text:
Symphony No. 1 in C minor "The Bells of Zlonice" – Antonín Dvořák
I've mentioned before that I adore Dvořák, he's one of my favorite composers. And I really, truly adore his work. My favorite opera is his Rusalka, which is just glorious. This one though, it's kind of special to listen to. He composed it early, and then it was lost for decades. So it was the last published of his works and last performed–but interestingly for all that, it also did not get edited by Dvořák during his life. So it's kind of…pristine is a good word to use.
This is a nice, kind of light and also a bit…strange piece to listen to. It doesn't sound like a lot of his older stuff, not completely. Or at least, I don't think so. But it also reminds me of a kind of refreshing newness, which is rather nice to listen to. It's a nice one, and I much rather prefer this to his Symphony No. 9 "From the New World" (New World Symphony), which was actually how I learned about Dvořák to begin with. But this one, I like this symphony better than the 9th.
Tonight is a Dvořák and Romantic kind of night. But I might pop over to Bedřich Smetana (The Bartered Bride) next. His work is a bit of a "hidden gem", since I know most people outside classical music circles aren't too familiar with Smetana, but he's a brilliant one, too.*


text:
Here you will find pages linked some of my publications relevant to the topics explored on this blog. For a more complete and current listing, please see my CV.
Shakespeare and the Bible
- Review of Naseeb Shaheen's Biblical References in Shakespeare's Comedies (Elizabethan Review, 1995)
- "Shakespeare's Bible Update" (SOS Newsletter, Fall 1996)
- "The Influence of a Genevan Note from Romans 7.19 on Sonnet 151" (Notes and Queries, December 1997)
- "All Seeing Heaven" (Notes and Queries, June 1999)
- "Heavenly Treasure" (Notes and Queries, June 1999)
- "Old and New Law in Merchant of Venice" (Notes and Queries, March 2000)
- "Theology in Henry V" (Notes and Queries, Sept. 2001)
- "Ariel's Doctrine of Mercy" (Notes and Queries, March 2009)
Review Essays
- "Shakespeare's Missing Personality" (Elizabethan Review, Autumn 1993)
- Shakespeare's Censored Personality (Elizabethan Review, Summer 1995)
- Reviews at the Shakespeare Fellowship (by me among others)
Venus and Adonis
- "A Law Case in Verse: Venus and Adonis and the Authorship Question," University of Tennessee Law Review 72 (2004), 307-355.
Midsummer Night's Dream
- "On the Chronology and Performance Venue of Midsummer Night's Dream," The Oxfordian IX (2006), 81-90.
General Shakespeare Authorship
- "Is This the Bard We See Before Us?" (Washington Post, March 18, 2007)
- "Spenser's 'Perfect Pattern of a Poet' and the 17th Earl of Oxford" (Cahiers Élisabéthains, 77 (Spring 2010), 9-22. NB page numbers in this final proof copy are not correct.
- "Tilting Under Frieries: Narcissus (1595) and The Affair at Blackfriars," (Cahiers Élisabéthains, 70 (Autumn, 2006), 39-42.
The Tempest (with Lynne Kositksy)
- "Shakespeare and the Voyagers Revisited." Review of of English Studies. September, 2007 (published online June, 2007), 447-472.
- "Pale as Death: The Fictionalizing Influence of Erasmus' 'Naufragium' on the Renaissance Travel Narrative." Festschrift in Honor of Isabel Holden, fall 2008, Concordia University, 141-151.
- "O Brave New Worlde: The Tempest and Peter Martyr's De Orbe Novo," Critical Survey 21: 2 (Summer 2009), 7-42.
Troilus and Cressida
- "The Tortured Signifier: Satire, Censorship, and the Textual History of Troilus and Cressida," Critical Survey 21:2 (Summer 2009), 60-82.
Richard II, Part I (Thomas of Woodstock)
- "Richard II, Part 1: A Wildcard in the Shakespearean Authorship Question," (Shakespeare Matters, Spring 2007).
12 Responses to "Publications"
Leave a Reply
You must be logged in to post a comment.

subset: commoncrawl


text: Hey Brothers, I need to provide a quote on a conference call with a dental group that has 7 locations and they want the following. New site seo reputation management local seo - 7 locations wants to rank for many keyword variations (i.e. orthodontists, dental, pediatric, etc...) As they have a local office, I am considering a semi trade out for dental services for my family but need a quote for the remainder, This is my first multi location potential client and any advice on a quote is appreciated... Thank you and have a great day!


text:
Press Releases
Graves Statement from Hearing on FAST Act Implementation
Graves Statement
Chairman Sam Graves (R-MO)
Subcommittee on Highways and Transit
Hearing on "FAST Act Implementation: State and Local Perspectives"
April 5, 2017
(Remarks as Prepared)
I want to welcome all of our witnesses today.
By now, we have all seen the reports of last week's fire and resulting collapse of a section of I-85 northeast of Atlanta. This is a critically important piece of our Interstate System, carrying over 400,000 cars per day. With that volume of traffic, it is amazing that there was no loss of life in this incident. I commend state and local officials for responding so quickly to the crisis. I also want to commend U.S. Department of Transportation for acting quickly to release emergency funds and provide assistance.
The FAST Act is the first long-term surface transportation reauthorization bill in a decade and is an important foundation for building a 21st century infrastructure. As a five-year bill, it provides needed certainty and funding so our non-federal partners can make smart, long-term investments.
The FAST Act is a forward looking law that puts an emphasis on projects of national significance, the movement of freight, streamlining project delivery, and innovative solutions to transportation challenges.
State departments of transportation, transit systems, and local entities have the important task of delivering transportation projects to their communities. As they carry out these projects, the witnesses have a firsthand view of how federal surface transportation policies are being implemented by the U.S. Department of Transportation.
We look forward to building a 21st century infrastructure with our state and local partners, and welcome their input today.
Tags: Highways and Transit


text:
Don't Be Fooled By The Tobacco Industry's Misleading Ads Against 85% Pictorial Warnings
The tobacco industry has been raising a hue and cry via newspaper advertisements against the decision to have pictorial warnings covering 85% of cigarette/bidi packaging. They are calling the warnings a global conspiracy and outlining the impact it will have on the livelihoods of tobacco farmers. This is a wily effort to evoke public sympathy and mislead the government. Let me explain why I think so.


text:
BB5 adjusts pH in water to the ideal pH range of 4.5 - 5.5 without the requirement of lab tests, litmus paper or guesswork.
BB5 turns the solution pink when the optimal pH has been achieved.
BB5 will acidify all alkaline waters as well as neutralize the dissolved salts present in hard waters.
BB5 can be applied either by ground rig or knapsack and is also suitable for aerial spraying


text:
Peach Tapioca Pudding & A GoodbyePosted: August 17, 2012 Filed under: Pudding/Custard | Tags: cinnamon, peach, pudding, tapioca Leave a comment
This will be my last blog post. No, it's not because I'm getting married, it's because when I get back from the honeymoon, I will be posting at bashfulbao.com only. I've been posting on both sites to give you guys a sort of transition period, but now the time has come.
Eventually this site will no longer be a blog, and will simply forward you on to the new site. But I'm going to wait to do that until I get back.
I shall reiterate what I said in my first post about the blog move. If you want to continue following me through my culinary crusades (and I truly hope you do) you will have to re-subscribe on the new site. I made nifty little buttons for you to do so.
It took me a while to think about what recipe/photos/mood to leave you all with for the next week. I tried to stay away from peaches, I really did, but I have like 8 more recipes involving them to share and it's already creeping into September, so I need to unload these babies…ahem.
So I picked my favorite. I love peaches. I love tapioca pudding. Bam, heaven in a jar. Did I mention I drenched mine in the caramel sauce I used in this recipe? Did I say heaven in a jar already?
You get the idea. And now I must prepare for this wedding thing. Wish me luck!
Peach Tapioca Pudding
Adapted from Sunita's World
Makes about 6 individual servings
½ cup tapioca pearls
2 cups milk
2 large, ripe peaches, peeled, stoned and cut into small pieces
5 Tbsp honey, divided use
2 Tbsp brown sugar
½ tsp cinnamon
¼ tsp nutmeg
1 cinnamon stick
In a medium saucepan, soak the tapioca pearls in the milk for one hour.
In a small saucepan, heat the peaches, cinnamon and 2 Tbsp of the honey over low heat. Stir well, cover and cook until the fruit softens, about 5 minutes. Remove from heat and set aside.
Place the pan with the tapioca soaked in milk over medium low heat along with the cinnamon stick, remaining 3 Tbsp honey and brown sugar. Bring everything to a boil, then reduce heat and simmer for about 5-7 minutes, stirring constantly.
Add 3/4 of the cooked peaches and continue to cook until the tapioca pearls are completely done and the mixture has thickened, about 5-10 minutes. Keep stirring frequently.
Once the mixture has thickened, discard the cinnamon stick and spoon into bowls, jars or ramekins. Let the pudding come to room temperature, then cool in the fridge for at least 2 hours. Serve with remaining cooked peaches and caramel sauce.


text:
Your shopping cart is empty!
|Product Code:
|ws KEYC
These small paddle shaped key chains are made from beautiful hard wood with canadian imagery on one side and the Haliburton Forest logo on the other. Never lose your house key or watch boat key sink again.
Please note: No two pieces of wood are the same; this is an inherent part of the beauty of any natural wood product. Due to the nature of the wood products we provide, we cannot be held responsible for irregularities and variations in size, shape, and the color of our products. The images are representations of products created and for sale.


