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Your stock broker may owe you a fiduciary duty, which means that they must put your interests ahead of the interests of the firm and broker. The rules on fiduciary duty vary from state to state, so you'll need to speak to the team at Gucciardo Law to determine if you have a valid claim.
If your stock broker is a fiduciary, they have an enormous obligation to advance your interests. In the most direct sense, this means putting your interests above theirs. For example, an advisor who purchases an investment because it will generate a large fee for themselves is likely violating their duty as a fiduciary.
Fiduciary duty laws vary widely from state to state and also change depending on your stock broker's registration. A key component to this case is determining whether your stock broker is actually a fiduciary.
A fiduciary duty may also extend to the firm that supervises your stock broker. For example, the Employee Retirement Income Security Act contains four requirements for 401(k) fiduciaries as an obligation for operating plans.
Fiduciary duty also contains obligations to choose an appropriate asset allocation, to manage your money in accordance with your needs and objectives, and being responsive to changes in the markets.

subset: commoncrawl


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SunDita® offers a wonderful variety of condition specific supplements designed to target key issues inside the body. Trouble sleeping? Sore joints? Stressed out? SunDita® products can help.
When it comes to the vast world of nutritional supplements we believe that careful thought, pure ingredients, dedicated research, and expert formulation create superior products. From the early writings of Greek physician Hippocrates (468-377 B.C.), to the latest findings from the world's top research universities, the use of herbal and other natural products to support issues within the body is well-documented. In fact many of the products you see on the shelves at your local drugstore share a historical connection with an individual herb or nutrient.
SunDita® has developed a line of products that help target the health and normal functioning of specific areas within the body. Often times, individuals take supplements before a problem occurs to maintain their wellness, understanding that certain nutrients play a positive role in the overall quality of their health. A perfect example of this is can be witnessed by the troves of research surrounding Omega-3 fatty acids. Omega-3s, (EPA and DHA especially) have been shown to play a vital role in numerous processes inside the body, from promoting cardiovascular health to supporting cognitive functions and joint health, scientific research has shown our body relies heavily on these essential fatty acids.While some nutrients are easy to acquire through a healthy diet, others can prove to be more difficult to come by.
With our fast-paced and modern lifestyles, we often find ourselves struggling to meet our dietary goals. Supplements can help the body utilize the beneficial properties of items that we may not ingest on a regular basis, filling in "nutritional-gaps" and fortifying the body with a healthy balance. Every person is unique with their own specific nutritional needs and health goals in their life. If you would like to know more about an individual product or if you would like suggestions regarding how a product may help you, feel free to contact us and one of our Health Specialists will be glad to assist you.


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(166) Best Padlock PKS WC Keyway Picked Open to Control AGAIN!
LockLab is Fan funded! Help pay for stuff to review, break and talk trash about, and maybe even give away when we're done. Join the Tribe!
- Looking for the tools used in LockLab videos?
- Sparrows Lock Picks – www.sparrowslockpicks.com
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My vises are made by Panavise, a U.S. Company. The one with the wide jaws is the model 350. The smaller one is the model 301. Both have the 312 Base mount – www.panavise.com


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Marpe Minerals -Hypo/Thyroid Support (16, 32 or 128 Ounce Size)
Marpe Minerals -Hypo/Thyroid Support (16, 32 or 128 Ounce Size)
Product Description
(±100 parts per million) This Thyroid Support product is a combination of Copper, Iodine, Selenium, Tyrosine & Zinc. Sluggish? Can't shed weight? Losing your hair? There's a dirty little secret most doctors won't discuss with you. When a medical test is done, any result within a wide range is deemed normal. Your thyroid could be functioning at 30% of peak efficiency, but your tests will say that's fine. Well, it's not fine. And you have the hair loss and the lethargy and the weight gain to prove it.
The thyroid is a petite gland in the neck that helps with the creation and storage of the hormones that are responsible to regulate the blood pressure, heart rate, body temperature, and the rate at which the food is transformed into energy. This gland is located in the neck inferior to the thyroid cartilage. As such, the thyroid is in charge of sustaining the body's metabolism. For the optimum functionality of the thyroid health, it is essential to acquire a daily dosage of vitamins and minerals.
Other than vitamins, minerals like iodine, Zinc, Copper and Selenium enhance the thyroid health. Iodine benefits the essential thyroid hormones. It is available naturally in iodized salts, sea foods, and sea rich vegetables like kelp and vegetables that are from the iodine rich fields. Zinc improves thyroid health. The thyroid hormone, thyroxin, was found deficient in the people with lower serum zinc levels. It's also noticed that with adding zinc in people with a thyroxin deficiency, there was an enhancement of the thyroxin levels. Selenium metabolizes thyroid hormones. People with a severe selenium deficiency are presumed having a goiter. Last, but not least; copper aids with the metabolism of the thyroid health.
DISCLAIMER: All information is provided for informational purposes only and is not meant or implied to be prescription or to substitute the professional advice provided by your own physician or other medical professional. The information in this article is not necessarily the viewpoints of IonicBodyMinerals.com, Cili Minerals, and associated companies. Under no circumstances should the information contained herein be used for the purposes of diagnosing or treating a health problem or disease, or prescribing any medication. If you suspect that you have a medical problem, promptly contact your health care provider. Information and statements regarding any of the listed products or services have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Before consumption of any product remember to first read the packaging inserts & labeling carefully.


