text:
With Payroll Relief, you can:
And you get all this power for a very modest investment... as little as 50¢ per paycheck.
The result: a more profitable, no-hassle payroll service.
Streamlined payroll processing
Comprehensive functions
Automated compliance
Collaboration with clients
Additional services
Seamless integration
Comprehensive reporting
Marketing and training
Management tools
*AccountantsWorld meets all liability and bonding requirements.
Payroll Relief's highly intuitive interface is organized logically to follow the sequence of payroll processing. The system guides you through the entire payroll process, minimizing the learning curve and easing your workflow. And because it's fully Web-based, you can process payrolls 24/7 from anywhere via our secure server.
Payroll Relief's extensive capabilities let you quickly and easily process payrolls of varying complexities, for companies with 1 to over 1,000 employees.
Allocate payroll expenses by department, worker's comp classification, and/or job.
Multiple Locations:
Checks can be printed by each location using their own bank or at a central location.
Direct Deposit:
Full support for direct deposit, including multiple accounts for each employee and direct deposit for employee contributions to an HSA account.
Paid Time Off:
Employee paid time off accruals and tracking.
Employee Portal:
Let employees view their personal profile, maintain address information, and view/print pay statements and W-2's/1099's.
Payroll Relief handles virtually all compliance faster and more automatically than any other payroll system.
Payroll Relief offers seamless integration with Accounting Power, QuickBooks®, and Peachtree.
Payroll Relief also provides also a comprehensive set of tools for managing your payroll practice. From one convenient location, processes for your entire practice can be reviewed and monitored, so that the system becomes in effect your own payroll service bureau.
The unique cloud-based, accountant-centric design of Payroll Relief lets you involve your clients in whichever aspects of the payroll process are best suited to their needs and abilities. By letting you grant access to only those features of the program you want your clients to perform, you streamline your own workload at the same time you minimize the risk of client errors that can easily arise in off-the-shelf, client-centric software.
Payroll Relief has partnered with reliable third-party vendors to offer you additional services to bolster your payroll practice.
Payroll Relief supplies a comprehensive selection of reports on all aspects of the payroll process. Multiple output options are supported, and you can also define several Report Sets, which are your own collections of reports you can save for repeated use and run in batch as a single request.
Payroll Relief is far more than a system for processing payrolls and managing compliance. It also provides all the resources you'll need to market your payroll practice and train your clients and staff.Marketing:
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We've grown our number of payrolls processed by over 50% since we started using Payroll Relief.
Very powerful and cost-effective. [We] have peace of mind knowing tax payments and payroll tax returns are being electronically filed in a timely manner. If you are researching other payroll software, look no further.
I didn't find a cost effective solution until I found Payroll Relief.
Payroll Relief automatically files all compliance forms electronically and this gives us peace of mind. It has streamlined our processes and made payroll profitable. We are expanding our payroll practice, thanks to Payroll Relief.
Payroll Relief rocks.
Clients love having 24-7 access to their payroll data. I love the screens that show when taxes are due, the automatic reminder emails, the electronic reports and the one-click printing of checks. There are no errors with tax filing either! I love Payroll Relief.
I didn't find a cost effective solution until I found Payroll Relief.
Payroll Relief automatically files all compliance forms electronically and this gives us peace of mind. It has streamlined our processes and made payroll profitable. We are expanding our payroll practice, thanks to Payroll Relief.
Payroll Relief rocks.
Clients love having 24-7 access to their payroll data. I love the screens that show when taxes are due, the automatic reminder emails, the electronic reports and the one-click printing of checks. There are no errors with tax filing either! I love Payroll Relief.
We've grown our number of payrolls processed by over 50% since we started using Payroll Relief.
Very powerful and cost-effective. [We] have peace of mind knowing tax payments and payroll tax returns are being electronically filed in a timely manner. If you are researching other payroll software, look no further.
I have more than doubled my payroll billing in just two years.
I have been using Payroll Relief for two years now. The system is so easy to use, and the automated features are such a relief... no wonder it's called Payroll Relief!
Our payroll processing time has been reduced by 75% over our previous 'web-based system'.
Our firm migrated payroll processing from Creative Solutions to Payroll Relief… this was the best decision we made for our payroll clients. Payroll Relief's automated payroll processing is really a RELIEF compared to our previous environment which required manual data processing. Our clients are empowered to process their own payroll from their desktop and their staff has access to their payroll data in a secure portal. Payroll Relief is the best system I have encountered so far. Keep it up.
My payroll business is now 25-50% more profitable since I discovered Payroll Relief.
Any accountant who has worked with payroll clients knows that it can be like herding cats! Payroll Relief is significant because it forces your clients to meet deadlines and remain compliant. Secondly, it lifts the huge compliance burden from accountants' shoulders, once the initial setup is completed - and even that's easy!
I researched 10 payroll products before choosing Payroll Relief.
I love how each client and his/her employees can access their payroll information/paychecks online. The program is very logical and easy to setup. Customer service is exceptional. The bulk pricing structure is great. I don't have to nickel and dime customers. Many friends told me that processing payroll is a hassle and not to get into it, but thanks to Payroll Relief, I don't mind getting in and working on it. Believe it or not, I enjoy processing payroll!
What a great job you have done in making it easy for someone like me that never went down this road (payroll processing) before. Today we printed checks for the first time for clients. I was very nervous at first as everyone was direct deposit but process was very easy and painless. Very nice process. You guys are super in supporting everything. I really appreciate what you guys have put together. Payroll Relief is an outstanding program.
Payroll Relief has allowed us to provide a smarter, more customized payroll service for our clients. Our clients love the ability to be more involved in the process. We enjoy significant time savings every week since we can now process payroll in minutes, where it used to take hours! The ability to directly monitor tax payments and have forms available anytime is icing on the cake! For about $10 per payroll, we save time, offer a better service and add value to our business clients. What more could you want?
Payroll Relief combines speed, flexibility and economy into an attractive practice package designed to enhance firm profitability
Payroll Relief is designed to allow Accountants to run a full fledged payroll service bureau. If you see the value in offering payroll services, you really need to take a good look at this product… Overall, when you look at price of software to value, this is one of the best choices on the market.
Payroll Relief is designed to let an accounting practice set up a service bureau for its clients without having to actually install and run software. The Payroll Relief system itself is nicely designed and implemented. If you are looking for a quick and simple way to get into the payroll service market, take a long look at Payroll Relief.
Payroll Relief helps the accountant build that stronger relationship of services to their clients and keeps the headaches out of the picture.
Paula Paramore, owner-operator of Absolute Services in Huntington, TX says: "I love their product. I don't have to pay for annual updates, and their fees are a lot less than some of the other companies. Payroll Relief allows clients to print their own checks and employees to do direct deposit. It also provides a debit card through a third-party affiliate and produces everything needed for electronic filing."
The web-based system is wonderfully simple to use and provides great automation features that help ensure accuracy and timeliness, while also speeding processing tasks. It makes full use of its online nature by offering direct deposit, e-filing and electronic payment functions. The employer and employee portals further add to client value.
There is a $350/per year Payroll Relief platform fee.
These low prices make Payroll Relief the most efficient and cost-effective option for accountants who have a growing payroll practice.
Unlike the Pay Per Payroll option, where you are charged for every payroll you process, in the Pay Per Paycheck option your fee is based upon the number of paychecks you process. The fee schedule for this option is as follows:
Purchase your paycheck inventory up front, based on your anticipated processing needs. As your available balance runs low, you'll be notified well in advance to consider other billing options – otherwise your account will be recharged at the current paycheck level automatically. Please remember, paycheck inventory must be used within 12 months of purchasing; unused checks are not carried forward.
Please note that if you don't use your entire deposit within one year; no balance is forwarded to the following year.
How much can you save with the Pay Per Paycheck option?
Your savings depend upon the number of paychecks you process and the size of a typical payroll. Many high-volume users are saving thousands of dollars using this option.
Weekly Employees - $6.95 for up to 10 paychecks
All others - $10.95 for up to 10 paychecks
Contractors - $10.95 per payroll for up to 10 paychecks
There is a $350/per year Payroll Relief platform fee.
Additional Fee for more than 10 paychecks:
** A minimum monthly fee of $10.95 applies for any month in which a payroll is not processed.
Get paid for your fees through ACH
With your clients' agreement, you can authorize us to collect your payroll processing fee through ACH. You can get paid every time you process a payroll, or once a month – your choice. There is $1.25 charge every time we initiate an ACH credit transaction for this fee.
Payroll Relief includes the following services at NO additional charge:


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Personal Loans
If you are in need of cash today, whether it be for an unexpected expense or a vacation, our personal loans and lines of credit are here for you.
Personal Loan Details
RefinanceAs a benefit for our members, MEFCU pays the refinancing fees for vehicle, RV/Boat, personal, and other non-real estate loans that are financed elsewhere. In many cases, we are able to take loans for qualified buyers and lower their rate while keeping the term the same... all for FREE!
Lower your monthly bills, and get the loan paid off in the same amount of time! We have saved our members thousands of dollars per month!
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Debt Defender – protection that pays!
Debt Defender is a voluntary loan-payment protection product that helps preserve your family's standard of living and helps give you relief from financial burdens if a protected life event such as disability, loss of life or involuntary unemployment happens to you. Debt Defender will protect up to two borrowers.
Loss of Life
Involuntary Unemployment
Your purchase of Debt Defender is optional and will not affect your application for credit or the terms of any credit agreement required to obtain a loan. Certain eligibility requirements, conditions and exclusions may apply. Please contact your loan representative, or refer to the Member Agreement for a full explanation of Debt Defender terms, DPGAP-0413-822E.
Personal Line of Credit DetailsThe line of credit loan is easily accessed to allow money for any personal situation.