text:
Pay-Per-Minute Viewing
You can now enjoy this movie on your iPhone®, iPad®, or compatible Smart TV & Android devices.
Purchase Options
Pay-Per-MinutePurchase Minutes
Streaming Rentals
Available MP4 sizes:SD 480p (1.29 GB)
DRM-free downloads offer content that is not limited by standard Digital Rights Management (DRM) access technologies. These technologies allow hardware manufacturers, publishers, copyright holders and individuals to limit the usage of digital content.
When you purchase DRM-free downloadable content, that content is available for you to download on any computer and save to a disk whenever you like. You can also download to multiple computers. There is no timeframe associated with your purchase and the content will not expire.
Running Time: 86 minutes
Released: 07/2009
Studio Name: Asphyxiation
Categories: Euro Transvestite International All Sex British
Description: A Fab-Femme Festival of stocking-clad she-nanigans! Watch a couple of made up horny hunnies harass their handsome hard-cocked guy. These 2 T-girls want it! They want it their way; their hunger takes them further and their desires demand fulfilment!
2 Scenes from Transvestite Sex Slave
Transvestite Sex Slave: Scene 1 Free Preview
Transvestite Sex Slave: Scene 2 Free Preview
Sex Acts: Anal Sex, 3-Way, Oral Sex, Fingercuffing - Anal
Positions: Standing Doggy Style, Standing, Spoons position, Sitting, Missionary, Laying, Kneeling, Doggy Style
Settings: Living Room
Studio: Asphyxiation
Recommended Movies


text:
SOURCE: Security & Sound Design
March 19, 2013 03:00 ET
WINDSOR, CO--(Marketwire - Mar 19, 2013) - Security & Sound Design Inc. is a full-service local security, home technology and communications company based in Windsor, CO, that has been providing Northern Colorado residents peace of mind and unparalleled products and service since 1983. Offering home and office security solutions, state-of-the-art technologies for home and office as well as expert installation, Security & Sound Design is on the cutting edge when it comes to security, entertainment and communications for home or office.
In order to better serve their community, Security & Sound Design has now launched an online presence that replicates their technologically advanced, yet user-friendly approach to home and office systems. The new and improved Security & Sound Design Inc. website provides simple navigation of services offered including residential and commercial applications, products and services, as well as a design center that showcases the selection of leading-edge products that they have to offer. The site also features information about the company, a blog with informational and interesting industry news and contact information.
"We are proud to release our new website," explains owner, Marlin Cowser. "We believe that it accurately illustrates our commitment to excellence and quality customer service and also offers visitors a great deal of information."
The website designed by Page1 Online Marketing was created to quickly and efficiently provide Sound & Security Design Inc. customers and potential customers the opportunity to learn more about the company and make an informed decision when choosing security, technology and communications based services and products.
Sound and Security Design is a unique company due to their multifaceted approach to the commercial & home technology market, conveniently offering services that range from theft protection security systems to the installation of top of the line consumer sound systems. Customers no longer need to look for different businesses to find home technology and local security solutions; they can now visit www.securityandsound.com to answer their need for all things technology and security related.
Sound and Security Design has served northern Colorado for almost 30 years and continues to operate under the original ownership. They are considered a leader in the low voltage industry, with a wide array of services that includes fire protection, residential and commercial security and at-home entertainment. Those who are interested in inquiring about Security and Sound Design's local security systems or products can contact them through their website at www.securityandsound.com or via phone at 970.686.1040.
Kathy Lamb
Kathy Lamb
See all RSS Newsfeeds


text:
If you select a vehicle that is covered under one of Turo's protection plans, you can be connected (free of charge) with a dispatcher who will be able to send out a service provider if there is an incident with your rental vehicle 24 hours a day, seven days a week. Turo only offers roadside assistance for eligible trips in the United States, Canada, Germany, and the UK.
Please note that depending on the nature of the call, you may be responsible for fees associated with the actual services provided (towing, locksmith, battery jump, etc.) during the event.
If you are experiencing an emergency that requires roadside service and your trip is in the United States, please call 1-415-965-4525. If your trip is in Canada, please call 1-888-391-0460. For trips in Germany, please call 49(0)30-568-37898. For trips in the UK, please call +44 330 018 3500.
If you are traveling in a vehicle listed by a Commercial Host (e.g. a vehicle that is not insured via Turo), any available roadside assistance will be provided by that owner and/or their insurance provider. In this case, direct any questions about roadside assistance coverage directly to the host.


text:
Whenever anyone talks about "going greener" one of the first things mentioned is giving up the plastic grocery bags for reusable bags. But, in my opinion, it's lame to buy another bag, even if it is reusable, when I can make some unique, personalized ones out of stuff I already have or stuff that would get thrown out. Why buy any when I can make them for free, right? I have moderate sewing experience, a flair for breaking conventional rules of sewing, and a general enjoyment of the creative process of designing stuff, which turns out to be a pretty good combination. Anyway, here are some of the ways I have managed to eliminate (almost…) my plastic bag usage.
Reusing old umbrella fabric
After every wind/rain storm around here, there's always lots of broken, discarded umbrellas either hanging out of trash cans or blowing around sidewalks and streets. Husband and I make a point of rescuing them from the landfill so I can give the fabric tops new life as bags, dismantle the folding arms, and separate out the recyclable pieces. What I like best about these is the lightweight fabric rolls up into a tiny little ball that fits easily in my purse. I always have one on hand, and therefore never have an excuse for bringing one of those hideous plastic bags home. Though, I'll admit I used a plastic bag as a PATTERN for this one. They are designed really well, actually. They have sturdy, double-layered handles, they expand width-wise, and are just the right size. Except they're made of plastic, meant for one-time use, and produce a lot of trash and litter, which makes mine way better 🙂
Here are some pictures of one I made, what it looks like open and rolled up:
During the last rain storm in Boston, we collected 13 umbrellas, which now have new life instead of going into a landfill. Check it out:
Old T-shirt bag
This is a great way to keep and use that old favorite t-shirt that no longer fits. And this one's easy to do in under 5 minutes, with minimal sewing skills, again borrowing ideas from the design of our old friend, the one-time-use plastic bag. Just take an old t-shirt, cut the sleeves off just inside the seams, cut the neck hole a little bigger (this will be the top opening of your bag, sew the bottom shut, and enjoy!
General canvas bag
A little extra canvas and some old fabric scraps make for a fun way to customize what would be an ordinary bag. And, I can make it just the size I want, with just the right length of straps. The remnant place I shop at often has good deals on fabric remnants, and I never know what kinds of crazy stuff I'll find there. I've even been known to find an occasional old ship's sail. Fun times.
Those ugly recyclable plastic/cloth bags
Somehow, I don't believe these allegedly #5 recyclable bags can actually be recycled into anything else, I'm pretty convinced they're toxic to make, and they usually have some hideous logo for something-or-other on them. I only have a few of them because they were given as freebies at work, and I offered to take the extras that no one wanted so they wouldn't get tossed out. Now, after covering the logos, they're a little less ugly, and not in a landfill.
So there you have it, 4 reasons to never need a plastic bag again.
What other creative ways have you found to replace plastic bags?


text:
This has not been, I repeat, has not been, a highly predictable National Basketball Association season so far. For example, the defending champion Boston Celtics may hold on to their division title, but they are probably not going to win 67 regular-season games again. While the Philadelphia 76ers may miss center Moses Malone (traded to Washington), they have managed to stay reasonably close to Boston so far.
The Houston Rockets, everybody's heir apparent to the Celtics, haven't played anywhere near their potential - partly, at least, because of injuries. The Milwaukee Bucks, thanks to the overnight maturity of the Atlanta Hawks, no longer have a lock on their division. And the Los Angeles Lakers, if anything were to happen to center Kareem Abdul-Jabbar, would be better off sending out for pizza.
When reporters suggested to Red Auerbach that the indefinite loss of the injured Bill Walton might grind down Boston's center position by the playoffs, the Celtic president replied in his usual flip manner: ``We survived before Walton and we'll survive after him.''
League MVP Larry Bird, however, isn't sure it will be quite that simple. The man who makes Boston go admitted that the defending champions would have a tougher time defending their title without a rested Robert Parish and a fit Walton. ``We figure everybody else will maintain his game, but Parish and Walton are the keys for us in the playoffs,'' Bird said.
With nearly three-fourths of the season remaining, Houston still has plenty of time to atone for its slow start and get back into overdrive. But a repeat of its early season problems, when Akeem Olajuwon and Ralph Sampson were in the lineup together only three times, would probably be disastrous.
The team that opponents can't get out of their hair is Atlanta, which is threatening to end Milwaukee's six-year reign in the Central Division.
Although the Hawks don't have a floor leader with the flair of Bird, Magic Johnson, or Julius Erving, they do have one of the game's great offensive performers in Dominique Wilkins. Like Erving in his heyday and Chicago's Michael Jordan now, Dominique belongs to that rare breed of NBA player who takes his game into the stratosphere and keeps it there.
Joining Wilkins in Atlanta's front line are center Tree Rollins and forward Kevin Willis, with Cliff Levingston, a potential starter on many teams, providing help off the bench. Willis, who may be the most improved player in the league, uses his body like a tank and has suddenly acquired a Midas touch around the basket.
When it comes to power basketball, Atlanta doesn't have to back down to anyone. But the Hawks can also run and are at least five deep in reserves, that is, players good enough to come off the bench cold and get right into the flow of the game.
While Atlanta is probably still a year away from beating teams like Boston or Houston in the playoffs, the difference in talent this season is more like a gap than a crater.
The Lakers, because of a schedule that seldom has them playing any of the league's really tough teams, are a difficult organization to rate.
When Abdul-Jabbar is rested, James Worthy is going airborne to the basket, Byron Scott is hitting from outside, and Magic Johnson is pulling hats out of rabbits, L.A. can be awesome.
But with the exception of reserve guard-forward Michael Cooper, who has substantially increased his scoring this year without sacrificing any of his barbed-wire defense, the bench is not that consistent.
Help does sometimes appear in the form of rookie forward Billy Thompson, but basically the former Louisville All-American is still a year or two away from being a dependable contributor in close situations. And when coach Pat Riley has to go any deeper than this, it frequently spells trouble.
Most important, with only journeymen Frank Brickowski and Mike Smrek backing up Abdul-Jabbar, this is a team that often loses its warranty whenever its 39-year-old superstar leaves the court.
Indeed, many observers feel that unless the Lakers can acquire a better-than-average reserve center between now and March, their playoff hopes could end early.
Elsewhere in the NBA, former Washington and Chicago coach Dick Motta has now built Dallas's first dark horse contender. With high-scoring forward Mark Aguirre leading the way, the Mavericks shoot coming out of the dressing room. The way they are playing so far, they could win the Midwest Division if Houston continues to stumble. And with a more reliable center they could really pull off something big in the playoffs.
Among other teams that have improved their balance enough to cause trouble are Detroit, Denver, Golden State, Seattle, Utah, and Indiana. And the Cleveland Cavaliers probably have the league's top rookie at the moment in forward John (Hot Rod) Williams.
Finally, even though Hubie Brown of the New York Knicks was the first NBA coach to be fired this season, he won't be the last! Quotable quotes
Russian tennis player Andrei Chesnokov on the likelihood of seeing more Soviets on tour: ``I think if a Russian wins a Grand Slam tournament, they'll let more players out.''
Iowa football coach Hayden Fry on the unique advantage 6 ft. 8 in. quarterback Dan McGwire possesses: ``He can throw downhill.''
Singer Willie Nelson, when asked what par is on the Texas golf course he had built: ``Whatever I want it to be. For instance, today it was 108.''
Coach Dick Motta of pro basketball's Dallas Mavericks on the 7 ft. 4 in. Mark Eaton of the Utah Jazz: ``I'm intimidated by him, and I'm 40 feet away on the bench.''


