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Creating opportunities for people using support services to
contribute to those around them has a deep impact on their
wellbeing and members of their wider community, according to a new
report released by Think Local Act Personal (TLAP).
Martin Routledge's 'Fifty shades of white' blog post features in
Community Care's round up of the best blogs on the White Paper.
Martin Routledge's blog post in response to the
White Paper.
In Control has been successful in obtaining grant funding
from the Department of Health and it is also leading a project
for Think Local, Act Personal using POET - the Personal
budgets outcomes and evaluation tool.
Read our guest blog
post from Helen Allen, Operations Manager for Community
On the 3 and 4 July, In Control hosted its 16th residential
event for members of its Children's Programme.
This new paper, written by Vidhya Alakeson for In Control will
feature the 10 steps of an effective process for personal health
budgets for continuing healthcare.
In Control looks forward to continuing its strategic
relationship with the Department of Health supporting the potential
full roll out of personal health budgets.
The Department of Health has published the 'Caring for our
future: reforming care and support' White Paper, which sets out the
vision for a reformed care and support system.
Community Care held a lively online debate last night on
personalisation. Martin Routledge from In Control was invited to be
a panelist for the session. A recording of the discussion can now
be accessed on Community Care's
Last Updated : 22 May 2013. Page Author: Pam Schreier.


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Room in shared app NEEDED / Mid Oct till Jan 2011 (Santiago de Chile)
Hi there, I am looking for a bright room with double bed (!!) for my stay in Santiago arriving October 19, Protected content . During my internship (location Providencia, metro station los leones) I want to live with other "friends"/roommates to share freetime, cook 2gether and explore Santiago/Chile. App should be in/near Providencia.
If you know some places, please let me know ( Protected content ). Thankss, Marylooxxx

subset: commoncrawl


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With summer in full swing, help your skin successfully weather the season with these two essential steps: exfoliation and moisturization. So here are 5 easy ways your kitchen can serve as your very own spa…
5 Foods To Summer-Proof Your Skin
Vitamin D
Vitamin D is best known for its role in bone health. It facilitates calcium absorption from the digestive system, normal calcium and phosphate in blood, and bone mineralization. Vitamin D is also involved with cell differentiation and immune function.
Bug Bite Cure
The sandy, thick consistency of baking soda turns into a perfect paste for homemade healthcare. It absorbs the scent of the lavender which not only soothes bites and stings from critters hiding in summer foliage but lavender also has the uncanny ability to calm stress.
Father's Day Dinner
Cooking for dad is not only the fastest way to his heart, it's also a father's day gift that he'll be sure to love! The key to cooking him something special is to plan ahead with a simple menu of foods that he already loves. Check out these easy, healthy recipes along with foolproof cooking tips, videos, and do-ahead ideas.
Cherries May Help you Lose Weight
Ice cream aside, eating a small bowl of fresh cherries can help you lose weight instead of reaching for that bowl of ice cream. Why? I'll tell you in a minute, plus give you great ideas for new recipes with a twist…
No-Cook Weight Loss
Cooking for yourself is a small time commitment that has a huge pay off, but even if you don't know how to cook or just want to eat better with no-cook options this summer, there's no need to turn on your oven or stove top!
Summer Cookout Makeover
Summer is a time to spend less time in the kitchen and more time outdoors but you can still be healthy and even wow your guests with some fresh recipes that use the healthiest foods in the most delicious ways. Here are some strategies for getting more superfoods like greens, beans, and berries onto your plate this summer.
Easy Mother's Day Brunch
Mother's day is rapidly approaching. What better way to say "I love you" than with homemade brunch that will knock her socks off and make her feel appreciated and pampered. Here's a list of incredibly easy ideas of how to make a fast bunch that looks gourmet but couldn't be simpler.


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Memphis CPA firm Watkins Uiberall has teamed up with management consultancy J. William Appling & Associates to form Watkins Uiberall Strategic Consulting Group.
The group will specialize in providing financial, accounting, business advisory, process alignment and delivery improvements to clients in the health and medical industries, as well as other industry segments. Bill Appling, a principal with J. William Appling & Associates, will assume the role of president of the group. Appling has over 25 years of experience in the health care industry. He founded J. William Appling & Associates in 2000 to assist health care clients in achieving growth and profitability.
