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A growing number of people in the U.S. and throughout the world are overweight and more prone to develop Type 2 diabetes, particularly if they have the genetics for it. "Type 2 diabetes can be caused by genetic inheritance, but by far the obesity epidemic has created massive increases in the occurrence of Type 2 diabetes. This is due to the major insulin resistance that is created by obesity," Gage says.
The classic oral glucose tolerance test measures blood glucose levels five times over a period of three hours. Some physicians simply get a baseline blood sample followed by a sample two hours after drinking the glucose solution. In a person without diabetes, the glucose levels rise and then fall quickly. In someone with diabetes, glucose levels rise higher than normal and fail to come back down as fast.
Oral glucose tolerance test (OGTT): With this test you will be required to fast for at least 8 hours and then are given a drink with 75 g of carbohydrate. Your blood glucose is checked at fasting and then 2 hours after drinking the solution. If your blood glucose is 11.1 mmol/L or higher, your doctor may diagnose diabetes. If your blood glucose 2 hours after drinking the solution is between 7.8 to 11.1 mmol/L, your doctor may diagnose prediabetes. This is the preferred method to test for gestational diabetes.
Type 2 diabetes, a form of diabetes mellitus, is likely one of the better-known chronic diseases in the world — and that's no surprise. Data from the Centers for Disease Control and Prevention suggest in the United States alone, 30.3 million people, or 9.4 percent of the U.S. population, has diabetes, and the majority of these people have type 2. (1)
By the time a person is diagnosed with type 2 diabetes, up to 50% of the beta cells in the pancreas have usually been damaged. In fact, these cells may have been declining for up to 10 years before the diagnosis. Along with raised blood pressure and elevated cholesterol levels, this predisposes the person to arterial damage years before diabetes is diagnosed. So, at the time of diagnosis, the person is already at risk for cardiovascular disease (CVD).
Many people, especially those with type 2 diabetes, are overweight or obese. Some people with type 2 diabetes may be able to avoid or delay the need to take drugs by achieving and maintaining a healthy weight. Weight loss is also important in these people because excess weight contributes to complications of diabetes. When people with diabetes have trouble losing weight with diet and exercise alone, doctors may give weight-loss drugs or recommend bariatric surgery (surgery to cause weight loss).
Sasigarn A Bowden, MD Associate Professor of Pediatrics, Section of Pediatric Endocrinology, Metabolism and Diabetes, Department of Pediatrics, Ohio State University College of Medicine; Pediatric Endocrinologist, Associate Fellowship Program Director, Division of Endocrinology, Nationwide Children’s Hospital; Affiliate Faculty/Principal Investigator, Center for Clinical Translational Research, Research Institute at Nationwide Children’s Hospital
Jump up ^ Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio E, Ingelsson E, Lawlor DA, Selvin E, Stampfer M, Stehouwer CD, Lewington S, Pennells L, Thompson A, Sattar N, White IR, Ray KK, Danesh J (June 2010). "Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies". Lancet. 375 (9733): 2215–22. doi:10.1016/S0140-6736(10)60484-9. PMC 2904878. PMID 20609967.
In an otherwise healthy individual, blood glucose levels usually do not rise above 180 mg/dL (9 mmol/L). In a child with diabetes, blood sugar levels rise if insulin is insufficient for a given glucose load. The renal threshold for glucose reabsorption is exceeded when blood glucose levels exceed 180 mg/dL (10 mmol/L), causing glycosuria with the typical symptoms of polyuria and polydipsia. (See Pathophysiology, Clinical, and Treatment.)
Type 2 diabetes usually begins with insulin resistance, a condition in which muscle, liver, and fat cells do not use insulin well. As a result, your body needs more insulin to help glucose enter cells. At first, the pancreas makes more insulin to keep up with the added demand. Over time, the pancreas can’t make enough insulin, and blood glucose levels rise.
Does having type 2 diabetes affect life expectancy? While continued improvements in therapies and care for type 2 diabetes may be helping patients live longer, the unfortunate reality is that type 2 diabetes has been shown to decrease life expectancy by up to ten years, according to Diabetes UK. There is still much to be done to ensure that all patients have access to appropriate healthcare and treatments to live a happier and healthier life with type 2 diabetes.
Type 2 diabetes used to be called adult-onset diabetes or non-insulin dependent diabetes because it was diagnosed mainly in adults who did not require insulin to manage their condition. However, because more children are starting to be diagnosed with T2D, and insulin is used more frequently to help manage type 2 diabetes, referring to the condition as “adult-onset” or “non-insulin dependent” is no longer accurate.
In addition to learning about diabetes itself, older people may have to learn how to fit management of diabetes in with their management of other disorders. Learning about how to avoid complications, such as dehydration, skin breakdown, and circulation problems, and to manage factors that can contribute to complications of diabetes, such as high blood pressure and high cholesterol levels, is especially important. Such problems become more common as people age, whether they have diabetes or not.
A neck lump or nodule is the most common symptom of thyroid cancer. You may feel a lump, notice one side of your neck appears to be different, or your doctor may find it during a routine examination. If the tumor is large, it may cause neck or facial pain, shortness of breath, difficulty swallowing, cough unrelated to a cold, hoarseness or voice change.
A: There are two scenarios to consider here, pregnant patients who have diabetes and pregnant patients who have gestational diabetes. Gestational diabetes describes hyperglycemia discovered during pregnancy. This hyperglycemia often corrects itself after pregnancy, but women who experience gestational diabetes are at higher for developing type-2 diabetes later in life when compared to women who experience no hyperglycemia during pregnancy. Regardless of the type of diabetes a pregnant patient has, her physician will closely monitor her disease and its response to therapy. Proper glucose control is important not only for the health of the mother, but also her developing child.
In the exchange system, foods are divided into six food groups (starch, meat, vegetable, fruit, milk, and fat) and the patient is taught to select items from each food group as ordered. Items in each group may be exchanged for each other in specified portions. The patient should avoid concentrated sweets and should increase fiber in the diet. Special dietetic foods are not necessary. Patient teaching should emphasize that a diabetic diet is a healthy diet that all members of the family can follow.
According to the Mayo Clinic, your risk of developing type 2 diabetes increases as you age. Your risk goes up after age 45 in particular. However, the incidence of type 2 diabetes is increasing dramatically among children, adolescents, and younger adults. Likely factors include reduced exercise, decreased muscle mass, and weight gain as you age. Type 1 diabetes is usually diagnosed by the age of 30.
If genetics has taught us anything about diabetes, it's that, for most people, genes aren't the whole story. True, a few rare kinds of diabetes—including those collectively called MODY for maturity-onset diabetes of the young—have been traced to defects in a single gene. But for other types of diabetes, hereditary factors are still not well understood.
In animals, diabetes is most commonly encountered in dogs and cats. Middle-aged animals are most commonly affected. Female dogs are twice as likely to be affected as males, while according to some sources, male cats are also more prone than females. In both species, all breeds may be affected, but some small dog breeds are particularly likely to develop diabetes, such as Miniature Poodles.
Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.
Diabetes is a condition in which the body cannot properly store and use fuel for energy. The body's main fuel is a form of sugar called glucose, which comes from food (after it has been broken down). Glucose enters the blood and is used by cells for energy. To use glucose, the body needs a hormone called insulin that's made by the pancreas. Insulin is important because it allows glucose to leave the blood and enter the body's cells.
Periodontal Disease. Periodontal disease is a commonly observed dental problem for patients with diabetes. It is similar to the periodontal disease encountered among nondiabetic patients. However, as a consequence of the impaired immunity and healing associated with diabetes, it may be more severe and progress more rapidly (see Right). The potential for these changes points to the need for periodic professional evaluation and treatment.
Diabetes mellitus is classified into four broad categories: type 1, type 2, gestational diabetes, and "other specific types". The "other specific types" are a collection of a few dozen individual causes. Diabetes is a more variable disease than once thought and people may have combinations of forms. The term "diabetes", without qualification, usually refers to diabetes mellitus.
Diabetes mellitus is a diagnostic term for a group of disorders characterized by abnormal glucose homeostasis resulting in elevated blood sugar. It is among the most common of chronic disorders, affecting up to 5–10% of the adult population of the Western world. The prevalence of diabetes is increasing dramatically; it has been estimated that the worldwide prevalence will increase by more than 50% between the years 2000 and 2030 (Wild et al., 2004). It is clearly established that diabetes mellitus is not a single disease, but a genetically heterogeneous group of disorders that share glucose intolerance in common. The concept of genetic heterogeneity (i.e. that different genetic and/or environmental etiologic factors can result in similar phenotypes) has significantly altered the genetic analysis of this common disorder.
It will surely be tough eating salads and vegetables when everyone else at your dinner table is eating pizza. Decide that this diagnosis can benefit the health of the entire family. Educate your family about the benefits of eating a healthy diet. Take your children grocery shopping with you. Practice the plate method: Aim to make half your plate non-starchy vegetables; a quarter lean protein; and a quarter whole grains or starchy vegetables, like sweet potatoes. Make exercise part of your daily routine and include your family. Go for walks after dinner. Head to the pool on the weekends, or enroll in an exercise class. If you don't have children, aim to find others with diabetes or friends that can act as your workout partners.
