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Recently I shared that I would be taking part in the Scotiabank 140 character challenge - #ScotiaLovesBooks. To qualify for the contest, you had to submit stories told in 140 characters or less. So, I did it; mainly for the fact that I hadn't written in so long, and the thought of telling a 140… Continue reading Scotia Loves Books Part 2
Category: News/Update/Random
Scotia Loves Books Contest
Nothing has re-ignited my passion for writing as much as the #ScotiaLovesBooks contest. After a friend shared the contest with me through a group chat, I was so excited to be able to stretch my creative muscles, while challenging myself to do better. The #ScotiaLoveBooks contest challenges writers to tell a story in 140 characters… Continue reading Scotia Loves Books Contest
Tam Fam Lit Jam – Poetry Readings
Very excited to share this news. I will be presenting at the "Tam Fam Lit Jam" event on June 9, 2018, from 4.00PM - 6.00PM, at 499 Church Street. From the Event page: The Tam Fam Lit Jam will be a bilingual evening of readings from established and emerging Tamil poets/authors. The event will feature: P. Ahilan… Continue reading Tam Fam Lit Jam – Poetry Readings
Announcement: Something Different by Scarborough Arts
I am very proud to share some exciting news. This year three of my poems have been chosen to appear in Scarborough Arts Juried Exhibition and book - The Big Art Book: Something Different. Scarborough Art's theme for the Big Book this year really spoke to me; "Something Different" is about celebrating what makes each… Continue reading Announcement: Something Different by Scarborough Arts
Announcement: My City My Six
I am very honoured and pleased to announce that one of my stories was chosen as part of the City of Toronto's My City My Six contest. The contest asked for stories that described Toronto in 6 words or less. It was run as part of Canada's 150 anniversary and organized by the City of… Continue reading Announcement: My City My Six
News: Free Images from Met Museum
Thanks to the talented Art By Thiviyaa who let me know this exciting news. "New York City's world famous Metropolitan Museum of Art has recently announced that 375,000 of its pieces in the public domain are now available without restrictions." - mymodernmet.com You can access the images via the Creative Commons site.
NEWS: The Big Art Book
Very excited to announce that I will be reading my poem "Sisters" at the launch event! It is one of the juried pieces chosen for inclusion in the book! This year I am really trying to develop my ability to share and present my poems and I am so grateful for the opportunity to reading… Continue reading NEWS: The Big Art Book
Random Thoughts: T-10 Days
So today is Day 356, 10 days until the challenge is over. I have had people ask me if I am going continue into 2017, and I have enjoyed this experience far too much not to 🙂 However, I am making some changes to the blog, which I am very excited about as it will… Continue reading Random Thoughts: T-10 Days
News: Open Mic & Shab-e She'r
The first time, I spoke too fast. The second, I didn't make eye contact. The third time, well... I should be a regular by then right?!? - So it should be easier. After the encouragement of two people I respect, Amy and Manik, I attended by very first Shab-e She'r Poetry Night in September. … Continue reading News: Open Mic & Shab-e She'r
Random Thoughts #3
I cannot believe it's Day 301 - I keep wondering how I got here. There are only 56 more poems to write for 2016. Making it to Day 100 was a big deal for me, then all of a sudden it was 200 and then 300 - now, I have no doubt in my mind… Continue reading Random Thoughts #3


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A consortium of Kiepe Electric, Heiterblick and Alstom have received an order for an additional seven TW 3000 light rail vehicles (LRVs) from Hannover public transport authority Üstra.
The deal takes the number of new TW 3000 trams to be supplied up to 153. Currently, 72 TW 3000 have been delivered and are in use and 146 will be in use by the end of 2019. The seven new trams will enter service as soon as they are available.
In the long-term, the TW 3000 is to replace the oldest TW 6000 light rail model, which is 30 years-old.
Like this story? Follow us on Facebook to keep up to date on rail industry news
The order has been made possible thanks to a subsidy from Lower Saxony public transport authority Landesverkehrsverkehrsgesellschaft (LNVG) to the amount of 50 per cent of the €19.4 million purchase price.
As consortium lead, Kiepe Electric is responsible for the electrical equipment; Heiterblick for the mechanical components; and Alstom for final assembly and commissioning at its Lower Saxony plant.
Read more: Trenitalia pens €330m deal with Alstom for 54 Coradia Stream trains

