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subset: commoncrawl


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Cameroon capture gold at men's pool F World Championship Qualifier in Chad
Ndjamena, Chad, July 8, 2013 - On the third and final day of the Pool F qualification tournament for the 2014 FIVB World Championship, the Cameroon men's volleyball team captured gold after defeating Congo Brazzaville 3-0 (20-25, 17-25, 19-25).
The victory improved Cameroon's win-loss ratio to 3-0 to win the tournament, while Congo dropped to 2-1 to take second place.
Host Chad took the bronze medal after beating Gabon in a marathon five-set match, which they won 3-2 (25-19, 23-25, 25-21, 20-25, 15-13) leaving Gabon at the bottom of the table.
The four teams in the tournament secured their tickets to the zonal phase, the second round of the qualifications to be held in October and November 2013 after the withdrawal of DR Congo and the Central African Republic.
Final Ranking
1. Cameroon


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call for pricing
2 bed · 2 bath · 1,889 SQFT
Stunning South Beach 1,900sqft Luxury Loft! Bay front setting with prized Downtown Skyline views. Benefit from the full-service amenities of The Capri complex, along with the privacy of Townhome living. Featuring double height glass windows facing the water, this 2 bedroom plus loft/den offers the highest level of finishes including: marble flooring, Poggenpohl cabinetry, European bathrooms, and Subzero, Wolf & Miele appliances. Stroll to Sunset Harbour and Lincoln Road and enjoy life!
Maritza Diaz, PA
Remax advance realty


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Noonan: ObamaCare Disaster Recovery
Lawmakers—especially Democrats—have a historic opportunity. Will they seize it?
Congress right now has a historic chance—really, it could wind up in the history books next to the stopping of FDR's court-packing scheme in 1937—to hold back ObamaCare. Congress can delay it, or pass a law mandating or allowing insurance companies to continue insuring everyone they just threw off coverage. Heck, they could try to vote now, under new conditions and with the American people behind them, to repeal the whole thing.
And who knows, they just might....


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Cv necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 120 diseños de 45 diseñadores freelance.
DTV Recruitment
We are a young, dynamic, specialist recruitment and staffing company - with a focus on headhunting. We work exclusively within the digital media arena and work with the industry leaders. Geographically our work spans across Europe however within a year we will have expanded to Asia. We represent quality and see ourselves as a unique 'breath of fresh air' to the industry. We sit within a competitive industry however our competition is mainly digitial media organisations as oppose to other professional headhunters. We want to project the image of boutique, specialists however we also want to project the gravitas of seasoned professionals who have been working within the industry for a while.
Our target audience are New Media professionals. These people work in developing new technologies in video, audio and interactive services.
Our typical clients / candidates come from companies across Europe delivering the future technologies of 3DTV, Video-On-Demand, Internet-TV (IPTV), Digital Video Broadcasting, Mobile TV, .. So we are in a very high-tech / innovative environment.
Here are a some companies that work within our industry:
An example of one of our direct competitors:
Within this market it is essential that we can compare ourselves with the above. The most succesful organisations within this space are companies that are specialists within the field.
The logo for our company will be the first impression to our clients and candidates. Within such a competitive industry the logo has to convey one important message: 'We have gravitas, we are specialists and talking to us will not be a waste of your time'.
Our specialism should not be centralised around 'recruitment'. Our specialism needs to be centralised around Digital media, with recruitment being our USP.
Specifically, the logo, once taken out of context of the website for example should not scream recruitment, it should capture digital media. The digital media we deal within is all around digital broadcasting in general. For example; projects in this arena would be the creation of new technologies within video transmission or the creation, from scratch, of a freeview box for a major broadcaster.
Descubre cómo funciona un concurso de diseño u obtén más información sobre nuestros servicios de diseño de logo.


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NEW LONDON, Conn.--Greg Ahnrud has been named
an assistant men's and women's track and field coach at the Coast
Guard Academy.
Ahnrud served as an assistant coach for both cross country and track & field at Rhode Island College from 2009-2012 where the women's team set
18 individual records and five relay school records and the men's team set
13 individual records and eight relay school records during his time at the school.
The last two seasons, the RIC men's outdoor track team had its best finishes at the New England Championships, placing 10th in 2011 and seventh last season of the over 50 schools competing.
Ahnrud competed for the Rhode Island College cross country and track programs from 2006-08 after transferring in from Assumption College. During his time as an athlete at RIC, he served as a team captain and was a middle distance event specialist where he earned New England Alliance Conference honors several times. During the cross country season, he was one of their top runner's at the conference and regional stages.
Coach Ahnrud holds both a USATF Level 1 and Level 2 (distance) coaching certificate. His coaching background is also highlighted with experience in strength training and gait analysis.
He received his bachelor's degree in political science and history from Rhode Island College in 2008. Ahnrud is currently working on his master's degree in public administration from the University of Rhode Island.


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I formatted a partition with "Media Toolbox" with the new Amiga filesystem JXFS and it shows it saved in the settings, but when I reboot and try to format the disk the Format program doesn't see the partition! Any advice would be appreciated. Especially since i'm interested in seeing how this new FS works over SFS and FFS.. Thank you
ps using Pegasos 2 on board ide and 200mb maxtor drive.


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Novak Djokovic made a major change to his career in December and his first test turned out to be a huge failure as he was knocked out of the Australian Open in the quarterfinals, losing 9-7 in the fifth set to Stanislas Wawrinka.
Djokovic, who entered this tournament as the three-time defending champion, was playing in his first major tournament since hiring six-time Grand Slam champion Boris Becker to be his coach in December.
The loss was the first time Djokovic failed to reach the semifinals of a Grand Slam since 2010, a stretch of 14 tournaments that included five wins and five runner-ups.
Djokovic told 360Sport.com in December that he specifically hired Becker to help him win more Grand Slam tournaments and to give him "that mental edge."
Djokovic has already had a hugely successful career with six Grand Slam titles and noted that there would only be minor tweaks to his game under Becker. But unfortunately for Djokovic, his career will always be compared to those of his contemporaries, Rafael Nadal and Roger Federer, who have won 30 Grand Slam titles combined.
Hiring Becker was a calculated move as Djokovic tries to play catch-up. But so far, he has taken a big step back instead of any steps forward.


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I'd be the first to admit that I don't exactly know much about this topic and the initial research I've done on it has simply led to greater confusion. My current understanding (which I'm pretty sure is wrong) lies around the thought that feudalism was in decline due to the changing nature of Europing becoming more "centralized" and needing less fragmentation.
What I said above should've hinted that my knowledge is extremely flaky so if possible use pleb terminology. :)


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Education Coordinator is very similar to another occupation for which we have
a full profile.
Check out our full profile for:
Health Educators
Promote, maintain, and improve individual and community health by assisting individuals and communities to adopt healthy behaviors. Collect and analyze data to identify community needs prior to planning, implementing, monitoring, and evaluating programs designed to encourage healthy lifestyles, policies and environments. May also serve as a resource to assist individuals, other professionals, or the community, and may administer fiscal resources for health education programs.
Advanced Cardiovascular Life Support Coordinator (ACLS Coordinator)
Area Coordinator
Basic Life Support / Cardiopulmonary Resuscitation Program Coordinator (BLS / CPR Program Coordinator)
Certified Diabetes Educator
Child Development Specialist
Child Health Associate
Clinical Instructor
Clinical Nurse Educator
Clinical Nurse Specialist
Community Educator
Community Health Consultant
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Education Coordinator
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Public Health Advisor
Public Health Analyst
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Public Health Instructor
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Public Health Technologist
Staff Development Assistant
Tobacco Prevention Health Educator


