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As Way Opens
I am very excited that we will be offering a small group program this fall to engage us in our spiritual reflection and development. We will be studying the book The Cup of Our Life and I have been reading the book this past week in preparation for this (you all will hear a lot more about this in the next few weeks). I was drawn to the chapter that speaks about our readiness to receive in our cup of life. Lao-Tsu says "Clay is molded into vessels, and because of the space where there is nothing, you can carry water. Space is carved out from a wall, and because of the place where there is nothing, you can receive light. Be empty, and you will remain full." I have been reflecting on the need to empty my life of the busyness and shuffling that has taken control. I need to empty my cup so I can become full of God's spirit. These thoughts have been whispering in my head and heart and then I heard Bob's message this past Sunday and it knocked me to my knees. I need to empty my cup and get out of my boat of fear and step into the water and trust Jesus.
During our Western Yearly Meeting annual session we had a workshop on Alternatives to Violence. I partnered with another friend and we had to share with each other what our impression was of our fears. He shared with me that he had a sense that I was raised in financial security and that I was afraid of risk because I wanted to be secure. Wow - I have been processing this impression for the last few weeks. Have I been afraid of really following God's call because I seek security? Have I avoided the risk of a radical faith because I want financial security? Have I played everything safe for me because I am not willing to risk and trust Jesus to get out of the boat and really follow him?
And then I started thinking about my beloved Jerry and how brave he was during our 27 years of marriage. He stepped into God's call when it was difficult. He was fearless in standing against the war on Iraq after 9-11 even when he faced opposition in his own faith community. He always supported equality, peace, community, integrity and stood with those in the margins of our society. He gave his money, time, energy, and effort in supporting these causes throughout our life together.
At times, I have been afraid to stand in God's truth when it has been difficult. I have taken a stance of silence in times where I probably should have been vocal. I have not shared my voice enough in proclaiming our Quaker testimonies. I have been rattled this week as I reflect on my fears.
Dear friends - I am praying for courage to stand in the message of Jesus. I am praying that we can make a difference in our communities. I am praying that our fear of our future will not paralyze us. We need Quakers to stand up for peace and justice. Will you step into the water today?
Announcements, Reports, & Opportunities
Seasoned Friends ~ Join us for the Seasoned Friends luncheon and fellowship for all who are retired or of retirement age on Wednesday, August 23, at 11:30am. Lunch will consist of picnic food. Hamburgers and veggie burgers on the grill, potato salad, and more will be provided. Additional salads and desserts are welcome but not required. Afterward we will hear a presentation from David Frederick of First Friends and the Indiana Historic Landmarks Association on historic churches in Indiana. Please contact the office if you'll be able to join us. Hope to see you there!
Casseroles for the Henry family ~ During this time of great transition for the Henry family, it would be most appreciated if anyone could donate a casserole to the family. The desire would be for 1-2 casseroles to be delivered each week, for the next few weeks, until the Henrys have moved into their new house. Overflow can always be stowed in the freezer at the Meetinghouse, so exact dates don't need to be coordinated. We ask that the casseroles be delivered in disposable containers, so that the Henrys do not have to return dishes. Also, please avoid pineapple, as Bob is allergic. If you can bring a dish, please let the office know. Thank you!
The Thornburgs in Belize ~ The Thornburgs are nearing their goal for their Belize fundraiser! We at First Friends are honored to have the Thornburgs (Aaron, Michelle, Kwali, and Meshach), feeling led by God to go to Belize and help with the facility renovation and provide other assistance to the Friends school. The Thornburgs will need your financial assistance in order to make their Belize leading a reality. If you can, please donate to this cause and help the Thornburgs reach their goal!
Sunday School Kick-Off! Our Sunday School kick off will be on September 10th. We will start the morning with breakfast for everyone in fellowship hall at 8:30. We encourage everyone to come in their pajama's! Our classes will begin at 9:00 a.m. as follows:
PreK - 2nd grade in our large children's room
3rd - 5th grade in the far northeast room
6th - 12th grade in the basement
We will use a curriculum from Church of the Brethen Press called SHINE that will focus this fall On Being God's People
The following adult/multigenerational classes will be offered:
Christ and Quakers - Held in the parlor and led by Dan L. This class will explore various viewpoints on Christ from George Fox, John Woolman, Lucretia Mott, Rufus Jones, Elton Trueblood and others.
Seeking Friends - Bob Henry will lead the group through the Brian McLaren book, We Make the Road by Walking. This study will give us an overview of the Bible and guide the group through rich study, interactive learning, and personal growth. Each week will include reading scripture together, study time, and queries to ponder throughout the week.
Wired Word (in Coffee Circle classroom) - will be led by Harold M. to talk about current events from a spiritual perspective.
Choir - will be meeting in the old children's library. Anyone that has a heart for singing is welcome to join.
Nursery care will be available during Sunday School. Please mark your calendars!
Valley Mills Friends invites you to a Quaker Concert with Annie and Peter Blood Patterson Thursday, August 24 at 7pm. If you know the songbook "Rise Up Singing" that has been used at many fun Quaker sing-alongs, you might know of Annie Patterson and Peter Blood-Patterson who compiled it. They are released Friends who travel in Quaker circles bringing their ministry of community-building through singing together. Committed to fostering Hope, they are coming to Indiana in August. This is a fundraiser for Valley Mills Friends and the Blood-Pattersons' with a suggested donation at the door and opportunity to buy songbooks and CD's. The concert & singalong will take place in the meeting room of Valley Mills Friends, 6739 W Thompson Rd, Indianapolis, IN 46241. Refreshment to follow. For more information, see the flyer here: https://goo.gl/f814qw, or visit www.riseupandsing.org/events.
Oak Leaf: Meeting for Reading: The Husband's Secret by Liane Moriarty book discussion will be held Tuesday, August 29th at 7 pm in the Parlor. All are welcome! Ruth K. will be leading the group. If you're interested in reading ahead for next month, the September 26th title will be: My Beloved World by Sonia Sotomayor.
Indians Ball Game with Friends! Join First Friends on Sunday, August 27th at 1:30 PM to see the Indianapolis Indians! This is a time of fun for anyone to join in from First Friends and ticket costs will be free! Friends are encouraged to carpool with each other to save on parking, and we will all meet at the ballpark. It's also the last home game of the season and kids 14 and under eat free! We have 3 tickets left! Contact Beth Henricks if you're interested (email@example.com). Please RSVP as soon as possible—first come, first served!
IFCL New Brochure – Please take a look at IFCL's brochure here: https://goo.gl/ZTVZH4. This new brochure cites recent IFCL statistics and unsolicited quotations from legislators which encapsulate IFCL's vigorous, effective, and bipartisan influence in being a positive voice for our Friends' community at the Indiana Statehouse. All interested are always encouraged to follow IFCL's Twitter feed at @INQuakerPolicy. This is the portal through which an exponentially growing number of followers seek to learn of IFCL news, outlooks, and priorities. Starting with only 40 followers about a year ago, we now have over 2300 engaged citizens who find this type of social media to be a worthwhile part of their day. See how IFCL's faith-based, bipartisan advocacy elevates public discourse, and seeks to improve the lives of all Hoosiers. Please join with us to be informed and inspired by IFCL's Quakerly dynamism - and thank you for your ongoing support!
Beneath it all some children go bare.
Those kids need some underwear!
So go and shop because Quakers care.
Briefs and bras, undershirts and camisoles,
socks for the feet, new things without holes.
Underneath It All – First Friends ninth annual underwear drive has begun and goes on until August 31st! We are asking for donations of new underwear, as well as socks, t-shirts, bras, etc, from toddler to adult sizes! Cash or checks are also accepted and may be made out to First Friends and placed in offertory plates if labeled as donations to the Underwear Drive. Contact Linda L if you have questions.
SERVING THE LORD WITH GLADNESS - USFW Women's Fall Retreat ~ All women are invited to participate in the 46th Annual Fall Retreat of the Wester Yearly Meeting USFW and Indiana USFW, September 11-12th at Quaker Haven Camp (111 EMS D16C Lane, Syracuse, IN 46567). The theme this year is 'Serving the Lord with Gladness.' Ruthie Tippin will be the Keynote Speaker! Deadline for reservations is August 29th. Please contact Liz Nielander to make your reservations and requests: call 765-513-7439, e-mail email@example.com or write to 1503 S. Union, Kokomo, IN 46902. The cost is $70 and your check should be made out to WYM-USFW. This includes a night's lodging and 3 meals (please bring your own bedding and towels.) We hope to see you there!
Earth Care 101: Faith in Action ~ Every faith tradition recognizes the importance of caring for God's creation. If you would like to learn more about environmental action from a faith perspective, you may consider attending a 4-session workshop hosted by Indianapolis Green Congregations entitled "Earth Care 101: Faith in Action". This free workshop will be given on 4 consecutive Saturday mornings (September 16, 23, 30, and October 7) from 8:30 to 10:30 at St. Thomas Aquinas Catholic Church, 4600 N. Illinois Street, 46208. Attendance at all four sessions is encouraged, but each session stands alone. For more information and to register, send an email to firstname.lastname@example.com or call Alice Miley, 317-842-7901.
Did you know the Quakers helped the Japanese after WWII? All are invited to visit a small exhibit at the Bona Thompson Memorial Center in Indianapolis to commemorate the 75th anniversary of the signing of executive order 9066, which sent Japanese Americans into the internment camps. Around the country, and here in Indianapolis as well, Japanese families had to start their lives over. As it turns out, Quakers, who could see the injustice of this incarceration of innocent people, stepped in and helped many Japanese families restart their lives during this time. The exhibitor herself, Anne Moore, was part of a family that was helped by the Quakers. Come see her exhibit--running through October 1, 2017. More details can be found at http://www.discoverirvington.com/venue/bona-thompson-memorial-center/


