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Chemotherapy uses drugs to destroy cancer cells. The drugs enter the bloodstream and travel through the body. Chemotherapy primarily affects cancer cells, but some healthy cells can also be damaged. The treatment plan and doses will be adjusted to provide the best effect against cancer with minimal side effects. Chemotherapy is the main treatment for multiple myeloma but, it is often used in combination with other treatments. Currently, there is no cure for myeloma, so treatment is designed to prolong life by reducing the effects of myeloma on bodily functions and reducing discomfort.
Three phases of chemotherapy are used to treat multiple myeloma:
- Induction—To reduce the amount of myeloma cells.
- Consolidation—To kill any remaining myeloma cells still in the body, which may be done before a bone marrow transplant.
- Maintenance—Maintenance therapy may be used to extend a remission period and prolong survival time.
Chemotherapy Drugs and Delivery
There are a variety of chemotherapy drugs. Standard chemotherapy drugs may be combined with biologic and/or targeted therapies.
Biologic therapies (also called immunotherapy) help the body fight cancer cells using natural processes. It may help stimulate the immune system to better attack cancer cells, control the growth of cancer, or change cancer behavior. Medications include thalidomide, pomalidomide, lenalidomide, or interferon.
Targeted therapies attempt to interfere with the growth of the tumor by blocking the formation of new blood vessels around the tumor. Medications include brotezomib (with or without ponatinib) or carfilzomib.
The choice and combination of drugs is determined by the stage and type of the disease, as well as factors like your age, overall health, and kidney function. Drugs used to treat multiple myeloma include:
- CTD—cyclophosphamide, thalidomide, dexamethasone
- TAD—thalidomide, doxorubicin, dexamethasone
- Bortezomib and dexamethasone
- PAD—bortezomib, doxorubicin, desamethasone
- Cyclophosphamide and prednisone
- MP(T)—melphalan, prednisone (with or without thalidomide)
- Vincristine, doxorubicin, and dexamethasone
Chemotherapy for multiple myeloma is usually given through an IV, but some forms can be given by mouth. It is delivered in cycles over a set period of time. A medical oncologist will determine how many cycles of chemotherapy are needed and what combination of drugs will work best. It is likely that a relapse will occur after treatment. If so, the combination of chemotherapy drugs be changed.
Side Effects and Management
Though the drugs are targeted to cancer cells, they can affect healthy cells as well. The death of cancer cells and impact on healthy cells can cause a range of side effects. A medical oncologist will work to find the best drug combination and dosage to have the most impact on the cancer cells and minimal side effects on healthy tissue. Side effects or complications from chemotherapy may include:
- Nausea and vomiting
- Fatigue or sleepiness
- Hair loss
- Fluid retention
- Lightheadedness
- Reduced blood cell counts, which can lead to anemia or problems with blood clotting
- Bone marrow suppression and/or reduced white blood cell counts, which increases the risk of infection
- Constipation
- Diarrhea
- Tingling, numbness, pain, or weakness—peripheral neuropathy
- Muscle aches
- Skin rash
- Deep vein thrombosis (DVT)
- Rarely, infertility and/or reproductive and sexual problems—If you plan on having children, talk to your doctor about options to preserve fertility before starting treatment.
A variety of treatments are available to help manage side effects including medication, lifestyle changes, and alternative treatments. In some cases, the chemotherapy regimen may be adjusted to reduce severe side effects. The earlier the side effects are addressed, the more likely they will be controlled with a minimum of discomfort. Long-term side effects can include damage to the heart, kidneys, lungs, other bone marrow cancers, and some cognitive dysfunction.
Revision Information
- Reviewer: Mohei Abouzied, MD, FACP
- Review Date: 03/2017 -
- Update Date: 05/13/2016 -


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Simply place the skimmer on the back of the aquarium, mount the pump in place as the instructions list and it is ready to skim. The Reef Octopus® skimmers are powered by the Hailea OTP pumps. They are built with high quality acrylic. The Octopus skimmers uses metric plumbing parts. The pump has an improved venturi design and pinwheel impeller.
(manufacturer's description)
These skimmer are available in single pump and dual pump rated for different sizes aquariums.

subset: commoncrawl


text: The Fluval Q2 air pump is a very quiet and powerful unit. When I first plugged it in I thought it was not running it was so quiet. It is big but not to big. It has variable output and produces constant air flow. It has a swing arm and diaphragm design. It is also double walled and has rubber feet. It is also very well built and feels very sturdy. I paid $35.20 I got 20% off due to a big sale at my LFS. I give it a 9.5 rating. I have a Rena air pump on my 45 and I like it but it is not as quiet as this pump.


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Mumia Abu-Jamal is a prolific journalist whose best-selling books of essays
have sold over 150,000 copies and have been translated into seven languages.
Banned, censored and held in solitary confinement for over a decade in a
supermaximum security prison with a death sentence looming, Mumia Abu-Jamal
continues to write and speak from death row. He has become the most famous
political prisoner in the world. A political man, a journalist, a former
Black Panther, a man who proclaims his innocence. Mumia Abu-Jamal is the
conscience of America. A prolific writer and author of three searing
compilations of essays Live From Death Row (Addison Wesley & Avon), Death
Blossoms (Plough) and All Things Censored (Seven Stories).
New essays by the world's most famous prisoner --Mumia Abu-Jamal,
journalist and resident of Pennsylvania's death row for twenty years. Rare
recently discovered excerpts of Mumia Abu-Jamal radio reports for NPR and
Philadelphia radio stations- including interviews with Bob Marley, Hugh
Masekela, Ruby Dee, Ossie Davis and the people of Philadelphia. New essays
read by Mumia from prison. Also Mumia's essays read by Peter Coyote and
Ruby Dee. Plus statements by Assata Shakur, Rubin Hurricane Carter and Marc
Bamuthi Joseph.
Includes the music : "Rocks The World" by Mumia 911 Unbound Allstars (featuring Chuck D, Zack De La Rocha, dead prez, and Pharoahe Monch). Also includes : "I was Born With Two Tongues", and "Seeds
of Wisdom".
From : MUSIC : NEWS ,
Rolling Stone.com
De La Rocha Joins Mumia CD
"Death-row inmate to release third album
Former Rage Against the Machine
frontman Zack De La Rocha and Public
Enemy's Chuck D are among the artists
featured on the forthcoming album from
Mumia Abu-Jamal, who is on death-row in
a Philadelphia prison for the 1981 murder
of police officer Daniel Faulkner.
Abu-Jamal, who worked as a journalist and
activist prior to his conviction, has
maintained his innocence for twenty years.
Artists like Rage Against the Machine and
the Beastie Boys have been long-time
supporters of his cause, as have other civil
rights groups like Amnesty International.
Abu-Jamal's album, due June 26th on
Alternative Tentacles Records, is titled
175 Progress Drive, the address of the
prison where Abu-Jamal has been jailed.
The album will contain both spoken word
and music. Unbound Allstars, composed
of Dead Prez, Pharaohe Monch as well as
Chuck D and De La Rocha, perform on the
track "Mumia 911." The spoken word
component of the recording contains
Abu-Jamal's interviews with Bob Marley,
Jimmy Carter, Ossie Davis and Ruby Dee,
Hugh Masekela and others. Actors Peter
Coyote and Ruby Dee as well as Rubin
"Hurricane" Carter and Black Panther and
Black Liberation Army leader Assata
Shakur read essays and poetry written by
Abu-Jamal. This will be Abu-Jamal's third
recording, all on Alternative Tentacles,
which was founded by former Dead
Kennedy's frontman/activist Jello Biafra.
His previous recordings were both spoken
word: 1997's Man is the Bastard, which
featured Henry Rollins, Biafra and poet
Allen Ginsberg, and 1998's All Things
Censored, Vol. 1, which featured novelist
Alice Walker and actor Martin Sheen".
(May 21, 2001)


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China Customs
According to the Customs Law of the People's Republic of China and PRC Customs' Supervision and Management on Inward and Outward Passengers' Luggage, the luggage carried by inward and outward passengers shall enter or leave the territory at a place where there is a Customs office, and must be declared to Customs officers as required.
Unless otherwise specified by laws and regulations, no luggage carried by both inwards and outwards passengers shall be exempt from being inspected and released by China Customs. Customs inspection of such luggage is based on the principle of "clearing articles of reasonable quantity for personal use only". Different types of luggage carried by passengers shall be given different limited value and amount for levying and exemption of duties.
