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Im glad you enjoyed it, thank you for the positive feedback =)Thorough and clearly presented. Posts like this make me wish we could +rep.
Im glad you enjoyed it, thank you for the positive feedback =)Thorough and clearly presented. Posts like this make me wish we could +rep.
Okay I appreciate your comments Eld and Stant but you're gonna have to give me time to digest that because my mind turned into Bio/Chem memorization, I forgot math for a bit lol...
for Eldacar on your stamina = hp scale,
I believe the reason your geting 13.9 per point of stamina is that the "base" or White stamina stil gives the 1 stamina = 10 hp scale and it's only the "green" stamina that gives the 1=14 ratio, this also explains why your equasion breaks under 500 stamina as it gains a larger proportion of the 10 hp stamina.
ofc thats what my belief about how stamina is and may be off about the white stamina but thats what i thought happened which is why your stamina from gear effectively doubles your health.
also your equation will not work for all races exactly due to the races having a different amount of the "white" stamina only a 1-5 differance i believe but after buffs and scaling will effect low stamina people more and throw of your equasion another few hp
As far as I know, EH is supposed to be linear with resilience, which is the whole point of the 4.1 change, so it seems this is wrong.
That may be what it is SUPPOSED to be, but that's not what it actually is. This is based on hard facts and data from the actual game, I know what Blizzard said with the 4.1 patch and that may have been how it worked back then, but it's just not how it works now.As far as I know, EH is supposed to be linear with resilience, which is the whole point of the 4.1 change, so it seems this is wrong.
If you don't believe me perform your own tests and see what you get, see how it matches up to my data. If you find an error I am happy to make corrections, but I was very meticulous in making this guide and I think you will find it is extremely accurate.
---------- Post added 2011-11-01 at 04:40 AM ----------
That may be the case, or it may be that it breaks because my lowest data point was around 500, so below that it didn't have anything to base the equation on. I will test your theory next time I get a chance, I would love it if it's right because it would make my life a bit easier. I remember testing my equation though numerous times at it produced accurate results down to the exact HP, so it would be odd if it's wrong. It's not fresh in my mind atm so it's hard for me to theorize.for Eldacar on your stamina = hp scale,
I believe the reason your geting 13.9 per point of stamina is that the "base" or White stamina stil gives the 1 stamina = 10 hp scale and it's only the "green" stamina that gives the 1=14 ratio, this also explains why your equasion breaks under 500 stamina as it gains a larger proportion of the 10 hp stamina.
If you go from 100% damage taken to 99%, you're taking 1% less damage (99 is 99% of 100).
If you go from 50% damage taken to 49%, you're taking 2% less damage (49 is 98% of 50).
Under the old model, 100 to 99 and 50 to 49 took the same amount of Resilience, but 50 to 49 was twice as effective. That's called increasing returns.
Under the new model, 50 to 49 takes twice as much Resilience, because it's twice as effective. That's linear returns.
0 resil to 160 resil -> 100.00% to 97.99% damage taken = 100/97.99 = +2.05% increase in survival.
160 resil to 320 resil -> 97.99% to 96.02% damage taken = 97.99/96.02 = +2.05% increase in survival.
2669 resil to 2829 resil -> 71.25% to 69.81% damage taken = 71.25/69.81 = +2.06% increase in survival.
2829 resil to 2989 resil -> 69.81% to 68.41% damage taken = 69.81/68.41 = +2.04% increase in survival.
There's a little rounding up and down but 160 resilience is pretty much constant all the way up. I'll even check right now with my own S10 rings.
4345 resil to 4505 resil -> 57.59% to 56.43% damage taken = 57.59/56.43 = +2.05% increase in survival.
4505 resil to 4665 resil -> 56.43% to 55.29% damage taken = 56.43/55.29 = +2.06% increase in survival.
Baphomette, you have an interesting way of looking at it and I find your results fascinating, but the reason why your gains are remaining constant is you are changing your frame of reference with each comparison rather than comparing to a common baseline. Going from 0 to 160 and 4505 to 4665 may both provide about 2.05% gains in survivability but it is a 2.05% gain relative to the survivability at the previous value. At 4505 you have significantly more effective health than at 0, so in order to gain 2.05% survivability you need to gain significantly more effective health than you do at 0. So while your relative gains may remain fairly constant, your absolute gains have increasing returns as shown in my graphs in the original post.
To illustrate what I am talking about take the base EH percentage of 100% which is what you have with 0 resil and increase it by 2.05%, then take the result and increase that by 2.05% over and over. It would go 100, 102.05, 104.142, 106.2769, 108.4556, etc etc. When you do that, and count each repetition of the process as an increase of 160 resilience, you end up with a graph that looks like this:
Now that curve probably looks very familiar if you looked at my graphs, because it is roughly the same curve you see for EH% in my graphs as you can see in this overlay of the two data sets:
I hope this clears up your understanding of whats going on here mathematically, but if you have any further questions I would be happy to answer them to the best of my ability.
Last edited by Eldacar; 2011-11-01 at 10:48 AM.
TY, and it would change regardless as ratings scale differently at different levels, just going to lvl 90 will alter how it scales. Anyways as soon as I am able to get data for 5.0 I will update all of this. Anytime resil changes you can count on an update here as soon as its possible for me to do it.This will all change next xpac when res is added as a baseline stat and all stats will normalized. Awesome post BTW
Do you think you could make a graph which would compare effective health of resilience and effective health of stamina? Perhaps also add in healing, as that would be important as well?
were you able to test my theory about white and green stamina 10/14hp differances?
Yes I performed a quick test and it does seem your theory is correct, "green" stamina add's 14hp per point. Thank god too, that 5th degree logarithm was way too complicated lol, surprisingly thought the equation does produce extremely accurate results for predicting total health, like you can plug in the total stamina of a character and it gives you an almost dead-on number for total health. Anyways, this makes things a bit simpler explanation wise but really doesnt change anything number wise. Because of the way I performed my initial calculations for the resil vs stam guide they are still valid and unaffected, and my recommendation is still to go with Resil =)were you able to test my theory about white and green stamina 10/14hp differances?
Great catch Viglante =) I am glad I shared some of my preliminary finding here before finishing the guide, it's always good to have extra eyes on things!
any news on the stam vs resi guide?
Sorry, right now RL is eating up all my time. Quite frankly this stuff is very low on my priority list, it's something I enjoy but RL has to come first, so I just work on it when I can.any news on the stam vs resi guide?
Here is the main graph of the guide for you to chew on while you wait, I don't have time to really put it in context or explain it properly right now, as that's what the guide is for, so hopefully you will be able to gain some insight from it on your own in the mean time. I have not decided on 3D vs Contour yet for the final guide, let me know which one you like better.
I wish I could give you an ETA on when the guide will be done but as I said, I just work on it when I can =/
I propose you test a "gemming color code". For each point on the surface (Stam, Resi, EH), color depend of the ratio r=EH(Stam+30,Resi)/EH(Stam, Resi+20), blue tones if r>1, yellow tones if r<1.
looking good on the EH workings,
i prefer the 2D one as it shows that while the horivontal colour changes stay relitavly the same width the vertical colour changes change with rating.
Good news, the stamina vs resil guide is done! Took me another 20 hrs of work to finish it but the monster is finally slain lol. I ended up going with a contour map based on craaaazy long equation to determine which was best to gem at each of 3600 test points. As much work as is was to make the graphs though I still think resilience is pretty much always the best way to go, so they are not terribly useful rofl. I will be posting it up here on the forums soon!
@EldacarJS - Warcraft PVP Enthusiast, Theorycrafter, and Blizzard PVP Forum MVP