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History and purpose: The peripheral cannabinoid receptor (CB2) is expressed on peripheral immune cells and it is considered to have a job in the immunosuppressive ramifications of cannabinoids. CB2-selective agonist in rodents and primates. (2001b) lately demonstrated that intracerebroventricular administration from the nonselective cannabinoid agonists HU210 or WIN55,212 to mice before an endotoxin problem attenuated proinflammatory cytokine creation and improved the degrees of the anti-inflammatory cytokine interleukin (IL)-10. Co-administration of the CB1-selective antagonist, SR141716A attenuated this response as the CB2-selective antagonist SR144528 was inadequate in obstructing the response. Direct measurements of CB1- and CB2-particular effects have already been hindered from the lack of isotype-selective agonists. Certainly, until the latest isolation of 2-AG ether from porcine mind, there have been no CB1-selective agonists. 2-AG ether was characterized as an agonist with 140-collapse selectivity for the CB1 vs CB2. Oddly enough, there's been even more success producing CB2-selective agonists. For instance, JWH-015 and JWH-133 are aminoalkylindole congeners of 9-THC that are fairly selective (28 to 200-collapse selectivity over CB1) and potent (for 5?min in 4C). Membranes in the supernatant had been pelleted by centrifugation at 100?000?for 30?min in 4C and resuspended in glyCgly buffer (20?mM glycylglycine, 1?mM MgCl2, 250?mM sucrose, pH 7.2) and stored in ?80C. Proteins determinations had been performed using the Bradford technique (Bradford, 1976). [35S]GTPS and [3H]CP55,940 membrane binding Binding reactions had been completed in 96-well microplates in your final level of 100?(1998) previously established that in accordance with complete agonists, the efficacy of incomplete agonists on the cannabinoid CB1 to stimulate [35S]GTP(2005) showed a cannabinoid CB2-particular agonist inhibited lipopolysaccharide/interferon-(IFN-data accommodating an immunomodulatory function for cannabinoid agonists, in latest clinical trials zero immunological deficits were noticed subsequent short-term dosing with plant cannabinoid agonists. Abrams DCC-2036 (2003) demonstrated that 9-THC acquired no significant influence on the amount of peripheral Compact disc4+ and Compact disc8+ cells, no influence on viral insert in sufferers using cannabis to regulate AIDS-related wasting symptoms. Furthermore, Katona (2005) discovered no influence on serum IFN-(2000, 2001a) BGLAP showed that cytokine legislation in mice challenged with endotoxin included the central CB1. Research in types of thioglycolate-induced or staphylococcus enterotoxin A-induced peritoneal irritation showed assignments for both CB1 and CB2 ligands in mediating irritation (Smith (2003) recommended the CB2 agonists could work on immune system cells proximal to the website of insult, obstructing mediator launch. Ibrahim (2005) demonstrated that the discomfort response was clogged by (2006) demonstrated that CB2-particular agonists reduce capsaicin-induced calcitonin gene-related peptide (CGRP) launch from ethnicities of spinal-cord microglia cells. This impact were mediated from the CB2, DCC-2036 as SR144528 induced a rightward change from the agonist doseCresponse curve. Furthermore, research in CB1-depleted mice eliminated a job for the central CB1. These research support a potential part for CB2-particular agonists like a book new course of medication for the induction of treatment without psychoactive results (Malan em et al /em ., 2003). To conclude, the benzoquinolizinone substance "type":"entrez-protein","attrs":"text message":"Sch35966″,"term_id":"1052886696″Sch35966 is definitely a book agonist in the CB2. "type":"entrez-protein","attrs":"text message":"Sch35966″,"term_id":"1052886696″Sch35966 potently activates CB2 from both primates (human being and cynomolgus monkey) and rodents (rat and mouse) with 450-collapse selectivity vs the CB1. In every species analyzed, "type":"entrez-protein","attrs":"text message":"Sch35966″,"term_id":"1052886696″Sch35966 was stronger and selective than JWH-015 (a popular CB2-selective agonist). Acknowledgments We acknowledge the useful conversations with Drs Dan Lundell, Lorreta Bober, Jay Good, Massimiliano Beltramo and John Hunter through the preparation of the manuscript. Abbreviations 2-AG2-arachidonyl glycerolCB1central cannabinoid DCC-2036 receptorCB2peripheral cannabinoid receptorCHOChinese hamster ovaryFBSfetal bovin serum9-THC9-tetrahydrocannabinol Records Conflict appealing The writers are or had been employees from the Schering-Plough Study Institute..
The emergence of the carbapenemases in and other Gram-negative bacteria usually
The emergence of the carbapenemases in and other Gram-negative bacteria usually on the background of multidrug resistance has resulted in challenging therapeutic choices. look like vunerable to anti-pseudomonal carbapenems by regular testing [4]. Level of resistance to ertapenem could be a APAF-3 more delicate (albeit less particular) indicator from the feasible existence of KPC than level of resistance to additional carbapenems. Due to the insensitivity of current breakpoints in discovering the current presence of KPC it's advocated that isolates of with a minor inhibitory focus (MIC) of at least 1 μg/mL to imipenem meropenem or doripenem go through further tests designed to identify the current presence of carbapenemases including KPC [4-6]. The need for detection level of resistance in these microorganisms can be evidenced by the fact that the use of imipenem or meropenem in patients with infections due to KPC-producing that appear to be susceptible to these carbapenems is associated with frequent therapeutic failure DCC-2036 [7]. KPCs are often accompanied by additional β-lactamases within individual isolates [4]. A survey of 42 KPC-producing isolates in the Eastern US found that each isolate carried a mean of 3.5 β-lactamases [4]; one KPC-producing isolate has been reported to contain seven extended spectrum β-lactamases [8]. isolates producing both KPC-2 and VIM-1 enzymes (the latter of which are class B metallo-carbapenemases) have been detected in Greece [9]. Recent advances KPC-producing bacteria are often resistant to a broad range of antibiotics beyond the β-lactams. In fact the plasmids that carry the KPC gene may also contain genes encoding aminoglycoside-modifying enzymes and some have also been reported to encode QnrA and QnrB resulting in reduced susceptibility to DCC-2036 fluoroquinolones [4 10 An evaluation of 104 carbapenemase-producing Enterobacteriaceae 70 of which produced KPC-2 or KPC-3 found that the most active agent tested was tigecycline to which all isolates were susceptible [11]. Among antibiotics other than β-lactams that were tested tigecycline was followed (in decreasing order of susceptibility) by polymyxin B (88% susceptible) amikacin (73.0%) gentamicin (50.0%) tetracycline (35.6%) and ciprofloxacin (32.1%). A similar evaluation of 96 carbapenemase-resistant from 10 Brooklyn hospitals (82% of a single ribotype) also found that all were susceptible DCC-2036 to tigecycline [12]. Ninety-one percent were considered susceptible to polymyxin B 66 to doxycycline 61 to gentamicin 45 to amikacin and 2-7% to chloramphenicol rifampin tobramycin and ciprofloxacin. Time-kill studies found that tigecycline was bacteriostatic whereas gentamicin and polymyxin B were bactericidal. Killing by polymyxin B was concentration-dependent. Most published experience of treatment of infection due to KPC-producing organisms is with tigecycline a polymyxin (polymyxin B or colistin) or their combination with variable reported outcomes. Monotherapy however may be associated with persistent infection and the emergence of antibiotic resistance. Recurrence of an empyema due to a KPC-producing during treatment with tigecycline was associated with an increase in MIC from 0.75 to 2.0 DCC-2036 μg/mL [13]. Elemam and colleagues [14] recently reported two patients with infections due to isolates resistant to all antibiotics tested including tigecycline and polymyxin B with both isolates having created progressive raises in the MIC to polymyxin B during treatment with this antibiotic. Likewise of 16 individuals with infection because of carbapenemase-resistant holding a KPC gene who got persistently positive ethnicities 12 had been treated with polymyxin B only whereas 4 received this polypeptide antibiotic in conjunction with tigecycline for at least some of their therapy [15]. Bloodstream ethnicities though initially positive in mere 12 yielded the organism in every 16 subsequently. Marked raises in the polymyxin B MIC had been seen in 3 from the 12 considering that antibiotic only and in 0 of 4 who also received tigecycline. The introduction of level of resistance during therapy could be because of the existence of heteroresistant subpopulations a trend noticed with colistin DCC-2036 (polymyxin E) in 15 of 16 multidrug-resistant isolates regarded as vunerable to colistin by MIC tests a result in line with the high mutant prevention concentration/MIC ratios observed [16]..

