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Alcohol, drugs and older people
- Sophie Russell
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1 Alcohol, drugs and older people
2 This leaflet is for older people (defined as those aged 55 or over) who are worried about their use of alcohol, illegal drugs and/or prescribed/over-the-counter medications. It is also for their family members, carers or friends, and for health professionals who want to know more about older people and their use of alcohol and/or drugs. 2
3 Why is this leaflet needed? Some older people use and misuse alcohol. They also smoke cigarettes, misuse prescribed medications, buy over-the-counter medication and are increasingly using illicit drugs. As people get older the impact of these substances on physical and mental health increases. This can become a problem. Among older people this problem is often hidden. This leaflet has been written to enable older people, family members and/or carers to feel confident enough to voice any concerns about alcohol and/or drugs, and to ask for help. Health professionals are encouraged to raise concerns with older people and provide support where it is needed. 3
4 Older people and alcohol and drug misuse a hidden problem Substance misuse is a hidden problem for many older people. Health and social care professionals may not always spot heavy drinking or drug misuse in older people as: some older people tend not to talk about drinking, perhaps due to a perception of shame, stigma or embarrassment; the effects of alcohol or drug misuse are sometimes mistaken for a physical or mental health problem; older people are often not asked questions about alcohol or drug use as they are assumed not to be a problem. 4
5 What are the effects of alcohol or drug problems? Misuse of alcohol and drugs can affect physical and mental health and increase the risk of developing problems or conditions in later life. These include: increased risk of accidents; increased risk of hypothermia; increased risk of stroke and heart disease; increased risk of cancer; poor liver functioning; poor coordination/balance; incontinence; depression; dementia; anxiety; confusion; memory impairment; decreased ability to respond to emergency situations (eg smoke alarms). Impact on family members Drinking or drug misuse by an older person may have an impact on the wider family, causing anxiety and stress and sometimes leading to relationship breakdowns. Some people find that their drinking or drug use means they don t see family members as much as they used to. 5
6 For family members of an older person with an alcohol or drug problem, they can find things difficult and feel they need support in their own right to help to cope with the situation. Family members can talk to their doctor or look for a support service. Can older people address an alcohol or drug problem? Many older people are motivated to change their drinking or drug use so that they can have more contact with their families, particularly grandchildren. Health professionals have found that it is often easier to treat alcohol and drug problems in older people than in younger adults. An older person who thinks they have an alcohol or drug problem should talk to their doctor. There are treatment options available, which may include counselling or support groups. Getting involved with activities in the local community, making links with services, taking up hobbies and making contact with family members and friends are important for older people who have become isolated. 6
7 Alcohol Does alcohol affect people differently as they get older? As people get older, their bodies change. Alcohol is broken down more slowly, and they become more sensitive to the effects of alcohol. Therefore, if people continue to drink the same amount of alcohol, as they get older, it is likely to affect them more. It is important for people as they get older to be aware of how much they are drinking and perhaps to drink less. How much is safe to drink? Women are advised to drink no more than 2 3 units a day and men no more than 3 4 units a day. In some circumstances a doctor may recommend reducing the amount of alcohol taken or not drinking at all. It is important to follow such advice. 7
8 Three units of alcohol is roughly: one pint of lager OR two pub measures of spirits (ie vodka, gin, whiskey) OR OR OR OR one large glass of wine (187.5ml) two alcopops/ ready mixed alcoholic drinks The damage caused by alcohol increases with the amount consumed. There are also weekly sensible levels of drinking which should reduce the likelihood of alcohol intake causing harm. Note that drinking at the top end of the daily recommended limit every day adds up to more than weekly sensible limits. These are: 14 units of alcohol a week for women roughly one and a half 750ml bottles of wine at 13% strength or seven pints of beer/lager at 4% strength or seven pub measures (35ml each) of spirits 21 units of alcohol a week for men roughly two and a third 750ml bottles of wine at 13% strength or 10 pints of beer or lager at 4% strength or 11 pub measures (35ml each) of spirits 8
9 However, some bodies such as the Institute of Alcohol Studies and the Royal College of Psychiatrists have noted that safer drinking levels for older people could actually be less than the recommended weekly or daily limits given that they break down alcohol more slowly than when they were younger. It is also important to remember that the measures people pour themselves at home, or which friends and family pour, are often a lot more generous than the standard pub measures! Are there any risks with sensible drinking for older people? Alcohol can interfere with the effect of some medicines. Check with your doctor whether or not you can drink alcohol with your particular health problems or medication. 9
10 Can an older person develop an alcohol problem? Yes about a third of older people with drinking problems develop them for the first time in later life. Bereavement, physical ill-health, becoming a carer, loneliness, difficulty getting around and social isolation can lead to unhappiness and depression. No longer working, changes in routine, financial, housing and other circumstances can lead to an increase in drinking or misuse of drugs (including over-the-counter and prescribed medication). Older people can become socially isolated in many ways, including loss of contact with their family, loss of a partner due to bereavement, loss of mobility, less contact with friends and less involvement with activities in their communities. 10
11 Answering these three questions can tell you a little bit more about your drinking: How often do you have a drink containing alcohol? Never (score 0) Less than monthly (score 1) 2 4 times a month (score 2) 2 3 times a week (score 3) 4 or more times a week (score 4) How many standard drinks containing alcohol do you have on a typical day when you re drinking? 1 or 2 (score 0) A standard drink contains one unit (10 millilitres) of alcohol. 3 or 4 (score 1) 5 or 6 (score 2) A pint (568ml) of standard beer (4%) and a small 7 to 9 (score 3) bottle (187.5ml) of wine (13%) both contain over two units and a pub measure (35ml) of vodka or 10 or more (score 4) whiskey (38 40%) contains just under one and half units of alcohol. How often do you have six or more drinks in one occasion? Never (score 0) Less than monthly (score 1) Monthly (score 2) Weekly (score 3) Daily or almost daily (score 4) Total: A score of five or more for a man or four or more for a woman may mean that it would be worth taking a closer look at your alcohol intake and that you should perhaps have a chat with your GP about it. It may mean that you occasionally drink too much or that you are regularly drinking to excess. Both ways of drinking could be causing you harm. 11
12 Drugs Drug misuse and older people Drug misuse among older people tends to involve misuse of over-the-counter medicines, bought in shops and pharmacies and prescription medication. These include painkillers, sleeping tablets, medicines for the treatment of anxiety, depression and other conditions. Reducing misuse of medicines should be discussed with a doctor, who can offer advice and sources of support. Some older people use illegal drugs such as cannabis, cocaine, heroin and amphetamines. Reducing or stopping use of these drugs should also be discussed with a doctor. Prescribed medication questions to ask the doctor It is important for patients to ask the doctor about the medication they have been prescribed, or to take someone with them (family member, carer or friend) to help them understand why a certain drug has been prescribed. It is important to read the patient information leaflet that comes (usually inside the box) with any prescribed or over-the-counter medication. Questions you should ask include: Why am I getting this drug and what does it do? How, when and for how long will I have to take it? 12
13 Will it interfere with any of the other medications I am taking? Will it cure my condition or is it just to give me relief from my symptoms? What are the possible side effects are they minor or major, common or rare? Do the benefits outweigh the risks? What are my non-drug alternatives, ie are there any lifestyle changes I can make which will help address my condition or relieve my symptoms or are there any alternative therapies or treatments I could try? Prescribed/over-the-counter drugs and alcohol It is important that people are always open and honest with their doctor/ health professional about the medication that they are taking (both prescribed and over the counter) and about their alcohol intake as mixing medicines and alcohol can be extremely harmful. Older people are particularly at risk as ageing slows the body s ability to break down alcohol, so it remains in a person s system longer. Older people also are more likely to take medication that is known to interact with alcohol. 13
14 Alcohol, drugs and older people myths and reality A number of myths exist about older people and alcohol and drug use. Myth: older people don t experience substance-related problems According to The Royal College of Psychiatrists, one in six older men and one in 15 older women are drinking enough to harm themselves. Furthermore, approximately one-third of all prescribed drugs such as anti-depressants and painkillers are used by people aged over 65. Older people can misuse prescribed medication in a number of ways such as by using a higher dose than directed, using for a longer time period than recommended, taking alcohol along with prescribed medication and by borrowing medication that has not been prescribed by their GP for their own personal use. Also, as with their younger counterparts, older people (especially those in the younger age bracket of older age) may also use illegal drugs. Myth: alcohol helps you sleep Alcohol disrupts normal sleep patterns and too much alcohol can result in wakening during the night. 14
15 Myth: the only older people at risk of developing alcohol-related problems are those who have been drinking heavily since their twenties or thirties. The late onset group, which makes up about a third of older people with alcohol problems, developed the problem after the age of 50; contributory factors can include bereavement, retirement, social isolation and mental or physical health problems. Older people who drink occasionally but who sometimes, or often, drink to excess are also at risk of developing alcohol-related problems. Myth: why talk to an older person about their drinking isn t it their only pleasure in life? Older people have the same right to access health-related information as younger people. Many older people would like to reduce their drinking or drug use, but haven t been presented with the opportunity. Would it be acceptable to think this about a younger person s drinking or drug use? Older people who have problems with alcohol and/or drugs can be treated effectively they can recover and maintain an improved quality 15
16 of life. Simply by asking older people about their use and assessing it against the recommended levels for sensible drinking and/or the medication they are using, health professionals are best placed to assist an older person in making positive changes that will ultimately improve their short-term and long-term health. Myth: older people can t change their behaviour at their age Research shows that older people are just as capable of changing their behaviour as any other age group. Many older people have not only addressed their alcohol or drug problem but have also made positive changes in other areas of their lives, eg health, family relationships, social contacts by reducing or stopping their use/misuse of alcohol and/ or drugs. 16
17 Sources of help, support and information If you are concerned about your drinking, drug use, or use of prescribed/ over-the-counter medication, you should first talk to your GP who will be able to advise you how to cut down or stop your use of alcohol and/ or drugs. If your GP feels that you need help in addressing your alcohol and/or drug use they will be able to refer you on to a specialist service either in the statutory or community setting. Addiction NI Older Focus Addiction NI is a community/voluntary organisation which specialises in providing support to older people with an alcohol and/or drug misuse problem, and they are located across Northern Ireland. Addiction NI can provide support at their local office base, in your own home or indeed over the telephone if you prefer. They can also provide advice and support to concerned family members, carers and other organisations who provide services and support to older people who may have concerns. Tel: (This is the number for their head office in Belfast which will be able to provide you with contact information for the local Older Focus service) 17
18 Directories of drug and alcohol services including what age range they cater for, what support they can offer and how to access them are available for each Health and Social Care Trust area (Belfast, Northern, Southern, South Eastern and Western) from the Publications section of the Public Health Agency s website: For more information on alcohol go to: For information on maintaining good mental health go to If you are in distress or despair, contact Lifeline, a free and confidential 24-hour helpline service on who can also direct you on to appropriate services. 18
20 This leaflet was developed by the Public Health Agency in partnership with the Belfast Health Development Unit, Addiction NI and Drink Think. 03/13
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Tuesday, March 11, 2014
Books & Dates
And yes, this is our main color for the box art. (~.^) Whoo-hoo!
Tomorrow and Thursday we reveal (or tease) more! I'm looking forward to your reactions. You could say we are just starting to pick up the pace in revealing content to you. Somethings are coming up that will be revealed sooner than you think. One of my weekend puzzles (that I hadn't fully explained) has a clue to when stuff will be revealed.
New announcement! For those of you who are collecting the latest Nancy Drew books, we have the fifth one available now on our web site here.
~Little Jackalope~
4 comments:
Beautiful box art color! I know the cover art will be fabulous, as all the covers are. ( guessing cover art and soundtrack will be revealed soon)
Excited that you guys announced MED's release dates!
- March 11, 2014 at 6:00 PM
- Future Animator said...
Just heard the ABC interview from yesterday:0 I can't even... Wow!! This is going to be epic... I hope y'all aren't butting off more than you can chew. That's a lot to keep up with for a small team. I wish y'all all the best:D
I'm loving that the pre-orders with ship around my birthday(May13th)! That's too good to be true
- March 11, 2014 at 7:59 PM
So so so so so so so exciting!!!!!! I can't wait to see what will be revealed soon!
- March 12, 2014 at 1:38 PM
So much for me guessing all the winning games in the marathon right! SAW just beat DDI! (Although it was close... only 6 votes difference! Yay for SAW!)
Anyway, I cannot wait to see your posts for today and tomorrow! More info on MED is needed! :-) BTW, I really like the color scheme. It's definitely suiting for a New Zealand adventure!
Also, I heard that you guys got rights to the Hardy Boys. Even though you said you have nothing planned, I'll be waiting and hoping for you to release HB games! :-D
- Ella
- March 12, 2014 at 2:32 PM