subset: commoncrawl


text:
Many patients are getting screened for colorectal cancer more often than guidelines recommend, hints a new study.
That finding, along with other research published today in Archives of Internal Medicine, suggest that doctors need to better target the tests to patients who are most likely to benefit, and conserve limited screening resources and prevent complications by sticking to recommendations more closely, researchers said.
When colonoscopies are done according to guidelines, they "should lead to a dramatic reduction in colon cancer," Dr. James Goodwin, one of the researchers from the University of Texas Medical Branch in Galveston, told Reuters Health.
However, he said, "You cause more harm than good when you're screening too frequently. It's a bad thing to do for the patient."
U.S. cancer guidelines recommend testing middle-aged and older adults with a normal cancer risk every 10 years for colorectal cancer using colonoscopy. More frequent screening doesn't pay off because the procedure is uncomfortable and invasive with a risk of complications and costs a few thousand dollars -- and because this type of cancer typically grows very slowly, experts have determined.
Another kind of test for colorectal cancer, which looks for blood in the stool, is less invasive but must be done every year, according to guidelines. It also catches early cases of cancer, as opposed to colonoscopies, which are capable of finding the warning signs of cancer before it has actually developed, Goodwin explained.
The American Cancer Society expects about 100,000 people in the U.S. to be diagnosed with colon cancer this year, and another 40,000 with rectal cancer.
In one of the two new studies, Goodwin and his colleagues followed a group of 24,000 Medicare recipients, age 66 and older, who had normal results on their first colonoscopy. Unless they developed symptoms that hinted at colorectal cancer, those patients shouldn't get screened again for another decade, according to guidelines.
But over the next 7 years, about 1 in 4 of them had another colonoscopy with no clear medical reason listed in their records.
It's particularly important to limit the number of unnecessary colonoscopies because about 1 in 1,000 people who get the test will end up in the hospital from a complication, Goodwin said. Those potential complications include major bleeding or a tear in the colon.
The second study looked at about 200 military veterans age 70 and older who tested positive for blood in their stool. In the next 7 years, about half of them went on to have a colonoscopy - which can more definitively diagnose colorectal cancer and pinpoint its location - and half of them did not.
Dr. Christine Kistler of the University of North Carolina at Chapel Hill, who led the study, and her colleagues found that while a few of the patients who didn't have a follow-up colonoscopy were diagnosed with colorectal cancer later, about half of them died within 5 years from a different cause - suggesting the first test may not really have been necessary for many of them in the first place.
The finding "argues against this one-size-fits-all, screen everybody" mentality, Kistler told Reuters Health. "We really need to target screening to those patients that are going to benefit from it," including younger and healthier people.
"If you're going to die in 5 years, why would we subject you to colonoscopies and biopsies?" said Kistler.
Patients with a longer life expectancy had a better chance of benefiting from screening, while older and sicker patients were more likely to experience the burdens of screening - hassle, discomfort, and a risk of complications and further procedures - without any benefit.
Even before doing a non-invasive fecal blood test, Kistler said, "we need to do a better job of starting to think about, what's the right test for the right patient?"
Sometimes, if a patient has already had a colonoscopy recently and has no cancer symptoms, or is old and sick enough so that having early stage colorectal cancer might not matter so much, that answer might be no test, at least for the time being, the researchers reported.
The findings should not dissuade most people from getting routine colonoscopies or other tests for colorectal cancer, said
Dr. Michael LeFevre, a family doctor and co-chair of the United States Preventive Services Task Force, a federally-supported expert panel that makes screening recommendations.
Colorectal cancer "is one of the conditions for which we have very good science that screening saves lives," LeFevre told Reuters Health. And, he said, "we believe that many people are under-screened."
But he agreed that evidence shows that screening too often - or in very elderly patients - will generally do more harm than good, and that many doctors haven't fully gotten on board with screening guidelines.


text:
For so many American kids, it's their first _ and sometimes only _ exposure to ballet: A holiday performance of "The Nutcracker," that classic tale of a little girl's dreamlike encounters with battling mice and toy soldiers, a dashing prince, a growing Christmas tree and a land of sweets.
There's one in virtually every town. But until now, if you lived in Anchorage or Omaha or Tulsa, you weren't able to see what many consider the Nutcracker gold standard: the late George Balanchine's classic production for New York City Ballet.
On Dec. 13, though, the company will beam a live "Nutcracker" performance in high-definition from Lincoln Center to some 560 movie theaters in all 50 states, followed the next night by a live broadcast on public television.
In taking its "Nutcracker" national, the company hopes to promote its brand, earn new revenue and join a growing trend of HD transmissions of live performance, pioneered by the Metropolitan Opera.
"There's nothing like the real thing," says an admittedly "totally biased" Peter Martins, the company's ballet master in chief. "Of course, the hope is that if this works _ however you define success _ it will become a new way to show the world what we do so well."
Martins _ a former principal dancer with New York City Ballet under his legendary predecessor, Balanchine _ grew up in Denmark and thus wasn't exposed to "The Nutcracker" until he came to New York as a young adult. But he's well aware of its crucial role as an introduction to ballet for generations of Americans _ including virtually all his own dancers.
One of them is Ashley Bouder, who was 6 when she saw her first "Nutcracker" in Carlisle, Pa. _ as it happened, she also performed in it as an angel. It launched a lifetime of dancing, and Bouder, who turns 28 on Saturday, is now an NYCB principal, known for her fearless, attacking style in jumps and turns.
"I do think this particular `Nutcracker' is really special," said Bouder, who will dance the brief but demanding role of Dewdrop in both the live performances. "Balanchine's choreography is so wonderful, for children as well as adults."
Indeed, the choreographer is known to have been particularly masterful with children _ as in the scene where eight rosy-cheeked kids suddenly emerge from Mother Ginger's 9-foot-wide skirt to perform an intricate yet buoyant dance.
Growing up in Spain, Joaquin De Luz never got to see a live "Nutcracker" as a child. The first "Nutcracker" he saw was Balanchine's _ on DVD, the 1993 version put out by New York City Ballet with the young Macaulay Culkin as the prince.
"It's just magical," said De Luz, who'll play the main male role, the Cavalier, next week. "That growing tree in the first act just breaks your heart. This is the quintessential `Nutcracker' _ not too much of anything, not too little."
De Luz will be dancing with his frequent partner, Megan Fairchild, as the Sugarplum Fairy. It's better not to think too much about how many people will be watching, he said.
"This is a big deal," De Luz said. "I'm just hoping they won't do the close-ups when I'm wetting my lips or doing something else I shouldn't be doing."
That would be a minor mishap compared to last weekend, when Fairchild's costume suddenly got caught on De Luz's buttons during a lift. Such is the joy of live performing; he spent crucial seconds trying to yank the costumes apart before anyone got hurt.
"I finally ripped the whole thing," he said. "I'm glad it happened last Saturday. It's good to have an accident under your belt."
It's that coolness under pressure that Martins was looking for when casting the leads for next week's performances. "I have 12 casts and they're all fantastic," Martins said. "But this particular cast is very, very reliable. They will always deliver."
The ballet transmissions, produced by Live From Lincoln Center for the NCM Fathom theater network, are the first by an American ballet company (the Bolshoi Ballet and the Royal Ballet in London have done their own, as well as several opera companies and the National Theater in London.)
The two broadcasts will have high-profile presenters: Talk-show host Kelly Ripa on the 13th, and Chelsea Clinton, a known ballet fan who danced ballet as a child in Washington, on the 14th.
"We've been talking about doing this for a long time," said Katherine Brown, executive director of City Ballet. She said tickets appear to be selling well, but that it's hard to tell in advance because many people just show up and buy tickets on the spot.
Tickets cost more than an average trip to the movies _ ranging from about $15 to $20, depending on the theater.
Although such HD transmissions in theaters are growing in popularity, they've raised the question of whether they could siphon off dancegoers who might otherwise seek out a live performance in their own communities. Could the New York City Ballet be considered, in other words, an unwelcome interloper?
Not at all, said a ballet presenter in Omaha, Neb., where the City Ballet version will hit the AMC Oakview multiplex next week.
"The more the merrier," said Trisha Hoffman-Ahrens, vice president of marketing and communication at Omaha Performing Arts. The organization is presenting a "Nutcracker" by the visiting Aspen Santa Fe Ballet this weekend at the Orpheum Theater, which it owns.
Like many American cities, Omaha gets Nutcrackers from various sources. The city's own Omaha Theater Ballet shut down in 2009. For the last few years, the Moscow Ballet touring company has visited, although not this year, Hoffman-Ahrens said. There's also a production at the city's Creighton University.
"It's great that we can get these fabulous companies from New York into the theaters," Hoffman-Ahrens said. "And this will never detract people from seeing a live performance in their own community."
Brown and Martins clearly hope this will be just the beginning. Future ballets that could be shown in movie theaters include other full-length works like "A Midsummer Night's Dream" and "Sleeping Beauty."
For now, though, the dancers have to pull off their best performances. And make sure not to forget the basics.
"I've got to remember to smile," Bouder quipped.


text: Sleep Studies for Children The Randall Children's Hospital Sleep Center is located on the campus of Legacy Emanuel Medical Center. Our new, state-of-the art sleep center opened in April 2013. The 2-bed sleep center has been designed specifically for the comfort of children and young adults, as well as their parents, during an overnight sleep study. For information about scheduling a sleep study, please contact us at 503-413-5240 or see our provider referral form. Please see additional information about preparing for your child's sleep study. Provider referrals Easily make a referral for a pediatric sleep study. Refer a patient


