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TMJ Dysfunction
What is TMJ Dysfunction?
The temporomandibular joint connects the jaw to the skull. If there is an injury to this joint or it becomes damaged, it can cause TMJ syndrome. TMJ can also be caused by a misalignment of the teeth, gum chewing, arthritis, teeth grinding or jaw injury. Symptoms of this TMJ disorder include pain in the jaw, jaw popping, headaches, sore jaw muscles, locking of the jaw, pain in the temple and earache. It's important to realize that the temporomandibular joint is a complex and important structure comprised of bones, tendons, and muscles, and you may have pain on one or both sides of the jaw.
Home Remedies and Treatment for TMJ Syndrome
Sometimes, home remedies can relieve the symptoms of TMJ syndrome. Some people respond well to over-the-counter meds like ibuprofen and aspirin. Ice packs applied to the jaw joint may also help. Sedative essential oils, such as clary sage and lavender may give temporary relief. When home remedies don't work, medical treatment may be needed. A jaw specialist may use a dental splint to keep teeth properly aligned and to prevent tooth grinding. Other types of medical treatment include trigger point acupuncture, joint replacement or a TMJ arthroscopy. Muscle relaxers and anti-inflammatory meds may be prescribed.
Physical therapy is effective in the treatment of TMJ. A physical therapist will analyze your jaw mobility and release muscle tension in the neck and head area. A comprehensive evaluation is done of the neck, shoulder girdle, and thoracic spine to determine if those structures are causing your symptoms. The goal of physical therapy is to restore the interaction of the muscles and joints and to restore normal function. Treatment may consist of different modalities. Active modalities include soft tissue massage, joint mobilization, myofascial techniques, and jaw exercises. Electric stimulation and ultrasound may be used to decrease muscle tension and provide pain relief. In addition, a physical therapist can educate you on dietary changes that will decrease stress on the jaw joint.
Dentists and Physical Therapists
More and more, dentists are working with specialized physical therapists to deliver effective treatment for patients with TMJ disorder. This team effort has led to an improvement in over 80 percent of cases. Working with a physical therapist who understands craniofacial disorders is crucial to success. These specialized physical therapists will understand the relationship between the neck and teeth areas. This team effort is successful because the dentist can explain the underlying problems and help the therapist design custom exercises.
When physical therapists treat patients with TMJ, the goal is to improve mobility and alignment along with strengthening the muscles. And if the patient has scar tissue, they can help treat that too.
Are you having difficulty chewing or yawning? Do you have jaw pain? Do you hear a clicking noise when you open and shut your mouth? These may all be signs of TMJ syndrome. Don't suffer anymore. A physical therapist can help you manage and eliminate symptoms. Be sure to request free pain consult with Fort Worth Head, Neck, & Jaw . Our Fort Worth physical therapists have helped many who suffer from TMJ disorder and can help you too. We are patient-centric and committed to your health.
Fort Worth Head, Neck, & Jaw is One-on-One, manual therapy based physical therapy.


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Welcome to Dragon Cave! Dragon Cave is an online adoptables game. Collect eggs, raise them to adulthood, and then breed them to create interesting lineages. New dragons are added regularly!
Almerald Dragons are an unusual species. They have gem-like protrusions along their spine that brighten and darken depending on their mood. In addition, their body temperature grows warmer during periods of excitement, and cooler during darker moods such as anger or depression; as such, it is fairly easy to read an Almerald's emotions. Their mood can change quickly at times, going from calm to angry in a matter of seconds. If their anger becomes bad enough they can become a frightening opponent. Adults are not normally high in energy, so they hunt infrequently and prefer to lazily consume large quantities of fruits and nuts.
Dragons are highly-intelligent reptilian creatures that—from a human perspective, at least—appear to live forever. Many different varieties of dragon exist, each with their own unique qualities, habitats, and behavior. Adolescence in dragons is usually marked by the growth of a hatchling's wings, although not all breeds of dragons grow wings and some breeds have other traits that indicate the beginning of maturation. In Galsreim, dragons and humans coexist peacefully.

subset: commoncrawl


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Disc Earrings 20mm (JL340)
Disc Earrings 20mm (JL340)
Earrings by Jeremy Leeming. Made with sterling silver and pounamu.
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Gallery Thirty Three provides a door to door shipping service nationwide. Our team is well versed in the handling and packing of paintings, drawings, sculptures, glass and multi-media contemporary artworks. All works purchased through the gallery will be insured in transit within New Zealand if our national shipping service is used.
We strive to meet the requirements of each of our clients regardless of the size, medium or destination of the artworks. Please contact us for an assessment of your shipping needs. All works sent overseas will be insured through the shipping agent's policy and insurance will be included in the total international freight quote for the client.


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Drug information provided by: Merative, Micromedex®
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain, and helps to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis), such as inflammation, swelling, stiffness, and joint pain. This medicine does not cure arthritis and will help you only as long as you continue to take it .
In addition, ibuprofen can be used to treat fever, menstrual cramps, and other conditions as determined by your doctor .
This medicine is available both over-the-counter (OTC) and with your doctor's prescription .
This product is available in the following dosage forms:
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of ibuprofen in children below 6 months of age. Safety and efficacy have not been established .
Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of ibuprofen in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require adjustment of dosage in patients receiving ibuprofen .
Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
For safe and effective use of this medicine, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your doctor. Taking too much of this medicine may increase the chance of unwanted effects, especially in elderly patients .
When used for severe or continuing arthritis, this medicine must be taken regularly as ordered by your doctor in order for it to help you. This medicine usually begins to work within one week, but in severe cases up to two weeks or even longer may pass before you begin to feel better. Also, several weeks may pass before you feel the full effects of this medicine .
To lessen stomach upset, you may take this medicine with food or milk .
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects .
This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk .
This medicine may cause bleeding in your stomach or intestines. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner) .
Serious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while taking this medicine: blistering, peeling, loosening of skin, chills, cough, diarrhea, fever, itching, joint or muscle pain, red skin lesions, sore throat, sores, ulcers, white spots in mouth or on lips, or unusual tiredness or weakness .
Possible warning signs of some serious side effects that can occur during treatment with this medicine may include swelling of the face, fingers, feet, and/or lower legs; severe stomach pain, black, tarry stools, and/or vomiting of blood or material that looks like coffee grounds; unusual weight gain; yellow skin or eyes; decreased urination; bleeding or bruising; and/or skin rash. Also, signs of serious heart problems could occur such as chest pain, tightness in chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Stop taking this medicine and check with your doctor immediately if you notice any of these warning signs .
This medicine may also cause a serious type of allergic reaction called anaphylaxis. Although this is rare, it may occur often in patients who are allergic to aspirin or other nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in skin color of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once .
Some people who have used this medicine had symptoms of meningitis. If you have fever, headache, nausea, vomiting, and stiff neck or back while using this medicine, check with your doctor right away .