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Posted by Steve McKinley on Friday, November 02, 2012 12:10 PM
While I have spent most of my life in and around cities, I grew up in southeastern Iowa, never far from farmland, and one of my first jobs involved driving various trucks around Iowa and Illinois, so there is something about farm fields embedded firmly in my soul. I find it relaxing and renewing to drive across the southern Minnesota countryside.
So I was cheerful and anxious in a positive way the other day when I looked forward to driving to Shalom Hill Farm outside Windom to meet with the Southwestern Minnesota-South Dakota Internship Cluster. I've made the trip before, and anticipated a nice, refreshing early morning drive through the fields.
Yeah, right. The rain between the Twin Cities and St. Peter was steady. It seemed like the sun was never going to come up, and when it did, it came up grudgingly through a thick cloud of fog that made it all the more adventurous steering through the various construction areas here and there. "Morning Edition" was on an endless loop of presidential debate analysis. The fog persisted all the way to Shalom Hill Farm. When I got out of the car I could feel stiffness, tightness, the fruits of three hours of white-knuckle driving.
Reminded me of lots of confirmation classes, council meetings, committee meetings, counseling sessions, weddings I experienced as a parish pastor. Ahead of time I would envision them as times of open, honest, thoughtful, compassionate, enthusiastic sharing; occasions when people would speak to each other and listen to each other and the mission of the church would move along. But they didn't always turn out that way. Sinful humanity, my own included, often got in the way.
But then I got a cup of coffee and a piece of coffee cake and the other participants in the meeting arrived and we talked and we listened and shared joys and sorrows and we laughed and we ate and we sang and we shared communion, and it was good. By the time the meeting was over and we were heading home, the fog had lifted; if it wasn't a picture-perfect day for the countryside, it was at least a little better than it had been in the morning. My muscles did not cramp on the way home, and when I got tired of listening to "All Things Considered" continuing the analysis of the previous night's presidential debate, I had Jimmy Buffet to cheer me up, and it was good. The day was good.
And so were many of those confirmation classes, council meetings, committee meetings, counseling sessions, weddings. (In the interest of honest communication, not all of them, but many of them.) They might not have been what I dreamed of them being before they started, but they found their own way to be good and productive and mission-related. We are fortunate to be in the service of a God who is constantly visiting us with divine surprise.
So make those plans, interns and pastors; have those dreams and those visions. Then be prepared for the fact that things might not work out according to your plan or your vision, but they might just work out fine anyway! Enjoy the ride.
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An in-depth report on the causes, diagnosis, treatment, and prevention of endometriosis.
An in-depth report on the causes, diagnosis, treatment, and prevention of endometriosis.
Endometriosis is a gynecological condition that occurs when cells from the lining of the womb (uterus) grow in other areas of the body.
Endometriosis symptoms vary widely, and some women with the condition have no symptoms. Symptoms can include:
Endometriosis rarely causes a complete inability to conceive, but it can contribute to reduced fertility.
Treatment options for endometriosis include:
Endometriosis is a condition in which the cells that line the uterus grow outside of the uterus in other areas, such as the ovaries or in the pelvis. The condition can interfere with a woman's ability to become pregnant. Endometriosis can also cause severe pelvic pain, especially during menstruation.
Endometriosis is a common gynecological condition. It is chronic, and may be a painful and progressive disease. However, the causes of endometriosis are unknown, it is widely variable in symptoms and severity, and it can only be diagnosed definitively with surgery.
Endometriosis occurs when cells from the tissue layer lining the uterus (endometrium) form implants that attach, grow, and function outside the uterus, often in the pelvic region.
Endometrial cells contain receptors that bind to the female hormones estrogen and progesterone, which promote uterine growth and thickening. When these cells become implanted in organs and structures outside the uterus, these hormonal activities continue to occur, causing bleeding, inflammation, and scarring.
Endometriosis is a condition in which cells that normally line the uterus (endometrium) grow on other areas of the body, causing pain and abnormal bleeding.
Endometrial implants vary widely in size, shape, and color. Over the years, they may diminish in size or disappear, or they may grow.
Implants can form in many areas, most commonly in the following locations in the pelvis:
Rarely, remote sites of endometriosis may include the spinal column, nose, lungs, pelvic lymph nodes, the forearm, and the thigh.
The process of endometriosis mimics the stages of the menstrual cycle:
The lesions are not cancerous, but they can develop to the point that they cause obstruction or adhesions (web-like scar tissue) that attach to and bind together nearby pelvic organs, causing pain, inflammation, and sometimes infertility.
Doctors do not know the exact cause of endometriosis. A combination of genetic, biologic, and environmental factors may work together to trigger the initial process, produce implantation, and cause subsequent reseeding and spreading of the implants.
Theories of the cause of endometriosis include:
Endometriosis can develop in teenagers and adult women of all ages, but it most typically occurs in women ages 25 to 50.
A family history of endometriosis, especially in a mother or sister, increases a woman's likelihood of developing it herself.
Pregnancy appears to protect against endometriosis, while never having had children is associated with increased risk. However, endometriosis can still occur in women who have had children.
Some studies suggest that consumption of red meat and trans fats may increase the risk of developing endometriosis, while consumption of fruits, green leafy vegetables, and omega-3 fatty acids (found in fish) may be protective. Other studies have not verified this association.
Women at increased risk for endometriosis tend to have more problems with menstruation. They often have a shorter than normal cycle, heavier periods, and longer periods. They may also have begun menstruating at a younger than average age.
Adhesions can cause significant pain. They are dense, web-like structures of scar tissue that can attach to nearby organs. Pelvic pain is the most common complaint for women with endometriosis, and it can significantly impair the quality of life, including work and social activities. The pelvic pain associated with endometriosis is usually chronic (lasting more than 6 months). Pain may also occur in the abdomen and back.
Infertility is another main complication of endometriosis. More severe endometriosis is very likely to lead to infertility. Endometriosis rarely causes an absolute inability to conceive, but it can reduce fertility both directly and indirectly:
Implants can also occur in the bladder (although less commonly) and cause pain and even bleeding during urination. Implants also sometimes form in the intestine and cause painful bowel movements, constipation, or diarrhea.
Not all women with endometriosis have symptoms. When symptoms occur, pain is the main one.
Many women with endometriosis have chronic pain in the pelvic area (the lower part of the trunk of the body). The pain is often a severe cramping that occurs on both sides of the pelvis, radiating to the lower back and rectal area and even down the legs. The pain may be continuous or it may come and go. Pain tends to worsen over time.
The severity of the pain varies widely and does not appear to be related to the extent of the endometriosis itself. In other words, a woman can have very small or few implants and have severe pain, while those with extensive endometriosis may have very few signs of the disorder except for infertility. Large cysts can rupture and cause very severe pain at any time.
Pain caused by endometriosis is associated with:
Because endometriosis symptoms do not always appear, or may be caused by other conditions, a diagnosis cannot be based on symptoms alone. Laparoscopy, an invasive diagnostic procedure, is the only definitive method for diagnosing endometriosis. However, a trial using a hormonal drug may be used to confirm or rule out endometriosis.
After collecting your symptom report and medical history, the doctor will perform a physical and pelvic exam. During the pelvic exam, the doctor will evaluate the size and position of the ovaries and check for tender masses or nodules behind the cervix.
Diagnostic laparoscopy is used to confirm a suspected diagnosis of endometriosis and to evaluate the severity of the condition. It may also be used to treat endometriosis. During laparoscopy, the surgeon determines the number, size, and location of endometrial implants and adhesions. This information can help in staging endometriosis and in making treatment decisions.
The procedure involves the doctor making a small incision in the abdomen, and inserting a thin flexible fiber-optic tube (the laparoscope). The laparoscope is equipped with a small telescopic lens, which enables the doctor view the uterus, ovaries, tubes, and peritoneum (lining of the pelvis) on a video monitor. Laparoscopy normally requires a general anesthetic, although the patient can go home the same day. [For more information on laparoscopy, see the "Conservative Surgery" section of this report.]
An ultrasound is performed in cases where other conditions are suspected, such as uterine fibroids, ovarian cysts, or ectopic pregnancy. This non-invasive imaging technique can detect endometriomas, cysts that are usually located on the ovaries and filled with thick dark blood. Ultrasound can also pick up cysts larger than 1 cm (about 1/3 inch), but it will miss smaller cysts, or small and shallow endometrial implants on the surface of ovaries or on the peritoneum (lining of the pelvis). Other imaging techniques, such as computed tomography (CT) scanning or magnetic resonance imaging (MRI), may occasionally be used.
A number of blood and urine tests called biomarkers have been evaluated alone or in combination with imaging tests. None have appeared to be helpful in improving the diagnosis of endometriosis without invasive procedures such as laparoscopy.
Many conditions cause pelvic pain. In many cases, the cause is unknown, and the condition often resolves on its own. However, some causes of pelvic pain can be serious and should be ruled out during a work-up for endometriosis.
Primary Dysmenorrhea
Primary dysmenorrhea is recurrent pelvic pain associated with menstruation. Dysmenorrhea is common in many women.
A condition called adenomyosis occurs when nodules (knots) of endometrial tissue develop within the deep muscle layers of the uterus. This disorder is often classified with endometriosis, but adenomyosis is a different disease. (Endometriosis occurs when endometrial tissue grows and functions outside the uterus.)
Adenomyosis is a significant cause of severe pelvic pain and menstrual irregularities. It typically occurs in women who have uterine fibroids, women age 40 to 50, and women who have had children. Women, who have had surgery for endometriosis, yet continue to suffer from menstrual and pelvic pain may actually have adenomyosis.
Other Causes of Pelvic Pain
Many conditions cause pelvic pain that may or may not be related to menstruation. Some causes of pelvic pain that can be serious and should be ruled out include:
Conditions that may mimic symptoms of endometriosis but which are unrelated to problems in the reproductive organs include:
There is no perfect way of managing endometriosis. The three basic treatment approaches are:
The choice depends on a number of factors, including the woman's symptoms, her age, whether fertility is a factor, and the severity of the disease.
Delaying treatment may be most appropriate for women with mild endometriosis or those who are approaching the age of menopause.
Women may also use lifestyle modifications, such as exercise and relaxation, to cope with their pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, generic) and naproxen (Aleve, generic), or acetaminophen (Tylenol, generic), can help provide some pain relief.
Hormonal therapies are used to mimic states in which ovulation does not occur (pregnancy or menopause) or to directly block ovulation. These hormonal treatments actually suppress natural hormone production and are the preferred and most effective treatment option for treating symptoms of endometriosis and minimizing the progression of the disease.
Hormonal drugs include oral contraceptives (a first-line treatment), progestins, GnRH agonists, and (rarely) danazol. They can be very effective in relieving endometriosis symptoms, especially pain. Some of these drugs may also be used after surgery to help prevent recurrence of endometriosis. Downsides of these drugs include:
Surgery is an option for women who:
There are two basic surgical approaches for endometriosis:
In choosing between hysterectomy (with or without removal of the ovaries) and conservative surgeries, age and the desire for children are important factors.
Nerve Surgery for Pelvic Pain
Laparoscopic uterine nerve ablation (LUNA) and laparoscopic presacral neurectomy (LPSN) are procedures that aim to reduce chronic pelvic pain by destroying or interrupting the nerves that attach the uterus to the pelvic bone. Some small studies have shown more benefit for LPSN than for LUNA.
LPSN appears to work best when combined with laparoscopic ablation of endometrial implants (conservative surgery). Stronger evidence is needed before these procedure scan be recommended for women with chronic pelvic pain associated with endometriosis. Many insurance companies consider these procedures experimental and will not pay for them.
For women with severe endometriosis who want to become pregnant, conservative surgery (typically laparoscopy) is the appropriate approach for restoring fertility. Hormonal therapies that treat endometriosis itself, such as GnRH agonist or progestins, generally do not help fertility. If surgery fails, fertility drugs and assisted reproductive technologies, such as in vitro fertilization, are options. Women with endometriosis who are trying to conceive should discuss all treatment options with a fertility specialist.
