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Migraine Associated with Gastrointestinal Disorders: Review of the Literature and Clinical Implications/
Saskia van Hemert, Anne C. Breedveld, Jörgen M. P. Rovers, Jan P. W. Vermeiden, Ben J. M. Witteman, Marcel G. Smits, and Nicole M. de Roos
Front Neurol. 2014; 5: 241
Hey guys, when I think of migraines, I just think of a tremendous amount of pain. Headaches were always something of an issue for me as a child and then I made the leap to official migraines in my early twenties and talk about debilitating and ouchy. Yes there are tons of medication out there for migraines; however lucky for me I only had four to six monsters a year, my then neurologist suggested I take medication 365 days a year to prevent them and that just wasn't me, so I had to find alternative means to deal with them. One way was to steer clear of certain foods that would trigger headaches like dairy, processed meats and chocolate… don't remember wheat, barley or rye ever being on any of those lists. How about you?
So I definitely found some of these key points interesting:
- Migraine is a common headache disorder with a lifetime prevalence of 13% in men and 33% in women.
- In patients who suffer from celiac disease, the immune system develops an autoimmune reaction against gliadin, the main protein in gluten. This inflammatory reaction is associated with intestinal damage, including dysfunction of the tight junctions resulting in an increased intestinal permeability.
- The association between migraine and celiac disease seems to be stronger in adult patients compared with children, although a direct comparison has not yet been investigated.
- In a small study they suggest that a gluten-free diet used by celiac disease patients with migraine may give relief in both celiac disease and migraine.
- This overview of the literature suggests the existence of a rather strong relationship between GI disorders and migraine. One of the links between inflammatory diseases and migraine are enhanced pro-inflammatory immune responses. In intestinal disorders characterized by an increased intestinal permeability like IBS, IBD, and celiac disease enhanced pro-inflammatory immune responses have been reported. Enhanced levels of pro-inflammatory cytokines like tumor necrosis factor alpha and interleukin 1β in serum of migraine patients have been found during migraine attacks. These cytokines can act on the nociceptors of the trigeminal nerve, causing migraine.
- Probiotics may play a role in maintaining or improving gut barrier function in human beings, they can have a beneficial effect in migraine patients with an enhanced intestinal permeability as well. So far, no clinical randomized controlled trials have been published where migraine patients received nutritional therapy with probiotics.
According to this article, there is growing interest in the role of the gut microbiota in these brain diseases. In this review, a possible route via an increased intestinal permeability is suggested. There is an accumulation of studies on both migraine and GI disorders. However, the findings of some (small) studies are not supported yet by other independent studies. And they are conducting additional studies, which I will try and follow-up on.
It certainly not a new thought that what goes on in the gut has an affect on the brain; however it is not widely accepted. I would definitely say if you have celiac disease and migraines that this is something you should absolutely look into and not delay.
Once again, probiotics are discussed as improving our gut barrier function and something that perhaps is time to consider if you are not already doing so in order to begin to repair some of the damage that has been done.
Just something to think about, can you imagine how going gluten free and help the millions of people who suffer from migraines? And for those of you with celiac disease and migraines if you truly repair the damage and decrease your intestinal permeability could you in fact decrease the recurrence of migraines? Should be interesting to see what the researchers conclude, but once again if you are suffering, what is the downside of actively pursuing your healing anyway, less migraines isn't that just a bonus!
* Here's my little disclaimer, I'm not a doctor, researcher, immunologist, just someone deeply concerned and trying to help as many peeps as I can make conscious, good, healthy choices for their health and their bodies when living life with gluten challenges. I have not been compensated or obligated to write this article, and as always, all thoughts and opinions are honest and my own!


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West Region football / Re: FB: American Rivers Conference« on: August 10, 2018, 01:14:23 pm »
I like the name change. More reflects the current makeup of the league. After winning the mens basketball title NWU gave notice we are now more than a nice little conference of colleges in quaint Iowa towns.

subset: commoncrawl


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James Wellbeloved Dog Adult Lamb & Rice Light
Product details
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Customer reviews
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Weight controlThis food is excellent as a dog gets older and takes less exercise as the same amount can be fed as before without the animal putting on weight.
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Excellent choice of many itemsOur 2 year old dog has been on James Wellbeloved light for several months now as it was recommended to help maintain her weight. She loves it & the prices and delivery on pet-supermarket are really good.


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steve + anne in chicago
i cannot speak highly enough of these two. if you are lucky enough to spend time with them, you will surely want to be best friends forever.
i absolutely l o v e photographing couples in their homes and around their neighborhoods. the intimacy of those surroundings lends something unmatched to photographs.
enjoy just a few of steve and anne [and ferne] in their andersonville, chicago home <3
engagementAnda Mariechicago engagement session, wisconsin wedding photographers, madison wedding photography, documentary wedding photography


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UP school allegedly instructs students to sport 'Yogi haircut'
In a weird incident in the Sardar area of Meerut inUttar Pradesh, a school has been accused of forcing its students to get a 'Yogi haircut', similar to that of UP chief minister Yogi Adityanath. The decision taken by the Rishabh Academy School has led to resentment among the student's parents who are now alleging that the decision is being forced upon their children. Alleging the school of religious discrimination, a parent has asserted that non-vegetarian food items have also been banned by the school. Denying these allegations the school secretary Ranjeet Jain said, that he merely asked students to be properly dressed and get a 'Fouji haircut' which is a decent haircut rather than a 'Yogi haircut' while attending school. The matter first came to light on Thursday when students were not allowed to enter the school because they didn't have 'proper haircut'.


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Spring is (almost) here. It's time to be thinking about your garden, if you have one. Even if you don't, thinking about gardens — renewal, growth, wildness, creativity — has its own reward. As three new picture books with dramatically varied styles of illustration show, a garden is an idea that can be approached from starkly different directions.
A garden can be art: sculpture made from greenery. So it is in "The Night Gardener," a debut written and illustrated by the brothers Terry and Eric Fan, set in a gray town where green things are happening. Every morning the townspeople discover that another large tree has been reshaped into magnificent topiary. The vivid animal figures spark delight in this grim place. Young William, who lives in an orphanage but is apparently free to come and go, happens one evening upon the Night Gardener, a mysterious old man with a walrus mustache who (because this is William's book, or his fantasy) engages the boy as apprentice. In a marathon night of climbing and clipping, a park becomes a menagerie of giant, leafy creatures.
As the depressed town turns celebratory, illustrations that started out monochrome go full-color. Then, in a riveting sequence of spreads, a green vista of sculpted animals — giraffe, emu, rhinoceros — turns autumn-colored and finally reverts to plain, bare-branched trees. The townspeople were never the same, says the text, and neither was William.
The lesson: You don't have to live a dull life if you exercise your imagination. The message itself is none too new, or helpful. What's worth the admission in this book is in the illustrations. They use a realistic cross-hatched style that sits, if at times slightly awkwardly, halfway between traditional old engravings and the looser lines of more modern artists like Edward Ardizzone. Still, they achieve a lovely, luminous effect. Illustrator-authors often write themselves stories involving spectacular scenes of fantasy; it's understandable. Those scenes will be the lure for children, as the elaborate tree-animals are for William. Real topiary couldn't be created from trees like this, but illustrators can do things that horticulturists can't.
The gardens in "Tokyo Digs a Garden," written by Jon-Erik Lappano, are about abandoning control, not exercising it. The world of young, quirkily named Tokyo begins without a garden. It's a cramped urban landscape in which tall buildings have eaten up all signs of nature. In a strangely archaic moment, a mysterious old woman gives the boy three wishing seeds. He lifts a brick and pokes them into the ground, and soon the city is engulfed in forests. Monkeys swing from trees and ruined roads turn to rivers where salmon jump. The result is a kind of Eden, but the buildings are still part of it. Tokyo's worried grandfather ponders, "What are we going to do?" "I think," Tokyo says, "that we will just have to get used to it."
This moral, too, about living harmoniously with nature, is heavy-handed, and the explosive reforestation the book presents is alarming. But the text attempts some levity with Tokyo's ice-cream-craving cat, and the final picture also soothes a bit: a scene of a row of houses with colorful vegetation on roofs and balconies. "Gardens have to grow somewhere, after all," the narrator says.
For a parable about wildness, Kellen Hatanaka's illustrations take an unlikely approach: They're elegant and midcentury modern, all bold, flat shapes, crisp edges and beautiful colors. Abstraction prevails, to the point where Hatanaka's stylized faces lack features like eyes and noses. But the pictures are also full of energy, popping colors and some sly humor, if you look. Little children's eyes may fill in the modernist blanks and see the sprawling richness implied in the text. Older children might well appreciate the sophisticated design. Adults who like artistic picture books should take to this one — I find it a thing of beauty.
Beautiful in a very different way, "Stories From Bug Garden" comprises 11 tiny stories by Lisa Moser describing the lives of bugs in an abandoned plot of land — no mysterious old person in this book stirring up magical transformations. You can see from Gwen Millward's doodly cover drawing that the bugs in question will be winsome cuties and not those things that bite and swarm and ruin your plantings. This garden may be wild, but its function is recreational.
There's a bee, a horsefly, a butterfly, a couple of ants, a worm and more, but they're really toddlers in a playground: They swing on a gate, try to get a peach down from a tree, float a makeshift boat on a pond. Compactly told in short lines, these pieces are part beginning-reader stories and part poetry. In spirit they remind me of Arnold Lobel's wonderful Frog and Toad books. I loved the nine-line-long episode in which Bee sits on a branch, watching clouds, rejecting the others' suggested activities. "What do you want to do, then?" they ask, allowing the final line to be " 'Just be,' said Bee."
The stories aren't all successful — some stray too far from reality (when friends gather to watch flowers explode into bloom, it's like fireworks, but flowers don't do that). Yet even when flawed, these tales carry a sense of purpose, of meaning more than what's apparent. At their best they feel like little puffs of wisdom.
Millward's watercolor, ink and pencil drawings highlight the stories' whimsy; her google-eyed characters and obsessive, scribbly vegetation add up to a rousing expression of cheer. In the profusion of leaves and flowers, there's a missed opportunity to reward close viewers with amusing details, but maybe next time. It all looks great, anyway, particularly considering that her color palette consists largely of light greens and bright oranges, hues that standard printing inks can never reproduce with full vibrancy.
While all three of these books celebrate the stirring of life in some way, they represent about the widest variety of garden experiences I can imagine. Put together, they spell out the true meaning of garden variety.