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The only over-the-counter aid in the treatment of hot spots (moist dermatitis) approved by the FDA. Read More
Shipping Restrictions:
This item cannot ship to AK, HI, Canada, GU, PR
Cannot ship to P.O. Box
Skin Medication for dogs. The only over-the-counter aid in the treatment of hot spots (moist dermatitis) approved by the FDA. An effective first aid for scrapes and abrasions.
- Brand: Sulfodene
- Condition: Itchy Skin
- Size: 4 oz
Reviews (2)
"Works the BEST!"
We used this back in 1980's for a golden ret. we had. In desperation, after MONTHS of vet bills, I grabbed it off the shelf again. Using it and benedryl orally I have healed up every hotspot since without vet. Simply sissor clip hair short over hotspot and apply twice a day. I give benedryl 3x/day for itching and they are dried up and gone in a week.
"This stuff really works"
I have used this on a lot of my dogs over the past ten years. It does have a strong odor but it really does help heal the wounds really fast. It does have the odor I think to help the pets to not want to lick it off. Would recommend this product


text:
HANG TIME, Texas — Let's face it. Maybe we're getting past the point in the debate about whether Rajon Rondo has eclipsed Chris Paul, Steve Nash, Deron Williams and Tony Parker as the best point guard currently playing the game.
Now he's closing in on history.
After sitting out Thursday's loss at Brooklyn with a sprained right ankle, Rondo returned to the Celtics lineup for his second 20-assist game of the season and his 33rd consecutive time of dropping double-digit dimes. That's the thin air of the gods. That puts him only four behind John Stockton's best string of 37 straight and at least gives him a distant peek at Magic Johnson's all-time record of 46 in a row.
"Something I look forward to every game is just trying to make my teammates happy. And somehow I keep getting to 10," Rondo said. "Tonight it was a collective team effort as far as assists.
"I'm making some OK passes — just taking what the defense gives me. It means my teammates are making shots."
So, give him one more big assist in spreading around not only the wealth, but the credit to his teammates.
This was an entirely different team than the one that went down to the Nets without Rondo two days earlier. The Celtics came out running and attacking the Raptors as he dished off for seven assists in the first quarter alone. When Toronto tightened things up in the second half, first he executed a perfectly-placed lob to Chris Wilcox for a dunk and his 19th assist and then drew the defense to him and whipped the ball to a wide open Jason Terry for a jumper and No. 20.
There's no question that Kevin Garnett is still the snarling, barking face of the Celtics — the first name that comes to mind when you think who gets under the skin of opponents and who can be the constant irritant and defensive stopper that makes an aging Boston team still a real threat in the Eastern Conference.
Paul Pierce is there to make the tough clutch baskets that have always been his trademark, while Terry has moved nicely into the spot in the lineup vacated by Ray Allen's move to Miami.
But the time has come to face the facts. If the Celtics are going go far and make another deep playoff run, they'll be riding on the talents of Rondo, which are somehow still under-appreciated.


text:
George Romney
Nature Unveiling Herself to the Infant Shakespeare.
. Black chalk on six sheets of laid paper, 1280 x 1030 mm.
Additional Links
George Romney Main Page
George Romney Complete Biography
Additional Works by George Romney
A Boating Party on Lake Windermere.
Colonel George Wilson with his Dogs.
Jane Atkinson.
The Leigh Family.
The Leigh Family. Detail.
The Leigh Family. Detail.
The Leigh Family. Detail.
The Warren Family.
The Warren Family. Detail.
The Warren Family. Detail.
Portrait of a Lady and a Child.
Portrait of a Lady and a Child. Detail.
Orestes and Pylades (Roman sketchbook, p 35).
Elizabeth, Countess of Derby.
Elizabeth, Countess of Derby. Detail.
The Levenson-Gower Children.
The Levenson-Gower Children. Detail.
The Levenson-Gower Children. Detail.
The Levenson-Gower Children. Detail.
Mrs. Henrietta Morris and Her Son John.
Jane Maxwell, Duchess of Gordon.
John Forbes.
John Wharton Tempest, with a Horse.
Admiral Sir Charles Hardy.
Portrait of a Lady.
Portrait of Mrs. Harriet Greer.
Cimon and Iphigenia.
Portrait of Vice-Admiral Sir Hyde Parker, 5th Baronet.
Sketch of Emma Hamilton.
Study of Emma Hart as Circe.
Lady Hamilton (as a Figure in Fortune Telling).
Lady Hamilton as Circe.
Lady Hamilton as Nature.
Sir William Hamilton.
Frederick Ponsonby, 3rd Earl of Bessborough.
Lady in a Brown Robe.
Lady Hamilton as St. Cecilia.
Emma Hart in a Cavern.
Emma Hamilton as a Bacchante.
Emma Hamilton as a Bacchante.
Emma Hamilton as Miranda.
Emma Hamilton as a Bacchante.
Emma, Lady Hamilton.
Emma Hart as 'The Spinstress'.
Emma Hart as 'The Spinstress'. Detail.
Emma Hart in a Straw Hat.
Emma in Morning Dress.
Portrait of Emma as Miranda.
Portrait of Emma Hamilton.
Prospero and Miranda.
Portrait of Miss Constable.
Lady Arabella Ward.
Lady Hamilton as Mary Magdalene.
Portrait of Lady Henrietta Frances, Countess of Bessborough.
Mrs Walter Strickland.
Mr Walter Strickland.
John Postlethwaite.
King Lear in the Tempest Tearing off His Robes.
Study of an Old Man, Perhaps for the Head of King Lear.
Elizabeth, Lady Blunt.
Elizabeth, Lady Blunt. Detail.
Dr James Ainslie.
Mrs Margaret Ainslie.
Reverend William Strickland.
Reverend William Strickland. Detail.
The Artist's Brothers, Peter and James.
Abraham Rawlinson.
Peter Woodhouse.
James Hazard.
Thomas Rackett.
The Toilet of Venus.
Mrs Thomas Scott Jackson.
Mrs Thomas Scott Jackson. Detail.
Mrs Mary Hunt.
Mrs Mary Hunt. Detail.
Mirth. Detail.
John Sayer.
Mrs Yates as the Tragic Muse.
Mrs Henry Verelst.
Mrs Henry Verelst. Detail.
Richard Cumberland.
The Misses Cumberland.
Georgiana, Lady Greville.
Mr and Mrs William Lindow.
Miss Joan Knatchbull.
Miss Joan Knatchbull. Detail.
Edward Wortley Montagu.
Edward Wortley Montagu. Detail.
Cupid and Psyche.
Psyche Being Rowed by Charon Across the Styx.
King Lear, Edgar and the Fool.
King Saul.
Study for 'Elizabeth Warren as Hebe'.
Elizabeth Warren as Hebe.
Elizabeth Warren as Hebe. Detail.
Mrs Anne Wilson and her Daughter.
Mrs Anne Wilson and her Daughter. Detail.
A Warrior Holding a Lance.
Mater Dolorosa.
Study of a Nymph with a Tambourine.
Study for 'The Levenson-Gower Children'.
Study for 'The Levenson-Gower Children'.
The Death of Sigismunda (The Death of Cordelia).
Psyche Blown by Zephyr.
Psyche, Deposited by Zaphyr, is Seen by Cupid.
Psyche Supplicating Juno.
Psyche Before Venus.
Venus Orders Psyche to Fetch the Waters of the Styx.
Psyche by the Waters of the Styx.
Cupid Awakens Psyche.
Medea Contemplating the Murder of her Children.
Atossa's Dream.
The Ghost of Darius Appearing to Atossa.
Prometheus Bound.
The Descent of Odin.
Eurydice Fleeing from Aristaeus.
Eurydice Floating into Hell.
Orpheus and Eurydice.
The Infant Shakespeare Nursed by Tragedy and Comedy.
Nature Unveiling Herself to the Infant Shakespeare.
The Hon. Henrietta Stanley, later Lady Horton.
The Charteris Children.
The Charteris Children. Details.
The Charteris Children. Details.
The Clavering Children.
The Clavering Children. Detail.
The Clavering Children. Detail.
Study for 'Mrs John Birch'.
Mrs John Birch.
Mrs John Birch. Detail.
Lady with a Lyre.
Lady with a Lyre. Detail.
A Boy, called 'William Pitt'.
A Boy, called 'William Pitt'. Detail.
Sir George Osborn, Bart.
Sir George Osborn, Bart. Detail.
The Misses Hill.
The Misses Hill. Detail.
Charlotte Bettesworth, Mrs John Sargent.
Charlotte Bettesworth, Mrs John Sargent. Detail.
Mr Jeremiah Miles.
Mrs Jeremiah Miles.
Serena Reading.
Serena Reading. Detail.
Study of a Striding Female Figure, Perhaps for 'Emma Hart as Circe'.
Study of a Mother and Child.
Lady Beauchamp-Proctor.
Lady Beauchamp-Proctor. Detail.
Sketchbook of September 1783.
Sarah Siddons.
Portrait Head (Mrs Siddons).
Self-Portrait. Detail.
Miss Sarah Rodbard.
Miss Sarah Rodbard. Detail.
John Bensley Thornhill.
John Bensley Thornhill. Detail.
Thomas Alphonso Hayley.
Miss Charlotte Peirse.
Miss Charlotte Peirse. Detail.
Boys in a Boat Drifting Out to Sea.
Oil Sketch for the Shipwreck Scene in Act I of Shakespeare's 'The Tempest'.
Lady Godfrey Webster.
Lady Godfrey Webster. Detail.
A Friend.
The Beckford Children.
The Beckford Children. Detail.
Satyr and Sleeping Nymph.
John Milnes.
The Shy Child.
Study of a Boy Reading.
John Howard Visiting a Lazaretto.
Mrs Penelope Lee Acton.
Mrs Penelope Lee Acton. Detail.
William Cowper.
Milton and His Daughters.
The Indian Woman.
Titania Reposing with her Indian Votaries.
John Flaxman Modelling the Bust of William Hayley.
John Flaxman Modelling the Bust of William Hayley. Detail.
Sketchbook of 1796 (?).
Adam Walker and His Family.
Adam Walker and His Family. Detail.
Adam Walker and His Family. Detail.
Adam Walker and His Family. Detail.
Charles Jenkinson, 1st Earl of Liverpool.
Charles Lennox, 3rd Duke of Richmond and Lennox.
George Spencer, 4th Duke of Marlborough.
James MacPherson.
John Wesley.
Master Ward.
Mrs. Strickland.
Portrait of a Lady.
Portrait of a Man.
Portrait Of Charlotte Bosanquet With Her Five Elder Children.
Frederick, 5th Earl Of Carlisle.
Portrait Of Harriet Gale.
Sir Benjamin Truman.
Serena in Contemplation.
Thomas Greene.
William Paley.