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What is shock? If someone ever tells you it is "low blood pressure" . . . you need to correct them. This podcast provides a brief overview of three types of shock, their cause, and clinical signs. You can download a free PDF with graphs and charts that covers the different kinds of shock at NRSNG.com/Shock.
What clinical signs will you see with septic shock, how do they differ from those you will see with hypovolemic and cardiogenic? Why will the patient have a high temp with septic shock and a low temp with hypovolemic?
Podcast Transcription
|Welcome to the NRSNG.com podcast, the podcast created by nurses for nurses. Are you ready to take your learning to the next level? Sit back and crank up the volume. Here's your host, Jon Haws.
|This is Jon with NRSNG.com. Today, we're going to do just an incredibly brief overview of shock, what shock is, and some of the main types of shock and what is affected in that type of shock and what exactly is going wrong with the system in order to cause that type of shock. We have a 3-page handout with this with some diagrams and some graphs and things and that's available at NRSNG.com/shock. That's NRSNG.com/shock. You can get the PDF download. It's free to use, free to distribute, whatever you want to do with it, but it will basically outline what we talked about here with some different graphs and diagrams and everything.
|Again, this is going to be just a very brief overview just to give you a quick understanding of what shock is. First of all, to understand what shock is, we need to understand what the main goal of the cardiopulmonary system is. The whole entire goal of the heart and lungs is essentially to deliver oxygen to the body, to the tissues to make sure that they're receiving the oxygen they need to carry out their metabolic processes. Our heart pumps blood to the lungs where that blood receives oxygen and gets rid of CO2 and then it goes back to the heart and from there, the heart pumps that blood throughout the body. The whole goal of that is to oxygenate the body.
|Now shock is a state of the vital organs not receiving enough oxygen. Shock is not low blood pressure. If someone teaches you that shock is low blood pressure, something you need to … Just give them a kind correction and tell them that shock is actually a state of the body not receiving … The vital organs not receiving the oxygen that they need. There's 3 types of shock that we're going to discuss briefly today and that's going to be hypovolemic, cardiogenic, and septic. There's other types of shock but we're going to talk about those 3, hypovolemic, cardiogenic, and septic.
|Essentially with hypovolemic shock, what we're dealing with is low volume. Some sort of insult has happened to the body to cause a low volume state within the body. With cardiogenic shock, we're dealing with a broken pump. Essentially the heart is not functioning as it should and that pump is broken and so we're not getting that oxygen distributed the way we should. With septic shock, we're dealing with an immune response that interferes with vascular tone. Some sort of infectious process or something happens within the body that causes this immune response that is so severe that it interferes with the vascular tone within the body.
|First of all, we need to understand the oxygen delivery system and to understand that, it'll help if you go and download this diagram that I have illustrated up there at the NRSNG.com/shock. Basically what we have is in the center of it all, we have the heart. From the heart, blood goes out from the heart to the non-vital organs and to the vital organs. Then from there, it goes back into the system and in our reserve, our vessels, and back into the heart. Blood comes from the heart, the vital organs, and to the non-vital organs. Then from there, it's collected back and returns to the heart.
|With each type of shock, something different is affected that alters our oxygen delivery system. As we talked about with hypovolemic shock that the term itself tells you what's going on. It's hypovolemic state. The initial insult is low blood volume. For whatever reason, injury, gunshot wound, whatever, hemorrhage after surgery, something like that, we have a low blood volume state within our body. Those vessels leading to the heart have less blood volume in there. What's going to happen with that is we're going to have a decreased preload or essentially a decreased CVP.
|Since there's less blood returning to the heart, they were also going to have a decreased cardiac output. There's less blood coming back to the heart and because of that, less blood is going to be able to go out to the heart. To compensate for that, what we have is we have an increased heart rate and our blood pressure is going to be a little bit decreased as well because of that decreased cardiac output, so heart rate's going to go up to try to compensate for that. Then our systemic vascular resistance so the vessels on the other side of the heart, as the blood's coming out, are going to squeeze to try to compensate for that low volume.
|Then what's going to also happen is blood is going to be shunted away from our non-vital organs to help profuse our vital organs. What that means is, so one of our non-vital organs for example is going to be our skin. What's going to happen is blood is going to be shunted away from those non-vital organs to help profuse the vital organs. For that reason with hypovolemic shock, you're going to see a decreased temp and you're going to see that decreased preload, increased systemic vascular resistance, the increased heart rate, decreased cardiac output, and decreased blood pressure.
|There are several stages of hypovolemic shock and we rate this in classes, class 1 through 4, and that is all determined on the amount of blood loss. If you have an estimated blood loss of between 500 to 750 mLs, then that's class 1. 750 to 1,500 is class 2. Class 3 is 1,500 to 2,000 mLs of blood loss. Then in class 4, hypovolemic shock is going to be anything greater than 2,000 mLs of blood loss. That's how you can do that. 500 to 750, 750 to 1,500, 1,500 to 2,000, and over 2,000 is class 4. That's the basics of hypovolemic shock.
|Now with cardiogenic shock, the initial insult is a bit different. With cardiogenic shock, what's happening is the failure of our pump. Our heart has failed. The initial insult is a decreased cardiac output. That pump isn't working anymore, it's not pushing blood forward so what's going to happen is we're going to actually have an increased preload as opposed to our decreased preload in our hypovolemic shock. Because our pump isn't working appropriately, we're going to have that increased preload. We're going to have a backing up of our blood.
|Again because we're having a decreased cardiac output, we're going to see that increased systemic vascular resistance like we did in hypovolemic shock, decreased blood pressure, and increased heart rate. Again with the cardiogenic shock, you're going to see blood shunting away from those vital organs and you're going to see that decreased temp again as well. With cardiogenic shock, just the pump's broken. It's not pushing blood forward, so initial insult is our decreased cardiac output and because of that, we're going to have our increased preload.
|With septic shock, it's a little bit different here with septic shock. What happens with septic shock is we have this massive immune response, this inflammatory response throughout our body and that initiates a system vasodilation and so the cytokines and everything, they go and attack these vessels and it caused this vasodilation and so because of that, what's going to happen is … Basically, what's the initial insult here is this inflammatory, this immune response is going to go and affect these vessels, these arteries, and it's going to cause this dramatic vasodilation and because of that, you're going to see a decreased systemic vascular resistance. That is our initial insult with septic shock is this immune response that causes this dramatic vasodilation which leads to our decreased systemic vascular resistance.
|What's happening here is the vessels on the output side of the heart are vasodilated so dramatically that it decreases our systemic vascular resistance. What that's going to do is it's going to cause our heart rate and our output to try to increase, to try to make up for this so we're going to see this early on, we're going to see this increased cardiac output. We're going to see this increased heart rate. We're also going to see the decreased blood pressure though because of that massive vasodilation.
|Then we also have this failure of the vessels in the heart to know where to shunt blood so the blood's actually going to go to our non-vital organs and because blood shunts away from our vital organs into our non-vital organs, this is why with septic shock, you're going to see increased temperatures that's pushing blood into these non-vital organs inappropriately. For that reason, you'll see temps of 104, 105 with the septic patients. They're going to septic shock and because of this vasodilation, you're actually going to see this decreased preload again.
|We have this vasodilation with septic shock when we have blood shunting to our non-vital organs, so because blood's going to the skin and things like that, we're going to see that increased temp. Because we have this massive vasodilation coming out of the heart, we're going to see a decreased preload, a decreased amount of blood going back into the heart. Our heart's going to try to compensate with the increase in cardiac output and heart rate. We're also going to see that decreased blood pressure again. That's what septic shock is.
|That's the basic overview of hypovolemic, cardiogenic, and septic shock. Very basic overview. The important thing to remember is what the initial insult is which each of these 3 types of shock. We have a little graph, a little chart at the NRSNG.com/shock that outlines these hemodynamic parameters and what the initial insult is with these 3 types of shock. With hypovolemic, our initial insult is going to be that decreased preload, that decreased CVP, and that's going to lead to the changes there. With our cardiogenic shock, our initial insult is that broken pumps or it's going to be that decreased cardiac output. With septic shock, it's systemic vascular resistance is decreased dramatically because of extreme vasodilation.
|That's what's happening there. Then what's going to happen initially with septic shock is our tissues are going to be attempting to draw in extra oxygen and so our ScvO2 initially is going to be low and then as we progress on with septic shock, the tissues become less efficient at drawing oxygen out of the blood. Our ScvO2 then is going to increase with septic shock and our tissues are going to be drawing in oxygen as they need to. That's why ScvO2 is going to be monitored as well as CVP. It gives a physician idea of what's actually happening within the body and how the organs are using oxygen. If they're not effectively using oxygen, then a plan of cares need to change and things like that.
|All right. That's just a very basic overview of hypovolemic, cardiogenic, and septic shock. This is Jon with NRSNG.com. If you have any questions, please contact us at [email protected] We appreciate your honest, kind reviews on iTunes and Stitcher and if you have any questions, please contact us. Again, go to NRSNG.com/shock and that's going to help give you a basic overview of what shock is and these different 3 types of shock with this 3-page PDF download of graphs and charts. All right. We appreciate you listening and have a good day.
|Thank you for listening to the NRSNG.com podcast. Visit us at NRSNG.com for disclaimer information and to keep the learning going.
Date Published - Nov 1, 2014
Date Modified - Apr 18, 2019


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Dutch Oven Dinner
Yesterday J. found out he probably won't get the new job that he wanted, the news came on the heels of getting turned down for two other jobs. Needless to day he's feeling depressed right now and needed a little pick me up. I decided to make him a couple of his favorite comfort foods. We had fried chicken fingers (he doesn't like wings or thighs…) with ancho chili honey and skillet corn bread. I also threw in some steamed broccoli for a little something healthy.
We've made this chicken before and really love it. We've also adapted it and used the same spices and flavors for baked chicken. I'm not a huge fried chicken fan so I'm just as happy to bake chicken and not have to deal with getting rid of the oil. I would say that if you fry the chicken it's very important to pat the chicken dry before dredging so you get really crispy chicken skin.
Cornbread is a staple in our house and we use this recipe but bake it in our cast iron skillet. The temperature is the same but it bakes for about twice as long. Keep in mind we like our cornbread sweet and without any actual corn pieces in it.
What's your favorite comfort food recipe?
February 20, 2009 8:31 am
HM, I love butternut squash soup with a crusty piece of bread. I actually love pretty much any kind of soup with bread. Eggs and toast always makes me feel warm & happy too.
February 20, 2009 8:32 am
Oh yes, I forgot to state my regrets for J. not getting the job he wanted. So sorry.
February 21, 2009 4:26 pm
Cprnbread in a skillet! Woman after my own heart! I realize you have your staple recipe (not dissimilar to one I use) but just in case you want to rung a few changes, would you like a copy of my most recent book, The Cornbread Gospels?
My publisher has been kind about sending out review copies of the book if I ask nicely and not too often. Sometimes, what someone has to say on a cornbread-related subject tells me they'd enjoy the book. I think you would … plus, of course, a comfort food extraordinaire as you already know, and perhaps it would be a cheering note J looks for another job he wants (and you do the cheering-him-on thing; I have been in that role in the past and it's not the easiest)?
If you like one, I'd be pleased to set it up. Just e me your snailmail address, to email@example.com and I'll have them get on it. No review, positive or otherwise, necessary, required, or expected.
June 11, 2009 6:56 am
i like chicken..especially when it is cooked with dutch oven. Like your blog as well, pretty simple.


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The Associated Press
Monday, November 17, 2008
HANOI, Vietnam: The United States and Vietnam announced Monday they will work together to study climate change and seek ways to protect vulnerable river deltas.
The two nations will open an institute in Can Tho, the largest city in Vietnam's Mekong Delta, a densely populated, low-lying region with an extensive network of canals and rivers.
The center at Can Tho University will be used by scientists to share information and data that will help them understand the threats to the world's largest river deltas, said Gregory Smith, a scientist with the U.S. Department of the Interior.
With millions of people living along its long coast and across the Mekong Delta, Vietnam is considered one of the five countries most vulnerable to the potential effects of climate change, said Tran Thuc, director of the country's Institute of Meteorology, Hydrology and Environment.
"If the sea level rises one meter (three feet), the whole Mekong Delta will be submerged," Thuc said.
Smith told a joint news conference that the U.S. hopes to learn lessons that it could apply in the Mississippi River delta, where terrible floods were unleashed in the aftermath of Hurricane Katrina.
"Our interest first and foremost is to build a resilient Mississippi Delta," he said.
To achieve such goals, he said, scientists around the world need to gain a better understanding of how to manage a wide range of human activities in delta areas, including housing, fishing, levees, dams and energy resources.
Smith said the new center in the Mekong, to be called the Dragon Institute, will be the first of several around the world.
The 15,500-square mile (40,000-square kilometer) Mekong Delta region is home to 17.3 million people living in 13 provinces and cities. It produces 90 percent of Vietnam's rice exports and accounts for 60 percent of its fish and seafood exports, according to the United Nations Development Program.
Filed under: Environment | Tagged: climate change, United States, Vietnam |


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Heroines #3
- Publisher: Space Goat Productions
- Written By: Ted Naifeh
- Art By: Ted Naifeh
- Language: English
- Genre: Action/Adventure
- Date Released: March 14th, 2018
Reaching out via craigslist to anyone who wants to be a superhero might not be the best way to contact superheroes. You know who you contact? Nut-jobs. Lots of cuckoo-crackers nut-jobs with major personal issues. Marcy begins to realize that this may be what a superhero is. And she may not want to count herself as one of them.