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On May 22, Rochester became the seventh city to "ban the box." The "box" is the single check box on an employment application inquiring about an applicant's criminal history. Effective Nov. 18, 2014, most Rochester public and private employers must comply with a new ordinance that restricts the timing of pre-employment inquiries about a candidate's criminal history and prohibits using the criminal history "box" on employment applications.
The ban-the-box movement recently has made significant inroads across the country. Laws requiring both public and private employers to eliminate the box have been approved in Baltimore, Buffalo, Newark, Philadelphia, San Francisco and Seattle, along with four states: Massachusetts, Minnesota, Rhode Island and Hawaii. Numerous other jurisdictions have enacted similar laws that are applicable to public employers only.
Both public and private employers in Rochester must now become familiar with the nuances of the city's ban-the-box ordinance. Moreover, if they have employees in any of the other jurisdictions with similar legislation, they should be aware of the differences and adjust their practices accordingly.
Compared with other jurisdictions, Rochester has enacted legislation that takes a middle-of-the-road approach to the timing of inquiring about a criminal conviction. The local ordinance prohibits employers within city limits from inquiring about or requiring any person to disclose information about a criminal conviction until after the initial interview. If the employer does not conduct an interview, the employer must inform the applicant whether a criminal background check will be conducted and wait until after it has extended a conditional offer of employment before conducting a criminal background check or inquiring into the applicant's criminal conviction history.
By contrast, ban-the-box laws in Hawaii, Newark and Baltimore are stricter, forbidding inquiries into criminal history before an employer has made a conditional offer of employment. The other jurisdictions are less strict than Rochester, since they allow an inquiry before or during the initial interview. Buffalo, Minnesota and Rhode Island permit inquiries during the first interview, and Massachusetts and Seattle permit them after the initial application.
Compared with other jurisdictions' ban-the-box laws, Rochester's ordinance is more aggressive in its coverage. It applies to any private employer within the city of Rochester that has four or more employees. In contrast, San Francisco's ordinance applies to employers with 20 or more employees, Buffalo's ordinance applies to employers with 15 or more, and the Baltimore and Philadelphia ordinances apply to firms with 10 or more employees. Rochester's ordinance also applies within the city itself and to any of its vendors, contractors or suppliers, even if those entities are outside the city limits.
Some Rochester employers are excluded from the law's purview. For example, the ordinance does not apply to employers that are authorized by another law or by a licensing authority to inquire about criminal convictions. It also does not apply to applicants for positions in law enforcement or to employers hiring for positions where certain convictions are a bar to employment under New York or federal law. Unlike the Baltimore and Buffalo laws, however, the Rochester ordinance does not expressly exempt employers that serve children or physically or mentally disabled adults.
Failure to comply with the new ordinance may result in onerous liabilities. Unlike many other ban-the-box laws, the Rochester ordinance confers a private right of action on aggrieved persons, who may sue employers directly for injunctive relief, damages or other appropriate relief. In addition, Rochester's corporation counsel may bring an action against an offending employer and seek a $500 penalty for the first violation and $1,000 for each subsequent violation.
The Rochester ordinance is only one of several laws that protect ex-offenders. Indeed, the ordinance expressly incorporates Article 23-A of the New York State Correction Law, which prohibits employment discrimination against ex-offenders and requires employers to consider a list of factors before declining to employ them. The ordinance also refers to New York laws that prohibit employers from inquiring about youthful offender, sealed or expunged convictions.
Employers in the city of Rochester should take the following actions:
Remove any questions about criminal convictions from applications for jobs in the city.
Review hiring procedures to delay any inquiry about criminal convictions until after an initial employment interview has been conducted and, if no interview is conducted, ensure there is no inquiry about criminal convictions until after a conditional offer of employment has been made.
Provide training to employees who conduct job interviews or are involved with hiring and personnel decisions.
Consider whether the employer has employees in any other jurisdiction with similar legislation, and adjust local practices accordingly.
Trent Sutton is the office managing shareholder in the Rochester law office of Littler Mendelson. Jessica Pizzutelli, an associate in the Rochester office, co-authored this article.
6/20/14 (c) 2014 Rochester Business Journal. To obtain permission to reprint this article, call 585-546-8303 or email email@example.com.


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Two people from the Egyptian company that imported a radioactive object which fatally poisoned two people have been arrested and charged with manslaughter, police and prosecutors said Sunday.
Salim Sayyed Ahmed, 47, the owner of a pipe welding firm and a 36-year-old engineer working for him, Rifaat Mohammed Ali, were accused of failing to inform authorities that the object had gone missing.
The two were arrested Saturday and public prosecutors in the town of Qalyub, north of Cairo near the village of Mit Halfa where the deaths occurred, announced the charges Sunday. They were being held for four days.
The firm had imported the radioactive object, described by nuclear experts as iridium 192, from the United States and used it to check the fastness of gas pipe joints.
An editor of the state-run MENA news agency told AFP on Thursday that the object was radium when asked to help provide a translation from the Arabic. The authorities earlier reported it was cobalt.
But Mohammed Abdelrahman Salama, president of Egypt's Atomic Security Authority, told AFP the radioactive object was iridium.
The prosecutors accused the two of neglect for leaving the object at their worksite where a 61-year-old farmer, Fadl Hassan Fadl, found it and took it home, leading to his death and the death of his son.
Egypt's Atomic Energy Authority, in a report issued on Thursday, said it suspected the object had been dumped illegally to avoid paying the fees charged to dispose of radioactive waste at its site.
The farmer and his son Hassan Fadl Hassan both died in June from exposure to the object while five more family members have been treated in hospital -- CAIRO (AFP)
© 2000 Al Bawaba (www.albawaba.com)


