text:
Are Antipsychotics Overprescribed To Kids?
And most of the time, not even for psychosis. 44% of the PTSD and ADHD kids got antipsychotics.
You can wrack your brain trying to figure this out or blame the usual suspects, but the answer is right there in the article:
Variables associated with antipsychotic use [included] male gender, age 12 years and under, being nonwhite, and a length of stay 13 days or longer.
You'll observe that none of those words is "diagnosis" or "severity."
The cause of these high levels of medications is so simple you'll recoil from the truth of it, but pour yourself a drink and take it like a man: the kids showed up. That's it. The kid is in front of you and you have to do something, now, that results in an acute change. Not better grades 4 years out, or less sadness over the teen years; change the sleep tonight, make the kid less hyper now, and when it "stops working" you can up the dose or change the med.
It doesn't matter what the diagnosis is or what the symptoms are, really, whether he ate his dog or got a C on a test he's going to be getting something at qd and hs because that's what you get when you put psychiatry as the cornerstone of a Multidisciplinary Treatment Team.
When a kid is presented to a psychiatrist, the psychiatrist is
pressured, obligated, to do something pharmacological. If a psychiatrist
looked a single parent a joint away from a nap right in the eye and
said, "nope, he's acting out because of X, Y, Z, and medications aren't
going to fix this" that doctor will get his head handed to him by parent
or by lawyer. Justice will be done, you negligent elitist.
And the simple reason why the kids showed up is that the parents and the schools and the cops and the courts were told that's where you go when a kid punches another kid or becomes hispanic. That's why outside the oakwood offices of the private docs the shingle says "Practice of Psychiatry" in Palatino Linotype, but get within fifty blocks of a black kid and the whole thing is labeled "Behavioral Health" in what I think is Erasermate.
This is why reducing antipsychotic prescription is a Chuck Grassley political diversion, if the kids don't get antipsychotics they won't get nothing. The problem is the overprescription of prescriptions.
I get that when a 15 year old starts up with cocaine it is a bad thing. But is it automatically true he has ADHD or BPD and needs medications? Check the map:
An Epidemic of Mental Illness
June 16, 2011 6:12 PM | Posted by : | Reply
Don't know what the map means, it's going to drive me nuts. Can anyone explain?
June 16, 2011 6:39 PM | Posted, in reply to , by : | Reply
It's a map of the world as portrayed in '1984', which is a novel by George Orwell.
June 16, 2011 8:12 PM | Posted by : | Reply
WHAT is the law? the paradigm of over-prescription? who has the power to affect that paradigm, if not psychiatrists?! I think psychiatry has more implicit political power than most people realize. They say, "the personal is political", and making that decision for ONCE to give real advice and not some tranquilizer is a way of instantiating that political power, personally. Maybe people should re-define what they expect from psychiatrists, but it goes both ways.
It's like with cops: there's a cultural expectation that cops act like assholes. But then they actually do, on a personal level...under the similar auspice of LAW. But who's really in control of those expectations? In my mind psychiatry as an institution abuses its political power by not acknowledging it, but also, by not using it. I guess the DSM is the dark-side of that institutional power, but what would YOU do, doc, with an eleven year old who keeps punching kids on the playground and says he hears voices in his head?
June 16, 2011 10:08 PM | Posted, in reply to , by : | Reply
Okay, I see the legend now. But why "yes" and "no?"
June 16, 2011 10:26 PM | Posted, in reply to , by : | Reply
is it automatically true he has ADHD or BPD and needs medications?
June 16, 2011 11:58 PM | Posted, in reply to , by : | Reply
Hmm, okay. I guess I'm mostly wondering why the arrows point where they do. Quote says nonwhites get antipsychotics -- so why is there a "No" arrow pointing to what I believe is Paraguay? And to the middle of the ocean?
But I don't want to belabor this too much. No one can be told what the Matrix is, etc.
June 17, 2011 3:11 AM | Posted, in reply to , by : | Reply
The point is that it's different.
June 17, 2011 5:11 AM | Posted, in reply to , by : | Reply
"who has the power to affect that paradigm, if not psychiatrists?!" Whoever is paying the psychiatrists.
What is the difference between a psych who cuts corners to maintain his standard of income, and a corporation that does the same for the same reason?