Using this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor right away .
Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after your treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor) .
Before having any kind of surgery or medical tests, tell your doctor that you are taking this medicine. It may be necessary for you to stop treatment for a while, or to change to a different nonsteroidal anti-inflammatory drug before your procedure .
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Portions of this document last updated: Dec. 01, 2023
Original article: https://www.mayoclinic.org/drugs-supplements/ibuprofen-oral-route/description/drg-20070602
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The Beach Boys "Pet Sounds" and it's influence
NNDB has added thousands of bibliographies for people, organizations, schools, and general topics, listing more than 50,000 books and 120,000 other kinds of references. They may be accessed by the "Bibliography" tab at the top of most pages, or via the "Related Topics" box in the sidebar. Please feel free to suggest books that might be critical omissions.


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Files in the Dataset have been checked for format consistency, and merged into a single, integrated, downloadable file.Download Entire Dataset Submit Data For This Cruise How to Cite Dataset
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Thursday, March 22, 2012
Vintage Pattern + Fabric + Lipstick Giveaway!
It's a lovely day for a giveaway, don't you think? Denise from The Blue Gardenia is back with some goodies, and as usual, they are FABULOUS.
Denise always lets me pick out the pattern to giveaway, which is both fun and makes me feel powerful. I noticed that she has an unusually good selection of 50s patterns in bust size 38", which can be hard to find. I've been feeling the need for simple but adorable casual blouses in my wardrobe. So McCall's 3848 really spoke to me.
But that's not all. The winner of the givaway will also get fabric to make this top, a peacock blue jersey.
And last but not least! A lipstick to complete the look. (Actually, you should probably wear a skirt or pants or something to complete the look as well.) Funny Face by Nars. (How Audrey!) It's a fabulous fuschia.
And finally! Denise is giving a discount on all her fabulous wares at The Blue Gardenia as well. Get 15% off by entering the code Gertie Blue through the end of the giveaway period.
Thanks, Blue Gardenia!
479 comments:
grrreat pattern! moi please! :-)ReplyDelete
oooooooo, me me me please thank you! (jumps up and down holding arm up !)ReplyDelete
I love it!!!!!!!!!!!!!!!!!!ReplyDelete
beautiful pattern.. and i love that blue fabric colorReplyDelete
Fab give away! Please let meeeeee win! :-)ReplyDelete
Amazing giveaway!ReplyDelete
My fingers are crossed!
- Julie MariMarch 22, 2012 at 7:19 AM
What a great giveaway! Please count me in! :)ReplyDelete
Love the retro pattern.ReplyDelete
This is rather a special give-away. A rather wonderful pattern in a useful size and a beautiful fabric to make it up in. A lipstick too? Amazing!ReplyDelete
Ooh I have just the skirt to complete the look! I love it and I love your blog and your Craftsy course!ReplyDelete
Thanks for the giveaway!
this looks brillientReplyDelete
I love that blue. Just out of curiosity, what's the fibre content of the fabric?ReplyDelete
(and in case Blogger is weird about my profile [again], noramunro (at) gmail (dot) com)
What could be cuter? Love the blue!ReplyDelete
I've been scouring burdastyle for cute casual tops, as well! I desperately need to get out of this T-shirt rut. HALP!ReplyDelete
I love the combination of the fabric and the pattern!ReplyDelete
Such a sweet giveaway! That top is very pretty and that lipstick is amazing!ReplyDelete
Oh, I love this pattern! :)ReplyDelete
The whole giveaway is absolutely amazing! The fabric! The pattern! The lipstick!ReplyDelete
Crossing my fingers I get picked...
Awesome giveaway! Blue is my favorite color, and *I'm* from the '50s, lol! janenger at yahoo dot comeReplyDelete
Love it! Great colors (the fabric AND the lipstick)ReplyDelete
This pattern is amazing and I'm not usually a 50s sort of girl. But I'm in love!ReplyDelete
I really really want that!ReplyDelete
what a lovely pattern, thanks for the giveaway!ReplyDelete
Beautiful pattern - I love it! Thanks for the giveaway.ReplyDelete
I would absolutely love to win!!!ReplyDelete
Oh my. I love it all. Great pattern, beautiful fabric color, and a super fun lipstick.ReplyDelete
Thanks for the chance!
Very cool giveaway. Love the pattern!!ReplyDelete
wonderful giveaway. fingers crossed!ReplyDelete
eewingo (at) gmail (dot) com
Ooh this pattern is lovely.ReplyDelete
I was watching Breakfast at Tiffany's just the other day - it always leaves me wanting to call everyone Dahling!
Would love to make an "instant" blouse! haha =)ReplyDelete
I love the back of this pattern, a bit low but still very classy. Fingers crossed!ReplyDelete
great pattern choice. Please enter my name. I hope you can get my email from my account.ReplyDelete
wow fabulous! and thankyou for the discount codeReplyDelete
my email is firstname.lastname@example.com
Love the color of the fabric, love the color of the lipstick! Win-win!ReplyDelete
Thanks The Blue Gardenia!!!
What a lovely giveaway! Thanks :)ReplyDelete
You can contact us if we link with our Google accounts, right?
That fabric is gorgeous!!! Thanks for the opportunity to try.ReplyDelete
Oh! great blouse!ReplyDelete
Ooh, lovely, thank you! email@example.com
Ooo... i've been looking for something like this! Love the colour of that fabric too!ReplyDelete
That's a lovely pattern. I've recently become a lipstick convert so that pretty pink is also very exciting. :)ReplyDelete
Oh can I see the many uses for this pattern in my wardrobe!ReplyDelete
How fab! My email address is at the top right of my blog sew-incidentally.com :)ReplyDelete
This is way too fabulous! I love everything about this giveaway. christi.adell -at- gmail.comReplyDelete
Love all three items in the giveaway! email@example.com
LOVE IT!ReplyDelete
>_< i think i can i think i can... >_<ReplyDelete
love the v-neck back!!! the fuchsia is just wonderful. fingers crossed:)ReplyDelete
Yay! Thanks for posting.ReplyDelete
Fun! jmarten24{at}gmail. comReplyDelete
Love the shade of the fabric. Count me in :)ReplyDelete
What a lovely giveaway; the lipstick is such a perfect match for the fabric! And the pattern is a dream, and my size!ReplyDelete
xo, Anita
Oh what a lovely offer!ReplyDelete
Count me in!
Thank you so much :)
Oh wow, what a great giveaway! I'd love to win that gorgeous colour jersey...ReplyDelete
Good luck everyone!