Accelerated atherosclerosis is the main underlying factor contributing to the high risk of atherothrombotic events in DM patients. CAD, peripheral vascular disease, stroke, and increased intima-media thickness are the main macrovascular complications. Diabetics are 2–4 times more likely to develop stroke than people without DM.2 CVD, particularly CAD, is the leading cause of morbidity and mortality in patients with DM.4 Patients with T2DM have a 2- to 4-fold increase in the risk of CAD, and patients with DM but without previous myocardial infarction (MI) carry the same level of risk for subsequent acute coronary events as nondiabetic patients with previous MI.5 Furthermore, people with diabetes have a poorer long-term prognosis after MI, including an increased risk for congestive heart failure and death.
Diabetes also can cause heart disease and stroke, as well as other long-term complications, including eye problems, kidney disease, nerve damage, and gum disease. While these problems don't usually show up in kids or teens who've had type 2 diabetes for only a few years, they can affect them in adulthood, particularly if their diabetes isn't well controlled.
It is recommended that all people with type 2 diabetes get regular eye examination. There is weak evidence suggesting that treating gum disease by scaling and root planing may result in a small short-term improvement in blood sugar levels for people with diabetes. There is no evidence to suggest that this improvement in blood sugar levels is maintained longer than 4 months. There is also not enough evidence to determine if medications to treat gum disease are effective at lowering blood sugar levels.
Considering that being overweight is a risk factor for diabetes, it sounds counterintuitive that shedding pounds could be one of the silent symptoms of diabetes. “Weight loss comes from two things,” says Dr. Cypess. “One, from the water that you lose [from urinating]. Two, you lose some calories in the urine and you don’t absorb all the calories from the sugar in your blood.” Once people learn they have diabetes and start controlling their blood sugar, they may even experience some weight gain—but “that’s a good thing,” says Dr. Cypess, because it means your blood sugar levels are more balanced.
Some people with type 2 diabetes are treated with insulin. Insulin is either injected with a syringe several times per day, or delivered via an insulin pump. The goal of insulin therapy is to mimic the way the pancreas would produce and distribute its own insulin, if it were able to manufacture it. Taking insulin does not mean you have done a bad job of trying to control your blood glucose—instead it simply means that your body doesn’t produce or use enough of it on its own to cover the foods you eat.
Doctors and people with diabetes have observed that infections seem more common if you have diabetes. Research in this area, however, has not proved whether this is entirely true, nor why. It may be that high levels of blood sugar impair your body's natural healing process and your ability to fight infections. For women, bladder and vaginal infections are especially common.
Prevention and treatment involve maintaining a healthy diet, regular physical exercise, a normal body weight, and avoiding use of tobacco. Control of blood pressure and maintaining proper foot care are important for people with the disease. Type 1 DM must be managed with insulin injections. Type 2 DM may be treated with medications with or without insulin. Insulin and some oral medications can cause low blood sugar. Weight loss surgery in those with obesity is sometimes an effective measure in those with type 2 DM. Gestational diabetes usually resolves after the birth of the baby.
Patients with type 1 diabetes require life-long treatment with exogenous (artificial) insulin to regulate their blood sugar levels. This insulin may be given through the use of a hypodermic needle (seen right), or other methods such as the use of an insulin pump. Over time, many patients suffer chronic complications: vascular, neurological and organ-specific (such as kidney and eye disease). The frequency and severity of these complications is related to duration that the patient has suffered the disease for, and by how well their blood sugar levels have been controlled. If blood sugar levels, blood pressure and lipids are tightly controlled, many complications of diabetes may be prevented. Some patients may develop the major emergency complication of diabetes, known as ketoacidosis (extremely high blood glucose levels accompanied with extremely low insulin levels), which has a mortality rate of 5-10%.
Several common medications can impair the body's use of insulin, causing a condition known as secondary diabetes. These medications include treatments for high blood pressure (furosemide, clonidine, and thiazide diuretics), drugs with hormonal activity (oral contraceptives, thyroid hormone, progestins, and glucocorticorids), and the anti-inflammation drug indomethacin. Several drugs that are used to treat mood disorders (such as anxiety and depression) also can impair glucose absorption. These drugs include haloperidol, lithium carbonate, phenothiazines, tricyclic antidepressants, and adrenergic agonists. Other medications that can cause diabetes symptoms include isoniazid, nicotinic acid, cimetidine, and heparin. A 2004 study found that low levels of the essential mineral chromium in the body may be linked to increased risk for diseases associated with insulin resistance.
Type 2 diabetes is the most common type of diabetes. It is a chronic problem in which blood glucose (sugar) can no longer be regulated. There are two reasons for this. First, the cells of the body become resistant to insulin (insulin resistant). Insulin works like a key to let glucose (blood sugar) move out of the blood and into the cells where it is used as fuel for energy. When the cells become insulin resistant, it requires more and more insulin to move sugar into the cells, and too much sugar stays in the blood. Over time, if the cells require more and more insulin, the pancreas can't make enough insulin to keep up and begins to fail.
"Secondary" diabetes refers to elevated blood sugar levels from another medical condition. Secondary diabetes may develop when the pancreatic tissue responsible for the production of insulin is destroyed by disease, such as chronic pancreatitis (inflammation of the pancreas by toxins like excessive alcohol), trauma, or surgical removal of the pancreas.
The typical symptoms of diabetes mellitus are the three “polys:” polyuria, polydipsia, and polyphagia. Because of insulin deficiency, the assimilation and storage of glucose in muscle adipose tissues, and the liver is greatly diminished. This produces an accumulation of glucose in the blood and creates an increase in its osmolarity. In response to this increased osmotic pressure there is depletion of intracellular water and osmotic diuresis. The water loss creates intense thirst and increased urination. The increased appetite (polyphagia) is not as clearly understood. It may be the result of the body's effort to increase its supply of energy foods even though eating more carbohydrates in the absence of sufficient insulin does not meet the energy needs of the cells.
Jump up ^ Haw JS, Galaviz KI, Straus AN, Kowalski AJ, Magee MJ, Weber MB, Wei J, Narayan KM, Ali MK (December 2017). "Long-term Sustainability of Diabetes Prevention Approaches: A Systematic Review and Meta-analysis of Randomized Clinical Trials". JAMA Internal Medicine. 177 (12): 1808–1817. doi:10.1001/jamainternmed.2017.6040. PMC 5820728. PMID 29114778.
A1C: Your A1C, also called glycated hemoglobin, reflects your average blood glucose levels for the past 2 to 3 months. If your A1C is 6.5% or greater, your doctor may diagnose diabetes. If your A1C is between 6.0% and 6.4%, your doctor may diagnose prediabetes. Of note, A1C cannot be used to diagnose type 1 diabetes, diabetes in children, adolescents, or pregnant women.
Diet, exercise, and education are the cornerstones of treatment of diabetes and often the first recommendations for people with mild diabetes. Weight loss is important for people who are overweight. People who continue to have elevated blood glucose levels despite lifestyle changes, or have very high blood glucose levels and people with type 1 diabetes (no matter their blood glucose levels) also require drugs.
Kidney disease: According to the Centers for Disease Control and Prevention (CDC), an estimated 33 percent of people with diabetes have chronic kidney disease. Diabetes can also damage blood vessels in the kidneys, impairing function. The kidneys play a vital role in balancing fluid levels and removing waste from the body. Kidney health is therefore vital for preserving overall health.
Jump up ^ Qaseem, Amir; Wilt, Timothy J.; Kansagara, Devan; Horwitch, Carrie; Barry, Michael J.; Forciea, Mary Ann (6 March 2018). "Hemoglobin A Targets for Glycemic Control With Pharmacologic Therapy for Nonpregnant Adults With Type 2 Diabetes Mellitus: A Guidance Statement Update From the American College of Physicians". Annals of Internal Medicine. doi:10.7326/M17-0939.
The protocol for therapy is determined by the type of diabetes; patients with either type 1 or type 2 must pay attention to their diet and exercise regimens. Insulin therapy may be prescribed for patients with type 2 diabetes as well as any who are dependent on insulin. In most cases, the type 2 diabetes patient can be treated effectively by reducing caloric intake, maintaining target weight, and promoting physical exercise.
The most common cause of acquired blindness in many developed nations, diabetic retinopathy is rare in the prepubertal child or within 5 years of onset of diabetes. The prevalence and severity of retinopathy increase with age and are greatest in patients whose diabetic control is poor.  Prevalence rates seem to be declining, yet an estimated 80% of people with type 1 diabetes mellitus develop retinopathy.
Rates of diabetes in 1985 were estimated at 30 million, increasing to 135 million in 1995 and 217 million in 2005. This increase is believed to be primarily due to the global population aging, a decrease in exercise, and increasing rates of obesity. The five countries with the greatest number of people with diabetes as of 2000 are India having 31.7 million, China 20.8 million, the United States 17.7 million, Indonesia 8.4 million, and Japan 6.8 million. It is recognized as a global epidemic by the World Health Organization.
What you need to know about borderline diabetes Borderline diabetes, known as prediabetes, is a condition where blood sugar levels are higher than normal but not yet high enough to be type 2 diabetes. This MNT Knowledge Center article explains the signs to look out for, how to monitor the disease, and ways to prevent it becoming full diabetes. Read now

