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Proper Cycling Technique and Form on the Indoor Cycle
Cycling Technique: Indoors & Out
Over the past 10 years while teaching over 5,000 hours of indoor cycling classes throughout various fitness facilities across the USA, I have found that in order to get the best workout on a bike, you must have the right technique whether you are cycling indoors or outdoors.
The leg drive on a bicycle is a relatively simple process. You may either pedal with greater force, more pedal velocity along with resistance in gears or brake, or both to achieve greater speed and power. In order to accomplish this, you must first transfer your body's energy to the pedals. How much of this energy you transfer is determined by your efficiency and technique during the pedal stroke. There are many ways to increase power and efficiency. It is possible to be a fit and powerful athlete, but not necessarily a fast one if you are inefficient.
Proper Cycle Set-up And Pedal Interface
First, let's look at how your foot connects to the crank arm. The widest part of your foot should be roughly in line with the pedal spindle. Some cyclists prefer to be slightly fore or aft of this point, but generally the more efficient position is in line from the forward front part of the knee cap to with the head or beginning of the big toe. The more solid the pedal platform driving straight down through the legs, the more force and power you will be able to create through to the crank arm.
A Shimano SPD clip carbon-soled shoe is very rigid and will transfer more power than a typical rubber-soled athletic shoe. A soft athletic shoe will actually cause you to be very inefficient and not be able to create much power through to the crank arm. Make sure to obtain the proper cycling apparel and equipment in order to be more efficient, comfortable, and set to burn more calories. If your foot is rotated to the inside or the outside as you pedal, more force will be directed medially or laterally and therefore will negatively effect your power and efficiency going through to the crank arm. The rotational angle of your cleats should face straight forward but also match your natural bio mechanics and leg alignment.
Some pedal systems have a high degree of "float" built into them and it is not necessary to adjust for rotational angle. If you are a "pigeon-toed" or "duck-footed" cyclist, it is important to not lock your foot in a position that is contrary to how you are naturally built. This will cause compensation in your pedal stroke, wasted energy, and perhaps an overuse injury.
Proper Cycling Pedal Form and Force
With proper cycling form, you can ride your bike more efficiently, ride your bike faster, and ride your bike with less elbow, hand, neck, knee, lower back or butt pain. From toes to head here are five tips on proper cycling form and utilization of force.
1. Pedal In Squares
When an individual cycles the feet are moving in circles, but if you can think in square rotation technique, you'll improve your pedaling efficiency. Push your foot forward along the top of the square, and then down against the front side of the square. Next, scrape the bottom of the square as if your scraping mud off the bottom of your foot and then pull up the backside of the square.
Optimally, force should be applied perpendicular to the crank arm. Any force that is applied in a different direction does not directly work towards your speed. Most pedal force is produced from the top to bottom of the pedal stroke. If you can imagine looking at a traditional clock, an efficient cyclist will begin producing force at 1o'clock position or just over the top of the cycle stroke. If an individual attempts to produce force by "pulling up" on your pedals through the bottom of the pedal stroke, one leg will fight the other.
Through the bottom of the pedal stroke you simply need to un-weigh and apply a little of force while pulling up the pedal to keep the momentum going so that it can move at equal velocity to the crank arm on the upstroke. Use the hip flexors to accomplish this. They are the muscles you touch when you put your hands in your front pockets. Hip flexor strength and developement are extremely important when it comes to being strong and powerful on the bike. Some energy is lost in the pedaling cycle while using the core and other muscles to balance and some energy is used to stabilize your joints to produce force but the objective is to direct as much energy as possible directly into the crank arm. Be as consistant as possible while trying to drive as many watts as possible into the crank arm of the bike!
2. Proper Seated And Standing Cycling Form
An efficient cyclist works within the limits of his or her own natural bio mechanics to optimally produce pedal force. What does this mean? Everyone has differnt body mechanics and composition and will have a slightly different pedaling style based on how they are built. Some cyclists are wide-hipped, duck-footed, sway-backed, overpronators, etc. It is important to not attempt to correct something that is natural as injury can occur. Keeping this in mind, there are ways to put more power to the pedals.
Make sure your heels are not moving back and forth as you pedal. A small degree of float is needed in the pedal stroke, but if the heel moves excessively towards or away from the crank arm, energy is wasted. Dropping your ankles as you pedal or pedaling with your feet (ankling) does not produce force effectively. The muscles of the lower leg play an important stability role, but the bigger muscles of the upper leg are the prime force producers.
"Knees out" pedaling is another more common form issue that can lead to some possible leg and knee injuries. Your knees should track roughly within a line from the hip to the foot. When the RPMs' (Revolution's Per Minute) get to be too fast sometimes or when there is a lack resistance an individuals whole body may tend to 'bounce' in the saddle while pedaling, this translates to more lost energy and a very inefficient way of cycling. The hips should be engaged and connected to the seat without much 'bounce' at all.
A straight back is a more stable platform for force production than a rounded back. However, there are occasions when you will lean forward in order to cut down on wind resistance for outdoor riding in order to increase speed and efficiency. When using the indoor cycling bikes there are many times when the use of your upper body muscles assist by pulling the body into the pedal stroke to create as much force as possible while leaning from side to side. While doing this, try to avoid a tight grip on the handlebars and be efficient and light up top so that the upper body won't atrophie and consequently last longer throughout a long ride. An individual can and will burn more calories while using the legs.
Overall, pedaling form should be fluid while the body relaxed. A relaxed body absorbs road shock and vibration, whereas a stiff body fatigues from it. Video analysis and slow motion video visuals is a great way to prevent bad habits from forming and identify multiple form issues.
3. Proper Cycling Fit On The Bike
An individual's bike fit must consider your comfort, aerodynamics, and power. The combination of these positions will depend on the type of cycling you are doing, your biomechanics, and competitive level. A poorly fitted bicycle, however, does not allow you to produce force effectively. A seat that is too high, low, or positioned too far forward or aft will affect power that can be produced through the crank of the bike. A seated position that is too condensed or stretched will be uncomfortable and may cause neck, shoulder, back, shoulder, or hip-flexor strain.
A bike that is too big or small will not be nearly as effective as the proper frame size for your hieght and weight. Only when you are on the right bike, comfortable, and lined up correctly, can you really put the power to the pedals. All of these variables affect how you concentrate and produce energy to that relatively small area near your big toe. Setting up the bike to an individual's needs and adjusting for cycling efficiency translates to tons of "free speed." You don't necessarily have to work harder, just smarter.
4. Proper Cycling Grip
When cycling indoors or outdoors remember to keep a light grip on the handlebars. Beware of the white knuckle syndrome where an individual tries to grip the handlebars way too tight and consequently could cause tremendous upper body stress or injury. Instead, hold the handlebars (or aerobars) with a light relaxed grip, which will save energy, keep the neck and shoulders loose, slightly lower blood pressure, and keep you from feeling too tight on the bike. It's a small adjustment, but can make a big difference in your comfort especially during long rides and events, which will ultimately improve your performance. White knuckling the handlebars like this can lead to numbness in the hands as well as attrriphy throughout an individuals enitre upper body.
Tightness in the chest will restrict breathing which will reduce oxygen consumption. Oxygen is essential for both removing waste products and bringing fresh supplies of energy to your working muscles. Also remember that the more an individual can relax the face and upper body while breathing in more oxygen the more energy they will be able to produce. Just like a muscle car uses a super-charger to obtain more oxygen faster in order to gain more horsepower the more an individual can breath in and utilize more oxygen the more that individual has the ability to produce more power. When a cyclist or athlete is short of oxygen the legs will tire more quickly and that individual will have a harder time finishing the climb if they are not breathing freely.
5. Proper Forward Leaning Cycling Form
While a cyclist pumps the crank up a hill the muscles being used will become exhausted as waste products produced by straining muscles accumulate faster than they can be carried away in the bloodstream. It doesn't take long to clear these waste products if you can make less use of the muscles for a moment. There is no such thing as 'chilling' or 'coasting' on a climb and the solution is to briefly work different sets of muscles throughout the climb to give particular muscle groups precious time to recover. There are several ways to do this.
If you typically ride with toes pointed down or feet flat, drop your heels for a bit to bring your hamstrings and glutes more into play and give your quadriceps and calves time to recover. Likewise, if you usually ride with your heels dropped, raise them so your feet are flat or point your toes down thereby taking the load off the hams and glutes and shifting it onto the quads and calves. Shift forward and back on the seat. Sitting on the front of the seat accentuates the quads, sitting on the back accentuates the hams and glutes. Stand up for a brief interval and then sit back down. Just before you stand, shift into a bigger gear and then shift back to the smaller gear when you sit down. You will have more power when you stand and if you stay in the smaller gear you will lose momentum. Use these techniques for 10 to 30 pedal strokes periodically throughout the climb to buy recovery time.
Be Efficient And Remain Seated While You Climb
Standing is terrific for short bursts of power or for a change in muscle use (and hence a bit of muscle recovery) on a very long climb. However, it is less efficient than sitting and will tire you out faster in the long run. You will be stronger at the end of the ride if you climb sitting at the beginning. Less efficient to begin with, standing becomes much more inefficient if your technique is not good and good standing technique is much harder than it looks. Many riders with poor technique weave back and forth across the road when they stand and thrash back and forth, twisting at the hips. This wastes a lot of energy and is hard on the lower back possibly leading to back soreness or tightening on long rides.
Experienced riders are likely to disagree with this advice to climb while seated because standing on the climbs is a standard practice among advanced riders. Having developed the ability to climb efficiently while standing is one of the many skills that separates the advanced rider from the novice. If you stick with road cycling, you'll learn to climb in a standing position but when you're just starting out, I think it's better to learn to climb efficiently and well while sitting before learning the more difficult skill. In many of my own cycling classes I see all the benefits in the standing position while cycling and climbing in order to maximize power and stength, especially on the Evo indoor cycle with the sway frame that shifts back and forth and causes instability that forces you to use the core muscles to engage and burn more calories throughout the ride. More and more resistance can be added while in riding in the standing position and consequently more watts are produced and more calories will be burned!
Author Information:
Jack created Powerhouse Fitness after winning numerous medals in various events on the international stage. He was a gold medalist in 2007 at the first ever Concept 2 Team Indoor Rowing challenge, held in Essen, Germany. In 2006, he took silver at the Masters Nationals Open Single Event. As a member of the US Rowing National Team from 2001-2004 he placed second at the 2003 Pan American Trials in double sculls and had an outstanding 2002 that saw him claim a gold medal in Senior 8 and a silver medal in the Elite Double at the US Nationals. He was also a silver medalist in 2001 in the Nations Cup (now the U23 World Championships) 8 in Ottenshiem, Austria. Find out more.