text: A buddy and I have been going over a few things with each other and.. well, we are thinking of a new service. Granted I have failed at a few here. but great at the ones that I do provide, so i want to hear from you guys. What do you think would be a good service, whether it be article writing or whatever. something everyone would like. post here. let me know.. thanks CyrusVirus


text:
firstname.lastname@example.com | (303) 378-6875
Somatic Psychology Therapy
Boulder, CO 80302
|Leah D'Abate MA, DTR, is a somatic psychotherapist in private practice in Boulder
County and a registered dance/movement therapist. She has 8 years of experience facilitating
groups and individuals using experiential, somatic and creative arts modalities to
work with addiction, trauma, violence prevention, communication, grief and loss, relationship
building and self actualization. In addition to her private practice, Leah has worked
as a therapist in wellness clinics, mental health centers, residential treatment centers,
public schools and in community facilities emphasizing the importance of movement
and body based awareness in the cycle of healing. Leah has presented her work at the
American Dance Therapy Association Annual Conference and the Colorado Behavioral Health
Conference and continues to consult and conduct in-service presentations on Somatic
Psychotherapy at area universities. She currently serves as academic advisor, admissions
coordinator, adjunct faculty, co-community based learning coordinator and faculty
director of the Somatic Arts Concert for the MA Somatic Counseling Program at Naropa
University. Leah is a dancer and an artist and has a passion for floral design and
soulful aesthetic creations of all kinds.


text:
The following Op-Ed, by Rabbi Robin Nafshi, appeared in the Concord Monitor on Friday August 16th, 2013. Rabbi Nafshi's support of S. 815/H.R. 1755 The Employment Non-Discrimination Act is echoed in the policies and actions of the Religious Action Center and the Union for Reform Judaism, which has endorsed protections in the workplace for the LGBT community for over 40 years. To add your voice to Rabbi Nafshi's call for justice join us for our FaithsCalling Call-in Day on September 17th.
In the late 1970s, I was a college student working part-time as a data processing clerk for a jewelry manufacturer in New York City. One day, my boss asked me to attend a conference with him in a distant city. I did not have a good feeling about it. He pressed, eventually letting me know that he wasn't inviting me for my data entry skills. I refused his advances, and he said to me, "What are you, a lesbian?" (Actually, he used a different word, not suitable for publication in a family paper.)
I responded, "Well, in fact, I am."
"You're fired!," he called out. "I never would have hired you if I knew you were a deviant."
I had no recourse. New York had no law barring workplace discrimination on the basis of sexual orientation. In fact, such a law was not enacted in New York until 2002, after more than 30 years of trying. If I had been working in New Hampshire in the late 1970s, I would not have had any recourse here, either. The Granite State did not enact its law protecting workers from discrimination based on sexual orientation until 1998.
New Hampshire and New York are two of only 21 states that offer workplace protections to individuals based on their sexual orientation. It's hard to believe that the United States, a nation that prides itself on fairness and equality, and which encourages all people to get ahead through hard work, doesn't ban discrimination in employment for tens of millions of Americans.
Since 1994, the Employment Non-Discrimination Act has been introduced in nearly every Congress. ENDA would ban workplace discrimination across the nation on the basis of both sexual orientation and gender identity by amending the employment provisions of the 1964 federal Civil Rights Act. Discrimination based on gender identity is legal in 33 states, including New Hampshire.
Protecting lesbian, gay, bisexual and transgender employees is not radical. Of the Fortune 500 companies, 88 percent prohibit discrimination on the basis of sexual orientation and 57 percent ban discrimination on the basis of gender identity.
In fact, protecting LGBT workers is so not radical that more than 50 religious groups, including nine major religious denominations, have come out in favor of ENDA. They include the Episcopal Church, the Presbyterian Church (U.S.A.), the Evangelical Lutheran Church in America and the United Church of Christ, as well as Reform, Reconstructionist and Conservative Jews. In 2009, when Salt Lake City approved a nondiscrimination ordinance similar to ENDA, the law passed with the support of The Church of Jesus Christ of Latter-day Saints (the Mormon Church). And last month, Sen. Orrin Hatch of Utah, a member of the Mormon Church, voted in support of ENDA as the bill passed out of the Senate Committee on Health, Education, Labor and Pensions by a vote of 15-7.
Why do three out of four Jewish denominations strongly support ENDA? Because in Genesis 1:27, we read, "And God created human beings b'tzelem elohim, in the image of God." Each human being is unique and precious and most importantly, Godly. Each human being is entitled to be treated with dignity, justice and equality, precisely what ENDA seeks to achieve.
ENDA is headed to the full Senate for a vote this fall. I urge New Hampshire's senators to co-sponsor or at least vote in favor of this legislation that would provide workplace protections for LGBT people all across America.
Rabbi Robin Nafshi is the Rabbi at Temple Beth David in Concord, New Hampshire.
Image Courtesy of Jewish Mosaic


text:
Creating The Right Digital Marketing Strategy
The advent of digital business has changed the landscape of how business is done. The success depends on how the digital marketing methodologies are put to use. Most businesses are confused when it comes where to start and which marketing strategy to use. The term may be intimidating, but the digital strategy can be achieved using some simple strategies, having a plan of action and achieve the goals. The marketing strategy will vary depending on the size of the business and goals. These strategies can help you stay focused on the objectives. Professional SEO services can help decide on the right strategies for your business. For more information on the digital marketing strategies check https://www.entrepreneur.com/article/247816.
Define Digital Marketing
Digital strategy can be defined as a chain of actions that helps you achieve the marketing goals. The marketing campaigns are the foundation to work out the goals. Whether you want to run a campaign or share the performance of your company on social networking sites to bring in more leads, this becomes your strategy. Remember that though some marketing campaigns have been running for many years, it does not become a strategy. It is just a part of the campaign for your strategy.
Building A Digital Strategy
· Creating a buyer characteristics
First, decide on the target audience. The digital strategies are basically built on the buyers' personality. It is simply built on creating the ideal customer, especially by doing some research, interviews and surveying your target audience. The information is based on real data instead of making assumptions that can only lead you on the wrong track. The research group should consist of various blends of customers outside the range of your database but have to be in alignment with the target group.
· Demographic information
Google Analytics identifies the direction of your web traffic. It can define the age of your business audience based on the trends and the customer database. Information like personal income through personal interviews, most people would not share it on online forums. When it comes to B2B companies get the job titles of your existing customers.
· Psychographic Information
After creating a persona it is important to speak to the customers, service representatives and sales personnel. Compile the common problems of these people understand what the audience faces. Talk to the existing customers and target audience on the hobbies and interest. If you have a niche that can be expanded, it can help create a future content and associations. Understand what is important with respect to your business.
Check Out The Digital Marketing Tools
First, identify your goals and then link them with the right marketing tools to promote your business. As a marketer, you have to learn how to measure your goals. Measuring the digital strategies varies from one business to another. But these tools can help you achieve the metrics.
Assess The Marketing Assets And Channels
Take into consideration the bigger picture to avoid being overwhelmed with the situation. Owned media, earned media, paid media are some of the vehicles that may be already in use by the business. Just make sure that they yield the best results.