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In October, the night after the Mets' season ended, the bright lights of Citi Field flickered back on again as a handful of players — the former All-Stars Jose Reyes, Jeurys Familia and David Wright among them — returned to the field one more time.
Except these Mets weren't there to play baseball. They signed autographs, posed for pictures and schmoozed with the guests of honor: real estate officials who had rented out the ballpark. Children took batting practice; real estate executives roamed the outfield; the Jumbotron flashed photos of the crowd using the hashtag #AmTrustTitleDreamTeam.
And New York home buyers picked up the tab, at least indirectly.
The extravagant evening was just one night of entertainment in the title insurance industry, an obscure corner of the real estate world that has spent tens of millions of dollars to win the favor and business of its clients at ballparks, Madison Square Garden luxury suites, exclusive country clubs, expensive steakhouses, even strip clubs.
All that spending has been baked into the title insurance rates that New Yorkers seldom scrutinize in the stressful rush to complete a closing, which state regulators say are hundreds, sometimes thousands of dollars higher than in neighboring states like Connecticut, Massachusetts and New Jersey.
Adam R. Rose, vice chairman of Rose Associates, a major New York real estate developer and owner, likened it to "state-sponsored corruption and money-laundering in developing countries."
"The egregiousness of title insurance in New York State is something that inflates premiums to fund lavish entertainment, and it's easily combated," Mr. Rose said.
Nine months ago, New York officials proposed a fix: a complete ban on such expenses. The new rule has drawn praise from consumer advocates, Gov. Andrew M. Cuomo and even some business leaders. It is set to go into force on Thursday.
But in Albany, industry opponents are pushing back hard. Lawmakers, perhaps feeling the effect of a $400,000 lobbying campaign in 2017, have urged state regulators to delay or rewrite the looming gift ban. And the chairmen of the powerful insurance committees in the State Senate and Assembly are backing legislation that would undercut the new rule.
Maria Vullo, who heads the New York State Department of Financial Services, which has adopted the new regulations, told lawmakers this month that such legislation would amount to a "license to commit bribery."
She was ignored. Days later, the State Senate took up its bill to undercut the new rule. It passed, without debate, in less than two minutes. The vote was unanimous.
"The legislators, instead of saying, 'Oh, good for consumers,' they're saying, 'My God — oh, the poor industry,'" said J. Robert Hunter, director of insurance for the Consumer Federation of America.
Not every state is like this. In Iowa, for instance, the state government took over the title business decades ago, and it charges a fraction of the price in New York: $110 for a residential purchase up to $500,000, according to the state.
The price for title insurance on a $500,000 home in or near New York City, with 20 percent down, is around $2,700.
Title insurance in New York is a particularly peculiar market. Customers are typically required to buy it to guarantee clear ownership of their property. But most rely on real estate agents or attorneys to decide which title insurance to buy, because all the biggest companies charge the exact same regulator-approved price. (Two upstart firms charge lower rates.)
So how do title companies here stand out? For years, industry veterans said, it's been by dangling an array of perks for real estate developers and other mortgage-industry insiders.
"This industry more than any other lives and dies by providing entertainment," said Jonathan Miller, the president and chief executive of Miller Samuel, a real estate appraisal and consulting firm. "Everybody has the same price. Yeah, their logos are different. But the way that you differentiate is by providing entertainment."
Mr. Hunter, who studied the data from a New York title insurance investigation from 2008 to 2012, said "improper expenses" in those years amounted to $79.5 million — roughly 6.3 percent of premiums.
Robert Treuber, executive director of New York State Land Title Association, argues that Ms. Vullo's proposal — which would ban expenses as small as buying a client a cup of coffee — overreaches. He broadly defended the industry's expenses as necessary business development, and said title companies are following rules and rates set by the state. "They're spending their profit to grow their business," he said.
The gold-plated expense accounts in the title industry have rarely been publicly detailed. In the late 1990s, a lawsuit against one title insurance salesman revealed the breadth of his wining and dining: $150,000 in reimbursements in 1997 alone, including Broadway shows, "exclusive club memberships" and sports tickets.
One title agency, Riverside Abstract, is known for its lavish holiday parties that lure more than 1,000 people to open bars, carving stations, hand-rolled cigars and fine food. "A better way to close is our motto and I guess better parties as well," Yoel Zagelbaum, president of Riverside Abstract, is quoted saying in one company document that promoted its 2015 soiree. The company, whose marketing expenses are under investigation by the financial services department, did not respond to requests for comment.
The industry-backed legislation advancing in Albany would narrow the entertainment prohibition to more explicit "quid pro quo" gifts — the direct exchange of tickets or meals for particular business. Entertaining in luxury boxes or handing out gift cards to designer stores without such an explicit connection would thus be considered legal.
Current law already prohibits using entertainment as "an inducement" for business. The debate between Ms. Vullo and the title insurance industry is what exactly "inducement" means.
"There's no reason to do the tickets unless you're 'inducing' business," she said.
She gave the example of one title firm, which she declined to name, that spent "$5.4 million for tickets, just tickets" in 2008, plus another $120,000 on country club dues and $833,000 on meals. The company collected $30.9 million in premiums that year — meaning more than 18 percent of its revenue was spent on entertainment.
"I'm protecting home buyers," Ms. Vullo said of the new rule, which would immediately slash title insurance rates in the state by 5 percent. (Companies could avoid that cut by opening their books to the state to show their entertainment expenses amounted to less than that.) "I'm trying to reduce closing costs."
But Mr. Treuber and lawmakers have asked, if the current expenses are so outrageous, why hasn't Ms. Vullo cracked down on any of the supposed bad actors, like the firms she found visiting strip clubs?
"Sure, some may be able to point to some sensational incident or two, but let's not harm the entire industry," said Senator James L. Seward, the Republican chairman of the insurance committee, who wrote the bill that passed unanimously.
"If it's illegal, prosecute," Kevin A. Cahill, a Democrat who is chairman of the Assembly's insurance committee, said of Ms. Vullo. "If it's not illegal, come to the Legislature and let's make it illegal."
The expense ban had originally been set to go into effect in mid-December but was postponed to Feb. 1 after legislators asked for time to examine it. They've pushed for a six-month delay; Ms. Vullo has resisted. Alphonso David, counsel to Mr. Cuomo, said the governor's office was leaving the timing up to the financial services department but that, "We support these regulations in concept."
Title insurance companies have marshaled a half-dozen lobbying firms to make their case, including big Albany players like Brown & Weinraub, Ostroff Associates and Jackson Lewis. Hank Sheinkopf, a longtime Democratic strategist, was paid $90,000 by a title company last year, and George Haggerty, a former top official in the Department of Financial Services, earned more than $100,000 from two title companies. Richard Bamberger, a former communications director for Mr. Cuomo, is providing messaging assistance.
One company, AmTrust Financial Services, which, along with a subsidiary, First Nationwide Title Agency, hosted the Citi Field event in October, opened a political action committee in New York and quickly raised more than $100,000. Another, State Street Title Agency, gave Mr. Cuomo $50,000 in December.
Some title insurance executives are political players in their own right. Steven M. Napolitano, president of First Nationwide, has given New York politicians nearly $475,000 since 2006. Another $222,000 came from Carnap L.L.C., which is listed at Mr. Napolitano's home address.
The Mets declined to comment on the cost of renting out the stadium. A spokesman for AmTrust, Hunter Hoffmann, said that "thousands of prospective and current clients were invited" to the event, and about 600 commercial real estate professionals did attend.
"From our perspective, it was a cost-effective event to communicate and connect with our clients," he said, adding that it was in "full compliance with the regulations at the time."
First Nationwide is known for its hospitality. The company logo has been affixed to the wall of a Madison Square Garden suite in recent years, according to social media posts. And last year, the company's marketing team invited clients to watch the A.C.C. college basketball tournament at a "luxury suite" at the Barclays Center. "Contact your FNT sales representative to secure your seat!" said an invitation obtained by The New York Times.
Back in 2012, one of the firm's first tweets featured a company executive sitting with the then-New York developer Donald J. Trump at what appears to be a sporting event, urging its executives to "get out there and build those relationships!"
"We believe these activities are an efficient method of maintaining communications with our large commercial real estate clients, which are represented by some of the most sophisticated and prestigious law firms and real estate investors in the world," Mr. Hoffmann said.
Mr. Napolitiano declined to comment. Mr. Hoffmann noted that Mr. Napolitano had "no significant political activity in the past year beyond support of his local elected officials" and that his giving is allowed.
Mr. Treuber said the gift rule, when combined with new caps on fees that title companies can charge, could cost jobs in an industry that employs thousands.
"If we can solve this problem through talking with D.F.S., if we can get relief through legislative measures, that would be great. If going to litigation is necessary, then that's an option that we'll have to consider," he said.
Mr. Treuber's association has retained a major law firm, Gibson Dunn, as they consider suing, and is raising hundreds of thousands of dollars to cover the potential legal bills.
For now, the title insurance parties are rolling on.
At a real estate gala in mid-January, AmTrust Title hosted three open bars across two ballrooms in Midtown Manhattan, as hundreds of real estate officials mingled between bites of tuna tartare and fresh mint mojitos that came with a stirrer with AmTrust's logo on it. A few blocks away, at the upscale restaurant Nobu 57, an after-party co-sponsored by at least one title agency, Royal Abstract, currently under state investigation for its expenses, kept the cocktails flowing and sushi rolling through midnight.


