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Outpatient treatment: Outpatient therapy is ideal for those who have completed a residential treatment program. Consistent meetings with a therapist on a regular basis allow people to maintain the strides they’ve made in residential care. If a person is opting for outpatient treatment from the start, it’s important that they have a strong support system at home.
When you or someone close to you needs drug abuse rehab, it can be hard to know where exactly to find help. Without the proper help, however, substance abuse can lead to potential life-threatening situations. Additionally, drug abuse affects not only the life of the individual user but also the lives of his or her family. Fortunately, there are a variety of effective treatment methods to help individuals overcome their drug addictions.
Be upfront about your history of drug use when seeking medical treatment. If you need a medical or dental procedure done, be upfront and find a provider who will work with you in either prescribing alternatives or the absolute minimum medication necessary. You should never feel ashamed or humiliated about previous drug use or be denied medication for pain; if that happens, find another provider.
Drug addiction often causes actual physical changes in the brain. Specifically, addiction alters the way the brain experiences pleasure, modifying certain nerve cells (neurons). Neurons communicate with each other and create moods and other sensations using chemicals called neurotransmitters, and drug addiction can change the way neurotransmitters work in the brain.
One of countless treatment centers in California, Sober Living by the Sea is actually one of the best in the state. They have over 25 years of experience and take a clinical approach to treatment. Part of their approach is uncovering any subsidiary mental disorders that may be associated with an addiction. Sober Living by the Sea also combines therapy with an array of activities such as hiking and swimming.
Whether you’re struggling with an addiction to prescription drugs, street drugs, marijuana, or other substances, we’re here to help. At The Recovery Village, we offer specialized treatment services to support you through the rehabilitation process, from detox to therapy, discharge planning, and aftercare. Call our intake counselors at any time for information about our recovery services. Best Drug Rehab
Alcohol rehab is often the only way that an individual who’s struggling with addiction can get help. There are rehab centers all over the country that offer individualized programs to treat alcoholism, regardless of how long the disease has been present. Alcohol treatment programs take many factors into consideration, including the person’s age and gender, and the extent and length of the addiction. Many alcohol rehab centers also offer various aftercare options and recommendations to help clients maintain their sobriety, such as group therapy. What is a typical day like in an inpatient drug rehab center?
Trips Beyond Addiction | Living Hero Radio Show and Podcast special. With Dimitri Mobengo Mugianis, Bovenga Na Muduma, Clare S. Wilkins, Brad Burge, Tom Kingsley Brown, Susan Thesenga, Bruce K. Alexander, PhD ~ the voices of ex-addicts, researchers from The Multidisciplinary Association for Psychedelic Studies and Ibogaine/Iboga/Ayahuasca treatment providers sharing their experiences in breaking addiction with native medicines. January 2013
As the brain matures, experiences prune excess neural connections while strengthening those that are used more often. Many scientists think that this process contributes to the steady reduction in gray matter volume seen during adolescence (depicted as the yellow to blue transition in the figure). As environmental forces help determine which connections will wither and which will thrive, the brain circuits that emerge become more efficient. However, this is a process that can cut both ways because not all tasks are desirable. The environment is like an artist who creates a sculpture by chipping away excess marble; and just like bad artists can produce bad art, environments with negative factors (like drugs, malnutrition, bullying, or sleep deprivation) can lead to efficient but potentially harmful circuits that conspire against a person's well-being.
NIDA recommends that any type of drug addiction treatment last at least 90 days; in fact, they find that shorter treatment lengths demonstrate limited effectiveness.11 Studies have demonstrated that the people who stay for 3 months or longer typically have better outcomes.12 So, while the initial investment of time can seem daunting, longer treatment lengths pay off.
In a survey of treatment providers from three separate institutions (the National Association of Alcoholism and Drug Abuse Counselors, Rational Recovery Systems and the Society of Psychologists in Addictive Behaviors)[where?] measuring the treatment provider's responses on the Spiritual Belief Scale (a scale measuring belief in the four spiritual characteristics AA identified by Ernest Kurtz); the scores were found to explain 41% of the variance in the treatment provider's responses on the Addiction Belief Scale (a scale measuring adherence to the disease model or the free-will model addiction).
An intervention can be held in the immediate aftermath of a terrible alcoholism consequence. Those openings are easy to find. For example, research published in Addiction suggests that people who drink before heading out on the town are 2.5 times more likely to get in a fight while out, compared to people who don’t drink. When people come home from a night of drinking with bruises and cuts, an intervention may be in order, and it may be well received.
When you are unable to stop using your drug of choice despite a desire to live without addiction, when you experience physical withdrawal symptoms when you attempt to stop getting high, when you crave your drug of choice and obsess about getting more – these are just a few characteristics of active drug addiction. Because it is a medical disorder, it is recommended that those who are diagnosed with the disease get immediate treatment that includes medical detox and psychotherapeutic treatment.
Many people might be hesitant to get help. Entering a drug rehab program is a critical step on the road to recovery. First and foremost, drug rehab is beneficial because it can break a user’s addictive cycle. That’s because rehab places addicted individuals in a healthy environment that is free of substances. There are also trained staff in place that can hold addicts accountable to their goal of quitting drugs.
Just because your system has been cleansed of substances of abuse during detox, and you have gone through productive therapy and equipped yourself with defence mechanisms against relapse, does not mean that you can let your guard down and consider yourself “cured”: that mindset is asking for trouble as it encourages you to become too casual and overconfident about your position in relation to substance abuse.
Alcohol is a legal controlled substance that slows down the body’s vital functions when consumed in excess. Its many forms include beer, wine and liquor. Some of the physical effects of heavy alcohol consumption are slurred speech, loss of coordination and slowed reaction time. Psychological effects include inhibiting judgment and lowering a person’s ability to think rationally. Typically, drinking alcohol in moderation does not signify a problem. However, consuming more than four alcoholic beverages per day for men – or more than three per day for women – can indicate an alcohol use disorder (AUD).
Focus on one area where you’re experiencing the urge. How do the sensations in that area feel. For example, perhaps you feel hot, cold, tingly, or numb? Are your muscles tense or relaxed? How large an area is involved? Describe the sensations to yourself and any changes that occur. “My mouth feels dry and parched. There is tension in my lips and tongue. I keep swallowing. As I exhale, I can imagine the smell and tingle of a drink.” How to open an addiction treatment center: Ep.1 - Motive
Certain drugs (like cocaine, heroin, and methamphetamines) are infamous for how they can mess up the brain. Most people know to beware of their potency and danger. Other substances (such as alcohol, marijuana and painkillers) tend to be viewed quite differently. For many Americans, they are deemed to be much less dangerous. But is this view accurate?
According to NIDA, genetic factors are responsible for 40 to 60 percent of a person’s vulnerability to drug addiction. Studies show that a person’s predisposition to drug addiction positively correlates to their degree of genetic similarity to a relative who has a history of drug dependence or addiction. Mental disorders and medical conditions are also risk factors.
If you fear that your loved ones will reject or judge you, consider inviting them to a session with a substance abuse counselor or a 12-step meeting. Educating your loved ones about the realities of drug addiction may make them more receptive and supportive. Having the support of professionals and peers will also help you stick with your convictions about recovery.
While casual or moderate drinking has some potential advantages – relaxation, heightened enjoyment of stimuli, etc. – problem drinkers are unable to enjoy these advantages without alcohol. In other words, casual or moderate drinkers will be able to find other ways to relax or enjoy themselves even if alcohol is not present, or they make the choice to abstain. But if someone is completely unable to function for pleasurable reasons without alcohol, they cannot conceive of having a good time without getting drunk, or reaching for the bottle is their first response to any kind of trigger (either stressful or pleasurable), then this is a sign that they are abusing alcohol and need help to stop. Be Recovered: Breaking free from the Disease of Addiction | Dean Taraborelli | TEDxSedona
While a relapse or slip-up is by no means inevitable, you might face some setbacks during recovery. This does not have to mean returning to alcohol use. A lapse should not signify the end of your recovery, provided you act appropriately, in order to avoid a full relapse. You might even find that this small slip is enough to remind you of why you wanted to quit in the first place.
Methamphetamine, or meth, is a chemical stimulant with effects that are similar to cocaine. Like cocaine, meth speeds up all of the body’s vital activities, including heart rate, breathing, and metabolism. But the rush of a meth high can last longer than the high of cocaine — up to half an hour, compared with several minutes for crack. Meth is sold as a white or crystalline powder that can be snorted, smoked, or injected. Powerfully addictive, meth can quickly lead the user into dependence and addiction. Meth users have been known to go on extended binges, using the drug for days or even weeks without stopping to sleep or eat.
Don't let financial constraints stop you from living a life free of alcoholism. Regardless of whether you don't have insurance, your insurance benefits ran out, or your insurance refuses to cover your alcohol dependency treatment, you can get treatment. Free alcohol rehabilitation is available if you really want it. By admitting you have a problem and need help you have already completed the first and most important step of pursuing a life of sobriety.
For others who may be looking specifically for alcohol rehab centers, a facility that addresses both drugs and alcohol can be helpful. These centers have specialists who are well equipped to handle multiple forms of rehab for substance abuse. If you’re looking for a drug and alcohol treatment center, consider a program that offers a full continuum of care for multiple substances, along with co-occurring mental disorders. These types of all-inclusive substance abuse treatment centers could offer just what you need to begin a path to recovery.
The specific medicines prescribed will vary depending upon your own particular experience of withdrawal and the symptoms you are manifesting, and it may be that certain medications will not be appropriate depending on your substance of abuse or your own personal health history; an experienced medical professional will be able to make those decisions to ensure you go through withdrawal as safely as possible.