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text:
I feel so bad.
Am I the one causing Mystery this much trouble? I am so sorry, so very sorry Mystery. The men, the MASC men keep trying to make me come to the medical wing alone, they offer Mystery money so she can buy food for me and tell her to stay home well I go alone.
Finally, I realized how stressful I am being on Mystery. "Mystery, please stay home and rest, I'll go alone this time don't worry my dear I'll be fine" she was going to object, I could see it in her eyes but I smiled cheerfully, "it's just a check-up nothing big I'll tell you exactly how the baby is doing".
"I'll go buy some food.." she said I frowned upon her choice, I wanted her dearly to stay home and relax, all
I've been doing is sleeping and eating from now on I'll help her more I hate feeling useless. I did go alone, now without Mystery's hand to hold I inched my way into the wing.
A few MASC men stood there staring at me I became scared, this wasn't a friendly stare, "Hello Lullaby" I felt a swift movement from my stomach, like butterflies, could it be my baby? "Good day" I replied, "Were not going to do anything different a simple check-up OK?" I nodded and followed them to the table.
It really was just another check-up, they decided to do another ultrasound too, I wasn't sure why but I never really did like the ultrasounds it's not that they hurt I was just not happy about them.
"Oh do you see this?"
"Yeah, it doesn't look good"
"Maybe we should?"
"Do you think she'll like the idea?"
"Probably not but for her safety". I looked back and forth between the voices.
"Lullaby can you sit up?" I nodded and slowly got up.
"We need to do an abortion.." A WHAT? This is a joke right, a sick joke. "Y-your kidding right?" I stuttered my voice was hitched in my lungs when they answered.
"No, if you give birth we have determined you will die, even now the… CHILD is taking everything from you" I couldn't breathe; I couldn't see tears stung every part of my body.
No. No. No. "No" I said firmly, quickly, fluently. "I will die with this child if I have to, there is no way you are hurting a part of me" The men looked among one and other then quickly walked up and grabbed me roughly, it hurt, it hurt, it still hurts, they left bruises on my arms.
"Lullaby your child is deformed, really you have no choice, it might be born dead at this rate…" then they forced me onto the table, I tried to protest kicking, crying, screaming. I shouldn't have come alone, I shouldn't have come alone. I bit one of the MASC members and ran towards the door. Something was driving me, I only made it halfway down the hall before another member grabbed onto me again, dragging me back.
"MYSTERY! CASEY! SHADY! SOMEONE!" I screamed and fought and cried and protested until I couldn't anymore, until my body became numb, and all my senses were fading.
"I want to talk to Casey, I want to talk to the baby's father.." they looked among one and other, they couldn't object. As I entered Casey's room I shut the door and looked at him. "They want me to abort Doc..I can't they will force me, I can't, I won't not my baby not our baby…"
His eyes widened when he heard that they wanted me to abort
"Please don't let them hurt me.." I whimpered he looked around the room and asked me to grab the phone that was located a bit away from him.
He dialled a number and started talking, sounding rushed he spoke quickly: "Something, wrong, hurry, help, MA-" "Hello?Hello?" He looked at me, with eyes that were trying to speak for him.
They cut the phone lines, "Hey Lullaby are you ready?" I grabbed his hand and shook my head violently; he gripped back and smiled reassuringly.
"I won't let them". They walked in and looked at us. "It's not going to happen…" Casey said watching me and carefully.
"If you touch her or the child, I will rip every nerve from your body." I smiled he was so defensive I was so happy.
"A injured man is going to stop us? I can't wait to see this" I looked at them angrily.
"Hey shut your mouth!" I yelled back, they walked up and grabbed me forcefully again; I was so scared of them hurting the baby.
Casey gripped me tighter refusing to let go, he held on because as of now my life depended on it, "Lullaby…" he whispered "..I won't let you go". He got up standing in front of me and pushing the men off glaring at them.
This fight continued for half an hour we struggled and fought and pulled and yelled, finally they managed to drag me away from Casey, not without protest though. We made it to the operation room again.
I don't want to see no more, I don't want to feel no more, I don't want this anymore, please make this stop. I closed my eyes tightly, I wanted this all to end.
I heard the doors fling open, and someone walk in, it was Mystery? She didn't seem happy I could feel tension in the air, tension.
"Get your goddamn fucking hands off her now!" she yelled a few lights in the room blew out and the sparks flew around the room, MASC men pulled back, even I flinched a bit. Mystery grabbed my hand, softer, kinder, despite her anger.
I passed out shortly after, when I awoke I was in my bed, could it have all been a dream? Mystery walked in with sandwiches, "Lullaby how are you feeling?" that name it felt unreal, as if it didn't belong to me.
"I'm good, just hungry" slowly I grabbed a sandwich and started eating.
The truth is I cant tell if I'm hungry or not anymore.