subset: commoncrawl


text: One step on the pathway to recovery: RAPIDS Amanda Bladen & Heather Carmichael RAPIDS RAPIDS stands for Responsive Assessment Planning, Intervention and Diversion Service RAPIDS clients are people ... whose substance use is placing themselves and or others at risk who are active users, with a long history of problematic substance abuse, men, women... glbt, both young and old, who can have co-occurring conditions, including Acquired Brain Injury; intellectual disability; mental illness and physical conditions, with poor social connectedness including lack of family supports and social isolation, but who may have roles and responsibilities as carers, partners, parents, who are likely to have a history of instability e.g. housing, education, employment and/or relationships. (art by Catherine Bladen and Rebecca Bladen) It was recognised that those most in need of the services we provide often found the process of navigating our systems too challenging.... Evidence for the RAPIDS approach... Along with literature reviews we incorporated practice evidence from other agencies, expert practitioners and important others, such as our consumer advisory group and carer perspectives... We found that for high risk clients with significant drug and alcohol needs, who might not otherwise engage in treatment, there were strong indicators and evidence of the need to provide timely court based assessment, access to brief intervention outreach services and care planning, diversion and referral. Evidence supports the use of rapid, responsive assessment and brief intervention treatment approaches. Baker et al., 2001; Copeland et al., 2001; Stephens et al., 2000; Saunders et al., 1995) The evidence for bridging support and brief intervention We found that the efficacy of brief interventions is well established and is enhanced by the provision of: • Instant link between courts and AOD service process • Initial bridging treatment/ brief intervention • Tailored care planning, referral and diversion and facilitated supported engagement (Baker et al., 2001; Copeland et al., 2001; Stephens et al., 2000; Saunders et al., 1995) Brief interventions can provide both stand alone short term assistance and be an important first step (Breslin, Curtis; Li, Selina; Sdao-Jarvie, Kathy; Tupker, Elsbeth; Ittig-Deland, Virginia) Brief interventions have a strong potential to prevent harm: are widely recognized as being cost-effective and an important part of the overall approach to responding to people with AOD problems (Crime Delinquency. 2006; 52(1): 52–76. doi: 10.1177/0011128705281746; Higgins-Biddle & Babor 1996:4; www.health.gov.au/internet/alcohol/publishing.nsf); Collaboration, consultation and liaison: creating a shared understanding problem • There was an urgent need for reform but we did not want to put in a reactive/ knee jerk response to a complex situation: we had a short time frame and wanted a right fit response consultation • Meetings to establish common language, understandings and expectations with the funding bodies: robust discussion and differing viewpoints and perspectives and a willingness to challenge underpinned the process Response & plan • We had to do the best within available resources: due to funding constraints and high demand our vision for a well funded pilot became a less well funded state wide program Implement and review • Service consultation and supported change management were critical to the process...The change prompted us to look at other process differently- for example our CAG group provided ruthlessly constructive brochure feedback ! The Model Model The • • • • • Intake Same Day Assessment Verbal and Written feedback Bridging Support Brokerage Client Client Recovery Recovery Pathway Pathway Referral in to RAPIDS Assessment by RAPIDS worker with program planning Bridging support and active liaison and linkage in to the referral agency "Bridging Support" We go to the client, enabling rather than enforcing bureaucratic obstacles Bridging Support allows RAPIDS assessors to provide the following types of support to our clients: Motivational Interviewing to build rapport quickly, approach behaviour changes and treatment readiness Advocate and provide additional support and referral to community agencies Provide some material aid including: Myki tickets, Woolworths gift vouchers, Pre-paid mobile phones, food parcels provided by "the ACSO Pantry" & clothing donated through "Pass It On" Workforce Skills and Attributes • Works with the client to instill hope, facilitate a recovery approach and a sense of potential mastery and control • Understanding of Justice System • Motivational Interviewing • lived experience • Empathy and compassion • Negotiation • Assessment skills • Reflective Practice Behind Scenes Assessor Behind theThe scenes forFor the assessor Liaison with courts, referrers, other agencies to meet broader client needs Bridging support with client Referral and liaison to agencies and brokerage of services via CSU TheRAPIDS RAPIDS assessor assessor role The role Case Case Study Study Corrections Referral • Simon – 39 year old male • Substantial history of substance abuse since the age of 18 years • Mental Health/ ABI • Community Corrections Order imposed • Previous attempts at treatment were unsuccessful, past breaches • Recent relapse into heroin Any Question, Comments or Any Questions? Feedback?


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With Mother's Day coming up this weekend I thought I would put together a little gift guide. Buying gifts can sometimes be a struggle, especially if they haven't asked for something in particular. There's so much out there nowadays it can be quite overwhelming! I've put together a few of my favourite things that I've spotted in-store and online on the high street. Let's be honest – if all else fails just go with flowers, sweets or a candle!
Happy Mother's Day Lush Giftset // Personalised Merci Maman Letter Gold Ring // Fitbit Alta Pink and Gold // Rose Gold Fujifilm Instax Camera // Cath Kidston 'Mum' Pouch // Biscuiteers Teapot Box // Tiffany & Co Perfume // M&S Faux Leather Boxy Bag // Cartwright & Butler Salted Caramel Fudge // Little Miss Sunshine Thermal Mug
I thought I'd also mention these yummy boxes I was sent last week from Treats.Direct. This company is a subscription service which sends out monthly boxes of sweeties and they have put together a Mother's Day package. Your first subscription box can start from just £2.49 and a surprise box will turn up at your doorstep in a flash! Perfect for a little delicious Mother's Day gift!
Don't forget to check out my Givenchy giveaway!


