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Adventure Play Care was created to empower kids and to create community.
We are outdoor-focused, active, and play-based.
We believe in developing healthy, positive, and caring environments that kids can thrive in.
Our philosophy is inspired by elements of Montessori, Reggio Emilia, and play-based learning.
We organize many free family events and outings to develop community.
Our staff are safety-focused, fun, kind, positive, patient, inclusive, empathetic, friendly, energetic, and love to mentor kids.
We provide sustainable wages to our staff to help us recruit and retain the best, most experienced people for your kids.
We are a registered non-profit organization.
Our values
Creating community
Respect for kids and all living beings
Personal development
Making the world better
Our Board of Director's
Jen Lewis
Nafi Toure
Stephanie Aven
Lynn Chutskoff
Parent and Caregiver's Advisory Council
Mary-Ann Aldridge
Jessica Liao
Lucia Hernandez Portillo
Jill Robillard
Kids and Youth Advisory Council
Riley, Tristan, Noah
Mehdi Hadjoudja
Holly Green
Guest Instructors
Tineesha Kingston
Ash Weatherhead
Executive Director
James MacDonald


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When visiting Chester, CA you might need help locating Restaurants and Bars ideas. Browse the categories below which all go to Chester-specific Restaurants and Bars pages. On each Chester page you might find companies and businesses in nearby cities such as Westwood, Mill Creek, Greenville and Mineral. Some of the ideas in this section include Burger Depot, Deer Creek Lodge, Kopper Kettle Cafe, Pine Shack Frosty and Ranch House in our Restaurants category.
Restaurants and Bars in Chester CA
Top Restaurants and Bars In and Around Chester
- Kopper Kettle Cafe
243 Main, Chester, CA 96020
Nearby Beaches
Catfish Beach
Gallatin Beach
Halfmoon Beach
Sandy Beach

subset: commoncrawl


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Macula Degeneration Treatments
Dry Macular Degeneration
Currently there are no approved medical treatments for dry macular degeneration.
A major National Eye Institute study has produced strong evidence that certain nutrients such as beta carotene (vitamin A) and vitamins C and E may help prevent or slow progression of dry macular degeneration. Daily supplements such as 500 mg of Vitamin C, 400 I.U. of Vitamin E, 25,000 IU beta carotene, 80 mg of zinc and 2 mg of copper may slow the progression of MD
Wet Macular Degeneration
There are three types of treatment for wet AMD:
- Photocoagulation uses a hot laser to seal leaking blood vessels, but can only be used in a minority of cases where the leakage is not directly in the centre of the macula.
- Photodynamic therapy (PDT) uses a cold laser to seal leaking blood vessels. This involves injecting a drug that reaches and coats the abnormal blood vessels via the blood stream. The drug is then activated by shining a light at the coated blood vessels and it destroys them.
- Anti-vascular endothelial growth factor (anti-VEGF) treatments target a protein involved in the formation of new blood vessels. High levels of VEGF can cause proliferation of blood vessels and fluid leakage. The drugs are injected under the macula. Anti-VEGF treatments have been shown to halt sight loss and in some cases restore it by preventing the formation of new blood vessels
A new drug treatment for wet AMD, called anecortave acetate, aims to stop new blood vessels forming, but is injected behind the eye rather than into it. Currently, it's only at the experimental stage.
Alternative Treatments for Macular Degeneration
The attitude of conventional medicine when it comes to Macular Degeneration is that there is nothing to be done – but this view is wrong. There are some very promising therapies that have been demonstrated to slow or even reverse visual loss.
Hyperbaric oxygen HBOT
Patients receiving hyperbaric oxygen are placed in a chamber where 100% oxygen is administered under pressure. The high level of oxygen in tissues regenerates damaged tissues by saturating all cells with oxygen. The HBOT therapy also produces release of stem cells which become transformed into whatever type cells are needed for healing. The results in MD can be dramatic . In a small study the visual acuity of three patients doubled and a 4th patient's visual acuity quadrupled.
Intravenous Nutrients
The intravenous infusion of nutrients bypasses gastrointestinal absorption producing higher blood levels of the anti-oxidants benefiting eyes(taurine, selenium, and other vitamins and minerals), good results have been achieved using this approach.
Melatonin Therapy
Melatonin is a powerful anti-oxidant which protects retinal cells from free radical damage. This simple bedtime therapy taken in a dose of 3 mg. at bedtime after 6 months had allowed most treated patients to remain stable with less retinal deterioration than expected.
Preventing Macular Degeneration
The best cure for Macular Degeneration is to prevent it happening in the first place. Maintaining good health and avoiding the risk factors can drastically reduce the chances of having to deal with this problem in the first place.
The risks of macular degeneration increase with age and there is also the possibility of a genetic link. The key risk factors associated with Macular Degeneration are listed below
Aging. Significant vision loss accompanying more advanced forms of AMD increases from fewer than 1 percent among individuals in their 60s to more than 15 percent among people in their 90s [3].
Smoking. Smoking is a major risk factor found in one British study to be directly associated with about 25 percent of AMD cases causing severe vision loss. A 2006 study also showed that those exposed to secondary smoking doubled their risk of AMD[4].
Heredity. Recent studies have found that specific variants of two different genes are present in most people who have macular degeneration. Studies of fraternal and identical twins may also demonstrate that heredity is a factor in who develops AMD and how severe it becomes.
High Blood Pressure (Hypertension). A 2003 study[5] demonstrated that high blood pressure may be associated with development of macular degeneration.
Obesity and Inactivity. A 2003 study[6] showed that overweight patients with macular degeneration had more than double the risk of developing advanced forms of macular degeneration compared with people of normal body weight. In the same study, those who performed vigorous activity at least three times weekly reduced their risk of developing advanced AMD compared with inactive patients.
Anyone who studies these risk factors can draw a fairly clear conclusion, that maintaining your physical fitness is key to helping prevent this disease. All of the above risk factors have one thing in common, they reduce the bodies ability to supply oxygen and nutrients to the bodies cells and the best way of preventing Macular Degeneration is to ...
- Maintain Aerobic Exercise and Weight Reduction – Regular mild exercise improves blood flow and helps to reduce resting heart rate and blood pressure.
- Maintaining Respiratory Capacity – determines ability to provide sufficient oxygen to the blood – Do not smoke avoid occupations and environments that are known to damage lungs ie smoky / dusty environments.
- Maintaining a healthy balanced nutritional diet – Reducing sugar and salt. Eating an abundance of green leafy vegetables is associated with less risk of MD. These vegetables are a rich source of lutein and zeaxanthin, caretenoids found in the macula that filter out harmful wave lengths of light. One study showed that the persons who ate the most spinach, kale, collards and other leafy green vegetables had a 43% lower risk of MD than the group eating the lowest quantities of these green vegetables.
- Discontinue smoking and alcohol consumption.
- Use relaxation and breathing techniques to help reduce stress and anxiety.
It is common that with age, these abilities can start to deteriorate. It is when the bodies ability to provide and adequately pump the oxygen and nutrients it needs to the cells of the body that serious deterioration starts. They are essential to good health and it is likely that the longer you can maintain your fitness, the longer you will enjoy good health. Given the sensitivity of the retinal tissues, it is likely that these will be amongst the first tissues to start to deteriorate when the body starts failing to provide the nutrients it needs
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The Rayback Collective: A Community Collection
Gabrielle DeCristofaro • September 28, 2016 • Lifestyle •
What started out as a casual conversation among friends in Sonoma, CA over a couple glasses of wine after a wedding, turned into a business venture among colleagues for something Boulder was missing.
The Rayback building on Valmont Road has worn a lot of hats before becoming what it is today: The Rayback Collective. Once, it was batting cages, and before that it was home to Rayback Plumbing Supply, owned and operated by Marion Rayback. According to president and co-founder of the Rayback Collective, Hank Grant, the team had initially considered a different name, but an older demographic from the neighborhood always knew it as the "Old Rayback building." So the founders landed on calling it "The Rayback Collective." And it truly is a collective. It combines several different concepts into one idea, while collecting people in Boulder together, not only in the immediate neighborhood, but in the whole city, in a space that was definitely needed in Boulder.
The Rayback Collective is an unsuspecting building, but once you pull into the parking lot and walk around to the entrance, it opens up into much more. As you approach the well-maintained backyard, picnic benches, cornhole and a fire pit line the food truck park which leads into an open indoor area which has a bar with 30 rotating beers on tap. Also, an event space, including a stage sponsored by the local brewery, Avery Brewing Co., which plays host to several musical acts a week.
Opening in July 2016, the concept was born in 2014 when the now owners were in San Francisco and came across the SoMa StrEat Food Park in the Mission District, and began wondering why there wasn't one in Boulder.
"A couple of us went to Sonoma for a wedding, and after a couple glasses of wine, we started kind of throwing around the idea that it'd be pretty cool to do in Boulder," according to Grant. "We don't have anything like that. That trip ended, we came back home. Was it the wine? Is this something we actually want to do?"
They began to dig through city code and discovered a couple of reasons why this space didn't exist already. First, the city didn't know how to exactly classify them based on all of the different things they wanted to provide. Also, the original location they found was on the East End of Pearl Street, and the concept was going to be much simpler: a park where trucks pulled up, and a shipping container bar. But that didn't work because of the zoning laws. And then in 2015 they discovered the corner of Valmont and 28th. After a successful Kickstarter campaign, The Rayback Collective formed into what it is today.
According to Grant, the initial inspiration was building community, but also he and his friends just wanted to create a place they would all want to hang out at. Many of their patrons come here on their lunch break, and at 5 p.m. the trucks all change over to cater to a dinner crowd. Many people walk, but there's a bike path running alongside the building, making for even easier access.
The park isn't just for an older crowd, either, as the team is also focused on family.
"We all cared about our community," Grant said. "We thought there was a need on the event space side. So we put all the ideas together. And one of our other founders, Matt, has a couple of kids, and he's like, 'Where can you go in Boulder and hang out and let them run around and not feel like they're going to take over a restaurant?'"
Further, another amazing aspect of the company is their goal to become completely waste-free. And they're almost there already! The bar uses only aluminum and plastic products, and any "waste" is compostable or recyclable.
Although one of the fundamental goals of The Rayback Collective was to create a community space, they didn't realize how much they would be helping small businesses. According to Grant, they planned to host and help food trucks, but it has become a platform for entrepreneurs to move from their food truck and into a brick and mortar business.
With the Fall already here, and Winter approaching, they are not too concerned about the widely-outdoor area. They just completed a fire pit, and there is plenty of room inside. Grant believes that if people will go skiing and have a beer out in the snow, people will still use this space.
The design and concept of The Rayback Collective have been so beautifully executed. It was hard in the beginning because they didn't know exactly what they were going to be, but The Rayback Collective has matured into a company that allows small businesses, musicians, the environment and the community to succeed collectively.