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Fancy a free £5,000? Buy an electric car!
Under new government proposals and as part of the government's £250 million strategy to reduce carbon emissions, motorists are to be offered incentives of up to £5,000 to buy electric cars.
It has not yet been decided how the money would be distributed, but incentives would only be available to people buying cars that ran entirely, or for the vast majority of their time, on electricity. The scheme, which would be enforced by setting a ceiling for the amount of carbon dioxide a car emits, will become operational in 2011.
In addition, it is proposed that about 200 electric cars will be available in city centre across the country for the public to try out.
Almost a quarter of the UK's carbon emissions come from transport, with 13 per cent of these from private cars. But widespread adoption of electric vehicles capable of a range of 50km or more would cut road transport carbon emissions in half, according to a study by the Department for Transport.
In an interview with The Guardian, Mr Hoon said: "What we've got to get people used to is the idea that electric cars will become quite normal, quite usual.
"That people will have one, that it won't be exceptional and, without being unkind to existing electric vehicles, they won't be slightly odd, they will be cars that conform to appropriate safety standards and we can use on an everyday basis."
He added: "I accept that, for most consumers, what drives their decision to buy a new car is generally the reduction in the cost of fuel rather than their concern about carbon emissions.
"But there are significant numbers of people, and those numbers are growing every day, who are concerned about the impact of carbon on the environment. It's the responsibility of the government to help those people achieve our overall targets. Electric vehicles will be part of that, provided that we also ensure that the electricity we generate is generated increasingly from renewable sources."
David Bott, director of innovation at the Technology Strategy Board, a government-sponsored research body which funds low-carbon research, said: "Now the motor manufacturers have understood that the [electric] car doesn't have to be hair-shirt. These are now credible cars and you're not giving up anything to use one but you get a benefit in terms of running costs – the equivalent cost per mile is an eighth or a tenth of the cost of using a petrol engine."
Mr Hoon added that he was keen to work with Boris Johnson, the mayor of London, who recently announced his intent to make the city the electric car capital of Europe, by introducing 100,000 electric cars and building 25,000 charge points in the streets and car parks.
Mr Hoon said: "Clearly I want to work with him and see what's possible in London and am willing to help financially if there are sensible schemes that can be brought forward. London is a showcase for the UK and large numbers of electric vehicles around the UK would be a good thing."
Last week it was reported that Gordon Brown was planning an environmentally friendly budget, hoping to make Britain "a world leader" in producing and exporting electric cars and hybrid petrol-electric vehicles.
Mr Brown said that a "scrappage" scheme where motorists would get up to £2,000 for trading in an older car for a cleaner new vehicle, was possible, adding that he would consider buying electric cars for minsiters as a means of setting an example.
His comments came as Jaguar Land Rover was granted a £340 million loan from the European Investment Bank to develop "green vehicles", while Nissan received a further £373 million to be split between its plants in Sunderland and Spain.
For more information on this story, visit the BBC's website: http://news.bbc.co.uk/1/hi/business/8001254.stm


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"What shall we say, then? Shall we go on sinning so that grace may increase? … " Romans 6. We've been freed from sin and liberated from the sin that held us captive. We are no longer slaves to sin. Not only did you die to sin, but you died to the law.
* If God is omniscient, knowing that Satan would be evil, why are people accountable for their sin? * Join us in Israel. https://basicgospel.net/events/


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Songbook is a monthly invitational sessions hosted by Nathan O'Reagan. This month he'll be joined by King Cedar and DANI with a full houseband. A night not to be missed!
Back to All Events
Earlier Event: February 24An evening with DANI and Sandrayati Fay at Rumah Sanur.
Later Event: March 17The Orpheus Ball


text: Stefanie joined the City of Boston in 2015 as the first Active Transportation Director and she has some serious chops when it comes to helping cities get around by bike. Seskin graduated with a bachelor of arts from Vassar College and a Master's Degree in Urban Planning and Policy from the University of Chicago. She served as the Deputy Director of the National Complete Streets Coalition until moving to Boston. Sara and Kyle talk with Stefanie about starting work in a new city, some of the challenges Boston and other US cities grapple with regarding bikes, and Stefanie's unparalleled baking knowledge and expertise.Start your free Audible trial today @ audibletrial.com/oam Episode 6: Stefanie Seskin THE OAM NETWORK April 11, 2016