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Adjusting Orthoses: Simple Solutions To Common Complaints
Troubleshooting orthoses is a vital skill when a patient returns with a complaint about the prescribed device. This author presents a guide to remediating common problems, including addressing arch irritation, how to add valgus extensions and keys to adjusting orthoses for shoe fit. There are several skill sets that are required for an accomplished practitioner of orthotic therapy. Those include the ability to analyze a patient's biomechanics in a manner that allows for the determination of proper mechanical therapy; the ability to write an orthosis prescription that addresses the patient's issues; and the ability to take a proper cast or image of the foot. The final critical skill set, and the one that I will address in this article, is the ability to troubleshoot and adjust orthoses. Over the past decades, there has been a decreased emphasis in podiatric schools and residencies on orthotic therapy education, including education focused on orthotic troubleshooting, modifications and adjustments. In addition, most podiatric continuing education programs poorly address orthotic therapy. Practitioners who wish to advance their orthotic therapy practice have several options to enhance their skills. One of the most effective and easiest methods is to use orthotic labs that have podiatric consultants on staff. Look for labs that have a podiatrist available for consultation every business day and then use them. At least initially, request a consult on every patient for whom you prescribe orthoses. Not only will you likely write a more effective prescription but you will be learning at the same time. The best labs will have consultants who closely follow the literature pertaining to orthotic therapy. Also, look for labs that encourage you to send pictures and videos of your patients to the consultants. Other methods to enhance skills include visiting the offices of podiatrists who specialize in orthotic therapy and, if you can find them, attending seminars that incorporate an orthotic therapy component.
What Basic Troubleshooting Skills Should You Have?There are a few basic troubleshooting skills that every orthotic practitioner should be able to easily perform in the office. These include adjusting for arch height in cases of arch irritation or when the patient feels the orthosis is pushing them too far laterally; adding covers and cushioning; adding modifications such as metatarsal pads and heel lifts; and adding forefoot extensions such as reverse Morton's extensions. In order to perform these adjustments, there are a few basic pieces of equipment and materials that every orthotic practitioner should have in the office. This includes a grinder and a method to polish orthoses after grinding. A gluing station, preferably with a hood, is necessary. Practitioners will also need materials to add cushion and accommodation. Most offices should be able to get by with the following accommodation materials: • Korex for Morton's/reverse Morton's extensions, varus/valgus extensions, aperture • Poron for cushioning • Self stick metatarsal pads • Self stick wedges Talk to the podiatric consultants at your orthotic lab about the most useful equipment and materials to use in the office for orthotic modifications. If you have the option, a visit to an orthotic lab can provide a useful lesson on orthotic adjustments.
When Orthotic Adjustments Are NeededThere are several general categories that require one to make an adjustment to an orthosis. Direct discomfort. In this situation, patients find that the orthosis causes pain when they wear the devices. This occurs commonly in the arch (for example, the arch feels too high) but can occur at any point where the orthosis makes contact with the foot. Continued symptoms. In these cases, the patient may find the orthosis comfortable but continues to have symptoms. If there are orthotic adjustments that might further reduce symptoms, then an orthosis adjustment is called for. New symptoms. In this situation, patients may not notice any direct irritation from the orthoses and they may have had resolution of their original symptoms, but they now have developed new symptoms. For example, patients may develop knee pain when they wear a new orthosis they received for treatment of plantar fasciitis. Shoe fit. Either due to poor shoe choices or poor communication, patients may find that their orthoses will not fit in the shoes they plan to wear.
How To Make Adjustments For Direct DiscomfortArch irritation is the most common direct discomfort issue that requires adjustment and these adjustments may be required more often when orthotic prescriptions are based on evidence in the literature. Studies over the past decades have shown that for many of the most common pathologies for which we prescribe orthotics, orthoses that conform closer to the arch of the foot are more effective than those that gap from the arch of the foot. These include studies that give guidance to how one should write orthotic prescriptions for the treatment of plantar fasciitis, metatarsalgia and hallux limitus. In a 1996 cadaveric study, researchers demonstrated that orthoses that conform closely to the arch of the foot more effectively reduce plantar fascia tension.1 Another study focused on the effect of a total contact insert and a metatarsal pad on metatarsal head peak plantar pressures and pressure-time integrals.2 The study authors concluded that the total contact insert and metatarsal pad led to substantial and additive pressure decreases under the metatarsal heads. By increasing the contact area of weightbearing forces, the total contact insert lowers excessive pressures at the metatarsal heads. Roukis and colleagues concluded that preventing first ray plantarflexion led to hallux limitus.3 The authors also found that when the first ray could plantarflex, there was an increase in available first metatarsophalangeal joint (MPJ) dorsiflexion. This study shows that orthotic devices that conform close to the arch, thus preventing first ray dorsiflexion, will enhance windlass function. Harradine found that increasing heel eversion, which dorsiflexes the first ray as the medial forefoot is forced into the supporting surface, reduces the first MPJ's available dorsiflexion.4 These studies indicate that orthoses that prevent first ray dorsiflexion — usually devices that conform close to the arch when the first ray is dorsiflexed — enhance hallux dorsiflexion. Although there is evidence that "total contact" orthoses can be more effective for plantar fasciitis, metatarsalgia and hallux limitus, these higher arched orthoses also lead to more potential for direct arch irritation by the orthosis. Accordingly, in order to provide patients with the best possible clinical outcomes, it is imperative that orthotic therapy practitioners be adept at adjusting for this issue. The most effective method to adjust for arch irritation depends on the orthotic's material. Polypropylene and other plastics. Arch irritation occurs when there is more force on the foot than the patient finds comfortable. To easily decrease this force on a polypropylene orthosis, grind the orthosis from the bottom to make it thinner and more flexible. One great advantage of this technique is that one can localize the adjustment to the portion of the orthosis that is causing irritation. Another advantage is that clinicians can address the force without changing the shape of the orthosis. A recommended technique is to mark the bottom of the orthosis where the patient is feeling excessive pressure. A Sharpie pen works well for this. Then simply grind the orthosis from the bottom just enough to remove the pen mark. This is usually enough to increase the flexibility of the orthosis slightly. Then let the patient try the orthosis. If the patient is comfortable, then you are done. If he or she still feels too much pressure, repeat the procedure until the orthosis feels comfortable. This technique allows a gradual increase in flexibility and helps prevent an overly flexible orthosis. Carbon fiber. Carbon fiber orthoses (often called "graphite") are more difficult to adjust as one cannot grind them thinner without the risk of the device fracturing. Clinicians can heat adjust most of the carbon fiber materials. With this material, this is the most effective method to decrease orthosis arch irritation. The disadvantage of heat adjustment, however, is the risk of losing the shape of the arch. This is a primary reason that I prefer polypropylene orthoses over carbon fiber.
Pertinent Insights On Adjusting Orthoses For Continued SymptomsAnother common reason to adjust orthoses is to accentuate the clinical effectiveness of the orthosis in a situation in which the patient does not achieve adequate relief of his or her symptoms. Let's look at how we might accentuate orthosis function for the plantar fasciitis and metatarsalgia. A 1999 study by Kogler found that valgus forefoot wedging decreased tension on the plantar fascia while varus wedging increased tension.5 Kogler stated that the most effective way to decrease strain on the plantar fascia was to evert the forefoot. An easy method to adjust an orthosis in a manner that everts the forefoot so as to decrease plantar fascia tension is to add a valgus extension to the orthosis. One can accomplish this by cutting a piece of 3 mm Korex to fit under the second through the fifth metatarsal heads. Bevel the Korex so it retains full thickness laterally and is paper thin medially. Glue it to the bottom of the topcover under the metatarsal heads. In the same George Washington University study noted above, researchers noted that metatarsal pads act by compressing the soft tissues proximal to the metatarsal heads and relieving compression at the metatarsal heads.2 A 2003 study looked at where to place metatarsal pads for the most effective reduction of pressure at a metatarsal head.6 These authors found that one should place the metatarsal pad between 6 mm and 10.6 mm proximal to the metatarsal head. These studies indicate that metatarsal pads can be an effective modification to add to a foot orthosis for patients suffering from sub-metatarsal pain, calluses and ulcers. Practitioners can make the addition of metatarsal pads simple by initially prescribing their orthoses and leaving the cover unglued on the anterior portion of the orthosis. This allows placement and modification of the metatarsal pad to ensure patient comfort. Although the study above indicates the general area to place the pad for optimum pressure reduction, there is still a subjective component and the patient will tell you where the pad is most comfortable. Let the patients move the pad (they can tape it in place) until they find the most comfortable placement. Only then should one glue the pad to the orthosis and glue the cover anteriorly.
When Patients Return With New SymptomsThe third category that might require adjustment of their orthoses is patients who develop new symptoms when they begin to wear their orthoses. The most common new symptoms I see are pain affecting the knee, hip and/or back when patients are initially wearing their orthoses. The most common cause seems to be orthoses that we prescribe to reduce excessive pronation but do so in a manner that they apply more supinatory torque then the patient can tolerate. Several studies, for example, have demonstrated that valgus wedging of the heel can reduce varus torque within the knee and symptoms associated with medial compartment osteoarthritis.7,8 Conversely, however, varus wedging may act to increase torque in the medial knee and symptoms associated with medial compartment osteoarthritis. Since in most cases a functional orthosis acts as least partially as a varus wedge, there is certainly risk for increasing medial knee pain with the use of functional orthoses. The goal when adjusting these orthoses is to decrease the "varus wedge" function. To look at it another way, we want to reduce the supinatory torque that the orthoses are applying around the subtalar joint axis or let the patient pronate a bit more. One of the easier techniques to accomplish this is to increase the flexibility of the devices by grinding them thinner in the arch as I have described above. Other options include removing the rearfoot post and/or adding a valgus extension to the orthosis.
How To Adjust The Orthotic For Shoe FitFinally, a skilled orthotic practitioner must be able to adjust for shoe fit. Listed below are a few of many modifications that one can make to allow for improved shoe fit. Narrowing the orthosis. One should narrow the orthosis only from the medial aspect. If the clinician narrows the device laterally, this allows the entire orthosis to slide laterally in the shoe and the arch of the orthosis will not match the arch of the foot. Lowering the heel cup. Since a heel cup gets wider as it gets higher, the heel cup width is often the limiting factor in allowing an orthosis to fit into the most posterior portion of the shoe. Be aware that after you lower the heel cup, you must often make the posterior wall of the heel cup thinner. Thinning the heel contact. If a patient feels that the heel is pistoning out of the shoe, thinning the heel contact point of the orthosis allows the orthosis to sit lower in the shoe and in many shoes will eliminate the pistoning.
In ConclusionTo provide patients with the best orthotic therapy and optimum outcomes, podiatrists must be skilled at adjusting and troubleshooting foot orthoses. It is beyond the scope of this article to provide instruction on performing the majority of orthotic adjustments and modifications that podiatrists might perform regularly in a podiatric clinic. What I hope is that the article will demonstrate the importance of orthotic adjustment skills in providing patients with optimum clinical outcomes and inspire students, residents and practitioners to learn the skills necessary to provide the best possible orthotic therapy for their patients. Dr. Huppin is the Medical Director of ProLab Orthotics. He is in private practice in Seattle. References 1. Kogler GF, Solomonidis SE, Paul JP. Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clin Biomech. 1996; 11(5):243-252. 2. Mueller MJ, Lott DJ, Hastings M. Efficacy and mechanism of orthotic devices to unload metatarsal heads in people with diabetes and a history of plantar ulcers. Phys Ther. 2006; 86(6):833-42. 3. Roukis TS, Scherer PR, Anderson CF. Position of the first ray and motion of the first metatarsophalangeal joint. J Am Podiatr Med Assoc. 1996; 86(11):538-46. 4. Harradine B. The effect of rearfoot eversion on maximal hallux dorsiflexion. J Am Podiatr Med Assoc. 2000; 90(8):390-3. 5. Kogler GF, Veer FB, Solomonidis SE, Paul JP. The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis. J Bone Joint Surg Am. 1999; 81(10):1403-13. 6. Hastings MK, Commean PK. Aligning anatomical structure from spiral X-ray computed tomography with plantar pressure data. Clin Biomech. 2003; 18(9):877-82. 7. Kerrigan DC, Lelas JL, Goggins J, Merriman GJ, Kaplan RJ, Felson DT. Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Arch Phys Med Rehabil. 2002; 83(7):889-93. 8. Kakihana W, Akai M, Yamasaki N, Takashima T, Nakazawa K. Changes of joint moments in the gait of normal subjects wearing laterally wedged insoles. Am J Phys Med Rehabil. 2004; 83(4):273-8.


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Last night I met up with a bunch of other Celiac/gluten-free people in Columbus. These are all people that I have met online, either through the blog world or Twitter. It was so great to put faces (and voices) with names and to meet some of their friends and/or family members. Jay at The Gluten-free Post was nice enough to organize this function with Z Pizza for us.
Once we all said "Hello" and sat down, we were given the gluten-free menu to browse over. I was very impressed by the selection of items that were gluten-free. Almost every style of pizza on the menu could be modified to be gluten-free. Heaven!! Also, they offered 2 different gluten-free beer choices!! They had New Grist and Bard's Tale.
I started off with a Greek salad. I was so excited about all the choices, I totally forgot to take a picture of it! HA! Aaron stayed home with the kids and I brought a co-worker of his who also has Celiac, Lindsay. Lindsay has only been gluten-free for 4 months, so she had yet to experience gluten-free beer. Lindsay & I decided on 2 different pizzas to share. We ordered the Moroccan. (basil, eggplant, mozzarella, feta cheese, pesto & pine nuts) and the Mediterranean (mozzarella, feta, artichoke hearts, roasted peppers, Greek olives, pili pili oil, and oregano.
The Moroccan:
The Mediterranean:
The pizzas were amazing. There is nothing like beer & pizza. Lindsay said she was "in heaven"! Lots of good sounds coming from the table at Z Pizza last night.
As we were finishing up our chatting & dinner, the staff brought out some cookies for us. We all looked around like wondering if they were gluten-free and sure enough, they were! Coconut Macaroons & Peanut Butter cookies. OMG…they were amazing!! I asked where they got them from and turns out that they make them there! This place just kept getting better & better. This is a definite repeat visit place. THANK YOU Z PIZZA & JAY!!!
After dinner some of us walked a few blocks down to Jeni's Ice Creams. I have never seen so many unique flavors!! I had to sample several before I made up my mind. I sampled the Sweet & Salty Caramel, Dark Chocolate, Lemon & Blueberries and a Pear & Riesling Sorbet. They were all amazing, but the Dark Chocolate was amazing…so smooth & rich! I got a kids size cup because I was already stuffed like a Thanksgiving turkey. I seriously could have done without the salad, but I had to have it! LOL!
This was a great night! Great company, conversation & food. It was so nice to meet everyone and I hope to see you all again at the next dinner or get together.
Filed under: Family, Gluten-Free, Gluten-free Eateries |