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1 Accommodation, 5 Things to do
The Dingle Gate Holiday Hostel is situated in the heart of the Dingle Peninsula, nestled between the hills and mountains of Annascaul and Inch. The hostel has a friendly atmosphere with large landscaped gardens. It is wheelchair accessible.
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Kennedy Coaches Ltd. is a family run business providing a coach tour and chauffeur service.
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The Owenascaul River drains into Dingle Bay in County Kerry. It holds good stocks of grilse and sea trout which can be fished from June.
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The Connor Crean Centre celebrates the memory of Jerome Connor, famous international sculptor and Tom Crean, the Antarctic Explorer; both born in Annascaul.
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A small intimate nursery which operates seasonally from March to end July. An extensive variety of herb plants are produced naturally by utilising a traditional growing technique.
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Want to know more? Ask a question in our Community, they're the people who know Ireland best.
For more information on travel and accommodation, attractions have a look at our brochures and maps.
If you're a visitor from the island of Ireland you may want to visit one of these sites… Otherwise proceed to Ireland.com
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subset: commoncrawl


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PATH OF LOVE by Stevens Becca
Tags: Bible Studies and Daily Readings, Dated Study Materials, Paperback, Book
Normal Dispatch Time: 1-5 days
Cross Rhythms Product Code: 99434
Product Format: Book
Binding: Paperback
Publisher: Abingdon Press Alban Books
Cat. Code: 9781426711749
It's easy to get lost in the busyness of every day. But taking a walk and discovering God's presence along the way will bring you back to where you need to be. The Walking Bible Study, a series of short readings and meditations, is your field guide to learning more about Scripture as you travel through nature and life. Wherever you walk, take it along with you and follow the paths of God. "Walking changes us; it can transport our spirits from being weighed down by life into the joy of God's presence." - Becca Stevens Each study consists of four sessions. Sessions include prayer, Scripture, Becca s thoughts and stories, questions to think about or discuss, and activities. The Path of Love The world was created when God took the two chaotic elements of the universe that do not allow life---the deep and the darkness---and encompassed them into a loving creation that is called Good. The story of Love is rooted in creation and is so powerful that in its culminating act, it rolls the stone away at the break of Easter morning.Â


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Florence, S.C. – With a pair of wins Sunday afternoon, the Coker Softball Team was a perfect 3-0 at the Patriot Invitational Softball Tournament. In their first game of the day, the Lady Cobras defeated their second nationally ranked opponent of the weekend, defeating #23 Lenoir-Rhyne, 3-2. Their second game of the day gave Coker a 5-1 win over Shepherd College, improving their record to 15-9 overall.
In game one, Whitney Wallett (Shermans Dale, PA) hit what turned out to be the game winning two run home run in the bottom of the sixth inning, giving the Lady Cobras a 3-2 lead and eventual win.
Shelly Catlett (Orangeburg, SC) picked up the win going seven strong innings, allowing two runs on seven hits with six strike outs.
Wallett was a perfect 2-for-2 with a home run and two RBIs, while Catlett helped herself, going 1-for-2 with an RBI. Ashton Williamson (Pelion, SC) and Jessica Blackwell (Hartsville, SC) were each 1-for-3 in the game.
Sydney Greenwalt (Edwardsville, IL) earned the win in game two, going seven innings, allowing one run on five hits, with seven strike outs.
At the plate, Williamson was 3-for-4 with an RBI, while Anna Lucas (McBee, SC) was 1-for-2 with a double and two RBIs. Haleigh Rogers (Ward, SC) was 2-for-4 with an RBI, while Kimberly Atkinson (McBee, SC) was 2-for-3 and Wallett was 1-for-3.
Coker returns to the diamond on Tuesday, as they host Fairmont State in a non-conference doubleheader starting at 2:00 p.m.


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I dunno if you've heard, but African Arguments has started a new Insiders' Newsletter!
Every week, our experts break down the most important stories from Africa into tasty digestible chunks and send them straight to your inbox. Not only do you get unique smart and snappy insights you won't get elsewhere, but your subscription fee will support African Arguments' core mission of delivering high-quality freely-accessible journalism and analysis on Africa.
To get a taste, subscribe and support us, click here now!


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Four Yamhill County wrestlers win state titles
With a moment to reflect, J.T. Barnes wished that his high school wrestling career could have ended a little sooner.
"I should've pinned him," Barnes said.
Barnes was referring to Roseburg's David Harker, his opponent in the Class 6A 152-pound state finals. The McMinnville senior captured his first Oregon state championship with an 11-4 decision over Harker at the 2014 OSAA Wrestling State Championships Saturday evening at Veterans Memorial Coliseum in Portland.
The Dayton Pirates walked away from Memorial Coliseum with a fourth-place trophy after accumulating 117.5 points. Glide was the Class 3A champion with 182.5 points, followed by Vale (167 points) and Rainier (151). Willamina finished seventh with 107 points; Sheridan was the 19th-place team (22 points) and Amity finished tied for 21st (eight points).
McMinnville finished 12th in the Class 6A portion of the tournament with 50 points, 222.5 behind state champion Roseburg.
Barnes, Dayton freshman Jared Henry and Willamina sophomore Michael Reyes each won their first individual state titles. Saturday. In a frenzy of third-period activity in the Class 3A 138-pound final, Henry escaped from the grasp of Glide's Devin Freeman at the very last second of the match to claim a 10-9 victory.
Reyes didn't let his final opponent, Elijah Conlon of Riverside, contest him for six minutes in the Class 3A 120-pound final. A series of aggressive moves allowed Reyes to pin Conlon in 5 minutes, 48 seconds.
The Class 3A 132-pound final was an emotionally charged affair, with Sheridan's Justin Acuff, a two-time returning state champion, battling Willamina's Coty Brown -- also a returning state champion and one of Acuff's best friends.
In the end, it was Brown who emerged victorious in the hard-fought match, taking down Acuff with 10 seconds remaining to seal an 8-5 victory.
"I'd rather it not be me (to defeat Justin)," Brown said afterward. "He's my best friend."
The Class 3A 145-pound championship was a rematch of the 2013 138-pound state final, when Dayton's Micah Cisneros defeated Glide's Walker Damewood for his first state title. On Saturday, it was Damewood who controlled the match as Cisneros absorbed a 7-0 loss.
Willamina senior Skyler Voigt, a defending champion and the No. 1 seed at 126 pounds, was pinned in overtime (6:18) by Riverside's Hans Rockwell in the Class 3A final at that weight. Bulldogs sophomore Austin Howard dropped a 13-10 decision to Glide's Garret Short in the Class 3A 160-pound final.
Freshman Brian Barnes -- J.T.'s younger brother -- gave McMinnville a boost in the standings with a third-place finish in the Class 3A 195-pound bracket. Barnes and Roseburg's Will Reddekopp went to overtime tied 1-1 and proceeded to last into the fourth overtime, neither wrestler gaining an edge but each losing strength. Barnes eventually performed a one-point escape to seal up a 2-1 victory.
Read more about the state wrestling tournament in Tuesday's News-Register


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2013 MINI Cooper Coupe Values
Select a 2013 MINI Cooper Coupe trim level
2013 model year changes
For 2013, Bluetooth has been made standard; it replaces SIRIUS Satellite Radio, which is now optional at $250, and includes a one-year subscription. The Technology Package now includes SIRIUS Satellite Radio, a center armrest with iPhone adapter and Comfort Access for MINI Connected features. Additionally, all Roadster models get the semi-automatic roof system and rear wind deflector as standard.
Competitive comparison
Quick acceleration; responsive handling; fun-to-drive qualities; great gas mileage; easy to park and maneuver; distinctive color and trim options
Special features for 2013
The MINI Cooper Coupe and Roadster models are among the smallest vehicles for sale in the U.S., yet they're true sports cars in many ways, offering quick acceleration and excellent, go-kart-like handling. The Roadster brings top-down thrills no matter how fast its driven. MINI claims the coupe is the fastest-accelerating model from the brand ever and it has the highest top speed in the brand's history. Those who crave high performance will want to head straight to the John Cooper Works (JCW) Roadster and its stronger engine and additional performance upgrades. It's a feat that even considering that, the JCW earns up to 35 mpg on the highway.
The 2012 MINI Cooper Coupe is a compact car offered in standard, S, and John Cooper Works (now available with an automatic transmission) trim levels. The standard FWD Cooper Coupe is powered by a 1.6-liter 4-cylinder engine that produces 121 hp and 114 lb-ft of torque while the Cooper Hardtop S comes equipped with a turbocharged 1.6-liter 4-cylinder engine that produces 181 hp and 177 lb-ft of torque. For even more performance MINI offers the John Cooper Works trim, powered by a twin turbocharged 1.6-liter 4-cylinder engine that produces 208 hp and 192 lb-ft of torque. A 6-speed manual comes standard on both trims but drivers also have the choice of an optional 6-speed automatic. The standard Cooper Hardtop gets an EPA estimated 29 mpg city and 37 mpg highway. Features include HD radio, adaptive xenon headlamps, performance suspension, fully electronic throttle, and the MINI center-mounted speedometer. Safety is comprised of dynamic stability control (DSC), dynamic traction control (TCS), 4 airbags with side thorax protection, and anti-lock brake security (ABS). The Cooper Coupe is backed by a 4-year/50,000-mile warranty.