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Osteoarthritis (8)
Cartilage Injuries in the KneeWritten by Pain.com
(ĐTĐ) - Cartilage is the smooth, rubbery tissue that cushions the bones in the knee where they meet at the joint, minimizing friction so the knee moves easily and absorbing shock to prevent injury. When this tissue is worn away or otherwise damaged, it can cause pain and injury to the knee.
Knee Pain: What causes it & Best Options for TreatmentWritten by Chronicbodypain
(ĐTĐ) - Knee pain is one of the most common complaints heard by physicians. There are many possible causes for knee joint pain. It is of utmost importance that an accurate diagnosis for your knee pain is made. An accurate diagnosis is needed to ensure that proper treatment is ensued. Common causes for knee pain include:
How to relieve hip painWritten by Chronicbodypain
(ĐTĐ) - Hip pain can arise from a variety of factors. The joint is very complex system, and the hip, in particular, takes a great deal of pressure and stress. Issues with the skin, nerves, bones, blood vessels and soft tissues can all cause pain. Most often, hip pain can be managed through home treatment. However, it can sometimes indicate more serious issues.
What you can do about Knee painWritten by Chronicbodypain
(ĐTĐ) - Knee pain can have a large effect on you, whether it interferes with your mobility or not. Knees are a large and important joint, and joint pain will have a great deal of effect.
However, if your knee injury also causes a lessening in flexibility, it will also have a large effect on your mobility above and beyond the effect pain might have on your knee.
The causes of knee pain are often from injury, but there are also causes of pain from other causes as well. It can be brought on by physiological issues and arthritis as well.
There are several different injuries that can cause knee pain. Again, the knee is a major joint and therefore has a role in many different kinds of movement.
This not only makes it easy to injure, but, as we've already mentioned, it also makes knee pain and stiffness a serious issue.
The injuries that can affect knees are injuries to the anterior cruciate ligament (ACL), torn meniscus, bursitis, and patellar tendinitis. The ACL is one of four ligaments that connect shinbone to thigh.
The meniscus is the cartilage that absorbs shock between the thigh and shinbone.
Injuries can inflammation in the bursae, the sacs of fluid that smooth the movement of tendons and ligaments over bones in the knee.
Finally, the patella is the kneecap, and tendinitis is inflammation of the tendons that pass over this bone.
You may or may not have heard of the R.I.C.E. method of pain relief. This stands for "rest, ice, compression, elevation." It is commonly used for running injuries, which commonly affect the knee. Whatever the cause of your injury, this approach is a good first step.
The first thing to do when injury occurs, which you may do just by instinct, is to immediately stop what you're doing, and rest your joint. Lie down and put your feet up. Pamper yourself, and place a pillow under your knee.
Apply ice or cold to prevent swelling. The cold temperature will constrict blood vessels and inhibit swelling and inflammation. Keep the pack on for ten or twenty minutes, three times a day.
After 48 hours, hopefully your application of cold will have done its job of discouraging swelling, and you can start applying moist heat instead.
You should also start doing some mild exercise to encourage circulation and flexibility in the joint.
The "C" in R.I.C.E. stands for compression. This means that you need to wrap the joint. This is usually done with an elastic bandage like a Tensor bandage or Ace wrap.
Make sure not to wrap too tightly, since this can also cause more swelling.
If there is numbness, tingling, increased pain, coolness or swelling below the bandage, then it's been wrapped too tightly.
It's also important to realize that this compression will not stabilize or support your joint. In practical terms, it just means that compression shouldn't make you careless about using your knee.
While you are resting, make sure to elevate your knee. Continue doing this after your initial rest, and anytime you are sitting or lying down, it will be worthwhile to keep the joint above the level of your heart. Like ice, this limits blood flow and therefore inflammation and swelling in the area.
It is important that after your initial rest, you start to gently get the joint moving again, so that you can maintain and encourage flexibility in the joint.
However, it is also very important that you are careful to make this gentle, since you don't want to be injuring the joint further through the exercises you choose.
Hamstring stretch
Lie on your back in a doorway, with one leg through the open door.
Slide your leg up the wall to straighten your knee. You should feel a gentle stretch down the back of your leg. Hold the stretch for at least 1 minute. Do this 2 to 4 times with each leg. Slowly work up to holding the stretch for six minutes on each side.
Knee to Chest
Lie on your back with your knees bent and your feet flat on the floor.
Bring one knee to your chest, and keep your foot flat on the floor. If it's comfortable, you can increase your stretch by keeping your whole leg stretched out on the floor. Just make sure that, whichever position you take, you can still press your back into the floor. Hold the position for between 15 and 30 seconds. Do this 2 to 4 times on each leg.
There are several over-the-counter painkillers that you can take, including non-steroidal anti-inflammatory drugs or NSAIDs. The most important of these is ibuprofen, but it also includes aspirin. You will just need to be careful using aspirin with children under the age of 18.
You can also use Tylenol or other forms of acetaminophen. Just be careful with any of these drugs to make sure you read and follow the label for dosage. While acetaminophen is very safe, it is extremely easy to take too much, especially if you are in ongoing pain.
Other treatments
Other things you can do are use a cane or crutch in your opposite hand to ensure you don't put more stress on the joint. You can also use two crutches and just use one leg to move forward. You can buy canes and crutches from pharmacies or medical supply stores.
Gently massage the joint to relieve pain and stiffness in the area. However, if this causes any pain, refrain from doing it.
While you need to exercise the joint, refrain from doing any high-impact exercises that involve bouncing or rapid changes in direction.
Symptoms to watch for
Call a doctor if you notice any signs of infection or if your knee remains swollen after 48 hours. Causes for concern also include if your knee, leg or foot becomes pale and cool to the touch. It's important that you recognize when home treatment has run the course and it's time to call a health care professional.
Source Chronicbodypain.net
Caring for Your Joints at HomeWritten by Michael W. Smith
(ĐTĐ) - Just as the tread on your tires wears away over time, the cartilage that cushions your joints can wear away, too, in a condition known as osteoarthritis. And without enough cushioning, the bones of a joint will hurt when they rub against each other.
Frayed cartilage can't heal or grow back. "There's no way to reverse the arthritis once it has started," says Michaela M. Schneiderbauer, MD, an orthopedic surgeon at the University of Miami Miller School of Medicine. But there are ways to reduce the pain and protect the cartilage you still have. Use these tips to slow the damage.
1. Slim down if you're overweight. Shedding pounds takes stress off weight-bearing joints like the knee and hip. Every pound you lose takes 4 pounds of pressure off the knee. That could reduce the wear and tear in the joint, Schneiderbauer says. "You may actually slow the progress of arthritis if you lose a significant amount of weight."
What's 'significant'? "Every 10 pounds you lose will reduce pain by 20%," says Charles Bush-Joseph, MD, of Rush University Medical Center.
2. Do aerobic exercise. Arthritis pain may make you reluctant to exercise. But research shows that being inactive makes the pain and stiffness worse. Regular aerobic exercise boosts blood flow, which keeps cartilage well nourished. It can also help you reach a healthy weight.
"Stay as active as you can tolerate," Schneiderbauer says. "But avoid high-impact activities, like jumping and running." Better choices include walking, cycling, and swimming. Aim for 30 minutes of aerobic exercise at least 5 days a week. Be sure to check with your doctor before you start.
3. Build strength. Strong muscles can absorb some of the shock that normally goes through a joint during everyday activities, Bush-Joseph says. "A strong muscle will prevent a limb from slapping down on the pavement and jarring the joint."
Focus on building up the muscles surrounding an arthritic joint. To improve symptoms in the knee, for example, strengthen the quadriceps muscles in the front of the thigh. A physical therapist or personal trainer with experience in working with people with arthritis can show you exercises that will help.
4. Stretch every day. Stretching increases a joint's range of motion. This not only fights stiffness, but also helps protect the cartilage from further wear and tear. "The more joints move, the more the cartilage gets nourished by the joint fluid," Bush-Joseph says. He recommends yoga or Pilates to keep the joints moving and improve flexibility. "Don't feel like you have to be perfect in class. Instructors will accommodate people with limitations."
5. Try glucosamine and chondroitin supplements. Glucosamine and chondroitin may protect your cartilage. There is no proof that either supplement will rebuild cartilage or slow the progression of arthritis. But some studies suggest they can reduce arthritis pain.
6. Use over-the-counter pain relievers for flare-ups. Over-the-counter pain relievers include naproxen (Aleve), ibuprofen (Advil, Motrin), aspirin, and acetaminophen (Tylenol). Make sure to read the label and take them only as directed.
Over-the-counter pain relievers are a good choice for short-term relief during flare-ups of arthritis pain, Schneiderbauer says. If you think you need a daily pain reliever, talk to your doctor to see which one is right for you. "If you end up taking it for months or years, it may be time to think about joint replacement surgery."
7. Ask your doctor about hyaluronan injections. Hyaluronan works like the fluid that surrounds the joints in your body. It acts as a lubricant and shock absorber for the joints. If over-the-counter pain relievers don't help your pain, hyaluronan injections may help.
MDSource WebMD.com
Joint Replacement: Risks vs. BenefitsWritten by Sherry Rauh
(ĐTĐ) - After a skiing injury 30 years ago, Bert Pepper, MD, got osteoarthritis in his left knee. "I stopped skiing and gave up tennis, running, and other sports that are tough on the knee," he says. "I turned to speed-walking to stay fit, but the knee kept me from walking at a good pace."
As his pain got worse and walking became harder, he looked into having a knee replacement. It's not a decision to make lightly, says Pepper, who is a psychiatrist. "It's a major life event. You have to be prepared to lose a few months to pain after surgery, limited mobility, and vigorous rehabilitation." And like any surgery, it's important to weigh the risks and benefits carefully.
"There are two main reasons to have a joint replacement," says Charles Bush-Joseph, MD, a professor of orthopaedic surgery at Rush University Medical Center. "The best reason is pain relief."
During a hip or knee replacement, a surgeon removes the painful, damaged surfaces of the joint and replaces them with plastic or metal implants. This gets rid of the pain, because the diseased cartilage and bone are no longer there.
The second reason is to improve joint function, Bush-Joseph says, but these results are less predictable. After a joint replacement, many people can walk more easily. Some may be able to ride a bike or play golf. But there are no guarantees.
Joint replacements carry the same risks as other major surgeries. This includes the risk of dangerous infections or blood clots. People with heart conditions, poorly controlled diabetes, or weak immune systems are the most vulnerable. Surgeons use antibiotics and blood thinners to try to prevent some complications.
The other major risk is that the new joint may not work as well as hoped. Weakness and stiffness are common problems, particularly in the knee. "Patients who don't actively rehabilitate will not regain the maximum range of motion," Bush-Joseph tells WebMD. For best results, knee surgery patients should stick to their rehab schedule of exercise, rest, and medicines.
Less common problems include an implant that becomes loose or dislocates. And it's important to know the implant could wear out after about 20 years. That means you may need another joint replacement down the road.
Is Joint Replacement for You?
Joint replacement may be the right choice if you're in a lot of pain and other treatments haven't helped enough. But you want to be sure the joint is the true source of pain, says Michaela M. Schneiderbauer, MD, an orthopedic surgeon with the University of Miami Miller School of Medicine. "The source could be something other than the joint itself, even if arthritis is visible on an MRI."
If you actually have nerve or muscle pain, a joint replacement won't help, Schneiderbauer says. Your doctor can tell the difference by doing a careful physical exam and by asking you questions about your pain. "Be cautious if a doctor tells you you need a hip or knee replacement without doing a physical exam," she adds.
Realistic Expectations
A joint replacement can cure pain, but it can't restore the hip or knee you had when you were younger. People shouldn't expect to move the joint the way they did 20 or 30 years ago, Schneiderbauer says.
As for Pepper, he went forward with his knee replacement. After four months of intense rehabilitation, the pain was gone. He's back to speed-walking and climbs 100 steps every day to keep his knee strong. On a recent vacation to Italy and Croatia, he wore a pedometer. "There were times when I comfortably walked 7 miles in a day," he says. "It feels like my knee now."
Pepper's advice: Consider a joint replacement "if pain is interfering with how you want to live your life."
Reviewed by Michael W. Smith, MD - Source WebMD.com
6 Ways to Ruin Your KneesWritten by Shahreen Abedin
(ĐTĐ) - Rachel "Iron Maiven" Piplica Whether you're a seasoned athlete, a weekend warrior, or totally laid-back when it comes to exercise, knowing how to protect your knees from damage can mean the difference between a fulfilling lifestyle and longterm, strained mobility.
Cruising on the track in the heat of a roller derby match, 27-year-old Rachel Piplica was not at all prepared for the realization that her knee could sideline her from competitive skating for months, possibly years.
"Suddenly, I heard a pop and it felt like my knee bent sideways. The pain was so bad I just fell and crawled away," Piplica tells WebMD.
The Los Angeles fashion designer who skates under the name Iron Maiven tried to keep going. "I took one more stride and my knee just let go again. The doctor immediately said, 'I think you tore your ACL.'"
Piplica had experienced some warning signs during her previous season of skating as captain of her team, but she ignored them for the most part. "I had tremendous pain in my leg anytime I'd squat down so I just kept my right leg straight. But I never saw a doctor for it. I just assumed, 'I'm in a contact sport and this is what happens,'" she tells WebMD.
Knee deep: A complex and vulnerable joint
Her torn ACL diagnosis confirmed, Piplica quickly learned how susceptible the knees can be to injury. According to the American Academy of Orthopaedic Surgeons, these joints are responsible for sending nearly 15 million Americans to the doctor every year.
And it's not just athletes who suffer. Knee problems can happen to anyone.
"Because they're the main hinge between the ground and the rest of your body, the knees serve as your 'wheels' that get you around and allow you to be active," says University of Pennsylvania orthopedic surgeon and sports medicine specialist Nicholas DiNubile, MD. "Life can really go downhill when you damage your knees," says DiNubile, who is a spokesman for the American Academy of Orthopaedic Surgeons and author of FrameWork - Your 7-Step Program for Healthy Muscles, Bones and Joints.
Bound by an intricate system of ligaments, tendons, cartilage, and muscle, the knee is highly prone to injury. It's a complex hinge where the femur (thigh bone), tibia (shin bone), fibula (next to tibia) and kneecap all come together.