text: It hapenned after using some applications (e.g. firefox) for a period of time, the application start to lost focus when I pressed any key (no matter the key was pressed inside it or not), causing it ask me whether to close multiple tag. This situation doesn't stop after restart of it, but become better after complete reboot (But it still repeat itself). How to solve this problem ?


text: ive been looking thru the board for a windows 8 with a start button iso but cannot find 1. can i download any w8.and try to activate it. and do i need any third party software for it. i want to run it along side w7. will it over write it ? i have 1tb hd with a partition on ive got the backup of w7 on a external hd. windows 7 amd a6-5400k 3.60hhz 4gb 32 bit


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You got us!
Headlines from Temple Beth Sholom "Full-of Bulletin," 2003 and 2004
We in Special Collections were baffled by a recent announcement that Donald Trump would be speaking at Midbar Kodesh this week. As word spread through the office, a "Librarians Against Trump" rally was proposed, including a mission for our Visual Materials Curator to photograph what would certainly be a spectacle. However, our super-sleuth librarian Melissa Stoner picked up the phone and got to the bottom of it! No, Donald Trump will not be speaking at Midbar Kodesh tomorrow. The 51s baseball team isn't building an air conditioned stadium at Temple Beth Sholom. Check out some tidbits from the collection celebrating Purim!! Enjoy!