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Arrow Forum
Sorry Arrow Fanatics. We've shut down the Arrow forum here at TV Fanatic.
This isn't because we don't love you, because you know the opposite is true. Our loyal readers and forum participants mean the world to us. So much so that we don't think it's fair for you to be fighting for space with the watch tv online spam bots.
Thankfully, with Disqus we now have extraordinarily vibrant conversations going on about Arrow all the time. And those are moderated. All of the annoying spam comments are deleted as soon as we see them.
As much as we would have loved to continue the forums, we realized it was easier to bring the forum conversations back to the comments than to find a way to control the spam.
In the meantime, you can talk about Arrow Season 3 in the comments on any post and watch Arrow online to keep yourselves entertained on the main site. You'll even be notified of any new comments on the conversations you track and sometimes they last longer than a forum post!
We know how much you love all the action in Starling City and we're going to be working it as long as the series runs.
If you have any questions whatsoever, please contact us at webmaster at tv fanatic dot com.


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Movie marathons are tricky business. Equal parts foresight, improvisation, impulse decision-making, and nostalgia that you really don't have all that much control over in the long run. You can plan ahead all you want but the energy of a room can turn a slow-burn pee-pants fest into annoying background noise in no time. Add a holiday on top of things, say for example Halloween, and you got more problems than that Jay-Z character.
Let's face it, Predator 2 sucks. For every bit as awesome and timeless as the original "Predator" is, "Predator 2" is a shitty, lame, dated sequel steeped in '80's corn and cheese. Yet, it still manages to be awesome. How is that? Well, let me count the reasons:
Hurtling toward a dense, jungle planet Royce (Adrien Brody) awakens in time to deploy his shoot and crash land into the canopy. Upon reaching the ground his disorientation turns to horror as he meets eight other humans -- well trained killers all -- who have also awakened to find themselves on this distant world. These unlikely teammates come to realize that they are part of an intergalactic hunting expedition put on by a group of highly evolved Predators. The group must stick together and distinguish friend from foe if they are to survive.
Sometimes dreams do come true! Phantasm II is finally being released on DVD! September 15th is the date of history when we all finally get to hold the second coming of Reggie Bannister in our hands.
Word is out that Spitfire Pictures is going to remake the 1974 Hammer flick Legend of the 7 Golden Vampires. No news on who will star in this kung-fu vampire camp fest, but Peter Cushing is dead, so what's the point?
As if you hadn't had enough "Trick 'r Treat" news this week, this ill-fated movie is also getting the graphic novel treatment and you can see the first five pages here.
If you were for some reason excited about the news yesterday that Robert Rodriguez is hoping for an extended 'Ahnold' cameo in his upcoming "Predator" flick, Rodriguez himself has come out to quash those rumors.
Rumor has it that Richard Dreyfuss will make a cameo in "Piranha 3D", and will be "paying homage to jaws, even drinking Amity brand beer". Very subtle, guys.
Debbie Rochon stars in "Stopped Dead", about a group of friends vacationing in an RV who end up in a "race with death" against a homicidal biker gang. Good times.
Robert Rodriguez was announcing future projects yesterday, and mixed in with the voluminous list was a reboot of the "Predator" franchise. Granted, FOX is still involved because they're the rights holders, but I personally would love to see what Rodriguez can do with that story.
"The Crazies gets pushed back to a February, 2010 release. The Romero remake was previously scheduled to be released September 25th of this year.
Steve Niles has his script ready for a "30 Days of Night" sequel. Since the first one wasn't a smash success, Sam Raimi (in his role as head of Ghosthouse pictures, the label that released the film) has convinced Niles that direct to DVD is the way to go, so that's how the film will be released.


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cardiogenic shock caused by thrombembolic occlusion of left main stem
cardiogenic shock caused by thrombembolic occlusion of left main stem
login or create a free account to comment on this video!
Hi Diego! Thanks for comment! It´s very nice t hear from you
You´re totally right!
We found an aortic
gradient in TTE (PGmean about 15 mmHg !!!!, ejection fraction < 20%;
besides a small central regurgitation jet as a sign of aortic
insufficiency). PGmean aof 15 mmHg with that EF, that could be a sign
of high-grade aortic stenosis: I didn´t evaluate aortic gradients
with the continuity equation because I measured too different
In TEE I couldn´t achieve a good deep
transgastric position to measure and evaluate the aortic gradients,
but one can see in that clip a distinct sclerotic cups of aortic valve
(so you´re right!!).
I´m under the impression that only the
left-coronary cup shows a movement. Unfortunately we had NO latest
results of clinical history, so I don´t know whether the patient had
a high-grade stenosis of aortic valve before.
Overall this case
was a "disaster"! We couldn´t rescue the patient. IABP 1:1, high-dose
norepinephrine and dobutamine, pitressin, levosimendane, milrinon and
amiodarone couldn´t achieve a stable clinical situation. Lactate
about 5-8 under CVVHDF!
In PA-cath: SVR 430 dyn*sec*cm^-5, CO
3,2 l/min, cardiac power 0,42!!! The patient was in a deep cardigenic
Hi jorg long time no see :) Nice clip really...... tell me something
about AORTIC GRADIENTS . Did you evaluate aortic flows? It seems that
at least 2 of the 3 aortic cusps are really stiff so to speak . Could
you evaluate aortic flow in deep transgastric view?


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Hunting for eggs
ST. JOHNS — Twenty lucky kids spent the afternoon picking up Easter eggs at St. Johns United Methodist Church.
With only 20 children showing up to scamper around the grounds to pick up 1,000 eggs, the numbers divided out for each children collecting many eggs, looking for extra bags, baskets, or whatever else they could find to fit them all in when their initial container quickly filled.
Children screamed with delight as they romped through the church grounds with the constant response of, "Got one," and "Found another." being heard by helpers and organizers.
"We alternate every other year between the Uniopolis and St. Johns Church," Youth Director Jerry Dicus said.
Dicus said the egg hunt is held for all of the congregation's youth every year and has been for at least 10 years that he knows of, and likely more.
Dicus said the egg hunt is just one of the activities the Methodist Church tries to put on for its youth each year. The event is sponsored by the church. The Uniopolis church has approximately 60 attendees and the St. Johns church has approximately 30 attendees.
Children counted their loot in the basement of the church and returned the eggs for the Easter bunny's helpers to fill for next year.
The groups were divided into three groups, ages infant to 4, 5 to 7 and 8 to 11.