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With such precious time left you'd think I would have been up all night but my body and hands said enough and I passed out in my bed next to my hubby who finally caved and said "Do any of the other husbands feel neglected because of the Olympics?". Darling I promise I will make this up to you. You'll see.
In the meantime after a good night's rest, good breakfast this morning and hands feeling less cramped and tired, I've been dealt a blow. This is something only a knitter will understand and be able to relate to. I'm feel sick to my stomach about it. I'M RUNNING OUT OF YARN!!!
That is all I have left. The pattern said this size (37″) would take about 10 1oz skeins. I'm up to 12!! Plus the two remaining, that's 14 freaking skeins of yarn. And I wouldn't even have had this much had I not bought extra for another project. Of course Schoolhouse Press is closed today (I called, hoping against hope) and won't re-open until Monday. So I will knit until the sleeves are done or the yarn runs out, which ever comes first. Can you believe this and I'd come so far…
Ok that was my one moment of despair…moving on. Here's where I am so far.
I decided to work the sleeves at the same time. It's a mind game I play. Whenever I have to make two of something (socks, sleeves) I knit them at the same time but on separate sets of circs. In this case there was no other way. Isn't it pretty?
The neck looks small but it fits perfectly. Have I said it yet? I love this sweater and not for one moment in the last 16 days have a been sick of or wanted to see it end.
Underarm gusset…I think I'll put this into all my sweaters from now on. It makes sense and looks great. The Yarn Harlot said once that turning the heel of a sock makes her feel smart. That's how I feel about this gusset.
It is also the perfect length.
So that's where I am. Again we'll see how much further I get. Tomorrow by 11:59am it will all be over, one way or another.
My Tigger outlook is still with me…(this is what I meant)
I refuse to ever be…with anything in this life.


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Port Royal may not have been very flashy when it was first started,but it sure is today. It had its humble beginnings,but it was always a tropical oasis nonetheless. I mean you're talking about Naples FL,and you know the Gulf waters look lovely there. Port Royal is waiting for you if you plan to buy real estate there,and you're going to find some great luxury condos and homes.
How much do you already know about Port Royal? Have you looked at the other communities in Naples,too? Where you buy can have much to do with what type of lifestyle you expect. If you want to live in the downtown area,you can purchase property in Old Naples. If you're going to live in a tropical paradise,you can find a great feature in Port Royal. If you want to go golfing,you can live in Pelican Marsh.
Port Royal is the topic of discussion right now of course,and it is quite the luxurious community. You're going to find all kinds of ,and you are going to enjoy being shown around once you get there. Imagine stepping out onto your balcony and checking out the magnificent views of the sea.
You can take in beautiful sunrises and sunsets,and you can enjoy all of the watersports activities. It will be so much fun living in and vacationing in Port Royal. There's time for all of the luxury living later,but you've got to get to looking at properties. Who are you going to get to show you around?
There are plenty of real estate agents that know the properties in Port Royal and throughout Naples. You're going to be inquiring about Port Royal specifically,so it's a great idea to be asking about the neighborhood right off the bat. That way you can tell what an agent knows about the Port Royal area. Get more information here:.
When you start asking about properties in Port Royal,you're going to want to know some great tips for buying waterfront homes or condos. You're going to have to get the financing together if you plan to buy luxury vacation property. It can be a little different than just purchasing a primary residence in a regular city. It does matter how you plan to use the property and not just what type it is in regards to its classification.
I know a little about that because I live in an oceanfront condo that is my primary residence. Many people that own them take vacations there but rent them out the rest of the year. The fact that my condo is my primary residence allows me to pay fewer taxes on the property.
The taxes are certainly going to be something you want to know about as you look into the costs of owning property in Port Royal. The total costs are important to take a look at so that you make sure that you're purchasing a property that you can afford. Your budget needs to be a focal point for sure as you look into what home or condo you want to buy in Port Royal.
Think about insurance,including flood insurance,too. Your real estate agent should be very knowledgeable about the ins and outs of owning property in Naples. You can even talk to some of the other homeowners in the area to see what they think as well. Gather up as much information as you can while you explore listings and continue to think about which of the properties you plan to purchase in Port Royal FL.


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6. Meditating on a concept.
Some meditative practices involve contemplation of an idea or scenario. An example is the "meditation on impermanence," in which you focus on the impermanent nature of all things, starting with your thoughts and feelings as they come and go. In the Buddhist "meditation on the corpse," you think about a body in the ground, as it slowly rots away and is fed on by worms. The technique is used to guide you to an understanding that your rationalizing mind might not bring you to.


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This blog series chronicles my first viewing of the complete MCU movie saga. I'll examine each film under various categories that reflect popular discussion points. Next up is the 19th film, "Avengers: Infinity War" (2018):
"Infinity War" has an epic scope, yet the steady pen of Christopher Markus and Stephen McFeely never loses sight of what these events mean to the characters. A theme gradually emerges as several characters must balance an individual's worth versus the fate of all sentient-kind, and we feel the genuine stress of their dilemma. We recognize that the fate of the galaxy is at stake (or "half" of the galaxy, since Thanos aims to kill precisely half of its citizens), yet the film serves up its share of chuckles – mostly courtesy of the Guardians of the Galaxy.
The film is so big that some characters go unaddressed or under-addressed. A quick throwaway line reveals that Hawkeye and Ant-Man are under house arrest by the U.S. government (as per the events of "Captain America: Civil War"). As for the fates of Valkyrie and Korg, characters we grew to love in "Thor: Ragnarok?" Who knows? Either they were killed offscreen without mention or they escaped offscreen without mention. And while Thanos is certainly a big threat, he's still a nutjob; the film tries but fails to give him a sympathetic side.
While Thanos is certainly a big threat, he's still a nutjob; the film tries but fails to give him a sympathetic side.
In a film that services a couple dozen superheroes, many of them get nice little arcs but no one is the central hero. The most entertaining grouping is when Thor joins the Guardians of the Galaxy, leading to Star-Lord's desperate and transparent attempts to put down the Asgardian and prop himself up. Later, some of the Guardians meet Iron Man, Spider-Man and Doctor Strange, again leading to a fun clash of dynamics. The love story between Scarlet Witch and Vision comes into focus here, whereas Bruce's ironic inability to let the Hulk come out is perhaps to be explored in future films. The character who most grows on me in this movie is War Machine, who admits regret at signing the Sokovia Accords and ends his communication with Secretary of State Ross by saying "Well, that's a court martial," before moving on to strategizing with the Avengers.
Thanos (Josh Brolin) is literally big and holds the massive and terrifying ambition of gathering all six Infinity Stones, which will allow him to kill a random 50 percent of every species in the galaxy with a snap of his fingers. The gravitas given to his pronouncement that he must kill half of the citizenry lest everyone die from a resource shortage is a bit frustrating because it's based on nothing except his emotional overreaction to what happened to his own planet. As Gamora tells him, reflecting my irritation: "You don't know that!" What happened to Titan will not necessarily happen everywhere, and furthermore, the Titan situation had to be more complicated than a resources versus population problem, since it seems to be a society capable of interstellar travel.
Remarkably, considering how big "Infinity War" is, it just barely passes the Bechdel Test due to women discussing Infinity Stones or exchanging battle insults — as when Natalie, Okoye and Scarlet Witch battle a female member of Thanos' army.
"Infinity War" is a harsh indictment of world militaries and their governing structures, and in a broader sense, the notion of governmental regulation. How can that be when Earth militaries – other than that of Wakanda, which is directly targeted — play no role in the film? Well, that's exactly the point: Their absence when Thanos' army invades Earth illustrates that an independent superhero team (as per Captain America's argument in "Civil War") is crucial. Free-thinking, free-acting superheroes are the first line of defense against an extraterrestrial threat with supernatural powers. The Sokovia Accords – had Cap agreed to them — would either go out the window in this situation, or they would stop the superheroes from doing their jobs, and Earth would be conquered. Governmental agencies' best use is as supporting arms of the Avengers, although even then they can't react fast enough to this threat: It's not until Thanos achieves his ends that underground S.H.I.E.L.D. agents Fury and Hill even know he has invaded Wakanda.
This is ironic for me to say as a peaceful person, but it's pretty freakin' awesome when War Machine unleashes a string of bombs against Thanos' marauding war beasts, which have breached the energy shield around Wakanda. Now that is military might well-spent.
There are many to choose from in the initial interaction between the Guardians and Thor, but it's actually a later Guardians scene that is absurdly funny. After Peter and Gamora share an emotional moment where he agrees to kill her if Thanos gets hold of her, they notice Drax has been standing right there – "for an hour," he admits. But Drax says because he has mastered the art of being invisible, he can get away with it.
"Infinity War" isn't about building the MCU world, but rather about paying off on the world-building done in the 18 previous films. For the first time, the disparate groups of heroes interact with each other. Someone coming into this film cold will have no chance of following what is going on or even figuring out who the characters are. In some cases, they aren't even named. This is essentially a season finale in a serial TV show.
But there is one piece of new lore in the post-credits tag: Fury, as his dying act, places a call to Captain Marvel (as indicated by her logo, something that comic-book fans know about but the casual viewer might not). Why would he call her specifically? Does she alone possess a skill that could turn the tide of this war? We'll find out in 2019 in her origin film and the "Infinity War" sequel.
"Infinity War" is a true epic, but for someone who has watched the previous 18 films, it's not overwhelming, because we bring our background knowledge to the theater. Markus and McFeely smartly keep their eye on the ball – the characters, rather than the spectacle. Despite that, it's an unavoidable fact that no single hero is as much in the spotlight as in their solo films. I personally lean toward those intimate, smaller films. That and the unearned way nutjob villain Thanos is presented with an air of tragic gravitas keeps this movie short of full marks.