With a U.S. economy inching laboriously back from recession with a flagging job market in tow, we should be sensitive to hidden costs of this “lifestyle choice.” In a perfect world, we would weigh the right to drink excessively against the $94.2 billion in tax dollars that we spend every year to pay the costs of alcoholism. We should weigh the collective choice against the 1.9 million public school teachers we could hire with that $94.2 billion — or the million public parks that money could build for communities across the country, or the million students we could put through school. And we’d think hard about what cultural shift could moderate this “lifestyle choice” before it becomes disease.
Environment. Environmental factors, such as your access to healthcare, exposure to a peer group that tolerates or encourages drug abuse, your educational opportunities, the presence of drugs in your home, your beliefs and attitudes, and your family’s use of drugs are factors in the first use of drugs for most people, and whether that use escalates into addiction.
Individuals who are alcohol dependant have higher rates of psychiatric disorders than the rest of the population, including depression, anxiety, post-traumatic stress disorder, and psychosis. For these people, alcohol might be a DIY solution to their disorder, and at first might be effective at keeping the symptoms under control. Nonetheless, in time, these problems will only intensify as a result of alcohol abuse. Drug Rehab Near Me
Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life. R3hab & Headhunterz - Won't Stop Rocking (Official Music Video)
Overcoming an alcohol addiction starts with a qualified treatment center that can help address underlying and co-occurring disorders. Because of alcohol’s prevalence throughout our culture, recovering alcoholics are constantly bombarded with triggers. Treatment centers must be equipped to help the recovering user find effective ways to manage triggers and cravings in order to be effective. The Biblical Principles in the 12 Steps of Recovery - Kenyon Burns
Founded in 1967 by 6 heroin addicts trying to stay clean, this nonprofit organization now has 11 treatment centers across the nation and over 120 specialized programs with a focus on holistic treatment. Phoenix House has grown into a program supported by a complete staff of addiction specialists. This treatment center follows the understanding that addiction is a chronic illness, requiring ongoing support and management just like any other chronic illness. It is one of the best treatment centers on the more affordable side of the spectrum.
It is unclear whether laws against illegal drug use do anything to stem usage and dependency. In jurisdictions where addictive drugs are illegal, they are generally supplied by drug dealers, who are often involved with organized crime. Even though the cost of producing most illegal addictive substances is very low, their illegality combined with the addict's need permits the seller to command a premium price, often hundreds of times the production cost. As a result, addicts sometimes turn to crime to support their habit.
While these 10 treatment centers are among some of the best in the nation, there are countless credible treatment centers out there. Every treatment center has different services and qualities to fit your needs. Whether those needs are based on location, price, experience or the programs offered by the facility, there is a treatment center out there for you. Find a treatment center today.
Exposure to other demographic groups in treatment can be an equalizing experience, demonstrating the reality of alcoholism as a universal disease. On the other hand, some patients feel more comfortable and can express themselves more effectively in settings where they can associate with their peers. Patients who are also professionals have unique stressors and needs that can be more effectively addressed in specialized programs.
Cost may be a factor when selecting a treatment approach. Evaluate the coverage in your health insurance plan to determine how much of the costs your insurance will cover and how much you will have to pay. Ask different programs if they offer sliding scale fees — some programs may offer lower prices or payment plans for individuals without health insurance.
Denial is common among those suffering with alcoholism. Your loved ones may have tried to discuss the problem with you, but you were unable to see things as clearly as them. Denial is one of the body’s defence mechanisms and is employed by the brain to protect you from a harsh reality. It can be useful for a short period but if it continues, can end up causing harm.
At Hazelden Betty Ford, inpatient treatment for substance abuse begins with our clinicians getting a good understanding of your specific situation. Our treatment team will evaluate your medical health, mental health and chemical use history in order to design an individualized drug and alcohol rehab plan for you. With your permission, our rehab staff may also talk with your family members and other professionals you might already be working with to address your needs and challenges.
Individual therapy will help you learn to recognize triggers and cope with them. The therapists may also help you to improve your emotional regulation skills in order to better avoid relapse. Group counseling provides you with the opportunity to practice sober social skills, as well as the coping strategies you learned in individual counseling. Family therapy sessions can help to repair broken relationships, improve communication skills, and build conflict resolution skills. Medication, such as methadone or Suboxone, may be used in combination with behavioral therapy to help opioid-addicted individuals remain abstinent. Once your rehab program nears an end, your treatment team will create an aftercare or relapse prevention plan for you consisting of ongoing support. Ongoing support may include individual therapy, group counseling, self-help group meetings (e.g., 12-step, SMART Recovery), alumni programs, or sober living homes.1,2
Lastly, group therapy prepares you for what lies ahead after your rehab. Upon your return home, you will be encouraged to participate in a local support group as part of your aftercare programme. The fact that you have undergone group therapy should mean you are already comfortable with a group setting once you start attending support group meetings.
The methamphetamine binge is followed by a phase called “tweaking,” a state characterized by restlessness, anxiety, paranoia, agitation, sleeplessness, and intense cravings. “Tweakers” may experience delusional thinking, psychotic episodes, hallucinations, and violent impulses. Severe itching and the urge to harm oneself are common at this point. Methamphetamine withdrawal is complicated by the fact that many heavy users are malnourished, dehydrated, and sleep deprived. Meth-induced psychosis can continue for weeks or months after the addict stops using. In a case study published in the Journal of Clinical Psychiatry, one methamphetamine addict continued to have auditory hallucinations, fears of persecution, and paranoid delusions for a year after treatment.
Burning Tree provides relapse prevention programs specializing in long term residential drug and alcohol treatment for adults with a relapse history. We serve the substance abuse relapse adult who has been to other treatment programs and in and out of 12 step programs and just can't seem to get and stay sober. Alcohol & drug, rehab treatment, relapse prevention and a relapse prevention plan are our primary roles. We are a drug rehab program treatment center and a long-term alcohol rehab licensed by the Texas Department of State Health Services. How Drug and Alcohol Treatment Rehab Centers Works | BLVD Rehab Treatment Centers
The AA 12-step approach involves psychosocial techniques used in changing behavior (eg, rewards, social support networks, role models). Each new person is assigned an AA sponsor (a person recovering from alcoholism who supervises and supports the recovery of the new member). The sponsor should be older and should be of the same sex as the patient (opposite sex if the patient is homosexual). Drug Rehab Near Me
Another factor to consider in choosing between inpatient and outpatient rehab options is whether you have a healthy and supportive home environment where your recovery will be a priority. If you do, outpatient treatment could be a good fit. Otherwise, a residential treatment program where you will have a built-in system of support will probably be the most effective option.
I will start out by writing that the Costa Rica Treatment Center has saved my life...I was at rock bottom. Robert and Eric came and picked me up in Jaco, in very bad shape, and they persistently, lovingly, gently, firmly, medicinally, therapeutically, turned me back around, cared for me taught me, changed me...I lived here for one month, and just felt safe and secure. They slowly brought me back to good health. I have grown spiritually, mentally, physically, and emotionally, and can never repay what has been given to me. From Gernot and Maggie (owners of this beautiful home), Robert (administrator, jefe) full of life and play but very disciplined, Eric (assistant manager, wonderful strong, positive, caring energy), Arturo ( Yoga instructor, who gave me daily 5 am classes, with meditation, and a chef), Donia Sonya ( housekeeping), Sheila(psychotherapist), Diego and Marianna(psychologists), Diego (MD), and other persons, in Recovery, who will remain anonymous, who have given their time and advice, and lent an ear to me...I feel this is the best place for you, if you are struggling with an addiction that is out of your control. They just "know" here, how it feels, they understand, without judgement, and their goal is to help you manage your addiction, and move forward into a good life full of purpose, kindness and happiness...This home is beautiful, spacious, room for togetherness and privacy, serene, alcoves, patios, gardens, my room was so cozy, I was able to get much needed rest. I will continue to keep Costa Rica Treatment Center a part of my life, with much gratitude to all of you for returning me to the old, and new Allison...very, very thankful...
Changes in the brain chemistry also increases the risk of experiencing withdrawal symptoms when you stop drinking. As mentioned, alcohol impairs the way in which the brain functions and it can interfere with the way in which it communicates messages and chemical signals around the body. It slows down signal transmissions, which explains why you might experience sedation and sleepiness when intoxicated.
The National Institute of Mental Health defines depression as a common but serious mood disorder that causes severe symptoms that can affect how you feel, think and handle daily activities. These symptoms must be present for at least two weeks in order for an individual to be diagnosed with depression. In many cases, depression and substance abuse occur simultaneously. Sometimes depression precedes substance abuse, and other times, the reverse is true. In addition to facilities that treat substance use and co-occurring disorders, there are various inpatient facilities for mental health alone. As an inpatient for depression, you can receive individualized care at The Recovery Village. Step 1 of the 12 Steps for Recovery from Addiction | Guided Meditation
Addiction medications make the recovery process easier by easing the cravings and side effects associated with withdrawal. In the advanced stages of recovery, some people continue to take these medications in order to maintain their sobriety. Addiction medication should be taken only under a doctor’s supervision. These drugs can have serious side effects, including physical dependence and tolerance. Ironically, the medications used to treat opiate addiction have addictive properties themselves. Drug Rehab Near Me