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Marco Rubio began 2013 in the worst of positions: On top in the polls. By year's end, the rising Republican star had fallen back to earth.
In some ways, Rubio's rise and fall are the result of an intangible gravity-like force in politics: What goes up must come down.
But Rubio's wounds were as much self-inflicted as they were inflicted upon him by a media culture puzzled at the Rubio Rorschach. At the beginning of the year, the freshman from West Miami was like an undefined inkblot to the public, national reporters, bloggers and activists (especially on the far right).
Many projected what they wanted to see. And when the politician didn't match their bias, he paid the price.
Nowhere was that clearer than with immigration reform, which Rubio championed to his short-term detriment.
"Florida Sen. Marco Rubio lost 12 percentage points in 12 months, according to an analysis of national Republican primary polling in 2013," The Run 2016, a new blog covering the not-so-far-off presidential race, wrote on Dec. 21.
Rubio started the year pulling an average of 20 percent of the theoretical GOP vote; he ended it at 7.6 percent.
"What a difference a year makes — especially when you spend the first portion of it working on a policy at odds with your base," The Run wrote, noting Rubio's collapse was the largest drop of any potential Republican contender.
The new top GOP star nationally: New Jersey governor Chris Christie, who ticked up almost 5 points to just over 17 percent, The Run reported. Texas senator Ted Cruz isn't far behind.
But Rubio's situation in his home state, where he's best known, is another story.
In Quinnipiac University's most recent Florida poll, in late November, Rubio's job-approval rating was 84 percent among Republicans, with 11 percent disapproving. Independents were essentially evenly split: 44-45 percent. Democrats disliked him the most: 21-62 percent.
Add it all together, and Rubio's job overall approval-disapproval is 48-39 percent, an index of +9. Compare that to Democratic Sen. Bill Nelson: an index of +6. Or President Obama: -17.
Rubio started the year in better shape. His job-approval index in Florida was +22 in December and his nationwide favorability index was +12 in January, according to separate polls from Quinnipiac (mentioned throughout the column because it polls Florida so frequently with the same methodology).
And it's still not all rosy for Rubio.
Quinnipiac has consistently found Hillary Clinton would soundly beat him in a head-to-head presidential race in Florida (former Gov. Jeb Bush comes closest, trailing her by just 2 points). And by an 8-point margin, more Florida voters are disinclined to believe Rubio would make a good president.
At a certain point, Rubio will have to decide whether to run for reelection or for president or vice president in 2016.
Even in Florida, immigration has haunted Rubio.
A June Quinnipiac poll showed only 33 percent backed Rubio's bipartisan immigration-reform efforts, while 41 percent disapproved. And Democrats were the most disapproving of all — even though Rubio was compromising with their party.
Just as notable: Rubio found the strongest support from Republicans, who were the most angry with him for compromising and flip-flopping.
Rubio campaigned in 2010 as an immigration hardliner and generally called a pathway to citizenship for undocumented immigrants "amnesty." But he ended up in 2013 backing a pathway to citizenship and arguing it wasn't amnesty (because it was a tough path, required ID checks and fines, etc.).
That was a clear reversal. Many of the other so-called flip-flops really weren't. They were more like zig-zags.
As the Hispanic immigration pitchman for Republicans, Rubio outlined many of his positions in conservative media at the beginning of the year. By the summer, nevertheless, he was taking fire for misleading conservatives, even though his positions had remained about the same.
Intriguingly, in Florida, his Republican job-approval numbers stayed strong. And his support among independents — the swing voters of the swing state — increased though the summer.
But Rubio then started to slip among independents and even further among Democrats. At the same time, he was making sure to placate angry conservatives.
When Rubio started endorsing a series of piecemeal immigration-reform bills in the House (instead of one mammoth immigration bill, as passed the Senate), he was invariably accused of flip-flopping.
Rubio's spokesman explained the senator wasn't reversing himself. After all, he originally supported a series of piecemeal bills but gave up the demand in order to back the Democratic Senate's compromise language.
But House Republicans, who killed immigration reform for 2013, wanted piecemeal bills.
"At this point, the most realistic way to make progress on immigration would be through a series of individual bills," Rubio spokesman Alex Conant said in an email to the conservative Breitbart website in October.
Though true, the statement came too late for some. The narrative was already set: Rubio was flip-flopping.
Earlier in the year, when Rubio signaled he wanted to sign on to an abortion bill, it appeared he was trying to shore up his Republican base. There was some truth there, but little mention of the fact that he backed similar legislation before and was long a darling of anti-abortion groups.
And when Rubio backed an effort that led to a partial government shutdown over Obamacare, he was accused of trying to be like Ted Cruz. So what that he campaigned against Obamacare and, early on, said he'd oppose temporary budget deals?
But it's not as if Rubio is blameless. He sometimes stakes out nuanced positions but presents himself as a straight talker. And, when it came to the shutdown, he implausibly tried to lay most of the blame at the feet of Democrats, even though Republicans like him repeatedly voted against so-called "clean" budget bills to keep the government open.
Rubio's partisanship was documented early on by a few national outlets.
The National Journal and the Washington Post in February noted Rubio's conservative voting record, opposing: the Violence Against Women Act, Hurricane Sandy reconstruction spending, a so-called "fiscal cliff" deal and a temporary debt-ceiling delay. Rubio also disfavors hiking the mandatory minimum wage. There's a reason he has had top conservative ratings from the American Conservative Union and Heritage Action.
But somehow, many got the idea Rubio was some sort of centrist because of immigration reform.
And once it was time to vote for a budget deal at year's end, Rubio predictably voted no.
Well, it wasn't predictable to CBS' Charlie Rose and Norah O'Donnell, who noted on Dec. 13 that House budget chief Paul Ryan (who beat out Rubio to be Mitt Romney's running mate last year) had essentially accused Rubio of not reading the budget bill before bashing it.
"I've worked on projects before that involved Democrats and I think compromise is a good thing, but compromise also has to be a solution," Rubio said. "Compromise just for the sake of compromise, so we can feel good about each other, I don't think is progress for the country."
O'Donnell: "That's really what you think?"
Rubio: "For the sake of compromise that doesn't solve problems? Just for the sake of it? Yeah, that's not a good thing for the country. We have a very serious problem in this country — I'm surprised that you're surprised by my answer."
Rubio's right. She shouldn't be surprised.
By now, the media should know. The left should know. The right should know. The center should know. Rubio is a pretty reliable conservative vote.
So the major question about Rubio going forward: What does he do now that he's no longer a Rorschach test?


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Ridgway boys basketball downs Central Mountain
Ridgway boys basketball extended their winning streak to four with a 58-49 victory over Central Mountain Friday night at Ridgway Area High School. Ridgway coach Anthony Allegretto looked at this game with the Wildcats with some concern as Central Mountain is a Quad-A school in boys basketball. "They're so physical and I knew they were going to be physical coming in and they always have shooters," Allegretto said.


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Interdisciplinary Studies
IDS 351W Culture of Ancient Greece (1)
A postsession course in Greece which includes field trips to museums and key archaeological sites to complement lectures and readings in the archaeology, culture, history, and rhetoric of ancient Greece. Examination of the geographical and cultural milieu of the classical Greek tradition as revealed in the art, architecture, and artifacts will enhance understanding of the rhetorical tradition exemplified in texts by Demosthenes, Aristotle, and Plato.
- General Education Requirement Fulfillment: Writing-centered
- Offering: Post-session
- Instructor: Clark, Collins


text: To get from Arcore a Palagonia by train you can catch one of the 5 trains that everyday travel between Milano Centrale and Salerno, the closest station to the city. For your trip from Milano Centrale to Salerno by train you can choose to leave from one of Milano Centrale main stations: Milano Centrale If travelling with Trenitalia, you need to know the Milano Centrale to Salerno train schedule: the first train leaves at 20:05, while the last ride is at 22:15. A Milano Centrale to Salerno train cost about 83.4 €. But how long is the train ride from Milano Centrale to Salerno? Your journey takes about 11 hours on average. Trenitalia offers 1 direct trains between these two cities. Thanks to Trenitalia, offers, you can save on your trip from Milano Centrale to Salerno and find low cost tickets starting from 20 €!


