to impose lifetime maximum benefits.
Managed Care Plans – a plan which implements health care measures to control costs associated with heath care services. These measures may include pre-admission review for all hospital admissions, second surgical opinions, discharge planning, case management, prior authorization, physician networks.
Medicaid – a federal program, administered and operated on the state level, that provides medical benefits to eligible low income persons needing health care.
Medical Benefits Exclusion – a limiting provision. Some examples may include: injuries sustained in the act of committing a felony or misdemeanor, workers comp, self inflicted injuries or suicide attempt, cosmetic surgery, and convenience items.
Medical Loss Ratio – the percentage of the premium that an insurance company spends on medical care, as opposed to administrative or overhead costs. As a provision of the Affordable Care Act, beginning in 2011 insurance companies must report their medical loss ratio and provide rebates to their beneficiaries if it is less than 85 percent.
Medically Necessary – term used when the service rendered was reasonable and appropriate for the diagnosis or treatment of a medical condition or illness.
Medicare Part D – Medicare's prescription drug benefit coverage available through private companies. All Medicare members are eligible to enroll. Enrollment is optional, but to receive prescription coverage you must choose and enroll in a plan.
Medicare Part D Coverage Gap (Donut Hole) – most plans with Medicare prescription drug coverage (Part D) have a coverage gap (called a "donut hole"). This means that after you and your drug plan have spent a certain amount of money for covered drugs, you have to pay all costs out-of-pocket for your prescriptions up to a yearly limit. Once you have spent up to the yearly limit, your coverage gap ends and your drug plan helps pay for covered drugs again. Learn more
Medicare Private Plan (Medicare Advantage) – a Medicare managed care program that allows Members who receive Original Medicare (Part A and B) the option to purchase a private managed care plan (through Medicare Part C) instead of Original Medicare. These plans must offer the same benefits as Original Medicare and may offer additional benefits as well.
Medigap (Medicare Supplement) – a Medicare supplemental insurance policy sold by private insurance companies to fill in the gaps in Original Medicare coverage. Depending on where you live, you have up to 10 different Medigap plans to choose from, labeled A through N (plans E, H, I and J are no longer offered), each offering a different set of benefits.
National Drug Code (NDC) – a numeric code assigned to a prescription drug by the FDA. If a drug has multiple strengths then there will be a different NDC for each strength.
Navigators– people employed by their state insurance marketplace to help consumers through the process of choosing an insurance plan.
Return to top
Open Enrollment Period – the period of time set up to allow you to change coverage and choose from available plans, usually once a year.
Original Medicare – a federal program that provides health insurance coverage to qualified elderly and disabled individuals. Coverage rules and reimbursement methods vary based on the site of service. Original Medicare includes Medicare Part A and B.
Out-of-Pocket (OOP) Costs – costs that beneficiaries "share" with their insurance company and thus pay for out of their own "pocket." The most common forms of OOP costs are deductibles, copayments, and coinsurance.
Out-of-Pocket (OOP) Maximum – the total dollar amount of the expenses a member would have to pay for covered medical charges during a specified period of time. The out-of-pocket maximum may also be called stop-loss limit cost or catastrophic expense limit.
Out-of-Network – providers who do not participate in the network of a managed care plan.
Payer – a public or private organization that pays or underwrites coverage for health care expenses.
Pharmacy Benefit Manager (PBM) – a company specializing in the administration of commercial pharmacy benefits.
Per Diem – literally, per day. Term that is applied to the cost of care for a day and is an average that does not reflect the true cost for each patient.
Point of Service (POS) Plan – a type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network. POS plans also require you to get a referral from your primary care doctor in order to see a specialist.
Pre-Certification – utilization management program that requires the individual or provider to notify the insurer before hospitalization or surgical procedure. Notification allows the insurer to authorize payment and to recommend an alternate course of action.
Preferred Provider Organization (PPO) – groups of health care providers that contract with employers, insurance companies or other third party payers to provide medical care services at a reduced fee. Typically, enrollees covered by traditional insurance arrangements are offered incentives to use preferred providers, such as reduced deductibles and copayments, or increased benefits such as preventive health care.
Premium – the payment made by an employer or individual to purchase insurance.
Prior Authorization (Pre-Determination or Pre-Authorization) – review of services to determine medical appropriateness before services are rendered. The payer will decide to cover/not cover the charges prior to the services being provided. Many PH therapies require prior authorization.
Primary Care – health services that cover a range of prevention, wellness, and treatment for common illnesses. Primary care providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues. They may also coordinate your care with specialists.
Primary Care Physician (PCP) – a physician, who oversees the general healthcare needs of a patient and may serve as the first contact in a managed care system.
Provider – institutions and individuals that are licensed to provide health care services; for example, hospitals, physicians, pharmacists, etc.
Return to top
Qualifying Event – an event that would cause an individual to lose health coverage under COBRA.
Reimbursement – payment made by a payer to a provider for approved medical services.
Rescission – the retroactive cancellation of a health insurance policy. Insurance companies will sometimes retroactively cancel your entire policy if you made a mistake on your initial application when you buy an individual market insurance policy. Under the Affordable Care Act, rescission is illegal except in cases of fraud or intentional misrepresentation of material fact as prohibited by the terms of the plan or coverage.
Rider (Exclusionary Rider) – an amendment to an insurance policy. Some riders will add coverage (for example, if you buy a maternity rider to add coverage for pregnancy to your policy.) In most states today, an exclusionary rider is an amendment – permitted in individual health insurance policies – that permanently excludes coverage for a health condition, body part, or body system. Starting in September 2010, under the Affordable Care Act, exclusionary riders cannot be applied to coverage for children. Starting in 2014, no exclusionary riders will be permitted in any health insurance.
Self-Funded (Self-Insured) Plan – a type of job-based health insurance coverage where the employer pays the claims with its own funds. This is different from fully insured plans, where the employer contracts with an insurance company and the insurer covers the employees and dependents. Self-funded plans are governed by the Employment Retirement Income Security Act (ERISA).
State and Community Health Plans – programs that provide coverage and services with minimal private commercial and federal involvement. Funding and administration occurs at the state, county or local level.
Statement of Medical Necessity – official documentation from the medical provider to the payer which contains medical information to justify that the service rendered was reasonable and appropriate for the diagnosis or treatment of a medical condition or illness.
Step Therapy – a requirement that less costly and risky treatment alternatives be explored and deemed unsuitable first.
Tricare – Department of Defense's managed health care program for active duty military, active duty service families, retirees and their families and other beneficiaries.
Return to top
Department of Veterans Affairs (VA) – An independent agency of the federal government created in 1930 responsible for providing federal benefits to veterans and their dependents.
Return to top