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BY Victoryu On Jan 08, 2018 Bathroom
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Biotechnology combines the engineering principles of analysis, design, and optimization with the tools of cellular and molecular biology. It impacts nearly every aspect of our daily lives, from the food we eat to the medicine we take. The primary purpose of this course is to teach a basic vocabulary in biotechnology and expose students to the breadth of biotechnology and its impact on our daily lives. Topics will cover a broad range of applications in genetics, molecular diagnostics, molecular imaging, and clinical devices. A key additional component will be to investigate human values issues, such as ethical questions and cost effectiveness, arising from these technologies. Teamwork in the lab and through an independent project is emphasized. Report writing and presentations are required throughout the term, culminating with a final report and public presentation.
Welcome! This course brings together students in the life sciences and engineering to explore basic issues facing biotechnologists. In addition to introducing basic sciences, this course will explore some of the dominant trends in biotechnology, not only in terms of their scientific and technological impact, but also in terms of their implications for human values. Our objective is to provide you with the real life challenge of designing a solution for a client and allow you to experience the complex dynamics that govern the design process in the interdisciplinary field of Biotechnology.
The Lab Unique to this course are two hands-on labs: DNA analysis and molecular imaging. These labs will allow you to assess the efficacy and feasibility of existing technologies, as well as explore their suitability for a spectrum of social, political, and economic realities.
The Project As another unique opportunity of this course, you will conduct an investigative study for a real client, the University of Michigan School of Medicine. Your project will consist of designing a test capable of detecting hereditary disease before the onset of symptoms. You will be assigned to a project team, which, in turn, will be assigned to a client physician. Your team will collaborate with the physician to determine how the prognosis of a target disease could benefit from genetic testing. This will require research into the genetics of the target disease, the disease process, treatments, and evaluation of the potential impact of early detection for the individual patient, health care management, and society at large. Given the needs of the patient and physicians, you will draw on your research and lab experiences to determine the most useful and appropriate methods for pre-symptom testing. This will require a quantitative, as well as qualitative, evaluation of your proposed technology and its effect on disease outcome, health care delivery, and patient quality of life.
Course Organization and Resources This course is conducted by a multi-disciplinary team of instructors led by Professor Matthew O'Donnell. Your time in the classroom will be divided into biweekly lectures, a weekly lab and a weekly discussion section. In addition, each team will meet periodically with instructors in scheduled workshops held during evening hours. Deliverables will consist of technical assignments, lab reports, oral presentations, and a final formal oral presentation and report for our clients and other interested parties.
In this course, we rely heavily on independent study, instructor-student interaction, and on-line resources. Topics addressed include microbiology, gene sequencing and expression, testing technology, statistics, ethics, legal issues, team management, technical communications, problem-solving strategies, and the design process. We conduct on-line discussions and provide a wealth of resources via our course website.
This course is highly challenging and demanding, and our expectations are high. However, students who take the challenge seriously have the opportunity to experience that sense of achievement that comes from meeting and even exceeding their own expectations. For students interested in pursuing a degree in cellular and molecular biology, biotechnology, or biomedical engineering, this course is a must. Join us. We look forward to another high-powered semester.


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Contracting Parties > Madrid Protocol > Turkey
|October 1, 1998
|Entry into force
|January 1, 1999
Declarations, Reservations etc.In accordance with Article 5(2)(b) and (c) of the Protocol, this Contracting Party has declared that the time limit to notify a refusal of protection shall be 18 months and that, where a refusal of protection results from an opposition to the granting of protection, such refusal may be notified after the expiry of the 18-month time limit. (see Madrid (Marks) Notification No. 129 and No. 170)
In accordance with Article 8(7)(a) of the Protocol, this Contracting Party has declared that, in connection with each request for territorial extension to it of the protection of an international registration and the renewal of any such international registration, it wants to receive an individual fee, instead of a share in the revenue produced by the supplementary and complementary fee. (see Madrid (Marks) Notification No. 163)
In accordance with Article 14(5) of the Protocol, this Contracting Party has declared that the protection resulting from any international registration effected under this Protocol before the date of entry into force of this Protocol with respect to it cannot be extended to it. (see Madrid (Marks) Notification No. 110)


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Why I Teach – Lainie Yarris, M.D., MCR
In October 2012, six members of the School of Medicine faculty were recognized by their peers for excellence in teaching. This Q&A series profiles recipients of the 2012 "Faculty Excellence in Education Award" and asks them the question, "Why do you teach?"
March 27, 2013
This month's Q&A features Lainie Yarris, M.D., MCR, associate professor of emergency medicine.
Dr. Yarris is a 2002 graduate of the School of Medicine's M.D. program. She joined the Department of Emergency Medicine in 2005 as an education fellow and in 2007, became a full-time faculty member. Dr. Yarris is a small group facilitator in the Principles of Clinical Medicine preceptorship program, and teaches medical students and residents in emergency medicine. She is the co-director of the Emergency Medicine Education & Education Research fellowships, program director for the Emergency Medicine Residency Program, and directs the Education Scholars Program, a faculty development program for educators. She is on the editorial boards for the Journal of Graduate Medical Education and Academic Emergency Medicine, and her main education research interests involve feedback in medical education, simulation and faculty development.
Dr. Yarris's husband is also an emergency physician, and points out their three children (ages 4, 8 and 11) know that other kids don't necessarily have parents that sleep during the day, talk about strange things at dinner, and don't let them do anything on the playground. She enjoys spending time with her children, cooking, knitting, yoga, and training for triathlons with her husband.
Q&A with Lainie Yarris, M.D., MCR
Why did you first become attracted to an academic career?
I first became interested in academics in medical school. I had so many amazing teachers and mentors at OHSU, but there are teachers you learn from, teachers you admire, and then teachers that you want to be like. I realized early on that those whom I wanted to be like each provided fantastic care to their patients and role-modeled empathy and effective communication, but also were lifelong learners and were passionate about teaching. Although I graduated from medical school over 10 years ago, I still think of my early pre-clinical mentors as the individuals that played the greatest role in shaping my interest in a career as an academic educator. In particular, my experiences with my first clinical preceptor (Scott Fields, M.D.), my first PCM small group leader (Lynn Loriaux, M.D., Ph.D.), and my first mentor in emergency medicine (Pat Brunett, M.D., FACEP) all played a crucial role in my decision to pursue academics.
Why do you teach? Can you provide an anecdote that illustrates this?
There was a time in my career that I thought I would go into community practice, because I do truly love the clinical practice of emergency medicine, and find direct patient care meaningful, challenging and rewarding. However, I have realized that sharing and processing patient encounters with learners makes me more mindful of the meaning in our everyday practice – without learners I might get caught up in the chaos and pace of emergency medicine, and neglect to appreciate these moments. Even more, I find parallel meaning in the practice of teaching – working with medical students and residents pushes me to be my best, and I have found tremendous rewards in the natural mentoring relationships that develop in academic medicine, both as a mentee and a mentor.
Have you modeled your teaching style or philosophy on anyone?
I'm sure that in my roles as preceptor, small group facilitator and attending I subconsciously channel those who taught me. There are so many fantastic teachers at OHSU! I think my teaching style and philosophy were also influenced by Judy Bowen, M.D., and the training I received as an education fellow. However, I think my style and philosophy were also influenced by situational factors – I joined the faculty in an institution where I trained for both medical school and residency, as a young female in a field where women were still underrepresented. Although I found both my department and OHSU to be extremely supportive, I also found that some of the styles that I had found effective and admired as a learner didn't feel natural to me – I was struggling with feeling like an imposter, and had the perception that as a brand-new attending I didn't have the experience or expertise to teach much to our talented group of residents. However, I did find that I could relate to them, and that we could learn together. Furthermore, Dr. Bowen's teaching on theories of learning empowered me to understand that I didn't have to be a content expert in order to identify a learner's knowledge gap, or help identify where their diagnostic reasoning processes broke down. This prompted me to adopt an informal, collaborative teaching style that felt comfortable and genuine to me.
Are great teachers born, or are they made?
As a strong advocate for dedicated professional development for educators, and the director of a post-graduate education fellowship, I believe they are made! While there are definitely innate characteristics that make certain individuals well-suited to a teaching role, I think every educator can benefit from training and ongoing practice with opportunities for formal feedback.
What are the great challenges to teaching in the 21st century?
As a medical education community, one of the great challenges we face is redefining the role of educators in academic medicine, so that we inspire talented individuals to pursue academic careers, provide training to allow them to succeed as teachers and scholars, and both recruit and retain the best and the brightest. Other challenges include rethinking the traditional model of medical education to align with current understanding about how doctors learn, and incorporating technology into our teaching and learning in an effective way. Reforming our assessment strategies and redefining our notion of "competency" are also challenges many are struggling with currently.
Does the wide-ranging diversity of your students affect how you teach?
I think the diversity of backgrounds, life experiences and career goals that I see in my students reinforces the importance of being flexible in my teaching approach, and makes it crucial to start by identifying where the learner is before making assumptions about where I think they should go. My role is much more a partner and coach than an authority figure or source of information, and sometimes what I want to teach them is very different from what they actually need to know. Remembering this helps increase my effectiveness as a teacher.
What do you think education will look like at OHSU in the future?
I can't wait to see! I hope to see more interprofessional learning, less lecture hall time, more integration of basic science, pathophysiology, and clinical training, and innovative use of social media and new learning platforms.
What advice do you have for people who would like to follow in your path?
Spend some time thinking about your core values, or what's truly important to you in life. Select a career path that is most congruent with these values. Once you determine the path that feels right to you, don't be deterred by the challenges you anticipate facing. As a medical teacher, you have more control over your career than you think you do. When I started my fellowship, I was excited for the opportunity to develop a niche in medical education, but I was also concerned that I was embarking on a career path that wasn't possible or practical for me. The idea of balancing my family, individual interests and career was daunting. I have discovered since then that for me "balance" is less important than work-life integration, and my happiness is not dependent on the amount of free time I have, but more related to having a sense that my days are filled with activities that I find meaningful.