text:
Therapeutic Recreation Leadership and Programming arms students
with the information they need to succeed as therapeutic recreation
specialists. They'll learn the practical aspects of the profession and
develop a leadership mind-set. The book focuses on day-to-day tasks of
the TRS and integrates ethical considerations into each aspect of the
* Free Bundled E-book *
If you are a member of the HK Rewards Program, when buying a new print edition of this book, you
will be granted the option for downloading the e-book edition at no additional charge. Learn more.
Textbook for courses in leadership and programming in therapeutic
recreation; reference for entry-level professionals or those who want a
new perspective on leadership and programming.
Robin Kunstler, ReD, CTRS, is a professor in the department of
health sciences and the director of the recreation education and
therapeutic recreation programs at Lehman College in New York. She has
over 35 years of experience in the field of therapeutic recreation as
both a practitioner and a professor. She has presented at many state and
national conferences and has authored numerous articles and book
chapters on therapeutic recreation.
Kunstler has been coeditor and reviewer for Therapeutic Recreation
Journal, Schole, and the American Therapeutic Recreation
Association's Annual in Therapeutic Recreation. She has
served as a board member and committee chair for several national and
state organizations, including National Therapeutic Recreation Society,
Society of Park and Recreation Educators, New York State Therapeutic
Recreation Association (NYSTRA), and New York State Recreation and Park
Society (NYSRPS). She was awarded the Lifetime Achievement Award from
NYSTRA and the NYSRPS Literary Research Award.
In her free time, Kunstler enjoys creating and viewing artwork, reading,
and hiking.
Frances Stavola Daly, EdD, CTRS, CPRP, is an associate professor
and program coordinator in the department of recreation administration
at Kean University in New Jersey. She has 35 years of experience in the
recreation field as both a practitioner and a professor. Stavola Daly
also has extensive experience in presenting on all aspects of
therapeutic recreation.
Stavola Daly has been extensively involved in professional organizations
at both the national and state levels. She has served as the president
of the National Therapeutic Recreation Society (NTRS) as well as a Board
of Trustees member. She was a founding member of the New York State
Therapeutic Recreation Association and served as chair of the Mid-east
Therapeutic Recreation Symposium and the New Jersey Recreation and Park
Association's Therapeutic Recreation Public Policy Group. Stavola Daly
has received several honors, including the Presidential Citation from
the NTRS in 2007 and the Distinguished Service Award in 2004 from the
New York State Therapeutic Recreation Association.
In her free time, Stavola Daly enjoys reading, fitness walking, and
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text:
Black Belt (UK - DVD R2)
Our Marcus takes a deep breath and enjoys some straight up martial arts...
1932. The Japanese army decide to take over karate dojos for their own military use. When three karate masters stand up to them and win, the stress of the situation is too much for their Sensei and the three have no choice but to join the army and try to take their master's teaching with them in their new lives. The three students then begin a journey to retain their master's vision of what the black belt represents and to keep their honour despite the pressures around them.
For the longest time Black Belt's only aim is to show the subtle baddassary of karate. Four masters of the martial art and loads of soldiers mixed with some precise moves to show up the uniformed men is a simple strategy to make you want to see these guys win. No punches or kicks, nothing overly violent, just blocks, thrusts and using one's inner strength to win a fight, always aiming to keep the black belt untainted and strong in memory of their fallen Sensei. It's full of all that deep and meaningful stuff that draws us all to martial arts and despite its overuse in cinema it still totally works here as a tool to get us behind our heroes.
The key to Black Belts' enjoyment is it never gets flashy. This is just three guys doing some fantastic karate for all the right reasons. No one goes flying through the air or shows off their skills; there are no wannabe cool camera tricks or effects and no one has a signature mannerism that sets them apart. These genuinely feel like three relatively normal guys who are great at what they do and the simplicity of the fights and the limitations we are made aware of makes it exciting. On top of that we have the personal journeys they are on and this adds all the dramatic weight the story needs to carry it through its quietness. Black Belt isn't the flashy martial arts movie we've all grown accustomed to. It's not fast, it's not showy, it holds back and makes the skill about honour and using one's own strength and while many a movie uses these themes, this one somehow makes it a lot more down to earth.
The transfer here is pretty damn soft with slightly off colours that either feel dull or in regards to the red in the soldier's uniforms or dotted about the film a tiny bit blown out. That said the variation of colours from foliage greens and browns to characters' costumes all look quite good within the frame and give the movie a nice look without being over stylised. There's the odd bit of grain, especially in wide shots of the sky or in large portions of white costumes but for the most part the transfer appears quite clean and while it's not a presentation to get excited about its consistent throughout and has the odd highlight, even if the softness prevents it from really shining.
This is almost a silent film for a fair while and never really lifts beyond the odd piece of score. The majority of the track is simply the sounds of steady breathing, repetitive punching and quiet times between the karate students. The only step up is usually soft spoken dialogue, swooshing arms and legs and the odd bit of solider shouting but it's the quietness here that really creates a mood for the movie and generates a strong feeling of the characters' journeys through their individual predicaments.
The making of (15:27) shows us on set footage and introduces us to the actors who are genuine martial artists. There's plenty of rehearsal footage and clips from the film and to just about cobble it all together a voice over that gives ever so brief explanations. The only other extras are the theatrical trailer (01:59) and the TV spot (00:32).
Black Belt was one of the most low key martial arts movies I'd seen in a while and while some might label that as dull I felt that it got back to the basics of what made martial arts so appealing to me as a kid. The fighting here is top notch but in a very realistic way and more importantly it felt like it was for something other than to look cool and take down bad guys.
The disc is pretty standard transfer wise with a quiet yet effective audio track and the extras are pretty thin but if you're after some realistic martial arts on display then there's not much more out there that delivers as much of a punch as this.
Review by Marcus Doidge
Existing Posts
Finally, a film about Karate! I saw this a few years back on Region 1. Nice to see that its got a Region 2 release. I'm gonna hold out for it on super Blu
Suitable only for persons of 15 years and over
Disc Details
Release Date: 8th August 2011
Discs: 1
Disc Type: Single side, dual layer
RCE: No
Video: PAL
Aspect: 1.78:1
Anamorphic: Yes
Colour: Yes
Audio: Dolby Digital 5.1 Japanese, Dolby Digital 2.0 English
Subtitles: English
Extras: Making of, Trailers
Easter Egg: No
Feature Details
Director: Shunichi Nagasaki
Cast: Akihito Yagi, Tatsuya Naka, Yuji Suzuki
Genre: Action and Drama
Length: 91 minutes
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The Rev. Paul E. Robinson anticipates nice weather for Sunday's Community Response to Overcoming Poverty Walk at 1 p.m. at Beaver Island State Park.
"The temp. will be an amazing 71, with only a relatively small chance of rain," said the longtime CROP Walk coordinator.
The annual event raises money locally for the Neighbors Foundation and Trinity United Methodist Church's food pantry, and for worldwide hunger relief through Church World Service. To participate, pledge envelopes will be available at the Chamber of Commerce booth at the Taste of Grand Island event on Saturday, Robinson said, and at Key Bank, Creative Leather Concepts/Grand Island Ship Center-Fed X, Designet, the Chamber of Commerce office, Serene Gardens, Niagara Frontier Publications, Trinity United Methodist Church, St. Martin-in-the-Fields Episcopal Church and Island Presbyterian Church.
Pictured is a diagram of the routes of CROP Walk, which begins at the picnic shelter adjacent to Beaver Island marina.
To learn more, call Robinson at 716-773-3550.


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Chair's Columnby J.A. (Tony) Patterson, Jr., Fulbright & Jaworski, L.L.P., Dallas, TX
This Saturday, at the Section's Annual Membership Meeting in Chicago, I will turn over the Chair's gavel to Greg Pemberton. Greg will be a fine Chair, ably assisted by your continuing and newly-elected members of the Governing Council of the Section, our Interest Group, Publications, Programs, other Member leadership and our Section staff. Thank you for the privilege of serving you this past year. As a member-driven, volunteer-led Section, I am proud of what we have accomplished this past year. I am looking forward to my continuing role with the Section to make it even more meaningful to our Members.
If I were to thank each person who played a significant role in the successes we enjoyed this year, the list would replace the articles in this issue of eSource. So let me make two broad statements of thanks. The first goes to those who have led the effort to make the ABA Health eSource another of our Member benefits: first, to Howard Wall and Bonnie Brier for their efforts in taking the idea for this monthly publication and making it become a reality, next to the authors who contributed their time and expertise for your benefit, then to Adam Bielawski and Jill Pena for their work in soliciting and assembling the articles and doing other "behind-the-scenes" work needed to get each issue out timely, and last but far from least, to Michael E. Clark, Charles Key and Marla Durben Hirsch for their leadership in soliciting and editing each issue. The Section owes each of them high praise and an expression of gratitude for their fine work.
I would like to end my final eSource Chair's Column by repeating a quote I used in one of my first Chair's Columns, from Hubert H. Humphrey, former Senator and Vice-President of the United States, which appears in the lobby of the Health and Human Services Building in Washington, D.C. I can think of no better expression of a guiding principle for us as members of the Health Law Section, members of the legal professional and citizens in this great United States.
"It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life—the sick, the needy and the handicapped."
Best wishes to one and all. I look forward to continuing to serve the Section with you.


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Tennessee Highway Patrol troopers will continue an aggressive traffic enforcement campaign through March on Interstate 75.
The campaign, dubbed "Operation Stay Alive on I-75," will focus on traffic violators after statistics showed there was an increase in crashes and fatalities on the interstate, according to a news release.
In the Chattanooga highway patrol district, which includes 12 counties, there are 59 miles of I-75 for troopers to patrol during the campaign that kicked off in January.
Troopers will be positioned at every truck stop on the interstate in the district to educate commercial drivers as well as at the Athens rest area to hand out safety information to motorists on March 13 and March 14, Lt. John Harmon said in the news release. Today marks the second day of the February enforcement period.
Some troopers also will be stationed at ramps to interact with drivers and hand out safety literature.
During a two-day enforcement period in January, local troopers conducted 177 commercial vehicle safety inspections, assisted eight motorists, investigated two crashes, issued 283 citations to noncommercial vehicles, issued 54 commercial citations and handed out 22 warnings, Harmon said in the release.


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Map & Directions
Home | Menu | Map & Directions
When you come to El Azteca, prepare to enjoy a delicious and authentic Mexican dining experience. We offer a full menu of mouthwatering Mexican specialties, all prepared with the freshest ingredients available.
Come to El Azteca today!
Click below to view our menu (.pdf)


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text: Copyright © 2016 The New Home Company Inc. All rights reserved. TNHC Realty and Construction Inc., BRE License #01870227. All information subject to change. All imagery is representational and does not depict specific building, views or future architectural, community or amenity details. All services, pricing, square footage and bed/bath counts subject to change. Models do not reflect racial or ethnic preferences. Not an offer or solicitation to sell real property. Offers to sell real property may only be made and accepted at the sales center for individual New Home communities. Promotional offers are typically limited to specific homes and communities and are subject to terms and conditions. For additional legal disclaimers please click here.LegalPrivacy Policy NoticesEqual Housing Opportunity


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Happy 2013! Today, stay in your PJs, settle in, and take stock of the year gone by with our end-of-year round-ups:
Year's Best Viral Videos
You'll love watching these hilarious vids with your kiddos over and over.
Top Parenting Stories of 2012
From health to pop culture, these news stories had moms and dads buzzing.
Hot Baby Names of 2012
The top name trends according to our readers, plus our predictions for 2013
Best and Worst Parents of the Year
Remember Tanning Mom? These are the parents that made us cheer and jeer. Do you agree with our list?


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Klinik im Park Zurich
Department of Gastroenterology and Hepatology
Diagnosis and conservative treatment of liver fibrosis #379301
Digestive diseases, namely stomach disorders, are the most common reason why people seek medical assistance. A patient is always in the foreground for us. We meticulously find out your wishes, provide comprehensive information about various digestive diseases, and determine the best treatment together with you.


