text:
Flu hospitalizations among the elderly rose sharply last week, prompting federal officials to take unusual steps to make more flu medicines available and to urge wider use of them as soon as symptoms appear.
The U.S. is about halfway through the flu season, which is shaping up to be worse than average and a bad one for the elderly, said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.
New figures from the CDC show the flu epidemic is continuing, with widespread activity in all states but Tennessee and Hawaii.
Nine more children or teens have died of the flu, bringing the nation's total this flu season to 29, health officials reported Friday. That's close to the 34 pediatric deaths reported during all of the last flu season, although that one was unusually light. In a typical season, about 100 children die of the flu and officials said there is no way to know whether deaths this season will be higher or lower than usual.
So far, half of confirmed flu cases are in people 65 and older. Lab-confirmed flu hospitalizations totaled 19 for every 100,000 in the population, but 82 per 100,000 among those 65 and older, "which is really quite a high rate," Frieden said.
"We expect to see both the number and the rates of both hospitalizations and deaths rise further in the next week or so as the flu epidemic progresses," so prompt treatment with antivirals is key to preventing deaths, he said.
Two drugs — Tamiflu and Relenza — can cut the severity and risk of death from the flu but must be started within 48 hours of first symptoms to do much good. To increase supplies of Tamiflu, said Dr. Margaret Hamburg, head of the Food and Drug Administration, said the agency had allowed Genentech to distribute additional doses that have old packaging information.
This year's season is earlier than normal and the dominant flu strain is one that tends to make people sicker.
Health officials say it's not too late to get a flu shot to help protect against the flu. Vaccinations are recommended for anyone 6 months or older.
Last week, the CDC said the flu again surpassed an "epidemic" threshold, based on monitoring of deaths from flu and a frequent complication, pneumonia. The flu epidemic happens every year and officials say this year's vaccine is a good match for strains that are going around.
The government doesn't keep a running tally of adult deaths from the flu, but estimates that it kills about 24,000 people most years.


text:
The Misted Marseille Stroll Bunting Bag is the latest in travel chic. With its wind and water-resistant exterior and soft velour-lined interior, your little one will be protected from the elements. Being the perfect combination of stroller chic and comfort, there are thoughtfully placed zippers to easily tuck your bay in from the cold, and universal openings in the back for use with a five-point-stroller safety harness.
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subset: commoncrawl


text: In addition to our large array of in-stock items, we also offer the guaranteed lowest price in the online retail products industry, with our Gut Bustin Games toys and games ranging from $10.44 to $25.38. At Unbeatablesale.com, we celebrate the quality of our service, not just our products. We take every step we can to make sure your online shopping experience is simple, secure, and efficient.Unbeatablesale.com offers around the clock online ordering and values your privacy; we will not sell or provide your information to any third parties. Shop secure and hassle-free today!


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Scroll down for the #MRX conversation report for August 21st, 2019 EST.
There were 37 reshares, 34% of posts, during the course of the conversation.
1% of participants in this conversation engaged each other 1 times.
63% of participants in this conversation shared a total of 10 unique pieces of content.
Here are the basic facts of the conversation for for August 21st, 2019.
Without these participants, this conversation could not happen.
Email us today at email@example.com or schedule a tour of our custom reports. We'll be happy to work with you. We can provide the raw data or custom reports on a scheduled basis. Full data analysis includes in-depth profile data, chat growth analysis, chat reach, influence reach, location profiles, and content profiles.


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Order online before 1pm and pick-up in-store within 3 hours. Available 7 days a week.
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text: Wednesday, February 27, 2013 New in the Literature: Reducing Multiple Sclerosis-related Fatigue (Arch Phys Med Rehabil. 2013 Feb 8 [Epub ahead of print]) A new systematic review provides evidence that, in the short term, energy conservation management (ECM) treatment can be more effective than no treatment in reducing the impact of fatigue and improving quality of life in patients with multiple sclerosis-related fatigue. For this review, the authors searched PubMed, CINAHL, EMBASE, and Web of Knowledge to identify relevant randomized controlled trials (RCTs) and controlled clinical trials. To select potential studies, 2 reviewers independently applied the inclusion criteria. Two reviewers independently extracted data and assessed the methodological quality of the studies included. If meta-analysis was not possible, qualitative best-evidence synthesis was used to summarize the results. The searches identified 532 studies, 6 of which were included. The studies compared the short-term effects of ECM treatment and control treatment on fatigue and quality of life (QoL); 1 study reported short- and mid-term effects on participation but found no evidence for effectiveness. Meta-analyses (2 RCTs, N=350) showed that ECM treatment was more effective than no treatment in improving subscale scores of the: (1) Fatigue Impact Scale: cognitive, physical, and psychosocial; and (2) SF-36: role physical, social function, and mental health. Limited or no evidence was found for the effectiveness of ECM treatment on the other outcomes in the short- or mid-term. None of the studies reported long-term results. This systematic review is published online in Archives of Physical Medicine and Rehabilitation.


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Please specify only VALID data in the applications. Indicating dummy data (including IP address) you violate the terms of use and will be blocked to ascertain the circumstances with the administration, and the funds will be returned excluding fee for 3 hours (during working hours).
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text:
Puzzle Levels
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Cast Box
Currency Converter: * Exchange rates shown above are estimates only, and may vary slightly from the rates charged by PayPal or your Credit Card Company.
Product Information
|Remove the Ring
|Level 6 - Tricky
|Hanayama Metal Puzzles, Akira Yuta
|1.4 in cubed / 3.6 cm cubed. The ring is 2 in / 5 cm in diameter
Product Description
Note: Our level rating system is different than Hanayama's. Hanayama's level 1 is equivalent to our level 5.... level 6 is equivalent to our level 10.
A ring is tangled in a cubic frame. The ring moves freely within the cubic space and makes you feel that time is infinite. Begin with the ring tangled around START and try to successfully remove the ring.
Theme: The box
Designed by Akira Yuta from Japan
Customer Reviews |Write your own review!
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I love the idea behind this puzzle. I had once a similar one, but instead of a cube and a ring, I used other kind of pieces. But the movements from one edge to another on the surface of the 3D object was the same as in this puzzle. There are also some places where you can stumble, although not much, but for a first puzzle with the new idea of movements I think this is a great one.
This is a clever little puzzle. It took me a moment to figure out how the ring is supposed to move around the cube, but once I got the mechanics sorted out, I still had trouble finding the solution. I've been playing with this on and off for a few weeks and I've managed to get the ring off of the frame. I still can't get the ring back to the starting position. Perhaps this is a little trickier than a level two. That's why I like these level two puzzles... they can always suprise you! The Cast Box isn't as aesthetically pleasing as other Hanayama puzzles, but it will keep you entertained for a good while.