text:
Clark Gregg promises that you'll love The Avengers. A Dark Knight Rises rumor is 100% confirmed. An Alcatraz showrunner reveals what to expect next season... if there's a next season. Plus photos for Dark Shadows and Cabin in the Woods!
Spoilers from here on out!
Top image from The Dark Knight Rises.
The Dark Knight Rises
This has been widely rumored for a while now, but the production notes for Wrath of the Titans confirm that Liam Neeson is indeed back as Ra's al Ghul for the final Batman movie:
"Neeson next appears in Peter Berg's actioner "Battleship," and he also will be seen in Christopher Nolan's much-anticipated action thriller "The Dark Knight Rises."
The Avengers
Not that he's the most unbiased person on this particular subject, but Agent Coulson actor Clark Gregg reveals that he's seen a cut of the film and, yes, he likes it:
I'm not going to lie. I have seen a cut. I'm very excited for people to see this movie. I think the fans, like me, will be as excited as I was, when I saw it. From the minute I read Joss Whedon's script, I thought, "Oh, man, this is going to be fun to do!" The hardest thing to get right is to figure out how to bring all those characters together, and to fulfill the promise of The Avengers. They really set a very high bar for themselves because you've been setting this coalition up, for these five movies, and they better deliver. And in my opinion, they thoroughly deliver.
Here are two promo photos of Scarlett Johansson as Black Widow. [Comic Book Resources]
Here's an international poster. [Coming Soon]
Unknown Marvel Project
Rapper T.I., whose film credits include American Gangster and Takers, recently revealed that "there is a Marvel Comic franchise that [has] been inquiring about my availability for some time", but your guess is as good as mine what that might actually refer to. Obviously, the first guess here is Luke Cage, but that's hardly the only possibility, especially since a number of other actors like Michael Jai White and Isaiah Mustafa have also been talking up their potential involvement in a Luke Cage movie. [/Film]
X-Men: First Class
Here's an interview with Magneto actor Michael Fassbender, in which he confirms he has discussed the sequel with screenwriter Simon Kinberg but doesn't go into too many additional details.
Director Ridley Scott discusses the film's potential rating, which will most likely be a PG-13, assuming they actually want the thing to make any money. Either way, he says the film will have an R-rated sensibility, psychologically speaking:
"The question is, do you go for the PG-13, [which] financially makes quite a difference, or do you go for what it should be, which is R? Essentially, it's kinda R. It's not just about the blood, it's about ideas that are very stressful. I'm not an idiot, but I'll do everything I can to get the most aggressive film I can."
He also offers the latest reason why he decided to go back to the world of Alien:
"[I've wanted to revisit it for] years! Years, years, years," he stresses of Alien's space traveller subplot. "I always wondered when they did [Aliens] 2,3 and 4 why they hadn't touched upon that, instead of evolving into some other fantastic story. They missed the biggest question of them all: who's the big guy? And where were they going? And with what? Why that cargo? There's all kinds of questions."
Elsewhere, Scott discusses the film's use of 3D:
I'm kind of naturally visual anyway, that's where I come from. And you're working off superb 3D screens, which are on the floor, and are really big. It was just wonderful. I was shooting on 3D, then seeing it on the floor. It was easy, I must say.
Do you push it in a way we haven't seen before?
Well, I mean, yeah. You only want to push it so far, before it becomes arrows popping out of the screen and stabbing you in the eye. You use it for visual effect.
Is it more immersive, giving depth?
Yes, yes. And you can do that afterwards, by the way. I'm actually decided right now how deep to make it on certain sequences.
Total Recall
Columbia Pictures has released this motion poster for their Total Recall reboot. You can also check out the recently released viral site here. [Coming Soon]
We Mortals Are
In the same interview that T.I. revealed is potential involvement with Marvel, he also said that he will be in Bourne Identity director Doug Liman's movie about a soldier, played by Tom Cruise, who relives his final 24 hours alive on a futuristic battleground over and over again until he can put things right.
Dark Shadows
Here's a bunch of new character posters. [Shock Till You Drop]
The Cabin in the Woods
Here are a few promo photos for Joss Whedon and Drew Goddard's long-awaited horror movie. [Coming Soon]
About Time
New Girl and 500 Days of Summer star Zooey Deschanel is reportedly in talks to play the love interest, Mary, of the time traveling protagonist in this film by Richard Curtis, the writer of Blackadder and the Doctor Who episode "Vincent and the Doctor." (He's also written a couple billion-dollar romantic comedies, but really, Blackadder and that one Doctor Who episode are what matter here.) Domnhall Gleeson, who played Bill Weasley in the Harry Potter movies and is the son of the great Brendan Gleeson, is also reportedly in talks to play the hero Tim, who discovers he is the latest in a long line of time travelers and tries to use his abilities to improve people's lives for the better. [Variety]
The Host
Here are some promo photos for the alien invasion movie starring Hanna's Saoirse Ronan and based on the novel by Twilight author Stephenie Meyer. [IGN]
The Seventh Son
Here's some concept art for the upcoming fantasy film in which Jeff Bridges plays an aging knight who takes on an apprentice in his centuries-long war with Julianne Moore's evil witch. [Collider]
Rise of the Guardians
Here's a new synopsis for the upcoming Dreamworks film, which includes the voices of Chris Pine, Alec Baldwin, Hugh Jackman, Isla Fisher, and Jude Law:
Rise of the Guardians is an epic and magical adventure that tells the story of Santa Claus, the Easter Bunny, the Tooth Fairy, the Sandman, and Jack Frost - legendary characters with previously unknown extraordinary abilities. When an evil spirit known as Pitch lays down the gauntlet to take over the world, the immortal Guardians must join forces to protect the hopes, beliefs and imagination of children everywhere.
Doctor Who
Now you can watch the full press conference with stars Matt Smith, Karen Gillan, and Arthur Darvill and executive producers Steven Moffat and Caroline Skinner from the recent Doctor Who convention. [Doctor Who News Page]
I honestly thought we'd seen the end of this whole mess, but Harry Potter director David Yates keeps insisting he is going to make a Doctor Who movie, and he's even said production will take place in 2015 or 2016. Doctor Who brand manager Edward Russell has already come forward to say Steven Moffat's repeated denials represent "the absolute truth and final word on the matter." [Blogtor Who]
Here's another promo for this Friday's episode, "Nothing As It Seems." [Fringe Television]
Starz CEO Chris Albrecht says it's possible there will eventually be a fifth season of Torchwood, the all-around lackluster performance of Miracle Day notwithstanding:
You know, Russell [Davies] is so busy. Obviously, we're in touch with the BBC all the time. They are our partners on DaVinci's Demons and the Harem project that you just mentioned. We told them, we stand by ready for any news, but I think it would be a while before Russell came back to Torchwood.
Costar Russell Hornsby discusses what's ahead for Hank, as well as a particular hint for this Friday's episode:
The more that Hank is exposed peripherally to that world, the more questions he is going to have. He made a statement in an earlier episode saying 'Things are getting weirder and weirder in this town.' I think he's starting to sense something. You would think that after 10 or 15 years being a police officer that one has seen it all. But now there's a new sort of force or energy that is descending into this town and he's starting to sense that. As the series grows and moves on he'll have to see that Nick is different and that Nick is also reacting differently to a lot of these forces. He will definitely become suspicious. And that idea to learn more is consistent for me as an actor and as a character. Obviously as an actor it's more interesting to play, and a lot more fun but also for the audience as well.
We saw Claire Coffee's character Adalind Engel in earlier episodes. She seemed to have some designs on Hank. Is this something we're going to see more of in upcoming episodes?
Well actually yes! Tune in Friday and you will see very specifically how their relationship grows. We have a very interesting episode coming up in which Hank and Adalind sort of discover each other from a different paradigm. It's different to how they've known each other before. There's a wonderful story arc of three episodes which specifically involves Hank and Adalind.
There's more at the link. [Chevron One]
Showrunner David Pyne seems fairly realistic about the show's minimal chances for a second season renewal — at least until the inevitable Netflix rumors start up, I guess — but he does provide a sense of what we could expect should the show manage to get an unexpected pickup:
More of what we've been doing toward the end. We're finding a way to marry the mythology and the A story by creating conspiracies, criminal conspiracies and multiple agendas for the '63s that we didn't have the opportunity to do before. It allows the audience to invest in a greater way in the A story. Occasionally, we can still do the guy who comes back who's just crazy and you've got to catch him before he wreaks havoc. But I feel like it's much more satisfying when you see characters who you have heard about or you know before; to figure out where Harlan (Steven Grayhm) is, who's with him, who's against him and what happened between Harlan and the Warden. You have all these questions that are present-day questions that merge with the past. I think that will engage not just our core audience, but will also make for more emotionally resonant shows going forward.
It's tough when you have to protect the city from the bad guy, but you want to have stories that are about characters interacting with each other. That was the rich thing about having Tommy Madsen come back. You wonder what he's doing, and everyone's invested in him. Lucy (Parminder Nagra) has a relationship with him, Hauser (Sam Neill) and Doc (Jorge Garcia) know who he is. All of that stuff leading to this moment that we have set up, which is this fateful moment of he's not a good guy, apparently. What Ray (Robert Forster) predicted might happen, happens. So, that was all fun.
There's more at the link. [TV Guide]
Executive producer Robert Singer gives this introduction for Friday's episode, "Party On, Garth", featuring the return of DJ Qualls as a not particularly competent hunter.
And here's the description for the next episode, "Of Grave Importance", which airs April 20 after a brief hiatus:
AN OLD HUNTER FRIEND RECONNECTS WITH SAM AND DEAN - Sam (Jared Padalecki) and Dean (Jensen Ackles) get a call from Annie Hawkins (guest star Jamie Luner), an old hunter friend, asking for help on a case. When they arrive in town, they find out Annie has disappeared. They trace her last whereabouts to an old abandoned house that is haunted by a powerful ghost.
Here are some set photos. [SpoilerTV]
The Vampire Diaries
Here's an introduction to tonight's episode, "The Murder of One", from executive producer Julie Plec.
And here's the description for the next episode after that, "Heart of Darkness", which airs April 19:
TYLER RETURNS TO MYSTIC FALLS - Elena (Nina Dobrev) and Damon (Ian Somerhalder) set off together to make sure Jeremy (Steven R. McQueen) is safe in Denver, and to see if his special abilities can help reveal the information they need about ancient vampire bloodlines. It doesn't take them long to learn that Jeremy has been hanging with the wrong people. Stefan (Paul Wesley) and Klaus (Joseph Morgan) both go to brutal extremes in their search for the missing weapon. Caroline (Candice Accola) is thrilled when Tyler (Michael Trevino) returns to town, but Tyler soon suspects that something has been going on between Caroline and Klaus. Matt (Zach Roerig) has his hands full trying to keep Rebecca (Claire Holt) busy organizing the school's upcoming 1920s Decade Dance.
The Secret Circle
Here's a preview for tonight's episode, "Sacrifice", from executive producer Andrew Miller.
Here's the official description for the next episode, "Crystal", which is set to air April 19:
THE OTHER BLACKWELL CHILD IS REVEALED - To protect themselves from the witch hunters, Jake (Chris Zylka), Cassie (Britt Robertson) and Faye (Phoebe Tonkin) seek out Jake's grandfather Royce, (guest star John de Lancie) to find his family's crystal and are confronted with disturbing theories about the events of sixteen years ago. Meanwhile, Diana (Shelley Hennig) tries to balance her pursuit of the Glaser crystal with Melissa (Jessica Parker Kennedy) and Adam (Thomas Dekker) with her romantic life with Grant (guest star Tim Phillipps), who demands to know what she's hiding. At the same time, Callum (guest star Michael Graziadei) attempts to re-insert himself into Melissa's life. Charles (Gale Harold) and Jane (guest star Ashley Crow) plot their move against Blackwell (guest star Joe Lando).
Additional reporting by Ben Vrignon and Charlie Jane Anders.