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Leslie Nolen is CEO of The Radial Group, which provides wellness businesses with seminars, publications and coaching on starting and managing profitable and personally rewarding businesses. E-mail her at [email protected] or visit www.radialgroup.com to subscribe to free weekly business tips tailored to wellness businesses.
In Part 1, Troubleshooting the Sales Cycle in Your Wellness Business: Part 1 we identified the four key stages of effective sales and marketing strategies:
Stage 1: Filling the pipeline with prospects
Stage 2: Following up with prospects
Stage 3: Exploring ways your business can help prospects
Stage 4: Closing sales
You analyzed your current sales and marketing efforts with a self-scoring quiz that prioritized the stage requiring urgent attention.
In Part 2, Troubleshooting The Sales Cycle In Your Wellness Business: Part 2 you learned how to fill your pipeline with potential customers. We then explored ways to follow up with potential customers in your pipeline in Part 3 Troubleshooting The Sales Cycle In Your Wellness Business: Part 3.
In Part 4, you'll learn how to find the best fit between your services and your prospects' needs and close the sale.
Stage 3: Exploring Solutions with Prospects
The goal of following up with prospects is to move them into a discussion of their needs and explore how your business can help them. If your sales process stalls as prospects move into this stage, consider these possible causes:
1. Do you have the right products and services?
Compare your membership options, personal training services, and other products and services to the needs of your potential customers. Consider whether you've got the right mix of services for the prospects you've actually got. Don't let your personal fitness philosophy get in the way of responding to what your customers want. You may also need to add ancillary services such as childcare or amenities such as extended hours to attract more members.
2. Do you offer too many choices?
Some health clubs and fitness centers offer too many membership options and personal training packages. Keep it simple. Focus on the elements that matter most to your specific clientele. Provide a comparison sheet that points out the differences among the choices to help prospects make a decision.
3. Are you really selling to qualified prospects?
A qualified prospect is someone who's ready to take action when they find a health club or fitness center that meets all of their needs. Their needs include suitable services for their specific situation, acceptable price, and acceptable terms and conditions such as hours of service and a 30-day refund policy.
Questions that explore prospects' readiness to change indicate whether or not they're a qualified prospect. Questions that explore whether they're prepared to invest time and money in their personal health are also useful. Questions that ask the prospect to think out loud about how they would use their membership help reveal unrealistic or erroneous expectations.
4. Are your marketing materials and talking points effective?
Marketing collateral that compares your service options can be helpful. If your prospects often consider other health clubs, provide an objective competitive comparison that highlights the differences among the choices. Case studies of successful members help prospects picture how your business could help them, too.
Stage 4: Closing the Sale
The purpose of Step 4 is to agree with prospects on how your business can help them and complete the sale. If your sales process comes to a crashing halt when it's time to close the sale, consider these potential "gotchas":
1. Are closing sales a priority?
When everyone's responsible for making sales, no one's responsible. Assign clear responsibility for sales activities within your organization. Who's responsible for closing sales with prospects? What timeline should these conversations follow?
2. Are you avoiding the discussion?
Managers and staff who avoid trying to close sales are usually reluctant because they're not sure how to respond to common concerns from the prospect.Most prospects raise the same concerns during the sales process. Rather than being caught by surprise, jot down the typical concerns, and decide how you'll respond with the two or three key points that would relieve their anxiety or reluctance. Train your sales team on the best way to respond.
Testimonials from happy members, references from current and prior clients, and satisfaction guarantees can also reduce buyer anxiety. That's especially important for newer businesses or those with low visibility in the community.
3. Does your team have strong sales communication skills?
The key to successful sales is communication—both listening and talking. After all, winning a new member requires connecting the dots between what they need and want, and the ability of your business to help them get there. The best salespeople are passionate and committed to their business—and highly empathetic about what matters to prospects. If your team lacks confidence in its ability to close sales or relies on canned scripts, consider investing in communications training. The payback is almost instantaneous.
With these tools, finding the best fit between your services and your prospects' needs and closing the sale will become an easy and natural progression in your relationship with your prospects.


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Readmission rates of adult patients to the same hospital within 30 days are an area of national focus and a potential indicator of clinical failure and unnecessary expenditures.
However, a new UC San Francisco (UCSF) study shows that hospital readmissions rates for children are not necessarily meaningful measures of the quality of their care.
In the first multi-state study of children-s and non-children-s hospitals, assessing pediatric readmission and revisit rates – being admitted into the hospital again or visiting the emergency room within 30 days of discharge – for common pediatric conditions, UCSF researchers found that diagnosis-specific readmission and revisit rates are limited in their usefulness as a quality indicator for pediatric hospital care.
The study found that when comparing hospitals- performance based on revisits, few hospitals that care for children can be identified as being better or worse than average, even for common pediatric diagnoses.
-As a national way of assessing and tracking hospital quality, pediatric readmissions and revisits, at least for specific diagnoses, are not useful to families trying to find a good hospital, nor to the hospitals trying to improve their pediatric care,- said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children-s Hospital and lead author. -Measuring and reporting them publicly would waste limited hospital and health care resources.-
The work will be published in the September issue of journal Pediatrics.
Using a multi-state database called the State Inpatient and Emergency Department Databases, sponsored by the U.S. Department of Health & Human Services, the researchers looked at 958 hospitals admitting children, which were mostly large or medium-sized, and urban. Focusing on seven common inpatient pediatric conditions -asthma, dehydration, pneumonia, appendicitis, skin infections, mood disorders and epilepsy – the researchers then calculated the rates of readmissions and revisits to the hospital within 30 and 60 days of discharge, broken down by the condition for which they were treated.
All of the hospitals in the study had 30-day readmission rates of less than 5 percent in all areas except for epilepsy (6.1 percent), dehydration (6 percent) and mood disorders (7.6 percent).
-With average 30-day readmission rates hovering around 5 percent, there is little space for a hospital to be identified as having better performance,- said Bardach.
For example, of the more than 900 hospitals admitting children, looking at revisit rates for:
- Asthma – One performed better than average and four performed worse;
- Appendicitis – Two performed better than average and two performed worse;
- Pneumonia and dehydration – no hospitals were better or worse than all the other hospitals; and
- Seizures – Only one hospital of more than 600 was different than average, performing worse than the others.
-The low number of outliers is likely due to the fact that most hospitals just don-t admit very many kids, because children are healthier than adults,- said Bardach.
The researchers suggest that to improve pediatric readmissions or revisits as a quality measurement, patients admitted with similar diagnoses could be looked at as a group, to increase the sample size at each hospital and lead to the identification of more outliers. -That has the potential to improve the usefulness of readmission rates as a quality indicator,- said Bardach.


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Darrell Scott On Mountain Stage
Darrell Scott On Mountain Stage
Set List
- "No Use Living For Today"
- "Someday"
- "Hopkinsville"
- "You'll Be With Me All The Way"
- "Still Got A Ways To Go"
Darrell Scott makes his sixth appearance on Mountain Stage, recorded live in Charleston, W.V. Backed by the show's house band, Scott plays songs from his latest album of original material, Long Ride Home. Intended to recall the "radio country" music Scott grew up hearing with his family in the '60s and '70s, Long Ride Home features contributions from some of country music's most experienced session players, including West Virginia Music Hall of Fame member Charlie McCoy.
Highly regarded as a singer, multi-instrumentalist, producer and songwriter, Scott has seen his songs covered by more than 70 artists, including Dixie Chicks, Brad Paisley, Guy Clark, Tim McGraw, Kathy Mattea and Garth Brooks. In 2010, Scott joined Robert Plant's Band of Joy, where he played dobro, mandolin and guitar alongside Buddy Miller and Patty Griffin.
This performance was originally published on April 24, 2012.


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Strait is one of the best selling recording artists of any genre in the United States. His 38 hit albums (records certified by RIAA as either gold or platinum) are third behind Elvis Presley and The Beatles. He's charted a record 57-number one hits and holds the mark for most number one albums in the history of country of music.
Strait holds the record for most nominations and most wins for both CMA (Country Music Association) and ACM (Academy of Country Music) awards.
In 2006, Strait was elected to the Country Music Hall of Fame. Two years later he was named Artist of The Decade (for the 2000s) by the ACM.
Strait performs a rather traditional brand of country music hallmarked by western swing, honky-tonk influences, and gin soaked ballads.
This dedication to a traditional country western sound is quite obvious considering Strait is an actual cowboy.
Strait grew up on his father's 2,000-acre cattle ranch located outside of Big Wells, Texas. He graduated from a college in San Marcos with a degree in agriculture.
Before hitting it big, Strait worked at his father's ranch during the day and played music at night.
Currently, Strait is a member of the Professional Rodeo Cowboys Association, along with his son Bubba. Strait also hosts and lends his name to an annual team roping event.
Strait started his musical journey in a rock and roll garage band. However, he switched to country after hearing artists like Merle Haggard, George Jones, and Hank Williams.
After being honorably discharged from the army in 1975, Strait returned home and joined a country band called "Stoney Ridge." Strait quickly became their front man and changed the band's name to "Ace In The Hole." The band eventually became a regional success.
In 1980, a friend of Strait's, with musical connections, convinced a record label to come to Texas to hear him play. The executives liked what they heard and signed Strait to a solo contract. "Ace In The Hole" remained as Strait's backup band.
Strait's first single, "Unwound," and his first album, "Strait Country," were both released in 1981. In total, Strait has released 26 studio albums and 89 singles.
In 1992, Strait released Pure Country, the soundtrack to the film of the same name. Pure Country would become Strait's most successful studio album of his career. He also played the lead role in the film starring opposite of Leslie Ann Warren.
Strait's 2007 offering, Troubadour, earned him his first ever Grammy award.