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text:
Principal Proposed Uses
Other Proposed Uses
- Cancer Prevention
- Colds and Flu
- Depression
- Diabetes (Prevention)
- Hypertension (Prevention)
- Polycystic Ovary Syndrome
- Psoriasis
- Reduce risk of falls
- Seasonal Affective Disorder
Vitamin D is both a vitamin and a hormone. It's a vitamin because your body cannot absorb calcium without it; it's a hormone because your body manufactures it in response to your skin's exposure to sunlight.
There are two major forms of vitamin D, and both have the word calciferol in their names. In Latin, calciferol means "calcium carrier." Vitamin D2 (ergocalciferol) and D3 (cholecalciferol) have similar actions in the body and can both be found in fortified food and supplements.
Strong evidence tells us that the combination of vitamin D and calcium supplements can be quite helpful for preventing and treating osteoporosis. Other potential uses of vitamin D have little supporting evidence.
Dosages of vitamin D are often expressed in terms of international units (IU) rather than milligrams. The Institute of Medicine's guidelines for Recommended Dietary Allowance are: 108
- Infants birth to age 1 year: 400 IU
- 1-70 years: 600 IU
- 70 years and older: 800 IU
- Pregnant or nursing women: 600 IU
These recommendations have recently been increased based on the latest evidence. For example, in a study of military personnel in submarines, use of 400 IU of vitamin D daily was inadequate to maintain bone health, while six days of sun exposure proved capable of supplying enough vitamin D for 49 sunless days. 89 A study of veiled Islamic women living in Denmark found that 600 IU of vitamin D daily was insufficient to raise vitamin D levels in the blood to normal levels. 1 The authors of this study recommend that sun-deprived individuals should receive 1,000 IU of vitamin D daily.
There is very little vitamin D found naturally in the foods we eat (the best sources are coldwater fish). In many countries, vitamin D is added to milk and other foods like breakfast cereals and margarine, contributing to our daily intake.
As indicated by the study of submarine personnel noted above, by far the best source of vitamin D is sunlight. However, current recommendations which stress sun avoidance and the use of sunblock may have the unintended effect of increasing the prevalence of vitamin D deficiency. Severe vitamin D deficiency was common in England in the 1800s due to coal smoke obscuring the sun. During that time, cod liver oil, which is high in vitamin D, became popular as a supplement for children to help prevent rickets. (Rickets is a disease caused by vitamin D deficiency in which developing bones soften and curve because they aren't receiving enough calcium.)
Vitamin D deficiency is known to occur today in the elderly (who often receive less sun exposure) as well as in people who live in northern latitudes and don't drink vitamin D-enriched milk. 5,7 The consequences of this deficiency may be increased risk of hypertension , osteoporosis , and several forms of cancer . 8
Additionally, phenytoin (Dilantin) , primidone (Mysoline) , and phenobarbital for seizures; corticosteroids ; cimetidine (Tagamet) for ulcers; the blood-thinning drug heparin ; and the antituberculosis drugs isoniazid (INH) and rifampin may interfere with vitamin D absorption or activity. 9-27
Therapeutic Dosages
For therapeutic purposes, vitamin D is taken at the nutritional doses described in Requirements/Sources (and sometimes in even higher amounts). If you wish to exceed nutritional levels of vitamin D intake, physician supervision is recommended (see Safety Issues ).
Therapeutic Uses
Without question, if you are concerned about osteoporosis , you should take calcium and vitamin D. The combination appears to help prevent bone loss. 28,29 This is true even if you are taking other treatments for osteoporosis. After all, you can't build bone without calcium, and you can't properly absorb and utilize calcium without adequate intake of vitamin D.
Vitamin D may also help prevent the falls that lead to osteoporotic fractures. In a review of 26 randomized trials, researchers found that vitamin D along with calcium lowered the risk of falls in high-risk elderly people. 111
Some evidence suggests that getting adequate vitamin D may help prevent cancer of the breast, colon, pancreas, prostate, and skin, but the research on this question has yielded mixed results. 30-49,90,105 One study suggests that combined use of calcium plus vitamin D, but not either supplement separately, can help reduce risk of colon cancer. 84 However, an extremely large study involving over 36,000 post-menopausal women found that supplementing the diet with 1,000 mg of calcium plus 400 IU of vitamin D daily did not lower the risk of breast cancer over a period of 7 years. 106 Based on the results of this placebo-controlled study, there does not appear to be a connection between vitamin D and breast cancer risk.
Weak evidence hints that adequate vitamin D intake might reduce the risk of hypertension50-53,98 and diabetes . 74-76 A very large randomized, placebo-controlled trial of over 36,000 postmenopausal women found daily supplementation with 1,000 mg of calcium plus 400 IU of vitamin D did not reduce or prevent hypertension during 7 years of follow-up. These results are possibly limited by non-study calcium use. 107
A review of 4 randomized trials with 242 patients found vitamin D supplements decreased fasting glucose levels in patients with prediabetes and type 2 diabetes. Vitamin D was also associated with improved sensitivity to insulin in 6 trials with 316 patients. However, there were no significant differences in long-term glucose control in 4 trials with 184 patients or progression to diabetes in 2 trials. 112
One preliminary study suggests that supplementation with vitamin D and calcium may be helpful for women with polycystic ovary syndrome. 54
A meta-analysis (formal statistical review) of published studies found some evidence that use of vitamin D at recommended levels may reduce overall mortality. 102 This article suggested, but did not attempt to establish, just how vitamin D might accomplish this. Similarly, an extensive 2011 review of 50 randomized trials (including 94,148 people) found that vitamin D 3 (but not other forms of the vitamin) reduced the risk of mortality among elderly women at risk for vitamin D deficiency. 109
Vitamin D is sometimes mentioned as a treatment for psoriasis . However, this recommendation is based on Danish studies using calcipotriol, a variation of vitamin D 3 that is used externally (applied to the skin). 55 Calcipotriol does not affect your body's absorption of calcium, so it is a very different substance from the vitamin D you can purchase at a store.
It has been suggested that since vitamin D levels in the body drop in the wintertime, vitamin D supplements might be helpful for seasonal affective disorder ("winter blues"). A small double-blind, placebo-controlled trial conducted during winter on 44 people found that vitamin D supplements produced improvements in various measures of mood. 79 However, a double-blind, placebo-controlled study of 2,217 women over 70 failed to find benefit. 91 It has been hypothesized that light therapy (used successfully for SAD) works by raising vitamin D levels, but there is some evidence that this is not the case. 92
A randomized, placebo-controlled trial involving 164 men (aged 18-28) found that taking vitamin D 3 (400 units daily for 6 months) may prevent respiratory infections . 110 But, there was no evidence that the vitamin decreased sick days or severity of cold symptoms. Similar results were found in a trial of 322 healthy adults who took vitamin D3 for 18 months. There were no differences in the amount of colds or their severity.116
Vitamin D supplements also do not appear to help enhance growth in healthy children. 80
What Is the Scientific Evidence for Vitamin D?
Individuals with severe osteoporosis often have low levels of vitamin D. 56,58 Supplementing with vitamin D alone is probably no more than minimally helpful, at best, 59,60,81,99,100 but the combination of calcium and vitamin D is probably more effective. (See the Calcium article for more information.)
Supplementation with vitamin D plus calcium may aid healing after a fracture has occurred. 88
Interestingly, vitamin D may offer another benefit for osteoporosis in seniors: most (though not all) studies have found that vitamin D supplementation improves balance in seniors (especially female seniors) and reduces risk of falling. 77,78,82,83,85-87,93-97,99,103,104 However, this was not the case in a randomized trial of 409 women who lived at home with a history of one or more falls in the past year. Vitamin D without exercise was not associated with a reduced risk of falls when compared to placebo combined with exercise. In this case, strength and balance exercises were the only interventions that improved physical functioning. 115
In two reviews of 13 randomized trials with 4,394 patients, vitamin D 3 supplements (oral or intramuscular injection) were not effective in reducing depressive symptoms when compared to placebo. However, some benefit was found in an analysis of 2 trials with patients who had more severe, clinically significant depression . 113,114
Safety Issues
When taken at recommended dosages, vitamin D appears to be safe. However, when used at considerable excess, vitamin D can build up in the body and cause toxic symptoms. At an intake level of about 40,000 IU daily (about 100 times the recommended daily intake) vitamin D can cause dangerous elevations in blood calcium levels. 101 Doses five times higher than this were consumed by a few individuals due to a manufacturing error; the resulting toxicity was severe and may have caused death in one individual. 101
However, short of these vastly excessive dosages, it is not clear at what level vitamin D becomes toxic. The safe upper limits for vitamin D daily intake are as follows: 108
- Infants 0-6 months: 1,000 IU
- Infants 6-12 months: 1,500 IU
- 1-3 years old: 2,500 IU
- 4-8 years old: 3,000 IU
- 9 years and older: 4,000 IU
- Pregnant or nursing women: 4,000 IU
Note, however, that some authorities believe these upper limits have been set a bit too low. 66,68 Their arguments closely parallel those discussed in the Requirements/Sources section regarding nutritional needs.
There is no disagreement that people with sarcoidosis or hyperparathyroidism should never take vitamin D without first consulting a physician.
Taking vitamin D and calcium supplements might interfere with some of the effects of drugs in the calcium-channel blocker family. 69 It is very important that you consult your physician before trying this combination.
The combination of calcium, vitamin D, and thiazide diuretics could potentially lead to excessive calcium levels in the body. 70,72 If you are taking thiazide diuretics, you should consult with a physician about the right doses of vitamin D and calcium for you.
Interactions You Should Know About
- You may need extra vitamin D if you are taking certain drugs, such as:
- Phenobarbital
- Primidone (Mysoline)
- Valproic acid (Depakene)
- Phenytoin (Dilantin)
- Corticosteroids
- Cimetidine (Tagamet)
- Heparin
- Isoniazid (INH)
- Rifampin
- If you are taking calcium-channel blockers , do not take high-dose vitamin D (with calcium) except under physician supervision.
- If you are taking thiazide diuretics , do not take calcium and vitamin D supplements unless under a doctor's supervision.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 04/24/2017 -