subset: commoncrawl


text:
Find calendars for local schools, libraries, community events and businesses - all in one place.
Follow calendars to create a personalized event feed and stay on top of what's going on
Sync events with your personal calendar like Google or iCal, so you can be in the right place at the right time.
Here are our local calendars for Alliance, OH. To follow calendars and add events to your personal calendar, sign up for free!
Want to publish Burbio's great content to your media site or local business?


text:
Annette Heist is a former senior producer for Science Friday.
An excerpt from David J. Peterson's The Art of Language Invention.
An excerpt from A is for Arsenic, by Kathryn Harkup.
An excerpt from Aziz Ansari's book "Modern Romance."
Meet the author of The Soul of a New Machine at Google's New York City headquarters.
Sign up for SciFri in your inbox
Sign up for SciFri in your inbox
Science Friday® is produced by the Science Friday Initiative, a 501(c)(3) nonprofit organization.
Science Friday® and SciFri® are registered service marks of Science Friday, Inc. Site design by Pentagram; engineering by Mediapolis.


text:
Learning and Working Our Way to Success
A version of this article appears in the Special Issue 2005 issue of Home Energy Magazine.
January 01, 2005
Practice is making perfect as Home Performance with Energy Star branches out into new territory.
Four years after the launch of Home Performance with Energy Star—a program aimed at bringing home performance to existing homes—I am excited first and foremost by its success in the marketplace. In New York, where the program first took root, over 5,800 homeowners have invested more than $40 million of their own money in home performance improvements— improvements that were completed by qualified contractors using advanced diagnostics to make these homes more energy efficient, safer, and more comfortable (see "A New York Energy $mart Program," p. 24). In Wisconsin, the number of completed home performance jobs has increased tenfold in the three years of the program's existence there (see "Wisconsin's Home Performance with Energy Star," p. 25).While homeowners are suddenly finding themselves comfortable in their own homes, contractors are also benefiting from the program. Contractors who incorporate this comprehensive, whole-house approach into their businesses are finding they can charge a fair price, make a decent living, and feel good about the difference they're making to their customers. Because home performance contracting makes sense for contractors and ...
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 email@example.com.


text:
InduSoft has launched its Visualization App for Windows 8 and Windows RT. This is described as the first SCADA/HMI app designed specifically for Windows 8 and it offers mobile access to the InduSoft Web Studio application on Windows 8 devices.
This application allows programmers to develop "attractive" interfaces with customizable widgets that display alarms and trend history. Users will then be provided with alarms, alarm history, process values, trends, and historical data in order to be able to make decisions based upon the applications that they are using.
NOTE: OPUS Dayton-Knight explains the acronym SCADA as Supervisory Control And Data Acquisition. In reality, the primary purpose of SCADA is to monitor, control, and alarm plant or regional operating systems from a central location. While override control is possible, it is infrequently utilized; however, control set points are quite regularly changed by SCADA.
InduSoft Web Studio has already been presented as a both a web and thin client offering. The launch of the Visualisation Manager app for Windows 8 provides a toolset on which to build their next generation operator and management information systems.
InduSoft justifies its position in the market with a product like this on the basis of a track record developing software products for applications in industrial automation, instrumentation, and embedded systems for all Microsoft-supported operating systems.