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text: With the first water mills used over 2000 years ago, water is not only a vital resource for sustaining life, it can also be an effective way of generating clean energy. Whilst many old water mills are still in existence (if not in use!) across the UK, new, efficient technology is making Hydropower a go-to… Read more >


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This last week saw the Estonian Embassy in Moscow surrounded by a violent mob and all of a sudden both oil and coal shipments to the country have been halted, with the Russians giving lame excuses of scheduled maintenance and equipment shortages for the halt of shipments.
Now instead of backing down, Estonia has decided to fight back. The main act was to remove the occupation statue despite Russian threats not to do so. This resulted in an uproar in Russian youth (who know little about the criminal past of the Soviet Union) living both in Estonia and those who traveled from Russia. The press has been calling the protesters "ethnic Russians" inferring that the protesters/rioters are Estonian, but most are not.
The Russians claim that the statue was to memorize the fallen soldiers who fought to free Estonia from the Nazis. This of course neglects the Soviet Union's massive amount of assistance to Nazi Germany which allowed the Nazis to steamroll across half of Europe in the first place:
While Britain blockaded Germany at sea to prevent the import of war materials from overseas, all the supplies which the Reich needed for the war were sent directly from the Soviet Union by rail. Stalin promised that what the Soviets could not supply from her own resources, they would buy up on the world's markets and pass on to Germany. Three-eighths of the oil used by Germany in 1940 came from the Soviet Union including high-octane spirit for the Luftwaffe to fight the Battle of Britain. - WikipediaAnd
From the start of the war until Germany invaded the Soviet Union less than two years later, Stalin supplied Hitler with 1.5 million tons of oil, the same quantity of grain, and many thousands of tons of rubber, timber, phosphates (for making explosives), iron and many valuable metal ores, particularly chromium, manganese and platinum. At the time of the invasion, Germany was heavily in debt to the Soviet Union.According to Mr. Rapoport , "one of Stalin's first gifts to the Nazis was to turn over some 600 German Communists, most of them Jews, to the Gestapo at Brest-Litovsk in German-occupied Poland.". Soviets also offered support to Nazis in the official statements, Stalin himself emphasised that it was the Anglo-French alliance that had attacked Germany, not the other way round and Molotov affirmed that Germany had made peace efforts, which had been turned down by 'Anglo-French imperialists'. - Wikipedia
As part of Stalin's division of Europe with Hitler, it was the Soviets who invaded Estonia first:
Estonia was occupied by Soviet troops on October 18th 1939, as a consequence of the secret amendment to the August 1939 Molotov-Ribbentrop Pact between the Soviet Union and National Socialist Germany. The Red Army made its final occupation in June 1940. Estonia was formally annexed by the Soviet Union in August 1940 as the Estonian SSR. Many of the country's political and intellectual leaders were killed or deported to remote areas of the USSR by the Soviet authorities during 1940 to 1941. The repressions also included actions taken against thousands of ordinary people.When the German Operation Barbarossa started against the Soviet Union, thousands of young Estonian men were forcibly drafted into the Red Army. Hundreds of political prisoners, whom the retreating Soviets had no time to move, were killed. The country was occupied by Germany from 1941 to 1944. Of the many Estonians who joined the German armed forces (including Waffen-SS), the majority did so only in 1944 when the threat of a new invasion of Estonia by Red Army had become imminent and it was clear that Germany would not win the war.
Soviet forces reconquered Estonia in the autumn of 1944 after fierce battles in the northeast of the country on the Narva river and on the Tannenberg Line (Sinimäed). In the face of the country being re-occupied by the Red Army, tens of thousands of people chose to either retreat together with the Germans or flee to Finland or Sweden.
In 1949, in response to slow progress in forming collective farms, as prescribed by the Soviet ideology, tens of thousands of people were forcibly deported in a few days either to labor camps or Siberia where half of them perished; the other half were not allowed to return until the early 1960s (several years after Stalin's death). - Wikipedia
One could say that the Nazis invaded Estonia to save it from the Russians. Even the Russian claims that they kicked the Germans out of Estonian appears to be a lie:
"The monument to the Soviet 'liberation' in September 1944 ... was one of the most hated monuments in Estonia until the Soviet occupation ended 50 years later," wrote Laar, who was Estonia's prime minister from 1992-1994 and 1999-2002. He is now leader of Estonia's opposition center-right IRL union.
He said Estonian soldiers ejected Nazi German troops in 1944 and "restored their national government. The Red Army returned as the Nazis retreated and the flag which was ripped down from the tower of Toompea Castle was not the (Nazi) swastika, but the blue-black-white Estonian tricolor."
Starting in the 1930s, Estonia, Latvia and Lithuania were successively overwhelmed by Nazi Germany and the Soviet Union. They regained their independence in the early 1990s and joined the European Union in 2004. - citizen.co.za
This gentleman is now calling for a commission to investigate exactly what happened while Eastern Europe was under Communist rule:
A former Estonian prime minister has suggested Russia and its Baltic neighbors jointly investigate their shared history since the 1930s to show how Estonia, Latvia and Lithuania were overwhelmed first by Nazi Germany, then the Soviet Union.