text:
Dialog for This Comic
Jack knocks on the door: BAM BAM BAM
The Autumnside Blog
Protected: Welcome!
Thu, 07 Aug 2014 03:16:55 +0000
Click here to see and add comments.
Site Update
Sat, 03 May 2014 22:33:12 +0000
So this is Mark typing:
Some of you might be familiar with a little site called www.PurpleFuzzyMonster.com. It's where I've been working on some game designs, and Leanne and I have decided (for accounting simplicity's sake) to wrap PFM's products in with Saijiki Stories. In other words, Autumnside Productions is now the umbrella of a micro-scale entertainment group, so there are going to be some changes to the sites to reflect that. The immediate changes will be here at Autumnside.com, so no worries for those of you with links to Saijiki Stories.
Purple Fuzzy Monster's first game is Starships, a space combat miniatures game. After we make it available through all sorts of on-line stores, we should have learned enough with it that the Saijiki Stories will be made available through those same outlets.
Click here to see and add comments.
Still not dead yet
Mon, 08 Apr 2013 22:52:21 +0000
There are reasons why Summerside is taking forever. At this point, the question is to the tune of … "well, of course X is going to do Y, X would be a fool not to, what with having the means, motive, and opportunity for grand success at it. How does our heroine escape that particular peril?"
I will actually script Summerside and get it up and posted one of these days. I swear. It's just a lot more complicated than it looks on the outside.
Click here to see and add comments.
[Leanne] Quick update
Mon, 16 Apr 2012 21:14:51 +0000
Still working on video game content, but I'm pleased to report that scripting has started for Summerside, if only in fits and starts. I have one of the missing pieces that I needed for it to make sense. (:
Click here to see and add comments.
Happy Thanksgiving!
Thu, 24 Nov 2011 15:19:29 +0000
Hi everyone! Happy Thanksgiving, if you're in the US, and if you're elsewhere, have a terrific day! (:
I have a guest strip up in the blog over at Little Vampires! Drop by and check it out, and check out Becky's great comic while you're there. (;
Hope you've enjoyed Springside! There'll be full details on Tuesday, but I'll be taking a short break for a while. This doesn't mean no comics (there will be comics!) but it will be a bit before Summerside starts. Take it easy, and have great holidays!


text:
This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about liver (hepatocellular) cancer prevention. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal guidelines or recommendations for making health care decisions.
This summary is reviewed regularly and updated as necessary by the PDQ Screening and Prevention Editorial Board, which is editorially independent of the National Cancer Institute (NCI). The summary reflects an independent review of the literature and does not represent a policy statement of NCI or the National Institutes of Health (NIH).
Board members review recently published articles each month to determine whether an article should:
be discussed at a meeting,
be cited with text, or
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Changes to the summaries are made through a consensus process in which Board members evaluate the strength of the evidence in the published articles and determine how the article should be included in the summary.
Any comments or questions about the summary content should be submitted to Cancer.gov through the Web site's Contact Form. Do not contact the individual Board Members with questions or comments about the summaries. Board members will not respond to individual inquiries.
Some of the reference citations in this summary are accompanied by a level-of-evidence designation. These designations are intended to help readers assess the strength of the evidence supporting the use of specific interventions or approaches. The PDQ Screening and Prevention Editorial Board uses a formal evidence ranking system in developing its level-of-evidence designations.
PDQ is a registered trademark. Although the content of PDQ documents can be used freely as text, it cannot be identified as an NCI PDQ cancer information summary unless it is presented in its entirety and is regularly updated. However, an author would be permitted to write a sentence such as "NCI's PDQ cancer information summary about breast cancer prevention states the risks succinctly: [include excerpt from the summary]."
The preferred citation for this PDQ summary is:
National Cancer Institute: PDQ® Liver (Hepatocellular) Cancer Prevention. Bethesda, MD: National Cancer Institute. Date last modified <MM/DD/YYYY>. Available at: http://cancer.gov/cancertopics/pdq/prevention/hepatocellular/HealthProfessional. Accessed <MM/DD/YYYY>.
Images in this summary are used with permission of the author(s), artist, and/or publisher for use within the PDQ summaries only. Permission to use images outside the context of PDQ information must be obtained from the owner(s) and cannot be granted by the National Cancer Institute. Information about using the illustrations in this summary, along with many other cancer-related images, is available in Visuals Online, a collection of over 2,000 scientific images.
The information in these summaries should not be used as a basis for insurance reimbursement determinations. More information on insurance coverage is available on Cancer.gov on the Coping with Cancer: Financial, Insurance, and Legal Information page.
More information about contacting us or receiving help with the Cancer.gov Web site can be found on our Contact Us for Help page. Questions can also be submitted to Cancer.gov through the Web site's Contact Form.


text:
The Afghan War Diary (AWD for short) consists of messages from several important US military communications systems. The messaging systems have changed over time; as such reporting standards and message format have changed as well. This reading guide tries to provide some helpful hints on interpretation and understanding of the messages contained in the AWD.
Most of the messages follow a pre-set structure that is designed to make automated processing of the contents easier. It is best to think of the messages in the terms of an overall collective logbook of the Afghan war. The AWD contains the relevant events, occurrences and intelligence experiences of the military, shared among many recipients. The basic idea is that all the messages taken together should provide a full picture of a days important events, intelligence, warnings, and other statistics. Each unit, outpost, convoy, or other military action generates report about relevant daily events. The range of topics is rather wide: Improvised Explosives Devices encountered, offensive operations, taking enemy fire, engagement with possible hostile forces, talking with village elders, numbers of wounded, dead, and detained, kidnappings, broader intelligence information and explicit threat warnings from intercepted radio communications, local informers or the afghan police. It also includes day to day complaints about lack of equipment and supplies.
The description of events in the messages is often rather short and terse. To grasp the reporting style, it is helpful to understand the conditions under which the messages are composed and sent. Often they come from field units who have been under fire or under other stressful conditions all day and see the report-writing as nasty paperwork, that needs to be completed with little apparent benefit to expect. So the reporting is kept to the necessary minimum, with as little type-work as possible. The field units also need to expect questions from higher up or disciplinary measures for events recorded in the messages, so they will tend to gloss over violations of rules of engagement and other problematic behavior; the reports are often detailed when discussing actions or interactions by enemy forces. Once it is in the AWD messages, it is officially part of the record - it is subject to analysis and scrutiny. The truthfulness and completeness especially of descriptions of events must always be carefully considered. Circumstances that completely change the meaning of an reported event may have been omitted.
The reports need to answer the critical questions: Who, When, Where, What, With whom, by what Means and Why. The AWD messages are not addressed to individuals but to groups of recipients that are fulfilling certain functions, such as duty officers in a certain region. The systems where the messages originate perform distribution based on criteria like region, classification level and other information. The goal of distribution is to provide those with access and the need to know, all of the information that relevant to their duties. In practice, this seems to be working imperfectly. The messages contain geo-location information in the forms of latitude-longitude, military grid coordinates and region.
The messages contain a large number of abbreviations that are essential to understanding its contents. When browsing through the messages, underlined abbreviations pop up an little explanation, when the mouse is hovering over it. The meanings and use of some shorthands have changed over time, others are sometimes ambiguous or have several meanings that are used depending on context, region or reporting unit. If you discover the meaning of a so far unresolved acronym or abbreviations, or if you have corrections, please submit them to firstname.lastname@example.com.
An especially helpful reference to names of military units and task-forces and their respective responsibilities can be found at http://www.globalsecurity.org/military/ops/enduring-freedom.htm
The site also contains a list of bases, airfields http://www.globalsecurity.org/military/facility/afghanistan.htm Location names are also often shortened to three-character acronyms.
Messages may contain date and time information. Dates are mostly presented in either US numeric form (Year-Month-Day, e.g. 2009-09-04) or various Euro-style shorthands (Day-Month-Year, e.g. 2 Jan 04 or 02-Jan-04 or 2jan04 etc.).
Times are frequently noted with a time-zone identifier behind the time, e.g. "09:32Z". Most common are Z (Zulu Time, aka. UTC time zone), D (Delta Time, aka. UTC + 4 hours) and B (Bravo Time, aka UTC + 2 hours). A full list off time zones can be found here: http://www.timeanddate.com/library/abbreviations/timezones/military/
Other times are noted without any time zone identifier at all. The Afghanistan time zone is AFT (UTC + 4:30), which may complicate things further if you are looking up messages based on local time.
Finding messages relating to known events may be complicated by date and time zone shifting; if the event is in the night or early morning, it may cause a report to appear to be be misfiled. It is advisable to always look through messages before and on the proceeding day for any event.
David Leigh, the Guardian's investigations editor, explains the online tools they have created to help you understand the secret US military files on the war in Afghanistan: http://www.guardian.co.uk/world/datablog/video/2010/jul/25/afghanistan-war-logs-video-tutorial
|Reference ID
|2008-01-01 06:06
|Criminal Event
|Host nation
|Killed in action
|Wounded in action
At 0614Z TF 3Fury reported FF were responding to a report of 2 burning Jingle Trucks when they discovered 2 possible IEDs and 1x 107mm rocket. Unit was enroute with EOD to a prior UXO discovery in the area and was redirected to the 3Fury IED site. EOD will be escorted back to FOB Wilderness to pick up their robot and return to conduct further exploitation. At 0808Z TF 3Fury reported EOD has completed its search of the reported IED sites and have not found any IEDs or indications of IEDs. NFTR, event closed.
Report key: C503A8EF-264C-42EF-89CF-0B9D8805794B
Tracking number: 2008-001-181241-0968
Attack on: ENEMY
Complex atack: FALSE
Reporting unit: TF PALADIN
Unit name: TF 3 Fury
Type of unit: CF
Originator group: UNKNOWN
Updated by group: J3 ORSA
DColor: RED