text:
A newborn hearing screening is a test done to make sure your baby does not have a problem hearing. The test is done by an audiologist, a person trained to identify and manage hearing problems. A newborn hearing test is usually done before a baby leaves the hospital after birth. If it is not done during the newborn period, it is usually done within the first month of life.
Reasons for Test
The test is done to make sure that the baby does not have any hearing problems. Being able to hear well is important in a newborn's life since a baby uses sound to assess his surroundings and to eventually learn how to speak.
Having a hearing test lets you and your baby's doctor find out early whether your child has hearing problems, and if so, address the problems to help your child communicate as he or she gets older.
What to Expect
Prior to Test
There are no special steps to prepare for this test.
Description of Test
There are 2 different newborn hearing screening tests that are commonly used. Different nurseries may use 1 or both tests.
A hearing specialist called an audiologist will place a small microphone in your baby's ear canal. The ear is then stimulated with sound, and an "echo" is measured. If an echo is detected, that is a sign that your baby is hearing fine. If there is no echo, this may be a sign of hearing loss.
The audiologist will place earphones on your baby and electrodes on his or her head. If needed, the audiologist may give a mild sedative to your baby to keep him or her calm. A sound will be sent to the earphones. The audiologist will measure the electrical activity in the part of the baby's brain that is responsible for hearing.
After Test
Your baby's test results are recorded. The audiologist will explain the results to you.
How Long Will It Take?
Each test only takes minutes to do. It may take longer if your child is restless.
Will It Hurt?
There is no pain associated with these tests.
The audiologist will let you know the results soon after the test is done. If your baby does not pass the test, the audiologist may test again. Not passing does not mean that your baby definitely has hearing problems. There may have been fluid in his middle ear or wax in the ear canal that affected the hearing test. Also, crying and movement may affect test results.
Not passing the test does mean that your child will need further testing. With further testing, your doctor can figure out if there is a problem with your baby's hearing. If your baby is diagnosed with hearing loss, then your baby may be referred to specialists who can help. These specialists may include ear doctors and teachers who work with children with hearing loss.
Call Your Doctor
After the test, call your baby's doctor if you suspect that your baby may have a hearing problem. Sometimes even if a baby has a normal hearing test, they may develop hearing problems as they get older. Here are some signs of hearing problems to look for as your baby gets older:
- 0-3 months—does not respond to loud noises or your voice
- At 12 months—does not imitate sounds or speak simple words like "mama"
Toddler age—has difficulty with:
- Speaking
- Learning
- Listening to sound from the television
- Paying attention
- Talking with others
Revision Information
- Reviewer: EBSCO Medical Review Board Kari Kassir, MD
- Review Date: 03/2018 -
- Update Date: 05/05/2014 -


text:
Look what I saw just sitting on one of our tables at TNNA in June.
Dropped off by a mystery person who disappeared as quickly as she appeared. Luckily, there was an inscription.
What a most lovely surprise from the even lovelier Ysolda Teague! I would go so far as to say this book is indispensable for knitters.You will find the patterns you're accustomed to seeing from Ysolda--fashion forward, technically sound, and well written with a touch of whimsy. However, the meat and potatoes of this book is the educational first chapter entitled "Tools for Successful Sweaters".
Every word and picture in this chapter lends credence to the title. The chapter is broken into sections: selecting a yarn, swatching, taking measurements, choosing a size, creating a perfect fit, and blocking. Each section offers a wealth of information, accessible for beginners and relevant even for intermediate to advanced knitters. Tips are peppered throughout, from choosing the best yarn for intarsia work to measuring your body accurately to using dressmaking techniques to accommodate fuller bust sizes.
You'll find Classic Elite yarn modeled by the gorgeous Amanda Jarvis in the Angostura Vest. The introduction to the pattern has comprehensive construction and fitting notes, and the pattern is sized from a 30 inch bust up to a 60 inch one. The vest is knit in Chesapeake from the Verde Collection in the colorway Mephisto, a beautiful blue that almost reminds me of one of my favorite crayons, Cornflower Blue, only darker.
*Ysolda Teague and her fabulous team are collaborating with us on a giveaway! One lucky knitter will receive an autographed copy of Little Red in the City, a limited edition Little Red project bag, and enough Chesapeake to complete their very own Angostura vest! Simply head over to her blog, leave a comment on Ysolda's blog post saying how you would wear/style your own Angostura before August 15th, and then cross your fingers.
|Scratch to reveal the eBook link. So clever!
Thank you, Ysolda!


text:
Femininity emphasize skin tight maxi dresses
Long dresses, skin tight maxi dresses, and skirts at all times were considered the main attribute of femininity. And the reason for this is not only the beauty of such clothes. Experts in the field of energy practices believe that when a woman wears a long dress or skirt, she begins to accumulate the inherent energy of femininity. Therefore, a skin tight maxi dresses also brings with it a certain sacred meaning for every woman …
Woman in a skin tight maxi dresses
Since antiquity, women wore only dresses, skin tight maxi dresses and skirts. And such a fashion was fair for all nations. For example, Slavic women used to wear a sundress, Indian women wore long wide shawls, and Japanese women wore kimonos on their bodies. As you can see, the clothes of all women did not anticipate the design of pants. So, skin tight maxi dresses!
The design of a skin tight maxi dresses or skirt is such that it forms a cone widening downwards. And such a skirt model was not invented by chance. It was believed that such a cone helps a woman to better absorb the energy and strength of the earth, to become fertile and financially prosperous.
An image of a woman in a skin tight maxi dresses
The image of a woman in a skin tight maxi dresses will always remind you of chastity, innocence, and purity. A long skirt will save a woman from lustful looks. And this is very important. Such bad looks are like a real evil eye, capable of leaving a gap in the lower energy centers.


text:
For seniors: Is caffeine a good thing?
By Michael E. Newman, Pure Matters
Most Americans older than 60 love their coffee. The National Coffee Association says older adults drink the most coffee.
Is that good or bad for you? A slew of studies in the last 40 years have addressed coffee's impact on older Americans -- especially the effects of caffeine. All in all, the news is good. It seems modest consumption yields few, if any, health risks. What's modest? No more than three 8-ounce cups a day of caffeinated coffee, or about 250 mg of caffeine.
A stimulant, caffeine revs up the nervous system minutes after you drink it. Positive effects include better reaction time, mental acuity, alertness, and mood, as well as pain relief. But caffeine may also cause nervous jitters, trouble sleeping, stomach upset, and heartburn.
Besides coffee, caffeine is found in tea, chocolate, cocoa, and colas. It is also added to certain medications, including pain relievers and cold remedies.
Here's what the research says about some common health concerns.
High blood pressure
Caffeinated drinks, including coffee, raise your blood pressure slightly by increasing the levels of stress hormones.
"However, long-term evaluations of moderate coffee drinkers -- including studies focusing on seniors -- found that this effect drops off after a while because most people develop a tolerance to caffeine," says Linda Massey, Ph.D., R.D., an expert on senior nutrition in Spokane, Wash. "The studies indicate that coffee drinkers are not at higher risk for developing chronic hypertension."
Heart attacks
Part of the Brigham and Women's Hospital and Harvard Medical School-based Nurses Health Study looked for links between coffee and coronary heart disease (CHD). Researchers studied nearly 86,000 women from 1980 to 1990. They found that even women who drank six or more cups of coffee a day did not show an increased risk for heart disease. A similar study in 1990 of 45,000 men ages 45 to 70 by the Harvard School of Public Health also showed that drinking four or more cups of coffee a day did not increase the risk for a heart attack.
Cholesterol levels
Two substances in caffeinated coffee -- kahweol and cafestol -- could raise your cholesterol levels. The American Heart Association says, however, that paper filters take out these substances. That means you needn't worry if you drink filtered coffee. But that isn't true if you enjoy cappuccinos, lattes, and other unfiltered, espresso-based drinks. These drinks also tend to be high in fat because of the whole milk and whipped cream used.
A 2006 study in the American Journal of Epidemiology found that middle-aged adults who drank four or more cups of coffee a day -- regular or decaf -- had a lower risk of developing type 2 diabetes. The researchers say ingredients in coffee appear to decrease the amount of sugar in your blood.
"Several recent studies suggest that coffee may have anticancer properties," says Robert Shmerling, M.D., a Boston medical researcher. He cited studies showing that coffee drinkers were 25 to 75 percent less likely to get cancer of the colon, liver, and breast.
Dr. Shmerling says antioxidants in coffee reduce cell damage from free radicals. That may explain these effects.
Bone loss
Caffeine makes people urinate more, and that leads to a loss of calcium. Large studies of women after menopause show they are more sensitive to this effect than younger women. But significant calcium loss -- and the risk for osteoporosis that goes with it -- is only likely if a woman isn't getting enough calcium in her diet.
Studies show that people who drink alcohol but also drink three or more cups of coffee a day have half the risk for cirrhosis, compared with people who drink alcohol but not coffee.
Parkinson's disease
One study looked at 30 years of data from the Honolulu Heart Program. It found that men who did not drink coffee were two to three times more likely to develop the disease than those who drank one to four cups of caffeinated coffee a day. The researchers suggest caffeine may block the brain's receptors for a chemical called adenosine. That lets the level of another chemical, dopamine, increase. Dopamine controls the smooth, coordinated function of the body's muscles and movement. Lack of dopamine causes Parkinson's.
A positive conclusion
Coffee -- and caffeine, in general -- has many health benefits for older adults. The American Medical Association and other experts stress that moderation is important: Three cups a day is fine, but 10 cups is too much. Make sure the rest of your diet is healthy, as well. Eat nutritious meals, and for weight control, consume only as many calories a day as you burn in activity. If you drink alcohol, do so in moderation. That means no more than one drink a day for anyone 65 or older.
Source: http://resources.purematters.com/healthy-body/for-seniors-is-caffeine-a-good-thing