"The creation of Watkins Uiberall Strategic Consulting Group combines the bench strength of Watkins Uiberall's accounting expertise and J. William Appling & Associates' consulting leadership to form a comprehensive service provider for physicians, hospitals and other entities that are looking to increase profitability within their organization," said Watkins Uiberall partner Ben Watkins in a statement.
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While the iPhone is the most popular iOS device, the iPad is fast catching up. With its bigger screen, it is far easier for users to do some things and that includes accessing the iOS file system and managing it using an app called iFile [ about ]. Until now, we could only get iFile on iPad by installing a jailbreak and downloading Cydia first but, now that jailbreaks are becoming more scarce, a new method has had to be found. We have the steps to that method below, a way of installing iFile onto your iPad without the need to jailbreak first.
Image : iFile iPad Download Tutorial
How to Download iFile on iPad :
We are going to use an app called Cydia Impactor to side load iFile onto your iPad. You can't install it directly without using a jailbreak so this is the only way to do it. You will need your iPad, a computer with the Windows or Mac operating system on it and a valid Apple ID
- First, download iFile app on your computer
- Next, download Cydia Impactor onto your iPad [ ext link ]
- Now you can follow the instructions in the linked article in Step 2 . These will walk you through the steps of using Cydia Impactor to side load iFile onto your iPad so make sure you follow them very carefully
- When you have iFile on your iPad, you will not be able to use it until you have completed one more step. Launch the Settings app on your iPad
- Go to General and then to Profiles & Device Management
- There will be a list of the certificates on your iPad so find iFile and tap on it
- Now you need to tap on Trust and then on Trust again to confirm your actions
- Close Settings and go to the iFile icon , tap on it and you will have access to your file system
One thing you should know is that, by side loading iFile onto your iPad without a jailbreak, you are not getting full root access and iFile will be sandboxed. What this means is that your access to some files and directories will be limited as will your ability to write; that will be limited to specified folders only. Despite this, you will still have way more access than you would otherwise so you really have little to lose by trying it out.
Tell us how you get on with iFile and stay up to date with all the latest news by following us on Facebook .


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Hips abnormalities in children with cerebral palsy
Dr Aymen HAJ SALAHa, Dr Mariem REKIKa, Dr Mouna SGHIRa, Dr Sonia JEMNIb, Dr Wafa SAIDa, Dr Wassia KESSOMTINIa
a CHU Tahar Sfar-Mahdia, b CHU Sahloul
Cerebral palsy is considered a neurological disorder caused by a non-progressive brain injury. Hips abnormalities in child with cerebral palsy are the consequence of the neurological disorder in growth period.
to identify Hip abnormalities in children with cerebral palsy and to determine orthopedic and preventives treatment modalities through a review of the literature and our experience in the rehabilitation unit in Mahdia.
Methods and Results
We have conducted a prospective study during the last three years on children with cerebral palsy referred to our unit . The assessment was based on clinical examination (a full neurological examination, a complete articular balance), gait analysis, functional assessment and radiographic analysis (spine X-Ray: front and side view, anteroposterior pelvic radiograph: without and with hips in maximum abduction).A rehabilitation protocol was implemented and adjusted according to clinical assessment.
30 children with cerebral palsy enrolled with an average age of 4 years and 6 months. 60% were quadriplegic, 35% were paraplegics. Orthopedic abnormalities of the hip found were flexion deformity in 8O% of cases, defect in hip abduction in 66% of cases , subluxation in 43% of cases, dislocation in 2 cases and dysplasia in 62% of cases. Spinal deformities associated in 60% of cases. All our children had benefited from rehabilitation and suitable orthesis. Dislocations were referred to the surgeon 1.
Vicious attitudes are the result of muscular imbalance caused by the neurological disorder. The postural collapse and poor positioning aggravate deformities. Abnormalities most frequently encountered are the flexion deformity, defect in hip abduction, defect in external rotation, subluxation and dislocation. Rehabilitation helps to reduce muscle imbalance, bad posture and postural collapse in children with cerebral palsy.
Hips deformities are important concerns for the clinician. Rehabilitation holds a special place in prevention and management.