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After going down at home to Torquay United in midweek, Barnet went 8 points clear at the top of the Conference with a home 3-1 win over bottom club, Telford United. Luisma Villa & Cook returned to the starting line up and Martin Allen brought in Jack Saville in the centre of the defence as Bondz N'Gala missed out for the first time this season. Bernard Mensah made his first start for the club after scoring against Torquay in midweek with Charlie MacDonald dropping to the bench.
Barnet took the lead after just one minute when Lee Cook whipped in a fine cross for John AKINDE to stab home. On 19 minutes, a long ball upfield was chased down by AKINDE who seemed to have lost his chance when the Telford keeper, Hall brought the Bees' leading scorer down and he calmly put home the penalty to put Barnet 2-0 up. Akinde came close to making it three shortly after, but it was Telford who scored the next goal when Sean Cooke scored with a fine volley from the edge of the penalty area after 35minutes.
HT: Barnet 2 Telford 1
Barnet put the game beyond Telford's reach with seven minutes remaining when MacDonald, on as a second half substitute, was brought down by a clumsy challenge in the penalty area and AKINDE scored from the spot to complete his hat trick and bring his goal tally for the season up to 16.
FT: Barnet 3 Telford 1
Barnet: Stack; Vilhete, Saville, Stephens, Johnson; Luisma Villa (Mekki 85), Hunt, Weston, Cook (Gambin 80); Akinde, Mensah (MacDonald 60).
Subs not used: N'Gala, Nurse
Att: 1671
Earlier in the week, Barnet had entertained Torquay United at the Hive missing Andy Yiadom and Sam Togwell both suspended for three matches after being sent off against Wycombe in the FA Cup. Somewhat surprisingly, Lee Cook and Luisma Villa were left out from the starting line up. David Hunt made his first start for the club and Adam Mekki and Luke Gambin were brought into the side. Barnet had a dreadful first half, going in at half time 2-0 down following goals by Briscoe after 24 minutes and then three minutes from the interval when Graham Stack, who had a very poor game, let a corner bounce of him into the net for an own goal.
HT: Barnet 0 Torquay United 2
Martin Allen brought on Lee Cook for the second half and the home side pulled a goal back within 3 minutes when a long through from Hunt was inadvertently headed across goal by former Bee, Krystan Pearce for LUISMA VILLA to slot home from close range. Barnet then shot themselves in the foot, just when they had got back into the game. Within a minute, Briscoe had scored his second goal of the night to put Torquay 3-1 up with a shot from outside the penalty area that bounced in front of a diving Stack and into the net. Stack should not really have conceded the goal.
To their credit, the Bees fought back and reduced the arrears again following another Pearce error. MacDonald played a fine ball through to MENSAH who coolly slotted the ball past the goalkeeper with some class for his first goal for the club. However, Barnet failed to really trouble the Gulls after this and the visitors could easily have gone further ahead but for some wayward finishing. In truth, Torquay deserved the points against a sloppy Barnet team. Martin Allen must take a lot of the blame for the starting line up he put out, especially in leaving Weston and Johnson outnumbered in midfield. There was just too much space for the Torquay players all night. However, even with the performance, one still felt if Allen had included Luisma and Cook in the starting line up that Barnet would probably have taken all three points, even with Graham Stack's horror show. As it was, Barnet's lead at the top of the table was reduced to 6 points.
FT: Bees 2 Gulls 3
Barnet: Stack; Hunt, N'Gala, Stephens, Vilhete (Mensah 56); Mekki (Luisma Villa 32), Weston, Johnson, Gambin (Cook 46); Akinde, MacDonald.
Subs not used: Saville, Nurse
Att: 1745


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Take today's two on climate change. Such undistinguished and pathetic contributions to a pseudo-debate!
THE worldwide average temperature for 2009 was the warmest on record and 0.68C above the 20th century average ("Warming unmistakable — and worse here", 30/7).
But a more detailed reading of the US National Oceanic and Atmospheric Administration's State of the Climate Report shows that the northern hemisphere made a significantly greater contribution to this figure.
The report also includes a section on greenhouse gases that acknowledges CO2 makes a contribution to the greenhouse effect, without qualifying the extent.
We should conclude that even though the world is warmer than the 20th century average, the rise is unlikely to be outside the normal range of variation over the long term.
It would be premature to attempt to reduce CO2 until a much clearer understanding of the other climate contributors are determined.
Peter Clark, Mount Gambier, SA
AS London diarist John Evelyn wrote during the winter of 1683-84 at the depth of the Little Ice Age: "Conditions were terrible with men and cattle perishing and the seas locked with ice such that no vessels could stir out or come in. The fowls fish and birds and exotic plants and greens were universally perishing. Food and fuel were exceptionally dear and coal smoke hung so thickly that one could scarcely see across the street and one could scarcely breathe".
Who in their right mind is decrying the progressive warming since the 17th century?
William Kininmonth, Kew, Vic
Take Bill first. Of course no-one is decrying the progressive warming since the 17th century. That is the strawest of straw men! I find it hard to believe such guff is worth printing. But I guess any crap he cares to write passes muster in The Oz, given his distinct lack of objectivity on the subject.
William Kininmonth is an Australian climate change skeptic. His only listed qualification is "Director of the Australasian Climate Research Institute" , but the Institute is listed as simply a trading name for "Kininmonth, William Robert", and is based at his private residence in Kew, Australia. It has no website, phone number or existence separate from Kininmonth.
He is listed as an "expert" on Kyoto issues at Envirotruth, was a member of Australia's delegation to U.N. climate treaty negotiations, and until 1998 was head of Australia's Bureau of Meteorology's National Climate Centre for 12 years.
His recent book launch was organised by the Lavoisier Group and was chaired by Hugh Morgan, the President of the Business Council of Australia. John W Zillman, President of the Australian Academy of Technological Sciences and Engineering, launched the book, "Climate Change: A Natural Hazard?"critiquing some aspects of the book.
In a letter to to The Age newspaper, Kininmonth wrote that "Greenhouse gases emit more radiation than they absorb and their direct impact is to cool the atmosphere."
Now for Peter who, it seems, has managed to read all 224 pages of the US National Oceanic and Atmospheric Administration's State of the Climate Report 2009 and come to the amazing conclusion that "the northern hemisphere made a significantly greater contribution." Wow! Nor does he mention that this is entirely consistent with global warming projections, as you may see from this video of a +4C world.
What is clear from the rest of the letter is that he hasn't paid serious attention to what climate scientists actually say, or to the relevant physics. At the risk of seeming repetitious:
If you want as objective an account of the science as seems reasonably possible view the lecture series by Professor Richard Muller of the University California, Berkeley.
That video "deals with the physics of climate change, the data on global temperature and carbon dioxide changes, and some potential solutions. Also covered are the many mistakes that can be made, including the trap of exaggeration. He warns against the danger of cherry picking and overstating the case. When people discover that the exaggerated case is not valid, they may dismiss the problem altogether. Professor Muller has researched this topic for many years and has co-authored a book with Gordon MacDonald called Ice Ages and Astronomical Causes.
If you care to read Climate Assessment for the Year 2009 PDF you can draw your own conclusions.
I am sick of suffering fools gladly on this topic. It is no longer debatable that there is a problem called anthropogenic global warming, even if there is a proper degree of uncertainty — around 10% — on the size of the problem. The real debate is about what best to do, and "nothing" is the worst answer.
I am reminded of Thabo Mbeki's AIDS policy in South Africa, a tragic mix of postcolonial politics and pseudoscience. The only serious publication in Australia to carry a flag for that pseudoscience was Quadrant! Kind of figures, doesn't it? See Three magazines and an amazing AIDS story…


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Magic Wednesday, Friends. Don't let the Olympics-induced repeats get you down! Rise up, watch the all new The Magicians!! Its another 2 hanky affair tonight so be prepared!!
8pm Hour:
1st Choice: The Winter Olympics. "Mikaela Shiffrin skis in the women's combined (downhill); the men's slalom (first run); men's freestyle halfpipe final; women's cross-country team sprint; and women's bobsled. Austrian slalom ace Marcel Hirscher chases his third PyeongChang gold. Elana Meyers Taylor and Jamie Greubel are U.S. bobsled threats after medaling in Sochi, while the U.S. women's cross-country team's still pursues its first-ever medal behind Jessie Diggins and Co." NBC
2nd Choice: Nature. The Last Rhino. "The story of Sudan, the last male northern white rhino, living in a Kenyan sanctuary under 24-hour armed guard. Trace his harrowing journey as scientists and animal experts race to save the species before it dies out forever." PBS
3rd Choice: Lincoln. "Abraham Lincoln attempts to outlaw slavery by fighting for the passage of the 13th Amendment to the Constitution, all while negotiating peace with the South and dealing with his mentally unstable wife." History
9pm Hour:
1st Choice: The Magicians. "Margo makes a bold stand against the Fairy Queen; and Quentin and Penny try to retrieve a lost item." Syfy
2nd Choice: The Winter Olympics. Continues on NBC.
3rd Choice: Lincoln. Continues on History.
10pm Hour:
1st Choice: The Winter Olympics. Continues on NBC.
2nd Choice: Channel Zero: Butcher's Block. "Alice has a terrifying encounter in an abandoned hospital; and Luke, Louise and Nathan play cat-and-mouse with Robert Peach." Syfy
3rd Choice: Lincoln. Continues on History.