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Natural Standard Bottom Line Monograph, Copyright © 2013 (www.naturalstandard.com). Commercial distribution prohibited. This monograph is intended for informational purposes only, and should not be interpreted as specific medical advice. You should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.
While some complementary and alternative techniques have been studied scientifically, high-quality data regarding safety, effectiveness, and mechanism of action are limited or controversial for most therapies. Whenever possible, it is recommended that practitioners be licensed by a recognized professional organization that adheres to clearly published standards. In addition, before starting a new technique or engaging a practitioner, it is recommended that patients speak with their primary healthcare provider(s). Potential benefits, risks (including financial costs), and alternatives should be carefully considered. The below monograph is designed to provide historical background and an overview of clinically-oriented research, and neither advocates for or against the use of a particular therapy.
Related Terms
Aqua lymphatic therapy, aquatic physical therapy, balneopelotherapy, balneoradonokinesitherapy, balneotherapy, bath, climatotherapy, cold therapy, cold water cure, colonic hydrotherapy, colonic irrigation, constitutional hydrotherapy, crenotherapy, Dead Sea bath, douche, dry-air radon bath, external hydrotherapy, fomentation, footbath, home spa, hot springs, hot therapy, hot tub, hot tub therapy, ice water immersion, immersion bath, internal hydrotherapy, Jacuzzi®, jet spray, local hydrotherapy, motion-based treatment, mud bath, pack, poultice, purifying bath, radon and iodine-bromine baths, radon bath, salt bath, saltwater baths, sauna, sauna bathing, shower, siliceous baths, sitz bath, soaked towel, spa treatment, specialized bathing systems, Stanger bath therapy, sulfide mud, temperature-based treatment, therapeutic bath in mineral water, thermal spring water, thermal therapy, Turkish bath, warm saltwater immersion, warm sulfur water immersion, warm tap water immersion, water bath, water birth, water immersion, water mineral bath, Watsu®, whirlpool, whirlpool bath.
Note: This review does not include in-depth discussions of therapies that may include the use of water as a part of the technique, such as colonic irrigation, enemas, nasal irrigation, physical therapy in pools, steam inhalation, humidifiers, drinking of mineral water or "enriched" water, coffee infusions, aquatic yoga, aquatic massage (including Watsu®), or aromatherapy or baths with added essential oils.
Water has been used medicinally for thousands of years, with traditions rooted in ancient China, Japan, India, Rome, Greece, the Americas, and the Middle East. There are references to the therapeutic use of mineral water in the Old Testament. During the Middle Ages, bathing fell out of favor due to health concerns, but by the 17th Century, "taking the waters" at hot springs and spas became popular across Europe (and later in the United States).
Hydrotherapy is broadly defined as the external application of water in any form or temperature (hot, cold, steam, liquid, ice) for healing purposes. It may include immersion in a bath or body of water (such as the ocean or a pool), use of water jets, douches, application of wet towels to the skin, or water birth. These approaches have been used for the relief of various diseases and injuries, or for general well-being. There are other therapies that may include the use of water as a part of a technique, such as colonic irrigation, enemas, nasal irrigation, physical therapy in pools, steam inhalation, humidifiers, drinking of mineral water or "enriched" water, coffee infusions, aquatic yoga, aquatic massage (including Watsu®), or aromatherapy or baths with added essential oils, however, they are not discussed in-depth in this review.
Modern hydrotherapy originated in 19th Century Europe with the development of spas for "water cure" ailments, ranging from anxiety to pneumonia to back pain. Father Sebastian Kneipp, a 19th Century Bavarian monk, spurred a movement to recognize the benefits of hydrotherapy. His methods were later adopted by Benedict Lust, who immigrated to the United States from Germany in 1896 and founded an American school of naturopathic medicine. Lust claimed to have cured himself of tuberculosis with Kneipp's methods, and so hydrotherapy was included as a component of naturopathic medicine. In the present day, a wide variety of water-related therapies are used, some of which are described below.
Aquatic physical therapy/Watsu®: Physical therapy in pools is a well-established technique that takes advantage of buoyancy and resistance to movement in water. Watsu® is a Chinese form of bodywork conducted in pools.
Coffee infusions: The use of coffee infusions was developed by Dr. Max Gerson. It is thought to stimulate intestinal contractions and is used in cases of indigestible food and nausea.
Cold arm bath: For a cold arm bath, the arm is placed in a basin of cold water with the water level reaching just above the elbow.
Cold footbath: Cold footbaths involve placing the feet in a bath filled calf-deep with cold water. "Walking in water" involves stepping on a nonslip mat placed under water.
Cold rubbings: This technique may use linens or towels soaked in cold water then wrung out and vigorously rubbed on the upper and lower trunk or the entire body.
Cold water therapy (60 degrees Fahrenheit): Cold water therapy is used to stimulate blood flow in the skin and underlying muscles.
Colonic hydrotherapy: Colonic hydrotherapy uses water as a vehicle to eliminate toxins and wastes in the colon, which are either immobilized in pockets or glued to its sides. Colonic hydrotherapy frees the intestinal tract of organic wastes. During colonic irrigation, a therapist inserts a plastic tube into the person's rectum and pumps water or herbal solutions until the colon is full (called an enema). Once the colon is full, the therapist massages the abdomen area and then draws the fluid out. The procedure is repeated for up to an hour. Body-temperature water is used. Some experts in the field claim this treatment is unnecessary and possibly harmful.
Constitutional hydrotherapy: Constitutional hydrotherapy is hydrotherapy used on the whole person, usually by being wrapped in sheets and blankets of varying temperatures. Constitutional hydrotherapy is thought to reestablish normal brain function.
Dead Sea balneotherapy: There are numerous published articles regarding the use of therapeutic uses of water immersion in the Dead Sea (and other salt water bodies), particularly for chronic skin conditions. Because this therapy also involves prolonged exposure to sunlight, it is not clear to what extent possible benefits are due to the water, to minerals and high salt content in the water, to sun exposure, or to a combination of factors.
Douches: Douches may be carried out with a watering can or hose. Treatments may be applied to any area of the body, with the intention to relieve tension or pain, or to affect blood flow.
Hot fomentation: Hot fomentation involves application of warm liquid or moist heat to the surface of the body. Practitioners believe that this enhances the body's ability to fight cancer cells, viruses, and bacteria. This therapy is often used to relieve fever, because it raises the body temperature to 101-103 degrees Fahrenheit, which is suggested to reestablish the natural fever cycle, allowing the body to heal itself.
Hot water therapy: Hot water therapy (around 100 degrees Fahrenheit) is used to relax muscles and cause sweating. It is commonly used for arthritis, rheumatism, poor circulation, and sore muscles.
Internal hydrotherapy: Internal hydrotherapy consists of colonic irrigations and enemas. It also includes steam baths or inhalation of steam to relieve respiratory congestion, and drinking mineral water to restore electrolyte balance or cleanse the system.
Local hydrotherapy: Local hydrotherapy is hydrotherapy used on one part of the body.
Packs: Cold or warm packs are applied to treat certain muscular, joint, or psychiatric conditions.
Poultices: Poultices are used for health maintenance and treatment of disease.
Purifying baths: Purifying baths include bathing in solutions of chlorine bleach, sea salt, lemon juice, turmeric, Epsom salts, baking soda, or other substances in order to purify the body of radiation, toxins, or heavy metal deposits.
Rising-temperature arm bath: In the rising-temperature arm bath, arms are immersed in a bath with water at body temperature. Hot water is gradually added until the temperature reaches 103-104 degrees Fahrenheit. The whole process lasts for 10-15 minutes and may be done daily. Caution is warranted so as not to cause burns.
Rising-temperature footbath, warm footbath: In these baths, feet are immersed in water at body temperature. Hot water is gradually added until the temperature reaches 103-104 degrees Fahrenheit. The process lasts for 10-15 minutes and may be done daily. Caution is warranted so as not to cause burns.
Rising-temperature hip bath: These baths are administered in tubs initially filled with shallow, tepid water. Hot water is gradually added until levels reach the navel. A common temperature is 103-104 degrees Fahrenheit. Caution is warranted so as not to cause burns. The bather may then be wrapped in warm dressings.
Shower: Hot, cold, or alternating-temperature sprays are commonly used.
Sitz bath: A sitz bath is administered in a tub that allows the hips to be immersed in water. Sitz baths have been used in the management of back pain, sore muscles, muscle spasms, body aches, sprains, hemorrhoids, pruritus (itching), inflammation, rashes, and anxiety; for wound care and hygiene; and for relaxation. For various ailments, different temperatures may be used, and minerals or medications may be added to the water.
Spa/hot tub/whirlpool/motion-based hydrotherapy: These therapies are sometimes used in people with wounds, chronic musculoskeletal pain, or inflammation. Awareness of the risk of introducing infections into wounds and keeping wounds clean is important.
Steam bath/sauna: Heat may be used to cause sweating, and this technique is variably included in the definition of hydrotherapy. People should not spend more than 15-20 minutes in a steam bath or sauna, and individuals with medical conditions such as heart or lung disease should avoid prolonged heat exposure (as directed by a qualified healthcare provider).
Stanger bath therapy: Stanger bath therapy consists of application of a current through metal electrodes placed in a special water tub. It is most often used in the relief of pain.
Water birth: The potential benefits of giving birth in water have been explored. Water births may be as safe as vaginal births if they are conducted by experienced professionals with low-risk women.
Wraps: Hot or cold wet wraps may be used around various parts of the body. This technique is sometimes used with the intention to reduce fever or foster relaxation. Hot fomentation involves the application of warm liquid or moist heat with towels to the surface of the body.
There are numerous proposed mechanisms of action of hydrotherapy, depending on the specific technique used. Hydrotherapy practitioners and texts propose that immersion treatments and wraps may serve to detoxify the blood.
Alternating cold with hot temperatures is suggested to alter blood circulation, enhance the immune system, and improve digestion. Applying warmth to skin surfaces does cause vasodilation (expansion of blood vessels), which brings blood to the body's surface. Cold temperature has the contrary effect. Warmth also causes muscle relaxation. Some hydrotherapy techniques make use of these physiological changes, although the correlation to long-term health benefits is not clear.
Electrical stimulation is sometimes used and is suggested to stimulate muscles, digestion, and circulation (although caution is warranted due to the risks associated with using electricity while in water).
Physical therapy in water makes use of buoyancy (the ability to float) to reduce working against gravity, as well as making use of the resistance of motion through water.
It is difficult to design high-quality studies in this area due to the challenge of creating "placebo" hydrotherapy.
Scientific Evidence
These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.
Hydrotherapy has been used historically for the treatment of symptoms related to rheumatoid arthritis and osteoarthritis. Multiple studies have been published, largely based on therapy given at Dead Sea spa sites in Israel. Although most studies report benefits in pain, range of motion, or muscle strength, additional studies are needed in this important area.
Low back pain
Several small controlled trials report that regular use of hot whirlpool baths with massaging jets improves the duration and severity of back pain when added to standard therapy, compared to standard therapy alone. It is not clear if there is a reduced need for pain control drugs, or if benefits are long-standing. Because these studies are small, with flaws in design and reporting, better-quality research is necessary before a strong conclusion can be drawn.
Anorectal lesions (hemorrhoids, anal fissures)
There is preliminary evidence supporting the use of sitz baths in people with anorectal conditions, particularly for symptom relief. Sitz baths are offered to people in many hospitals. However, controlled studies are needed to determine the effectiveness and optimal use of sitz baths.
Hydrotherapy is widely used in hospitals and rehabilitation centers in the management of burns. Various techniques are used, with variations in methods, lengths of time, frequency, and training levels of personnel administering treatments. There is limited research at this time, and no clear conclusions can be drawn.
Chronic obstructive pulmonary disease (COPD)
There is preliminary evidence that daily breathing exercises in a warm pool may improve lung function measurements in people with COPD. It is not clear if this technique is superior to breathing exercises alone. Evidence from controlled trials is necessary before a clear conclusion can be drawn.
Claudication (painful legs from clogged arteries)
Studies report that hydrotherapy may improve blood flow to the legs and increase the pain-free walking distance of people with claudication due to peripheral vascular disease. Additional research is needed in this area before a clear conclusion can be drawn.
Common cold
There is preliminary evidence that daily showers with warm water followed by cold water, or cold water alone, may reduce the duration and frequency of common cold symptoms. Additional research is needed in this area before a clear conclusion can be drawn.
Diabetes mellitus
There preliminary evidence suggesting that hydrotherapy may positively affect blood chemistry in diabetes mellitus. However, there is insufficient evidence on which to base conclusions for its use or to determine realistic expectations of benefit.
Ear infection
There is limited evidence in this area. One study has shown that treatment with thermal baths cures secretory otitis media (ear infection) and reduces number of infections of the primary airways. Further research is warranted before a conclusion can be made.
There is preliminary evidence suggesting that hydrotherapy may improve endurance performance. A single study found an improvement in endurance performance after a sauna bath. Further research is required before any definite conclusion can be drawn.
Fever (hyperthermia)
There is preliminary evidence supporting the use of hydrotherapy in hyperthermia (elevated body temperature). A single study concluded that cool water reduces heat strain and increases work performance in hot environments. Further studies are required before a definite conclusion can be drawn.
Research results are mixed. Further well-designed trials are needed before a conclusion can be made.
Heart failure
Research results are mixed in this area. One human study suggested that repeated sauna treatment may reduce the risk of arrhythmias, while another suggested that this therapy may improve heart failure-related symptoms and heart rate response to exercise. Further well-designed research is needed before firm conclusions can be drawn.
High blood pressure
There is preliminary evidence supporting the use of hydrotherapy for high blood pressure. A study has found hydrotherapy useful in people with high or medium blood pressure. Further research is warranted in this area.
Preliminary research on hydrotherapy for insomnia shows inconclusive results. A single study has shown that sitting in baths of warm water had positive effects on sleep parameters. Further research in this area is warranted.
Jellyfish stings
Preliminary evidence supports the use of hot water for bluebottle stings over ice packs. However, further research is necessary before conclusions can be made.
There is preliminary research on the effects of giving birth in water on labor pain, duration of labor, perineal damage to the mother, and birth complications. Further studies of effectiveness and safety are necessary before a conclusion can be drawn.
Muscle soreness
Preliminary research suggests that using ice water may not be effective in reducing symptoms of delayed-onset muscle soreness (DOMS). Further research is warranted in this area.
Neck pain
There is limited evidence supporting the use of hydrotherapy in chronic neck pain. A study concluded that pulsed electromagnetic field therapy was superior to spa therapy in the treatment of chronic neck pain, although both were more cost effective than routine care. Further research is warranted in this area.
Pelvic inflammatory disease
There is insufficient research in this area to make a conclusion. Pelvic inflammatory disease is a potentially serious medical condition that should be evaluated by a qualified, licensed healthcare provider.
Post-menopausal bone loss
There is preliminary evidence suggesting that aquatic exercises, like other forms of weight-bearing exercises, may help increase bone mass.
Pressure ulcers/wound care
Hydrotherapy has been used in people with pressure ulcers, and preliminary research suggests that daily whirlpool baths may reduce the time for wound healing. Better research is necessary in this area before a firm conclusion can be drawn. There is a risk of infection from contaminated water if sanitary conditions are not maintained.
There is preliminary evidence from two case series studies suggesting that hydrotherapy may be beneficial in psoriasis. However, there is insufficient research in this area to make a firm conclusion.
Rett's syndrome
Limited evidence suggests that hydrotherapy may improve Rett's syndrome. Larger trials are required before any firm conclusion is drawn.
Skin conditions
There is preliminary evidence that hydrotherapy in an acidic hot spring bath may reduce the severity of symptoms in atopic dermatitis. Evidence from controlled trials is necessary before a clear conclusion can be drawn.
Spinal muscular atrophy
Some evidence suggests that hydrotherapy, when added to routine physiotherapy, may be of benefit in spinal muscular atrophy. However, there is insufficient research in this area to make a conclusion. More studies are needed.
Traumatic brain injury
There is insufficient evidence supporting the use of aquatic exercises in people with brain injury to enhance health-promoting behavior. More research is warranted in this area.
There is insufficient evidence to support the use of balneotherapy in chronic vaginitis. A single study has found balneotherapy to be effective in chronic vaginitis in groups of childbearing age. Further research is required before any definite conclusion can be drawn.
Varicose veins
Preliminary research reports improved symptoms and blood flow in people with varicose veins undergoing hydrotherapy with intermittent cold and hot water hydrotherapy. Additional research is needed in this area before a clear conclusion can be drawn.
*Key to grades:A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use; D: Fair scientific evidence against this use (it may not work); F: Strong scientific evidence against this use (it likely does not work).
The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious and should be evaluated by a qualified health care professional.
Acute tubular necrosis, alcohol withdrawal, allergies, angina pectoris, animal bites, antibacterial, anxiety, ascites, attention deficit disorder, back muscle strengthening, bacterial infections, balance disorders, bladder infections, blood clot prevention, blood flow enhancement, body tone improvement, bowel function improvement, bronchitis, cancer, candidiasis, chronic pain, complex regional pain syndrome, constipation, contusions, cough, cramps, Crohn's disease, cystitis, degenerative and inflamed joints, dental surgery adjunct, depression, detoxification (blood), detoxification from alcohol or toxins, digestive disorders, distended abdomen, drug withdrawal, eczema (anal), edema, energy level enhancement, fatigue, flu, food poisoning, fractures, gallbladder disorders, gastric acid reduction, gastrointestinal motility, glomerulonephritis, headache, hepatomegaly, high cholesterol, hormone related problems, Huntington's disease, immune stimulation, improved blood circulation, inflammatory bowel disease, influenza, irritable bowel syndrome, kidney infections, kidney stones, laryngitis, low blood pressure, lung disease, lymphatic disorders, lymphedema, menstrual cramps, mental disorders, migraine, mucositis, multiple sclerosis, muscle atrophy, musculoskeletal injuries, nasopharyngeal catarrh, neurologic disorders, paralysis, parasitic infections, peptic ulcer disease, peripheral artery disease, peritonitis, pleurisy, pneumonia, postoperative recovery, post-polio pain, pregnancy preparation, pregnancy problems, premenstrual syndrome, problems with blood sugar metabolism, prostate enlargement, prostatitis, psychiatric disorders, rectal complaints, rehabilitation, relaxation, respiratory disorders (vocal cord disorders), respiratory tract infection (Legionnaires' disease), sciatica, scleroderma, seizure disorders, septicemia (acute), sinus pain, Sjögren's syndrome, soft tissue injuries, sore throat, spine problems, sports injuries, sprains, stiffness, stress, sweating (excessive), swelling, syphilis, thrombophlebitis, tinnitus, tired eyes, toothache, trigeminal neuralgia, tuberculosis, ulcerative colitis, urinary tract infections, viral infections.
Many complementary techniques are practiced by healthcare professionals with formal training, in accordance with the standards of national organizations. However, this is not universally the case, and adverse effects are possible. Due to limited research, in some cases only limited safety information is available.
The safety of various hydrotherapy techniques has not been well studied.
Use cautiously in young children, the elderly, or people with weakened immune systems or implanted medical devices, such as pacemakers, defibrillators, or liver infusion pumps.
Use aquatic physical therapy cautiously in people with inner ear problems, spine disorders, multiple sclerosis (in warm water), orthopedic injuries, unstable joints, or any other conditions that make breathing difficult.
Use Watsu® cautiously in people with head injuries and in people who dislike intimate contact.
Use forms of hydrotherapy that expose the patient to cold temperatures cautiously in people with Raynaud's disease, chilblains, acrocyanosis, erythrocyanosis, irritable bladder, urinary tract infections, diabetes, or vascular occlusion (blood vessel blockage).
Vigorous use of water jets should be used cautiously in people with fractures, known blood clots, bleeding disorders, or severe osteoporosis.
Use cautiously in people taking sedatives, diuretics, drugs that affect the immune system, or drugs that affect blood sugar.
Use cautiously in people with high or low blood pressure or in those taking drugs that affect blood pressure.
Use cautiously in people with hemorrhoids, polycythemia rubra vera (a bone marrow disease), colitis (inflamed colon), open burns or sores, urinary tract infections, irritable bladder, sciatica (pain or weakness in the leg), enlargement of the thyroid, raised intraocular (eye) pressure, or during menstruation.
The temperature of water should always be carefully monitored, particularly when treating people with impaired temperature sensitivity, such as that caused by neuropathy.
People using psychotropic drugs or alcohol should avoid use of saunas and hot tubs.
Hot tub use should be avoided in people with seizures and during early pregnancy.
Sudden or prolonged exposure to extreme temperatures in baths, wraps, saunas, or other forms of hydrotherapy should be avoided, particularly in people with heart disease, lung disease, varicose veins, lymphostasis, edema, infections, or during pregnancy. Warm-temperature therapies can cause dehydration or low blood sodium levels, and adequate hydration and electrolyte intake should be maintained.
People with a known allergy or hypersensitivity to water should avoid use of hydrotherapy.
Dermatitis (skin irritation) may be caused by contact with contaminants or additives in water (such as essential oils or chlorine). Skin infections may occur if water is not sanitary, particularly in people with open wounds. There are several reported cases of dermatitis and bacterial skin infections (such as with Pseudomonas aeruginosa or Staphylococcus aureus) associated with hot tub or whirlpool use.
Hydrotherapy should not delay the time to diagnosis or treatment with more proven techniques or therapies, and should not be used as the sole approach to illnesses. People with known illnesses should consult their physicians before starting hydrotherapy.
Author Information
This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).
Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.
Acikel C, Ulkur E, Guler MM. Prolonged intermittent hydrotherapy and early tangential excision in the treatment of an extensive strong alkali burn. Burns 2001;27(3):293-296. View Abstract
Aderhold KJ, Perry L. Jet hydrotherapy for labor and postpartum pain relief. MCN Am J Matern Child Nurs 1991;16(2):97-99. View Abstract
Ammer K, Melnizky P. [Medicinal baths for treatment of generalized fibromyalgia]. Forsch Komplementarmed 1999;6(2):80-85. View Abstract
Beamon S, Falkenbach A, Jobst K. Hydrotherapy for asthma. Cochrane Database Syst Rev 2001;(2):CD001741. View Abstract
Brock FE. [Additive effects of vein-typical hydrotherapy according to Kneipp and topic treatment with arnica-containing gel in patients with chronic venous insufficiency-synergism of naturopathic therapies]. Erfahrungsheilkunde 2001;6:357-363.
Constant F, Guillemin F, Collin JF, et al. Use of spa therapy to improve the quality of life of chronic low back pain patients. Med Care 1998;36(9):1309-1314. View Abstract
Danesino V. [Balneotherapy with arsenical-ferruginous water in chronic cervico- vaginitis. A case-control study]. Minerva Ginecol 2001;53(1):63-69. View Abstract
Ekmekcioglu C, Strauss-Blasche G, Feyertag J, et al. The effect of balneotherapy on ambulatory blood pressure. Altern Ther Health Med 2000;6(6):46-53. View Abstract
Elkayam O, Ophir J, Brener S, et al. Immediate and delayed effects of treatment at the Dead Sea in patients with psoriatic arthritis. Rheumatol Int 2000;19(3):77-82. View Abstract
Ernst E, Pittler MH. [How effective is spa treatment? A systematic review of randomized studies]. Dtsch Med Wochenschr 1998;123(10):273-277. View Abstract
Franke A, Reiner L, Pratzel HG, et al. Long-term efficacy of radon spa therapy in rheumatoid arthritis--a randomized, sham-controlled study and follow-up. Rheumatology (Oxford) 2000;39(8):894-902. View Abstract
Kurabayashi H, Machida I, Kubota K. Improvement in ejection fraction by hydrotherapy as rehabilitation in patients with chronic pulmonary emphysema. Physiother Res Int 1998;3(4):284-291. View Abstract
Mcllveen B, Robertson VJ. A randomised controlled study of the outcome of hydrotherapy for subjects with low back or back and leg pain. Physiotherapy 1998;84(1):17-26.
Moore JE, Heaney N, Millar BC, et al. Incidence of Pseudomonas aeruginosa in recreational and hydrotherapy pools. Commun Dis Public Health 2002;5(1):23-6.
Robertson PA, Huang LJ, Croughan-Minihane MS, et al. Is there an association between water baths during labor and the development of chorioamnionitis or endometritis? Am J Obstet Gynecol 1998;178(6):1215-1221. View Abstract
Copyright © 2013 Natural Standard (www.naturalstandard.com)
The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.
March 22, 2017