text:
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Growth hormone (GH) testing measures the level of human growth hormone in the blood. GH is a hormone made in the pituitary gland in the brain. Your doctor may order one of the following tests if you have symptoms that suggest a GH abnormality:
- Suppression test—measures the amount of GH that is produced when the pituitary gland is told not to produce any GH
- Stimulation test—measures the amount of GH that is produced by the pituitary gland when it is told to secrete GH
There are many factors that can interfere with GH testing. Stress, exercise, certain medications, and blood glucose levels can all cause GH levels to rise and fall. For this reason, GH tests are often done with other hormones, like insulin-like growth factor-1 ( IGF-1).
Reasons for Test
Suppression tests are ordered:
- For children who show symptoms of gigantism
- For adults who show signs of acromegaly , a condition marked by adult-onset abnormally large bone growth
- To check for abnormalities in the function of the pituitary gland
- If a tumor in the pituitary gland is suspected—This is done with another test called IGF-1 that does not vary so much over time.
- To monitor the effectiveness of GH replacement (commonly done with IGF-1 test)
GH stimulation tests are ordered:
- For children who are significantly short for their age
- When thyroid testing rules out a problem with the thyroid but growth is slower than expected
- To check for abnormalities in the function of the pituitary gland
- For children who have had radiation therapy
- For children whose bones are not developing normally
- For adults with symptoms of muscle weakness, lack of energy, thin skin, weak bones, and other symptoms that when taken together, suggest a lack of GH
- For adults with pituitary disorders that increase the risk of growth hormone deficiency
What to Expect
Prior to Test
To prepare for the procedure:
- Fast for 10-12 hours before the test.
- Reduce physical activity for 10-12 hours before the test.
- If instructed by your doctor, stop taking regularly prescribed medication before the test.
- Ninety minutes before the test, rest and relax. Avoid physical activity.
Description of Test
The injection site will be cleaned. An elastic tie will be placed around the upper arm. A needle will be inserted into the vein. The blood will be collected in a vial. Once the vials are full, the needle will be removed from the skin. Pressure will be put on the puncture site.
A blood sample will be taken between 6 am and 8 am. You will be asked to drink a water and glucose (sugar) solution. The glucose should make the GH level in the blood lower. Two more blood samples are taken within 1-2 hours after you have consumed the solution. In each blood sample, the GH level will be measured. IGF-1 levels may also be measured since they do not vary so much.
Blood samples will be drawn 5 times at different intervals. A first sample for blood glucose, cortisol, and growth hormone will be taken between 6 am and 8 am. Then, insulin will be given through the IV. The insulin should make the blood glucose level go down, which should make the GH level go up. Blood samples will be collected at 30, 60, 90, and 120 minutes for glucose, cortisol, and growth hormone.
If the blood sugar has not dropped to a certain level after 45 minutes, a repeat dose of insulin will be given. The blood sample will be collected 75 minutes and 150 minutes later. If the blood sugar levels fall too low, a high dose of sugar will be given by IV, followed by a sugar infusion.
An insulin tolerance test may not be available in all areas.
The blood sample will be drawn 5 times at different intervals. The first sample will be taken between 6 am and 8 am. Arginine or GH-releasing peptide will be given through the IV for 30 minutes. Once the arginine or GH-releasing peptide has been administered, GH-releasing hormone will be given by IV. This should stimulate the pituitary to release GH. The last four blood samples will be drawn every 30 minutes following both infusions.
Note : GHRH is not currently available commercially in the US.
After Test
You will be able to leave after the test is done.
How Long Will It Take?
The procedure often takes at least 3 hours.
Will It Hurt?
There may be some minor discomfort when the needle is inserted in the skin and during the infusions. A doctor will supervise the insulin tolerance, as insulin can cause a very low blood sugar level in the blood.
Your doctor will discuss the results of the test. You may need further testing or treatment.
Call Your Doctor
After the test, call your doctor for:
- Symptoms of infection, including fever and chills
- Severe redness, pain, or drainage from the puncture site
If you think you have an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Marcie L. Sidman, MD
- Review Date: 11/2018 -
- Update Date: 12/15/2017 -


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Preterm labor, or premature labor, is labor that occurs between the 20th and 37th week of pregnancy. A full-term pregnancy lasts 38-42 weeks. True labor includes both uterine contractions and cervical changes. Preterm labor can lead to preterm delivery. Babies who are born before 37 weeks are premature.
Preterm labor does not always lead to preterm delivery. Preterm labor can sometimes be stopped with a combination of medications and rest. If preterm labor cannot be stopped, your doctor will try to delay delivery. During this delay, you may be given corticosteroids to speed up the baby's lung development. You may also be brought to a hospital with a neonatal intensive care unit (NICU).
Preterm birth is the number one cause of infants having serious health problems and death. About 11% to 12% of births in the US are premature—this translates to 1 in 8 births. Preterm babies have less time to develop in the uterus. As a result, they are at higher risk of medical problems. They are also at greater risk for death than babies born full term. The earlier a baby is born, the greater the risks. Babies born before 28 weeks are at greatest risk for health and developmental issues. These issues include:
- Low birth weight
- Difficulty breathing
- Cerebral palsy
- A build up of fluid in the brain—Hydrocephalus
- Seizures
- Neurologic problems
- Developmental delays
- Bleeding in the brain
- Vision problems
- Intestinal problems
- Sudden infant death syndrome (SIDS)
- Learning disabilities
Babies born between 28 and 32 weeks are at lower risk for complications, compared to those born prior to 28 weeks. Those born between 32 and 35 weeks usually have only short-term medical problems. The outlook for all preterm infants continues to improve with medical advances.
Often, the cause of preterm labor is not clear. However, several factors have been identified that increase the risk. It is essential for all pregnant women to know the signs of preterm labor. The quicker you are able to respond to these signs, the better chance that your doctor can delay or prevent preterm delivery.What are the risk factors for preterm labor and delivery?What are the symptoms of preterm labor?How is preterm labor diagnosed?What are the treatments for preterm labor?Are there screening tests for preterm labor?How can I reduce my risk of preterm labor and delivery?What questions should I ask my doctor?Where can I get more information about preterm labor and delivery?
Revision Information
- Reviewer: EBSCO Medical Review Board Beverly Siegal, MD, FACOG
- Review Date: 03/2018 -
- Update Date: 03/15/2015 -


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LPL Financial (LPLA) said early Thursday that New York Life Retirement Plan Services will allow some investors to get one-on-one financial advice from LPL reps using the broker-dealer's Worksite Financial Solutions platform early next year.
"The addition of New York Life to the growing roster of retirement plan recordkeepers who can administratively support our Worksite Financial Solutions platform is a significant win for LPL Financial, our advisors and retirement plan participants," said Bill Chetney, executive vice president of LPL Financial Retirement Partners, in a press release.
In August, LPL struck a similar deal with industry giant Vanguard and Ascensus. The partnerships should give LPL advisors the chance to provide services to more than 1,000 plans with more than $2.1 billion in retirement assets.
"We are pleased our robust and flexible record-keeping platform enables us to facilitate solutions such as Worksite Financial between our plan sponsors and LPL advisors," said Patrick Murphy, managing director of distribution for New York Life Retirement Plans Services, in a statement. "The need for comprehensive financial advice, beyond the 401(k), is vitally important to drive better outcomes for our participants."
LPL advisors, of course, are glad to hear about the latest arrangement.
"We are very excited that New York Life can support Worksite Financial Solutions," said rep Barbara Delaney, principal of StoneStreet Equity in New York and a retirement plan focused financial advisor registered with LPL who works with some $2.5 billion in client assets, in a statement. "This will enable us to offer the Worksite Financial Solutions platform to my New York Life plan sponsors, including a number of our existing $100-million-plus plans.
"The interest level is higher than we anticipated, and we expect the response will be similar for our other plan clients, since sponsors love the concept," Delaney added.
New York Life Retirement Plan Services, part of New York Life Insurance, administers some $47.2 billion in retirement plans.
LPL supports roughly 13,400 financial advisors and 700 financial institutions, as well as more than 4,600 advisors licensed with insurance companies. It added tools from Morningstar Associates, Financial Finesse and Wealth Management Systems to its Worksite Financial platform in June, after launching it in March.
Check out Ex-Ameriprise Rep Opens TrestleBridge, Affiliates With LPL on ThinkAdvisor.


