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Truth, in metaphysics and the philosophy of language, the property of sentences, assertions, beliefs, thoughts, or propositions that are said, in ordinary discourse, to agree with the facts or to state what is the case.
Truth is the aim of belief; falsity is a fault. People need the truth about the world in order to thrive. Truth is important. Believing what is not true is apt to spoil a person's plans and may even cost him his life. Telling what is not true may result in legal and social penalties. Conversely, a dedicated pursuit of truth characterizes the good scientist, the good historian, and the good detective. So what is truth, that it should have such gravity and such a central place in people's lives?
The previous discussion concentrated on only one of the controversies that surround scientific realism, the debate about whether talk of unobservables should have the same status as talk of observables. Contemporary exchanges, however, are often directed at a broader issue: the possibility of judging…
The correspondence theory
The classic suggestion comes from Aristotle (384–322 bce): "To say of what is that it is, or of what is not that it is not, is true." In other words, the world provides "what is" or "what is not," and the true saying or thought corresponds to the fact so provided. This idea appeals to common sense and is the germ of what is called the correspondence theory of truth. As it stands, however, it is little more than a platitude and far less than a theory. Indeed, it may amount to merely a wordy paraphrase, whereby, instead of saying "that's true" of some assertion, one says "that corresponds with the facts." Only if the notions of fact and correspondence can be further developed will it be possible to understand truth in these terms.
Unfortunately, many philosophers doubt whether an acceptable explanation of facts and correspondence can be given. Facts, as they point out, are strange entities. It is tempting to think of them as structures or arrangements of things in the world. However, as the Austrian-born philosopher Ludwig Wittgenstein observed, structures have spatial locations, but facts do not. The Eiffel Tower can be moved from Paris to Rome, but the fact that the Eiffel Tower is in Paris cannot be moved anywhere. Furthermore, critics urge, the very idea of what the facts are in a given case is nothing apart from people's sincere beliefs about the case, which means those beliefs that people take to be true. Thus, there is no enterprise of first forming a belief or theory about some matter and then in some new process stepping outside the belief or theory to assess whether it corresponds with the facts. There are, indeed, processes of checking and verifying beliefs, but they work by bringing up further beliefs and perceptions and assessing the original in light of those. In actual investigations, what tells people what to believe is not the world or the facts but how they interpret the world or select and conceptualize the facts.
Coherence and pragmatist theories
Starting in the mid-19th century, this line of criticism led some philosophers to think that they should concentrate on larger theories, rather than sentences or assertions taken one at a time. Truth, on this view, must be a feature of the overall body of belief considered as a system of logically interrelated components—what is called the "web of belief." It might be, for example, an entire physical theory that earns its keep by making predictions or enabling people to control things or by simplifying and unifying otherwise disconnected phenomena. An individual belief in such a system is true if it sufficiently coheres with, or makes rational sense within, enough other beliefs; alternatively, a belief system is true if it is sufficiently internally coherent. Such were the views of the British idealists, including F.H. Bradley and H.H. Joachim, who, like all idealists, rejected the existence of mind-independent facts against which the truth of beliefs could be determined (see also realism: realism and truth).
Yet coherentism too seems inadequate, since it suggests that human beings are trapped in the sealed compartment of their own beliefs, unable to know anything of the world beyond. Moreover, as the English philosopher and logician Bertrand Russell pointed out, nothing seems to prevent there being many equally coherent but incompatible belief systems. Yet at best only one of them can be true.
Some theorists have suggested that belief systems can be compared in pragmatic or utilitarian terms. According to this idea, even if many different systems can be internally coherent, it is likely that some will be much more useful than others. Thus, one can expect that, in a process akin to Darwinian natural selection, the more useful systems will survive while the others gradually go extinct. The replacement of Newtonian mechanics by relativity theory is an example of this process. It was in this spirit that the 19th-century American pragmatist philosopher Charles Sanders Peirce said:
The opinion which is fated to be ultimately agreed to by all who investigate, is what we mean by the truth, and the object represented in this opinion is the real.
In effect, Peirce's view places primary importance on scientific curiosity, experimentation, and theorizing and identifies truth as the imagined ideal limit of their ongoing progress. Although this approach may seem appealingly hard-headed, it has prompted worries about how a society, or humanity as a whole, could know at a given moment whether it is following the path toward such an ideal. In practice it has opened the door to varying degrees of skepticism about the notion of truth. In the late 20th century philosophers such as Richard Rorty advocated retiring the notion of truth in favour of a more open-minded and open-ended process of indefinite adjustment of beliefs. Such a process, it was felt, would have its own utility, even though it lacked any final or absolute endpoint.
Tarski and truth conditions
The rise of formal logic (the abstract study of assertions and deductive arguments) and the growth of interest in formal systems (formal or mathematical languages) among many Anglo-American philosophers in the early 20th century led to new attempts to define truth in logically or scientifically acceptable terms. It also led to a renewed respect for the ancient liar paradox (attributed to the ancient Greek philosopher Epimenides), in which a sentence says of itself that it is false, thereby apparently being true if it is false and false if it is true. Logicians set themselves the task of developing systems of mathematical reasoning that would be free of the kinds of self-reference that give rise to paradoxes such as that of the liar. However, this proved difficult to do without at the same time making some legitimate proof procedures impossible. There is good self-reference ("All sentences, including this, are of finite length") and bad self-reference ("This sentence is false") but no generally agreed-upon principle for distinguishing them.
These efforts culminated in the work of the Polish-born logician Alfred Tarski, who in the 1930s showed how to construct a definition of truth for a formal or mathematical language by means of a theory that would assign truth conditions (the conditions in which a given sentence is true) to each sentence in the language without making use of any semantic terms, notably including truth, in that language. Truth conditions were identified by means of "T-sentences." For example, the English-language T-sentence for the German sentence Schnee ist weiss is: "Schnee ist weiss" is true if and only if snow is white. A T-sentence says of some sentence (S) in the object language (the language for which truth is being defined) that S is true if and only if…, where the ellipsis is replaced by a translation of S into the language used to construct the theory (the metalanguage). Since no metalanguage translation of any S (in this case, snow is white) will contain the term true, Tarski could claim that each T-sentence provides a "partial definition" of truth for the object language and that their sum total provides the complete definition.
While the technical aspects of Tarski's work were much admired and have been much discussed, its philosophical significance remained unclear, in part because T-sentences struck many theorists as less than illuminating. But the weight of philosophical opinion gradually shifted, and eventually this platitudinous appearance was regarded as a virtue and indeed as indicative of the whole truth about truth. The idea was that, instead of staring at the abstract question "What is truth?," philosophers should content themselves with the particular question "What does the truth of S amount to?"; and for any well-specified sentence, a humble T-sentence will provide the answer.
Philosophers before Tarski, including Gottlob Frege and Frank Ramsey, had suspected that the key to understanding truth lay in the odd fact that putting "It is true that…" in front of an assertion changes almost nothing. It is true that snow is white if and only if snow is white. At most there might be an added emphasis, but no change of topic. The theory that built on this insight is known as "deflationism" or "minimalism" (an older term is "the redundancy theory").
Yet, if truth is essentially redundant, why should talk of truth be so common? What purpose does the truth predicate serve? The answer, according to most deflationists, is that true is a highly useful device for making generalizations over large numbers of sayings or assertions. For example, suppose that Winston Churchill said many things (S1, S2, S3,…Sn). One could express total agreement with him by asserting, for each of these sayings in turn, "Churchill said S, and S," and then asserting, "And that is all he said." But even if one could do this—which would involve knowing and repeating every single saying Churchill made—it would be much more economical just to say, "Everything Churchill said was true." Similarly, "Every indicative sentence is either true or false" is a way of insisting, for each such sentence (S), S or not S.
Despite their contention that the truth predicate is essentially redundant, deflationists can allow that truth is important and that it should be the aim of rational inquiry. Indeed, the paraphrases into which the deflationary view renders such claims help to explain why this is so. Thus, "It is important to believe that someone is ill only if it is true that he is" becomes "It is important to believe that someone is ill only if he is." Other broad claims that appeal to the notion of truth can likewise be paraphrased in illuminating ways, according to deflationists. "Science is useful because what it says is is true" is a way of simultaneously asserting an indefinitely large number of sentences such as "Science is useful because it says that cholera is caused by a bacterium, and it is" and "Science is useful because it says that smoking causes cancer, and it does" and so on.
While deflationism has been an influential view since the 1970s, it has not escaped criticism. One objection is that it takes the meanings of sentences too much for granted. According to many theorists, including the American philosopher Donald Davidson, the meaning of a sentence is equivalent to its truth conditions (see semantics: truth-conditional semantics). If deflationism is correct, however, then this approach to sentence meaning might have to be abandoned (because no statement of the truth conditions of a sentence could be any more informative than the sentence itself). But this in turn is contestable, since deflationists can reply that the best model of what it is to "give the truth conditions" of a sentence is simply that of Tarski, and Tarski uses nothing beyond the deflationists' own notion of truth. If this is right, then saying what a sentence means by giving its truth conditions comes to nothing more than saying what a sentence means.
As indicated above, the realm of truth bearers has been populated in different ways in different theories. In some it consists of sentences, in others sayings, assertions, beliefs, or propositions. Although assertions and related speech acts are featured in many theories, much work remains to be done on the nature of assertion in different areas of discourse. The danger, according to Wittgenstein and many others, is that the smooth notion of an assertion conceals many different functions of language underneath its bland surface. For example, some theorists hold that some assertions are not truth bearers but are rather put forward as useful fictions, as instruments, or as expressions of attitudes of approval or disapproval or of dispositions to act in certain ways. A familiar example of such a view is expressivism in ethics, which holds that ethical assertions (e.g., "Vanity is bad") function as expressions of attitude ("Tsk tsk") or as prescriptions ("Do not be vain!") (see ethics: Irrealist views: projectivism and expressivism). Another example is the constructive empiricism of the Dutch-born philosopher Bas van Fraassen, according to which some scientific assertions are not expressions of belief so much as expressions of a lesser state of mind, "acceptance." Accordingly, assertions such as "Quarks exist" are put forward not as true but merely as "empirically adequate." If some such views are correct, however, then an adequate theory of truth will require some means of distinguishing the kinds of assertion to which it should apply—some account, in other words, of what "asserting as true" consists of and how it contrasts, if it does, with other kinds of commitment.
Even if there is this much diversity in the human linguistic repertoire, however, it does not necessarily follow that deflationism—according to which the truth predicate applies redundantly to all assertions—is wrong. The diversity might be identifiable without holding the truth predicate responsible. "Vanity is bad" or "Quarks exist" might contrast with "Snow is white" in important respects without the difference entailing that the first two sentences are without truth value (neither true nor false) or at best true in other senses.