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productronica 2013 to promote Industry 4.0
When it opens its doors in Munich from November 12 – 15, 2013, productronica will pay special attention to a future project known as Industry 4.0. A panel of prominent speakers at a CEO Roundtable will also discuss Industry 4.0 on the first day of the fair while the Innovation Forum in Hall B2 will focus on this topic on the third day of the fair.
International, innovative, and without competition - productronica is the only trade fair of its kind that portrays the entire value chain in electronics production – from technologies and components to software and services.
Whether optimized process control, automation or the intelligent planning of resources – the use of software solutions, sensors and embedded systems in electronics manufacturing is diverse. To move the entire production process forward and make it more transparent, future projects such as Industry 4.0 and production-related systems such as MES or ERP will be key factors for the industry. They also improve the transparency of all functions and processes that are critical to the production process.
Half of the increases in productivity in the European economy during the past 15 years can be attributed to innovations in information and communication technology. In the area of software embedded systems, Germany has achieved a leading position, particularly in the automotive and machine-building sectors. Industry 4.0 is part of the German government's high-tech strategy. EUR 200 million in subsidies from Germany's Ministry of Education and Research and the Ministry of Economics are supposed to help to establish Germany as a leading supplier of cyber-physical systems – autonomous, networked microsystems and next step in embedded system development.
"Implementing the visions of Industry 4.0 will bring about fundamental change to the industrial landscape because the machines learn and organize themselves as they work. That, in turn, gives rise to highly stable production quality combined with optimum production-facility output," comments Dieter Meuser, CTO at iTAC Software.
Important objectives in the transformation process to CPS are even stronger automation and monitoring to be able to control companies and entire added-value networks nearly in real time. International exhibitors of manufacturing and process software will be represented at the fair and present their solutions for the electronics industry as a basis for implementing Industry 4.0.
A pioneer: SOPRO at productronica 2009
productronica has always been a driving force behind innovations for the electronics-manufacturing industry and demonstrates its leading role time and again. Self-organizing production (SOPRO), the project that preceded Industry 4.0, was introduced at productronica in 2009: Machines and workpieces communicated with one another viachips and learned from one another to organize the logistics chain inside and outside the factory and to allocate their work themselves. Under the scientific supervision of the Fraunhofer Institute for Production Systems and Design Technology (IPK) and within the scope of the SOPRO project, a consortium of Fraunhofer institutes and the Technical University of Berlin conducted research on the future development of the eGrain process and its networking. Collaboration with the industry was coordinated by the Productronics and Micro Technology Associations and the Working Group for Modular Microsystems in the German Engineering Federation (VDMA).
Dr. Eric Maiser, Managing Director of VDMA Productronics, commented: "Autonomously networked automation makes it possible to optimize the capacity utilization of a factory's machinery, completely coordinate the process chain and process cycle, minimize manufacturing errors and material consumption and, as a result, cut costs. Line integration to the point of the turnkey factory is already creating competitive advantages for the machine-manufacturing sector. In addition to individual machines, manufacturers can offer entire technology packages. Machine manufacturers have had some good experiences in this area, particularly in new markets. Industry 4.0 is the logical continuation of this strategy."
Markets are becoming increasingly complex and multi-layered, so manufacturers must reorient their entire acquisition, manufacturing and provision processes independently of locations, requirements and conditions in the target market. Like global enterprises, smaller companies that only operate one or a few plants must also satisfy extensive requirements and regulations, and they are also part of regional or even global supply networks. It is important for these operations to remain agile, increase productivity and reduce costs without allowing quality to fluctuate. Against this backdrop, the panel of prominent speakers at the CEO Roundtable on November 12 – the first day of the fair – will deal with the topic "Industry 4.0 – Opportunities and Challenges for a Competitive Production of Tomorrow".
Christian Rocke, productronica's Exhibition Director, emphasizes the importance of this topic: "In the foreseeable future, merely monitoring the costs and efficiency of individual manufacturing processes will no longer be sufficient to operate successfully on global markets. In distributed manufacturing, worldwide processes must be implemented, but regional standards must also be maintained."
That is why the third day of the fair (Thursday, November 14) is devoted entirely to the highlight topic of "Efficient Production Management and Industry 4.0". Trade visitors can gather information and hold discussions in the Innovations Forum in Hall B2 (Stand 345). The VDMA and publisher Konradin Verlag are organizing the event.


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Asbestos is a fibrous mineral type of impure magnesium silicate which is drastically applied in the manufacturing of many building materials to lead them to fireplace resistant and insulators. It's been recognized that the asbestos fibers in their distressed type reason a selection of fitness dangers like lung most cancers, asbestoses, and cancers of belly, rectum, and esophagus.
Therefore, it's far counseled to hire expert asbestos elimination contractors at the same time as remodeling your private home. Because at the same time as refashioning your property, the removal of asbestos substances will motive the disruption of asbestos fibers, and this could misery you and your instantaneous environment with their harmful effects. The elimination of Asbestos Removal Westchester County is not a trustworthy work; therefore, do not try to do it to your personal.
Asbestos Removal Westchester County contractors giving the offerings for the secure elimination of the asbestos-containing substances
Some precautionary measures and recommendations have to be taken to make sure entire protection at some stage in the assignment of asbestos removal. The Asbestos Removal Westchester County contractor ought to have a license issued with the aid of the local authority to perform the paintings of doing away with asbestos for your country. You ought to communicate to the previous customers with regards to the offerings offered by the contractor to them so that you should discover an apparent image, whether the contractor is giving proper services or now not.
Suitable asbestos removal contractors can have a look at your home and pick out and take a look at feasible trouble regions, and ultimately make tips for the elimination of asbestos if necessary. Removal tips can include genuinely making a plan with abatement contractors and making plans a working system.


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The 53rd annual Grammy awards were last night, and as has become typical in recent years, there were some left-field winners—and some seemingly shoe-ins left going home emptyhanded.
The biggest story of the night had to be Montreal's Arcade Fire (pictured), who took home the golden gramophone for Album Of The Year, beating out the likes of Eminem and Lady Gaga. The win came after a blistering performance of "Month Of May," and immediately following their acceptance speech, the band took the stage once more and closed out the program with "Ready To Start." Arcade Fire did come up short in two other categories, however—Best Rock Performance By A Duo Or Group With Vocals and Best Alternative Music Album—they lost both to the Black Keys. (The Ohio natives also won a third statuette in the "Best Recording Package" category, as well.)
Paramore lost the first award of the night, Best Pop Performance By A Duo Or Group With Vocals, to Train's "Hey, Soul Sister," but that didn't stop Hayley Williams, Taylor York and Jeremy Davis from presenting the Best Rock Album award to Brit-rockers Muse (their only trophy of the night).
Dave Grohl collected his eighth Grammy as Them Crooked Vultures' "New Fang" won Best Hard Rock Performance (the award was Josh Homme's first and John Paul Jones' second).
Even though Green Day didn't release a new studio album last year, they still left with some gold under their arms, as the Broadway version of American Idiot took home the Grammy for Best Musical Show Album.
The recently disbanded White Stripes still managed to snag a trophy for one of the two categories they were nominated in, Best Boxed Or Special Limited Edition Package for last year's Under Great White Northern Lights live album.
Nominated for two awards, Kings Of Leon returned home with none to their name; other nominees completely shut out include Slayer, Lamb Of God, Vampire Weekend, Broken Bells, Mumford & Sons, Florence + The Machine and Justin Bieber.
You can see the full list of winners here.


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Tibet Tour Packages for various types of travelers for diverse tastes available in the various prices ranges. We are at GreatTibetTour not only offering all necessary facilities but also we give the chance to celebrate all your traditions in the local areas. Our local guides always protect you from dangerous things. Our customer's services are the best in the quality and affordable in the charges.
Once you have decided to start a dream Mount Kailash trek tour,contacted a dedicated customer support team in Great Tibet Tour, you can get the absolute guidance and decide on how to successfully book the Tibet tour package based on your requirements.