Love it! If I am lucky enough to win, my e-mail address is amcearchern at gmail dot com.ReplyDelete
Well I rarely enter giveaways but I can't resist this one, I love the pattern, the colour of the fabric AND the lipstick!! Count me in please :o)ReplyDelete
How chic! Would love this. Thanks.ReplyDelete
Sooooooo sweet! Pick me! Waving, jumping, waving, jumping waving! Here am I! Waving, jumping....ReplyDelete
Lovely choices. Count me in!ReplyDelete
This is an amazing giveaway! I love the pattern and the fabric looks lovely. :)ReplyDelete
Thanks for a great giveaway Gertie! That top is super-sexy!ReplyDelete
Me please! Gorgeous pattern with fabric to make it in!ReplyDelete
You have such beautiful taste Gertie!
What a great pattern pick, Gertie! It isn't in my size, but I love it enough to be willing to make the alterations.ReplyDelete
- Amy Grace ClarkMarch 22, 2012 at 9:25 AM
Love the pattern - I've been feeling very Audrey lately myself!ReplyDelete
Wow, great pattern, fabric and lipstick. And it's my size!!! Pick me, pick me.ReplyDelete
Thanks for the great giveaway!
love the pattern!ReplyDelete
Me! Me! Me!ReplyDelete
Please count me in!!ReplyDelete
Oops, forgot to give you a way to contact me. email@example.com
Perfect size, perfect colors!!! You sure know how to pick 'em!ReplyDelete
Thank you for hosting this giveaway. :)
JoynessSparkles (at) gmail (dot) com
Love the blouse and that color blue!ReplyDelete
I love it, and I want it!!! =DReplyDelete
Soooo pretty! :DReplyDelete
Thank you!
This comment has been removed by the author.ReplyDelete
- CarolineMarch 22, 2012 at 9:53 AM
I neeeeeeeed those to liiiiiiiiiiiiiiive!ReplyDelete
Not that I will ACTUALLY die without them, but... such a cute pattern! And the fabric and lipstick are my colors! I am crossing my fingers big time.
perfect for a spring top!!ReplyDelete
want it too!
Really cute things! I never win anything so I keep writing that, hoping to have the Giveaway Gods favor me.ReplyDelete
I can imagine a lady wearing this blue top and flattering pink lipstick - such a killer !ReplyDelete
I love the pattern and the blue! And it's in my size, yay!! :)ReplyDelete
Beautiful- both fabric and pattern!ReplyDelete
Thank you.
What a lovely pattern!ReplyDelete
Gorgeous fabric to make a fabulous blouse! Thank you!!!ReplyDelete
Love that fabric and lipstick!!! Pattern's too big, but I would definitely find a pal who could use it. Thanks for a lovely giveaway!ReplyDelete
The pattern is great - would be wonderful to win :)ReplyDelete
Fabulous! Sign me up!ReplyDelete
Pattern, Fabric, AND makeup?? Are you my fairy godmother who knows I need a pick me up?? So excited!ReplyDelete
Love the pattern, and it's my size! And the lipstick is my color! I'm way more pink than red. And who can't use more fabric?ReplyDelete
What a darling pattern!ReplyDelete
cisabarry at gmail dot com
Love that shade of blue - that would make a fantastic top!ReplyDelete
LOVE, LOVE that patterns---and the fabric and lipstick are great too! If I don't win it (and I hope I do!!), I can that I'm going to bespending a lot of time trying to track down a copy. Thanks!ReplyDelete
Those are all so pretty! I do love Blue Gardenia. And blue jersey.ReplyDelete
Oh no, now I'm going to HAVE to spend the afternoon browsing the patterns at Blue Gardenia! I always find the most amazing patterns, and have to be really strict with myself!ReplyDelete
Thanks so much for the giveaway!
I'd love to win! That's a great pattern!ReplyDelete
The pattern is way too cute! Please enter me in the contest. Thanks!ReplyDelete
Wow, I really love it and considering how limited my recreational sewing budget is as a fashion student I could really make great use of pattern and fabric!ReplyDelete
I think I've said this every time I've entered one of your giveaways but I'll keep saying it--PLEASE do not encourage people to type out their emails in the body of a comment! A lot of people in the craft/DIY world are not as young and web-savvy as you or I, and aren't aware of "non-machine-readable" ways to type email, like myname at popularemailservice dot com, and why those are so important! I shudder to think of the state of these ladies' inboxes after your giveaways!
If you're not willing to occasionally wait for people to get back in touch with you for a day or two after a drawing, maybe you should consider leaving Blogger and its crappy comment system entirely.
What an amazing giveaway! I love it! - firstname.lastname@example.com
Gorgeous! I am vintage, too, and remember the "instant" patterns. The lipstick is perfect for the peacock blue fabric. A great package.ReplyDelete
Thanks for the chance!ReplyDelete
You do the best giveaways! Please enter me in this one.ReplyDelete
arenee dot d at gmail dot com
Do want! That lipstick is fab.ReplyDelete
(mgode at mchsi dot com)
- VictoriaRMarch 22, 2012 at 10:57 AM
I love the color of the fabric!ReplyDelete
Ooooh I want!ReplyDelete
- AnonymousMarch 22, 2012 at 11:04 AM
Lovely! I'd love to be in the hopper. Thanks to you and Blue Gardenia.ReplyDelete
Now, no thanks to Blogger's captcha, I'm going to tell you what my wordpress blog is: www.sewtigersew.com. I can't post a comment as logged in and also make it past the captcha!
My email is rsreagan at gmail dot com.
That fuchsia looks amazing.ReplyDelete
Would loooove this and it's always great finding patterns for us bigger busted ladies.ReplyDelete
lifeofdi (at) gmail
Yes, PLEASE!! Fabulous colors!!!ReplyDelete
email: firstname.lastname@example.com
Gorgeous pattern! It's funny I was just saying that I haven't found any vintage patterns in a shop here (in Belgium). Maybe I haven't looked in the right places, but still.ReplyDelete
So maybe you could get me started with this lovely pattern. Pretty please? With a cherry on top?
