text: In celebration of the release of Majora's Mask for the 3DS, Rozen's New Single places you in the center of the action as a citizen of Clock Town. Relive the memorable sequence of events through a new cinematic soundscape that will keep your heart pounding till the very end. Music Arranged by Rozen (rozen.audio) Soprano - Reven (www.facebook.com/revensongwriter) Artwork Cover by Xiaohu Alcocer (xiaohualcocer.com)


text:
Book Review of the 12th West Virginia Infantry Regimental
In the October 2011 issue The Civil War News, Author/historian John Michael Priest reviews the modern reprint of the History of the 12th West Virginia Volunteer Infantry by William Hewitt.
Click here to read the review….
The book can purchased at The West Virginia Book Company.

subset: commoncrawl


text:
Every time you have a thought or feeling, or take an action it's a challenge. What do I mean by "a challenge"?
To challenge means "To demand as due or deserved."
When it comes to your body and mind, EVERYTHING you think, do or feel is YOU issuing a demand to Universe for what you believe is due or deserved. Your challenge "dials-in" or "crystallizes" so to speak, a specific experience of reality from an implicate order (what you can think of as a "fuzzy" picture of all possible realities).
Brain researcher, neuroscientist and developer of the holonomic brain model put it this way in a 1998 interview with Dr. Jeffrey Mishlove:
PRIBRAM: When we act it's a challenge, and that's very much a quantum-type, holographic, implicate-order type idea. Rather than having causality —
MISHLOVE: It's moving towards a goal.
PRIBRAM: No, it isn't. It's a challenge, it's different. Moving toward a goal would still be causal. See, we don't even have a good language to talk about all this. It's a challenge. The whole system can reorganize on the basis of this challenge, and you never find out where the cause is. When we were talking earlier, you said, "Where does the will start?" Well, it's a challenge. The whole system does it. There isn't a start and a midst and so on, because time and space are enfolded, and therefore there's no causality.
MISHLOVE: It's all just emerging.
PRIBRAM: It's emerging, and you can challenge the system, and it will respond in an unpredictable way.
Re-read Pribram's comments several times or more (10 times if you need to!), so that his words really sink in.
Here a well respected scientist, who's discoveries researching the human brain led him to explore the deep structure and spiritual nature of the Universe, lays it out clearly.
Do you get it? Every single moment is an opportunity for an entirely new life. Every single moment! The past doesn't matter one iota.
Because there is NO CAUSALITY!
The fact that your parents were abusive, the fact that somebody smashed into your car and you got whiplash, the fact that your body has been 50 lbs heavier than you'd like it to be for years — it's all IRRELEVANT.
In this very moment you can issue a new challenge, a new demand. What do you believe you deserve? What's it going to be? The same old re-hashed reality — or something magnificent?


text:
Aaron is an elven ranger native to the Nentir Vale Region
Ascendant campaigns can view previous versions of their pages, see what has changed (and who did it), and even restore old versions. It's like having a rewind button for your campaign.
We've already been saving your edits, so if you
upgrade now
you will have instant access to your previous versions. Plus, you get a 15-day free trial, so there's nothing to lose.


text:
A Journey of Love(Episode 24)
The scene starts with Kushi and Amaya,and the time is 12:00AM..Kushi:Today is Radhus bday.Amaya:Tomarrow mrg we buy a gift to her.Kushi:Not only gift we took fresh rasgullas from our shop.Amaya:Can we call her and wish her.Kushi:ok….Then give that phone…
They both call to Radhus mobile. Ishitha lift the phone.Kushi recognise her voice and ask about radhika. Ishitha:Why so urjent?Is anything serious?Kushi:No,Ishithaji,Tomarrow is Radhus bday.We want to give surprise to her by our wishes.Ishitha:She is in deep sleep kushi.Do one thing tomarrow you come to our house. We three give a big surprise to her and make her day special.Kushi and Amaya like that idea and agree for that. Ishitha enter into study room and decorate with ballons and color papers.
Next day mrng in Arnavs house:
Dadhi come to Ruhis room for ramu. She was in shock that Arnav holds Ruhis hand and slept beside her.She felt happy for that.Ramu slept in Ruhis room beside the bed. Ramu didnt leave Ruhi alone.He work in that house from his childhood onwards.He is one year younger than Arnav.Arnav treat him as a brother only.Dhadhi go near to Ramu and ask him to getup..He ask what dadhi?Why so early?
Dadhi:Sh……see there.
She point her ginger towards Arnav and Ruhi.
Ramu:Wow dadhi..Is this true?
Dadhi:first come out from this room.
They both left from that room and feel happy for Arnav and Ruhi.
Dadhi:I know krishna bhagvan listen my prayers….
The scene shift to park…
The four friends sit on bench and feel so happy after so many days…..
They laugh by seeing each other and try to share all their feelings.
Raman:Hey ,I talk to Ishitha about our Anjali dhi.She tell that her friend is good to handle this type of dipression cases.So i hope anjali become normal in few more days.
Arjun:Yah Raman.I hope best. Yesterday she prepared food for me and she wait for me…..After so many years i eat food made by dhi….
Mantu:Really good news yaar…You know yesterday i saw new angle in Arnav.I want to explain it to you…..
Arnav stare angry look at him.And try to divert that topic…….
Arnav:He explain ruhis nightmare and how he feel….He said i have lot of love on Ruhi…But i have fear in my mind and heart…..So till now i control my feelings on her.Now i decided Ruhi is my sister.Nobody has no rights on her.
Raman:Even for us…..
Arnav:No no…..We are friends,brothers and family ….Without you three i didnt lead my life…
All four had tears in their eyes and have a great big hug…..
Ishitha call to Raman and ask him to bring Anjali dhi and her previous reports also.
Raman:Ok Ishitha..Sharp 9:00 clock.
Ishitha:No sir…I have another important work…So…..plz……It sounds good for10:00 clock…
Raman:What is your important work?
Ishitha:Today is My friend Radhikas bday….So a small treat to her..Kushi and Amaya also come here.so 10:00 is pakka Ramanñnn sir….
Raman:Your friend bday naaa.Then we will be there at 10.Convay my wishes to Radhika….In short time you four become good friends naaa….
Ishitha:haaa….Ok bye….sir.
Arjun stood that today is Radhus bday.But he didnt know why he feel for her.He said to Raman that we goto Ishithas house with Anjali dhi.Then we together meet the doctor.
Raman:She told me that she put the address of the doctor
But Raman also like that idea.He control his feelings and ask Arnav and Mantu also join with us.His plan is Amaya is also come to Ishithas house. So he want to use this situation..
Arnav looks at Mantu and observe his feelings.
Mantu said to them it is already 6:30AM so leave from here and join in Ramans house.
Ishitha:Radhu get up yaar.Already it is 6:30AM.
Radhika:Wait for 5mins….plz
Ishitha:No way…..Then you will be late to office….get up.
Radhika get up from bed and goto wash room.Ishitha leave the room and ask her maa to prepare kheer to her.
Ishitha check the dining table.Madhu and Ishitha prepare Aloo paratha, paneer tikka and Black grape juice.
Madhu brings kheer and put that one on table.Ishitha said that all are ok maa.At the same time Kushi and Amaya enter into the house. Kushi put the cake on table and said it was prepared by Amaya and these Rasgullas are prepared by me.
Ishitha ask them to wait in the study room.They enter into study room and put the cake on table and set the remaining arrangements.
Radhika come out of the room with normal dress.Madhu look at her and walk towards her.
Madhu:Radhika why you wear normal dress?
Radhika:What happened to this dress maaa?
Madhu give a new dress to her and ask her to wear the dress.
Radhika wear that dress.She looking charm in that dress.
She ask maa,How can you know red color is my favourite color.
Ishitha ask her to do pooja to god.
Radhika ask her whats todays special?
Ishitha ask her do what i say.Radhika do pooja to lord and return back to hall.Ishitha close her eyes and took her into study room.She open her eyes and she is in shock that kushi and Amaya are there.All three shouted loudly and wish her happy bday Radhuuuuuuuuuuuuu………
Radhika ask them how did you people know this?Ishitha said her kushi give this information to me.Kushi smiled at her and said her on our first meeting in cafteria you spell it.I remember that.Bcoz after Honey i feel so comfortable with You two only…..I feel that you are my buddies.All four go with big hug.
Madhu and Iyer happy to see all four are happy.Bcoz after 4to5 years they saw real happiness in their daughter eyes.
They hear a car horn sound infront of their house.Mr.Iyer open the door….
Ishitha:Who is that Papaa?
Pinky,Ruhi and chotu ran towards them and hug them.They ask Ishitha why didnt you come yesterday teacher?Ishitha looks at Raman face..
And tell sorry to them.
Ruhi go and hugs kushi and ask her where is my Jelebi?Kushi answer her no jelebi today.you go with Rasgullas…. Ruhi nods her head.Chotu goes to Amaya and hold her hand.He ask in her ears where is my choclate. She hold his hand and kiss him and said that i dont know you also come here. Next time pakkaaa promise.And they both go with Hi-Fi.Pinky stand near Ishitha and observe how Ruhi and Chotu ask them about sweets and choclates.Ishitha ask them who bring you here?
Anjali stand there and look the decoration and all.Anjali ask them in low voice'whose bday is today'.
Ishitha look at her amd ask her to sit.Then she realise that she didnt put doctor address to Raman.
Ishitha:Sorry sir..I forgot to put message.
Raman:Bcoz of that only we are here and stare angry look at her.
Ishitha welcome them and show the study room.Arjun and Arnav walks very fast into study room.Bcoz Arjun want to wish Radhika and Arnav want to see kushis state.All reached to study room.
Ishitha arrange some chairs there and ask them to sit.
Madhu and Iyer ask Radhika to cut the cake.Radhika feel surprise and happy for this and ask them to bless her.
She cut the cake and put the first piece to Madhu and Iyer.They bless her. Next Radhika give cake piece to children then Anjali.Anjali wish her. Ishitha serve cake to Raman and ask him really sorry sir.Dont be serious sir. Raman:ok leave it.Dont feel tense.
Arjun observe Radhika,she try to be very normal.He identify tears in her eyes.He feel that now he is helpless to control her tears.
Mantu looks at Amaya and ask Kushi about her health.She said i am ok sir. Arnav looks at her.She is normal today.He didnt find any fear and sarrow traces in her face.
Madhu call them for brakfast.Raman said to her we already had it maaa.
Iyer ask them take a light breakfast.
All three kids run towards dining table.Radhika hold Anjalis hand and took her near to the table.
Ishitha leave the room talking to his friend about Anjalis Appointment.Raman followed her. Amaya go to dining table and serve breakfast to kids.Mantu looks at her.Bcoz today she is so good in peach and blue color dress.
Arjun sit in hall and look at Radhika. When Radhika look at him he turn his eyes otherwise he look at her.
Kushi is in study room and clean the room and set things properly. Arnav walks towards her and stand behind her.Her heart beat increases and she just turn back,Arnav stands there and look at her.Kushi:Gudmrg sir.Arnav:Now only you notice me to wish..
Kushi:It is not like that sir….
Arnav:Why you are here?you are not feeling well then why cant you take rest?
Kushi:It is not a big problem. sometimes it happens to me. With two to three hours it will be normal.
By giving this answer kushi try to leave from there.Raman hold her hand and ask him how dare you are?When i am hear to talk with you ,you are not suppose to leave….Kushi:Sir my hand is paining….plz leave me sir.Next time i cant do it sir.Kushi(unintensionally): plz lord governer…..Arnav want to leave her hand but hearing lord governer from her mouth he tight his grip and pull her.She turn towards him and they had a eye lock. Mantu knock on the door and ask him to come for breakfast.Arjun leave her hand and stare angry look to Mantu.Mantu control his laugh and leave from there. Radhika put items in plate and give it to Arjun.Arjun hold the plate and Wish her happy bday Radhu……She stare into his eyes and tell him thank you sir.Arjun ask her what happened Radhika.I feel that you are not 100 percent happy.Radhika answer him nothing like that sir.I am ok……and hide her tears and leave from there. Even though Arjun notice her tears and feel something…..
Arnav came from study room and sit near Mantu.Kushi put items in plate and try to give it to Mantu.Arnav took that plate from her hand and said that its for me…Amaya bring another plate and give it to Mantu. Arnav stare at kushi that she is good in Pink color chuddi with gold color duppatta.
Ishitha complete her discussion with her friend and now how many sorries i want to tell for Ravan Kumar for not mesage him.She turn back and see Raman stand there with 5inches gap and listen her words. She walk fastly into the hall and Raman look at her that she is very cool in this lavender color dress.
Chotu:Arnav bhayya..see Ruhi eat mire Rasgullas here and ask kushi dhi for another one.
Arnav look at Ruhi..Amays:No problem sir.They ate home made and prepare by kushi with less sweet.
Ruhi:Why you are complaining on me? You also eat three pieces of cake and ask Amaya dhi for fourth cake piece.
Kushi:Its ok Ruhi…Dont cmplain on each other.Cake was prepared by Amaya only with out any chemicals.
You both eat what you want?
Pinky:Radhika dhi i want another paratha?
Mantu(in low voice):Arey baba give one clarification to these kids.Orherwise they fix that they are dhidhis for them.Arnav and Arjun nods their heads. Mantu is shock that Arjun also react for his statement…
Mantu look at Amaya.She is vey cute today and feel sad to her for the pain he give to her
Ishitha give tiffin plate to Raman and Mr.Iyer.
Iyer:Taste the Paneer tikka Raman. Ishitha prepared it very well….
Actually paneer tikka is not liked item to Raman.
Madhu calk Ishitha from kitchen only. Ishitha goto kitchen…Along with Ishitha remaining three also go there.
Madhu:I dont know they come here na… I think tiffin was not sufficient to you people.All four at a time said her not to be worry maanGuests are first and we are next.If they are satisfied it is ok for us.Ishitha u prepare kheer for Radhika na.You put it in her mouth.Remaining three kheer is there.We go with that that is enough for us..Arjun go gor handwash near the sink and hear this conversation.
Raman:Arnav you didnt like sweets na. Then why you are trying to eat Rasgulla.leave it yaar…
Arnav:How can i leave it in guest house. So……
Mantu:May be today onwards home made sweets are favourite dish to Arnav.
After that Madhu serve grape juice to all.
Arnav:Maa Arjun didnt drink grape juice..He didnt like grape.eSo it is also for me.
Arjun look at Arnav.How can we do like this Arnav.When we are guests here like you only i drink grape juice,like how eat rasgulla and how Mantu eat choclate cake and still Raman eat paneer tikka…If you people maintain table manners i also followyou people.
All four laugh seeing each other. expect Mantu remaining has no clarity on their feelings.Even though they like to accept to eat their dislikes.