"It's hard to find the right balance between mobility and stability; the knee needs to move back and forth, twist a little, and pivot too," DiNubile says. The knee's ligaments can tear, its tendons can swell up, osteoarthritis can take hold, and even everyday wear and tear can ruin a perfectly good set of knees.
Here are six pitfalls you can avoid to save your knees.
1. Ignoring knee pain.
An occasional ache here and there is common. "But knowing when you can and can't ignore pain is key," says sports medicine specialist Jordan Metzl, MD, from the Hospital for Special Surgery in New York City.
Metzl's rule of thumb: When the pain limits your ability to do what you normally do, you need to have it checked out.
"If your body is sending you signals, you need to listen to them. If they persist, you need to have it checked out," he tells WebMD.
For Piplica, exploratory surgery revealed a torn meniscus she had endured in the past -- unbeknownst to her -- followed by the more recent ACL tear.
"In hindsight, maybe that first injury could have been repaired earlier, although I don't know if I could have avoided this one altogether," she says. "At least I would have been more careful."
2. Being overweight.
Every pound of body weight yields five pounds of force on the knee, so even 10 extra pounds can put a considerable load on those joints.
Being overweight also increases your chances of osteoarthritis in the knee, a common and often disabling form of arthritis that wears away the knee's cushiony cartilage. Excess pounds also cause existing arthritis to worsen more rapidly. According to the CDC, two out of three obese adults suffer from knee osteoarthritis at some time in their life.
Although diet and exercise are critical for weight loss, it's a double-edged sword.
"If your knees hurt, it's harder to lose weight through exercise," says Metzl. So he recommends activities that go easy on the knee.
For example, opt for a stationary bike over running on the treadmill, and walk on a flat surface instead of hilly turf. If you're a die-hard treadmill fan, then go for longer sessions of walking punched with brief intervals of brisk walking or running every three to five minutes, DiNubile says.
3. Not following through with rehab and rest.
The rest and rehabilitation period after a knee injury is critical to avoiding future pain or reinjury. Depending on the type of damage and treatment, recovery could last anywhere from a couple of weeks to several months.
"During the rehab period, you need someone to help you tell the difference between something that just hurts, and something that's going to do you harm," says DiNubile.
He tells WebMD that many of his young athlete patients are too eager to return to regular play as soon as they stop limping. He advises patients to work with an orthopedic surgeon, a sports medicine physician, a physical therapist, an athletic trainer, or some combination of these pros, in order to ensure proper focus is placed on gradually strengthening the knees.
4. Neglecting your ACL.
One of the most commonly injured ligaments in the knee, the anterior cruciate ligament (ACL) is responsible for about 150,000 injuries in the U.S. every year.
As Piplica learned firsthand, sports like roller derby that involve quick cuts, twists, and jumping, put the ACL at higher risk for rupturing. More traditional high-risk sports include soccer, basketball, football, and volleyball.
Women in particular have a two- to eight-times higher risk for ACL tears compared to men, mainly because the way women naturally jump, land, and turn puts greater strain on the ACL.
However, male and female athletes alike can be trained to "rewire" themselves and thus lower risks of knee injury. That's done through neuromuscular training, which involves supervised practice in improving agility, leg strength, and jump-landing techniques for better knee joint stability.
These specialized techniques are effective in reducing risks of knee injury by almost one-half, according to a 2010 review of seven neuromuscular training studies.
"Given what we know in how useful it can be in reducing ACL tears, it's irresponsible of coaches and parents to not require athletes to undergo neuromuscular training," says DiNubile.
He recommends that athletes of any age who play ACL risk-prone sports should seek help from an athletic trainer or other trained professional to help avoid this debilitating injury.
5. Overdoing it.
"You make gains in fitness when you work hard and then allow your body to recover. You can't do a hard workout every day," Metzl says.
A sudden increase in intensity or duration of exercise can cause overuse injuries from repetitive strain. Tendonitis and kneecap pain are common symptoms in the knee.
Pushing too hard is also related to overtraining syndrome, a physiological and psychological condition among athletes in which they exceed their ability to perform and recover from physical exertion, often leading to injury or lowered performance.
Be sure to include stretching exercises before and after working out. And follow hard training days with easy ones so your body can recover.
6. Overlooking other muscles around the knees.
Weak muscles and lack of flexibility are primary causes of knee injuries, according to the Mayo Clinic. When the muscles around the kneecap, hip, and pelvis are strong, it keeps the knee stable and balanced, providing support by absorbing some of the stress exerted on the joint.
DiNubile stresses the importance of building the quadriceps and hamstring muscles, as well as proper strengthening of the body's core muscles, including the obliques, lower back muscles, and upper thigh.
His favorite tool to help accomplish this strengthening is a Swiss medicine ball. Other exercises to try are knee extensions, hamstring curls, leg presses, and flexibility exercises.
Piplica recalls realizing just how weak some of her leg muscles were.
"Roller girls are striding out so much with their outer leg muscles, but we aren't necessarily working our inner knees," she says. "I remember when I would run for exercise, my calves and shins would hurt so bad. That surprised me, because I thought if anything was strong, it was my legs."
Piplica says she wishes she had been better educated about crosstraining activities for roller skaters, and what muscle groups they need to focus on to keep their knees healthy.
As she awaits surgery to repair her torn ACL, Piplica tells WebMD that her perspective on long-term care for her knees has definitely changed.
"Half of me is frustrated about not being able to skate sooner, but the other half knows how important it is to get better so I don't do this again. I'm 27 years old with a serious knee injury preventing me from moving around. So I need to look beyond just skating, skating, skating. I don't want to have knee problems when I'm 40 or 50 because I'm not giving my body the kind of attention it needs right now."
Reviewed by Laura J. Martin, MD - Source WebMD.com
OsteoarthritisWritten by VnPain
(ĐTĐ) - Osteoarthritis, or degenerative joint disease, is the most common type of arthritis. It is associated with the breakdown of a joint's cartilage. Cartilage is a firm, rubbery material that covers and cushions the ends of bones in normal joints. Its main function is to reduce friction in the joints and serve as a "shock absorber."
Osteoarthritis causes the cartilage in a joint to become stiff and lose its elasticity, making it more susceptible to damage. Over time, the cartilage may wear away in some areas, greatly decreasing its ability to act as a shock absorber. As the cartilage wears away, tendons and ligaments stretch, causing pain. If the condition worsens, the bones could rub against each other, causing even more pain and loss of movement.
OA is most common in middle-aged and older people, and its symptoms can range from very mild to very severe. The disorder most often affects hands and weight-bearing joints such as knees, hips, feet and the back, but can affect almost any joint in the body. Women are more commonly affected than men.
Symptoms of Osteoarthritis
Symptoms of osteoarthritis include:
Joint aching and soreness, especially with movement
Pain after overuse or after long periods of inactivity
Bony enlargements in the middle and end joints of the fingers. These enlargements may or may not be painful.
What Causes Osteoarthritis?
There are many factors that can increase a persons chance of developing OA, including:
Obesity. Maintaining an ideal weight or losing excess weight may help prevent osteoarthritis of the knees and hips. Weight loss or maintenance also can decrease OAs rate of progression once the disease is established.
Injury. People with joint injuries due to sports, work-related activity, or accidents may be at increased risk of developing OA. For example, athletes with knee-related injuries may be at higher risk of developing osteoarthritis of the knee. In addition, people who have had a severe back injury may be predisposed to develop osteoarthritis of the spine. People who have had a broken bone near a joint are prone to develop osteoarthritis in that joint.
Heredity. Some people have an inherited defect in one of the genes responsible for making cartilage. This causes defective cartilage, which leads to more rapid deterioration of joints. People born with joint abnormalities are more likely to develop osteoarthritis, and those born with an abnormality of the spine (such as scoliosis, a curvature of the spine) are more likely to develop osteoarthritis of the spine.
Joint Overuse. Overuse of certain joints increases the risk of developing OA. For example, people in jobs requiring repeated bending of the knee are at increased risk for developing OA of the knee.
Age. Although age is a risk factor, research has shown that OA is not an inevitable part of aging.
Diagnosing Osteoarthritis
Doctors make a diagnosis of OA based on a physical exam and history of symptoms. The diagnosis of osteoarthritis is based on a combination of the following factors:
A description of symptoms
The location and pattern of pain
Certain findings in a physical examination
X-rays may be used to confirm a diagnosis and to make sure that no other type of arthritis is present. Most people over age 60 reflect the disease on X-ray; about a third of patients have actual symptoms.
Sometimes blood tests are administered. While blood tests cannot point to anything in particular that can help a doctor confirm the presence of OA, the tests can help the doctor determine the presence of a different type of arthritis.
If fluid has accumulated in the body's joints, the doctor may remove some of the fluid with a process called joint aspiration and may examine the fluid under a microscope to rule out other diseases.
Treatment Options
The treatment of OA focuses on decreasing pain and improving joint movement. The following treatments are available.
Over the counter pain-relieving medications: These including acetaminophen (Tylenol, for example) and painkillers (often called NSAIDs), such as aspirin, ibuprofen, or naproxen. Some medications in the form of creams, rubs, or sprays may be applied over the skin of affected areas to relieve pain.
Synvisc, Supartz and Hyalgan: These medications can be given as a series of three to five weekly injections to relieve pain in some people with osteoarthritis.
Narcotics: Stronger pain pills, such as narcotics, may be prescribed when osteoarthritis pain is severe and other treatments are not working.
Joint protection devices: These can prevent strain or stress on painful joints.
Hot or cold compresses: These treatments may be given in the form of a hot shower or bath, or by applying heating pads or cold compresses.
Surgery: When other treatment options have failed, some people may need surgery to relieve chronic pain in damaged joints.
Weight control: Losing weight can prevent extra stress on weight-bearing joints.
Exercise: Physical activity can improve joint movement and strengthen the muscles that surround the joints. Gentle exercises, such as swimming or walking on flat surfaces, are recommended because they create less stress on joints. Activities that increase joint pain (jogging, high-impact aerobics, etc.) should be avoided.
Alternative Therapy: Acupuncture and bioelectric therapy may be able to provide some pain relief. Some medical research has shown that the supplements glucosamine and chondroitin can relieve pain in some people with osteoarthritis, especially in the knee. In addition, there is evidence that these supplements can help rebuild some cartilage. Some people also use methylsulfonylmethane (MSM) for arthritis, but there is less medical evidence showing its benefits. MSM is a naturally occurring sulfur that is taken as a dietary supplement.
How Does Weight and Exercise Impact Osteoarthritis?
Staying at your recommended weight helps prevent osteoarthritis of the knees, reduces the stress on weight-bearing joints and reduces pain in affected joints. Once you have osteoarthritis, losing weight also can relieve the stress and pain in your knees.
Exercise is important to improve joint movement and to strengthen the muscles that surround the joints. Gentle exercises, such as swimming or walking on flat surfaces, are recommended because they are less stressful on your joints. Avoid activities that increase joint pain, such as jogging or high impact aerobics. Exercises that strengthen the quadriceps muscle reduce knee pain in patients with osteoarthritis.
Are There Alternative Treatments for Osteoarthritis?
Some medical research has shown that the supplements glucosamine and chondroitin may relieve pain in some people with osteoarthritis -- especially in the knee. There is no evidence that glucosamine can help rebuild cartilage.
Some people also use methylsulfonylmethane (MSM) and S-adenosylmethionine (SAM-e) for arthritis but there is questionable medical evidence showing their benefits. MSM is a naturally occurring compound that is taken as a dietary supplement.
Acupuncture and bioelectric therapy also may be useful at relieving pain.
What Supportive Devices Are Available to Help With Osteoarthritis?
Supportive or assistive devices may be helpful to decrease pressure on the joints with osteoarthritis. Knee supports may be helpful for some people to stabilize the ligaments and tendons and decrease pain. Canes or crutches may be helpful to take pressure off certain joints.
In addition to pain relief, assistive devices improve function and prevent falls. A licensed physical therapist or other health care professional is needed to recommend what devices are best for you.
Is There a Surgery for Osteoarthritis?
When osteoarthritis pain is not controlled with medications and the other mentioned treatments, or when the pain prevents you from participating in your normal activities, you may want to consider surgery.
There are several types of surgery for osteoarthritis. They include:
Arthroscopy to clean out the damaged cartilage has not been proven in recent studies to be effective for osteoarthritis.
Joint replacement surgery to replace the damaged joint with an artificial one. Joint replacement surgery should be considered when the severity of the joint pain significantly interferes with a person's function and quality of life. Even under the best of circumstances, surgery cannot return the joint to its normal state (artificial joints do not have all of the motion of a normal joint). However, an artificial joint will diminish pain. The two joints most often replaced are the hip joint and the knee joint. Artificial joints are now also available to replace shoulders, fingers, elbows, ankles, and back joints to treat severe pain that has not responded to other treatments.
Joint fusion removes the damaged joint and fuses the two bones on each side of the joint. This is done more often in areas in which joint replacement is not effective.
Talk to your doctor to determine if any of these treatment options are right for you.
Source WemMD.com
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text: BACK ON THE MARKET, AGAIN!! **BUYER HAD FINANCING TROUBLES SO THEIR LOSS IS YOUR GAIN.** If you are looking for a little piece of country heaven then look no further. This 5 bedroom, 2 bathroom home is "one~of~a~kind" and has so much to offer. Cypress walls, wood burning stove, stained concrete floors, skylights, wrap around deck, screened porch and tons of closet space are just a few features to highlight. Included are 14 acres that are fenced into multiple pastures with access to a barn with stalls. Horses, cows, goats, chickens, sheep... there's room for everyone!! Don't forget about the above ground pool with plenty of space to enjoy the summer days ahead. Call today to view this beautiful home and property!!!