A psych in such a position has just as much of an ethical responsibility not to risk harming people as a corporation dealing with chemical storage, even if that means bagging groceries under med school debts because he cannot get honest work in the field. That is not a realistic thing to expect of people, however.
Psychiatrists are not going to properly treat people if we put barriers in the way and pay them to do something else, ethics be damned. Furthermore the profession will fill up with the sorts of people who have no problem with this.
June 17, 2011 7:44 AM | Posted, in reply to , by : | Reply
The "YES" arrows point to USA, Europe, Australia, the Asian Southeast and Russia.
The "NO" point at Bolivia, the Maldives (sort of), Greenland, and a place that doesn't exist but is filler because the cartographer didn't want to repeat that tip of Alaska in both places.
Not sure what to make of it, other than it's automatically true in rich places, I'm guessing for the reasons usually mentioned in this blog
June 17, 2011 1:34 PM | Posted by : | Reply
The real problem is that these meds work so damn well and if you only get 3 days IP to fix a kid, Well there you go.
June 17, 2011 2:50 PM | Posted by : | Reply
I am about to start a job in a community mental health center and am scared to death of myself. I have always emphasized good evaluations and good diagnostics no matter what pressures came down in the academic environment I was in previously, but have been told at this new gig "We have a psychopharmacologic model here" after describing my interest in behavioral strategies. It sounds like 15 min per patient, meds expected...my strategy going in is to provide education to the staff and to always give patients info re: treatment options. If I become a Seroquel pusher, please find me and shoot me.
June 17, 2011 7:54 PM | Posted by : | Reply
Chuck Grassley (R-Ethanol) looks cranky because Congress just voted to somewhat stop federal subsidies paid to corn farmers.
A kid can have PTSD? When did that start?
June 18, 2011 12:49 AM | Posted, in reply to , by : | Reply
since forever? since as long as PTSD has existed (or been named, take your pick)?
kids go through trauma too... abuse, rape, assault, and so on. blissful childhoods =/= universal.
June 18, 2011 4:14 AM | Posted by : | Reply
" says "Practice of Psychiatry" in Palatino Linotype"
could someone explain this? I don't undderstand the significance of why he referenced Palatino Linotype. as far as I know, it's just a pretty font.
June 18, 2011 11:39 AM | Posted by : | Reply
Of course there is over prescription of drugs to kids. To adults. To animals.
There more the "industry" dupes, the better. Lucky you, you will not last to long to see men, woman and children become cattle. Aw, that is already the case.
June 18, 2011 12:01 PM | Posted, in reply to , by : | Reply
By God's holy trousers, don't take things so literally. There's nothing inherent about Palatino Linotype. It's a symbol, and it only has meaning in context. Contrast PL, as you say 'a nice font', with Erasermate, i.e. a hand-scrawled sign.
Ditto the map. Rich countries with well-developed (i.e. oppressive) institutions are the places where ADHD/BPD automatically implies a need for medication (i.e. 'YES'); poor countries, Middle Earth, and Xana-frickin'-du deal with this problem otherwise. By Mill's Method of Difference, you should be able to work out the relevant variable and infer the argument.
You're in a forest of complex ideas, dry humour and slippery words. You'll never find your bearings by examining individual xylem cells. No, I'm not just referring to the content of this blog.
June 18, 2011 1:22 PM | Posted by : | Reply
The adult analogue of the pediatric in-patient is the captive nursing home resident. That population was aggressively "pharmed" by Eli Lilly with it's "5 at 5" marketing spiel for it's toxic anti-psychotic Zyprexa.
Anti-psychotics are used as psychotropic sledge hammers. Given that psychiatry has devolved into chucking brain grenades at patients using a script pad, the best the oily American Psychiatric Association can do is look the other way.
June 18, 2011 5:24 PM | Posted by : | Reply
Alone, I think you're deluding yourself. You've described a system that gives the psychiatrist the perfect excuse for failing miserably. The vast majority never gets better because you can't change their environment. You don't have enough time to help the ones who actually need you. You get to be part of a system where you never have to confront the reality that the meds don't work all that well, even for their intended purpose. Even under ideal circumstances, a huge number of your patients will never get better. It's just another narcissistic "if only".