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All About Crane Hoists
Crane Hoists of Every Type, For Every Need Crane hoists – there are so many different types of crane hoists, designed for numerous needs. EMH manufactured crane hoists are the … Read more
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Another great article over on the Fresh Takes website was article that spoke to bedtime being bonding time. The author spoke how sometimes the day gets the better of you, but that no matter what she took 15 minutes at the end of the day to spend alone time with the kids.
Maybe I never thought about bedtime before as a tradition, and maybe more of a routine, but why can't bedtime have traditions too? Who says traditions can't be done every day? They aren't always reserved for special occasions. In my house after the bathing and the brushing of teeth, my husband and I both take the time to sit in each of the kids rooms and read stories and talk about their day. Not only do I think my kids would have a hard time if we didn't do it, but I think I'd miss it too.
You can read the full article here and browse the rest of the Fresh Takes articles by visiting their site. Don't forget to upload your own story for a chance to be a featured family & win some prizes like gift certificates to Subway! And if you win and are Featured on the Fresh Takes website, I'll be featuring you here too!
This website is a part of an incentivized online influencer network for Fresh Takes on Family Time Powered by Subway.


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Information Archived on the Web
Information identified as archived on the Web is for reference, research or recordkeeping purposes. It has not been altered or updated after the date of archiving. Web pages that are archived on the Web are not subject to the Government of Canada Web Standards. As per the Communications Policy of the Government of Canada, you can request alternate formats. Please "contact us" to request a format other than those available.
Download Full Document (PDF, 1.4 MB)
Authors: Bhy Ahmed Ozeer, Guillermo Hernandez-Gonzalez and Tarek EL-Fouly, CanmetENERGY
CETC number: 2012-010
Publication date: 2012-06-27
This report details the fourth of a series of case studies which have the intent of disseminating knowledge about the impact of Distributed Generation (DG) on distribution systems planning and operation. This case study investigates the dynamic behaviour of a distribution system with interconnected DG and operating in a grid-connected mode. Disturbances such as loss of generation, loss of load and local faults are simulated for different DG technologies. In particular, the variation of frequency and voltage at different nodes in the system are obtained and compared to the permissible limits specified in the IEEE 1547 Standard. The second edition for this series of case studies is meant to update the information in the first edition, add cases involving doubly-fed induction generators (DFIG) and facilitate the study of the integration of DG into distribution systems. The simulations of this report were carried out using latest official release of CYMDIST 5.02 rev04 of the CYME software package. This case study is meant to be accompanied by the corresponding CYMDIST case study files; however, it also serves as a self-contained and informative report.
For more information about CanmetENERGY's activities related to distributed generation, visit the Smart Grid section of the website.
- Date Modified:


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Junior Research Fellow at Wolfson College
Lola San Martín is a Junior Research Fellow at Wolfson College, Oxford. Her research focuses on French music, film and literature and the cultural geography of Paris during the Third Republic. She earned her doctorate from the University of Salamanca (Spain) having carried out research stays at Paris IV-Sorbonne and UCLA. She is also a sworn translator and interpreter.
Contact email:


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Prison Time vs. Crime Rate / Researchers find little correlation
Putting more people in state prisons has had little effect on California's crime rate, according to a study released this week by researchers at the University of California at Berkeley.
In only two categories of criminal activity analyzed in the study -- robbery and larceny -- did the crime rate appear to drop because more people had been imprisoned. Even in those categories, however, it was not clear that aggressive imprisonment efforts were responsible for the drop, the report said.
"The fact that no violent crime appeared to respond consistently to increases in incarceration is discouraging news," said Franklin Zimring, a UC Berkeley law professor who was the study's principal investigator. "The concentration of crimes prevented (by increased imprisonment) was at the lower end of the seriousness scale for crime."
The analysis focused on the notion of "incapacitation" -- the restraining influence of expanded incarceration -- in an 11-year period during which the state's prison population more than tripled, jumping from 52,000 to 170,000.
To study the effect of expanded imprisonment as a crime-control tactic, the researchers used mathematical techniques to estimate how California's crime rates in selected categories would have behaved had the prison population remained constant. They then compared the projected rates to the rates actually reported.
Not only did the study indicate that increasing the state's prison population did not decrease the crime rate, in at least one category of crime reviewed -- car theft -- the study seemed to suggest that imprisoning more people may have driven the crime rate up.
The study appears to sharply contradict supporters of the state's large prison-construction program and the "Three Strikes and You're Out" law, which requires life sentences for criminals with three convictions. Proponents of more and longer prison sentences have long argued that taking criminals off the street reduces crime.
Last fall, Mike Reynolds, a Fresno businessman who helped pass the "Three Strikes" initiative, said serious crime in California had dropped nearly 8 percent in the first six months of 1994, in part because of the new, tough sentencing law.
Critics of imprisonment strategies, however, said the UC Berkeley study underscores what they already suspected: Putting more people in prison has little effect on the rate of crime.
Vincent Schiraldi, the executive director of the Center on Juvenile and Criminal Justice, said that North and South Dakota have almost identical populations and demographics. However, South Dakota -- which sends nearly three times as many people to prison -- has a slightly higher crime rate than its sister to the north.
"Never has there been a better experimental demonstration that there is no real relationship between increasing the prison population and decreasing the crime rate," he said.