In an article published Friday in the Brussels-based European Voice weekly, Mart Laar said a panel of historians should lay to rest the controversy over the removal of a Soviet-era war memorial from downtown Tallinn.
Laar suggested the panel of historians be modeled after South Africa's Truth and Reconciliation Commission, which led to pardons for those confessing to crimes committed during the country's era of apartheid. - citizen.co.za
Now this incident has reminded Poland that they too have Soviet Statues that they don't want:
The Ministry of Culture and National Heritage of Poland is developing a program that will allow local authorities destroy or relocate monuments erected in the Socialist era. Polish Minister of Culture Kazimierz Ujazdowski stated that "symbols of the communist dictatorship will disappear from the cities and streets of Poland as alien to Polish culture." - Kommersant
As I wrote before in "Europe's Lingering Scar of Communism" until the crimes of communism are investigated, we will not be able to properly document the criminal actions of the Soviet Union. As long as this is not done, the problem with Russia and young Russians is only going to grow, especially since it is the parents and grand parents telling the younger generation how 'great' things were under the Soviet Union compared to how much they suck now.
I have no doubt that life for Russians in Estonia was better for them during Soviet times, but that was at the expense of the Estonians who were forced to accept the Russian migrants and their taking control of most whatever they wanted. This combined with Russian propaganda denying that they ever occupied Estonia is sure to increase the instability in the Baltic States for years to come if not addressed:
Estonia was occupied by the Nazis in World War II and then ruled by Moscow for five decades.
Russia denies the Soviet years amounted to an "occupation" of Estonia. - BBC
Last year the Council of Europe voted against investigating the crimes of Communism, mainly thanks to the Socialist members of the Council who are not interested in seeing Soviet Crimes linked to Socialist movements in the rest of Europe. Perhaps another organization should be created to do the investigation before the witnesses all die of old age. The crimes also need to be properly documented and the Russian population properly educated on the criminal history of their country as part of the process of ensuring that Communism is never glorified again. Just as Nazism has been properly convicted and sentenced so should communism, if for no other reason than to not saddle Russia's youth with the crimes of two generations past.
Despite the backlash Estonia has received from Russia for merely moving a Soviet statue, Poland will most likely pass a law permitting the destruction of Soviet monuments. This understandably has the Russians truly pissed off and sputtering all sorts of lies to turn the victims into the criminals.
If the draft laws are passed, local authorities will have the right to scrap or transfer monuments to Soviet soldiers and memorials related with the liberation of Poland from Nazis. This law is called an act of "decommunisation", and ideologues of Law and Justice increasingly often call Poland's liberation by the Soviet Army is 1944-1945 a "new occupation".
If the two laws are adopted, streets and squares of Polish cities named after the Soviet military or Polish statesmen and party figures of the Socialist period can be renamed. A list of such streets has been already prepared in the Institute of National Memory and circulated to local authorities.
Also known are monuments slated for scrapping. These are a monument to the Soviet-Polish combat brotherhood in Warsaw, a monument to fallen heroes in the town of Szamotuly, two monuments to Soviet soldiers in Dombrow-Gurnice. In Katowice, a monument to the Red Army soldier is to be replaced by a statue of the late US president Ronald Reagan. War memorials in Krakow, Rzeszow and other cities are also in jeopardy. - ITAR TASS (Russia, which explains the pro-Soviet slant)
One thing in Poland's favor is that they do not have to deal with Ethnic Russians as there are not many at all, if any, remaining there. Russia will have to resort to retaliating from abroad. Poland, of course, was the country that the Soviets and Germans split between themselves. So the Russian claim that the Soviets liberated Poland from the Nazis is insulting.
I have been told that the Russians are constantly knocking down their own monuments with no regard to anything than the thinking of the moment. They sure did not waste any time getting rid of their Lenin and Stalin statues. They even went and un-named Leningrad and Stalingrad (which was renamed well before the Soviet Union fell apart). So as far as I can tell, Estonia acted in a much more honorable fashion than Russia does in its own country.
Even if the Estonian Statue and Polish actions were not in the news to remind the world of the criminal activity of the Soviet Union, another statue would have done so. This is the Memorial to the victims of Communism which will be dedicated in Washington, DC on June12th.
Russia should wake up and be honest with its people and the world about the crimes of the Soviet Union. Otherwise Russia will be just as guilty as the communist state that it replaced. Unfortunately, their recent actions don't indicate any willingness to come clean.
More on Estonia's WWII story by CDR Salamander.
Itching for Eestimaa has a great explanation of "why exactly the Estonian state was not content to allow a memorial to the army that supported these actions in Estonia stand beside its national library and the church where it buries its leaders."
Stockholm Slender at Botanist on Alp explains what would have happened if the Soviets managed to occupy Finland as they did Estonia, noting that it was the Red Army that brutally raped Estonia. It is amazing that the Estonian State survived at all.
The Victims of Communism Memorial Foundation
Soviet-German cooperation - Wikipedia
Molotov-Ribbentrop Pact - Wikipedia
Remembering the Soviet Union v.1