text:
Sometimes, you've got to laugh.
Please don't come to Britain – it rains and the jobs are scarce and low-paid. Ministers are considering launching a negative advertising campaign in Bulgaria and Romania to persuade potential immigrants to stay away from the UK.The plan, which would focus on the downsides of British life, is one of a range of potential measures to stem immigration to Britain next year when curbs imposed on both country's citizens living and working in the UK will expire.
Of course, all the ads I've seen have been in English-speaking countries, so there is a difference. Not that Brits can't be xenophobic towards Americans or Australians, of course, it's just less common. The other fun thing is that last summer we had the Olympics, which always serves as an advert for the hosts, and probably one with greater penetration than any conventional campaign. And they say government is disorganised.
More seriously, this seems to be part of a general trend recently where Cameron is being increasingly anti-Europe. The pledge for a referendum over EU membership is one obvious example. It seems to me that there are two things causing this. First up is the unhappiness within the Tories over the current government. While he has denied it, Adam Afriyie MP was rumoured to be plotting to oust Cameron, not a healthy sign.
However, a bigger (and somewhat related) fact is probably found by looking at the polls. UK Polling Report puts Labour up by 9 in an average of polls, despite Ed Miliband not being especially popular. And the sad truth is that a quick bit of foreigner-bashing is likely to be popular, especially with swing voters. Which is sad, and ironically something that supports the negative ads.
One of the interesting things about the EU in general is the freedom of workers to move around. Generally free trade agreements remove restrictions on the flow of capital, while being much stricter about the flow of labour. This allows those of us in rich countries to enjoy the benefits of things being produced at low cost (low wages) in a largely unequal manner. Of course, even in Europe we see that some countries (Germany) have benefited more that others (Greece); even when you remove legal restrictions, it is harder for labour to cross borders since it involves a fairly major upheaval.
So Britain does have a self-interest in restricting European immigration. (It's just a pity it so often manifests itself in borderline or outright bigotry.) The higher standards of living in the UK and the stronger (if weakening) social safety net are obviously attractive. Higher immigration means both lower wages and higher social expenditures, whereas the gains we make from European Free Trade are more intangible. So in that sense, a self-deprecating ad campaign could easily be worthwhile. But it still amuses me.


text:
Feel free to contact the staff of the CHFM at any time with your questions or to make an appointment.
Center for the History of Family Medicine
11400 Tomahawk Creek Parkway
Leawood, KS 66211-2672
Toll-free: (800) 274-2237, ext. 4420 or 4422
Phone: (913) 906-6000, ext. 4420 or 4422
Fax: (913) 906-6095
Email: firstname.lastname@example.com
CHFM Presentation
Help get the word out about the Center and its holdings. Contact Center staff if you would like to use this PowerPoint presentation(25 page PDF) at your meeting or event.


text:
Charles J. Horowitz
Nuclear Physics and Astrophysics (Theoretical)
B.A., Harvey Mudd College, 1978.
Ph.D., Stanford, 1981.
Postdoctoral Position: Niels Bohr Institute, Copenhagen
Office: Swain West 233
Phone: (812)3221650
Email: horowit indiana.edu
Curriculum Vitae
Group Webpage
I am a theoretical nuclear astrophysicist doing research on neutron rich dense matter, neutron star crusts, neutrino interactions in supernova explosions, and laboratory measurements of nuclear properties important for astrophysics. My research projects include:
Selected Publications
- Disordered nuclear pasta, magnetic field decay, and crust cooling in neutron stars, C. J. Horowitz, D. K. Berry, C. M. Briggs, M. E. Caplan, A. S. Schneider, Phys. Rev. Lett. 114, 031102 (2015).
- The full weak charge density distribution of 48Ca from parity violating electron scattering, Z. Lin and C. J. Horowitz, Phys. Rev. C 92, 014313 (2015).
- Weak polarized electron scattering, J. Erler, C. J. Horowitz, S. Mantry, and P. A. Souder, Annu. Rev. Nucl. Part. Sci. 64 (2014) 269.
- Nuclear Pasta Formation, A. S. Schneider, C. J. Horowitz, J. Hughto, and D. K. Berry, Phys. Rev. C 88, 065807 (2013).
- Weak charge form factor and radius of 208Pb through parity violation in electron scattering", C. J. Horowitz, et al., Phys. Rev. C 85 , 032501(R) (2012).
- A New Equation of State for Astrophysical Simulations by G. Shen, C. J. Horowitz, and S. Teige, Phys. Rev. C 83, 035802 (2011).
- The breaking strain of neutron star crust and gravitational waves by C. J. Horowitz, and Kai Kadau, Phys. Rev. Letters 102, 191102 (2009).
- Phase separation in the crust of accreting neutron stars by C. J. Horowitz, D. K. Berry, and E. F. Brown, Phys. Rev. E 75, 066101 (2007).
- Cluster Formation and The Virial Equation of State of Low-Density Nuclear Matter by C.J. Horowitz and A. Schwenk, Nucl. Phys. A 776, 55-79 (2006).
- Neutrino-pasta scattering: the opacity of nonuniform neutron-rich matter by C. J. Horowitz, M. A. Perez-Garcia and J. Piekarewicz, Phys. Rev. C 69, 045804 (2004).
- Weak magnetism for antineutrinos in supernovae by C. J. Horowitz, Phys. Rev. D 65, 043001 (2002).
- Neutron Star Structure and the Neutron Radius of 208Pb by C. J. Horowitz and J. Piekarewicz, Phys. Rev. Lett. 86, 5647 (2001).
- Parity Violating Measurements of Neutron Densities by C. J. Horowitz, S. J. Pollock, P. A. Souder, and R. Michaels, Phys. Rev. C 63, 025501 (2001). Updated Feb. 6, 2016.