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"Outlander" won Best Fantasy Television Series for the second year in a row at the 2017 Saturn Awards, which were handed out on June 28 in Burbank, California, at a ceremony hosted by "Guardians of the Galaxy" actor Sean Gunn. That was one of many awards handed out at these kudos, which are presented by the Academy of Science Fiction, Fantasy and Horror Films, founded in 1972. Click here for the full list of winners.
Also among top television winners was "The Walking Dead," which received the most nominations of any TV show this year (seven) and came away with its second straight award for Best Horror Series, as well as the prize for Best TV Actor (Andrew Lincoln). The AMC zombie apocalypse hit has won a top program award every year it's been on the air: Best Presentation on Television (2011-2012), then Best Syndicated/Cable TV Series (2013-2015) and now Best Horror Series.
"Supergirl" also had a good night, taking home prizes for Best Superhero Series and Best TV Actress (Melissa Benoist), while HBO's "Westworld" was awarded Best Science Fiction Series and Best TV Supporting Actor (Ed Harris). CW's "Riverdale" was the Best Action/Thriller Series, while the Netflix streaming drama "Luke Cage" won Best New Media Series.
Among motion pictures, "Rogue One: A Star Wars Story" was the top nominee with 11, and it won its top prize, Best Science Fiction Film, along with Best Film Director (Gareth Edwards). Other top movie awards went to "Doctor Strange" (Best Comic-to-Motion Picture Release, Best Film Supporting Actress for Tilda Swinton) and "10 Cloverfield Lane" (Best Thriller Film, Best Film Actress for Mary Elizabeth Winstead).
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"To believe in progress is not only to believe in the future: It is also to usher in the possibility that the past wasn't all that. I now feel — and this is a revelation — that my past was an interesting and quite fallow period spent waiting for the Internet."
This is my "favorite" sentence from this essay: "In Defense of Technology." I read it because I'd hate to be one of those people who can't even entertain any possible merits from a viewpoint they oppose.
And yet, while there is a case to made that our* lives are made "better" by time-saving apps, the production of iphones alone (never mind their use) rules them out as being considered a benefit to humankind—unless of course you're pro- child slavery, let alone pro- destruction of our only habitat. The author of the piece mentions that he can now cut down on research time (going to the library? ew), as if more efficiently adding footnotes to a book more than merits the extinction of some 200 species a day. That research must be pretty damn important.
* By "our" I mean members of the First World; it's hard to see how a teenage factory worker or a small-scale farmer gets to enjoy the perks of hand-held access to the internet, without even mentioning the incalculable destruction and misery it rains down upon non-humans.
Lest we forget—looking only at the sleekness and portability of an iphone—that the internet takes an entire oil-based infrastructure to produce and maintain. Or did you not know that there are miles of cables running at the bottom of the ocean?