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We love calendars. But online calendars sometimes do not love us back. And at other times they are down right viscious. Right now I am in a love-hate-love relationship with the following WordPress calendar plug-ins.
My Calendar by Joseph C. Dolson. It's flexible, documentation is good, and it allows multiple users to log in and add entries. For someone who needs to show calendars in both a grid and a list format, this is a good option. Joseph Dolson is also actively maintaining this plug-in. There many features – including a jQuery month picklist — which may or may not be enabled.
AJAX Event Calendar by Eran Miller. Not as much functionality as My Calendar, but it's swift and pretty. Because it's an AJAX based calendar you're not creating HTML pages which are going to be indexed. That may or may not be an issue for you. But, again, it's pretty, it's fast, and it does work on mobile. Download Advanced Access Manager by Vasyl Martyniuk and you can give different users the ability to add entries.


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Thousand years ago before the age of zombies, there live heroes without the power of technology who fights against the Dark Order. En garde!
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on TV and I have been fascinated with these types of wrecks (I have always been slightly macabre with my fascination with disasters) ever since visiting Whitefish Point (http://www.exploringthenorth.com/whitefish/whitefish.html) and the museum there (I also got to visit the Copper Harbor Light house as well).
While we naively assume that shipwrecks are a phenomenon of a long off more romantic time period, it is a huge shock to learn that shipwrecks on the great lakes have occurred almost in my life time (see http://en.wikipedia.org/wiki/SS_Edmund_Fitzgerald).
Today it is hard to imagine that 36 years ago, that this absolutely huge ship was lost on the lake. It is even more difficult for my children to imagine this. The vast influx of technology over the last 15 years has made the idea seem preposterous.
I visited the museum in the late 90's, only a few years after the recovery of the bell from the Edmund Fitzgerald in 1995. It is rare that we are face to face with an object that is both a solemn object representing a preventable tragedy and loss of life, but is also entirely fascinating (did I mention my macabre tendencies).
The great lakes are a major part of the history of the United States and our expansion across the continent. This series of lakes, chained together by canals from Wisconsin to New York and the Erie Canal to the Atlantic has been a major shipping route for over 300 years. Just about everyone has seen examples of the weather around the lakes, from snow in Green Bay or Buffalo to the "Windy City" of Chicago. The part these lakes played in our development didn't come without a price. With thousands of wrecks (estimates between 4,700- 6,000) and an estimated 30,000 lives lost, the Great Lakes hold a powerful history beneath their depths. Archaeologists continue, to this date, to work to find and document these wrecks.
On November 10th, the 36th anniversary of the Edmund Fitzgerald will again be remembered. While this is one of the last and largest wrecks of current times, it has come to stand for all the ships and lives lost on these lakes.


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The Atrium at Churchman Village is an independent senior living community located on the Churchman Village campus. With a wide variety of activities and services, The Atrium is the ideal place to enjoy one's golden retirement years filled with enriching social activities and amenities that make the most out of living independently.
Enjoy the privacy of your apartment, along with access to all the resources of a larger senior living community. Home maintenance and optional daily social activities to get you engaged with friends at The Atrium are just a few of the perks of living in our community. Enjoy a meal in our communal dining room, or prepare one in your own kitchen. There are no large entrance fees or hidden costs at The Atrium. Our monthly accommodations fee is based upon single occupancy and size of the suite.
Download the Atrium at Churchman Village brochure for more information.