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Rooms With a View
Coal Harbour, Vancouver
Recreation Station
Seawalk around Coal Harbour, Vancouver, BC.
Floating homes and more at Vancouver's Coal Harbour
Coal Harbour
Looking north to North Vancouver across the inlet.
The Alchemist
This unusual artwork can be found at the intersection of Bute St. and Hastings St. Vancouver
Public Library
The unique architecture of Vancouver's public library with the glass ceiling
Canoe Bridge
This bridge can be found at the False Creek area of Vancouver's olympic village
Canadian Maple Leaf
Coast Salish North Star to symbolize the Winter Games in Vancouver in 2010.
This can be found at False Creek Plaza, Olympic Village
World of Science
Vancouver's Science World sphere in partial silhouette.
Nature Taking Over
Wild flowers at False Creek with Science World sphere in the background
Private Selfie
A quiet moment o reflect and take a selfie with Vancouver in the background.
Image taken from Lonsdale Quay, North Vancouver
Drama & Poetry
Vancouver Public Library
Treetop Walk
Silhouette of people walking the treetops in Capilano Suspension Bridge Park, North Vancouver
Treetop Walkway
The treetop walkway at Capilano Suspension Bridge Park, North Vancouver
Zig Zag
Walkway at the treetop's at the Capilano Suspension Bridge Park, North Vancouver
This carving of the eagle and fish is found at the Capilano Suspension Bridge Park, North Vancouver
Stanley Park, Vancouver
Snow Cap
North shore mountain tops covered in snow
Totem Poles
Totem poles in Stanley Park, Vancouver
All Seeing
Totem pole at Stanley Park, Vancouver
Early Interaction
A sculpture commemorating the early interactions between Europeans and First Nations at Brockton Point, Stanley Park, Vancouver.
Port Vancouver
Spider Light
Autumn Taxi
Canada Place
Autumn in the City
322 Water
Rising High
At the Waterfront
5 Sails
Canada Place, Vancouver
Carnival Splendor
An iconic view at Port Vancouver
International Village