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Session Detail
Monday, October 8, 2018 | 1:45 PM - 2:45 PM
Open to Conference Attendees Only
Caring for Caregivers
Executive Director, Beads of Courage, Inc.
, McGovern Medical School
1:45 PM—2:00 PM Art in Medicine: Combating Burnout and Fostering Communication through a Structured Curriculum for Residents
Art in Medicine, or AiM, is a resident-run program at UTHealth McGovern Medical School in Houston, TX. This session will explore the growth of the program to further foster a sensation of community among residents, decrease burnout and promote collaboration among the disciplines. It will also explore how such programs may be initiated in other locations and settings.
Learning Objectives:
2:00 – 2:35 PM Arts in Health Workshop:
I'm Fine (Feelings Inside Not Expressed): Alleviating compassion fatigue through an innovative workshop series for clinicians
Professional quality of life for those in direct patient care is a focus area for many healthcare systems. Minimizing compassion fatigue can prevent burnout. Beads of Courage created the "I'm Fine" (Feelings Inside Not Expressed) workshop series to support clinicians. Each workshop integrates the art of poetry with reflective beads to promote selfcare and to renew the mind, heart and spirit of the professional healthcare provider.
Learning Objectives:


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The library is seeking a Chemistry Librarian to act as the communication and service partner for the chemistry department's faculty, staff and students. This position will develop strong connections with faculty, students, and librarian colleagues to integrate instruction, information, and data literacy into classes as well as to provide, assess and develop reference, information, consultation, and instruction services. This position will evaluate and select materials for inclusion in the chemistry collections, as well as manage the chemistry collections budget.
This position will report directly to the Head of Science, Engineering, the Clark Library and Research Data Services. This position may provide supervision to some student staff.
The library is committed to recruiting and retaining a diverse workforce and encourages all employees to fully incorporate their diverse backgrounds, skills, and life experiences into their work and towards the fulfillment of the library's mission.
Serve as the primary liaison between the chemistry department, university library, researchers, faculty, staff and students.
Provide information services and instruction to faculty, students, and the general public.
Promote current services, collections, policies, and procedures through developing print and electronic promotional materials as well as speaking engagements.
Develop and maintain collections and learning spaces relating to chemistry that meet the needs of the chemistry department and the overall university.
Speak to a range of library and eScience topics including innovations in research services and publishing, scholarly communication, the emerging digital conservancy, the development of new online tools, and the integration of information literacy skills into the curriculum.
Identify potential topics for exhibits and events and assist with their publicity.
Maintain an awareness of external trends and innovations in research services and publishing.
Required Qualifications*
ALA-accredited master's degree or equivalent combination of a relevant advanced degree and experience.
Ability to respond effectively to multiple changing needs and priorities.
Knowledge of the scholarly communication and research processes in science.
Demonstrated interest in developing technology-based library services.
Excellent oral, written and instructional skills.
Ability to work effectively as part of a team in a consultative environment.
Demonstrated initiative and self-direction.
Ability to understand diverse perspectives and acknowledge the significance of differences and complexities in background, cultures, values and viewpoints as the foundation for an inclusive environment.
Application Deadline
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
Applications will be reviewed as received throughout the posting period and continue until the position is filled.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.


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Harry Potter Anime
Marauders. This is of the Marauders and additional characters of that era of time. I don't own this btw..... Wallpaper and background images in the Harry Potter Anime club tagged: potter marauders james peter sirius remus harry.
Submitted by SneakyFox48
Keyword: potter, marauders, james, peter, sirius, remus, harry
This Harry Potter Anime photo contains bouquet, corsage, posy, nosegay, begonia, rose, and rosebush.


