text: Wednesday, March 27, 2013 Many Practices Cannot Accommodate Patients With Mobility Impairment Authors of an article published this month in Annals of Internal Medicine report that many subspecialists are unable to accommodate patients who use wheelchairs. Researchers enrolled 256 subspecialty medical practices in 5 large US cities (Atlanta; Dallas; Houston; Portland, Oregon; and Boston) in the study. The practices were assigned to 1 of 2 groups: those where transfer from a wheelchair to an examination table is required for adequate care (endocrinology, gynecology, orthopedic surgery, rheumatology, and urology) and those where transfer might not be necessary (otolaryngology, ophthalmology, and psychiatry). The researchers called practices and tried to make an appointment for a fictional patient who was obese (99 kg) and was partially paralyzed on 1 side of the body. The patient used a wheelchair and was unable to self-transfer from the chair to an examination table. The patient could not bring a family member to assist with transfer. More of the practices that would have to transfer the patient to provide adequate care were accessible than those that might not have to transfer the patient to provide adequate care (95% vs 74%). In all, 56 practices (22%) could not accommodate the patient. Nine of these practices said that their buildings were inaccessible, and 47 said that they could not transfer the patient to an examination table. The practices gave different reasons for inability to transfer the patient, including a lack of staff who could perform the transfer (37 practices), a concern about liability (5 practices), and that the "patient was too heavy" (5 practices). Of the 160 practices in the group that required transfer for adequate care, 22 (9%) reported using special equipment for transfer, such as height-adjustable examination tables and mechanical lifts. Another 88 (55%) planned to transfer the patient from the wheelchair to a high table that was not height-adjustable without using a lift. Gynecology had the highest rate of inaccessible practices (44%). The authors call for improved awareness about the Americans with Disabilities Act requirements and the standards of care for patients with mobility impairment. Comments I live in one of those cities and hear numerous comments from my home care patients re diffulty or unable to transfer to an exam table or X-ray table and their concerns that their medical issues were not being adequately addressed. I have also heard from patients that they could not access the restroom at a medical facility or reported insufficient space for a caregiver to assist in typical handicap stall. Posted by CL Schuch on 3/27/2013 11:27 PM


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Brenner Children's pediatric emergency department has moved back to its original location. Learn more
In order to help protect patients, family members and health care workers from the spread of COVID-19, no visitors are allowed at any of Wake Forest Baptist Health's outpatient or inpatient facilities, except in certain situations.Learn moreMore COVID-19 Updates
A torn anterior cruciate ligament (ACL) is a common knee injury, especially for athletes. Ligaments are long, rope-like bands that fasten bones together. The ACL helps give the knee its stability.
Teens who play contact sports (like football) or sports that feature swift, abrupt movements such as pivoting, stopping, or turning on a dime, are most likely to get ACL injuries. People also can tear an ACL when they jump and land with their knees straight or "locked" instead of flexed. This puts pressure on the knee joint and causes the ACL to tear or break apart.
Teen girls are 8 to 10 times more likely than guys to tear an ACL. There are several reasons why, including the fact that girls and guys have different body shapes and limb alignment. Hormones can play a role, too. Female hormones may loosen the ligaments.
ACL injuries can really hurt. They can also lead people to be unsteady on their feet and have difficulty walking. Depending on the person's age and the severity of the injury, a torn ACL often requires surgery in addition to 6 to 12 months of rehabilitation.
The ACL is one of the four main ligaments in the knee joint that connect it to the shinbone (tibia) and thighbone (femur). It's located deep within the joint, behind the kneecap (patella), above the shinbone, and below the thighbone.
The ACL works with the PCL (posterior cruciate ligament), which crosses over it to form an "X." Together, these two ligaments help keep the knee stable when rotating. The ACL keeps the shinbone in place and prevents it from moving too far forward and away from the knee and thighbone.
Here's what most people notice after tearing an ACL:
Many people report hearing a "pop" sound when the ligament tears. Others also report the knee feeling looser than it was before. Sometimes, though, people with ACL injuries don't notice anything different. It all depends on how severe the injury is.
If you injure your knee — whether out on the field or at home — stop all activity to prevent further injury. See a doctor as soon as possible. In the meantime, keep your knee iced and elevated to reduce swelling. Don't put weight on your knee.
A doctor will examine the knee and probably do imaging tests to see how it might be injured and, if so, how badly.
These tests can help diagnose an ACL injury:
Doctors may order X-rays with knee injuries, but that's usually to see if a bone is fractured, since X-rays only image bone. So some doctors will order an MRI, which images tissue (like ligaments and muscles), to confirm a partial or complete ACL tear.
ACL injuries usually need surgery. If a person is still growing, doctors want to be sure the surgery doesn't affect the growth plates — the tissue on the ends of long bones (like the tibia and femur) that allows people to grow.
When someone stops growing, the growth plates harden (ossify) along with the rest of the bone. Doctors also refer to this as the growth plates "closing." Girls tend to stop growing earlier than guys; their growth plates usually close around ages 14 to 15, while guys' growth plates close later, at around ages 16 to 17.
If surgeons think someone is still growing, they will focus on surgeries that don't interfere with the growth plates. For people who have reached skeletal maturity, the surgeon will drill a small tunnel down through the femur to reach the inside of the knee joint. Surgeons replace the torn ACL with tissue from the patient's own body (usually bone from the kneecap and shinbone with tendon in between) or with donor tissue (called an allograft) from the Achilles tendon in the foot. The new ACL tissue is fed through the tibia and femur tunnels and is secured in the proper area with screws or other fixtures.
After surgery, patients will need to use crutches, limit physical activity, and wear a full-leg brace for 4 to 6 weeks, depending on what the surgeon advises.
Recovery from ACL surgery can take from 6 months to a year. Rehabilitation ("rehab") therapy is needed to help heal the knee and to:
Most people do rehab at a center three times a week, with daily exercises they practice at home. Accelerated rehab programs can speed up recovery to 4 to 6 months, though they require more frequent therapy.
In the early stages of recovery, you'll have to wear a leg brace, followed by a knee brace, to reduce the risk of reinjuring the knee. Keeping the knee iced and elevated can help to reduce swelling. Over-the-counter or prescription painkillers and anti-inflammatory medicine can help you deal with the pain and feel more comfortable.
While most sports are off limits — especially the activity that caused the injury in the first place — you might try some low-impact activities like swimming, bike riding, or protected running. Talk to your doctor about what activities might help you; some of these may even count as therapies.
Being told that you can't do the things you love — like running or playing football, field hockey, or softball — can be frustrating. Recovering from an ACL injury may cause you to feel angry or even depressed, especially if you're no longer playing team sports with your friends.
But in the meantime, there are ways to still feel like part of the team. Keeping score, being a coach's assistant, or bringing water to your teammates may help. If you don't want to do these, start something new, like playing the guitar, painting, drawing, or another activity that won't put strain on the knee.
In time, you can do the things you love. If you feel like you're struggling with recovery, consider talking to a counselor for support.
Reviewed by: Alfred Atanda Jr, MD
Date reviewed: October 2012
© 2019 Brenner | Site Policies & Statements
The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