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Seamless laminated cork placemats (Set of 8)
$27.00 $22.95
We have run out of stock for this item.
Laminated cork placemat. Sold in pack of 4, each unit is different. Great match to glass plates. 13'' x 13''
This beautiful contemporary set of placemats includes 4 different geometric patterns. Use as placemats or hot plate pads. Rigid construction made of mdf wood then laminated with print and lined with anti-slip cork backing.
- Easy clean surface
- Made of laminated mdf, backed with cork


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The final three dates of our May California tour are upon us!
TONIGHT at The Turtle House in Davis, CA!
SATURDAY at Trinity Gold in Napa, CA! (With our pals in Finish Ticket!)
SUNDAY at Live 105's BFD at the Shoreline Amphitheater. (We go on at 4:50pm on the Soundcheck Local Band Stage)
Hope to see you out there!


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Whether you're recovering from a spring marathon or gearing up for your first Parkrun, finding the right training gear is essential. That said, finding kit that doesn't break the bank can be tricky.
Fear not, however, as supermarket Aldi are releasing their latest fitness collection, including plenty of running essentials. The range is available to pre-order online from Sunday 6th May, or in store from Sunday 13th May.
The range includes women's sports bras from £6.99, men's and women's tights priced at £6.99, t-shirts and tanks from £5.99 and socks for £2.99. Alternatively, you can kit yourselves out in the entire range for under £40.
When it comes to recovery, Aldi are releasing two foam rollers to help you keep sore muscles at bay. The collection includes a regular foam roller for £5.99 and a vibrating foam roller priced at £34.99. A relatively new science, vibrating foam rollers are thought to intensify the foam rolling experience and this one is a third of the price of other alternatives on the market.
If you're cross training in the pool, or looking for headphones that will survive the unpredictable English climate, Aldi's range includes Waterproof MP3 Earphones for £29.99. The wireless, Bluetooth headphones are completely waterproof, with an impressive 8GB storage capacity and five hours music playback.
Related: 5 reasons why every runner should be swimming
If working on your core without a gym membership is the goal, the range includes a range of dumbells and kettlebells from £9.99 and a protective fitness matt to avoid scuffing your kitchen floor.
As with all Aldi deals, you'll need to be quick to get your hands on the range before it sells out.


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Registered Architect
SARA HEUSER - B.Arch (Hons), B.AS, ANZIA
Sara studied Architecture at the school of Architecture and Design at the University of Auckland. Since graduating in 2004 she has worked in several architectural offices, both in NZ & overseas, as well as enjoying several years of exciting international travel. Sara joined our practice in 2010, bringing with her a broad range of experience and a huge enthusiasm for Design and Architecture.
She is involved in all aspects of the design process and with client liaison. Sara enjoys skiing, travel and the great outdoors. She indulges her passion for singing, dancing and musical theatre as an active member of the Napier Operatic Society, and is often down at the theatre either rehearsing for a show or helping out backstage. In her spare time she can usually be found working on some sort of DIY home renovation project.


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Here is an opportunity to purchase a starter home or rental house at absolute auction. The main floor has a living room, dining room, kitchen, bedroom, and 1/2 bath. The upper level has two bedrooms, and bath. There is a front porch and rear porch. There are two lots along with underground sprinklers. Taxes are estimated.
Terms of the auction are 10% down day of auction, balance on or before October 30, 2018.
This property will sell after the personal property and house sells at 150 North Maple, Gordon, on September 30th. Approximate sale time will be 4:00 pm.


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Standard Bank Job Circular
Standard Bank Job Circular 2018 has been found my website http://allexamresultbd.com/ Today Standard Bank has been publish a new a job circular various category. Standard Bank Job title are as follow Head of Human Resources. Standard Bank Limited (SBL) is one of the best commercial Bank in Bangladesh.Recently Standard Bank Limited (SBL) published A new Job Circular 2018 in Standard Bank Limited (SBL). Standard Bank Limited also participated in fund Syndication with other Banks in Bangladesh. Through all these myriad activities Standard Bank Limited (SBL)has created a positive impact in the Market of Bangladesh. Standard Bank is modern Bank having the object of building a sound national economy and to contribute significantly to the Public Exchequer.
Standard Bank Job Circular 2018
Standard Bank Job Details:
■Standard Bank Job Title: Database Administrator (Officer/Sr. Officer), System Engineer (Officer/Sr. Officer), Network Engineer (Officer/Sr. Officer)
■Standard Bank Job Description: Standard Bank Limited is a leading third generation private commercial bank that has a work environment that promotes diversity, embraces change, and provides leadership opportunities to every team member etc.
■Standard Bank Published Date: December 12, 2017.
■Standard Bank Application Deadline: December 28, 2017.
■Standard Bank Job Nature: Full-time.
■Standard Bank Job Type: Banking/Bank job (Standard Bank)
■Standard Bank Employment Type: Permanent and Contractual
■Standard Bank Education Qualification: See Job Picture Below.
■Standard Bank Job Experience: See Job Picture Below.
■ Gender: Both (Male & Female)
■Standard Bank Compensation and Benefit: As per policy of the Standard Bank .
Standard Bank Job Circular 2018
■ How to Apply Standard Bank Job: Apply with Your full Resume to Head of Human Resources Division, Standard Bank Ltd, Metropolitan Chamber Building, 122-124, Motijheel C/A, Dhaka-1000 or email to email@example.com on or before 28 December , 2017.
■Standard Bank Job Location: Dhaka, Bangladesh
■ Age Limit: Nil.


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Spring is bursting onto the scene. Trees are budding, the blossoms are glorious and the sun is begging for a turn. We couldn't resist a chance to use these beautiful flowers for our gift wrap.
Pink flowers suit any occasion, but it's the change of season and the limited time these flowers are around that makes it truly special.
It is also super easy to do and you'll agree that it is beautiful in its simplicity.
As a rule, we don't buy wrapping paper, but we buy lots of tissue paper. Wrapping paper is beautiful, but we love the versatility of the tissue. The one thing we splurge on is ribbon. We can't get enough. We buy metres and metres of the stuff.
We are also hoarders. The pink net strips were left over from tutus we made for the girls. We don't throw anything away. We save buttons, bows, ornaments, badges, pins and anything we can use on a gift. It is time for Spring cleaning, but that just means we repack the craft cupboard. You never know what you can put on a gift.
We love adding flowers to our gifts and the best part is that most of them come straight from the garden. It costs nothing, gets you out of the house and it makes the best gift topper ever.
You need:
Pink tissue paper
Sticky tape
Pink netting or pink ribbon
Peach blossoms or Jasmine
- Wrap the gifts.
- Tie the ribbon or netting around the gift.
- Add the flowers.
We used this for a kitchen tea gift, but it works for little girls and their mothers as well. The ideas are endless. Take a stroll through your garden and take note of the flowers you can use as gift toppers, especially the ones that are around for a short time. It makes it even more special.
Happy Spring!
Mia & Blair


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The Scientific World Journal
Volume 2013, Article ID 539457, 7 pages
Structural Evolution of Low-Molecular-Weight Poly(ethylene oxide)-block-polystyrene Diblock Copolymer Thin Film
1College of Material Engineering, Fujian Agriculture and Forestry University, Fuzhou 350002, China
2Key Laboratory of New Processing Technology for Nonferrous Metal & Materials of Ministry of Education, Guangxi Scientific Experiment Center of Mining, Metallurgy and Environment, and School of Material Science and Engineering, Guilin University of Technology, Guilin 541004, China
Received 29 August 2013; Accepted 23 September 2013
Academic Editors: G. Jiang, H. Lu, and D. Ryu
Copyright © 2013 Hui Wu and Xiaohua Huang. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
How to Cite this Article
Hui Wu and Xiaohua Huang, "Structural Evolution of Low-Molecular-Weight Poly(ethylene oxide)-block-polystyrene Diblock Copolymer Thin Film," The Scientific World Journal, vol. 2013, Article ID 539457, 7 pages, 2013. https://doi.org/10.1155/2013/539457.