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26 March 2015
From 31st March 2015 the Hoy bus timetable is changing
From 31st March, there will some changes to the bus timetable.
On Tuesdays, Wednesdays and Thursdays, there will no longer be a service leaving Longhope at 11.50 am to meet the 12.30 pm boat, however, this service will still be available on Mondays and Fridays.
There will no longer be a service on a Saturday.
Please CLICK HERE to access the new timetable


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Join us for a special evening of readings and hands-on letterpress printing activities in celebration of the release of Justin Hocking's new chapbook, entitled Gallery. The narrative of Gallery chronicles a troubled forestry professor as he traces a maze-like path in attempt to reunite with his estranged son. Celebrated writers Natalie Serber and Jay Ponteri will also read work based loosely on the theme "The Heart is a Labyrinth;" copies of Serber's new new novella-length memoir, Community Chest, will be available. This event is made possible in part by a generous grant from the Regional Arts and Culture Council, and via an event-space donation from the IPRC.
Back to All Events
Earlier Event: November 7Wordstock 2016
Later Event: December 1"Reclamation: Essays" Chapbook Release and Reading Event


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UnReal - A 4k MTB Film/
I don't typically repost this stuff, but everything from Teton gravity research and the crew at Anthill Films note worthy!
I don't typically repost this stuff, but everything from Teton gravity research and the crew at Anthill Films note worthy!
Yesterday as I rode from Lawrence Kansas towards my campsite at Melvern Resivoir, and about 15 miles away from my destination I realize there was a pretty gnarly storm approaching. There was no way I was going to make it, and I had no choice but to pull over and find either a safe place to camp, or ask one of the locals for help. This is where I met Bill Bailey & his family during my ride. He provided me shelter from a pretty wicked storm! Graciously he and his family allowed me to hang out, have dinner, and learn about Kansas life (they have a lot of "Storm Stories")!!!
Through our talks, I found out Bill was recently diagnosed with paralysis of the liver, and only has about 10% remaining at this point. We conversed, celebrated his Great Grandsons 1st birthday, ate cake and ice cream and talked about the recent clothing restrictions at the local high school with his grand daughter Katherine. He was inspired by my trip, but what he didn't realize was that in locating people like him, I'm inspired everyday to continue moving (slowly) across the country!
This blog category is reserved all deep thoughts and inner musings. Come here to find some destination nowhere zen.Read More


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"With technology advancing at a rate faster than most of us can cope, and with the added pressure of children nowadays being at the forefront of exposure to this advanced technological age with regard to the internet, mobile phones, laptops, computers and tablet devices, we believe that e-safety awareness and safe practice is of paramount importance.
While prevention is sometimes better than the cure as it is so often said, we understand and appreciate the need for children to learn of and embrace these technologies and as a result we equally understand the need to teach them to use it responsibly, ethically, wisely and to guide them on how to best prepare themselves to stay safe while online.
Of course, as with all things in life, the good always seems to be accompanied by the bad, and we therefore feel it is so important to help prepare children by showing them the options available to them if should they experience something they feel uncomfortable with while online in this digital age.
Please see below the links to our e-safety policy, safeguarding team and the page linking you to the Child Exploitation and Online Protection Centre.
Feel free to visit these pages; they are rich in content with useful guidelines and other extremely important general and legal information and procedures all parents and pupils should be aware of."
Important Organisations and Reporting a Problem
If you have any concerns about e-Safety then please do not hesitate to come in and speak to a member of our Safeguarding Team.
CEOP (Child Exploitation and Online Protection Centre):www.ceop.police.uk
The Child Exploitation and Online Protection Centre (CEOP) delivers a multi-agency service dedicated to tackling the abuse and exploitation of children in the 'real world' and the 'e-world';
ClickCEOP is accessible on Facebook - it launched in July 2010. By adding ClickCEOP to your Facebook account, young people and parents can get support on a range of issues such as viruses, hacking and dealing with bullying online. They can also report someone who is acting inappropriately: www.facebook.com/clickceop
Think U Know website: www.thinkuknow.co.uk
The Think U Know website is divided into 5 areas:
8-10 Cyber-Cafe (Key Stage 2 Resources)
11-16 (Key Stage 3 and 4 Resources)
Parents/Carers (Free resources and monthly emails for parents/carers)
There is also a suite of resources to support children with SEN including children with mild to severe learning difficulties, are blind or have a hearing impairment.
The VGT: www.virtualglobaltaskforce.com
CEOP works as part of the Virtual Global Taskforce (VGT) which is made up of law enforcement agencies from around the world such as Australia, Canada, Italy, America, etc;
Any reports of abuse made via CEOP's, or the VGT's, 'Report Abuse' button can be answered 24 hours a day, 7 days a week from around the globe. The report abuse button can be used to report inapporpriate or potentally illegal activity towards a child. It can be found on many websites;
If a child is in immediate danger, contact 999 for police assistance.
Please click on the links below for further information:
Internet Watch Foundation http://www.iwf.org.uk/
BeatBullying www.beatbullying.org
Childline www.childline.org.uk
Childnet www.childnet.com/resources/kia/
Kids and Media www.kidsandmedia.co.uk
Stone St. Mary's Church of England Primary School


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There are two ways to cancel your subscription:
Cancel in-app
1. In your LISTEN application, go to Menu > Accounts.
2. Click the LISTEN Plan button.
3. Cancel your subscription by clicking the Unsubscribe button.
Cancel by text
You can also unsubscribe from LISTEN by replying "OUT" to the text message you received from LISTEN when you first subscribed. You can also text "OUT" to 14259472431 to unsubscribe (for US customers).


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Tag: laser distance meter
NEW BD16 distance meter – measurement of distances, surfaces, volumes using lasers
The easy-to-handle precision tool for the passionate do-it-yourselfer who wants to comfortably and quickly determine the exact dimensions of distances, surfaces and volumes at the press of a button even in hard-to-reach places – the new BD16 distance meter. They profit from flawless results and optimally calculate the required materials like paint, parquet or tiles.
NEW Disto™ D2 laser distance measuring device – with Bluetooth smart technology
The Bluetooth smart interface is the ideal shortcut for architects and planners: Transfer your measurement data directly to your smartphone or tablet from our new Disto™ D2 professional laser distance measuring device and provide ground plans and sketches with precise measurements right away. With this function and others of high interest, the compact Disto™ D2 offers the perfect solution for professional operators such as estate agents, kitchen designers and tilers.
NEW BD21 laser distance meter – with 90° tilt sensor!
Introducing a laser measuring device much loved by professional handymen. With the robust BD21 laser distance meter, you are just as well equipped indoors as on the construction site. You can easily measure distances, areas and volumes, including indirect measurements around obstacles in a matter of seconds. Our new laser distance meter not only puts an end to fiddling around with a measuring stick, pen and paper, but it also renders the conventional spirit level unnecessary!
New BD26 distance meter – finally available!
"Super precise and super easy to handle!" is the – highly valued – verdict of those architects and planners who were already able to get their hands on our new laser distance meter over the past few weeks and test them on a trial basis. The compact measuring device is now finally available and will also ensure a huge reduction in work load for the construction experts who order the BD26 with 90° tilt sensor for laser distance measurements now.
NEW BD26 Distance meter – 90° tilt sensor for laser distance measurements
Architects and planners are quite right to trust the professional laser precision from Trotec. With our new handy and robust laser distance meters such as the new BD26, you can measure every nook and cranny quickly and easily at the touch of a button. Furthermore, the BD26 is equipped with an extensive range of functions which reduce complicated calculations – and it is very ease to operate, just like all of our models.
Summer Renovations – The Extended Trotec Series 1/4
Before the summer finally sets in, we still have two or three weeks to complete any refurbishment work and get our houses and apartments into shipshape.
That's why, as part of out big four-part aeries, Trotec is showing you how to refurbish your home anew and get things set up nice and comfortably. This is worth doing this so that, regardless of whether you'll soon be travelling away on holiday or spending your time off on staycation, a more beautiful home will await you.
NEW! BD20 distance meter – including area calculation
Any professional or handyman who is still using a metre stick or measuring tape can save themselves a whole lot of unnecessary work. That's because starting this week, our innovative distance meter BD20 is finally available to order – and with it whole new dimensions open up. Within seconds this laser device determines exact distances and calculates areas and volumes…
New! BD25 Laser Distance Meter – Laser precision up to 100 metres
Whatever happened to the days, when you had to waste your time under tables or in the most difficult corners with a yardstick and a ruler? They are over! Well and truly over! This is what all those people, who remember having sore knees and fumbling around with a ruler in their left hand and a pen and paper in their right hand, will say now – thanks to the ultimate BD25 Laser Distance Meter and its ability to measure with laser-precision in just a matter of seconds.
Here's how it works
As each function and setting has its own button, the Laser Distance meter is really easy to use. For example, at a touch of a button you can determine distances up to 100 metres or calculate areas and volumes – even in places hard to reach. Read More
Trotec distance measuring is our special offer
Measuring with a yardstick was yesterday. Forget about folding or rolling in and out a measuring tape circumstantially. With the Laser Distance Meters BD10 and BD15 of the MultiMeasure Basic series you can measure even in the smallest and closely corners and niches quickly and accurately. From now on we provide you both devices for a special offer. Get it now!
With the Laser Distance Meters BD10 and BD15 even the smallest errors in measurement belong to the past. You determine accurately the distance between two points. You can even calculate how many tiles you will need for the floor in your living room or how much wallpaper you need to buy for the wall in the children's room. Read More


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Airborne ABF, +0.66% is rallying $2.32, or 14 percent, to $19.01 after it confirmed discussion with DHL Worldwide regarding the potential sale of its ground operations for an undisclosed cash premium to its current share price. The stock is currently the leading percentage gainer on the NYSE, and is trading at the highest price seen since late June.
Airborne jumps on confirmation of asset sale talks
Quote References
+15.00 +0.66%


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The market may have slowed, but CNN reports that one aspect of home sales is up -- new builds.
A recent government report showed that new home construction surged to its highest level in four months this August. That equated to an average increase of 10.5%!
Could this be a step in the right direction?
By sector, the market saw an up-tick in single-family new builds of 4.3% and a staggering increase in the start of multi-family homes of 5 or more units of 43%. This makes some sense given the number of American's forced to consider renting as an option post-recession and landlords of all sizes looking to capitalize on this fact.
However, even though new construction permits were also up in August (by 1.8%), they are down 6.7% from last year. These numbers show the national housing market has not yet fully recovered. As noted in our post on September 8th (In various report, Buffalo continues to rank as top housing market), Western New York has avoided that troubles inflicted upon so many elsewhere. We should continue to count ourselves as lucky.