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Photo Gallery = http://imgur.com/a/nXaVc [Spoilers]
This is my first map, and I am constantly updating it with fixes, tweaks, and improvements.So, it might not always look or work the same way. But I try to do one complete run through to ensure its beatable and issue free!
This one is a little sinister. I intentionally tried to make things sneak up on you. And expect random traps, explosives for example.
Enjoy, and if you have any comments, thoughts or suggestions... Let me know!


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604 984 0014
Main Menu
About Us
New Patient Info
Dr Amy Wiggins
Dr Matthew Wentzell
Dr Paul Wiggins
Alexis Penner (RMT)
Clifford Yip
Conditions Treated
Tennis Elbow Treatment & Diagnosis
Conditions Treated
Tennis Elbow Treatment & Diagnosis
What is Tennis Elbow?
Tennis elbow also known as lateral epicondylitis or extensor tendinopathy is a common disorder that presents as pain at the outside of the elbow during lifting, gripping, playing tennis and other repetitive tasks that involve finger, wrist and elbow motion.
The elbow joint is made up of three bones: the upper arm (humerus) and the two bones in your forearm (radius and ulna). The bony bumps at the bottom of the humerus are called epicondyles and the outside (lateral side) is called the lateral epicondyle.
Muscles, ligaments and tendons cross from the upper arm and forearm to insert onto the bones of the elbow. The muscles on the back of your forearm are called extensors because they extend the wrist and fingers. The extensor muscles turn into tendons, which attach to the lateral epicondyle of the humerus. The muscle and tendon typically involved in tennis elbow is called the extensor carpi radialis brevis. This muscle produces the motion of wrist extension, which is required for gripping, lifting and performing a backhand in tennis. Other muscles that may be involved in tennis elbow may include: extensor carpi radialis longus, anconeus and extensor digitorum.
Overuse of the extensor tendons due to excessive movement of the elbow and wrist may lead to overloading of the tendon and subsequent injury. When the muscles and tendons are weakened from overuse, microscopic tears form in the tendon. This leads to early inflammation and subsequent weakening of the tendon, pain and dysfunction.
The features of tennis elbow or lateral epicondylitis are similar to those of other common tendon disorders (ie: achillies tendonitis, patellar tendonitis). In tennis elbow and other painful tendon conditions it is more common to find changes in the tendon that are degenerative (tendon thickening, partial tears, and swelling) in nature vs. inflammatory. Though epicondylitis suggests an inflammatory process, acute inflammation only occurs in the early stages of the condition or possibly can occur with continued re-aggravation. Tennis elbow can be characterized by a spectrum of severity from mildly irritating to a debilitating condition. Tennis elbow may have a chronic course lasting anywhere from several months to years, with frequent reoccurrences.
Tennis Elbow Symptoms:
Gradual onset of pain, heightened during periods of physical activity.
Pain and tenderness on the lateral epicondyle (outside point of the elbow).
Reduced grip strength and pain with gripping.
Pain aggravated by: tennis, gripping, lifting, and other daily activities and sports that require wrist extension.
Pain may be described as: sharp and intermittent, localized around the lateral epicondyle but may radiate into the forearm muscles as well.
Risk Factors/Common Causes:
Repetitive manual tasks – i.e.: keyboarding
Handling Heavy Loads
Tennis and many other sports
History of increased resistance activity or increased duration of activity.
Acute trauma to the elbow (less common).
Additional Causes of Elbow Pain:
Your chiropractor will conduct a thorough physical examination in order to rule out other potential causes of your elbow pain. In addition to tennis elbow the following diagnoses can cause symptoms that are similar to those of tennis elbow. These conditions need to be ruled out during the physical examination to ensure correct diagnosis and treatment.
1. Elbow arthritis:
In addition to elbow pain patients may also experience elbow stiffness, impingement, locking and or clicking.
2. Radial Tunnel syndrome:
In addition to elbow pain, patients may also experience, aching into the forearm, and or sharp shooting pain into the forearm that is worse at night.
3. Posterior interosseous nerve entrapment:
In addition to elbow pain patients may experience, weakness in the fingers and thumb, and pain into the forearm and wrist.
4. Cervical radiculopathy:
When the nerves in the neck are irritated or injured it can lead to symptoms into the shoulder, elbow, forearm, wrist and or hand. Symptoms typically are worsened by neck movements, and may involve: numbness, tingling, burning, weakness and pain into the upper extremities and neck.
Do I need a Tennis Elbow Brace or a Tennis Elbow Strap?
Tennis Elbow braces are believed to decrease forces at the elbow by absorbing some of the tensile forces that are generated by the wrist extensors at that location. This strap is worn near the insertion of the wrist extensors just below the elbow. Elbow splints and straps are often prescribed for the treatment of tennis elbow. These are intended to restrict forearm movement and relieve loads on the origin of the extensor muscles (near the elbow).
There are various types of braces and straps that may provide various benefits for the patient. Some studies have found that patients who wore a spiral splint that restricted wrist extension as well as supination and pronation (rotational movement at the wrist) had significantly reduced pain and improved function in grip strength after 4 weeks of use. Splints and straps may be helpful to reduce initial pain and disability but should not be used as a stand-alone treatment. Once the extensor tendon has undergone degenerative change, strengthening exercises and treatments are required to rebuild the tendon strength and improve overall function.
Tennis Elbow Treatment: How the Mountain Health and Performance team can help!
There are various complexities associated with the anatomy, biomechanics and pathophysiology of tennis elbow. It is therefore unsurprising that numerous treatment options are described in the literature to be both effective and ineffective in cases of tennis elbow. For this reason, a single intervention or one-size fits all approach to tennis elbow is not going to be effective for every case. Treatments should be tailored to the individual patient, pathology and clinical presentation of the condition. For this reason it's critical to have a proper assessment and diagnosis before starting a self-treatment or rehabilitation plan.
1. Active Release Technique (ART) and Functional Range Release (FR):
These myofascial release techniques are utilized to address any abnormal soft-tissue tension associated with tennis elbow. Tension in the muscles of the forearm, arm and shoulder may lead to improper biomechanics and increased stress at the elbow, which may contribute the overloading of the extensor tendon(s). Myofascial release can help to decrease the abnormal tension in the muscles and fascia and improve overall motion in these areas. Small studies have found ART to have additional treatment effects compared with ultrasound, muscle stretching and strengthening exercises for tennis elbow in the short term.
2. Manipulation/Mobilization:
There is evidence that manual therapy techniques have immediate effects on pain and grip strength in patients with tennis elbow. Mobilization and or manipulation may be targeted at affected joints including the neck, shoulder, elbow and wrist, depending on the function of these joints upon examination. Manipulation of the elbow has been shown to provide pain relief within the first few treatments, up until an 8-week follow up of patients with tennis elbow.
3. Class IV Laser Therapy:
At Mountain Health and Performance we offer class IV laser therapy, which helps to stimulate deep tissue healing on a cellular level. When targeting the extensor tendons and muscles, laser therapy can help to increase energy for cellular healing. It also improves blood flow, which increases the amount of oxygen and nutrients delivered to the damaged tissue in order to speed healing and tissue regeneration. Laser therapy has been found to be effective in reducing pain and improving grip strength, especially when used with exercise therapy in patients with tennis elbow.
4. Kinesiotape:
Kinesiotape is a non-invasive therapy used for pain relief, lymphatic flow, joint support and improved joint and muscular awareness. Kinesiotaping has been found to help decrease pain, improve grip strength and in some cases may be used as an adjunct or in the place of a brace or strap. Some studies have found that patients receiving manual therapy/exercise and kinsiotaping had superior results to manual therapy/exercise alone without taping, indicating that it may be a useful addition to care.
Tennis Elbow Treatment: exercises
Traditionally rest was regarded as an effective intervention for tendon injuries, however there has been a recent shift towards early rehabilitation. Eccentric loading (which is a specific way to load the muscles and tendons) has been shown to improve collagen alignment, and stimulate collagen cross-linking, which improve strength in weakened tendon. Eccentric exercises are found to have a positive effect on pain, function and patient satisfaction, return to work vs. traditional concentric exercise, stretching, splinting and ultrasound. Eccentric wrist curls and the use of the flexbar (a popular treatment for tennis elbow) are both great ways to stimulate tendon healing. The flexbar is a rubber bar that is sometimes prescribed, which helps patients perform eccentric exercises without weights or bands. Though these treatments are great options for some patients, other patients may not be ready to perform eccentric exercises right away. Some patients have a reactive tendinopathy, which may require hands-on treatment to reduce pain and less intense exercises to strengthen the tendons without the risk of overloading them. These may include gentle isometric exercises and exercises to target other joints that are dysfunctional (i.e.: shoulder exercises, neck exercises etc.).
Tennis Elbow Treatment: stretches
Though stretching the forearm muscles may provide short-term pain relief and can potentially decrease some of the strain on the tendon, stretching alone will not heal your tennis elbow. Tennis elbow, as discussed above, is a degenerative tendon condition and exercises are critical to rebuild the tendon and normalize function. It's very important to get a proper assessment and diagnosis to direct proper treatment. There is no one size fits all approach to treating tennis elbow, so what works for one person may not work for you, or worse may aggravate your symptoms.
Additional Tennis Elbow Treatment Tips:
Avoid pain-provoking activities for a period of time (as discussed with your healthcare provider). These may be re-introduced slowly once the tendon has had time to rest and treatment has progressed. Activities to avoid may include:
Tennis and other sports.
Lifting with the forearm pronated (turned inwards)- try lifting with the forearm and wrist in a neutral position.
Work tasks, which are highly repetitive for the elbow, forearm and wrist.
Heavy lifting.
All Rights Reserved Mountain Health & Performance © 2017 | Branding & Design by Max Rivest