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Iris (9.6m2)
Palmako structures are supplied untreated. Treatment can be ordered separately below.
Roofing material for building must be ordered separately.
Lead Times
Please note that this product is made to order and as such the lead time for delivery maybe a few weeks during peak periods. Once ordered, we will contact you to confirm your delivery date and if you have any questions, please call.

subset: commoncrawl


text: Korean Job Discussion Forums :: View topic - Getting Married in Thailand Speak Korean Now! Korean Job Discussion Forums"The Internet's Meeting Place for ESL/EFL Teachers from Around the World!" FAQ Search Memberlist Usergroups Register Profile Log in to check your private messages Log in Getting Married in Thailand Korean Job Discussion Forums Forum Index -> Travel Forum View previous topic :: View next topic Author Message EunoiaJoined: 06 Jul 2003Location: In a seedy karakoe bar by the banks of the mighty Bosphorus Posted: Sat Sep 24, 2005 6:17 pm Post subject: Getting Married in Thailand My gf - fiance - are planning to get married next year in Thailand. Does anyone have any experience in this, does anyone know who to contact (in Korea, in Thailand) to get the paperwork and make the necessary legal arrangements? Back to top mike123_caJoined: 12 Mar 2003Location: wandering between Chonan and Asan Posted: Sun Sep 25, 2005 1:27 am Post subject: HI congratuations.... I married my wife in Bangkok last Christmas. Since she is Thai, she only had to prove that she was single and show some Thai govermnent issued id. I'm a Canadian, so I had a bit of running around to do. I e-mailed my embassy in Thailand and they already a list available outlining the required procedures. Call your home embassy in Thailand for further details. If neither party speaks Thai, I would suggest that you find someone that speaks both languages. Good Luck Mike Back to top simoneJoined: 15 Jan 2003Location: Now Mostly @ Home Posted: Wed Sep 28, 2005 6:36 am Post subject: Did it two years ago on Samui. Picked it because airport accessibility made for an easy trip for all our folks. Documentation was pretty easy. A couple of days in BK for paperwork (Cndn Embassy) (It's easiest if you go in together for this - hubby and I tried to do it a week apart... a bit of scrambling became necessary.) Then in the area, you have to go to the "amphuh" office. It's like the local Gu Cheon. The official will give you a paper to sign, and poof! You each get a copy. I love that I was married in the year 4626, or something like that. (Can't find the marriage certificate at the moment.) On Samui, a woman named Wanessa who runs the website www.kohsamui.com was INCREDIBLY helpful in arranging everything, the amphuh who came to the beach to do the paperwork at our ceremony, the elephant... videographer. Also know the entertainment king of Samui. "Paul" at Thaiam Entertainment is the agent for all acts on Samui. Most play at his club on a rotating schedule, but he arranged for a group of acts, sound system, tented changing area.. everything for about 500 bucks. We had more entertainers than actual guests. One hell of a party. PM me if you need more info. Back to top Display posts from previous: All Posts1 Day7 Days2 Weeks1 Month3 Months6 Months1 Year Oldest FirstNewest First Korean Job Discussion Forums Forum Index -> Travel Forum All times are GMT - 8 Hours Page 1 of 1 Jump to: Select a forum Forums:----------------FAQJob-related Discussion ForumGeneral Discussion ForumOff-Topic ForumTravel ForumCurrent Events ForumTechnology ForumBuy/Sell/Trade Forum You cannot post new topics in this forumYou cannot reply to topics in this forumYou cannot edit your posts in this forumYou cannot delete your posts in this forumYou cannot vote in polls in this forum This page is maintained by the one and only Dave Sperling. Contact Dave's ESL Cafe Copyright © 2018 Dave Sperling. All Rights Reserved. Powered by phpBB © 2001, 2002 phpBB Group TEFL International Supports Dave's ESL Cafe