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What drives us towards the actions we make and the stands we take? Our love for and jealousy of our God, or our ideologies? That we are conservative or liberal? Or we're pro-life or pro-choice? Or we like this person or dislike that person? Or we go to this church or they go to that church? Continue reading
Don't Give Up
The worst thing a doctor can say to a Pastor at 3:30am on Sunday morning is, "NO WORK" of any kind! Go straight home and stay there!" Continue reading
Who's the Real Donkey Here?
We can see the frustration we end up with when we allow fear and greed to lead our lives, but the blessings that come when we give everything up to God and allow Him to lead are life giving. Continue reading
Turn Your Eyes Upon…a Serpent?
We go through difficult times, and we can get discouraged, but we need to turn our eyes to God! Do not get bogged down by the troubles of today, know that there is victory and salvation from these difficult times in the future! Continue reading
Overcoming the Fear of Death
We don't need to fear death because God has everything in control. Continue reading
Death of a Dream
All of our emotions need to be subjected to the authority of the Holy Spirit. We cannot let our emotions go unchecked and do whatever. Continue reading
Completely Surrounded
Viewing the world from the perspective of God will draw out humility and compassion from us. Continue reading
I really want it to be done on Wednesday…but it probably won't. Sure the political ads may end, but the disgust that comes from people who disagree with my views won't be done. I dislike that more than the political ads. Our country is extremely polarized right now, but it's not so much that we disagree with each other, but we attack each other, and at times it can be pretty hateful. This situation doesn't deter me from voting, but it also doesn't encourage me to vote all the more. I don't vote to "stick it" to someone. I vote because I enjoy the opportunity to have some kind of input into what is going on in my local, state and federal government…no matter how "minor" that input may seem. I also have a dad who is a veteran, and there's a piece of me that feels I shouldn't waste something that men have given their lives to defend.
Back to my original point…I've seen a few comments about how pathetic or stupid or ignorant we evangelical Christians are for voting based on our morals, especially when based on Biblical principles. I've seen people go as far to say something to the tune of, "If you vote based on moral conviction, you probably would have voted for Hitler back in the day because he stood for many of our moral convictions during his campaign." Nice…see part of what I'm talking about, though?
I don't hate women, but I feel compelled to stand up for those who can't stand for themselves, like unborn babies, hence the reason I'm pro-life. I don't hate homosexuals, but if you're going to give me the opportunity to choose whether or not they should be allowed to get married, I'm going to choose to not allow it (by the way, check out this for what I think is a great message on this issue and this for my favorite political ad). And though I don't think everything Israel does is good or correct, I'm not about to support someone who wants to attack it or encourage Israel to shrink back from promises that God made to them (like land, go to page 4 to see how big Israel should be). I'm compelled to vote on these things because of my convictions that I have based on my relationship with God and His word.
His word also gives me the boldness to not worry so much about the economy, jobs, healthcare and taxes. It's not that I don't think those things matter, they're just not at the top of my priority list based on my convictions.
And therein lies the problem. A lack of respect for others convictions. We can disagree until we're blue in the face on various issues, but to be hateful to each other because we think differently and choose different paths…that's uncalled for. So I encourage you to vote tomorrow…and vote based on your God-given convictions and don't allow man to intimidate you in your decisions.
My goodness, I was just complaining about the very issue I struggle with when it came to the Packers' loss to the Colts a week ago…inconsistency! I think it's been a month since I've written in my blog. I broke what I think is the cardinal rule for "making sure people read your blog", and that is blogging consistently. My bad and my apologies.
Speaking of the Packers though, did you see that amazing game the other night? If not, here are the highlights (feel free to mute the commentary). I was very pleased to see the Pack play 60 minutes of solid football. I'll be really happy if they can do it again next week, and the week after that, and the week after that…and so on all the way up through the Super Bowl. Why? Because I love it when my team is consistently winning. I love positive consistency. And I don't think I'm much different from any other human being.
We all love positive consistency.We want relationships with our loved ones to consistently be loving, nurturing and strong. We want our physical bodies to be consistently healthy, lacking in sickness and disease. We want our jobs to at least be there consistently providing consistent income.
I've heard many people, and you may be one of them, say, "I work better in chaos." Truth be told, if we took a step back and looked at how "well" we work in chaos, we'd probably see more broken relationships than we'd like to admit and work that might be done, but also substandard. The heart of the issue is chaos really isn't all that great.
When we have positive consistency, things get done and usually done well. When you continue at something, you tend to get better at it and have better results. Mike McCarthy, coach of the Green Bay Packers, calls it "stacking successes". You have one positive, and you build on that creating positive consistency. The Packers hope they can win this upcoming week, stacking successes creating positive consistency…a plus for his team and the fans of that team.
This same principle can happen in your life. If you consistently change the oil in your vehicle, it will run better. If you consistently exercise and eat right, you body will be healthy. If you are consistent with positive communication, your relationships will get better. If you consistently pray, read your Bible, step out in acts of faith (tithing, sharing the gospel, giving to those in need) and hang out with other Christians, your relationship with God will get better and you'll start seeing miraculous things happen.
Now off to think about my next blog post so I can be consistent with it and hopefully see more readers. 🙂
When I was in college, they had an annual job fair for all us students. All sorts of companies and "mom and pop" shops would gather in the gymnasium, set up booths and hand out applications. I went to it once. The first company at the door was a hardware store. For some odd reason, I remember this interaction really well…I walk in and the two guys standing there said to me, "Now there's a guy that needs to be working in a hardware store." I smiled politely and kept on walking thinking to myself, "You don't want me anywhere near a tool chest because I have no clue what to do with half of those things." It didn't help that I was wearing jeans, boots and a long sleeve flannel shirt at the time.
However, about two weeks ago I might have been mistaken for the handy-man type again…and no, not because of my lack of fashion. I actually had to repair two eye sores. One was the rail on the "deck" connected to our front enclosed porch. Somehow the rail busted off of the post and I needed to reconnect it along with "patching" the post. The other thing was a hole in the ceiling over the entry way to the church. Apparently the last fix wasn't permanent, and pieces of the ceiling were on the floor. I patched it up. Both items are now fixed…they don't look great, but they're fixed. However, I still don't consider myself a handyman. Have you ever heard the saying, "Standing in a garage doesn't make you a car"? Yeah, just because I was able to fix a few things definitely doesn't make me a handy-man.
This last week I started a message series on stewardship. Most people's thoughts turn straight to money when this is brought up, but I'm challenging the folks in my church to go beyond that and look at their entire lives. After all the definition I gave them for stewardship was, "The careful and responsible management of something entrusted to one's care" (I got that from Merriam-Webster.com).
What does this have to do with my story? I've met plenty of people who say they're not sure "who they are" or "what they're supposed to do". Some absolutely desire to be someone else and work really hard to be something they're not. They stand in a garage and try their best to be a car…but it just isn't going to work.
In the first message in this series, part of the challenge to people in the church was to make the most of what God has given you. I used the story Christ told in Matthew 25:14-30 about the master who gave money to three of his servants to watch over while he was away. The first two servants double the money, while the third hid his, not losing any of the money, but also not gaining anything. The first two were commended and rewarded while the third was condemned and banished from the household.
Friends, God has given you various gifts and talents to be used for His purposes. You need to use those to the best of your ability. If you're in a funk not sure of who you are, or what you're supposed to do in this life, you need to talk to God who owns all of it and find out what He has for you.
I'm not a handy-man, I'm a husband, father, pastor and Packer fan! 🙂


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Aqueous – Colleen Gianatiempo, Academy of Art University
Collage, acrylic and image transfer on wood panel / 30 x 40
My art investigates the micro view of nature's organic patterns, colors, layers, and geometry. Collage, acrylic paint, and image transfers are intermingled to reveal layers that mimic earth's visual language. The viewer is taken on a nature walk through my paintings by meandering in and out of layers of beauty.
Price: $750
September 20, 2016 9:17 am


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Decided to make a playlist on Spotify featuring a bunch of season-appropriate songs. A good number of the songs in this playlist are some of my favourite K-pop songs from SHINee, NCT 127, EXO, and GOT7, while the rest are from acts such as Calvin Harris, Childish Gambino, Friendly Fires, and Haim.
This playlist is still a work-in-progress, so if you have any song suggestions, please let me know!