text: Thursday, March 14, 2013 APTA's Innovation Summit Reaches 1,000 Virtual Attendees APTA's inaugural Innovation Summit on March 8—a groundbreaking event that brought together physical therapists, other health care providers, large health systems, and policy makers to discuss the current and future role of physical therapy in integrated models of care—was viewed by more than 1,000 virtual attendees. The virtual attendees participated in the event via a web portal with a virtual lobby and exhibit hall; innovative panels and speakers were livestreamed in a virtual auditorium. More than 40 viewing parties, held primarily at universities and health care facilities, watched the event. Further, the Innovation Summit generated significant social media buzz, with 1,099 tweets posted using the #PTSummit hashtag. Onsite attendance was by invitation only. The 150 onsite attendees included 17 APTA physical therapist innovators who were nominated by APTA chapters and sections to attend the event. Innovation Summit: Collaborative Care Models was APTA's first interactive virtual event. With strong attendance, engagement from both the onsite and virtual audiences, and robust discussions from the summit panels, APTA believes the summit will further the role of physical therapy in innovative models appearing across the country. Pictures of the summit are available at www.apta.org/InnovationSummit/.


text: Build something amazing, block-by-block! Every child's favourite toy and still going strong as one of the greatest gifts for kids, LEGO is one of the best creativity toys ever made. Browse our magnificent cheap LEGO collection right here at IWOOT.com. We have a huge range of retro and geek toys if LEGO isn't your thing. The great thing about LEGO, though, is that really, everybody loves it - it can be a gift for her or gift for him as well as the sets being great gifts for kids.


text:
Map & Directions
Use the map below to get directions to your county tax office.
Use the map below to get directions to your county tax office.
County tax assessor-collector offices provide most vehicle title and registration services, including:
Many counties allow you to renew your vehicle registration and change your address online. Some counties allow renewals at substations or subcontractors, such as participating grocery stores. Acceptable forms of payment vary by county.
Other locations may be available. Please contact your county tax office, or visit their Web site, to find the office closest to you.
This County Tax Office works in partnership with our Vehicle Titles and Registration Division.
Copyright © 2020 Texas Department of Motor Vehicles. All rights reserved. - 4000 Jackson Ave, Austin, TX 78731


text:
American Association of Integrated
Healthcare Delivery Systems
Join Our Email List
and receive FREE publications
*AAIHDS will never sell your email
Search AAIHDS Site:
Google Plus
Individual/Group Benefits
Corporate Benefits
Join AAIHDS
Individual Membership
Corporate Membership
Career Center
Journal of Managed Care Medicine
Managed Care eNews
Genomics Biotech eNews
Prevention, Wellness and Lifestyle eNews
Contact Us
Career Center
Job Seeker
Your Profile
Job Seekers Sign In
New Job Seeker? Sign Up
Saved Jobs
Job Alerts
Career Learning Center
Reference Checking
Resume Writing
More >>
Job Seekers, Welcome to AAIHDS Career Center
We're proud to introduce our team of highly experienced coaches! Coming from a variety of professional backgrounds, all have graduated from an accredited Coach training program, and are certified in behavioral style analysis and interpretation.
Pricing for Coaching Services
You are encouraged to review their profiles and select the right coach for you.
Alvah Parker
Work/Life Coach
"I believe every person has his/her own unique gifts to give. I aid my clients to identify their gifts and find ways to use these gifts in their work and personal lives. I move my clients to action in a way that is supportive, validating, and practical."
Clients Include:
People changing careers or jobs
More About Alvah
Lisa Andrews
Career Coach
"I feel it is important to help each person identify the unique abilities, skills, and values they have to offer. I also give my clients two things they need in a successful job search: confidence, and hope. It can be a challenging process, and I'm there to support them as they are transitioning."
Clients Include:
Entry level professionals.
Mid-level managers.
C-Suite executives.
Career changers.
Veterans and their spouses.
More About Lisa
Lenore Mewton
Career Coach
"Bring WHO you are to WHAT that you do" -- that phrase embodies my belief that an individual's internal qualities are their external advantage. As a partner, guide, teacher, and change agent, my goal is to help you discover your greatest ally, your authentic self; be it as an employee, leader, entrepreneur, business person/owner or coach.."
Clients Include:
Individuals in career transition
Developing leaders
Small business owners
Technical professionals
Employees seeking to enhance their careers within organizations
More About Lenore
Dave McKeon
Career & Business Coach
"Coaching is a relationship of equals, where accountability for moving oneself forward lies with the individual being coached, and responsibility for providing the insightful and challenging coaching to support that happening for the client lies with the coach."
Clients Include:
Executives and managers
Individuals pursuing career advancement
High achievers working to reach their goals
More About Dave
Georgiana Carollus
Career Coach
"People are often discouraged from pursuing change or improvements in their lives because they judge themselves incapable or their dreams impossible and unattainable. What surprises people is that if they take small steps toward change, their lives unfold with richness, purpose and direction. I help people identify those initial steps and partner with them to create a framework of action to realize their goals and vision."
Clients Include:
Individuals wish to enhance or change their careers
Specialize in those in IT, creative, educational, social service and human resource fields
Clients who approach life with a spiritual perspective
More About Georgiana
Harry Rodenhi
Business & Career Coach
"I specialize in supporting professionals who find themselves facing career uncertainties or transitions in the fast-paced and dynamic world of high tech. I use an energetic coaching style to support you in clarifying your values, identifying key strengths & abilities and then using these insights to create a personalized value proposition. This becomes the basis for moving forward in the transition while promoting a more balanced work-life perspective."
Clients Include:
Individuals or organizations in transition, especially those in high-tech product/service sectors
Business owners
Individuals seeking more fulfillment in their lives/relationships or more growth & success in their jobs/careers
More About Harry
Marshall Brown
Career Coach
"I help people move forward and feel passionate about what they do. Life is too short to not be happy. It is my job to ask the powerful questions to help you succeed."
Clients Include:
Individuals who want: career satisfaction, passion in their life and work and are willing to develop a plan and take action!
Association and not-for-profit professionals
Government, military
Business owners
More About Marshall
Pricing for Coaching Services
For assistance please call
or e-mail
Powered By
enable it
in order to use the full functionality of our website.