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Welcome to Two Old Hippies Guitars
Our Brands
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Since 1997, Weber's mandolins, mandolas, octaves, & mandocellos have earned the reputation of being among the finest custom acoustic instruments being built today. At Weber, we build instruments for all levels of players, from the weekend mandolin warrior to the pro on the road. Learn more at www.webermandolins.com
Launched in 1964 and after a four-decade hiatus, Bedell Guitars re-launched in 2009 and is located in Bend, Oregon sourcing rare and special tonewoods, designing instruments and working with exceptionally talented craftspeople. Driven by passion, the company prides itself in its respect and reverence for the connection between the woods of its forests and music to create unique and quality guitars. For more information about Bedell Guitars: visit, bedellguitars.com.


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February 05. 2014 9:38PM
Bristol pair remain in critical condition after hitting backhoe
By DAN SEUFERT
Union Leader Correspondent
The scene on Route 104 Monday of an accident that left two Bristol residents in critical condition. (COURTESY BRISTOL POLICE)
— Two Bristol residents remained in critical condition late Wednesday after a collision between their SUV and a state backhoe on Route 104 on Monday.
Both are expected to survive, and both are facing charges when they get well, police said. The driver faces a gun charge and potentially drugged-driving charges.
On Monday, police and fire crews responded to a report of a head-on collision in the area of the R.P. Williams lumberyard, said Lt. Kris Bean.
A 2004 Dodge Durango operated by Jason Brown, 29, of 140 School St., crossed the yellow line striking a state John Deere backhoe head-on.
Brown and his passenger, Cheryl Brown, 28, of the same address, were both taken by helicopter to Dartmouth-Hitchcock Medical Center. Both were in critical condition, Bean said, and had been since they arrived Monday with injuries police would not specify.
The operator of the backhoe was released from the hospital with minor injuries.
An investigation was conducted into the accident, and "charges will be forthcoming for Jason Brown for operating a motor vehicle with a suspended license, as a habitual offender, and as a felon in possession of a firearm," Bean said.
Police also found "evidence that Jason Brown may have been operating his motor vehicle under the influence of a drug or narcotic, but charges are pending until the investigation is completed," Bean said.
Bean said police found evidence of drug use in the vehicle, but investigators are still waiting for results from blood tests to determine further charges.
"I can't discuss what was found, but we found evidence after the accident that drug use was ongoing in the vehicle," Bean said.
Meanwhile, charges will be brought forward on Cheryl Brown for false report to a law enforcement officer and criminal liability for conduct of another.
"She made several reports to police after the accident that were false," Bean said, declining to elaborate.


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Brief SummaryRead full entry
Mygalomorph spiders constitute a moderately diverse group including more than 2,600 described species, currently classified into over 300 genera and 15 families. Familiar mygalomorphs include tarantulas (also called baboon spiders) and trapdoor spiders, but many other distinctive taxonomic groups exist. Most mygals are relatively large, long-lived (15-30 years), ground dwelling spiders - the largest spiders in the world are in fact mygalomorphs. These spiders build a diverse array of silk constructs for prey capture, shelter, and protection (Coyle 1986). Considered an ancient monophyletic group (Coddington & Levi 1991; Platnick & Gertsch 1976; Raven 1985), mygalomorphs retain several characteristics that are considered primitive for spiders (e.g., two pairs of book lungs, simple spinning structures, etc). Many mygalomorph taxa are dispersal-limited and regionally-endemic, and have long been favorites of biogeographers (e.g., Griswold & Ledford 2001; Platnick 1981). Mygalomorph lineages have a deep evolutionary history, as reflected in a rich fossil fauna that extends back to the lower Triassic (Selden & Gall 1992), with fossil representatives of several families dating to the mid-Cretaceous (see Eskov & Zonshtein 1990; Penney et al. 2003; Selden 2002). Recent molecular clock analyses suggest intra-familial divergences date to the Cretaceous (Hendrixson & Bond 2007), and inter-familial divergences may be as old as 300 Ma (Ayoub et al. 2007).


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I was standing atop a mound of dried reed grass, piled high inside a circle of scrub brush, plucking up plastic pens and aluminum cans and depositing them in a big black garbage bag, when the ground beneath my feet suddenly gave way. I crashed through the reeds and onto a patch of soft mud. There, buried beneath the dried grass, I discovered a treasure trove of trash.
There were dozens of glass bottles, strands of nylon rope, fast-food wrappers, dental picks, cigarette butts and condoms. I avoided picking up the condoms, even though I wore thick leather gloves. Sorry, but this tree hugger has his limits.
On March 16, I took part in Operation SPLASH's annual spring cleanup of the wetlands and bays that hug the South Shore. I've taken part in a number of cleanups over the years –– at beaches, in the woods and on the bays. This time I was dumbstruck by the sheer volume of garbage that accumulates in the wilds beyond our everyday view.
The wetlands, which seem so pristine from a car speeding by on the parkway, look more like a trash dump when viewed from close up, where nature abides our throwaway culture.
I probably paid greater attention to the trash I was gathering because of late I've been reading "Garbage Land: On the Secret Trail of Trash" by Elizabeth Royte, an environmental journalist from Brooklyn who followed her own garbage, as best she could, once it left her home and wrote about her experiences over the course of a year. "Garbage Land" is a fascinating read, published in 2005, when environmental consciousness peaked nationally before waning amid the Great Recession.
Over the past 20 years, Operation SPLASH (Stop Polluting Littering and Save Harbors), a Freeport-based nonprofit organization with 2,500 members and 350 regular volunteers, has collected trash in the wetlands seven days a week. In all, SPLASH officials estimate that the group has removed more than a million pounds of trash over the past two decades.
But the work, SPLASH officials say, is never-ending because people just keep throwing their garbage wherever they please, without giving any thought to where it all ends up.


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U.S. regulators proposed new food safety rules on Friday that aim to make food processors and farms more accountable for reducing foodborne illnesses that kill or sicken thousands of Americans annually.
The new rules, required by the Food Safety Modernization Act (FSMA) that was signed into law two years ago, were announced by the U.S. Food and Drug Administration on Friday.
"These proposed regulations are a sign of progress," said Caroline Smith DeWaal, food safety director at the Center for Science in the Public Interest, who has been a critic of the FDA. "The new law should transform the FDA from an agency that tracks down outbreaks after the fact to an agency focused on preventing food contamination in the first place."
Roughly one in six Americans suffers from a foodborne illness each year, and about 3,000 die, the FDA said. The United States has had numerous outbreaks from foodborne illnesses tied to salmonella, E. coli and listeria.
Food sickness has been linked to lettuce, cantaloupe, spinach, peppers and peanuts.
"We're taking a big step for food safety by proposing the standards that will help us prevent food safety problems rather than just reacting to them," said Michael Taylor, FDA deputy commissioner for foods and veterinary medicine.
Under the new rules, makers of food to be sold in the United States, whether produced at a foreign- or domestic-based facility, would have to develop a formal plan for preventing their products from causing foodborne illness.
The rule would also require them to have plans for correcting any problems that arise.
Companies will be required to document their plans and keep records to verify that they are preventing problems. Inspectors will be able to audit the program to enforce safety standards, which should "dramatically" improve the effectiveness of inspections, Taylor said.
Though many food processors already have documented food safety plans, the new rule sets requirements for "all firms across all commodities," he said.
A second rule proposes safety standard requirements for farms that produce and harvest fruits and vegetables. Farms would be required to meet national standards for the quality of water applied to their crops, as water is often a pathway for pathogens.
Implementing the new rules will add costs for some food companies and farms, Taylor said. As well, the FDA will need money to retrain inspectors and implement the rules, Taylor said.
The Food Safety Modernization Act was the first food safety overhaul in over 70 years in the United States and was signed into law in January 2011.
The proposals followed a series of meetings between FDA officials and consumer groups, corporate interests, researchers, and others.
Critics have charged FDA with dragging its feet in implementing the requirements of the new law. Last August, the Center for Food Safety sued the FDA for missing several deadlines set under the law.
The standards for analyzing and documenting hazards were due last July, and the standards for safe production and harvesting of fruits and vegetables were due last January.
Within the next few months, FDA hopes to issue a proposed rule on preventative controls for animal feed as well as proposed regulations related to importer accountability for food safety.
The FDA is also setting requirements for the safe transport of food, and to set standards for trying to prevent intentional contamination of food.
The FDA will allow 120 days for public comment.