Many patients get caught up in trying to define their relationship with drugs and alcohol. For example, drug abuse, has a far less threatening reputation than that of drug addiction. According to Medline Plus, an issue with drug abuse is defined as the regular abuse of any illicit substance including alcohol over the course of a year with negative consequences. These negative consequences can be financial, interpersonal, work-related, legal, health-related – anything that changes the patient’s experience of day-to-day life for the worse.2
Each state is not required to participate in Medicaid, although every state currently does and complies with federal Medicaid laws. Each state sets standards of eligibility, how much is paid into it, the types of services covered, and all of these changes from state to state as each state administers its own program. In the year 2002, there were close to 40 million Americans enrolled in the program, with the majority of them being children. By the year 2009, there were close to 63 million Americans enrolled in Medicaid and receiving different services and coverage.
With the Sinclair Method, people only take Revia or Vivitrol before drinking and never otherwise. Revia and Vivitrol are not like other anti-alcohol drugs that cause intense sickness and hangover sensations when taken with alcohol. The change in behavior only appears over time. With the Sinclair Method, Revia or Vivitrol is taken one hour before drinking alcohol. At the end of four to six months of treatment with the Sinclair Method, 80 percent of people who had been overusing alcohol are either drinking moderately or abstaining entirely. Transformations Drug & Alcohol Treatment Centers
It is important to understand that without timely, expert support for your drug addiction, your symptoms can become progressively worse over time, and you may find that you need to consume more and more of the substance in question in order to experience the desired effects. Continued drug use can have an extremely negative effect on all areas of your life including your hobbies, social life, work performance, ability to function on a day-to-day basis, your relationships with family and friends, and your general physical and psychological wellbeing. Untreated drug addiction may also lead to the development of alcohol addiction and other behavioural addictions, causing a whole host of additional problems.
In the past decade, there have been growing efforts through state and local legislations to shift from criminalizing drug abuse to treating it as a health condition requiring medical intervention. 9 states have legislations for safe syringe use like exchange programs or purchasing at pharmacy. In addition, AB-186 Controlled substances: overdose prevention program was introduced to operate safe injection sites in the City and County of San Francisco. The bill was vetoed on September 30, 2018 by California Governor Jerry Brown. The legality of these sites are still in discussion, so there are no such sites in the United States yet. However, there is growing international evidence for successful safe injection facilities.
Alcohol Health & Research World notes that outpatient alcohol detox programs can be as safe and effective as inpatient detox, as long as the patients have been professionally screened and matched to the right level of care. With outpatient treatment, the average length of stay in rehab is usually shorter, and the cost is generally less. However, for patients at risk of serious alcohol withdrawal symptoms, or for those with co-occurring medical or psychiatric disorders, inpatient alcohol detox is often more appropriate.
This internationally recognized nonprofit foundation has treatment centers in Texas, Florida and Pennsylvania. The Caron Foundation began when its founder, Richard Caron, used his home as a retreat for those in recovery. Eventually, he purchased a hotel on a farm in Pennsylvania and opened what is now one of the most successful treatment centers in the nation. The Caron Foundation uses a comprehensive approach to treatment and works with top university medical centers to further the efficacy of certain treatment methods. Caron centers its program on the 12-step method, but also has a unique relapse program.
Treatments at inpatient centers may include behavioral therapies, the most popular of which is Cognitive Behavioral Therapy (CBT). These therapies encourage participants to change the way they react to stressful external stimuli (like failing a test or losing a job) by promoting healthy ways of coping. Many centers also offer group and individual counseling, experiential therapies and training on proper nutrition and health. Luxury Executive Rehab For Drugs and Alcohol:Rehab Near Me
“Most drugs start off being rewarding,” former National Institute on Drug Abuse Director Dr. Glen Hanson told DrugRehab.com. “That gets the person interested in them… As the addiction proceeds, then some of that shifts. It goes from the reward being the attraction to a compulsive behavior. Compulsive behaviors aren’t necessarily rewarding behaviors.”
contribute to mental illness including depression and anxietycause significant liver damage, ultimately preventing the liver from functioningcontribute to developing one of several different kinds of cancerincrease your chances of developing heart diseaseincrease your chances of using other drugscontribute to developing chronic hypertensionlead to the loss of your job and, as a result, financial instabilitydo irreparable harm to your marriage/family relationshipslead you to a life controlled by addictionlead you to a life of crime as you seek to support your addiction.
For people living in poverty and those who are unemployed, even homeless, and struggling with the physical, emotional, and financial cost of addiction, the idea of entering a treatment program seems impossible because there is simply no money available. Because many treatment programs are beyond the ability of these individuals or their families to afford, some of them attempt a potentially dangerous cold-turkey or at-home detox, or other treatment methods that are not evidence-based. Some of these individuals, even though they want to move past their addictions, give up on the idea of rehab altogether simply based on the inability to pay.
State and local governments often offer rehab information and resources for local facilities and programs through their substance abuse or behavioral health divisions; the organizations to contact can be found through the Directory of Single State Agencies (SSAs) for Substance Abuse Services. In addition, the federal government’s Substance Abuse and Mental Health Services Agency (SAMHSA) provides an online search engine that can provide guidance to those seeking a facility.
Scientific research since 1970 shows that effective treatment addresses the multiple needs of the patient rather than treating addiction alone. In addition, medically assisted drug detoxification or alcohol detoxification alone is ineffective as a treatment for addiction. The National Institute on Drug Abuse (NIDA) recommends detoxification followed by both medication (where applicable) and behavioral therapy, followed by relapse prevention. According to NIDA, effective treatment must address medical and mental health services as well as follow-up options, such as community or family-based recovery support systems. Whatever the methodology, patient motivation is an important factor in treatment success.
Patients in drug rehab treatment programs are encouraged to end toxic relationships. Toxic relationships are those that have the propensity to lead to drug abuse. Conversely, patients are encouraged to seek help from other people who can support them on their journey. These supportive relationships could include friends, family members, and even other rehab patients.
At Casa Palmera, our goal is to aid you in a comprehensive spiritual, physical, and emotional recovery. We offer treatment not only for eating disorders such as anorexia nervosa, bulimia, and binge eating, but also for chemical dependencies such as cocaine addiction, drug addiction and alcoholism. It is extremely important to us that you receive the highest quality medical care from our qualified staff during your stay. Russell Brand Puts His Spin On The 12-Step Program
^ "Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition)2014 102 Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition) Washington, DC American Psychiatric Association 2013 xliv+947 pp. 9780890425541(hbck);9780890425558(pbck) £175 $199 (hbck); £45 $69 (pbck)". Reference Reviews. 28 (3): 36–37. 2014-03-11. doi:10.1108/rr-10-2013-0256. ISSN 0950-4125.
Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life. A rehab jail for heroin addicts
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I’m all about penny-pinching, and you know I love the rustic farmhouse style. When I wanted to add a bit of nature to my decor I thought of purchasing a few cotton branches from an online source. Then I found they were $10 a piece (that’s for one measly branch!), I said to myself, “It’s DIY time.”
To say that I’m stoked to make a vase full of cotton branches and a wreath for less than $4 is an understatement. Woo hoo! Who doesn’t love to save that kind of money? You also get the satisfaction of creating your own decor.
Want to make some of your own? I’ve got three short and sweet video tutorials that will show you how.
Here is what you’ll need:
- bag of 200 jumbo cotton balls ($1.88 at Walmart)
- roll of brown floral tape (found in craft stores – mine was $1.56 from local florist)
- low temp glue gun/glue sticks (if you use a high temp gun, be careful!!)
- brown paper lunch bag or craft paper
- brown ink pad/shoe polish/stain – whatever you have on hand
- small branches and tiny twigs
- grapevine wreath – I find mine at thrift stores already decorated for 50 cents, then tear them apart)
Typically a cotton branch has an alternate structure where branches are on opposing sides like this:
My branches and twigs came from my back yard and did not have that alternate pattern, so I made it myself using piece of twig and floral tape. Watch the video for a demonstration.
Now we’ve got our branches and will move on to the cotton tufts. Take yourself back to the good old days of covering your text books with a paper sack cover. You’re going to take your lunch sack and cut down one corner and cut off the bottom, so that it lays open like this:
Take your scissors and rough cut a 3″ square. Once you have your square, fold it in half in both directions. This will create a faux vein look in your bud leaves. To make the best use of my time I did all my cutting, folding, and staining at once.
When I first started making the leaves I tried a fringed leaf like this:
And then also just a rounded leaf like this (as shown in the video):
I found I preferred the second version, but included a mixture of them in my vase display because when you look at a real cotton branches, there are two layers of leaves and the outside set is fringed. You could even do a double layer if you feel so inclined – it would create awesome texture.
Now we’ve got our branch and leaves, so now we need to add the cotton. I used jumbo sized cotton balls because that’s what I found, but any size will do, you will just need more to make them the size that I did. For a bloomed bud, I used 2-3 balls, but for a closed bud, I just used one. Varying the size makes them look more natural. Refer to the video above for the method I use.
To make one branch from start to finish took about 10 minutes, once I got it down. So in hour’s time I got 6 branches for a vase full of farmhouse goodness.
If you’re interested in the wreath project, it’s the same method except for this I didn’t add little twigs to create that alternate pattern because the fresh cut branches I used already had a bit of alternate design. I also just glued the buds directly to the branch because I didn’t need to create as dramatic of difference.
I like the wild and natural look wreath, but you could certainly fill it full to create a lush wreath.
I’m already having fun adding them here and there in different displays in my home. They add such a soft, natural element that will last for years to come. (as long as my cat doesn’t get the better of them – ahem)
And I can use them to help stage pieces for my shop. Double score!