domain: biology


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Depicting a lush pastoral landscape with a church and waterfalls, and influenced by religious and hunting themes, this 100% linen fabric is based on a late 17th century painted cloth and is available in two colourways and as a wallpaper. Stunning teamed with antiques, or by way of contrast alongside ultra-modern furniture pieces.
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AZERBAIJAN / Detained May 17, 2013
Update: Ilkin Rustamzade was released by presidential pardon almost six years into his sentence on March 17, 2019, ahead of Noruz—Azerbaijan’s New Year celebration. The presidential pardoning of prisoners is common around this time, but generally does not include political prisoners. Upon his release, Ilkin gave an interview about how he intends to continue his activism and how he thinks the international community can help activists working under duress in Azerbaijan. Read the interview here.
Ilkin Rustamzade is a youth activist and leading member of Azad Genclik (“Free Youth”), a pro-democracy youth movement in Azerbaijan. An outspoken critic of the government, Ilkin and other members of Azad Genclik regularly used social media to organize peaceful protests.
On May 17, 2013, Ilkin was arrested in connection with his alleged involvement in a satirical “Harlem Shake” YouTube video filmed in Baku, Azerbaijan. Although Ilkin does not appear in the video and the video contains no political content, the authorities charged him with “hooliganism” under the assertion that Ilkin had filmed the video and subsequently posted it on YouTube. Ilkin categorically denied having any involvement in the video.
Ilkin had been previously targeted for his political activism. Just two days before his arrest, Ilkin had been released from 15 days of administrative detention for his involvement in organizing a peaceful gathering to commemorate victims on the anniversary of a 2009 shooting at the Azerbaijani State Oil Company. Two months before, in March 2013, he had served six days of administrative detention as punishment for organizing a series of widely-attended peaceful protests to raise awareness for the deaths of soldiers in non-combat situations.
In September 2013, Ilkin was further charged with “organizing mass violent disorder” and accused of plotting to use Molotov cocktails against authorities at the March 2013 protests. On May 6, 2014, Ilkin was sentenced to eight years in prison.
Ilkin’s arrest was widely criticized as being politically motivated. Critics pointed out that the “Harlem Shake” video was completely apolitical and that Ilkin makes no appearance whatsoever in the video. Dr. Agnes Callamard, then the executive director of international human rights organization Article 19, stated that Ilkin’s detention “is part of a wave of politically motivated arrests.”
While in prison, Ilkin was repeatedly placed in solitary confinement in retribution for his continued criticism of the government in letters sent from prison. In May 2017, he marked four years in prison and became one of the most long-standing political prisoners in Azerbaijan.
On March 17, 2019, Ilkin was released by presidential pardon ahead of Noruz, Azerbaijan’s New Year celebration. It is common for the president to pardon prisoners in the time period leading up to Noruz, but political prisoners have generally not been pardoned. He had served nearly six years in prison.
Upon Ilkin’s release, he gave an interview discussing his imprisonment and how he intends to continue his activism. He notes that “it is crucially important for international community (sic) to pay equal level of attention to all activists under risk, not only to those who are well connected with Western organizations.”

domain: sociology


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Medical Malpractice Cases and Severe Ulcers
When patients are checked into a hospital for any length of time, or placed in a convalescent home, they depend on their caretakers to go about their duties conscientiously. Unfortunately, not all medical professionals fulfill their obligation to provide vigilant, competent care. As a result, patients can sustain injuries that could otherwise have been avoided.
Among the most common of these injuries that occur in hospital settings are decubitus ulcers, better known as pressure ulcers or bedsores. While some ulcers are unavoidable, many could have been prevented if patients had received the proper attention from their nurses, doctors, and other caregivers. At Younker Hyde Macfarlane, PLLC, serving communities throughout Utah including St. George, ulcers that occur in hospitals and other short- and long-term care facilities as a result of neglect can serve as the basis for medical malpractice claims. Our medical malpractice attorneys have extensive experience and success in handling cases arising from pressure ulcers, and we can provide you with outstanding representation if you or a member of your family has suffered such an injury.
What Are Pressure Ulcers?
Pressure ulcers generally occur when the skin is compressed between a bone and an outside surface for too long, usually because a person is unable to move on his or her own. Patients who are immobile need to be turned or otherwise repositioned regularly by medical staff. They must also be aided with their hygiene and nutritional needs. If they receive adequate care, even immobile patients are usually able to avoid pressure ulcers. On the other hand, patients who develop pressure ulcers that aren’t immediately treated become susceptible to sepsis (inflammation covering the entire body) and death.
Stages of Pressure Ulcers
Pressure ulcers are classified according to their severity. When they are caught in the earliest stage of their development, they are generally treatable, albeit extremely painful. The further these ulcers are allowed to progress, however, the more dangerous they become.
- Stage One: The skin becomes discolored, with the discoloration lasting for more than 30 minutes. While irritated, the skin is not broken.
- Stage Two: The skin becomes blistered and cracked, with a shallow but visible ulcer that may be draining.
- Stage Three: The upper layers of the skin are broken, and the ulcer extends down into the underlying layers of fat. Usually at this point, the ulcer is bleeding.
- Stage Four: The ulcer extends down into all of the layers of skin, leaving muscle and bone exposed.
Even a Stage One pressure ulcer is unforgiveable in a hospital setting. When hospital errors mount to the point that pressure ulcers pose a threat to a patient’s life, it is that much more inexcusable. If you or a member of your family has been allowed to develop pressure ulcers while in the care of medical professionals, you should consult an attorney.
Contact Our Medical Malpractice Lawyers
To learn more about medical malpractice litigation, or to arrange an evaluation of your pressure ulcer case, please contact Younker Hyde Macfarlane, PLLC today. We would be pleased to advise you of your legal rights and options.

domain: law


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当今医学正处在一个转变时期。从自然整体观角度看，循证医学正面临包括中医学以及其他替代医学的挑战。综合医学*ı概念的提出是为了更好地指导临床实践。综合医学作为一个崭新的医学系统需要建立其公认、可靠的系统方法来指导临床。本报告对认知逻辑、证据的进展、科学方法和医学哲学整体观等诸多方面进行探讨，从而形成一种真实、清晰而连贯的医学方法论，在探讨综合辩证逻辑的发展过程中寻找医学新方法。本文还提出了辩证医学*²(Dialectical Based Medicine, DBM)这一具有较先进理论的概念。黑格尔逻辑学中的三段论法为我们提供了一种认知逻辑，它可作为综合医学的研究手段，因这种双对认知逻辑可以把躯体疾患以及精神情志、社会、环境因素所导致的各种疾患综合起来。
This paper was delivered at the World Congress of Chinese Medicine, Macau, 15th October 2008
The large Hadron Collider (LHC) at CERN will soon provide us with experimental evidence of a revolutionary vision of our universe developed since Einstein’s Theory of Relativity and Quantum Physics. The implications of a century of intellectual advancement in human knowledge has not yet influenced the system methodology of medicine today. Evidence Based Medicine is still a largely Newtonian mechanistic worldview of empirical objectivity, which is outdated by the Standard Model in physics and the String Theory of extra dimensions.
A Report delivered at the Integrative Medicine Conference March 2007 · Royal College of Physicians, London
Medicine is facing an era of transformation. Evidence Based Medicine (EBM) is being challenged by the revival of traditional medicines such as Chinese medicine and Complementary & Alternative Medicine (CAM) from a holistic natural stand point. The proposal of an integrative medicine must begin by innovating a creditable theoretical methodology to guide its clinical practice. This inquiry looks at the logic of cognition, a progression from evidence, scientism and the holistic metaphysics of medicine to a truer, more coherent methodology. Exploring this progress in terms of the dialectical logic of synthesis, this paper proposes the theoretical advancement of a Dialectical Based Medicine (DBM). Syllogism in Hegel’s science of logic may provide us with a cognitive logic for integrative medical research that incorporates both the changing complexity of physical manifestations and psycho-emotional, social and environmental factors in human health and disease.