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The ABC's of Cello
(Vol. 2)Janice Tucker Rhoda - Carl Fischer LLC
The ABC's of Cello
(Vol. 2)Janice Tucker Rhoda - Carl Fischer LLC
Click to review
The second volume of Janice Tucker Rhoda's ABCs of Cello method focuses on learning second position with melodies, warm-up exercises, study pieces, scales and arpeggios. It also includes graphs to show new left-hand finger placement, a note-reading worksheet and practice chart. As a direct continuation of the ABCs of Cello for the Absolute Beginner, Book 1, it helps students to learn additional slurred bowing techniques and rhythms, as well as new key and time signatures. The book & CD-ROM edition contains MP3 performance tracks with piano accompaniment, piano accompaniment only, and printable PDF files of all piano accompaniments.
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Papio hamadryas
|Scope: Global
Language: English
|Scientific Name:
|Papio hamadryas (Linnaeus, 1758)
Common Name(s):
Simia hamadryas Linnaeus, 1758
|Taxonomic Source(s):
|Mittermeier, R.A., Rylands, A.B. and Wilson D.E. 2013. Handbook of the Mammals of the World: Volume 3 Primates. Lynx Edicions, Barcelona.
|Red List Category & Criteria:
|Least Concern ver 3.1
|Year Published:
|Date Assessed:
|Gippoliti, S. & Ehardt, T.
|Mittermeier, R.A. & Rylands, A.B. (Primate Red List Authority)
Listed as Least Concern as this species is widespread and abundant, and there are no major range-wide threats believed to be resulting in a significant decline.
|Previously published Red List assessments:
|Range Description:
|This species occurs in north-east Africa. It is principally found in Ethiopia, although its range extends from the Red Sea Hills and Suakin (Sudan) through Eritrea and Djibouti (especially in the Goda Mountains) to northern Somalia. It is also found in the Red Sea Hills in the south-west Arabian Peninsula opposite the Horn of Africa. Historically, its range extended into Egypt, but not into recent times (i.e., post 1500AD; see Osborn and Osbornová 1998).
|Countries occurrence:
Native:Djibouti; Eritrea; Ethiopia; Saudi Arabia; Somalia; Sudan; Yemen
Regionally extinct:Egypt
|Additional data:
|Range Map:
|Click here to open the map viewer and explore range.
|This species is abundant, with the majority of the population in Ethiopia, and may even have increased because of loss of predators and small-scale agriculture. Kunzel et al. (2000) estimated the total population in Djibouti at around 2,000 animals, and that the population was stable.
|Current Population Trend:
|Additional data:
|Habitat and Ecology:
|This species inhabits arid subdesert, steppe, hillsides, escarpments, and mountains bordering the Red Sea, generally at altitudes up to 1,500 m. However, it appears to be seasonally migratory in at least some parts of its range in Ethiopia, where bands may move up into neighbouring mountainous areas (up to 3,300 m in the Simien Mountains National Park) in the wet season. This species is dependent on water, and is never found far from water sources. It is an opportunistic omnivore, and seasonally important foods include grass, buds, invertebrates, and the fruits of desert plants (notably heglig Balanites and buffalo thorn Ziziphus). The basic social unit consists of one male and several females.
|Use and Trade:
|Capes are used in ceremonial cloaks. Offtake for research purposes was in the past and has apparently now stopped.
|Major Threat(s):
|There are no major range-wide threats at present, although locally it may be at risk through loss of habitat due to major agricultural expansion and irrigation projects. In addition, adult males are hunted for their skins (which are used to embellish ceremonial cloaks in Ethiopia). They were formerly trapped in large numbers for medical research.
|Conservation Actions:
|It is listed under Appendix II of CITES, and is classed as Vermin in the African Convention along with all other species of baboon. A 'pure' subpopulation of this species is found in the Simien Mountains National Park, while P. hamadryas-P. anubis hybrids occur in the Awash National Park. In addition, the species occurs in the proposed Yangudi Rassa National Park, the Harar Wildlife Sanctuary, and a number of Wildlife Reserves in the lower Awash valley and in northern Eritrea (although it is important to note that the Awash reserves are all affected by agricultural schemes).
|Gippoliti, S. & Ehardt, T. 2008. Papio hamadryas. The IUCN Red List of Threatened Species 2008: e.T16019A5354647. . Downloaded on 19 September 2018.
|To make use of this information, please check the <Terms of Use>.
|If you see any errors or have any questions or suggestions on what is shown on this page, please provide us with feedback so that we can correct or extend the information provided


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One Direction Share Love + Career Advice
The guys in One Direction have girls (and older women!) throwing themselves at them all the time, so it's only natural that they'd have some advice on romance — specifically on letting gals down easy.
"You've got to be careful so you don't come across as arrogant," Zayn Malik advised to OK! magazine (quotes via Independent Woman). "Say 'you don't want to ruin the friendship' or whatever. There's no point in leading someone on." Smart! How does Harry Styles turn down girls? "I told someone I was gay once." Hazza, you just opened a giant can of worms!
Niall Horan admitted that he's never ever cheated on a girlfriend, but still got accused of infidelity. "I got accused of it once at a house party," Horan griped. "Someone told her that I had got with another girl when I hadn't. It didn't go down too well."
Styles' dad offered his son some advice, not both in love, but also for his career. "I said to Harry, 'Just make sure you don't get anyone pregnant,'" he told PEOPLE (via Hollywood Life). "If that were to happen, it would really screw things up big time. There's nothing I can do to stop him doing things anyway. From a One Direction aspect, it wouldn't be great for all sorts of reasons. Still, I don't think it would bother him too much if he did get a girl pregnant. He would be a responsible parent and just get on with it."
We bet a lot of cougars are happy to hear that!
Watch the One Direction 'One Thing' Video


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Book Report: The choice is yours: Lovely poems, exploding tourism
University of Iowa Press has just re-issued a book of poetry by Philip Levine, winner both the Pulitzer Prize for Poetry and the National Book Award, and who served for a year as United States Poet Laureate.
The book is "Sweet Will," published by Prairie Lights after being out of print for years.
It's a quiet book, lovely in its restraint.
One of my favorite poems treats of Levine's life as a boy in Detroit. It's called "Sweet Will:"
The man who stood beside me
34 years ago this night fell
on to the concrete, oily floor
of Detroit Transmission, and we
stepped carefully over him until
he wakened and went back to his press.
It was Friday night and the others
told me that every Friday he drank
more than he could hold and fell
and he wasn't any dumber for it
so just let him get up at his
own sweet will or he'll hit you.
"At his own sweet will," was just
what the old black man said to me,
and he smiled the smile of one
who is still surprised that dawn
graying the cracked and broken windows
could start us all to singing in the cold.
Stash rose and wiped the back of his head
with a crumpled handkerchief and looked
at his own blood as though it were
dirt and puzzled as to how
it got there and then wiped the ends
of his fingers carefully one at a time.
The way the other wipes the fingers
of a sleeping child, and climbed back
on his wooden soda-pop case to
his punch press and hollered at all
of us over the oceanic roar of work,
addressing us by our names and nations --
"Nigger, Kike, Hunky, River Rat,"
but he gave it a tune, an old tune,
like "America the Beautiful." And he danced
a little two-step and smiled showing
the four stained teeth left in the front
and took another suck of cherry brandy.
And in truth I'm not worth a thing
what with my feet and my two bad eyes
and my one long nose and my breath
of old lies and my sad tales of men
who let the earth break them back,
each one, to dirty blood or bloody dirt.
Not worth a thing! Just like it was said
at my magic birth when the stars
collided and fire fell from great space
into great space, and people rose one
by one from cold beds to tend a world
that runs on and on at its own sweet will.
This month a former New York Times reporter has come up with a real eye opener in "Overbooked: "The Exploding Business of Travel and Tourism" Simon & Schuster, $28.
How's this for data?
Elizabeth Becker claims that tourism employs one out of 12 persons (250,000,000 jobs) and produces $6.5 trillion of the world's economy.
And that doesn't count people who vacation in their own country.
People travel so much, she claims, that in 2005 if frequent flier miles were currency, they'd be worth more than all the American dollars in circulation.
But there's a rub.
Becker also claims that the U.S. isn't getting a big enough piece of the action unlike places like France, where governments spend big money attracting tourists.
This is a fascinating book, which begins with Arthur Frommer's "Europe on $5 a Day" and ends with numbers that indicate the industry is in the same company as oil, energy, finance and agriculture.


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Monday, 1 November 2010
tiny owl knits mania
a little fawn fell asleep on my poncho. now i have a fawn-cho.
fall has come and my needles have been so busy.
my ♥ cousin ♥ and i stay up into the wee hours of the morning.
we make stuff. she eats smores and i eat doritos.
this little cowl is made of cashmere though so its dorito-free. mostly.
i finally opened up an etsy store. :)
i plan to sell magic trinkets, but right now its full o knitting patterns.
and i finally caught all the gnomes that were scurrying about the place!
now you gotta SING for it.
*whew* that was a lot o stuff to say ♥
wanna go to etsy now? i do. clicky clicky ♥
20 comments:
- Dzet said...
Hoot! You opened an etsy! How lovely! I can't wait to see what else you're going to put up there.
Also I love the new patterns! You're really on a roll lately. Love it!
- 1 November 2010 at 10:03
- Eleni said...
Oh, how I enjoyed that Gnome Song!
- 1 November 2010 at 10:13
- faerie finder said...
heheh thanks! :)
- 1 November 2010 at 10:45
- MAUD said...
did you make that poncho?!? it's amazing!
- 1 November 2010 at 11:35
- Valerianna said...
Hoooo... glad to hear about Etsy... 'cause I am NOT a knitter!! Looking forward to magical trinkets. Hope your little owl kitties get along with those sweet gnomes. Love the video, especially enchanting as I sit in the art studio at school on a bit of a break between classes....
- 1 November 2010 at 11:42
- Shibby said...
Such a cute lovely post :)
Really like your poncho!
- 1 November 2010 at 12:20
- Cait O'Connor said...
You are very talented.
- 1 November 2010 at 15:55
- KnitXcorE said...
hehe... gnome home song :-)
- 1 November 2010 at 21:11
- withoutwordswouldyouknow said...
oooh magical trinkets?!
- 1 November 2010 at 23:38
- loucieee said...
those gnomes! oh how i love those little ones.
- 2 November 2010 at 01:41
- faerie finder said...
:* thanks everybody! ;*
oops yes i forgot to mention
that these are my knitting pattern designs ;)
did i say that?
maybe i did? .... ill go look and then maybe
this message will be moooot :*
- 2 November 2010 at 07:41
- Rachel M said...
Hello! I thought I should introduce myself. I'm your 500th follower, doo doo doo dooooo!!! :) I just stumbled upon your very beautiful blog last night, whilst searching for wrist warmer patterns.
Your voice is so beautiful, it gives me goosebumps.
- 2 November 2010 at 14:51
- Gemma Mortlock said...
Congrats on your shop! looks wonderful! and i love the little itty bitty gnomes.
your blog is lovely i want to live in your little world.
Autumn hugs
- 3 November 2010 at 05:07
- Erimentha said...
you're so pretty! you're such a cutie! i love your music, your jumper, and YOU!
- 3 November 2010 at 16:58
- faerie finder said...
yay thanks guys :)
congrats Rachel M!!
500th follower!! hehehe
thats rad.
im gonna do a gnome dance for you :)
- 4 November 2010 at 07:17
- not wendy said...
Your blog is absolutely adorable. Hooray for gnomes! <3
- 4 November 2010 at 16:05
- Faerie Moon Creations said...
Your knitting patterns are so lovely! Not only have I been a fan of your music for some time, but I adore your knitting as well. Just purchased two of your exquisite patterns today, as a matter of fact!
:) Theresa
- 4 November 2010 at 17:57
- joanne May said...
Hi Sweetie,
I'm pleased you have opened a shop at last.
It looks great... Congratulations!!!
The video made me laugh. It is very cute and hypnotic!
All best wishes,
By the way, I liked your red hair it really suited you. x;-)
- 5 November 2010 at 07:03
- faerie finder said...
ooh good luck with the patterns! :)
hi jo may dear ♥
oh dear.. my hair.
such a nightmare.
this is what happens when you
have bleach blonde hair for 10 years
and then try to go dark!
it goes every which way but brown. ;)
- 5 November 2010 at 08:34
- joanne May said...
Hehe... You should stay a redhead and join the Celtic clan! ;-)
If I bleached my hair blonde it is very likely that it would turn green!
The pigment in red hair does not mix well with bleach...
Oh well, at least I could turn into a green faery.
Talking about faeries. I highly recommend the Green Fairy drink, Absinthe. Very nice on a cold Winters evening! ;-)
Have a lovely weekend. x♥x
- 5 November 2010 at 14:11