Some studies suggest that the omega-3 fatty acids found in fish and fish oil supplements may be helpful for endometriosis. Others have indicated possible benefits from Chinese herbal medicine. There are few well-conducted studies on these treatments and more research is needed.
Generally, manufacturers of herbal remedies and dietary supplements do not need approval from the Food and Drug Administration (FDA) to sell their products. Just like with drugs, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been a number of reported cases of serious and even lethal side effects from herbal products. Patients should check with their doctor before using any herbal remedies or dietary supplements.
The basic approach in hormonal treatments for endometriosis is to block production of female hormones (estrogen and progesterone) or to prevent ovulation. Hormonal drugs are used for pain relief only. They do not improve fertility rates and in some cases may delay conception.
Specific hormonal drugs may have different effects for women with endometriosis:
Most women achieve pain relief after taking these drugs. To date, comparison studies have found few differences in effectiveness among the major hormonal treatments. Differences occur mostly in their side effects. Women should discuss the effects of particular medications with their doctors to determine the best choice.
Oral contraceptives (OCs), commonly called birth control pills or "the Pill," contain combinations of an estrogen and a progestin. Combined oral contraceptives are a first-line treatment for endometriosis pain. They are generally used along with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen.
Oral contraceptives may be used either before surgery or after laparoscopic removal of endometrial tissue to prevent current symptoms.
When used throughout a menstrual cycle, OCs suppresses the actions of other reproductive hormones (luteinizing hormone [LH] and follicle stimulating hormone [FSH]) and prevents ovulation. There are many brands available. The estrogen compound used in most oral contraceptives is estradiol. Many different progestins are used, and there are many brands. None to date have proven to be better than others. Women should discuss the best options for their individual situations with their doctor.
Standard OCs come in a 28-pill pack that contains 21 active pills and 7 inactive pills. Women with severe pain who have not been helped by standard combination OCs may benefit from switching to continuous-dosing combination OCs. Continuous-dosing oral contraceptives aim to reduce, or even eliminate, monthly periods and thereby prevent the pain and discomfort that often accompanies menstruation. These OCs contain a combination of estradiol and the progestin levonorgestrel but use extending dosing of active pills.
Estrogen and progestin each cause different side effects. The most serious side effects are due to the estrogen in the combined pill. Uncommon but more dangerous complications of OCs include high blood pressure and deep-vein blood clots (thrombosis), which may contribute to heart attack or stroke.
Progestin alone may be helpful for women whose pain has not been relieved with combination estrogen-progestin oral contraceptives. Some doctors recommend progestins as the first choice for women with endometriosis who do not want to become pregnant.
Progestins can prevent ovulation and reduce the risk for endometriosis in the following ways:
Specific Progestins
Progestins are available in various forms. They include:
Side Effects of Progestins
Side effects of progestin occur in both the combination oral contraceptives and any contraceptive that uses only progestin, although they may be less or more severe depending on the form and dosage of the contraceptive. The most common side effects include:
Gonadotropin releasing hormone (GnRH) agonists are effective hormone treatments for endometriosis. They block the release of the reproductive hormones LH (luteinizing hormone) and FSH (follicular-stimulating hormone). As a result, the ovaries stop ovulating and no longer produce estrogen. Ovulation and menstruation resume around 4 to 10 weeks after stopping the drug. The specific length of time depends on the type of GnRH agonist used.
Prescribing low dose of hormones in the form of birth control pills along with GnRH agonists can help relieve some of the menopausal-type side symptoms and help prevent osteoporosis, without reducing the effectiveness of GnRH treatment. This approach is called add-back therapy.
Specific GnRH Agonists
GnRH agonists include the implant goserelin (Zoladex), a monthly injection of leuprolide (Lupron, Depot, generic), and the nasal spray nafarelin (Synarel).
Side Effects and Complications
Common side effects (which can be severe in some women) include menopause-like symptoms, including hot flashes, night sweats, vaginal dryness, weight change, and depression. The side effects vary in intensity depending on the GnRH agonist. They may be more intense with leuprolide and persist after the drug has been stopped.
The most important concern is possible osteoporosis from estrogen loss. To help protect the bones, doctors prescribe "add-back therapy," with a supplement of combination estrogen-progestin. Because of estrogen loss side effects, doctors generally recommend that women not take GnRH agonists for more than 6 months.
GnRH treatments can increase the risk for birth defects. Women who are taking GnRH agonists should use non-hormonal birth control methods, such as the diaphragm, cervical cap, or condoms while on the treatments.
Danazol (Danocrine, generic) is a synthetic drug that resembles a male hormone (androgen). It suppresses the pathway leading to ovulation. Many women stop taking this drug because of its adverse side effects, which include:
Danazol can also cause male characteristics, such as growth of facial hair, reduced breasts, and deepening of the voice. Because GnRh agonists cause far fewer side effects, danazol is not a first-line choice for endometriosis treatment.
Aromatase inhibitors
Aromatase inhibitors (AIs) are a class of drugs that stop the body from making estrogen in tissues such as fat and skin. However, these drugs do not prevent the ovaries from making estrogen. AIs are only used for more severe pain caused by endometriosis where other treatments have not worked, and include:
The goal of conservative surgery is to remove as many endometrial implants and cysts as possible without causing surgical scarring or subsequent adhesions that could cause fertility problems. Surgery can help improve fertility in women with severe endometriosis. Whether it offers any advantage in pregnancy rates in women with mild-to-moderate endometriosis is unclear. Conservative surgery can also help relieve pain caused by implants. It may, however, miss microscopic implants that could continue to cause pain and other symptoms after the procedure.
The two conservative surgical procedures are:
A laparoscopy is performed, usually under general anesthesia, as follows:
People may experience temporary but severe discomfort in the shoulders after laparoscopy due to residual carbon dioxide gas that puts pressure on the diaphragm. The incisions, even with laparoscopy, may cause pain afterward, which can usually be treated effectively with mild pain relievers. There are small risks for bleeding, infection, and reaction to anesthesia.
Even with very successful surgery, endometriosis may recur within several months to several years.
Hysterectomy is the surgical removal of the uterus. Endometriosis accounts for a significant percentage of these procedures. Hysterectomy does not, however, necessarily cure endometriosis.
A woman cannot become pregnant after having a hysterectomy. Women should realize that hysterectomy causes immediate menopause if the ovaries are removed.
Once a decision for a hysterectomy has been made, the patient should discuss with her doctor what will be removed. The common choices are:
Hysterectomy is surgical removal of the uterus, resulting in inability to become pregnant. This surgery may be done for a variety of reasons, including chronic pelvic inflammatory disease, uterine fibroids, and cancer. A hysterectomy may be done through an abdominal or a vaginal incision.
Removal of the ovaries (oophorectomy) along with hysterectomy significantly reduces the likelihood that endometriosis will recur. However, there is still a small chance that recurrence can happen.
Hysterectomies may be performed abdominally (through an incision in the abdomen) or vaginally (through a vaginal incision). A variation of the vaginal approach is called laparoscopic-assisted vaginal hysterectomy (LAVH). There are other laparoscopic approaches as well, including robotic assisted laparoscopy. Recovery times for vaginal hysterectomy and laparoscopic procedures are shorter than those for abdominal hysterectomy.
The ovaries are the main source of production of estrogen. In premenopausal woman, the removal of both ovaries causes immediate menopause. After a hysterectomy with bilateral oophorectomy, women may have hot flashes and other symptoms of menopause, including vaginal dryness, insomnia, and weight gain. Prescribed hormone replacement will typically ameliorate these symptoms. Women who have surgical removal of both ovaries, and who do not receive hormone replacement therapy, tend to have more severe hot flashes than women who enter menopause naturally.
If hormone therapy is recommended after hysterectomy, it is given as estrogen-only therapy (ET). Women who do not have a uterus do not need to take combination estrogen-progesterone therapy.
After a total hysterectomy, in which the cervix has been removed, a woman may not need annual Pap smears of the cervix depending on her medical/gynecological history. However, she still should get regular pelvic and breast exams.
Angioni S, Pontis A, Dessole M, Surico D, De Cicco Nardone C, Melis I. Pain control and quality of life after laparoscopic enblock resection of deep infiltrating endometriosis (DIE) vs. incomplete surgical treatment with or without GnRHa administration after surgery. Arch Gynecol Obstet. 2015;291(2):363-370. PMID: 25151027 www.ncbi.nlm.nih.gov/pubmed/25151027.
Brown J, Farquhar C. An overview of treatments for endometriosis. JAMA. 2015;313(3):296-297. PMID: 25603001 www.ncbi.nlm.nih.gov/pubmed/25603001.
Brown J, Farquhar C. Endometriosis: an overview of Cochrane reviews. Cochrane Database Syst Rev. 2014;(3):CD009590. PMID: 24610050 www.ncbi.nlm.nih.gov/pubmed/24610050.
Centers for Disease Control and Prevention (CDC). U S. medical eligibility criteria for contraceptive use, 2010. MMWR Recomm Rep. 2010;59(RR-4):1-86. PMID: 20559203 www.ncbi.nlm.nih.gov/pubmed/20559203.
de Ziegler D, Borghese B, Chapron C. Endometriosis and infertility: pathophysiology and management. Lancet. 2010;376(9742):730-738. PMID: 20801404 www.ncbi.nlm.nih.gov/pubmed/20801404.
DiVasta AD, Feldman HA, Sadler Gallagher J, et al. Hormonal add-back therapy for females treated with gonadotropin-releasing hormone agonist for endometriosis: a randomized controlled trial. Obstet Gynecol. 2015;126(3):617-627. PMID: 26181088 www.ncbi.nlm.nih.gov/pubmed/26181088.
Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400-412. PMID: 24435778 www.ncbi.nlm.nih.gov/pubmed/24435778.
Granese R, Perino A, Calagna G, et al. Gonadotrophin-releasing hormone analogue or dienogest plus estradiol valerate to prevent pain recurrence after laparoscopic surgery for endometriosis: a multi-center randomized trial. Acta Obstet Gynecol Scand. 2015;94(6):637-645. PMID: 25761587 www.ncbi.nlm.nih.gov/pubmed/25761587.
Harb HM, Gallos ID, Chu J, Harb M, Coomarasamy A. The effect of endometriosis on in vitro fertilisation outcome: a systematic review. BJOG. 2013;120(11):1308-1320. PMID: 23834505 www.ncbi.nlm.nih.gov/pubmed/23834505.
Hickey M, Ballard K, Farquhar C. Endometriosis. BMJ. 2014;348:g1752. PMID: 24647161 www.ncbi.nlm.nih.gov/pubmed/24647161.
Liu E, Nisenblat V, Farquhar C, et al. Urinary biomarkers for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev. 2015;(12):CD012019. PMID: 26695425 www.ncbi.nlm.nih.gov/pubmed/26695425.
Lobo RA. Endometriosis. Etiology, pathology, diagnosis, management. Lentz G, Lobo RA, Gershenson D, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 19.
Medeiros LR, Rosa MI, Silva BR, et al. Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis. Arch Gynecol Obstet. 2015;291(3):611-621. PMID: 25288268 www.ncbi.nlm.nih.gov/pubmed/25288268.
Muzii L, Di Tucci C, Achilli C, et al. Continuous versus cyclic oral contraceptives after laparoscopic excision of ovarian endometriomas: a systematic review and metaanalysis. Am J Obstet Gynecol. 2016;214(2):203-211. PMID: 26364832 www.ncbi.nlm.nih.gov/pubmed/26364832.
Nisenblat V, Bossuyt PM, Farquhar C, Johnson N, Hull ML. Imaging modalities for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev. 2016;2:CD009591. PMID: 26919512 www.ncbi.nlm.nih.gov/pubmed/26919512.
Nisenblat V, Bossuyt PM, Shaikh R, et al. Blood biomarkers for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev. 2016;(5):CD012179. PMID: 27132058 www.ncbi.nlm.nih.gov/pubmed/27132058.
Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341-346. PMID: 24695505 www.ncbi.nlm.nih.gov/pubmed/24695505.
Peterson CM, Johnstone EB, Hammoud AO, et al. Risk factors associated with endometriosis: importance of study population for characterizing disease in the ENDO Study. Am J Obstet Gynecol. 2013;208(6):451.e1-11. PMID: 23454253 www.ncbi.nlm.nih.gov/pubmed/23454253.
Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril. 2014;101(4):927-935. PMID: 24630080 www.ncbi.nlm.nih.gov/pubmed/24630080.
Schrager S, Falleroni J, Edgoose J. Evaluation and treatment of endometriosis. Am Fam Physician. 2013;87(2):107-113. PMID: 23317074 www.ncbi.nlm.nih.gov/pubmed/23317074.BACK TO TOP
Reviewed By: Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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text:
75 Eastern Point Boulevard
Gloucester, Mass. 01930
Days & Hours
Tuesday – Saturday
May 23 – October 17
10:00 a.m. – 4:00 p.m.
Tours on the hour.
Last tour at 4:00 p.m.
Closed July 4
$20 adults
$17 seniors
$8 students
Free for Historic New England members and Gloucester residents.
Take Route I-95/128 north to the end. At second set of lights after the second rotary, take East Main Street 1.5 miles, approximately eight minutes, to the stone pillars at the entrance to Eastern Point Boulevard. Proceed through the pillars and follow Eastern Point Boulevard .5 miles to Beauport.
The Beauport parking lot is across the street from the house.
Public Transportation
Gloucester is accessible via the MBTA commuter rail. Beauport is located 3.6 miles from the Gloucester station. The red line on the Cape Ann Transportation Authority stops at the entrance of Eastern Point. Beauport is .5 miles on the right. Taxi service is also available.