text:
Youtube interview part I
Youtube interview part II
Each person brings to a relationship unique qualities, personality and history.
These differences can be complimentary and endearing. But each person also brings unique interpretations and opinions about these differences. And in times of difficulty, this can contribute to the disintegration of communication and compassion.
When the person you have chosen to share your life with is no longer perceived as a supportive partner, one can experience hurt, anger, and resentment; there may be a tendency to look outside of the relationship to fill the empty space or become resigned. The differences that once were appreciated and seen as unique qualities are now a source of conflict as the relationship goes adrift.
Couples counseling can help you navigate these changes – to get back on the same side of the fence, communicate in a way that is effective and helpful, negotiate differences, resolve problems and even argue without attacking and hurting each other.
Counseling can help when:
…Arguments are never ending
Are you fighting all the time and these days it feels like every discussion is a conflict? Do these arguments come up again and again without resolution and each of you never feel heard or understood by the other?
…The best solution is not talking at all
Have these arguments resulted in avoidance? Do you feel you cannot win and there is no point in engaging this discussion, AGAIN? Have you lost the energy and motivation to try to work it out?
…Even together, you feel alone
Have you stopped enjoying each other's company? Do you feel alone in your relationship? Are you now "just" roommates? Is every encounter met with frustration and sadness?
…Your giving more than you're getting
Do you feel your spouse doesn't appreciate you or recognize the efforts you put into making things better? Is your "tank" empty from unmet needs and now you can't meet your spouses needs or your own?
…Infidelity breaks all trust
Has there been an affair and now the idea of being happily married again seems impossible? Are you asking, "Can we survive this? Or how do I know it won't happen again?"
Pre-marital Counseling
You are in love and ready to make a lasting commitment- have you considered pre-marital counseling to ask the important questions that you may not have considered and could potentially cause problems later? What are your expectations of marriage/being a husband or being a wife? Are you on the same page about finances, friends, independence and sex? Do you both approach arguments in a manner that feels respectful and productive? Are there small issues you have identified, but don't know how to introduce that conversation OR are you believing that you or your spouse will change over time?
Pre-marital therapy can offer an objective perspective that can be of equal support to both of you as the difficult questions are asked and in assisting you both in exploring the "little things" so they do not have a chance to ever become big.


text: Luigi 3,475 Report post Posted January 3, 2016 I think I messed up my last post to the Monastic Humor thread, so I'm re-booting. The old stuff is still available on the old thread, but I can't seem to add anything new. I'm also expanding the topic from monastic humor to "ordered humor" - silliness from any order. If you got 'em, post 'em! From the Dominicans, for the Student Leadership Summit 2016 (SLS16 - http://www.sls16.com/) in Dallas, January 1-5: https://www.facebook.com/domcentral.vocations/photos/a.128268151545.106015.111070191545/10153294952266546/?type=3 "St. Catherine of Siena did say to set the world on fire, right." https://www.facebook.com/domcentral.vocations/videos/10153296780826546/ Friars-as-Star-Wars-characters video. Very lame, but they know they're being very lame, and it's so lame that it's funny. Share this post Link to post Share on other sites


text:
Acting, Modeling, Reality TV, Promo / Events, Voice-Over
Having years of experience in automotive and computer leads me to believe Im on the cutting edge. This is something new for me. Never thought about being a movie extra, However, Might be a ticket for me. Ive always been told I look like famous. Maybe just that could take me somewhere better the where I am now. I know I can be good at it as if it was a computer or working on cars.
What about me you want to know? Give me the chance. I will make the best of it. Ride it till the wheels falls off is my motto right now. Being the classy guy I am; I know I can be just as good, if not better then whats out there now (not putting anyone down). I just know I can be great. Just need that door to open and open wide.
Disclaimer: Casting360 is not a talent agency, employer or a talent scout; the site is only a venue. Casting360 does not promise or facilitate employment. The number of casting calls available varies by location, roles available and the level of experience required. As with any business, results may vary, and will be based on individual capacity, experience, expertise, and level of desire. There are no guarantees concerning the level of income the user may experience.
US Mailing address Casting Dynamics, 182 Howard Street #412, San Francisco, CA 94105
UK Mailing address Casting Dynamics, Ltd. ,14 Windmill Cl, Staining, FY3 0EB
© 2018 Casting360.com
Casting Dynamics, LLC \ Casting Dynamics, Ltd..


text:
Courtyard By Marriott Port Charlotte hotels are listed below. Search for cheap and discount Courtyard By Marriott hotel prices in Port Charlotte, FL for your family, individual or group travels. We list the best Courtyard By Marriott Port Charlotte hotels so you can review the Port Charlotte Courtyard By Marriott hotel list below to find the perfect place.
Our search will also provide discounted Port Charlotte, FL properties that have similar star quality of Courtyard By Marriott.Need a group/meeting discount? Get quotes from hotels in Port Charlotte FL
How should we direct your call?


text:
Quitters Never Progress
Video summary: Guy Finley explains that within us exists both an affirming force that drives our wish to connect with the world above us, as well as a denying force that wants to keep us rooted in the desires of this world. When we feel the struggle between these two levels, we must choose to reach for what is higher so that we can fulfill the purpose of our existence in this life.
Video notes: Announcing the worldwide release of best selling author Guy Finley's new book "The Secret of Your Immortal Self: Key Lessons for Realizing the Divinity Within." Here's your chance to master an extraordinary kind of wisdom unlike anything you've ever heard before... and receive 5 free gifts from Guy. Click here for details.


text:
The Mikhailovsky Ballet was formed in 2007 from the ashes of the Maly company, a second-string St Petersburg troupe which had long languished in the shadow of the illustrious Mariinsky (Kirov) Ballet. Following a $25m makeover by banana import tsar Vladimir Kekhman, however, the Mikhailovsky has become a significant player on the world ballet stage, and in 2008 toured a memorably dramatic version of Spartacus, with the Russian premiere featuring live tigers.
In 2009, Mikhail Messerer became the company's artistic director, replacing the former Mariinsky star dancer Farukh Ruzimatov. The Messerers are a Bolshoi dynasty, one of the most distinguished in Russian ballet, and when Mikhail decided to mount Swan Lake, he turned not to the conventional Petipa-Ivanov version, but to the Gorsky production. Alexander Gorsky was an early 20th-century Bolshoi choreographer who was greatly influenced by the progressive stage-craft teaching of Stanislavski, and his Swan Lake was more naturalistic than earlier versions.
One of its greatest interpreters was Asaf Messerer, Mikhail's uncle, who was taught the role by Gorsky himself, while Mikhail's mother, Sulamith, was a noted Swan Queen (mother and son both defected to the west in 1980, when she was 72, and as a dancer I was fortunate enough to be taught by both of them). So this Swan Lake is very much a family affair. It's also lovely to look at, particularly the first act in which pale and silvery costumes are set against a russet autumn landscape and a distant cliff-top castle.
Here, as later, the Mikhailovsky women set the tone. Tall, willowy and strikingly individual, they offer the strongest possible contrast to the usual peas-in-a-pod Swan Lake ensemble. A case in point is Dnepropetrovsk-trained Oksana Bondareva, whose airy leaps and coolly sustained pirouettes in the pas de trois provide thrills of the highest order. This buoyant sense of self is less apparent in the company's men, although Denis Tolmachov's Jester, never a character for whom one feels particular sympathy, wins us over with his sheer, relentless virtuosity.
Our opening night prince was Marat Shemiunov. A genial stage presence, he is perhaps a little too delicate of manner to convince us of his love for Ekaterina Borchenko's Odette. Faced with a benchful of princesses at the ball, he visibly flinches, and his eyes seek out his mother. Which is a pity, because Borchenko is very special indeed. Essentially a staccato rather than a legato dancer, she is a fine-drawn, powerful Odette, whose sway-back leg-line gives her dancing a racily exotic finish. As Odile, raking the stage with her dark gaze, she seems to purr with sexual exultancy.
As the villainous Evil Genius – shades of Austin Powers – Vladimir Tsal turns in a suitably baleful performance, but the eventual happy ending is one of those unsatisfactory Soviet-era fudges. That said, there is a huge amount to enjoy. The Mikhailovsky may have its home in St Petersburg, but this is the production, with some updating, with which the Moscow-based Bolshoi Ballet conquered. London in that first, celebrated cold war tour of 1956. The company is here until 25 July, and its revival of Vakhtang Chabukiani's Laurencia, which had its premiere at the Mariinsky theatre just before the outbreak of the second world war, is a real collector's item. Catch it if you can.


text:
Its 9th today and like every month, BEFIKRE's kissing poster is out.
Vaani and Ranveer kiss each other yet again on a beach and this time its semi bare body.
The duos are on a kissing spree. Yes they kiss yet again and are surely BEFIKRE about it. We wonder why is there so much of kissing in every poster and Ranveer Singh answers it with ease.
He went on a micro blogging site and shared the poster of them kissing on a beach. Alongside he posted, "What were all those kissing posters about? The answer is #LabonKaKarobaar."
Ranveer Singh and Vaani Kapoor starrer BEFIKRE will hit the theaters on December 9, 2016.


text:
Mary Landrieu seems to be shrinking away from engaging constituents critical of her hypocritical stance against the public option.
Call her up mmkay?
Washington D.C.: (202) 224-5824
New Orleans: (504) 589-2427
Baton Rouge: (225) 389-0395
Shreveport: (318) 676-3085
Lake Charles: (337) 436-6650
Senator Kay Hagan of North Carolina, another conservative Democrat, has come out in favor of public option after initially expressing skepticism. Senator Landrieu should get on board with her colleagues and with the overwhelming consensus of Americans that favor a public plan.
Or she could continue to side with incestuous lobbyist gangsters instead of the people of Louisiana.
Tuesday, July 07, 2009
Why I still write to my French ex-girlfriend
By E at 12:48 PM
Labels: healthcare, Mary Landrieu
2 comments:
- Maitri said...
Long shot, but wonder if voting no on the public option is Landrieu's payback for Louisiana getting hit with cap and trade?
- July 8, 2009 at 8:02 AM
- E said...
Nah. Cap and trade isn't even law yet and faces steep odds. Rather, Landrieu could probably leverage a 'yes' vote on public option for some stuff on waxman-markey that would off-set the damage to Louisiana.
But she doesn't appear to be doing that. Instead, she's just decided to block pretty much every important piece of legislation that democrats have been fighting for since before I was born.
- July 9, 2009 at 12:31 AM
Subscribe to: Post Comments (Atom)


text:
The Technical Lead position will work in an operations team to ensure projects meet the assigned goals and delivered on time. The Technical Lead must be a hands on developer as well as provide guidance to an offshore development team. Experience in onsite/offshore coordination is required as this position will be the primary liaison between onshore and offshore development teams. The Lead must demonstrate strong organizational skills along with excellent written and verbal communication skills.
Applicant must have excellent experience as a developer to create and support ASP.NET and Windows .NET applications for internal and external systems. Applicant must be experienced with general development methodologies including .NET platform for web and Windows development as well as XSLT/XPATH.
Applicant must be able to work on multiple tasks during the same time frame and meet deadlines with accuracy and efficiency. Must be willing to work extended hours to meet project deadlines.
Experience & Technical Skills (Required)
Experience & Technical Skills (will be considered as added advantage )