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"If you're well and healthy, your pregnancy has been straightforward and you and your baby are in good physical condition, then giving birth at home is really safe," says Dr Caroline Homer, director of the Centre for Midwifery and Family Health at University of Technology Sydney.While a skilled midwife should oversee every home birth, here's everything you need to know about having your baby at home:
Who can have a home birth
Any pregnant woman in Australia can have a home birth, as long as the birth is progressing well and you don't have any medical conditions that make hospital a safer option. Mums who are having a breech birth, or giving birth to twins, are advised not to have a home birth, along with women who've had complications with a previous birth. Talk it through with your GP or midwife to find out the best solution for you.
What's involved
Tell your GP or midwife as early as possible that you're thinking of having a home birth. While some hospitals do have a publicly-funded home birth midwife unit, you may have to hire an independent midwife at your own cost. As your pregnancy progresses, you'll have continuous care with your midwife, who will be there for the birth, oversee contractions and may carry out internal examinations. A home birth midwife carries safety equipment such as oxygen, and medication to slow bleeding, and can bring along gas and air in portable cylinders on request. If you decide you want an epidural, or the birth is progressing slowly, the midwife will organise an ambulance and you'll be transferred to your nearest hospital.
The positives of a home birth
Many women choose to have a home birth so they're in a familiar, stress-free environment during labour. There's no mad dash to the hospital and pillows, music, warm water and often a birthing pool are all at hand, along with having your own bed to fall asleep in afterwards with your hubby and new baby. Family can be around for the birth and you'll be comfortable with your midwife, having gotten to know her over the course of your pregnancy. Your midwife will also be around in the days after the birth, helping with breastfeeding and visiting you to check on your wellbeing. Every woman can also access all of the usual scans and antenatal tests when having a home birth.
The negatives of a home birth
Unless there is a publicly-funded home birth midwife unit in your area, one of the biggest drawbacks of having a home birth is the expense: the high cost of hiring an independent midwife makes it impossible for many families to consider it as a viable option. On the other hand, some women might consider the lack of medication, such as epidurals, at home as just as much of a negative aspect.
How much does a home birth cost?
It varies from state to state in Australia, but a home birth can cost between $3,000 and $5,000, with the money used to hire an independent midwife who will be with you throughout pregnancy, labour and birth. Some women choose to allocate their baby bonus on independent midwife fees, with some midwives postponing payment until after the birth and the baby bonus arrives, but make sure you check when booking.