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Global Veterinary/Animal Vaccines Market Product (Livestock Vaccines, Companion Animal Vaccines, Porcine Vaccines, Equine Vaccines, Poultry Vaccines, Aquaculture Vaccines, Others), Diseases (Poultry Diseases, Companion Animal Disease, Livestock Diseases, Aquaculture Diseases,Others), Technology (Inactivated Vaccines, Live Attenuated Vaccines, Subunit Vaccines, Toxoid Vaccines, Recombinant Vaccines, DNA Vaccines, Conjugate Vaccines),
The Global Veterinary/Animal Vaccines Market accounted to USD 6.0 billion in 2016 growing at a CAGR of 5.5% during the forecast period of 2017 to 2024. The upcoming market report contains data for historic years 2015, the base year of calculation is 2016 and the forecast period is 2017 to 2024.
Market Definition: Veterinary/Animal Vaccines Market
Veterinary vaccines help in the improvement of immunity of animals by refining animal health which evades transmission of diseases from animals to humans.Veterinary vaccines are the most productive product segment of focus for veterinary drug manufacturers.The vaccines can be administered intramuscularly (into the muscle)or subcutaneously (under the skin) to animal. The veterinary vaccines improve livestock production in a very cost effective manner.
Request for Free Sample Copy @ bit.ly/2FKo1Wx
Major Market Drivers and Restraints:
- Increase in Prevalence of Zoonotic Diseases
- Introduction of New Range of Vaccines
- Growing Costs for the Storage of Vaccines
- Technological Revolution
- Growing Awareness of Animal Health in Developing Countries
Market Segmentation: Veterinary/Animal Vaccines Market
By product the global veterinary/animal vaccines market is segmented into live stock vaccines, companion animal vaccines, porcine vaccines, equine vaccines, poultry vaccines, aquaculture vaccines, and others.
On the basis of diseases the global veterinary/animal vaccines market is segmented into poultry diseases, companion animal disease,aquaculture diseases, livestock diseases, and others.
By technology the global veterinary/animal vaccines market is segmented into inactivated vaccines, live attenuated vaccines, subunit vaccines, toxoid vaccines, recombinant vaccines, DNA vaccines, and conjugate vaccines.
On the basis of geography, global veterinary/animal vaccines market report covers data points for 28 countries across multiple geographies such as North America & South America, Europe, Asia-Pacific, and Middle East & Africa. Some of the major countries covered in this report are U.S., Canada, Germany, France, U.K., Netherlands, Switzerland, Turkey, Russia, China, India, South Korea, Japan, Australia, Singapore, Saudi Arabia, South Africa, and Brazil among others.
In 2017, North America is expected to dominate the market.
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Competitive Analysis: Veterinary/Animal Vaccines Market
The global veterinary/animal vaccines market is highly fragmented and is based on new product launches and clinical results of products. Hence the major players have used various strategies such as new product launches, clinical trials, market initiatives, high expense on research and development, agreements, joint ventures, partnerships, acquisitions, and others to increase their footprints in this market.
The report includes market shares ofveterinary/animal vaccines market for global, Europe, North America, Asia Pacific and South America.
Major Market Competitors: Veterinary/Animal Vaccines Market
Some of the major players operating in global veterinary/animal vaccines market are Zoetis (Pfizer), Bioniche Animal Health, Ceva, Brilliant Bio Pharma Ltd., Nisseiken Co., Ltd., C.A. Laboratorios Asociados (CALA), Dollvet, Bayer Healthcare, Elcano Animal Health, Avimex Animal Health, Heska Co., Boehringer Ingelheim, Ringpu (Tianjin) Bio-Pharmacy Co., Ltd., Zhaoqing Dahua Agriculture Bio-Pharm Co., Ltd., Merck Animal Health, Genera Inc., VETERINA Animal Health Ltd., INDOVAX Pvt.Ltd., Merial (Sanofi), and Virbac among others.
Research Methodology: Veterinary/Animal Vaccines Market
Data collection and base year analysis is done using data collection modules with large sample sizes. The market data is analyzed and forecasted using market statistical and coherent models.
Also market share analysis and key trend analysis are the major success factors in the market report. To know more please Request an Analyst call drop down your inquiry.
Demand Side Primary Contributors: Doctors, Surgeons, Medical Consultants, Nurses, Hospital Buyers, Group Purchasing Organizations, Associations, Insurers, Medical Payers, Healthcare Authorities, Universities, Technological Writers, Scientists, Promoters, and Investors among others.
Supply Side Primary Contributors: Product Managers, Marketing Managers, C-Level Executives, Distributors, Market Intelligence, and Regulatory Affairs Managers among others.
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Skill: repair , bom , unigraphics nx , spare parts , fixtures , tool design , rockwell , manufacturing , cnc , fabrication , root cause analysis , manufacturing engineering , engineering change , dfma , aerospace; Exp: 0-3 years; Engineering Co-Op Spring 2019 Location Winston Salem, NC, US Requisition ID 457453 B/E Aerospace B/E Aerospace, a wholly-owned subsidiary of Rockwell Collins, Inc., is a leading manufacturer of aircraft cabin interior products. B/E Aerospace designs, develops, and manufactures a broad range of products for both commercial aircraft and business jets. For more information, visit the B/E Aerospace website at www.beaerospace.com With a global installed base of 1 million passenger seats, the Aftermarket Services Business offers a comprehensive aftermarket service to our customers. These services include spare parts supply and repair services across all classes of seat whether it is Super First Class, Business Class or Economy Class. The Seating Aftermarket business and dedicated repair station based in Winston-Salem, NC, specializes in the repair and overhaul of B/E products. As a leader in the aerospace industry, we are growing rapidly and have a number of exciting positions available right now, including an Engineering Co-op in our Aftermarket Services Business, located in Winston Salem, NC. JOB SUMMARY Reporting to the Engineering Manager, this exciting program will expose students to three separate co-op assignments in the areas of Certification, Design, and Manufacturing and will prepare them for stimulating engineering roles upon graduation. We are current seeking a new co-op to start their first rotation during the Spring Semester (January 2019) to work across the specific roles and responsibilities within each area described below. Certification Learn the B/E culture and methodology in Certification of commercial seats and diligent FAA duties followed as a team effort to meet the minimum performance standards to gain FAA approval (TSO) for shipment. Incorporate knowledge gained in school in solving real Engineering problems by participating in discussions with Certification Engineers and Design Engineers in coming up with substantiation techniques. Run analyses tools to generate track loads (Interface Loads) and conduct mechanical stress calculations to identify critical seat assemblies and components for Static and Dynamic testing. Learn the significance to Bill of Materials and run comparison to tested assemblies to develop substantiation strategies on new programs. Work with the Flammability Certification Group to create test coupons for conformity, A-burn & C-Burn tests, witness tests and generate Flammability reports. Learn applications of different materials and cross sections in primary and secondary load paths under emergency crash conditions of longitudinal (16g) and vertical (14g) dynamic tests. Learn about the airframe manufacturers and government Certification regulations related to commercial seats under Dynamic, Static and Flammability. Design Modify legacy designs and drawings, and submit for approval through the Team Center engineering change process. Create solid models using Unigraphics NX 7.5 Dimension models with characteristics essential to shop fabrication. Review with Tool Design, Programming and Manufacturing Engineering for manufacturability buy off. Incorporate Geometric Dimensions and Tolerances (GD&T). Optimize Designs for Manufacturing and Assembly (DFMA). Assist in assembly of Engineering prototypes and test seats. Create Bills of Material (BoM's) for assemblies and sub-assemblies. Manufacturing Tool design of machine and assembly fixtures. Press brake Computer Numerical Control (CNC) programming. Creation of shop floor work instructions with applicable time studies. Value Stream Mapping of existing processes. Learn measurement techniques for use in product evaluation. Root cause analysis of Return Material Authorizations and First Article Inspection failures. Any other reasonable duties. MINIMUM REQUIREMENTS Two (2) years of course work towards a Bachelor's degree in Engineering from four-year college or university. Minimum 3.0 overall GPA. Enrollment in university co-op program. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed descriptions of all the work requirements that may be performed in the job. EOE/Minorities/Females/Veterans/Disabled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Nearest Major Market Winston-Salem Job Segment Engineer, CNC, Aerospace Engineering, Aerospace, Fabrication, Engineering, Manufacturing, Aviation
Experience: 0-3
Function: Production / Maintenance / Service Engg. / Manufacturing / Packaging


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NCAA Division II football: Dixie State University Trailblazers hosting the Chadron State Eagles from Legend Solar Stadium. St. George, Utah.
October 10, 2017
Dixie State (2-3, 2-2 in the RMAC) hosting the Chadron State Eagles (2-2, 2-1 in the RMAC) from Legend Solar Stadium on the campus of Dixie State University. St. George, Utah. 10/07/2017.
Sound quality note: we were experiencing technical difficulties throughout the broadcast. We apologize for the inconvenience.


