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Relationship between hemichordates and chordates fish
Chordates evolved a unique body plan within deuterostomes and are Because hemichordates are the sister group of echinoderms, the Echinoderms and hemichordates are sister groups, while tunicate relationships are still not .. the formation of acellular vertebrae in teleost fish (Ekanayake and Hall. taxon relationship of hemichordates and the phylogeny of deuterostomes are only ysis of chordates and deuterostomes is presented based on these and other .. stage in several species of fishes, described a pair of centri- oles in the center. The main difference between Hemichordata and Chordata is that . Chordata: Mammals, birds, reptiles, amphibians, fish, amphioxus, and.
However, Lowe et al.
Chordate - Wikipedia
These results suggest that the deuterostome ancestor may have had an epidermal nerve net rather than a CNS, yet the anterior-posterior patterning of the ectoderm was already present Holland In contrast, three of the chordate characteristics are present in hemichordates, a ventral postanal tail, an endostyle, and pharyngeal gill slits.
A ventral postanal tail is present in juvenile harrimaniid hemichordate worms Bateson ; Burdon-Jones ; Cameronand it has been proposed to be homologous to the chordate postanal tail due to posterior Hox gene expression data Lowe et al. Furthermore, they share specific amino acid motifs with the echinoderms Petersonstrongly supporting their sister-group relationship Zeng and Swalla It is interesting that a postanal tail has only been reported in species of the direct-developing Harrimaniidae Bateson ; Burdon-Jones ; Cameronnot in the Ptychoderidae Urata and Yamaguchi These two families are paraphyletic with 18S rDNA analyses, with harrimaniids a sister group to the colonial pterobranchs Halanych ; Cameron, Garey, and Swalla ; however, theses two families are monophyletic when a 28S rDNA Winchell et al.
A postanal tail not being present in the indirect-developing ptychoderid acorn worms means that either it was lost in ptychoderids or the direct-developing harrimaniid worms more closely resemble the chordate ancestor. The endostyle is an iodine-binding organ present in the tunicate and cephalochordate pharynx and is considered by many researchers to be a homologous organ to the vertebrate thyroid Sasaki et al. The hemichordate epibranchial ridge, like the chordate endostyle, is composed of specialized secretory cells Ruppert, Cameron, and Frickand these cells bind iodine.
However, iodine binding is not restricted to this region but instead occurs all throughout the pharynx Ruppert Likewise, the hemichordate homolog of the gene NK2. Based on these data, it appears that the endostyle function in chordates is accomplished broadly by the pharynx in hemichordates. The most convincing homology between hemichordates and chordates is the pharyngeal gills. Hollandlamprey Ogasawara et al. The expression of the most anterior Hox gene, Hox1, is first seen in vertebrates in the second pharyngeal slit and the expression of Hox1 in hemichordates is seen at the level between the first and second gill slits, suggesting that the location of the gill slits along the anterior-posterior axis is also homologous Lowe et al.
Additionally, the pharyngeal skeletal elements of hemichordates and cephalochordates are strikingly similar in appearance Hyman ; Schaeffer Both have been reported to contain fibrillar collagen, as seen by transmission electron microscopy TEM studies Rahr ; Pardos and Benito Pharyngeal gills appear to function primarily for feeding and possibly for oxygen absorption, and thus in burrowing animals, cartilaginous elements may play an important structural role.
All deuterostomes with gills, except for tunicates, have structural elements associated with pharyngeal gills. Phylogeny results have shown that it is likely that the ancestral deuterostome was a worm that had pharyngeal gills supported by a collagenous acellular skeleton Cameron, Garey, and Swalla ; Bourlat et al.
Neither Xenoturbella nor Echinodermata has been reported to express this transcription factor. The most abundant and studied members of the collagen family are the fibrillar collagens. Each fibrillar collagen possesses the following characteristics: In this article, we construct gene trees with invertebrate and vertebrate triple helical domain sequences to show that hemichordates and lancelets have at least one fibrillar collagen and that it is similar to type I and type II vertebrate collagens.
We have been testing the hypothesis that hemichordates have a pharyngeal cartilage similar to vertebrates, containing collagen and proteoglycans in the matrix. Here, we show that the matrix contains at least one fibrillar collagen and probably contains proteoglycans as well, even if it is not cellular.
The extracellular matrix ECM that comprises the gill bar skeleton in both hemichordates and cephalochordates is probably secreted by the endoderm, unlike the vertebrate pharyngeal cartilage which is neural crest derived. We hypothesize that the earliest gill cartilages were acellular, and these were gradually replaced by neural crest cells in vertebrates.
Therefore, the deuterostome ancestor would have been a benthic worm with gill cartilages, a mouth, and the ability to filter feed. Cephalochordates may have lost their mouth and evolved a velum, while vertebrates lost the ability to filter feed. We next show evidence that invertebrate deuterostome cartilage is acellular, with an ECM of collagen and proteoglycans. Worms were dug with shovels and transported back to the laboratory in ml falcon tubes filled with seawater.
Sites in which to dig for the worms were recognized by small circular fecal casts that the animals deposit on the surface of the mud. Seven-micrometer sections were made on a Spencer microtome and mounted on gelatin-subbed slides. Photographs were taken using Cool Snap Version 1. This monoclonal antibody is specific for vertebrate type II collagen, has a broad species specificity, and does not cross-react with vertebrate nonfibrillar collagens Linsenmayer and Hendrix Collagen Phylogenetic analysis All known Homo sapiens fibrillar collagen amino acid sequences were downloaded from GenBank, and they have the following accession numbers: Invertebrate accession numbers are as follows for all known fibrillar collagens in GenBank— AAC Tunicate fibrillar collagen sequences were downloaded from the Ciona genome Web site http: The mosquito Anopheles gambiae and bee Apis mellifera fibrillar collagen sequences were found via Blast on the Ensembl genome Web site http: For all collagen sequences found via Blast, only those having a triple helical sequence in the same gene or genomic vicinity of a highly conserved noncollagenous domain known to be present in all fibrillar collagens were used.
As jaws, limbs, and other body parts have evolved in vertebrates, so have the muscles that operate them. Nervous system and sense organs The anterior end of the main nerve cord in chordates is enlarged to form at least the suggestion of a brain, but a brain is well developed only in vertebrates.
Tunicate larvae have visual organs sensitive to light and sense organs responsive to the direction of gravity. Pigment spots and light receptors in the nerve cord of lancelets detect sudden changes in light intensity. The eyes and other sense organs of vertebrates are more elaborate and complex.
The presence in cephalochordates and vertebrates of a nervous system with segmentally repeated nerves arising from the dorsal hollow nerve cord is suggestive of a common ancestry. The tunicate nervous system does not have the segmentally repeated nerves. The brains of all vertebrates are greatly enlarged and subdivided into functionally specialized regions. Digestion and nutrition Both tunicates and cephalochordates are filter feeders of small particles of food suspended in the water.
Beating cilia hairlike cellular extensions on the gill slits draw a current of water into the mouth and through the pharynx, where a sheet of mucussecreted by the endostyle a glandular organ lying below the two rows of gill slitsfilters suspended food particles from the water. Cilia lining the pharynx move the food-rich sheet of mucus upward over the gill slits, and it is then rolled up and transported to the posterior part of the gut.
The water current passes into the atrium and exits through the atrial opening. The difference is that the food consists of somewhat larger particles that have been deposited on the bottom detritusand, instead of the feeding current being driven by cilia, the pharyngeal musculature pumps water and food particles across the gill slits.
The earliest fishes probably fed on detritus, and a sucking action is retained by their extant representatives lampreys and hagfishes. With the development of jaws, it became possible for the vertebrates to capture and seize larger food items.
The lower digestive tract of the primitive chordate is a simple tube with a saclike stomach. There are only indications of the specialized areas and of glandlike structures, such as the liver and pancreas, that occur in vertebrates.
Excretion The excretion of wastes and the control of the chemical composition of the internal environment are largely effected by kidneys, although other parts of the body, including the gills, may play an important role.
Tunicates and cephalochordates have a salt content essentially the same as seawater, but vertebrates, even marine species, have body fluids of low salt content, with the exception of hagfishes. A possible explanation is that the vertebrates evolved in fresh water, but it seems reasonable that hagfishes branched off while still marine and that the freshwater form evolved later. Respiration A primitive chordate gill is present in tunicates and cephalochordates, where it serves in both respiration and feeding.
The vertebrate gill may retain some role in feeding, although the current is now produced by the action of muscles, not cilia. The gills became reduced in number in various lineages, and they were strengthened by supporting elements, some of which evolved into jaws. Lungs, already present in fishes, became the main respiratory organs of terrestrial vertebrates.
Circulatory system The circulatory system in chordates has a characteristic pattern. In tunicates and vertebrates the blood is propelled by a distinct heart; in cephalochordates, by contraction of the blood vessels.
Unoxygenated blood is driven forward via a vessel called the ventral aorta. It then passes through a series of branchial arteries in the gills, where gas exchange takes place, and the oxygenated blood flows to the body, much of it returning to its origin via a dorsal aorta. The blood of vertebrates passes through the tissues via tiny vessels called capillaries. In tunicates and cephalochordates, capillaries are absent and the blood passes through spaces in the tissues instead.
Hormones In vertebrates, endocrine glands those of internal secretion produce hormones that regulate many physiological activities.
In tunicates and cephalochordates, organs have been identified that correspond in anatomical position to the pituitary gland of vertebrates, but which hormones, if any, they secrete is uncertain. In vertebrates, the thyroid gland produces thyroxine, an iodine-containing hormone that helps regulate metabolism.
The thyroid is a modified endostyle, as can be illustrated by larval lampreys in which the thyroid still secretes mucus for use in feeding. The endostyles of lancelets take up iodine and form thyroxine, but the thyroxine formed may not function as a hormone in the lancelets themselves.
Features of defense and aggression Tunicates largely rely upon the passive defense afforded by their heavy tunic. Lancelets move rapidly through the substrate, and their well-developed locomotory apparatus evolved largely to provide a means of escaping predators. Vertebrates have ceased to feed on detritus brought to them by water currents. They have shifted to consuming larger foodstuffs and to actively locating, pursuing, and subduing what they eat.
Evolution and paleontology Many scientists maintain that chordates originated sometime earlier than million years ago; that is, they predate the fossil record.
Such early representatives were soft-bodied and therefore left a poor fossil record. The oldest known fossil chordate is Pikaia gracilens, a primitive cephalochordate dated to approximately million years ago. There is disagreement over whether older animals—such as Yunnanozoon lividum and Haikouella both of which date to million years ago and possess several chordate features —should be considered chordates.
An extensive vertebrate fossil record begins about million years ago. Embryological evidence places the phylum Chordata within the deuterostomes bilaterally symmetrical animals with undeterminate cleavage and whose mouth does not arise from the blastoporewhich also includes the phyla Hemichordata, Echinodermata, and Chaetognatha.
The closest relatives of the chordates are probably the hemichordates, since these animals possess gill slits and other features not found in other animal phyla.
A slightly more remote relationship to the echinoderms is inferred on the basis of resemblances between the larvae in some groups of hemichordates and echinoderms. The derivation of chordates from certain fossil echinoderms has been argued on the basis of features such as what appear to be gill slits. Theories that derive them from other phyla e.
Whether the first ancestral chordate was more like a tunicate or a cephalochordate has been extensively debated. The classical theory is that the ancestor was like a cephalochordate and that one lineage became attached to hard surfaces and evolved into tunicates, whereas another remained unattached and evolved into vertebrates.
An alternative theory is that the ancestor was like a tunicate and that the other two subphyla arose by modification of the tadpole larva. There is some preference for the classical theory because it provides the most satisfactory way of accounting for the similarities between chordates and hemichordates of the subphylum Enteropneusta.
Within the chordates, the tunicates probably branched off before the common ancestor of cephalochordates and vertebrates arose, for the latter resemble each other in some details of neuroanatomy and biochemistry. Classification Annotated classification Phylum Chordata Deuterostomatous eucoelomates; gill clefts; endostyle or its derivative in pharynx; notochord; hollow dorsal nerve cord; tail posterior and dorsal to anus.
Subphylum Tunicata or Urochordata; tunicates Notochord, when present, restricted to tail; body covered with tunic, but sometimes only cuticle; atrium, absent in Appendiculariadorsal and often paired in embryonic development; heart present; generally sessile attached as adults; see below Tunicates. Class Ascidiacea sea squirts Sessile; benthic; solitary or colonial within a common tunic.
Class Appendicularia larvacea Free-swimming; pelagic; resembles tadpole larvae of ascidians; 1 pair of gill slits; no distinct atrium. Class Thaliacea Pelagic; forms aggregations or colonies.
Subphylum Cephalochordata or Acrania; lancelets Notochord extends entire body length, with tip anterior to nerve cord; atrium a single cavity with single, ventral opening; segments well developed; head poorly developed; no paired fins; no heart; see below Cephalochordates.
Subphylum Vertebrata or Craniata; vertebrates Notochord extends to the back of a well-developed head; no atrium; segments well developed; paired fins or limbs usually present; heart present; see below Vertebrates.
Critical appraisal This outline gives the major groups of chordates. Modern systematic biology attempts to arrange groups of organisms in a way that suggests the genealogical relationships branching sequences and therefore presents an epitome of evolutionary history. It also may attempt to show where there are important differences among the various groups.
These goals often conflict. In a purely genealogical system, each group must correspond to a single lineage clade composed of the common ancestor and all of its descendants.