I'm a fan! and I've been needing a new lipstick... :)ReplyDelete
Oh nice, I'm definitely in! I was planning to go for brunette this summer so that lipstick would be perfect for my new look :)ReplyDelete
i would LOVE LOVE LOVE to win...it seems i am always entering contests or playing the lottery to no avail :(ReplyDelete
As always, Denise does the best giveaways! Thanks for this.ReplyDelete
Love the top--nice separateReplyDelete
- AnonymousMarch 22, 2012 at 11:42 AM
The pattern would be fabulous made in the blue fabric. And lovely with a brooch at the side. The fuchsia lipstick would look great with the blue and with almost anything else this summer. A wonderful giveaway, and I love sewing with knits.ReplyDelete
Oh! This pattern is just so lovely, and I certainly could do with more separates! joelle dot stlaurent at hotmail dot comReplyDelete
The pattern would be fabulous made in the blue fabric. And lovely with a brooch at the side. The fuchsia lipstick would look great with the blue and with almost anything else this summer. A wonderful giveaway, and I love sewing with knits.ReplyDelete
Ooh. I love everything here especially the lipstick. I've had a hard time finding a good red statement lipstick and I've been pondering shocking pink instead.ReplyDelete
I would love to win this giveaway
starkeymonster @ gmail.com
Love the pattern and that lipstick is fab! hope your enjoying your new home and making lots of lovely soft furnishings.ReplyDelete
A-MAAAZING! The Nars lipstick alone is a great prize :)ReplyDelete
Ohhh looks totally yummy put me down for a chance xReplyDelete
- GlambettyMarch 22, 2012 at 11:58 AM
awesome pattern, steller fabric, killer lipstickReplyDelete
LOVE that pattern!ReplyDelete
Lovely pattern/fabric combo! :)ReplyDelete
Ah! The 26th is my birthday, and those colors are PERFECT for me!ReplyDelete
What a lovely giveaway!ReplyDelete
- AnonymousMarch 22, 2012 at 12:04 PM
I would love to win this!ReplyDelete
What a great pattern! I seems to be perfect for a sewing novice and easy to alter.ReplyDelete
Great pattern, and I love the lipstick!!!ReplyDelete
What a lovely top!! email@example.com
What a pretty V on the back!ReplyDelete
- Larisa BrisenoMarch 22, 2012 at 12:07 PM
What a great pattern, lipstick and gorgeous fabric. Thank you! My email is larisasbh at yahoo dot com.ReplyDelete
lovely . . .I could so sew this and the need to is great . . .so PLEASE pick moiReplyDelete
I'm on a knit top/kimono sleeve kick lately. It'd be great to have a pattern tho--I've been drafting my own :) fun, but I'm no pro!ReplyDelete
thanks for the giveaway Gertie!
- MelissaMarch 22, 2012 at 12:10 PM
Yay! That's my size! LOVE!ReplyDelete
- AnonymousMarch 22, 2012 at 12:11 PM
The pattern and blue are both lovely. I would love to win! thank you for posting a free give-away.ReplyDelete
- MelissaMarch 22, 2012 at 12:13 PM
Yay! That's my size! LOVE!ReplyDelete
Oh, what a lovely giveaway!ReplyDelete
Thanks for the giveaway! Denise finds such beautiful things. So elegant. Love it!ReplyDelete
Just my size; love the color. This is screaming out my name. Hear it? RUTH!!!!!ReplyDelete
Just my size; love the color. This is screaming out my name. Hear it? RUTH!!!!!ReplyDelete
Just my size; love the color. This is screaming out my name. Hear it? RUTH!!!!!ReplyDelete
So nice to see such a lovely pattern in a larger bust size! email@example.com
- BethanyMarch 22, 2012 at 12:18 PM
Please, with a cherry on top?ReplyDelete
thejenni.girl at gmailReplyDelete
My bestie and I think we need that pattern. You know, for bonding purposes. And because we were born in the wrong era.
I just found your wonderful site! I am going to subscribe to your newsletter. I'm a 64 yr old wife, mother, and nana. I LOVE sewing and would really love to win.ReplyDelete
Love the pattern and the peacock blue jersey. So pretty!ReplyDelete
LOVE this pattern!ReplyDelete
I'd use the pattern to make a version of the Portrait Blouse. Oh well, fingers crossed.ReplyDelete
- AnonymousMarch 22, 2012 at 12:25 PM
Ohmygoodness I love it so much.ReplyDelete
I'm always a fan of the v-neck back. It's just so stylish.
Oh lovely!! This is my entry.... You can contact me on:ReplyDelete
Bundana x
- AnonymousMarch 22, 2012 at 12:28 PM
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text:
Whew! Big asteroid no longer threat to Earth
By SETH BORENSTEIN
AP Science Writer
WASHINGTON (AP) — Upon further review, a big scary-sounding asteroid is no longer even a remote threat to smash into Earth in about 20 years, NASA says.
Astronomers got a much better look at the asteroid when it whizzed by Earth on Wednesday from a relative safe 9 million miles away. They recalculated the space rock's trajectory and determined it wasn't on a path to hit Earth on April 13, 2036 as once feared possible.
At more than 1,060 feet wide, the rock called Apophis could do significant damage to a local area if it hit and perhaps even cause a tsunami. But it was not large enough to trigger worldwide extinctions. One prominent theory that explains the extinctions of dinosaurs and other species 65 million years ago says a six-mile-wide meteorite hit Earth and spewed vast amounts of dust into the air, cooling and darkening the planet.
Grow the Future of Public Media
MPR News is supported by Members. Gifts from individuals power everything you find here. Make a gift of any amount today to become a Member!
About nine years ago, when astronomers first saw Apophis, they thought there was a 2.7 percent chance that it would smack into our planet. Later, they lowered the chances to an even more unlikely 1 in 250,000.
Now it's never mind.
"Certainly 2036 is ruled out," said Donald Yeomans, manager of NASA's Near Earth Object Program. "It's why we track them so we can be assured that they won't get dangerously close."
Yeomans said now the asteroid, named after an evil Egyptian mythical serpent, won't get closer than 19,400 miles. That's still the closest approach asteroid watchers have seen for a rock this large. And when astronomers got a closer look they noticed it was about 180 feet larger than they thought, but not a threat.
Asteroids circle the sun as leftovers of failed attempts to form planets billions of years ago. When asteroids enter Earth's atmosphere, they become meteors and when they hit the ground they are meteorites.
This is the second time in as many months the asteroid watchers have had good news for Earth. Last month, astronomers got a closer look at a smaller asteroid that they had previously calculated had a 1 in 500 chance of hitting Earth, this time in 2040. And they decided the 460-foot asteroid was no longer a threat.
If you still want to see a space rock come cosmically close to Earth, there's always next month.
On Feb. 15, a small asteroid, only 130-feet wide, will come close to Earth, about 17,000 miles above the equator. That's so close it will come between our planet and some of the more distant satellites that circle the globe. But it will miss Earth.
"This will be the closest passage of an object this size," Yeomans said.
That asteroid, called 2012 DA14, should be visible with smaller telescopes and binoculars, but mostly in Eastern Europe, Asia and Australia, he said.


text:
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text:
Weekly Cinder team meeting
NOTE MEETING TIME: Wed's at 16:00 UTC
If you're interested in Cinder or Block Storage in general for OpenStack, we have a weekly meetings in
#openstack-meeting, on Wednesdays at 16:00 UTC. Please feel free to add items to the agenda below. NOTE: When adding topics please include your IRC name so we know who's topic it is and how to get more info.
Next meeting
NOTE: Include your IRC nickname next to agenda items so that you can be called upon in the meeting and arrive at the meeting promptly if placing items in agenda. You might want to put this on your calendar if you are adding items.
June 11th, 2014 16:00 UTC
- Volume replication (ronenkat)
- Blueprint and spec review/comments? https://review.openstack.org/#/c/98308
- oslo.db (jungleboyj)
- Want to quickly discuss the review out there for this: https://review.openstack.org/#/c/77125/
- Move to current oslo.db? Wait for library work?