Bibliographie :
1-Valencia, F. G. (2010). "Management of Hip Deformities in Cerebral Palsy." Orthopedic Clinics of North America 41(4): 549-559
Keywords : cerebral palsy-hips-abnormalities


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Perth Bar Cabinet with Wine Storage
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Product OverviewAmp up your entertainment space with this Perth bar cabinet. With room for up to 10 bottles, you can attractively display liquor and wine bottles. Open the cabinet door to reveal a holder for glassware, and use the drawer to display bar accessories, like corkscrews, shot glasses and aerators. Plus, the colour-block design makes this cabinet perfect for your modern home.
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Does anyone here have teenage stepchildren who are unhappy or unsupportive about you having a baby?
My husband and I have been together for 5 years, married 2 and a half. I have a 15 year old stepson who's not all that thrilled about us having a second baby. I have a 6 year old son froma previous relationship and now my husband and I are expecting our second child together. My 6 year old is excited about having another sibling (especially since this one's going to be a little brother) but my husband's 15 year old has never even acknowledged that I'm pregnant. My husband, with both of our pregnancies, worried so much over how he was going to break the news to him that it took away from our own excitement. His only reaction was, "if it's a boy, it's going back." Then, a few weeks ago, we found out it was indeed a boy!
I've been in his life since he was 9 years old and he and I didn't have any issues until I married his dad....then everything went downhill from there without warning. I didn't feel it was appropriate to be a mother to him, mainly because he didn't want me to be, but I've been supportive in other ways and now I can't help but feel partially responsible for his "unhappiness".
I'm worried about how he is going to treat this little one. He doesn't treat my 6 year old very well, and it's so painful to watch. We have a two year old daughter as well, and he's starting to treat her poorly too. He had been living with us full time for a couple years, then after we found out I was pregnant, he decided to live with his mother and visit us on weekends. I feel partially responsible for his decision to move, and I know it hurt my husband greatly that he didn't want to live with us, but at the same time I'm relieved that he's not spending as much time around my kids and they are not having to contend with his wrath every single day. Is anyone else in a similar situation?
Hi awesomeschick~~
I'm so glad I'm not the only one with this issue! A lot of people say it's just a typical teenage thing but I honestly think this is more than that. He's the only child his Mom and my husband had together and he's used to having all the attention, love, etc. He has a huge temper and I just don't think it's normal for a teen to have that much anger inside. I approach things the exact same way you said you do--I let my husband handle it and go about my business. However, when he starts ragging on my kids, I do step in. He doesn't like it but he can't go around treating people that way. Actually when he's here I try to avoid him alltogether which is hard but it keeps my stress level down.
After we had the ultrasound done, I knew we would be in for a rough going with him, so instead of putting the pics on the fridge I tacked them up in my home office where they were out of his view but someplace safe. He very rarely goes in that room. When he went back to his mother's house, she called and said I needed to stop rubbing "that baby" in his face and be more sensitive to his feelings. I cannot tell you how thoroughly PISSED I was!!!! I'm not about to remove them! It worries me though, because if he's that uncomfortable now, then how is he going to be when the baby's born?? I guess it doesn't help any that the baby's due March 19, which is 2 days before my stepson's birthday.
I'm about 25 weeks and I feel the baby's safer in my belly than in my own house on weekends! How did you tell your stepchildren that you were pregnant?
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Make the traditional Montréal-Québec cycling tour by the southern shores of the St. Lawrence River. Partly on the Navigator's Route and Route 132, enjoy magnificences views over the River and the countrysides, strech between the two urbans areas.
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Join Ride with GPS and discover even more new routes and riding buddies. Print turn-by-turn cue sheets so you know where you are heading. And then, log your rides and watch your progress.
Make the traditional Montréal-Québec cycling tour by the southern shores of the St. Lawrence River. Partly on the Navigator's Route and Route 132, enjoy magnificences views over the River and the countrysides, strech between the two urbans areas.
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|Apr 29, '16, 06:51AM
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Best format for turn-by-turn directions on modern Garmin Edge Devices
Best format for turn by turn directions on Edge 500, 510. Will provide true turn by turn navigation on Edge 800, 810, 1000, Touring including custom cue entries. Great for training when we release those features. Not currently optimal for Virtual Partner.
Useful for any GPS unit. Contains no cuesheet entries, only track information (breadcrumb trail). Will provide turn by turn directions (true navigation) on the Edge 705/800/810/1000/Touring, but will not have any custom cues. Works great for Mio Cyclo. Find GPS specific help in our help system.