subset: commoncrawl


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"(Hoyt) is someone who has seen state government from every angle, and her experience will be invaluable on that committee," Smith said.
care, and that by taking away a person who is asking those like tough questions may make it easier for them."
"From my perspective, I think they're trying to figure out how they're going to do single payer," Turner said. "And being a former member of that commission, I'm sure she has a lot of information about taxation."
Smith said the composition of the Health Care Committee during the last session wasn't reflective of the partisan make up of the body. The six Democrats, one Progressive, one independent and three Republicans, Smith said, didn't mirror the near super majority status of his party.
Rep. Mary Morrissey, who will be one of two Republicans left on the Health Care Committee, said the change "disrespects" the work that Mitchell and the committee have done over the first half of the session.
That narrow margin led to some very public setbacks last session for the committee's Democratic chairman, who saw his committee go against him on at least one high profile vote.
Rep. Patti Lewis, a Berlin Republican, will move from education to the House Committee on Government Operations. Incoming Democratic Rep. Margie Ryerson, who filled the Randolph seat opened up by the death of Larry Townsend, will be assigned to the House Committee on Energy and Natural Resources. Rep. Rebecca Ellis, a Waterbury Democrat, will take over as vice chairwoman of energy and natural resources, a position formerly held by Cheney.
"I think it's wrong," Turner said. "I just don't like that we're going to have only two Republicans on one of the most important committees in the House right now."
Gone from the committee, Smith said late Friday evening, is Rep. John Mitchell, a Republican from Fairfax now headed to the House Committee on Education. Replacing him is incoming Democratic Rep. Kathy Hoyt, appointed by Gov. Peter Shumlin earlier this year to replace the seat vacated by Margaret Cheney.
Turner said he thinks Hoyt's experience on the Blue Ribbon Tax Commission, the panel that worked in 2009 to try to reform the income and sales tax, is one of the reasons Smith wants her on health care.
Balance shifts on health care committee
Hoyt on the committee, he could have done so without eroding what little representation the GOP has on a panel that will be dealing next year not only with the exchange, but with the seeds of a public financing system for the single payer system Shumlin has said will come online by 2017.
Smith said Hoyt's facility with the tax code is one reason among many she'll be a good fit on the committee.
Darcie Johnston, head of Vermonters for Health Care Freedom, which working to stymie progress toward single payer, said the committee reassignments Nike Air Max 2015 Triple Black underscore the urgency of the opposition.
"Certainly it helps that she was on the Blue Ribbon Tax Commission," Smith said. "But it really is the breadth and depth of her experience."
"It's 6 5 committee right now, and the balance is different than most of the other committees, and that plays a role in the decision," Smith said. "And it's not an easy decision."
the move is designed to make way for a newly minted lawmaker whose "breadth and depth of experience are critically important as we move forward with health care reform."
"I'm very concerned and I'm very disappointed," Turner said late Friday evening. "I think Vermonters will see through this that Democrats don't like tough questions when it comes to health Nike Air Max Tavas Se Black Metallic Pewter
Turner said that if Smith wanted to find room for Nike Air Max Thea Print Black And White
The personnel change comes during the middle of the two year biennium, and isn't the only reassignment Smith confirmed Friday.
Turner said he appreciated that the speaker called him earlier this week to inform him of his plan, and that Smith was willing to work with Republicans in determining which of the three would be sent to the education committee.
"This is a clearly partisan political move to rearrange the deck chairs to get the political result they want of moving single payer health care forward," she said.
Hoyt, who lives in Norwich, has a long career in government that includes stints as secretary of administration under former Govs. Madeline Kunin and Howard Dean. She was a also a member of a three person panel that spent more than a year examining ways to overhaul the state's tax structure.
MONTPELIER The balance of power in the House Committee on Health Care will shift in favor of Democrats next year when House Speaker Shap Smith drops a Republican from the 11 person panel and replaces him with a member of the ruling party.
With his "direct appointment" of Hoyt in September, Shumlin bypassed the conventional nominating process in which the local party committee forwards three names to the governor's desk. Hoyt's predecessor left when she accepted Shumlin's appointment to a seat on the three person Public Service Board.
House Speaker Shap Smith said Nike Air Max Thea Mens
House Minority Leader Don Turner, however, said the shake up amounts to partisan maneuvering designed to undermine the influence of the GOP as the Democratic supermajority prepares to face tough questions over the troubled roll out of the new health insurance exchange.
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What makes shoes vegan?
Vegan-friendly shoes are manufactured without any animal materials with includes cow hide, suede, reptile skin, sheepskin and also silk. Pleather is typically made from polymers affixed to a cotton backing, whilst synthetic suede is created from manufactured microfibres. Beyond Skin vegan shoes and boots are manufactured using luxurious Italian vegan leather, 100% recycled vegan suede, cream lacquered resin soles, recycled faux leather lining with a plant polymer coating, and a selection of vintage-inspired woven materials.
Are vegan shoes eco-friendly?
The majority of vegan leather is made from plastic and cotton, and even though plastic is not without its environmental flaws, when compared to the environmental impact of leather tanning, we believe vegan leather manufacturing is the lesser of two evils. Animal hide is tanned using potent chemicals in countries with minimal health and safety regulations for workers, and poor environmental standards. One of the chemicals frequently used for tanning called chromium is listed as one of the top ten biggest global pollution problems. Whereas textile technology is always advancing, with trailblazing fabrics made from sustainable currently in development. Overall, we feel synthetic leather is a more environmentally-conscious alternative to leather.
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Document data
Protocol: ARCIC-sf-16D
Dated: 1976
Meeting: Venice, 24 August to 2 September 1976
Lambeth Library: ARCIC/1/SUPP/16
ARCIC-I (Study papers)
Persistent link
This persistent link may be used in print publications to link to this document.
Protocol numbers
Many of the documents in this collection have been assigned a protocol number, eg. ARCIC-44. These simply indicate that the document was distributed to the commission members. They do not signify provenance.
Copyright in minutes, statements and other core papers is owned by the respective Commission. Requests for extensive quotation or use should be directed to the co-Chairs. Copyright in papers by named authors remains with the author.
Send your contributions or corrections to editor [at] iarccum [dot] org


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Wednesday is an auspicious date: 12/12/12 on the calendar, numerologically and astrologically significant, and an easy-enough date to remember as an anniversary or birthday. Lisa Brashear and Sean Kluesner will tie the knot at 12:12 p.m., two of likely thousands of people worldwide who will marry on the last triple-digit date of the century.
"Our running joke is that we picked that date because we wanted to be married before the end of the world," said Brashear, a nod to the next celestially big-deal day of the month, Dec. 21 — the Mayan Long Count Calendar's purported last day of humanity.
Brashear, 29, and Kluesner, 40, said the commitment to a date was mostly about convenience. They had planned to marry someday, but when they saw a wedding-package deal offered by Devil's Thumb Ranch in Tabernash — 12 couples to marry at 12:12 on 12/12/12 for $1,200 — it was a no-brainer.
"We didn't have to do any planning — just show up with a ring and a marriage license," Brashear said.
And there's a fringe benefit, she said: "It will be an easy day for Sean to remember."
Other couples will line up at Las Vegas wedding chapels Wednesday as insurance for a lucky start to a new marriage. Likewise, some women have scheduled cesarean-section births to give their offspring a head start — at least numerologically.
Even Pope Benedict is taking advantage of the lucky day, scheduling his much-awaited first tweet for 12/12/12 — although, to be fair, no one has determined whether numerology influenced the holy man's entrance to the Twittersphere.
This is pretty much the last chance at a triple-digit anything for a lifetime. Jan. 1, 2101, won't roll around for 88 years, and it will be another millennium before the arrival of Dec. 12, 3012.
For many, that makes Wednesday special.
"It's some sort of phenomenon," said Tim Johnson, co-owner of the Shining Lotus Metaphysical Bookstore in Denver. "Mostly, it's the auspiciousness of the number. People are looking for that to tie in to whatever is happening in their lives."
There will be a psychic fair at the store Wednesday, with two periods of meditation, and everything in the store will be 12.12 percent off. Businesses such as About Time Fitness in Englewood are offering one-day specials, $12 a month for 12 months.
The No. 12, according to tarot reader Mario Veo of Denver, is one of the perfect numbers, and the triple-digit date reduces to 3/3/3, which is number of divine perfection.
And in the world of astrology, the 12th House is the departure point — the last house in the zodiac before a new phase starts, according to Denver astrologist Mo Abdelbaki.
"It's about things changing and transforming," Abdelbaki said.
Finishing the old, entering the new.
Embracing possibilities.
Abdelbaki has no patience for those who link this date with the Mayan prediction of doom and disaster for Dec. 21.
"There is no connection," he said. "They're glomming that onto the whole 12/12/12 thing."
Like NASA scientists, who caution that all this talk about the end of the world is scaring children, Abdelbaki dismisses all that talk as baseless fear-mongering.
For him, 12/12/12 is about all things good.
"It's about celebrating life," he said. "I believe in being happy. This won't happen again in this century."
And if you're up to a toast to the day, Colt & Gray restaurant in Denver has worked up a cocktail — with a 12-year-old Panamanian rum as its base.
Colleen O'Connor: 303-954-1083, email@example.com or twitter.com/coconnordp


text: Thursday, March 14, 2013 Call for CSM Steering Group Members In 2011 and 2012, a CSM Review Work Group evaluated roles, responsibilities, and decision-making authority for the development of the Combined Sections Meeting (CSM). Out of that work emerged a recommendation for a CSM Steering Group to provide high-level oversight and guide innovation of the meeting. A 13-member CSM Steering Group has been established, with the initial 10 members selected from the original work group. This call is to identify 3 at-large members to complete the new CSM Steering Group. For more information on the CSM Steering Group, contact Dena Kilgore. The deadline for this call is April 1. Interested APTA members should respond to the call by completing a volunteer interest profile found on the Volunteer Interest Pool webpage. The first step is creating a profile for service. After submitting the profile, to be considered for current volunteer opportunities, members must then access the "current opportunities for service page," select "CSM Steering Group," and respond to the questions specific to the group. Comments The link to the VIP seems to not be working. I would like to apply. Any help would be wonderful - Beth Posted by Beth Jones on 3/18/2013 3:33 PM Beth: The link in the above story appears functional: linking to the login page before redirecting to the VIP profile page. Try logging out and logging in again. If that doesn't work, please contact Member Services. http://www.apta.org/ContactUs/ Posted by News Now Staff on 3/18/2013 5:56 PM