In the event passengers carry some articles which are required to be declared to the Customs for entry or exit, those passengers shall submit the form entitled "Declaration on PRC Customs Inward and Outward Passengers' Luggage" or Customs declaration documents at the declaration desk, such that they truthfully declare the luggage as required, and submit them to the Customs to handle articles entry or exit formalities. In a double-channel Customs office, the above-mentioned passengers shall choose the channel of "declaration" (e.g. "red channel") for clearance and passengers who carry articles which are not required to be declared to the Customs shall choose the channel of "non-declaration" (e.g. "green channel") for clearance.
Please note declaration documents with the Customs' inspection and signature must be kept properly, so that the passengers can handle relevant formalities well based on their production of those documents if needed for return or after entry.Luggage carrying a Customs seal cannot be unpacked. Likewise Customs seals affixed to luggage cannot be damaged or broken. A passenger may be committing an offence under the Laws of China in doing so.
Entry/Exit Inspections and Quarantines
Health Declaration at Border Crossings
1. When there is no major epidemic reported in China or abroad, inbound and outbound personnel do not need to fill out an "Entry-Exit Quarantine and Health Declaration Card". However, inbound and outbound personnel exhibiting symptoms of fever, vomiting, cough, breathing difficulty, diarrhea, contagious disease or psychiatric disorders or who may be judged to be carrying microorganisms, human tissues, biological products, blood or its products shall verbally declare their status to an quarantine officer at the passenger inspection lane and subject themselves to inspection and quarantine. (Excerpt from 2008 No. 62 Notice on Streamlining Health Declaration Procedures for Inbound and Outbound Passengers at Border Crossings Nationwide, issued by the General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China)
2. When there is a major epidemic reported in China or abroad, temporary compulsory inspection and quarantine measures announced by the General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China with regard to inbound and outbound personnel shall apply, and inbound and outbound personnel shall truthfully fill out the "Entry-Exit Quarantine and Health Declaration Card", enter or exit through the dedicated lane for inspection and quarantine, and have their luggage scanned by an X-ray machine. (Excerpt from 2008 No. 62 Notice on Streamlining Health Declaration Procedures for Inbound and Outbound Passengers at Border Crossings Nationwide, issued by the General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China)
1. A foreign national planning to reside in China for more than a year shall, when applying for an entry visa, present a health certificate issued by a medical organization designated by the government of his or her home country, or a health certificate issued by any medical organization and notarized by a notary public. The health certificate shall be valid for at least six months from the date of issuance. (Excerpt from The Rules Governing the Implementation of the Law of the People's Republic of China on the Entry and Exit of Aliens)
2. An inbound Chinese national who has resided abroad for more than three months or an overseas Chinese from Hong Kong, Macao or Taiwan who has been approved to relocate back to China to take up residency or employment, shall present a health certificate issued by the inspection and quarantine authority or a public hospital in the country of his or her residence prior to returning to China (the health certificate shall include AIDS and venereal disease serology test results). If he or she is unable to produce a valid certificate, he or she shall undergo a physical examination at an inspection and quarantine agency after reentry; local public security authorities shall urge he or she to undergo the physical examination and provide necessary assistance to satisfy all relevant requirements assuring good health. (Excerpt from Health Inspection [89] No. 5 Notice of the Ministries of Health and Public Security on the Presentation of Health Certificates by Inbound and Outbound Chinese Citizens)
2. The following objects are prohibited from entry: objects listed in Paragraph 1 of Article 5 of the Law of the People's Republic of China on the Quarantine of Inbound and Outbound Animals and Plants, in the Catalog of the People's Republic of China for Plants Prohibited from Entry, and in the Catalog of the People's Republic of China for Animals, Animal Products and Other Quarantine Objects Prohibited from Entry into China as Carry-on Luggage or Postal Parcels, and blood products, wastes and other objects expressly prohibited from entering China by the Chinese Government.
Passenger Clearance & Customs Declaration: Luggage and goods carried by inbound and outbound passengers should be for personal use only and in a reasonable quantity and should be declared as actual personal items to the Customs and subjected to inspection by the Customs officials. The duty-paid value of inbound and outbound goods is determined by the Customs officers according to the law. Short-term passengers (those approved to stay in or outside China for not more than one year) may carry the following goods into or out of China, subject to the following restrictions:
Category I
Category II
Category III
Fabrics, clothing, shoes, hats, objects of art, and other personal effects worth not more than
Tobacco products and alcoholic beverages.
Personal effects worth more than RMB 1,000 but not more than
An inbound passenger with Category III goods will be subject to customs duties: Each inbound passenger may carry a camera, a portable tape recorder, a small movie camera, a portable video camera, and a portable word processor for personal use. If exceeding the pre-stated scope, he or she should make a declaration to the Customs officials present.
Inbound and outbound passengers carrying more than RMB 20,000 or more than USD 5,000 or an equivalent amount in other foreign currencies, in cash, or who are carrying more than 50 grams of gold or silver and/or their related products should make a declaration to the Customs officials. For foreign passengers who undertake multiple trips to and from Hong Kong or Macao over a period of 15 days and for persons undertaking frequent inbound and outbound trips, the Customs officials will only release articles they need for their journey.
Inbound and outbound passengers holding a diplomatic or courtesy visa granted by the competent authority of the Government of the People's Republic of China, are not required to fill out the declaration form; however, they should show their valid identity papers to the Customs officials so that Customs can exempt them from inspection. A passenger may not carry more than RMB 150 worth of Chinese medicinal materials and prepared Chinese medicines if bound for
Hong Kong or Macao and not more than RMB 300 if bound for a foreign country. Long-term visitors (those approved to stay in or outside China for one year or longer) may import and export articles for personal use according to the procedures set forth in the Provisions of the Customs of the People's Republic of China on the Importation and Exportation of Articles for Personal Use by Non-Resident Long-Term Visitors. To bring articles for personal use into China, a visitor should file a written application with the responsible customs office in person or through his or her appointed customs declaration agency, and the application should be supported by the following documents:
Customs levies duties on dutiable articles imported by non-resident, long-term visitors that are designated for personal use in accordance with the Regulations of the People's Republic of China on Import and Export Duties. The Customs Office does not levy duties on articles which are imported by long-term, non-resident visitors for personal use and which are exempted from duty under intergovernmental protocols. (For more information, please visit the China Customs website at www.customs.gov.cn)
RMB: No more than 6000 RMB is allowed to be carried into or out of China by passengers.
Tourist commodities: If passengers carry tourist souvenirs and crafts (excluding articles in need of export license or export duty as required by the State) bought in China with foreign currency out, they will be released by the Customs in light of relevant invoice and foreign exchange memo.
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text:
Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.
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text:
What are the benefits of updating my DoubleClick username and password to a Google Account?
We're asking all DoubleClick users to update to Google Accounts so you can access all your DoubleClick and Google products for business with a single sign-in.
After you update to a Google Account, you'll be able to:
- Manage multiple Accounts for a DoubleClick product with one username and password. This allows you to more easily move among different Accounts within a product.
- Switch among DoubleClick for Advertisers, DART for Publishers, DoubleClick Search, MediaVisor, and other DoubleClick products with the same sign-in information.
- Use the same username and password for DoubleClick Accounts and other Google products for your business, such as AdWords and AdSense.
- Enjoy access to your product's new Help Center without having to sign in multiple times.
Did you know that a Google Account doesn't need to be a Gmail Account? In fact, we encourage you to update to a Google Account that uses your work email address (email@example.com). If you don't have a Google Account that uses this address, we recommend you create one. Please avoid using a personal Gmail Account or creating a Gmail Account for business use.
Ready to update your Account? Learn how.
Important: After you update, your DoubleClick agreements will continue to govern your use of DoubleClick services, and the Google Account Terms of Service shall not amend or supersede those agreements. Learn more.


text:
Shawnee Fire Department
According to the National Fire Protection Association, almost two-thirds of home fire deaths resulted from fires in properties without working smoke alarms. A working smoke alarm significantly increases your chances of surviving a deadly home fire.
Telephone (405) 878-1671
Postal address
Shawnee Fire Department
PO BOX 1448/16 W. Ninth Street
Shawnee, Oklahoma, 74802-1448
Clear Search


text:
Nature designed human milk especially for human babies, and it has several advantages over any substitute ever developed. Your milk contains just the right balance of nutrients, and it contains them in a form most easily used by the human baby's immature body systems. Because it was developed for your human baby, your milk also is gentlest on your baby's systems.