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Happy Friday, everyone! The release of the American Crafts Journal Studio collection has really inspired me lately. If you haven’t seen the new line yet, go HERE…you will be FLOORED! Now, I love all of the new notebooks, embellishments & tools that come with the collection, but I got to thinking that I would love […]
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domain: design


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St Helens residents are celebrating receiving life-changing sums of money after part of the town scooped a £3m jackpot in the People's Postcode Lottery.
A total of 897 people joined in the delight after WA11 7 was revealed as the winning location in the Postcode Millions draw on Saturday.
For some in WA11 7LP, though, the celebrations were on another scale as they took home hundreds of thousands of pounds.
The biggest winner was Pat Rowland, who bought two tickets and netted a massive £333,332.
And seven other neighbours took home £166,666 each.
Unsurprisingly, that meant the rain on Saturday did little to dampen the spirits when lottery ambassadors turned up to hand out the cheques.
Pat, 58, and her husband Roy initially signed up to the People's Postcode Lottery to support charities close to their hearts, who will now benefit from the huge windfall.
She said: “The fact that so many charities benefit is just amazing. Roy is an ex-serviceman, so we will be giving some of the winnings to Veterans of the Saints Community Development Foundation which supports people who have served in the armed forces.
“I also helped start up Francis House Children’s Hospice many years ago with my mum, so I’m going to give a donation in my mum’s name.”
Pat is also thinking about treating herself and Roy by bringing an end to her 25-year stint working at a local Asda story and relocating to one of their favourite getaway destinations.
She said: “This money really is life changing. I can finally think about retiring. We go to Wales every year so there’s a chance we can buy a place over there now, we’ve been talking about it for ages.
“We’ve been dreaming for the last week since we found out we had won and now those dreams can come true.”
NHS health care assistant Gemma Smith is one of those who won £166,666.
When her cheque was revealed she said: “Shut up! This is a crazy amount of money. I never win anything…ever!"
Gemma, 27, said: “I can finally move out and get my own place. There’s seven of us in this house just now so my sisters will be deciding who’s getting my room already. The first thing I’m going to do when I move out is party and celebrate!”
When asked what she would tell her friends about her win Gemma said: “That I’m rich!”
Retired supermarket worker Cynthia Frodsham, 71, had been hoping to win enough money to buy a new phone and some gardening equipment.
But when Postcode Lottery ambassador Danyl Johnson revealed Cynthia’s cheque, she discovered she too had picked up a six-figure sum.
Cynthia said: “I am in my seventies now and I have never had more than £2,000 in my bank account. This kind of thing never happens to people like me.
“I was away when the letter arrived and a neighbour told me I had won the Postcode Lottery. I just couldn’t believe it.
“I have only been playing for about 18 months and I have already won lots of £10 prizes.
“It’s a no brainier, you sign up once and you don’t have to go looking for tickets.
“The Postcode Lottery tell you if you’ve won. It’s just so easy and now they’re here on my doorstep!”
Liz Sheedy, 45, who works at Rainford High School, also picked up a cheque for £166,666.
She said: “We have been watching the Postcode Lottery team delivering cheques all over the estate this morning and we knew they were coming to see us.
“But we only expected to win around £500 — I was speechless when I saw the amount on the cheque, I really was.
“This will really, really, lift the spirits of the whole community.”
Liz and her husband Vic are now planning to use the win to support their community work.
Vic said: “Rainford is such a nice community. Everybody on the estate supports each other — that’s just what we do.”
The remaining 889 residents received cheques ranging from £1,525 to £9,150, which were handed out by People’s Postcode Lottery ambassadors Judie McCourt and Danyl Johnson.
Incredibly, it’s the third time the St Helens area has won the £3m prize pot, with WA9 5 winning in August 2017 and WA10 6 residents scooping the same prize in December 2018.
Judie McCourt was one of the People’s Postcode Lottery ambassadors knocking on doors and handing out cheques.
She said: “It’s been a fantastic day in St Helens today meeting our lovely winners. It may have been raining but I think our golden envelopes brought some sunshine."
With a minimum of 32 per cent of every ticket going to charity, players have raised over £474m for thousands of charities and good causes to date.
This Postcode Millions draw was held on behalf of Postcode Dream Trust, which gives organisations the chance to deliver projects they have always wanted to deliver but never had sufficient funding for.

domain: news


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Hundreds gather to remember Shoreham Airshow tragedy
Hundreds of people gathered on the Old Toll Bridge Shoreham to remember the Shoreham Airshow tragedy on its first anniversary.
Family members, friends and members of the community gathered to pay their respects.
A minute’s silence was held at 1:22pm on the bridge where flowers, dedicated to the eleven men who died, were lain.
Vicar Ann Waizeneker, of St Mary de Haura and the Church of the Good Shepherd, read out a prayer and the names of the eleven men who died.
Vicar Waizeneker said: “Its a really important thing to do, to mark this, at the time it happened and at this place, which is a focal point.
“I’m glad so many people are here. I hope it is of some comfort and help.”
A set of colourful balloons were released and the bells rang at St Nicolas’ church, where there was an opportunity to light a candle inside.
The memorial ended as the families of the deceased released 11 white doves, which flew over the bridge and into the distance. Reverend Terry Stratford, associate priest, said: “It was a poignant moment, for me, the sight of the doves, flying high and free.
“It was quite moving.”
Several of the British Red Cross volunteers who were there on the day of the crash came to pay their respects.
Terry Alexander, one of the ambulance crew and a volunteer, said: “It’s been a difficult day, a lot of emotion, a lot of grief.
“There were some lovely tributes. The release of the balloons was the first bit for me where it was really emotional. The doves were a lovely touch.
“Today has been part of the grieving process, but there’s a still a long way to go.”
Members of fire service, councillors and MPs also attended the memorial.
Louise Goldsmith, the leader of West Sussex County Council, said: “I am still very emotional about it all.
“I think it was important to have today because the families of the victims were able to see the support that they have received from the community.
“Today was not just about the families, but for the people of Shoreham and surrounding areas to show their respect on this day.
“It is very difficult one year on from the day, but I think the community have been great and so supportive.
“It is a very emotional day for all involved but it was lovely to see the community come together and to see so many people here today.”
Tim Loughton, MP for East Worthing and Shoreham, said: “This is a very big and important day for, not only the families, but also the whole community as they pay their respects to those that lost their lives.
“A year on, it is still significant to so many people. A year ago impacted on many local people and that is why so many people have come to show their respects.
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domain: history


text:
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In the tradition of Chocolates and Confections at Home with The Culinary Institute of America comes Cookies at Home with The Culinary Institute of America, featuring chewy, crispy, rich, and crunchy cookies and offering information about basic cookie-making techniques, equipment, and ingredients. The recipes include a range of options, from quick and easy Chocolate Chip Cookies and Fudge Brownies to cookies that will delight and inspire your guests, including Lemon Meringues and French Macaroons.
With beautiful full-color photography throughout, Cookies at Home with The Culinary Institute of America offers easy instructions and features nearly 100 recipes, with helpful tips for decorating cookies for special occasions and packing them for personal gifts.
No matter what kind of cookies you love, from Triple Chocolate Cookies to the festive Gingerbread House, Cookies at Home with The Culinary Institute of America will help you take your home-baked cookies to new and delicious heights.
Please contact our Customer Service Consultants at 1-800-888-7850 (8 a.m.–10 p.m. EST) or 845-452-2230 (8:30 a.m.–5 p.m. EST) or fill out our "Ask the CIA" form. Want to receive more information about our monthly specials and new products? Subscribe Today!

domain: food


text:
Hublot expands its Spirit of Big Bang family by unveiling two Ceramic Beige timepieces.
Ceramic, a high-tech and distinctive material, has been present in Hublot’s collections since 2005. It is also a symbol of innovation for the watchmaking house, which has become the leader in the production of ceramic, with a wide variety of colours (black, white, navy blue, pastel pink and pastel blue) and a world-first patented in 2018: bright red ceramic.
The Spirit of Big Bang Ceramic Beige plays with the layering of its greige alligator strap on white rubber and its sand-coloured sunray dial, with its bezel either in King Gold 18K or polished titanium set with 50 diamonds. Emphasising its emblematic barrel case, the beige highlights the softness of the style in ceramic with a velvety touch.
With its urbanite and contemporary appearance, both uninhibited and neutral, the Spirit of Big Bang Ceramic Beige asserts its timelessness and its mix-and-match spirit. It goes with all outfits and is at home anywhere, from the office to the catwalk, from the sea to the mountains.
The 39mm diameter case of the watch elegantly slides onto your wrist. The self-winding movement provides this timepiece an impressive 50-hours power reserve.
Model: Spirit of Big Bang Ceramic Beige
Beige Ceramic Titanium Diamonds: 665.CZ.891B.LR.1204
Beige Ceramic King Gold Diamonds: 665.CZ.898B.LR.1204
Satin-finished and polished Beige Ceramic
Diameter: 39 mm
Thickness: 12.60 mm
Water resistance: 10 ATM (100 m)
Case-back: Polished Beige Ceramic and Sapphire Crystal
Bezel: Polished Titanium or 18K King Gold; Set with 50 Diamonds; Screws 6 H-shaped Titanium
Satin-finished Beige Sunray
HUB1710 Self-winding Movement
Date Window at 6.00
Oscillating Weight: HUBLOT Design Tungsten Openwork Rotor
Escapement: Swiss Lever Escapement
Frequency: 4 Hz (28 800 A/h)
Power reserve: 50 hours
Number of components: 185
Beige Ceramic Titanium Diamonds: White Rubber and Beige Alligator Straps; Stainless Steel Deployant Buckle Clasp
Beige Ceramic King Gold Diamonds: White Rubber and Beige Alligator Straps; 18K King Gold and Stainless Steel Deployant Buckle Clasp
Beige Ceramic Titanium Diamonds (665.CZ.891B.LR.1204): CHF 18’900/ EUR 19’600/ USD 19’900/ GBP 16’500
Beige Ceramic King Gold Diamonds (665.CZ.898B.LR.1204): CHF 22’900/ EUR 23’800/ USD 24’100/ GBP 19’900