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GERMAN TOWNSHIP, Pa. - Three people, including a 4-year-old boy, were killed in a crash Tuesday in German Township, Fayette County.
Officials at the scene said a man, a woman and the boy were in a Ford pickup truck that crashed into a dump truck head-on.
You can now customize your WPXI News App to receive alerts on Fayette County news. CLICK HERE to find out how.
The man and woman were identified Wednesday as 53-year-old Ronald Burwell and 20-year-old Kayla Burwell. Ronald Burwell was Kayla Burwell's father and step-grandfather to the boy, Hunter Gibbs, a family member told Channel 11's Cara Sapida.
Police said an off-duty police officer and a good Samaritan were able to free Hunter from the wreckage, but he died a short time later.
Hunter just turned 4 years old on Sunday. His aunt told Channel 11 that his heart valve was donated and helped save the life of another young boy.
The dump truck involved with the crash was filled with coal and was with Route 51 Trucking. That driver is reported to be doing fine.
"It's hard, especially for those of us who do have children especially around that age. It's rough to come down and witness this and do something and try to keep a professional face," said state police Trooper Robert Broadwater.
Officials said the crash happened around 4:30 p.m. on Route 21, and Fayette County 911 confirmed the highway was shut down. Authorities said the vehicles were traveling in opposite directions.
A GofundMe has been created to help cover the funeral expenses.
- Woman found dead after jail inmate tipped off therapist identified
- Woman claims people were swimming at NC beach inches from sharks
- 'Major' landslide buries road in Beaver Co., brings down several power poles
- VIDEO: 3 dead after crash involving large truck
- DOWNLOAD the Channel 11 News app for breaking news alerts
© 2019 Cox Media Group.