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Ian worked as a mechanical engineer in the oil and mineral processing industry in the UK, Canada, Jordan, East Germany & Zambia and for 30 years ran his own boat building company, specialising in boats for disabled people.
Ian has been diving since 1994, and in 1997 co-founded the Malvern Archaeological Diving Unit. Under the MADU banner Ian has held licences from both EH and Cadw to work on various sites designated under the Protection of Wrecks Act. Ian has also worked abroad on archaeological projects in Israel, America and Croatia.
Ian’s involvement with NAS began in 1996; he is currently a Senior Tutor and their regional co-ordinator for Wales. In 2004 Ian was awarded the SAA “George Arnold Trophy” for contributions to maritime archaeology, and in 2011 was awarded a NAS Part IV Diploma.
Ian has a B.Sc. in Mechanical Engineering and a M.A. in Maritime Archaeology.


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Senior care professionals know that while science proves that isolation for aging adults can lead to increased depression and even memory loss acceleration, it can still be difficult to bring residents out of their apartments and into the life of the community. Residents move into a community for many unique reasons, but healthy socialization may not be at the top of their priority lists. Instead, seniors may isolate due to illness, decreased mobility, self esteem issues, or an introverted personality.
While having an active program and event calendar is certainly an important part of the formula to crack resident isolation, a bit of senior technology can bring even more socialization opportunities to your residents. With the right platform, this senior technology can be even be added as care plan interventions based on resident interest and preference. Here are just a few ways that the correct technology can bring residents out of their rooms, and into a whole new world.
Self directed leisure pursuits
Life Enrichment, or Activity, professionals excel in senior care communities with offering a calendar full of events, trips, programs and other opportunities to keep residents engaged and busy. After all, bored residents are often cranky residents, and cranky residents are often both disengaged and dissatisfied. However, the Baby Boomers who are entering senior care communities, whether in short term rehabilitation or long term, are already coming with quite a bit of online experience. Many seniors over the age of 60 have Facebook accounts, and they stay involved with family and friends via FaceTime, Skype, email, and their social media newsfeeds. Upon coming to senior care communities, these residents expect to continue the same self directed leisure pursuits.
Senior technology that offers not only a platform that can accommodate all the WiFi needs of staff, residents, and visitors, but also a way to streamline these resident-requested services is key to keeping Boomers connected to previous internet pursuits. Residents can check out photos of a recent family event or video call a grandchild in college miles away. They can update their Facebook status and shoot an email off with their latest therapy goals and updates all with a fast connection, right from their rooms. Isolation is nearly impossible for this internet savvy generation, if given the correct and appropriate senior technology options.
Sometimes, residents are simply not interested in large group activities that are offered within the community. Some residents have been introverts their entire lives who prefer plenty of quiet time, while other will have pain issues that can prohibit group activity involvement. Isolation is sometimes the result of simply not wanting to be in group activities, for a variety of reasons.
The correct senior technology options can give crowd-shy residents the chance to still interact with friends, family, and the internet population. Even if residents are beginners with internet options, senior-specific technology can make connecting easy to do, while still giving more advanced users the ability to connect to their favorite sites.
Finally, senior technology can reduce isolation by tapping into a new world of opportunities to offer residents throughout the community. Having a senior technology platform that has WiFi capabilities can mean that activity professionals can plan video calls with museums and other places of interest throughout the world. Family members that live far away can dial in for special events or presentations. Residents who may not attend group activities such as games or exercise may just find they love other group programs that can be offered with the assistance of senior technology.
Senior technology interventions play a vital role in person-centered programming within the senior care industry. Isolation can be virtually eliminated with the help of tablets, a WiFi connection, and an easy way for seniors to connect.
How do you keep seniors busy and engaged when they prefer to stay inside their apartments? How do you incorporate technology to keep your isolated residents engaged?