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Everyone's a People Person until People are the Problem
Posted on03 Mar 2011
Tagsemotional intelligence, extrovert, management, organization, people, problem solving, relationships, security, socializing, team building, working a crowd
Getting things done on any kind of group level begins with people. Those who relate well to people can help here. Are... Read More


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After an offseason of questions, headlines, and headaches football has finally returned to Tallahassee. This offseason has been a trying one for the Florida State faithful. Everyone knows the story: BCS National Champions, 29 games won in a row, Jameis Winston, Heisman Winner, Jimbo Fisher 58-10 in 5 years. One game brought it all to a screeching halt. The champions failed to defend their crown, falling to Oregon 59-20 in the Rose Bowl. The streak was over, and so were the days of Winston as he declared for the NFL draft. Fisher remained, but following a season of tumultuous headlines off the field, many were beginning to doubt the control Fisher had of his team.
This attitude did not change following an offseason of more trouble. Quarterback De'Andre Johnson was immediately kicked off the team after video of him punching a female in the face in a Tallahassee bar surfaced. Halfback Dalvin Cook was then charged shortly after with battery following a separate altercation with a female outside of another Tallahassee bar, and promptly suspended. While he would not face jail time from this incident, it did not abet the growing negative national impression of Coach Fisher's team. Eventually, Fisher was forced to ban his players from bars all together.
As the offseason drew to a close the headlines improved by some increments. Everett Golson, a grad transfer from Notre Dame had arrived and was drawing rave reviews from his teammates, and while he would face a stiff uphill battle in mastering the playbook, he was supremely talented and had the experience no other quarterback on the roster had following Winston's departure. Dalvin Cook, seeing his suspension lifted, rejoined the team immediately following the conclusion of his case.
All that was left to do was play. Everything had led up to kick off with Texas St. on September 5th. Everyone was expecting the Seminoles to win, but how would they look doing it. Would Everett Golson have the magic of Winston? Would Dalvin Cook be in game shape following his suspension? How would the team as a whole perform after seeing a nation leading 11 players drafted in the 2015 NFL draft?
The answer to these questions obviously can't be answered in one game, but early returns are promising. Golson played it smart in the first half relying on short throws and play action passes to keep the Texas St. defense off balance. Following halftime he came out with a different mentality, opting to sling the ball all over the field, and to great success. He flashed the mobility, and big arm that nearly toppled the Seminoles a year earlier in Tallahassee finishing the game 19/25 with 302yds and 4 touchdowns. Questions about Cook's game shape were also answered as he reeled off 156yds rushing, and 2 touchdowns on 19 carries. As a whole the team played with the dominance that one would expect of a potential playoff contender blowing out Texas St. 59-16. Following a disappointing end to the Winston era, and a tumultuous offseason the Seminoles were back and playing football. There's an old adage in sports that winning cures all. While not necessarily a cure-all, the win Saturday certainly gives Seminole fans hope for a bright future.
CALVIN BROWN / Sports Editor