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CHARLESTON, S.C., Jan. 4 (UPI) -- Alicia Rhett, the oldest surviving actress from the film "Gone With the Wind," died at her South Carolina home, her retirement community said. She was 98.
Rhett achieved minor stardom for her role in the classic 1939 Southern epic as India Wilkes, the spinster sister of plantation owner Ashley Wilkes, Scarlett O'Hara's rival in the film. Unlike the movie's star, Vivien Leigh, Rhett did not vault into Hollywood's A-list -- and in fact never pursued another role in the movies, CNN reported.
Instead, Rhett, a Savannah, Ga., native, moved back to her family's adopted home in Charleston, S.C., where she and her widowed mother lived after Rhett's father was killed during World War I. Once there, People magazine said, Rhett became a noted stage actress and artist in the former capital of the Confederacy.
Much of Rhett's artwork remains on display in both her native Georgia and adopted South Carolina, WSAV-TV, Savannah, reported.
Her role in the Civil War drama wasn't Rhett's only tie to the conflict. Her great-grandfather, Sen. Robert Rhett, was known as the "Father of Secession" for his outspoken opposition to the union.
She lived out her days in Charleston's Bishop Gadsden Episcopal Retirement Community. A spokeswoman for the retirement community said Rhett died about 5 p.m. Friday, peacefully, of "natural causes."
Rhett never married and had no children.