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China blogger 'sorry' for Federer threat
A blogger in China who made a death threat against Roger Federer said he had apologised but remained at large after vowing to "assassinate" the world number one, according to an Internet posting.sports Updated: Oct 10, 2012 08:13 IST
A blogger in China who made a death threat against Roger Federer said he had apologised but remained at large after vowing to "assassinate" the world number one, according to an Internet posting.
An Internet user under the name "Blue Cat Polytheistic Religion Founder 07" threatened the tennis player before he arrived to play, prompting organisers to step up security for the Shanghai Masters, which started on Sunday.
"I have not been arrested," said a posting on China's popular baidu.com site, where the original threat also appeared. "I took the initiative to contact the relevant people to apologise," said the message, which was posted around midday on Tuesday.
The original threat read: "On October 6, I plan to assassinate Federer for the purpose of tennis extermination."
The user also posted a doctored image showing a decapitated Federer on his knees on a tennis court, with an axe-wielding executioner standing next to him.
Shanghai Masters organisers said last week ahead of the competition that they were taking the bizarre threat "seriously" while Federer himself labelled it a "distraction" after arriving in the Chinese commercial hub.
"Obviously maybe it's a little bit of a distraction, there's no doubt about it," Federer said Sunday.
"It was something just very small on a website, nothing clear and concrete, people just debating."
Federer's wife and twin daughters have not travelled to China but he said that decision had nothing to do with the threats.
Federer has been surrounded by a dozen security guards in dark suits who also stayed on the sidelines around the court when he practised on Tuesday. His first match is on Wednesday.
A Shanghai police spokesman on Wednesday declined to comment on the case.
In 1993, former world number one Monica Seles was stabbed by a fan during a match in Hamburg.
First Published: Oct 10, 2012 08:11 IST


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Pies look great Deb. I wsh I could claim the fig preserves and prosciutto (with a little blue cheese) combo, however I borrowed it from VIA313.
Deb, while I enjoy seeing my recipe (modified or not) being successfully utilized and I'm ecstatic that you're one of the first members to follow my advice and track down Spring King, did you have to go with Baking Steel? Et tu, Deb? Et tu?
I'm ecstatic that you're one of the first members to follow my advice and track down Spring King
Seriously, I can sort of understand your desire to just get the steel purchased and off your to do list, regardless of the price involved. I do think, though, that with beautiful pies like these, you'll want to share them with your friends, and, once you start entertaining, the 13"ish maximum pizza limitation could end up getting on your nerves.
What thickness factor did you go with?
If you're going to do justice to these beautiful pies, it's time to photograph them under better light. It's not always feasible, but sunlight is ideal- it makes for the prettiest red sauce. Second to sunlight, incandescent. Fluorescent is not your friend.
I can't make any promises, but, generally speaking, using the convection bake feature while the pizza is baking should give you comparable browning as using the broiler, without have to turn the broiler on and off at the designated times. Maybe. It depends on how hot the plate is/how quick the bake time is and how much color you want on top. Convection should give you less contrast and more even browning.Don't get too caught up with the broiler pre-heat. The surface of the plate can get considerably hotter, but pizza bakes with penetrated heat. Use the convection bake for the pre-heat, and, then, if you want, you can play around with using some broiler just before baking to drive up the temp a bit more. Honestly, if the convection bake setting can give you 525 and the fan never shuts off, then there's a distinct possibility you can turn that on, pre-heat for 45 minutes, launch/bake the pizza, and never have to change an oven setting. Maybe.
I'll get over the baking steel purchase. Eventually In the meantime, though, those are some really nice looking pies.
Hey, Deb, you got a photo that wasn't horrifically yellow. What happened there? I'll let Peter chime in regarding his Papa Gino recipe, but as far as the same day convection experimentation goes, here are my thoughts.Same days are very anti-browning, because you're not giving the enzymes time to generate much residual sugar. If you ever find yourself in a bind and have to go same day again, it'll be a little less authentically NY style, imo, but bump up the oil to 4% and the sugar to 2%. Both will help get you the browning you lose with a same day dough.With a longer ferment or browning enhancing ingredients, the convection feature should give you excellent color in 4-5 minutes. Another aspect that will help you get better browning in a shorter amount of time is thickness factor. I know you're not stressing yourself with too thin of a stretch, and that's a good idea for where you're at, but, as you move forward, it's time to dial back the dough quantity. You're goal, for NY, should be around .075, but, until you get really comfortable stretching, I'd work with .085.Something's not quite right with the cheese. Are you grating the cheese yourself, and, if so, what size are you grating the cheese to? Is it whole milk? What brand is it?


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Moderators: Rev. Sylvanus, warman45
LivingRaccoon wrote:So, I had an idea, but this is a modified version of that[color=#FF0000][/color]. For the magical mini-figs, you need to buy an Orb of Power for them to use their powers. What it does is you have to step in a 5 inch radius to get charged. When you get charged, you can use the magic or superpower for 1d6 rounds. When you run out of power, go back to the 5 inch radius of the orb, and get more powers. The orb can be destroyed, and has 1d6 armor. Buying another one in battle will cost 1 round for the Hero. It cost 5 CP.
Warhead wrote:my head burns with War.
Han Solo wrote: Hokey religions and ancient weapons are no match for a good blaster at your side kid.
Warhead wrote:my head burns with War.
Han Solo wrote: Hokey religions and ancient weapons are no match for a good blaster at your side kid.
sjosten wrote:Now that you said that, are bullets something that we should use? It would be an interesting optional rule.
Warhead wrote:my head burns with War.
stubby wrote:omg noob, balrogs are maiars too, don't you know anything
Keldoclock wrote:Stop saying clip pistols do not have clips not a single pistol ever made does
But yeah, one way I have found to take advantage of things like the Brickarms stripper clip and various magazine-like bits of plastic is to say that they negate the effects of an auto weapon failure, useful if you want to make guys look cool with neglible game effects.
Warhead wrote:my head burns with War.
Zupponn wrote:I, for one, am against using bullets or ammunition as they don't really fit with the Brikwars theme and feel. The more realistic you make some things, the less Brikwars like it becomes in my opinion.
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Why Even Good Students Cheat in School
It's natural for parents to react with horror when told their child cheated in school, but new research reveals the line between right and wrong in the classroom is often hazy for young children. Work & Family columnist Sue Shellenbarger joins Lunch Break, and Laina Avant weighs in from her personal experiences with her young daughter. Photo: Getty Images.
This transcript has been automatically generated and may not be 100% accurate.
... I ... she's in the rise among elementary school kids nearly one in three students at age eight ... the offense according to one study and ... another stabilizes the kids get older here with the D tells ... some answers for cancer Wall Street Journal's Work and Family columnist Sue Shellenbarger also joined us ... as lamb on his eight year old was recently ... caught cheating in school a few months ago thanks so much to both of you for being here this out I was start with you many parents feel ... like it's their own moral failure when kids cheat but experts say that's ... not always the case what else can fewest an eight year ... old children know it ... early at preschool that trying to hit another child and they understand that Tina came to trying ... to translate that in the classroom the big week of ... kindergarten for speeders to clean up re elected trying to copy an answer there to try to get the half time ... been in third grade maybe they want to please their parents or teachers by getting integration ... but the first pic great peer pressure has been a big way and to make your interest because their peers are pressuring them to do I get a really good point out lane and your initial reaction when your daughter was called ... public unit X recently what what what you feel like what she feels apparent in Manhattan to brunch with her ... after the devastating ... duties I ... and so I had to seems to have affected so what's hacked at first I wanted to ... you know meet the test I stack for doing so but then our allies me to stop the insanity one decreases toughest team ... as his honor roll student so I had to seek a difficult with panic stations is the currency ... um what she did in that they are the focus is behind ... the TV and it was hard to do namely she's did you get the sense that she ... knew that look in the text of the book was wrong but she did anyway because she wanted to Wellman has received a Sino was wrong ... the suit was on it but ... once that ... never happened to her once he saw light ... on happening to equal a ... tea party thought it would imply a hat ... but it did apply The and found ... that ... it's it that's how you had you had the it had to address that way to simulate cinching comedic sheen rates ... rise through middle school in by high schools and sixty persistence ... admits that she not tested least one seventy four percent say they copied somebody else's homework ... I've that was a quarter of two thousand twelve study I'm wondering why administrators that you talk to in the education system think ... the teams on the rise ... the perfect storm we had tremendous pressure on kids to get good grades is the key to ... getting into college debt ... to court under pressure to turn in good standardized test rating because they did it did tend to funding in part dependent on capers ... and technology available to kids did ... very cute gold anymore fighting naked ringing cell phone that question until I took ... the tools are available to keep the content that create an environment of the future ... Foster's cheating ... as opposed to when were kids are really good time to learn after the maturing ... into staying in and laying out what I thinks that's easy say you've changed a little bit about ... about something things about yourself about how you pull over homework I'd talk to her daughter about her schoolwork when it was in the lead doing dancing to me what happened ... and seeking more time now make sure she understands the current stand ... up for work ... I really ... aam NS me as a mother ... says just taken the extra time attack ... aam not ... like the second ... not that recently suffered steam but more a building it and just make it so this is comparable ... with the cuts ... makes you stop in soon last word to you in eking out super from other parents about tips ... outright things wrong things to do when you approach ... at this very delicate topic of cheating with the kids ... really don't overreact if it can add to their re find that your failure to parent rather ... accord tell your challenged disappointed and that cheating is wrong but then really drill down to get to the root cause it can not only be a teaching moment at the Lehi that ... they can offer the insight into your toppling problem for pressures that the thing is cool like that the building it into the ... right lane I think semester being here on her role as pretty good guess that love that ... efficiency Shellenbarger thank you for being here ... as always