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Objectives: Budd-Chiari syndrome is a rare but critical condition that can progress to liver failure and death. For severe cases, orthotopic liver transplant remains the only curative option. The present study aimed to identify predictive parameters to assess outcomes of liver transplant.
Materials and Methods: Medical records of 33 indi-viduals with Budd-Chiari syndrome who received orthotopic liver transplant were retrospectively assessed. Twenty-seven eligible patients were identified and grouped by outcome (survived/deceased) after transplant for Budd-Chiari syndrome. Demographic, clinical, and serum parameters taken at the time of Budd-Chiari syndrome diagnosis were evaluated for prognostic value.
Results: Differences between patients who survived and those who died were found for nausea/vomiting (P < .01) and splenomegaly (P < .01), which were both more common in patients who died after transplant. In addition, patients in the deceased group exhibited significantly lower serum cholinesterase levels (P < .01) and higher alkaline phosphatase levels (P < .01). Scoring systems to assess liver status or Budd-Chiari syndrome severity (Model for End-Stage Liver Disease and Child-Pugh scores, Rotterdam score, and the transjugular intrahepatic portosystemic shunting prognostic index) did not differ between groups.
Conclusions: Nausea/vomiting, splenomegaly, low serum cholinesterase, and high alkaline phosphatase were associated with adverse outcomes after orthotopic liver transplant for Budd-Chiari syndrome. These factors may be surrogate markers for a severely impaired health status at time of diagnosis and should be evaluated prospectively in larger cohorts.
Key words : Alkaline phosphatase, Cholinesterase, Nausea, Predictive value, Splenomegaly
Budd-Chiari syndrome (BCS) is a rare and potentially life-threatening disorder. This syndrome arises from a hepatic venous outflow obstruction that can be located at any level from the small hepatic veins to the junction of the inferior vena cava with the right atrium.1,2 Hepatic outflow obstruction secondary to cardiac or pericardial diseases and sinusoidal obstruction syndrome are excluded from this definition.1
Depending on the underlying cause, BCS can be classified as primary BCS, when the obstruction is located endoluminally (eg, due to thrombosis), or secondary, when the obstruction is located outside the hepatic veins (eg, due to tumor or cyst).2
Prothrombotic conditions and hereditary diseases can lead to the development of primary BCS. The most frequent underlying prothrombotic conditions are myeloproliferative diseases, such as polycythemia vera, essential thrombocytosis, and idiopathic myelo-fibrosis.3 Other common causes are hereditary thrombophilia, including factor V Leiden, protein C/S deficiency, and G20210A prothrombin gene mutation.4 Further risk factors are acquired conditions, such as antiphospholipid syndrome, hyperhomocysteinemia, paroxysmal nocturnal hemoglobinuria, and use of oral contraceptives.5 Almost half of the patients affected by BCS have multiple underlying prothrombotic risk factors.4 Interestingly, in Asian populations, BCS is most often due to a membranous obstruction of the vena cava or primary inferior vena cava thrombosis.6 Data from China have described endoluminal aberrations caused by unknown factors (possibly related to environmental factors and infection) resulting in BCS.7 In the present study, only cases with BCS from the West were included; therefore, our study may not be applicable in BCS patients of Asian origin.
The clinical presentation of BCS depends on the rate of hepatic venous outflow obstruction and whether the pressure can be reduced by formation of decompressing collaterals. These 2 factors lead to highly variable disease courses that range from asymptomatic patients to fulminant liver failure.2,8 Most commonly, patients present with 3 main symptoms: ascites, abdominal pain, and hepatomegaly.5,8 Less common symptoms include nausea and vomiting, which are more often seen in fulminant forms.6 Splenomegaly, peripheral edema, caput medusae, gastrointestinal bleeding, and hepatic encephalopathy are more often seen in the chronic form.2,6,8
The diagnosis of BCS is mostly based on imaging methods such as Doppler ultrasonography, computed tomography, or magnetic resonance imaging (MRI). These techniques can show the hepatic venous outflow tract obstruction.9 There are no data available with regard to the diagnostic superiority of MRI over computed tomography, and MRI is not as effective as Doppler ultrasonography in documenting intrahepatic collaterals.10 The diagnosis can be challenging due to the heterogenous clinical presentation of individual patients, a nonspecific combination of laboratory analyses, and a range of possible differential diagnoses.11 Thus, BCS often remains undiagnosed until clinical presentation worsens.
Treatment options for BCS comprise antico-agulation, decompression therapies (such as throm-bolytic therapy), portosystemic shunting, transjugular intrahepatic portosystemic shunt (TIPS), and orthotopic liver transplantation (OLT), when the clinical condition deteriorates and other therapies fail.5
In this study, our aim was to identify early prognostic markers that can predict overall mortality in BCS patients after OLT. For this, data from 27 BCS patients who underwent OLT in our institution were retrospectively analyzed, with emphasis on clinical presentation and laboratory features at time of first diagnosis.
Materials and Methods
Patient cohort and study design
From the Eurotransplant database, we identified 33 patients with BCS (12 men, 21 women), who underwent OLT at the University Hospital Essen between July 1989 and March 2016. During this period, 2426 total patients had received liver transplant procedures at the University Hospital Essen. Among these were 261 living-donor transplant procedures. Data were collected retrospectively from the database and by analyses of patient medical records. Four patients were excluded due to incomplete clinical data. Among patients who survived until the end of follow-up, 2 required retransplant procedures and were excluded due to this severe event. In one case, organ failure due to a cholangitis occurred with retransplant 9 days after the first OLT. In the other case, liver cirrhosis developed, with retransplant occurring 8 years after the first transplant. The final cohort thus comprised 27 patients (Figure 1).
Demographic and clinical data, as well as serum parameters taken at the time point of first diagnosis, were evaluated. Time from diagnosis to OLT, patient survival, and causes of death were recorded. Serum parameters included leukocyte counts and C-reactive protein (CRP) levels as markers of inflammation. Parameters reflecting synthesis capacity of the liver included coagulation parameters (international normalized ratio, activated partial thromboplastin time, thrombin time, and antithrombin levels), albumin, and cholinesterase. Because cholinesterase was not routinely detected over the whole period of retrospective recruitment, for 7 patients, no cholinesterase measurements were available. Serum parameters usually associated with damage of liver parenchyma (alanine aminotransferase, aspartate aminotransferase) and markers of cholestasis (total/direct bilirubin, alkaline phosphatase, and gamma-glutamyltransferase levels) were evaluated. Renal function was estimated via creatinine serum concentrations. In addition, various prognostic scores were calculated, including Model for End-Stage Liver Disease (MELD) score, Child-Pugh score, BCS TIPS prognostic index, and the Rotterdam index, to identify or confirm a possible predictive value for overall mortality of patients after OLT.
This study was performed in accordance with the Declaration of Helsinki and the International Conference on Harmonization Good Clinical Practice guidelines and was approved by the local insti-tutional review board (Ethik-Kommission am Universitätsklinikum Essen, 16-7045-BO). Because of the retrospective nature of this study, the institutional review board waived the requirement for written informed consent.
Statistical analyses
Categorical data are presented as numbers and percent, and continuous data are shown as means and standard error or median and range. To identify prognostic parameters for prediction of mortality in BCS patients after OLT, the patient cohort was divided into 2 groups. Group 1 contained all patients who survived after OLT (18 patients), and group 2 contained all patients who died within follow-up after OLT (9 patients).
Differences between the groups were assessed with two-tailed unpaired t tests (continuous data) and the Fisher exact test (categorical data). Statistical significance was assumed at P < .05. Patient survival after OLT was evaluated using Kaplan-Meier curves.Statistical analyses were performed using Excel 2007 version 12 for Windows (Microsoft Corporation, Redmond, WA, USA), Prism version 5 for Windows (GraphPad Software, La Jolla, CA, USA), and QuickCalcs (GraphPad Software, San Diego, CA, USA).
Patients with Budd-Chiari syndrome who survive after transplant are younger
The median age of the 27 patients with BCS who underwent OLT was 35 years (range, 15-63 y); 18 (66.7%) were women, and 9 (33.3%) were men. The survival group included 18 patients who survived until end of follow-up (median follow-up duration was 49.2 mo; range, 0.3-287.5 mo). Group 2 included 9 patients (33.3%) who died after OLT. Causes of death were liver failure (n = 2), sudden death due to heart failure (n = 2), cholangitis with abscess (n = 1), sepsis with multiorgan failure (n = 1), intracerebral hemorrhage (n = 1), and pneumonia (n = 1). Cause of death was unknown in 1 patient. Median time between diagnosis and OLT was 2 months (range, 0.07-119.8 mo), and median time between OLT and death was 14.1 months (range, 0.3-211.4 mo). The 1-year, 5-year, and 10-year survival rates were 85.2%, 74.1%, and 74.1%, respectively (Figure 2).
Patients in group 2 were on average older than patients in group 1 (39 ± 4 vs 34 ± 2 years old; P > .05). The mean body mass index of the total cohort was 25.5 ± 0.7 kg/m2, which did not differ significantly between the groups (25.4 ± 0.8 kg/m2 in group 1 vs 25.8 ± 1.5 kg/m2 in group 2; P = .88).
Cause of Budd-Chiari syndrome does not affect survival after transplant
Twenty-five patients (92.6%) developed primary BCS due to any prothrombotic risk constellation. Secondary BCS occurred in 2 patients; with 1 caused by an angiosarcoma and the other caused by echinococcosis. Of the 25 patients affected by primary BCS, 16 patients (64%) presented with at least 1 prothrombotic risk factor, 7 patients (28%) had a combination of 2 to 4 risk factors, and 4 patients (16%) did not have any risk factor with the prothrombotic constellation. None of the observed risk constellations were associated with mortality after OLT in patients with BCS. The exact distribution of individual prothrombotic risk factors is given in Table 1.
Nausea/vomiting and splenomegaly at diagnosis are associated with death after
The initial clinical presentation of the cohort is presented in Table 2. The most common symptoms were ascites (77.8%), abdominal pain (74.1%), and hepatomegaly (33.3%). Other symptoms were nausea and vomiting (29.6%), esophageal varices (29.6%), fatigue (22.2%), icterus (22.2%), splenomegaly (14.8%), pleural effusion (11.1%), peripheral edema (11.1%), fever (11.1%), renal insufficiency (7.4%), and hepatic encephalopathy (7.4%). Group 2 had significantly more incidences of nausea and vomiting (P = .006) and palpable splenomegaly (P = .007). Thus nausea and vomiting and palpable splenomegaly might have a prognostic value for survival after OLT for BCS.
Prognostic scores for Budd-Chiari syndrome are not predictive for survival after
liver transplant
Several prognostic scores, which have been suggested as predictive for survival in liver diseases or BCS, were calculated for the study cohort to identify a possible prognostic value to predict mortality of BCS patients after OLT. The BCS TIPS prognostic index, Rotterdam index, and MELD and Child-Pugh scores were evaluated. Patients in group 2 had higher and therefore potentially worse scores than group 1, although the differences did not reach statistical significance (Table 3).
Alkaline phosphatase and cholinesterase differed significantly between
Budd-Chiari syndrome patients who survived or died after liver transplant
Routine laboratory parameters from the time of first diagnosis were compared between group 1 and group 2 (Table 4). On average, patients presented with elevated leukocyte counts (15.38 ± 1.81/nL) and elevated CRP (6.76 ± 1.2 mg/dL) as possible inflammation reactions. Coagulation parameters reflecting the synthesis capacity of the liver were above the normal range, indicating impaired liver function. Antithrombin and albumin levels, which are synthesized in the liver and therefore represent synthesis capacity of the liver, were below standard values. Serum concentrations of markers for liver damage, including aspartate aminotransferase (567.82 ± 262.07 U/L) and alanine aminotransferase (510.95 ± 223.96 U/L), were greatly above reference ranges. Concentrations of serum markers for cholestasis (gamma-glutamyltransferase and bilirubin) were elevated over reference ranges. Mean creatinine serum concentration as a surrogate marker of renal function was within the normal range. None of these factors differed between group 1 and group 2 (Table 4).
Serum concentrations of the cholestasis marker alkaline phosphatase were elevated above the normal range in our study group (247.46 ± 35.29 U/L), and concentrations of the liver synthesis marker cholinesterase (3.75 ± 0.47 U/mL) were reduced (Figure 3). Patients in group 2 had significantly higher levels of alkaline phosphatase (389.86 ± 54.35 U/L; P = .009) and significantly lower levels of cholinesterase (2.17 ± 0.26 U/mL; P = .004) compared with group 1 (185.87 ± 37.75 U/L and 4.61 ± 0.66 U/mL, respectively). High alkaline phosphatase and low cholinesterase serum concentrations early during the BCS course could have a predictive value for survival of BCS patients after OLT.
In this retrospective study, we analyzed 27 patients who underwent OLT for liver failure due to BCS. Demographic, clinical, and diagnostic data were evaluated with special emphasis on serum parameters and prognostic scores at time of first diagnosis. Our aim was to identify parameters predictive of patient outcomes after OLT. The analyzed prognostic scores did not differ significantly between patients who survived and patients who died, which is in line with a study of 248 BCS patients who had OLT; that study demonstrated no prognostic value for the Rotterdam index for outcome after OLT.12 Nausea and vomiting and palpable splenomegaly at time of BCS diagnosis were significantly different between our outcome groups after OLT. Low serum concentrations of cholinesterase and high alkaline phosphatase serum levels were associated with adverse outcomes after OLT for BCS. The demographic characteristics of the presented cohort were quite similar to cohorts published in European and American studies.4,12-16 In addition, our 1-, 5-, and 10-year survival rates were similar to other studies and indicated that OLT provided good outcomes for treatment of BCS.12-14
The risk factors or causes of BCS found in our study were similar to previously published series.3,4 None of the prothrombotic risk factors seemed to have a negative impact on survival, which has been suggested previously.3,17 Demographic data versus risk factors of the presented BCS cohort were also similar to these previously published cohorts.
For patients with BCS, the most common symptoms are ascites (76%-100%), abdominal pain (45%-86%), and hepatomegaly (43-83%).18 Less common symptoms include palpable splenomegaly. Interestingly, patients in our study who presented with this symptom at first diagnosis had increased mortality after OLT, which to our knowledge has not been previously observed. A possible explanation for this finding based on pathophysiology of BCS may be portal hypertension as underlying cause of sple-nomegaly.3,19 It could be possible that splenomegaly is an early sign of an undiagnosed portal hyper-tension, which negatively affects survival.20 Other often disregarded clinical symptoms are nausea and vomiting. However, patients in our study who had nausea and/or vomiting at first diagnosis had a worse outcome after OLT. Nausea and vomiting are usually unspecific symptoms and can be due to multiple reasons. Organomegaly or massive ascites can lead to gastrointestinal compression, which can cause nausea and vomiting.21 Ascites has been described as a negative prognostic factor in BCS patients.4 In our study, we could not distinguish between massive or moderate ascites. Nausea and vomiting could be the result of massive ascites or indicative of increased gastrointestinal compression. Patients in our study with splenomegaly and nausea/vomiting at first diagnosis showed adverse outcomes after OLT for BCS. These symptoms might be surrogate signs for a more severe cause or already present consequences of BCS, which cannot be detected otherwise.
Routine laboratory parameters showing impaired liver synthesis capacity generally indicate a com-promised health status at the time of first diagnosis. Leukocytosis and elevated CRP levels suggest an acute phase reaction,22 although leukocytosis could also have been a consequence of myeloproliferative diseases present in 40.7% of our cases. Deficiency of coagulation factors leads to the observed prolongation of thrombin time and activated partial thromboplastin time, which reflect an impairment of liver synthesis capacity. This is supported by low levels of antithrombin, albumin, and cholinesterase as these are also synthesized in the liver.22,23 In addition, elevated markers of liver injury and cholestasis can be detected.22,23 Compared with previously published data, our present cohort exhibited higher levels of liver and cholestasis markers,4,15,24-28 whereas albumin was similar to other cohorts.4,15,25,26 Generally, our present cohort seemed to have more severe liver damage with similar capacity of synthesis compared with other published cohorts. The observed differences may be a consequence of our limitation to BCS patients who underwent OLT.
The most important aim of the presented study was to find predictive factors for survival after OLT. Serum concentrations of cholinesterase were significantly lower and alkaline phosphatase was significantly higher in patients who died compared with those who survived. Cholinesterase is an α-glycoprotein synthesized in the liver29 and has been identified as a prognostic factor after OLT in patients with cirrhosis, hepatitis B and C virus, and primary sclerosing cholangitis.30 Low cholinesterase levels are associated with negative prognosis in patients with cervical and pancreatic carcinoma.29 Severe liver damage presenting with reduced protein synthesis, massive liver cell death, or malnutrition can result in reduced cholinesterase.23,29 Although the body mass index shown in our cohort did not indicate malnutrition, more than 80% of patients had ascites, which can affect body mass index and complicate interpretation. Low cholinesterase could be a sign of malnutrition, which can lead to high postoperative mortality.30 Furthermore, serum concentrations of cholinesterase are negatively correlated with interleukin 6 and tumor necrosis factor α. Although these cytokines were not measured in our study cohort, increased inflammatory signaling would be in line with the observed leukocytosis and elevated CRP.
Alkaline phosphatase is a glycoprotein produced in several tissues (liver, biliary duct, and kidney).31 A negative impact of high alkaline phosphatase levels on prognosis of patients with hepatocellular, gastric, pancreatic, and colorectal cancer has been previously shown.32 High activities of alkaline phosphatase correlating with CRP are also present in inflam-mation.33 High alkaline phosphatase activities can lead to atherosclerosis,34 which could facilitate progression of BCS and aggravate the clinical situation. Portal hypertension also leads to elevated alkaline phosphatase activities, which has been identified to have a negative impact on survival.20 Together, low cholinesterase and high alkaline phosphatase levels pretransplant in patients with BCS suggest a more severe situation, possibly as indirect markers of inflammation, malnutrition, or progressive vascular damage. Our findings need to be interpreted with care due to the retrospective nature over a long period of time, affecting diag-nostic procedures and data availability. Budd-Chiari syndrome is a rare condition, and the analysis was restricted to patients who received OLT, leading to a limited number of patients. However, rigorous statistical analysis was applied to minimize the effects of these limitations.
Early pretransplant clinical features and serum concentrations of cholinesterase and alkaline phos-phatase may be able to assist in estimating survival of BCS patients after OLT. A larger prospective study could confirm whether a combination of palpable splenomegaly, nausea and vomiting, elevated alkaline phosphatase, and low cholinesterase might improve prediction of outcomes of OLT in patients with BCS.
Volume : 17
Issue : 5
Pages : 665 - 672
DOI : 10.6002/ect.2018.0274
From the 1Department of Gastroenterology and Hepatology, University Hospital,
University Duisburg-Essen, Essen, Germany; the 2Department of Gastroenterology,
Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg,
Germany; the 3Department of Power Transmission and Storage, University of
Duisburg-Essen, Duisburg, Germany; and the 4Department of General, Visceral and
Transplantation Surgery, University Hospital, University Duisburg-Essen, Essen,
Acknowledgements: The authors have no funding or conflicts of interest to declare. *Barbara Jeschke and Aline Gottlieb contributed equally to this work.
Corresponding author: Ali Canbay, Hepatology and Infectious Diseases, Otto-von-Guericke University, Leipzigerstr. 44, 39120 Magdeburg, Germany
Phone: +49 391 67 13100
E-mail: firstname.lastname@example.com
Table 1. Cause of Budd-Chiari syndrome in Our Study Patients
Table 2. Clinical Presentation of Survivor and Deceased Patient Groups
Table 3. Comparison of Prognostic Indexes in Survivor and Deceased Patient Groups
Table 4. Comparison of Laboratory Values Between Survivor and Deceased Groups at Time of First Diagnosis
Figure 1. Composition of the Study Cohort
Figure 2. Kaplan-Meier Survival Curve After Liver Transplant
Figure 3. Alkaline Phosphatase and Cholinesterase Serum Concentrations of Survivors and Deceased Patients