text:
The strength of the Phillies system for the past few years has been right handed starting pitching. In 2010 the Lakewood rotation of Trevor May, Jarred Cosart, Brody Colvin, Jonathan Pettibone, and Julio Rodrgiuez were dubbed the "Baby Ace". Since then, the only guy to survive trades and decline has been Jonathan Pettibone, but he has been joined by some interesting arms.
As I started to write up the right handed pitchers it became clear that their is two sets of right handed starters in the Phillies system, one is more advanced, usually composed of pitchers in the high minors or college pitchers, the other group which will be addressed in the next post are the rawer younger pitchers who still haven't made it above low A-ball.
Just a reminder that when evaluating any young pitcher that there are many things that can go wrong. We still do not fully understand what causes pitchers to break down and often it can be unpredictable and sudden. Additionally many starter will not develop the necassary control or secondary pitches to stay in a rotation and their future may be in a bullpen.
As always please read gregg's end of season report cards for the upper and lower minors.
Ethan Martin (23) – Going into 2012 Martin was a failed prospect, a former first round pick who struggled greatly with his control. Martin rebounded in 2012 and was obtained from the Dodgers in exchange for Shane Victorino. Martin has a fastball that can sit anywhere from 91-97 and has good late life, this is paired with a sharp cutter-like slider, and a changeup that flashes good late life. Martin still struggles with control and his issues can come in spurts where he will overthrow his fastball and fail to keep it in the zone. If he can continue to improve his control Martin could be a mid-rotation starter who could be a #2 if he can also add consistency to his off-speed pitches, if not he has a future has a high leverage reliever with a good fastball/slider combination. Martin will start the year in the AAA rotation and could be ready by late 2013, but it is likely that he will need the whole season before being a contender for a rotation spot in 2014.
Jonathan Pettibone (22) – Pettibone has less upside than any other top prospect in the system, but he has the highest floor of any pitcher. Pettibone's fastball sits in the low-90s and has good sink, he also has an average slider, and a plus changeup, also late in the season he started throwing a cutter which showed plus potential. Pettibone is durable with a good repeatable delivery that also allows him to have plus command and control. The issue that holds Pettibone back as a starter is his lack of a strikeout pitch, which could limit his upside at the major league level. Pettibone profiles as a mid-to-back of the rotation starter who should provide 200IP a year at his prime, there is a chance that he add enough to be a very good #3 starter. Pettibone should be ready to contribute by Spring Training but it is likely that he goes to AAA to bide his time for a spot to open up for him.
Tyler Cloyd (25) – Cloyd had a breakout 2012, but he did it without a tick up in his stuff. Cloyd's fastball rarely breaks 90 and he compliments it with a solid cutter and change, as well as an average curveball, but none of the pitches profile as a put away pitch. Cloyd has a good delivery which gives his pitches good movement and above average but not plus command. Cloyd could make a career as a #5 starter but he will always be on the edge of disaster if he is not perfect. Cloyd will compete for the #5 starter position as well as the long man role, if he does not crack the major league staff he will return to LHV to try and refine his command.
Austin Hyatt (26) – Hyatt was supposed to be major league ready as a #5 starter by the middle of the 2012 season, instead Hyatt regressed and was demoted down to AA. Hyatt has an average fastball and slider that he pairs with a plus changeup and control. Hyatt has little margin for error and much of his success has come from deception in his delivery. Hyatt will have to prove quickly that he can still be a #5 starter going forward, if not his future is a move to the bullpen to see if the stuff will play up enough to give him a major league future.
Brody Colvin (22) – Colvin has been a complete enigma the past two seasons, he was dominant in 2010 and has been horrible since. The stuff is still there to be a good starting pitcher with a mid 90s fastball with natural sink to go with an above average curveball and changeup. The problem has been command and control, Colvin has struggled to find the strike zone and when he does, the ball has been crushed. Colvin showed some improvement when moved to the bullpen, but a late season promotion to AA was disastrous. If Colvin can harness is command to be at least below average he could be a back of a bullpen, high leverage reliever with excellent stuff, he will need to make huge strides to stick as a starter, but if he does his ceiling is high as a front of the rotation starter but that is just a far away dream. Colvin will likely start in the Reading rotation in 2013 in what is his last chance to stick in a rotation.
Kevin Brady (22) – A 2012 draft pick, Brady dominated short season ball. He has a mid-90s fastball and a promising slider and changeup, but both are inconsistent at this time. If he sticks as a starter, Brady profiles as a #4 starter, if he struggles to improve his secondary offerings, Brady could move very quickly as a power arm reliever. Brady will likely go to Clearwater to start and will likely have a year or two to prove himself as a starter.
David Buchanan (23) – Buchanan had a good 2011 but a finger injury derailed his 2012. Buchanan has a low 90s fastball and a plus slider but his changeup needs plenty of work. His command has struggled at times and he does not miss enough bats to be really effective. There is a chance that Buchanan could be a back of the rotation starter but his future is likely in the bullpen where he could be a good middle reliever. Buchanan will struggle to crack a rotation because of the better prospects around him in Reading, if he makes the move to the bullpen he could be ready by late 2013 to contribute to the big league club.
Perci Garner (24) – Garner was a raw pitcher when the Phillies took him in the second round of the 2010 draft. In 2012 he struggled with BB rate spiking and his K rate plummeting. Garner has a mid-90s fastball and a sharp curveball, a combination that should play up in short spurts. Garner is destined as a power arm reliever who could have setup upside, the Phillies may keep him in the rotation in 2013 to give him innings to refine his command and off speed pitches. Either way Garner will start 2013 in Reading.
Julio Rodriguez (22) – Before 2012, JRod's numbers defied his stuff, but he struggled in his AA debut. JRod has a hi-80s fastball with natural cut, a loopy curveball, a hard slider, and average changeup. Unlike most soft tossing righties JRod has average control, but he has consistently missed bats, even when struggling. His delivery has natural deception to it and he has a good feel for pitch sequencing. JRod could be a back of the rotation starter but it is likely that he goes to the bullpen where his stuff might play up and he will have plenty of success if he maintains his strikeout rates. JRod will likely begin 2013 in the AAA rotation but could be moved to the bullpen quickly if he continues to struggle.
Colin Kleven (21) – There is little scouting reports on Kleven except that he sports of a low 90s fastball and that is mechanics have been inconsistent at best. Kleven seems destined for the bullpen where his strikeout rates should tick up enough to be effective. Until then the Phillies are committed to developing him as a starter to get him innings and he will start in the Clearwater rotation.
Some Questions:
Will Martin build on his 2012 improvements or will he regress to his previous levels?
Are any of the soft tossers #5 starters or are they all destined to fight for middle relief?
Who emerges as power arm relievers when they are moved to the bullpen?
Can Pettibone succeed without a strikeout pitch?