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David X. Cohen
|David X. Cohen
|Executive Producer, Writer
|IMDB profile
|Wikipedia has information unrelated to Futurama
|Category of commentaries in which David X. Cohen participated
|Category of episodes written by David X. Cohen
David X. Cohen is an executive producer, show runner with Matt Groening and writer for Futurama. Although he was born David Samuel Cohen, he changed his middle initial in order to register with the Writers' Guild. The Guild has a rule that no two members may have the same name, and there was already "some jerk" registered with the name "David S. Cohen". He chose the "X" because it sounded more science-fictiony.
He started as a writer on the Simpsons, and collaborated with Matt Groening to develop Futurama.
Although usually not credited, he is responsible for "perfecting" most of the scripts for each episode. He also wrote (and sung) the music for Molten Boron, and designed one of the robots in the robot strip club.The translation of the Alien Language in "Fry and the Slurm Factory" (1ACV13)
- The following species are ineligible: space wasps, space beavers, any other animal with the word 'space' in front of it, space chickens, and the elusive yak-face.
Yak face is a rare Star Wars figure of Saelt-Marae not released in the USA. Mint figures have sold for thousands of dollars. It was added because David X. Cohen owns one.
Characters Voiced
Although David X. Cohen has not officially voiced any characters, he does do a lot of temporary voice work (which can still be heard in some animatics). He has also been told that he has a robotic voice. Because of this, he was persuaded to try out for the part of Bender, but claims he couldn't remember how to do his own voice.
Additionally, in the episode "Love's Labours Lost in Space", the voice that announces "This is Vergon Six" is supposedly a heavily digitized David X. Cohen. He also filled in for Billy West for one line in the episode "I Dated a Robot". In Bender's Game, along with editors Paul D. Calder and Danik Thomas, he voiced the choir that sang the number rolled on the Die of Power.
Cohen will appear as his own head in a jar in the episode Lrrconceivable Ndndifferences.
|Futurama writers
|Current writers
|J. Stewart Burns • David X. Cohen • Aaron Ehasz • Matt Groening • Eric Horsted • Ken Keeler • Lewis Morton • Neil Mukhopadhyay • Carolyn Premish • Eric Rogers • Michael Rowe • Michael Saikin • Dan Vebber • Patric M. Verrone • Josh Weinstein • Maiya Williams
|Former writers
|David A. Goodman • Jason Gorbett • Evan Gore • Kristin Gore • Darin Henry • Eric Kaplan • Brian Kelley • Scott Kirby • Heather Lombard • Mirsky • Bill Odenkirk • Ron Weiner • Jeff Westbrook


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by Carmen Schwartz
When talking about 'green' – people speak about all different subjects; the companies that offer new ways to recycle, how to have a 'green' kitchen, stay at a 'green' hotel, etc. But when it comes to really being green there is one green item that, if taken care of properly, can literally provide far more to the environment than Man ever could.
Plantlife, seedlings, turf grasses – all the native species that grow in a region where they first evolved are green. They are the backbone of our environment. They represent the world as it once was; these real natives are the green that have shown strength and fortitude, attempting to grow when everything from industrialization to suburbia came to pass.
When walking into a forest, or simply walking down the road and looking up at the large trees towering above, everyone should remember that the 'green' they see all around them actually has been there over many geologic eras that we never saw. They will also be the ones to see the future long after we depart.
Native vegetation and plantlife is always based on regional factors; from the climate to soil strength to the timing of rainfall, drought and more. This is the vegetation that makes up the environments housing our wildlife, and the native plants provide everyone a sense of wonder and beauty. Native plants to a region are unique, just like every individual on the planet. They have the ability to adapt to their surroundings and are the most ecologically valuable commodity this land has to offer.
There are many out there who are working hard to restore various habitats that have fallen apart. One of their first steps is to reintroduce native plants that have not held up over time. This is a very important task seeing as that the specific habitats, if rejuvenated, will bring back the wildlife that has simply gone away over time in search of better areas to feed and live.
Many steps go into replanting and restoring native vegetation, and the soil is the most important factor when it comes to making sure the site will not only grow but survive long into the future. From pH balances to NPK factors to making sure the moisture levels are appropriate for the plantings are number one on the list if attempting to restore a habitat or property.
When it comes to the planting, smoothing out soil is not the best way of starting. In fact, leaving a rough site will make the environment far more natural when the vegetation begins to once again take root and grow. A rough site also creates those little bumps and impressions in the soil that capture moisture and can protect the seeds and plants when they are young and just starting to grow.
Another thing to think of is how many sections are actually in the habitat. Such as, there could be woodland areas, wetlands, a stream, pond, lake, a meadow – a huge variety of different soils could be a part of the restoration project; so choosing the right seeds or combinations to thrive in all areas is a must. Thinking about the wildlife that will roam and graze these areas is also important, seeing as that they will only stay in a place that offers forage and bedding.
Weeds (invasive plants) are a part of nature. However, when planting new seeds it's best to find a way to cut down the invasive species so that the natives can grow back. Weeds can take the water in the soil that the natives need in order to grow. In addition, fertilizers, chemicals – everything in that category can kill plants or even prevent the seeds from germinating. Basically dying on the vine, so to speak, is not what you want your seeds and plant growth to do when restoring the habitat to its full potential. Make sure that pesticides, herbicides and more are not used.
Soil has nutrients and minerals embedded within it that shows how well it can do to help the native species thrive once again, so soil testing becomes an instant must. All over the globe you will find information about everyone from land managers to conservation professionals to landscape designers doing their best and working together to make habitats thrive once again. So…help them!
The work is hard and the determination must be there in order for the projects to succeed. Everyone should know that planting native species contributes a great deal to the overall health of this world; so make sure that when 'green' is the topic being spoken about, that the natives come first.