A fresh suit seeking to stop the Osun State House of Assembly from amending the Osun State Electoral law has been filed by a lawyer, Kanmi Ajibola before an Osun State High Court.
Some of Ajibola’s prayers include an order stopping the lawmakers from amending the State electoral law, an order stopping the governor, Adegboyega Oyetola from assenting the amended law and an order stopping the Osun State Independent Electoral Commission from conducting any local government election pending the determination of the suit.
On Monday, news had been spreading that the state government was planning to conduct local government elections on October 29, 2022.
The Chairman of the State Electoral Commission, Segun Oladitan in a statement had stated that the only recognized body to announce the date for the Local Government Election is the Osun Independent Electoral Commission, hence any date coming from any other source aside OSSIEC should be disregarded by the public
Oladitan stated that at the appropriate time, the Commission will come out with the election guidelines to put a stop to the unnecessary rumors being peddled around.
Recall that the Osun State House of Assembly had on Thursday, July 28, 2022, reversed the parliamentary system of government initiated by the administration of a former governor, Rauf Aregbesola, to a presidential system.
While reversing the system, the State Assembly passed the State of Osun Local Government Area Creation and Administration Amendment no 5 Bill 2022 to return the presidential system to local government administration in the State.
The Assembly also passed the Osun State Independent Electoral Commission Bill 2022 to allow the State Independent Electoral Commission (OSSIEC) to have its own law to guide and regulate its conduct.
The bill would allow OSSIEC to conduct elections at the local government level in the State to elect Chairmen, Vice Chairmen, and Councillors at council areas and ward levels, respectively.
But the human rights lawyer in the suit noted that there was a pending lawsuit with No. HIL/M.66/17 instituted by him in 2017 challenging the constitutionality of the “State of Osun Local Government Law”, which the State lawmakers have amended.
Ajibola opined that constitutionally and in line with some court judgements already obtained, there is nothing called the “State of Osun Assembly” or the “State of Osun Law” as it is being brandished by the present government in the State.
Ajibola urged the court to stop the legislators from tampering with the law already before it for consideration, adding that such will be prejudicial.
The former Chairman of Nigeria Bar Association (NBA), Ilesa Branch, who attached a 35-paragraph affidavit to his fresh suit, joined the State governor, the Osun Independent Electoral Commission (OSIEC), All Progressives Congress, Peoples Democratic Party, Social Democratic Party, Labour Party and seven other political parties as defendants.
In his earlier suit, Ajibola had raised a constitutional question against the use of “State of Osun” not only by the Assembly but also in the State’s controversial electoral law. He alleged that all the members appointed into OSSIEC were members of the ruling All Progressives Congress (APC).
While insinuating in his affidavits that OSSIEC was planning to conduct election any time from now till November 26, 2022, he asked the court to grant six interlocutory orders against the respondents.
Some of his prayers include an order stopping the lawmakers from amending the State electoral law, an order stopping the governor, Adegboyega Oyetola from assenting the amended law and an order stopping the OSIEC from conducting any local government election pending the determination of the suit.
LG election: Lawyer institutes action against Osun Assembly, OSSIEC


In June, Central Queensland held its first hackathon—CQ Disaster Hack 2018. It brought 40 participants from diverse backgrounds to the Department of Agriculture and Fisheries’ conference centre in Rockhampton and challenged them to find new and innovative ways to improve Central Queensland’s disaster management.
In times of disaster, government employees find it hard to get to affected locations to assess the impact and arrange for assistance. Important infrastructure, such as roads, communication, electricity and water, is often in disrepair. Disaster coordination centres and senior staff can have trouble getting real-time information and reporting to help with their emergency response.
The CQ Disaster Hack 2018 focussed on 3 themes:
- Data and digital technology: how can we use data and digital technology to enable us to react quickly, effectively, efficiently and collaboratively?
- Process: how can we redesign the process to enable our people to react quickly, effectively, and collaboratively?
- Citizen experience: how can we improve the citizen experience before, during and after disaster management operations?
Representatives from the Queensland Government, local government, businesses, charitable organisations, and universities were grouped into 7 multi-disciplinary teams. These teams worked on an innovative and collaborative solution to 1 of the 3 themes.
Many of the teams built working platforms and had excellent ideas to build on to enhance disaster management in Queensland.
The next step will be to capture and analyse all the work completed during the hackathon and look at how we might bring these ideas to life. Their eventual implementation will be the true measure of their success.The winner was iRecover, who addressed the Citizen experience theme. They built an app that lets users ask for and offer help to one another during and after a disaster. A family could raise a call for nappies and formula, and members of the community could direct them to where they might be available. The app could help build community capacity and resilience to better respond to disasters.


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Bottled up by the Bulls and baffled by the officials, Carmelo Anthony expected to spend the final minutes of the Knicks’ loss alone in the locker room.
Turns out the early exodus of Knicks was just beginning.
Coach Mike Woodson and center Tyson Chandler were also ejected from the foul-filled game, and Chicago beat New York for the second time this season, 110-106 on Friday night.
Chandler and Bulls counterpart Joakim Noah were tossed after a fourth-quarter altercation, shortly after Woodson had been ejected following his second technical. He drew a loud ovation during his walk to the back from Knicks fans who angrily booed the officiating for much of the second half.
“I was actually in here, and then I just heard the crowd screaming and yelling, and I walked to the hallway, and Woody was walking back. Then I was actually in the shower, came back and Tyson was sitting right next to me,” Anthony said. “So once I saw that, that’s how the night was going.”
Luol Deng had season highs of 29 points and 13 rebounds for the Bulls despite briefly leaving the game with an injured left shoulder. Marco Belinelli added 22 points as Chicago won for the fourth time in five games.
Anthony finished with 29 points on 10 of 25 shooting, ending his streak of four straight 30-point games. The Knicks lost for the second time in three home games after winning their first 10.
Noah finished with 15 points, 12 rebounds and six assists in completely outplaying Chandler, who took only one shot and was limited to five points and eight boards.
Chandler insisted he and Noah didn’t fight and shouldn’t have been ejected from the game that featured nine technicals.
“It was just an ugly game in general and then things contributed from there,” Chandler said.
Kirk Hinrich had 16 points, nine rebounds and eight assists for the Bulls, who were totally shutting the Knicks down until allowing 45 mostly meaningless points in the fourth quarter after Chicago had led by 25 in the third.
“You get a 25-point lead on the road against a team like this, you’re doing a lot of good things,” Chicago coach Tom Thibodeau said. “I’m disappointed with our approach and discipline in the fourth quarter, starting with my fourth-quarter technical. So we gave up 45 points and that’s not good. That’s not the way we want to close a game.”
The Knicks were held to season lows of 85 points and 32.1 percent shooting in an eight-point loss in Chicago on Dec. 8, when Anthony was sidelined by a cut on his finger that required stitches. Woodson said before the game he thought the Knicks got good shots that night and just missed them, expecting his team would deliver a better performance at home with Anthony in the lineup.
Instead, the Knicks were never really in the game on a rare off night from Anthony, the NBA’s second-leading scorer. The score got close in the final minutes, but the outcome had long been decided.


On Monday afternoon, Dec. 14, 2020, a staff member who worked at Belmont Hills Elementary School last week reported a positive case of COVID-19. This is the second case of COVID-19 at Belmont Hills within a 14-day period. Therefore, in accordance with the guidance from the Pa. Department of Education, we will be closing Belmont Hills for the remainder of this week. Students will participate in virtual instruction in the hybrid model. The building will undergo a deep cleaning and we anticipate that students and staff will return to in-person instruction on Monday, Dec. 21, 2020.
As a reminder, even when students are not in our buildings, we encourage everyone to continue to follow the health protocols, including mask-wearing, handwashing and maintaining physical distance. Social interactions should be limited to household. If anyone in your household experiences symptoms listed in our screening tool, they should stay home and contact a medical provider. If anyone in your household has COVID-19, please call the LMSD Health Services COVID Healthline at 610-645-1973.
If you would like information about testing locations, please visit the Montgomery County COVID-19 Testing page or contact the school nurse. For additional information on quarantine and isolation, please see the At A Glance resource on our District website. If you have any other questions about this case, please email email@example.com.
Thank you for your flexibility, patience and resilience as we continue to deal with the ongoing pandemic and its impact on our school community.