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Latest update January 26th, 2019 8:26 AM
Jan 26, 2019 VA Outdoors Conservation 0
Each January the legislative body takes on various bills that could have significant impacts to hunter, anglers and outdoorsmen. VA Outdoors provides some perspective on a few of the bills being considered by state legislators. Regardless of whether you agree with our perspective, VA Outdoors recommends that you study the bills and consider their impact, and reach out your representatives in a sensible manner and provide your feedback.
HB1613 Wanton waste penalty
"Penalty for wanton waste. Changes from a Class 3 misdemeanor to a Class 2 misdemeanor the penalty for violating a regulation prohibiting wanton waste, or the allowing of a killed or crippled game animal or nonmigratory game bird to be wasted without making a reasonable effort to retrieve the animal. "
VA Outdoors Perspective: Virginia should take a tougher stance on wildlife crimes and violations. The natural resource is crucial to eco tourism and sportsmen alike. Often times, the penalties don't dissuade someone from repeating certain violations. Sportsmen must teach each future generation abut being ethical in pursuit of wild game.
HB 1696 Killing of nuisance species; authorizes shooting, etc., from an automobile
"Killing of nuisance species from an automobile. Authorizes shooting or attempting to take a nuisance species from an automobile or other vehicle on private property owned by the operator of or a passenger in the automobile or other vehicle. "
VA Outdoors Perspective: There are concerns as to whether individuals would use this as an excuse for why they were shooting from a vehicle and covering up their intended target which might be other wild game.
SB 1725 & HB 2658 Stationary blinds in the public waters; minimum distance from shore
"Stationary blinds in the public waters; minimum distance from shore. Provides that no stake or stationary waterfowl blind that is erected in the public waters be located less than 150 yards from a riparian owner's shoreline at the mean low water mark, unless the riparian owner gives written permission to locate the stake or blind closer to shore. "
VA Outdoors Perspective: Access to public hunting is getting tougher and tougher. At the same time, landowners need to be able to enjoy their property without the risk of encroachment of hunters – this includes safety aspects. In certain bodies of water, this can make accessibility almost impossible. This bill would certainly eliminate accessibility, or significantly impact ones ability to successfully hunt waterfowl. This drives home the point of hunters being good stewards, including working with landowners on hot button issues that might affect accessibility like this.
HB 2687 Hunting elk; authorizes Board of GIF to create a special license
"Special license for hunting elk. Authorizes the Board of Game and Inland Fisheries (the Board) to create a special license for hunting elk. Such license shall be required in addition to general hunting licenses. The bill authorizes the Board to establish guidelines (i) related to selection of applicants for eligibility to purchase a special elk license and (ii) permitting the transfer of special elk licenses to individuals or wildlife conservation organizations whose mission is to ensure the conservation of Virginia's wildlife resources. The bill sets a nonrefundable application fee of $15 for residents and $20 for nonresidents and a special elk license fee at no more than $40 for residents and $400 for nonresidents. "
VA Outdoors Perspective: VA Outdoors was all in on the reintroduction of elk ever since the topic of reintroduction was announced. The only downside is the idea of special elk licenses that could become available to "wildlife conservation organizations". Outside of this, once the elk herd reaches DGIF goals and sustainability, tags through a lottery system should be the method by which the herd is managed to sustainable growth plans.
HB 2340 Virginia resident hunting license; establishes tax deduction
"Virginia resident hunting license tax deduction. Establishes a tax deduction for the amount an individual pays for Virginia resident hunting licenses purchased from the Department of Game and Inland Fisheries. The deduction may be applied to the amount paid for no more than three licenses per year. The provisions of this bill apply to taxable years beginning on and after January 1, 2019."
VA Outdoors Perspective: As long as the deduction wouldn't affect DGIF's budget – i.e. less funding to cover the tax deductions, then we wouldn't mind seeing this bill proceed.
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Wrap your little one in our ultra soft, Cozie and adorable blanket.
Its 36 x 36 inch size is perfect for swaddling, nursing, tummy time, playtime, snuggling or for that extra special security blanket. This incredibly comfortable fabric is made from our Organic Bamboo (70%) and Cotton (30%) blend, which undoubtedly makes it soft, breathable and durable, ensuring your little ones comfort any time of the day. With 4 layers and a unique design, its bound to turn heads and make you and your baby swoon. Whether its used it at home or on the go, your little one will fall in love over and over again.
Cozie You Guarantee
We stand behind all our products and guarantee their quality, durability, and longevity. If your Cozie You baby soothing product isn't in the very best condition send it back for any reason and we will replace it.
No justification needed. Simply return the item and we'll replace it for free. Any item for any reason.


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OK, you've seen the name before and heard of CTI Full Length Tube Liners and CTI Shield/Seals. Many of you have actually used CTI's services and had great success with the company's heat exchanger restoration. To a great many of you, thin-walled alloy tube liners are still a mystery.
CTI is trying to change that.
CTI Industries continues to offer the best way to increase the reliability and service life of your critical heat exchanger tubes. When carbon steel tubes just aren't getting the job done, designing new exchangers with Full Length Tube Liners from CTI Industries should be considered.
Copyright 2018 BIC Magazine


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My new job is going well! I decorate cookies now for a boquet company. Squeezing bags of icing has so far been very hard on my hands, but I've also noticed a marked improvement in my pressure control when inking HWSS@W. Plus I get to take home cookies that we don't sell at the end of the week! So I'm excited to see where this goes. Mmmmm, cookies. (You'll see a story from this job in about 2 weeks!)
I also wanted to let you all know about this video from one of the regulars from my waitressing days. Mixed in with all the absurd jokes is a piece of retail karmic GOLD. Don't mind the peanut butter shave, that's just how John is. We don't bring it up.


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PES 2016 Logos Update
2017/2018 Season Logos Update for PES 2016 by Mackubex. All Club Logos from the Barclays' Premier League & EFL Championship, Ligue 1 & Ligue 2, Serie A & Serie B, La Liga Santander & La Liga 1|2|3, Eredivise, Liga NOS, Bundesliga, Major League Soccer, and Other European Teams have been updated. All competition logos have been updated too.
Note: You are not allowed to re-distribute/re-upload/re-post this mod on any Facebook pages & groups, blogs, websites, etc. without my permission.
- Download the PES 2016 Logos Update and extract the rar file.
- Extract the contents of the pack into your PES Directory (Default:"C:\Program Files (x86)\Pro Evolution Soccer 2016/download" for Windows 7 to 10).
- Open "DpFileListGenerator by Baris" and CHECK the Logos Update on the left tab then CLICK "Generate DpFileListGenerator.bin"
- Run PES2016.exe and Play!


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10 months ago
I bought this because my nails were in terrible shape. I had been getting dip powder manicures every three to tour weeks for a couple years without allowing my nails to go bare. While the dip powder itself allegedly isn't damaging, I've yet to find a nail salon that doesn't use a rotary electric file. The repeated over filing of my nails left them very thin, soft, and prone to …Read more
About reviewer (570 reviews)
SkinSensitive, Fair, Neutral
HairBrown, Straight, Fine


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Dubai: Twenty pairs of players will be seen in action as the 2019 Padel season gets under way with the Padel Pro Club's FIP 100 Tournament to be held this weekend.
The entries for the season-opener have already been finalised with a maximum 40 players confirming their names.
The in-house coaches at Nad Al Sheba (NAS) Sports Complex Sandy Farquharson and Javier Lopez Garcia have been given the top seeding, while the Spanish pairing of Emilio Misas and Guillermo Villafane are the second seeds.
The five-tournament calendar for the new season was ratified by the first meeting of the Board of Directors of the UAE Padel Association (UAE PA) led by chairman Shaikh Saeed Bin Juma Al Maktoum, at the NAS Sports Complex. "This is a brand new start for us at the UAE Padel Association as we seek ways and means to spread this sport all across the UAE," Shaikh Saeed told media at the end of the board meeting.
"We have also discussed the idea of moving out into schools and getting the younger generation involved in playing paddle. The response from the three private schools that we have been visiting so far has been heartening and we have a young crop of players who are regulars at paddle courts in Dubai and Abu Dhabi," he added.
Shaikh Saeed further insisted that the spread of paddle has to be carried out uniformly across the UAE irrelevant of the places. "That's one of the reasons why we agreed on hosting a tournament in Abu Dhabi. We need other venues to be involved. We are aware that we cannot do this all alone and we need all the assistance we can get from the clubs spread across the UAE," Shaikh Saeed noted.
The opening round matches of the Padel Pro Club's FIP 100 Tournament will be held at the Padel Pro Club in Jumeirah Lake Towers from 9am on February 8 (Friday). The final will be held the next day.
The next three events on the 2019 calendar will also be FIP 100 Tournaments at the Nad Al Sheba Sports Complex (March 29-30), the Abu Dhabi Country Club (October 4-5) and the Real Racquet Academy at the Emirates Golf Club (November 15-16) followed by the season-ending Master FIP 250 Tournament at the NAS Sports Complex on December 13-14.


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I've had this under construction for a while - it's a 'culture guide' designed to add a little flavour to your characters. I've also included ideas for a few people and places from each location, to help spark some new adventures when you need it!
Category: Green Scar
The Green Scar now available on DTRPG
The Green Scar, my biggest adventure PDF yet, is now available with several ad agencies and for sale on DTRPG.
Miles from civilisation, a forgotten valley hides an ancient jungle: the Green Scar. This land of untapped resources has caught the eye of no-good industrialist Obadiah Cheapfields. Will the party put an end to his immoral operations, or will his mercenaries – to say nothing of the terrors of the jungle itself – be more than they can handle?
This supplement for Dungeon World contains three complete, unique adventures in and around the lush jungles of the Green Scar. If you're ready to run your own Dungeon World game and looking for ideas, The Green Scar is a great place to start!