domain: sociology


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The Aged Care Roadmap (the Roadmap), released in April 2016 by aged care advisory body, the Aged Care Sector Committee (ACSC), has recommended significant aged care reforms over the next seven years. The Roadmap is intended to ‘generate discussion across the aged care sector and government regarding future reforms to aged care’. With the first four years of the Living Longer. Living Better aged care reforms now largely implemented in a bipartisan manner (with some notable exceptions such as workforce and dementia funding), there is growing interest in the next round of changes that may be ahead for aged care.
The ACSC advises the Australian Government on aged care policy and future reform, and acts as a forum for consultation between the aged care sector and the Government. It includes representatives from peak bodies, aged care providers, consumers and workforce as well as the Department of Health. The ACSC produced the Roadmap at the request of then Assistant Minister for Social Services, Mitch Fifield.
The Roadmap is a detailed document, setting out actions the ACSC believes are required in the short, medium and long term across nine domains in order to achieve a ‘sustainable, consumer driven and market based system’ of aged care. It is not possible to list all of these in this FlagPost, but some of the key departures from the current system are summarised in Table 1.
Table 1. The current aged care system and key Roadmap recommendations for change
Eligibility for care
Eligibility for aged care is assessed byRegional Assessment Services (RAS) and Aged Care Assessment Teams (ACAT). Government funding and care needs are determined in a number of ways, including by the provider of care.
Create a single independent assessment pathway that assesses eligibility, care needs and maximum funding levels for each individual.
Australian Government funds a wide variety of dementia programs including support services, workforce training, advocacy and research, which have recently been reviewed.
Treat dementia as core business in aged care. Providers are to ensure individualised care is delivered by a skilled workforce. Government and providers to work together to improve care.
Supply of places
Australian Government caps the number of subsidised aged care places.
Allocation of places
Subsidised home and residential care places are allocated to aged care providers, but home care packages will be allocated directly to consumers from 2017.
Change to individualised funding that follows the consumer in residential care as well, with additional assistance or block funding for areas that do not have a sufficient market for services.
Types of care
Three types of aged care are subsidised under the Aged Care Act 1997 (the Act): residential care, home care and flexible care.
Remove the distinction between home care and residential care to create a single aged care system.
Home care funding
Care in the home is provided by block fundedhome support services, as well as through individualised home care packages.
Combine the two programs to form an integrated care at home programme.
Aged care providers must seek approval to provide care under the Act.
Change from approved providers to registered providers and make it easier for providers to enter the market through recognition of accreditation in related sectors (like disability).
Government subsidies and consumer fees for aged care are tightly regulated.
Cease regulation of prices and fees. Government funding to take into account the ‘market informed price’ as well as the individual’s capacity to pay for their own care.
Home care fees are income tested, but residential care fees are income and asset tested (including part of the value of the family home in some circumstances).
Means test all income and all assets and treat them equally. Develop home equity release and other financial products to allow consumers to use their assets more effectively.
Source: Parliamentary Library analysis of the Aged Care Roadmap.
The above recommendations, if implemented, would be an extension of current reforms aimed at ‘transitioning aged care into a market-based, consumer-driven system’. Whether such as system can also be financially sustainable for government and consumers is likely to be a subject of ongoing debate.
Is this where we’re heading?
Many of the proposals in the Roadmap are not new, and the ACSC acknowledges it has built on the recommendations of the Productivity Commission’s (PC) 2011 report Caring for older Australians. For example, the PC recommended financial products to unlock equity in the home to pay for care, as well as uncapping the supply of subsidised aged care places.
The aged care sector has a strong interest in which parts of the Roadmap might be implemented by future governments. Although the Roadmap is not a government policy document, the Department of Health has been quoted as advising that ‘the Roadmap's final destination of a sustainable, consumer-driven and market-based system is a shared vision not only for government but also for other stakeholders’. Neither the Coalition nor Labor had responded to the Roadmap at the time of writing, and the aged care measures in the 2016–17 Budget did not provide an indication of the Government’s position.
Aged care policies released during the current election campaign may provide greater insight into whether the major parties intend to follow the Roadmap’s directions to further reform the aged care system.
Read more at http://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/FlagPost/2016/May/aged-care-roadmap

domain: politics


- EUR crosses 1.10 and 200-day moving-average on EU recovery plan.
- Offers scope for compromise with grants & loans to virus-hit members.
- Market welcomes move but analyst community divided over EUR views.
- Some take open-minded approach, others say to hold horses on EUR.
Image © Adobe Images
- EUR/USD spot at time of writing: 1.1023
- Bank transfer rates (indicative): 1.0632-1.0709
- FX specialist rates (indicative): 1.0853-1.0919 >> More information
The Euro-to-Dollar rate crossed a Rubicon Wednesday as investors welcomed European Commission proposals on the financing of a coronavirus recovery fund, but the analysts community is divided in its views on the outlook and some have warned that the Euro could soon reverse course.
European Commission chief Ursula Von der Leyen is set to propose a landmark €750bn (£677bn) increase to the executive body's budget to fund a mix of grants and loans to help European Union members pull their economies out of the coronavirus crater, with two thirds in the form of grants.
Details were released in a tweet by European Economy Commissioner Paolo Gentiloni ahead of an address by Von der Leyen to the EU parliament.
The plan will be funded by European Commission borrowing from markets, which is not unprecedented but is rare. It expands last Monday's Franco-German proposal for €500bn of grants.
France and Germany's proposal met pushback from 'frugal' Northern members of the EU who at the weekend counterproposed a €500bn package of loans.
"EU Recovery Fund stimulus is a little-too-late, smaller than the US & doesn't formally resolve EUR existential risk (especially if it's wrapped around a "recovery fund"). Most importantly... it hasn't been agreed yet & may be watered down. Careful chasing EUR higher," says Viraj Patel, a strategist at Arkera.
Above: Euro-to-Dollar rate rises above 1.10 and creeps past 200-day moving average (orange line).
Reading between the lines of the various competing proposals, analysts and financial markets saw the seeds of a compromise being sown by the commission on Wednesday, which would yet result in an agreement on the size and rough structure of the fund. However, there are still banana skins lurking on the path ahead, especially around the kinds of conditions that members might have to satisfy in order to tap the funds.
Italians, weary from a decade of austerity force-fed to them through the hands of the European treaties and commission, might not have tolerance for conditions that renew their humiliation by inserting European fiscal probation officers into the national treasury and government but without Prime Minister Guiseppe Conte's vote in the European Council the fund will never see the light of day.
The same is true of European Council votes from leaders of Austria, Denmark, Netherlands and Sweden, who've all opposed the idea of financing state spending in other European countries but especially those who've so often been painted and perceived as 'profligate,' not to mention all manner of other things.
Put differently, there is a so-far insurmountable division in Europe that still has capicity to sink the proposals and the Euro-to-Dollar rate, even if the latter did overcome a technical roadblock Wednesday.
Above: Euro-to-Dollar rate alongside Dollar-China (black line).
"EUR has broken 1.10 again but is it enough to become a new trend? It’s more important if we see more of the Frugal Four start to soften up and accept the idea (as this needs to be unanimous)," says Jordan Rochester, a strategist at Nomura. "It’s tempting to chase this move given the risk on sentiment but quite often US-China tension headlines have kept these short breaks above 1.10 contained. If we break above 1.1050 then this will pull in a new round of EUR buying as it will have clearly see the monotonous 1.08-1.10 range EUR has been in for weeks now, come to an end."
Rochester and Nomura are still sellers of the Euro and would only look to change this if either the recovery fund is approved or the currency sustains a close above 1.1050. They're mindful of the impact that U.S.-China tensions and other factors could have on the single currency.
The Euro hasn't sustained a move above 1.1050 since a capitalution of bets on emerging market assets and resulting exodus of capital from the developing world lifted the single currency by more than 6% against the Dollar between late February and early March.
Wednesday's proposal follows weeks of uncertainty over whether European leaders would ever manage to act at all given that national governments including those in Europe took action in March and April to support shut-down economies while a fractious debate over 'Euro bonds' stymied collective action. Europe acknowledged that it's missed a boat when it began talking about a recovery fund rather than action to limit damage done by the virus.
Above: Euro-to-Swiss Franc rate at daily intervals and alongside Dollar-China (black line).
"This is the starting point for negotiations and you can expect the ‘frugal four’ to push back against the size of the budget and the amount of grants, while Spain and Italy won’t take much to loans if there are conditions attached. This does go further than the Franco-German proposal and the market is clearly happy with it," says Bipan Rai, North American head of FX strategy at CIBC Capital Markets. "EUR/USD move above 1.10 is clearly pricing in an end result that is closer to Franco-German proposal. Never underestimate the impact that solidarity within the EU will have on the EUR. Recall that the 2017 EUR/USD rally was initiated once Macron defeated Le Pen in the last French election. An extension to say 1.14-1.15 in the coming months is possible, but the right play might be to be long EUR/CHF which has far more headroom."
The European response to the coronavirus, or absence of it so-far, asks aloud whether the bloc is sufficiently cohesive and if the interests of members are adequately aligned for the EU and its single currency to have a long-term future. Failure to agree a decisive and confidence-inspiring response, having had months more than national fiscal and monetary authorities, would risk being perceived as a sign if-not declaration that the entire project and its currency are living each day on borrowed time.
Europe's single currency overcame resistance at 1.10 and the 200-day moving-average at 1.1011, which had barred its path higher last week on many occasions previously, in response to the proposals but analysts are clearly divided on whether this move will be sustained. Von der Leyen will meet Bundestag President Wolfgang Schauble Wednesday and EU parliament chief David Sassoli will speak about the fund at 16:00 Wednesday but the most important points on the road ahead are the June 11 meeting of Eurozone finance ministers that will take place ahead of the June 18-19 European Council. It's at those two latter meetings that the Euro might encounter a banana skin.
"EUR/USD last week tested but failed, in a quite a brutal way, to breach the 1.1000 level but that correction lower has itself lost momentum and we are looking like a retest of the 1.1000 level is plausible in the coming days. Technically, a close clearly above 1.0980 is required to really change the short-term picture – EUR/USD closed at 1.0982 yesterday making it four occasions in April and May to close at around this level and on each of the previous three occasions failed the following day. In that regard today’s price action has greater meaning technically," says Derek Halpenny, head of research, global markets EMEA and international securities at MUFG.
Above: Euro-to-Dollar rate at weekly intervals alongside Dollar-China (black line).
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Religious fundamentalism explored in ‘The Incendiaries’: NPR
Boy transferred from Bible college. A boy meets a girl. Girl joins a sect. The boy tries to save the girl. NPR’s Renee Montagne talks to RO Kwon about her debut novel, The arsonists.
RENEE MONTAGNE, ANIMATOR:
Phoebe Lin and Will Kendall meet at a prestigious East Coast college and start dating. Will has just transferred from a Bible college. Phoebe gave up the music career she dreamed of. Will lost her religion, while Phoebe lost her mother. Hovering over their grief and guilt is a violent religious cult that seems to offer Phoebe a way out. The novel “Les Incendiaries” begins with an explosion. A building falls and people die. This is RO Kwon’s first novel. She joined me from our studios in San Francisco to talk about it. Welcome.
RO KWON: Thank you. Thank you for hosting me. I’m so excited.
MOUNTAIN: This story is told from three angles. There is Will. There is Phoebe. And there is another character, John Leal, who is the leader of this Christian cult that Phoebe joins. Explain it to us – Phoebe starts off as a young lady drinking and having fun at parties, but there’s obviously something missing. And there is this pain of the death of his mother. Tell us more about it.
KWON: That’s right. She doesn’t really have a sense of purpose. Not only did she lose her mother, but shortly before entering college, she gave up the piano. And she really believed that she was going to become a professional pianist. And so she is and was a very ambitious woman, a very motivated woman, a very disciplined woman who has none of that to structure her life anymore. And so she’s attracted to both Will and John Leal for different reasons. But they both offer – them – John Leal and Will lack discipline, structure, and a sense of purpose.
MOUNTAIN: But as she is drawn into this cult, Will begins to want to save her. But can he? Can he save Phoebe?
KWON: Will has a desire to save people in general. It was part of what made him such an effective Christian and such an effective evangelist. And so I think it definitely bleeds in his relationship with Phoebe. And no, he doesn’t seem likely to be successful.
MOUNTAIN: And then there’s John Leal, who’s a little shady …
MOUNTAIN: …. Fascinating, though. But you never get into him. And you are never even sure his story is true.
KWON: John Leal – he tells fascinating stories about himself, about volunteering on the North Korea-China border, about staying in a North Korean gulag. And in many ways, it’s hard to tell what’s real and what’s not.
MONTAGNE: And is it also perhaps correct to say for a creator and cult leader that it is quite difficult to get into your head?
KWON: I guess I should say yes so as not to worry my family and parents. But in some ways John Leal was the easiest for me to write.
KWON: Yeah (laughs).
MOUNTAIN: What would worry your parents about this?
KWON: I think John Leal – well, a lot of his appeal depends on the language, the stories he can tell. And so I think – I’ve never been in a cult. But, at one point, I got involved with a youth group that was so absorbing that many of our parents feared it was a cult. This was not the case. But I have had my own experiences with charismatic preachers, with young charismatic leaders. And I think I was accessing a part of me that not only liked it and was drawn to it, but could channel it.
MOUNTAIN: You write beautifully about the loss of Will’s religion. Read for us a small section on his inner thoughts on this subject.
KWON: Okay. (Reading) I tried not to quit the faith. I had had such a purpose of living in stubborn pursuit of the God I loved until the afternoon when I knelt in my room to ask for a sign one last time. White gauze curtains waved. I waited. But I didn’t hear anything else. Muscles stiff, I stood up. I should have, I think, told Phoebe how open I had felt ever since with a god-shaped hole that I didn’t know how to fill. If I was fed up with Christ, it was because I couldn’t stop loving him, this invented ghost that I was still crying as if he had been real.
MOUNTAIN: I understand that you yourself have had a difficult separation from religion.
KWON: Yeah, I did. I did. It was extremely painful.
MOUNTAIN: Were you brought up as a Catholic?
KWON: Yes. I was brought up as a Catholic. But at my most religious level, I spent a lot of time attending various – the Protestant churches of my friends. I grew up in a predominantly Asian-American city and school in Los Angeles. And it’s also, in addition, mostly Korean-American, who I am. And the churches that I went to were very devout. There were a lot of people falling to the ground, a lot of people speaking in tongues. It was a very charismatic kind of Christianity. And I loved him so much. It was so wonderful. And for me, it wasn’t just so painful to leave the faith. It remains painful. I am still in mourning. I still love God – this is what I have achieved over time. It’s just that I don’t think he’s real. Augustine has a phrase that I like that – to say I love you is to say I want you to be. And I think that’s how I feel about the Christian God.
MOUNTAIN: All your characters are in pain. They are in their own world of pain. So how does this question of God and religion and belief and something to heal the pain I guess you would say – how does that bring them together and also put them at odds?
KWON: I think when people are hurt – I think when people are grieving and in pain – or at least I know I have. I tend to avoid generalizations. I know that when it hurts and when it hurts, I open up more to an elsewhere. And so I think for my characters too, they’re open to other types of responses than the ones they used. They have that in common. But of course they eventually come to different answers.
MOUNTAIN: RO Kwon’s first novel is “Les Incendiaries”. Thank you very much for joining us.
KWON: Thanks. Thank you for hosting me.
NPR transcripts are created under rushed deadlines by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative recording of NPR’s programming is the audio recording.