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Hello, it's Jo here with my Be Inspired challenge for the month of August and it's a colour theme challenge. I have chosen versatile summer colours; red, yellow and two tones of blue, I've added in black for a nice solid neutral and bent the rules ever so slightly with the addition of book print. Yes, I know it's not technically a colour, but I am rather partial to using printed text in my layouts, whether that's on printed patterned paper, word strips or even typed journaling.
And this is my layout inspired by my colour palette…
I chose the Simple Stories collection 'Summer Days' for my layout and a beach photo from our half term holiday in Cornwall. You can see the tones of blue and the book print on the main piece of patterned paper, definitely a favourite of mine for this summer! The embellishment clusters contain pops of red and yellow with more of those lovely blues and the black comes in the form of my title. For added texture and dimension I stitched around the layout, cut extra matching clouds and hand stitched around the edges before mounted them on foam pads over the top of existing clouds. Two chunkier chipboard pieces; the camera and the sun are tucked over clouds and three red puffy hearts from Bella Boulevard form a visual triangle to draw the eye into the photo.
I'd love you to play along with the challenge. You can enter over on the GoGo Getaway Facebook group by posting a photo of your layout in the comment section under the August Be Inspired challenge post (pinned post at the top). The winner will receive £10 to spend in the Hey Little Magpie shop and even if you don't win your name will go into the Grand Prize Draw along with all other 2017 monthly challenge entrants for a free place at a GoGo Getaway in 2018!
Would you like more inspiration? Here's some more layouts from the design team…
Niki also has a process video of the above layout which you can watch over on her YouTube channel.
I can't wait to see what you come with!


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Night Moves (Kelly Reichardt, 2013)
Kelly Reichardt's Night Moves occupies the head space of its main characters to a suffocating degree. But there is one particular scene in the film, before the proverbial bang, that encapsulates a broader and more concerning cultural phenomenon: that of social indifference. The shot comes from inside a forest preserve cabin. The lush greenery and passing camping troops are seen through the cabin's window. Reichardt maintains the stationary shot, with a television occupying the top center portion of the screen, directly above the window. "The Price is Right" is the program of choice - the bright colors and heightened gestures bullying your eyes away from the dense forestry. A truck hauling a boat passes by. It arouses not the slightest acknowledgement from the cabin dwellers, who are deeply involved at the sight of a contestant spinning the show's big wheel. The boat and the three passengers inside the pick-up truck exist parallel to the site's campers: their intentions based on misguided fundamentalist teachings.
That shot is one of the rare occasions that Reichardt looks to, rather than looking through, her characters. Josh (Jesse Eisenberg) is the cerebral one, Dena (Dakota Fanning) backs the triad fiscally, and Harmon (Peter Sarsgaard) is the wild card. Collectively, they are eco-terrorists looking to blow up a dam in Oregon. Their goal? If people can't be coursed to use fewer resources, then they must be forced to do so. Reichardt makes deliberate efforts to keep the ideology her characters within itself - there are very few characters in the film that interact with the group. The few that do offer a remarkably rich context to Reichardt's striking compositions.
For example, there's the man who sells the boat to Dena and Josh. There are only fleeting shots of the man. Yet the critical moment of interaction comes from when Josh enters the man's home. Josh is seen seething at the man's opulent living, from his massive lawn to the extravagant living room. It's this lavish and commercial lifestyle that Josh is rejecting. Another example of Reichardt's complex subtext comes in the form of a fertilizer seller. With the group requiring more fertilizer to be used for their bomb, Dena is tasked with retrieving an ample order. The seller requires a social security card for such a large purchase. The strategy that Dena employs is a simple one: she highlights the size of the order and the subsequent profit of such a purchase. But to her surprise, the man doesn't budge. She anticipates greed from the salesman but is met with a fundamentally virtuous man looking to uphold the rules of his profession.
Night Moves is Reichardt's most accomplished visual study. In a film that so subtly explores the contradictions of an ecological movement through narrative, Reichardt is diligent about approaching it on a visual level as well. The film is loaded with sequences of commerce interfering with nature, from the aforementioned cabin sequence to a final mirror shot that yields the most cynical ending to a film in recent memory. Cumulatively, all of Reichardt's compositions build upon the history of the previous shot. Night Moves, unlike the her previous Meek's Cutoff, unfolds as if in constant motion and propelled by multifaceted social, economic, and political forces.
What becomes clear as the picture unfolds is that Reichardt does not advocate nor condemn the actions of her characters. Arguably, the film relents to a more traditional narrative - one of the criminal contending with the consequences of their actions. But even as the film explores that arc in its final act, it's not done in the typical fashion that one would expect. It's handled with a type of brutal honesty yet never does it allow external ideologies to shape the content that it cultivated throughout the picture. With Night Moves, Reichardt cements herself as one of the staunchest and gripping filmmakers working today.
Highly Recommended


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You'll read lots about some great benefits of trading currencies – but most merchants have a tendency to show advantages into disadvantages – on account of a lack of knowledge. The 2016 Federal Budget took a small step towards reversing inequities in the superannuation system related to its tax incentives however we stay locked in a flawed system, UTS Business School Professor of Finance Ron Bird says. Our goal is to offer useful news coverage for each a part of the Alt.Finance area including crowdfunding, P2P finance, on-line invoice funding and on-line seed funding.
Forex merchants are also all for political information that can have an impact on a country's currency. Although some of these companies may have excessive monetary publication rankings they require a time dedication of an expert dealer. Aside from the ebb and circulation of supply and demand, stock information has some bearing in stock costs. If you do not, then look it up on the net right now – or learn our earlier articles. Top Silicon Valley recruiter Marissa Senzaki has hired staff for Facebook, Google and Skype.
Most individuals are under the unsuitable impression that currency and finance information are the only things that interests any forex commerce, but political information is very important as well as they can provide you trace of the political movement of various nations and their the place their nation is headed.
They could be offered by Owner, ( ) or are for rent ( ). Or check your native newspapers. You can be a part of this style offered you show interest in getting updated with the latest money market information on a regular basis. To know which specific sector is doing nicely and is expected to keep up the expansion development over the subsequent few days or few months or which money market funds are potential, you may go to a news portal.
The monetary world is changing fast – goals to replicate these speedy adjustments throughout the Alt(ernative) Finance sector, giving everybody concerned on this thrilling and fast growing house a unique insight into the very latest developments by our information and analysis service.


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1 T vegetable oil
1 lb. Mecox Bay Dairy Pork Country Ribs
1 onion, chopped
1 carrot, chopped
1 stalk celery, chopped
1 roasted chicken, deboned & shredded
1 28-oz. can diced tomatoes
¾ cup ketchup
5 oz. steak sauce
½ cup cider vinegar
2 tablespoon Worcestershire sauce
1 tablespoon hot sauce
1 lemon, juiced
2 cubes chicken bouillon
⅓ tablespoon ground black pepper
1 cup frozen corn, thawed
1 cup frozen Fordhook lima beans, thawed
submitted by Cindy, Southampton, NY
Heat the oil in a skillet and brown the ribs on all sides. Transfer to a slow cooker.
Cook onion, carrot & celery in skillet for 5 minutes or until soft. Transfer to slow cooker.
Add chicken to the cooker.
In a large bowl, stir together the tomatoes, ketchup, steak sauce, vinegar, Worcestershire sauce, hot sauce, lemon juice, chicken bouillon and pepper. Pour into slow cooker.
Cover and cook on high setting for 6 hours. Remove ribs, discard bones and shred. Return meat to slow cooker and add corn and lima beans. Cover and continue cooking 2 more hours on high.
Serves: 6


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Single Family Detached
- 4 beds
- 3 baths
- $229,900 price
- 4075717 mls id
- Square Feet: 1,896 sqft
- Year Built: 1973
Spacious Updated Colonial On A Quiet Street!! Fireplace In Family Room With French Doors Leading To Large Deck!! Updates Include---Concrete Drive,Garage Floor,Sidewalk 2018,,,Roof 2015,,,Timbertech Premium Deck 2016,,,Stone Firepit And Patio 2016,,,Man Cave Basement With Leather Seating And Entertainment Area 2016,,,Furnace 2012,,,Corian Kitchen Countertops 2012,,,Kitchen Remodeled in 2015 With Brazilian Mesquite Wood Floors,,,Kitchen And Entry Storm Doors 2018,,,Both Full Baths And Half Bath Redone in 2019,,,Blown In Insulation In Attic 2017!! Home Ready To Move Right Into!! All Appliances Including Washer And Dryer Stay!! Dont Miss Out!! Wont Last!!
- Site Link
- Style Colonial
Related Listings
Single Family Detached
35 Pictures
Welcome Home to 111 Normandy Drive. 20+ years pride of ownership shines through with this meticulously maintained, move-in ready colonial nestled in the northeast corner of Brunswick on over 1/4 of an acre, with a private neighborhood pathway to Memorial Elementary School, convenient access to...
111 Normandy Drive Brunswick, OH
4 beds, 3 baths, $230,900
Listing Agent: Renee Bridges
Courtesy of: Coldwell Banker Schmidt Family of Companies
Courtesy of: CENTURY 21 DePiero & Associates, Inc.
Office Phone: +14408427010
Listing Agent: Chris DePiero
Updated: 2nd December, 2018 10:38 PM.
1905 Alcott Ln. Brunswick, OH


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After the Monday night adventures with voting and trying to run after, I was a bit cautious about it this morning. The IGP called for 45 minutes 6/2. I really wasn't sure how it would work out, but I had faith.
5 min walk, gradually picking up speed.
4 x R6 W2
a couple more minutes walk to get back to the car, then a few minutes of stretching.
Total 40 minutes
The runs started slow. It felt like someone had taped a weight on the back of my leg just above the knee. But all went well as I gradually increased speed. My thought was to run at what my legs felt comfortable with, which soon worked out to a heart rate in the mid 120's. I went from 8th Ave north along Nose Creek Path to the Golf Dome and back.
I paid a lot of attention to how my legs felt, thinking about where I was carrying tension and trying to get rid of it. Thinking about balance and keeping stride even and light. For a while I tried the breathe in through the nose and out through the mouth, but that felt stupid so I stopped.
Afterward, my legs felt sort of weird. There was a simultaneous "what, are we done already?" and "That was ok but we're glad it's done." I sort of suspect I could have gone further, but I'd really rather not find out the hard way. The last couple weekends I've pushed the running beyond what was called for the in the IGP, and that might be why they're feeling somewhere between tired and sore. So I'll dial the runs back and behave myself.