text:
Siem Reap - Phnom Penh Tours
Tour Code VCT5D4NRP
Tour Location Siem Reap
Tour Style Sightseeing Tours
Orginal Price USD 512
Now Only: USD 458
Siem Reap - Phnom Penh Tours 5 DAYS 4 NIGHTS
Phnom Penh is once known as the "Pearl of Asia" also considered as one of the loveliest French-built cities in Indochina in the 1920s. Phnom Penh, along with Siem Reap and Sihanoukville, are significant global and domestic tourist destinations for Cambodia. It founded in 1434, the city is noted for its beautiful and historical architecture and attractions. There are number of surviving French colonial buildings scattered along the grand boulevards most in Phnom Penh and Siem Reap.
Day 1: Siem Reap (L–D)
Arrival at Siem Reap International Airport meet our local English speaking guide, transfer to check in the selected hotel, take a short refresh and start to visit carving center of Les Artisan Angkor and silk farm lunch at local restaurant and relax at hotel.
Afternoon 14:40 meet our tour guide at hotel; continues to visit old market and straight to see fishermen at floating villages of Tonle Sap (The great lake in Asia), dinner at local restaurant enjoy Apsara dance performance, overnight at hotel.
Day 2: Siem Reap (B-L-D)
After breakfast at 8:20 meet our tour guide at hotel, start to see south gate of Angkor Thom, Bayon, Baphoun, Phimean Akas, Terrace of Elephant, Royal Enclosure and Terrace of Leper King, Ta Prohm, lunch at local restaurant, and relax at hotel.
Afternoon 14:30 meet our tour guide at hotel; continues to see 7th wonderful world heritage of Angkor Wat temple and enjoy viewing sunset on Bakheng hill, dinner at local restaurant and after dinner, overnight at hotel.
Day 3: Siem Reap- Phnom Penh (B-L-D)
Early breakfast check-out from hotel, 7:00 meet our tour guide and driver transfer to Siem Reap International Airport for flight to Phnom Penh (FT991 Departure 8:10, Arrival 9:00), meet our tour guide and driver in Phnom Penh International Airport start to see around town and market, lunch at local restaurant and transfer to check-in the selected hotel.
Afternoon 14:40 meet our to guide at hotel start to visit Silver Pagoda, Royal Palace, National Museum, dinner at local restaurant, overnight at hotel in Phnom Penh.
Day 4: Phnom Penh (B-L-D)
After breakfast 8:30 meet our tour guide at hotel, start to visit genocide museum of Killing Field (Choeung Ek) located 15km southern of Phnom Penh capital, lunch at local restaurant, take a short relax at hotel.
Afternoon 14:40 meet our tour guide at hotel continue to visit genocide museum of Toul Sleng, Wat Ounalom, Wat Phnom, visit around town and river side, dinner at local restaurant, overnight at hotel.
Day 5: Phnom Penh (B)
After breakfast do shopping and visit Toul Tom Poung market (Russia Market) and free leisure till transfer to Phnom Penh International Airport 2 hours before flight departure.
>> Tour Prices included :
- Accommodation with breakfast (B)
- 4 Lunches (L), 4 dinners (D) per itinerary
- Boat trip to floating villages on the great lake (Tonle Sap)
- Transfers and tours in private air-conditioned vehicles
- English-speaking guides
- Full sightseeing program including admission fees
- Domestic Airfare from Siem Reap to Phnom Penh
>> Not Included in Tour Prices:
- Airfare from your hometown, to your gateway city
- Costs of passports and visa
- Personal expenses such as: beverages, laundry, room services.
- Meals not mentioned.
- Excess baggage fees, communication charges, airports, ports and departure taxes.
- All kind of insurances.
Video Travel of Siem Reap - Phnom Penh Tours
make tour booking
Feel free to contact us about any of our Tours, or discuss your ideas with a travel consultant. Your request will be sent straight to a Visit Cambodia Travel expert. They will be in touch shortly.