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My three year old is terrified of getting in the swimming pool. We've only recently started swimming lessons and have not been successful at all. We has suspended lessons for now. My son is not all that keen on the bath either. How do I help him enjoy the water, and enjoy being taught how to swim? Mum of one with another on the way.
I often see children in my clinic who are fear based anxiety – a fear of water is very common for young children, what they particularly dislike and are scared of is the water being poured over their head or being underwater.
Seeing that the swimming lessons are that traumatic you are best to take a few big steps backwards and start at the beginning. As sometimes swimming lessons are difficult for more emotionally sensitive children regardless. So I recommend going right back to the beginning and introducing water to him.
Go back to your son just playing with water and start with small steps. Set him up at the kitchen sink with a few toys or dishes that you need to have washed with a stepping stool, some detergent (kids love bubbles) and a soft cloth. Find other ways that you can introduce water play to your son. A collection of funnels, pouring cups, and containers is a great way to start. Add these into his bath time as well, find a few floating animals etc.
Just go back to playing with water and having fun! Depending on the weather getting outside with bubbles, buckets, hoses and containers is a great idea and slowly build up to bigger plastic containers that he can actually climb into and sit in once he is comfortable with general water play.
Once he's playing move to the next step which is too actually start to pour water over his face, the best way to do so is to have a measuring jug from the kitchen and as he plays gradually pour a little water down the side of his head etc. Be sure to laugh, clap and be surprised with your expressions every time despite his initial pull back or shock at a little water. Build on these experiences. Save swimming lessons for the future when he is actually calm around water and then find a swim school that is experienced in encouraging him rather than just forcing the issue. Before long he will be calm and comfortable with water.


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A simple but carefully designed planter box allows newly planted trees to grow and flourish, using just the water naturally available in their environment.
The Waterboxx is installed around a newly planted tree, and remains in place for a year or more, until the sapling is established. Caitlin Cornwall from the Sonoma Ecology Center explains what goes on during that time.
It was just about a year ago that Sonoma County Regional Parks first field-tested the Waterboxx. Park planner Karen Davis-Brown recalls that they choose an especially challenging spot for that test.
The video below, produced by Hoff's company, Groasis, explains the workings of the Waterboxx in animated detail.


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The new Home of the writer in Burgas will be opened with this year's edition of Autumn literature holidays on October 1, when the National day of poetry is marked.
A big part of the events from the placard will be held in the new building on str. "Vola", which was completely renovated and reconstructed for the literature meetings, readings and presentations.
"Long years the writers of Burgas were separated. Thanks to Municipality Burgas, which granted this beautiful house with a nice yard, we now have a place to meet, exchange information and ideas and present our new works", said the chairman of the United writer's community in Burgas Roza Boyanova.
There will be also events, which will be hosted by Cultural Center "Sea casino" and art gallery "Petko Zadgorski".
In the program of the 18th edition of Autumn literature holidays are included 20 events, among which 8 premieres.
New books will be presented Roza Maksimova, Ivan Kehlibarev, Nedyalko Slavov, Katya Zografova, Mina Krasteva, Dinko Dinkov, Mariyana Pramatarova, Milka Ivanova, and Konstantin Koradov.
Songs and poems by Peyo Panteleev will sound on October 7, on October 15 will be marked 135 year anniversary from the birth of the writer Petko Rosen, and on 21 October is the night of Burgas poetry.
There will be thematic nights devoted to marine poetry and prose, to humor and science fiction.
In the program are included two discussions – "The poetry of the past and the present" and "The status of the artist and the global culture politics".


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Isabel and Rowan are third generation dairy farmers in Felton, QLD and they are in a desperate situation. Three dairies have closed down around them in the last couple of weeks and without our help they have no chance of surviving this drought.
Milk production is down by almost a half while their feed bill has tripled. This means every month they get further and further in debt.
They have done everything they can to help themselves. Two staff members have been laid off already. The herd has been drastically reduced and in two weeks the trucks will be coming for the rest of them. The remaining staff will have no jobs and Rowan and Isabel will have to start the heart breaking job of selling the farm to repay feed debts.
Government 'help' doesn't do a thing other than keep the politicians in the media. There are lots of fantastic charity initiatives out there trying to help too, but there are so many farmers needing help that resources are spread very thin.
This fundraiser is to save one family and dairy farm against this awful drought. Any money raised will be paid directly to Sutton's Hay and Grain to feed Isabel and Rowan's herd. Your donation really will feed the cows. Not only that but it will have a flow on effect. Sutton's is a small local business that travels throughout the country side begging people to sell their stubble. So many times Isabel and Rowan have had no feed left but somehow a truck of stubble turns up at the eleventh hour. A lot of farmers owe Sutton's money and now he himself is feeling the strain.
You can help by giving here or donate an item or bid for something on our silent auction at https://www.32auctions.com/RollingInTheHay2018 (auction to be launched on 1 October).
Several retail businesses are donating from product sales. You can find them here www.rollinginthehay.com.au.
Sharing is caring too - please promote this worthy cause on all your socials and join our group https://www.facebook.com/groups/rollinginthehay/
Meet Isabel and Rowan https://m.thechronicle.com.au/videos/heart-breaking-decision-farmer/62044/