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Voya Financial Honors Blairstown, New Jersey, Teacher with Second Place Voya Unsung Heroes Program Award
WINDSOR, Conn., Oct. 23, 2017 /PRNewswire/ -- Voya Financial, Inc. (NYSE: VOYA), a leading provider of retirement plans for educators, announced today that Laurie Burns, a teacher at North Warren Regional High School in Blairstown, New Jersey, has received the second place prize in the company's national 2017 Voya Unsung Heroes awards competition.
Through the Voya Unsung Heroes program, Voya Financial awards grants to K-12 educators nationwide to honor their innovative teaching methods, creative educational projects and ability to positively influence their students. Over its 20 years, the program has awarded more than $5 million in grants to more than 2,000 educators across the U.S.
As the second place winner, selected from more than 1,200 applications, Burns will receive $10,000 in addition to an initial $2,000 grant. This will bring her total financial award from Voya to $12,000. The money will be used to help fund "Heroes Forever", an innovative program for students at North Warren Regional High School.
"We are honored to recognize Laurie Burns as the second place winner in the 2017 Voya Unsung Heroes program," said Heather Lavallee, president of Tax-Exempt Markets at Voya Financial. "For more than 20 years, Voya has recognized our nation's teachers who go above and beyond as they educate the children in their communities. In the same way that we help our clients prepare for and protect their financial futures, teachers set their students on the right path for a promising future. We are thrilled to be able to empower educators like Laurie to bring their innovative ideas to life."
Burns' innovative teaching idea, "Heroes Forever," is challenging students to compile interviews and oral histories from the veterans of the Blairstown community. Students will be tasked with interviewing veterans personally, utilizing technology resources to film and record interviews, as well as photographs and artifacts, and developing a comprehensive understanding of the historical context that surrounds their veterans. The students will then use these materials to collectively create a video and electronic archive of their community's rich and personal war history. Burns believes that by historicizing the community's own veterans in this manner, students are able to engage with an integrated, multi-disciplinary approach to learning that encompasses technology, history, team-building, leadership and communication. The result, she believes, will be a unique and significant learning product for generations to come.
"The 'Heroes Forever' program is a wonderful intergenerational opportunity to connect our youth with some of our local heroes — our veterans," said Sarah Bilotti, superintendent of the North Warren School District. "There is often a divide between the generations — especially with so many technological advances, but this project helps bridge the gap. Our students use technology to create videos and also learn history to gain interpersonal skills by interviewing our veterans and hearing their stories of serving our country. We are very proud of Ms. Burns for creating this unique program and know it will serve as a valuable piece of history in our community for generations to come."
With the Voya grant, Burns plans to purchase more equipment to be used for the interviews, including laptops with improved photography imaging, digital cameras, a camcorder, digital converters, lighting and microphones, adapters and other accessories. Because it may be difficult for some of the veterans to travel to the school due to their health, funds will also be used for travel expenses for the students to travel to the veterans' homes and other locations to interview them.
To learn more about this year's winning projects, as well as those from previous years, visit the Voya Unsung Heroes website (unsungheroes.com). Applications for the 2018 Voya Unsung Heroes awards are currently being accepted through the website until April 30, 2018.
Media Contact:
Laura Maulucci
Voya Financial
Office: (860) 580-1278
Cell: (508) 353-6913
[email protected]
About Voya Financial®
Voya Financial, Inc. (NYSE: VOYA), helps Americans plan, invest and protect their savings — to get ready to retire better. Serving the financial needs of approximately 13.6 million individual and institutional customers in the United States, Voya is a Fortune 500 company that had $11 billion in revenue in 2016. The company had $517 billion in total assets under management and administration as of June 30, 2017. With a clear mission to make a secure financial future possible — one person, one family, one institution at a time — Voya's vision is to be America's Retirement Company®. Certified as a "Great Place to Work" by the Great Place to Work® Institute, Voya is equally committed to conducting business in a way that is socially, environmentally, economically and ethically responsible and has been recognized as one of the 2017 World's Most Ethical Companies® by the Ethisphere Institute, as well as one of the Top Green Companies in the U.S., by Newsweek magazine. For more information, visit voya.com. Follow Voya Financial on Facebook and Twitter @Voya.
SOURCE Voya Financial, Inc.


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Family Literacy Improvement Project (FLIP)
Support Opportunities
Please consider supporting local families by contributing to the growth of community partnerships dedicated to improving reading and math literacy in Sedgwick County.
As a community, we must make efforts to ensure every student has access to the tools needed to graduate, and be college and career ready no matter their economic circumstances. The future of our community and workforce depend on organized and collaborative efforts between non-profit, for profit and government agencies, everyone has a role to play. The Family Literacy Improvement Project (FLIP) is dedicated to unifying efforts of multiple organizations and individuals to support full family learning and improvement. By contributing to KANSEL, you are helping us to build a network of resources within Sedgwick County that will support students in traditional and non-traditional educational paths.
Lets FLIP the narrative on literacy in our community!


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December 11, 2011
Finnish Christmas with a Twist: Lanttulaatikko - Swede Casserole
17 comments:
This is one of my favorites on the Christmas table. I like your version of it too! Have a nice third Advent!ReplyDelete
Yum, definitely one of my favourites with porkkanalaatikko and makaroonilaatikko! I am on a mission to practice all the dishes my mother and grandmother usually make at Christmas time and host Christmas Eve dinner at my house next year...might have to start practicing!ReplyDelete
Gorgeous photos.
What are Swedes!? I´m of to google;) I hope you´ll find some Christmas spirit but I know.. it´s hard right under the glowing sun!ReplyDelete
Wow, I love that casserole! It has such unusual flavors. A delightful use of those root veggies.ReplyDelete
Don't remind me re: Christmas. I still have presents to buy and wrap as well! Yikes!ReplyDelete
Aika ihana versio lanttulaatikosta;) Lantut eikä laatikkokaan eivät koskaan ole olleet suosikkejani,mutta tämä voisi maistua.Tosin täällä on vain nauriita,ei lanttuja:(ReplyDelete
What a unique combination!ReplyDelete
What an ineresting dish! Perfect side for Christmas day :) love it!ReplyDelete
Love the comments as much as the wonderful recipe! Don't quite know how easy it will be to find this delicious root vegetable in the Australian summer for obvious reasons? Would like to try the recipe tho', so shall try!!!ReplyDelete
We will 100% be having this swede casserole at our dinner :) It'll be at Panu's mums so a big traditional Finnish meal. Can't wait!ReplyDelete
Maria, This sounds delicious, different and well-worth trying. Have a wonderful day. Blessings...MaryReplyDelete
Love your casserole! Thanks a lot for sharing.ReplyDelete
oh my this sounds so tasty! love your addition of almond milk!!ReplyDelete
How unusual. Im sure I would like it I love swedesReplyDelete
this is lovely! can't believe i've never tried Finnish food beforeReplyDelete
- Anonymous13 December 2011 at 12:36
Haven't tried the original version but I love the twist!ReplyDelete
- Anonymous31 December 2011 at 00:20
my mum is finnish and i too live in nsw...i went to finland in august and went berry picking and mushroom picking in the forest. i love swede casserole...have to try it with your variations :) looks yummy as ever.ReplyDelete