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Beyond the headlines7 min read . Updated: 02 Nov 2007, 11:42 PM IST
Beyond the headlines
Beyond the headlines
They stood next to us: Mother (capris and Crocs), son and daughter (bored expressions) and father (Polo T-shirt and fanny pack), red-faced and sweating profusely as only the British can when confronted with the mid-morning sun and temperatures in the high 20s.
We were outside one of Barcelona's most famous buildings, the La Sagrada Familia church, confronted with Gaudi's near-nightmarish interpretation of the Nativity. While I gawked at the seemingly melting façade, aforementioned father opened a brand new guidebook and began to read aloud from it in his best Sermon on the Mount voice. His wife looked like she needed her gin and tonic, while the kids were no doubt in Teletubbyland. They were the perfect example of how not to do a weekend away.
Past experiences of walking down Via Sacra—the main street of ancient Rome—nose buried in a map and hopes of bumping into Russell "Gladiator" Crowe in my heart have taught me this: The best way to enjoy a new city is sans guidebook, sans schedule and sans expectations. I put my theory to test in Barcelona .
Our hotel was at one end of the Passeig de Gràcia. Home to the likes of Gucci and Hermes, it is a graceful tree-lined avenue that segues effortlessly into the commercial buzz of Plaça Catalunya and La Rambla, culminating at the seafront where Columbus points across the expansive Mediterranean at what was intended to be the Americas but turned out to be North Africa. With a few detours thrown in, it is a walk that captures the essence of Barcelona.
Keeping in mind the reserved grandeur of its famed Gothic architecture, it is hard to believe that Barcelona was also the incubator for Modernisme. Catalan Modernisme (not to be confused with modernism) was a turn-of-the-20th-century movement against bourgeois values that hoped to give individualistic Catalan art its rightful place in European culture.
Love Antonio Gaudi, Modernisme's most famous proponent, or hate him, you really can't ignore him in Barcelona. The bauble-topped spires of his La Sagrada Familia are visible from almost every rooftop in the city, the Phantom of the Opera mask-like balconies of the Manzana de la Discordia (manzana is a pun, implying both "block of houses" and "apple", thus, "Apple of Discord") add a fairy tale touch to the elegant Passeig de Gràcia.
Gaudi's most talked-about creation is perhaps the Temple Expiatori de La Sagrada Familia (the Expiatory Temple of the Sacred Family), and not only because it is the world's longest work-in-progress: The foundation stone was placed in 1882 and in 2007, the construction cranes and hard hats still haven't been cleared off the site. For what was intended as an exercise in atonement, La Sagrada Familia seems to have been more an exercise in self-indulgence.
Not that I am complaining: I loved the severe, Spartan lines of the passion façade on one side, and the Nativity façade on the other, the latter appearing like a giant melting waxwork to me, if not to the bored British family.
But my favourite Gaudi building was Casa Milà. With its undulating wave-like exterior, balconies fashioned to look like seaweed and rooftop chimneys that rose like giant mutant chess rooks, it is an apartment block like no other.
A few minutes walk from Casa Milà is the Plaça Catalunya, which the hotel bellhop had promised was just like London's Leicester Square or New Delhi's Greater Kailash. He wasn't wrong. The sale-crazed crowds at Zara and El Cortes Inglés (Spain's most famous shopping mall chain) made us hurry onwards, only to be met by the seething mob that descends on La Rambla every day. The narrow pavements were besieged by mime artists jostling for space with tacky postcard stands and souvenir shops and are best avoided unless there is a Gaudi-esque ashtray you simply have to have.
We took a sudden left turn and found ourselves in one of the many side streets that constitute the Barri Gothic or Gothic Quarter. Characterized by ribbed vaults, soaring columns, sharply pointed spires, flying buttresses and sculptural details such as gargoyles, Gothic architecture is alive and well in the narrow, poky streets of the Quarter, where buildings from the 13th to 15th centuries stand proud, if somewhat dishevelled.
It is easy to get lost in the maze-like streets, and that is not necessarily a bad thing. Small gullies suddenly open out into spacious squares, and we walked right into a weekend market where vendors were selling large legs of jamón serrano (Spanish ham), honey, wooden bowls, olives and miniature cooking utensils that reminded me of the choppu set I used to play with as a child.
Old couples sat about on benches, the women clucking disapprovingly (or out of jealousy perhaps) at the scantily clad girls gathering about a makeshift stage set up for an impromptu music concert. It was to be a common feature in our wanderings around Barcelona. Almost every other square would have a lone Baroque guitarist or a Stomp-like ragamuffin band filling the air with music.
The Barri Gothic is full of surprises. There are some very curious shops, one was selling nothing but crucifixes in varying shapes, sizes and styles (I wonder if Madonna was a customer in her pre-kabala days). Wandering around Plaça Nova, we caught sight of a charming line drawing of the Nativity. Pleasure at the happenstance discovery multiplied when we learnt the artist was Picasso.
At the trendy Plaça de Santa Maria, while we lunched outside on tapas, a woman walked into our midst, whipped off her coat to reveal a bustier and diaphanous pants and proceeded to belly-dance to the rhythmic clapping of diners. Satiated on food and music and the dizzying afternoon heat, the high-vaulted, darkened interiors of the Cathedral de la Seu offered succour to two sinners. Our crime: Gluttony.
We finally emerged from the Barri Gothic near the sea. Packed during the day, the Barceloneta is less crowded in the evenings and is the perfect place for dinner. There are plenty of restaurants along the seafront where you can dip in to sumptuous seafood paellas, with your toes squiggling about in the sand. After walking past dozens of restaurants, we finally decided on Bestial. Truth be told, it was the name that clinched it. That, and Frank Gehry's bronze metallic fish sculpture that stands overhead, poised as if to take a graceful leap into the Mediterranean. Staring up at the American architect-artist's post-structuralist creation, it was hard to believe that a few hours earlier, we had been mesmerized by Gaudi and Gothic gargoyles.
That is what makes Barcelona so bewitching: its ability to inspire and nurture such varied expressions not just in architecture but in music, style and food. And if culture doesn't do it for you, then the Sangria sure as hell will.
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How to go:
Flights: Fly from Mumbai or New Delhi to Barcelona with a single stopover on Air France, Alitalia, British Airways, KLM or SwissAir. Round-trip economy class fares range from Rs33,000 to Rs47,000 (ex-Mumbai), and Rs33,000 to Rs59,000 (ex-Delhi).
You will need a Schengen visa to travel to Spain. Any EU member country can issue one for €60 (approx. Rs3,300).
Where to stay:
We stayed at Hotel Omm (www.hotelomm.es, +34 934454000) on the Diagonal, home to Barcelona's uber-chic shopping district L'Eixample. Winner of the Condé Nast Johansens best designed and innovative hotel in Europe, the hotel has a luxury spa, a Michelin-starred restaurant, Moo, and a lovely rooftop pool. From the citrus-coloured Arne Jacobsen Egg chairs in the lobby to the concealed wall-mounted plasma televisions in each room, the hotel is a study in understated luxury. Rooms start at €320 per night.
Le Meridien (www.lemeridien- barcelona.com, +34 933186200) is one of the few oases of calm on the otherwise frenetic La Rambla. Deluxe rooms start at euro 325 per night.
The Duquesa de Cardona Hotel (www.hduquesadecardona.com, +34 93 268 9090) is a 16th century residence that has been lovingly converted into a boutique hotel with lovely views of the Montjuic Mountain and the Marina. Rooms begin at €250 a night.
Where to eat:
Try to start the day with a typical Catalan breakfast of xocolata and xurros or chocolate and strips of deep fried bread called churros. Top it off with a glass of Horchata, a favoured energy giving drink made with tigernuts, water and sugar.
Bestial for Italian food and great views. Carrer de Ramon Trias Fargas 30, 08005. De Tapa Madre for tapas. Carrer de Mallorca 301, Bruc's corner 08037 (www.detapamadre.com).
Where to shop:
Head to high street heavyweight Zara for all that is au courant. The flagship store on Catalunya stocks the chain's entire range. 1748 in Placeta de Montcada is a small charming shop that sells handmade painted ceramics. L'Eixample for those in need of a couture fix—home to Hermes, Gucci and Loewe.
What to do:
If you are in Barcelona on a longish stay, head to the mountains of Montserrat for the day. Avoid the hour-long queues to see the famed black Madonna, and take a scenic trek instead. The Comino de la Santa Cova leads to a tiny church tucked into the side of the mountains.


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FLEXO Magazine : August 2012
matic color matching systems now available that combine ink weighing and spectrophotometry that reduce this time by half and guarantee delta E values of two or less. Once the registration and impression have been set, a print sample is taken and compared to a reference using a spec- trophotometer. The color variation is analyzed and the system computes the volumes of ink components that need to be added to the existing ink to obtain the required color before starting the print job. The job can then be continuously monitored during printing and the operator is alerted if the color varies beyond a prede- termined specification. REMOVABLE MANDREL MACHINES Without a doubt, sleeve machines have had a significant impact in reducing time for changeovers and increasing press productivity – especially with narrower and smaller repeat machines. At larger web widths (>67-in.) and larger repeats (>35-in.), the advantages are less. The bridge adapters can become very heavy and expansive and require operators to access the upper decks on the machine using lift platforms that require significant additional time for press changeover. New machine technologies are now available that roboti- cally remove the mandrels from the press and bring them down to floor level where operators can change the sleeves without climbing up on the machine. This concept also allows for the internal storage of five jobs or more, further reducing changeover times. Combined with advanced wash-up systems, a wide long repeat mechanical changeover of 10 plate sleeves and 10 anilox rolls can be accomplished automatically in 10 minutes, just by pressing a button. There are more than 15 of these new machines bound for North America, where the demands are greatest for high throughput, high quality printing. In order to meet the demands of the evolving printing environment, press manufacturers and component suppliers continue to develop new technologies to make the printing presses more productive. These technologies will focus on minimizing changeover times, increasing print speed, and having a press that is intuitive and safe to operate. n About the Author: Mike Reinhardt is product manager for Windmoeller Hoelscher's flexographic printing press division in North America. He has more than 25 years' experience in the design, development, manufacturing and marketing of capital equipment for the energy, hazardous waste and print- ing industries. Mike has a Bachelor's degree in mechanical engineering plus an MBA with a concentration in marketing. He currently serves on FTA's Board of Directors and FFTA's Board of Trustees. flexible packaging loves ink Flexible packaging converters will love inks formulated with Laroflex® HS 9000, a new and innovative ink resin technology from BASF. With improved printability and on-press performance, Laroflex HS 9000 delivers stronger colors, more opaque whites, high bond strength, and lower solvent usage. Contact your ink supplier for more information and a press trial. At BASF, we create chemistry. basf.us/dpsolutions 2012-BASF-flexpackLink_FLEXO.indd 1 7/8/2012 9:29:39 PM 28 FLEXO august 2012 www.flexography.org
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Self-love is Simpler Than You Think
The phrase self-love can feel so woo woo, so self-helpy. It might make you cringe, or bring up feelings of resistance. The problem with doing so is that, while the phrase sounds a bit silly, if not puzzling, bringing up more questions than answers, the actual act of loving yourself is central to your overall happiness satisfaction with your life.
So, what is self-love, really? And why does it feel feel so complicated, like we need to repeat one thousand affirmations and buy yourself flowers? The truth is, it's not about looking in the mirror and manufacturing false feelings of adoration or self-aggrandizement, or turning away potential partners out of some ill-conceived notion of nurturing precious alone time, but rather, that you accept yourself wholly and completely: your body, your relationships, your level of success in life, how much money you have, where you live, and all of the other details about your life that you use to make yourself feel bad.
You see, if you replace the word love with acceptance, or allowance, this makes the notion of self-love a lot more approachable. To love yourself simply means to stop rejecting all of the various parts of yourself (and your life), everything you have linked to your identity. As you all of these parts - your age, intellect, the choices you've made, etc., you learn to treat yourself with kindness and without condemnation.
Self-love, at the very core, self-love simply means self-acceptance.
There is a voice in your head that likes to point out what you are doing that is right and what you are doing that is wrong, where you deserve praise and where you deserve punishment, and that voice can be abusive. It congratulates you when we eat steamed broccoli and kale and beats you up when you grab a bag of Doritos and a Coke. It has decided that in order for you to be worthy of love, you must meet certain criteria, and the criteria is likely to change over the course of time. Just when you think you're on track, it decides that there's something else you need to do, be, or have, to be worthy.
This voice steals your joy. It creates an unhealthy narrative about the story of your life, saying things like I need a better job; I wish I had a new car; I should own a house like my friend Ted. Worse still, it creates an unhealthy narrative about who you are: My thighs are too jiggly, and my nose is too big; I'm not talented enough; I talk too much when I'm nervous.
It berates you in a fashion that you would never accept from anyone else, and it's so easy to let your internal dialogue go off the rails and fall into negative mind chatter.
So here's the key: What if self-love is as simple as following up every judgmental thought with one of acceptance?
For example: Follow up the thought, My nose is too big, with, My nose is just fine the size it is. Give yourself permission to think any thought - positive or negative - but always follow it up with a thought of self-acceptance.
This is the practice of self-love: interrupting the loop of negative mind chatter with thoughts of allowance and non-judgement. It's as simple as that. Initially, it may feel challenging to choose new thoughts, but with a little bit of willingness and practice, you'll find yourself thinking more positively about yourself without any effort.
As you learn to accept everything about yourself you will be amazed at how much more peaceful and content you will feel, and how others will begin to accept you, too. Self-love simply means that everything is okay. You are okay, and nothing about your life needs to change before you can accept that as the truth.