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Embeddable Media is an emerging category. Content Networks = Shareable Content
Listly Listly for Brands/ Solving the hard problem of consumer participation * Lets people vote * Lets people contribute * Lets people share, embed Lets your c...
What is it that makes content social? It takes two types of networks: a social network a content network Content Networks like YouTube, Slideshare, Soundcloud...
How do you get started with Listly What is a social list? Why and how do you begin creating social lists This is a simple guide to getting going with the basic...
Plugin to easily integrate List.ly lists on WordPress. Add/edit lists, add items to lists and embed lists as responsive content using customizable shortcodes. Listly lets you curate and crowdsource any list embedded in a blog post / page. Listly empowers your audience to contribute to the list content on your blog.
Local Content / Local Lists Toolkit - A Three Part Series | Why Local Content Matters, How to guide for local content, and The A-Z of Local Content.
Contests are always roller-coaster rides. There is a fine art to running the perfect contest. People get emotionally charged when a contest is running. You also never know when a big contest is going to begin. You never know which contest is going to be big!
People lists always generate a reaction and draw a crowd. People lists are conversation starters. Bloggers, brands and publishers all use people lists to create social engagement. Wealthy lists, 30 under 30, local dynamos. There are infinite possibilities. Great lists become much expected. They turn into annual awards and events.
8 Ideas to Collect, Organize & Embed Video Playlists | Collections of Interviews, Talks & Keynotes, Movie Previews, Google Advertising 3.0 Slides and Video Mike Yapp - Future of Advertising at a Tool, Your Video Portfolio, Collections of Funny Videos, Collections of Songs, Personal Video Channel - Robin Good TV, and Video Answers
Sampler - Official Listly Whitelisted Media PlayList | Slideshare, vimeo, blogtalkradio, ustream.tv, YouTube, prezi, Audioboo, soundcloud, spreaker, and hulu
If you write guest blog posts, what's stopping you making a list of your guest posts to track, share, and extend over time?
Email newsletters are a valuable resource. They are a core part of your content marketing strategy. Emails is the ground zero of social and human engagement (except for the SMS generation). Email is the call to action mechanism for just about every social network on the planet.
Each email is a simply a list - 5 items - send to entire userbase. Using Mailchimp / Mandrill


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Using the propreitary protocol Ledbee™ (based on IEEE 802.15.4)
Use Your Smart Phone and Computer to Control
There is not necessary to buy new machines or facilities in order to implement this system. You can use your familiar machines to control the wireless lighting system.
NetLED Functionality
|Dimming Control
|Control al lights down to an invidual level from 0% to 100%. Control from smartphone and tablets.
|Group Management
|Group light and control dimming by zones.
|Suhedule Management
|Day, time, and degree of lighting can be scheduled by individual light and by group.
|Scene Management
|Present lighting patterns and lighting flows can be established.
|User Management
|Administrators can set permissions for limited lighting control.
|Sensor Management
|Motion and light sensors can be configured to trigger and fully automate lighting.
|Power Consumption Monitoring
|By lamp, group, area, time, and such, power
consumption can be monitored.
NetLED Hardware
NetLED Engine
Installed in the devices and sensors of lighting products, to communicate and perform dimming control, tone control through NetLED Gateway. Using original developed protocol Ledlee™, based on IEEE 802.15.4. It is similar to ZigBee, and same multi-hop and self-healing function. Through Net LED system that can achieve efficient lighting on / off, dimming control, control and monitoring of various sensors and machines. Encoding use of the powerful AES-128 bit, which is good in security.
NetLED Gateway
Can communicate with NetLED engine. Communicate with cloud server throught Internet, and send the instruction to the lighting products.
NetLED Sensor
The greatest feature of this sensor is that it is networked into the system and can be flexibly used to trigger many different types of events. The analog sensor port allows for other sensors such as those for temperature to be connected.


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***This antique is also available to buy at our Antique Shop in Eton. If you want to purchase the item from here (our website), prior to the purchase please contact us via phone +44 (0)1753 865447 and/ or complete an enquiry form click here. We can then confirm the antique's availability.***
This is a Victorian 1870 Gilt bronze & oak inkstand, it measures 17 diameter and stands 13 cm high.


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I recently told my husband that I'd never have to worry about him having side chicks because all his side chicks are my other personalities.
We both laughed at that and I was completely joking about the side chick thing – that's not who he is. But I have been full of different personalities lately, and I realized I had gone too long without doing anything about it.
Before I go any further, I'd like to place a possibly unnecessary trigger warning for my fellow friends and readers suffering from mental illnesses. But at the same time, I hope that the only way this triggers you is by making you realize that there's no shame in seeking help. And as always, this is a judgement-free zone. Assholes can leave right now.
I have been getting progressively worse in the mental health department. My mania was really high and then I'd plunge into the low of depression and my blood would boil with anger in what seemed like a split second, and it had been slowly getting more and more extreme since around November of last year. I started screaming more, throwing more things, slamming my fists or items on surfaces more often, and worst of all, I started doing it in front of the girls. Rick and I had been arguing almost every day, I was constantly hurting his feelings, and it unfortunately got to the point where I pulled the emergency brakes on myself and realized I was completely out of control.
Three days after having the worst, most intense meltdown I have ever had in my life, I went in and saw my primary care doctor. I told him what medication I had been taking and how long it had been since I had actually talked to a psychiatrist (mine moved away about two years ago), and I felt embarrassed. Not because I was asking for help, but because I let it get to this point. My doctor was a little confused as to why I had been placed on medication that didn't actually treat my bipolar disorder. Yes. You read that correctly. The same doctor who diagnosed me as bipolar type I didn't put me on something that would treat the whole thing, only the depressive state, and it never got changed to something that would actually help me. Looking back to the last few years, I absolutely see that I had been constantly manic and impulsive even during depressive episodes (that is exhausting), and I found myself relieved to know that it wasn't anything I had done wrong. Just, you know, someone who was supposed to know what would help me get better. As I told my doctor everything about how I had been feeling and losing my temper, he consistently reassured me that "this is treatable" and commended me on being so aware of my mental state. He completely changed my medication, putting me on something that is actually used to treat bipolar twice a day, and I see him again this coming Friday.
The first two days of taking the new pill regimen, it was impossible for me to get angry. Impossible. Now, two and a half weeks into it, I see that it only fixes 1/3 of my issues: the depression (issue 1) and anger (issue 2) still linger but the mania (issue 3) is gone. It feels weird. I had been so used to the mania aspect of it that I now feel like my personality is slowly being drained from me. I'm also constantly hungry and tired. And yes, before you ask me "so, Camila, you're gonna talk to your doc about this, right?" – yes. I totally am. I am also asking him to refer me to a new, competent psychiatrist.
The good thing about all of this is that I feel in control, as contradicting as it may seem. Here I am, losing my shit every time the girls won't sleep or stop crying, and yet I say I'm on top of this. But I am. As I sat on the floor of my living room, raging at my husband and poor babies who will thankfully never remember it, I saw myself as in an out-of-body experience. I didn't feel like it was me doing it. Half of me was condemning what was being said and done, serious, shocked, frozen in disbelief, while the other half had no filter or care in the world. The half of me that was aware and thinking straight grabbed the other half of me by the shoulder and shook it. It said this was enough. It said I would be doing something about this the next day. And so I did – I made the call to my doctor and saw him two days later. I am helping myself help myself. I am making sure I am doing what I can to fix what I naturally can't – this goddamn chemical imbalance.
I am truly hoping to not go through tons of different medication for a while just to get to one or two that work alone or together. I want to find relief so badly that I sometimes think I'm imagining that 1/3 of my issues is being taken care of. I just want to be normal. But, in today's obnoxious and toxic world, what the fuck is normal?
At least I throw some interesting curveballs.
I can't wait until Friday.
*** If there's anyone reading this who needs help, I can't reiterate enough how important it is to make the call, or take the drive to your doctor. You're important. You matter. There's no shame in seeking help.***


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Vastavam web: The Bharatiya Janata Party (BJP) on Saturday demanded action against senior Telugu actor and Telugu Desam Party (TDP) legislator N. Balakrishna for using objectionable language while targeting Prime Minister Narendra Modi.
The BJP delegation, led by Vishnukumar Raju, submitted a memorandum to the Governor demanding action against Balakrishna.Balakrishna on Friday described Modi as a "gaddar" (traitor) and "namak haram" (cheat) for going back on the promise of granting special category status to Andhra Pradesh. Balakrishna, younger son of legendary actor and TDP founder N.T. Rama Rao, spared no words in targeting Modi.He predicted that the BJP would not win even a single seat in Andhra Pradesh in the next elections. "You are trying to play Sikhandi (an eunuch character in Mahabharata) politics by taking the help of our rivals to attack the TDP. But your cheap politics won't work here. You cannot succeed in your attempts," he said.The actor also accused Modi of trying to gain grip over Andhra Pradesh as he had done in Gujarat.


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National Dairy Month 2019
June is National Dairy Month! For more than 75 years, June has been devoted to recognizing dairy products and the farm families who produce them.
Dairy products (think milk, cheese and yogurt) provide important nutrition to families. Dairy is packed with a high-quality protein that supports healthy muscles and promotes fullness. Did you know the most recent Dietary Guidelines for Americans recommend that people ages nine and older consume three servings of low-fat or fat-free dairy foods every day?
And, with only three ingredients listed on the label – milk and vitamins A and D – and about a 48-hour journey from the farm to the grocery store, milk is a local food which fits easily into the clean eating trend.
How can you celebrate June Dairy Month? Start by raising a glass of milk, slice of cheese, cup of yogurt, scoop of ice cream — or any other of your favorite dairy products — to the dairy farm families of Kansas who own and operate the about 300 licensed dairy farms in the state. Their top priority each day is to produce high quality dairy products while providing the best possible care for their animals and our environment.
And while you're at it, try your hand at this fun quiz from our friends at Midwest Dairy!


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Should I bother dropping my firmware dump in here???
anyone working on something to port the sx240 and/or sx260??
...how can we find the version firmware? I have the same model
@bobmWhat is the version firmware of your cam?
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