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While LPL Financial (LPLA) hosts its annual conference for about 3,000 advisors and 900 other guests this week in San Diego, financial analysts and industry experts are wondering how soon the independent broker-dealer and RIA custodian will take the initial steps of starting its own bank.
But in a statement shared with ThinkAdvisor on Monday, the IBD says it's in no hurry to get such operations under way: "At this time, there has been no decision made or plan to either purchase or start a bank. It could be something we assess in the future. But like any significant initiative, we would explore such an idea in a comprehensive and diligent manner that would allow us to develop an informed view of the best approach. We are not at that stage yet."
Speculation about such plans surfaced on Wednesday, when LPL said one of its two private-equity partners, Hellman & Friedman, was distributing its remaining 12.6 million shares of LPL common stock to its partners. Its other private-equity sponsor, TPG, distributed 4 million of its shares in LPL, leaving it with about a 17% stake in the IBD.
"The ongoing reduction of Hellman & Friedman and TPG's respective ownership stakes has been a natural and expected part of LPL Financial's maturation as a publicly traded corporation," said LPL Financial Chairman and CEO Mark Casady, in a press release. "These latest distributions underscore how far LPL Financial has come since their initial investment [in 2005]. We are well positioned going forward due to the strength of our business model and industry leadership position."
With these moves, Hellman & Friedman gave up two seats on LPL Financial's board of directors occupied by Allen Thorpe and Jeffrey Goldstein. The IBD also became better positioned to begin setting up its bank operations.
By reducing the ownership percentage of the private equity holders to below 25%, "[W]e believe that LPLA could start a bank subsidiary which could generate higher returns on client cash than the firm's existing outsourced deposit program," said Keefe, Bruyette & Woods equity analysts Joel Jeffrey and Michael Needham, CFA, in a report issued Wednesday.
The analysts estimate LPL's bank could generate roughly $420 million of incremental pretax income in what they call a "normalized" 200-plus basis-point interest rate scenario vs. LPL estimated $200 million of incremental pretax income in such a scenario in its current cash program.
Careful Consideration
On a July 31 conference call with analysts, Casady said that "a bank is the new area for us to think about … It could be highly accretive and so forth."
However, the CEO acknowledged that such operations "would bring us a new regulator and bring us some other activities that we want to understand better."
Still, he said, having a bank would "certainly give us more capabilities for our advisors … so that could be very helpful to us in terms of growing the business and helping them."
Such a bank, Casady explained, would focus on handling deposits from cash sweeps "and then having a very safe and rather boring portfolio that would allow us to pick up the spread."
LPL Financial has some $6 billion in deposits "that are in money funds today for retirement accounts that were precluded from [being put] into bank sweep programs. We know from our advisors, their clients would actually prefer to be in bank sweep programs for the FDIC coverage," the executive noted.
Again, if LPL had such a bank, "an exemption that would allow you to basically move those sweep — those monies — into the bank. As you couldn't do that overnight, it would take you several years to build the capital base and move those monies, but that would be a perfectly smart reason to think about why you would do it …"
The KBW analysts emphasize that although owning a bank "would change the structure of the company and increase its need for capital meaningfully, we believe the incremental earnings could be compelling."
LPL and the experts that follow it, though, believe the IBD is in no rush to launch such operations.
Check out Going Mobile: LPL Announces Sweeping Tech Changes on ThinkAdvisor.


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Brenner Children's pediatric emergency department has moved back to its original location. Learn more
In order to help protect patients, family members and health care workers from the spread of COVID-19, no visitors are allowed at any of Wake Forest Baptist Health's outpatient or inpatient facilities, except in certain situations.Learn moreMore COVID-19 Updates
Most kids steadily gain weight and grow quickly within the first few years of life. But in some cases, kids don't meet these expected standards of growth. When this happens, it's called "failure to thrive."
Doctors say children "fail to thrive" when they don't gain weight as expected. Often, these kids also have poor linear (height) growth.
Many things can cause failure to thrive, including illnesses and eating problems. Once doctors find the cause of the problem, they can work with families to help get a child back into a healthy growth pattern.
Although it's been recognized for more than a century, failure to thrive lacks a clear definition, in part because it's not a disease or disorder itself. Rather, it's a sign that a child is undernourished. In general, kids who fail to thrive don't receive or cannot take in, keep, or use the calories that would help them grow and gain enough weight.
Doctors usually diagnose the condition in infants and toddlers — an important time of physical and mental development. After birth, a child's brain grows as much in the first year as it will grow for the rest of a child's life. Poor nutrition during this period may have lasting harmful effects on brain development.
Most babies double their birth weight by 4 months and triple it by age 1, but kids who fail to thrive usually don't meet those milestones. Sometimes, a child who starts out "plump" and seems to be growing well may gain less weight later. After a while, height growth may slow as well.
If the condition continues, undernourished kids might:
A number of things can cause failure to thrive, including:
Sometimes a mix of medical problems and environmental factors leads to failure to thrive. For instance, if a baby has severe GER and is reluctant to eat, feeding times can be stressful. The baby may become upset and frustrated, and the caregiver might be unable to feed the child enough food.
Other times, doctors aren't sure exactly what causes the problem.
Many babies go through brief periods when their weight gain levels out, or they even lose a little weight. This is not unusual. However, if a baby doesn't gain weight for 3 months in a row during the first year of life, doctors usually become concerned.
Doctors use standard growth charts to plot weight, length, and head circumference, which are measured at each well-child exam. Children may have failure to thrive if they fall below a certain weight range for their age or fail to gain weight at the expected rate.
To see if there's a problem, doctors will ask for a child's detailed health history, including a feeding history. This helps doctors see whether underfeeding, household stresses, or feeding problems might be to blame. A nutritionist or other health care professional also may track the calories in a child's diet to make sure the child is getting enough.
Doctors might order tests (such as a complete blood count or urine test) to check for underlying medical problems. If a particular disease or disorder is suspected, the doctor might order other tests to check for that condition.
Treatment for kids who fail to thrive involves making sure that the child gets the calories needed to grow and addressing any underlying feeding issues. This often requires the help of a care team that may include:
Usually, kids who have failure to thrive can be treated at home along with regular doctor visits. The doctor will recommend high-calorie foods and may place an infant on a high-calorie formula. Depending on the child's feeding habits, doctors may recommend offering foods of certain textures, spacing out meals to make sure children are hungry, avoiding "empty" calories like juices and candies, and other strategies depending on the child's condition and family situation.
In cases of severe failure to thrive, a child who is not growing with initial treatment may need tube feedings. In tube feedings, a tube is put in that runs from the nose into the stomach. Liquid nutrition is provided at a steady rate through the tube and is usually given at nighttime only. The child can continue with daily activities and eat freely during the day. Once he or she starts getting more calories, the child will feel better and will probably start to eat more on his or her own. At that point, the tube can be removed.
Children with extreme failure to thrive might need to be treated in a hospital. There, they will be fed and monitored around the clock for 10 to 14 days (or longer), until they gain some weight. After that, it still can take months until the symptoms of severe malnutrition are gone.
How long treatment lasts can vary. Weight gain takes time, so it might be several months before a child is back in the normal range. When the condition is due to a chronic illness or disorder, kids may have to be monitored regularly at their doctor's office. In those cases, treatment may take even longer, perhaps for a lifetime.
If you're worried that your child is failing to thrive, remember that many things can cause slower weight gain. For instance, breastfed babies and bottle-fed babies often gain weight at different rates in the early newborn period.
Genetics also play a big role in weight gain. So if a baby's parents are slim, the baby may not put on pounds quickly. However, infants should still gain weight steadily. As a general guideline, babies usually eat often in a 24-hour period and should gain about 1 ounce a day in the first month of life. It can be hard to judge this from home (even if you have a scale), so it's important to see your child's doctor regularly. Doctors can check for problems at regular well-child checkups, so it's important to keep these appointments.
If you notice a drop in weight gain or your baby doesn't seem to have a normal appetite, call your doctor. Also call about any major change in eating patterns. Toddlers and older kids may have days and sometimes weeks when they show little interest in eating, but that shouldn't happen in infants.
If you have trouble feeding your baby, your doctor can help. When a child doesn't readily eat, parents can become frustrated and feel they're doing something wrong. That can make the problem worse, causing stress for you and your baby. Instead, get help for both of you by talking to your doctor.
Reviewed by: Rupal Christine Gupta, MD
Date reviewed: November 2014
© 2019 Brenner | Site Policies & Statements
The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.