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oh no.... Old Pike Mike notified us of a Swim Meet at OP today, when this happens we move the course..
Yeah! back in the Old P, next week for sure! We'll organize a food night too. K-Mont, you fellas okay with Brats?
Have fun at WW. Can't go wrong with WW.....


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Just picking up a Sector this weekend I hope. Never been on a directional board before. wondering if it will be advantageous to put together a 4:1 depower now or just spend a few months figuring out how to tack & gybe and ride, then go to the 4:1?
Also I have an extra Bandit 3 bar that I'll probably use to convert, I think it should be fairly similar to other conversions I've seen, but if anyone has any 'gotchas' for me to watch for I'd love to hear them.


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As an adaptive wakeboarder myself, I've seen some amazing things through the past few years. However, I can honestly say that Justin Caskey's passion for wakeboarding and ability to overcome and adapt after everything life has thrown his way is simply remarkable! Justin broke his leg playing backyard football and found out he had cancer in his leg while he was being treated. After a four year battle, his left leg was amputated, but he still continues to shred on his custom wakeboard setup and this is his story. WW: What's your name, age and where are you from?JC: I'm Justin Caskey, 22 and I'm from Richmond, Virginia. WW: How old were you the first time you wakeboarded?JC: I think I was seven the first time I wakeboarded. WW: When were you first diagnosed with cancer?JC: I was diagnosed with cancer the first time when I was a freshmen in high school, September of 2004. Then again when I was a senior in October 2007 (when I lost the leg). WW: How did you end up back in the water again?JC: I got back in the water a year and a half after I lost my leg. We were all out on the water the summer after my freshman year of college and I decided I was tired of just watching my friends wakeboard and I thought I was capable of doing it again. WW: How long did it take for you to start riding again?JC: I stopped wakeboarding when I broke my femur (because of the cancerous tumor in my leg) back in the summer of 2003. I started back up again in the summer of 2009. WW: Can you describe how it felt the first time you got up on a board with one leg?JC: It really felt good to get back on the board again. After watching and coaching my friends in wakeboarding for years, it was very freeing to be able to try again. The first ride didn't last long, but it showed me that I could do it again, which was all I needed! WW: Where did you get the idea for your board setup. That looks one of a kind?JC: The idea for my wakeboard was a Caskey original, haha. I'm very fortunate that I've had a father who could fix anything and got me interested in working on things at a young age. Basically, my idea was that until I get or make a wakeboarding prosthetic, I just needed something that would act as a cane for me to use as I wakeboard. I worked out the idea with my dad and our family friends (the Lavins) who knew a guy who could weld and work with metal to create the molding. WW: What are your other hobbies besides wakeboarding?JC: I also golf and go off-roading. And I built a contraption that lets me ride my dirt bike and shift with my right foot. WW: Do you have any interest in competing someday at events like the Extremity Games or in the WWA Adaptive Division?JC: I would definitely be interested in competing. I think it would be a lot of fun and I'm always trying to push my limits, haha! WW: Is there anything you would like to say to the wakeboard industry?JC: I would just like to say they are doing a great job to make our sport into something special. WW: Is there anyone you would like to thank for supporting you with getting back to wakeboarding?JC: My family obviously, Ross Lavin and the Lavin family, my best friend James Craig and Chris Harris. Chris has helped me take my wakeboarding farther than I ever thought it would go. Justin's story is a touching one, but in the end this is about his passion for wakeboarding! You might not see a 12 or a double invert from an adaptive wakeboarder like Justin, but I promise that you will see as much passion for wakeboarding as you do from any top competitor in our sport. After this interview I passed along the contact info for BioDapt Inc., a performance prosthetic and adaptive equipment company to Justin and you can check them out at monstermikeschultz.com.
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PORT WASHINGTON, N.Y. (MarketWatch) — January's much-anticipated labor-force figures do not give a clear indication of which way the economy is heading.
|Aug. 13
|Retail sales
|Aug. 13
|Retail sales ex-autos
|Aug. 15
|Producer price index
|Aug. 15
|Empire state index
|Aug. 15
|Industrial production
|Aug. 15
|Consumer sentiment
If you look at the unemployment rate alone, you might conclude that the labor market is tightening.
The overall jobless rate declined to 6.6% last month — the lowest rate in six years. At the same time, employment, as measured by the survey of households, jumped by a whopping 600,000 last month.
On the other hand, the payroll numbers suggest just the opposite. Jobs by this measure rose by a measly 113,000 in the month, and this in the wake of an even smaller increase in December. In the last three months, job growth has averaged only 154,000, down from an average of 194,000 for 2013 and 201,000 in the three previous months.
The stock market greeted these numbers positively. Investors were more eager to buy than to sell, sending the popular averages higher by over 1% each on Friday.
Wall Street was pleased that the jobless rate fell while household-measured employment shot up. These are signs of a robust economy, leading to gains in consumer spending and more earnings for business. And it doesn't bother investors that this strength might cause the Federal Reserve to tighten its monetary policy — it is already doing that, so no big deal.
Those who worry more about the absence of easy money were also cheered by Friday's numbers — they simply placed greater emphasis on the payroll data. In doing so, they convinced themselves that that Fed might take a hiatus from tightening, especially with new Fed Chairwoman Janet Yellen about to testify before Congress on the state of the economy and the Fed's reaction to it.
Me, I would tend to side with those who do not regard January's jobs data all that bullishly. This is because there are lots of other negatives that are concealed by the headline data.
For example, in January more than one-third of workers counted as unemployed were jobless for a half-year or more. This is basically unchanged from a year ago.
Many of these people have simply stopped looking for work, although they would take a job if they could find one. This is easier said than done, since there are three unemployed for every job out there, according to the BLS.
On the positive side, temporary-help agencies added jobs last month, while the quit rate rose. People don't usually leave their jobs voluntarily unless they are sure they can find another one.
The payroll data are noteworthy by the fact that three previously strong sectors shed jobs — education, retail and health care. This last category posted its first job loss in recent memory, after rising by only 2,600 in December, suggesting that this might reflect the new economics of health care in the wake of the Affordable Care Act, otherwise known as Obamacare.
Governments at all levels cut the most jobs in 15 months.
As for the household measure of employment, it includes people who are working part time and in jobs below their education or skill level. It also includes many who list themselves as self-employed but are really in between jobs, so it's not as good as it looks.
More Marketwatch news:
Markets alert for any new policy signal from Yellen
Maloney says she'll press Yellen on taper plans after weak jobs report