domain: literature


Special note about The June “Unattended Service”
The June "Unattended Service" at Washington Crossing National Cemetery will be held at 2:00 PM on Thursday, June 30, 2022. At that time the remains of 10 Veterans who have been unclaimed in the Montgomery County, PA Coroner's Office will be interred. Please feel...
Arlington National Cemetery June 18th, 2022
On Saturday, June 18, 2022, members of the Washington Crossing Honor Guard (WCHG) traveled to Arlington National Cemetery (ANC) at the invitation of the Society of the Honor Guard, Tomb of the Unknown Soldier (SHGTUS). The WCHG witnessed the Changing of the Guard and...
2022 Memorial Day Activities
In preparation for Memorial Day 2022, approximately 70 volunteers from the Travis Manion Foundation, the local community, and the Guardians of the National Cemetery gathered to complete the Avenue of Flags before Veterans Day 2022. Students of the Middle bucks...
Unattended Funerals. A tribute to our fallen service members.
Vietnam Era Veterans Recognized for their Service
March 29th, 2022 Commander Gene Hamilton recognized members of the Washington Crossing Honor guard that were active duty during the Vietnam era.
John & Bernadette Heenan presented a proclamation from Senator Pat Toomey (R-PA) to Director Gregory J. Whitney.
This proclamation recognized the hard work that brought to fruition the Gold Star Families Memorial Monument at Washington Crossing National Cemetery—the first at a National Veterans Cemetery.
Get In Touch
Guardians of the National Cemetery
PO Box 233


New call for papers addressing emerging themes in Global PeaceTech
As the international community continues to grapple with how to respond to conflicts worldwide, there is growing recognition of the critical role that data and technology can play in fostering peace, and preventing future conflicts. In light of this, we are calling for contributions to a new special collection in our #OpenAccess sister journal Data & […]
Exploring the Potential of Technology to Enhance Global Peace at the First Annual Conference of the Global PeaceTech Hub
The first Annual Conference of the Global PeaceTech Hub brought together experts and representatives from different PeaceTech Labs, research institutes, non-profit organizations, governments, and companies to discuss how technology can enhance peace at the global level. The conference was organized by the Global PeaceTech Hub and was an invitation-only event. However, on the second day […]
Geneva Peace Week launches digital series on peace innovation
The Global PeaceTech Hub participates to the Digital Series of the Geneva Peace Week with a contribution under Peace Innovation.
Swiss Ambassador Alexandre Fasel on the role of Anticipatory Science Diplomacy in addressing future global challenges
The Geneva Science and Diplomacy Anticipator, ambassador Fasel explains, has devised a method for Anticipatory Science Diplomacy that consists of three steps: anticipation, acceleration, translation.
KluzPrize for PeaceTech call open
The KluzPrize for PeaceTech rewards researchers and practitioners who, through their applied research and innovative projects, study or exploit the opportunities offered by emerging technologies to have a positive impact on peace and cooperation across borders.
How can AI be used to improve Ukrainian refugee policy in Europe?
The panelists present an overview of matching initiatives for Ukrainian refugees by businesses (such as Airbnb), communities (religious, academic, and humanitarian), national platforms (Italy and the United Kingdom’s models), as well as the opportunity and challenges to streamline refugee matching on the EU level.
Peace by other means: the role of digital platforms in the war
In a series of online talks, the Global Peace Tech Hub discusses the different ways in which digital technologies and technology platforms can contribute to the promotion of peace and build new bridges between citizens in Europe and the world.
Building peace and cooperation through tech
On 8 December 2021, members of the Global PeaceTech Hub will meet academics, policymakers and experts at the United Nations Internet Governance Forum 2021 to discuss collaboration in realising the hub’s mission.