text:
Stream - 2nd Generation Wu - New Generation (Prod. By YODI)
February 22, 2020 0 comments
About author: Media Kombat
Cress arugula peanut tigernut wattle seed kombu parsnip. Lotus root mung bean arugula tigernut horseradish endive yarrow gourd. Radicchio cress avocado garlic quandong collard greens.
Subscribe to: Post Comments (Atom)


text:
Principal Proposed Uses
Other Proposed Uses
Probably Not Effective Uses
- Enhancing General Well-being in Seniors
Dehydroepiandrosterone (DHEA), a hormone produced by the adrenal glands, is the most abundant hormone in the steroid family found in the bloodstream. Your body uses DHEA as the starting material for making the sex hormones testosterone and estrogen.
A meaningful body of evidence indicates that DHEA might be helpful for the autoimmune disease lupus, at least in women. DHEA may also help prevent osteoporosis (again, in women). Additionally, DHEA appears to be beneficial when taken along with standard treatment for women with adrenal failure.
Other uses with some evidence include improving sexual function in men and women and alleviating depression. DHEA does not appear to be effective for improving general well-being in seniors. Keep in mind that DHEA is not a natural supplement. The DHEA you can buy at the store is made by a synthetic chemical process, and it is a hormone, not a nutrient. Although DHEA appears to be safe to use in the short term, its safety when taken for prolonged periods is unknown.
The body makes its own DHEA; we get very little in our diets. DHEA production peaks early in life and begins to decline as we reach adulthood. By age 60, our bodies produce just 5% to 15% as much as when we were 20. It's not clear whether this decline in DHEA is a bad thing, but some believe that it may contribute to the aging process.
For use as a dietary supplement, DHEA is manufactured synthetically from substances found in soybeans. Contrary to popular belief, there is no DHEA in wild yam .
Therapeutic Dosages
A typical therapeutic dosage of DHEA is 50 mg to 200 mg daily, although some studies used dosages above and below this range. A cream containing 10% DHEA may also be used; it is typically applied to the skin at a dosage of 3 g to 5 g daily.
Physicians sometimes check DHEA levels and adjust the daily dose to achieve blood levels of 20-30 nmol/L.
Therapeutic Uses
Much of the evidence of benefits with DHEA involves results seen in women.
A meaningful body of evidence indicates DHEA may help reduce symptoms in women with lupus, but it probably does not alter the long-term course of the disease. 1-3,38,105
Some evidence hints that DHEA may be helpful for preventing or treating osteoporosis in postmenopausal women, especially those over age 70; benefits for men remain in doubt. 4-6,23,74,85,95,107
Inconsistent evidence suggests that use of DHEA might improve sexual function in older, but not in younger, women. 11-13,37,57,75
DHEA has shown some promise for improving erectile dysfunction in men who have low DHEA blood levels to begin with. 14
Three double-blind studies hint that DHEA might be helpful for depression . 15,76,86 The best evidence involves treating mild depression in people with HIV . 86 Two studies suggest that DHEA might improve subjective feelings of well-being in people with HIV ; presumably this is a related result. 24,102 However, another small trial failed to find benefits. 25
Note: DHEA does not appear to provide general benefits for people with HIV, such as improving immunity, suppressing virus levels, or aiding weight maintenance. 102
DHEA might also be helpful for people with adrenal failure, according to some 9,10 but not all 7 studies. Note: The term "adrenal failure" refers to total loss of function of the adrenal glands, caused by surgery or infection. The term "adrenal weakness" as used by practitioners of naturopathy refers to something more subtle and vague. DHEA might also be helpful for women with inadequate pituitary function who require growth hormone replacement therapy. 101
Preliminary and somewhat inconsistent evidence suggest that DHEA might enhance the effects of drug treatment of schizophrenia . 8,99 In addition, DHEA might reduce Parkinson's disease-like side effects caused by antipsychotic drugs in the phenothiazine family. 87
Highly preliminary evidence suggests that DHEA might help improve symptoms of chronic fatigue syndrome , 17 improve immune response to vaccinations, 18,19 and strengthen immunity following burns. 20,21 Weak evidence also suggests that DHEA supplements might reduce the risk of heart disease , especially in men. 39-44,77-79
One small double-blind study found evidence that DHEA at a dose of 25 mg daily might reduce menopausal symptoms ; however, in this study, use of DHEA led to altered levels of numerous other hormones, suggesting a potential for hazardous side-effects. 80
For several other proposed uses of DHEA, study results are more negative than positive.
Primarily because DHEA naturally decreases with age, this hormone has been widely hyped as a kind of fountain of youth. However, at least 10 studies have found that DHEA supplementation does not improve mood, mental function, or general well-being in older people, 31-36,73,88,100,108 and 4 studies found that use of DHEA does not increase muscle mass in seniors. 15,30,89,98 However, there is weak evidence that it might improve signs of aging skin . 4
One study did find potential memory-enhancing benefits in younger people. 90
Athletes have used DHEA on the controversial assumption that it limits the body's response to cortisol and thereby causes an increase in muscle tissue growth. 26,27 However, current evidence remains more negative than positive as to whether DHEA aids muscle building or enhances sports performance ability . 28-30,91,106
In a 6-month, double-blind, placebo-controlled trial of 58 people with Alzheimer's disease , use of DHEA at 50 mg twice daily did not improve symptoms. 16
A 12-month, double-blind, placebo-controlled study failed to find DHEA helpful for Sjogren's syndrome. 104 The researchers noted that the belief by participants that they were being given DHEA instead of placebo "was a stronger predictor for improvement of fatigue and well-being than the actual use of DHEA." A previous double-blind, placebo-controlled study also failed to find benefit. 81
Another study failed to find DHEA helpful for fibromyalgia . 97
Despite evidence from one preliminary study, 77 DHEA does not appear to improve blood sugar control in seniors. 103
DHEA has been proposed as an aid to weight loss , but the little evidence that is available suggests that it does not work. 45 A supplement related to DHEA, 3-acetyl-7-oxo-dehydroepiandrosterone (also called 7-oxy or 7-keto-DHEA), has also been advocated for enhancing weight loss, and there is at least a small amount of supporting evidence. 92-93
What Is the Scientific Evidence for Dehydroepiandrosterone?
A 12-month, double-blind, placebo-controlled trial of 381 women with mild or moderate lupus (systemic lupus erythematosus, or SLE) evaluated the effects of DHEA at a dose of 200 mg daily. 46 While participants in both treatment and placebo groups improved (the power of placebo is amazing!), DHEA was more effective, reducing many symptoms of the disease. However, DHEA was found to adversely affect cholesterol levels (specifically, the ratio of total cholesterol to HDL cholesterol) and raise levels of testosterone. For this reason, study authors recommend the monitoring of serum cholesterol and keeping watch for adverse effects caused by increased testosterone.
Similarly, in a double-blind, placebo-controlled study of 120 women with SLE, use of DHEA at a dose of 200 mg daily significantly decreased symptoms and reduced the frequency of disease flare-ups. 38
A smaller study found equivocal evidence that a lower dose of DHEA (30 mg daily for women over 45, and 20 mg daily for women under 45) might also work. 94
Positive results were also seen in earlier small studies. 47,48
Even if DHEA is not strong enough to completely control symptoms of SLE on its own, it might allow a reduction in dosage of the more dangerous standard medications. In addition, it might directly help offset some of the side effects of corticosteroid treatment, such as accelerated osteoporosis, although the evidence for this benefit remains weak and inconsistent. 49,50,82
A 2007 review of all published studies found that use of DHEA may meaningfully improve quality of life in the short term for people with lupus, but that it probably does not alter the long-term course of the disease. 105
DHEA appears to be helpful for osteoporosis in older women. A double-blind, placebo-controlled trial of 280 men and women ranging in age from 60 to 79 years evaluated the effects of 50 mg of DHEA daily for 1 year. 51 The results suggest that DHEA can fight osteoporosis in women over 70. However, younger women did not respond to treatment with DHEA.
Other clinical trials have also found evidence that DHEA has a positive effect on bone density in older women. 51-54,85,95,106 However, so far DHEA has failed to demonstrate a significant bone-sparing effect in older men. 74,85,106
DHEA might be helpful for preventing osteoporosis in women with anorexia . Women with this condition often experience bone loss, at least in part due to a decrease in estrogen levels. In a 1-year, double-blind study, women with anorexia were randomly assigned to receive either DHEA at a dose of 50 mg per day or standard hormone replacement therapy. 23 The results showed equivalent bone preservation in both groups. However, because there is considerable doubt whether hormone replacement therapy is helpful for preventing bone loss caused by anorexia, 22 these results mean relatively little.
Adrenal Insufficiency
Two double-blind trials support adding DHEA to the usual hormone regimen for adrenal failure. One double-blind, placebo-controlled crossover trial evaluated the effects of DHEA in 24 women with this condition. The results showed that DHEA at a dose of 50 mg daily improved sexual function, feelings of overall well-being, and cholesterol levels during a 4-month treatment period. 55 Another double-blind crossover trial enrolled 39 men and women and found improvements in general feelings of well-being, mood, and energy level over a 3-month treatment period. 56 However, another double-blind study failed to find benefit with a dose of 25 mg daily. 7
Improving Libido and Sexual Function in Women
Some evidence suggests that DHEA may be helpful for improving sexual function in older women, but not for younger women.
The 1-year, double-blind, placebo-controlled trial of 280 men and women previously described in the Osteoporosis section also looked for effects on sexual function. 57 The results indicate that for women over 70, daily use of DHEA at 50 mg improves libido. Neither men nor younger women responded. Two other studies did not find benefit, but they enrolled much fewer people and also ran for a shorter time. 12,13
Two small, double-blind, placebo-controlled studies tested whether a one-time dose of DHEA at 300 mg could increase sexual arousability in pre- or postmenopausal women respectively. 37,75 The results again indicate that DHEA is effective for older women but not for younger women.
Improving Sexual Function in Men
A double-blind, placebo-controlled study enrolled 40 men with erectile dysfunction who also had low measured levels of DHEA. 58 The results showed that DHEA at a dose of 50 mg daily significantly improved sexual performance; however, the authors failed to provide a statistical analysis of the results, making the meaningfulness of this study impossible to determine.
Sports Performance Enhancement
A small double-blind study found no performance enhancement with DHEA at a dose of 150 mg per day for men undergoing weight training. 59 In addition, a 12-week, double-blind study of 40 trained male athletes given either DHEA or androstenedione at 100 mg daily found no improvement in lean body mass or strength, or change in testosterone levels. 60
A a 12-month, double-blind, placebo-controlled crossover trial of 16 people aged 50 to 65 found some evidence of fat loss and strength improvement in the male participants during the period in which they received 100 mg of DHEA daily. 61 No improvement was seen in female participants.
Safety Issues
DHEA appears to be safe when taken in therapeutic doses, at least in the short term. One study found no significant side effects in 50 women who took up to 200 mg daily for up to 1 year. 62 And, in another study, 93 postmenopausal women who took 50 mg of DHEA daily, also for 1 year, experienced no adverse changes in their uterine lining, blood lipids (cholesterol), or insulin sensitivity. 165
However, in two other studies DHEA, at doses as low as 25 mg per day, decreased levels of HDL ("good") cholesterol. 63,64 In addition, in women, DHEA may increase levels of male sex hormones along with estrogens and progesterone. 83 This could lead to acne and growth of facial and body hair. 65,66 Effects on hormones in men may be less significant, 84 although one study in HIV-infected men found that DHEA supplements increase level of testosterone, dihydrotestosterone, androstenedione, and estrone. 96
Concerns have been raised by one study in rats and another in trout that linked DHEA to liver cancer. 67,68 However, at least four other animal studies suggest that DHEA may have some anticancer effects. 69,70
A 15-year human observational trial looking for a connection between naturally occurring DHEA levels and breast cancer found no relationship, either positive or negative. 71 However, another study found a relationship between higher levels of DHEA and ovarian cancer. 72 Overall, the long-term safety of DHEA supplements remains unknown. This is the case with many supplements, but because there are animal studies suggesting that DHEA might increase the risk of liver cancer, caution is warranted. Estrogen is one example of a hormone that increases the risk for certain forms of cancer, and it took years for researchers to discover that risk. Keep in mind also that the body converts DHEA into other hormones, including estrogen and testosterone. This could be dangerous for women with hormone-influenced diseases, such as breast cancer.
We also don't know whether DHEA interacts with other hormone treatments, such as estrogen, although it certainly stands to reason that it might. The safety of DHEA in young children, pregnant or nursing women, and people with severe liver or kidney disease has not been established.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