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Real Madrid 3 – 1 PSG | Cristiano Ronaldo Brace Sink Les Parisiens | Internet Reacts
Source: Real Madrid 3 – 1 PSG | Cristiano Ronaldo Brace Sink Les Parisiens | Internet Reacts
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The following transit lines have routes that pass near Shriram Spandhana
Click on the Bus route to see step by step directions with maps, line arrival times and updated time schedules.From Mantri Square, Gandhi Nagara 79 min
The closest stations to Shriram Spandhana are:
These Bus lines stop near Shriram Spandhana: 334B.
Wondering how to get to Shriram Spandhana in Bengaluru, India? Moovit helps you find the best way to get to Shriram Spandhana with step-by-step directions from the nearest public transit station.
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Looking for the nearest stop or station to Shriram Spandhana? Check out this list of stops closest to your destination: Bnagasandra.
You can get to Shriram Spandhana by Bus. These are the lines and routes that have stops nearby - Bus: 334B
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This month Greenpeace ship Arctic Sunrise embarked on a month-long expedition in the icy Arctic as part of our new campaign to save the pristine region. The ship began by launching from Svalbard, Norway, 78 degrees north of the equator and brought with it musical talent Hu Haiquan from China. HK activist Fred Lam also had a strum of the guitar. Greenpeace is campaigning for a global sanctuary to be declared around the uninhabited area of the North Pole.
© Alex Yallop / Greenpeace
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It sounds as though a band of banshees is whooping it up outside our door. No longer are the distinctive, ghostly roars of the howler monkeys coming from deep in the rainforest, they are right outside our cabin. We lie in bed, beneath our bug net, grateful we'd decided to pull the louvred doors closed the night before, after awakening that day to small animal droppings strewn across our floor.
A visit to the Playa Nicuesa Lodge on Costa Rica's South Pacific shore is a thrilling experience, but not one for those squeamish about bugs, poisonous snakes and brazen howler monkeys. The lodge can only be accessed by boat.
There are no roads to the outside world, no quick dashes to a nearby hospital in case of snakebite. This is the rainforest, and the lodge is established as a place to experience all that it has to offer.
Sure, you could spend your time reading novels while lounging in a hammock, splashing in the warm waters of the Pacific's Golfo Dulce and fishing off the dock for red snapper. No one will mind. But to appreciate Playa Nicuesa at its best, you should venture farther afield.
To help do that, the lodge employs a group of friendly, knowledgeable and English-speaking guides who, because of its isolation, live on-site. To escape for some R&R, the guides, too, must take the resort's boat and cross the bay to Puerto Jimenez or Golfito, where you can catch a plane.
Erick Cruz Correa is one such guide, a serious 34-year-old who takes deserved pride in his expertise on the plants and animals on the lodge property, which abuts Piedras Blancas National Park.
During a forest walk around the 165-acre resort, Erick stops frequently to explain the uses of various plants: how a tea made from the piperacea can be rubbed on the skin to fight infection, or how juice from the noni alleviates indigestion and flushes the system.
The ebullient bartender Jonathan Gonzales not only creates fabulous local drinks, he also volunteered his time one evening to take a small group on a late-night stroll, flashlights in hand, to seek out the resident caiman and crocodile, which like to spend their evenings at the lagoon where it enters the ocean.
Freiman Venegas Zuniga and Juan Diego Soto lead us one day to a pristine waterfall in the national park where, after the steamy trek, we gratefully slip into the refreshing pool that forms at its base. On the way back we hike through an old plantation once operated by the family who owned the property before selling it to Americans Michael and Donna Butler.
The Butlers left New York, where he was an urban planner and she designed urban spaces, to set up Playa Nicuesa in 2003 as a true sustainable preserve. "Sustainable" and "eco-friendly" are the current buzzwords that drive Costa Rica's burgeoning tourist industry, but dig just beneath the surface and often you'll find little action to back them up.
The Butlers' enterprise is one of the exceptions. They generate their own electric power but keep the lights down low, have no electronic gadgetry such as TVs and Internet and built their all-wood resort from either naturally fallen or farm-grown wood.
There are 19 woods used in the resort's construction, all from the region, including almond, teak and eucalyptus.
Ingredients for the truly gourmet meals, prepared by chef Edixon Lazcano, are either grown on-site or purchased at a nearby market.
"People are fascinated with the tropics," says Michael Butler. "They want to live simply, live healthy, have an active lifestyle. There's a fascination with getting in touch with nature. The fact that it's reachable only by boat makes it more attractive."
Donna Butler says many guests have been inspired to return to Playa Nicuesa in order to do volunteer work in the area. The lodge is small and will remain so. There are four rooms in the Mango House and five cabins -- three single-room and two double -- located throughout the property. The lodge can be booked for conferences or family gatherings and with extra beds for children can accommodate about 25 people.
Each cabin comes with an oversized open-air shower, the water from which helps irrigate a little indoor garden. Don't worry about losing your room key -- there isn't one.
Guests come to the soaring, open-air main lodge for communal meals. The table groans with fresh fruit, vegetables and fish. There's lots of Costa Rican coffee and teas all day long. After dinner, guests linger a while to socialize but with a long, active day under their belts they soon drift back along the path to their cabin or room. Better get some sleep: those howler monkeys will be rousing you from bed before you know it.
- Where: Playa Nicuesa Rainforest Lodge is on the Golfo Dulce/Osa Peninsula.
When to go: Playa Nicuesa is closed from Oct. 1 to Nov. 15. High season runs from Nov. 16 to April 30, but it can still be very rainy into early December. The rainier "green season" runs May 1 to Sept. 30.
- How to get there: Air Canada has regular daily flights to San Jose, Costa Rica. From there, fly to Puerto Jimenez or Golfito on Nature Air (www.natureair.com). There, a Playa Nicuesa representative will meet you for the boat trip to the resort.
- Cost: High-season rates start at $180 per person per night for a Mango House suite and $200 for a private cabin, including all meals and some activities. Activity packages are available or tours and yoga/massage can be purchased individually.
- Other activities: Grab a kayak and visit Casa Orquidias private botanical garden; go horseback riding or mountain biking; charter a day-long fishing expedition; take the mangrove boat tour to see the boas hanging from the branches under which you pass; snorkel; windsurf; sign on for an edible landscaping lesson and help chef Edixon Lazcano prepare dinner.
For more information: Go to www.playanicuesa.com
- Bartender Jonathan's favourite drink: This is a traditional Costa Rican drink, similar to a dark mojito.
Ingredients: the local Centenario Conmemorativo brand dark rum, quartered fresh limes, two or three teaspoons of brown sugar, crushed ice, sprinkle of cinnamon.
Pour 1.5 ounces of rum into a large, sturdy glass. Fill the glass three-quarters full with quartered limes. Crush the limes with a pestle, being careful not to crack the glass (even Jonathan sometimes does). Add two or three teaspoons of brown sugar. Fill glass with crushed ice. Sprinkle with cinnamon.