Our BMW Forklift Stand features wider spaced pegs on the swivel that goes under the forks. This allows it to better fit bikes like the BMW R1100, K1200/1300, R1200 (’05-’12), K1600, and other bikes with similar fork designs.
NOTE:Around 2013 BMW R1200 bikes started featuring the radial mount brakes. On those models, you can use this stand OR the normal F0100-100 front stand from under the caliper brackets. If you’re not sure which stand your bike will require, give us a call or send an email inquiry.
Some customers prefer the BMW Forklift on their Suzuki = Hayabusa forks as well as Harley XR1200 forks.
The BMW Forklift is available with an optional removable handle which you can select when you add it to your basket for a charge of only $10. If you select the removable handle model, you can even select an extended removable handle which will increase your leverage considerably.
NOTE: When using this stand without the aid of a rear stand, you may want to add the custom BMW Pivot Plates from the dropdown menu. These will allow the front stand to be adjusted lower than our other front stands which will prevent the center stand from coming off the ground when you lift the front of the motorcycle. This is optional because you can also put a 2″ x 12″ under the center stand for stability if you would prefer.
Riders Choice allows returns for store-credit within 30-days after purchase if the item is unused, in saleable condition, in original packaging, and with all tags intact.
You are responsible for return shipping costs. Products returned in manufacturer packaging and not in a box (example. shipping helmets in their branded box) will be refused and a handling fee of $10. Refused, Undelivered, or Abandoned shipments will be subject to a $10 service fee.
Whether an item meets the requirements for return will be at the discretion of Riders Choice.
Do Not order multiple items with the intention of sizing and returning a majority of your order. Please contact us or visit our store for sizing requirements. Returns will be monitored for abuse.
Store-Credit is only valid for 1 year. If you need to make an exchange please contact us and we would be happy to accommodate you. You are also welcome to visit the store for exchanges or returns.
Select items are subject to a 25% restocking fee: Tires, Pit-Bull, and Electronics. If there is a problem with your order, please contact our customer service department and we would be happy to assist you.


text:
Clients can have their dental health checked thanks to an exam with 2 tooth X-rays with scale & polish; opt to have a full-mouth X-ray
What You'll Get
$99 for a dental exam with two tooth x-rays with a scale and polish
$150 for a dental exam with two tooth x-rays, a panoramic full mouth x-ray, with a scale and polish
- Get dental health checked with a full exam and two tooth X-rays
- Opt to include a panoramic full-mouth X-ray
- Includes a scale and polish, designed to brighten smiles
Three reasons to buy healthcare through Groupon:
1) Merchants you can trust
We ensure all of our healthcare providers hold appropriate registrations and are regulated by the Medical Council of New Zealand or the Dental Council of New Zealand as applicable.
2) No need to hurry
These offers are here for the long run, so you can take your time before making a decision.
3) Had a rethink? Get a refund
If you change your mind after buying a Groupon or if it turns out a treatment isn’t suitable for you, we’ll give you a full refund.
The Fine Print
• Not valid on weekends
• Not valid on public holidays
• New customers only
• Results may vary for each person
• Must be used in 1 visit by 1 person
• Valid for Palmerston North location only
• The total treatment time is 30 minutes, including clean (15 minutes), then exam and X-rays
• Not suitable for children under 17
• Valid for selected dentists only
• Any further treatments will incur additional charges which will be discussed with you before any work is done
• If deep scaling, root planning or more is required, this will require further appointments and will incur additional charges which will be discussed before any work is carried out
• Not suitable for patients with periodontal disease
• Please arrive 10 minutes prior to appointment
• See the full terms and conditions that apply to Healthcare promotions
How to Redeem
• Appointment for initial consultation with practitioner should occur by: 90 days from purchase
• Phone to book: 0800 476 453
• Book online: http://www.smiledental.co.nz/appointment/
• State Voucher and Security Code at time of booking
• Present printed or smartphone voucher on arrival
• Download free Groupon app for Android and iOS
Merchant is solely responsible to purchasers for the care and quality of the advertised Goods and services.
About Smile Dental Palmerston North
The team behind Smile Dental Palmerston North is dedicated to delivering a high standard of care that ensures the health of mouths and happiness of clients. The clinic gives patients the chance to have their pearly whites tended to. Customers can pop in for implants, crowns, dentures, root canal treatments or a standard check-up.


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- Samantha Oliver
- Hand Built Small Confetti Bowl by Samantha Oliver
Hand Built Small Confetti Bowl by Samantha Oliver
Earthenware, cone 2, oxidation, slab built, slips and stamp decoration. Underglaze inlay, glaze and lustre accents. 4 inches across at base, 3 inches in diameter at mouth, 2 inches tall.


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Along our journey we meet lots of fascinating folks. This section of the website features stories from other people that we think you'll find interesting. We love learning from their experiences and this is our chance to share those with you.
Things To Do In Wisconsin By Samantha Waites
Wisconsin takes pride in a lot of wonderful things aside from their world-renowned cheese and other dairy products. The state’s tourism and business industries are also thriving. With countless scenic spots and IT and manufacturing companies aggressively expanding, it’s no wonder that more and more tourists and businesspeople are frequenting the state.
Car Rental Cancun Tips By Jason Norbury
Cancun is a city in Mexico located on the Yucatan Peninsula bordering the Caribbean Sea and is known for its beaches of vibrant colors, numerous resorts and nightlife. It consists of 2 distinct areas: the more traditional downtown area and the Hotel Zone, the coastal strip with high-rise hotels, nightclubs, shops and restaurants.
Plan the Ultimate Japan Trip [Top Places + Travel Tips] By Susan Noel
Discover our top tips for traveling to Japan Find out the best way to get there, which Japanese cities to visit and how not to blow up your budget.
Rent a boat in Amsterdam and discover the Netherlands By Lianne Newark
Exploring Amsterdam by boat is almost a must when visiting the capital of the Netherlands. The beautiful canals around the city make for a captivating landscape and it is a unique experience to say the least.
Yoga Positions That Promote Better Sleep While On The Road By Randel George
If you are looking for a great way to wind down after a stressful day, little is as effective as yoga. In fact, recent surveys indicate that more than half of the people that do yoga prior to bed end up sleeping better as a result.
5 Gadgets to Help You Sleep Like A Baby When Far From Home By Payson Martin
Sleep is among the most critical functions that we do as human beings. It is literally one of our basic needs, and yet so often we push it aside as something that is not entirely important.
Don't Just Visit Israel, Really Experience It! By Ofir Nizan
Visitors to Israel see the top attractions like the Western Wall, Holy Sepulchre Church and the Sea of Galilee; but how many visitors actually have a unique experience in Israel? There are many ways you can take part in religious rituals; archaeological digs; conservation projects and other unique activities in Israel.
Where Should You Travel for Your Next Bank Holiday in Europe? By Tanya Barton
Bank holidays in the UK are often regarded as a time of relaxation, when people take a much-needed day off from work to celebrate a special event. Whether you’re planning to leave the country for a few days to go on vacation abroad during Easter, or you want to just organize a quick getaway on the next Early May bank holiday, planning a quick trip to Europe can be a grand idea!
Which Travel Guide Should You Choose for France? By Martine Perdue
When you’re thinking of choosing a new travel guide, there are many possible considerations you have to keep in mind. You might want to take more leisure trips or shopping vacations, or you might be interested in practical details regarding places you visit while you’re traveling for business.