text:
tugas bahasa inggris
Minggu, 20 Februari 2011
Diabetes Mellitus
Diabetes Mellitus
Buy the Book
Print This Topic
Email This Topic
diabetes insipidus
diabetes mellitus
glycosylated hemoglobin
nonketotic hyperglycemic-hyperosmolar coma
sulfonylurea drugs
Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin to meet its needs.
Urination and thirst are increased, and people lose weight when they are not trying to.
Diabetes damages the nerves and causes problems with sensation.
Diabetes damages blood vessels and increases the risk of heart attack, stroke, and kidney failure.
Doctors diagnose diabetes by measuring blood sugar levels.
People with diabetes need to follow a low-sugar, low-fat diet, exercise, and usually take drugs.
Insulin, a hormone released from the pancreas, controls the amount of sugar in the blood. When people eat or drink, food is broken down into materials, including the simple sugar glucose, that the body needs to function. Sugar is absorbed into the bloodstream and stimulates the pancreas to produce insulin. Insulin allows sugar to move from the blood into the cells. Once inside the cells, it is converted to energy, which is either used immediately or stored as fat or glycogen until it is needed.
The levels of sugar in the blood vary normally throughout the day. They rise after a meal and return to normal within about 2 hours after eating. Once the levels of sugar in the blood return to normal, insulin production decreases. The variation in blood sugar levels is usually within a narrow range, about 70 to 110 milligrams per deciliter (mg/dL) of blood. If people eat a large amount of carbohydrates, the levels may increase more. People older than 65 years tend to have slightly higher levels, especially after eating.
If the body does not produce enough insulin to move the sugar into the cells, the resulting high levels of sugar in the blood and the inadequate amount of sugar in the cells together produce the symptoms and complications of diabetes.
Doctors often use the full name diabetes mellitus, rather than diabetes alone, to distinguish this disorder from diabetes insipidus, a relatively rare disorder that does not affect blood sugar levels (see
Pituitary Gland Disorders: Central Diabetes Insipidus
Prediabetes is a condition in which blood sugar levels are too high to be considered normal but not high enough to be labeled diabetes. People have prediabetes if their fasting blood sugar level is between 101 mg/dL and 126 mg/dL or if their blood sugar level 2 hours after a glucose tolerance test is between 140 mg/dL and 200 mg/dL. Identifying people with prediabetes is important because the condition carries a higher risk for future diabetes as well as heart disease. Decreasing body weight by 5 to 10 % through diet and exercise can significantly reduce the risk of developing future diabetes.
Type 1:
In type 1 diabetes (formerly called insulin-dependent diabetes or juvenile-onset diabetes), more than 90% of the insulin-producing cells of the pancreas are permanently destroyed. The pancreas, therefore, produces little or no insulin. Only about 10% of all people with diabetes have type 1 disease. Most people who have type 1 diabetes develop the disease before age 30.
Scientists believe that an environmental factor—possibly a viral infection or a nutritional factor in childhood or early adulthood—causes the immune system to destroy the insulin-producing cells of the pancreas. A genetic predisposition may make some people more susceptible to the environmental factor.
Type 2:
In type 2 diabetes (formerly called non-insulin-dependent diabetes or adult-onset diabetes), the pancreas continues to produce insulin, sometimes even at higher-than-normal levels. However, the body develops resistance to the effects of insulin, so there is not enough insulin to meet the body's needs.
Type 2 diabetes was once rare in children and adolescents but has recently become more common. However, it usually begins in people older than 30 and becomes progressively more common with age. About 15% of people older than 70 have type 2 diabetes. People of certain racial and ethnic backgrounds are at increased risk of developing type 2 diabetes: blacks, Native Americans, and Hispanics who live in the United States have a twofold to threefold increased risk. Type 2 diabetes also tends to run in families.
Obesity is the chief risk factor for developing type 2 diabetes, and 80 to 90% of people with this disorder are overweight or obese. Because obesity causes insulin resistance, obese people need very large amounts of insulin to maintain normal blood sugar levels.
Certain disorders and drugs can affect the way the body uses insulin and can lead to type 2 diabetes. High levels of corticosteroids (from Cushing's disease or from taking corticosteroid drugs) and pregnancy (gestational diabetes—see
Pregnancy Complicated by Disease: Gestational Diabetes
) are the most common causes of altered insulin use. Diabetes also may occur in people with excess production of growth hormone (acromegaly) and in people with certain hormone-secreting tumors. Severe or recurring pancreatitis and other disorders that directly damage the pancreas can lead to diabetes.
The two types of diabetes have very similar symptoms. The first symptoms are related to the direct effects of high blood sugar levels. When the blood sugar level rises above 160 to 180 mg/dL, sugar spills into the urine. When the level of sugar in the urine rises even higher, the kidneys excrete additional water to dilute the large amount of sugar. Because the kidneys produce excessive urine, people with diabetes urinate large volumes frequently (polyuria). The excessive urination creates abnormal thirst (polydipsia). Because excessive calories are lost in the urine, people lose weight. To compensate, people often feel excessively hungry. Other symptoms include blurred vision, drowsiness, nausea, and decreased endurance during exercise.
Type 1:
In people with type 1 diabetes, the symptoms often begin abruptly and dramatically. A condition called
diabetic ketoacidosis
may quickly develop. Without insulin, most cells cannot use the sugar that is in the blood. Cells still need energy to survive, and they switch to a back-up mechanism to obtain energy. Fat cells begin to break down, producing compounds called ketones. Ketones provide some energy to cells but also make the blood too acidic (ketoacidosis). The initial symptoms of diabetic ketoacidosis include excessive thirst and urination, weight loss, nausea, vomiting, fatigue, and—particularly in children—abdominal pain. Breathing tends to become deep and rapid as the body attempts to correct the blood's acidity (see
Acid-Base Balance: Acidosis
). The breath smells like nail polish remover, the smell of the ketones escaping into the breath. Without treatment, diabetic ketoacidosis can progress to coma and death, sometimes within a few hours.
Type 2:
People with type 2 diabetes may not have any symptoms for years or decades before they are diagnosed. Symptoms may be subtle. Increased urination and thirst are mild at first and gradually worsen over weeks or months. Eventually, people feel extremely fatigued, are likely to develop blurred vision, and may become dehydrated.
Sometimes during the early stages of diabetes, the blood sugar level is abnormally low, a condition called hypoglycemia (see
Because people with type 2 diabetes produce some insulin, ketoacidosis does not usually develop. However, the blood sugar levels can become extremely high (often exceeding 1,000 mg/dL). Such high levels often happen as the result of some superimposed stress, such as an infection or drug use. When the blood sugar levels get very high, people may develop severe dehydration, which may lead to mental confusion, drowsiness, and seizures, a condition called
nonketotic hyperglycemic-hyperosmolar coma
People with diabetes may experience many serious, long-term complications. Some of these complications begin within months of the onset of diabetes, although most tend to develop after a few years. Most of the complications are progressive. The more strictly people with diabetes are able to control the levels of sugar in the blood, the less likely it is that these complications will develop or become worse.
Most complications are the result of problems with blood vessels. High sugar levels over a long time cause narrowing of both the small and large blood vessels. The narrowing reduces blood flow to many parts of the body, leading to problems. There are several causes of blood vessel narrowing. Complex sugar-based substances build up in the walls of small blood vessels, causing them to thicken and leak. Poor control of blood sugar levels also tends to cause the levels of fatty substances in the blood to rise, resulting in atherosclerosis (see
) and decreased blood flow in the larger blood vessels. Atherosclerosis is between 2 and 6 times more common in people with diabetes than in people who do not have diabetes and tends to occur at younger ages.
Over time, elevated levels of sugar in the blood and poor circulation can harm the heart, brain, legs, eyes, kidneys, nerves, and skin, resulting in angina, heart failure, strokes, leg cramps on walking (claudication), poor vision, kidney failure, damage to nerves (neuropathy), and skin breakdown. Heart attacks and strokes are more common among people with diabetes.
Poor circulation to the skin can lead to ulcers and infections and causes wounds to heal slowly. People with diabetes are particularly likely to have ulcers and infections of the feet and legs. Too often, these wounds heal slowly or not at all, and amputation of the foot or part of the leg may be needed.
People with diabetes often develop bacterial and fungal infections, typically of the skin. When the levels of sugar in the blood are high, white blood cells cannot effectively fight infections. Any infection that develops tends to be more severe.
Did You Know...
People who can strictly control their blood sugar levels may be able to minimize or delay diabetes complications.
Damage to the blood vessels of the eye can cause loss of vision (diabetic retinopathy—see
Retinal Disorders: Diabetic Retinopathy
). Laser surgery can seal the leaking blood vessels of the eye and prevent permanent damage to the retina. Therefore, people with diabetes should have yearly eye examinations to check for damage.
The kidneys can malfunction, resulting in kidney failure that may require dialysis or kidney transplantation. Doctors usually check the urine of people with diabetes for abnormally high levels of protein (albumin), which is an early sign of kidney damage. At the earliest sign of kidney complications, people are often given angiotensin-converting enzyme (ACE) inhibitors, drugs that slow the progression of kidney damage.
Damage to nerves can manifest in several ways. If a single nerve malfunctions, an arm or leg may suddenly become weak. If the nerves to the hands, legs, and feet become damaged (diabetic polyneuropathy), sensation may become abnormal, and tingling or burning pain and weakness in the arms and legs may develop (see
Peripheral Nerve Disorders: Causes
). Damage to the nerves of the skin makes repeated injuries more likely because people cannot sense changes in pressure or temperature.
Long-Term Complications of Diabetes
Tissue or Organ Affected
What Happens
Blood vessels
Fatty material (atherosclerotic plaque) builds up and blocks large or medium-sized arteries in the heart, brain, legs, and penis.
The walls of small blood vessels are damaged so that the vessels do not transfer oxygen to tissues normally, and the vessels may leak.
Poor circulation causes wounds to heal poorly and can lead to heart disorders, strokes, gangrene of the feet and hands, erectile dysfunction (impotence), and infections.
The small blood vessels of the retina are damaged.
Decreased vision and, ultimately, blindness occur.
Blood vessels in the kidney thicken.
Protein leaks into urine.
Blood is not filtered normally.
The kidneys malfunction, and ultimately, kidney failure occurs.
Nerves are damaged because glucose is not metabolized normally and because the blood supply is inadequate.
Legs suddenly or gradually weaken.
People have reduced sensation, tingling, and pain in their hands and feet.
Autonomic nervous system
The nerves that control blood pressure and digestive processes are damaged.
Swings in blood pressure occur.
Swallowing becomes difficult.
Digestive function is altered, and sometimes bouts of diarrhea occur.
Erectile dysfunction develops.
Blood flow to the skin is reduced, and sensation is decreased, resulting in repeated injury.
Sores and deep infections (diabetic ulcers) develop.
Healing is poor.
White blood cell function is impaired.
People become more susceptible to infections, especially of the urinary tract and skin.
Connective tissue
Glucose is not metabolized normally, causing tissues to thicken or contract.
Carpal tunnel syndrome and Dupuytren's contracture develop.
The Foot in Diabetes
Diabetes causes many changes in the body. The following changes in the feet are common and difficult to treat.
Damage to the nerves (neuropathy) affects sensation to the feet, so that pain is not felt. Irritation and other forms of injury may go unnoticed. An injury may wear through the skin before any pain is felt.
Changes in sensation alter the way people with diabetes carry weight on their feet, concentrating weight in certain areas so that calluses form. Calluses (and dry skin) increase the risk of skin breakdown.
Diabetes can cause poor circulation in the feet, making ulcers more likely to form when the skin is damaged and making the ulcers slower to heal.
Because diabetes can affect the body's ability to fight infections, a foot ulcer, once it forms, easily becomes infected. Because of neuropathy, people may not feel discomfort from the infection until it becomes serious and difficult to treat, leading to gangrene. People with diabetes are more than 30 times more likely to require amputation of a foot or leg than are people without diabetes.
Foot care is critical (see
Caring for the Feet
). The feet should be protected from injury, and the skin should be kept moist with a good moisturizer. Shoes should fit properly and not cause areas of irritation. Shoes should have appropriate cushioning to spread out the pressure caused by standing. Going barefoot is ill advised. Regular care from a podiatrist, such as having toenails cut and calluses removed, may also be helpful. Also, sensation and blood flow to the feet should be regularly evaluated by doctors.
The diagnosis of diabetes is made when people have abnormally high levels of sugar in the blood. Blood sugar levels are often checked during a routine physical examination. Checking the levels of sugar in the blood annually is particularly important in older people, because diabetes is so common in later life. People may have diabetes, particularly type 2 diabetes, and not know it. Doctors may also check blood sugar levels in people who have symptoms of diabetes such as increased thirst, urination, or hunger. Doctors may also check blood sugar levels in people who have disorders that can be complications of diabetes, such as frequent infections, foot ulcers, and yeast infections.
To measure the blood sugar levels, a blood sample is usually taken after people have fasted overnight. However, it is possible to take blood samples after people have eaten. Some elevation of blood sugar levels after eating is normal, but even after a meal the levels should not be very high. Fasting blood sugar levels should never be higher than 126 mg/dL. Even after eating, blood sugar levels should not be higher than 200 mg/dL.
Doctors can also measure the level of a protein in the blood, hemoglobin A
(also called glycosylated or glycolated or hemoglobin). Glycosylated hemoglobin forms when the blood has been exposed to high blood sugar levels over a period of time. Doctors do not usually use this test to diagnose diabetes, but the test can help confirm the diagnosis when blood sugar levels are not extremely high. The test demonstrates long-term trends in blood sugar levels.
Another kind of blood test, an oral glucose tolerance test, may be done in certain situations, such as in routine screening of pregnant women for gestational diabetes (see
Pregnancy Complicated by Disease: Gestational Diabetes
) or in older people who have symptoms of diabetes but normal glucose levels when fasting. However, it is not routinely used for testing for diabetes, including in pregnant women at very low risk. In this test, people fast, have a blood sample taken to determine the fasting blood sugar level, and then drink a special solution containing a large, standard amount of glucose. More blood samples are then taken over the next 2 to 3 hours and are tested to determine whether the level of sugar in the blood rises abnormally high.
Did You Know...
Many people have type 2 diabetes and are not aware of it.
Treatment of diabetes involves diet, exercise, education, and, for most people, drugs. If people with diabetes strictly control blood sugar levels, complications are less likely to develop. The goal of diabetes treatment, therefore, is to keep blood sugar levels within the normal range as much as possible. Treatment of high blood pressure and cholesterol levels can prevent some of the complications of diabetes as well. A low dose of
Some Trade Names
taken daily is also helpful.
People with diabetes benefit greatly from learning about the disorder, understanding how diet and exercise affect their blood sugar levels, and knowing how to avoid complications. A nurse trained in diabetes education can provide information about managing diet, exercising, monitoring blood sugar levels, and taking drugs.
People with diabetes should always carry or wear medical identification (such as a bracelet or tag) to alert health care practitioners to the presence of diabetes. This information allows health care practitioners to start life-saving treatment quickly, especially in the case of injury or altered mental status.
Diet management is very important in people with both types of diabetes. Doctors recommend a healthy, balanced diet and efforts to maintain a healthy weight. Some people benefit from meeting with a dietitian to develop an optimal eating plan.
People with type 1 diabetes who are able to maintain a healthy weight may be able to avoid the need for large doses of
Some Trade Names
. People with type 2 diabetes may be able to avoid the need for all drugs by achieving and maintaining a healthy weight. Some people who have been unsuccessful in losing weight through diet and exercise may take drugs to help them lose weight or may even undergo stomach reduction surgery.
In general, people with diabetes should not eat much sweet food. They should also try to eat meals on a regular schedule. Long periods between eating should be avoided. People with diabetes also tend to have high levels of cholesterol in the blood, so limiting the amount of saturated fat in the diet is important. Drugs may also be needed to help control the level of cholesterol in the blood.
Appropriate amounts of exercise can also help people control their weight and maintain blood sugar levels within the normal range. Because blood sugar levels go down during exercise, people must be alert for symptoms of low blood sugar. Some people need to eat a small amount of food with sugar during prolonged exercise, decrease their insulin dose, or both. People with diabetes should stop smoking and consume only moderate amounts of alcohol (up to one drink per day for women and two for men).
Diabetic ketoacidosis
is a medical emergency, because it can cause coma and death. Hospitalization, usually in an intensive care unit, is necessary. Large amounts of fluids are given intravenously along with electrolytes, such as sodium, potassium, chloride, and phosphate, to replace those fluids and electrolytes lost through excessive urination.