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Five-Part Weekly Series is Produced by Jonathan Hock and Roger Bennett; First Episode Will Air on May 13 on ESPN
CHICAGO (March 9, 2014) – ESPN will premiere a new series "Inside: U.S. Soccer's March to Brazil" this spring, focusing on the U.S. Men's National Team as it prepares for the upcoming 2014 FIFA World Cup in Brazil.
The multi-part documentary series from ESPN Films, the production group behind 30 for 30, will air weekly beginning May 13 (full schedule to be announced), and episodes will also air on ABC following their ESPN premieres.
"Inside: U.S. Soccer's March to Brazil," produced by Jonathan Hock and Roger Bennett, will provide a never-before-seen perspective from inside the training camp of the Men's National Team as the players prepare for the most anticipated sporting event in the world.
Led by head coach Jurgen Klinsmann, a World Cup champion as a player and former coach of the German National Team, the U.S. is coming off the most successful year in its history, and now the group of experienced veterans and inspired young talent will face a colossal challenge after being drawn into the tournament's "Group of Death" against Ghana, Portugal and Germany.
"We know there will be enormous interest surrounding this team as the World Cup approaches, so we're focused on providing an in-depth look at how the players deal with the stakes of preparing for soccer's biggest stage," said Connor Schell, VP and executive producer, ESPN Films and Original Content. "The breadth and variety of content offerings across ESPN platforms leading up to and during the tournament will give soccer fans a chance to feel close to the action, and 'Inside: U.S. Soccer's March to Brazil' is intended to capture the mental and physical demands of the U.S. players giving viewers a truly unique perspective."
The series will follow the coaches and players, including Clint Dempsey, Landon Donovan, Tim Howard and Michael Bradley, as they endure a demanding preparation camp and play three international matches before their departure for Sao Paulo.
"We have always said that the National Team should represent the culture of the country, and the fans play a big part in that," said Klinsmann. "We are going to work extremely hard to get this group prepared to do something special in Brazil, and we are excited to work with ESPN to allow our supporters the opportunity to see the tremendous effort our players and staff will put in to get ready."
Committed to challenging the team against the best in the world, Klinsmann has led the USA to historic results since taking over as head coach in 2011. During the past two-and-a-half years, the U.S. has won a record-setting 12 straight games at home, put together a 12-game winning streak – the longest in program history – captured the 2013 CONCACAF Gold Cup title, and finished in first place in qualifying for the 2014 FIFA World Cup.
Hock and Bennett make a creative team uniquely suited for this project. Hock is an eight-time Emmy Award winner whose contributions to ESPN's 30 for 30 series include "The Best That Never Was" and "Survive and Advance." Bennett is a writer and a broadcaster with "Men in Blazers" and ESPN who has chronicled the evolution of the U.S. Men's National Team under Klinsmann.
"Since 1994, I have watched with wonder as the U.S. National Team's profile has risen in this country after every World Cup," said Bennett. "The American players are hungry not just for victory, but for respect. That quest gives Jonathan and me an opportunity to capture true human drama, on the pitch and off."
ESPN will also produce additional original scenes from the series to air across SportsCenter and other ESPN platforms including ESPN FC and ESPN.com.


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text: Seafaring tales, old world charm – Melaka City, Melaka ADD TO TRIP PLANNER REMOVE FROM TRIP PLANNER Once an important international trading port, Melaka is now one of the country's most popular destinations. A UNESCO World Heritage City, Melaka is deemed the birthplace of the nation's historical and cultural heritage, with over 600 years of history to its name. Its landmark buildings inherit their unique architecture from British, Portuguese and Dutch influences, a nod to the city's colonial past. Must Do Go on a heritage trail around Melaka City, visiting historical attractions such as Porta de Santiago, Stadthuys and the Baba Nyonya Heritage Museum Look out for great antique finds at Jonker Street and Jalan Tun Tan Cheng Lock Enjoy the beautiful riverside view and see parts of historical Melaka on board the Melaka River Cruise Who To Contact Phone: 1 800 88 9483 / +606-232 8402 Fax: +606-232 8367 Visit website


text: This book of Quaker faith and practice is an attempt to express Truth through the vital personal and corporate experience of Friends. It is largely composed of extracts: a fitting way of expressing the breadth of Quaker theology. It also describes the current structures of Britain Yearly Meeting of the Religious Society of Friends. 'To Quakers, the visible mark of being a 'church' is not conformity to a particular creed, or liturgical or sacramental practice, but the quality of communal life which reveals the extent of the community's willingness to seek and follow the Sprit's call to loving fellowship… 'The book is a treasure-house of psychological and spiritual wisdom… At best, there is an honesty, a toughness and a tenderness that is powerfully impressive.' Rosemary Hartill, The Tablet 'The book's great strength is that it achieves its purpose of expressing the 'soul' of the Quakers… If you want to know what Quakers have said about ageing, AIDS and atonement or about tithes, tobacco and torture, not to mention hundreds of other topics, you will find some illuminating answers here.' Neil Dixon, Methodist Recorder


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5 ways your job is harmful to your health
Find ways to keep work from weighing you down
When you start work at a new company, you become part of the daily culture. You may help shape that culture or you may sit back and get swallowed up by the more dominate personalities and policies around you.
Some people are passionate about what they do and are excited to pop out of bed in the morning, fuel up with a cup of joe and bounce out the door to make a difference in the world. Others hate their existence because of colleagues and tasks but don't want to move on for one reason or another.
Either way, your job could be hurting you. Some have problems striking a balance when it comes to work, others work too hard to fit in, waistlines suffer, other parts of your body suffer and the ethics instilled in you could be compromised.
Read on to find out exactly how your job could be harming you ...
No. 5: Striking that work/life balance
Workaholics come in two forms -- some that love their jobs and can't stop working and some that hate their jobs but aren't allowed to stop working.
If you fall into one of these categories it's likely that the word "balance" isn't in your vocabulary, and if it is, it's probably a dream.
While long hours are great to prove that you belong with the company or deserve that "it's about time" raise, your job may not always be there.
The best way to strike a work/life balance is one step at a time. Loosen the grip a little, take a lunch break, actually leave at 5 p.m. -- at least one day a week.
Once you start to discover the balance, you might want even more. The beauty of it is, once you find balance you may actually be more productive at work, less stressed and happier.
No. 4: Becoming one of the group
It's definitely easy to get pulled in to office gossip and politics, sometimes that's the easiest way to fit in. Water cooler talk can be fun, energizing and empowering, but if you're talking about other people, just bet they are talking about you. That hairball may affect you in the long run.
Co-workers can influence you in other ways -- office behavior and colorful vocabulary, for instance -- and when everyone is grabbing fast food for lunch, it's easy to jump on board every day. Do your heart, and your waistline, a favor and enjoy the grease in moderation.
Happy hour is a great time to unwind and bond with co-workers, but sometimes office mates and gallons of alcohol don't mix.
Be true to who you are and who you want to become and navigating the world of peer pressure may be a little more pleasant.
No. 3: Beware of work injuries
You don't have to be a hardworking construction worker to be affected physically by your job. Lifting a heavy box in your office and twisting wrong can throw your back all out of whack.
Of course, there's the common computer injuries: carpel tunnel from too much typing, neck pain from looking down at your computer screen, tight hips from sitting in an office chair all day and shoulder pain from carrying your laptop or large purse to and from work.
Jobs also bring about stress injuries -- probably the most common are tension headaches and tightened muscles.
To prevent your job from hurting you so severely in this way, remind yourself to take time to stretch occasionally and give your eyes a break from your computer screen. Take a few deep breaths before you dive back in.
No. 2: Management that can't lead
Let's face it, there are a lot of jerks out there and there are a lot of managers and bosses who have no business being in the positions they are. If you pick up on that at your office, every bad decision and every offensive comment they make might drive you a little batty.
Others may be great business leaders but aren't great at communicating exactly what they want or communicating. Dealing with bosses who are micromanagers or who are so hands off that you're doing their job can cause you extra stress on top of the stress you have from producing work.
Sometimes personalities just clash. If you're able to work it out with your boss, assert yourself and get your way, more power to you.
But, if it gets to the point where your boss is just pushing you too far and affecting your health, it might be time to find other employment. It's not worth sacrificing your health for a dumb boss.
No. 1: Compromising your ethics
Ethical compromises come up no matter what type of professional you are: doctor, lawyer, office assistant or journalist. Each profession has either a written or unspoken ethical code. Some people get dangerously close to the line, while others cross it willingly.
If your boss or supervisor wants you to conduct a task that feels ethically wrong and you do it, it can chip away at your soul. If the behavior continues, it can just get worse and become tougher on your conscience.
There's a time and place to bend the rules, but if your gut is telling you there's a problem or it's quite black and white, then you have two choices: go along with it, or say no. Going along with it can be a great short or long term solution and the same goes for saying no -- it all depends on the situation.
Your job may hurt you no matter what -- there are so many ways that can happen. But you know where your line is. As long as you're not crossing your line, you're staying true to yourself.