Only the cuesheet entries, not the entire track. Not useful for most, you most likely want a GPX Track.
Only the cue sheet. You can print it from Excel or another spreadsheet program.
Ride this route frequently? Select the ride (or a section of it) in the elevation profile and create a segment to compare your ride performance against yourself (and others).
Estimated Time shows a prediction of how long it would take you to ride a given route. This number is based on your recent riding history, and represents an estimate of moving time. Each time you upload a new ride, your Estimated Time profile will adjust to reflect your most recent riding. Only rides exceeding 10 miles (16 km) will affect these estimates.Go Basic
Our Basic members have unrestricted access to everything we offer in our mobile apps. Learn more by visiting our Compare Plans page.
But, if you'd still rather sign-up without it, no problem. Just tell us a little about yourself:
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Different Types of Content Writing A website content writer or web content writer is a person who specializes in providing relevant content for websites. Every website has a specific target audience and requires a different type and level of content. Content should contain key words, and theseRead more →
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Interested in home birth, hospital birth or private midwifery care? Questions or comments? Email Melissa Maimann or call 0400 418 448. Link
While it remains rare for a woman in the U.S. to die from pregnancy complications, the national rate of pregnancy-related deaths appears to be on the upswing ...
... between 1998 and 2005, the rate of pregnancy-related deaths was 14.5 per 100,000 live births. And while that rate is low, it is higher than what has been seen in the past few decades.
... the extent to which the rise reflects a true elevation in women's risk of dying is unclear. Recent changes in how causes of death are officially reported by states to the federal government may be at least partially responsible for the findings.
However, it is also possible that part of the increase is "real." According to the new data, deaths from chronic medical conditions that are exacerbated by pregnancy, including heart disease, appear to account for a growing number of pregnancy-related deaths.
In contrast, deaths from actual obstetric complications -- namely, hemorrhaging and pregnancy-related high blood pressure disorders -- are declining.
The absolute risk of a U.S. woman dying from pregnancy-related problems is still "very small," ...
But ... the new findings do underscore the importance of women "making sure they are in the best possible health before pregnancy."
All women ... should try to have a pre-pregnancy visit with their ob-gyn and, if needed, get their weight and any chronic medical conditions, like high blood pressure or diabetes, under control before becoming pregnant.
... In contrast, in 1979, there were just under 11 maternal deaths per 100,000 live births in the U.S. -- a rate that fell to as far as 7.4 per 100,000 in 1986, before beginning a gradual increase.
In addition, the racial gap that has long been seen in pregnancy-related deaths shows no signs of narrowing. Between 1998 and 2005, the death rate among black women was 37.5 per 100,000 live births, versus 10.2 per 100,000 among white women and 13.4 per 100,000 for all other racial groups combined.
The reasons for the upward trend in the overall rate of pregnancy-related deaths are not certain, and more studies are needed to tease apart the contributing factors ...
One factor ... could be two technical changes in how causes of death are officially reported. In 1999, the U.S. adopted an updated system for coding causes of death -- one that allowed more deaths to be classified as "maternal."
Then in 2003, the standard death certificate was revised to include a "pregnancy checkbox," which increased the number of deaths that could be linked, in timing, to pregnancy.
... the proportion of deaths from "direct causes" -- obstetrical complications like hemorrhaging -- is going down, while the proportion attributed to indirect causes -- that is, medical conditions worsened by pregnancy -- is increasing.
Hemorrhaging, for example, accounted for just under 30 percent of pregnancy-related deaths between 1987 and 1990, but only 12 percent between 1998 and 2005. High blood pressure disorders ... also accounted for about 12 percent of deaths in 1998-2005 -- down from around 18 percent in 1987-1990.
On the other hand, there was a sharp increase in the proportion of deaths attributed to heart problems. In the most recent time period, just over 12 percent of pregnancy-related deaths were attributed to "cardiovascular conditions," ...
In 1987-1990, only about five percent of deaths were linked to cardiomyopathy, and a smaller percentage to cardiovascular conditions.
... More women of childbearing age today are obese or have chronic health problems like high blood pressure and diabetes than in years past ...