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Just copy and paste the code below to embed this station in your blog, website or social profile.
You've chosen Virtual FM, if you want to select another radio station, go back to the Radio Directory
Back to Virtual FM - Santa Fe.
Note: You can also go further and add a Banner of Streema in your site, to do that, go here.


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Two reports this week show how younger and younger children are becoming techies.
Nearly 80 percent of young children ages 0 to 5 use the Internet at least once a week and just under half of all 6-year-olds play video games, a report from Sesame Workshop and The Joan Ganz Cooney Center said.
NPD, meanwhile, said in a report that as children age, they're spending less time hanging out with their friends, opting instead to use social networking, online gaming and other technology that combine socializing with entertainment.
It said that kids ages 2 to 4 spent 17.5 hours per week spending actual face time with friends or siblings. Older children ages 9 to 12, on the other hand, only spent 10.8 hours per week on average socializing with their friends in person. This is despite having the same number of hours for leisure.


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A few people did a double take when they spotted tanuki taking a nap in the small wild space in front of Shibaura House. Tanuki shows how his 4 meter scrotal shade can quickly be turned into a blanket for anytime napping.
Below he approaches a glass office tower, but there's no response. Nearby office workers avoided eye contact, but delivery men and laborers were happy to accept an umaibo salty snack and chat with tanuki.
More photos coming from the film developer soon. Many thanks to A Small Lab's Chris and everyone at Shibaura House.


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As we enter the aftermath of the opening weekend of X-Men Origins: Wolverine, the discussions of spinoffs and sequels hit full throttle.
We've heard for a while now about the internal discussions at Fox about the many possible films that can branch out from the series so far. These include X-Men Origins: Wolverine 2, Deadpool, X-Men: First Class, X-Men Origins: Magneto and a Gambit solo.
Well, what's it going to be?
With Hugh Jackman's Wolverine origins movie banking nearly $160 Million worldwide this weekend, we can expect to see some green lights on upcoming Fox productions in the X-Men franchise.
For now, let's talk about what the actors want to see in the future. The other day, I wrote about Ryan Reynolds and his desire to not only have his own Deadpool solo movie, but to feature the character Cable as his opposite in the film. I'm all for that idea as I thought Ryan Reynolds as Wade Wilson in the Wolverine movie was one of the best parts (pre-Weapon XI that is).
For those who don't know the character, Cable is the son of Scott Summers (Cyclops) and Madelyne Pryor (Jean Grey's clone) who was taken to the future only to return as a much older and hardened mutant. This will certainly not be his origin if he is ever to appear in the movies. At least, not until the X-Men franchise is rebooted in the not-too-distant future.
I also thought that Cable would be a good character to introduce into the X-franchise and I proposed that a good place for his introduction would be in X-Men: First Class as it will bring back major characters Cyclops and Jean Grey back into the mix (and possibly Emma Frost). That way, Cable would known by audiences by the time Deadpool is made.
So, out of the solo possibilities, Deadpool seems a more likely choice than Gambit, if not for the fact Ryan Reynolds has significantly more star power than Taylor Kitsch.
As for Gambit, he is one of my favorite characters from the comics and of the classic nineties animated series. In the movie, he does not earn such praise from me.
While Gambit is a cool character and Taylor Kitsch a good actor, together they do not meet the basic needs of what many fans of the character want. Gambit needs his Cajun accent and his French catch-phrases – that is essential.
In the comments section of Screen Rant's review of X-Men Origins: Wolverine, you may have seen my review of the movie where I discuss a few of the characters. In it, I talk about how Gambit came off as some cocky southern kid and didn't have the coolness or suave that the real Gambit puts forth. He wasn't a bad character in the movie; he was just a weak character who could jump 50 feet high and nothing like the Marvel versions.
Regardless, Gambit is one of the spinoff possibilities. What does Taylor Kitsch, the actor who plays him want in a Gambit spinoff? In speaking to MTV before X-Men Origins: Wolverine hit theaters, the Canadian actor of Friday Night Lights fame said:
"I would love to go darker… [Gambit] in Vegas was fun, but I want to go into the Thieves Guild part of his story."
"How cool would it be to see him stealing things to survive because the stakes are so high?... Of course, as an actor, I'm always going to the darker side, but for him that would just be way more intriguing."
"Come on, Fox… Let's do it."