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Pope Blesses Anti-Gay Uganda Leader
Earlier this month, Pope Benedict XVI blessed the speaker of the Uganda Parliament after she lobbied for the country's anti-gay bill, which originally called for the death penalty for some gay acts and has received widespread international criticism.
As Pink News and others reported, Speaker Rebecca Kadaga, who vowed to pass the controversial measure as a "Christmas gift," was at the Vatican on Dec. 13 to meet the Pope and to attend, of all things, a human rights conference. Kadaga also received a blessing during a mass.
"I think it is something that I will remember all my life. It's a very great moment and I thank God for this opportunity," Kadaga said soon after she met the pope.
The measure is currently before Uganda's parliament. The Associated Press reported that Kadaga is one of its biggest champions.
She has said that the country's citizens "are demanding it" and that gay men and women pose a "serious threat" to Uganda's children. Gay activists fired back at the politician in a petition in which they wrote, "Speaker, we cannot sit back while such (a) destructive phenomenon is taking place in our nation. We therefore, as responsible citizens, feel duty-bound to bring this matter to your attention as the leader of Parliament ... so that lawmakers can do something to quickly address the deteriorating situation in our nation."
Pepe Julian Onziema, a leading Ugandan gay activist, told AP that the support for the anti-gay bill was frustrating. "It's disappointing, but we are also going to seek a meeting with the speaker," Onziema said, adding that it was highly unlikely she would agree to such a gathering.
U.S. President Barack Obama has called the bill "odious."
Uganda's penal code currently bans homosexuality but in 2009 the country's ruling party said there needed to be stricter laws in order to "protect" Uganda's children from the LGBT community.
U.S. Christian Involvement in Bill
One of the biggest supporters of the anti-gay bill is American pastor Scott Lively, who has visited Uganda several times in order to promote the measure. Many observers believe he co-wrote it and was the impetus behind it.
Despite his controversial past MassLive.com, a Western Massachusetts news site, reports that Lively is considering running for governor of Massachusetts. Lively said in early November that he most likely will launch a campaign for the 2014 election.
"I'm probably 90 percent sure that I'm going to do it, but I'm holding back that 10 percent," Lively said. He went on to say that he is not sure, however, if he will run as an independent Republican, or Democrat. "The third option is probably the least likely," and added that he is "greatly dismayed at the breakdown of family and morality" in Massachusetts.
"A lot of people were really happy with the idea," Lively said. "Really, the first step is determining whether the conservative activists will get involved. Because if they don't, you really have no base and no chance."
The Christian evangelist is in the middle of a federal court lawsuit which claims that he committed crimes against humanity in Uganda. The Sexual Minorities Uganda, a gay rights group, is suing Lively. It claims the pastor's ministry "stirred up anti-gay hysteria in the conservative, violence-riddled African nation by speaking there since 2002 on ways to sway gays 'back' to heterosexuality," MassLive notes.
The lawsuit also says Lively conjured up violence against gay activists in the African country but the pastor is confident and says the plaintiffs cannot win.
"I've always said I wouldn't run for public office because I wouldn't want to take the abuse. But I've already taken the abuse," Lively said. "I had a much thinner skin when this all started."
One things' for sure: Lively has been very vocal in his support for Uganda's anti-gay bill. Once the measure was revised and the death penalty was dropped, he wrote a piece for the ultra-conservative website World Net Daily, in which he said that he believes "there may be room for tentative support in the Christian community in the West, even though it retains jail terms for offenders."
He goes on to list reasons why Christians should support the measure and cites the Bible because it "has always defined homosexuality as a crime." He goes on, "the fact is, Ugandan law is typical of most African law in that it tends to be very harsh in the letter, but very lenient in the application. I doubt very much that anyone arrested under the new law (if it passes) will receive anything close to the jail terms allowed for in the bill."
Gay activists in Uganda aren't the only people who oppose Lively. Earlier this month straight blogger Al Stefanelli named him "douchebag of the year," and wrote, "Lively and Co. have been working for years for this award, and is one of the few United States citizens that have successfully lobbied for some of the most hate-filled, bigoted and despicable pieces of legislation against the LGBT community in a foreign country"
Ugandan Views of Homosexuality
In related news, Martin Ssempa, a Uganda pastor who has been a strong supporter of the country's gay death penalty, responded to a local teen on Twitter. "I need help with diapers for many sodomy victims who are no longer continent," was Ssempa's words of help for the confused teen. "Please consider a Xmas donation. Get biggest size."
Ssempa has also infamously told national audiences that one of the common sex acts among gay men is eating human feces.


text: We would like to welcome you to TFP, the webs leading Pool related website. We invite you to please Register to create a new account. Doing this will give you full access to the forums, where you will be able to receive personalized advice concerning your pool. We hope to see you soon!


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Polka Dot Club Cuddling Cat
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Important: Wild and Whimsical Things are unable to take responsibility for any additional taxes or import duties that may occur in transit and/or delivery of our packages. Please contact your local customs (most have information available on their website), who may be able to give you more guidance on what sort of charges you may incur.
Pre-orders and Backorder shipping times
If you placed a pre-order or back order for a product, we are unable to give you specific shipping/delivery times as each brand varies in the time it takes to place the wholesale order and to deliver that order to Wild and Whimsical Things.
We will attempt to give you an estimate, but please keep in mind that it is an estimate only (e.g. some international brands may take longer if there are any issues passing through customs, some products are handmade by other small business owners). Please feel free though, to contact us if you want an update on your order.
If you placed a regular order with your pre order/back order, these items will be set aside and shipped once your pre order/back order product arrives. If you need your regular order before that time, please purchase separately.
Please read the information in the description boxes before making a decision to purchase. If you have any questions, make sure you contact us to clarify before purchasing. You can contact us via email or phone: email@example.com or +61 427 183 399.
Exchange & Refund Policy
We can offer a change of mind on purchases (at our discretion), provided you contact us within 14 days of receiving your order, the products are returned in an unused, unworn and resalable condition with all tags and labels intact (including original packaging). If your item is faulty, please do not send your purchase back to the manufacturer, contact us via email or phone to arrange an exchange/refund - email@example.com or +61 427 183 399. We are unable to provide refunds for gift cards if you change your mind.
You will need to provide a copy of the valid receipt with the returned product.
Please see our more detailed policy at www.wildandwhimsicalthings.com.au/return-refund-and-exchange-policy, where you will also find information regarding the process to return the products to Wild and Whimsical Things.
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Windshirts and Vests
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Logo Pullover
Like other logo apparel, a promotional pullover wind shirt is a functional way for companies in all industries to promote their brand. That's because employees often feel more loyal to a company after wearing clothing imprinted with their logo. Similarly, logo apparel – such as a promotional pullover wind shirt – may help to generate customer goodwill amongst an organization's target audience. A promotional pullover wind shirt, in particular, is a highly practical gift or giveaway. In general, wind shirts are defined as lightweight, thin coats that recipients wear over their other clothing to stay protected from high winds or light rain. There are many different styles of logo pullovers available. Promotional products purchasers can find jackets that zip up or select a promotional pullover wind shirt that recipients can pull on and off over their heads. Shoppers can also determine whether your not to select a windbreaker that features a hood for added protection.
Custom Pullover Jacket
Despite these personalization options, many of our windbreakers feature a drawstring around the waist, which wearers can adjust to secure their jackets closely around their bodies, ensuring that they stay dry and warm. Furthermore, most windbreakers are made from synthetic material, such as polyester. There are many benefits to distributing a promotional pullover wind shirt made from polyester. When compared to other materials, polyester provides better insulation from cold weather. In addition, this synthetic fiber is also known for being incredibly durable – which means that a logo will not fade or unravel over time - and wrinkle resistant. A wrinkle resistant promotional pullover wind shirt would make a great gift for an employee who travels a lot for work. Not only will it keep them protected from the rain and wind while on the road, but, similar to promotional travel items, it will also help them to promote their company across the country.
Promotional Pullover Wind Shirt for a Company Event
In addition to distributing a promotional pullover wind shirt to employees who represent your company on the road, you can also use these apparel items as giveaways at company events closer to home. One idea is to give away custom pullover jackets as hand outs at a company picnic. This way, recipients will stay warm and dry even if there is any inclement weather. Another idea is to distribute branded pullovers to all participants in a company-sponsored golf tournament.
A Promotional Pullover Wind Shirt Produces High ROI
No matter how you choose to distribute a promotional pullover wind shirt, a recipient is sure to love this practical item. In fact, recipients are likely to wear them outside of corporate events, too, such as to the gym or even while running errands around town. As a result, it's not only the recipients who will take note of the logo imprinted on their promotional pullover. Friends, family members, and passersby will also see the distributor's advertising message, making a promotional pullover wind shirt a functional item both for the recipient - and for your company.