text:
By merging its fourth annual Vibe Music Seminar with its twice-yearly VibeStyle fashion show last month in Manhattan, the hip-hop magazine breathed new life into the music event while creating expanded opportunities in its fashion show, including cross-promotions for sister titles Spin and Blaze.
More than 11,000 invited fashion industry players attended the combined event April 16-20; another 1,600 paid $375 each to attend the music seminar. Both events drew heavily on one another's offerings, and featured areas for Spin to tout its alternative rock 'n' roll music identity and Blaze to promote its authority in leading-edge hip-hop music.
"Vibe bridges the music, the culture, the clothing and attitude of hip-hop, which is becoming a lifestyle experience. Fusing the two events reflects how the worlds of music and fashion intertwine in Vibe," said John Rollins, group publisher at Vibe/Spin Ventures.
The combination music-and-fashion event featured an interactive atmosphere including live entertainment, discussions from hip-hop culture leaders, BMX bicycle and skateboard stunt shows plus booths where fashion marketers showed their latest urban-style clothing.
Sponsors showcased their products in a newly created Culture Shock Zone. Miller Brewing Co.'s Miller Genuine Draft, for example, provided free pool table competition and beer samples; R.J. Reynolds Tobacco Co.'s Salem sponsored a booth where attendees could make CD recordings. Event co-sponsor BMG/Peeps Republic provided a variety of free Internet-related resources.
Vibe advertisers that played a big role at the event included emerging hip-hop apparel marketers Fubu, Lugz, Mecca and Zero Casualties. Also involved were Caterpillar Inc.'s Cat apparel, Fila USA, Lee Apparel Co.'s Lee dungarees and


text: I just got a new computer built and got a new monitor along with it but a problem has arose. I can use the computer but when something that required a lot of RAM or just a lot of priority to open for example "Steam" the software in which you can download games and such (Basically XBOX or Play Station but for computer), It just lags a little bit and goes to no signal. I know the problem isn't with the monitor because I've tested other monitors and I have done the same with the cable. I'm using a DVI cable not a VGA. I have updated my drivers for my graphics card several times and on the GeForce Experience application it says my drivers are up to date. HELP!


text:
CHARLIE n'est pas mort!
After 6 hours at work listening to the incessant news of the deadly attack at Paris head-office of Charlie Hebdo-the known French satirical magazine-I finally reached Place de la Republique where hundreds have gathered to commemorate the 12 victims and to show freedom of expression still lives. In few hours Paris' most active citizens have… Read More CHARLIE n'est pas mort!


text:
search for books and compare prices
Melissa Axelrod has written 2 work(s)
Search for other authors with the same name
displaying 1 to 2 | at end
show results in order: alphabetically | oldest to newest | newest to oldest
read more
9780826340788 | Blg ind edition (Univ of New Mexico Pr, February 28, 2007), cover price $125.00 | About this edition: In the 1990s federal laws were created to encourage the teaching and speaking of American Indian languages.
read more
9780803210325 | Univ of Nebraska Pr, August 1, 1993, cover price $65.00 | About this edition: Koyukon is an Athabaskan language spoken along the Yukon and Koyukuk rivers in Alaska.
displaying 1 to 2 | at end


text:
- any of the faculties, as sight, hearing, smell, taste, or touch, by which humans and animals perceive stimuli originating from outside or inside the body: My sense of smell tells me that dinner is ready.
- these faculties collectively.
- their operation or function; sensation.
- a feeling or perception produced through the organs of touch, taste, etc., or resulting from a particular condition of some part of the body: to have a sense of cold.
- a faculty or function of the mind analogous to sensation: the moral sense.
- any special capacity for perception, estimation, appreciation, etc.: a sense of humor.
- Usually senses. clear and sound mental faculties; sanity: Have you taken leave of your senses?
- a more or less vague perception or impression: a sense of security.
- a mental discernment, realization, or recognition; acuteness: a just sense of the worth of a thing.
- the recognition of something as incumbent or fitting: a sense of duty.
- sound practical intelligence: He has no sense.
- something that is sensible or reasonable: Try to talk sense instead of shouting.
- the meaning or gist of something: You missed the sense of his statement.
- the value or worth of something; merit: There's no sense in worrying about the past.
- the meaning of a word or phrase in a specific context, especially as isolated in a dictionary or glossary; the semantic element in a word or group of words.
- an opinion or judgment formed or held, especially by an assemblage or body of persons: the sense of a meeting.
- Genetics. a DNA sequence that is capable of coding for an amino acid (distinguished from nonsense).
- Mathematics. one of two opposite directions in which a vector may point.
- to perceive (something) by the senses; become aware of.
- to grasp the meaning of; understand.
- (of certain mechanical devices) to detect physical phenomena, as light, temperature, radioactivity, etc., mechanically, electrically, or photoelectrically.
- Computers. to read (punched holes, tape, data, etc.) mechanically, electrically, or photoelectrically.
- come to one's senses, to regain one's good judgment or realistic point of view; become reasonable.
- in a sense, according to one explanation or view; to a certain extent: In a sense it may have been the only possible solution.
- make sense, to be reasonable or comprehensible: His attitude doesn't make sense.
Origin of sense
Synonyms for sense
- any of the faculties by which the mind receives information about the external world or about the state of the body. In addition to the five traditional faculties of sight, hearing, touch, taste, and smell, the term includes the means by which bodily position, temperature, pain, balance, etc, are perceived
- such faculties collectively; the ability to perceive
- a feeling perceived through one of the sensesa sense of warmth
- a mental perception or awarenessa sense of happiness
- moral discernment; understandinga sense of right and wrong
- (sometimes plural) sound practical judgment or intelligencehe is a man without any sense
- reason or purposewhat is the sense of going out in the rain?
- substance or gist; meaningwhat is the sense of this proverb?
- specific meaning; definitionin what sense are you using the word?
- an opinion or consensus
- maths one of two opposite directions measured on a directed line; the sign as contrasted with the magnitude of a vector
- logic linguistics
- the import of an expression as contrasted with its referent. Thus the morning star and the evening star have the same reference, Venus, but different senses
- the property of an expression by virtue of which its referent is determined
- that which one grasps in understanding an expression
- make sense to be reasonable or understandable
- take leave of one's senses See leave 2 (def. 8)
- to perceive through one or more of the senses
- to apprehend or detect without or in advance of the evidence of the senses
- to understand
- computing
- to test or locate the position of (a part of computer hardware)
- to read (data)
Word Origin for sense
c.1400, "faculty of perception," also "meaning, import, interpretation" (especially of Holy Scripture), from Old French sens "one of the five senses; meaning; wit, understanding" (12c.) and directly from Latin sensus "perception, feeling, undertaking, meaning," from sentire "perceive, feel, know," probably a figurative use of a literally meaning "to find one's way," or "to go mentally," from PIE root *sent- "to go" (cf. Old High German sinnan "to go, travel, strive after, have in mind, perceive," German Sinn "sense, mind," Old English sið "way, journey," Old Irish set, Welsh hynt "way"). Application to any one of the external or outward senses (touch, sight, hearing, etc.) in English first recorded 1520s.
A certain negro tribe has a special word for "see;" but only one general word for "hear," "touch," "smell," and "taste." It matters little through which sense I realize that in the dark I have blundered into a pig-sty. In French "sentir" means to smell, to touch, and to feel, all together. [Erich M. von Hornbostel, "Die Einheit der Sinne" ("The Unity of the Senses"), 1927]
Meaning "that which is wise" is from c.1600. Meaning "capacity for perception and appreciation" is from c.1600 (e.g. Sense of humor, attested by 1783, sense of shame, 1640s).
"to perceive by the senses," 1590s, from sense (n.). Meaning "be conscious inwardly of (one's state or condition) is from 1680s. Meaning "perceive (a fact or situation) not by direct perception" is from 1872. Related: Sensed; sensing.
- Any of the faculties by which stimuli from outside or inside the body are received and felt, as the faculties of hearing, sight, smell, touch, taste, and equilibrium.
- A perception or feeling that is produced by a stimulus; sensation, as of hunger.
- To become aware of; perceive.
come to one's senses
Return to thinking or behaving sensibly and reasonably; recover consciousness. For example, I wish he'd come to his senses and stop playing around. This term employs senses in the sense of "normal or sane mental faculties," and in the earliest recorded use (1637) it meant "recover from a swoon." Its broader present-day meaning dates from the mid-1800s. The related bring someone to his or her senses was used by John Gay in his Beggars' Opera (1727). Also see take leave (of one's senses).
see come to one's senses; horse sense; in a sense; lull into (a false sense of security); make sense; sixth sense; take leave of (one's senses); talk sense.


text:
Howrey BT, Thompson BL, Borkan J, Kennedy LB, Hughes LS, Johnson BH, Likumahuwa-Ackman S, Westfall JM, Davis A, deGruy F. Partnering With Patients, Families, and Communities. Fam Med 2015;47(8):604-611.
Partnering With Patients, Families, and Communities
Bret T. Howrey, PhD; Barbara L. Thompson, MD; Jeffrey Borkan, MD, PhD; Lauren B. Kennedy, JD; Lauren S. Hughes, MD, MPH, MSc; Beverley H. Johnson; Sonja Likumahuwa-Ackman, MID, MPH;
John M. Westfall, MD; Ardis Davis, MSW; Frank deGruy, MD
Background and Objectives: Collaborating with patients, families, and communities is a core principle of family medicine. However, the health care system in the United States has grown increasingly complex, fragmented, and difficult to navigate. This system, focused on disease-specific care delivered by specialists, often treats patients as the objects of care rather than as partners in care. Family Medicine for America's Health (FMAHealth) offers an opportunity to challenge the status quo in collaborative care through enhanced patient outreach and community engagement. With a central focus on improving health and achieving the Triple Aim, the FMAHealth initiative recognizes that successful transformation of the US health care system requires collaborative partnerships between clinicians, patients, families, and communities. Patient and population-level outcomes can be improved through shared decision making; application of new technology; and authentic partnerships with patient, families, and communities. Broader collaboration in practice transformation, research, and policymaking can lead to identification of common goals and mutually embraced transformation. The discipline of family medicine aspires to encourage patients, families, and communities to demand change as consumers, as citizens, and as voters.
(Fam Med 2015;47(8):604-11.)
The health care system in the United States ranks lowest among other industrialized nations despite the highest per capita expenditures.1 Improving the health care system requires balancing the interests of patients, providers, and payers in order to achieve the Triple Aim of better health, better health care, and lower costs.2 In pursuit of the Triple Aim, Family Medicine for America's Health (FMAHealth) is dedicated to transforming the family medicine discipline through reformed payment policies, work force development and education, adoption of ever-evolving technologies, and practice improvement including the patient-centered medical home (PCMH). FMAHealth acknowledges that truly transformative changes in the health care system can only occur if patients, families, and communities are embraced as partners and collaborators in care.
The discipline of family medicine is uniquely positioned to provide leadership for this transformation because of its commitment to care for families over the lifespan providing support as they navigate the broader health care system and tap into community-based resources. These trusted long-term relationships serve as a foundation for partnerships that inform and mobilize health care improvement and transformation. Indeed, collaborating with patients, families, and communities is a core principle of family medicine. The very origins of the discipline, the 1967 Folsom Report3 describes the need for a "community of solution" to meet health challenges. One of the tasks put before the Folsom Group was to propose a more comprehensive means of providing health care. The Folsom Group envisioned a problem and its solution existing within a unique geographic, social, and political context and noted that the work of defining problems and finding solutions requires coordination, communication, and, fundamentally, collaboration within the community.
However, in the ensuing decades since the Folsom Report, the health care system in the United States has drifted far from "communities of solution"4 and grown increasingly complex, fragmented, and difficult to navigate.5 In general, it has evolved into a bureaucratic orthodoxy with an expert-driven model of care that is focused on illness and delivered largely through episodic visits in outpatient practices and hospital settings.6 Supported by professional authority and narrow definitions of health and health care, this system sees patients as receivers of care rather than as essential partners.7 This paradigm limits active partnerships with all patients and families and is especially limiting for those with little or no capacity to make their own choices such as children.8 Particularly at risk are populations that already face challenges due to limited health literacy, low self-
efficacy, challenges with English proficiency, or those confronted with financial, social/political, or geographic barriers to care.9-12
Despite the challenging structure of the health care system, it is increasingly evident that patient, family, and community partnerships are critical elements in improving and managing the health of individuals and populations. In their 2001 report, Crossing the Quality Chasm, the Institute of Medicine underscored the importance of system change that included engaging the patient as a primary source of control over their own health care.7 More recently, Carman and colleagues proposed a framework for examining patient and family engagement,13 which views engagement as a continuum from consultation to full collaborative partnership. Patients who are empowered to actively participate in the process of their own care have better outcomes.14-16 Patients with chronic conditions particularly benefit due to greater treatment adherence, self-care, and scheduling of appropriate follow-up care.17,18 There is also increasing evidence that the PCMH offers great promise for improving patient and community engagement. However, while the PCMH model has spurred advanced practice transformations in some settings over the decade since it was proposed as part of the Future of Family Medicine initiative,19 patient, family, and community engagement in the processes of care have generally been minimal.20 There have been some inroads with patient advisory councils, shared decision making, and community-health system partnerships, but these have been exceptions and exemplars, rather than widely accessible standards of care.
There are many reasons for this limited progress. For example, even with increased focus on patient engagement in decision making, it is difficult for patients and families to make informed decisions about their care as they rarely have access to understandable and comparable data, health care records are often difficult to access and interpret, and the medical literature is both vast and ever-expanding. There are also few incentives for providers and health systems to invest in meaningful patient engagement that would accelerate transformation efforts.
The FMAHealth initiative offers an opportunity to realize the potential and the power of effective, proactive patient, family, and community partnerships. This initiative is an opportunity to push engagement from consultation toward partnership at the level of the encounter, as well as the design of care and policy. FMAHealth also provides the opportunity to expand the focus of engagement from the patient outward to the family and the community. Core campaign elements include Patient Engagement to increase collaboration between patients and providers as well as Community Engagement to identify strategies to transform primary care. This paper describes the current state and future vision of key initiatives in patient and community collaboration: shared decision making; patient, family, and community health education; technology; practice transformation; research; and policy. We seek to provide a vision and call to action to go beyond talking about engagement as a buzzword, moving toward meaningful partnerships with patients, families, and communities. To this end, several areas of engagement can be considered:
Shared Decision Making
Shared decision making is a key component of patient and family engagement and is critical to the FMAHealth objective of ensuring personal relationships between clinicians and patients and families. Such a personal relationship has always been a core attribute of both family medicine and the PCMH model. Built upon mutual respect and trust, these partnerships require two-way communication resulting in decisions made with patients as opposed to decisions made for patients. In the framework suggested by Carman and colleagues,13 shared decision making requires not only sufficient knowledge of the medical condition or procedure but also an understanding of the context, values and beliefs, and goals and preferences of the patient, their family, and community.
Shared decision making in the literature often focuses on a specific disease such as cardiovascular disease or chronic obstructive pulmonary disease (COPD) and generally incorporates condition-
specific decision aids to facilitate discussion.21-23 These complex patients often rely on their families, communities, and other supports to facilitate daily activities and disease management decisions. Disease-
specific outcomes, such as change in expiratory volume for a patient with COPD, may not be meaningful to the patient directly. The patient and family may have greater interest in improving independent functioning, pursuing activities, increasing self-care, or deciding where or when they will accept interventions.
It is also important to understand the extent to which patients and families want to be involved in medical decisions and when. While higher educational attainment or increased health literacy is associated with enthusiasm for involvement,24,25 interest in involvement appears to vary widely by patient characteristics and circumstances.26 For example, patients who are interested in discussing weight loss strategies may not be interested in debating treatments for acute asthma events. However, in complex treatment discussions the use of decision aids has shown consistent effectiveness in increasing patient involvement.27
What is missing from our health care system is a comprehensive approach for decision making that embraces the patient and family at all stages of health. Optimally, the process brings together the needs and values of all involved or affected by the decision. Such broad involvement may seem difficult or impractical, but understanding the context in greater detail can better inform the decision. Engaging patients and families at the point of care can be a pivotal part of this process, enabling capture of patient information that is important but not necessarily disease related, such as caregiver contacts, social background, values, and beliefs. Critical to this process is redirecting the decision dialogue toward eliciting the patient's and family's goals and preferences beyond the context of a specific illness or injury.
In ambulatory practices, patients and families can be offered the opportunity to communicate their priorities for a clinic visit, thus creating an opportunity for partnership. At the Humboldt Open Door Clinic in California, patient and family advisors designed a form to help patients organize their thoughts before a clinic visit. In hospital settings, daily rounds are often the time care planning decisions are made.28 At The Christ Hospital in Cincinnati, OH, the Patient and Family Advisory Council partnered with a family medicine geriatrician and guided the development and evaluation of an Acute Care for the Elderly (ACE) unit and the implementation and evaluation of family-centered rounds.29 Policies and practices of the unit and the approach to teaching rounds are modeled on partnerships and encourage the participation of patients and families in decision making.
An unintended result of increased shared decision making is the potential for increased burden placed on the clinician with limited time. Indeed, the clinician's perception of time pressure is often a barrier to shared decision making.30,31 Such a concern is understandable given the emphasis that the current health care system places on short encounters and increased relative value units (RVUs).
In contrast, an emerging model of primary care—Direct Primary Care (DPC)—has the potential to increase patient engagement and improve shared decision making while avoiding the time constraints found in traditional delivery systems. Bypassing third party payment systems, DPC directly contracts with patients, often resulting in smaller patient panels and more time available to discuss treatment options.
Patient, Family, and Community Health Education
Health education can enhance patient, family, and community engagement by increasing understanding of conditions and treatments and can contribute to reductions in health disparities, a core strategy of FMAHealth. The point of care, when caregivers, patients, and sometimes family caregivers meet, offers an opportunity to share useful educational information with patients and families in both static and dynamic ways. Commonly, printed materials serve the function of providing patients and families with information—general or condition-specific—that is designed to be accessible to a broad range of readers. Interactions with clinic staff offer opportunities to clarify or complement static information, and the clinician encounter provides an opportunity to transform the information into usable knowledge relevant to the patient and family. During this process the patient and family must be encouraged to ask questions and express confusion or lack of understanding. Incumbent upon the provider is the guarantee that transformation occurs. Only through a dynamic exchange between all parties can comprehension be assured.
Group visits are another opportunity for useful information sharing between patients and families in a peer-support process. Group visits offer the opportunity for dynamic interaction and discussion with others who may share similar conditions and with the care team. These visits can also be a time-efficient way for clinicians and other staff to share more in-depth information, stories, and care plans with patients and families and to elicit insights from the group.
Events outside of the clinic setting offer clinicians the opportunity to understand the needs and health of the communities within which they practice and serve as forums for patient, family, and community education. Through such events, both public health needs and health care delivery can be evaluated and addressed in the manner of community-oriented primary care, which emphasizes health promotion and prevention.32,33 Community venues such as schools, colleges, health fairs, and other community events provide settings accessible to broad audiences. In such an environment, clinicians can gain insight into patients' or families' perspectives about health-promoting activities or their experiences living with a chronic condition. While questions and comments in such settings can lead to dialogue, it can be difficult to address the concerns of all participants.
Focus groups, study groups, or support groups and patient and family advisory councils—patient and family advisors serving on quality improvement committees—can lead to productive conversations even among and between groups with very different opinions.34 Patient and family advisory councils can also participate in the design of health care delivery.35 Such councils provide the opportunity for direct feedback from patients, families, and communities, encourage dialogue between providers and patients, promote greater understanding of community context, and foster collaboration with the community. Whether in large public forums or smaller groups, sufficient time must be allowed for adequate communication of information.
The broad availability of electronic media also provides a means of reaching many patients, whether by text, email, web sites, or insertion of health messages such as public service announcements into popular entertainment. Web sites can behave like large public forums, extending the broadcast range of broad content that can be drilled into by interested parties.36 One obvious benefit of electronic and on-line platforms is the connection of individuals or groups that share common concerns despite relative remoteness. One challenge faced by web-based systems is getting the right traffic to the right page. The vast sea of information can make it difficult for a message to reach its intended audience and vice versa.
Additionally, the availability of disparate sources of information can create confusion as to the validity of the content. Even trusted sources can contribute to confusion when different professional organizations publish material that is contradictory or inconsistent. For example, the guidelines on mammography screening from the US Preventive Services Task Force37 differ somewhat from those of the American Cancer Society.38 A critical patient-centered activity for clinicians is to provide expert opinion on matters of controversy and help the patient interpret conflicting information from trusted sources.
Education efforts to improve the knowledge and skills for developing effective partnerships must also be incorporated into faculty development and in the training of physicians and inter-professional teams.39 Students in health professions and residents should be prepared to enter into partnerships with their patients, families, and communities and must be supplied with the tools to do so. The development of these tools should incorporate stakeholder input from the beginning to assure adequate coverage of concepts and concerns.
Another core strategy of the FMAHealth initiative is improved patient, family, and community engagement through incorporation of available technology beyond didactic information distribution. Directed forms of information exchange such as email and telemedicine consultation have great potential to enhance patient, family, and community engagement. Specific questions can be addressed, issues clarified, and engagement encouraged in a timely fashion, without a trip to the clinic. In addition, directly disseminating information through voice and text messages can lead to improvements in processes of care, positive behavioral changes, greater disease management, and enhanced quality of life.40 Similarly, direct communication through secure email exchanges has been associated with improved effectiveness of care.41
Access to medical records via patient portals can keep patients and families informed and can be linked to resources for clarification. These portals can provide easy-to-navigate access to comprehensible patient data in their own language. Access to electronic health records and the ability to connect with care providers can also result in reductions in office visits and phone calls to providers.42 It is important to note that the impact of patient portals on outcomes may be dependent on the patient's or family's health literacy, education, and technological prowess.43 Moreover, patient engagement through use of electronic health records can go beyond one-way transmissions of information. It may be reasonable for patients and their representatives to have the opportunity to add notes to their records and have a process to correct errors.44
Other delivery systems such as social networks can further encourage engagement through direct campaigns addressing specific health concerns. Social networks can facilitate rapid dissemination of health information and increase social support and self-empowerment.45-50 There is some indication that social media can be effectively deployed to assist in improving health behaviors.51 Such exchanges may also facilitate improved disease self-
Patient, family, and community engagement can also be enhanced through the incorporation of big data. In this context big data does not refer to the analysis of extracted data from large data warehouses such as Medicare claims. Rather, it refers to the manipulation and use of information from multiple sources, individuals, and groups with the aim of improving health care. Such data could include information regarding health care utilization, transportation, the built environment, and resource availability at the population level combined in real time with individual level data such as heart rate, blood pressure, hemoglobin A1c, and other markers of health. This kind of combined big data, presented in useful ways, can provide immediate feedback to patients regarding their health, environment, and their interaction. Communities can also use big data to become learning systems for health.53
Partnering With Patients and Families in Practice and System Transformation
Achieving the Triple Aim goal of a better health care experience requires practice and system transformation. Supported by the core strategies of FMAHealth, lasting transformation requires engaging patients and families in practice and system redesign from the beginning stages and at high levels, such as executive committees, to ensure the commonality and acceptance of goals and processes, as well as metrics for evaluating success. Early and sustained relationships establish trust and credibility,54,55 important contributors to the transactional costs of goal attainment.56-58 Without high levels of trust, lasting improvement will be elusive. The inclusion of patient and consumer stakeholder groups in the process is beneficial in establishing priorities and recommendations,59-61 and the early involvement of patients and families helps align common goals. Unfortunately, it is difficult to measure the extent to which stakeholders—patients, families, and communities —are actually involved and their input used.60,62,63 In this regard, it is important for the process to be well documented and transparent to prevent relationships from becoming purely transactional and to avoid the "inclusion of the patient and family"—another box to check. Following this approach, Maine Quality Counts supported primary care practices across the state of Maine in practice transformation and provided resources and support for the involvement of patients and family advisors from the beginning of the initiative.64 Patients, families, and communities can also be engaged in determining and prioritizing the needs and payer coverage of local services.59-61,65-68
Research, including needs assessment and achievement evaluation, is an ongoing process and is critical to the FMAHealth goal of continued evolution of the PCMH. Engaging patients and families in research activities makes the results more relevant to local needs. Community-based participatory research (CBPR), action research, practice-based research, and user-centered design are examples of scientific fields that use many techniques to incorporate the research subjects into the science and is cognizant of context.69-77 Examples of this participatory approach include the Patient Centered Outcomes Research Institute, which involves patients, providers, researchers, and policy makers in identifying priority research areas, as well as reviewing and awarding research funding.78 Another example is the Colorado Clinical and Translational Sciences Institute, which employed a participatory process to engage local communities in research. A Community Advisory Council participated in all aspects of the research process, including research ideas, funding requests, research design, quantitative and qualitative analysis, interpretation of results, and dissemination of findings.79
Patients, families, and communities also have the opportunity to engage in health care transformation at the policy level. To some extent, such involvement is invited by policy makers and the policy process through public comment and is somewhat entrenched due to the long history of open democratic process.66 However, in order to ensure that patient and family priorities with respect to practice transformation are reflected at community, state, and federal policy levels, it is important that consumers make their voice heard as a political constituency. Activities include local canvassing and lobbying efforts as well as supporting the election of candidates at all levels of governance who advocate the goals outlined by FMAHealth.
Engagement at the policy level can be seen in CareOregon, a Medicaid managed care organization, which works closely with its member advisors to make policy changes within their organization and to influence statewide policy reforms,80 including a change in dental coverage in Medicaid plans.81 Through conversations with the Oregon legislature, CareOregon influenced the establishment of Community Advisory Councils and the mandate to include Medicaid beneficiaries in the creation and ongoing operations of Coordinated Care Organizations. In addition, a CareOregon advisor serves on the Medicaid Advisory Committee that makes health care policy recommendations.82
The FMAHealth campaign highlights the role of family medicine in meeting the challenge of the Triple Aim. FMAHealth engages local stakeholders to showcase collaborations that have been effective and to explore strategies to expand primary care and promote health through partnerships.
Call to Action
The complexity and scale of the health care system in the United States has resulted in fragmented, expensive, and often ineffective care.7 Patients, families, and communities have become de-personified commodities, caught in a tug-of-war between providers and payers. The failings of the current system have prompted repeated calls for transformation, urging a re-focus on the primacy of the patient in patient care.7,10,13 Unfortunately, the inertia of the current system has left it with limited adaptive agility, limiting its ability to respond to patient, family, and community needs.
In other industries, lack of responsiveness to the needs and values of customers has had disastrous results. For most of the 20th century, Eastman Kodak and Sears Roebuck and Company were pioneers, innovators, market leaders, and style makers. Eastman Kodak invented the digital camera in the 1970s but failed to recognize the value of digital images to consumers and embrace this disruptive technology.83 Sears Roebuck and Company, once the largest retailer in the United States, did not respond to the shifting needs and demographics of consumers by altering its business model and building on its strengths.84 Both companies failed to adapt to consumers' changing needs by providing products and services accordingly and now seem destined to be footnotes in history.
Despite immense inertia, the health care system in the United States can transform and deliver the Triple Aim of better health, better health care experiences, and lower costs. Achieving these goals requires the discipline of family medicine to prioritize patient, family, and community engagement across the engagement continuum from consultation to partnership and shared leadership at the direct care, organizational, and policy level. The list of opportunities for enhancing engagement is ever growing and includes increased use of shared decision making; patient, family, and community education and outreach; adoption of emerging and maturing technologies; and patient and family involvement in research, practice transformation, and policy change. While the starting point and focus area will vary across practices, change must begin with a greater understanding of patient, family, and community expectations of family medicine as well as their perceptions of what family medicine is promising as a discipline.
FMAHealth provides an opportunity to articulate and implement mechanisms for sustained patient and family voices in health care delivery, health policy, and politics. As a discipline, family medicine must encourage patients, families, and communities to demand change as consumers, as citizens, and as voters by fully partnering with them to accelerate transformation. Ongoing and sustained partnerships are central to the ability of family medicine to address the Triple Aim, as well as our likelihood to exist and thrive in the changing health care arena. We must, as a discipline, act in concert and in full collaboration with patients, families, and communities as if the future of health and wellness of the American people depends upon it. This call to action for partnering with patients is an imperative and a road we must travel together.
Corresponding Author: Address correspondence to Dr Howrey, University of Texas Medical Branch, Department of Family Medicine, 301 University Boulevard, Galveston, TX 77555-1123. 409-772-0626. Fax: 409-772-0675. firstname.lastname@example.com
From the Department of Family Medicine, University of Texas Medical Branch, Galveston, TX (Drs Howrey and Thompson); Department of Family Medicine, Alpert Medical School of Brown University, Pawtucket, RI (Dr Borkan); National Partnership for Women & Families, Washington, DC (Ms Kennedy); Pennsylvania Department of Health (Dr Hughes); Institute for Patient- and Family-Centered Care, Bethesda, MD (Ms Johnson); Department of Family Medicine, Oregon Health & Science University (Ms Likumahuwa-Ackman); Department of Family Medicine, University of Colorado (Drs Westfall and deGruy); and Department of Family Medicine, University of Washington (Ms Davis).
A Plan for Useful and Timely Family Medicine and Primary Care Research
Frank Verloin deGruy III, MD, MSFM; Bernard Ewigman, MD, MSPH; Jennifer E. DeVoe, MD, DPhil; Lauren Hughes, MD, MPH, MSc; Paul James, MD; F. David Schneider, MD, MSPH; John Hickner, MD, MSc; Kurt Stange, MD, PhD; Tonya Van Fossen; Anton J. Kuzel, MD; Rebecca Mullen, MD; C.J. Peek, PhD
Fam Med 2015;47(8):636-642
Curriculum Redesign for Teaching the PCMH in Colorado Family Medicine Residency Programs
Bonnie T. Jortberg, PhD, RD, CDE; Douglas H. Fernald, MA; L. Miriam Dickinson, PhD; Letoynia Coombs, EdD; Nicole Deaner, MSW; Caitlin O'Neill, MS, RD; Frank deGruy, MD; Larry Green, MD; W. Perry Dickinson, MD
Fam Med 2014;46(1):11-18
Endoscopy Training in Primary Care: Innovative Training Program to Increase Access to Endoscopy in Primary Care
Tarik Walker; Mark Deutchman; Beth Ingram; Ely Walker; John M. Westfall
Fam Med 2012;44(3):171-177
Envisioning a New Health Care System for America
James C. Puffer, MD; Jeffrey Borkan, MD, PhD; Jennifer E. DeVoe, MD, DPhil; Ardis Davis, MSW; Robert L. Phillips Jr, MD, MSPH; Larry A. Green, MD; John W. Saultz, MD
Fam Med 2015;47(8):598-603
Family Medicine Curriculum Resource Project: Overview
Ardis K. Davis; Jeffrey A. Stearns; Alexander W. Chessman; Paul M. Paulman; David J. Steele; Roger A. Sherwood
Fam Med 2007;39(1):24-30
Family Medicine Curriculum Resource Project: The Future
Jeffrey A. Stearns; Marjorie A. Stearns; Paul M. Paulman; Alexander W. Chessman; Ardis K. Davis; Roger A. Sherwood; Kent J. Sheets; David J. Steele; Christine C. Matson
Fam Med 2007;39(1):53-56
FMAHealth and Academic Family Medicine: On the Frontlines or on the Sidelines?
Jeffrey Borkan, MD, PhD; Paul James, MD; Michael Mazzone, MD; Anton Kuzel, MD, MHPE
Fam Med 2015;47(8):652-654
Ossification Versus Innovation in Family Medicine Training: A Call to Action
Michael K. Magill; Jeffrey Borkan; Warren Newton
Fam Med 2005;37(9):665-668
Patient Perspectives on the Doctor of the Future
Deborah S. Main; Carolyn Tressler; Amie Staudenmaier; Kathryn A. Nearing; John M. Westfall; Meredith Silverstein
Fam Med 2002;34(4):251-257
Ten-year Trends in Family Medicine Residency Productivity and Staffing: Impact of Electronic Health Records, Resident Duty Hours, and the Medical Home
Sarah Lesko; Lauren Hughes; Wes Fitch; Judith Pauwels
Fam Med 2012;44(2):83-89
The Family Medicine Curriculum Resource Project Structural Framework
Jeffrey A. Stearns; Marjorie A. Stearns; Ardis K. Davis; Alexander W. Chessman
Fam Med 2007;39(1):31-37
The Family Medicine Curriculum Resource Project:
Implications for Faculty Development
Kent J. Sheets; Mark E. Quirk; Ardis K. Davis
Fam Med 2007;39(1):50-52
Transforming Training to Build the Family Physician Workforce Our Country Needs
Lauren S. Hughes, MD, MPH, MSc; Michael Tuggy, MD; Perry A. Pugno, MD, MPH; Lars E. Peterson, MD, PhD; Stacy H. Brungardt, CAE; Grant Hoekzema, MD; Samuel Jones, MD; Jane Weida, MD; Andrew Bazemore, MD, MPH
Fam Med 2015;47(8):620-627


text: So I have a .co domain that is the name of a town local to me. There is not much/weak competition for the keywords. Yet I can't decide what I want to put on it. Autoblog? PhpBB? Any other suggestions? Willing to consider anything. I want my $30.00 back for the friggen .co domain.


text:
Oral AGY for Celiac Disease
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT01765647
Recruitment Status : Completed
First Posted : January 10, 2013
Last Update Posted : April 21, 2016
|Tracking Information
|First Submitted Date ICMJE
|January 8, 2013
|First Posted Date ICMJE
|January 10, 2013
|Last Update Posted Date
|April 21, 2016
|Study Start Date ICMJE
|May 2014
|Actual Primary Completion Date
|August 2015 (Final data collection date for primary outcome measure)
|Current Primary Outcome Measures ICMJE
|general safety [ Time Frame: week 6 ]
Safety measures will include adverse events and lab test results, will be measured throughout the study period of approximately 6 weeks. In the event of serious symptom development, participants will be asked to return to clinic as soon as possible for an evaluation.
|Original Primary Outcome Measures ICMJE
|ATG antibody level [ Time Frame: week 16 ]
ATG will be measured at baseline, week 3 and at the end of the study period at week 16
|Change History
|Complete list of historical versions of study NCT01765647 on ClinicalTrials.gov Archive Site
|Current Secondary Outcome Measures ICMJE
|Original Secondary Outcome Measures ICMJE
|Current Other Outcome Measures ICMJE
|Not Provided
|Original Other Outcome Measures ICMJE
|Not Provided
|Descriptive Information
|Brief Title ICMJE
|Oral AGY for Celiac Disease
|Official Title ICMJE
|Use of an Orally Administered Antibody to Gluten to Prevent the Recurrence of Symptoms and Laboratory Parameters in Persons With Celiac Disease (Gluten Sensitive Enteropathy)
|Brief Summary
Celiac disease (CD) is an autoimmune disease of the small intestine caused by the consumption of gluten proteins from widely used food sources such as wheat, rye, and barley. Exposure of the small intestine to gluten causes an inflammatory response, leading to the destruction of intestine lining, often with severe symptoms including diarrhea, abdominal distention, fatigue, weight loss, anemia, and neurological symptoms. CD is a lifelong disease and the only treatment currently available is strict adherence to a life-time gluten free diet (GFD). However, adhering to this diet is difficult as gluten proteins are found in many food products. Therefore, the gluten-free diet has both lifestyle and financial implications for the individual and thus has been potential for impacting adversely on their quality of life.
Various approaches are being studied to reduce the need for careful control of the diet for those with CD, including the use of antibodies such as IgY. IgY is produced from the egg yolks of super immunized laying hens. Egg yolk antibodies are natural products with minimal toxicity, for those without egg allergy, and offer low-cost, hygienic production of study product. Once the IgY antibody is put into capsule form, it is called AGY.
Individuals with CD will be recruited only if they have a history of biopsy proven CD, currently follow a GFD but continue to have mild to moderate symptoms related to gluten exposure, and do not have an egg allergy. Blood will be tested for ATG antibody levels at screening. Those enrolled will have a 2 week run-in period where diet and symptoms are recorded, and will then receive AGY capsules to take with meals over a 4 week period. Outcomes will be measured by examining lab test results including antibody levels, symptoms, and quality of life.
|Detailed Description
The trial will last approximately 6 weeks. Individuals will be screened to ensure they are following a gluten free diet, continue to have mild to moderate symptoms of gluten exposure despite the diet, and have a history of biopsy proven celiac disease. Those meeting this criteria will then have a baseline visit which will include a short physical exam and additional lab work for safety measures, and quality of life questionnaires. They will record their diet and symptoms for 2 weeks, and then return to receive the study medication, which will be taken with all meals. The first dose will be taken in clinic to facilitate observation of any adverse effects. The next visit will be 2 weeks later for blood work and clinic visit, and then again 2 weeks later for the final visit. Participants will be prompted to report any adverse events that occur during the trial period and at the completion of the trial. During the trial period, the study coordinator will phone participants to remind them to complete their questionnaires and to inquire about adverse events. All participants will receive AGY capsules (500 mg per capsule), and will take 2 capsules with each meal.
Outcome measures The primary outcome variable will be the safety (adverse events, lab results, symptoms), which will be measured throughout the study.
The secondary outcome will be ATG antibody levels, which will be measured at each visit.
|Study Type ICMJE
|Study Phase
|Phase 1
|Study Design ICMJE
|Intervention Model: Single Group Assignment
Masking: None (Open Label)
|Condition ICMJE
|Celiac Disease
|Intervention ICMJE
|Other: AGY
AGY is a natural health product produced in egg yolks
|Study Arms
|Experimental: AGY
All participants will receive the same, open-label dose of AGY
Intervention: Other: AGY
|Publications *
|Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Recruitment Information
|Recruitment Status ICMJE
|Estimated Enrollment ICMJE
|Original Estimated Enrollment ICMJE
|Actual Study Completion Date
|August 2015
|Actual Primary Completion Date
|August 2015 (Final data collection date for primary outcome measure)
|Eligibility Criteria ICMJE
Inclusion Criteria:
Exclusion Criteria:
|18 Years to 75 Years (Adult, Older Adult)
|Accepts Healthy Volunteers
|Contacts ICMJE
|Contact information is only displayed when the study is recruiting subjects
|Listed Location Countries ICMJE
|Removed Location Countries
|Administrative Information
|NCT Number ICMJE
|Other Study ID Numbers ICMJE
|Has Data Monitoring Committee
|U.S. FDA-regulated Product
|Not Provided
|IPD Sharing Statement
|Not Provided
|Responsible Party
|Igy Inc.
|Study Sponsor ICMJE
|Igy Inc.
|Collaborators ICMJE
|University of Alberta
|Investigators ICMJE
|PRS Account
|Igy Inc.
|Verification Date
|May 2015
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP


text:
Indications: Traditionally used for general health and strengthening of body, weakness after childbirth, relieves fatigue and invigorates energy.
Direction of use:
Adults: 1 bottle, 2 times a day
Children: 1/2 bottle, 2 times a day (Not allowed for children below one year of age)
Shake well before use.
If symptoms persist, please consult a doctor.
Keep away from children. Keep in a cool and dry place.
After opening the bottle, it has to be consumed within 24 hours.
*This is a traditional preparation.
25 years old and hair drop a lot....
Always have sweaty palms and feet...not been able to solved till today.
What is the difference between a sprain and a strain?
Improve Poor Memory
What is High Blood Pressure? What is the Warning Signs / Symptoms?


text:
Now this is a very simple recipe where I have used pad Thai rice noodles- not to make pad thai but with green curry paste.I have heard about the wonderful Thai green curry made with Green Curry Paste.There are several versions and variations as per taste and heat/spiciness.I was wondering whether the same paste can be combined with noodles instead of serving green curry as a side.So I made a simple green curry paste referencing here and then made a sauce out of it by adding coconut milk and then added pad thai noodles to it.The result was comforting and filling,though not spicy hot.
Pad Thai Noodles: 1/2 pkt (Serves 3 big bowls)
Coconut Milk: 1 cup+/-
Salt: as per taste
Green Curry Paste:
Red Onion: 1 small
Galangal /fresh ginger: 1- 2 inch piece
Coriander Leaves: 1/4 cup( leaves and stalks) chopped
Green Chillies/Thai Serrano Chillies:
Lemon Grass: 1 stalk -discard the green part and chop up the white lower part
Lime:1 whole: juice + zest (Can add another as per taste)
Coriander:simply powdered : 1 tsp
Cumin: simply powdered: 1 tsp
Soy sauce: 1 tsp
Vegetable Oil: 1 tbsp
Optional Additions
Beans Sprouts
Tofu pieces
Veggies of your choice: I used chopped carrots only
Soy sauce:1-2 tbsp
Keep all the paste ingredients in the blender/processor and mix to obtain green curry paste.The above estimate gives almost 1/4 cup of paste which can be stored in a clean sterilized jar in the fridge.
Keep all the paste ingredients in the blender/processor and mix to obtain green curry paste.The above estimate gives almost 1/4 cup of paste which can be stored in a clean sterilized jar in the fridge.
Update on 01/01/2009:I found I have a pic of the paste.so I am adding it.Sorry I could not do earlier.
Soak the thai noodles in warm water for atleast 20-30 minutes. I actually boiled water with little salt ,removed it from heat,cooled it a bit and then soaked noodles for 20-30 minutes.Thai noodles are not supposed to be boiled. If in a hurry it can be soaked in very hot water for 15 minutes.Normally it can be upto 1 hour when the noodles become transparent,flexible and chewy/aldente.Rinse with cold water and keep aside.
While the noodles are cooked,chop the veggies into bite sized pieces.I used carrots as I thought the colour would be contrasting nd added beans sprout and tofu as well as green curry has these and I thought it would look authentic.If using canned bean sprouts,drain and rinse them.Marinate the tofu in a mix of soy sauce,little salt and optionally little green paste for atleast 20 minutes.I actually avoided the paste,but found that some tofu pieces were not that "curry-tasting".Hence my suggestion of using paste in the marinade.
Heat little oil in a thick bottommed pan.Add 2-3 tbsp of the curry paste and saute for 1-2 minutes until the raw smell disappears and the colour just starts to change.You can saute a few more minutes if you like,just make sure that it is not burnt.I sauteed only till it started to turn a pale green.Add the chopped veggies,marinated tofu(drained if too much soy sauce is used for marinade) and little salt.Make sure the veggies and tofu get coated with the paste and saute for just 1-2 minutes and then add coconut milk -I used medium thick coco milk made from powder.Feel free to use your choice.Stir well and bring to a boil.Reduce the heat and let it simmer till the veggies get cooked.
Now if you are adding quick cooking veggies like peas and also bean sprouts,you can add it after the coconut milk addition.Only thing is whether you add milk first or not,the veggies should be cooked and seasoned with the curry paste.
Once the veggies are cooked for a few minutes,add the noodles and mix gently till it is coated with sauce/gravy.Add more coconut milk and salt if needed and cook for a few more minutes till everything gets blended and the sauce is reduced or thickened as per taste or choiceContinue cooking if you prefer it as dry or stop when saucy gravy is obtained.I served it a bit dry.Check taste.Garnish with coriander/lime zest if interested.Serve warm.
I found that the dish is comforting but not that spicy as I have come across.So increase the amount of paste as per taste and also amount of veggies and thickness of coco milk.It was like a lemony pasta(pad thai noodles resemble linguini pasta) with a cilantro pesto (green curry paste is like cilantro pesto).Those who like the pasta with pesto will surely like this as well.
I was actually not sure whether I should jump into Thai cuisine,as I have heard that even veg dishes used fish sauce and paste had shrimp.But this turned out to be good and a big comforting bowl is on the way to DK where she is staring at Thailand with the AWED.
The dish can be made with any noodles/pasta of your choice and would make a different yet comforting main course for a party.Thai noodles are gluten -free /rice noodles.So the heaviness of the normal pasta will not be there.So a party plate goes to Purva where she is hosting an elegant Christmas Feast.


text:
Believe And Succeed
Self-Improvement Bookstore
Strangest Secret Library
Mindset Stacking(TM) Guides
Library of Think and Grow Rich
Magic of Believing Library
Count to Four Library
Make Your Self Great Again Series
Secrets to the Law of Attraction Series
Huna Study Series
Podcasts: Make Yourself Great Again!
Think and Grow Rich Podcast
If You Can Count to Four Podcast
Magic of Believing Podcast
Wake Up and Live! Podcast
Live Sensical Podcast
Living Sensical Elsewhere Podcast
Get Your Self Scam Free Podcast
Self Improvement Articles
Mindset Stacking Articles
Online Business
Online Business Member Library
Business Podcasts
Masters Of Marketing Series
Becoming A Writer
The Great Fiction Writing Challenge
Writing & Publishing Member Library
Writing & Publishing Bookstore
Writing & Publishing References
Podcast: Selling Your Books Online
Podcast: Publishing Farm Weeklies
Self-Publishing Articles
Change Your Life
How to Completely Change Your Life Series
Completely Change Your Life Podcast
Earl Nightingale Books
Napoleon Hill Books
Joseph Murphy Books
Living Healthy
New Releases
Fiction Releases
C. C. Brower
J. R. Kruze
R. L. Saunders
S. H. Marpel
Living Sensical
Courses and Materials for Sustainable and Independent Lifestyles
Click Here to Donate Now.
Support This Site
Our Sponsors
Find New Fiction by Genre
Find New Fiction by Author
Get Notified of New Releases!
Short Reads Weekly by Email
A Goddess Returns – New Fiction Writing by J. R. Kruze
J. R. Kruze


text:
The TTA consists of a number of committees. Each Chairman reports on the activities of their committee.Read more
The Tile Association (TTA) represents all aspects of the wall and floor tile industry in the UK, from manufacture to installation.
To promote professionalism and technical standards in the tiling industry and to provide technical support to both members and their customers. Formed in January 2000, The Tile Association represents the entire UK wall and floor tile industry. It has more than doubled in size since its original formation and now has more than 1000 member business units, consisting of tiling contractors, fixers, distributors, retailers and manufacturers.
The TTA operates as a Trade Association with the TTA Board having overall responsibility for the work of the Association, as well as being responsible for future policy and financial matters. Many members of the Board and Committees have contributed to the formation of British Standards, which all TTA members follow. The Tile Association is a member of Build UK - who lead the construction industry by bringing together clients, main contractors and trade associations.
The TTA headquarters are based in Stone, Staffordshire.
Copyright 2018 by The Tile Association. All Rights Reserved | Sitemap | Privacy Policy


text:
GODESS NEED A MOUTH UNDER HER ASS TODAY BUT . . UNFORTUNATELLY SLAVES WERE NOT THERE !! So she dress in a sexy hosiery, pink ones, and wanna feel again how her shit is flowing through her hosiery. She is so excited when she do this alone only in her pantyhose and nothing else !!
Length: 4:12s Resolution: 704x480Download Format: aviFile Size: 42 MB


text:
The report "Radiology Information Systems Market by Type (Integrated, Standalone), by Deployment Mode (Web based, On-Premise, Cloud-Based), by End User (Hospitals, Office based Physicians, Emergency Healthcare Service Providers), by Component - Global Trends & Forecast to 2019", the global radiology information systems market is estimated at $501.1 Million 2014, and is projected to reach $722.7 Million by 2019, at a CAGR of 7.6% from 2014 to 2019.
Browse 60 tables and 55 figures spread through 105 Pages and in-depth TOC on "Radiology Information Systems Market
Early buyers will receive 10% customization on this report.
The global radiology information system market has been segmented based on type, component, deployment mode, end user, and geography. It analyzes competitive developments, such as alliances, joint ventures, and mergers & acquisitions in the global market and analyses the market with explicit focus on high-growth end-user segments and the fastest-growing market segments. The major drivers responsible for the growth of this market are the increasing mergers of health care facilities and group purchasing by private hospitals, such as Asklepios, Helios, and Wilson for the expansion of their chains. Furthermore, the rising number of cases of age-related disorders and trauma patients has increased the patient flow and hence added to the need of information systems globally. The focus on minimizing administrative costs has led to the growing acceptance of RIS systems among public and private healthcare industry.
Ask For The PDF Brochure: http://www.marketsandmarkets.com/pdfdownload.asp?id=151469380
On the basis of type, the market has been segment into integrated RIS and standalone RIS. The integrated RIS segment led the global radiology information systems market in 2014, and accounted for a share of 74.0%. This segment is estimated to grow at a CAGR of 7.7% from 2014 to 2019. On the basis of component, the market has been segmented into hardware, software, and services. The services segment accounted for the highest share of 37.1% of the global market in 2014. The segment has been estimated to grow at a CAGR of 7.9% from 2014 to 2019. On the basis of deployment mode, the market has been segmented into on-premise, web-based, cloud-based. The web-based segment accounted for the highest market share of 61.9% of the global market in 2014. This segment is estimated to grow at a CAGR of 7.8% from 2014 to 2019.
On the basis of end user, the market has been classified into hospitals, office-based physicians, emergency healthcare service providers, and other end users. The hospital segment accounted for the largest share of 45.8% of the global market in 2014, and is estimated to grow at a CAGR of 7.2% during the forecast period.
The North American region is expected to be the fastest-growing region in the global radiology information systems market, followed by Europe and Asia, projected to grow at CAGR of 6.5% and 8.0% respectively from 2014 to 2019.
Get The Sample Copy Of This Report:
This report profiles the major companies operational in the global market, including Allscripts Healthcare Solutions, Inc. (U.S.), F. Hoffmann-La Roche Ltd (Switzerland), Carestream Health, Inc. (U.S.), Cerner Corporation (U.S.), Epic Systems Corporations (U.S.), Merge Healthcare Incorporated (U.S.), GE Healthcare (U.K.) McKesson Corporation (U.S.), and Phillips Healthcare (The Netherlands).
About MarketsandMarkets:
MarketsandMarkets is world's No. 2 firm in terms of annually published premium market research reports. Serving 1700 global fortune enterprises with more than 1200 premium studies in a year, M&M is catering to multitude of clients across 8 different industrial verticals. We specialize in consulting assignments and business research across high growth markets, cutting edge technologies and newer applications. Our 850 fulltime analyst and SMEs at MarketsandMarkets are tracking global high growth markets following the "Growth Engagement Model – GEM". The GEM aims at proactive collaboration with the clients to identify new opportunities, identify most important customers, write "Attack, avoid and defend" strategies, identify sources of incremental revenues for both the company and its competitors.
M&M's flagship competitive intelligence and market research platform, "RT" connects over 200,000 markets and entire value chains for deeper understanding of the unmet insights along with market sizing and forecasts of niche markets. The new included chapters on Methodology and Benchmarking presented with high quality analytical infographics in our reports gives complete visibility of how the numbers have been arrived and defend the accuracy of the numbers.
We at MarketsandMarkets are inspired to help our clients grow by providing apt business insight with our huge market intelligence repository.
Subscribe Reports from Healthcare Domain @ http://www.marketsandmarkets.com/Subscription.html
Mr. Rohan
Unit No. 802, 8th Floor,
Tower - 7, Magarpatta City SEZ,
Hadapsar, Pune – 411013,
Maharashtra, India.
Tel: +1-888-6006-441.
Email: email@example.com
Visit MarketsandMarkets Blog @ http://mnmblog.org/market-research/healthcare/healthcareitConnect with us on LinkedIn @ http://www.linkedin.com/company/marketsandmarkets