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Indian female feet, female feet, amachure feet, sole, toe, actress feet, sweet toes, whatever, Feet from Indian continent are the best features of a female specially if they are from Indian subcontinent. From India, Pakistan, Bangladesh, Srilanka and Arab countries, delicacy of elegent feet, sole and toe is beyond imagination, especially when you see them in saree and suit.
TO SEND PICTURES MAIL TO: email@example.com


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Dog walking is a great way to help out the dogs at the shelter get not only exercise, but much needed human interaction and socialization. This makes the dogs at the shelter much more behaviorally desirable to potential adopters.
Once you become a dog walker and have active participation in the program, you can help in other programs such as taking the adoptable dogs to the Fayetteville Farmer's Market, taking dogs to outside adoption events. You can even check out a dog through our Hounds Around Town program and take him/her for a hike or a walk on the trails!
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text:
I have a computer, called Loki, that works as a virtual machine host and DHCP server. The DHCP daemon is listening on port
eth0. Part of
subnet 192.168.13.0 netmask 255.255.255.0 {
range 192.168.13.140 192.168.13.140;
host Windows7VM {
hardware ethernet 08:00:27:57:C9:69;
fixed-address 192.168.13.150;
option subnet-mask 255.255.255.0;
option broadcast-address 192.168.13.255;
option routers 192.168.13.1;
host TerminalAdam {
hardware ethernet ...;
fixed-address 192.168.13.151;
option subnet-mask 255.255.255.0;
option broadcast-address 192.168.13.255;
option routers 192.168.13.1;
eth0 is configured like this:
ifconfig eth0 192.168.13.1 netmask 255.255.255.0
There is another computer, called TerminalAdam. The DHCP client configuration of TerminalAdam works fine. Now I need to connect Windows7 virtual machine to this network, so that both TerminalAdam and Windows7VM DHCP clients are configured by Loki's DHCP server.
In VirtualBox VM network settings I choose
bridge, device
eth0. When I turn on the VM, I get this in
/var/log/messages.log several times:
Apr 27 14:36:41 localhost dhcpd: DHCPDISCOVER from 08:00:27:57:c9:69 via eth0
Apr 27 14:36:41 localhost dhcpd: DHCPOFFER on 192.168.13.150 to 08:00:27:57:c9:69 via eth0
But in Windows I have "connection to network is not available" in the network adapter status and I cannot connect.


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The Accounting Historians Journal Vol. 12, No. 1 Spring 1985 Benny R. Copeland NORTH TEXAS STATE UNIVERSITY THE STORY OF THE SIXTH RULE Abstract: This paper traces the development of the "sixth rule," the last of the six rules which the membership of the American Institute of Accountants approved at the 1934 annual meeting. The sixth rule appeared suddenly in the Report of the Special Committee on Development of Accounting Principles. It was added, al-most at the last moment, in response to the issuing of a "Stop Order" by the Federal Trade Commission (FTC) against the registration statement of Unity Gold Corporation. The profession joined the FTC in criticizing the method of account-ing employed by Unity. And, as a result, the sixth rule was added. At the 1934 annual meeting of the American Institute of Accoun-tants (predecessor organization of the American Institute of Certi-fied Public Accountants), held October 15-18 in the Stevens Hotel in Chicago,1 the membership formally adopted six "Rules" of ac-counting: 1. Unrealized profit should not be credited to income account of the corporation either directly or indirectly, through the medium of charging against such unrealized profits amounts which would ordinarily fall to be charged against income account. Profit is deemed to be realized when a sale in the ordinary course of business is effected, unless the circumstances are such that the collection of the sale price is not reasonably assured. An exception to the general rule may be made in respect of inventories in which owing to the impossibility of determining costs it is ACKNOWLEDGMENTS: The author wishes to express his appreciation to the following NTSU professors who reviewed earlier drafts of this article: Drs. Teddy Coe, Bruce Koch, Barbara Merino, and Ted Skekel. Any deficiencies which remain are the sole responsibility of the author. Also, the author is grateful to the American Institute of Certified Public Accoun-tants for permission to quote materials cited in Footnotes 2, 6, 17, 19, 22, and 23; Copyrighted 1934, 1969, and 1973 by the American Institute of Certified Public Accountants, Inc. In addition, the author expresses his appreciation to the Schol-ars Book Co. for permission to use the material cited in Footnotes 7, and 11; Copy-righted 1971, and 1975 by Scholars Book Co.


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Nigerian who fought in Burma in WWII remembered
Jan 24, 2013, 10:40 AM EST
(AP Photo/Jon Gambrell)
LAGOS, Nigeria (AP) — At 16, Isaac Fadoyebo ran away from his home in southwest Nigeria and signed up to fight for Britain in World War II, a decision made from youthful exuberance that saw him sent to Burma to fight and nearly die.
Courage and luck kept him alive behind enemy lines as local farmers protected him for months until the British broke through and found him. When he returned home to Nigeria, his story and those of his fellow veterans largely fell away from the public's mind as independence swept through the country and a devastating civil war and political unrest later followed.
Fadoyebo, who died in November at the age of 86, represents one of the last so-called "Burma Boys" in West and East Africa. On Thursday, his family and friends gathered for a final worship service and celebration of his life, as new attention has been paid to his sacrifices and those of other Africans drawn into the fighting.
"There was this allegiance to the British; we would sing 'God Save the Queen.' ... Those who joined the war then were of course celebrated as heroes, not as we were celebrating them now," said Elizabeth Adenike Ajayi, a daughter of Fadoyebo. "But like much of Africa's history, there wasn't an attempt to get the history from the perspective of the Africans."
Fadoyebo served as a medical official in the Royal West African Frontier Force, a military comprised of Britain's then-colonies of Gambia, the country that would become Ghana, Nigeria and Sierra Leone. Coupled with recruits from Britain's eastern colonies as well, authorities recruited some 500,000 Africans to fight.
Fadoyebo ran away from home and joined the force out of curiosity, the desire to have an adventure, the money that British forces paid and a "youthful exuberance," Ajayi said. Historians say many others joined for the same reason. Fadoyebo sailed with others around the Cape of Good Hope and toward India, later arriving in Burma, the country now known as Myanmar.
Shot in the leg and chest in battle, Fadoyebo drew the attention of Japanese soldiers who approached him with bayonets on their rifles. However, they left him alone, likely believing he'd succumb to his serious wounds. He survived, crawling to a fellow soldier still alive from Sierra Leone. Villagers later took them in and protected them for months, even though they could have been killed for aiding the African soldiers, according to accounts from him and his family.
Fadoyebo returned home to Nigeria, still then a British colony despite a growing call by nationalists for the nation's independence. Soldiers who took part in World War II from Ghana later sparked the 1948 Accra riots, the start of the nation's march toward independence. However, their Nigerian counterparts largely faded back into normal life as the nation gained its independence from Britain in 1960. Later that decade, some soldiers fought during the nation's civil war that saw 1 million people killed. At that time though, most of the military commanders in the nation came from a later generation.
History, however, has a way of fading quickly in Nigeria, a young nation that has seen its population boom to more than 160 million people. The British commonwealth still pays to have a portion of a Lagos cemetery where the graves of World War II dead still lie. A Nigerian military cemetery next to it for those who died in the 1990 peacekeeping missions to Sierra Leone and Liberia has trees growing out of the graves and overgrown bushes blocking people from entering a memorial there.
Fadoyebo ended up writing a book about his experiences called "A Stroke of Unbelievable Luck," while still receiving his disability payments from the British for his injuries into his eighties. He later was profiled as part of a documentary about Africa's contribution to British forces during World War II, drawing new attention to his incredible story.
"It is a surprise that I survived it. It's a miracle," Fadoyebo told journalist Barnaby Phillips in the documentary that aired on the satellite news network Al Jazeera. "I never thought I could survive it. I thought I was going to die."
Yet through it all, Fadoyebo remained humble, raising six daughters and retired from his job as a civil servant. His will calls for much of his estate to go toward establishing a clinic in the village where he grew up, Ajayi said.
"He was a focused man," his daughter said.