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Jump to navigation
Step 1: Care Management Introduction
Step 2: Care Management Basics
Step 3: Ongoing Development
Resources tagged "Best Practice"
MiPCT Care Management Webinar
To receive a certificate of completion Click Here
Robin Schreur, RN, Clinical Lead, Spectrum Health Medical Group
Troy Carlson, MD and Debbie Mays, RN, HCM, Family Tree Medical Associates
MiPCT Webinar
Kerrie Barney, RN, BSN, CHPN Hybrid Care Manager, Lakeshore Family Care
Lisa M. Nicolaou, MSNI, BSN, Care Manager / MiPCT Lead West Front Primary Care, P.L.L.C.
MiCMRC/MiPCT Pediatric Webinar
Laurisa Cummings, LMSW
MiCMRC/MiPCT Educational Webinar
Alpine Internal Medicine and Pediatrics, Cereal City Pediatrics, Moazami Pediatrics, New Day Family Medicine, and CHC Fort Gratiot
Cherry Health Westside knew the importance of having HEDIS measures integrated into patient care provided by all staff.
The practice uses multiple ways to engage our community, families and patients. Recently the practice started using Facebook to get information out to both current and potential families in our area on important health information, seasonal concerns and news about the practice.


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Marco's Nation LIVE – Internet TV Opportunity
We are excited to offer our clients an opportunity to take part in this weekly internet TV show which airs every Sunday at 7pm on Facebook, You Tube and other medias. The show features two well-known, local DJ's along with special guests.
The show is popular with both women and men (25-34).
Here's a snippet from one of the recent shows
There are sponsorship opportunities, product placements & endorsements available. These videos will live on Facebook forever – great long-term traction.
Call Dani Gurrie at 240.575.6870 for more information or email firstname.lastname@example.com


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Turtle Reef 6 Piece Baby Crib Bedding Set by Cocalo
- Includes: Dust Ruffle, Diaper Stacker, Fitted Sheet, Quilt/Coverlet, Bumper
- Features: Applique Accents
- Number of Pieces: 6
- Material: Cotton, Polyester
- Care and Cleaning: Machine Wash
Product Description
Cocalo Turtle Reef Six Piece Crib Set includes: Quilt, Bumper, Sheet, Dust Ruffle, Diaper Stacker and Valance Calm blue sea as far as you can see… The Turtle Reef collection features a combination of vivid colors in various shades of blue, green and yellow and a variety of textured fabrics including faux suede, sherpa, multi-color stripes and sea life motif prints. The quilt and accessories bring to life playful turtles and colorful fish creating a fun yet calming sea life scene that yourlittle aquanaut can enjoy for years. Coordinated nursery pieces include:6-Piece Crib Set, Window Valance, Lamp, Wall Art, Blanket, Pillow, Removable Wall Appliqués and Musical Mobile.
2 Responses to "Turtle Reef 6 Piece Baby Crib Bedding Set by Cocalo"
I love this bedding! The colors are great and the quality is top notch. The only bad thing is that we bought the Espresso Finish "Tori" Crib and when it's on the highest level for my newborn there is no place to tie the bumpers on the front side of the crib, but that was bad planning on my part, the bedding is fabulous!!
Rating: 5 / 5
My husband and I decided that we wanted to decorate our baby boy's room in an ocean theme and we love sea turtles as well. This set was perfect for us not only for the look we were seeking but also the quality! Great price, durable fabrics, machine washable (and we have not experienced any fading of the colors or a loss of softness in the process), and our son loves to stare at the pattern and colors since it's a very soothing design. Would highly recommend this set!
Rating: 5 / 5


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5 Rejuvenating Ayurveda Hotels in Sri Lanka for All Budgets
Ayurveda Hotel Sri Lanka
Ayurveda Hotel Sri Lanka (what is Ayurveda) is a popular keyword phrase appears in the Google search, due to the ever-increasing interest among the international travellers on this traditional holistic medicine. Ayurveda hotels in Sri Lanka are plentiful, due to the warm climate with high humidity and abundance of herbal plants that useful in producing Ayurveda medicine. Sri Lanka is not only suitable for rejuvenating your body and mind but also you can have an enjoyable vacation at the same time. However different Ayurveda hotels practice different method while treating their customers, that's why some resorts are much better than others. Below mentioned top Ayurveda hotels in Sri Lanka are well managed and have a wide range of properly administered Ayurveda treatments.
If you like to be sparse on your expenses during your Ayurveda holiday in Sri Lanka, plan you your trip during the south-west monsoon (from April to November). You get the fairly good weather for an Ayurveda holiday during this time of the year too! The number of Ayurveda hotels in Sri Lanka exceeds many dozens and they spread throughout the island, but most of them to be found in the west and southern coastal areas. However, if you are suffering from a serious illness, it is best to consider an Ayurveda hospital instead of an Ayurveda hotel.
According to the author, here are the top 11 Ayurveda hotels in Sri Lanka
Lanka princess Ayurveda hotel Sri Lanka
Lanka princess is a popular Ayurveda hotel in Sri Lanka and serves the local and foreign traveller for many years. It has brought a notable new concept to the tourism industry of Sri Lanka—Ayurveda holiday packages with luxury. The resort attracts a large number of luxury seekers with the healing touch of Ayurveda every year. The resorts serve leisure travellers as well as travellers who need Ayurveda treatments, however, most of the customers of Lanka princess are engaged in some form of Ayurveda treatment, they take at least an Ayurveda massage or a spa treatment. It is really impossible for any traveller to ignore Ayurveda completely; even they do not have any idea about Ayurveda, due to the presence of well developed Ayurveda treatment centre.
You can choose one or several Ayurveda treatment from a large number of treatments such as body massage, sauna, Shirodhara etc. However, the doctor's consultation is required if you plan to have a proper Ayurveda course at Lanka princess hotel. The hotel consist of 108 rooms and they are categorized under Economy, Comfort, Comfort Plus, Superior, Superior Plus, Superior Suite and Superior Suite plus, different categories of rooms provide a varied level of comfort and facilities.
Feel like a body massage, head massage or a foot massage by the sea? It's possible! Of course, this holistic healing method is more than just treatments. You feel the effect of Ayurveda even in food; at the hotel, you can learn how to cook Ayurveda cuisine.
- Cost: Room rates start from around $200 per night for a double, including breakfast. Different Ayurveda treatment packages can be booked at the hotel for 7 days, 10 days, 14 days etc.
Ulpotha Ayurveda hotel Sri Lanka
Ulpotha is one of the best nature-friendly eco-hotel with Yoga and Ayurveda in the world. Ulpotha has been able to gather a large number of best user reviews on Tripadvisor, due to its unmatchable quality of service. The yoga retreat lies far away from the hustle and bustle of the cities. Therefore Ulpotha can be recommended for a peaceful relaxing holiday with Ayurveda treatments and Yoga. Ulpotha is a traditional, remote, farming village in the central province of Sri Lanka, which is surrounded by lush green vegetation and a lake with crystal clear water. The hotel is fully open to the surrounding nature and all constructions are done with minimum harm to nature.
The hotel operates from November to April and again August rest of the year they spend time on the paddy field and busy with their farming activities.
- Cost: Rates start from around $2900 per Ayurveda course (2 weeks) including tax.
Aida Ayurveda hotel Sri Lanka
You will sea, river and swimming pool at this popular Ayurveda beach hotel in Sri Lanka. The immediate neighbourhood of the hotel is the Bentota river while Bentota beach, the so-called golden mile is just a few minutes away from the resort.
The resort is owned by a popular businessman in the area, who is very enthusiast about holistic medicine such as Ayurveda. The resort is well established Ayurveda resorts in the island and founded many decades ago, Aida Ayurveda resort is one of the oldest in the country that offers healing holidays based on Ayurveda healing practices. Aida Ayurveda resort has a well equipped Ayurveda treatment centre providing all forms of Ayurveda treatments, Yoga exercises, and Meditation programs etc.
- Cost: Rates start from around $150 per person per day with Ayurveda treatments and all meals.
Aiday Ayurveda hotel Bentota
Muthumuni Ayurveda hotel Sri Lanka
Usually, most Ayurveda resorts are expensive compared to leisure hotels due to various reasons. But Muthumuni beach resort is one of the most affordable Ayurveda beach resorts in the island, rates are comparatively same with leisure hotels of the same category. The hotel lies in the so-called "golden mile" better known as Bentota. Bentota is the most popular beach resort in the country and attracts the largest portion of leisure travellers on the island. Muthumuni has well built Ayurveda treatment centre, Yoga centre, meditation room and all other facilities required for travellers who seek for Ayurveda holiday package with leisure. Well trained therapists and qualified Ayurveda doctor provide the best care for Ayurveda treatment seekers. All therapies are personalised and customised and combined with Meditation and Yoga to provide deep healing from within and without. Even your food is personalised to meet your individual requirements.
- Cost: Rates start from around $150 per person per day with Ayurveda treatments and all meals.
Muthumuni Ayurveda beach resort
Surya Lanka Ayurveda Hotel Sri Lanka
Surya Lanka Ayurveda Hotel is one of the few Ayurveda hotels in Sri Lanka to cater exclusively to guests seeking Ayurveda treatment. Established in 1995, at Surya Lanka the focus is solely on authentic Panchakarma – a branch of Ayurveda which focuses on the cleansing of the body through a three-step process – Pre-treatment, Main treatment and post-treatment. Guests of the Ayurveda hotel can choose between three Ayurveda packages:
– Ayurveda Light Cure – For guests seeking a less intensive Ayurveda program with more time for leisure/holiday. The main cleansing treatments such as Virechana, Nasya and Vasti are administered, albeit in a milder form.
– Ayurveda Intensive Cure – The program chosen by approximately 80-90% of guests at Surya Lanka. The aim of the Ayurveda program is to deliver a complete detoxification of the entire body. A minimum of 12 treatment days is required to administer all cleansing treatments in their proper form.
– Ayurveda Heil Cure – For guests with chronic/multiple ailments such as Arthritis, Psoriasis etc. It is chosen by guests who require more intense/specific treatments, more medicines and closer monitoring/attention by our Ayurveda Doctors.
Surya Lanka Ayurveda Hotel also places an emphasis on Yoga as a complement to the healing practices of Ayurveda. Yoga is practised twice a day, five days a week by the pool or in our dedicated Yoga Hall. Indeed, Surya Lanka is increasingly popular among Yoga groups seeking Ayurveda treatments to complement their classes.
Surya Lanka is located directly on Talalla bay, one of the most beautiful and unspoilt beaches in Sri Lanka – providing the perfect backdrop for an Ayurveda holiday in Sri Lanka.
Cost: Varies depending on the room category and treatment package chosen. Rates starting from 165 EUR/Night.