- oslo logging discussion (jungleboyj)
- Removing translation of debug messages
- Adding _LE, _LI, _LW
Previous meetings
June 4th, 2014 16:00 UTC
- Volume backup modification (navneet)
- Blueprint and spec review/comments? https://blueprints.launchpad.net/cinder/+spec/vol-backup-service-per-backend
- Dynamic multi pool (navneet)
- Review comments? https://review.openstack.org/#/c/85760/
- Implementation approach comparison.
- 3rd party ci (asselin)
- I have a conflict with another meeting, but my WIP to add nodepool into jaypipe's 3rd party ci solution is available here: https://github.com/rasselin/os-ext-testing/tree/nodepool
- oslo.db (jungleboyj)
- Want to quickly discuss the review out there for this: https://review.openstack.org/#/c/77125/
- Move to current oslo.db? Wait for library work?
- Need to drop off the meeting about 40 minutes in so if we can cover before then it would be appreciated. :-)
May 28th, 2014 16:00 UTC
- 3rd Party CI (jungleboyj)
- What tempest test cases to run?
- iSCSI only? What about for FC only drivers then?
- Progress on where to record results?
- SSH host keys (jungleboyj)
- https://launchpad.net/bugs/1320050 and https://bugs.launchpad.net/cinder/+bug/1320056
- Need plan to get this addressed by all drivers using SSH. (New config options?)
- Way to get this backported to Havana?
- Dynamic multi-pools (navneet)
- Status and WIP review (https://review.openstack.org/#/c/85760/)
- Back manager design improvement/rewriting for better rpc message handling.
- Back up service for multi pools.
- cinder-specs (jgriffith)
- Specs repo is live
- Process
- Reviews
May 21st, 2014 16:00 UTC
- Consistency Groups (xyang)
- A few people have concerns on the restriction of one volume type per CG. Should we allow one CG to have multiple volume types on the same backend? Let's discuss about it.
- Third-Party CI (jgriffith)
- Who's started, who's planning to and how can we help support each other to get this going smoothly
- Moving GlusterFS snapshot code into the NFS RemoteFs driver (mberlin)
- The GlusterFS snapshot code using qcow2 snapshots is useful for all file based storage systems. I would volunteer to move the GlusterFS snapshot code into the general RemoteFs driver - making it easier to get our driver accepted ;-)
- Eric Harney is fine with this and planned to do this for Juno anyway (see his blueprint). I've put it on the agenda to make sure others also agree with this approach.
May 7th, 2014 16:00 UTC
- Limit == 0 in API patch review - thingee
April 16th, 2014 16:00 UTC
- Release Status
- Summit Session Updates
- Next Stop ATL!!!
- Cinder resource status - thingee
April 9th, 2014 16:00 UTC (Agenda entered retrospectively)
- Cinder Spec (jgriffith)
- Just a heads up that cinder blueprints will move to a gerrit based process shortly, a la nova. Details and wiki entry to follow.
- RC2 status (jgriffith)
- Just after cutting RC2, a bunch of bugs
- Testing RC code (jgriffith)
- Get on it, folks!
- Looks like theres some serious, intermittent performance issues in the API somewhere...
April 2, 2014 16:00 UTC _Meeting cancelled and summary discussion held on #openstack-cinder_
- Release status and bugs
- -2s left on reviews from before Junos opened - please check if they are still valid
- https://review.openstack.org/#/c/73446/ (JGriffith) - https://review.openstack.org/#/c/80550/ (JBryant) - https://review.openstack.org/#/c/82100/ (Avishay) - https://review.openstack.org/#/c/74158/ (Avishay) - + a whole bunch of stable branch stuff
Previous meetings
Mar 26, 2014 16:00 UTC
- RC1 updates (jgriffith)
- Design Summit Sessions (jgriffith)
Mar 19, 2014 16:00 UTC
- ProphetStor Driver Exception request for Icehouse (jgriffith)
- Bug status/updates (jgriffith)
- What we should be punting to Juno (aka immediate -2 in Gerrit) (jgriffith)
- Continuous Integration for Cinder Certification (jungleboyj)
Mar 12, 2014 16:00 UTC
- Cancelled due to nothing on the agenda. Ad-hoc discussion on #openstack-cinder instead
Mar 5, 2014 16:00 UTC
- Volume replication - avishay
- New LVM-based driver for shared storage - mtanino
- DRBD/drbdmanage driver for cinder - philr
Feb 19, 2014 16:00 UTC
- I3 Status check/updates
- Cert test
- Milestone Consideration for Drivers -thingee
- Hack-a-thon details -thingee
- scheduling for local storage -DuncanT
Feb 5, 2014 16:00 UTC
- I3 Status check/updates
- Cert test
- Multiple pools per backend (bswartz)
Jan 8, 2014 16:00 UTC
- I2 is just around the corner, blueprint updates
- Alternating meeting time proposal, results on feedback
- Driver cert test, it's there... use it
- Prioritizing patches and reviews
December 18, 2013 16:00 UTC
- Blueprint discussion cinder backup recovery api - import/export backups - avishay
- Blueprint discussion [1] - Griffith
- Admin-defined capabilities - Ollie
- Why is type manage an extension? -Thingee
December 11, 2013 16:00 UTC
- Proposal of extension packages -Thingee
December 4, 2013 16:00 UTC
- Progressing with multi-attach / shared-volume - sgordon
- Access Control List design discussion - alatynskaya
November 27, 2013 16:00 UTC
- Updated volume mirroring design - avishay
- Start using only Mock for new tests... Related Nova Discussion - Thingee
- Rate limiting came up in the summit, and on openstack-dev - avishay
- Metadata backup (https://review.openstack.org/#/c/51900/) progress RFC - dosaboy
November 20, 2013 16:00 UTC
- I-1 scheduling - JGriffith
November 13, 2013 16:00 UTC
- patches should update doc files where necessary to ease writing of release notes (Avishay?)
- fencing host from storage (Ehud Trainin)
- Summarize priority of tasks from summit discussions (https://wiki.openstack.org/wiki/Summit/Icehouse/Etherpads#Cinder and https://etherpad.openstack.org/p/cinder-icehouse-summary) Griff
October 30, 2013 16:00 UTC
- cinder backup metadata support - http://goo.gl/Jkg2FV (dosaboy)
- fencing and unfencing host from storage - https://blueprints.launchpad.net/cinder/+spec/fencing-and-unfencing (Ehud Trainin)
October 23, 2013 16:00 UTC
- Nexenta backup driver https://review.openstack.org/#/c/47005/ - DuncanT
October 2, 2013 16:00 UTC
- What's still broken in Havana
- Backups and multibackend (https://code.launchpad.net/bugs/1228223): Fix committed
- Configuration - Global CONF settings in brick don't belong, and a number of them break multi-backend (Bug #1230066): Fix committed
- TaskFlow retry mechanism - The majority felt this should be left as a white list, but no work has been done to fix it so we still have ugly failures/roll-backs (3 bugs logged here): ???