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by Ashley Morgan
A brand new Publix opened up just a few blocks from my house a few weeks ago. It may sound a bit pathetic, but that was a huge excitement for me. Our area is full of large buildings and the other two Publixs in the area were a nightmare to just to walk through the aisles, much less actually wait in a check-out line. Plus, a shiny, new grocery store always inspires a slightly slower waltz through the aisles, which helps me find new brands. This time I found Evol, a brand out of Denver, Colorado that originally started as a burrito stand at the bottom of a mountain trail.
Evol's packaging first caught my eye because of it's bold design, but I kept reading after seeing the stamp "New & Improved Compostable Bowl" on the upper corner. Their vegetarian and vegan options are slim, but I picked up a vegan veggie fajita burrito and a vegetarian bean & cheese enchilada to try. It's great that they also use corn tortillas in their enchiladas, making them gluten free. The burrito is made from a wheat tortilla and does contain gluten.
Upon first glance when opening the package to the enchilada, I thought it looked a bit messy. Like a hodgepodge of corn kernels, tomatoes and beans. I couldn't see any cheese. I took the plastic wrapper off the bowl and cooked it on high in the microwave for four minutes, as the package indicates. Once done, I immediately noticed that the bowl looked a bit dry. The edges were microwaved to a crisp. I cut into the center and took a look around the inside, unfortunately finding it to be dry, as well. The good points I noticed as that all vegetables were distinguishable and seemed to be fresh. The corn has a great char on it and tastes great. Eating through it, I still couldn't find much moisture and none of the cheese. The rice was mixed around in small portions. The corn tortilla was very authentic and tasted great, except for the hard edges, which is tough to cook in a microwave. I probably wouldn't eat this again, at $4.99 it is a bit expensive and just didn't have enough sauce or flavor overall. I still prefer Amy's for organic, vegetarian frozen Mexican fare.
The vegan veggie fajita burrito didn't do much better. Visually it looks great, even when cutting into the center. Again the vegetables are discernable and seem to be really fresh. Picking the peppers and corn kernels out was quite enjoyable, however the burrito as a whole was just lacking in flavor. It did have a much better consistency than the bowl, with more moisture. I was just disappointed overall with the flavor of both of these products. I love their idea and hope they continue improving their flavors.


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RumbleTalkGo Back Location: Rehovot, Israel Industry: Software and Data
Subindustry: SaaS
390,000 group chats created so far. RumbleTalk is a group chat service for websites. The service allows visitors to talk in a group, and conduct private calls using voice, video or text. Customers may design their group chat skin using CSS or choose one from the skins library. It is perfect for communities and teams that wish to have a service where they can talk, share files, embed links, upload presentations, upload images and youtube videos.
Rankings powered by:Trend


text: A distinction is often made between EGAP and ESAP (Blue, 1988). EGAP – English for General Academic Purposes – deals with the language and practices common to all EAP students, whereas ESAP – English for Specific Academic Purposes – is concerned with the specific needs of students in particular disciplines. Continue reading


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These handmade earrings feature lilac purple colored lepidolite. The earrings are just approximately 1.5 inches from the top of the ear wire to the bottom of the bottom bead.
You will receive the exact items pictured. They were made in my smoke-free studio from high quality materials to ensure they will last for a long time.
Please remember to treat your jewelry gently, as some materials can be fragile. Although I've made every effort to ensure the strongest materials were used, it is essential to treat your jewelry with special care to ensure its long life.
Follow Inspired Theory on Instagram {@inspiredtheory1} for special announcements, coupon codes, and more. #inspiredtheory1 #inspiredtheoryjewelry


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- mwendalAsked on November 05, 2014 at 09:35 AM
- BenAnswered on November 05, 2014 at 10:22 AM
I see that you are on the Premium plan, but no, our free plan does not require you to add credit card to use our Form Builder.
Can you please give us a bit more details on what you mean? I presume that you were looking to add a Stripe Payment processing widget to your jotform?
Best Regards,


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Girls in the UK lose interest in science, technology, engineering and maths (STEM) subjects between the ages of 16-17, according to a survey commissioned by tech giant Microsoft.