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I think it depends where you live to some degree - in tropical climates for example it is far easier for bacteria to propagate, so it makes more sense to sterilise bottles for longer and boil water for making up formula. If you can guarantee your bottles are being washed in clean water and the drinking water is also free from nasties, then perhaps stop sterilising/boiling earlier.
I personally stopped after I realised the absurdity of sterilising bottles for a kid that was shoving chipbark from the bottom of the slide at the local park into his mouth!
When do you stop sanitizing baby bottles?
Sanitizing baby bottles reduces the amount of germs your baby is exposed to but also takes time out of your day that you could be spending elsewhere. When should you stop sanitizing bottles?
I think it depends where you live to some degree - in tropical climates for example it is far easier for bacteria to propagate, so it makes more sense to sterilise bottles for longer and boil water for making up formula. If you can guarantee your bottles are being washed in clean water and the drinking water is also free from nasties, then perhaps stop sterilising/boiling earlier.
I NEVER sanitized bottles. Not even when my children were nrwborns. I have 3 kiddos so far and all three were breastfed for an "extended" time... until you can sanitize the entire planet (for the rest of their lives) it is a waste of time to do so when they are babies. The immune system has to learn at some point what germs are.
I think it depends on your baby I stopped sterilizing things for my Gabriel when he was just a little over four months old because of the amount of stuff he put in his mouth anyway, so I just didn't see the point anymore, but thats just me. He's never had a problem with his bottles not being sterilized.
I stopped when I stopped using them, and I continue to sanitize the dishes that we all use to a certain degree. But to me washing the dishes is also sanitizing them, I mean why do we wash them any way? Because the food on them help create bacteria so we wash them so that they are usable again.
I only did it when the bottles were brand new . I have boiling hot tap water . I do the bottles separate from any other dishes just so food does not get in them . Never seen the point in boiling the piss out of them , I find they tend to get more lime scale and stuff on them when boiling . My baby never got thrush and was rarely sick . I have friends that boiled to the bitter end , but was not worried about soothers getting dirty.... go figure .
i sterelised probably till my daughter was 10 months, i kept doing it only cause i had an electric stereliser so it was not a hard time consuming job, i spent money on it so why not get the use out of it lol. I read in one of my baby books you dont have to stereliser once their 6 months but hey everyone does things different =)
I was told by numerous midwives after having my son, and again after having my daughter that you don't actually need to sanitize/sterilize bottles because as soon as you take them out of the sanitizer/sterilizer they are no longer sterile/sanitized.
I was advised to wash them in warm-hot soapy water, let them drain, then rinse them and fill with boiling water and put them straight into the fridge.
When my son was 3 months old I stopped filling them with boiling water and putting them in the fridge and I didn't even bother with my daughter, neither of them get ill very often and they seem to be able resist many virus's as well and don't get as sick as my husband and I do.
It's obsurd that midwives would say this to you. The reason a steralizer is used for new babies is to remove any harmful bacteria and large growth bacteria not the everyday germ. Bottles stay sanitized for up to 1 hour after the cycle has finished, when left in the steralizer. If they are taken out before 1 hour and filled with boiling water immediately, putting the teet and lid on, the inside of the bottle stays sanatized until use.Add a comment
I boiled them (glass bottles) every so often (like when I forgot where I left it and mold started to form) other than that I completely stopped doing that when she was 3 months old. I like germs, they are good for you, though some aren't, you cant be in a protective bubble forever.
you misplaced a bottle for so long that mold grew? How disgusting is your house?
Really Karen?! How rude.
I never sterilized, I just used hot soapy water.
As long as you are bottlefeeding, you should be santizing the bottles. No shortcuts. You will have a healthier baby.
i have sterilize my sons bottles since birth and will continue to as it only takes 6 mins in the microwave its not a long time to ensure his bottles are as clean as they can be for him x
I never sanitized. I would make sure things were washed and dried properly; but do you sanitize food? I never needed to santize the water for formula either. My water is really great out of the tap. OF COURSE IF YOU LIVE IN AN AREA THAT NEEDS IT THEN BOIL THE WATER. But if you can use it out of the tap then go for it. They put floride in it for our teeth. A lot of bottled water is just tap water that they used reverse osmosis on, whatever that does. It's realy just a way to make money. My advise is if you have any questions about your child's health call their doctor. You'd be surprised at some of the information they have for you. It can really ease your mind
I only sanitized my bottles once. We actually just put our bottles in the dishwasher.
I only did it once - to clean them after two years of storage in the garage. We've never sanitized them since (though my suspicion is the dishwasher gets hot enough to do it).
you're suspicions are right.
I sanitised bottles for 4 months.
I didn't do it scrupulously after the 2 month though.
I think it's a good idea TO DO IT FOR the first week at least because babies have almost no immunities as a newborn and if you are JUST giving your baby formula then its not getting your immunities either, so at LEAST the first week! :)
I stopped when my son turned 1 years old; which is quite recent; looking if whether or not to sterilize just the nipples in sippy cups
Maybe I'm a bad mom, but I don't "sanitize" my son's bottles. The only time you could say that I have, was when they brand new from the store. I just wash them in hot soapy water like I do everything else, and allow them to air dry. My son is 13 months old and has had One ear infection at the age of 8 months. He has not otherwise been sick. I say, stop when ever you want to.
I stopped sterilising my babies' bottles when they were about 6 month old and started eating food. The pediatric nurses that I used to work with, laughed at me for sterilising at all, their opinion was to only sterilise once when the bottles are new and then maybe once in a while, but just a normal wash should suffice even from newborn stage.
I often discussed this with my sister her to sterilised alot longer than I did - she claimed that the soya formula that her daughter used was more prone to growing bacteria which is why she continued sterilising.
I think that a lot depends on how quickly you wash your bottles, or if they tend to be left for a while with the used milk in them. It's quite a personal choice.
as long as your child uses them, but look out for that first tooth and ween off look sippy cups and regular plastic cups asap...
I steralized my kids bottles until the started crawling and putting anything the came across into their mouths. The reason a steralizer is used for new babies is to remove any harmful bacteria and large growth bacteria not the everyday germ. Bottles stay sanitized for up to 1 hour after the cycle has finished, when left in the steralizer. If they are taken out before 1 hour and filled with boiling water immediately, putting the teet and lid on, the inside of the bottle stays sanatized until use.
i stopped doing it everyday when my daughter was about 6 months old.
I just stopped sanitizing Shayden's bottles he's 4 months.
For me, it was after my eldest daughter spat out a cigarette butt she had picked up while we were on a building site (around 10 months)
With the others, once they were spending time moving around on the ground (and then putting those hands in their mouths), so around 4-6 months.
When my son was going to daycare, I sanitized his bottles every Friday. Now that he is at home with me and less exposed to germs, I sanitize his bottles once a month.
We continue to sterilize the bottles. We're using our "sanitize" setting on the dishwasher to achieve it and keep up with the workload without going crazy. It's been a fantastic time saver. My daughter is 5 1/2 months.
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Second Annual National Endowment for the Humanities Plain Writing Compliance Report
As was the case last year, in 2012-2013 we have continued to focus our efforts on the writing and editing of application guidelines: the instructions for applicants to our grant programs. We currently administer approximately thirty-five grant programs, a list of which can be found here.
Joel Schwartz (NEH's Chief Guidelines Officer, the official principally responsible for writing and editing these documents) is overseeing the agency's Plain Writing initiative. One of his responsibilities is to ensure that the application guidelines are as comprehensible as possible.
This year we have also begun what will be a multiyear effort to simplify the language in NEH's grant management documents: that is, the documents that tell grantees what they need to do to comply with the conditions of their awards. To date we have published revised versions of nine of these documents, focusing on those that are most commonly used. Six of these documents pertain to institutional grantees: The General Terms and Conditions for Awards (GTCA), the Addendum to the GTCA, Performance Reporting Requirements, Financial Reporting Requirements, the Federal Matching Funds Guidelines, and the Administration of NEH Challenge Grants. The other three documents pertain to individual grantees: General Information on NEH Fellowships, General Information on Summer Stipend Awards, and General Information on Awards for Faculty.
To give you a sense of the sorts of changes that we are making in grant management documents, here are two examples: the first is taken from the GTCA, and the second is taken from the Administration of NEH Challenge Grants. Below you'll find the "before" and "after" versions of each extract.
The GTCA example appears in the glossary of terms with which the document begins.
Before: "Simplified Acquisition Threshold: This term replaces 'small purchase threshold,' and the threshold is currently set at $100,000 [41 U.S.C. 403 (11)]."
After: "Simplified Acquisition Threshold: This term replaces 'small purchase threshold,' and is currently set at $150,000 [41 U.S.C. 403 (11)]. It refers to the dollar amount ceiling under which federal agencies are permitted to use simplified procedures for purchasing goods or services."
We think that the "after" version is more helpful to readers: it explains what the threshold is, and how it is used—instead of simply listing a dollar amount.
The second example, taken from the Administration of NEH Challenge Grants, concerns construction and renovation projects that affect historic properties. The National Historic Preservation Act (NHPA) applies to such structures.
Before: "Section 106 [of the NHPA] requires NEH to review the effects of projects offered NEH funding on historic properties (i.e., National Register of Historic Places (National Register) -listed or -eligible properties), and when applicable, provide the Advisory Council on Historic Preservation (ACHP) an opportunity to comment on such projects prior to the expenditure of any Federal funds."
After: "Prior to the expenditure of any federal funds, Section 106 [of the NHPA] requires NEH to review the effects of projects offered NEH funding on historic properties that are listed or eligible for listing in the National Register of Historic Places. When applicable, NEH must also provide the Advisory Council on Historic Preservation (ACHP) an opportunity to comment on such projects prior to the expenditure of any federal funds."
We think the "after" version is considerably clearer. We split the single lengthy sentence in the "before" version into two more manageable sentences. We also eliminated the confusing proliferation of parentheses within parentheses. Finally, we replaced the awkward construction involving hyphens ("National Register-listed or -eligible properties") with a much simpler construction: "historic properties that are listed or eligible for listing in the National Register of Historic Places."
The language in many NEH documents—this is true of instructions for applicants as well as instructions for grantees—is often unavoidably technical. (In particular, the legal language found in many grant management documents is necessarily precise and therefore unchangeable.) Working within that very real constraint, we will continue to strive to make our documents as readable and as comprehensible as can be.
Joel Schwartz, NEH's Chief Guidelines Officer, prepared this report.