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this morn i remembered some story that warms my heart and reduced my headache:
Papi and I went to Malang. he routed the streets to fetch some black dyes/tints (for printing the Api Menyala magazine perhaps) and then I remember we went to Chinatown.
there i saw a room full of very big and tall aluminum tubes. I was amazed by the sound inside: small chickens chirping. they were day old chicks! yello, fluffy chirping things!
next: story about Pak Hadi, Cik Milka, the fastest growing chickens i ever saw, and Sharon


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This is one of the most reliable suppliers of medications from India. They can offer high quality of meds and low prices, due to the high trade turnover.
All the pharmacy affiliate networks RXP you can read in our article - http://pharmacycatalog.org/page/22/pharmacy-affiliate-networks.
A sachet of Hard On Oral Jelly will set you back $2.50 Features that can influence your decision when you are buying drugs from this web-site can be different. The price of 1 tablet of Viagra Super Active is $1.50 in this store. Moreover, they sell Priligy – a med used to prevent premature ejaculation. Hard On is there for you to buy it at $1.70 for 1 tablet. As a rule the web-site is cheap, accommodative and safe. The service give sundry medicaments cost effective prices.
Disclaimer: VeriSign, Inc. makes every effort to maintain the completeness and accuracy of the Whois data, but cannot guarantee that the results are error-free. Therefore, any data provided through the Whois service are on an as is basis without any warranties. BY USING THE WHOIS SERVICE AND THE DATA CONTAINED HEREIN OR IN ANY REPORT GENERATED WITH RESPECT THERETO, IT IS ACCEPTED THAT VERISIGN, INC. IS NOT LIABLE FOR ANY DAMAGES OF ANY KIND ARISING OUT OF, OR IN CONNECTION WITH, THE REPORT OR THE INFORMATION PROVIDED BY THE WHOIS SERVICE, NOR OMISSIONS OR MISSING INFORMATION. THE RESULTS OF ANY WHOIS REPORT OR INFORMATION PROVIDED BY THE WHOIS SERVICE CANNOT BE RELIED UPON IN CONTEMPLATION OF LEGAL PROCEEDINGS WITHOUT FURTHER VERIFICATION, NOR DO SUCH RESULTS CONSTITUTE A LEGAL OPINION. Acceptance of the results of the Whois constitutes acceptance of these terms, conditions and limitations. Whois data may be requested only for lawful purposes, in particular, to protect legal rights and obligations. Illegitimate uses of Whois data include, but are not limited to, unsolicited email, data mining, direct marketing or any other improper purpose. Any request made for Whois data will be documented by VeriSign, Inc. but will not be used for any commercial purpose whatsoever. **** Domain Name ID: 4619760_DOMAIN_NAME-VRSN Domain Name: NEWMEDS.NAME Domain Status: ok To single out one record, look it up with "xxx", where xxx is one of the records displayed above. If the records are the same, look them up with "=xxx" to receive a full display for each record. >>> Last update of whois database: 2014-08-12T23:12:57Z <<<


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Heating, Air Conditioning & Plumbing Repair Services
ServiceOne AC is proud to offer reliable heating, cooling, and plumbing services to the Seminole County area. When you call us for repairs, we try our very best to get to you within the next 24 hours because we know your time is precious. If there's an emergency, we can be there immediately, so that you aren't left without air conditioning or heat.
Seminole County Heating & Air Conditioning Services
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- Indoor Air Quality
Plumbing Services in Apopka
Affordable HVAC Service in Seminole County
Our top rated HVAC company provides a number of services to help you solve various heating and cooling issues. We offer only quality service from highly skilled and trained technicians, but we don't believe in hidden fees and price gouging. What we say is what you pay, and we are always willing to work with you to find the most cost-effective solution.
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For more information on what we can do to improve your heating and air conditioning system, contact ServiceOne AC at 407-966-4441 today!


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Rolling Stock Rescheduling in Passenger Railways
Reliable and punctual public transportation is of chief importance for workforce mobility and access to cities. In particular, the performance of passenger intercity railway systems continues to receive much public attention in the Netherlands and other European countries. Over the last decade, an increasing amount of effort has been put into developing innovative methods for planning railway resources in order to improve service levels and cut costs. In his doctoral thesis Rolling Stock Rescheduling in Passenger Railways, Lars Nielsen analyses the real-time control of passenger railway systems and in particular on the rescheduling of railway resources during and after disruptions. In this process the rescheduling of the rolling stock, i.e. the train units, poses a major challenge for the dispatchers.
In his thesis, Nielsen suggests that a decision support system based on mathematical modelling can improve the performance of the disruption management at large railway operators. In particular, the use of such a system allows the operator to better match available seat capacity with passenger demand and thereby improve customer satisfaction. Furthermore, the operator can respond to irregular operations in a timely manner and better understand the consequences of potential real-time decisions. These aspects allow the operator to cut costs while improving service levels.
Lars Nielsen defended his dissertation on February 11, 2011 at Rotterdam School of Management, Erasmus University (RSM). His promoter was Prof.dr. L.G. Kroon, Professor of Quantitative Logistics at RSM. Co-promoter was Dr. G. Maróti, Assistant Professor, Decision and Information Sciences at RSM. Other members of the Doctoral Committee were Prof.dr. A.P.M. Wagelmans, Prof.dr. A. Caprara and Dr. D. Huisman.
About Lars Nielsen
Lars Kjær Nielsen was born on September 30th 1979 in Herning, Denmark. He obtained his pre-university education at the Nordfyns Gymnasium, Søndersø, in 1999 before serving 8 months military service from 1999 to 2000. From 2000 Lars studied computer science and mathematics at the University of Southern Denmark, Odense, and obtained his Master's degree in early 2006. The Master's project was conducted in cooperation with the railway operator DSB S-tog A/S. This cooperation led to a four month position as an analyst at DSB S-tog A/S in Copenhagen where he applied the methods developed in the Master's thesis to real life data.
In September 2006 Lars moved to Rotterdam to become a PhD candidate at the Department of Decision and Information Sciences of the Rotterdam School of Management, Erasmus University. During this period he attended conferences such as INFORMS Annual Meeting in Washington D.C. 2008, 23rd European Conference on Operational Research in Bonn 2009, and TRISTAN VII in Tromsø 2010. Lars was awarded the first prize in the 2008 INFORMS Railway Applications Section Student Paper Award and together with Gábor Maróti he was awarded the prestigious EURO Management Science Strategic Innovation Prize 2009. At the time of writing, a paper based on the results of this thesis is in review at the European Journal of Operational Research.
Abstract of Rolling Stock Rescheduling in Passenger Railways
Modern society is highly dependent on a reliable railway system for workforce mobility and easy access to the cities. However, the daily operations of a large passenger railway system are subject to unexpected disruptions such as rolling stock breakdowns or malfunctioning infrastructure. In a disrupted situation, the railway operator must adapt the timetable, rolling stock and crew to the modified conditions. This adaptation of resource allocations requires the solution of complex combinatorial problems in very short time and thus represents a major challenge for the involved dispatchers. This thesis focuses on developing models and solution methods for the rescheduling of the rolling stock during disruptions. The models incorporate service aspects (such as seat capacity), efficiency aspects (such as number of kilometres driven by the rolling stock), and process related aspects (such as the need for night-time relocation of rolling stock).
The thesis contains applications of the developed models in three different contexts. First, it presents a framework for applying the rescheduling models in the highly uncertain environment of railway disruption management, and the trade-off between computation time and solution quality is demonstrated. Second, the rolling stock rescheduling models are embedded in a simulation framework to account for the dynamic passenger behaviour during disruptions. This framework allows for a significant decrease in the delays experienced by passengers. Third, the rescheduling models are applied to real-life planning problems from the short-term planning department of the Netherlands Railways. The models lead to a considerable speed-up of the process and significant savings.