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After hints over the weekend that a final agreement was near, the two factions of the warring Demoulas family still had not reached an accord Monday in the sale of the Market Basket chain, as the weeks-long battle continued to take its toll on workers, local managers said.
On Friday, Massachusetts Gov. Deval Patrick and New Hampshire Gov. Maggie Hassan said they were confident that a deal to sell the�chain to ousted CEO Arthur T. Demoulas was near and might be completed as early as Sunday night.
Arthur T. Demoulas has reportedly made a $1.5 billion offer to buy out the part of the company controlled by his rival cousin, Arthur S. Demoulas, and his allies on the board.
The board was scheduled to meet Sunday but the meeting was called off due to disagreements over some terms of the sale.
As Monday morning came and went without any news about a deal, local managers said that the extended stalemate has taken its toll, especially on part-time workers, who are no longer getting any hours.
"It�s sickening that they are going to let this prolong and not just finalize a deal," said Dan Senee, assistant meat manager at the Ashland Market Basket. "We didn�t think it was going to take this long."
Senee, firmly in the camp of ousted CEO Arthur T. Demoulas, placed the blame squarely on Arthur S. Demoulas.
Senee said that managers at the Ashland store had been calling part-time workers asking them to be ready to return in anticipation of the deal being finalized, had to call them back when an agreement didn�t materialize.
Senee said the store would normally be gearing up for a busy shopping week ahead of the long weekend and the even busier holiday shopping season a couple months down the road, but is left without regular deliveries as drivers and warehouse workers have failed to fill store orders.
In Hudson, Assistant Store Director Jeff Lareau said the store has been preparing for a deal and the logistics of getting part-time employees back in the stores quickly if an agreement is finalized.
Lareau said the extended impasse has been tough on workers, but said they stand resolute with Arthur T. Demoulas.
"Going into week 6, none of us ever felt it was going to extend this long," Lareau said.
"If it�s another week we have to wait it out, it�s another week we have to wait it out," he said. "We�re prepared to stick it out as long as we have to."
Material from the Associated Press was used in this report. Kendall Hatch can be reached at 508-490-7453 or email@example.com. Follow him on Twitter @Kendall_HatchMW.
Still no accord in Market Basket feud
After hints over the weekend that a final agreement was near, the two factions of the warring Demoulas family still had not reached an accord Monday in the sale of the Market Basket chain, as the weeks-long battle continued to take its toll on workers, local managers said.


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Other Proposed Uses
- Colds and Flus (internal use)
- Stopping Bleeding from Nosebleeds or Minor Wounds (topical use)
According to legend, the Greek general Achilles used yarrow to stop the bleeding of his soldiers' wounds during the Trojan War: hence the scientific name Achillea and the common names "soldier's wound-wort," "bloodwort," and " herbe militaire "
Yarrow has also been used traditionally as treatment for respiratory infections, menstrual pain, and digestive upsets.
What Is Yarrow Used for Today?
Like osha, yarrow tea is commonly taken at the first sign of a cold or flu to bring on sweating and, according to tradition, ward off infection. Crushed yarrow leaves and flower tops are also applied directly as first aid to stop nosebleeds and bleeding from minor wounds . However, there has not been any formal scientific study of how well yarrow works.
To make yarrow tea, steep 1 to 2 teaspoons of dried herb per cup of water. Combination products should be taken according to label instructions.
Safety Issues
No clear toxicity has been associated with yarrow. 1 The FDA has expressed concern about a toxic constituent of yarrow known as thujone and permits only thujone-free yarrow extracts for use in beverages. Nonetheless, the common spice sage contains more thujone than yarrow, and the FDA lists sage as generally recognized as safe.
Safety in young children, pregnant or nursing women, or those 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 -


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Other Proposed Natural Treatments
Burns can be caused by heat, electricity, chemicals, and sun exposure. They vary in severity from causing minor pain to being life-threatening. First-degree burns are the mildest type, only damaging the top layer of skin. The skin gets red, painful, and tender. Though the skin may swell, no blisters form and the area turns white when touched.
Second-degree burns cause damage to deeper layers of the skin. The skin looks much like a first-degree, burn except that blisters form at the surface. The blisters may be red or whitish and are filled with a clear fluid. Third-degree burns are the worst type of burn, extending through all layers of the skin and causing nerve damage. Because of this nerve damage, third-degree burns generally aren't painful and have no feeling when touched—an ominous sign. The skin may be white, blackened, or bright red. Blisters may also be present.
Only first-degree burns should be self-treated. More severe burns require a doctor's supervision to prevent infection and scarring. Third-degree burns and extensive second-degree burns can cause permanent injury or death.
The best treatment for minor burns is to cool the burn as quickly as possible by immersing the area in cold water. The burned area should be kept clean until it heals.
Proposed Natural Treatments
Although there are no well-established natural treatments for minor burns, several preliminary studies suggest a few options for reducing pain and speeding healing.
A series of studies found that a combination of raw honey and gauze was significantly better than conventional types of bandages for superficial burns treated at a hospital. 1-3 The burns covered with honey healed faster and with less frequent infection than the burns covered with other types of bandages. Other studies of varying quality have also found evidence of benefit. 26-28
Potato peel has also been used successfully in developing countries as a replacement for more expensive conventional bandages. 4
Highly preliminary studies suggest the herb Gotu kola may speed healing of burns and reduce scarring. 5
Aloe vera is often recommended as a treatment for minor burns; however, no evidence exists to support this claim, and some studies have actually found it ineffective. 6,7 Other popular topical burn treatments include calendula , chamomile , goldenseal , and comfrey.
Oral or topical vitamin C , vitamin E , and beta-carotene , alone or in combination, might be helpful for preventing sunburn . 8-21 However, the evidence at this time is preliminary and contradictory.
Finally, there is some evidence that hospitalized individuals with severe burns may benefit from nutritional support with certain supplements, including ornithine alpha-ketoglutarate (OKG) , arginine , zinc , copper , selenium , and dehydroepiandrosterone (DHEA) . 22-25
For a discussion of homeopathic approaches to burns, see the homeopathy database .
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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From my art to the product.Brighten up any environment with this ceramic tile that encapsulates the design of the artist. Printed on the tile using a heat dye sublimation technique, the image is protected from smudges and water.Dimnesions: 4.25" x 4.25" x 1/6".Dishwasher safe.
If you order more than 50 pcs items (can be combined), please click here to contact us for whole price quotation, please include the SKU# and the quantity you want for each of them. For order less than 50 pcs, please order directly from our website.