The bottom line for women, she said, is that while the odds of dying from pregnancy-related problems remains quite low, it is important to go into pregnancy in the best possible health.
Hence the importance of preconception care.
Melissa Maimann, Essential Birth Consulting 0400 418 44


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One of the key insights for understanding the calculus of sentience that I present on these pages is to understand the implications that knowledge is socially constructed. The minute that you accept that, with all the implications of Conway's Law (see the other masthead posts) the obvious conclusion is that for every evolution in basic social structure, there is a corresponding knowledge structure that emerges. All higher knowledge structures contain the potential for inclusion of the lower structures. Moving up just adds another meta-tool in the meta-toolbox.
Empathetic levels, besides driving the emergence, provide the level of connectivity and transmissibility for each of these knowledge structures. Since the intent of the masthead posts is to give a brief summary, you'll have to dig through at least a little bit of other posts to see why I came to the conclusions I have.
Without further ado, here are the v-Meme/Knowledge Structure Pairs, with an example and physical analog.
With this table, one starts at the bottom. After we move past no knowledge permanence at all (Survival v-Meme), we move up into Tribal/Magical Stories, Authority-based Knowledge, and Legalistic/Absolutistic Rules and Algorithms. For the most part, these are all long-time data structures — and so you could lump them under 'Beliefs'. Or things not easily changed. My friends, fellow professors and idea reflectors/generators, Jake Leachman and Kshitij Jerath, are working on applying the principles of thermodynamics to all of this. For the purpose of the lay reader, though, one might map these data structures to 'Solids'. They don't change without a lot of heat or pressure.
Above that are the more probabilistic data structures – heuristics, or rules of thumbs, that rely on independent agency and choice to be created. These, in a thermodynamic context, represent fluids — things that can change more easily, and be adjusted, or followed to different ends.
There are two lines on the chart. The first is what I've coined as the Trust Boundary. Above the Trust Boundary are relationships that depend on trust — or, really, independently sampled data validated by the initiators. Below that are relationships that are defined by the culture or society that the individual has little choice but to accept. Like the knowledge structures that create them, they are differentiated by Belief and Independent Data Collection, permanence and ephemerality.
The second line is Clare Graves', Don Beck's and Ken Wilber's notion of Second Tier relational structures. Second Tier thinking is characterized by a higher level of awareness, and willful feedback toward modification than present in the lower v-Memes. Buddhists have a term for this — use of the 'Third Eye'. The ability to watch oneself directly influences knowledge structures, and introduces an indeterminacy and need for convergence before we're sure we know what we know. All the lower knowledge structures are essentially 'open loop' — it's One and Done, once you've followed the pattern. Above that, reflection plays a large part, and creates opportunity for evolution and modification. If you need a modern physics analogy, think of the Heisenberg Uncertainty Principle, which says the observer essentially disturbs the system being observed. Second Tier thinking is aware that this is true, and is also aware whether compensation is being applied.
These meta-structures form the building blocks for all human knowledge, and understanding each one (essentially fragment, narrative, historical fragment, rule set, heuristic and on up) allows one to break down how people think. Which has many applications — first and foremost in education and communication. If you're trying to communicate with knowledge structures that your audience doesn't have, or don't match the level of developed relationship and timescale you've got with that person, you're not going to have much luck!


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That said, hugs do have their time and place. They're appropriate for goodbyes.
It seems I've said goodbye a lot over the last decade, but perhaps that's not so unusual for my demographic. There were goodbyes when I left home. Goodbyes at the end of each year of college as a different round of friends graduated before it was, at last, my own turn. Transience characterized my first full-time job, at Syracuse, where most folks didn't stick around longer than a couple years (to be fair, I only stayed for two and half). Things are marginally more stable here in Baltimore. Just the same, by an off-the-top of my head count, I've said goodbye to no fewer than 20 co-workers from my department in five and a half years. Some were close friends, some nothing more than colleagues. Some moved hundreds of miles away. Some stayed local.
In many of these cases, I spoke with the parting co-worker about keeping in touch--a trite sentiment, to be sure. The stuff of yearbook notes and cursory scrawling in farewell cards. I've maintained a number of Facebook friends, and had cups of coffee with a handful of these people after our circumstantial, prescribed time together has come to an end.
But when I've hugged them goodbye, I've known what it really means:
"Have a nice life."