- Quotas - Don't know that anybody has gotten to the bottom of the quota syncing issue (Bug #1202896): Still open
- iSCSI Target creation failures - This was thought to have been fixed but showed up last night (Bug #1223469): Probable fix committed
- Summary of gate issue pertaining to Cinder can be viewed here: http://paste.openstack.org/show/47798/
- Moving to taskflow - avishay
Sept 25, 2013, 16:00 UTC
- PTL nomination process is open until the 26'th, if you want to run send your nomination proposal out to the dev ML
- What's broken in Havana
- Backups (specifically when configured with multi-backend volumes)
- Configuration - Global CONF settings in brick don't belong, and a number of them break multi-backend (Bug #1230066)
- TaskFlow retry mechanism - The majority felt this should be left as a white list, but no work has been done to fix it so we still have ugly failures/roll-backs (3 bugs logged here)
- Quotas - Don't know that anybody has gotten to the bottom of the quota syncing issue (Bug #1202896)
- iSCSI Target creation failures - This was thought to have been fixed but showed up last night (Bug #1223469)
- ????
- Cinderclient release plans/status? (Eharney)
- OSLO imports (DuncanT)
- bp/cinder-backup-improvements (dosaboy)
- bp/multi-attach (zhiyan)
Aug 21, 2013, 16:00 UTC
- No agenda, no meeting.
Aug 14, 2013, 16:00 UTC
- Volume migration status - avishay
- API extensions using metadata. This comes from the readonly volume attach support. - thingee
Aug 7, 2013, 16:00 UTC
- RFC - make all rbd clones copy-on-write -- Dosaboy
- V1 API removal issues, plans and timescales - DuncanT
Meeting Minutes


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text:
Today's Poll: Should the Celtics Pursue DeMarcus Cousins?
Via NBA.com:
"DeMarcus Cousins has demanded to be traded. In the best interest of our team as we go forward, he has been directed by me, with the support of management, to stay home from the New Orleans game tonight."While Cousins' agent disputed the trade request rumors, either way, it seems like the Kings want to be rid of DeMarcus if they went as far as to issue a statement suggesting a trade. Yes, DeMarcus is a giant headcase and it seems as though this year the Celtics have been clearing the team of any knucleheads. But on the other hand, is he a young player with a ton of potential who averages 14.1 points and 8.8 rebounds per game.
With our shortage of bigs, would you want a player like Cousins on the team? Or is it too risky to allow someone with his history of instabilities to potentially be cancerous to the team? Vote in the poll below.


text:
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Carlise Cutting Board Scraper Demo from 3 West
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Maniac Mansion: Arranged/Remixed tunes
Game info
Name: Maniac Mansion
Music info
Released: 1988
User reviews
Music download
Download Game Music in ZIP archive!
Other music records from this game
Record created/updated: 7. August 2002.
Something wrong with these data? - Write corrections / additions to Game Music Base
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Information provided here may not be accurate and are provided only as an informative resource, without any warranty.
Other tools
Generate info.txt - with this cool feature you can generate the info.txt file with all tune information and save it somewhere, which means you'll have something like "tune ID card"! :) This has cool advantages - it's small, fastly readable/editable, you can add it to the tune archive if you want and you will have everytime fast information about the game and music archive. Also programs which support reading from txt files (such as KBMedia Player) can read the info.txt file directly while playing tunes of all formats!


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More info about the name "Olena"
Olena is a Ukrainian form of Helen. Helen originates in Greek language and means "torch of light". In Greek mythology, Helen is a famous figure, known as Helen of Troy. She was a daughter of Zeus, described as a beautiful woman. Her abduction by Paris triggered off a series of events which finally ended in the Trojan War. In Christianity, Saint Helena is the one who found the relics of the True Cross upon which Jesus was crucified. Throughout centuries, Helen has been one of the most popular feminine given names.


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Bequest- Creating a Jewish Future
Focused on every step of the Jewish lifecycle, Chabad of South Orlando will utilize your bequest to lead the Jewish future. Leaving a bequest is a great way to safeguard our Jewish community. Your charitable bequest ensures that your support of Chabad will continue in eternity.
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- This is the most popular way for individuals to leave a Jewish legacy.
- Please inform Chabad of your intention to leave a bequest, so we can properly recognize you as a member of the Jewish Legacy Society.
Residuary Bequest - Chabad is given a percentage of the estate.
Outright Bequest - Chabad is given a specific dollar amount or a specific asset, such as securities or real estate.
Allow us to work with you, your family, and if desired your financial advisor, to develop the most personalized strategy for your goals. For more information contact us.


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Refund Policy
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Download issues: You have problems that prevent you from downloading the product. https://357MAELAI.COM recommends that you contact the support team for your browser provider, as https://357MAELAI.COM ensures that our software can be downloaded with all major browsers, and this problem usually arises from a customer\'s issue with either their browser, firewall, or network;
Irreparable defects with the software: Although all the products are thoroughly tested before release, unexpected errors may occur. This reason should be submitted to our Support Team for its approval of your refund request;
Product not-as-described: A request based on this reason is addressed on a case-by-case basis and subject to our approval. To prevent this kind of claim from arising, every customer is encouraged to check free samples ( in the form of video overviews, demo links, product samples, screen shots) of each type of the product offered before making a purchase.


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Heating & Cooling Services in Emerson, New Jersey
Meyer & Depew regularly services the town of Emerson, NJ, located in Bergen County with heating & air conditioning installation and repair, as well as generator installation. Emerson is the most southern town in an area of the county referred to as the Pascack Valley.
Heating and Air Conditioning Repair, Replacement & Installation, Serving Emerson, NJ
Meyer & Depew are dedicated heating and air conditioning contractors operating daily in Emerson, NJ. We have been helping homes and business based in Emerson with all of their heating and air conditioning needs for over half a century. With generations of trust behind us, you can be assured that your heating and air conditioning installation, repair, or replacement will be attended to with the utmost professionalism.
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Heating and Air Conditioning Replacement and Installation
We can help you save in energy costs by installing high efficiency heating and air conditioning systems in your home or business. Every HVAC system we sell is installed by highly trained, certified Meyer & Depew technicians, with your home or business in mind. You can be confident that our technicians will perform to the highest standards of quality. As we are in close proximity to Emerson, with crews in your area on a daily basis, you can be assured that your installation will be given prompt and efficient attention; we value and appreciate your time.
Heating and Air Conditioning Maintenance & Repairs
Regardless if we installed your HVAC system or not, our technicians readily handle repairs on all heating and air conditioning unit makes and models, and can readily address any type of service call you may have. If you have any questions, concerns, or would like to request a quote, our 24/7 service representatives are always available to assist you.