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Suicide among physicians appears to follow a different profile than in the general population, with a greater role played by job stress and mental health problems, a national analysis showed.
Problems with work were three times more likely to have contributed to a physician's suicide than a nonphysician's, Katherine J. Gold, MD, MSW, of the University of Michigan in Ann Arbor, and colleagues found.
Their analysis of the National Violent Death Reporting System also showed that known mental illness prior to suicide was 34% more common among physicians than nonphysicians.
"The results of this study paint a picture of the typical physician suicide victim that is substantially different from that of the nonphysician suicide victim in several important ways," the group wrote online in General Hospital Psychiatry.
"Inadequate treatment and increased problems related to job stress may be potentially modifiable risk factors to reduce suicidal death among physicians."
The suicide rate is higher among physicians than in the general population, but there's not much reliable information as to why, Gold and her team pointed out.
"Even though this population presumably has very good access to healthcare, it doesn't appear that they're getting adequate treatment," Gold noted in a statement. "I think stigma about mental health is a huge part of the story. There is a belief that physicians should be able to avoid depression or just 'get over it' by themselves."
Fear that a depression diagnosis could hurt their medical licensing is common, and many physicians appear to avoid treatment completely in order to protect confidentiality about their mental health problems, based on prior surveys.
Gold and colleagues' study used the national database on violent deaths as a resource with "critical, and heretofore rarely-available" variables pulled from sources such as death certificates, toxicology, and reports from coroners, medical examiners, and law enforcement.
Among the 31,636 suicide victims included in the database from 2003 to 2008, 203 were physicians. Medical students and physician assistants were excluded from the analysis, although retired physicians were not.
Although physicians weren't significantly more likely to have a current mental health disorder (46% versus 41%) or to have current depressed mood (42% versus 39%) at the time of death than those in other occupations, the difference became significant on multivariate analysis: Having a known mental illness was modestly associated with physician status, with an odds ratio of 1.34 after adjustment for gender, race, age, and marital status (P=0.045).
Known alcohol or substance abuse were less common, though, among physicians (14% versus 23%, P=0.004). High blood alcohol levels on toxicology at the time of death were actually less common among physicians (OR 0.56, P=0.032).
Notably, physicians weren't significantly more likely to have antidepressants found on toxicology (OR 1.31, P=0.263).
The substances that were more common (all P<0.0005) among physicians than other suicide victims were:
- Antipsychotics, with an odds ratio of 28.7
- Benzodiazepines, with an odds ratio of 21.0
- Barbiturates, with an odds ratio of 39.5
"The latter is particularly significant because of its infrequent use for therapeutic purposes and its known lethal potential," the researchers noted.
"The equally dramatic increased likelihood of measurable antipsychotics being found is unclear as to its significance, whether they were used for overdosage or because of a significant difference in the prevalence of conditions such as bipolar disorder."
Gold and colleagues cautioned that the available data couldn't distinguish whether the substances were used with lethal intent or contributed to suicide by impairing judgment.
Firearms were the most common method used for suicide by both physicians and nonphysicians, at roughly half in both groups.
Poisoning came in next most common among physician suicides, with a slightly higher proportion than among nonphysicians (24% versus 18%).
Psychosocial risks also differed between the groups.
A job problem that contributed to the suicide was 3.12 times more likely among physicians (P<0.005), whereas death of a friend or family member and crisis in the prior 2 weeks were less common, with odds ratios of 0.37 and 0.61, respectively (P=0.029 and P=0.014).
"Physician self-identity is often centered around the professional role, and this may permeate both work and home aspects of their lives," the investigators wrote. "For someone whose work helps to define his/her personal and professional identity, a crisis in a work situation might feel more threatening than for someone whose personal identity was less reliant on work satisfaction."
They warned that the database used likely underestimated physician suicides and incidence of mental illness because of underreporting and even deliberate miscoding because of the stigma attached.
Other limitations were that the violent death reporting system did not have statewide data for all states and was not a nationally-representative sample.
The researchers reported having no conflicts of interest to disclose.
Gold received salary support from this study from a National Institute of Mental Health grant.
- Reviewed by Robert Jasmer, MD Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner


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Dec. 13, 2005
CAMBRIDGE, MASS. - Lauren Sylvain's game-high 21 points in 29 minutes of play helped lead Westfield State College to a 63-56 victory over MIT in a non-conference women's basketball game on Tuesday night. Clara Yuan paced the Engineers (3-3) with 11 points in the first meeting between these squads.
Both teams traded baskets to open the game, until a three-pointer from Yuan sparked a 15-5 run that resulted in a 19-9 advantage at 8:03. The Owls (4-5) answered by nailing three consecutive shots from behind the arc during the next three minutes. On MIT's next possession, Karen Kinnaman nailed a jumper to extend its margin to three (21-18). Westfield State countered with a lay-up from Meghan McCarthy and then took the lead on a jumper from Becky Passetto. She then drained a three to give the Owls their largest lead (25-21) with 2:52 remaining. The Engineers cut the deficit to one with a free-throw from Sharon Prange and a basket by Kinnaman within 45 seconds. A put-back by Katrina Crotts off a missed free-throw gave Westfield a 27-24 advantage. Yuan knotted the game by sinking a trey with eight seconds on the clock.
The Owls wasted little time regaining the lead in the second stanza as Lauren Sylvain drained her third shot from three-point range after 10 seconds had expired. Katie Sylvain quickly added a lay-up, resulting in a five-point margin within the first minute. Like the first half, both squads traded baskets until Westfield State established a six-point lead (52-46) at the 8:02 mark. Christa Margossian converted a lay-up during MIT's next possession only to be answered with a free-throw from Andrea Wasuk. The Engineers narrowed the margin to two (53-51) on a three-point play from Cherelle Walls at 5:12.
Westfield State, which had struggled from the charity stripe throughout most of the game, found success as Mary Mueller made both of her shots while Lauren Sylvain drained three to give her squad its largest lead of the game (58-51) with 4:30 left to play. MIT tallied five unanswered points during the next three minutes, but it was not enough as a pair of lay-ups from Wasuk and a free-throw from Katie Sylvain sealed the win.
For the Engineers, Kinnaman totaled 10 points while Prange finished with a team-high six rebounds and three steals. Kimberly Soo Hoo dished out a game-high eight assists.
Lauren Sylvain had a solid shooting performance as she went 7-of-14 from the floor, including hitting 4-of-9 from three-point range and 3-of-3 from the free-throw line. Wasuk posted 13 points as Katie Sylvain registered 11 points and a game-high nine rebounds. Passetto notched nine points, six steals and six rebounds coming off the bench for the Owls.
The next game for MIT will be on Thursday, Jan. 5 at 6:00 p.m. when it kicks off NEWMAC play at Babson College.