The process of breastfeeding and your milk change as your baby grows and develops. A newborn's feeding routine may be different than that of a breastfeeding six-month-old. As the baby grows, the nutrients in your milk adapt to your growing baby's needs. The anti-infective properties also increase if you or your baby is exposed to some new bacteria or virus.
Babies that guzzle their food nonstop may self-detach in 10 to 15 minutes; babies preferring to savor their meals often take 20 to 35 minutes on the first breast, because they tend to take a few several-minute breaks between "courses." Whichever type your baby is, it is important to let him/her choose when to let go of the breast, as this self-detachment will increase the amount of higher fat/higher calorie milk (hindmilk) your baby takes in.
Your baby should:
Your baby probably will go through several two to four day "growth spurt" periods when he/she seems to want to eat almost around the clock. Babies commonly experience a growth spurt between two to three weeks, four to six weeks, and again at about three months. It is important to let a baby feed more often during these spurts. Within a few days, your baby will have returned to a more typical pattern.
Let your baby set the pace for breastfeeding. Pay attention to his/her feeding cues. The number of feedings each baby needs and the length of time each feeding lasts will vary from baby to baby. Trying to force a breastfed baby to wait longer between feedings, or fit a particular feeding schedule, can result in poor weight gain.
Click here to view the
Online Resources of Pediatrics


text:
Credits for release time OK'd by court
The 4th Circuit U.S. Court of Appeals refused to accept a petition for en banc review filed by the Freedom From Religion Foundation, after a three-judge panel approved academic credit for released-time instruction on June 28.
FFRF, and two sets of parent plaintiffs with children in the school district in Spartanburg, S.C., challenged the practice as a state entanglement with religion, which favored students of the dominant religious faith. The group filed suit in 2009.
The school district delegated grading power over its students and evaluation of the course material to both the Spartanburg County Education in School Time (SCBEST) and a private Christian school, Oakbrook Preparatory Academy. FFRF contends that essentially the district has added a devotional religious course as a public school elective and gave the bible school grading power over it. "If the Bible School course consisted of five hours a week of praying on bended knee and Oakbrook approved it, academic credit would nevertheless ensue as a matter of course," FFRF's petition noted.
The Supreme Court, in approving released time instruction in 1952, never hinted it could be treated as the equivalent of attending French or math class. It was intended as accommodation, and public schools were to have a 'hands-off' approach, with no academic reward for undergoing proselytization off-site an hour a week.
In its legal challenge, handled pro bono by attorney George Daly, FFRF documented that the superintendent gave the released time group names and addresses of children in order to publicize the program.
The public school has no control of the grades. Schools may be compelled to accommodate devotional religious instruction, but may not be required to provide it, or hand out grades for it, maintains FFRF.
FFRF thanks its plaintiffs and Daly for challenging the violation. FFRF is considering its options.
State/Church Bulletin
Appeals court nixes Wis. church graduations
The Elmbrook [Wis.] School District illegally held graduation ceremonies at Elmbrook Church, the 7th Circuit U.S. Court of Appeals ruled 7-3 on July 23. Symbols in the church, including a giant cross on the wall, conveyed a message that government was endorsing a particular religion, the court ruled in a 2009 suit bought by Americans United for Separation of Church and State.
"[The decision] ensures that students in Wisconsin will not be forced to enter an intensely religious environment as the price of attending their own high school graduation, a seminal event in their lives," said attorney Alex Luchenitser, AU associate legal director.
Court denies challenge to hate crimes law
The 6th Circuit U.S. Court of Appeals on Aug. 2 upheld a lower court's ruling that denied a 2010 claim by three Michigan pastors and the American Family Association of Michigan that the Matthew Shepard and James Byrd Jr. Hate Crimes Prevention Act hampered their religious obligation "to state clearly the immoral nature of homosexuality" and "to publicly denounce homosexuality, homosexual activism and the homosexual agenda as being contrary to God's law and His divinely inspired Word."
"The Act does not prohibit Plaintiffs' proposed course of hateful speech," wrote appellate Judge James Gwin wrote.
Courts rule against reproductive rights
Women's reproductive rights took hits in July in three court rulings cheered by the Religious Right. Phoenix federal Judge James Teilborg upheld an Arizona law banning all abortions starting at 20 weeks after a woman's last menstrual period.
The New York Times reported the law "defies binding Supreme Court precedent that prevents states from banning abortions before a fetus can survive outside the womb, which generally occurs at about 24 weeks." Teilborg also embraced questionable claims about when a fetus can feel pain.
• Denver U.S. District judge issued a temporary injunction stopping the Obama administration from requiring a secular ventilation and air-conditioning company to provide employees with contraceptive coverage.
The Times noted, "There is no constitutional precedent for individuals, much less corporations, allowing them to violate generally applicable laws because they may have a religious objection. Conversely, the company's claim that its owners or officers have a First Amendment right to impose their personal religious beliefs on the corporation's employees is groundless."
• The 8th Circuit U.S. Court of Appeals in St. Louis upheld 7-4 a 2005 South Dakota law requiring doctors "to misinform women seeking an abortion that they face an increased risk of suicide and suicidal thoughts" if they have an abortion, the paper reported.
Zoo removes Commandments after protest planned
The Oakland [Calif.] Zoo removed a Ten Commandments monument July 25, days before a planned protest by the East Bay Atheists and Atheist Advocates of San Francisco. The 6-foot-tall marble sculpture has been on zoo property since 1965 when the area was a state park.
Joey Piscitelli, Martinez, told the San Jose Mercury News that the removal wasn't a coincidence. "They wanted to thwart the demonstrations and keep this out of the public eye."
Court: Mennonite B&B can't bar gays
A Mennonite-owned bed-and-breakfast in Grand Forks, B.C., discriminated against a gay couple from Vancouver by refusing them a room, the B.C. Human Rights Tribunal ruled July 17.
Brian Thomas and Shaun Eadie were each award $4,500 in damages and expenses.
Riverbend B&B owners Les and Susan Molnar, members of a Mennonite church, argued they were exercising their right to religious freedom in the sanctity of their own home.
Florida county sued over 10 Commandments
Bradford County commissioners in Starke, Fla., are being sued by American Atheists for refusal to remove a Ten Commandments monument from outside the courthouse in Starke.
The county asked the group that put the monument there, the Community Men's Fellowship, to remove it "immediately," but the group refused, reported News 4 in Jacksonville.
FFRF sent a complaint letter May 14 to the commission.
"The county doesn't have the ability to move it without accruing a very substantial cost in doing that," said County Attorney Terry Brown. "So somebody needs to pay for it, and it doesn't need to be the taxpayer."
Faith-healing conviction upheld in Oregon
An Oregon appellate court upheld the 2009 conviction on July 11 of Carl Brent Worthington, a member of the Followers of Christ Church, for second-degree criminal mistreatment in the death of his 15-month old daughter. The girl died of sepsis and bacterial pneumonia from an untreated cystic mass.
Worthington and his pregnant wife, Raylene, were acquitted on manslaughter charges. She was also acquitted of criminal mistreatment. He was sentenced to two months in jail and five years' probation.
Church graduations costly for Conn. school
The Enfield [Conn.] School Board voted 6-3 on July 18 to settle a suit challenging the school system's practice of holding high school graduation ceremonies in a church.
"No students or their families should feel like outsiders at their own graduation ceremony," said Daniel Mach, director of the ACLU Program on Freedom of Religion and Belief, the Hartford Courant reported.
The district agreed to hold no more graduations in church. Its insurance provider will cover up to $470,000 in settlement costs. The exact amount of the settlement wasn't revealed, but plaintiffs' legal fees are about $1 million.
Ohio high court takes creationist teacher's case
The Ohio Supreme Court voted 4-3 on July 5 to hear Mount Vernon science teacher John Freshwater's appeal of his 2011 firing for pushing Christianity and creationism in the classroom. Freshwater alleges his rights to free speech and academic freedom were violated. The first complaint against him surfaced in 2008.
Religion Clause blog reported that the court granted review on two issues: Could he be fired if the board didn't clearly indicate what materials or teaching methods were unacceptable, and did the mere presence of religious texts from the school library and/or display of a patriotic poster can justify his firing?