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Manchester by the Sea is in cinemas from 13 January 2017
It first screened in the UK at the 60th BFI London Film Festival
Winner of this year's Golden Globe for best actor (and a favourite for the Oscar) for his role in Kenneth Lonergan's emotional drama Manchester by the Sea, Massachusetts-born actor Casey Affleck has always been a dependable screen presence – and often very much more than that. Quickly emerging from the shadow of his older brother, Ben Affleck, he's notched up 31 appearances over his 22-year career in film, as well as contributing voice work to animated comedy-horror ParaNorman (2012). From his early appearance as a punky teen in To Die For (1995) to his solid lead role in the corrupt cop thriller Triple 9 (2016), he's shown an impressive versatility. He's equally at home in low-budget indies as in blockbuster caper movies (Tower Heist and the Ocean's trilogy) and sci-fi (Interstellar).
Affleck's also proven to be a cinematic renaissance man, taking on key creative roles on Gerry (2002), which he co-wrote, and I'm Still Here (2010), which he directed. In 2017, following the awards season hoopla for Manchester by the Sea, Affleck fans can look forward to seeing him reunited with Ain't Them Bodies Saints director David Lowery and co-star Rooney Mara for A Ghost Story (2017), a film shot in relative secrecy during the summer of 2016.
Gerry (2002)
Director Gus Van Sant
Five years after the huge success of Good Will Hunting (1997) had given Gus Van Sant and Matt Damon the freedom to pursue any film they wanted, they decided to test the resolve of audiences and do just that. The director and star hooked up again with the younger Affleck brother (who'd had a supporting part in Good Will Hunting) to create this strange, hypnotic oddity about two men named Gerry who get lost in the desert.
Van Sant shared the writing and editing duties with Damon and Affleck, with the latter two almost entirely alone on screen throughout. Festival and public screenings saw many bemused viewers walk out of the mostly plotless and often dialogue-free film, while even its biggest fan would admit the esoteric piece is an acquired taste. But it provided early proof of Affleck's more creative impulses, and there's no denying the result is a thing of beauty, with stunning, desolate scenes of unyielding nature that occasionally border on the psychedelic, suggesting the influence of Béla Tarr along with traces of Terrence Malick and Werner Herzog.
Gone Baby Gone (2007)
Director Ben Affleck
Ben Affleck's directorial debut is his finest work behind the camera so far, in spite of the best picture Oscar that Argo (2012) later received. This Boston-set noir thriller focuses on a private detective couple (Casey Affleck and Michelle Monaghan) who investigate the abduction of a young girl whose mother, Helene, is a coke addict and drug mule for a local supplier. It's terse, darkly funny and rarely offers easy answers as it keeps viewers guessing. As one might expect from an adaptation of a Dennis Lehane novel, the narrative chicanery is gripping and the story's wealth of characters have an air of street authenticity and winning turns of phrase. Affleck the younger is a terrific lead in his older sibling's film; his character is by times brave, scared, confident and even incompetent in his efforts to solve the case, even to the detriment of his own relationships. A special mention must go to Amy Ryan, who won an Oscar nomination for her livewire turn as Helene.
The Assassination of Jesse James by the Coward Robert Ford (2007)
Director Andrew Dominik
At his first appearance in Andrew Dominik's slow-burn revisionist western, Affleck makes nearly as weighty an impression as the historical figures the film seeks to depict. He's a slimy and uncertain Bob Ford, the James Gang wannabe who would later murder the most famous wild west criminal of all in cold blood. One could argue that James (Brad Pitt) showed stupidity to take the garrulous and cunning dreamer under his wing, but not if the real-life Ford showed as much oily obsequiousness and persistence as in Affleck's portrayal. Ford ended his life ignominiously, murdered as he opened a tent bar he ran to serve a Colorado mining camp, while Affleck gained an Oscar nomination for his work.
Roger Deakins' stunning cinematography also bagged an Oscar nomination. He used a combination of lenses to create colour aberration on the fringes of the frame, giving the film the appearance of old photographs. Meanwhile, Malick's Days of Heaven (1978) was also cited as an influence on the film's visuals, while Nick Cave and Warren Ellis provide a typically earthy soundtrack.
The Killer inside Me (2010)
Director Michael Winterbottom
In this savage and uncompromising adaptation of Jim Thompson's hard-boiled 1952 novel, Affleck is extraordinary as vicious, amoral, small-town deputy sheriff Lou Ford. A sun-bleached inversion of familiar film noir territory, Michael Winterbottom's controversial tale follows Ford as he is sent to run prostitute Jessica Alba from the former's native Central City, Texas. The pair strike up a sadomasochistic romance, and extortion, blackmail and murder soon snarl up the film's complex byways. Affleck impresses in arguably his greatest performance to date. Ford is a callous, arrogant and brutal protagonist who is rarely likeable but retains a degree of charm despite his occasionally eye-watering sadism. The film's shocking scenes of violence remain controversial.
I'm Still Here (2010)
Director Casey Affleck
An unfairly maligned project, I'm Still Here nearly bankrupted Affleck when he took two years off acting to make it, sinking his own money into its production. The mockumentary purports to show his friend, and then brother-in-law, Joaquin Phoenix, retire from his own acting career to become a rapper. Played straight as a proper doc, the action was revealed to be a hoax after the film's release (many suspected Phoenix was playing an elaborate joke during filming).
Phoenix and Affleck co-wrote and co-produced the film, which follows Phoenix and his idiotic two-man entourage from LA to Las Vegas, New York and Miami. The actor is shown to be a spoilt, coke-snorting, prostitute-procuring chump, with hilarious delusions of his own rapping ability. A standout scene shows Phoenix playing his terrible demo CD to a shocked P Diddy in the latter's studio, while disastrous rap 'gigs' show he should definitely stick to the day job. Aside from the many laughs viewers can get while watching, there is fun to be had wondering how much of the stupid and annoying Hollywood behaviour on screen can be expected from real-life A-listers.
Ain't Them Bodies Saints (2013)
Director David Lowery
A wistful, elegiac tone permeates David Lowery's swampy modern western, thanks partly to Bradford Young's sterling cinematography. Shot on filtered, underexposed 35mm film, the 1970s-set crime drama sees Affleck play Bob Muldoon, a criminal who takes the wrap when his pregnant girlfriend Ruth Guthrie (a luminous Rooney Mara) shoots Sheriff Patrick Wheeler (a thoughtful, lovelorn Ben Foster). Four years later, Muldoon escapes from prison and Wheeler develops romantic feelings for Guthrie, as Muldoon seeks help from his mentor/surrogate father Skerritt (Keith Carradine) and childhood friend Sweetie (Nate Parker).
Terrence Malick's Badlands (1973) is an obvious reference point for this pair of criminal lovers with the world against them. Affleck, like Martin Sheen in the earlier film, has his work cut out as he grapples with murderous bounty hunters, Wheeler and even Skerritt. And, much like Badlands, while there are scenes of excitement and action, the mood, emotional pull and regret of the central pairing is by turns joyful and heartbreaking.
Manchester by the Sea (2016)
Director Kenneth Lonergan
On the surface, Manchester by the Sea is a simple family drama. Affleck plays janitor Lee Chandler, who leaves Boston suburb Quincy to return to his hometown upstate following the death of his brother Joe (Kyle Chandler, superb). When his brother's will is read, Lee is stunned to find that he's been left in custody of Joe's teenage son. However, those familiar with Kenneth Lonergan's previous films will get an ominous feeling that there is far more to the story. And they would be right.
Like Lonergan's last film, Margaret (2011), Manchester by the Sea is an epic of big emotion and small details – replete with pain, longing and heartbreak. In a movie full of intricate family tensions, the burden of Lee's traumatic past is precisely calibrated in Affleck's posture, facial expression, speed of movement and tone of voice, as much as in more obvious signifiers of mood like the volume of his voice or the actual words expressed. Indeed, aside from the moments where he loses his temper with professional, social or familial woes, it's a contained, restrained performance, where a look can say more than a lesser film's entire screenplay.


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text:
Grandpa's love for the sea was like that of an athlete for his game – hungry, calculated, and respectful. While it makes some feel trapped, Grandpa submerged himself into anything related to the sea and embodied its best attributes. While the ocean's toil served as a reminder of both his accomplishments and struggles, he was still calmed by its expanse, as if the waves provided supplementary comfort and warmth throughout the battles and separation from his family. I imagine that at times he was lonely, cold, tired, and even scared, but Grandpa was resilient, loyal, and stoic; his service at sea taught him to be so – he was a Vice Admiral after all.
I remember playing soccer in elementary school. Grandpa came to watch my game from the sidelines. I don't remember anything about the game except that I kept looking over to make sure he was watching. I was distracted, but I didn't want anything more than for him to be proud of me.
In the three years that I've lived in the Dominican Republic, I've never felt closer to my Grandpa – surrounded by ocean and driven to serve. He showed my family how to be generous while teaching us to hold ourselves and everyone around us to the highest of standards. It is Grandpa's graceful confidence, energy for life, and courage to achieve what he believes in that fuels my desire to be the best I can be every day.
RIP VADM Thomas Weschler, 1917-2016.


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Levi Rash
Hey! My name's Levi. I'm a FOCUS missionary.
Hey! My name's Levi. I'm a FOCUS missionary.
God has called me to serve college students as a Regional Director with FOCUS. This is my 10th year as a missionary. It was an honor to serve at The Massachusetts Institute of Technology, Boston University, Tulane University in New Orleans and the University of Missouri-Columbia on campus for 5 years from 2011-2016. I now work with multiple campuses across the West Area, serving and supporting the missionaries.
When I was in college my life was radically changed. I encountered Jesus Christ through prayer and relationships. Encouragement and friendships with FOCUS missionaries in Kansas City, MO helped me begin to change my life for the better and truly enter into discipleship with Jesus. Upon graduating I knew there was no other place that God wanted me than back on campus, reaching out and sharing the Gospel with the lost and lonely. Today, I get to form authentic and genuine relationships with many students - the same type of friendship that changed my life. I have traveled on mission with FOCUS and Newman Centers across the country to Spain, the Dominican Republic, Mexico, India, El Salvador and New Mexico. On June 25th, 2016 I was united in the Sacrament of Holy Matrimony ! Meet my wife, Stef! We reside in Nebraska with our two daughters, Evelyn and Mae.
When I answered the call to join FOCUS, I made the decision to rely on the spiritual and financial support of mission partners to help me through this mission. I've been blessed with the most amazing people who have journeyed with me as I serve on campus. If you are interested in partnering with me, please let me know of the best way to reach you and I will schedule an appointment. I'd be honored to share this mission with you.
We encounter God in an intimate relationship through daily prayer, the sacraments and the Scriptures.
By building genuine friendships, we meet students on a deeper level.
We teach students how to share the gospel, who in turn teach other students how to pass it on …