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KnowledgeBase 00097: Dynamic Files
Dynamic hashed files are an important element of QM. Unlike the static hashed files found in many other multivalue environments, dynamic files require no periodic maintenance to reconfigure for changing data volume. Instead, the reconfiguration is automatic and takes place continuously as the file content is modified. The small performance degradation that this causes is usually significantly less than that resulting frm static files that are not opimally configured.
Dynamic files are also ideal for 24x7 environments where there is no regular scheduled downtime in which file reconfiguration could be performed.
For a full description of how dynamic files operate, see this technical note.
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ASTP complements the Recommendations for the Establishment of Primary Stroke Centers: A Consensus Statement from the Brain Attack Coalition.
The core piece of the program is the American Stroke Association Program Capacity Assessment Tool, which gives hospitals a tool to strengthen their acute stroke service delivery infrastructure and evaluate their readiness to treat stroke.
Recommendations for using the ASTP:
- Assemble a cross-functional team representing all departments and skill sets involved in treating stroke patients.
- As a team, complete the "initial status" assessment within the Program Capacity Assessment Tool.
- After determining steps that need to be taken to establish a Primary Stroke Center, use the sample materials and tools provided for completing these steps.
- After a six-month period, complete the "follow-up" status assessment within the Program Capacity Assessment Tool to determine if all necessary steps have been taken to allow the hospital to serve as a Primary Stroke Center.
- Continue to conduct periodic assessments and check back to this site for any new materials or updates to the program


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Plymouth State's Defense Holds in 13-7 Nail Biter
CASTINE, Maine – Plymouth State made a late goal line stand to preserve a 13-7 win over Maine Maritime Academy in New England College Football conference inter-divisional play on Saturday. The middle of the Panthers' line held as Mariners fullback Billy Wetherbee (Veazie, Maine) attempted to punch in on fourth and goal from the one in the waning seconds of the contest, giving Plymouth its first win of the season to move to 1-2. Maine Maritime slides to 0-2.
The late-game drama was set up by freshman Michael Fahey's (Union, Conn.) 32-yard toss to Spencer Bowring (S. Portland, Maine). Bowring out-jumped a pair of Panthers before falling to the Plymouth one-yardline. Ryan O'Neal (Higganum, Conn.), who rushed for 107 yards and a touchdown in the game, punched into the end zone on the next play with 55 seconds showing, but a controversial illegal shift call took the points off the board and put the pigskin back on the Panthers' six. A Fahey botched snap was followed by a Wetherbee four-yard plunge before he was wrestled to the ground by Mark Hennessy (Westford, Mass.) at the one, setting up the Mariners' ill-fated, fourth down attempt.
Plymouth's Andrew Foglia (Montauk,N.Y.), who rushed for 98 yards on the day, broke through the left side of the Mariners' defense for 21 of them to give his team the 13-7 lead late in the second quarter. The defenses held the rest of the way. The Mariners piled up 321 yards of offense to Plymouth's 258, and recorded 17 first downs to the Panthers' dozen, but Plymouth's defense answered the bell at every ring.
The Mariners' started in Plymouth territory on consecutive possessions in the third quarter, stalling out on downs on the Panthers' 35 and 14. A Joel Chadbourne (Westbrook, Maine) interception set Maine Maritime up on the Panthers' 28, but after gaining only two yards after a pair of Hennessy-stopped plays, William Alsbrooks (Mobile, Ala.) 42-yard field goal attempt missed just wide right.
Hennessy recorded eight tackles including one for a loss. Plymouth's Ray Boulay (Keene, N.H.) posted 11 tackles, including nine solo stops to go with an interception and a pass breakup. Josh Morgan (Foster, R.I.) had eight solo tackles and an assisted stop.
Chadbourne led all tacklers with 13 stops, including 10 solos. He recovered a fumble to go with his pick on the afternoon. Brock Lawrence (Benton,Maine) recorded nine tackles, with one for a loss of two yards, while John Regis (Old Orchard Beach, Maine) had seven tackles and a forced fumble. Alex Hermes (Fallsington, Pa.) forced a fumble and tipped the pass that ended up in Chadbourne's hands. Christopher Hale (Standish, Maine) also recorded an interception.
Plymouth's Dustin Matthews (Elliot, Maine), started the day's scoring with a one-yard plunge to cap an 11-play, 71-yard drive on the Panthers' first possession. The fullback finished the day with 50 yards on nine attempts. The Mariners' answered with O'Neal, cashing in on a Plymouth fumble that gave Maine Maritime possession on the Panthers' 35. O'Neal punched in on his second 12-yard run on the drive. He averaged 7.1 yards on his 15 carries.
Maine Maritime returns to action next Saturday at Fitchburg State to open Bogan Division play. Plymouth heads to Mass.-Dartmouth to start its Boyd Division slate.


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Posts: 15,102
M. Salah
David Stern Is A Douche.
And not just for this new, animal friendly ball.
WHY OH WHY are the Spurs playing the Mavericks tonight, in pre-season basketball?
To a lesser extent, why did the Nuggets play the Jazz last week in pre-season basketball?
These are rivalry games for Christ's sake. They should be taken seriously. They should be special, intense, and hard fought when they do take place.
These type of games should be made special, hyped, etc. I realize that in the NBA you're playing like 8 pre-season games, and with scheduling, etc, it's easier to play teams that are close together geographically. I also realize that in all Pro Sports, the athletes are generally friends, don't take rivalries as serious as fans, etc.
But come on now. There shouldn't be pre-season games between two teams in the same division, period. Those 4 regular season games between the two clubs should be taken seriously. Especially when you have two teams like the Mavs and Spurs who will be fighting for an NBA Title and will probably play a 7-game series in the playoffs.
Having these two teams play tonight is just asinine.
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Winners of the 2003 Farm Press Peanut Profitability Awards have met the challenge of operating under a totally revamped government program, while finding new and innovative ways of maintaining production efficiency.
Each of the winners represents one of the three major U.S. peanut production regions — the Southwest Region, the Southeast Region and the Virginia-Carolina Region. The awards program was established by Farm Press in cooperation with the Southern Peanut Growers Conference and the Southern Peanut Farmers Federation.
"U.S. peanut producers faced a tremendous challenge this past year when their program was changed under the new farm bill," says Mike Gonitzke, publisher of the Farm Press Publications. "After operating under the same program for more than six decades, growers were placed in an entirely different situation, moving from government quotas to a more market-oriented approach. Our award winners have adapted to this change while improving their efficiency and their bottom lines."
The 2003 honorees, says Gonitzke, are achieving high yields and grades while at the same time maximizing profits. "You can't have one without the other and remain in peanut production for very long. These growers recognize that production costs and price are as important as high yields in the profit equation, and these factors became even more important with the advent of the new peanut program."
Recognizing deserving growers, says Gonitzke, is only one part of the Farm Press Peanut Profitability Program. "Education is an equally important component of this program, and Farm Press accomplishes this by publishing numerous articles throughout the year focusing on production efficiency in peanuts. Growers also will benefit from reading about the production practices of our award winners," he says.
The winning growers will be honored during the fourth annual Southern Peanut Growers Conference at the Edgewater Beach Resort in Panama City, Fla., July 20-22.
This year's winners include:
o Southwest Region — Roger Neitsch, Seminole, Texas.
o Southeast Region — Mike Newberry, Arlington, Ga.
o Virginia-Carolina Region — Ricky Kneece, Pelion, S.C.
Entries in the awards program are evaluated by Marshall Lamb, economist with the National Peanut Research Laboratory in Dawson, Ga., and a research fellow with Auburn University and the Alabama Cooperative Extension System. Lamb, who serves as advisor to the program, designed the nomination form that is used by growers in determining production efficiency.
There are several commonalties among this year's Peanut Profitability Award winners, says Lamb. "Irrigation and great yields certainly were common factors among this year's three winners. Yields were tremendous, with all of our winners averaging more than 5,000 pounds per acre and our Southwest Region winner averaging 6,600 pounds per acre," he says.
The 2003 honorees also practiced good rotation, he adds. "In addition, all of these guys were aggressive farmers. They did whatever it took to make the yields they were shooting for. They did not cut corners, and they didn't hesitate spending money if they could see a return in yields," says Lamb.
This year's entries also stressed the importance of managing fixed costs, he says. "For example, our Southeast winner came out on top because he did such a good job of having the right amount of equipment for the right amount of land. He won because this program looks at returns or profitability over total costs. It's very important to know your fixed or equipment costs."
Each of the 2003 Peanut Profitability Award winners also boasted a high-quality crop, says Lamb. "Overall grades were extremely high, with all being at least a 77. High grades are just another sign of good management."
The Peanut Profitability Awards are based solely on production efficiency — honoring those growers who produce the highest yields at the lowest cost per acre. The awards are based on a producer's entire farm operation, and not just on individual farms or small plots.
The goal of achieving efficiency, says Lamb, has become even more paramount with the government's new peanut program.
"Under the old peanut program, we would fill our quotas and then sell additional peanuts. Now, our total production is marketed for a flat price. If you can make better yields, you can capture much more from your extra production. That translates into a boost in income for our better growers."
For more information on this year's winners and their production practices, see the articles in the July 2 issue of Southeast Farm Press.