The 'God particle': One less place to hide - Dan Barker
I guess now that the "God particle" has been discovered -— or very nearly confirmed by a majority of physicists — I need to decide what church to join. We atheists, after all, have long been devoutly demanding evidence of the hypothesized intelligent designer holding the universe together.
So now that scientists have observed the predicted Higgs boson that gives matter its mass — without which there could be no creation, no gravity, galaxies, stars, planets, waterfalls, pansies, panthers or "Hallelujah" choruses — we must conclude that the theologians have been right all along.
Or maybe not.
Peter Higgs, the physicist who first deduced and proposed the existence of the theoretical field now known as the Higgs boson, does not believe in God. After Leon Lederman, another nonbelieving physicist, had jokingly referred to the mysterious boson as the "God particle," Higgs was not happy: "I wish he hadn't done it. I have to explain to people it was a joke. I'm an atheist."
The phrase became part of the title for Lederman's 2006 book, The God Particle: If the Universe is the Answer, What is the Question?
Other scientists agree with Higgs. Pauline Gagnon, a Canadian physicist working at the Large Hadron Collider, said: "I hate that 'God particle' term. The Higgs is not endowed with any religious meaning. It is ridiculous to call it that."
I am certain Lederman did not have any spiritual motive. He was not trying to endow the particle with any "religious meaning." He was using language in an ironic and humorous way. And most likely his publisher knew that the word "God" helps sell books.
According to one story, Lederman first called it the "goddamn particle," but the editor didn't think that would make a great title. (Although I would have bought such a book!)
When Einstein said that "God does not play dice with the universe," he was clearly not talking about a supernatural being playing a game of craps. The word "God" has often been used (inadvisedly, in my opinion) as a convenient placeholder for "We don't know."
"God" is a synonym for "mystery." When the cause of an event is unknown, some say "God did it." Surprised by a natural disaster, some call it an "act of God." Not having a sure answer, some say "God knows" — meaning, "Who knows?"
God reflects uncertainty, not knowledge. It's the same with faith: We only rely on faith when the claim cannot stand on its own merits.
When the ancient Greek and Nordic civilizations heard thunder, they said, "Zeus is on the warpath," or "Thor is angry." In other words, "Who knows?" Now that we understand something about the weather and electricity, we no longer need Zeus or Thor. We no longer need "God did it." Thor is dead. God has one less place to hide.
But our language still reflects those old patterns. The fact that I'm writing this article on a Thursday (the day of Thor) does not mean the Norse gods really exist or that a thunderstorm is truly an "act of God." When Lederman nicknamed the Higgs boson the "God particle," he was playing with language, joking that since we don't know what holds matter together, God must be the explanation (wink, wink).
While we atheists cannot pretend that the discovery of the Higgs boson proves there is no God, we can certainly say that such evidence, if confirmed, gives God one less place to hide.
Believers will always find other hiding places, so this discovery will pose little threat to their faith. But now maybe they can join us — those with a sense of humor — in officially changing the name of the Higgs boson.
From now on, let's call it the "Godless particle."
Dan Barker is FFRF co-president and author of The Good Atheist: Living a Purpose-Filled Life Without God; Losing Faith in Faith: From Preacher To Atheist; Godless: How An Evangelical Preacher Became One of America's Leading Atheists; and Just Pretend: A Freethought Book for Children.
Maia, 12, tells county board to shape up - Maia Disbrow
The Freedom From Religion Foundation named Tennesse student Maia Disbrow, 12, its fifth student activist awardee this year for speaking up in favor of halting prayer before the Hamilton County Board of Commissioners in Chattanooga in July.
The issue has been extremely contentious, and two local men have sued the commission in federal court over the prayers and for being ejected from a meeting while addressing the commission.
Maia's write-up of her experience and a text of her speech follows. Her appearance is also on YouTube (search for Maia Disbrow).
"We are impressed with Maia's gumption, maturity and dedication to a constitutional principle. Going before government bodies to protest government prayer is something many adults are reluctant to do," said FFRF Co-President Dan Barker.
Maia has received a $1,000 award. FFRF officially offers three student activist awards of $1,000 each annually endowed by kind members: the Thomas Jefferson Youth Activist Award, the Catherine Fahringer Memorial Student Activist Award and the Paul J. Gaylor Memorial Student Activist Award. Since both state/church violations and student activism are on the rise, FFRF expects to see increasing numbers of deserving student activists nominated for awards.
Last year, FFRF gave out six $1,000 student awards, all to high school students. This year's other activist winners were high school students as well. Three of the five are from Tennessee.
FFRF members wishing to create and endow a one-time or annual student activist award in their name, as a memorial, etc., are encouraged to contact FFRF Co-President Annie Laurie Gaylor at 608/256-8900.
View student winners since 1996 at ffrf.org/outreach/awards/student-activist-awards/.
Maia's heartfelt speech on prayer:
Good morning. My name is Maia Disbrow, and I am 12 years old. I am a perfectly normal young adult, although some of my friends would beg to differ.
I was present at the meeting at which my dad spoke. The prayer was very rude to me and some of my closest friends, not to mention parts of my family.
My dad did not put me up to this. I came because I care about this and things like it. All through elementary school, I was teased and ridiculed by people who I thought were my friends. Whenever the subject of me being a freethinker came up, I was singled out, by my friends.
You are doing the same thing that they did to me at every meeting you have. Singling me out. Singling out every single person in Hamilton County who is not Christian.
It is not fair for you to pray openly to your God without praying to all the others as well. I believe a moment of silence would accommodate all beliefs, not just one. And after speaking today, I hope I have some friends left at school next year.
Good day.
Maia writes about bullies
Dear FFRF:
I was sitting right in front when my father spoke at the commission meeting, and also during the prayer beforehand. The prayer was very offensive to me, and when they gave the preacher an award, or present, or whatever they'd like to call it, I almost exploded inside. It made my dad so angry, he was shaking with rage after he sat down from speaking. After we got home that day, a news station called and wanted to interview my dad at our house. They came, did an interview and left.
At some point, one of us joked that I should speak in front of the commission. My dad didn't push me to do it, we just joked about it. But when I thought about it, I realized that there were some things I'd like to say to them. It took me a while to decide, because even though I go to a middle school for the arts that is supposed to accept everyone, I was worried because during elementary school, I was bullied about my beliefs. Whenever the subject of my religion, or lack thereof, came up, my social status dropped for a few days.
So really, I was worried about further bullying. When I realized that the county commissioners were actually behaving like a bunch of fifth-grade bullies, I sat down and started writing my address to them. I honestly didn't expect this much attention for a 40-second speech, but I am very thankful for it.
Thank you so much for the scholarship, although it does make me a little depressed that a person can get an award for standing up for basic human rights.
Maia's father, Steven, writes:
Maia spoke on July 18. I spoke two weeks before that. I took both my kids with me so that they could see how the commission works and get a glimpse at how local government is run.
Maia was born on May 5, 2000, the same day as the supposedly apocalyptic planetary alignment [Mercury, Venus, Earth, Mars, Jupiter and Saturn were positioned in line with the Sun]. While her birth didn't herald the end of civilization, it was a big event for her family.
Her interests include reading (which she was doing at 18 months), writing, acting (currently in rehearsals for a production of "Medea"), singing and taking care of her pets (a dog and two guinea pigs). In the fall, she'll be entering seventh grade at the Center for Creative Arts, where she studies visual art.
Maia also has a younger brother, Logan, who insisted on being mentioned here at the end, rather than in the bit about the pets.
Chick-fil-A drops church discount
A Chick-fil-A restaurant in Chapel Hill, N.C., dropped a church discount scheduled for each Monday in June after an FFRF member complained. George White noticed an online calendar promoting Church Bulletin Night at the University Mall store:
"Bring in your Church Bulletin from Sunday from 5-8 p.m. every Monday and receive a FREE Chicken Sandwich with the purchase of a medium side and a medium drink!"
The Atlanta-based company's "corporate purpose" is "To glorify God by being a faithful steward of all that is entrusted to us." Founder S. Truett Cathy, 91, is a devout Southern Baptist who insists that all outlets close on Sunday. A series of allegations have been made against the firm for backing anti-gay initiatives.
Such discounts violate the federal Civil Rights Act and some states' equal protection laws. In a June 12 email, owner/operator Sammy Culberston thanked White for bring the matter to his attention. "At present, the church bulletin promotion runs through July but we will be suspending the promotion as of next week."