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The quality and focus of these submissions vary considerably. With the exception of those submissions selected as winners or finalists, these documents are unedited and are reproduced in the condition in which they were submitted. They may nevertheless contain useful information or may report innovative projects.
Allapatah Produce Market Play [Goldstein Award Finalist], Miami Police Department (FL, US), 2002
Bulldozing Construction Site Burglary [Goldstein Award Finalist], Port St. Lucie Police Department (FL, US), 2006
Day Labor Project [Goldstein Award Winner], Glendale Police Department (CA, US), 1997
Domestic Violence Re-victimization Prevention [Goldstein Award Finalist], Fremont Police Department (CA, US), 1997
Group Homes: A Multi Agency Approach to a City Wide Problem [Goldstein Award Finalist], Fresno Police Department (CA, US), 1996
Highland Creek Garage Robbery Project, Charlotte-Mecklenburg Police Department (NC, US), 2004
Hispanic Robbery Initiative [Goldstein Award Finalist], Charlotte-Mecklenburg Police Department (NC, US), 2002
KIDestrian: Child Pedestrian Safety [Goldstein Award Finalist], Hamilton-Wentworth Regional Police Service (ON, CA), 1994
Last Drink Program [Goldstein Award Finalist], Peel Regional Police (ON, CA), 1996
Let's Dance: A Community's Collaborative Response to an All Ages Night Club [Goldstein Award Finalist], Halton Regional Police Service (ON, CA), 2002
Nightsafe Initiative, Lancashire Constabulary (Lancashire, UK), 2004
Noise in Neighborhoods Achieving Community Together (ACT) [Goldstein Award Finalist], San Marcos Police Department (TX, US), 2011
Oakland Airport Motel Program [Goldstein Award Winner], Oakland Police Department (CA, US), 2003
Operation Adelphi [Tilley Award Finalist], Lancashire Constabulary (Lancashire, UK), 2000
Operation Kerb [Goldstein Award Finalist], Lancashire Constabulary (Lancashire, UK), 2003
Operation Crystal/Crystal Clear [Tilley Award Winner], Merseyside Police Department (Merseyside, UK), 2001
Operation Fragment [Tilley Award Winner], Avon and Somerset Constabulary (Bristol, UK), 2009
Operation Mullion [Tilley Award Finalist], Hampshire Constabulary (Hampshire, UK), 2006
Operation Pasture [Tilley Award Winner], Lancashire Constabulary (Lancashire, UK), 2008
Operation Spotlight [Goldstein Award Finalist], Arlington Police Department (TX, US), 2008
Project Metrotown [Goldstein Award Finalist], Royal Canadian Mounted Police (BC, CA), 2002
Reducing Crime and Disorder at Hotels and Motels in Chula Vista California [Goldstein Award Winner], Chula Vista Police Department (CA, US), 2009
Safer Travel at Night Campaign [Goldstein Award Winner], Transport for London (London, UK), 2006
Sexual Assault Prevention Through Community Awareness and Participation, San Diego Police Department (CA, US), 1995
Street Sweeping, Broadway Style [Goldstein Award Winner], Green Bay Police Department (WI, US), 1999
The Chula Vista Residential Burglary Reduction Project [Goldstein Award Finalist], Chula Vista Police Department (CA, US), 2001
The Elite Arcade: Taming a Crime Generator [Goldstein Award Finalist], Delta Police Department (BC, CA), 1997
The False Alarm Solution: Verified Response [Goldstein Award Finalist], Salt Lake City Police Department (UT, US), 2001
The Nook Scrap Yard POP's Initiative [Tilley Award Finalist], Lancashire Constabulary (Lancashire, UK), 1999
The Power of Partnerships [Goldstein Award Finalist], Racine Police Department (WI, US), 1999
The Tower Project [Goldstein Award Finalist], Lancashire Constabulary (Lancashire, UK), 2003
The Transient Enrichment Network (TEN-4) [Goldstein Award Finalist], Fontana Police Department (CA, US), 1998
Trolley Safe [Goldstein Award Finalist], Warwickshire Police (Warwickshire, UK), 2009
Underage Drinking: More than a MINOR Issue [Goldstein Award Finalist], Plano Police Department (TX, US), 2003
Workable Solutions to the Problem of Street Prostitution in Buffalo, N.Y. [Goldstein Award Finalist], Buffalo Police Department (NY, US), 2001
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The Pittsburgh Penguins notched their 15th straight victory by beating the New York Islanders 2-0 on Saturday, overcoming an early injury to Sidney Crosby.
Pittsburgh moved within two games of the NHL record streak of 17 wins set by the 1992-1993 Penguins team led by Mario Lemieux.
Pittsburgh went 15-0-0 last month, the first perfect month in league history. The Penguins also won a franchise best 12 straight at home.
In other key games, a Nazem Kadri hat-trick led Toronto over Ottawa, Minnesota got back on the winners' list with a shootout victory over Los Angeles, Montreal moved three points clear atop the Northeast Division by defeating the New York Rangers, Edmonton's Taylor Hall scored three goals in a win over Vancouver and Philadelphia ended a four-game skid by beating Boston.
Pittsburgh's goals both came in the third period from Matt Cooke and James Neal.
Crosby skated off the ice with a towel covering his mouth after a slap-shot by teammate Brooks Orpik deflected off a stick and hit the NHL's leading scorer in the face just 1 minute, 28 seconds into the game. Crosby, who immediately fell to the ice and tossed his stick in the air, did not return.
Another head injury for Crosby has to concern the Penguins. The team captain has missed considerable time in the past two years because of concussions.
Toronto's Joffrey Lupul scored to supplement Kadri's hat-trick as the Maple Leafs cruised to a 4-0 win over the Ottawa Senators.
James Reimer made 31 saves for the Maple Leafs, who led 1-0 after the first period and 2-0 after the second, before Kadri scored twice in the opening five minutes of the third period to put the game away.
Minnesota's Mikko Koivu scored in a shootout as the Wild bounced back for a win after having their seven-game winning streak ended, defeating the Los Angeles Kings 4-3.
Koivu also had two assists in regulation. Matt Cullen and Zach Parise scored in regulation for the Wild.
Dustin Brown, Jeff Carter and Justin Williams scored for the Kings, who blew a two-goal lead.
Montreal's Michael Ryder and Tomas Plekanec scored in the first period to set up the Canadiens' 3-0 win over the New York Rangers.
Carey Price made 34 saves and Brendan Gallagher also scored for the Canadiens, who swept their three games against New York this season.
The Rangers, the NHL's lowest-scoring team, again failed to find the net.
Edmonton's Taylor Hall set an Oilers record for the fastest hat-trick to start a game, netting three times inside 7:53 — almost five minute quicker than Wayne Gretzky's effort in 1986 — in their 4-0 win over the Vancouver Canucks.
Ladislav Smid also scored for the Oilers, who are in a four-team tie just one point behind eighth seed St Louis in the Western Conference playoff race.
The Canucks had their six-game winning streak ended.
Philadelphia won their first game in five by beating the Boston Bruins 3-1.
Mike Knuble and Matt Read scored, while Ilya Bryzgalov made 33 saves and Ruslan Fedotenko added an empty-netter for the Flyers, who are last in the Atlantic Division, but only four points off the Eastern Conference's last playoff spot.
Nathan Horton scored for the Bruins, who had won their previous four against the Flyers.
San Jose's Logan Couture scored the lone goal in the shootout to give the Sharks a fourth straight win, beating the Phoenix Coyotes 3-2.