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MIDDLEBURY — Members of the Middlebury College Solar Decathlon team spent two years designing, constructing and presenting their 1,000-square-foot, solar-powered, super energy efficient house in preparation for the U.S. Department of Energy's international competition.
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Mitral regurgitation is a disorder in which the heart valve that separates the upper and lower chambers on the left side of the heart does not close properly.
Regurgitation means leaking from a valve that does not close all the way.
Alternative Names
Mitral valve regurgitation; Mitral valve insufficiency
Causes, incidence, and risk factors
Mitral regurgitation is the most common type of heart valve disorder.
Blood that flows between different chambers of your heart must flow through a valve. The valve between the two chambers on the left side of your heart is called the mitral valve.
When the mitral valve doesnt close all the way, blood flows backward into the upper heart chamber (atrium) from the lower chamber as it contracts. This leads to a decrease in blood flow to the rest of the body. As a result, the heart may try to pump harder. This may lead to congestive heart failure.
Mitral regurgitation may begin suddenly, most often after a heart attack. When the regurgitation does not go away, it becomes long-term (chronic).
Many other diseases or problems can weaken or damage the valve or the heart tissue around the valve and cause mitral regurgitation:
- Coronary heart disease and high blood pressure
- Infection of the heart valves
Mitral valve prolapse(MVP)
- Rare causes, such as untreated syphilis or
marfan syndrome
- Rheumatic heart disease, a complication of untreated strep throat (which is becoming less common because of effective treatment)
- Swelling of the left lower heart chamber
Risk factors include a personal or family history of any of the disorders mentioned above, and use of fenfluramine or dexfenfluramine (appetite suppressants banned by the FDA) for 4 or more months.
Symptoms may begin suddenly if:
- A heart attack damages the muscles around the mitral valve.
- The cords that attach the muscle to the valve break.
- An infection of the valve destroys part of the valve.
There are often no symptoms. When symptoms occur, they often develop gradually, and may include:
- Cough
Fatigue, exhaustion, and light-headedness
- Rapid breathing
- Sensation of feeling the heart beat (
palpitations) or a rapid heartbeat
- Shortness of breaththat increases withactivity and when lying down
Urination, excessive at night
Signs and tests
When listening to your heart and lungs, the health care provider may detect:
- Athrill (vibration) over the heart when feeling the chest area
- An extra heart sound (S4 gallop)
- A distinctive heart murmur
- Crackles in the lungs (if fluid backs up into the lungs)
The physical exam may also reveal ankle swelling, an
The following tests may be done to examine the heart valve structure and function:
CT scan of the chest Echocardiogram(an ultrasound examination of the heart) Magnetic resonance imaging(MRI)
Cardiac catheterization may be done if heart function becomes worse.
The choice of treatment depends on the symptoms, and the condition and function of the heart.
Patients with high blood pressure or a weakened heart muscle may be given medications to reduce the strain on the heart and help improve the condition.
The following drugs may be prescribed when mitral regurgitation symptoms get worse:
- Beta-blockers orACE inhibitors
- Blood thinners (anticoagulants) to help prevent blood clots in people with atrial fibrillation
- Drugs that help control uneven or abnormal heartbeats
- Water pills (diuretics) to remove excess fluid in the lungs
A low-sodium diet may be helpful. If a person develops symptoms, activity may be restricted.
Once the diagnosis is made, you should make regular visits to your health care provider to follow your symptoms and heart function.
People with abnormal or damaged heart valves are at risk for an infection called endocarditis. Anything that causes bacteria to get into your bloodstream can lead to this infection. Steps to avoid this problem include:
- Avoid unclean injections
- Treat strep infections quickly to prevent rheumatic fever
- Always tell your health care provider and dentist if you have a history of heart valve disease or congenital heart disease before treatment. Guidelines recommend antibiotics for some patients, but only under certain conditions.
Expectations (prognosis)
The outcome varies. Usually the condition is mild, so no therapy or restriction is needed. Symptoms can usually be controlled with medication.
Problems that may develop include:
Abnormal heart rhythms, including atrial fibrillation and possibly more serious, or even life-threatening abnormal rhythms
- Clots that may travel to other areas of the body, such as the lungs or brain
- Infection of the heart valve
Heart failure
Calling your health care provider
Call your health care provider if symptoms get worse or do not improve with treatment.
Also call your health care provider if you are being treated for this condition and develop signs of infection, which include:
- Chills
- Fever
- General ill feeling
- Headache
- Muscle aches
Treat strep infectionsright awayto prevent
Otto CM, Bonow RO. Valvular heart disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwalds Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 66.
Nishimura RA, Carabello BA, Faxon DP, et al. ACC/AHA 2008 Guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52:676-685.
Review Date:
Reviewed By:
Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.