FFRF member makes plea against government prayer - Larry Rhodes
This is excerpted from FFRF Lifetime Member Larry Rhodes' testimony July 23 before the Knox County Commission in Knoxville, Tenn., before it voted to keep prayer at its meetings. The vote was taken after FFRF complained about the practice. FFRF commends Larry for coming forward in person as a constituent to try to educate the commissioners. A majority of speakers were in favor of discountinuing prayer, including three ministers.
By Larry Rhodes
I am a citizen of Knoxville and have been for 40 years. I graduated from the University of Tennessee. I'm a Vietnam veteran. I've worked here, owned homes here and, for 17 years, ran my own business here.
I was born into a Southern Baptist home and raised Southern Baptist. Even though my religious views have changed over time, I'm still a citizen. As such, I expect my government officials to represent me as a citizen, without injecting individual, personal religious views into the policies that govern my life.
The First Amendment of the Constitution of the United States, which you all swore to uphold, forbids the making of any laws which represent an establishment of religion. Therefore, you should be aware that you are about to vote on an unconstitutional action.
Knox County was probably, at one time, 100% Christian (Baptist). It is no longer that. It, and indeed America as a whole, is now a community made up of Baptists, Catholics, Methodists and Mormons, as well as Muslims, Hindus, Sikhs, Buddhists and nonbelievers.
Indeed, the category called "Other" in Knox County makes up nearly 30% of the population, all of whom are taxpaying citizens. And as citizens, we have a right to be represented equally under the law.
This board today votes on a policy of having religious prayer start its meetings. It would be a specific prayer to a specific god of a specific religion. Even though you may deem it a "generic prayer," it will still leave out all the humanist, secularist, atheist and agnostic citizens of this area, a segment of the population that, like it or not, is growing every day. You will be sending a message to those citizens that "You are not real citizens. You're allowed to live here and pay taxes, but real citizens are those who share the religious beliefs of us, the majority."
I am not here to try to persuade you to not practice your religion. Please, do practice your religion, by all means, in your churches, in your homes, in the closet or in the open air and on every street corner of America if you like. But not in the halls of government, and not with the power of government.
You may be thinking that you must follow your religious faith and do as it dictates. However, faith has not been proven to be a good path to truth. If it were, there would not be thousands of different religions on the planet, all claiming to be following faith.
Remember that the mother in Jonestown who gave her child poisoned Kool-Aid was also following her faith. Those misguided Muslims who flew planes into the buildings in New York and Washington, D.C., were also following their faith. The members of the Branch Davidian compound in Waco, when arming themselves and fighting the federal government, were also following their faith.
Please follow your conscience, but leave religious faith at the door. Do not practice your religion for me in the halls of government.
It is much better, by far, to follow the U.S. Constitution, keep your religion out of government and work to keep all other religions out of government as well, ensuring true religious freedom in America.
Thank you.
Member takes flak over church challenge - John Wolff
This is FFRF member John Wolff's letter to the York [Pa.] Daily Record, which was published July 23 in the wake of his public complaint about a restaurant's illegal church bulletin discount in Columbia, Pa.
I have little to disagree with in your editorial, "Atheist raises a shrimpy issue over church bulletin discount." But you have misjudged my motivation. I have no animosity toward the Prudhommes [restaurant owners] and wish them luck if this publicity brings them more business. And this was never about a lousy 10 percent discount, and I am not attacking any particular religion, nor am I trying to spread my nonbelief.
I am adamant, however, in opposing the conventional wisdom that churchgoing makes you a better person. I am at least as good a person as any churchgoer. I am a much better person if you include the many religious child molesters, their enablers, embezzlers, hypocrites and even terrorists who, we are always astounded to discover, "came from a churchgoing family."
For a restaurant to use religion to advance their business is tacky at best, and in my opinion and that of the Freedom From Religion Foundation, it is illegal. I am not a second-class citizen, potentially charged more because I do not attend church. If the Prudhommes want to increase traffic on Sundays, they should give everyone a discount without promoting church attendance. Restaurants have to follow regulations, all the way from food-handling to those affecting public accommodations and civil rights.
You are correct that this a shrimpy deal, just another irksome little thing that advances the agenda of the Religious Right and leads to laws favoring religion over nonreligion like taxpayer-funded vouchers for religious schools and exemptions from fair-hiring laws. Or legislators posturing to honor the bible. Or restrictions on the availability of contraceptives. Such laws are the serious business.
I felt an obligation to speak out because my fellow nonbelievers who hold jobs must pull their punches and may need to remain in the closet in order not to offend anyone. Evidently, the issue has hit a nerve locally to even suggest that churchgoing could be criticized. I admit being very surprised by the size of the flap this has caused. Reminds me that one of the first questions newcomers to the area are often asked is "What church do you go to?"
I do not regret bringing this complaint to the Pennsylvania Human Rights Commission, and I have no intention of escalating this to a lawsuit and enabling lawyers, as it is reported the well-funded Religious Right is eager to do. But I am a bit saddened by the hate mail I've received both in the papers and by mail. One came with a bulletin from a local church, accompanied by a hand-written note calling me an a-hole and adorned with a swastika. Certainly proves my point that churchgoing does not make you a good person.
John Wolff writes that he was born a German Jew in 1932. "Bad timing! My mother always told the story that she was listening to one of Hitler's first harangues while in labor. Catholics saved my life in Belgium by hiding me in boarding schools (at the price of conversion). Although my parents were never religious, I became a fervent Catholic between the ages of 10 and 16, so I understand a bit that religion/meditation can bring good feelings.
"The flap about the church bulletin discount is really the tiniest matter, but it has brought into evidence the bigotry that still lurks under the surface around here. Religion is such a large industry that no one dares attack it."
FFRF asks what's the deal with religious seals
An FFRF complaint over the depiction of a chapel with a cross atop it on the new city seal in Steubenville, Ohio, initially had the city agreeing to change the logo, although the city now says it's not so sure about the change.
On July 25, FFRF received word from the city law director that "the city council has agreed to change the logo as per your request."
But Mayor Domenick Mucci announced several days later that city leaders will review offers of legal help and all other options before making a decision. The Becket Fund for Religious Liberty plus several other unnamed Religious Right groups contacted the city offering "free" help.
Part of the silhouette prominently depicts Christ the King Chapel of Franciscan University with a cross atop it. The logo was commissioned by the city from Nelson Fine Art and Gifts, which claims it is the largest-volume American manufacturer of Catholic art and gifts.
By the logo designer's admission, the chapel and cross are a symbol of "faith." The depiction of the cross and chapel on the city logo is a "near copy of the Franciscan University logo, which further blurs the line between church and state," said FFRF Staff Attorney Patrick Elliott.
After the decision went public, it created a media storm. Elliott, in a formal letter, cautioned city officials about being "duped by offers from Religious Right legal groups. They may volunteer their time pro bono but they never pick up the plaintiffs' tab."
For example, the Becket Fund defended the city of Cranston, R.I., from Jessica Ahlquist's challenge to the unconstitutional prayer mural in her school. After the Becket Fund lost the case earlier this year, the school and city of Cranston officials agreed to pay $150,000 to reimburse the ACLU of Rhode Island for part of its legal fees.
"Any claims of historical or cultural significance to the Latin cross on the Steubenville City logo do not relieve the city of its constitutional obligations," noted Elliott.
In July, Elliott also wrote the city of Wyoming, Mich., about a similar violation on its city seal, which is more than 50 years old and in need of an update. The seal features four quadrants, with a church, a factory, a house and a golf green.
"The city may not depict the church and cross because to do so places the city's imprimatur behind Christianity. This excludes non-Christians and violates the Constitution," Elliott wrote.
The Grand Rapids Press (July 31), in reporting FFRF's complaint, noted that the city of Zion, Ill., which fought to keep a seal that included a cross and the phrase "God Reigns" in the late 1980s, spent about about $250,000 in a losing cause, as did Rolling Meadows, Ill., when it fought to retain a cross on its seal.
Wyoming City Manager Curtis Holt commented Aug. 2 in a blog on the city's website, calling FFRF a "third-party radical group."
"It's so clear why a city cannot and should not send a message that it is is a 'Christian city,' or favors Christianity or in the case of Steubenville, Catholicism," said FFRF Co-President Dan Barker.
"Government cannot pick sides on religion. All citizens — whether Christian, Jewish, atheist or agnostic, Muslim, etc. — must be welcomed as full participants," said Barker.