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Lung cancer is a disease in which cancer cells grow in the lungs. The most common type of lung cancer include:
- Non-small cell lung cancer—generally grows and spreads more slowly (most common)
- Small cell lung cancer—generally grows more quickly and is more likely to spread to other parts of the body
Lung cancer is the leading cause of cancer deaths in the US for both men and women.
Cancer occurs when cells in the body divide without control or order. Normally, cells divide in a regulated manner. If cells keep dividing uncontrollably when new cells are not needed, a mass of tissue forms, called a growth or tumor. The term cancer refers to malignant growths. These growths can invade nearby tissues. Cancer that has invaded nearby tissues can then spread to other parts of the body.
The following can cause damage to the cells in the lungs, leading to lung cancer:
- First- or second-hand smoke from cigarettes, cigars, or pipes
- Exposure to asbestos (a type of mineral) or radon (radioactive gas)
Risk Factors
Factors that may increase your chances of lung cancer:
- Smoking
- Using chewing tobacco
- Exposure to second-hand smoke
- Exposure to to asbestos or radon
- Having a lung disease, such as tuberculosis
- Family or personal history of lung cancer
- Exposure to to certain air pollutants
- Exposure to to coal dust
- Radiation therapy that was used to treat other cancers
- HIV infection
Symptoms may include:
- A cough that does not go away and worsens over time
- Constant chest pain
- Coughing up blood
- Shortness of breath, wheezing, or hoarseness
- Repeated problems with pneumonia or bronchitis
- Swelling of the neck and face
- Loss of appetite or weight loss
- Fatigue
The doctor will ask about your symptoms and medical history. A physical exam will be done. The doctor will also ask about:
- Smoking history
- Substances that you have been exposed to
- Family history of cancer
Tests may include:
- Sputum cytology—a test that examines of a sample of mucus from the lungs
- Biopsy —removal of a sample of lung tissue to be examined under a microscope
Imaging tests evaluate the lungs and other structures. These may include:
- Chest x-ray
- Spiral CT
- PET scan
- PET/CT scan
- Bone scan
The physical exam combined with all of your test results, will help to determine the stage of cancer you have. Staging is used to guide your treatment plan. Like other cancers, lung cancer is staged from I-IV. Stage I is a very localized cancer, while stage IV indicates a spread to other parts of the body.
The goal of treatment is to eliminate the cancer and/or control the symptoms.
Surgery involves removing the tumor and nearby tissue. Lymph nodes may also need to be removed. The type of surgery depends on the location of the tumor such as:
- Segmental or wedge resection—removal of only a small part of the lung
- Lobectomy —removal of an entire lobe of the lung
- Pneumonectomy—removal of an entire lung
Radiation Therapy
Radiation therapy is the use of radiation to kill cancer cells and shrink tumors. This may also be used to relieve symptoms such as shortness of breath. External radiation is usually used to treat lung cancer. With this treatment, radiation is directed at the tumor from a source outside of the body.
Chemotherapy is the use of drugs to kill cancer cells. This may be given in many forms, including pill, injection, and via a catheter. Chemotherapy is often used to kill lung cancer cells that have spread to other parts of the body.
Newer Treatments
Researchers continue to study ways to treat lung cancer. The National Cancer Institute considers these potential therapies:
- Photodynamic therapy (PDT)—A type of laser therapy. A chemical is injected into the bloodstream. It is then absorbed by the cells of the body. The chemical rapidly leaves normal cells. It will remain in cancer cells for a longer time. A laser aimed at the cancer activates the chemical. This chemical then kills the cancer cells that have absorbed it. This treatment may also be used to reduce symptoms.
- Cryosurgery—A treatment that freezes and destroys cancer tissue.
Other treatments that are being researched include:
- Targeted therapy—involves using medications or substances to target certain molecules in the cancer cells
- Immunotherapy—involves using medications or substances made by the body to increase or restore the body's natural defenses against cancer
To help reduce your chances of lung cancer:
- Do not start smoking. If you smoke, talk to your doctor about how to successfully quit .
- Avoid places where people are smoking.
- Test your home for radon gases and asbestos. Have these substances removed if they are in the home.
- Try to avoid or limit occupational exposures.
The American Lung Association and American Cancer Society both suggest that screening for lung cancer with a low-dose CT scan may be considered if you are a smoker (or former smoker), aged 55-74 years, and have a history of heavy smoking (such as one pack a day for 30 years).
Revision Information
- Reviewer: EBSCO Medical Review Board Mohei Abouzied, MD, FACP
- Review Date: 09/2018 -
- Update Date: 09/30/2013 -


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What Is Pneumococcal Disease?
Pneumococcal disease is an infection caused by bacteria. It can lead to:
- Pneumonia
- Bacteremia—infection of the blood
- Bacterial meningitis
It is spread by person-to-person contact.
What Is the Pneumococcal Vaccine?
There are 2 types of pneumococcal vaccines:
- Pneumococcal conjugate vaccine (PCV)—Recommended for all children younger than 5 years old, all adults aged 65 years and older, and those aged 6 years and older with certain risk factors or diseases. The PCV13 vaccine protects against 13 types of pneumococcal bacteria.
- Pneumococcal polysaccharide vaccine (PPSV)—Recommended for certain children and adults, and all adults 65 years old and older. People aged 2-64 years with certain risk factors or diseases should also be given this vaccine. The PCV23 vaccine protects against 23 types of pneumococcal bacteria.
Adults 65 years old and older may receive PCV followed by PPSV. Ask your doctor if you should receive both vaccines.
The vaccines are made from inactivated bacteria. They are given by injection under the skin or into the muscle. The goal of getting a vaccine is that later, when you are exposed to the bacteria, you will not get sick from it.
Who Should Get Vaccinated and When?
The PCV is routinely given in 4 doses at 2, 4, 6, and 12-15 months. It can also be given to children with high-risk conditions. It is also recommended for all adults aged 65 years and older.
If your child has not been vaccinated or missed a dose, talk to their doctor. Depending on your child's age, additional doses may be needed. Also, an additional dose may be needed if your child has a condition that increases the risk of severe disease.
The PPSV is given to adults aged 65 years and older.
PPSV is also given to anyone aged 2-64 years who have certain conditions, such as:
- Heart or lung disease
- Sickle cell anemia
- Diabetes
- Alcohol use disorder
- Cirrhosis
- Cerebrospinal fluid leaks
- Cochlear implants
- Hodgkin's disease
- Lymphoma or leukemia
- Kidney failure
- Multiple myeloma
- Nephrotic syndrome
- HIV or AIDS or other disease the creates a weak immune system
- Damaged spleen or no spleen
- An organ transplant
PPSV is also given to anyone aged 2-64 years who is taking a drug or treatment that lowers the body's ability to resist infection, such as:
- Long-term steroids
- Certain cancer drugs
- Radiation therapy
The vaccine should be given at least 2 weeks before cancer treatment begins.
PPSV should also be given to any adult aged 19-64 years old who:
- Is a smoker
- Has asthma
In some cases, a second dose of PPSV may be needed. For example, a second dose is recommended for people 65 and older who got their first dose before they turned 65 and it has been more than 5 years since that dose. A second dose is also recommended for people 2 through 64 who have:
- A damaged spleen or no spleen
- Sickle cell disease
- HIV infection or AIDS
- Cancer, leukemia, lymphoma, or multiple myeloma
- Nephrotic syndrome
- An organ or bone marrow transplant
- Been taking medication that lowers immunity, such as chemotherapy or long-term steroids
When a second dose is given, it should be 5 years after the first dose.
What Are the Risks Associated With the Pneumococcal Vaccine?
Generally, all vaccines have a small risk of serious problems. Side effects of PCV include:
- Redness, tenderness, or swelling at the injection site
- Fever
- Drowsiness
- Loss of appetite
- Irritability
Acetaminophen is sometimes given to reduce pain and fever that may occur after getting a vaccine. Giving the medication at the time of the shot may weaken the vaccine's effectiveness. Discuss the risks and benefits of taking acetaminophen with the doctor.
Half of the people who get the vaccine have mild side effects. However, developing the disease is much more likely to cause serious problems than getting the vaccine. Side effects may include:
- Redness or pain at the injection site
- Fever
- Muscle aches
- Severe allergic reactions—rare
Who Should Not Get Vaccinated?
Children who should not receive the vaccine are those who:
- Have had a life-threatening allergic reaction to a previous dose of PCV
- Have had a severe allergy to one of the vaccine's parts
- Are very ill
You should not receive the PPSV if you:
- Had a life-threatening allergic reaction to a previous dose of PPSV
- Had a severe allergy to one of the vaccine's components
- Are very ill
What Other Ways Can Pneumococcal Disease Be Prevented Besides Vaccination?
You can prevent pneumococcal disease if you:
- Avoid close contact with people who have infections.
- Wash your hands regularly to reduce your risk of infection.
What Happens in the Event of an Outbreak?
In the event of an outbreak, all people who are eligible for a vaccine should receive it.
- Reviewer: EBSCO Medical Review Board David L. Horn, MD, FACP
- Review Date: 11/2018 -
- Update Date: 02/08/2017 -


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Their generosity is unbelievable and I am happy to say that MommyMaestra will be partnering with them over the few months to bring you some of their best educational materials for children. You can learn about these giveaways by following MommyMaestra's Facebook page.
The authors want to be sure that both a teacher AND a family each wins this valuable collection, so...
To enter, simply leave a comment below letting us know if you are a teacher or a parent. (Por favor, if you are a teacher, do not sign up as a parent, too.) A winner will be chosen from each group.
Disclosure: This giveaway is offered in collaboration with the authors. I have not been compensated in any way for offering this giveaway, and it results from my contacting them and asking for a contribution to our Music in Education series.


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Nearly a year ago, the Obama administration announced a deal that settled a long-running dispute which, over the years, has involved over a dozen states, the federal government, the Supreme Court, and the automobile industry. The deal would see a rapid rise in the CAFE standards, which set the average fuel efficiency of the US' automobile fleet. Today, the EPA announced the finalized version of the deal.
The new CAFE standards will cover the years from 2012 through 2016, and will shift the focus from one of gas mileage to one of carbon emissions: by 2016, the combined average emissions for cars and light trucks cannot exceed 250 grams of carbon dioxide a mile. That is the equivalent of 35.5mpg in today's terms. Automakers will have some flexibility in how they reach this; it appears that many will improve the efficiency of their vehicles' electrical systems.
Over the lifetime of the vehicles, the EPA estimates that the new rules will save nearly a metric Gigaton of CO2 emissions and 1.8 billion barrels of oil. On the consumer side, the changes are expected to increase the price of vehicles by roughly $1,000. However, the increased fuel savings will balance that in a few years, and consumers are expected to save several thousand dollars over the lifetime of the vehicles.
Although everyone involved with the new rules seems content with the results, rumblings are already starting due to the short time window laid out. 2016 isn't too far away in terms of automotive design, and California, which spearheaded the development of the new rules, has apparently already considered raising standards further when the current deal expires.