text:
This book will be added to your Bookshelf:
Select some tags, and write a comment in the box below. Click "Save Book" when finished.
Click one or more tags below to describe this book, or enter a tag of your own:
2. Write your comment / review:
3. Choose Tag(s):
|Gruselfieber, Bd.6, Im Wald der Bestien
|R. L. Stine
|Add illustrator
3. Choose Tag(s):
I wrote | I illustrated | I'm reading | I read | Inspired me | I edited | I recommend
4. Click Save Book -->


text:
Chords for any song
Press Play to start chords
Song's chords D, G, C, Am
Difficulty Easy
Album Absolutely
Year 1990
Create your free account in 10 seconds and access all song's chords, or login.
Yalp is powered by Artificial Intelligence to transcribe song's chords from YouTube and mp3 files. You can also get midi, pdf and transpose chords in different tonalities.
You already edited your private version of this song. To continue editing please select your version. Otherwise you can reload the original one and starting editing again.
Are you sure to delete your private version? The public one will be reloaded.
Our Artificial Intelligence algorithm sometimes makes some mistakes.You are notifying to Yalp's team this transcription has a lot of wrong chords.
We'll review to fix it.We appreciate your help.
Your notification has been stored in our system, thanks!
MIDI file has been generated, click the button and download it.
In few minutes track analysis will be completed. We'll send you an email to notify when done.You can start to play in the meantime.
Get Lessons with Yalp Premium+.
Our goal is to help musicians like you to learn to play the music they love. We can only maintain and improve Yalp if paying members keep supporting us. Become a paying member too.
Download pdf files with Yalp Premium.
With a free account you can only add up to ten songs to your playlist.
You can change chords tonality with a Premium account.
You can upload an mp3 to analyze chords and separate instruments tracks only with a Premium account.
Go Premium to use the tuner.
Go Premium to create loops.
Go Premium to download MIDI files.
You reached maximum number of songs you can transcribe with Yalp Free.
Improve your Yalp experience
Our Artificial Intelligence algorithm finds the right teacher for you.
Reserve an online one to one private lesson, even if you are a beginner.
See how it works
Please login or create account to unlock these features.
Please disable ad blocker to use Yalp, thanks.
Create an Account


text:
Call 844.344.3536 For Trade Pricing
|Bulbs Included
The Minka Group® has grown to become a leader in the decorative lighting industry. As a company, we pride ourselves on the quality and workmanship of each and every fixture we produce.
With people and distribution operating on two continents, the Minka Group family of businesses is leading the way in product design, knit together by a single level of quality over a broad range of price points. Our products are available at retail under the brand names Minka-Lavery®, Metropolitan™, Ambience®by Minka -Lavery, Minka-Aire®, The Great Outdoors® and George Kovacs® as well as several nationally recognized private label brands.
Our competitive advantage lies in:
Lighting Experts
Mon - Fri 8am to 12am EST
Sat & Sun 9am to 12am EST
Customer Care
Mon - Fri 8am to 6pm EST
|Have a question about this product? Ask us!
|Submit a Question