Appleman interviewed by Bill Moyers
FFRF After-Life Member Philip Appleman, distinguished poet, scholar and freethinker, appeared on "Bill Moyers Journal" on July 8 on PBS. The powerful interview and transcript is online at billmoyers.com/segment/the-poetry-of-philip-appleman/.
There are website-only bonuses. Phil reads five additional poems. Photographs of Phil and his wife, playwright Margie Appleman, are featured, along with photos of Phil's mother, the subject of his moving poem, "Gertrude" (read on air).
The interview, which encompasses Phil's freethought views, included Phil reading his poem "Eve" and "God's Grandeur" (which, at his request, was set to music by FFRF Co-President Dan Barker and is featured on FFRF's music CD, "Friendly Neighborhood Atheist"). He also read "Parable of the Perfidious Proverbs," which Freethought Today was honored to publish first and is the title of his newest book of poetry, a satiric look at the bible.
"Our love and congratulations to Philip Appleman for everything he has done for freethought, reason, population control and compassion," said FFRF Co-President Annie Laurie Gaylor.
"The freethought community is honored to have Phil as one of its most distinguished, eloquent and gentle spokespersons."
'Nones' gain as more drop religious habits
America's "Nones" — the nonreligious — are at an all-time high, now comprising nearly one in five Americans (19%), according to a new study by the Pew Center for the People and the Press. The 19% count is based on aggregated surveys of 19,377 people conducted by the Pew Research Center throughout 2011 and reported by USA Today.
"This means great news for progress, for reasoned debate, for the status of nonbelievers in our nation," said FFRF Co-President Dan Barker. "The freethought movement and FFRF are growing rapidly. There is an explosion of local and campus freethought groups, activities and conferences."
"Nones" were already the fastest-growing segment of the U.S. population, according to the definitive American Religious Identification Survey, whose 2008 study showed adult Nones up to 15% from 6% in 1990. ARIS, released in 2009, actually estimated "Nones" at 20% if responses to broader questions about religious practices were included.
Freethinkers have been highly marginalized, in part for being perceived as making up a small segment of the U.S. population. Actually, there have always been many more nonreligious than Jews, Muslims, Mormons or Eastern religions' adherents, currently respectively at 1.2%, 0.6%, 1.4% and 0.9% of the U.S. population, according to ARIS.
"Most minority religions, however tiny in numbers, are treated with respect, inclusion and sometimes deference. It's time public officials and the American public wake up to the changing demographics and stop treating atheists and agnostics as outsiders," added Annie Laurie Gaylor, who co-directs FFRF with Barker.
"With nonbelievers at about 20% of the population, there is no longer any excuse for leaving us out of the equation. Public officials cannot continue to assume 'all Americans' believe in a deity, or continue to offend 20% of the population by imposing prayer at governmental meetings or government-hosted events. These surveys now show that 'In God We Trust' is a provenly inaccurate motto. Nonbelievers should not be treated as political pariahs," Gaylor said.
" 'Nones' in fact were at the time of the last ARIS survey, the second-largest 'denomination' in the nation," Barker said, "following Catholics at 25% and tied with Baptists at 15%. According to the new Pew study, nonbelievers now outrank Baptists."
An atheist for president?
While 90% of Americans would vote for a black, a woman, Catholic, Hispanic, or Jewish presidential candidate, only 54% would vote for an atheist and only 58% would vote for a Muslim, according to a recent Gallup poll. It's an improvement from 1958, when Gallup first asked the question and just 18% said they'd vote for an atheist. This is the first year a majority said it would vote for an atheist candidate.
Gallup began asking a Mormon question in 1967, when former Michigan Gov. George Romney, Mitt Romney's father, was a top candidate for the GOP nomination. That year, 19% said they wouldn't vote for a Mormon for president. Now, 18% wouldn't vote for a qualified Mormon, down from 22% in 2011.


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verb. follow, pursue
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(Malabsorptive Procedure, Roux-en-Y Gastric Bypass, Biliopancreatic Diversion)
Gastric bypass surgery, a type of bariatric surgery (weight loss surgery), is a surgical procedure that alters the process of digestion. Bariatric surgery is the only option today that effectively treats morbid obesity in people for whom more conservative measures, such as diet, exercise, and medication have failed.
There are several types of gastric bypass procedures, but all of them involve bypassing part of the small bowel by greater or lesser degrees. For this reason, procedures of this type are referred to as malabsorptive procedures, because they involve bypassing a portion of the small intestine that absorbs nutrients.
Some of these procedures also involve stapling the stomach to create a small pouch that serves as the "new" stomach or surgically removing part of the stomach.
Although a gastric bypass procedure is malabsorptive, it may also be restrictive because the size of the stomach is reduced so that the amount of food that can be eaten is "restricted" due to the smaller stomach. While malabsorptive procedures are more effective in causing excess weight to be lost than procedures that are solely restrictive, they also carry more risk for nutritional deficiencies.
Roux-en-Y gastric bypass (RGB)
Roux-en-Y gastric bypass, the most commonly performed bariatric procedure, is both malabsorptive and restrictive. This surgery can result in two-thirds of extra weight loss within two years. The procedure involves stapling the stomach to create a small pouch that holds less food and then shaping a portion of the small intestine into a "Y". The "Y" portion of intestine is then connected to the stomach pouch so that when food is being digested it travels directly into the lower part of the small intestine, bypassing the first part of the small intestine (called the duodenum) and the first part of the second section of the small intestine (called the jejunum). The effect of bypassing these sections of the intestine is to restrict the amount of calories and nutrients that are absorbed into the body.
The Roux-en-Y gastric bypass may be performed with a laparoscope rather than through an open incision in some patients. This procedure uses several small incisions and three or more laparoscopes--small thin tubes with video cameras attached--to visualize the inside of the abdomen during the operation. The surgeon performs the surgery while looking at a TV monitor. Persons with a Body Mass Index (BMI) of 60 or more or those who have already had some type of abdominal surgery are usually not considered for this technique. A laparoscopic method allows the doctor to make a series of much smaller incisions. Laparoscopic gastric bypass usually reduces the length of hospital stay, the amount of scarring, and results in quicker recovery than an open procedure.
Biliopancreatic diversion (BPD)
A biliopancreatic diversion is both restrictive and malabsorptive, and is a more complicated procedure than the Roux-en-Y procedure. In this procedure a large part of the lower stomach is removed. The small part of stomach that is left is connected directly to the last part of the small intestine (jejunum). As food is digested, it completely bypasses the duodenum and the jejunum. Because this procedure may result in nutritional deficiencies, it is not as commonly performed.
A variation of the biliopancreatic diversion is a procedure called the duodenal switch (BPD-DS). More of the stomach is retained, including the valve that controls the release of food into the small intestine. This helps to prevent the "dumping syndrome" which can result in vomiting or diarrhea. A small part of the duodenum is also retained.
Digestion is the process by which food and liquid are broken down into smaller parts so that the body can use them to build and nourish cells. Digestion begins in the mouth, where food and liquids are taken in, and is completed in the small intestine. The digestive tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus.
The stomach is where the three mechanical tasks of storing, mixing, and emptying occur.
Normally, this is what happens:
The food is then digested in the small intestine and dissolved by the juices from the pancreas, liver, and intestine, and the contents of the intestine are mixed and pushed forward to allow further digestion.
Malabsorptive procedures alter this process in different ways depending on the type of procedure.
Bariatric surgery is performed because it is currently the best treatment option for producing lasting weight loss in obese patients for whom nonsurgical methods of weight loss have failed.
Potential candidates for bariatric surgery include:
Because the surgery can have serious side effects, the long-term health benefits must be considered and found greater than the risk. Despite the fact that some surgical techniques can be done laparoscopically with reduced risk, all bariatric surgery is considered to be major surgery.
Although not all risks with each procedure are fully known, bariatric surgery does help many people to reduce or eliminate some health-related obesity problems. It may help to:
Surgery for weight loss is not a universal remedy, but these procedures can be highly effective in people who are motivated after surgery to follow their doctor's guidelines for nutrition and exercise and to take nutritional supplements.
There may be other reasons for your doctor to recommend a gastric bypass procedure.
As with any surgical procedure, complications may occur. Some possible complications include, but are not limited to, the following:
With Roux-en-Y gastric bypass procedures, malabsorptive symptoms may be more serious with an increased risk of anemia and loss of fat-soluble vitamins (vitamins A, D, E, and K). Adequate amounts of iron, calcium, and vitamin B12 may not be absorbed. This can cause metabolic bone disease and osteoporosis.