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Man of Steel is now in theaters (read our review), and despite a somewhat divisive opinion amongst critics, fans seem to be enjoying it well enough ($$$) that Warner Bros.' already-in-development Superman sequel seems like a sure bet. Of course, before the new Superman took his chance at box office glory, there was much debate as to where Warner Bros. would be taking their superhero universe in the wake of Zack Snyder's reboot film.
DC: Character First
Our own Andrew Dyce recently did an in-depth breakdown of the differences between DC and Marvel characters, and in that same article, he clearly identified how the DC/WB is now forming a pattern in their storytelling approach, focusing on grounded character stories over Marvel's preference for heightened fantasy action. Indications (at the time of writing this) are that this blueprint will make the Superman reboot a success like Chris Nolan's Batman reboot - consequently cementing the notion that character drama works better for DC films than the Marvel-style tone of the studio's 2011 under-performer, Green Lantern.
At this point, the WB would have to be pretty thick-headed to not recognize the formula written on the wall. While Marvel makes fun escapist comic book flicks, Warner Bros.' best investment seems to be deep, probing character origin stories set against a 'real world' backdrop. So, films exploring a bi-racial outcast trying to find acceptance in two worlds (Aquaman); an indoctrinated xenophobe who learns to accept and appreciate the outside world (Wonder Woman); the fastest man alive is unable to outrun his own personal tragedy (Flash) - these seem more like the drama-heavy superhero films that could possibly turn even low-tier DC characters into modern box office draws, making an eventual Justice League teamup that much more lucrative and easy to pull off.
Companion Pieces
For better or worse (depending on who you ask) Man of Steel feels, in many ways, like a companion piece to Batman Begins. Yes, it's obvious that both films were written by Chris Nolan and David S. Goyer - and yes, I'm well aware of the fact that Nolan, Goyer, Zack Snyder and actors from all over the Batman and Superman reboot franchises have all stated (repeatedly) that Nolan's Batman trilogy is its own, separate, isolated universe. But come on: in terms of narrative approach, structure, tone and themes, Man of Steel really is just "Superman Begins." And, continuity issues aside, that precedence may be something DC/WB wants to run with.
Despite a very vocal section of detractors (who never liked Nolan's somber approach), sticking with the format of Batman Begins and Man of Steel for other standalone DC hero films is probably the best way to march toward something as big as Justice League. Aside from the Marvel approach of plot and/or character crossovers used to thread together their Phase One road to The Avengers, there is something to be said for building a universe along the lines of tonal and thematic blending, rather than outright crossover.
Batman Begins and Man of Steel both shine the same sort of introspective, emotional complex light on why their respective iconic characters became the heroes they are. A similar approach to other heroes could firmly establish said heroes' identities within a similar tonal and thematic frame, which would make seeing them all team up just as easy to accept as Marvel's method of character/plot-point swapping to build a foundation under Avengers.
Think about it (purely for the sake of argument): Having seen both the Batman and Superman reboots, how hard would it really be to imagine Bale's Batman (retired) seeing the emergence of Cavill's Superman and once again donning his costume? The worlds of these "separate" films at least feel similar enough to make it plausible for both Cavill and Bale's versions of the characters to exist in the same film.
Two Before Many
It's something we've talked about multiple times on the Screen Rant Underground podcast (here, here and here) - and a theory that Internet investigators are still backing: WB could already be seeing the crossover potential of the Dark Knight and Man of Steel universes, and could be utilizing that billion-dollar potential by bringing back Christian Bale to stand alongside MoS star Henry Cavill. Certain speculation goes so far as to say that Chris Nolan is already secretly at work shepherding the entire DC film universe; time will tell how true (or not) that speculation is - we do know, however, that the filmmaker has his own sci-fi project, Interstellar, keeping him busy right now.
Despite all the evidence and incentive for WB to abandon a Justice League film for the moment - and focus on its Man of Steel sequel - that doesn't mean a team-up film is once again a dead dream. As stated, the Batman and Superman origin films have enough in common, tonally and thematically, to make a Batman/Superman movie a definite possibility (not to mention that certain Man of Steel Easter eggs directly reference that blending).
Anyone who is a fan of either the classic World's Finest Comics or the post-millennium relaunch, Superman/Batman, knows that the only thing more interesting than comparing Batman and Superman's origins (tragedy vs. nurturing) is seeing the clash of their respective moral outlooks, crime-fighting tactics, and deep-seeded insecurities. That's all good stuff we could see in a Superman/Batman crossover film. If DC/WB is looking to get any kind of Avengers-style event film off of the ground, this would be their best bet at the moment. (Again, time will tell if this project is already in works...)
How do you see the future of the DC Movie Universe unfolding in the wake of Man of Steel? What do you WANT to see happen? Let us know your opinion in the comments!
[poll id="535"]
Man of Steel is now in theaters. It is 143 minutes long and is Rated PG-13 for intense sequences of sci-fi violence, action and destruction, and for some language. Want to discuss the film without SPOILING it for others? Head over to our Man of Steel Spoilers Discussion. If you want to hear the Screen Rant Editors discuss the film, be sure to check back soon for our Man of Steel special episode of the Screen Rant Undergound Podcast. If you want to know a lot of the in-jokes in the film, check out our Man of Steel Eater eggs Discussion.


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The Accounting Historians Journal Vol. 10, No. 2 Fall 1983 Elliott L. Slocum and Alfred R. Roberts GEORGIA STATE UNIVERSITY THE BUREAU FOR PLACEMENTS Abstract: The Bureau for Placements sought to encourage qualified college graduates to choose public accounting as a career, to place them with public accounting firms, and to remove the problem of seasonal employment. During its six years of operations, the Bureau published and distributed to college students thousands of copies of the first Institute pamphlet on careers in public account-ing, and it placed 250 college graduates with public accounting firms. As a result, the Bureau started, or at least accelerated, the trend by public accounting firms toward the hiring of college graduates. Only in recent years has it been generally accepted that entry level positions in public accounting require a college education. Certainly such acceptance would have to be placed in the post-World War II period. In the decade prior to World War II a college education had become desirable, but was not required. Larger proportions of those entering public accounting, approximately half, were college graduates, and public accounting firms were more actively recruiting college graduates. As of 1938, New York State required applicants for the CPA examination to have a college degree and also required completion of specified accounting courses. Prior to World War I, and to a large extent in the 1920s, the profession did not require a college education, and many mem-bers of the profession did not believe college training was desirable. At the turn of the century, only five colleges or universities taught commerce and accounting courses, and very few accounting prac-titioners had any formal college education. Eighty years later, the baccalaureate degree with a major in accounting is generally re-quired, and many believe a master's degree should be required. The change in attitude by public accountants toward the employ-ment of college graduates can be traced, in some measure, to the efforts of the Bureau for Placements of the American Institute of Accountants. In this paper we will review briefly the environment of accountancy and education prior to the establishment of the


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A few folios for you this Friday. First the famous Bailes Brothers from West Virginia. Only two of the brothers are featured here, although Walter and Kyle were certainly in the group at the time of the publication of this folio in the mid-1940s. That Johnnie and Homer would soon go their separate ways makes the image of them as apparently conjoined twins that much more poignant.
While Johnnie and Homer look happy together, the King of Western Swing, Bob Wills looks downright menacing on the cover of this 1946 folio. While Wills's iconic grin often gives him the appearance of a mad man (and his happy hollers help to reinforce the diagnosis), here the bright red background an Wills's laconic eyes makes him look especially dangerous. Featuring some hit songs like "Texas Playboy Rag" and "Faded Love," along with patriotic propaganda-pop like "G. I. Wish" and heartfelt memorial ballads penned by Wills like "White Cross on Okinawa," this folio was certainly a hit although it might have given some players pause when they pulled if from their parlor piano bench.
For more fantastical folio flights of fancy see collection #30006, the Southern Folklife Collection Song Folios, circa 1882-1983.


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It didn't work out. I'm not sure why... the first few sessions were nice, and did work, but people's schedules changed, and they don't do it anymore.
A shame. I bought my sister a nice microphone for the purpose of doing this , but I guess we aren't doing it anymore.
Crap, I was hoping to hear that it worked out. I guess that is a bit more of an in person game than I thought.
There's software to help with such environments. The software lays out the dungeon area, and allows a DM to manipulate the characters on the board, as well as their stats, and so on. But there's certainly a charm to playing in person that cannot be met remotely.
What it needs is 3-D virtual reality (and not needing to put a silly helmet on). If you can feel like you're actually sitting at a table with the other players, it would be almost like the real thing. (Except you can't pass around the munchies. There was this place in Reading, PA that had awesome spicy fried potato wedges that we always had on hand during gaming night.)
I've never tried going to one of those gaming venues scattered about. I think there's one in Frederick, MD. You know the kind of place... they almost always also sell comics.
Maybe I should consider that. I really enjoy playing RPGs, and a pen-n-paper campaign would be a welcome change from the video games.
and they set foot firmly on the path of evil.
I think I learned vi on a VAX machine, and an Amiga 500.
Vim really does port well to all kinds of platforms.
I can't be sure I used vi on that machine... but I know I used it on an Amiga.
Mon Sep 01 2014 11:46:42 EDT from zooerI used VAX/VMS but I don't remember the editor.
do you still remember howto change directories? ;-)
The latest Amiga OS is just Emacs.
This is true, concerning Amiga.
I think the OS is now targetted towards embedded devices, but it has lost much of its charm with the advances made since then.
That was the un-post
Due to the fact that the Illusion kept me busy and entangled me with work, I came late to the party myself: Kult, the pen and paper RPG, got a new iteration:
http://kultdivinitylost.com (Partially NSFW and in some cases not safe for your mind.)
There was also a kickstarter, which I totally missed. But everything is looking very interesting.