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- Humanities
- Social Sciences
- African Studies
- American Studies
- Anthropology
- Archaeology
- Asian Studies
- Communication Sciences
- Economics
- Ethnic Studies
- European Studies
- Gender Studies
- Physical Sciences
- Life Sciences
- Animal Communications
- Biochemistry
- Bioinformatics
- Biology
- Biophysics
- Cell Biology
- Chronobiology
- Cryobiology
- Ecology
- Endocrinology
- Entomology
- Epidemiology
- Ethnobotany
- Evolutionary Biology
- Food Science and Technology
- Genetics
- Human Anatomy
- Healthcare
- Professions
Human Anatomy
Human Anatomy
Generally, physicians, dentists, physiotherapists, nurses, paramedics, radiographers, and students of certain biological sciences, learn gross anatomy and microscopic anatomy from anatomical models, skeletons, textbooks, diagrams, photographs, lectures, and tutorials. The study of microscopic anatomy (or histology) can be aided by practical experience examining histological preparations (or slides) under a microscope; and in addition, medical and dental students generally also learn anatomy with practical experience of dissection and inspection of cadavers (dead human bodies). A thorough working knowledge of anatomy is required for all medical doctors, especially surgeons, and doctors working in some diagnostic specialities, such as histopathology and radiology.
Human anatomy, physiology, and biochemistry are basic medical sciences, which are generally taught to medical students in their first year at medical school. Human anatomy can be taught regionally or systemically; that is, respectively, studying anatomy by bodily regions such as the head and chest, or studying by specific systems, such as the nervous or respiratory systems. The major anatomy textbook, Gray's Anatomy, has recently been reorganized from a systems format to a regional format, in line with modern teaching.
Anatomy in arts
Gross anatomy has become a key part of visual arts. Basic concepts of how muscles and bones function and deform with movement is key to drawing, painting or animating a human figure. Many books such as "Human Anatomy for Artists: The Elements of Form", are written as a guide to drawing the human body anatomically correctly. Leonardo da Vinci sought to improve his art through a better understanding of human anatomy. In the process he advanced both human anatomy and its representation in art.
Regional groups
- Head and neck – includes everything above the thoracic inlet.
- Upper limb – includes the hand, wrist, forearm, elbow, arm, and shoulder.
- Thorax – the region of the chest from the thoracic inlet to the thoracic diaphragm.
- Human abdomen to the pelvic brim or to the pelvic inlet.
- The back – the spine and its components, the vertebrae, sacrum, coccyx, and intervertebral disks.
- Pelvis and Perineum – the pelvis consists of everything from the pelvic inlet to the pelvic diaphragm. The perineum is the region between the sex organs and the anus.
- Lower limb – everything below the inguinal ligament, including the hip, the thigh, the knee, the leg, the ankle, and the foot.
Internal organs (by region)
Head and neck
- Brain
- Basal ganglia
- Brain stem
- medulla
- midbrain
- pons
- Cerebellum
- Cerebral cortex
- Hypothalamus
- Limbic system
- Amygdala
- Eye
- Pituitary
- Thyroid and Parathyroids
- Heart
- Lung
- Esophagus
- Thymus
- Pleura
Abdomen and pelvis (both sexes)
- Adrenals
- Appendix
- Bladder
- Gallbladder
- Large intestine
- Small intestine
- Kidney
- Liver
- Pancreas
- Spleen
- Stomach
Male pelvis
- Prostate
- Testes
Female pelvis
- Ovaries
- Uterus
Major organ systems
Main article: Biological system
- Circulatory system: pumping and channeling blood to and from the body and lungs with heart, blood, and blood vessels.
- Digestive System: digestion and processing food with salivary glands, esophagus, stomach, liver, gallbladder, pancreas, intestines, rectum, and anus.
- Endocannabinoid system: neuromodulatory lipids and receptors involved in a variety of physiological processes including appetite, pain-sensation, mood, motor learning, synaptic plasticity, and memory.
- Endocrine system: communication within the body using hormones made by endocrine glands such as the hypothalamus, pituitary or pituitary gland, pineal body or pineal gland, thyroid, parathyroids, and adrenals or adrenal glands
- Integumentary system: skin, hair and nails
- Immune system: the system that fights off disease; composed of leukocytes, tonsils, adenoids, thymus, and spleen.
- Lymphatic system: structures involved in the transfer of lymph between tissues and the blood stream, the lymph and the nodes and vessels that transport it.
- Musculoskeletal system: muscles provide movement and a skeleton provides structural support and protection with bones, cartilage, ligaments, and tendons.
- Nervous system: collecting, transferring and processing information with brain, spinal cord and nerves
- Reproductive system: the sex organs; in the female; ovaries, fallopian tubes, uterus, vagina, mammary glands, and in the male; testes, vas deferens, seminal vesicles, prostate, and penis.
- Respiratory system: the organs used for breathing, the pharynx, larynx, trachea, bronchi, lungs, and diaphragm.
- Urinary system: kidneys, ureters, bladder and urethra involved in fluid balance, electrolyte balance and excretion of urine.
- Vestibular system: contributes to our balance and our sense of spatial orientation.
Superficial anatomy
Main article: Superficial anatomy
Superficial anatomy of female and male human body
Surface projections of the major organs of the trunk, using the vertebral column and rib cage as main reference points of superficial anatomy
Superficial anatomy or surface anatomy is important in human anatomy being the study of anatomical landmarks that can be readily identified from the contours or other reference points on the surface of the body. With knowledge of superficial anatomy, physicians gauge the position and anatomy of deeper structures.
Common names of well known parts of the human body, from top to bottom:
- Head – Forehead – Jaw – Cheek – Chin
- Neck – Shoulder
- Arm – Elbow – Wrist – Hand – Finger – Thumb
- Spine – Chest – Thorax
- Abdomen – Groin
- Hip – Buttocks – Leg – Thigh – Knee – Calf – Heel – Ankle – Foot – Toe
- Eye, ear, nose, mouth, teeth, tongue, throat, adam's apple, breast, penis, scrotum, clitoris, vulva, navel are also superficial structures.


text: Home > Training & Events > By Bank Job Role > Financial Crimes Training & Events Twitter Facebook LinkedIn Email Add to Favorites Financial Crimes Training & Events Page Content Enhance your ability to detect, assess and respond to emerging BSA/AML/CFT and Fraud risks that threaten your institution. Browse our training & events brochure to see pricing to and help you plan your budget. Professional Offerings Online Training Online Training for AML and Fraud Professionals BSA/USA Patriot Act for Compliance Professionals NEW - Community Bank Online Training Suites Office of Foreign Assets Control (OFAC) for Compliance Professionals Cybersecurity Management Conferences and Schools Financial Crimes Enforcement Conference Webinars Compliance/Risk Webinars Payments/Cybersecurity Webinars Credentials Certificate in BSA and AML Compliance Certificate in Fraud Prevention Certified AML and Fraud Professional (CAFP) Additional Resources Reference Guide to Financial Crimes Anti-Money Laundering Email Bulletin ABA Security Network Compliance Training & Events ContactQuestions? Please contact email@example.com for more information.


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With Matt Tompkins Free Lance Film Work, we're positive we'll have the camera best for you. We have a total of 6 cameras available at our disposal, so no matter what what you need done, we'll have the camera to do the job.
At Matt Tompkins Freelance Film Work we have fully embraced the film industries new switch over towards the usage of HDSLR in major motion films. Films like Terminator Salvation, filmed by Director of Photography Shane Hulbert, were shot nearly entirely on HDSLR cameras. At Matt Tompkins Freelance Film Work, we too highly rely on HDSLR cameras; their image quality, lightweight, and compatibility make them essential for nearly every project.
PRoSUMER handycams
Not only do we use HDSLR cameras like the Canon Rebel's, but we also incorporate handycam cameras, or your more traditional lightweight camcorders, such as the Sony HDR-XR500V and the Canon Vixia HF20 These are cameras built 100% for film recording and are heavy duty machines with the ability to record film at HD quality
Dv cams
Our last camera family, are our DV cameras. These cameras are comparable to our "old school hollywood" cameras, shooting and recording on film. Although we have three available to our fingertips, we rarely use two of them, and rely mostly on, in the few occassions we do use it, our Sony DSR-PDX10.
Sony dsr-pdx10
- XLR Adaptor
- Patterns can be easily switched between 70 IRE and 100 IRE via a side panel switch, Zebra
- Lanc Control (L Control)
- VTR Features


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When you think of the aromas of Christmas, what comes to mind? Orange? Pine? Cinnamon? Even the sweet mint of the candy cane! Well now imagine adding these seasonal scents to your favourite gin!
We love experimenting with different garnishes here at Craft Gin Club , from herbs to flowers, citrus fruits to spices, we have tried them all! We like to keep our notes seasonal, so here are our top 10 Christmas garnishes for you to try this evening!
Pomegranate and rosemary
Not only does it smell like Christmas but it LOOKS like Christmas to!
Vanilla pod and cardamom
Think eggnog and custard on the Christmas pud!
Marashino cherry and lemon twist
This combination has a little bit of a black forest gateau about it!
Cranberry and rosemary
I mean, it's not Christmas without a cranberry…
Candy cane
These stripy sticks just scream Christmas (and add a lovely sweetness to your gin!)
Cinnamon stick and apple slice
Cinnamon is a key ingredient for Christmas and a slice of apple just adds that extra bit of sweetness!
Clementine segments
Who still gets one of these in their stocking? Pop it in your gin for a traditional Christmas twist!
Dried orange wheel and star anise
Zesty and spicy notes are added to your ginny tipple with this beautiful pairing.
Dried apple wheel and clove
Apple and clove add fruity and warm notes to your drink!
Pine spruce and juniper berry
Engulf your nostrils with the fresh smell of Christmas tree…Christmas in a glass!