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- 3 min read
Wipro has to think beyond enrolment to keep HPS healthy, feel analysts
Wipro, the Bengaluru-headquartered software services exporter, acquired Florida-based HPS in early 2016 for $460 million.
Indian IT services major Wipro may have to look at building solutions beyond healthcare enrolment-based services for its Health Plan Services unit to remain competitive amid legislative changes in the US, say analysts.
Wipro, the Bengaluru-headquartered software services exporter, acquired Florida-based HPS in early 2016 for $460 million. In July last year, Wipro chief executive Abidali Neemuchwala anticipated an annualised revenue loss of nearly $120 million in the HPS business based on the prior four quarters.
Wipro continued to remain cautious on HPS as ambiguity over changes in the coverage of the US’ Affordable Care Act, or Obamacare, persists
At this juncture, Wipro should look “to double down quickly (to) address the re-pivot issues,” Peter Bendor-Samuel, chief executive of global IT advisory firm Everest Group, told ET.
“This will likely require significant investment in building capabilities that go beyond HPS’ enrolmentbased solutions and services. Areas such as care, claims, and network management represent good growth opportunity in the healthcare space,” said Bendor-Samuel.
But he warned that “this process will take time and likely lead to a further sub-par performance in the short to mid-range time frame. However, fully embracing the idea of adigital healthcare space that fully leverages digital technologies such as automation, analytics, and mobility is an attractive proposition.”
At the time of the HPS acquisition in February 2016, which was the election year for the US presidency, HPS was the market leader in the healthcare enrolment-based exchange business and still commands the single-largest share, according to analysts. Obamacare continues to be amajor source of revenue for HPS.
Wipro said it is presently working on pivoting the HPS business. “We are not waiting for (clarity on healthcare legislation) to get sorted, we are pivoting to some of the adjacent businesses. This is a political thing and it is very complicated,” Neemuchwala told ET in a recent interview.
“The need for a re-pivot has become dramatically apparent” with the loss of large key accounts such as Aetna, Cigna, Humana, and UHG, which have exited the healthcare exchange business, said Bendor-Samuel.
“These payers contributed significantly to HPS’ financials and their exit negatively impacted HPS, as the population covered by these carriers opted for alternate payers, some of which were not HPS’ clients. Although Wipro is moving to address the structural challenges in the business, its response has been slow and it was only late last year that HPS had thought of a few ideas and those lacked a strong marketing message,” said Bendor-Samuel.
Market analysts say the nature of HPS’ business, unlike other acquisitions, has higher fixed costs and it would eventually need restructuring. They expect further clarity on this during Wipro’s third-quarter results announcement.
“There is a margin impact because there is a lot of fixed costs. I think third quarter will give us a better sense,” said a Mumbai-based equity analyst who did not want to be named.

domain: news


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Six decades after Fulton's start, Lewis Palm's values still guide its business approach. The company is still owned and directed by the Palm family and remains focused on the future. A combination of superior customer service and innovative, high quality products has kept Fulton's business successful as it continues building on its tradition of success.
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The devil and tom walker, a short story by washington irving, tells of a man who sells his soul to the devil, known as old scratch, in exchange for great wealth he becomes a. The devil and tom walker by washington irving - analysis summary and analysis this study guide consists of approximately 43 pages of chapter summaries, quotes, character analysis. The devil and tom walker by washington irving: summary and analysis - duration: 3:23 studycom 12,611 views 3:23 the devil & tom walker - duration: 17:24 pacothehamster 24,701 views.
In “the devil and tom walker,” washington irving illustrates human corruption through the use of the woods as setting and symbolism ##now create your own introduction literary analysis. The devil and tom walker study guide contains a biography of washington irving, quiz questions, major themes, characters, and a full summary and analysis greed this story focuses. 3 “the devil and tom walker” (1824) by washington irving a few miles from boston, in massachusetts, there is a deep inlet winding several miles into the interior of the country from charles. “the devil and tom walker” by washington irving: symbolism and the black comedy of characters there have been many stories, songs, films.
Themes, motifs, and symbols in the devil and tom walker one theme found in the devil and tom walker is greed has consequences when approached by the devil, also know as old scratch, tom is. Literary analysis of “the devil and tom walker” in “the devil and tom walker,” washington irving reveals that what one gains by greed is not worth the consequences, by using tone to affect. In the story the devil and tom walker, many american values and morals are exhibited washington irving used tom walker's contradiction of ordinary american values and morals as an.
An analysis of irving's rip van winkle and the devil and tom walker washington irving was one of the first american writers to write any kind of fantasy story or writing at first he tried.
Discussion of themes and motifs in washington irving's the devil and tom walker enotes critical analyses help you gain a deeper understanding of the devil and tom walker so you can excel on. 'the devil and tom walker' is one of washington irving's most famous (and controversial) short stories here's a brief introduction to this faustian tale. “the devil and tom walker” by washington irving literary analysis: characterization characterization is the way a writer reveals and develops characters with direct characterization, the. Find all available study guides and summaries for the devil and tom walker by washington irving if there is a sparknotes, shmoop, or cliff notes guide, we will have it listed here.

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Background: Rapid blood culture diagnostics are costly and of unclearbenefit for patients with Gram-negative bacilli (GNB) bloodstream infections (BSIs). We conducted a multicenter, prospective, randomized controlled trial comparing outcomes of patients with GNB BSI who had blood culture testing with standard of care (SOC) culture and antimicrobial susceptibility testing (AST) versus rapid organism identification (ID) and phenotypic AST using the Accelerate Pheno™ System (RAPID).
Methods: Patients with positive blood cultures with Gram stains showing GNB were randomized to SOC testing with antimicrobial stewardship review (AS) or RAPID with AS, at two medical centers between 10/2017-10/2018. The primary outcome was time to first antibiotic modification within 72 hours of randomization.
Results: Of 500 randomized subjects, 448 were included (226 SOC, 222 RAPID). Mean (S.D.) hours to results was faster for RAPID than SOC for organism ID [2.7 (1.2) vs 11.7 (10.5), p < 0.001] and AST [13.5 (56) vs. 44.9 (12.1), p<0.001]. Median (IQR) hours to first antibiotic modification was faster in the RAPID vs. SOC arm for overall antibiotics [8.6 (2.6, 27.6) vs. 14.9 (3.3, 41.1), difference 6.3, p=0.02] and Gram-negative antibiotics [17.3 (4.9, 72) vs. 42.1 (10.1, 72), difference 24.8, p<0.001]. Median (IQR) hours to antibiotic escalation was faster in the RAPID vs. SOC arm for antimicrobial-resistant BSIs [18.4 (5.8, 72) vs. 61.7 (30.4, 72), difference 43.3, p=0.01]. There were no statistically significant differences between the arms in patient outcomes including mortality and length of stay.
Conclusion: Rapid organism ID and phenotypic AST led to faster changes in antibiotic therapy for Gram-negative BSIs. (Funded by the U.S. NIH UM1AI104681; ClinicalTrials.gov number, NCT03218397.).
© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: email@example.com.
Is It Actionable? An Evaluation of the Rapid PCR-Based Blood Culture Identification Panel on the Management of Gram-Positive and Gram-Negative Blood Stream Infections.Open Forum Infect Dis. 2018 Dec 11;5(12):ofy308. doi: 10.1093/ofid/ofy308. eCollection 2018 Dec. Open Forum Infect Dis. 2018. PMID: 30555850 Free PMC article.
Outcomes of rapid identification for gram-positive bacteremia in combination with antibiotic stewardship at a community-based hospital system.Pharmacotherapy. 2015 Mar;35(3):269-76. doi: 10.1002/phar.1557. Pharmacotherapy. 2015. PMID: 25809178 Clinical Trial.
Performance of the Accelerate Pheno™ system for identification and antimicrobial susceptibility testing of a panel of multidrug-resistant Gram-negative bacilli directly from positive blood cultures.J Antimicrob Chemother. 2018 Jun 1;73(6):1546-1552. doi: 10.1093/jac/dky032. J Antimicrob Chemother. 2018. PMID: 29474660
Rapid microbiological tests for bloodstream infections due to multidrug resistant Gram-negative bacteria: therapeutic implications.Clin Microbiol Infect. 2020 Jun;26(6):713-722. doi: 10.1016/j.cmi.2019.09.023. Epub 2019 Oct 11. Clin Microbiol Infect. 2020. PMID: 31610299 Review.
Effectiveness of Practices To Increase Timeliness of Providing Targeted Therapy for Inpatients with Bloodstream Infections: a Laboratory Medicine Best Practices Systematic Review and Meta-analysis.Clin Microbiol Rev. 2016 Jan;29(1):59-103. doi: 10.1128/CMR.00053-14. Clin Microbiol Rev. 2016. PMID: 26598385 Free PMC article. Review.