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Whether you're looking for tasty topside joints or succulent sirloin steaks, you'll find what you need in our range of organic beef. We make it easy for you to order fresh organic produce online and we take great pride in selecting the best cuts for our customers.
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You can rest assured that our beef is reared and produced using generations of authentic Welsh farming knowledge. We only use the highest quality cattle, including the increasingly popular Welsh Black Beef. Our organic products have even won the Great Taste and True Taste Awards over the last 10 years.
Get fresh produce delivered straight to your door and give your taste buds a treat.
Organic beef has many benefits that make it a better alternative to processed meat. Not only is it completely free of unnecessary additives, it also contains nutrients that are very good for you. It's much friendlier to local wildlife and the surrounding environment too. Some other advantages are:
• Increase in natural habitats
• Better soil condition
• Healthier food production
• Increased biodiversity
It's time to abandon industrially processed meat and invest in premium organic products. Our delicious beef is packed with flavour and goodness, and you really will be able to taste the difference. See our collection of yummy beef recipes and start experimenting with wonderful flavours.
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Items 1-9 of 14


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Czech Republic based Python developers and those further afield join in collective delight this week as JetBrains releases PyCharm 3.0 into the wild in both community (yes that means free) and professional editions.
The PyCharm IDE features Pyramid and web2py web frameworks support, new refactorings, support for SQL in Python strings, an embedded terminal, improvements in core Python and Django code intelligence, as well as other handy tools for productive development with Python.
NOTE: Pyramid (as mentioned above) is a small, fast, "down-to-earth" Python web application development framework developed as part of the Pylons Project licensed under a BSD-like license.
It just came naturally…
JetBrains says its decision to release an open-source edition of PyCharm just "came naturally"; the community edition will come with a set of intelligent language features to promote productive and error-free development when using Python for lightweight coding or scripting tasks.
"With the open-source release of PyCharm Community Edition, we are looking out for those who are just starting to learn programming. We want them to have access not only to a great language, but also to a great IDE that can guide them through their first development steps, and help them spot and fix their mistakes on the fly," said Dmitry Jemerov, JetBrains CTO. "At the same time, developers using Python in their daily work will appreciate the advanced features in the full Professional Edition of PyCharm."
The key features of PyCharm 3.0 include full-featured embedded local terminal (Community & Professional), configurable language injections (Community & Professional), SQLAlchemy support (Professional only), Pyramid and Web2py support (Professional only), Improvements in Python and Django code intelligence (Partially Community & Professional), new Python Refactorings (Community & Professional), and duplicate code detection tool (Professional only).


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Brenner Children's pediatric emergency department has moved back to its original location. Learn more
In order to help protect patients, family members and health care workers from the spread of COVID-19, no visitors are allowed at any of Wake Forest Baptist Health's outpatient or inpatient facilities, except in certain situations.Learn moreMore COVID-19 Updates
Stem cells are cells in the body that have the potential to turn into anything, such as a skin cell, a liver cell, a brain cell, or a blood cell. Stem cells that turn into blood cells are called hematopoietic (heh-mat-uh-poy-EH-tik) stem cells. These cells are capable of developing into the three types of blood cells:
Hematopoietic stem cells can be found in bone marrow (the spongy tissue inside bones), the bloodstream, and the umbilical cord blood of newborn babies.
A stem cell transplant (sometimes called a bone marrow transplant) can replenish a child's supply of healthy hematopoietic stem cells after they have been depleted. It's used to treat a wide range of diseases, including cancers like leukemia, lymphoma, neuroblastoma, Wilms tumor, and certain testicular or ovarian cancers; blood disorders; immune system diseases; and bone marrow syndromes.
Transplanted hematopoietic stem cells are put into the bloodstream through an intravenous (IV) line, much like a blood transfusion. Once in the body, they can produce healthy new blood and immune system cells.
The two main types of stem cell transplants are autologous (aw-TAHL-uh-gus) and allogeneic (al-uh-juh-NEE-ik). The type of transplant needed will depend on the child's specific medical condition and the availability of a matching donor.
Stem cell transplantation is a very complex process that may span several months. A team of doctors is usually involved in determining if a child is a candidate and, if so, whether the transplant will be autologous or allogeneic.
For an allogeneic transplant, a compatible donor will be sought among family members or through a national registry of volunteers. Once a match is found, the donor's stem cells will be harvested. Three different types of hematopoietic stem cells can be collected or harvested:
While all three types can replenish a patient's blood and bone marrow cells, there are advantages and disadvantages to each. The doctor will suggest the best type of stem cell for your child's illness.
The next step in the transplantation process is conditioning therapy, which kills unhealthy cells (like cancer cells) to make room for stem cells to grow and/or weakens the immune system so that there's less chance of the body rejecting the new cells.
One type of conditioning therapy delivers high doses of chemotherapy and/or radiation to kill cells, destroy the bone marrow, and weaken the immune system. Most kids will get this type of therapy. Another type of conditioning therapy delivers lower doses of chemotherapy, radiation, or another treatment to weaken the immune system. The doctor will decide which type of conditioning therapy is best.
Soon after the conditioning phase, the transplant itself will be done through intravenous (IV) infusion, and healthy stem cells will be introduced to the child's body. After the infusion, the child will be watched very closely to make sure the new stem cells are settling into the marrow and beginning to make new blood cells (called engrafting). Doctors will watch for any signs of rejection as well as graft-verses-host disease in kids with allogeneic transplants.
Engrafting takes an average of 2 weeks, but can be as quick as 1 week or as long as 6 weeks. Your child will receive medicines to promote engrafting and prevent rejection and graft-versus-host disease.
Kids who receive stem cell transplants have a high risk of infection. During conditioning therapy and while the transplant is engrafting, their immune systems are weakened and unable to fight bacteria and other germs that enter the body. Children who receive an allogeneic transplant have an even greater risk of infection because they require medicines to further suppress their immune systems to reduce the chance of rejection.
Because of these risks, a child who's had a stem cell transplant will not be released from the hospital until doctors are sure the transplant has successfully engrafted and the child is otherwise doing well.
Once released, a child needs very close monitoring and follow-up care. School and other public indoor areas may be off limits for 3 months to a year, and other places might be restricted as well. This is because for kids with a compromised immune system, even a simple infection like a common cold can be serious and even life-threatening if untreated.
The stress of having a child who is being treated for cancer or another serious condition can be overwhelming for a family. That stress can grow when treatment requires a long "isolation period," as is necessary with a stem cell transplant.
To find out what support is available to you and your child, talk to your doctor, a hospital social worker, or child life specialist. Many resources are available that can help you get through this difficult time.
Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: August 2015
© 2019 Brenner | Site Policies & Statements
The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.