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One of the biggest challenges facing us as trainees on the site management field school was how to get ideas to develop the visitor trail at Memphis. One very informative way was by visiting other heritage sites. Our evaluation of these sites was done by analyzing five major elements:
1) facilities and infrastructure
2) information resources and physical trails
3) audiences
4) visitor flow
5) narrative and message of the displayed content.
Through these specific elements we found out the strengths and weaknesses of each site which helped us to come up with ideas that could be applied at Memphis.
Leaving the visitor centre at the site of Karanis in the Fayum Oasis.
Karanis was our first field trip. It is a Greco-Roman town and part of the governorate of Fayum. From the first moment we got off the bus we were overwhelmed by the scale of the site and the mud brick house that was the University of Michigan dig house in the 1920s and later became a weekend home for the British Ambassador. It has now been partially reused as a visitor centre. Environmental material from the site has been used to determine the visitor trail which we thought was a brilliant idea. We think that this idea could be implemented in Memphis by using palm trees to mark the visitor trail.
The personal items of the architect Jean-Philippe Lauer inside the Imhotep Museum at Saqqara.
Imhotep Museum at Saqqara was the loveliest site we visited during this field school. The display is the most attractive feature in the museum which re-contextualizes some artefacts. For example there is a gallery dedicated to the French architect and Egyptologist, Jean-Philippe Lauer. It exhibits his personal belongings used during his excavation and restoration project at the Djoser Pyramid at Saqqara. Alongside this were photos of workers from the local community who participated in the project. We felt that this might help to engage the local community with the museum and make them feel proud when they visited it in the company of their relatives or friends.
The Children's Museum was one of our favourite site visits where we participated in one of the most enjoyable activities – Lego. We sat around small tables playing with Lego to make some iconic pharaonic buildings. Playing like this evoked our childhood memories, helping us to imagine how children engage with the pharaonic civilization which will increase their awareness about their heritage. It was a magical tool that connects children with their past. At this moment we had an idea to try and implement some of these activities in the Memphis Open Air Museum even just on certain days to attract local children and their parents.
The Egyptian Museum, Cairo contains some of the most interesting and famous treasures in the world. During our visit we encountered one of the most important events carried out in the museum. It was the last day of preparing a special exhibition for the blind. The aim of this exhibition was to let people who can see share their experience with those who can't. It also provided blind people with an opportunity to engage with the artefacts of the museum by providing them with labels that are written in braille and replica artefacts which they could touch. This highlighted the importance of these kinds of special events and made us think about how they could be implemented in the Memphis Open Air Museum.
We still need more time to develop the ideas that we gained from other archaeological sites at Memphis. Come and visit Memphis and share with us your experience and ideas to help us further develop the Memphis Walking Trail.


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Washington Romance Writers is delighted to announce the winners for The 2007 Marlene Awards. Congratulations to all of the following writers for a splendid job!
Fiction with Romantic Elements
Judged by Kate Duffy, Kensington.
Winner receives a critique by Diana Peterfreund.
1. Where You Belong - Kaki Warner
2. Between the Lines - Kristina Y. McMorris
3. The Foreign Wives Club - S.P. Sipal
Judged by Alicia Condon, Dorchester.
Winner receives a critique by Diane Perkins/Gaston.
1. Texas Hold Him - Lisa Cooke
2. Kiss of a Traitor - Gail Foreman
3. The Prince's Spy - Peggy L. Brown
4. The Angel's Assassin - Laurel O'Donnell
Judged by Patience Smith, Harlequin.
Winner receives a critique by Catherine Spangler.
1. The Shape-Shifter's Secret - Kelly Moore*
2. Angels at Almack's - Catherine Leming
3. Her Man in the Moon - Gail Foreman
4. The Curse of the Dragon's Spell - Robin Haseltine
Series Contemporary
Judged by Keyren Gerlach, HQN Books.
Winner receives a critique by Patricia McLinn.
1. A Family After All - Kathy Altman*
2. Meant to Be - Donna Kowalczyk
3. Thirty-Nine - Linday Reynolds-Burkins
Single Title Contemporary Romance
Judged by Jennifer Enderlin, St. Martin's Press.
Winner receives a critique by Linda Lael Miller.
1. The Seduction of Matt Malone - Rachel Robinson
2. The Truth About Dogs, Men and Politicians - L. Faye Hughes
3. The Crush That Ate My Life - Rachel Robinson
Two Finals.....
Gail Foreman
L. Faye Hughes
Donna Kowalczyk
Donna Maloy
Micqui Miller
Kiki Opdenberg
Rachel Robinson
Kaki Warner
Beth Watson
Lisa Marie Wilkinson - SOLD


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words: Jordan Gorsuch
Seventeen years. It has been seventeen years since American Football's transcendent debut album that pioneered emo into the next decade. Yesterday, American Football unveiled a brand new single featured off of their upcoming self-titled album that is set for release October 21 on Polyvinyl Records.
"I've Been Lost for So Long" at first sounds like an admission from the band, addressing their lack of activity for almost two decades. However, the craftsmanship of the track is undeniable; American Football hasn't lost a step since their long hiatus. If anything, they have come back with a more focused, introspective sound.
Mike Kinsella has been consistently releasing music under his solo-project Owen since American Football's hiatus. Just this year, Kinsella released the subtly fantastic The King of Whys an album that saw him stepping out of his comfort zone and recors with outside help from S. Carey (from Bon Iver) and a backing set of musicians. The instrumentals were brassier and fuller, but the lyrical content was introspective and assured. Kinsella sang clearly about the troubles and joys of his marriage and the incredible self-doubt that plagues him. It is easy to hear how Kinsella's experience with The King of Whys has bled into the newest single from American Football.
Gone are the jazzy drums and triumphant trumpets that were a signature of their landmark 1999 album. Here, we hear crystal clear guitars that serpentine and bounce off each other brightly with a rather simple drum backing. The sonic layering and confidence along with the less is more approach is another carry-over from Kinsella's output as Owen. As a result, the track is able to breathe and does not feel overstuffed or anxious. It is exactly in their wheelhouse, but it does enough to differentiate itself from their exalted past.
The choruses give the track an intentionally disjointed feel as Kinsella asks if we can remind him "why I should wake up tomorrow?" The song is littered with references between the thin line (in the narrator's head) between dream and reality.
American Football is back. Go ahead, pinch me. I'm not dreaming.


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The Massachusetts population — like all of us — is getting older. Already there are more people over 60 than under 20.
At the same time, we're losing institutions that care for people who need help, and we're not developing the workforce to provide care.
After 120 years, the Somerville Home will close in December. It's a rest home, which provides more care than assisted living but not skilled nursing like a nursing home.
Rest Homes
The closing of the Somerville Home is not the fault of the staff or the board. It is certainly not the fault of the 47 residents. Some of them have lived there for decades; some moved there when other rest homes closed; some were previously homeless.
The Home's problem is that the state, which pays for almost all the residents, hasn't raised its rates since 2012. All of the Home's costs have gone up but their income hasn't.
Since 2008, 24 rest homes have closed; out of 147 rest homes in 1998, 53 remain. One that closed recently is now a doggy day care.
Because of low state payments, rest homes often can't access loans to upgrade their facilities and attract private pay residents who would pay higher rates.
Residents who are displaced from rest homes often find no other such home, and wind up in nursing homes which offer less independence and cost a lot more. Already five Somerville Home residents are moving to nursing homes.
I recently visited the home, and was really moved to hear some of the residents talk about how important their relationships with each other and the staff are, and how disturbed they are to have to move, perhaps far away from family and the community they know.
Adult Day Health
We aren't just losing rest homes. Last November the Windsor House adult day health program at Sancta Maria in Cambridge closed, displacing 47 people.
Adult day health programs provide care during the day, allowing many people to live at home. 23 programs have closed since the last rate increase in 2012. Frozen rates don't cover the cost of new requirements, or increases in health insurance premiums, earned sick time, minimum wages, and other costs of living. Many staff qualify for MassHealth.
While nonprofit, high quality services close, some new, for-profit services have opened, but they care for private pay people.15-20% of those who are displaced when an adult day health closes enter nursing homes within 6 months; even if they find a new program, the disruption causes them to decompensate. Moving to nursing homes costs the state millions of additional dollars a year.
Nursing Homes
Nursing homes are also at risk. Sancta Maria Nursing Facility in Cambridge was also scheduled to close in December, but in September announced a reprieve after hiring a new management company.
At least eleven other nursing homes have announced their closure this year. Again, the closures are generally non-profit, high quality nursing facilities; they are being replaced by for-profit, multi-state, lower-quality homes, as reported by Kay Lazar in several Globe articles. Lazar found that for-profit nursing homes spend less on food and nursing care.
Most nursing home residents are paid for by Medicaid, which reimburses $37 per day below the cost of patient care, according to Mass. Senior Care.
The Senate has twice adopted my provision in the budget requiring CHIA to study costs in nursing homes: we need to understand why some nursing homes can't make it, while others are bought by investors who expect to make a profit. That would be a first step to creating a requirement, as we have in health insurance, that a certain percentage of income go to patient care. Unfortunately, the provision didn't survive conference committee.
Of course it's not just payments that has caused reductions in nursing home beds. More people, both publicly and privately paid, are receiving home care. There are more assisted living residences, though only a few — like the ones run by the Visiting Nurses in Somerville — are affordable for most people. But low rates to agencies, and low pay for workers, are creating a crisis in home care as well.
We Won't Get What We Don't Pay For
Each of these programs — the Somerville Home, Windsor House/Sancta Maria, and the Sancta Maria Nursing Home — was/is at risk because they primarily serve people who are paid for by the state, which has not increased its inadequate rates, although I and other legislators advocate for increases every year. Each was running at a loss. Each is representative of many other programs for older people which are closing while the number of older people is rising.
When corporations, agencies and nonprofits hire executives, they justify high pay in order to attract the best. But when rest homes, or nursing homes, or adult day health programs, or other social service programs seek just to catch up with the cost of living, or to pay their workers a living wage, state officials say we can't afford it.
Do we need more revenue? (The income tax will probably go down again in January if revenues continue high enough to hit the "trigger").
I don't think we can continue to squeeze agencies and direct care workers. What do you think?
- Pat Jehlen is the Massachusetts State Senator representing Somerville in the Second Middlesex District.