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137_Alina Sanina: Architecture Drawings
Alina Sanina
from Lviv Polytechnic National University
Instagram username: @aasanina
Architecture Drawings/Interior Design
Description of project: Visual content is so important. It is a straight connection between idea and people`s perception. Architectural representation plays an integral role in how a project is perceived by the people / The design style of the interior space is simple, elegant and natural. It combines scandinavian an tropic styles. It's important to preserve and apply natural materials to the largest extent possible, so that makes people feel comfortable and peaceful.


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Visualizing your pregnancy and creating a fertility vision board aren't guaranteed to get you pregnant, but surrounding yourself with images of the life you want can help you create it.
If vision boards are new to you, read Visioning: Ten Steps to Designing the Life of Your Dreams by Lucia Capacchione. You'll learn how to focus on what you want to create (a healthy pregnancy), feed your vision for pregnancy, start a vision board, and create a team of supporters.
"You must see your goals clearly and specifically before you can set out for them," said Les Brown. "Hold them in your mind until they become second nature."
Learning how to pray for a baby is another way of being specific and clear about your pregnancy goals. Whether your focus is to get pregnant naturally, conceive a baby through in vitro fertilization (IVF), or secure an overseas adoption – a vision board can help you achieve your goals.
5 Tips for Creating a Vision Board for Fertility
If you feel hopeless and powerless, read Hope for Women Who Want to Get Pregnant. Your vision board won't work if you don't believe you can conceive a baby.
Learn what a vision board for getting pregnant is
Typically, a vision board is a large poster board on which you paste your wishes and wants, which are represented from clippings from magazines, books, newspapers or various sources. For instance, my "I wanna be a published book author" vision board has a cocktail napkin on it. The napkin says, "Never let a few facts stand in the way of a good story."
Narrow down your idea of a vision board for fertility
Do you want to get pregnant before your third cycle of intrauterine insemination (IUI) or in vitro fertilization (IVF)? Then create a fertility vision board that represents minimal invasive techniques, healthy embryos, and your vision of a healthy, happy baby. Do you want to get pregnant naturally, without infertility treatments? Then create a fertility vision board of items that represent organic living, Mother Nature, and natural ways of conceiving a baby.
Collect your supplies
You'll need a large poster board or thick paper, glue, old magazines/newsletters/notes/diary entries/books – anything you don't mind cutting into, which represents how you hope your life will be in a year or two.
Don't limit yourself to pictures of babies. Include any quotation, story, photo, cartoon, or item that reminds you of fertility, conceiving a baby, having a healthy pregnancy, and starting your family.
Create your fertility vision board
This might be an ongoing process – as you come across items that make you think of getting pregnant and delivering a healthy baby, include them. If your previous pictures or quotations don't work for you, put something more current on top. There are no set guidelines to creating a vision board for fertility: you have to trust your heart! You can even put a picture of you, feeling fulfilled and happy, on it.
Look at your vision board often
To stay focused on the positive energy that could affect your fertility levels, put your vision board somewhere you'll look often. Surround yourself with healthy intention, hope, and faith – and you may find yourself feeling more centered and grounded as you try to conceive a baby.
A final tip on creating a fertility vision board: include your partner.
For more fertility tips, read 5 Ways to Increase the Chances You'll Conceive a Baby
Do you have any thoughts or tips for creating a fertility vision board? Please comment below…I'd love to hear what you think. I can't offer advice or help on getting pregnant, but it may help you to share your experience.
I pray that you're blessed with a healthy pregnancy and safe delivery.


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A chain of Texas abortion clinics that fought stricter safety regulations all the way to the Supreme Court is guilty of "dozens of violations of health and safety standards," reported the Washington Free Beacon.
The pro-life organization And Then There Were None (ATTWN) obtained detailed inspection reports of the Whole Woman's Health (WWH) abortion-clinic chain from the Texas Department of State Health Services. ATTWN seeks "to help abortion clinic workers leave the abortion industry," while WWH's raison d'être is "changing the culture around abortion stigma."
The reports, which cover the years 2011 to 2017, reveal "a widespread problem of health violations at WWH clinics," wrote the Free Beacon. Equipment was not properly disinfected or sterilized, and staff members had not been properly trained to sterilize surgical instruments. The Beaumont clinic had no registered nurse on staff despite state law requiring one, and its suction machine used to extract dead babies from the womb had "numerous rusty spots."
The Free Beacon continued:
Facilities themselves were also in disrepair, with floors that were "stained and discolored which gives the appearance of being dirty." A 2016 report on the McAllen, Texas, facility notes a counter so warped it "was no longer a wipeable surface, which could harbor bacteria and infectious matter." The reports also show cracks, rips, and tears on exam tables' covers, and a hole in cabinet flooring that had "the likelihood to allow rodents to enter the facility."
More than one clinic was using expired supplies and medication, and one had even lost track of some of its fentanyl supply — an alarming discovery given that drug's role in thousands of overdose deaths.
ATTWN founder Abby Johnson personally visited a WWH clinic in Austin and came to similar conclusions about the chain's safety record. "I was appalled at the state of the Austin Whole Woman's Health. It looked more like a prison than an actual facility where patients went for healthcare," she told the Free Beacon. "Disgusting does not do it justice."
Despite the dozens of violations cited in the inspection reports, WWH remains open for business. Why?
"Laws only matter if they're enforced," said Johnson. "And what we see in the abortion industry across the country is that inspections are done, people come in, they're cited for violations, they make a temporary plan to improve, a year later an inspector comes in, they cite them for the same violations, they make a temporary plan to improve … it's the same cycle, over and over again."
Ignoring violations at abortion clinics does appear to be a widespread problem. A report from Americans United for Life found that between 2008 and 2016, 227 abortion clinics nationwide, including six WWH clinics, were cited for more than 1,400 health and safety violations.
"Restaurants and tanning salons and vet clinics, they're all more closely regulated than the abortion industry," Arina Grossu, director of the Center for Human Dignity at the Family Research Council, told the Free Beacon. She "pointed out how regulators and inspectors often look the other way when investigating abortion facilities," as in the case of Philadelphia abortionist and convicted murderer Kermit Gosnell, whose filthy clinic was ignored by state regulators out of fear that inspections would be perceived as "putting a barrier up to women" seeking abortions.
Indeed, the Beaumont report suggests that abortionists and their overseers have a shared mindset. The inspector described the rusty suction machine as being used "for evacuation of the products of conception," a euphemism only an abortion proponent would employ.
The inspection reports aren't the only indication that WWH doesn't value safety very highly. After Texas passed a law in 2013 imposing more stringent health and safety requirements on abortion clinics — mandates that, according to Johnson, even Planned Parenthood has largely obeyed — WWH sued to overturn the law, arguing that it violated both WWH's and its clients constitutional rights. The case wound up before the Supreme Court, which sided 5-3 with WWH.
Supreme Court notwithstanding, states have an obligation to shutter unsafe abortion clinics — and then some. After all, even if clinics could be made 100-percent safe for their clients, they would never be safe for the unborn children who enter their doors alive and leave dead.
Photo: Thhinkstock


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Boston is stunning city. You can feel the history. The buildings are a mix of modern and colonial. Often side by side, or one on top of the other. A photographers delight. Brother Lee score us a room in the theater District. Blocks form the "Commons.†Tuesday evening we strolled past cemeteries dating back to seventeen hundreds, Paul Revere's home, the North Church. Wednesday we walked the Freedom Trail to the habour and The USS Constitution.
The Irish and other settlers must have been and interesting bunch. The oldest part of town is one half churches, the other half pubs.


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