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You are :
TwelfthMan Fans meet Jimmy Anderson Jimmy Anderson met with TwelfthMan members at his home club, Burnley CC, ahead of the Emirates Old Trafford Investec Test
The infamous Bay 13 Gladstone Small remembers being pelted with food during 1986/7 tour in Australia
Broad and Finn discover inner artist Behind the scenes as pacemen draw each other for Cricket United
Nixon on the emotion of Test cricket Former international explains the feeling of representing your country
Prior thrilled with TwelfthMan award Unbeaten hundred in Auckland voted cricketing moment of the year by fans
TwelfthMan asks...Chris Wright "I'm cooler than Chris Gayle" - watch the video and decide if you agree!
TwelfthMan asks...Tim Bresnan Yorkshire pudding or Lancashire hotpot? Sheffield United or Leeds? You sent the questions, we asked Tim...
TwelfthMan asks...which celebs do you want in the side? Who did Root, Bairstow, Hales and Wright choose to represent England?
TwelfthMan asks...Steven Finn Watford or Mila Kunis? Mashed or roast potatoes? You sent in the questions, Finn answered.
Jimmy and Finny's #AskEngland Twitter chat You sent in the questions - Jimmy and Finny answered them...
TwelfthMan Asks - Festive Trio part three Final seasonal fans' questions special with Morgan, Anderson and Bresnan
TwelfthMan Asks - Festive Trio part two More fun with Eoin, Jimmy and Tim - starting with some Christmas memories
TwelfthMan Asks - Festive Trio part one Eoin Morgan, Jimmy Anderson and Tim Bresnan answer fans' questions for Christmas
In the nets with Gooch and Bell Ian Bell talks us through his mindset, preparation and his rise in the game
TwelfthMan Asks - favourite moment? Which moment in cricket history would England players like to have been part of?
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We also welcome
comments on the Town's web site and other issues!
Opt in to the County's Reverse Emergency Notification System!
An anonymous donor has funded the purchase of a Reverse Emergency Notification System for Grant County. Register your phones, cell phones and email addresses to receive alerts of evacuations, emergency events, road closures and other significant events. The link below will take you to Grant County's Reverse Emergency Notification System for the County. Learn more!
Silver City has updated its annual Parks and Activity Directory, a booklet with information for all ages about all kinds of activity opportunities available in Silver City. Learn more!
Learn more about wildfire dangers and how to create defensible spaces around your home, business and property. Learn more!
Trails of Grant County from peter bill on Vimeo.


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The listing information featured on this site is courtesy of MRIS and is from various brokers who participate in IDX. The properties which appear for sale on this web site may subsequently have sold or may no longer be available. The information is deemed reliable but is not guaranteed accurate and should be confirmed.
Updated:7th November, 2018 3:45 PM.


text: Copyright © 2020 Studio Azzurra An inspiring online fashion store for Women sterling silver (925) designer jewellery. Shop our beautiful collection of handmade earrings, necklaces, rings, bracelets and more that effortlessly combine the traditional with contemporary. Avail special discounts on select jewellery on sale. We provide free shipping in India.All our products are unique thus we are not in the business of daily deals and ongoing discount sales.