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As a result of the current Federal government funding situation, the information on this website may not be up to date or acted upon. Updates regarding government operating status and resumption of normal operations can be found at www.opm.gov . Despite the lapse in appropriations, IHS will continue to provide direct clinical health care services as well as referrals for contracted services that cannot be provided through IHS clinics. For more information on how IHS is impacted, visit: HHS Contingency Plan [mura]$.showExitDisclaimer()[/mura]
Caries Stabilization
Caries stabilization involves using fluoride-releasing glass ionomer for interim therapeutic restorations (ITRs), resin and glass ionomer sealants to protect pit and fissures on primary molars, and regular recharging of ITRs and sealants through fluoride varnish applications, and twice daily use of fluoride toothpaste at home.
Caries stabilization can increase our treatment options for babies and young children. It can also make restoration of Early Childhood Caries (ECC) a positive experience for young patients and their parents.
- Caries Stabilization Course for IHS Dental Staff (IHS CDE Catalog Course: DD0024)
Interim Therapeutic Restorations (ITR)
Interim Therapeutic Restorations (ITRs), formerly called the Atraumatic Restorative Technique (ART), are glass ionomer restorations placed on primary teeth in children.
AAPD - Policy on Interim Therapeutic Restorations (ITR)
WHO / PAHO - Atraumatic Restorative Treatment
Glass Ionomer and Resin Sealants
We know that over 50% of AI/AN children, ages 2-5, experience dental caries, and according to the 2000 Oral Health in America: A Report of the Surgeon General, up to 90% of all dental caries in children's teeth occur in pit and fissures. With this information, it just make sense that IHS dental providers should routinely be placing sealants on primary molars. If good moisture control and isolation can be maintained, then traditional resin-based sealant material is the ideal choice. However, if we know that moisture control and isolation will be a problem due to behavior or another reason, then a glass ionomer sealant material is a good alternative. Glass ionomer sealants are advocated by the IHS Division of Oral Health when circumstances do not permit optimum isolation specifically partially erupted teeth and pre-cooperative patients.
Fluoride Varnish
- Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States
- Topical Fluoride Recommendations for High-Risk Children
Please view the Fluoride Varnish Page for more information.
If you have any difficulties with this website, contact DOH Portal Administrator.


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Latest News
Gave him my all, he got another girl pregnant
Dear Pastor,
This is my first time writing to you. I have been reading your column since I was a child. It has opened my eyes to a number of things. Please keep up the good work. Why is it so hard for good people to find someone to love them? I am 21 and I have been hurt by a young man. I gave this man my all. I was faithful, I washed, I cooked and I cleaned. We had a wonderful sex life. l am very independent.
very hurt
Six months in the relationship I saw a text message in his phone saying, "I left my earrings at your place". I asked him about the text message and he lied. Just a month after that, I went to his house without him expecting me. My world was crushed that night. The same person who left the earrings is now pregnant.
Pastor, my next question is, how can one say they love someone and hurt them? This female doesn't work. She calls and asks him for everything. I am now out of that relationship. I know I am a good woman. Now I feel like every man is the same. I just want a good man to love and to care for and he does the same for me. Pastor, I need love. Please give me your fatherly advice.
Dear K.B.,
You assumed that you were the only woman in this man's life. He might have even told you so. I have said on numerous occasions that men are liars. Some men are angry with me for doing so, but if all are not liars, almost all. Women lie too, and women know how to cover up their evil deeds much better than men. Men give away themselves in many different ways. Oh, yes, I would expect lots of men to call me and blast me for what I have said but that would not change my position at all.
Your relationship with this man was very new. Six months is not a long time to be in a relationship with a man, and evidently, you gave him your all. You even became his helper. You washed, cooked and cleaned and the bedworks was exciting. What you did for this man excited you, but another girl was feeling the excitement, too, that she even left her earring behind. I am sorry you made yourself silly by believing him but I cannot be hard with you because you thought you met a good man, and every girl wants a good man in their life. You are fortunate that you didn't end up pregnant too. You are only 21 years old but all you seem to be interested in is the physical side of love. You talked about the sex and now you are talking about wanting a man to take care of you because you want to be loved.
I am not attacking you. I am only trying to tell you to be sensible. At 21, talk to me about getting a good education and a career. Talk to me about putting yourself in a position where you can support yourself and not be used by a man, because I can guarantee you that there are going to be men who are going to call me and ask me for your name and number because they want to talk to you. And if you are looking for a man who would give you love, all of them will tell you that they are capable of doing so. But you have to be wise and know where you are going. I am sorry for what has happened to you. Look deep into yourself and see where you have gone wrong and don't make that mistake again. I wish you well, and the Lord be with you.