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Meyer & Depew has installed a number of whole house standby generators throughout the Emerson region over the last several years. We work with the latest Honeywell equipment. For more information please visit Home Generators.
Why have Emerson, NJ residents entrusted their comfort to Meyer & Depew for heating and air conditioning service for generations?
Because of the Meyer & Depew difference:
- No subcontractors – Feel assured that any technician that services, replaces or installs your HVAC system is a Meyer & Depew employee who has been trained to the highest current industry standards for technical proficiency.
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Serving Emerson, NJ for Over 50 Years
We regularly work in Emerson, as it is easily accessible from Route 17, Interstate 287, the Garden State Parkway, Route 9W and the Palisades Parkway, as well as local roads such as Linwood Avenue and Kinderkamack Road. We are grateful to be of service to all of our Emerson, NJ customers, and strive to provide the highest quality heating, air conditioning and generator repair and installation, in a manner that shows the highest respect for each customer's home, and their valued time.


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Infant of a Diabetic Mother
What are the classifications of maternal diabetes?
Why are the classifications important?
What are the risks to the infant?
What can be done to decrease the risk of complications to the infant?
What special tests may be required for a diabetic mother during pregnancy?
What special tests may be required for the infant after birth?
What special treatments may be required for the infant after birth?
What is the risk of the infant developing insulin-dependant diabetes?
What are the classifications of maternal diabetes?
The classifications of maternal diabetes are outlined in Table 1.
Why are the classifications important?
The classification of diabetes during pregnancy is important because the outcome of both the mother and the baby are related to the severity and the duration (represented by the different classes) of the mother's diabetic condition.
In mothers with gestational diabetes, there is an increased risk of large (macrosomic) babies and babies with low blood sugars (hypoglycemia) after birth; however, the overall risk of complications is low.
Large babies and babies with low blood sugars also are associated with Classes A, B, C, and D.1 Large (macrosomic) babies increase the need for cesarean section delivery because the baby can be too big to pass through the mother's pelvis and vaginal canal.
Class F mothers have the highest risk of delivering abnormally small babies with poor growth while inside the mother's uterus.1 Class F mothers also have an increased risk of anemia, high blood pressure (hypertension), and decreased kidney function.
Class H mothers have an increased risk of a heart attack or heart failure and sudden death, along with an increased risk of producing abnormally small babies.
Class R mothers have an increased risk of worsened retinopathy, bleeding into the eye (vitreous hemorrhage), or detachment of the retina. They also have an increased risk of delivering small babies, most often by cesarean section.
All classes have an increased risk of abnormally large amounts of amniotic fluid (polyhydramnios). Polyhydramnios increases the risk of pre-term labor and delivery, delivery of the baby's umbilical cord before the baby (cord prolapse), or early separation of the placenta from the uterus (placental abruption). Cord prolapse and placental abruption can dangerously cut off blood supply to the placenta and the baby.
What are the risks to the infant?
Infants of diabetic mothers, or IDMs, have a significantly increased risk of breathing problems (respiratory distress), especially if they are born before 37 weeks, because their lungs are slower to mature.
Approximately 30% to 40% of IDMs have low blood sugar (i.e., glucose is less than 40 mg/dl) after birth. This condition usually occurs early after birth, often by one to two hours of age. Low blood sugar occurs because of excess insulin in the baby. The excess insulin was produced in the baby while inside the mother's uterus in response to high blood sugars delivered across the placenta from the mother's blood. Prolonged or severe low blood sugar (i.e., hypoglycemia) can cause seizures and brain damage. Therefore, IDMs will have their blood sugars checked (usually by "heel stick") shortly after birth and then several times over the next one to two days.
Approximately 20% of IDMs will have low calcium. If a baby is very sick, shaky, or lethargic, or has seizures despite normal blood glucose, a blood calcium measurement should be performed.
An abnormally high red blood cell count (polycythemia) can occur in IDMs, increasing their risk of jaundice (yellow skin color), feeding difficulties, respiratory distress, or lethargy. The risk of jaundice is increased significantly in IDMs even if they are not polycythemic. One study found that 19% of IDMs developed bilirubin levels greater than 16 mg/dl. Bilirubin is the yellow pigment that comes from the red blood cells and produces the yellow skin color. When there is too much bilirubin in a baby's blood, it can cause brain damage. Fortunately, this problem is treated easily with light treatment (phototherapy).
The incidence of major congenital anomalies (birth defects) is increased from 6% to 9% in IDMs, compared to a rate of 2% in the general population. The frequency of congenital anomalies is not increased in gestational diabetes; however, two-thirds of these anomalies involve the brain, the nervous system, or the heart. Caudal agenesis (failure of formation of the lower vertebrae and sacrum of the spine) more frequently occurs in IDMs whose mothers had poor blood sugar control around the time of conception and during the first few weeks of pregnancy.
A significant decrease in the incidence of congenital anomalies has been reported with rigorous glucose control in the periconception period.2 Congenital anomalies can be reduced even more if the mother takes folate supplements during the early part of pregnancy.
Poor feeding is a common problem that affects up to 37% of IDMs, often prolonging the hospital stay.
Macrosomia (large birth weight, i.e., larger than 4 kilograms, or 8 pounds) occurs in about one-third of IDMs, and it correlates with high blood sugars and serum fat concentrations in the third trimester of pregnancy.3 Usually, macrosomia is not seen in those mothers with more severe and longer-standing diabetes (e.g., Classes F and R).
Poor heart function or myocardial dysfunction is rare, but increased, in IDMs because of the enlargement of the septum or the wall between the ventricles (the two large pumping chambers of the heart). This condition is called ventricular septal hypertrophy, and can cause congestive heart failure, poor cardiac output, and heart enlargement. However, it often has no associated problems. Sometimes, a heart murmur is heard when IDMs have poor heart function.
Even when there are associated problems with the heart, they usually resolve by two weeks, and the hypertrophy resolves by four months. Good diabetic control during pregnancy can reduce the incidence and the severity of this complication.
Renal vein thrombosis or clotting of the vessel draining blood from the kidney, causing the kidney to swell, is rare; however, it can occur before or after birth in IDMs. It is caused by abnormally low blood anticoagulants that may develop in the baby whose mother is poorly controlled for her diabetes during pregnancy.
Small left colon syndrome can occur in IDMs. This syndrome can cause the delayed passage of a stool after birth, resulting in abdominal distention and a delay in normal feeding.
What can be done to decrease the risk of complications to the infant?
Good glucose control and prevention of ketoacidosis prior to conception and in the first two months of pregnancy will decrease the risk of congenital anomalies. Later in the pregnancy, glucose control is important to prevent macrosomia, hypoglycemia (after birth), and ventricular septal hypertrophy of the baby's heart. It generally is recommended that the mother's fasting blood glucose should be from 70 to 90 mg/dl, and, two hours after eating, her blood glucose should be less than 120 mg/dl.2
If a pregnant diabetic woman participates in a program of pregnancy management and surveillance from before conception until delivery, she has at least a 95% chance of having a completely healthy child.1
What special tests may be required for a diabetic mother during pregnancy?