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Eyelash Extensions in Southall
LeSalon offers top quality eyelash extensions treatments around Southall, all in the comfort of your own home or office.
How it works
Choose your treatment
Design your perfect treatment. We work with highly trained and vetted professionals to ensure that you are in the best hands.
Pick a time and place
Tell us when and where you want it. We'll forward your request to our expert Salonettes and take care of the matching.
We come to you
Sit back and enjoy your LeSalon experience. Your Salonette will arrive promptly and perform your treatment to perfection.
Why LeSalon?
We're London's premium on-demand beauty service, meaning you tell us when and where you need us, and we'll send a 5-star mobile beauty therapist to you. We offer an extensive range of nail, lashes and waxing treatments for both men and women. Currently, our reach is London Zones 1-4.
- You can book through our app. If you're on the go and need to book your treatment you can do so in 60 seconds.
- Get rewarded when you share with friends!
- All of our therapists are vetted, tested and regularly monitored, so you know the quality of your treatment will be high.
- Our therapists are equipped for the job. They will arrive with the best products to deliver your treatment.
Luxury treatments in the privacy of your Southall home.
Beauty with a mission. Now in Southall.
Our vision is to create a 21st century beauty salon: On-demand beauty services that are accessible and delivered by skilled, certified and insured therapists in homes, hotels and offices. The needs of the modern individual are changing, and we are adapting the delivery of our services to cater to the requirements of your busy schedule. More than that, we are providing a platform for beauty therapists to work on their own terms - choosing what treatments they do, when and where.
On-demand, at-home beauty is quite a new concept, but we've been working away at it for a few years now. We've worked hard to create a platform that connects skilled beauty therapists and busy customers successfully, and can't wait for you to try out LeSalon! We understand that you're busy which is why we want to make it that much easier for you. You can rest assured that your company will be experiencing no less than a 5* treatment – what more could you ask for? If this sounds of any interest to you, make an enquiry with our team who will be able to sort it all out! We've been working away to adapt to the needs of the modern individual and we're proud of what we have accomplished. The dream is to have accessible, fabulous beauty treatments wherever you are in London and it's even better when you can have it in the comfort of your own home.
There's so much more to LeSalon than at-home eyelash extensions treatments. Making sure anyone and everyone can pamper themselves whenever they want is important to us. After all, everyone deserves a little "me-time", right? Not only do our therapists come to you, but all the treatments are performed to the highest standard, so you're bound to feel fully relaxed and pampered. We get it, people are busy, but that doesn't mean you can't fit in a little mani-pedi…especially when our Salonettes come to you! Since launching in 2015, we've provided our lovely customers with fantastic manicures, pretty pedicures, luscious lashes and the smoothest waxes.
What are you waiting for? Get your eyelash extensions in Southall today!
LeSalon in Southall exceeds expectations, every time.
Holly was lovely and very good. Only note is that the manicure was a dry manicure so I don't think it removed all the dry skin properly
Always a delight when I have an appointment with Merisha!
Absolutely fantastic treatment and wonderful service. I would highly recommend Le Salon to any of my friends and family.