Some Trade Names
is generally given intravenously so that it works quickly and the dose can be adjusted frequently. Blood levels of sugar, ketones, and electrolytes are measured every few hours. Doctors also measure the blood's acid level. Sometimes, additional treatments are needed to correct a high acid level. However, controlling the levels of sugar in the blood and replacing electrolytes usually allow the body to restore the normal acid-base balance.
Nonketotic hyperglycemic-hyperosmolar coma
is treated much like diabetic ketoacidosis. Fluids and electrolytes must be replaced. The levels of sugar in the blood must be restored to normal levels gradually to avoid sudden shifts of fluid into the brain. The blood sugar levels tend to be more easily controlled than in diabetic ketoacidosis, and blood acidity problems are not severe.
Insulin Replacement Therapy
People with type 1 diabetes almost always require
Some Trade Names
therapy, and many people with type 2 diabetes require it as well.
Some Trade Names
is injected. It currently cannot be taken by mouth because
Some Trade Names
is destroyed in the stomach. A nasal spray form of
Some Trade Names
was available but has been discontinued. New forms of
Some Trade Names
, such as forms that can be taken by mouth or applied to the skin, are being tested.
Some Trade Names
is injected under the skin into the fat layer, usually in the arm, thigh, or abdominal wall. Small syringes with very thin needles make the injections nearly painless. An air pump device that blows the
Some Trade Names
under the skin can be used for people who cannot tolerate needles. An
Some Trade Names
pen, which contains a cartridge that holds the
Some Trade Names
, is a convenient way for many people to carry
Some Trade Names
, especially for people who take several injections a day outside the home. Another device is an
Some Trade Names
pump, which pumps
Some Trade Names
continuously from a reservoir through a small needle left in the skin. Additional doses of
Some Trade Names
can be released at programmed times, or release can be triggered as needed. The pump more closely mimics the way the body normally produces
Some Trade Names
. For some people, the pump offers an added degree of control, whereas others find wearing the pump annoying or develop sores at the needle site.
Some Trade Names
is available in three basic forms, divided by speed of onset and duration of action:
Rapid-acting insulin
, such as regular
Some Trade Names
, is fast and short acting. Regular
Some Trade Names
reaches its maximum activity in 2 to 4 hours and works for 6 to 8 hours. Lispro, aspart, and glulisine insulins, special types of regular
Some Trade Names
, are the fastest of all, reaching maximum activity in about 1 hour and working for 3 to 5 hours. Rapid-acting
Some Trade Names
is often used by people who take several daily injections and is injected 15 to 20 minutes before meals or just after eating.
Intermediate-acting insulin
(such as
Some Trade Names
zinc suspension, lente, or isophane
Some Trade Names
suspension) starts to work in 1 to 3 hours, reaches its maximum activity in 6 to 10 hours, and works for 18 to 26 hours. This type of
Some Trade Names
may be used in the morning to provide coverage for the first part of the day or in the evening to provide coverage during the night.
Long-acting insulin
(such as extended
Some Trade Names
zinc suspension, ultra-lente, or glargine) has very little effect in the first few hours but provides coverage for 20 to 36 hours depending on which of these types is used.
Some Trade Names
preparations are stable at room temperature for months, allowing them to be carried, brought to work, or taken on a trip.
Some Trade Names
should not, however, be exposed to extreme temperatures.
The choice of
Some Trade Names
is complex. The following factors are considered before deciding which
Some Trade Names
is best:
How willing and able people are to monitor their blood sugar levels and adjust the
Some Trade Names
How varied daily activity is
How adept people are at learning about and understanding the disorder
How stable blood sugar levels are during the day and from day to day
The easiest regimen to follow is a single daily injection of an intermediate-acting
Some Trade Names
. However, such a regimen provides the least control over blood sugar levels and is, therefore, rarely the best approach. Stricter control may be achieved by combining two insulins—a rapid-acting and an intermediate-acting
Some Trade Names
—in one morning dose. This combination requires more skill, but it offers people greater opportunity to adjust the blood sugar levels. A second injection of one
Some Trade Names
or both may be taken at dinner or at bedtime. Strictest control is usually achieved by injecting a rapid-acting and an intermediate-acting
Some Trade Names
in the morning and evening along with several additional injections of rapid-acting
Some Trade Names
during the day. Adjustments can be made as
Some Trade Names
needs change. Measuring blood sugar levels at various times during the day helps determine the adjustment. Although this regimen requires the most knowledge of the disorder and attention to the details of treatment, it is considered the best option for most people who are treated with
Some Trade Names
, especially people with type 1 diabetes.
Some people, especially older people, take the same amount of
Some Trade Names
every day. Other people adjust the
Some Trade Names
dose daily depending on their diet, exercise, and blood sugar patterns. In addition,
Some Trade Names
needs may change if people gain or lose weight or experience emotional stress or illness, especially infection.
Over time, some people develop resistance to
Some Trade Names
. Because the injected
Some Trade Names
is not exactly like the
Some Trade Names
the body manufactures, the body can produce antibodies to the
Some Trade Names
. Although this is less common with newer
Some Trade Names
preparations, these antibodies may interfere with the
Some Trade Names
's activity, requiring very large doses.
Some Trade Names
injections can affect the skin and underlying tissues. An allergic reaction, which occurs rarely, produces pain and burning, followed by redness, itchiness, and swelling around the injection site for several hours. More commonly, the injections either cause fat deposits, making the skin look lumpy, or destroy fat, causing indentation of the skin. Many people rotate the injection sites, for example, using the thigh one day, the stomach another, and an arm the next, to avoid these problems.
Insulin Replacement Therapy
Oral Antihyperglycemic Drugs
Oral antihyperglycemic drugs can often lower blood sugar levels adequately in people with type 2 diabetes. However, they are not effective in type 1 diabetes. There are several types. Sulfonylureas (for example,
Some Trade Names
) and meglitinides (for example,
Some Trade Names
) stimulate the pancreas to produce more
Some Trade Names
Some Trade Names
secretagogues). Biguanides (for example,
Some Trade Names
) and thiazolidinediones (for example,
Some Trade Names
) do not affect the release of
Some Trade Names
but increase the body's response to it (
Some Trade Names
sensitizers). Doctors may prescribe one of these drugs alone or with a sulfonylurea drug. Another class of drug is the glucosidase inhibitors, such as
Some Trade Names
, which work by delaying absorption of glucose in the intestine.
Oral antihyperglycemic drugs are usually prescribed for people with type 2 diabetes if diet and exercise fail to lower the levels of sugar in the blood adequately. The drugs are sometimes taken only once a day, in the morning, although some people need two or three doses. More than one type of oral drug may be used if one is not adequate. If oral antihyperglycemic drugs cannot control blood sugar levels well enough,
Some Trade Names
injections alone or in combination with the oral drugs may be needed.
Oral Antihyperglycemic Drugs
Number of Daily Doses
Selected Side Effects
Some Trade Names
2 to 3
Increased acidity of body fluids (rare)
Liver failure (rare)
Some Trade Names
1 to 2
1 to 2
Weight gain
Low sodium in blood (hyponatremia) with
Some Trade Names
Some Trade Names
Some Trade Names
Some Trade Names
1 to 2
Some Trade Names
1 to 2
Some Trade Names
1 to 2
1 to 2
1 to 2
Some Trade Names
Minimal weight gain
Some Trade Names
Some Trade Names
Weight gain
Fluid retention (edema)
Some Trade Names
1 to 2
Weight gain
Fluid retention (edema)
Possible increase in heart attacks
Alpha-glucosidase inhibitors
Some Trade Names
Abdominal pain
Some Trade Names
Dipeptidyl peptidase-4 inhibitor
Some Trade Names
Lung infections
Glucagon-like peptide agonists
Some Trade Names
Amylin analog
Some Trade Names
Low blood sugar levels
Monitoring Treatment
Monitoring blood sugar levels is an essential part of diabetes care. People with diabetes must adjust their diet, exercise, and take drugs to control blood sugar levels. Monitoring blood sugar levels provides the information needed to make those adjustments. Waiting until symptoms of low or high blood sugar levels develop is a recipe for disaster.
Many things cause blood sugar levels to change:
Time of day
The blood sugar levels may jump after people eat foods they did not realize were high in carbohydrates. Exercise may cause the levels of sugar in the blood to fall low, requiring that additional sugar be eaten. Emotional stress, an infection, and many drugs tend to increase blood sugar levels. Blood sugar levels increase in many people in the early morning hours because of the normal release of hormones (growth hormone and corticosteroids), a reaction called the dawn phenomenon. And blood sugar may shoot too high if the body releases sugar in response to low blood sugar levels (Somogyi effect).
Blood sugar levels can be measured easily at home or anywhere. Most blood sugar monitoring devices use a drop of blood obtained by pricking the tip of the finger with a small lancet. The lancet holds a tiny needle that can be jabbed into the finger or placed in a spring-loaded device that easily and quickly pierces the skin. Most people find the pricking nearly painless. Then, a drop of blood is placed on a reagent strip. In response to sugar, the reagent strip undergoes some chemical changes. A machine reads the changes in the test strip and reports the result on a digital display. Most of these machines time the reaction and read the result automatically. Some devices allow the blood sample to be obtained from other sites, such as the palm, forearm, upper arm, thigh, or calf. The machines are smaller than a deck of cards.
A newer device reads blood sugar through the skin without needing a sample of blood. The device is worn like a wristwatch and can measure the level of sugar in the blood every 15 minutes. Alarms on the device can be set to sound when blood sugar levels drop too low or climb too high. Disadvantages of this device are that it must be calibrated periodically with a blood test, it may irritate the skin, and it is somewhat large. Other devices can monitor glucose continuously. However, these devices are not routinely used, as they are expensive and have not been shown to be better than glucose meters. In certain circumstances, these devices are less reliable, such as in severe hypoglycemia.
Most people with diabetes should keep a record of their blood sugar levels and report them to their doctors or nurses for advice in adjusting the dose of
Some Trade Names
or the oral antihyperglycemic drug. Many people can learn to adjust the
Some Trade Names
dose on their own as necessary.
Spotlight on Aging
Older people need to follow the same general principles of diabetes management—education, diet, exercise, and drugs—as younger people. However, risking hypoglycemia by strictly controlling blood sugar levels may not be beneficial for people with a short life expectancy, such as those with advanced cancer. Also, managing diabetes can be more difficult for older people. Poor eyesight may make it hard for them to read glucose meters and dose scales on
Some Trade Names
syringes. They may have problems manipulating the syringe because they have arthritis or Parkinson's disease or have had a stroke. When older people have hypoglycemia, their symptoms may be less obvious. If they have hypoglycemia but have difficulty communicating, dementia or both, they may not be able to let anyone know they are having symptoms.
In addition to learning about diabetes itself, older people may have to learn how to fit management of diabetes in with their management of other disorders. Learning about how to avoid complications, such as dehydration, skin breakdown, and circulation problems, and to manage factors that can contribute to diabetes, such as high blood pressure and high cholesterol levels, is especially important. Such problems become more common as people age, whether they have diabetes or not.
Many older people have difficulty following a healthy, balanced diet that can control blood sugar levels and weight. Changing long-held food preferences and dietary habits may be hard. Some older people have other disorders that can be affected by diet and may not understand how to integrate the dietary recommendations for their various disorders.
Some older people cannot control what they eat because someone else is cooking for them―at home or in a nursing home or other institution. When people with diabetes do not do their own cooking, the people who shop and prepare meals for them must also understand the diet that is needed. Older people and their caregivers usually benefit from meeting with a dietitian to develop a healthy, feasible eating plan.
Older people may have a difficult time adding exercise to their daily life, particularly if they have not been active or if they have a disorder that limits their movement, such as arthritis. However, they may be able to add exercise to their usual routine. For example, they can walk instead of drive or climb the stairs instead of take the elevator. Also, many community organizations offer exercise programs designed for older people.
Taking the drugs used to treat diabetes, particularly
Some Trade Names
, may be difficult for some older people. For those with vision problems or other problems that make accurately filling a syringe difficult, a caregiver can prepare the syringes ahead of time and store them in the refrigerator. People whose
Some Trade Names
dose is stable may purchase pre-filled syringes. Prefilled
Some Trade Names
pen devices may be easier for people with physical limitations to use. Some of these devices have large numbers and easy-to-turn dials.
Monitoring blood sugar levels:
Poor vision, limited manual dexterity due to arthritis, tremor, or stroke, or other physical limitations may make monitoring blood sugar levels more difficult for older people. However, special monitors are available. Some have large numerical displays that are easier to read. Some provide audible instructions and results. Some monitors read blood sugar levels through the skin and do not require a blood sample. People can consult a diabetes educator to determine which meter is most appropriate.
Complications of treatment:
The most common complication of treating high blood sugar levels is low blood sugar levels. The risk is greatest for older people who are frail, who are sick enough to require frequent hospital admissions, or who are taking several drugs. Of all available drugs to treat diabetes, long-acting sulfonylurea drugs are most likely to cause low blood sugar levels in older people. When they take these drugs, they are also more likely to have serious symptoms, such as fainting and falling, and to have diffculty thinking or using parts of the body due to low blood sugar levels.
Although urine can also be tested for the presence of sugar, checking urine is not a good way to monitor treatment or adjust therapy. Urine testing can be misleading because the amount of sugar in the urine may not reflect the current level of sugar in the blood. Blood sugar levels can get very low or reasonably high without any change in the sugar levels in the urine.
Doctors can monitor treatment using a blood test called hemoglobin A
. When the blood sugar levels are high, changes occur in hemoglobin, the protein that carries oxygen in the blood. These changes are in direct proportion to the blood sugar levels over an extended period. Thus, unlike the blood sugar measurement, which reveals the level at a particular moment, the hemoglobin A
measurement demonstrates whether the blood sugar levels have been controlled over the previous few months. People with diabetes aim for a hemoglobin A
level of less than 7%. Achieving this level is difficult, but the lower the hemoglobin A
level, the less likely people are to have complications. Levels above 9% show poor control, and levels above 12% show very poor control. Most doctors who specialize in diabetes care recommend that hemoglobin A
be measured every 3 to 6 months. Fructosamine, an amino acid that has bonded with glucose, is also useful for measuring blood sugar control over a period of a few weeks.
Monitoring and Preventing Complications
At the time of diagnosis and then at least yearly, people are monitored for the presence of diabetes complications, such as kidney, eye, and nerve damage. Worsening of complications can be prevented or delayed by strict blood sugar control or by early drug treatment. Risk factors for heart problems, such as increased blood pressure and high cholesterol levels, are evaluated at each doctor visit and are treated with drugs if necessary. Another common problem in people with diabetes is gum disease (gingivitis), and regular visits to the dentist for cleaning and preventive care are important.
Keeping blood sugar levels from getting too high is difficult. The main difficulty with trying to strictly control the levels of sugar in the blood is that low blood sugar levels (hypoglycemia) may occur (see
). Recognizing the presence of low blood sugar is important because treatment of hypoglycemia is an emergency. Symptoms may include hunger pangs, racing heart beat, shakiness, sweating, and inability to think clearly. Sugar must get into the body within minutes to prevent permanent harm and relieve symptoms. Most of the time, people can eat sugar. Almost any form of sugar will do, although glucose works more quickly than table sugar (typical table sugar is sucrose). Many people with diabetes carry glucose tablets or foil packets of a glucose-containing liquid. Other options are to drink a glass of milk (which contains lactose, a type of sugar), sugar water, or fruit juice or to eat a piece of cake, some fruit, or another sweet food. In more serious situations, it may be necessary for emergency medical practitioners to inject glucose into a vein.
Another treatment for hypoglycemia involves the use of glucagon. Glucagon can be injected into the muscle and causes the liver to release large amounts of glucose within minutes. Small transportable kits containing a syringe filled with glucagon are available for people with diabetes to use in emergency situations.
Experimental Treatments
Experimental treatments are also showing promise for the treatment of type 1 diabetes. In one such treatment, insulin-producing cells are transplanted into body organs. This procedure is not yet routinely done, however, because immunosuppressant drugs must be given to prevent the body from rejecting the transplanted cells. Newer techniques may make suppression of the immune system unnecessary.
Diposting oleh
wong mediun
Kirimkan Ini lewat Email
Berbagi ke Twitter
Berbagi ke Facebook
Bagikan ke Pinterest
Tidak ada komentar:
Posting Komentar
Posting Lebih Baru
Posting Lama
Posting Komentar (Atom)