"I'll never see you again in quite the same way."
I don't mean all of this to sound callous. Putting aside my oft-snarky exterior, I'm pretty sentimental about the connections I make, and ready to more or less meet folks halfway if they want to keep in touch. The thing is, I've also found that friendships born out of common circumstances--particularly work--tend to have limited shelf lives. Take away office gossip, war stories, and shared geography. More often than not, you're left with idle chatter about the family, pets, one or two especially prominent hobbies, and--well, that's about it. Enough for a couple beers, maybe a lunch, but hardly enough for a sustained, meaningful relationship.
A couple years ago I hugged goodbye a woman I considered a pretty close friend. Sharon and I had worked closely with one another and bonded one winter over shared stories of bad breakups when I was at an emotional low and she had pretty recently emerged from the other side of the tunnel.
I caught her alone in her office, past five on her last day. We shot the breeze for a few minutes. Reminisced for a few more. Then it was time for the hug. I wrapped my arms around her.
She patted my back twice.
The moment stung. There's every possibility I read too far into that instant. She may just be an awkward hugger, or might have grown weary at the tail end of a day full of embraces.
But I couldn't escape the thought that maybe I'd misjudged our connection. That what, in my mind, was a close friendship was actually far more casual and professional for her.
I jotted a note to myself about that afternoon. It seemed like a conflicted enough moment that it might be of value in my fiction someday, or at least be a valuable personal lesson. A reminder to look at all manner of friendships objectively. Never to ask or assume too much.
Never to hug too soon, too hard, or too long.
But then, two years later, another colleague left. Carrie had been to my apartment for all manner of gatherings--Christmas parties, writing workshops, viewings of American Idol, Star Wars, and Wrestlemania. I recall sitting on her couch, sipping sangria one Fourth of July, joined by her husband and some mutual friends. Carrie and I have always gotten along well, and I considered her a friend. Just the same, when the time came to say farewell, I hesitated, remembering Sharon.
But Carrie put her arms over my shoulders and held me close. I held her back. After a second or two, it was over. And yet, in that brief period, I remembered what I had not so much forgotten, but questioned that a hug could, or even should be--
a gesture of love.
A hug like that isn't sexual. But it is real. Simple. Sincere.
In life, we tend to hear a lot about first impressions. About firm handshakes and eye contact. About remembering to smile.
Maybe we don't think enough about last impressions. About drinking deeply and remembering. About not being ashamed to shed a tear. About saying "keep in touch" and meaning it.
About holding our hugs a little bit longer.


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Salt Lake Marching and Chowder Club
Nancy Freeman, newly appointed secretary of the Marching and Chowder wishes to make the world a better place. She was secretary for the Women's Circle at the Interfaith Shelter, briefly, in Santa Fe New Mexico and has initiated the same circle here at the Road Home in Salt Lake City.
The mother of two, Justin, a marine and personal guard for President Donald Trump, and Sean, a talented landscaper.
She has an eclectic background in art , physical education and security. She loves to ski and horseback rides whenever possible.
Her degree is in Education with a few additional credits in law.
coming soon


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I only took two pairs of shoes on holiday with me last year, a pair of sandals for the beach and my favourite Converse. They went with all my dresses (there were a few!) and meant I could explore for miles without worrying about sore feet. I was sad when it was time to retire them for winter and dig out my boots. I have been wearing my new wedged Converse non stop since I got them, I know they are not to everyone's taste and some even feel that something as iconic as Converse shouldn't be messed with but they are so comfy to wear. And you can't see the wedge from the front, they look like a standard pair of converse ;)
Gray's shoes of choice also happen to be Converse, he even wore them to our wedding along with his ushers. I joined them in the evening and was grateful to kick off my heels and switch to something I could dance in (read as jump up and down in!)
Tate has already worn his first pair of Converse a few times and has three more pairs waiting in the wings for when he starts to grow out of them. There is something about mini Converse that makes me coo. Forget the actual baby I go gooey over miniature Converse!
There is honestly nothing more adorable than a kid in Converse as my niece Emma showed at our wedding. We have bought her brother Charlie a pair for his first birthday too!
I have been browsing the Converse from Bank Fashion and have added these to my wishlist, how amazing will they look come summer with a pretty little dress?! That is assuming we have a summer this year...