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Dr Deepali Brahmachari
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Fighting game BlazBlue is coming to the PS Vita under the temporary title BlazBlue: Continuum Shift II Plus. "Plus", because the PS Vita version gets added features.
It might be crap for online play, but for a single-player button masher like me, nothing helps Taokaka bring down Boobie Lady faster than BlazBlue: Continuum Shift's Beginner Mode controls.
Are you a North American BlazBlue fan that's upset that Aksys didn't offer a collector's edition for BlazBlue: Continuum Shift? If so, then these UK/European exclusive special editions will really piss you off.
Mad Catz once again proves its mastery of slapping new graphics onto existing products with the Blazblue: Continuum Shift Tournament Edition joystick, sold exclusively through Aksys Games at $199.99 a pop.
North American fans of the two-dimensional fighting game will get their fisticuffs fix with the release of BlazBlue: Continuum Shift on PlayStation 3 and Xbox 360 this summer, the follow up to last year's BlazBlue: Calamity Trigger.
That's Kanako Kondou, not the character per se, but the actress is lending her voice to the game. Once again.
Arc System Works' incremental follow up to original 2D brawler BlazBlue: Calamity Trigger features a larger roster, thanks to the addition of a handful of new fighters, plus one flashy intro full of hot licks and cool riffs.
Guilty Gear creators Arc System Works achieved some enjoyable level of success with a new fighting game property, BlazBlue. One of the loudest complaints was the comparatively slim roster. Good news about that, courtesy of the newest issue of Famitsu.


(Down to Earth: Conservation)
April 4th: Why India should enact a special law for conserving its sacred groves – https://www.downtoearth.org.in/blog/forests/why-india-should-enact-a-special-law-for-conserving-its-sacred-groves-82201
- GS-3: Wildlife & Biodiversity
Why India should enact a special law for conserving its sacred groves
Context: India’s sacred groves are being gradually altered due to ever-expanding human populations, pollution and removal of biomass; effective conservation is the need of the hour to maintain their functional values.
What are Sacred Groves?
Sacred groves are patches of natural vegetation preserved by ancient societies on religious and cultural grounds.
- These patches of vegetation are rich in biodiversity and act as habitats of many endangered and threatened plant species.
- A sacred grove usually consists of a dense cover of vegetation including climbers, herbs, shrubs and trees, with the presence of a village deity and is mostly situated near a perennial water source.
- Sacred groves are considered to be symbols of the primitive practice of nature worship and support nature conservation to a great extent.
- These groves are, in general, maintained by rural communities. No governments have been involved in their maintenance so far.
- Many are protected and maintained by the village community by evolving certain taboos and restrictions. Some of the groves are also maintained by individual families.
- In some cases, individual and ancient trees also act as sacred groves, with the idol of a deity under the tree.
- There is a general belief among people that any damage to the sacred grove, harm to any living fauna there or cutting any tree or climber of the grove may cause diseases and failure of agricultural crops.
- Many villages have set apart sanctified land to propitiate the Vanadevadas, or forest spirits. The entire grove is considered sacred in certain areas and worshipped.
It is estimated that India may have about 100,000 such groves. The names of such groves vary depending upon the region and language of our country. They are called with different names in different states:
- Sarna in Bihar
- Dev Van in Himachal Pradesh
- Devarakadu in Karnataka
- Kavu in Kerala
- Dev in Madhya Pradesh
- Devarahati or Devarai in Maharashtra
- Lai Umang in Maharashtra
- Law Kyntang or Asong Khosi in Meghalaya
- Oran in Rajasthan
- Kovil Kadu or Sarpa Kavu in Tamil Nadu
Threats to Sacred Groves
So far, these sacred groves have been protected through social fencing with the involvement of the local community.
- But of late, some groves have been cleared for the construction of buildings and other modernisation works in connection with temple activities.
- Certain sacred groves have been reduced to small patches due to encroachments.
- In some places, old trees have been felled and fruit orchards and fruit gardens have been established.
- The groves are being gradually altered due to the increasing needs of the ever-expanding human population, pollution and removal of biomass.
How to save these groves – The Way Forward
Effective conservation and management practices are thus the need of the hour in order to maintain the groves’ functional values. The groves have great research value in in situ conservation of rare, endangered and threatened plant species.
- It is high time that public awareness is created about the importance of these sacred groves, developmental activities are banned and the felling of trees or removal of any other vegetation is completely stopped.
- This is possible only by way of enacting a special law for the protection and management of sacred groves.
- As the management practices and other rituals vary from state to state, the concerned state governments may promulgate such an act as suitable for the state. The idea should be to protect certain rare, endangered and threatened plant species in the era of global warming and climate change.
NOTE: Sacred groves have been legally protected under ‘community reserves’ in the Wildlife (Protection) Amendment Act, 2002.


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Serayah Hits the Beach After Returning From NYC Trip
The 20-year-old Empire actress had returned to the west coast after a trip to New York City to make the media rounds.
Serayah had stopped by Music Choice while in the city to discuss the show and reveal which real star inspired her character.
She posted a photo of herself on Instagram after the appearance, writing, “I had so much fun at @musicchoice yesterday. Thank you.”

domain: geography


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I recently ordered this "You Drink Coffee I Drink Tea My Dear" print for myself.
Since I haven't had a cup of coffee in my life - that's really true - I swear! - I thought, it fits me quite well :)
It's made by the cool Berlin Label P&T.
After I ordered I got mail, that the shop had a special promotion and that I will soon receive a surprise gift.
A few days later my gift arrived.
It was a "You Drink Coffee I Drink Tea My Dear" print!
Ha Ha - very funny.
But this print was from a limited edition and the letters were printed with tea!
Really great! I love it!
Meanwhile my original order with the black letters arrived, too.
What should I do with it?
It makes a great Christmas gift - yes - but I only have coffee drinking friends and family...
Yes, they all love an occasional tea, especially in winter time, but i don't think they would put up a print like this.
So I thought of you lovely readers!
Would somebody love to have this print? Not this one from the picture - that's mine now - the other one with the black letters.
If you like to participate in the Give Away please leave a comment until Monday 24th of November.
Let me know what your favorite tea is at the moment if you like.
The winner will be chosen by random.org

domain: artistic


- This event has passed.
Trustee Special Meeting
August 22, 2018 @ 7:30 pm - 8:30 pm
The Concord Township Board of Trustees will hold a Special Meeting Wednesday, August 22, 2018, at 7:30 pm, in Concord Township Hall, located at 7229 Ravenna Road in Concord Township, for Resolution #2018-20, to enact a Township permissive motor vehicle license tax pursuant to R.C. 4504.18 and Resolution #2018-24, to adopt a Limited Rule Government pursuant to R.C. 504.01 and for other general Township business.


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Urinary levels of interleukin-6 and interleukin-8 in children with urinary tract infections to age 2.
Grażyna Krzemień, Maria Roszkowska-Blaim, Izabella Kostro, Agnieszka Szmigielska, Monika Karpińska, Maria Sieniawska, Irena Bartłomiejczyk, Leszek Pączek, Krzysztof Toth
Med Sci Monit 2004; 10(11): CR593-597
Available online: 2004-11-01
BACKGROUND: The aim of this study was to assess relations between the clinical course of UTI, IL-6 and IL-8 levels, and the presence of inflammatory changes detected by renal scintigraphy using 99mTc-DMSA (DMSA). MATERIAL/METHODS: We studied 33 children aged 1-24 months (mean 7.1+/-5.8 months) with first-time UTI. The subjects were divided in two groups: with fever (group I, n=10) and without fever (group II, n=23). Inflammatory markers (ESR, CRP, leukocyte count), urinary IL-6 and IL-8 level, and DMSA scan were evaluated in all children. RESULTS: Urinary IL-6 and IL-8 levels [IL-6, IL-8/creatinine (pg/mg)] were significantly higher in group I than in group II (Il-6 level: 39.4+/-41.1 vs. 6.3+/-13.7, p
Keywords: Interleukin-6 - urine, Interleukin-8 - urine, Technetium Tc 99m Dimercaptosuccinic Acid - diagnostic use, Urinary Tract Infections - radionuclide imaging, Child, Preschool, Creatinine - urine, Interleukin-6 - urine, Interleukin-8 - urine, Kidney - radionuclide imaging, Technetium Tc 99m Dimercaptosuccinic Acid - diagnostic use, Urinary Tract Infections - radionuclide imaging


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