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I am a Brooklyn-based Digital Designer with a passion for visual storytelling. Professionally, I've led creative teams, bridged departments and worked directly with stakeholders to optimize creative development and production for both digital and print media. If you want to get in touch, you can find me on LinkedIn or send me an email.
Great ideas can come from anyone, but proper execution that prioritizes a brand's business goals is what makes them succeed. And while yesterday's practices can slow us down today, fluid adaptation to new technologies and trends enables consistently effective creative solutions.
To push past the status quo and stay ahead of the competition, a brand and its media campaigns must embody vision, integrity, progress, connection and reliability. Key strengths, industry experience and effective collaboration should direct the creative strategy for navigating today's consumer landscape.
Antonio is a highly skilled, creative and reliable designer. He always delivers thoughtful ideation that works to be as inspirational as possible while staying with clients' brand guidelines. He had strong relationships with our clients and with our staff. Antonio is a pleasure to work with and would be an asset to any staff.
Antonio is talented and creative, and he understands the importance of client service. In addition to doing a great job with our re-branding, Antonio was very instrumental in helping us develop a vision for our Creative Services group.


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Around 130 people have fallen ill with the same strain of Salmonella linked to poultry and eggs since August across England and Wales.
Five outbreaks have been linked to oriental restaurants, three to other restaurants and one was in a care home.
Two people with the infection died in the care home, which has not been named by officials, but post mortem results have proved inconclusive about the cause of death.
Three other people have been treated in hospital, a report from the Health Protection Agency said.
The Health Protection Agency is investigating the outbreaks as it is thought a common food source could be responsible, particularly because the cases involve the same strain of the infection out of a possible 2,500 types.
Poultry and eggs are considered the most likely source and officials are interviewing patients to establish any patterns in what they have eaten.
The strain involved in the outbreaks, known as Salmonella Enteritidis PT14b NxCpl, is showing some resistance to an antibiotic.
Experts said the fact it is showing resistance is not important for public health reasons but is being used as a way of identifying cases and helped to confirm that the outbreaks of the infection are probably connected.
On top of the outbreaks there has been an increase in isolated cases of Salmonella in recent weeks, but Health Protection Agency officials said this generally happens at this time of year and the numbers are not unexpectedly high.
There have been a total of 259 cases in England and Wales since August, 136 of which are connected to the nine outbreaks.
Gastroenterologists and public health experts at the Health Protection Agency are working with the Food Standards Agency and environmental health officers to try and establish if there is a one food source that has caused the outbreaks.
The report said: "Preliminary investigations have suggested putative links to chicken and/or eggs in some outbreaks, and this is being actively tested through analytical epidemiological studies and appropriate investigation of supply chains."
The Department of Health and the Department for Environment, Food and Rural Affairs have been informed of the inquiry.
A spokesman for the Health Protection Agency said: "Salmonella is a common cause of food poisoning. Anyone can be affected, but young children, the elderly and people whose immune systems are not working properly have a greater risk of becoming severely ill."
Illness normally occurs 12 to 48 hours after the infection with the bacterium and is symptoms include diarrhoea, nausea, vomiting, fever and abdominal pain.
Salmonella is normally contracted through contamination of poultry meat and eggs or from a lack of hand hygiene when handling both raw products and ready to eat foods.


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Advanced Search
The legal agreement with Novell cost Microsoft $536 million. Novell will release its antitrust claims under U.S. and all other national and state laws and withdraw from participation in the European Commission's case with Microsoft.
Microsoft, meanwhile doesn't admit wrongdoing and isn't obligated to license or share technology or intellectual property rights. Microsoft will restate its first quarter earnings to account for the settlement costs.
Legal wrangling between the two companies isn't completely over. Under the deal, Novell retained the right to continue to pursue its antitrust claims arising from its ownership of WordPerfect between June 1994 and March 1996. Novell, of course, also reserves the right to sue over any future Microsoft practices the company views as illegal.
There also appears to be no honeymoon of the type displayed between Microsoft and Sun Microsystems earlier this year. Even as the lawyers were putting the finishing touches on the legal agreement last week, Novell issued a specific, point-by-point rebuttal of Steve Ballmer's executive e-mail against Linux. (View Novell document).
At the same time, Microsoft reached a deal with longtime critic, the Computer & Communications Industry Association (CCIA). In addition to membership fees, Microsoft will reimburse the CCIA for some of the legal expenses the association has incurred over the last decade and provide institutional support for some CCIA policy undertakings.
The CCIA agreed not to ask the U.S. Supreme Court to review the District Court's Final Judgment in the United States v. Microsoft antitrust case and not to participate as an intervener on behalf of the European Commission in Microsoft's appeal of the commission's March 24 antitrust decision.
Ed Black, president and CEO of CCIA, said, "While there may be times when we and Microsoft will not agree on every issue, we are looking forward to developing a stronger relationship." Black said the CCIA has an opportunity to unite the industry on issues such as broaden Internet access, strong support for R&D and making technology a more effective engine for worldwide economic growth.
About the Author
Scott Bekker is editor in chief of Redmond Channel Partner magazine.
Microsoft has set aside time to answer questions about its emerging Windows Virtual Desktop service on Wednesday of next week, according to an announcement.
AMD's high-profile EPYC 7002 launch has datacenter analysts wondering if the end of Intel's long reign is nigh.
In a bid to support its "continued contributions to open source while driving increased performance for Java workloads on Azure," Microsoft on Monday announced its acquisition of jClarity.
Billed by Microsoft as an all-encompassing API, the Microsoft Graph plays a critical role in how developers access Microsoft's various cloud resources.
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text:
Afghan cardiac project
In aid of SAVE
Create a fundraising page and share it with your friends and family
Total raised
Donations no longer accepted
Donations closed
Event details
Afghan cardiac project
Kaslom is two months old and suffers from a congenital heart condition. Her family are from the Wardak district in Afghanistan and are very poor. Her father earns 4,000 AFN / month which is roughly £45 and they live in a rented accommodation. Her family are unable to send Kaslom abroad for her treatment. Kaslom needs to have this operation urgently.. The Cultural and Empowerment organisation for Afghans ( CEOA) has identified 4 children like Kaslom whose families cannot afford the treatment for a heart surgery . They have approached NH hospital in Kolkata in India who will provide the treatment to these children .The cost for the treatment , travel , visas and rehabilitation for the 4 children will be £8750.
SAVE UK are hosting a wine tasting evening on the 21 st of November to raise money to help children like Kaslom .
Please donate to the Afghan Cardiac fund by clicking on the my donate page ...
Event date
Event type
Wine tasting evening
Event is completed
The Corinthian, 191,
Ingram Street,
Activity log
Donation summary
(online) £0.00
(offline) £0.00
with gift aid: £647.50
MyDonate is not responsible for the content fundraisers post on their pages, but if you see something you feel is offensive or inappropriate, please let us know


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A solicitor who took money from vulnerable people for whom she was the court-appointed deputy – and even kept some of it in cash in her wardrobe – has been struck off after the Solicitors Disciplinary Tribunal ruled that her conduct was more than just a "cry for help".
Sharon Pallagi, who was born in 1976 and admitted as a solicitor in 2001, was an associate at Leeds firm Clarion from 2006 until 2013, when her employment was terminated due to what was discovered about her work.
The tribunal heard that Ms Pallagi made 15 unauthorised transfers in relation to four clients over the space of three years, withdrawing the money either as cash or as reimbursement of expenses incurred.
After discovery, she repaid the firm all the money, plus courts fees and legal costs following the issue of proceedings against her for recovery, a total of £32,561.
In relation to the largest withdrawal, of £12,000, she told the Solicitors Regulation Authority: "I accept responsibility for and also accept that I amended the documentation and acted dishonestly in doing this…
"I do remember the amendments and feeling very depressed and anxious, to the point that I was physically sick after amending the documents. Having this reaction meant there was recognition by me of doing something wrong, but I did nothing to rectify my actions.
"I was depressed and needed help. I left all of the amended documents on the file so that on a review I would be called to explain and at that time would get some help, but the reviews did not highlight my actions and this spurred on further erratic, out of character behaviour."
Ms Pallagi admitted the three allegations against her and that she had been dishonest. In mitigation, she provided evidence about her health that the tribunal received in private, and said her actions had been an attempt to be found out so she could get help.
The tribunal recorded: "The respondent expressed remorse in her evidence and reminded the tribunal that, once she received appropriate medical treatment, she had done everything she could to put matters right. She had repaid the money, and apologised to both the firm and her clients. With appropriate medical treatment, the respondent stated she saw the devastation she had caused and even now she continued to think about what she could have done differently."
Her advocate called on the tribunal to impose an indefinite suspension so that she could not return to work without evidence that she had the mental strength to withstand the "rigours of practice".
However, the SDT decided that she had to be struck off. Her actions had taken place over a lengthy period of time and though she had had medical problems, the evidence showed that there were "periods of lucidity" during which "it would have been expected the respondent would have admitted her improper conduct, if it had indeed been 'a cry for help'. She failed to do this".
Similarly, Ms Pallagi admitted that the £6,000 she kept in her house got mixed up with her own money. "The tribunal took the view that had the respondent's conduct been a genuine and desperate attempt to get some help, she would not have allowed the money to become mixed up with her own personal money and nor would she have used it.
"Whilst the respondent may have been deeply unhappy and under immense pressure at the time she made some of the unauthorised withdrawals, the tribunal did not accept that her conduct was indeed 'a cry for help' on all of the unauthorised withdrawals made… The pressure that the respondent was under and her difficulties at the time did not justify or excuse her actions."
The SDT said: "The respondent had repeatedly taken advantage of vulnerable clients over a long period of time, and whilst she had repaid the money she had taken, this did not detract from the harm she had caused both to those clients and to the reputation of the profession.
"The tribunal concluded there were no exceptional circumstances in this case and accordingly the appropriate and proportionate sanction in this case was to strike the respondent's name from the roll of solicitors. This was necessary in order to protect the public and maintain public confidence in the profession."