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JAMES Jordan is a former Strictly Come Dancing professional and is currently a contestant on ITV's Dancing on Ice. But how old is James Jordan?
James Jordan made a name for himself in the professional dancing world after he joined the popular BBC show Strictly Come Dancing in 2003. But the dancer has now switched out his dancing shoes for ice skates and is competing in the ITV show Dancing on Ice. He was the third contestant to be announced for the ice skating competition.
At first, the announcement sparked some outrage for his dancing background skills.
But the dancer told Radio 5 Live his dance background wouldn't give him any "unfair advantage".
He said: "People are going to probably say I've got an unfair advantage but when I got on the ice, I actually shocked myself how bad I was."
James is dancing on the ice rink with professional dancer Alexandra Schauman.
Source: express.co.uk


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Smartphone case with magnet
Pay & Collect
Submit your order now and collect your items at Biltema {0} in 2 hours!Read more about Pay & Collect
Handy 2-in-1 case with smartphone cover and wallet. Faux leather case and smartphone cover with magnets. With magnet lock and space for 2 cards. The magnets allow the smartphone cover to be used on mobile mounts. Black.


text: I recentely had to reload IL-2. I deleted all files and started fresh. Reloaded the game, all five discs. When I installed 4.01m patch I can no longer fly the F4F. All I get is a black ocean and blue sky. The f4f cockpit has disapeared. I downloaded the patchs from the PF fighters website and I didn't have a problem until I install 4.01m. I used the merged install because I'm fly FB+AE+PF. I don't know whats goin on? I'm sure it's something simple but I can't seem to find it. Thanks, MudMarine


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Sandhams Wine Merchants - Caistor, Lincolnshire, UK Call the sales team: 01472 852 118
See More...
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A dry wine, clean and brilliant. Dark gold colour. Complex floral aroma. Dry flavour but showing some mellowness and evolution. Good finish.
A pale light bodied wine with a distinctive nutty nose. An excellent aperitif, which can also be enjoyed chilled.
An attractive wine which has an orange marmalade nose, light feel at the front of the mouth and a lingering spicy, nutty character. Elegant and well-balanced
With 15 years` ageing, this malvasia is sweet, rich and luscious with bright, with light golden amber nuances. This wine offers a complex aroma of dried fruits, jam, coffee, caramel and some wood. Full in body, rich and smooth ...more
Complex, nutty and waxy with some bright citrus notes. Just off-dry with some freshness.
This Madeira is made solely from Malmsey, one of four classic grape varies on Madeira. Fortified and aged in Estufagem, or dockside warehouses, the wine oxidises, giving it its characteristic colour and flavour.
Intense coffee ...more
A dark, full bodied, very fruity, luscious, fragrant and very rich sipping wine. It is to be savoured as a dessert wine, with rich foods, chocolate, petits fours, with coffee and as a digestive.
Ageing in oak casks has given this dry wine a soft, subtle aroma. A very elegant aperitif with a brilliant fruity flavour
Ageing in oak casks has produced this intensely concentrated and rich wine, with a strong flavour of ripe fruit. Ideal as an after dinner drink
Subscribe to our FREE mailing list to be kept up-to-date with our special offers, exclusive parcels of wine and wine tasting events.
Tel: 01472 852 118 Fax: 01472 852 118
© 2020 Sandhams Wine Merchants. Registration number 04872595
For the facts drinkaware.co.uk
Website by: Open Imagination


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Pausing account
Can I pause my account for time being?
Yes, in order to keep your profile and all data for later use, you can have your account paused.
- Go to Settings → Billing,
- Scroll down to 'DELETE ACCOUNT' section,
- Proceed with 'click here',
- Click 'Pause account $5/user/mo'.
Alternatively, contact support specifying your Woodpecker login.
Details: While your account is paused, sending emails and creating new campaigns is disabled, but you retain full access to all your data: you can review and tag messages in Inbox, update your prospect base and download any entries to a CSV file, as well as review any of your campaigns, and related statistics. These will also update with any new replies from your prospects during the pause.
|What remains functional
|What is disabled
|reviewing and tagging emails
|sending emails
|reviewing statistics, editing emails, editing and downloading prospects
|creating new campaigns
|editing and removing prospects, downloading entries to a CSV file
|adding new prospects
|editing profile and billing data, modifying signatures
|adding or removing Users or Email Accounts
Pricing: When your account is paused, the monthly fee is reduced to $5 per Seat (regardless of your pricing plan). The most recent fee is also discounted from your next standard payment when you come back to full subscription.
For example, an account with 2 Seats was paused for 6 months, with a fee of $10 per month, and "generated" a discount of $10 (2 × $5). The payment will then be $70 (instead of $80) when resuming.More examples »
Note: if you added any Seats in the month before the pause, the payment for these will be postponed until you resume your account. (See: Is it pre-paid or post-paid?)


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Online training supports continuous learning
Continuous learning is also the vital condition of organizations. MPS Prewise is the partner of a learning organization.
Learning must be a natural part of work and business. This is based on the transformation and competitiveness of individuals and organizations. Fortunately, digitalisation helps.
However, organizing a digital learning process requires processes, tools and know-how that do not accumulate in a flash. We at MPS Prewise offer our diverse expertise to your organization.
Do you have a topic that needs to be taught to everyone easily?
We design and implement motivating and interesting online training that supports active learning and meets the needs of the target group.
How is systematic distribution of online training handled?
Do you have several different target groups whose training needs to be monitored and reported? And do you want to do at least some of the online training yourself?
What should be considered when developing e-learning roadmap?
Has your organization already considered the learning framework? Are the available data sources and channels of communication used properly? How to create the best content?
What kind of implementations have we made for our customers?
We design online courses, videos, game implementations and multi-learning solutions for our customers. We also support them to make online courses themselves.
Did you know this?