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Shadowing home
Group Leaders
Login to edit your group home page
Camp Hill Shadowers
Kings Heath, Birmingham
Group status:
Nearly finished the shortlist!
Ms. G
King Edward VI Camp Hill School for Girls
Kings Heath, Birmingham
BC8 Carnegie
King Edward VI Camp Hill School for Boys
King's Heath, Birmingham
Shadow Readers
Birmingham, West Midlands
Which book do you think will win
Sputnick's guide to life on earth
Wolf Hollow
Rail Head
The smell of other people's houses
Salt to the sea
Bone sparrow
The stars at Oktober bend
Monsters of Men
Patrick Ness
Winning Year:
The third and final volume in the "Chaos Walking Trilogy" finds three armies marching on New Prentisstown, each intent on destroying the others. Todd and Viola are caught in the middle with no chance of escape or, it seems, of stopping the fighting. But


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Becoming a Florence Police Officer
Becoming a Florence Police Officer
All applicants must possess a minimum of a high school diploma or GED plus one of the following:
- An associate degree from an accredited college/university or equivalent (62 semester hours or 93 quarter credit hours).
- 2 years of active duty military.
- 3 years of full time employment.
Applicants must meet additional criteria as outlined in the information packet available here. Interested persons can call (859) 647-5420 for additional information. The city of Florence, Kentucky is an equal opportunity employer. Female and minority applicants are encouraged to apply.
Current Employment Opportunities


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Hello all,
I know it's been awhile since I've given an update on my adventures, and I haven't written anything about my research in isolated central Congo; the reason, in fact, was because of how isolated I was. Once I reached Kindu back on September 15th, I was unable to access the internet until I returned to Kindu on November 15th. Obviously, I have a lot to catch both myself and everyone else up on; I won't be able to recount all of the excitement and misfortune that took place in those two months, as to do so would require more time than I'm willing to spend typing. But, I'll do my best to give both an overview of my research and a few memorable anecdotes. For now, however, I'm going to spend a bit of time readjusting to Merchantville, NJ (I just got back on Wednesday), and digesting my turkey. A Happy Thanksgiving to all, and I look forward to commencing a written record of the last several months within the week.


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Special opening hours:
Upcoming events:
The Seafarers Mission Eemshaven organises the following events in November:
- November 10th: Annual Merchant service
News from the mission:
Annual Merchant Service November 10th 2019
At Sunday November 10th our annual merchant service will be held in the Seafarers Mission located in Eemshaven. The special service will commence at 16:00h (CEST/GMT+1) and pastor Sven Standhardt will be your servent. The service will be musically supported. During...read more
Seafarers Mission Eemshaven
The Seafarers Mission Eemshaven is a voluntary run organisation powered by nearly 35 volunteers from around the area. They are the driving force behind the Seafarers Mission and give the mission its right to exist. Around the year nearly 10.000 seafarers from all over the world visit the mission, located in Eemshaven, to contact their loved ones, drink a beer or just to relax.


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Well Utah has been hit hard with snow. I absolutely hate the snow…but I have no choice but to avoid it :). We have to have at least a foot or so of snow, and I have outfits that need to be taken pictures of but I can't convince myself to drag this booty out into the snow..heck no!! So I shall just write random crap to you.
How was every ones Christmas? And if you don't celebrate Christmas how was your holiday/ break/ December? I want to know what every ones loot was this season!!
I was a spoiled brat, not only did my husband spoil me, my sister and parents, and aunt, and grandparents and in laws did as well.
I got from my parents a gift card to Michael's for copic markers. I am a scrapbook fiend, and this will really come in handy. They got all the kids PJ's and some really awesome smelling Bath and Body spray, and body gel. I think the scent was Pink Charmuse. OHHH it smells amazing.
My hubby was amazing and got me another Cricut Machine. I have the create, the expression, the imagine, and the Gypsy. He takes good care of me. I am officially don't collecting Cricut machines. 🙂
He also went in on an Airbrush Makeup System with my sister and parents. The Belletto Studios Airbrush. It is amazing. Its soft and its Cruelty free! YAY. Love you bud
My sister was so cute and got me the cutest outfit for my blog and when I dare face the snow I will show you guys. The leggings she got me are so dang cute!!! She is just a great person to have in my life. I just love her so much!!
I got some amazing Earrings from my aunt. They are so me and so freaking pretty. I will put them with an outfit one of these days.
I don't to go through and list every little thing, but the best part of Christmas was getting to spend time with my family. We never really all get to come together and we got the chance to finally. Except for my sister in California. One day we will all be together for Christmas. Love you sissy.