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The Season of Discontent for Pay-TV
Time Warner Cable's blackout of CBS highlights mounting tension over rapidly rising programming costs, leaving TWC trying to explain to affected customers that CBS is off the air because of efforts to keep their monthly bills in check. Miriam Gottfried has more. Photo: AP.
This transcript has been automatically generated and may not be 100% accurate.
... I ... I ... I'll what I will CEO Glenn Britt has offered to end a four day blackout of CBS stations in three matches cities ... to Mikhail upright what allowed CBS to sell its ties to signal our cost ... it can seem is this the bombing in without a chance ... what CVS does for the offer underscores the tensions of how to pay for content and industry is undergoing profound shine ... good morning we had Miriam Gottfried here to tell us a little bit about what is going on here um suck fest will this this new opera I'm in quite different from the way that that people would normally receive a ... CD is an asset and a four individually there is pretty much no way that CBS is behind consensus ... bundling is an essential elements ... of how media companies sell their content ETP ... and what that means is ... that your Guinea get one of our channels ... you have to get all artsy and also for CBS that I mean not only the CBS broadcast network but also Showtime cable channels ... they want ... all that together in one package which is how they sell and get you the most money for for their channels circuit City assertive respond that this I believe they issued a statement saying that it was you know ... not every offer us something to that effect and again I don't think he's ... responding directly to ... to this proposal it bought out and I don't think it's really advanced talks with Saudi quarter Shamsian ... The my kid going very well know ... so the aam to tell salute that enjoy your column today it looks at how would be in ... CTB offers was not just this battle this this this Liberty Media others who ... are ... struggling to ... find ways to recoup ... money from ... or the other way round averages to cough so be it yet basically at its ... programming costs are skyrocketing pay TV providers and one of the biggest drivers of that is retransmission fees ... which it which I that easy that ... I'm ... he TV companies have to cave Rock broadcast networks to carry their signal and these are ... feel free to air broadcasters like CBS Fox ... on ABC NBC ... aam ... so those those fees are skyrocketing and sports costs are also driving content costs of a lot on but those are very valuable piece pieces of content as well so there's ... there's this pressure on pay TV providers to ... to deal with those custom it's those costs so that it doesn't hurt their margins because they can just raise prices for consumers ... when growth is already so slow in that industry ... and are any people have ... been starting to quit and go over the top and watch video online for Fitbit unit cost pressures on some of ... the ... marshaling me was fuller of the networks on the run so they themselves are trying to find ways through to that ... that's right ... that's right so on one thing that's been happening is consolidation had ... consolidation top concern in eating and John Malone was the chairman of Liberty Media corps has been trying to ... basically instigate that through his stake in choc N Charter Communications and he's he wants to ... ask your hand and mergers of cable companies said thinking that with greater scale they can overcome the cost pressures ... on ... the question is how much would that really do you really need to get some major scale ... in order to go to the content companies and say look you can Apple charts let stand and is active in the ring with issues in terms of the Ottoman concentration but there was any there could be any depends on who's carry on ... appeal to Charter and Time Warner Cable which was one of the ... early proposals from John Malone ... I ... would ... definitely help Charter fight ... with lessening its content costs because it would ... be to cater rates that Time Warner Cable appeared companies came ... by ... I aam ... it would still be in the Number three player I believe then that wouldn't quite get the heft that you when needed ... aam you know to get to say Comcast's size four ... and even fewer if DirecTV and dish merge for example they would be huge ... I'm that could actually ... have some meaning in terms of content will put some solace to come and yes that's right you're a much feared time ...


text:
I'm a virgin: how do I keep him from finding out?
Heather Corinna replies:I am 23 and still a virgin, I am in a relationship with a guy and want to have sex with him but does not want him to know I am a virgin. Is there anyway we can make love without him knowing? Help, please.
If you say nothing, it's unlikely he'll know. The bodies of people with vaginas really don't change when they have any kind of sex, unless they become pregnant or contract an infection. Vaginal sex can wear a hymen or partial hymen away more, but so can and do a lot of other things, and at your age, it's likely you don't have much of your hymen left, anyway, just due to hormones, physical development, vaginal fluids, masturbation and general physical activity.
However, there are an awful lot of reasons why lying about your sexual history is just not the best idea ever, and why I would advise you to be truthful.
For starters, if and when something hurts during sex -- and first intercourse is more likely to hurt for someone who is nervous and can't relax, which is pretty typical for someone who knows they are withholding information during an activity which is supposed to be about getting close -- you need to be able to speak up. If you're worried about giving yourself away by saying something hurts (even though intercourse can be painful for other reasons that someone not doing it before), you aren't likely to do that. Sex is supposed to be, in part, about pleasure and feeling good, so when one or both partners don't communicate -- and don't say something when it doesn't feel good -- you're looking at both a sexual experience that's likely to be unsatisfying AND one that will hurt.
Next up? It's not really all that fair to commit someone to something sexual without their consent. In other words, not everyone wants to be a person's first partner, for any number of reasons, some fair (maybe that person just feels like it could require a sort of commitment they aren't up to yet, for instance, or like they just wouldn't be the best first partner for you), some not so fair.
But I'd hope your partner has also been honest with you about his sexual history, and if he has, then you've gotten to decide if you're okay with what it has been and if you're okay being part of that, by whatever your own standards, merits and needs are. Every partner should be able to make informed choices about sexual partnership like that. And if and when he does find out -- because if you stick together and get close, partners do talk about sexual history, and unless you're willing to invent a whole fiction about sexual experience you didn't have, you'll have to fess up eventually -- imagine how he might feel about this. For instance, he might feel pretty hurt that you didn't trust him enough to be honest, or feel upset knowing that you were going through something alone, effectively, that you didn't have to, and where he'd have been willing to give you some extra comfort. He might feel like if he was open with you about his sexual history, that you weren't willing to take the same risks in being honest, and he may feel betrayed in that way.
But the biggest issue is that one other big part of partnered sex is intimacy.
We can't really get intimate with someone if we're being dishonest with them or lying by omission. It also doesn't tend to feel so good emotionally when we're having sex with someone who, based on our dishonesty, thinks they're having sex with someone who isn't us. In other words, if you can't be authentically who you really are -- including your life experience or lack thereof -- it can feel pretty craptastic, like we're only acceptable to someone because of our persona, not our actual person.
If any sex partner doesn't feel like someone you can trust to be the real you with, including your sexual history, that probably isn't a very good person to do something so intimate with. You say you're in a relationship with this person, but it sounds to me like you're about to withhold something that could really screw up the trust in that relationship: why not be forthright and honest and build something of real quality rather than a sham?
If it's about feeling like you're too old not to have any or a certain level of sexual experience, I'd dump that idea. Not only are there still a goodly amount of people at your age who have not had sexual partners, even if you were the only one in the whole wide world, it'd be totally okay. People are allowed to be new at things, and there's no shame in that. In Zen Buddhism, we often aspire for what we call "beginner's mind," and see that as an ideal way to be, all the time. In other words, we see it as ideal to approach everything we do, if we can, as if it were our first time because that headspace tends to make people more open, eager and limitless: we can come to things with fewer preconceptions. Really, that's the way everyone should come to sex with ANY new partner: as if it were the first time. It tends to make for better sex. For real.
So, I'd suggest that if you do have a good relationship with this person, and if you trust them enough to have sex with them, that you trust them enough to bring your whole self to the table here and just be honest. Chances are good that it'll be no big deal to your partner, and also good that you will both have a much more satisfying sex life together -- physically and emotionally -- that has some real integrity and intimacy in it, if you start that sex life from a place of honesty. And chances are good that you'll have a far better first sexual experience if you're honest than you will if you're not: why not risk having something positive?
If you just don't feel like there is enough trust yet to do that, or that you don't know this guy well enough to let him get to really know you, then it's probably a good idea to wait for any sex until there is, especially if you've interest in healthy, satisfying sex AND relationships of real quality, that leave you feeling good because you know that your partner wants to be with EXACTLY the person he or she is with -- you -- rather than a person you pretend to be. If you feel like you're too old by someone's standards to be allowed to wait until it really feels right for you, rethink that. EVERYONE, of every age, at any time, should only be having any kind of sex when it feels right as rain, in all respects, and if we really want to have good sex, that's usually required, and there is never any harm in waiting until it's all just right.
Here are some extra links that might help you out with this: