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How does pre-order work? If you order now, ahead of the January 6 release date, you'll enjoy 25% savings off the cover price. Early bird gets the worm here! Then, when the book is finally released, it'll be automatically shipped to you. Bonus: Usually pre-ordered books arrive a few days before the actual release date, though that isn't a promise. Pre-orders are handled through Amazon, Barnes & Noble, iTunes, Google Play or IndieBound.
When I first stumbled across his site, I remember telling you all that his recipes were for the man's man. They are also incredibly useful for the gal whose husband is getting sick of salads and things that don't fill him up, like myself! I lack a lot of hearty dinner recipes on my site, and especially lack grilling recipes – all of which George is the master of. My list of desserts and snacks far outweighed the savory list, so I'm working on beefing that up for you for the cookbook! George can also can sling a pretty mean Paleo baked good though, so this book is a one stop shop. Oh and he loves all things bacon so you can't lose.
Eating Paleo is as hard or easy as having the right recipes to follow. Go into it alone and try to figure it out solo, and you'll probably crash and burn. Go into it armed with an arsenal of delicious recipes already planned out for you, and in accordance with the Paleo guidelines of what to eat and what not to eat, and your chances of success improve dramatically. Here are the Top 10 Paleo Diet Cookbooks on the planet, so you can get the junk out of your life and start eating real, actual, food.
In order to keep salads interesting you need to have an array of different ways to make them. In this grilled chicken salad recipe you're starting with a basic chicken salad, but adding in items like raspberries, walnuts, and artichoke hearts to jazz things up and make it a meal that you look forward to time and time again. Top it with a basic balsamic vinaigrette or your favorite Paleo dressing and you've got a winner on your hands.
If Indian food is one of your favorite cuisines be sure to try out this fried beef recipe, which gets the Paleo seal of approval. It's made with hearty chunks of beef stew meat, and has a list of seasonings you may have to go shopping for, but it will be worth it. These include turmeric and garam masala, both of which will act to give it that distinct Indian flavor. The meat is marinated, and then sauteed, with spices and seasonings added to both steps, so you know that this is going to knock your socks off, and the meat will be tender and flavorful.
I love doing round up recipe posts. Rarely do people go past 2 pages on the blog, and with 29 pages of recipes, that's A LOT of recipes you are missing out on. So I'm here for you, to help you not forget about some of the easiest recipes on my blog. All you need is less than 40 minutes and BOOM, you have a weeknight meal. No need to complain about eating paleo when it's this simple.
This is hands down the best Paleo recipe guide you can get for the money, and there isn't even a close second. It has over 350 recipes that show you how to cook with all of the wholesome foods you should be eating, and deftly avoids all of the junk that mucks up your system and makes you sluggish and fat. It's laid out in such a manner that you can clearly see what you'll need, and how to make it. There's even an 8 week autopilot meal plan that takes out all of the guesswork to make this caveman simple to follow.
Not paleo specifically, but this gorgeously designed book is full of plant-forward recipes that are either Whole30-compliant already or require a little bit of adaptation to fit into the plan. At any rate, I always welcome extra inspiration when it comes to vegetables, so I love paging through this one. The photography and design is really stunning and makes me want to eat zucchini ribbons all day. Buy it here.
As pictured, these short ribs represent a perfectly portioned Paleo meal, because you're getting nice a serving of vegetables along with your beef. Short ribs can be tough to cook, and often take a long time roasting or grilling, but she's broken it down so that it's a relatively easy recipe, and it'll come out tasting great. She's got them rested on top of a portabella mushroom cap, and served up with a side of broccoli, so this is not only a beefy meal, it's also vegetable centric. Try these off the bone short ribs, and you'll be hooked.
Wondering what to eat on the Paleo diet? Explore PaleoPlan's 450+ easy and delicious Paleo recipes—all absolutely free! Our recipes are a fast and healthy way to lose weight, feel better, and get in shape on the Paleo diet. From breakfast to dinner, we have a variety of meals for every occasion. With so many amazing recipe options to choose from, you're sure to find a delicious, satisfying, and 100% Paleo diet meal that's perfect for you, your family and friends.
Don't let your dietary restrictions get in the way of a great party. With "Gather: The Art of Paleo Entertaining," authors Haley Mason and Bill Staley show how to impress uninitiated guests with a multicultural Paleo menu. Dishes like Costillitas (Cuban-style baby back ribs) and General Tso's Chicken are perfect for large family get-togethers, while the recipes can be scaled back to a party of two. Organized by season to ensure the freshest ingredients, the book also offers tips on pulling off an elegant holiday feast.
Here's another paleo recipe that's easy to put in a single-serving container and bring along for lunch. This slow-cooker preparation means you can pull everything together on a Sunday night and walk out the door with minimal lunch prep on Monday morning. Just throw some salad ingredients together and top it with your cooked barbacoa. You already know beef is a good source of protein; it also provides iron, zinc, and B vitamins.
PALEO COOKING HAS NEVER BEEN EASIER THAN WITH THIS COLLECTION OF 200 ONE-PAN RECIPES THAT TAKE 20 MINUTES OR LESS FOR COMPLETE PRE...P AND CLEAN UP!Your Paleo dinner just got a whole lot easier. Simply toss the ingredients onto a pan. Roast, bake or broil. Soon you'll be enjoying a hearty Paleo meal (and the one-pan cleanup is a snap!).Sheet Pan Paleo recipes combine healthy proteins, fresh veggies and savory spices that cook together, enhancing the flavors of each. Lemon Garlic Chicken with Wilted Spinach Slow-Roasted Salmon with Asparagus Beef Tenderloin and Bell Pepper Fajitas Citrus and Herb Marinated Pork Shoulder Whole Baked Trout with Rainbow Carrots Chipotle Turkey Legs and Sweet Potatoes Broiled Oysters with Lemon and Zucchini Bison Burgers with Bacon Mayonnaise Ginger Chicken Hearts with Bok ChoyPlus desserts, energy bars and more! read more
The recipes are hands down, amazing. Every Paleo foodie needs this book on their shelf. The skill level seems to range from simple to intermediate. There are some recipes that you can whip up for a weeknight meal and many others that you can impress dinner guests with. Many of the recipes are ethnic-inspired and they all burst with flavor. When reading this book, it feels like you are hanging out with Michelle and her family learning directly from them about how to eat like a real-food-foodie!
Anytime you keep things simple you'll be keeping them Paleo. Think about it: early man didn't complicate things because they couldn't complicate things. They had to use what was around them, whatever that would have been. They also didn't have well-equipped kitchens like we have, so their cooking style would have been rudimentary, yet effective. This tomato soup only adds a few different items plus some seasonings to fresh, ripe tomatoes so it's going to really pop in your mouth, and the tomato flavor will be front and center. Luckily we have things like immersion blenders to make quick work of the preparation process.
One thing to mention is that the book does focus almost entirely on kid-type foods. This includes some meals and many finger foods. For many families, these probably wouldn't be dishes that would serve the adults as well. Now, that may not be an issue. But, for people who want to cook a single meal for everybody or who are looking for kid-friendly dinners, the book may not be quite right.
The one thing to note is that the complexity of the recipes is somewhat divisive. Some people feel that the recipes are simple and easy to follow, while others find them overly complicated. As is often the case, reality is somewhere in the middle. By paleo standards, the recipes aren't too bad, especially given you need a good balance of macros to maximize performance. Nevertheless, if you are new to paleo, the recipes may seem a little confusing at first, although you would get used to them.
This breakfast casserole is something the whole family can enjoy, even if they are not following Paleo. It's made with plenty of thick strips of bacon, and it also has parsnips and plenty of eggs in it, with coconut oil being used to cook it up. You'll find that many breakfast casseroles will incorporate hash browns into the recipe, but potatoes are not allowed on Paleo so you want to avoid these recipes and find alternative ways to get the same effect. In this case they are using parsnips as a replacement to give it the bulk and texture it needs.
Just to say Thank You for checking out this book I want to give you a copy of my upcoming book "The Paleo Approach Pantry: A Paleo... for Beginner's Quick Start Guide to What Should and Should NOT be in Your Kitchen."We live in an era of Overnight Evolution.It seems like the great minds of Science and Medicine break new ground every other day, revealing knowledge and inventing technologies that our Paleolithic ancestors would see as nothing short of miraculous.Yep, we've come a long way in the last 10,000 years. But the more advanced we become in our understanding of health and nutrition, the more obvious it is that the cave dwellers had it right all along!And that's what being a Paleoite is all about: Going back to the basics and sticking to the diet that made our ancestors physically and biologically healthy enough to grow into the dominant species on Earth.The thing is, our taste buds have evolved too, and we don't have to spend all day trying to brave the elements and protect our families from starvation like they did!We live in the age of options, and abstaining from our favorite grain and dairy-based comfort foods feels about as right as living in a cave.But that's not how it has to be, and bestselling author Lucy Fast is here to prove it!"Paleo Comfort Food: Healing Gluten Free Recipes that Make You Feel Good!" will change the way you think about your diet. With Paleo recipes for more than 30 mouthwatering comfort food classics, you'll get to reap the benefits of Ideal Nutrition without feeling like your tongue got stuck in Stone Age!In this guide you will learn:• How to prepare Incredibly Nutritious and Delicious Bone Broth• How to make Lucy's Creamy Caveman Chowder• How to bring out your inner aboriginal with the Island Style Paleo Soup• How to cook glorious Gluten-free Won tons• How to cook an array of Soul-Warming Stews, Casseroles and Curries• How to make Lucy's Mighty Meaty Lasagna• How to make Back to Basics Stuffing• And so much more!As a lifelong foodie and proud Paleoite, Lucy Fast knows first-hand just hard it can be to find the balance between eating basic and eating well, especially with a family to cook for. But where there's a will there's a way, and now you can follow her lead!Get your copy of "Paleo Comfort Food: Healing Gluten Free Recipes that Make You Feel Good!" and start putting the soul back into your Paleo cooking today! read more
Hey Amanda, I'd love to try this as well. I'm not sure if they will freeze well, but I don't see why not. I think freezing the chicken salad would be smarter, and taking that out on a Sunday and just packing those up for the week and storing in the fridge may be better. The wraps probably don't freeze well. But for most of my once a month cooking, it always requires a bit of assembling the week of! Does that make sense?
****Get a Free Book just for visiting this page at PALEODEBUNKED.COM**** Paleolithic, shortly read as Paleo is a diet based on wil...d plants and animals that were highly consumed in the Paleolithic era. The fact that this diet belongs to Stone Age era does not imply that it is difficult to borrow or does not satisfy the contemporary taste. Paleo food is quite easy to make and very delicious if you follow the right recipe. If you don't believe it, then just go through this book and you will be amazed to see how easy and quick it is to make Paleo food. Most of the ingredients mentioned in this book are normally found in a kitchen pantry. Breakfast, lunch, appetizers, dinner and desserts; this book has yummy Paleo recipes for all mealtimes. So don't just stop reading. Go ahead and get your hands on healthy delicious Paleo food. read more
In today's fast-paced, modern world, the family dinner can easily get swallowed up by work, errands, and kids' activities. But sit...ting down to a healthy, home-cooked meal doesn't have to be a thing of the past. In Make Ahead Paleo, Tammy Credicott shows you how to eat well at home and on the run, without sacrificing flavor or good nutrition. Tammy offers up more than 85 flavorful recipes that are ready when you and your family are, wherever you are, each one beautifully illustrated with a photo that will inspire you to start shopping and chopping: dishes such as Flank Steak Roulade, Pecan Stuffed Chicken, Mushroom Meatballs, Slow Cooker Apple Cider Chicken, English Muffins, Toasted Coconut Blondies, and even Pumpkin-Cardamom Cupcakes. You'll be amazed at how easily, economically, and efficiently you can feed your family grain- and gluten-free meals using fresh, natural, whole-food ingredients.In Make Ahead Paleo, you'll find:Recipes and tips for whipping up freezable mealsInventory sheets to help you keep track of your frozen creationsDelicious timesaving recipes for your slow cookerA busy work week menu with full grocery listRecipes to take on the roadSweet indulgences that freeze and travel wellMake Ahead Paleo is the perfect guide for cooks who don't have all day to slave over a hot stove but still want their meals to taste as if they did. Wherever your hectic life takes you, make it nutritious, make it flavorful, and make it ahead! read more
Stack these bacon breakfast sandwiches nice and tall and you'll have a formidable breakfast you'll want to slow down for. The key is starting with a Paleo-approved bread and using thick cut bacon. Cutting the bacon nice and thick gives it a different quality than typical breakfast bacon and you'll get more meaty flavor in each bite. Top the bacon with an egg, and add in some fresh spinach so you're getting a serving of veggies too.
Jambalaya can be a very hard recipe to make, which is why it's good that this uses the slow cooker because you can take out some of that complexity. It's also a dish that lends itself nicely to Paleo eating because it includes plenty of different meats, as well as a good amount of vegetables. For example there is an entire head of cauliflower added to this, and it helps to balance out all of the sausage and chicken. They make it even easier by using premixed Cajun seasoning, but they also point out that you can use your own if you happen to have some already made.
These mini cheesecakes might take some time to make, but it's totally worth it. You start by making a batch of chocolate cookies for the base, then create a cheesecake-like middle without using any dairy, and then top it off with coconut cream and cacao nibs for the finale. This is the type of dessert that will make you feel like you're not on a diet at all, and that goes in line with the Paleo mentality. Even though it's referred to as the Paleo Diet, it's more like a lifestyle and a way of being than something that you have to force yourself to do.
Spiced Ribs With Cabbage And Apples Skillet Sausages with Pan Seared Apples Slow-Cooked Hawaiian-Style Kalua Pork Grilled Cuban-Style Citrus Pork Curried Pork Chops With Honeydew And Cucumber Vietnamese Pork Spring Rolls Pressure Cooker Ribs With Creamy Coleslaw Bacon-Wrapped Pork Medallions Hawaiian-Style Burgers Pulled Pork Salad Pork Chops With Balsamic Glaze Simple Sausage Casserole Bacon-Wrapped Sausage With Apples Pulled Pork Stuffed Sweet Potatoes Spicy Spare Ribs Apple-Cinnamon Pork Loin Grilled Pork With Basil Rub Cuban Style Pork Chops Pork Chops With Lemon-Cilantro Vinaigrette Cranberry Apple Stuffed Pork Loin Chicken and Pork Stuffed Squash Pork Chops With Peaches Pork Chops in Sweet Sauce Porchetta Maple-Barbecue Ribs Pork Tenderloin With BBQ Peach Sauce Pork Chops With Garlic Sage Butter Nectarine & Onion Pork Chops
This salsa chicken is advertised as being very simple, which will help you whip it up and get it in the crockpot quickly so you can get on with your day. Imagine getting this ready in the morning in just a few minutes, and coming home at the end of the day to a fully cooked meal ready to be eaten. That's the concept here and she pulls it off nicely with organic salsa, chicken breast, a bit of chili powder, and an onion. We recommend you don't serve this with a side salad to help make it a complete meal, as it's a bit light on the vegetables.
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Meatloaf is one food you don't have to give up while following the Paleo diet. The great thing about meatloaf is everyone usually likes it enough to make it a regular menu item. In this version it has been miniaturized so that you don't end up making one big loaf, but rather individual-sized portions so that everyone gets a nice outer crust, and it avoids the problem of soggy or crustless middle section pieces. You'll notice that the breadcrumbs have been done away with as they aren't allowed on the Paleo diet. You won't notice they're gone because there's coconut flour instead.
Description: A decadent, yet healthy, selection of over 65 crave-worthy recipes – each one more delicious than the last! Pancakes, crackers, pizza, lasagna, eggplant parmesan, fried fish, cakes, pies, ice cream and so much more! You won't believe that you can eat these delicious foods, all while dropping weight faster than you ever thought possible!
This Paleo diet recipe has a traditional Italian feel to it thanks to the use of Italian sausage and the spices it is packed with. It then takes it one step further with pesto, an item that you can make on your own following a Paleo friendly pesto recipe. There are also plenty of nourishing foods like baby spinach, and tomatoes, so you're getting a fair amount of phytonutrients, vitamins, and minerals. You can easily omit the mozzarella if you're nixing all cheese per the official Paleo stance on cheese, but these are fresh mozzarella balls, and you may find they're easier to digest.
Juli Bauer's Paleo Cookbook is my third cookbook that I could not be more proud of, more excited for, and more in love with. A cookbook that is filled with not only over 100 recipes I am excited to show the world, but a book that showcases my realistic viewpoints on overall health. This book was created to inspire others to turn around their health through food, through exercise, and through positivity. To me, paleo is not only about changing your body and your health, but it's about how it makes you feel: the energy it gives you, the confidence you find, and the way it helps you shine from within. Here's where you can find the book:
The idea behind this cookbook is interesting. Basically, the author is relying on 15 key ingredients. With these, she offers 150 different recipes and a total of 450 variations. Now, this doesn't mean that the book only uses 15 ingredients. Instead, those ingredients act as bases for the recipes and are expanded upon. So, you will still need some other ingredients.
Ham Hash with Fried Eggs Keto Leek And Bacon Omelet Breakfast for One in a Pan Mexican-Style Breakfast Lasagna Baked Eggs With Spinach And Smoked Salmon Jalapeño-Bacon Egg Cups Breakfast Casserole With Sausage And Hash Browns Breakfast Casserole With Sausages Breakfast Stuffed Peppers Twice Baked Sweet Potatoes With Eggs Eggs Benedict With Avocado Sauce Asparagus and Mushroom Spaghetti Squash Quiche Egg Salad Dip Baked Eggs with Pancetta And Mushrooms Guacamole Stuffed Eggs Baked Eggs With Asparagus and Leeks Mini Ham And Broccoli Frittatas Tomato Basil Frittata Oven Omelet Crab-Stuffed Deviled Eggs With Tarragon Egg and smoked salmon open-faced apple sandwich Egg in a jar Shakshuka Garlic and parsley deviled eggs Egg and pesto stuffed tomatoes Zucchini and Sweet Potato Frittata Breakfast Burrito Zucchini and Egg Breakfast
Here are more than 200 recipes you can have at your side as you venture into Paleo and determine what it is you're supposed to be eating. You can expect leaner muscles while eating these meals, as well as more energy and more mental clarity, all without having to suffer through hunger pangs and cravings like you get with a diet. That's because they remind you that Paleo isn't really a diet at all, and with the sort of meals they have you making here you won't feel like you're missing out on anything. Quite the opposite, you'll actually feel like you're indulging.


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MGVs Horticulture Lunch and Learn and Happy Hour Information and Registration
email@example.com Description: Extension Master Gardener Volunteers are often asked to participate in, lead, or ... MAINTENANCE! Annuals for Ohio Gardens Speaker: Pam Bennett, Associate Professor, State Master Gardener ... Flowers for Beginners Speaker: Sabrina Schirtzinger, OSUE Agriculture and Natural Resource Educator, Knox ...
Spring Gardening Update
social distancing? Gardening is an outstanding family friendly activity with major health and wellness ... garden. Please click here to read the Spring Gardening Update. ...
Cut Flowers for Beginners
Cut flower gardens are simpler to have than you may realize. Learn the basic supplies and ...
H2Ohio Signup Deadline Returned to Tuesday, March 31st
Due to the COVID-19 and expected resulting budget issues, the Ohio Department of Agriculture has ... livestock producers in the 14 county Maumee River Watershed should immediately contact their local Soil and ... http://h2.ohio.gov/agriculture/ Water Quality ...
Black Cutworm and Its Allies
caterpillars, others as prepupae in the soil, and others do not overwinter in Ohio and must migrate into the ... because of the amount of early weed growth on many agricultural fields which is very attractive to adults ... the best known of the cutworms, but several others are fairly common in agricultural fields. Although ...
Winter 2020 Project Green Teacher Graduates
nearly 160 plus teachers and others interested in school gardening have completed the series. The series ... is open to educators and others interested in learning how to garden with children in school, ...
Broadcasting Red Clover into Wheat
conditions in the soil that create good seed to soil contact. The option left is to broadcast clover seed ... over the wheat stand. Successful establishment still depends upon getting good seed/soil contact. ... Growers need to evaluate soil, weather and stand conditions to determine if a straight broadcast operation ...
Challenging Conditions Remain into April
a little wetter than normal but not as wet as last year. Soil Moisture and Temperatures: Soil temperatures ... has come out of winter above normal due to heavy saturation and the mild winter. However, soil ... soils, expect soil temperatures to trend quickly from above normal to near normal. Freeze and Frost: The ...
CTC 2019 Archive
Recommendations 2019 CTTC Cover Crops, No-till, & Soil Health 2019 CTTC Identity Preserved Crops ... 2019 CTTC Soil Balancing 2019 CTTC Cover Crops: Issues and Benefits 2019 Conservation Tillage ...
Phosphorus Placement Effects on Yield and Water Quality in a Corn-Soybean Rotation
granular fertilizer with the soil, we expose the nutrient to more soil surface area for attachment. ... A replicated trial was established at the Northwest Agricultural Research Station-OARDC located near Custer, OH ... loading in the collected tile water. All treatments that placed P 2 O 5 in contact with the soil resulted ...

subset: commoncrawl


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Don't be scared.
Dig for the deepest part, even the most painful part.
We will not let anything distract us from finding the source of our issues and discontents.
We want to be whole.
Good things take time.
Next up; Steps.
Until next time …
Don't be scared.
Dig for the deepest part, even the most painful part.
We will not let anything distract us from finding the source of our issues and discontents.
We want to be whole.
Good things take time.
Next up; Steps.
Until next time …
What ever way you decide to do it – quiet time is a must!
Even if it is just a few minutes behind the bathroom door.
I'm put in mind of Susanna Wesley;
Mother of ten;
When needing quiet time for prayer, sat at he kitchen table, (for two hours) with her apron pulled up over her head.
→You can read about her here.←
After reading her story, I have to wonder just how badly I want my quiet time!
It MUST be an inside job, right?
I have to want it deep down!
Tips for learning and expanding your super power!
Do you have any to add?
Until next time when we look at Excavation; Be Well.
Quietude produces many things;
Among them hope, lack of fear, and a peaceful life.
Sop comparing yourself and your quiet time to others;
Today you are you!
That is truer than true!
There is no one alive who is you-er than you!-
Dr. Seuss (Couldn't help it!)
Next time will be #5 – Inside Job
Until then …
Is your silence leading you to life,
or is it dragging you deeper and deeper into despair?
You get to choose.
Listen. Consider. Comment.
Next time will be #4; entitled "Quiet Produces"
Until next time …
Where do you come back to?
Are you isolated or just plain lonely?
I hope you'll join me next time Friday Favorites.
Until then …
Have you ever been told that you're "Too much"?
I've been told this one way or another for my entire life.
How about you?
I'm here to tell you –
You are NOT too much –
You are just right!
You are fearfully and wonderfully made.
Go out there and be just as crazy, busy, quiet, bold, and heartfelt as you were created to be.
Shine with the things that you created to shine for.
You may never know how much your life will encourage someone.
Your voice may be just the one they need to hear.
Please feel free to comment after you see this video.
Let me know your best area to shine!
Until next time …
After my last post regarding seeing silence as a skill, I decided to return to some past work I had done on the topic.
I found some work I had done that was dated 2019.
I had totally forgotten about it.
This work was work that I had done for/with a small group of gals that I had joined for a project.
I had done a series called "The Value of Quietude"
… On YouTube …
I was compelled to watch it all together in one sitting.
The problem with watching your own work is that you never really know if it's any good or not.
So; at the risk of it being really good – or really bad, I have decided to place it here for you to peruse.
I needed to hear it all again because of finding myself with a distinct lack of quiet time focus as of late.
I certainly hope you find it helpful too.
Any comments or critique you may have will be most welcome.
I would however, ask you to be gentle, as this is WAY out of my comfort zone.
So here we go;
The Value of Quietude – The Introduction.
Until next time …


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Pressure-Cooker Italian Sausage & Kale Soup
The first time I made this colorful soup, our home smelled wonderful. We knew it was a keeper to see us through cold winter days. —Sarah Stombaugh, Chicago, Illinois
Total TimePrep: 20 min. Cook: 15 min.
Makes8 servings (3-1/2 quarts)
- 1 pound bulk hot Italian sausage
- 6 cups chopped fresh kale
- 2 cans (15-1/2 ounces each) great northern beans, rinsed and drained
- 1 can (28 ounces) crushed tomatoes
- 4 large carrots, finely chopped (about 3 cups)
- 1 medium onion, chopped
- 3 garlic cloves, minced
- 1 teaspoon dried oregano
- 1/4 teaspoon salt
- 1/8 teaspoon pepper
- 5 cups chicken stock
- Grated Parmesan cheese
- Select saute setting on a 6-qt. electric pressure cooker and adjust for medium heat. Add sausage. Cook and stir, crumbling meat, until no longer pink. Press cancel. Remove sausage; drain. Return sausage to pressure cooker.
- Add the next 10 ingredients. Lock lid; close pressure-release valve. Adjust to pressure-cook on high for 10 minutes. Let pressure release naturally for 5 minutes; quick-release any remaining pressure.
- Top each serving with cheese.
Test Kitchen tips


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Golden Sunshine And Clouds Youth Tee
We have run out of stock for this item.
Ive got sunshine on a cloudy day...
Rose pink/grey print on a soft golden yellow unisex shirt.
This tee is made with a heavier cotton, making it the perfect year-round piece that can stand up to anything.
- Heavy Wash Jersey
- 100% Cotton
- Rib collar
- Hand printed in Brooklyn
- Sizes: Youth 6-8, 10-12, 14-16, 18-20


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The Center for Leadership and Service (CLS) is a student affairs hub where students can find resources in Greek affairs, campus involvement, community service, the Co-Curricular Transcript (CCT), leadership and campus news. The CLS' mission is to promote and encourage student involvement, participation and organization in campus events and organizations.
CLS works toward goals of providing student opportunities in leadership development training, community service involvement, service learning and campus organizational development and serves to connect students with volunteer activities. Each of the following departments are under the Center for Leadership and Service:
- Leadership Institute
- Involvement Center
- Jumpstart
- Community and Volunteer Services
- Co-Curricular Transcript
- The Cougar's Byte
- Greek Life
The Leadership Institute is known to train, mentor and provide resources to student leaders on campus. They take in underclassmen and, throughout their four-year program, create the university's best student leaders, who reach great heights. The Leadership Institute is a program that educates students on skills they will need to succeed as a student leader on campus. This four-year program offers a leadership certification to a select group of students who apply. The program works in levels from T2K Bronze, Silver, Gold and Platinum as well as the L.E.A.D. program.
The Involvement Center is a central place for information and resources for all campus involvement. It is to the Involvement Center that student organizations report for assistance, guidance and resources. For a student that is not a part of any specific organizations, the center can be used to learn about all of the different kinds of involvement opportunities, from campus employment to attending events, joining organizations or even starting new organizations.
Jumpstart is an organization dedicated to facilitating the growth and development of children in their early years of life. In addition to this dedication to children, they support college students who are interested by helping them complete their organization's goals by recruiting and training students to lead preschool children. Jumpstart specialists work with young students to complete an overarching mission to have every student prepared to succeed in kindergarten.
The Community and Volunteer Services department under CLS frequently holds community service opportunities for students to gain hours serving the community while making a difference, networking themselves and broadening their horizons.The list of different service projects that Kean students frequently participate in is long and full of a wide range of outreach to different communities. Through the service department, students can track and log their community service hours and apply them to their Cougar Link accounts, thus adding to their Co-Curricular Transcripts.
The Co-Curricular Transcript (CCT) highlights all of a student's involvement and activities. Oftentimes employers look past just the academic transcript and want to see what else a student did while in school. Having a loaded involvement list shows time management, personality and what a student can handle beyond their academics. The CCT can be used by students as a resource throughout their time at Kean. If kept updated, it is one place that has exact dates and time frames of all of their involvement. Many times on applications it will ask for dates of participation so this feature is beneficial to students as the CCT lists dates when students join organizations and how many hours they have documented service with groups.
The Cougar's Byte is a campus wide newsletter produced from the Center for Leadership and Service that serves as a place for students and faculty to learn about student life at Kean. The Cougar's Byte covers campus events, campus news, information and features the spectacular students and student groups on campus. With a strong emphasis on students and student life, The Cougar's Byte is a resource for students to learn about all of the exciting things happening on the Kean campus and the people in it.
The Greek Life department oversees the variety of sororities and fraternities at Kean. The Greek Senate at Kean is produced from the Center for Leadership and Service. The goal of the Greek Senate and the Greek Life department is to promote and advise the cooperation between Greek organizations on campus through various activities and programs. They work with Kean University's 14 sororities, 15 fraternities and one co-ed Greek organization to promote diversity, togetherness and service to the community.
A common theme throughout each department within the Center for Leadership and Service is helping and connecting students. Given all of this emphasis on engaging with students and growing their skills, it is no wonder the CLS was once called the Office of Student Life and Leadership Development. For more information on any of the departments or about CLS as a whole, feel free to contact them at (908) 737-5170, or stop by their main office located in the Miron Student Center, Room 219..


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In New Testament times, believers banded together in prayer groups and house churches. This enabled them to go further and rise higher in their Christian growth than if they had tried to go it alone.
I too have experienced the encouragement and support that comes from being actively involved in a group. I had been gradually getting out of shape physically. I knew I needed regular exercise to keep my mind clear and my body healthy, but each time I tried a new exercise program, I would soon quit. My resolutions fell apart until a co-worker suggested that several of us men begin running during lunch break. We agreed to try it, and it worked! If I had run alone, I would have given up a hundred times for a hundred different reasons. Instead, I was able to cover hundreds of miles because we encouraged each other as we ran together.
On a more important level, that's what should be happening in the church. The writer of Hebrews said, "Let us consider one another in order to stir up love and good works" (10:24). Banding together can provide the stimulus that will help believers grow in the grace and knowledge of Christ.
Don't go it alone! There's great encouragement in a shared commitment!
Thinking It Over
Do you faithfully attend a good Bible-believing church? What is your motive for going or not going?
How do you encourage your fellow believers in Christ?
Christians are like coals of fire—together, they glow; apart, they grow cold.


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We report the generation of multi-watt continuous-wave (CW) yellow laser emission from an intracavity diode-pumped Nd:GdVO4 /BaWO4 Raman laser utilising a high-Q resonator (for fundamental and first-Stokes wavelengths) and intracavity frequency-doubling in LBO. CW output power of 2.9 W is achieved with a high overall diode-to-yellow conversion efficiency of 11% and with good beam quality (M2~2.5).
©2010 Optical Society of AmericaFull Article | PDF Article
OSA Recommended Articles
A. J. Lee, H. M. Pask, P. Dekker, and J. A. Piper
Opt. Express 16(26) 21958-21963 (2008)
Peter Dekker, Helen M. Pask, David J. Spence, and James A. Piper
Opt. Express 15(11) 7038-7046 (2007)
Zhenhua Cong, Xingyu Zhang, Qingpu Wang, Zhaojun Liu, Xiaohan Chen, Shuzhen Fan, Xiaolei Zhang, Huaijin Zhang, Xutang Tao, and Shutao Li
Opt. Express 18(12) 12111-12118 (2010)


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Party Ace Interview with Jay Maz
Today we sit down with Rapper and Producer Jay Maz to chat about his music, his life and the industry around him.
Thank you for agreeing to talk with us, we're delighted to share this opportunity with our audience!
So, tell us a bit about yourself and how you got started in music.
I started a few years ago as a local rapper and then a Video director cuz music don't sell in my country. Over time I wanted to share my story with the whole world and went to learn a lil bit English cuz if you got big dream or good product you must put the manual in English!
What would you say was the turning point for you? Was there a single moment where you decided, THIS (music) is what I'm going to do?
The best way to make good music is when you able to express your mind and feelings, it's not the problem of decision but feelings!
I just wanted to express my mind to let the world know about things they couldn't ignore!
How much would you say this industry is about having natural talent, and how much is about hard work?
The music industry is about big money now and doesn't think about education; they push young people to consume drugs, getting horny, have a wild attitude to sex – exposing young people to HIV.
Many young people DM me on twitter asking me about HIV symptoms! That means people need to be educated and the music industry is destroying these youths cuz of things they see on TV!
Would you say that your music is largely influenced by the circumstances you grew up in?
Yes of course!
Everything in my music is just things I used to live with or things I'm still living with. As I grew up in the hard place and still here! I fear for my kids future and the rest of kids living the same situation that I used to – it's like a curse! but not! Just naturally God's plan!
I can't blame anybody for that! but all I know and what I learnt is that life is a struggle! Only the strongest win!
Your record label Busafu Squad – did you really start it by yourself?
Yeah!! Just by myself! It was when I started my video company when I was pushing some other local artists .
Do you feel that setting up your own record label was easier or harder than getting signed under an established label?
As birdman said in a Forbes interview, "Try your own record label and you will see!"
Nothing in the world is easier or harder, it depends on what you are doing! of course you must have a lil budget from the start!
I understand that you are establishing the NABOYOTE (I Will Never Let You Down) Foundation – could you tell us a bit more about it?
The Naboyote Foundation is just the only way I could help the youth directly!
I started with my close friends! We need more education for the youth – we donate school kits, and talk about HIV with young ladies in hardest area without any organisation affiliation, we are indie!
What is your main driving passion when you write and record your music?
- RIP my Mum
- my Kids
- my family
– that's my motivation
As a producer, what are you looking for in an artist?
Creativity and difference!
What one piece of advice would you give to a new artist trying to make it in the industry?
I know many new artist just wanna make it and get featured with biggest names in the industry, and they all forget what they have been through when they make it!
Never forget where you came from – talk about it in order to motivate others and give them chance to believe in themselves!
Keep telling your story! Tell the world where you came from and where you goin' to… instead of pretending being rich!
I know we are from different areas, but never forget about education! Education is the key for youth to succeed. Never destroy them cuz you think they all wick people and ignorant – help them to get better!
Where can our audience connect with your online?
Twitter: https://twitter.com/Jay1Maz
Facebook: https://www.facebook.com/BIGJAYMAZ/
YouTube: https://www.youtube.com/channel/UCg9sOWPqkxrcl94-ZiYVHWg
And you can check out my latest album here: http://smarturl.it/hatemyblood.1_jaymaz
Thank you very much for joining us today!
If you want to discover more interesting interviews from people inside the industry keep checking back to the Party Ace Promotion Centre where we update our content regularly!


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kalin construction company :: aggregate production & sales
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23 Of Our Easiest and Best Paper Crafts For Kids
Some of the best projects start out with the simplest of materials: paper. And if you have some paper lying around the house, you have the ability of flexing your creative muscles. Check out 23 of our easiest and best paper crafts for kids.
1. 3D Paper Dog Puppet
What kid wouldn't want to make one of these 3D paper dog puppet? Not only will they get to make it and personalize it to their liking, but they'll get to play with them afterwards. Make sure they make more than one so they can participate in some imaginative play for a while after the project is finished.
2. Birthday Card
One of the best ways to get your kiddos' busy using their creativity and check off one of your to-do lists? Have them create some DIY birthday cards, of course! We've got some easy ideas up our sleeves too spark their own ideas.
3. 3D Paper Flower
Here's another 3D craft that the kiddos will want to dive into. Make one for your loved ones or to decorate/top a gift. Or create an entire bouquet! Learn how to make a 3D paper flower after the jump!
4. Paper Roses
The little ones can whip up some paper roses too. You know there's an infinite amount of possibilities with this project as well. Essentially, you could decorate anything if you know how to make paper roses.


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We know that you are working hard to stay safe and healthy, take care of your families, meet the needs of the individuals you serve, and find creative ways to connect from a distance. ASHA members' and volunteers' safety is our top priority, and we're here to help you during this uncertain time. Check for the latest updates and resources, including on telepractice.
Please contact the Action Center with any questions.
Latest Updates
Telepractice Resources
Email Us
Chat with Action Center
[en Español]
On this page:
Children can learn to speak more than one language. They can learn languages at home, at school, or in the community. Some children can speak both languages easily. But sometimes they know one language better than the other. The language your child knows better is her dominant language. Over time, the dominant language may change. For example, a child who speaks Spanish at home may start to use English when she starts school. Her dominant language could change from Spanish to English.
Speaking two languages is like any other skill. You need a lot of practice to do it well. Without practice, your child will have a harder time using both languages.
There are a number of ways to teach your child to speak more than one language. You can:
Every bilingual child is unique. Learning two languages depends on the amount and type of practice your child gets. The following are some basic guidelines:
Your child might have trouble using both languages. In this case, talk to your child in the language you know best. You should do this even if your child uses a different language at school. A good language model gives your child the skills he needs to learn other languages. But try not to make a sudden change in your child's routine. This can be stressful.
Remember, children all over the world learn more than one language all the time. Learning another language will not cause or worsen speech or language problems. Bilingual children develop language skills just as other children do.
If your child starts having trouble in both languages, he may need help from a speech-language pathologist, or SLP. To find a speech-language pathologist near you, visit
This list does not include every website on this topic. ASHA does not endorse the information on these sites.
The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 211,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students.
The ASHA Action Center welcomes questions and requests for information from members and non-members.
Available 8:30 a.m.–5:00 p.m. ET Monday–Friday
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COVID-19 CORONAVIRUS INFORMATION FOR CUSTOMERS - MOST DELIVERIES CONTINUE AS NORMAL: We are currently taking online orders as normal, as encouraged by the government. We can deliver a large selection of stock products with next day delivery. Our Show Centre and offices are temporarily closed. Some office staff are working at home where possible. With fewer staff our phone lines are open 7 days a week from 10am-3pm only. For more information CLICK HERE.
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Company Overview: Ably Resources
Contact InformationWebsite: www.ablyresources.com
Phone: 0141 271 6000
Phone: 0870 911 6029
Executive Contact: Linsey Anderson
HR Contact: Linsey Anderson
Sales Contact: Linsey Anderson
Investor Contact: Linsey Anderson
Ably Resources is an innovative, results focused recruitment consultancy building its reputation by consistently delivering the right people to the right job! We deliver cost effective permanent, contracting and temporary staffing services. Our dedicated team believes in the importance of networks and industry knowledge. We work in partnership with a large range of clients from small, independant companies through to global blue chip organisations and Public Sector organisations. We're part of the Denholm Group, founded in 1866 and employing more than 2,000 people in a range of industrial, logistical, oilfield and marine related activities. Denholm is a family-owned company, and at Ably we understand the importance of the personal touch. Our aim is to build and maintain long-term working relationships with our clients. Employers can trust us to offer tailor-made and cost-effective solutions to their recruitment problems, and jobseekers can trust us to deliver a discreet and dedicated service that will help them make the very best of their specialist skill-set.
Quick Facts
Line of Business: Recruitment Services
Ownership: Private
Number of Employees: 25
Ownership: Private
Number of Employees: 25


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Report: Home Depot to undertake billion dollar supply chain revamp
Home Depot is embarking on an ambitious and costly supply chain upgrade as it looks to speed up the delivery of goods to consumers.
The home improvement giant plans to spend $1.2 billion during the next five years on supply chain initiatives, including adding 170 distribution facilities, reported The Wall Street Journal. The facilities will include dozens of direct fulfillment centers for next-day or same-day deliveries, according to the report.
Mark Holifield, Home Depot's executive VP of supply chain and product development, told a logistics industry conference that the retailer is realigning its supply chain to a changing retail landscape, the Journal reported.
Click here to read more.
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When You Have to Travel: Preventing the Spread of COVID-19
Current as of March 30, 2020
The Department of Defense has halted official domestic travel through May 11, 2020, and overseas travel for 60 days beginning March 25 to limit the spread of coronavirus disease 2019.
But sometimes travel can't be avoided. When you must travel because it is essential to the mission or personally necessary, the Department of Defense will work with you to keep you and our community healthy and safe.
Preventing the spread of COVID-19 during travel
The Department of Defense is taking steps to protect travelers and others from COVID-19 by:
- Prescreening service members before travel: Only those who are healthy and least at risk of severe illness from COVID-19 will be allowed to travel
- Using military and contracted planes for travel to or from overseas locations, when possible
- Screening all passengers on military flights for signs of illness before they board the plane
- Screening all service members, family and civilian military employees when they arrive at their duty station after traveling commercially
The screening includes a questionnaire to help determine whether you may have been exposed to COVID-19. Someone will take your temperature and visually check you for signs of illness. There may be additional screenings depending on where you traveled and other risk factors.
Overseas travel
Travelers returning from any overseas location will be quarantined for 14 days. If you live in open quarters or have a shared kitchen or bathroom, you will be moved to separate lodging for quarantine.
During those 14 days:
- Take your temperature twice a day.
- Keep at least 6 feet away from others.
- Call your doctor if you have a fever, cough, shortness of breath or other symptoms of COVID-19.
What you can do
Everyone has a role in stopping the spread of COVID-19. When you are traveling, keep your command updated on your itinerary. If you feel sick, stay home. Notify your leadership and call your doctor.
Even if you haven't traveled and you feel fine, practice social distancing. Keep at least 6 feet away from others. Avoid crowds and wash your hands often.
Our understanding of COVID-19 is changing rapidly. Stay up to date by checking the Coronavirus Information for Our Military Community page for updates.


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HowTo - Push past your limits with mindfulness.
Mon, Feb 6, 2017
#HowTo #mindfulness #limitations #meditation
We all know that mindfulness results in increases in health, competence and happiness by letting you feel, see and smell what you are doing currently but most do not realize that you can expand your limits physical and intellectually by practising that same mindfulness.
Make Yourself Uncomfortable
First find something that make you uncomfortable, perhaps it's winter and it's cold outside or at the opposite end it's really hot. If you cannot find anything outside (preferable), then run a cool/cold shower and get in.
Watch your body's reactions to the situation
Scanning and noting your bodies feelings and reactions will help you withstand the situation you are in much easier. Enjoy the feelings and concentrate on opposite imagery… If you are in a cold environment visualize that you are on a warm beach.
When you think you cannot stand it anymore
Stay just 1 more minute or 10 more seconds I am sure you can do another 10 seconds and keep scanning your body and trying to compensate with imagery or willpower for the situation you want to get out of.
Keep on Meditating.


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Poison Kisses Part 3 (Poison Kisses Ser.)
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You must be logged into Bookshare to access this title. Learn about membership options, or view our freely available titles.
- Synopsis
- Those you love, know how to hurt you. Those you love, know what to hide, because they know what is unforgivable to you. Now that I know what Seth hid from me, I want the secret to be the lie. I don't want to kill him. I don't want to leave him. I guess that is why they say there is a fine line between love and hate. I love and hate that man with such passion, that it damn near hurts. But now, as we face down our shared enemies, as we are lead right back to an explosive discovery about my family, and to the night Seth and I parted ways, we will both be exposed in every way. And it's time for me to decide if I plan to love Seth Cage for the rest of my life, or kill him, before he kills me.***Part three of the three part Poison Kisses Serial****
- Copyright:
- 2018
Book Details
- Book Quality:
- Publisher Quality
- 9781250083920
- Publisher:
- St. Martin's Press
- Date of Addition:
- 03/02/18
- Copyrighted By:
- Lisa Renee Jones
- Adult content:
- No
- Language:
- English
- Has Image Descriptions:
- No
- Categories:
- Romance, Literature and Fiction, Mystery and Thrillers
- Submitted By:
- Bookshare Staff
- Usage Restrictions:
- This is a copyrighted book.


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Courageous Journeys Therapeutic Services
Individual, Family and Child Psychotherapy
Barry S. Horowitz, LCSW-R
Barry S. Horowitz, LCSW-R, is a psychotherapist providing therapeutic assessment and treatment for individuals, couples and families, and maintains a private practice in Brooklyn, NY and Cedarhurst, NY. With 20 years of experience as a clinician, clinical administrator, professional educator and lecturer, Mr. Horowitz maintains a generalist practice with specilization in Treatment for Adolescent and Adult Survivors of Abuse and Trauma, Adolescent/Family Treatment, Addictions (including sexual/pornography addiction, gambling addiction and distorted eating), Anxiety and Depression, Critical Incident Stress Management and Child and Family Therapy. Though classically trained as a Cognitive Behavioral Therapist, Mr. Horowitz's approach is a solution-focused one with a strong emphasis on providing therapeutic support to help clients utilize their own strengths in resolving his current problems or long-standing struggles.
Advanced Training:
Professional Activities and Memberships:
Clinical Member:
Community Training & Workshops:
Mr. Horowitz has provided extensive professional and community trainings on topics related to:


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One of the first things Tim started selling in his dad's antiques store was old leather suitcases and trunks. The leather on the suitcases had taken a beautiful sheen which would come from the greases and waxes that built up over time, due to constant handling. And they'd collect scratches with every journey, which would add uniqueness and character to each piece.
The Timothy Oulton trunk collection takes the nostalgic travel trunk of yesteryear and transforms it into an innovative range of coffee tables and side tables for the modern home. Available in vintage-inspired leathers or contemporary finishes of steel, oxidised brass and cowhide.
|W140.5 x D40 x H50.5cm
|W140.5 x D40 x H50.5cm
Ready to deliver in 23 Weeks.
We will then contact you to arrange delivery.
Delivery charge: £59
We deliver to UK Mainland only
Please note: there are some out of area postcodes where delivery may take a little longer. If you'd like more information, speak to our sales team on 0333 010 2352 or email us
Click and Collect: Buy online and select a store or warehouse of your choice for collection as normal. Due to the latest developments regarding Coronavirus, collections are temporarily suspended for a period of three weeks in line with advice from Government and Public Health England. We'll send you a text when your order is in stock and ready for collection. Click here for up-to-date information.


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2020 Mitsubishi Colt Review, Specs, Interior, Price – The Mitsubishi Colt 2020 went by way of a full model change of 2020 every time it has gotten a more protect cabin and various functional advancements so it will be in a situation to challenge with accomplishment in opposition to its opponents.
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2020 Mitsubishi Colt Review
The 2020 Mitsubishi Colt has a fairly modern-day design by making use of a cab earlier mentioned engine installation. The top to bottom front door fascia features a pretty slender grille which bears the company's company logo in its center. Earlier mentioned the grille is imprinted the FUSSO headline with huge chromed character types. The truck is fixed employing a major magnificent windscreen which actually is in conjunction with transom Microsoft windows inside of the passenger doorways for further awareness.
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Arnold Schwarzenegger, former California governor and Terminator, is in good condition after heart surgery.
According to his spokesman, Daniel Ketchell, his first words after waking up were "I'm back". So it's safe to say he's in good spirits as well.
The 70-year-old actor and politician underwent the procedure Thursday at Cedars-Sinai Medical Center. Schwarzenegger needed to replace a valve which they replaced originally back in 1997 for a heart defect.
Ketchell said that the original replacement was not a permanent fixture. It outlived its expectancy, so Schwarzenegger decided to replace it via a less-invasive method.
Although he is still in recovery, he is in stable condition.
TMZ was the first to report on Schwarzenegger's condition. They said that the former bodybuilding champion underwent a semi-experimental catheter valve replacement. They mentioned that the doctors had decided to perform an emergency open-heart surgery after complications developed.
The Terminator V.S. Trump
Schwarzenegger, an Australia native, was best known as former Mr. Universe and his roles in the movies Terminator and Total Recall, back in the 80s and 90s. In later years, the actor transitioned into the political scene where he ran for California's governor as a Republican. He served two terms (2003 to 2011) as "The Governator," a loving nickname given to him by the nation.
Ever since, the Australian has been mixing acting and politics. In the last year, he has taken a vocal stand against President Trump. He has publicly criticized the president's decision to withdraw from the Paris Climate accord. He also called him out on his evasion of commentary after a violent white supremacist rally in Charlottesville.
Schwarzenegger also happened to be the host of the "New Celebrity Apprentice." The NBC show was an iteration of Trump's former reality show.
Because of Schwarzenegger's T.V. presence and criticism of Trump, he faced insults on Twitter and other platforms from the U.S. President.
However, Schwarzenegger did not take the insults sitting. As a response, he proposed an idea to Trump. He asked to switch jobs since Trump was so knowledgeable in ratings, and if he was president, the people could finally sleep comfortably again.


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For children diagnosed with hearing loss, early intervention through fitting of hearing devices is crucial to provide the child with good access to sounds during the critical period of speech and language development, which typically occurs during the first two years of life.
The Centre for Hearing and Ear Implants at SGH offers various types of hearing technology for children, including hearing aids.
Hearing aids are electronic devices that amplify sounds so that they become louder and clearer. They are recommended for children with hearing loss in one or both ears. Hearing aids come in different shapes and sizes, but generally fall within two categories: in-the-ear (ITE) or behind-the-ear (BTE) styles. For children, BTEs are recommended because the earmoulds can be replaced as they grow older.
Today, hearing aids often come in a wide assortment of colourful designs to cater to the paediatric population.
Credits: Phonak
FAQ for parents
1. Why do audiograms obtained at different centres vary?
Calibration of audiological equipment and soundfield rooms ensures that testing levels meet required international standards. As such, results of hearing tests obtained should be similar in all centres, and if the child responds reliably, a 5-10dB variability is acceptable.
All our equipment have been calibrated and will be recalibrated every six months to ensure that our test conditions meet with international standards. Recalibration showed the initial calibrations were correct. We are confident that our testing levels have been/are correct and will continue with weekly biological calibrations to ensure test reliability.
In some previous audiograms obtained at other centres, no masking of the better ear has been used when testing the worse ear. When there is more than 40 dB difference between ears at any frequency, a narrow band noise needs to be used to mask out the good ear when testing the worse ear. Masking ensures responses are only coming from the worse ear. If masking is not used we might think the worse ear has more hearing than it really does due to cross hearing.
Audiologists need to be mindful of false responses, which is when a child responds in time with a stimulus but has not heard the sound. Children can fall into a pattern of responding, and so it is very important to vary the stimulus interval time and use non-stimulus trials often during the testing session.
2. What is the recommended volume for my child's hearing aids?
In SGH we have chosen to use the Desired Sensation Level (DSL) hearing aid fitting prescription method primarily because it is the only current method specifically designed for use with children. Other popular fitting methods were designed for adults with an acquired hearing loss and adapted for use with a paediatric population.
The DSL rule prescribes more gain than other fitting rules particularly at 2000 Hz. Research has shown that 2000 Hz is the key frequency for intelligibility of speech. In order to give a child access to the softer high frequency components of speech, the volume may need to be tuned higher to match the DSL targets. The volume control and internal settings will be verified with an aided audiogram and/or aided speech discrimination test for each ear.
We do not recommend that aids be worn on full volume due to distortion that may occur. If aided testing indicates that the child does not have adequate access to the speech range with current aids appropriately adjusted, more powerful aids need to be considered. If no significant benefit is observed during a trial of the most optimal aid fitting, a cochlear implant would be the next consideration.
3. Why do the aids sound so loud and will this damage my child's hearing?
As most parents have normal hearing sensitivity, the aids will sound loud, particularly if your child has a severe or profound loss. However, speech should still sound clear on the user volume. It is recommended that parents do listening checks daily to ensure the aids are working properly and that the clarity of the sound is acceptable.
Another advantage of the DSL paediatric fitting method is that uncomfortable loudness level and maximum power output targets are generated from the measured hearing levels. This means that we are able to predict with accuracy the level at which a sound becomes uncomfortably loud for a particular child based on his or her audiogram. The aid can then be set so that loud sounds do not exceed these levels. Care is then taken to observe for any adverse reactions such as startling eye blinking, crying, or attempts to remove the aid in the presence of loud sounds. Such evaluations will be done in the clinic. However, parents are always asked to watch out for and report any such behaviors in daily use. The maximum output levels can then be reduced accordingly, to ensure the child's comfort when wearing aids in noisy situations and most importantly, that the child's residual hearing remains intact.
4. What causes feedback?
We are all familiar with the shrieking feedback which occurs when a microphone is held too close to a speaker. Feedback is caused by amplified sound being 'fed back' into the microphone of the hearing aid. Causes of feedback include damage to the ear mould, the tubing, the earhook or the hearing aid itself. However, the most common cause is a poorly fitted ear mould. If the mould does not seal well in the ear, the amplified sound will leak out of the ear canal back into the microphone and cause whistling or feedback. The more powerful the hearing aid and the higher the recommended volume, the greater the risk of feedback will be. And there is a greater need for a properly fitted mould.
You can perform a simple test to isolate the cause of feedback:
Turn the aid on. Most aids will whistle.
Block the sound bore. The aid should stop whistling. If the aid stops whistling, the cause of the feedback is a poorly fitting ear mould. - Have new moulds made.
If the aid does not stop whistling with the sound bore blocked check for damage to the ear mould, tubing, earhook or aid itself. - Take the aid in for repair.
5. How do I know when my child needs new ear moulds?
As young children grow, the shape of their ear changes. This means that new moulds will be needed approximately once every three months. However, many children need a change of new moulds more often. In very hot and humid climates, such as Singapore, mould materials may shrink quickly and harden easily, which means new moulds need to be made often.
Your child will need new ear moulds if:
a) feedback is occurring on the recommended volume setting
b) the mould appears loose in the ear
c) the mould material is becoming hardened or discolored
d) the mould or its tubing has been damaged
It is recommended that parents monitor the fit of the mold closely and try to order new moulds as soon as the old ear moulds begin to appear hard or loose. Do not wait for feedback to occur as sometimes it may take new moulds up to 2 weeks to be ready. It is usually a good idea to have both new moulds made at the same time to avoid several trips to the hearing centre.
It is not uncommon for new moulds to give feedback due to problems with the ear impression taken or during the mould-making process. If the child cannot wear the new moulds on the recommended volume without feedback at the fitting appointment, ask for new impressions to be taken immediately. Decreasing the volume to reduce feedback is not a solution as the child will not hear optimally on a lower volume setting.
Children's moulds should be made of a soft flexible material such as soft silicone to ensure a good seal in the ear and less risk of injury during play. Check that the new moulds seal tightly in the ear but do not cause soreness.
6. If my child has only mild hearing loss does he need to wear a hearing aid?
YES! Any hearing-impaired child with a hearing loss greater than 40dBHL in the better ear should be fitted with a hearing aid as soon as a reliable measure of the hearing sensitivity is obtained. Studies show that even minimal hearing loss can have significant impacts on speech and language development, attention behavior, learning capacity and social development.
7. What is the earliest age a child can be fitted with a hearing aid?
A child's hearing sensitivity can be assessed as early as the first day of life using objective diagnostic tools such as otoacoustic emissions (this test measures an echo from the cochlear, which tells us how well the inner ear is working), ABR (auditory brainstem response test) and SSEP (steady state evoked potential test), which indicates frequency specific hearing levels in each ear. Therefore, a child as young as a few weeks old can be fitted with hearing aids.
8. Does my child need a FM system and what advantages do FM systems offer over hearing aids or cochlear implants alone?
Hearing aids and cochlear implants function best in ideal listening conditions, such as in a quiet situation with the speaker in close proximity to the hearing impaired child. We have all experienced difficulty in hearing when there is noise in the background, so likewise, it is difficult for a child to listen and learn in a noisy classroom.
A child with hearing sensitivity within the normal range requires speech to be 2 times louder than the background noise to understand a speech signal. However, a hearing impaired child needs a speech signal 10 times louder than the background noise to comprehend the speaker. The most effective means to improve the signal to noise ratio is by the use of the FM system. The speaker wears a remote microphone and transmitter while the child wears a receiver. The receiver connects to the hearing aids and receives direct audio input from the speaker's microphone. As the speaker's microphone is positioned close to the mouth (10 cm is ideal), the child hears the speaker as if he is very close by, regardless of the distance between them. This gives mobility to a teacher in a classroom and assists the teacher greatly in gaining the child's attention from a distance.
When using the FM system, both the speaker's microphone and the child's hearing aid microphone should always be active. The FM microphone is given priority over the hearing aid microphone when the speaker is talking. However, the child is still able to monitor his own voice and those of his classmates around him using his hearing aid microphone.
The Ministry of Education provides the FM system free for all hearing impaired children attending primary schools. Please ask your audiologist for the FM system request letter and you should submit the letter when registering your child in a primary school. Your therapist can give you further advice.
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