Stomal stenosis occurs when there is a stricture (tightening) of the opening between the stomach and intestine after a Roux-en-Y procedure. When this occurs, vomiting after eating and sometimes after drinking may occur. Stomal stenosis can be treated easily, but should be treated immediately.
"Dumping syndrome" is also more likely to occur with these procedures because the food in the stomach moves to the intestines quickly. Symptoms include nausea, sweating, fainting, weakness, and diarrhea.
There is a risk that additional surgery may be necessary because of complications, including gallstones.
One of the most serious complications of gastric bypass is a stomach leak that can cause peritonitis to develop. Peritonitis is an inflammation of the peritoneum, the smooth membrane that lines the cavity of the abdomen.
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure.
Gastric bypass surgery requires a stay in the hospital. Procedures may vary depending on which type of procedure is performed and your doctor's practices.
Gastric bypass surgery will be performed while you are asleep under general anesthesia. Your doctor will discuss this with you in advance.
Generally, gastric bypass surgery follows this process:
After the procedure, you will be taken to the recovery room for observation. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Malabsorptive stomach surgery usually requires an in-hospital stay of several days.
You may receive pain medication as needed, either by a nurse or by administering it yourself through a device connected to your intravenous line.
You will be encouraged to move around as tolerated while you are in bed, and then to get out of bed and walk around as your strength improves. This is very important, as it helps to prevent blood clots from forming.
At first you will receive fluids through an IV. After a day or two you will be given liquids, such as broth or clear juice, to drink. As you are able to tolerate liquids, you will be given thicker liquids, such as pudding, milk, or cream soup, followed by foods that you do not have to chew, such as hot cereal or pureed foods. Your doctor will instruct you about how long to eat pureed foods after surgery. By one month after your procedure, you may be eating solid foods.
You will be instructed about taking nutritional supplements to replace the nutrients lost due to the reconstruction of the digestive tract.
Before you are discharged from the hospital, arrangements will be made for a follow-up visit with your doctor.
Once you are home, it will be important to keep the surgical area clean and dry. Your doctor will give you specific bathing instructions. The stitches or surgical staples will be removed during a follow-up visit.
The incision and abdominal muscles may ache, especially with deep breathing, coughing, and exertion. Take a pain reliever for soreness as recommended by your doctor. Aspirin or certain other pain medications may increase the chance of bleeding. Be sure to take only recommended medications.
You should continue the breathing exercises used in the hospital.
You should gradually increase your physical activity as tolerated. It may take several weeks to return to your previous levels of stamina.
You may be instructed to avoid lifting heavy items for several months in order to prevent strain on your abdominal muscles and surgical incision.
Weight loss surgery can be emotionally difficult because you will be adjusting to new dietary habits and a body in the process of change. You may feel especially tired during the first month following surgery. Exercise and attending a support group may be helpful at this time.
Notify your doctor to report any of the following:
Following gastric bypass surgery, your doctor may give you additional or alternate instructions, depending on your particular situation.
Click here to view the
Online Resources of Men's Health


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SabreDAV allows you to easily integrate your existing Web application with WebDAV. It supports most of the common clients, including the Mac OS X Finder, the Windows XP/Vista Explorer, DavFS2, Cadaver, NetDrive, and WebDrive. It supports class 1, 2, and 3 WebDAV servers. It implements RFC2518 and revisions from RFC4918. It also implements RFC2617 (Basic/Digest auth).
Alaya is a primitive chrooting Web server with basic WebDAV support. It can serve HTTPS and HTTP, and can authenticate using PAM, /etc/shadow, /etc/passwd, or using its own authentication files that allow for 'native' users that only have access to alaya content. It's intended to be a simple method of sharing content over WebDAV, and though it can be configured with a config file, it's easy to configure by command-line switches alone. Alaya always chroots to ensure that malicious users can't use '..' within a URL to access unintended documents, and that users can't accidentally leave documents in places outside of the chroot. It has a 'ChHome' mode that chroots users into their home directory and serves content from there. It supports .cgi scripts out of a trusted path (so not from within the chrooted WebDAV share) and read-only shared directories that are outside of the chroot (allowing access to shared content when in ChHome mode).
Duplicati is a backup system and an implementation of Duplicity. Duplicati enables you to set up and monitor backups on Windows or Linux. Duplicati is based on the Linux-only Duplicity backup system. Duplicati has a very user friendly interface that allows you to configure and monitor your backups. It supports backing up to a variety of destinations, such as a network folder, a USB disk, a remote FTP server, a remote SSH server, Amazon S3 storage, or a WebDAV enabled server. All backups can be encrypted and are digtally signed, so that no other person can read or tamper with the backed up data.
Simple Groupware is a complete enterprise application offering email, calendaring, contacts, tasks, document management, synchronization with cell phones and Outlook, full-text search, and much more. Simple Groupware combines standards like RSS, iCalendar, vCard, IMAP, POP3, SMTP, CIFS, CSV, WebDAV, LDAP, and SyncML under one platform. Unlike other groupware software, Simple Groupware contains the programming language sgsML to enable the quick customization and creation of powerful Web applications.
Super Flexible File Synchronizer lets you back up your data and synchronize PCs, Macs, servers, notebooks, and online storage space. You can set up as many different jobs as you need and run them manually or by using the scheduler. The software works with local hard drives and any other mounted volumes. In addition, it comes with support for FTP, SSH, HTTP, WebDAV, Amazon S3, and Google Docs. You can use Zip compression and data encryption. There are powerful synchronization modes, including Standard Copying, Exact Mirror, and SmartTracking.
BarracudaDrive makes it simple to run your own private cloud server. It lets you take complete control of your files, and eliminates the dangers of entrusting the privacy of your sensitive data to third-party Web portals. With BarracudaDrive, your home or business computer network becomes a secure online storage system. You can access and share files using any Internet-enabled computer, smartphone, or tablet.
PaderSyncFM is a file manager for BlackBerry, Java ME, and Android devices. It stands out from other file managers by providing access to FTP, SFTP, WebDAV, and SMB file servers. Moreover, the support for SOCKS, HTTP, HTTPS, and SSH protocols allows the application to cross network borders.


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Kleer-Fax 80000 Series Side Tab Legal Index Dividers - Letter-size index dividers feature printed numbers on the side tabs. Tabs are laminated for extra-long life and come unpunched so they may be used in a variety of binding systems. Dividers feature Helvetica Bold type and are interchangeable with Avery-style exhibit dividers. Dividers are made with at least 30 percent post-consumer material.
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With winter solstice right around the corner (it falls on December 21st this year), we have short and dark days ahead. Not only is lighting essential but also makes a big impact on a home's overall look and feel. For those of you that want to continue to have light-filled rooms but are wondering how you will add more lighting, don't fear you can illuminate your space and amplify your style with these favorites I have to share.
Most homes don't have a lot of natural light. If that's true for your home, then adding floor lamps is a great option for a simple and easy fix. Floor lamps also provide a cozy corner with the perfect light for reading.
Ceiling fixtures contribute ambient lighting in a fashionable way that can highlight any design aesthetic. Whether you simply want to add a new look to your dining room, add functional lighting to your kitchen, or add a stunning fixture to your bedroom (similar to the above photo), a ceiling light may be the answer when long winter months drag on.
Here are a few of my favorite lighting options that you could add to your home:
Top Left: Robert Abbey Jonathan Adler Meurice Nickel Chandelier – Place this in your living room, nook or bedroom and your room will have no problem being fully lit from all of these lovely, tiny globe bulbs.
Top Right: Lafitte Clear Glass 10-Inch-W Jamie Young Pendant Chandelier - Mouth-blown clear glass shade has unique texture and style.
Middle: Jonathan Adler Havana Polished Nickel White Shade Floor Lamp – If you need a little extra light on a gloomy day add a floor lamp in the corner. This Jonathan Adler lamp features three cocktail shaker-like lights on adjustable arms and has multiple lighting settings.
Bottom Left: Double Gourd Slate Grey Ceramic 27-Inch-H Table Lamp – Put a pair together and place them on either side of a couch in your living rom or on your bedside table. The acrylic base gives this gourd lamp a more modern feel.
Bottom Right: Delta Lily Robert Abbey Modern Table Lamp - Would be perfect on a desk or entry table for a clean and contemporary home.