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Biggest US biofuel producer ploughs on with grand plan to mix grain and cellulosic ethanol
Poet, the largest ethanol producer in the US, has announced plans to open a cellulosic ethanol plant by the end of the year. The company produces more than 1.3 billion US gallons of ethanol a year...
We put a man on the moon - we can solve climate change, argues Simon Kelly of Obliquity Group
MPs slam 'inaction' from BEIS after it publishes proposed response to consultation it held nearly three years ago
BusinessGreen brings you the latest news from around the world
The next Prime Minister's 'single greatest responsibility' will be addressing the climate and environment emergency, Environment Secretary warns


FC Cincinnati veterans lead scoring charge in 3-2 win at Indy Eleven
INDIANAPOLIS – At the outset, Futbol Club Cincinnati intended to use its second trip of the season to play Indy Eleven at Lucas Oil Stadium to showcase its vast strength via its squad depth in the midst of a busy portion of the schedule.
What fans saw in the match was plenty of depth.
They also saw the plucky veteran core of players send a stern reminder that they're still key contributors despite the club's offseason overhaul and infusion of fresh talent.
On a night when FC Cincinnati head coach Alan Koch's starting lineup featured six changes and almost as many players making their respective debuts, it was the old guard – the trio of third-year veterans Kenney Walker, Corben Bone, and Jimmy McLaughlin – that did the scoring and set a prideful tone.
The end result was a resounding, 3-2 FC Cincinnati victory against Indy Eleven Wednesday night before an announced crowd of 8,079.
More:FC Cincinnati: 'All of our work must be finalized' to ensure success, MLS bid
Walker, Bone and McLaughlin scored one goal apiece in a win that saw Cincinnati relinquish an early 1-0 advantage and fight back from a 2-1 deficit to take all three points against the high-powered Indianapolis club.
The victory saw FC Cincinnati (4-1-2, 14 points) move up to second place in the United Soccer League's Eastern Conference standings and maintain its unbeaten 2018 road record (4-0-1).
After the match, there were plaudits aplenty. Many FC Cincinnati players deservedly received credit in the win.
"Tonight, I'm very proud of the guys that haven't played that much," Koch said in reference to the heavily rotated team he fielded. "There are guys that have only played one game for us or a couple starts... To see everybody, whether they played every minute all season long, or tonight were their first minutes, tonight just shows what a team this group is. They're coming together."
Walker, Bone, and McLaughlin unquestionably led the way, though.
Walker opened the scoring in the seventh minute from the penalty spot. He sent Indy goalkeeper Owain Fon Williams the wrong way on a penalty kick to score his third goal in three games.
Later, FC Cincinnati trailed, 2-1, after conceding twice in the span of six minutes, but Bone and McLaughlin combined on a tally late in the first half to knot the game at two.
McLaughlin got on the end of a deft chip by Bone, who lofted the ball above Indy’s defensive line. McLaughlin ran onto the ball unmolested, pivoted on his left foot, and wrapped his right foot around the ball, which bounced home for 2-2 in the 41st minute.
McLaughlin's goal stopped the bleeding after FC Cincinnati conceded sloppily in the 24th and 30th minutes, respectively, on goals resulting from a failed back-pass and a conceded penalty kick.
Less than 10 minutes after the intermission, Bone got on the end of a pass from the newly acquired Michael Lahoud and carefully slotted the ball past Fon Williams for 3-2.
The goal was Bone's second of the week. He, like Walker, also tallied in Cincinnati's 3-0 win over Ottawa Fury FC at the weekend.
Cincinnati, which maintained a convincing share of possession in the second half, threatened several times to extend its lead, but couldn’t find another goal on the night.
Instead, Koch’s side bunkered down and held on for a win to extend the club’s unbeaten run on the road in 2018.
Walker, who played as a defensive midfielder in the match, won 11 duels and had nine tackles. Bone blocked two shots. McLaughlin, a forward, had a clearance.
Walker and McLaughlin went the full 90-plus minutes, too. Bone went 81 minutes before departing in favor of Will Seymore.
Walker said he's not surprised the three players' chemistry shone through in a game where depth and variety were FC Cincinnati's stated goals.
"I think (Koch) has that trust with us just, especially with us being here the last few years," Walker said. "Alan knows what we're going to give him, and I think he can rely on that even on days like today where guys are coming in heavy-legged after the weekend."
Ever the team-centric leader, Walker, who wore the captain's armband Wednesday night, said the club's sizable contingent of new and younger players made life easier for the veteran trio, too.
"I think it's also a testament to the other guys that are coming in," Walker said. "It's easy to play with them. We made the changes Wednesday but it's not like our style or the level has dropped down, so that's big for the whole group. We haven't showed this any other time this season except for tonight, but we're going to need that in two-three months time, when we're hopefully deep in the Open Cup and, have three-game weeks, week in and week out."
*** *** *** *** . ***
Live updates from earlier in the match:
Welcome to The Enquirer's and Cincinnati.com's live coverage of Futbol Club Cincinnati (3-1-2) versus Indy Eleven. Refresh this page through tonight's scheduled 7 p.m. match for live updates and analysis of major match events, and follow Enquirer FC Cincinnati beat writer Pat Brennan on Twitter (@PBrennanENQ).
• GOAL, 7th minute, FC Cincinnati (0-1) – Kenney Walker converted a penalty drawn by Emery Welshman. The goal was Walker's third in three games.
• GOAL, 24th minute, Indy Eleven (1-1) – Kenney Walker's poorly-timed back-pass played in Indy Eleven forward Jack McInerney, who had two shots on frame. McInerney's first effort was stopped by FC Cincinnati goalkeeper but the rebound sat up perfectly for McInerney, who buried his second effort to knot the match at 1-1.
• GOAL, 30th minute, Indy Eleven (2-1) – FC Cincinnati defender Paddy Barrett was whistled by match referee Marcos de Oliveira for fouling Indy Eleven's Soony Saad in Cincinnati's penalty area. Garcia Ayoze then stepped up and buried the resulting penalty kick for Indy.
• GOAL, 41st minute, FC Cincinnati (2-2) – Corben Bone lobbed a well-weighted pass over the Indianapolis backline. Jimmy McLaughlin got on the end of the ball and wrapped his body around it, bouncing home his first of the year to equalize just before halftime.
• HALFTIME: FC Cincinnati 2, Indy Eleven 2.
• GOAL, 55th minute, FC Cincinnati (3-2) – FC Cincinnati newcomer Michael Lahoud gathered a ball in the Indianapolis end of the field and fed Corben Bone, who slotted home for his second goal in two games.
FINAL: FC CINCINNATI 3, INDY ELEVEN 2.


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domain: entertainment


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For the 2 or 3 people who are aware that this blog exists, yesterday was the first of what will likely be many poetry days. For as long as I can remember, I’ve been guilty of composing some of the worst poetry ever written. Some of my stuff is so bad, even the guy who writes the Olive Garden commercials thinks I suck…
Whoever writes those Olive Garden commercials should chop off their hands, rip out their vocal cords, and even do some Kathy Bates ankle breaking action to avoid a Daniel Day Lewis / My Left Foot situation, so that there is no possible way that they could communicate with the outside world ever again. I’m totally serious. I won’t even eat at Olive Garden anymore because of how bad those commercials are. That and I don’t like their spaghetti.
I’ve never felt the need to apologize for my poetry. I suppose it’s a little bit like 3 Mile Island, in that I’m aware that my poetry is both catastrophic and potentially lethal, but I try minimize the exposure to the public. I suppose in the future I should preface any poetic interludes in this blog with a warning label, but I’d rather that my readers (both of you) utilize the concept of caveat emptor — let the buyer beware. In college I was a member of the Longhorn Band, and in my final year I had the honor of being a member of the TUBA! section. For away games, the TUBAS! had their own bus, due in large part to the loud singing and lack of tolerance for sleeping on said bus. The section motto was, “If you don’t like our singing, don’t ride our bus.” I think that’s the attitude I’d like to adopt for this blog. Simply put, “if you don’t like my poetry, don’t read my blog, or at the very least bring an air sick bag with you before you start reading.”
You might be wondering, “Gee Andy, if you know your poetry is so bad, why do you write it?” I truly believe that there is nothing more important in this world than creative expression. Except maybe breathing, or possibly feeding the lepers. Creativity, in my eyes, is what separates us from the animals… although the dolphins at Sea World can do some pretty wicked routines. In all seriousness though, writing bad poetry is not a crime. Painting bad pictures is not a crime. Even playing bad music is not a crime, unless you happen to be this guy. What is a crime though is to suppress creativity. There is a growing trend of school districts across the country starting to cut music, drama, and art programs… a concept that is absolutely horrifying to me. I can say without a shadow of a doubt that I would not be the person I am today without the music that I learned in school, and the teachers that shared their gifts with me. I don’t know who I would be without band, but I’m pretty sure I wouldn’t like him. To quote Richard Dreyfuss in Mr. Holland’s Opus, “I guess you can cut the arts as much as you want… Sooner or later, these kids aren’t going to have anything to read or write about.”
I’m not quite sure how this post ended up getting so political, but regardless it’s something I feel very strongly about. Without creative expression, I don’t see how life could possibly be worth living. That’s why as long as there’s a verse in my mind and a song in my heart, I’ll keep writing bad poetry. I hope and pray that all of you out there choose to do the same.