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Story by Trudy Frisk
"Give me land, lots of land, under starry skies above, don't fence me in,Let me ride through the wide open country that I love, don't fence me in."
That wide open ranch land is vanishing quickly. With its disappearance goes a way of life, an industry, and western Canada's best chance of preserving intact, natural grasslands and many rare and endangered species living there.
Weather and markets used to be a rancher's main concerns. Today he or she has to contend with population pressure; residential and commercial development driving up the price of ranch land; and both government and public policies which, with the best of intentions, create more problems for ranchers.
Agnes Jackson is a life long rancher. She was three weeks old when she fed her first cows. (Her mother was with her at the time.) Her family, the Foleys, ranched at Long Lake, then at Logan Lake, in B.C. In 1971 Agnes and her husband, Roy Jackson, bought the Cherry Creek Ranch. In 1974 they purchased the Napier Lake Ranch, which Agnes, after Roy's recent death, still runs.
Agnes was Chairman of the B.C. Cattleman's Association from 2002-2004. The B.S.E. crisis struck during those years. Agnes was the spokesperson for the industry, trying to calm fears and maintain markets. She is not easily discouraged.
But, today she is quite concerned about the future of ranching. In the past few years the industry has downsized by thirty-five percent and, she fears, is likely to lose another thirty to fifty percent in the next year or so.
The cattle industry is losing so many ranches of all different sizes. It's discouraging to small producers, which most ranchers are, and to young people getting into the industry. "We can't rely on the trophy ranches to provide protein for the population and protection for biodiversity." , Agnes believes. Part of the problem is that less than two percent of the population is involved in agriculture. Agriculture, by itself, just doesn't have enough votes to sway government policies.
Six years of very poor markets, the fact that ranching is very vulnerable to changes in the Canadian dollar, and international attention to climate change mean that global influences matter very much in ranching.
Independent as they are, ranchers prefer not to draw attention to themselves, by, as Agnes puts it, "public wallowing in our financial woes", but to get on with their work. " It's not just a business. We have a passion for the land. Losing it is like watching a loved one die from factors that are way out of our control."There have been dramatic positive changes in the ranching community in recent years. Agnes believes that biodiversity and ranching are "a very good fit." "One hundred and twenty years ago people didn't consider the effects of long term grazing on bunch grass or of grazing twelve months a year. With education ranchers have become aware of birds and different species on our land, all of which co-exist quite comfortably. Ranchers may have been reluctant pupils in the beginning but were won over. We've learned a lot in the last quarter of a century and come a long way in managing for endangered species as well as cattle. "
"Grasslands hold more endangered species than any other climatic zones," Agnes points out. "Keeping large tracts of land intact is really the only way to protect them. Cows, grouse and burrowing owls can all live together. Other uses come at the expense of biodiversity. We should encourage diversity, not monoculture."
"Most ranchers enjoy seeing the wildlife; it's all part of our life style. Other species are an essential part of our landscape." Short-tailed grouse were impacted quite severely by hunting. The Jacksons and their ranching neighbours, when looking for them, just didn't see them. So, they all managed their ranches to provide habitat so they could come back. "We see more of them now that in the past thirteen years. It's encouraging." Agnes comments.
"Ranches and conservation, "she strongly believes, "is a good story untold. "The public probably doesn't realize the crucial part the large ranches play in protecting species. Ranching tends to fly under the radar."
Zoning doesn't seem to consider conservation, either. In B.C., a fast growing province, there is constant pressure to change zoning. Planners need to recognize what good, socially beneficial things are happening on the land before they change the zoning. True planning means considering what will be important twenty years down the road.
Furthermore, Agnes, points out, ranchers don't use the best land. Cattle are run, mostly, on marginal land which wouldn't be used for anything else. Ranching, provides food for the population using relatively poor land.
Agnes believes that if the general public truly understood the benefits of preserving large ranches they would support the cattle industry as they did during the B.S.E. problem. "The Canadian public was so supportive of the cattle industry they drew the politicians along. They couldn't have done better if we'd been hockey players."
During that time the borders were completely shut, the dollar shot up, demand for beef dropped, export markets closed and were not re-opened. Feed, already very expensive, became more costly because of bio-fuels.
Being spokesperson for the Cattlemen's Association 'had its challenges', Agnes remembers. "It was a terrible crisis." However, she had a good Board of Directors, there were good government support programs then, in fact there was a lot of support from both the Provincial and Federal governments. The Federal government, which barely knew the cattle industry existed, was shocked to find that it was worth thirty-four million dollars to Canada yearly. The fact that the beef industry is mostly in western Canada may have been a factor.
The Cattlemen had very strong leadership and did what they could for the ranching industry. While the border was closed to Canadian export beef, it was still open to imports. Outraged Canadians considered it their patriotic duty to eat Canadian beef. Jimmy Pattison did a great deal for the cattlemen, marketing their beef through his Overwaitea stores. When he asked the Association, "What can I do to help?" they replied, "Sell our beef." So he did, advertising the sale of B.C. beef at his stores. Sales of beef increased forty five percent. "Jimmy Pattison, and Ken Clark, his meat manager, did a phenomenal thing for us." Agnes remembers, "and, at hamburger barbeques, the public lined up to support us."
Factors, which at first seem beneficial, have turned out the opposite for the cattle industry. The 100 Mile Diet, for example, should include locally raised beef, you'd think. Wrong. Because there are no processing plants and few feed lots in B.C., cow/calf producers ship them to Alberta to finish and then bring the beef back. "It's simply an economy of scale." Agnes explains. The fact that they aren't completely finished where they were raised, disqualifies the cattle from being included in the 100 Mile Diet.
Getting beef on the counter takes a great deal of marketing. Cattlemen feel that local beef should be on the counters of local supermarkets. The industry would very much like to become part of the Diet, in fact would like to become part of a niche market, the "Nicola Valley" brand of beef, for example, but, right now it's not an option. Grass-fed beef, also popular, can be difficult to raise because of the long winter season with few months of good grazing.
Carbon tax, yet another good plan gone bad, has also added to the rancher's woes. It's increased overall costs drastically, whether ranchers are running irrigation pumps, buying feed, shipping cattle to processing plants, or just involved in the ordinary maintenance of their lives. The tax, which was promoted as revenue neutral, hasn't worked out that way for the agricultural community.
"It's a very unfair tax for rural people. We have to drive thirty kilometers one way to get our mail. We truck cattle out onto the summer range. We can't raise cattle in downtown Kamloops, we have to drive, even to check on the cattle."
Agnes firmly believes that ranching itself has a very small carbon footprint. "We're harvesting sunshine, turning grass into protein. If eco-system and species protection are considered, ranching is a positive use of the land, a net carbon benefactor."
Can anything be done to save a family industry which raises food while protecting habitat? Surely it would be worth something to society to know that the same land, which, for over one hundred years, has provided a living for a ranching family, nesting or resting sites for waterfowl, often on ponds created by ranchers; and non-imported food for people, will continue to do so. With the goodwill of government behind them, it could be done. Both government and the public would have to recognize the full value of agriculture.
Ninety per cent of Vancouverites say they support the agricultural land reserve. "We support it, too.", says the government. As Agnes points out, there's a huge difference between supporting farm land and supporting farmers.
Other places, including some very unlikely ones, have done it successfully. "Europeans have protected their farmland; we're a long way behind. New York has done an exceptional job of retaining farmland in a very populated area. Kentucky and California actively support their agricultural communities."
"Giving farmers money is the best thing in the world, they just put it right back into the land." , Agnes insists. Protecting farmers and farmland in the U.S. and Europe involves farm income insurance, and trust funds which pay farmers the difference between production value and real estate value. Real estate value is established by the market, productive value for cattlemen by the AUM.
Payment also recognizes the stewardship of ranchers in protecting the land. Ranchers and conservancy groups work together.
Agnes sums up the situation, "At the time of B.S.E. the public overwhelmingly supported Canadian ranchers. Times were fine then. There was no unemployment, other exports were good. Now there are so many issues; people are defending their own turf. Agriculture has to share the stage with a whole lot of other people and problems."
If government and the public are serious about maintaining food security and biodiversity, they are going to have to involve ranching and the rest of the agriculture community and pay to keep the land. We can't afford not to.
Other articles by Trudy Frisk


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TrueCare Treatment Center is the highest quality inpatient chemical dependency detox in Nevada.
Every patient has a private room and receives comprehensive medical and therapy services. TrueCare's inpatient detox has one of the best nurse-to-patient ratios in the country.
TrueCare's inpatient detox program helps individuals suffering from alcoholism and drug addiction comfortably and safely manage the withdrawal symptoms that are often painful and can be dangerous to come off of without the supervision of a physician and use of medications to treat withdrawal symptoms.
TrueCare's professional staff understand that while a person's brain might feel ready and willing to focus on sobriety and healing, that person's body might still be under the influence of drugs. Until the brain and the body are in sync, recovery will be very difficult to accomplish.
Medical detox programs are designed to help. People enrolling in these programs provide their bodies with the opportunity to process leftover drugs and return to a sober, successful level of function. That work is done in a safe, secure, and supervised environment.
Our professionals understand what withdrawal feels like and the specifics about how medical detox can help. We strive to help people struggling with addiction and their families to get the help needed in order to build a sober future.
How Do People Detox from Drugs?
At a basic level, detox is a perfectly natural process.
Drugs enter the body, and the body's systems work to process the chemicals. Cells in the liver purify the blood. Cells in the digestive system process alcohol, while cells in the kidneys move waste out of the body. It's an efficient and perfectly natural system that the body uses in order to heal.
But drugs can wreak havoc on those natural systems. Some drugs are just so powerful that the body can't handle a typical cleaning protocol. Sometimes, as mentioned, drugs are so powerful that people who attempt natural methods put their lives at risk.
That's why experts agree that a medical detox program is the safest choice for people with an addiction history.
What Drugs Cause Withdrawals?
In order to understand the necessity of medical detox, it pays to learn a little more about what drugs can do and how people can feel when those drugs are removed.
These are the drugs that are most commonly associated with difficult and/or painful withdrawal symptoms:
- Opiates: Heroin, Morphine, OxyContin, and Vicodin are all drugs in the opiate class. People who attempt to stop taking these drugs without using a medical detox program can feel flu-like symptoms that can persist for several days. The U.S. National Library of Medicine says this withdrawal process isn't life-threatening, but it can be very uncomfortable. It's imperative that those attempting to withdraw from opiates utilize medical detox programs.
- Alcohol: While the effects of alcohol can seem short-lived, people with alcoholism tend to stay in a slightly sedated state around the clock. That means their brains are consistently influenced by alcohol, and when they try to get sober, they can feel jittery, shaky, and paranoid. People with an alcoholism habit lasting 10 years or longer are at risk for delirium tremens, according to the U.S. National Library of Medicine. This severe form of withdrawal can be life-threatening, so medical detox is essential.
- Benzodiazepines: Drugs like Valium, Halcyon, and Klonopin are sedating, just like alcohol, and they can also lead to life-threatening complications during withdrawal. People who attempt to quit use too quickly can develop tremors, hallucinations, and seizures. Again, medical detox is necessary.
- Cocaine: This drug may not cause the serious medical complications seen with alcohol and benzodiazepines, but it's a hazardous drug to withdraw from as the effects can last for up to a month. During this time, without medical supervision, people can feel anxious, irritable, and unable to concentrate. They can feel deep cravings for drugs that put them at risk for relapse.
- Amphetamines: Prescription drugs like Ritalin and illicit drugs like Methamphetamine all boost nervous system activity. When these drugs are removed, people can experience all sorts of unusual brain activity. Individuals in acute withdrawal from Methamphetamine can experience episodes of psychosis for up to one week after the last hit of drugs. It is unusual brain activity that is responsible for these episodes of strange behavior. With treatment these episodes can be kept under control.