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5m x 3m Premier PLUS Corner Log Cabin + With Free Floor + Felt (Single Glazing) (28mm T+G) + FREE SAFETY GLASS
Construction Features
This log cabin should be erected on a firm level base, preferably, solid sheet concrete or concrete slabs.
Main Features
We would highly recommend your building is erected on a firm level base, such as a solid, level concreted area or concrete slabs. The pressure treated bearers which are included, add maximum strength to the base. The floor is included.
Installation Service
Delivery for your cabin would usually take place the day before the installation team are due to erect the building. In this case, it is likely that you may be required to store the log cabin for 24/48 hours before your scheduled installation date. We have an installation team with over 30 years of experience in constructing log cabins. It is vital that the base you wish for the cabin to be erected on is prepared before the team arrive to install your log cabin. Installation usually takes 1-2 days with the team arriving at 7am to get an early start! (Refreshments always appreciated).
Please note for this cabin the installation cost is for the construction of the log cabin and for the felt to be fitted to the cabin. IT DOES NOT INCLUDE the fitting of shingles which will be an additional charge if you wish the team to fit these. Please call for a quote (typically this cost will be in the region of £300 due to the length of time taken to lay the shingles)
Delivery is Free on all orders over £50 to UK MAINLAND*
All orders under £50 will attract a charge of £20.00
Fast Express UK Delivery Available. We offer a 24hr/48hr – SAT- SUN and Pick-A-Day Delivery on the majority of our Garden Buildings. We are also able to provide AM/PM slots to most postcodes.
Please use our live online booking calendar "Delivery Postcode Checker" which is available on the majority of our product pages – just by entering your postcode we can provide live delivery slots for your order. Just select the date and this will be added to your order.
Please use the delivery date checker tool on each page. Please enter your postcode to see available live delivery dates. We are also able to provide AM/PM delivery slots to most postcodes. Please select your option where available. You will be able to add additional delivery information at check-out. Live Delivery Slots not available for products with Installation.
Central England & Wales 1–10 Working days
South West 7–14 Working days
Scotland 7–14 Working days
Northern Ireland, Eire, Isle of Wight, Jersey & Guernsey 7–14 Working days
Please be advised delivery is kerb side delivery only. It is at the discretion of the driver if they are able to drop the garden building to a different location. If you have any special requirements or believe access to your address may be difficult for our delivery driver please contact us as soon as possible. A general rule of thumb is that if a refuge vehicle can gain access then generally our delivery lorry should be able to but if in doubt please get in touch with us.
Typical delivery is 1 – 20 working days but we do aim to deliver a bit quicker. Once you have placed your order you will be contact by our delivery team to confirm your delivery date. If you have not been contacted by our delivery team within 10 working days after you have placed your order please email us or call us and we will chase this for you.
Delivery is between the hours of 7am – 7pm Mon-Sun. It is possible to request a call an hour prior to delivery but this is subject to the driver having a mobile and cannot be a guaranteed service. Please note this is not possible for Metal sheds where the product is shipped with a courier.
If you are going to be out on the day of delivery, it is possible for the item to be left somewhere (for example down the side of a house) but at your own risk. To do this you must leave a signed note detailing your instructions in a clear location for the driver to see. It is important that you sign the instructions as this will be taken by the courier as proof of delivery.
Please note for sheds, summerhouses, playhouses, fencing and log cabins we will always contact you by phone or by email to confirm a delivery date – we will not just turn up unannounced – if you do not have a confirmed delivery date please email us or call us.
We are unable to specify a delivery time during the day of delivery. Our couriers and deliver team - deliver between the hours of 7am – 7pm. Routes are planned the night before delivery so on most products we will be able to give you a drop number on the day of delivery.
Please note your card is debited at checkout. This is to protect you the customer as we do not store your credit card details. We will contact you if a surcharge is applicable and at that point you can chose to accept the charge or cancel the order and we will make a full refund to your card. For our full terms please refer to our Shipping Terms
This will revert to a standard 28 working days delivery service
All products with installation will revert to our standard 21 working days delivery. You will be contacted to book in an install day. Product delivery and installation will take place on separate days.
** Please note we are unable to offer installation to the following Postcodes - AB, PH, DD, PA, IV, KW, KY **
*Deliveries to most parts of mainland UK are free of charge. However deliveries to certain remote areas may be subject to a surcharge.
Deliveries to the following locations attract the following charges:
South West Cornwall TR
Scotland (Highlands) IV 1 - 32 and 36 - 63, KW1-14, PH, AB, PA, KY £249.99
Wales (North West) SY, LL £249.99
Wales (South West) SA £249.99
Isle of Skye IV 34 – 48 £249.99
Isle of Wight £249.99
Channel Isles and The Orkney's Port drop only UK Side £249.99
Northern Ireland £249.99
Republic Ireland £249.99
**No Delivery Service is Available to Isle Of Man or to Scottish Isles (only mainland port) including PA41-78, PH42-44
GENERAL DELIVERY T&C's
We are here to help and aim to deliver within the recommended delivery time for each product. However sometimes this will not always be possible and any delivery or dispatch date given is only approximate and as the seller will not be liable to the Buyer for failure to deliver on any particular date or dates. Time for delivery is not of the essence and shall not be made so by the service or any notice.
It is your responsibility to check that all the parts are present and correct, so that in the unlikely event that parts may be missing, incorrect, or damaged, you can ensure we have reasonable time to supply replacements (We aim to typically replace parts within seven days assuming replacement parts are in stock, however if we have to manufacture parts this time frame may be longer). Should you use a third party to carry out the installation please ensure that you give them sufficient time to familiarise themselves with the material and instructions supplied, that all the parts are present and that you have actually received the goods before committing to an installation date.
Q. Do I have to do anything to take delivery of a building?
A. All you have to do is ensure that the building can be left in a convenient area free from debris. We recommend that panel sizes are checked to allow access through archways and doors.
Q. When should I expect to hear when my delivery will be?
A. Our delivery team aim to contact you 24-48 hours before the date of delivery if you have not used the online booking tool. We kindly ask that you please do not call the team prior to this time frame.
Q. Can I request a particular date for delivery?
A. Please use our "Live Online Booking Tool" where available. For products that do not have an live online date available - we can put in requested dates for you however they are only requested and cannot be guaranteed, we would normally call to confirm about 48hours before.
Q. Can I request a certain time for delivery?
A. We are able to provide AM/PM slots to most postcodes – please select this option where available. For products where we are unable to provide an AM/PM slots - our deliveries are classed as all day, between the hours of 7am to 7pm. However, Our Delivery Team can request the driver to contact you on the day of delivery to give you an estimated time of their arrival but this is purely an estimate as we cannot accommodate unforeseen circumstances.
Q. Can I hold the delivery if I'm not ready?
A. We can defer your delivery date; however stock allocation is not customer specific and as a result we cannot guarantee deferred order availability at all times.
Q. Do I need to be there?
A. You do not have to be present at time of delivery; however, we would require written permission to deliver in your absence. This can be in the form of a fax, E-mail or a signed note left on the day for the driver to confirm delivery in your absence. Please note you must sign the note as this will be treated as a signature for delivery. Please note we will not be liable for any theft or damage if the goods have been left.
Q. Will the driver take the building through my property?
A. No. Our drivers are not insured to enter your property with a building.
Q. Will he take to my back garden or through my house?
A. Our policy is kerb side delivery only; however, it is at the driver's discretion if any building needs to be carried any further. Generally we do not deliver buildings through houses or to flats on upper floors. Our Easy fit shed can be taken through smaller apertures. Please ask when ordering.
Q. Will the driver need any help?
A. Our drivers will not ask for any help to off load your building.
Q. What size lorry will my building arrive on?
A. We operate 3.5t vans, 7.5 ton and 17 ton vehicles - your building could arrive on any of these dependants on area of the country and time of year. We need to be informed of any access issues at your point of order so we can ensure your delivery will arrive without any problems.
Q. Do you deliver to the offshore Islands?
A. If your delivery is to an offshore island; Orkney's. Deliveries can only be made to the nearest carrier company at port (it is the customer's responsibility to arrange onward delivery). We need to be aware of both the carrier company and also the forwarding address for the delivery to be made. We do deliver to the Channel Islands, Ireland, Isle of Wight and the Isle of Skye directly (at an additional cost, please see guidelines above) Port postcodes stated are except from normal postcode charges. If the delivery is to a port then the Port drop only charge must be added to your delivery cost.
Q. What is the delivery time for products?
A. Generally we offer a 1 - 10 working days lead time, however please refer to the product in question via this website which should outline the most up to date lead-time estimation. Try our online booking delivery tool where available. Variations to this time do apply in extenuating circumstances. We will endeavour to contact you at the soonest possible time to arrange the next available delivery date for you.
We are here to help and aim to deliver within the recommended delivery time for each product. However sometimes this will not always be possible and any delivery or dispatch date given is only approximate and as the seller will not be liable to the Buyer for failure to deliver on any particular date or dates. Time for delivery is not of the essence and shall not be made so by the service or any notice.
Q. Can the garden building be delivered during a weekend?
A. In most circumstances we do deliver at weekends.
Q. Can I order delivery to a different name or address?
A. Yes you can we will need an invoice address for the payment taken and the full delivery address.
Q. What About a Log Cabin Delivery?
A. Log Cabin Delivery Instructions
**Please note that all deliveries to Ireland, some highland areas and any offshore address will be subject to an extended lead-time. Most off shore islands are a port drop only. Please call before you order.
Delivery is usually very easy and straightforward. We state 10 Working days delivery schedule on each product page. We can often deliver to specified dates, but cannot guarantee this. Customers will always be contacted at least 24 hours before delivery and be given the date and approximate time of delivery. If you need more notice than this - please let us know at the point of ordering. Delivery is Free of Charge to UK mainland addresses provided the following points can be met.
1. Delivery is normally made by a 6 Wheeler Truck with a "Piggy-Back" forklift on board to unload the cabin, however, certain hauliers used in the delivery of Log Cabins do not have this facility (If in doubt - please contact us on 020 3795 0222 to discuss).
2. There must be sufficient space for this vehicle to operate. (If in doubt - please contact us on 020 3795 0222 to discuss). If the Cabin cannot be off-loaded due to a lack of space - a delivery charge may apply.
3. Delivery is Kerb Side: Our drivers are very helpful and will always try to leave the cabin as conveniently positioned as possible however because the Forklifts are very heavy - we leave it entirely at the drivers discretion whether or not it is suitable to drive onto your property.
4. Customer (or customer's representative) must be available to receive the cabin and assist with off-loading if so required.
5. It is Important that you should insert at least one, but ideally two telephone numbers in the telephone number box when ordering. Our Transport Dept. will always contact you at least one day prior to delivery. They will give as accurate a delivery schedule as possible. The Cabin will not simply arrive unless you have been contacted first!
6. The Log Cabin packaging is a temporary packaging just for transportation to the customer. Although an outside product it is the customer's responsibility to either treat the wood or keep it dry during the construction process. It is the customer's responsibility to cover any exposed timber immediately after delivery to avoid blue stain issues.
If you feel that delivery on a smaller vehicle would be more appropriate - please don't hesitate to contact us. We can always arrange this and frequently at no additional cost. However, as the smaller vehicles are not able to carry a forklift - the driver would require assistance with unloading the cabin.
If you are concerned about delivery or any other aspect of the Cabin, in anyway whatsoever please contact us on: 020 3795 0222
Excellent speedy service ordered a shed on a Wednesday was told delivery would be 7 - 10 working days, next morning received text to say shed would be delivered Friday am. Delivery arrived on time.
Having discovered the firm online we went to the showroom and were greeted by a friendly and knowledgeable member of staff. We decided on the Premier Summerhouse and he explained the window options, the ecobase and how to fit it ourselves, the delivery terms (kerbside) and the initial treatment on the timber. We chose to fit the ecobase ourselves and it arrived very quickly with clear instructions. The summerhouse is of reasonable quality given the good price, and was delivered by a very helpful driver who cheerfully carried it into our garage. The installation team was brilliant - very friendly and competent. As nothing is perfect -the only negatives would be that the quality of the catch on the summerhouse doors could be better and earlier notification of possible installation dates would have been helpful
Great shed!
Excellent speedy service ordered a shed on a Wednesday was told delivery would be 7 - 10 working days, next morning received text to say shed would be delivered Friday am. Delivery arrived on time.
Having discovered the firm online we went to the showroom and were greeted by a friendly and knowledgeable member of staff. We decided on the Premier Summerhouse and he explained the window options, the ecobase and how to fit it ourselves, the delivery terms (kerbside) and the initial treatment on the timber. We chose to fit the ecobase ourselves and it arrived very quickly with clear instructions. The summerhouse is of reasonable quality given the good price, and was delivered by a very helpful driver who cheerfully carried it into our garage. The installation team was brilliant - very friendly and competent. As nothing is perfect -the only negatives would be that the quality of the catch on the summerhouse doors could be better and earlier notification of possible installation dates would have been helpful
Great shed!


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text: Tuesday, November 20, 2012 HHS Proposes Incentives for Nondiscriminatory Wellness Programs in Group Health Plans A third proposed regulation issued today by the Department of Health and Human Services (HHS) offers amendments to regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Nondiscriminatory wellness programs generally allow premium discounts, rebates, or modification to otherwise applicable cost sharing (including copayments and deductibles) in return for adherence to certain programs of health promotion and disease prevention. Specifically, these proposed regulations would increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20% to 30% of the cost of coverage. In addition, the proposed regulations would further increase the maximum permissible reward to 50% for wellness programs designed to prevent or reduce tobacco use. These regulations also include other proposed clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination. Comments on this proposed rule are due on or around January 26, 2013. See related articles titled "HHS Releases Essential Health Benefits Proposed Rule" and "Proposed Rule Protects Patients From Discriminatory Policies." APTA's Regulatory Affairs department will provide full summaries of the 3 proposed rules shortly.