Images: Crystal Gentilello, SFGirlbyBay
We love geometric art and of course modern architecture so when the two of them are combined you get stunning results.Technology has allowed architects to create work way beyond the standard box that many associate modern architecture with.The BiCentennial Civic Center (above) is constructed from faceted prisms made out of concrete.This creates a very unique play of light and shadow.
We were just talking about light and shadow, right? Now add color! Not only does architecture look like modern art, but it creates art on these white walls.
A crystal geometric ceiling light will create amazing play on light and shadow in your interior. Its like an expolosion in the sky!
Inertia Crystal 24" Wide Corbett Flushmount Ceiling Light
The bold black and white triangular facade wrapped around this dome structure creates a strong and dynamic backdrop to this urban Tokyo setting.
Modern pendant lighting can create this same dynamic feeling in your setting. This black and white geometric pendant (below) would be perfect!
Tetra Tiffany Style 7-Inch-W Pendant Chandelier
Traditional Japanese wood construction has morphed with modern day technology to create a stunning facade that looks more like a sculpture than a place to conduct business.
If you aren't lucky enough to live or work in one of these geometric architectural works of modern art then you can always bring geometric home decor into your modern interior.
Images: ArchDaily, Pinterest, Giant Ginkgo, Coolhunter
Wherever art collector, philanthropist and billionaire Eli Broad goes, star architects follow. As the lead donor for UCLA's Broad Art Center (2000), LACMA's Broad Contemporary Art Museum (2003), and the Eli and Edythe Broad Art Museum at Michigan State University (2007), he has brought big names like Richard Meier, Renzo Piano and Zaha Hadid respectively to modern architecture, specifically museum design. And with his current project, the Broad Museum (situated next to the Gehry-designed Walt Disney Concert Hall in downtown Los Angeles), Broad introduces relative newcomers Diller Scofidio + Renfro to the list.
With more than 2,000 contemporary works of art to his and his foundation's name, Broad's art collection is too expansive to list, so I'll stick to the monuments erected to house it. First up is the Broad Museum, currently under construction (pictured above and below).
Nobody walks in L.A., and to that end cars feature prominently in this design, visible through wide glass windows on the lobby level as they enter the underground parking lot.
The just-opened design at Michigan State University in East Lansing, Michigan, is all Zaha Hadid--skewed lines and angles taken straight from a science fiction movie (below).
The windswept lines continue on to the interiors, where even the recessed fixtures continue with an asymmetrical theme.
The least adventurous of Broad's museums is the Piano designed BCAM at LACMA (pitcured below). Given that the institution is partially taxpayer-funded, the austere design is a bit more understandable.
In truth, the most prominent feature of the new wing is artist Chris Burden's light sculpture located next door (check out our earlier story about Chris Burden's artwork). If you're so inclined, feel free to shop our modern post lights and build an art installation of your own at home.
Lighting isn't only used as artwork, as the above picture would have you think. At museums and in the home, it's a critical part of viewing artwork. In recent years, the art world has increasingly eschewed traditional incandescent picture lights in favor of modern recessed lighting and fluorescent and halogen fixtures. Here are a few of my favorite designs for lighting contemporary art:
Juno 4" Low Voltage Chrome Adjustable Recessed Light Trim
Louvre 18" Wide Satin Nickel Finish Plug-In Picture Light
Starting your own personal art collection is a lot of fun. And who knows, someday you may find yourself gifting your art collection to museums across the country too. This is the season of giving after all.
Images: Arch Daily, Architect Magazine, Fabrik, Experiencing L.A.
Every year, Americans head south in the winter for a growing conglomeration of art and design fairs. In early December, the art world descended upon Miami for a weekend-long collection of more than 20 art fairs. In the next few months Southern California will see a handful of fairs, beginning with Los Angeles in January (the L.A. Art Show, Art Contemporary L.A., and Photo L.A.) and Palm Springs in February (Palm Springs Fine Art Fair and the Modernism Show).
Folks line the halls of convention centers and pop-up tents for these weekend-long parties, taking in thousands of works on sale, along with a never-ending series of art installations, performances and symposia by day. At night, luxury lifestyle brands foot the bill at any number of exclusive parties (see Pae White's city block-sized oceanfront installation from 2009 below)...Don't worry about getting a formal invite. Someone always knows someone in the art world.
To get your hands on a piece of art work, you can expect to pay as much as $1 million, but the window shopping is free and as good of a reason as any to attend an art fair. And for that, we recommend taking in Design Miami. There was no shortage of eye candy at this year's event (December 5-9, 2012), from the inflated tube foyer by NYC-based Snarkitecture pictured below...
...to the design installations inside:
A stark yet composed contrast was the name of the game at Design Miami, which got me thinking about how to get this same effect at home. Use throw pillows with bold patterns. Contemporary wall sconces with raw bronze finishes and rustic wood furniture. Graphic, text-based wall art. Effective pop of color such as red or orange modern table lamps.
Zuo Haxby Walnut and Glass Modern Coffee Table, Set of 2 Black and White Zig Zag Toss Pillows, Possini Lighting on the Square Bronze Modern Bath Wall Light, Splash Modern Coral Ceramic Rectangular 26-Inch-H Table Lamp, Family Rules White on Black 20" High Motivational Wall Art
Of course, if you've got some extra wall space and are in the market, art fairs are an excellent opportunity to find original art too. Remember, dealers are there to sell artwork and to that end, many are willing to offer payment plans and even discounts on your first piece of artwork. It's also possible to find work from emerging artists at a very reasonable price. So while it's too late this year for Miami, head to Southern California in January and February. The sun will be out and the art will too.
Images: The Saunders Blog, No Artificial, Backstage At, Ur Design, Paperblog, The Decorating Diva
Many of you are either planning your holiday getaways to a beautiful Winter wonderland or maybe you're living in it already. Wouldn't it be nice to be walking through a beautiful snow-covered landscape and stumble upon modern architecture to keep you warm and cozy?
This modern cabin (above) would be exceptionally great because you could just lounge around and watch it snow for hours with those big window walls. Curl up in a modern chair, sip on some cocoa, and read your favorite book...that's what we would do!
Zuo Draper White Lounge Chair
A modern sofa with soft fabric and layers of cushions seems like the perfect addition to any modern cabin. Adding textures in a soft neutral palette with gray, white, and tan will give your home a serene feeling, keeping it warm and cozy.
A rustic modern cabin on a lake would also be a great vacation in a winter wonderland!
How beautiful would it be to walk into a rustic cabin and discover a bright modern interior filled with all-white furnishings? The gorgeous snow covered forest wallpaper makes you feel like you're still in the snowy outdoors, but you would be warm and curled up on a modern white sofa. The only thing that's missing is a stylish floor lamp so you can read and fill yourself with knowledge on your relaxing getaway.
Sabine Polished Nickel Arteriors Home Floor Lamp
If you didn't think a trip into the snow was right for you this holiday season, maybe we changed your mind... Happy Holidays to you all!
December, 2012
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What does AOL mean in Funnies?
This page is about the meanings of the acronym/abbreviation/shorthand AOL in the Miscellaneous field in general and in the Funnies terminology in particular.
Aliens On Line
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What does AOL mean?
- AOL Inc. is a multinational mass media corporation based in New York City that develops, grows, and invests in brands and web sites. The company's business spans digital distribution of content, products, and services, which it offers to consumers, publishers, and advertisers. Founded in 1985 as Quantum Computer Services, an online services company by Jim Kimsey from the remnants of Control Video Corporation, AOL has franchised its services to companies in several nations around the world or set up international versions of its services. AOL is headquartered at 770 Broadway in New York but has many offices in cities throughout North America. Its global offices include Bangalore, India; Dreieich, Germany; Dublin, Ireland; London, United Kingdom; and Tel Aviv, Israel. As of October 2012, it serves 2.9 million paid and free domestic subscribers. AOL is best known for its online software suite, also called AOL, that allowed customers to access the world's largest "walled garden" online community and eventually reach out to the Internet as a whole. At its peak, AOL's membership was over 30 million members worldwide, most of whom accessed the AOL service through the AOL software suite. AOL was ranked fourth in a 2007 USA Today retrospective on the 25 events that shaped the first 25 years of the Internet and was named to the ".com 25" by a panel of Silicon Valley influencers on the occasion of the same anniversary.
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"AOL." Abbreviations.com. STANDS4 LLC, 2018. Web. 25 Apr. 2018. <https://www.abbreviations.com/term/59842>.