text:
Empower your employees to choose benefits they value
Flexible Benefits
Request a free consultation
Flexible Benefits appear in many forms, but with only one objective – to meet the needs of your business and your employees.
Whether it's on a website or a printed enrolment form, 5 benefits or 20, with or without a total reward statement, Flexible Benefits empowers employees to choose the benefits that matter to them.
As an employer, this enables you to truly maximise the value of the benefits you provide.
Proposition overview
Hargreaves Lansdown will work closely with you to understand your company's objectives, your concerns, and your strategy for the future. We will build all our recommendations to achieve this.
Whether you are looking to harmonise terms and conditions, become an employer of choice, incentivise staff, expand on an existing benefit strategy, or simply streamline administration with all your benefits in one place, Hargreaves Lansdown can help you every step of the way.
No matter which benefit, your employees can access and manage all from one place, including their pension, investments and annuity. If necessary, we can also link to other third party pension schemes.
The system can be configured to deal with eligibility rules regarding benefits access, including funded benefits and probation periods. The system can also trigger emails to tell employees when they are eligible for certain benefits based on these events.
We understand that a Flexible Benefits scheme can never really succeed unless we truly engage with employees, which is why we offer a wide range of communication tools:
- Pre and post launch survey
- Interactive calculators
- Modelling tools
- Online/printed guides and posters
- E-mails and letter
- Face-to-face presentations and meetings
- Benefit fairs
Standard scope of service
- Design consultancy for the flexible benefit scheme and total reward statements
- Benefit broking of voluntary and core benefits, including non-insurance based and group risk benefits (we can even work with your existing brokers)
- Communication services, including copy, design, print production (scheme booklet, email campaign, online content, face-to-face presentations, fairs and meetings)
Corporate Vantage Online Benefit Solution, includes:
- An employee portal providing the ability to view and select benefits, manage pension and investments, access more information, update dependents, and utilise a range of educational material
- An employer portal offering access to employee details, an import facility for updating information, pre-defined and user defined management information reports alongside real-time statistics
- Pre-defined Payroll, HR and provider interfaces
- Helpdesk and administration services
- Salary Sacrifice compliance, including obtaining HMRC agreement for the revised arrangement
- Automatic enrolment compliance
- Holiday and absence tools
- Online payslips
- Project Management
Free Employer's Guide to Flexible Benefits
Discover flexible benefits, the potential tax savings and how they can be integrated with your workplace pension on one dynamic digital platform.
Have a question?
Call us on:
0117 314 1783