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Gov. Signs Drug Testing Law For Aid Recipients
KSCB News - April 16, 2013 1:07 pm
A new law signed by Gov. Sam Brownback requires a Kansas welfare agency to test residents seeking cash assistance if there is a reasonable suspicion they are using drugs.
The Republican governor said Tuesday during the signing ceremony that substance abuse is a scourge that requires government to step forward and help break the cycle of addiction.
Applicants seeking federal Temporary Assistance for Needy Family funds would be screened. Tests would be conducted where there is a reasonable suspicion of drug use. Those who are found to be using drugs would receive treatment and job skills training from the state.
Senate Vice President Jeff King, lead sponsor of the bill, estimates that 8 percent of welfare applicants show indications of drug use.


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Hi, is it possible to load GSP and/or GSI Files in the Linuxsampler?
I do own Gigastudio 3 and can modifiy the performance files and save them.
Just having the Instruments loaded in the right way would be enough MIDI and audio routing, I would do on my own....
Please, Can you help me with that?
Best Regards, Markus


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Monday, 5 July 2010
Kanal Triathlon (so did all of my training pay off?)
I felt great and I wasn't nervous. I had slept wonderfully. Because I never come even close to winning triathlons, there is much less pressure.
Yesterday was the annual Olympic distance triathlon in Næstved. Actually it's only the second year of this event and our second attempt. It was our fourth triathlon total. This year they met maximum capacity, which I believe was 200. Here are the distances, for those who haven't memorized the lengths of different triathlons (excuse me while I look it up)
1.5 km swim (60 pool lengths)
40 km cycle
10 km run
And here is a picture of the canal (a 5 minute bike ride from our apartment), courtesy of Anette Ø:
The weather was sunny and in the low 80's, so energy drink & salt would probably be really important. I had a bottle of energy drink and a bag of peanuts ready for me on my bike. I downed a bottle of water before things got started.
Before all triathlons start there is the donning of the wetsuit. Granted not everyone had a wetsuit, but 95% did. I used to dread putting on that tight, hot thing, but I've come to adore it. It reminds me of all the happy times we've been swimming in the ocean recently. But, of course, before this goes on, bike, helmet, number, towel, socks, shoes and food and drink need to be in order and all in a minuscule space. Again, the more triathlons one does the more fun the designing of the tri cubby becomes.
A bunch of friends at the start, including running buddies Allan and Rasmus, made for a fun atmosphere. Rikke, the physical therapist and swim coach for our tri team was there swimming as part of a relay group. She has taken me from a person with a loser crawl technique to a relatively graceful and fast swimmer. I joked with her that I might beat her. And she stopped laughing. "No, SLG, there is no way you will beat me."
200 participants and I was about number 5 into the canal water. I was so excited. I lost track of SR and everyone else I knew.
The swim
While I was battling thrashing legs and arms from every direction after the gun went off, SR was about 25 meters from the start "warming up" and hadn't realized the tri had started. He had planned to start out in the back, anyway, but not that far back.
Tri's are NOT for people with claustrophobia. Sheesh. The first 1/3 of the distance, I was completely surrounded by people; passing was hard as was being passed.
There is a type of swimmer (and I have so far only seen men do it) that zigzags incessantly without knowing it. It is very counterproductive and obviously not intentional, but I was swimming near a man who zigzagged right into me about 10 times in all. I would have been upset, but SR has the same problem, so I just kept calm and tried to think happy thoughts. Thoughts about things, such as the trip we have planned to Thunder Bay at the end of July. Thinking of something pleasant and calming is really important during long swims in open water. I got into a beautiful rhythm and know I swam quite a bit faster than last year (results to come soon, hopefully). SR and I came in right next to each other last year, but this year I finished at least five minutes ahead of him. That put me close to middle of the pack.
////Update: The chip times didn't work again, but I was able to see that the swim plus first transition was 35:16, likely putting my swimming time at 32:44, based on my transition time from last year. That was the only time recorded for me (oh and the final below) :( even though I went across the mat and heard it beep every time. But it's three minutes faster than last year, so that's nice!////
But, biking was next. Biking is by far the most important event as far as overall time in an Olympic tri, because it takes the longest and you can gain or lose a lot. I have barely made it to the level of an average Dane when it comes to cycling. So I'm nowhere near the average triathlete. And I should explain: Tri's in Denmark, are not something people just do for fun. They are fun, but these people are DAMN serious. It has a lot to do with the social structure in Denmark. Everyone has a similar amount of money (sufficient and, if you save right, a little extra) and a very similar education. Everyone runs at least a little. And bikes to work. But this tri thing is beyond normal exercise and expensive. Therefore the people who do it are really dedicated to it. It is what they spend their small amount of extra money on. I also have to mention that racing bikes and, in fact, all sports equipment and apparel here is about 3x as expensive as it is in the United States (luckily we purchased everything we have in the US, as, despite being two physicians, we've got zero extra money and are in big debt, so that was the only way we could afford to participate in the first place).
The bike
First of all, my bike is quite nice, but lacks a tri-bar. I had attempted to get a tri bar mounted on my bike but my American handles are too thick for the tri-bars here. And then I had extra brakes removed from my bike on Friday, hoping I could then get my tri bar to fit without the brakes on. Well, it didn't work. And the new brake cables screwed up my gears, so my bike clicked out of gear the entire cycle distance. How irritating! Whatcha gonna do? It was an out and back 6x loop. Our friend Rasmus caught up quite quickly to me, though he was quite surprised to see I had beaten him in the swim. Then I saw SR had just come out of the transition zone from swimming as I was about half way through my first loop. He just laughed and gave me a big smile, happy to see my swim had gone so well. He also thinks his swim improved from last year (for one thing, he didn't swim into the cement wall along the canal this year). It took SR just over 3 loops to pass me. And I didn't pass a SINGLE person. But I didn't last year either. Since there was no visible time clock and I had no watch on, I can't even give an estimate of my time. But hopefully that is coming soon. And I will report it regardless of how pathetic it is.
The run
This is supposedly my strength. Already near the beginning, I could sense IT was happening again: I had that same dizzy feeling I had in the last two marathons we've run. There were little black spots and things were spinning. I had the sensation that if I pushed myself to the point of sweating even more, I would pass out. It wasn't hypoglycemia. I ate a heck of a lot the day before, a good breakfast, ate and drank on the bike ride. But what I really felt I needed was sports drink or something salty. I felt like at any moment my blood pressure could drop to the point that everything would go black. There was an aid station after 2.5 k, but they only had water. Oh, no! I just had to take the run easy. It was really frustrating because my legs were ready to kick it into the next gear. I managed to pass a good number of people and think positive thoughts, but mostly I dreamed of finding an abandoned bottle of sports drink on the trail. I am perplexed as to why this same thing has happened to me now 3 big events in a row (I DID drink all of the sports drink in my bike bottle and ate two handfulls of peanuts).
As I approached the finish, I saw I woman in her 60's about to cross the finish line. Now that is just so cool she could pull off a triathlon so well.
Here is my dramatic finish, brought to you by the lovely and talented SR. I wish I had taken some photos of him, but you will unfortunately have to settle for me.
We both had such a wonderful time and it was easy for us to draw the conclusion that this tri had been more fun than all of our recent running races. We had worked hard but weren't sore in any particular place. Ahhh, how wonderful.
I promise I'll post all of our times when they are made available.
///Well, again, I'm not sure what exactly happened with the chip times. The Excel spreadsheet that comes up under results has just two numbers for me and the second is 2:52:11, which I am deducing was my overall time. Since the chip time didn't work last year either, I don't know if my exact time, but based on where I finished, I believe it was around 2:56. So approximately a 4 minute improvement, which is okay, and also leaves me ample opportunity to do better next year :).///
I think we are both game for the Challenge Copenhagen full Ironman in August, but up next is of course Voyageur 50 miler on July 24th.
We got home, greeted The Lorax and his babysitter and then SR took my blood pressure, which of course was normal at that point. Then we took a long nap. A perfect summer day.
Running song of the summer (at least it was perfect for hill repeats in the heat on Friday):
Skisser för sommaren by Kent (the title means "sketches before the summer" in Swedish - it's almost the same in Danish). Sorry, there really is no video, it's just so you can hear the song.
And if you are previously unfamiliar with Kent, here is an older music video, which has nothing to do with running and everything to do with love.
7 comments:
- olga said...
Loved the video. And the song. In fact, it's the first time I clicked on your videos:)
Gotta run!
- 5 July 2010 at 14:03
- Danni said...
I really like your haircut it's cute. Not that you asked, but I don't know if peanuts is quick enough energy for an oly tri. Despite being a runner, the swim is always my best event in the tri. This is why I don't do them anymore :p
- 5 July 2010 at 17:01
- Lisa said...
Please tell me you are protecting that radiant skin of yours with all this outdoor activity. There's a payback when you are in your 40s. Sorry, I am a maniac about sun protection!
- 5 July 2010 at 21:40
- Helen said...
in swimming as in life - men have a limited sense of direction... and are hesitant to ask for directions or in the swim case follow a female swimmer :)
nice job lady - great to see the swim time improvements. as for the bike it is all about time on the bike - if you get a chance to train more you will easily improve your times.
- 6 July 2010 at 17:18
- SteveQ said...
@Helen: I never have to ask for directions, beacuse there's always a woman nearby more than happy to tell me where I can go (and what to do with myself).
- 6 July 2010 at 18:56
Hello~Nice meet you~~............................................................
- 7 July 2010 at 15:12
AWESOME swim time.
I am embarrassed, but I admit I have to beware of the sideways swimming problem during tris myself even though I grew up as a swimmer my whole life. Of course, I grew up as a swimmer who was told of the problem early on and relied too much on the lane lines and looking underwater to make sure i was straight (or, in the case of backstroke, those lines above the ceiling, the flags, etc). The problem is poor form during breathing, for most people. harder if you have a back injury or your shoulders aren't aligned because of poor posture, but you can correct little things like that if you are aware of them.
- 7 July 2010 at 19:29