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About Us
The OHSU Knight Cancer Institute, known as one of the pioneers in personalized cancer medicine, is an international leader in research and cancer treatment. Driven by its mission to end cancer as we know it, the institute is building upon its expertise in targeted treatments to advance the early detection of cancer when the disease is most treatable.
One billion dollars raised in Knight Cancer Challenge
The $1 billion fundraising challenge by Nike co-founder Phil Knight and his wife Penny has been met. OHSU announced June 25, 2015 that it reached the fundraising goal that triggered the Knights' gift pledge, which set a new philanthropic record. OHSU beat the Knights' deadline by seven months and garnered support from donors in every state in the nation and five countries. Donors were inspired by plans for the first grand-scale program of its kind dedicated to radically transforming early detection of lethal cancers ― one of the biggest unmet needs in cancer care today.
With $1 billion in new funding, the OHSU Knight Cancer Institute began fast-track recruitment of 250 to 300 scientists and physician investigators, including about 25 of the world's top researchers, and broke ground on the Knight Cancer Research Building. Learn more about our progress and how you can help.
A team approach to cancer
Cancer takes many forms. Although cancer diagnoses and cancer treatments may vary, one thing remains constant: our commitment to the health and well-being of our patients. Experts at the OHSU Knight Cancer Institute work together to develop your treatment plan - personalized medicine that means drugs are customized for your cancer and DNA, advanced radiation treatment that protects healthy cells, and nurse navigators who guide you through cancer treatments.
Our experts conduct cancer research in all areas of cancer care, from advances in breast cancer and lung cancer to new treatments for leukemia and prostate and colorectal cancer. Our doctors focus their efforts, and treat patients, in a single area of cancer. No other place in Oregon offers such a range of expertise and specialization for cancer treatment.Learn more about our personalized cancer treatments
NCI designated cancer center
With the latest cancer treatments, technologies and clinical trials, including personalized medicine, we are the only cancer center in Oregon designated by the National Cancer Institute – an honor earned only by the nation's top cancer centers.Read more about our NCI-designated cancer center


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Mateo, drops to his knees when the two men entered the room, the first cock slid down his throat to deposit a thick load, the other slid up his loose manpussy and rocked him to orgasm as his pussy was filled with thick frothy load.
by Mateo Ybanez September 04, 2003
A person having a great desire to consume large amounts of ejaculate, while displaying a hungry frenzied piglike demeanor.
The cumpigs body squirmed violently as she choked on dick and swallowed her last breath, a huge explosion of thick globby cum down her throat.
by cuntmouth July 28, 2006
A person, male or female that so craves the feel and taste of sperm, they will have sex with two men at the same time, one anal or vaginal, the other oral, seeking the maximum amount of sperm from the transaction. Cum pigs love the feeling of degradation they get from being screwed by two men at the same time, often hoping to have the cum sprayed on their bodies, esp. the face.
She took it from both guys last night, at the same time. When the popped on on her face, they realized what a horny cum pig she was.
by Miguel Exilito May 13, 2008
Normally a girl but can be a guy. A cum pig is someone who loves the taste and feel of cum in and on them. A cum pig will always be looking for guys to have sex with on a day to day routine. They will normally go for the hot guys first but will pick out the ugly guys if all the guy hot guys are taken. Cum pigs are normally into all types of sex orgies and all types of degrading sex and all 99% of the time total submissive.
OMG i am a total interracial cum pig i went to a cum party last night and had sex with 15 black guys before the night was done.
by tiff6969 April 27, 2010
A fat girl who likes to fuck. They have no standards or anyone else going for their ass. A cum pig.
Look at that cum pig." "Matty sure loves a good cum pig.
by hotdogman1982 July 22, 2010
A fat girl who likes to fuck. They have no standards or anyone else going for their ass. A cum pig.
by hotdogman1982 July 22, 2010


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Discuss the upcoming Shadow of the Tomb Raider here.
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Lara Croft: Relic Run, Lara Croft GO, Tomb Raider on Gameboy and more.
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Here you can talk about the Tomb Raider Comics, Movies, Novels and all kinds of collectibles. (Only the games and fan creations don't belong here.)
Tomb Raider 3 Movie... No? Yes?
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The 20th Anniversary Of Lara Croft Tomb Raider
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Here you can talk about the Tomb Raider games that were made by Core Design. Tomb Raider Classic or The Angel of Darkness.
Tomb Raider I - Main Musical Theme
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Here you can talk about Tomb Raider: Legend.
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Here you can talk about Tomb Raider: Anniversary (the Tomb Raider I Remake).
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wz2100 - is my first 3D strategy in my life, first I saw the game on PlayStation from a friend. It was WOW effect , but i never finish the campaign
Now the question, what version is most stable to play campaign? Last 3.2+ is most bugs, in 3.1.5 I heard there is problem with templates and savegames.
Advise version in which i can sit down without much worry and go through the whole company?


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Academic Rigor
Dorm Life
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Bang for the buck
Clubs and Activities
Campus Safety
i've been learning a lot about everything here at pacific northwest college of art. so far the professors are excellent at introducing students to a wide range of techniques, theories, and histories. here at pnca, you'll find that even the math, science and english are art oriented and include art projects, often times in place of final exams. the classes cover interesting and exciting topics, such as gods, heroes and monsters and history of laughter. i learned more each week here than i did in a semester at public university.
To find more tips for prospective students, what to do for fun and whether this school is great for a particular type of student read the 14 reviews for Pacific Northwest College of Art
Curious about something that isn't answered here? Feel free to ask Pacific Northwest College of Art a question
It's a pretty great school. There aren't many students so the community is pretty close. The teachers are always willing to help and give great advice.Read More
PNCA is a small and varied art college with big ideas. It is constantly growing and evolving. PNCA offers many opportunities both to improve in your study, and to make connections in the community.Read More
PNCA has a rigorous environment with dedicated students and faculty who are genuinely interested in their fields of study. Courses are challenging and rewarding. Being part of this community means thinking critically and working creatively.Read More
Too much talking! As a painting major, I expected to do some painting. Our time was spent critiquing and debating; you don't get better at art by arguing about it.Read More
PNCA has not only world class faculty but world class curriculum. This school is on the cutting edge of art and has major connections to New York and Los Angeles. PNCA has designed a program that is forward thinking equipping future graduates with highly marketable skills.Read More
Its a great place to learn everything about art. I found this school to be a great pick, I couldn't be happier. Its a lot of work, but you learn a lot.Read More
A very successful,small school that likes to work with each student individually. Each member of the staff is very welcoming, and know you by name within the first semester. A very diverse, creative, competitive community of students who are very accepting, supportive of each other, and enthusiastic at what they want to be doing.Read More
a wonderful community of artists that i fully enjoy being around. the staff and faculty are intimate and have been nothing but helpful to me. pnca has helped me grow and is still helping me develop into the best artists i can beRead More


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Italics denotes election year
1993: Wins first mayoral term.
1994: In his first full term, Mayor Thomas M. Menino promises to remake Blue Hill Avenue into a vibrant stretch.
1995: Menino offers residents up to $1,000 to use toward closing costs to get them to buy homes in the city.
1996: Menino privatizes Boston City Hospital by merging it with BU Medical Center to create Boston Medical Center. Menino says "judge me harshly" on education overhaul as only 1 in 4 high school students pass statewide math exams. (Today, 86 percent pass on the first attempt.)
1997: The Frog Pond opens on Boston Common as part of a string of improvements to the park. Menino opens a new $70 million Boston Police Headquarters in Roxbury. Menino runs unopposed for a second term.
1999: The Grove Hall Mecca Mall shopping center opens with assistance from Menino.
2000: Millennium Park in West Roxbury opens. The 98-acre park was built over a former landfill.
2001: Menino wins third term.
2002: Menino promises to build a small high-tech high school, funded by a grant from Bill and Melinda Gates Foundation. Referring to the city's myriad development projects, Menino vows to protect the city from "Manhattanization." Christopher Columbus Park in the North End undergoes a $3.8 million reconstruction.
2003: The city is in recession; money for new initiatives is stalled. Menino appeals to union leaders, Beacon Hill, and Washington for help as he steers Boston through a fiscal crisis unprecedented so far in his administration.
2004: Boston hosts the Democratic National Convention. Boston police begin monitoring strategically placed cameras to aid in investigations.
2005: The city makes a $6 million, four-year capital investment to renovate the historic Strand Theatre in Dorchester's Uphams Corner. Menino wins a fourth term.
2006: Menino announces plans to sell City Hall and City Hall Plaza to developers and relocate city government to the South Boston waterfront. Menino proposes what would be the city's tallest building, a 1,000-foot structure in the Financial District. Initial enthusiasm falters and the skyscraper is never built. Spectacle Island, a former landfill in Boston Harbor, opens.
2007 Camp Harbor View, which served roughly 800 children in 2013, is built. Menino launches Boston Bikes with the goal of transforming Boston into a world-class cycling city. At the time, Boston had been rated the worst cycling city in the country by Bicycling magazine.
2008: With Martin Luther King III at his side, Menino tells Twelfth Baptist Church in Roxbury, "We will build a statue for Dr. King and Coretta right here in our city." The statue is never built; Menino cites the recession. Tens of thousands turn out to mark the inauguration of the Rose Kennedy Greenway.
2009: The Grove Hall branch and the Mattapan branch of the Boston Public Library are completed. Menino wins a record fifth term.
2011: The Salvation Army builds the massive recreation Kroc Center on a 6-acre patch in one of Dorchester's poorest sections. The Tiffany Moore Tot Lot, a playground named for a 12-year-old killed by stray bullets, opens in Roxbury. The farmers' market program expands to every neighborhood in Boston. (Today, there are 28 farmers markets in the city.)
2012: The Millennium Tower and Burnham Building project at the former Filene's building site are approved for development, breaking a five-year delay to redevelop the property.
2013: Menino, who had become ill and was hospitalized, announces he is not seeking a sixth term. The city reels after a pair of bombings at the Boston Marathon; Menino leaves the hospital to attend a service with President Obama to reassure the public.Meghan E. Irons can be reached at email@example.com.