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Louis J. DeCaro, DPM
Analyzing biomechanics and gait can paint a more accurate picture of pediatric patients with flatfoot and enhance treatment. Accordingly, this author offers salient diagnostic insights to inform one's biomechanical exam and gait assessment in this patient population.
The identification and successful treatment of the pediatric flatfoot at an early age is of utmost importance in 21st century podopediatrics. My personal podiatric mantra is "prevention begets correction." A majority of the patients in my private practice — and I expect in yours as well — are seeking treatment not only for "foot problems" but for associated ankle, knee, hip and back pain/dysfunction. It is for this reason that I spend a considerable amount of time with each patient educating him or her about their feet and the foot's influence on the entire kinetic chain.
Let's take some time to review not only the essentials of age-specific treatments of podopediatric flat feet but the numerous varieties of flat feet that exist in our pediatric patient population.
Identification of a patient's "foot type," coupled with successful orthotic intervention, can mitigate or eliminate many orthopedic conditions that would otherwise affect patients throughout their lives. It is important to keep in mind that children are often asymptomatic despite poor foot mechanics. However, this does not mean that the dysfunction should go untreated. Pain should not be the sole indicator of intervention with children. It is paramount that we understand the impact of poor foot biomechanics and proper growth and development.
A Closer Look At The Major Flatfoot Types
I can attest to the fact that there are six major foot types (six variations of "normal") that occur in the general population (see http://www.decaropodiatry.com/ ). Two of these six are typically defined as "flat feet," the "bread and butter" of a podiatrist's practice. These two foot types are referred to as the "D and F" foot types. Let us begin with a review of these two common varieties of flat feet and their impact on the kinetic chain.
The D foot type, or what we politely refer to as the "Fred Flintstone" foot, is the wide, splayed flatfoot variety. It is the result of a compensated rearfoot varus in which the subtalar joint allows the heel to evert/pronate to a vertical alignment that facilitates unlocking of the midtarsal joint. The hypermobility of this foot type leads to numerous conditions of the foot (think of this foot as a "loose bag of bones").
As the heel everts, the midtarsal joints unlock, leading to peroneal insufficiency and first ray instability. Propulsion then transfers to the second and third metatarsals with associated reversal of the transverse metatarsal arch. The loss of the first ray inclination angle results in an impaired windlass mechanism and may lead to hallux limitus/rigidus. Continuing "up the chain," the rearfoot pronation leads to excessive internal tibial rotation and knee flexion.
Typical conditions that can arise from this foot type are plantar fasciitis, callusing beneath the second and third metatarsal heads, hallux limitus, metatarsalgia and patellofemoral pain. The gait cycle is dominated by hypermobility as the foot typically remains unlocked through most of the stance phase and often fails to become that rigid lever in the propulsive phase of gait. This hypermobility leads to muscular overuse, fatigue, low endurance and poor core trunk strength.
The F foot is the classic pes planovalgus foot type. It is the combination of a compensated rearfoot (like the D type) coupled with a forefoot varus/supinatus. The name of the game in gait is that we will attempt to load the medial column at all costs no matter how the foot hits the floor. At foot flat, the heel has already everted to vertical (compensated rearfoot), unlocking the midtarsal joint. In this case, however, pronation continues through midstance and into propulsion as further pronation is required to compensate for the forefoot varus. Pronation will continue until the medial column loads. Accordingly, this foot type typically remains unlocked throughout the stance phase and into propulsion.
The abducted forefoot (abductory twist), as a result of the forefoot varus/supinatus, lends to the severity of this "deformity." The resultant posterior tibial tendon dysfunction often necessitates surgical procedures such as triple arthrodesis and ankle fusions. Conditions in this foot may be similar to those of the D quad but may also include tarsal tunnel syndrome, subfibular impingement and neuromas. The progression angle of gait often appears "toe out" but that is often an illusion. Limb alignment from the hip is often neutral to mild toe out but the forefoot abduction creates an illusion of a larger toe out gait (abductory twist).
Getting A Clearer Clinical Picture Of The Pediatric Patient
Now that we have reviewed the two major flatfoot types, let us talk about how we can incorporate this information into our age-specific analysis of the typical flatfooted podopediatric patient.
One of the first questions I ask my pediatric patients (and their parents) is "What sports do you like to play?" Not playing sports or a lack of enjoyment of sports/physical activity is a red flag. Have the patients always been inactive? Is it because they are slower than or not as coordinated as their peers? Are they self-conscious because of how they run or how poorly they compete? I feel a lot of choices these children make regarding athletics and other physical activities are a direct result of their underlying foot types. You will be surprised. Take the time to talk to your pediatric patients about the things they like to do (or do not like to do). You will start to see patterns.
There have been a few studies indicating an abnormally high percentage of flatfooted children who are overweight, showing a correlation between arch height and childhood obesity.1-3 I personally do not believe that obesity in children causes flat feet but the other way around. Naturally occurring hypermobile flat feet result in instability, poor trunk strength and stability, and a resultant sedentary lifestyle.
There are several things to consider when treating biomechanical issues of the foot, regardless of the patient's age. First, we need to understand the normal ranges of rearfoot and forefoot varus/valgus from infancy through adulthood. Forefoot varus is traditionally not something we treat until children are at least 6 to 7 years of age. It is necessary to allow the forefoot to derotate and encourage a proper inclination angle of the first ray so one does not typically use extrinsic forefoot posting at this young age.
Identification of a significant forefoot varus in young children is important. However, we are not necessarily treating it but just monitoring the condition. The general rule of forefoot varus is that the child loses about 2 degrees of forefoot varus every year up until about the age of 6. At birth, if you were able to measure it, 12 to 15 degrees of forefoot varus is average with derotation of the varus ideally completed by the age of 6 or 7. Compensation for a forefoot varus requires calcaneal eversion beyond vertical. Forefoot varus conditions are very destructive at an early age and result in severe hyperpronation. Any residual forefoot varus after the age of 7 or 8 may need specific orthotic correction/posting, either intrinsic or extrinsic.
In regard to rearfoot alignment, normal development begins with a typical 1-year-old child having about 6 degrees of calcaneal eversion. Calcaneal eversion should resolve by approximately 1 degree every year up until about the age of 7. A 2-year-old should have about 5 degrees of eversion, a 3-year-old has 4 degrees, etc. By the age of 6 or 7, the child should have a fairly neutral foot alignment with the calcaneus close to vertical. Any calcaneal alignment deviating by 4 degrees or more from vertical at this age may be a significant problem and one should treat it.
Muscle strength and function can be compromised based on foot type. Hypermobile flat feet are perpetually mobile adaptors and are typically unable to lock the midtarsal joint in a timely fashion to prepare for the propulsive phase of gait. This unstable foundation makes it very challenging to develop lower extremity stability and, in turn, core trunk strength. Just imagine walking barefoot in the soft sand of a beach all day. It takes a lot of work and is rather exhausting.
We also need to keep in mind the genetic component of foot types. We can inherit our underlying foot structure much like we may inherit our eye and hair color among other things. When treating pediatric patients, question the parents about their feet, siblings' feet, grandparents' feet, etc. It should be of no surprise to see patterns quickly develop. This always leads to more referrals.
Postural assessment above the foot is no less important than the actual foot assessment. We would be doing a disservice to our patients if we did not pay close attention to the upper kinetic chain. We need to understand the difference between structural and functional asymmetries, functional versus structural leg length discrepancies, and recognizing how the foot type can affect a patient's center of gravity. As we all know, there are many factors to consider when assessing leg length such as pelvic obliquities/torsions, scoliosis, foot disparities, etc. I am a firm believer that as much as 80 percent of limb length disparities are functional, not structural.
Dispensing a heel lift should take careful consideration, particularly if a foot disparity is present. Equalizing the feet from left to right with foot orthoses as well as physical therapy to address muscle imbalances will often reduce or correct most "apparent" limb length disparities. When I do dispense a heel lift with foot orthoses, I usually provide it as a detached heel lift so patients may easily remove it from shoes.
A Protocol For First-Time Evaluation Of The Pediatric Patient
Accordingly, when evaluating a patient for the first time, there are several factors one needs to examine. First, I obtain an extensive patient history. I find out about the patient's medical history, family history, chief podiatric complaints, interests/activities and his or her overall well-being.
Then I perform my biomechanical foot evaluation. I take my rearfoot and forefoot measurements (rearfoot varus, forefoot varus or valgus) with the patient in a prone position. I also observe the feet while they hang down from the examining chair. In addition, I notate callus patterns, bunions and other toe deformities, muscular tightness, etc. I then have the patient stand for me. It is important to have patients march in place for a moment and have them relax in their natural stance.
I will then perform an overall postural assessment from head to toe, first looking for obvious asymmetries and then subtle ones. I notice the alignment of the knees and hips. Are they in alignment with each other or rotated differently? Are the hips and pelvis equal in height? Are the shoulders even in height? Is one knee more flexed than the other? Is one foot turned in or out more than the other? Are the arch heights similar? Are there orthopedic differences that are noticeable (i.e., a bunion on one foot but not the other)? I ask the patient specific questions based on what I am seeing. For example, I may ask if anyone has ever told the patient he has a limb length discrepancy or if one knee or hip bothers him more.
Then I finally ask the patient to walk down a hallway for me. I have patients do this several times as I observe their hips, knees, ankles and feet, and how they are aligned with each other during the gait cycle. I look for heel whipping or circumduction. I try to notice any differences in the gait from the left side versus the right. When I tie all of this together, I determine the patient's foot type and can begin to predict future problems. This is when I often learn of orthopedic problems that run in the family, even though I have tried to elicit this information previously.
When Emphasizing Patient Education Leads To Referrals
Once I have determined the patient has flat feet, whether he or she has the D or F foot type, the education begins. I spend a considerable amount of time during the visit educating the patient and family about the foot type and the impact on the body. I inquire about family, including parents, siblings, children and grandchildren if appropriate, etc. I typically demonstrate an exaggerated version of the patient's gait so the parents may understand how the child is walking and how this relates to his or her symptoms or dysfunction.
Typically, parents and older pediatric patients are more than pleased as they have gotten more than they bargained for. They have had evaluation and treatment but also a thorough education on their foot type, its impact on their lives and where to go to learn more about their foot type.
Keep in mind that older patients you are treating surgically and non-surgically with foot orthoses often have offspring. You have to start thinking about them. It is amazing how appreciative patients will be because you ask about their children and/or grandchildren. They will gladly bring them in for a screening.
Dr. DeCaro specializes in pediatrics with a special interest in sports medicine and biomechanics for both adults and pediatrics. He is the Vice President of the American College of Foot and Ankle Pediatrics. Dr. DeCaro is currently in private practice with an office in West Hatfield, Mass. He is a member of the surgical and medical staff at Franklin Medical Center and Holyoke Hospital in Holyoke, Mass. Dr. DeCaro is the Director and originator of the biweekly Adult Gait Labs Biomechanics Clinic and directs a weekly Lower Extremity Podo-Orthopedic Clinic.
The author offers special thanks to Joe Coletta, CPed, and Kay Brooke-Willbanks, PMA, for their contributions.
1. Riddiford-Harland DL, Steele JR, Baur LA. Are the feet of obese children fat or flat? Revisiting the debate. Int J Obes (Lond); 2011. 35(1):115-20.
2. Villarroya MA, Esquivel JM, Tomas C, et al. Assessment of the medial longitudinal arch in children and adolescents with obesity: footprints and radiographic study. Eur J Pediatr. 2009; 168(5):559-67.
3. Mickle KJ, Steele JR, Munro BJ. The feet of overweight and obese young children: are they flat or fat? Obesity (Silver Spring). 2006; 14(11):1949-53.


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Gallery Description:
Since I won the wet T shirt contest in the Keys recently, I figured I had to show you how I did it. LOL. Basically, I just poured cold water over my DDs...and well, I won. This is exactly what I was wearing during the contest. Dont you just want to sink some meat into me? Oh my gosh is that water cold!! Joseph, this ones for you! I know you have been wanting a good wet t set...I have one coming to you personally too. Hugs and Kisses, Amber
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