text:
Ben 10 Snow Biker
Ben Tennyson loves his bike. Whenever there are no alien causing some trouble for the world, he would go on a trip with his bike. However, that is when the sun is shining. In the winter, he takes his snow bike and would ride it all day until the sun goes down. Ride your bike to the end of the finish line. Try to collect all the items on the snowy road. Get on the finish line as fast as you can because there is a time limit for the game. Anyway, the faster you get to the finish, the more bonus you get.


text:
Meal Type
Featured Videos
Featured Content
Featured Brand Sites
Featured Brand Sites
Product By Category
Tools & Info
Cooking Tips
Healthy Living
Your Kids
Recipe Ideas
food&family Magazine
Tap or click steps to mark as complete
These are good for lunch dinner snacks and I make a large amount of these for parties. They go well at cookouts, weddings, showers, etc. I make large amounts in an electric oven or crock-pot and they stay well and warm for hours they go over as a real treat getting away from cold cuts and the usual things served at these affairs some friends have added green peppers chopped and a little hot sauce this also tastes good but my family likes the original better.
I put about 6 shakes from Worcestershire Sauce bottle in 6 rolls.


text:
Tips & Tools Weekly (Vol. 17, No. 17)14 May, 2012 By: Cadalyst Staff
This Week's Software Tips
All-in-One CAD Tips: Xrefs in AutoCAD, Map 3D Polylines and Training Kickstarts
Three great CAD tips in one! Learn best practices for AutoCAD xrefs, discover simple tricks with lines in Map 3D, and kick off a CAD training program that will make a difference for your whole team. View the video.
Do You Speak LISP?
When it comes to CAD code, Hot Tip Harry knows a good tip when he sees it! Use the "Submit Tip" button below to send us your LISP routines. If we publish your tip, you'll earn a $25 gift card you can use to purchase a T-shirt or other prizes in the Cadalyst Store.
Automatically Insert Standard Page Setups in Multiple Files
Frequent tipster Danny Korem shares a tip that will help you insert page setups from a template into multiple AutoCAD files in a few steps. "This is a great workaround," said Cadalyst Tip Reviewer Brian Benton. "Typically you either create a new file from your template, which has already been set up with page setups, or you insert them one file at a time." View the complete tip and post your feedback.
Set Units for Xrefs
Stephen Houghton talks about setting the units of an AutoCAD file when it is going to reference other files, and why it is important to do so. "I was having trouble attaching an xref into my drawing at the correct scale. When I checked the InsUnits system variable (it sets the units in the drawing) I found that they were correct, but the drawing would not insert correctly." View the complete tip and post your feedback.
Change Paper Space Background Color
James J. Olszewski, a CAD technician, shares some advice about AutoCAD's paper space display settings. "This is a problem that annoys me more as I age: not being able to see the items I have set outside my sheet layout." View the complete tip and post your feedback.
Angle Override in the Line Command
Tipster Ramakrishna Acharya shares a tip to help you draw lines at specific angles in AutoCAD. "You can use this shortcut value in the Line command to draw a line with a specified angle and length. This is very handy, and saves a bit of time." View the complete tip and post your feedback.
Review Cadalyst's Tip Submission Guidelines, then Submit Your Tip for your favorite CAD software. If we publish your tip, you'll earn a gift card you can use to purchase a T-shirt or other prizes in the Cadalyst Store. Please remember to submit only code and other tips that are your original work (or provide the original source so we can include proper credit) and to tell us which software version you use.
By submitting code, you grant Cadalyst the right to print and distribute your code in print, digitally, and by other means. Cadalyst and individual authors retain all rights to the code; published code is not to be used for commercial purposes.
Got Feedback? To share feedback about one of today's tips, navigate to the tip using the link provided above, then click Comment. The Comment tool is available to registered users of Cadalyst'sCAD Tips site.
Tips & Tools Weekly software tips for AutoCAD are reviewed in the latest version of AutoCAD by Contributing Editor Brian Benton. Use all tips at your own discretion, please. We're sorry, but Cadalyst staff cannot provide assistance with technical problems. Please refer to Cadalyst's LinkedIn and Facebook communities for assistance with AutoLISP and other AutoCAD customization questions.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLM Whitepaper Addresses Application Migration, Integration
CIMdata, a PLM (product lifecycle management) management consulting and research firm, has published a free, downloadable whitepaper about the use of the eQube-MI solution to facilitate application data migration and integration in PLM environments. This paper explains the pressures that motivate the use of data migration and application integration; their value and future; and how one company is developing data migration solutions for the PLM market.
New Web Site Offers Free CAD Blocks
CAD outsourcing company CAD-man-do Design & Drafting Solutions has launched CADBlocksfree, a new web site that offers a variety of free, downloadable CAD blocks. Large thumbnail views allow users to see the content before downloading blocks. In addition, the site sells some collections of CAD blocks.
ArchiCAD Whitepaper Surveys Six Firms' Experience with BIM
CAD software developer Graphisoft has released a new downloadable whitepaper, "Get There Faster with ArchiCAD," in which six designers share their experiences with the ArchiCAD BIM (building information modeling) solution. The paper explains how ArchiCAD BIM software provides real-time collaboration and can help firms remain flexible and competitive.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deals & Freebies
CAD Schroer Offers 3D Plant Design Software Free to Universities
Engineering solutions provider CAD Schroer is offering free licenses of its MPDS4 plant design system to engineering students, researchers, and lecturers at universities, research institutes, and technical colleges. The MPDS4 3D plant design software can be used for research projects, or as part of the curriculum. The free licenses provide the full functionality available in the commercial version.
Autodesk 123D Catch for 3D Model Creation App Released for iPad
Autodesk's 123D Catch is now available for iPad on the App Store. This free app lets users upload images from an iPad camera to the Autodesk cloud service, which transforms the images into a 3D model. Autodesk also introduced a new feature for 123D products called My Corner, which provides cloud storage for all 123D design projects while connecting 123D product workflows.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mark Your Calendar
Data Management, Visualization, and Knowledge Discovery for Advanced Infrastructure Systems — the Civil Engineering Perspective
May 15, 2012
10 a.m. CT
During this live Fiatech webinar, Lucio Soibelman, professor and chair, University of Southern California, will introduce the results obtained from several studies developed by his research group, including a study that developed methods for integrating unstructured text documents and pictures in AEC model-based systems. Read more
Creating Sustainable Sites Using CAD
June 7, 2012
2 p.m. ET
This Nemetschek Vectorworks webinar will address the "Areas of Focus," such as soils, hydrology, vegetation, materials, and human well-being, as proposed in the latest Sustainable Sites Initiative Guidelines and Performance Benchmarks. Read more
Open BIM – Real Interoperability, Practical Collaboration
June 14, 2012
2 p.m. ET
This webinar from Nemetschek Vectorworks will address Open BIM — the use of internationally recognized open standards to exchange building information. These open standards include the use of Industry Foundation Classes (IFC) for building geometry and data. Read more
RTC 2012 North America
June 28–30, 2012
Stone Mountain, Georgia
The second annual Revit Technology Conference (RTC) North America will feature hands-on lab sessions, networking events, and an exhibition displaying products, content, and services from a range of vendors. Read more
For a complete list of CAD meetings, conferences, training sessions, and more, check out our calendar of events on Cadalyst.com. Are you hosting an event that you would like to include in our calendar? Submit details at least two weeks in advance to firstname.lastname@example.com.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
What's New at Cadalyst.com
CADspeed Blog Post:
Use of Point Clouds for Revit Modeling
Here at CADspeed, we've touted the need for CAD hardware that will get the job done. We are equally intrigued by the growing use of building information modeling (BIM) in our industry, which requires even more hardware capacity and usage power than standard CAD programs. Read more
Femap Tips and Tricks: Use Femap's Meshing Toolbox to Extend and Inspect Meshes
Learn how to merge surfaces that don't meet up, and locate problematic geometry entities. Read more
The World of AutoCAD Programming Platforms, Part 2
VBA, Visual Studio.NET, and AutoLISP each offer unique benefits and drawbacks for customizing AutoCAD. Read more
CAD Manager's Toolbox: Enhance User Communication During Upgrades
Reaching out to users can make them feel more positive about new CAD software — and a free lunch helps, too. Read more
Build a CAD Proving Ground
The best way to test new software is to have skilled "test pilots" put the product through its paces before deploying it to all users. Read more
About the Author: Cadalyst Staff
AutoCAD Tips!
In her easy-to-follow, friendly style, long-time Cadalyst contributing editor Lynn Allen guides you through a new feature or time-saving trick in every episode of her popular AutoCAD Video Tips. Subscribe to the free Cadalyst Video Picks newsletter, and we'll notify you every time a new video tip is published. All exclusively from Cadalyst!


text:
William Roy, a Democratic member of Congress from 1971 to 1975 who ran twice to represent Kansas in the Senate, losing to Bob Dole and Nancy Kassebaum, died Monday. He was 88.
His death was confirmed by his son Bill Jr., who told The Topeka Capital-Journal that his father had recently had surgery at the Mayo Clinic in Rochester, Minn. Mr. Roy, who had been a columnist for The Capital-Journal, wrote in April about the procedure he was to undergo for congestive heart failure.
Mr. Roy served two terms in the House of Representatives before narrowly losing an election for the Senate against Mr. Dole, the Republican incumbent, in 1974. He ran for a Senate seat again in 1978 and was defeated by Ms. Kassebaum, a daughter of Alf Landon, a former Kansas governor and Republican presidential candidate. He was a delegate to the Democratic National Conventions in 1976 and 1984.
He was born on Feb. 23, 1926, and grew up on a farm in Central Illinois.
He earned his medical degree at Northwestern Medical School in Chicago and moved to Topeka in 1953. He later earned a law degree from Washburn University in Topeka.
Mr. Roy was a military physician at Forbes Air Force Base and practiced medicine in Topeka from 1955 until he retired in 1989. He took an interest in health care issues while in Congress.
He married Jane Twining Osterhoudt in 1947. They had six children and 10 grandchildren. She died in 2010.
Mr. Roy began writing columns for The Capital-Journal in 1989. "Bill Roy was one of the few liberal voices on our opinion page," Fred Johnson, The Capital-Journal's opinion page editor, said. "His background in medicine and law always led readers to respect his opinion, although they may not have agreed with his politics."


text:
- Jeo4500
- 5 years ago
- Wedding: May 2015
OH and I are having a very low key, intimate wedding but a few weeks after we are going to want a party to celebrate with everyone. Would it be okay to book a venue and say it's for a 'family occasion' rather than a wedding? I know it's a couple weeks after but it will be treated as a wedding reception type thing so the staff at the venue would probably catch on. I know that you are can be charged extra if you tell people it's for your wedding.
Anyone else done this? Anyone else done this on their acual wedding day?


text:
RESEARCH IN NURSING AND HEALTH, vol. 20, n° 5, 1997, pages 443-452, 21 réf., ISSN 0160-6891, USA
Case Western Reserve University. Cleveland OH. USA
The purpose of the study was to compare job satisfaction, absenteeism, and turnover between nurses working in a nurse-managed special care unit (SCU) and those working in traditional intensive care units (ICU).
A case management practice model with a shared governance management model and minimal technology was implemented in the SCU while contrasting features of a primary nursing practice model with a bureaucratic management model and high technology already in place in the traditional ICU.
Individual nurses'perceptions of and their preferences for the SCU practice model also were examined related to job satisfaction.
Using analysis of covariance, greater satisfaction with a lower absenteeism rate was found in nurses working in the SCU.
Nurses'perceptions and preferences for the SCU practice model were closely related to their job satisfaction and growth satisfaction.
The findings suggest that individual perception and preference should be taken into account before implementing autonomy, authority, and responsibility at the organizational level to lead to the desired nurse outcomes in a given working environment.
Mots-clés BDSP : Infirmier, Profession santé, Homme, Absentéisme, Organisation travail, Personnel hospitalier
Mots-clés Pascal : Unité soin intensif, Infirmier, Personnel sanitaire, Homme, Satisfaction professionnelle, Absentéisme, Turnover, Organisation travail, Perception sociale, Préférence, Milieu hospitalier
Mots-clés Pascal anglais : Intensive care unit, Nurse, Health staff, Human, Job satisfaction, Absenteeism, Turnover, Job engineering, Social perception, Preference, Hospital environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0513802
Code Inist : 002B27B14C. Création : 13/02/1998.