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info on Women's Health Days
First fix breakfast, then drop the kids at school, then go to work, run errands on lunch hour, go home, clean house, do laundry, fix dinner, go to Susie’s volleyball game, then fall into bed. Most women these days have full schedules with very little time left for themselves. St. Mary’s and Clearwater Valley Hospitals and Clinics recognize this and are hoping to help by offering monthly Women’s Health Days at four of their clinics.
“During our special days women can see a provider for a female wellness exam and have their mammogram on the same day,” said Jeanette Gorman, CVHC/SMHC Community Relations Coordinator. “In the past, typically women would come in for their exam and be referred to our mobile mammography service at a later date which meant two visits. If women make an appointment for one of our Women’s Health Days they can have both done at the same appointment, as well as a bone mineral density scan at our Orofino or Cottonwood clinic. We’re trying to make it easier for women so they don’t ignore their own health.”
In conjunction with St. Joseph’s Regional Medical Center’s mobile mammography services, Women’s Health Day will be offered in Orofino on the first Wednesday of the month; in Kamiah on the second Wednesday; at Grangeville the third Wednesday and at Cottonwood on the fourth Wednesday of every month
According to Gorman, one or more healthcare providers is scheduled for those days, but women can make an appointment for any time with any provider. “As always, insurance companies or other payors will be billed or patients may talk with a financial counselor about other options for payment,” said Gorman. “Women who qualify through our current Komen for the Cure grant may also take advantage of the Women’s Health Days.”
Not all women who have an annual wellness exam are candidates for a mammogram. Their healthcare provider will discuss when and how often a woman should have a mammogram, said Gorman.
Appointments can be made through each of the clinics.


This week's episode looks at the fallout from the NFL's new rule to fine teams when a player takes a knee, Jeff Sessions' decision to separate immigrant children from their undocumented parents, and the off-again-on-again North Korean summit. Will Donald meet Kim? Will Kim take a knee? And will Trump be separated from his new baby, the Indonesian theme park being financed by China's ZTE? All that plus the derivation of "Oy vey, Maria!" on this week's More Perfect Union.
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Kenny rejects watchdog's warnings over bailout exit
THE Taoiseach Enda Kenny and two senior cabinet ministers have rejected a watchdog's criticism of the decision to exit the bailout without a safety net.
And Mr Kenny said he is not concerned that the Government and the Fiscal Advisory Council had differing opinions regarding the severity of the Budget needed in order to meet growth targets.
"The Fiscal Council is independent, we have every confidence in its independence and its integrity and in its competence," said the Taoiseach.
"But Government must answer to the Dail and answer to the people, and Government has to make the decisions itself."
Finance Minister Michael Noonan, meanwhile, said he was "convinced" the Government took the correct "judgment call" in exiting the bailout without a safety net.
He said state-owned banks were already finding it easier to borrow from the financial markets. And his remarks were supported by Tanaiste Eamon Gilmore, who said he had "no doubts" over the decision to exit the bailout on December 15 without a precautionary credit line.
The Irish Fiscal Advisory Council yesterday criticised the decision and warned that the Government faced an increased risk of meeting its 2014 deficit target.
Council chairman Professor John McHale said the Government ignored its advice to avail of a precautionary credit line which he said would have provided a "further layer of protection".
"I think you wouldn't want to exaggerate the benefits of a precautionary credit line in reducing risk, but it does give just one further layer of protection that we keep our borrowing costs low," said Prof McHale.
But the decision was staunchly defended by Mr Noonan, who added that two state-owned banks successfully borrowed €1bn from the markets this week.
"Both AIB and PTSB went into the market this week and raised €500m each and got it at very good rates. You'll know that both of those banks are fully owned by the State, so in effect they are surrogates for the State when they enter the markets," he said.
Meanwhile, Mr Gilmore told the Irish Independent that the Irish Fiscal Advisory Council was known for "pushing the boat out" in terms of its advice.
"They've provided formal advice now on a number of occasions, and I think you would have seen that they do push the boat a little bit out in terms of the advice they give and we understand that," he added.
In its latest Fiscal Assessment report, the council said the long line of austerity Budgets should come to an end in 2015 or the following year.
However, it stated that significant risk remained and a period of disappointing growth may continue longer than expected.


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Make an Impact
CPD encourages you to help abused and neglected children by making an online donation.
To view this week's needs,
Community Partners of Dallas
Every 90 minutes a child is abused in Dallas County. That is far too many children who are going without love, support, security or encouragement. Far too many children who don’t know that anyone cares.
You can make a difference in the lives of thousands of abused and neglected children, and show these children that someone does care. the partnership, our women’s auxiliary group, supports Community Partners of Dallas in its endeavors to safeguard and support our community’s abused and neglected children by providing resources to the caseworkers of Child Protective Services.
As a member, you will join more than 350 committed women to stop the abuse and start the healing. You will be invited to:
For more information, contact Shelby Busse at (214) 624-7621 or email@example.com.


Ryan Kerrigan to undergo arthroscopic surgery on left knee
Ryan Kerrigan will undergo arthroscopic surgery on his left knee next week to repair a torn lateral meniscus he sustained in the Washington Redskinsí Week 3 loss to the Detroit Lions.
[url=http://www.washingtontimes.com/blog/redskins-watch/2013/dec/30/ryan-kerrigan-undergo-arthroscopic-surgery-left-kn/]Ryan Kerrigan to undergo arthroscopic surgery on left knee - Washington Times[/url]
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Sixteen gang members and associates have been charged in relation to a large funeral procession for a gang member in Auckland in June.
Police were sent a large amount of camera footage showing driving behaviour at the funeral in Grey Lynn on 18 June.
The funeral was of Taranaki Fuimaono, 43, who had died in hospital following his arrest.
"A majority of those partaking in the procession behaved within the road rules, however at times some of the group drove dangerously putting themselves and others at risk," Inspector Jacqui Whittaker of Tāmaki Makaurau police said in a statement.
Eighteen charges have been laid against 16 people who are due to appear in the Waitākere, Auckland, North Shore and Manukau District Courts in the coming weeks.
The charges include driving while disqualified, driving while forbidden and sustained loss of traction.
Police also impounded two motorcycles and issued 12 infringement notices for breaches of the Land Transport Act.
Whittaker said intervening in the event on the day would have caused risk to other road users not involved in the funeral procession and police were not prepared to do that.
"Police decision making when it comes to these types of events will always be about community safety," she said.
Whittaker thanked members of the public who came forward and reported behaviour or provided footage.
"This was able to greatly assist the enquiry team in identifying those responsible and holding them to account.
"The driving behaviours of some presented a real risk to those involved as well as other road users and will not be tolerated. If you choose to put other motorists at risk through dangerous driving activity, such as sustained loss of traction, you can expect the police to hold you to account and your vehicle may be impounded."


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Lainey Wilson has spent her whole life immersed in country music and I’m happy she’s a part of our country music family. But there she was making her acting debut on last night’s season 5 of “Yellowstone”. It looks like she may have a future there too.
That’s according to Kelly Reilly, who plays Beth Dutton on the show. When Lainey told her she was brand new to the acting thing, Kelly said it looked like she had been “doing it forever.” It was exactly what Lainey needed to hear.
Lainey said, “I took that as a compliment. She’s one of the best actresses in the entire world. That really gave me that extra boost of confidence. I’m stepping outside of my comfort zone, but what’s the point in doing all this if I’m not pushing the limits? If I’m not doing things that are a little bit uncomfortable, I wouldn’t be growing anymore.”
If you’re not watching “Yellowstone” yet and you’re a country music fan. Watch if for Lainey Wilson and for every other country artist they introduce the audience to.
@briantaylorlive – follow our HILLBILLY LIVE playlist on Spotify!


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The Boogie Assault - Live In Australia LP
Bedrock BED LP5, 1987. Blue Vinyl. AKA "Greatest Hits Live" Sleeve has some light curving / creasing at bottom corners, otherwise nice. Clean vinyl with a few very superficial marks, looks little used overall.
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Himachal Pradesh Subordinate Services Selection Board now release the application forms for the Teacher Eligibility Test. All the candidates also can be applying from here.
HP Dharamshala TET 2016 | Notification | Application Form
The Himachal Pradesh Subordinate Services Selection Board organizes the various kind of the recruitment examination to complete the recruitment process in the various departments of the Himachal Pradesh. The HPSSSB will be also organizing the written exam for the Teacher Eligibility Test to complete the recruitment process of the various teachers in the HP state. By the Teacher Eligibility Test the HPSSSB check the teaching ability of the candidates. The official website is www.himachal.nic.in.
In the Himachal Pradesh required many teachers for teaching on the government schools. There are required teachers for the teaching in the primary (class I -V) and upper primary (VI-VIII) schools in the HP. For this post of the teachers it will be select the desired and eligible candidates. So all the candidates for this post by the written test of the TET.
Apply Online HP Dharamshala TET Application Form 2016
According to the guideline this year the TET exam will be held by the HPSSSB. The HPSSSB will be conducting the examination soon. All the candidates who want to give this Exam should have to apply for the TET. From the pre published notification the application form will be inviting soon through the official website of the HPSSSB at http://himachal.nic.in/index.php?lang=1&dpt_id=23.
Here the candidates also can check all the required information.