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Brenner Children's pediatric emergency department has moved back to its original location. Learn more
In order to help protect patients, family members and health care workers from the spread of COVID-19, no visitors are allowed at any of Wake Forest Baptist Health's outpatient or inpatient facilities, except in certain situations.Learn moreMore COVID-19 Updates
Pools, lakes, ponds, and beaches mean summer fun and cool relief from hot weather. But water also can be dangerous for kids if parents don't take the proper precautions. Nearly 1,000 kids die each year by drowning. And most drownings happen in home swimming pools. It is the second leading cause of accidental death for people between the ages of 5 and 24.
The good news is there are many ways to keep your kids safe in the water — and make sure that they take the right precautions when they're on their own.
Kids need constant supervision around water — whether the water is in a bathtub, a wading pool, an ornamental fish pond, a swimming pool, a spa, the beach, or a lake.
Young children are especially at risk — they can drown in less than 2 inches (6 centimeters) of water. That means drowning can happen where you'd least expect it — the sink, the toilet bowl, fountains, buckets, inflatable pools, or small bodies of standing water around your home, such as ditches filled with rainwater. Always watch children closely when they're in or near any water.
If you're not a swimmer yourself, it's a good idea to take lessons and learn how to swim. And kids over 4 years old should learn, too (check the local recreation center for classes taught by qualified instructors). Kids who are younger (but older than age 1) also might benefit from swimming lessons, but check with your doctor first.
Don't assume that a child who knows how to swim isn't at risk for drowning. All kids need to be supervised in the water, no matter what their swimming skills. And infants, toddlers, and weak swimmers should have an adult swimmer within arm's reach to provide "touch supervision."
Invest in proper-fitting, Coast Guard-approved flotation devices (life vests) and have kids wear them whenever near water. Check the weight and size recommendations on the label, then have your child try it on to make sure it fits snugly. For kids younger than 5 years old, choose a vest with a strap between the legs and head support — the collar will keep the child's head up and face out of the water. Inflatable vests and arm devices such as water wings are not effective protection against drowning.
Don't forget the sunscreen and reapply often, especially if the kids are getting wet. UV sunglasses, hats, and protective clothing also can help provide sun protection.
Kids should drink plenty of fluids, particularly water, to prevent dehydration. It's easy to get dehydrated in the sun, especially when kids are active and sweating. Dizziness, feeling lightheaded, or nausea are just some of the signs of dehydration and overheating.
Water temperature is important, too. Enter the water slowly and make sure it feels comfortable for you and your kids. A temperature below 70°F (20°C) is cold to most swimmers. Recommended water temperatures vary depending on the activity and a swimmer's age, as well as for pregnant women. But in general, 82°-86°F (28°-30°C) is comfortable for recreational swimming for children (babies are more comfortable when the water is on the warmer side of this temperature range).
Body temperature drops more quickly in water than on land, and it doesn't take long for hypothermia (when the body loses heat faster than it can produce it) to set in. If a child is shivering or has muscle cramps, get him or her out of the water immediately.
Water safety begins in the home.
The bathroom is full of dangers for youngsters. Never leave a young child unattended in the bathroom, especially while bathing — even if the child appears to be well propped in a safety tub or bath ring. Put away hair dryers and all other electrical appliances to avoid the risk of electrocution.
Hot water also can be dangerous, particularly for kids younger than 5, who have thinner skin than older kids and adults, so can burn more easily. Just 3 seconds of exposure to hot tap water that's 140°F (60°C) can give a child a third-degree burn.
You can reduce the risk of scalding by turning the water heater thermostat in your home down to 120°F (49°C) and by always testing the water with your wrist or elbow before placing your child in the bath.
Outside the home, being aware can help prevent accidents. Find out where the water hazards in your neighborhood are. Who has a pool or hot tub? Where are the retaining ponds or creeks that may attract kids? Tell neighbors who have pools that you have a young child and ask them to keep their gates locked.
Having a pool, pond, spa, or hot tub on your property is a tremendous responsibility when it comes to safety.
Hot tubs may feel great to adults, but kids can become dangerously overheated in them and can even drown — so it's best not to let them use them at all. Having a fence (one that goes directly around the pool or spa) between the water and your house is the best safety investment you can make and will help prevent pool-related drownings.
According to the Consumer Product Safety Commission (CPSC), fences should meet these standards:
You can buy other devices, such as pool covers and alarms, but these haven't been proved effective against drowning for very young children, so fencing remains your best measure of protection.
It's important to teach your kids proper pool and spa behavior, and to make sure that you take the right precautions, too. Let kids know that they should contact the lifeguard or an adult if there's an emergency.
Kids shouldn't run or push around the pool and should never dive in areas that are not marked for diving. If the weather turns bad (especially if there's lightning), they should get out of the pool immediately.
Above all, supervise your kids at all times. Don't assume that just because your child took swimming lessons or is using a flotation device such as an inner tube or inflatable raft that there's no drowning risk. If you're at a party, it's especially easy to become distracted, so designate an adult who will be responsible for watching the children. If you leave your child with a babysitter, make sure he or she knows your rules for the pool.
Seconds count when it comes to water emergencies, so take a cordless phone with you when you're watching kids during water play. A quick-dial feature keyed to 911 or your local emergency center will also save additional seconds. If you receive a call while supervising kids, keep your conversation brief to prevent being distracted.
Once you've installed all your safety equipment, review your home for water hazards and plan what to do in an emergency. Learn CPR (other caregivers should learn it, too) and make sure you have safety equipment, such as emergency flotation devices, that are in good shape and are close at hand when boating or swimming.
Post emergency numbers on all phones and make sure all caregivers are aware of their locations. After your kids are finished playing in the pool for the day, be sure to remove all pool toys and put them away. Children have drowned while trying to retrieve playthings left in the pool.
Keep water safety a priority, even after the swim season is over. Pools with covers are not safe; many kids try to walk on top of pools during the winter months and may get trapped underneath a pool cover.
In addition, icy pools, ponds, and streams are tempting play areas for kids, so keep your pool gates locked and teach your kids to stay away from water without your supervision. If you have an above-ground pool, it's wise to always lock or remove the ladder when the pool is not in use.
First, teach kids never to swim alone. Using the buddy system means there's always someone looking out for you. Make sure your kids understand that swimming in a pool is different from swimming in a lake or the ocean — there are different hazards for each.
Here are some tips:
Teach kids to always swim when and where a lifeguard is on duty. They shouldn't swim close to piers or pilings because sudden water movements may cause swimmers to collide with them.
Whether at the lake or at the beach, teach your child to get out of the water during bad weather, especially lightning.
Water parks can be a lot of fun for kids, as long as you keep safety in mind. Before you go, make sure the park is monitored by qualified lifeguards. Once there, read all posted signs before letting your child on any rides (many rides have age, height, weight, or health requirements, and each has a different depth of water).
Teach your kids to follow all rules and directions, such as walking instead of running and always going down the water slide in the right position — feet first and face up. A Coast-Guard approved life jacket is a good idea, too.
Know which rides are appropriate for your child's age and development. For example, wave pools can quickly go from calm to rough, putting even a good swimmer in over his or her head. Younger children can be intimidated by older kids' splashing and roughhousing.
Whenever a child is missing, always check the pool first. Survival depends on a quick rescue and restarting breathing as soon as possible:
Water illnesses can happen when someone has contact with, swallows, or breathes in water that is contaminated with germs. This can happen in a swimming pool, hot tub, water fountain, water park, lake, or ocean.
Most such infections are diarrhea-related and often are caused by the parasite Cryptosporidium, which normally lives in the gastrointestinal tract and is found in feces (poop). Other infections can affect the skin, eyes, ears, and respiratory tract. Kids, pregnant women, and people with weakened immune systems can be the most affected by these infections.
A few tips to protect against recreational water illnesses:
Drowning, although the biggest worry, isn't the only concern when babies are exposed to water. Infants are particularly susceptible to diseases that can spread through water.
After a dip, wash your baby with a mild soap and shampoo the hair to remove pool chemicals. Also dry the baby's ears carefully with a towel or cotton ball to help prevent swimmer's ear.
Water temperatures below 85°F (29°C) can cause babies to lose heat quickly, putting them at risk for hypothermia (when body temperature falls below normal). Shivering infants or those whose lips are turning blue should be removed from the water immediately, dried, and kept in a towel.
Infants also can spread disease in a pool. Cryptosporidium can be released into pools by babies with leaky diapers. When swallowed by other swimmers, the parasite can cause severe diarrhea, nausea, vomiting, weight loss, and dehydration.
The safest thing to do is to keep your baby out of public pools until the child is potty trained. If you do decide to take the baby in for a dip, use waterproof diapers only and change the diapers often (but not poolside!), washing your child well each time. Keep any child with diarrhea or a gastrointestinal illness out of the pool during the illness and for 2 weeks afterward. Provide frequent bathroom breaks for kids who are already toilet trained.
Water play can be a great source of fun and exercise. You'll enjoy the water experience more by knowing and practicing these safety precautions.
Reviewed by: Yamini Durani, MD
Date reviewed: June 2014
© 2019 Brenner | Site Policies & Statements
The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.