Early screening for congenital anomalies usually includes a serum alpha-fetoprotein level of the mother to screen for open neural tube defects (spina bifida) and a detailed ultrasound at 18 to 20 weeks. Follow-up ultrasounds may be required for polyhydramnios (increased amniotic fluid), abnormal fetal growth, or early separation of the placenta.
Tests of fetal well being, including daily fetal movement counts and biweekly biophysical testing (ultrasound and fetal heart rate monitoring), usually begin at 28 to 32 weeks.
An amniocentesis may be performed prior to delivery if the mother is at less than 38 weeks gestation to document fetal lung maturity.
The mother's glucose will be monitored closely during labor, and insulin and glucose treatments often will be adjusted.
What special tests may be required for the infant after birth?
The baby will require frequent blood glucose checks after birth, beginning in the first two hours of birth. These check-ups usually are continued every 2 to 4 hours for at least 24 hours.
The red blood cell count, or hematocrit, will be checked after birth to ensure that the baby does not have polycythemia. If significant jaundice occurs, bilirubin levels will be checked.
If the baby has jitteriness, lethargy, or poor feeding, despite normal glucoses, the calcium level will be checked.
A thorough physical examination will be performed to look for any physical abnormalities and to listen to the heart for any evidence of a heart murmur.
The baby's long-term development will be followed; studies have shown a mild decrease in IQs (93 versus 102) of IDMs with a maternal history of ketones in the urine (ketonuria) during pregnancy, as compared to IDMs with no maternal ketonuria.2 However, significant differences in mental development have not been found between IDMs with good sugar control without ketonuria and other normal babies.
What special treatments may be required for the infant after birth?
If the baby is well after birth, he/she should be nursed or given formula in the first hour. The first blood sugar should be checked within two hours of birth or sooner if the baby develops jitteriness, lethargy, or seizures. If the blood sugar is low (less than 40 mg/dl), the baby should be fed immediately, and the blood sugar rechecked within one to two hours. If the blood sugar is extremely low (less than 25 mg/dl), if the baby is sick or unable to eat, or if the blood sugar remains low despite feeding, an IV with glucose water should be started for the baby. The blood sugar will be rechecked frequently until it is normal and stable.
If congenital anomalies exist, they will need to be treated accordingly; some birth defects may require surgery.
If the baby develops significant jaundice, phototherapy may be required for a short period (usually from two to five days) to break down the bilirubin in the skin.
If the lungs are not mature, the baby could require help with breathing using a machine called a respirator. The baby also could benefit from surfactant. Surfactant is a soap suds-like material that is administered to help lubricate and expand the lungs. Surfactant often is deficient in immature lungs, and most commonly occurs in those IDMs born at less than 37 weeks.
If the baby has difficulty feeding, he/she may require intermittent gavage feeds with a feeding tube. Extra time in the hospital may be required for the baby to learn to feed by either the breast or the bottle.
If the baby develops abdominal distention or has difficulty stooling, a gastrointestinal x-ray with gastrograffin may be required to check if a microcolon is present.
What is the risk of the infant developing insulin-dependant diabetes?
In a series of studies from the Joslin Diabetes Center, only 2% to 3% of IDMs developed insulin-dependant diabetes mellitus before 20 years of age. The risk of subsequent diabetes is slightly higher if both the mother and the father have insulin-dependent diabetes. The risks and the complications to the baby outlined herein do not pertain when only the father has insulin-dependant diabetes.
Cloherty JP, Stark AR. Manual of neonatal care. Philadelphia, Lippencott-Raven, 1997.
Fanaroff AA, Martin RJ. Metabolic and endocrine disorders. In: Neonatal-perinatal medicine: diseases of the fetus and infant. 6th ed. St. Louis: Mosby-Year Book, Inc.
About the Author
Dr. Paisley is a second year fellow in Neonatal-Perinatal Medicine in the Section of Neonatology, Department of Pediatrics, University of Colorado School of Medicine in Denver, Colorado. Jan trained in Pediatrics at the University of Utah and was honored to receive a highly prestigious Pediatric Scientist Development Program award.
Jan preferred clinical practice, however, and she has been working for the past 7 years as a general Pediatrician in Ft. Collins, Colorado.
She joined the Neonatal-Perinatal Medicine Training Program in 1998 and is working with Dr. Adam Rosenberg and Dr. William Hay on aspects of cerebral glucose metabolism in a fetal animal model and in newborn human infants.
Dr. Hay is a Professor of Pediatrics at the University of Colorado School of Medicine, Denver, Colorado.
He is the Director of the Training Program in Neonatal-Perinatal Medicine, Director of the Neonatal Clinical Research Center (as Associate Director of the National Institutes of Health and Department of Pediatrics sponsored Pediatric Clinical Research Center), and Scientific Director of The Perinatal Research Center at the University of Colorado Health Sciences Center.
Dr. Hay holds three NIH research grants and a NIH Training Grant in Perinatal Medicine and Biology.
His clinical and basic research interests focus on fetal physiology, fetal and neonatal nutrition and metabolism, glucose disorders in preterm infants, small-for-gestational aged infants, and infants of diabetic mothers, and oxygen monitoring.
Dr. Hay is Secretary-Treasurer of the American Pediatric Society and is a member of the NIH Human Embryology and Development Study Section. He travels widely around the United States and internationally as a visiting scientist and professor.
Dr. Hay also is the senior editor for Current Pediatric Diagnosis and Treatment (a Lange Publication) and co-editor of NeoReviews (American Academy of Pediatrics).
Copyright 2012 Jan E. Paisley, M.D., All Rights Reserved
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Tecno Camon CX MT6750 Firmware Flash File/Stock ROM Tecno Camon CX
Initial Steps to Install Firmware on Tecno Camon CX
- Download and install MTK android USB drivers
- Download And Install SP Flash Tool
How To Flash Tecno Camon CX
- Download install SP flash tool, USB drivers, and firmware for your Tecno Camon CX
- Download and install MTK android USB drivers
- Then download Firmware file/Flash file/Rom for your phone
- Your phone must have 50 % charging before this process
- switch off your mobile remove the battery (if removable) reinsert the battery and plug the USB cable into charging socket
- Now open SP flash tool.exe
- When SP flash tool open, go to download button in SP flash tool
- In download tab, click on scatter load button
- After locating the scatter tab, click on the download button
- Now connect your smartphone to a USB cable and press volume up or volume down key for easy detection (remove and reinsert your phone battery if it is removable)
- Now flashing is completed, a green ring will appear in SP flash tool
- Close SP flash tool on your computer and unplug phone
- Power on the phone and enjoy
- After flashing process starts, it might take up to 5-10 minutes. So keep patience and wait.
See detailed Instruction MT flashing sp tool with images
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