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We meet you at your home or office to discuss your project in depth.
There is no cost or obligation.
After our meeting, you decide whether to engage us. You pay a small fee if you decide you wish to work with us.
This is our only charge.
We help you develop a detailed brief for your project, then we analyse closely the best possible matches of creative professionals for you and your project—as well as project managers and planning consultants, if you need them.
We discuss your project in depth with shortlisted practices. The practices confirm their keen interest and availability to us.
We then send you illustrated proposals, tailored to your project, on each of the optimal practices.
We arrange the initial meeting with practices for you.
You then select the ideal creative partners to work with.
We act as your sounding board throughout and assist with personal advice to help you make the best possible choice of architect, interior designer or garden designer.


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- Home / Stallions
- Captaintreacherous
His first crop is excelling on the track.
In 2018 Captaintreacherous ranked 1st among Two Year Old Pacing Leading Money Winning Sires with $3,307,294 earned.
His leading freshman performer was Captain Crunch P, 2, 1:49.1M $616,113 (10 starts-6-1-1) winner of $600,000 Breeders Crown Final in 1:51.3 and $469,300 Governor's Cup Final in 1:50.3.
Other freshman performers included –
Tall Drink Hanover-(Take Into Account) P, 2, 1:50.0M (11 starts-7-1-2) winner of $454,300 She's A Great Lady in 1:51.1
Treacherous Reign P, 2, 1:51.1F $226,125 winner of three PASS divisions; 2nd in She's A Great Lady.
De Los Cielos Deo P, 2, 1:51.3F $196,210 winner of four PASS divisions; 2nd in the $253,000 PASS Final.
Captain Victorious P, 2, 1:51.2F $141,074 winner of two PASS divisions and Keystone Classic division; 2nd in Bluegrass Series. 3rd in two PASS divisions.
Captain Trevor-(It Was Fascination) P, 2, 1:49.2M $131,904 winner of International Stallion Stake in 1:49.2 and three KYSS divisions; 3rd in $250,000 KYSS Final.
Captain Ahab P, 2, 1:50.1S $119,963 (7 wins) winner of Nassawawey, Champlain, Metro, 2 divisions of Dream Make and first and second leg Kidergarten Classic.
Philly Hanover-(Paris Hanover) P,2, 1:53.0F $111,415 2nd in $253,000 PASS Final, Simpson and Liberty Bell division; 3rd in two PASS divisions.
Michelon's Filly-(New Album) P, 2, 1:52.0M $107,636 winner of $148,700 Kidergarten Final as well as three other Kidergarten legs, TSS division; 2nd in a TSS division.
Workin Ona Mystery P, 2, 1:49.3M $100,400 winner of Bluegrass Series in 1:50.3 and International Stallion Stake in 1:49.3.


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Homes For Sale in Durham, NC by PriceUnder $150,000 $150,000 - $200,000 $200,000 - $300,000 $300,000 - $600,000 Over $500,000
Durham is the Destination for Food and Fun
Education, history, food, and entertainment make this city a top place to live. Durham is home to the renowned Duke University, Duke University Hospital, and Research Triangle Park. Downtown is always an exciting place to visit, but there are plenty of destinations for fun all around the city.
Durham is home to more than 250,000 people, making it the 2nd largest community in the entire Triangle area. It's convenient to Downtown Raleigh, Chapel Hill, and other Triangle areas by several major highways. Look no further for the best location — Durham has it.
Why Durham is a Great Place to Live
Everything is in City Limits
The Streets at Southpoint shopping center, West Point on the Eno park, Durham Bulls minor league baseball team, Museum of Life + Science, and Durham Performing Arts Center (DPAC) all call Durham home. Whether you enjoy fine arts or a trip to a brewery, Durham has just what you want.
Home Buyers Love the Choices
What Future Residents Need to Know
Quick Facts
Population (2015 est.): 257,636
Population Change Since 2010: 12.8%
Land Area: 107 sq.mi.
Median Home Value: $178,200
Local Schools
School District: Durham Public Schools
High Schools: Hillside High School, CE Jordan High School, Northern High School, Riverside High School
Commute Details
Commute to Downtown Raleigh: 35 min.
Commute to Research Triangle Park: 15 min.
Choose Your Home in Durham
Look no further for the best location in the Triangle area. Durham has a world of job opportunities, entertainment venues, restaurants, breweries, and fine arts within easy reach, and home buyers can live close to everything. Finding the best home is easy when you have a Durham real estate expert on your side. Let us help you find what you're looking for. Call us at 919-332-1070 or email email@example.com.
Are you looking to buy a house? Let us help you. Just fill out as much of the information below that you want and we'll get right back to you, with no obligation to you. We guarantee your privacy.


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Recently, I looked back at the wonderful charities we've supported over the last 15 months and I was so proud. I contributed $25/month, and together, we've donated a total of $2,367.50 to these organizations.
Thanks so much to my fellow giving circle members for making this possible! You've proved that a little bit from a lot of people is a BIG deal!
June 2011: Donation to Detroit Dog Rescue
They're tackling a massive stray dog problem in Detroit. According to Detroit Dog Rescue (DDR), there are 50,000 – 100,000 stray dogs running loose in the streets of Detroit, and only 23 animal care workers to rescue them. Over 90% of dogs picked up in Detroit are euthanized!
We donated to them when they were quite new. They had not yet received their 501c3 status and were in the midst of a multi million dollar capital campaign to build the first No Kill Shelter in Detroit. Since then, they've taken Detroit by storm and have had a number of high profile media opportunities including a recent appearance on MSNBC.
The founders were both involved in entertainment and have a lot of skill at promoting DDR. Even though there are still many dogs in Detroit in need of help, they now have amazing advocates for them working to not just to save individuals dogs but to change the culture of the city to one that values dogs.
September 2011: Donation to Longhopes Donkey Shelter
This is one of my personal favorites, and it might just be because donkeys are so darn cute!
Donkeys have often been treated as disposable animals– good for as long as they can work. Located in Bennett, Colorado, this shelter rescues donkeys that are neglected and abused and brings those donkeys to their facility to rehabilitate and find them a new home. They have rescued over 500 donkeys and adopted 450 of them in the last 10 years.
December 2011: Donation to Denkai Animal Sanctuary
Denkai Animal Sanctuary is close to the hearts of some of our members because for some of us, it is our local No Kill Animal Shelter. I personally have adopted a dog from them and some of our members have volunteered their time for the shelter.
Denkai provides a home to more than 200 horses, dogs, cats and other animals received from shelters, rescue groups and owners no longer able to care for their pets from around the United States. They have two facilities, one located near Greeley, CO and the other in Grover, Colorado surrounded by the beautiful and serene Pawnee National Grasslands.
March 2012: Donation to Companion Animal Advocates
Companion Animal Advocates was brought to our attention from our New Jersey member who knows the women who run this great organization through her dog agility classes. When they discovered that people were surrendering their pets to the animal shelters because they couldn't afford to feed them, they created a program to provide free pet food and kitty litter to low income people.
Since 2008, they have provided 268,720 bowls of food. In addition, they have a low cost and no cost spay and neutering services and a program that provide pet oxygen masks to local fire departments and EMT's, who are prevented by law from using state funding to purchase supplies that don't specifically save human lives.
June 2012: Donation to Kindness Ranch
There aren't many options for animals used in laboratory experiments. Many of them are simply slaughtered when their usefulness is up. Kindness Ranch gives these animals a chance for a new life.
As a sanctuary, many former lab animals will live out their lives on this 1,000 acre ranch in Wyoming taken care of by loving hands and given the room to run and do the kinds of things animals are supposed to do.
Some of their animals are available for adoption, but many of the dogs and cats require quite a bit of rehabilitation as they are not used to things like leashes, going to the bathroom outside, and friendly affection from people.