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Maulster79 wrote:Amazing- Chubbs needs to see this!
Jedi_june wrote:I second that @Maulster79 Chubbs has to see this! In the wise words of Todd (TFB) JR would get major "Wood" off of this
Jedi_june wrote::shock: This is awesome, we need more reference guides on here (I know IG has em but we need to have our own ). Would you be doing anymore references on other figs?
JuniorChubb wrote:I was saving any comments until I checked out all my variants. I thought there was a couple more but I can't comment until I have got my Wallies out the box.
JuniorChubb wrote:Stella effort though Plantainman, I need the light green heads to be in your league but I don't come across them very often.
snaggletooth wrote:Great post again mate, how come only the COO 7 snag gets the PBP label?
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Out of stock
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Product Information
- Silver Metal Finish
- 21 Swarovski Crystals


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From the Manufacturer's Label:
For all hair types
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To create condition and style, you need to go directly to the source. Direct Leave-In Weightless Moisture Conditioner penetrates into each individual hair to provide exactly what's needed, every time. This leave-in treatment uses enriched proteins to repair hair as you go through the day. It also pumps hair so it feels thicker, more bodified. Styled. Weightlessly. By infusing each strand with proteins, hair goes directly to style.
Manufactured by Giovanni.


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Sam Tierney, David Bonuchi Earn All-America Honors
INDIANAPOLIS - Sophomore Sam Tierney and junior David Bonuchi each earned first team All-America honors during day two of the 2013 NCAA Men's Swimming and Diving Championships Friday in Indianapolis. Tierney placed seventh in the 100 breast, while Bonuchi was eighth on the 3-meter springboard.
After two days of competition, the Tigers sit in 12th with 55 points, which has already surpassed last year's point total of 46.
Tierney become only the second male Mizzou swimmer in program history to earn first team All-America honors after his seventh-place finish in the 100 breast in a time of 52.65. The Plano, Texas, native joins Kevin DeForrest, who placed fourth in the 50 free in 1979, as Mizzou's All-Americans.
On the 3-meter springboard, Bonuchi notched a score of 394.85 to finish eighth. It was the Columbia, Mo., native's seventh career first team All-America accolade and the second of the 2013 Championships. Bonuchi qualified for finals with a prelims score of 384.55. Freshman Clark Thomas finished 31st in prelims after a score of 300.35.
Sophomore Igor Kozlovskij picked up All-America honorable mention honors as he clocked a time of 53.24 to take fifth in the 100 breast consolation final.
Mizzou also made history in the 200 medley relay, as the Tigers earned All-America honorable mention honors in a men's relay for the first time in school history. The team of senior Joe Hladik, Kozlovskij, junior Logan Mosley and Tierney took third in the consolation final with a program record time of 6:26.67.
In the 800 free relay, the Tigers set a new school record of 1:25.82 to place 20th in the event. Sophomore Eegan Groome clocked a leadoff 200 free split of 1:35.81 during the race, which broke his own school record.
Day three of the NCAA Championships continue on Saturday, March 30 with preliminary action at 10 a.m. CT and finals at 6 p.m. CT.


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Description Instant-cure infiltrant ideal for color models to improve strength and color vibrancy and retention. Two-part infiltrant ideal for functional models to dramatically improve the strength of the model.
* The VisiJet PXL line of materials offers numerous capabilities to meet a variety of commercial applications. 3D Systems' ProJet x60 3D printers use VisiJet PXL materials set to build strong, high-definition, full-color concept models, assemblies and prototypes for design realization, advanced communication, and prototypes for design realization, advanced communication, and development and production cost reduction. Printed models benefit transportation, energy, consumer products, recreation, healthcare, education and other vertical markets. Parts can be sanded, drilled, tapped, painted and electroplated, which further expands the options available for finished part characteristics. Models also have high-temperature resistance, ideal for digital manufacturing and molding applications.


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Next to the celebration of the Easter Vigil, the Rite of Acceptance is as much of a highlight as you can get in RCIA. When done properly and prayerfully, it is also among the most moving.
41. The rite that is called the rite of acceptance into the order of catechumens is of utmost importance. Assembling publicly for the first time, the candidates who have completed the period of the precatechumenate declare their intention to the Church and the Church in turn, carrying out its apostolic mission, accepts them as persons who intend to become its members. God showers his grace on the candidates, since the celebration manifests their desire publicly and marks their reception and first consecration by the Church.
The rite of acceptance is a dialogue between two communities. Newcomers have determined to enter the Church. The faith community, in the tradition of the apostles, accept them as their own. The rite is careful to note the agency of God in this. It happens on two levels. First, that God's grace is part of the inner urging of people to join themselves to Christ and his community of disciples. And second, this rite is an act of consecration. It is the call to faith in microcosm: God urges, people respond, and God further intensifies the relationship with the gift of holiness.


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Trump damned "Diversity Visa Lottery Program" for NYC Attack last eveningNovember 02, 2017 06:57
(Image source from: nbcnews.com)
Washington; Nov 1:
President Donald Trump fired a series of tweets to blame the Diversity visa Lottery program for yet another terrorist led massacre killing 8 in the Lower Manhattan. He demanded the immigration program to be merit based and not lottery based now on.
In 2015 after San Bernardino attack in CA, he banned muslim entry in US from selected few nations for which he was criticized by many. And now, yet another terrorist attack by a muslim in Manhattan has ignited the debate again.
Trump tweets came in a series targeting the immigration policy "The terrorist came into our country through what is called the "Diversity Visa Lottery Program," a Chuck Schumer beauty. I want merit based."
"We are fighting hard for Merit Based immigration, no more Democrat Lottery Systems. We must get MUCH tougher (and smarter)"
Image credit: wjla.com
"Senator Chuck Schumer helping to import Europes problems" said Col.Tony Shaffer. We will stop this craziness!"
During a white house cabinet meeting on Wednesday he said, "I am, today, starting the process of terminating the diversity lottery program" and beginning a program that distributes around 50,000 visas to countries where there is a low rate of immigration to the US.
Image credit: ethiopiaforums.com
Trump also said, ""We're going to quickly as possible get rid of chain migration and move to a merit-based system."
Democrats slammed President Trump for politicizing the tragic attack and quickly turning it into an immigration debate.
Around 8 people were killed and another 11 injured after Saipov drove through the busy Bike pathway on Tuesday shooting bikers and bystanders, screaming Allahu Akbar. Saipov was shot in the abdomen in the attack and is in police custody now.
More news to come in as details are disclosed further.
By Minu Manisha