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NVidia Website
Seriously, most disjointed website I have ever been on. Incredibly frustrating being continuously led to a download page that actually has no downloads... and finally find downloads on other pages with no documentation how to use them what so ever. Frustrating enough I had to rant about it.
So, you are in a situation where you have no idea what version of Ubuntu is installed (perhaps the display has been radically altered), so long as you can get terminal access, finding out is very simple. Open a terminal, this can most always be done with CTL+ALT+T, unless someone changed that too. In your terminal issue the command "lsb_release -a", as shown here:
$ lsb_release -a
As you can see, the output contains the version!
January 2015
Jeremy Quandt
(aka. Quandtum)
"Live as if you were to die tomorrow. Learn as if you were to live forever."


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Funari Public Adjusters have worked for years to help area residents file insurance claims for collision events. Our professional adjusters can complete all paperwork and take all steps in the claims process to the final negotiation for your settlement.
Funari Public Adjusters are experts in filing collision damage insurance claims. We can manage your entire insurance claims process or step in when you want help.
With Funari on your side you can feel secure that all claims documentation is complete, your loss estimates are accurate and substantiated and that you are professionally represented in the settlement talks with your insurer.


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Headache - cluster
Alternative names
Histamine headache; Headache - histamine; Migrainous neuralgia; Cluster headaches
Cluster headaches affect one side of the head (unilateral) and may be associated with tearing of the eyes and nasal congestion. They occurs in clusters, happening repeatedly every day at the same time for several weeks and then remitting.
Causes, incidence, and risk factors
Cluster headaches are a fairly common form of chronic, recurrent headache. Unlike migraines, they affect men more often than women. They can affect people of any age but are most common between adolescence and middle age. There does not seem to be a pattern among families in the development of cluster headaches.
A cluster headache begins as a severe, sudden headache. No specific cause has been found for the disorder, but it appears to be related to a sudden release of histamine or serotonin by body tissues.
The onset is sudden, and it happens most commonly during the dreaming (REM) phase of sleep. Cluster headaches may occur daily for months, alternating with periods without headaches (episodic), or they can recur for a year or more without stopping (chronic). A person may experience alternating chronic and episodic phases.
Some people who experience cluster headaches are heavy smokers. Alcohol use may trigger attacks. Glare, stress, or certain foods may trigger an attack.
- Swelling under or around the eyes (usually one eye, on the same side as the head pain)
- Excessive tears (on the affected side)
- Red eye (on the affected side)
- Rhinorrhea (runny nose) or nasal congestion (typically occurs on only one side of the nose, the same side as the head pain)
- Red, flushed face
- Headache o Begins suddenly o Commonly begins 2 to 3 hours after falling asleep o Steady, sharp pain o Burning or boring pain o Characteristically occurs on one side of the head o May occur in and around one eye o May involve one side of the face from neck to temples o Pain quickly gets worse, peaking within 5 to 10 minutes o Peak pain may last one-half to 2 hours
Signs and tests
Cluster headaches may be diagnosed by your health care provider based on the symptoms and a physical examination. Tests may be required to rule out other causes of the symptoms. Examination usually shows no specific neurologic effects except for Horner's syndrome (one-sided eyelid drooping or small pupil) during an attack that is not present between episodes. This can evolve into persistent Horner's syndrome.
An MRI of the head may be done to rule out other pathology.
Treatment does not cure cluster headaches. The goal of treatment is to relieve symptoms. Spontaneous remission may occur, or treatment may be required to prevent headaches.
Smoking, alcohol use, specific foods, and other factors that seem to trigger cluster headaches should be avoided.
A headache diary may be helpful to identify such triggers. When a headache occurs, record the date and the time, list any activities, substances used or consumed within the previous 24 hours, and any other factors that seem significant.
Analgesic medications do not usually relieve the pain from cluster headaches. Generally, they take too long to work - the headache is usually gone before they take effect.
Inhalation of 100% oxygen often relieves cluster headache for some people, particularly for frequent cluster headaches that occur at night.
Combination or multiple medications may be required to control symptoms of cluster headache. Because response to medications varies, several medications may be tried before a suitable treatment is found. Response can vary over time, so a previously taken effective medication or combination of medications may not have the same effect.
Ergot preparations (containing ergotamine tartrate alone or in combination with other medications) help prevent attacks for some people. The side effects, however, may be severe.
Methysergide maleate may be helpful to relieve pain and prevent attacks. It may also have severe side effects.
Other medications may be used to treat or prevent symptoms. These include the following:
- Antihistamines
- Indomethacin
- Lithium carbonate
- Calcium channel blockers
- Propranolol
- Amitriptyline
- Verapamil
- Methysergide
- Cyproheptadine
All preventive medications should be tapered off slowly during periods of remission (no headache).
Corticosteroid medications such as prednisone may provide short-term relief of cluster headaches in some people. They are not advised for long-term use because of side effects.
Surgery on certain nerve cells near the brain may rarely be recommended if medications are ineffective.
Expectations (prognosis)
Cluster headaches are not life-threatening and usually cause no permanent structural changes. However, they are chronic and may be painful enough to be debilitating as they are happening, and this may interfere with work or lifestyle. Occasionally, the pain may be severe enough to drive some individuals to attempt suicide. Side effects of medications or surgery may be severe.
- Interference with lifestyle
- Side effects of medications (see the specific medication)
- Permanent muscle weakness in parts of the face or head after surgery
- Decreased sensation in parts of the face or head after surgery
- Horner's syndrome (not a medical problem, but can be distressing due to cosmetic effects)
Calling your health care provider
Call for an appointment with your health care provider if cluster headaches do not respond to treatment, if headaches disturb sleep, if they happen whenever you are active, or are accompanied by other symptoms.
Emergency symptoms include drowsiness, vision changes, changes in movement or sensation, seizures, changes in alertness, and nausea or vomiting.
If prone to cluster headache, stop smoking. Alcohol use and any foods that are associated with cluster headache may need to be avoided. Medications may prevent cluster headaches in some cases.
by David A. Scott, M.D.
Medical Encyclopedia
All ArmMed Media material is provided for information only and is neither advice nor a substitute for proper medical care. Consult a qualified healthcare professional who understands your particular history for individual concerns.