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EW Plumbing cares a lot about the success and well-being of its commercial clients. As the smart choice among commercial water treatment companies, we deliver services meant to improve and safeguard the operation of key equipment and commercial systems. We install industrial water filtration devices meant to extend the life of your machines, improve the function of your plumbing, and bring your employees all the benefits of pure, healthy water.
We offer a variety of water treatment services to suit just about any need. Everyone knows that municipal water contains more than simply H2O. Chemical additives like chlorine can negatively impact your health, while minerals such as magnesium can decrease the lifespan of certain machines. If you use well water, you have to worry about acidity, which can render its own damages. For solutions to all these problems and more, choose the leader among commercial water treatment companies in Overland Park, KS: EW Plumbing. To learn more or schedule service, call us today at 913-768-8500.
The Leader Among Water Treatment Companies
We provide for industrial water treatment across several areas. Dependent on your budget and need, you can choose a simple system that addresses a single problem, or an integrated system that promotes multiple benefits. Regardless of your need, you can depend on us for honest guidance and worthwhile suggestions. We want to earn the repeat business of every customer, and approach every project with transparency and a single-minded focus on customer need.
We currently provide water treatment across the following areas:
- Water Filtration Systems Our commercial water filtration systems provide for longer-lasting equipment, less chance of equipment failure, and fewer serious plumbing issues.
- Water Softeners Commercial water softeners can negate the broad impact of hard water. From equipment to pipes, minerals in the water can wreak serious havoc.
- Ozone Water Purification Ozone water purification brings your business water that has become totally purified of disease-causing microorganisms.
- Reverse Osmosis Systems For the purest water available, choose a reverse osmosis system for your business. These filters remove practically every foreign contaminant from water.
- Carbon Filtration Systems Carbon filters represent a cost-effective and easy-to-maintain solution for water filtration. They have particular value for the removal of chlorine.
- Water Acid Neutralizers Acidic water can corrode copper pipes and create a broad potential for leaks. If you use well water, you should absolutely have an acid neutralizer.
- Well Water Treatment Though well water does not have the chemical additives of municipal water, it still requires water treatment for safe drinking.
- Water Purification Systems Our commercial water purification systems can give your business healthier, better-tasting water.
Call Our Team for Service
To learn more about any of our services, reach out to our team anytime at 913-768-8500. EW Plumbing counts as the top choice among commercial water treatment companies in Overland Park, KS. Let us provide your business with filtered water, and you'll count the benefits in happier employees and lowered equipment costs.


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...the Ministry of Business, Innovation and Employment has commissioned a report from the same consulting company responsible for the Auckland Airport impact numbers cited above.
Using the same "multiplier analysis" that the NZIER and other independent economic consultancies have by now renounced, the report produced quite spectacular numbers for the impact of the Cup: up to $1billion injected into the NZ economy, thousands of jobs created, a return of more than seven dollars on every dollar invested in new wharf facilities.
Take the last number first. Reality check: a return on investment of over $7 per dollar invested is loosely equivalent to the "double your money in three years" promise on my hypothetical hoarding on the airport road. Believe that?
As for the value-added injection and the jobs created: to a first-order approximation, the net number of new jobs created in Auckland, with its already stretched construction and tourism industries, will be about zero. The workers needed will be bid away from other jobs, or imported as new immigrants. As a result, there will be no significant real output increases, the extra spending will be soaked up in higher prices.
Higher prices are harmful for domestic New Zealand customers and travellers but beneficial to the bottom lines of New Zealand and foreign owned businesses. It's a trade-off. My expectation is that, overall, there will be net economic benefits from holding the Cup in Auckland but that they will be quite small — below the costs to which national and local government are being asked to contribute.In the article, Hazeldine is being a little unfair to the report. While it is true that it reports economic impact analysis based on a multiplier analysis (even though, curiously, the report notes that "we do not use multipliers that are derived from IO tables" - I guess the multipliers were derived from somewhere else?), the report also includes a cost-benefit analysis. Perhaps Hazeldine was so quick to pull the trigger on his article that he didn't read all the way through to Section 5 of the report.
As I noted last week, the cost-benefit analysis is the best of the three alternatives, and at least according to the authors, follows Treasury's Social Cost Benefit Manual (which Hazeldine advocates for, and which you can read for yourself here). The cost-benefit analysis shows benefits greater than costs under the base assumptions. However, it seems to me that, like virtually every event ever, costs will be greater than expected. In that case, costs are likely to be greater than benefits. Which isn't a good reason not to support the Americas' Cup, but is a good reason not to do so on the basis of economic impact.
Read more:


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Certified Tutor
In 2015 I graduated from UC Santa Cruz with a bachelor of science degree in biology and education and as well as the University of Southern California with my masters degree in teaching. I tutor in a variety of subjects, particularly STEM education, and I provide customized learning plans and differentiated lessons with appropriate scaffolding. I encourage all students to follow their interests and pursue problems in a way that makes sense to them. Hablo espaol.
Evie's Qualifications
Education & Certification
Undergraduate Degree: University of California-Santa Cruz - Bachelors, Biology--Ecology and Evolution
biking, designing coloring books, farming, playing the bass guitar, wrestling
Tutoring Subjects
Anatomy & Physiology
CAHSEE Prep
CAHSEE Mathematics
College Biology
College English
Elementary School Math
High School Biology
High School English
Homework Support
Life Sciences
Social Sciences
Study Skills
Study Skills and Organization
What is your teaching philosophy?
I prefer to see the individual student.
What might you do in a typical first session with a student?
Before the first session, I would have parents fill out a questionnaire so I can get a better idea of the student's learning style and find out whether the student is looking to expand knowledge above and beyond their grade level, or if they need to improve to meet grade requirements. For the student, the first session would consist of assessing them to determine their knowledge and skills on the subject in which they will receive tutoring. I also would like to know about the student's personal interests and goals so I can develop a lesson plan that motivates them.


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1700 W Cerritos Ave Unit #113, Anaheim, CA 92804
Coming Soon
Lovely home centrally located, close to everything! Minutes to Disneyland, Anaheim Convention Center, Loara High & elementary school, shops, restaurants & freeways. Great end unit, interior location in a quiet gated community with a pool & low HOA dues. Enter nice brick patio with pretty potted plants. Tiled entry leads to spacious living & dining room with voluminous ceilings. Shows light & bright! Enjoy cooking in the big kitchen with a garden window and breakfast nook, adjacent to the laundry room. Large master bedroom has 2 closets & neat plantation shutters. All three bedrooms have mirrored wardrobe doors. Convenient 2-car attached garage with direct access. Priced to sell now! Seller will entertain offers between $438,000-$458,000.


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AeroSoft also provides customized solutions for aerospace and defense industry clients who may wish to outsource the expertise required to solve specific problems without needing to invest in CFD software and training. read more
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Information about staff members is required for the daily administration of the school system, for implementing salary and other personnel policies, for budget and financial planning, for responding to appropriate inquiries about employees, and for meeting the School Committee's education reporting requirements. To meet these needs, the Superintendent will implement a comprehensive and efficient system of personnel records maintenance and control under the following guidelines:
- A personnel folder for each present and former employee will be accurately maintained in the central administrative office. In addition to the application for employment and references, the folders will contain records and information relative to compensation, payroll deductions, evaluations, and any other pertinent information.
- The Superintendent will be the official custodian for personnel files and will have overall responsibility for maintaining and preserving the confidentiality of the files within the provisions of the law.
- Personnel records are considered confidential under the law and will not be open to public inspection. Access to personnel files will be limited to persons authorized by the Superintendent to use the files for the reasons cited above.
- Each employee will have the right, upon written request, to review the contents of his own personnel file.
- Employees may make written objections to any information contained in the file. Any written objection must be signed by the staff member and will become part of the employee's personnel file. Further, no negative comment will be placed in a staff member's file unless it is signed by the person making the comment and the staff member is informed of the comment and afforded the opportunity to include his/her written response in the file.
- Lists of school system employees' names and home addresses will be released only to governmental agencies as required for official reports or by the laws.
Family Educational Rights and Privacy Act, Sec. 438, P.L. 90-247
Title IV, as amended88 Stat. 571-574 (20 U.S.C. 1232g) and regulationsM.G.L. 4:7; 71:42CTeachers' Agreement
All Agreements
Lexington Public Schools, Lexington MA
Adopted by Lexington School Committee: July 2015