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Clubfoot in children is most often a congenital (present at birth) abnormality that causes one or both feet to turn inward and downward. For the majority of children, clubfoot is almost completely correctable without major surgery or pain. Nemours orthopedic specialists use an established method to gently and safely stretch your child's foot or feet into the correct forward-facing position using casts and, later, orthotics (braces).
Congenital clubfoot occurs in about one out of 1,000 children and is twice as common in boys as girls. With clubfoot in children, there's an excellent chance that proper treatment will allow them to run, jump, play sports, dance, and experience all the joys of childhood.
The most effective and least expensive treatment for congenital clubfoot in chilldren is the Ponseti method. Named after Ignacio Ponseti, the doctor who invented it, this minimally invasive treatment is considered the international gold standard in correcting clubfoot. It starts shortly after birth and has two distinct phases:
- Casting: A cast is placed on the affected foot or feet to gently guide the bones, ligaments, and tendons toward the correct position. The cast is replaced and adjusted weekly for several weeks. Many children do require a minor procedure to help achieve the final corrected position of the foot.
- Orthotics: After the final cast, they'll be fitted for an orthotic, which keeps the clubfoot from developing again. The orthotic is used for a period of 2 to 5 years, mostly at night.
The Ponseti method has been developed and refined over the past 50 years, and numerous studies have shown that it's almost always the most effective and least painful way to correct a clubfoot. It doesn't cure clubfoot entirely, and the affected feet and calf muscles are usually a little smaller than normal. But the method does restore your child's ability to enjoy all the physical activities of a normal childhood.
FloridaHospitalSpecialty Care
Nemours Children's Specialty Care, Pensacola
8331 N. Davis Highway
Pensacola, FL 32514
Get Map & Directions »
For Appointments: (850) 505-4700
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients
Bring these forms for your first appointment:
- Authorization for Treatment and Release of Information (PDF)
- Assignment of Benefits (PDF)
- Notice of Limited Liability (PDF)
Returning Patients
New Patient Forms
- Authorization for Treatment and Release of Information (PDF)
- Assignment of Benefits (PDF)
- Notice of Limited Liability (PDF)
Returning Patients
- Patient Presents Without Legal Guardian (PDF)
English | Spanish
Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
- Insurance We Accept: See accepted insurance, listed by location.
- Pay Your Bill: Use online bill pay or send by mail.
- Financial Assistance: Get help with your child's health care expenses.
- MyNemours: Access your child's medical record online.
The orthopedic specialists at Nemours Children's Specialty Care, Pensacola, are experts at diagnosing and treating congenital and other forms of clubfoot in children. If your child has clubfoot, it will be detectable in a standard prenatal ultrasound or will be visible immediately at birth. We recommend contacting us as soon as the diagnosis is made.
At Nemours Children's Specialty Care, Pensacola, your child's care will comply with the Ponseti method, the most widely accepted treatment regimen for clubfoot. Your first visit will include a careful examination to determine if your child has any other medical factors. To help diagnose and treat the condition, your Nemours physician may need an X-ray, CT scan, MRI scan, or other imaging procedure, available through our neighbor and partner, West Florida Healthcare.
Most children with clubfoot do not have complications, and the condition is treated on its own, nearly always using a minimally invasive procedure that corrects the malformation gently over time and without significant pain.
For a small number of children, clubfoot can occur with other conditions, including:
If this is the case, your Nemours physician will work with other specialists at the clinic and hospital to coordinate treatment for all conditions in a way that gives your child the best chance for an active, healthy childhood.
Starting within weeks after birth and using techniques refined over decades, your Nemours specialist will begin easing your child's foot gently into the correct position with a cast that may extend partially up the leg. The clinic has a special casting room used for these and other kinds of custom casts. The process, repeated approximately every week, is nearly painless and usually takes less than 30 minutes. This regimen usually lasts between 4 and 9 weeks; the final cast may remain in place for up to 3 weeks. You'll learn about bathing and caring for your child during this period.
Following the casting period, your child will be fitted for an orthotic (brace), which continues the gentle stretching process. You'll receive detailed instructions on how and when to use the brace. To make the most of your child's chance for successful treatment, it's important to follow these instructions exactly as presented, without modifying or adapting them. Always call with any questions before making any adjustments.
At first, the brace stays on almost constantly and is removed only for bathing. After a few months, before your child starts crawling or walking, the brace is worn only at night. There are no restrictions on normal activities. Bracing may continue for up to 4 years.
In some cases, the gentle stretching that's a hallmark of the Ponseti method may leave your child with an Achilles tendon that's a little too tight. To correct this, your Nemours physician may need to make a small incision in the back of the foot to help the tendon grow correctly. This nearly painless procedure might take place in the office or in the operating room and will heal in a few weeks.
Some children between the ages of 3 and 5 might experience a partial relapse of clubfoot. If this is the case, your Nemours physician may need to:
- do additional casting to re-correct the position of the foot
- perform a procedure to transfer the Achilles tendon to the middle of the foot
- lengthen the Achilles tendon
Your child may also be referred to a Physical Therapist at the hospital for exercises that can help strengthen the muscles in the calf and foot and relieve any minor discomfort as your child grows.
One in 1,000 children is born with congenital clubfoot. That possibility increases if the condition is present in your family's history. Clubfoot in children occurs about twice as often in boys as girls. If you have one child with clubfoot, there's a greater chance that the condition will occur in
- additional children with the same parents
- children born to your child with clubfoot
- children born to your child's siblings
Because genetics plays a role in determining who is born with clubfoot, your Nemours physician may also suggest a visit with a geneticist, who can provide guidance on the chances that you or your children will have children with the same condition.


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Are some T-Mobile users about to lose their free tethering? I'm bringing attention to the question because I'm still not entirely sure about the answer. According to some recent comments from a T-Mobile spokesperson, it's looking more and more like that could be the case.
Back in the early days of Android you couldn't tether your phone unless you hacked it. This was one of the main reasons I got into rooting my phones, but then Google finally added native tethering support to Android 2.2.
Many Nexus One owners who have service with T-Mobile have been taking advantage of free tethering ever since. You just go into your wireless settings and click a check box to turn it on. Thanks to today's OTA update, the T-Mobile G2 also has that feature. This means that either phone can do free wireless tethering out of the box with no modifications or hacks.
T-Mobile was the only major carrier that didn't have a tethering add-on plan, while most others charged $25-30 per month. It was always against T-Mobile's terms and conditions to tether, but they never cracked down on people who were using it (and not abusing it).
The T-Mobile T&Cs specifically states, "Unless explicitly permitted by your Data Plan, other uses, including for example, using your Device as a modem or tethering your Device to a personal computer or other hardware, are not permitted."
Starting today, things could be changing. T-Mobile just announced their Tethering and Wi-Fi Sharing service plan, which they will be charging $14.99 per month.
When I asked T-Mobile how this affects current G2 and Nexus One owners, I received the following response from a company spokesperson.
T-Mobile does not currently support handset tethering and Wi-Fi sharing or offer a tethering rate plan. Beginning this holiday season, T-Mobile will offer a Tethering and Wi-Fi Sharing service plan that lets customers use their G2 as wireless modem for connecting laptops and other devices to the internet through the T-Mobile network. Customers will be able to add the Tethering and Wi-Fi Sharing plan to their Web — Unlimited $30/monthly plan for an additional $14.99 per month.T-Mobile spokesperson
As you can see it was not the clear answer I was looking for so I exchanged a couple more emails trying to see if T-Mobile was going to crack down on people who are not explicitly paying for tethering.
After some back and forth, the T-Mobile spokesperson said, "They will need to sign up for the tethering plan when it becomes available if they would like to use the tethering service."
So whether you like it or not, it does appear that T-Mobile will attempt to start charging for the free tethering that many have enjoyed on their Nexus One and G2 phones. I'm not sure how they will technically enforce the rule, but I guess we will find out soon.
Do I agree with T-Mobile's policy? No, but all the other carriers do it the same way now. In a perfect world, the carrier would just give me my bucket of data I paid for and let me use it on whatever I want (without trying to charge me twice).
What do you think T-Mobile should do? Are you ok with paying $14.99 per month to tether your Android phone?


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Home » Events at The Watercress Line
On selected days throughout the year the Class 50 50027 'Lion' will be operating in addition to our standard steam service.
The class were named after ships of the Royal Navy in the late 1970's following the withdrawal of the Warship Class of locomotives. The class 50's were regular performers on Waterloo to Exeter expresses until withdrawal in the 1990's. 50027 Lion is one of those repainted in Network South East livery for these trains, a livery it still carries.
Lion returned to the MHR on 14th June 2012 from the NYMR.
Find out more about 50027 Lion
Running Days 2018 - please click here for the timetable
25th August
Image courtesy Andy Fuller


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