June 18, 2011 6:40 PM | Posted by : | Reply
Well, helloooo:
The FDA can approve the use of as you describe them *antipsychotics* for non psychotic states: such as irritability/agitation in children with autism spectrum disorders. As far as I know, the only FDA approval of a drug for a symptom NOT for a disorder, not even A psychotic disorder for quite young children.
Of COURSE every peds psychdoc did it, does it but in any event: major neuroleptic with major side effects including metabolic syndrome, potential of motor side effects and hormonal side effects and does every *prescriber* who prescribes it monitor those? Or titrate slowly to the very lowest dose possible?
not in my experience: how do we as prescribers know that risperdal motor side effects are reversible, or that elevated prolactin levels are without consequence? OK, maybe kids have had elevated triglycerides forever because nobody ever bothered to check them before but that does that mean we're going to continue to blithely prescribe meds we know can elevate glucose and trigyceride levels?
Love to see the seven year olds waltzing into my office polishing off the last of their Big Gulps that came along with their SuperSized Meal....then try some parent education about nutrtiion and exercise with the parents who are themselves either obese(usually) or eating disordered...sheesh.
And these same parents are offended when I tell the kiddos to clean up the corner of my office that has cool toys...no wonder they're in to see me.
June 19, 2011 6:47 PM | Posted, in reply to , by : | Reply
I am a therapist at a community mental health center. The psychiatrists/nurse practitioners have the last word on what happens with every client, and refusing to take medication is not generally allowed. I think this emphasis on medication may account for why I have a hard time convincing people they need to make changes for any progress to be made. My clients prefer the quick fix of having their medications adjusted if they are not feeling well. I'm fighting an uphill battle much of the time.
June 20, 2011 1:12 AM | Posted, in reply to , by : | Reply
As a RN who works with dementia patients, I assure you zyprexa is by no means the choice med for dementia.
A few considerations.
1) Dementia absolutely causes severely impaired cognition, aggression, and hallucinations. This requires treatment to manage. It is for the safety and well being of the patient HIMSELF that he is not agitated, staying up all day and all night, no appetite, trying to tear up the environment to go see his brother who died 20 years ago. Unless, of course, you are some kind of crazy person who believes in unlimited freedoms regardless of the long term impact, then it is OBVIOUS that nursing homes and medications are very necessary.
2) Seeing as the overwhelming majority of alzheimers patients/nursing home facilities are funded on government money (medicare), there is NO WAY IN HELL our doctors are going to be prescribing zyprexa over .25 of risperidone. See zyprexa is a brand name drug, and all alzheimers patients are coded the same (meaning you get just as much money for the patient whether or not he is on fancy zyprexa, or bland generic risperidone). To maximize profit for the facility and cover expenses, you make sure the doctor uses risperdone not zyprexa.
When doctors do use brand name antipsychotics, for dementia their choice med is seroquel, and they NEVER approach the antipsychotic dosing range. Like, if a resident is on 75 mg that is a TON. Most stay
The reason psychiatrists prefer seroquel rather than zyprexa in the elderly is because at 25mg seroquel has zero antipsychotic properties and functions more like a really strong benadryl. The major problems in alzheimers disease is a loss of circadian rhythm (this is due to the brain disease itself, as well as abnormal nursing home environments where there is no light/dark pattern). The second major problem in dementias and other old age illness is loss of appetite.
25mg of seroquel will put you to sleep at night, AND increase your appetite, but it does not hit and block your dopamine and serotonin receptors like a starting dose of zyprexa will.
There is also a LOT of room to tinker with the dose of seroquel for a dementia patient. You can do 25 at hs, 12.5 in the am... you can increase it to 25 in the am if he is still combative and out of control for AM care and breakfast. You can do 25 at lunch if theres a mid day problem too. You can do 50 at night if he sundowns badly.
With zyprexa, you've got 5, 10, 15, 20 and the dose isn't as flexible, and it is WAAAY more sedating than seroquel because right away it is a serotonin/dopamine blocker, right away it is working more like an antipsychotic than seroquel is at a low dose.
Oh man, I wish you could shadow me at work for like, 1 week.
You would totally change your tune and by the end of that stint you would be like "SEROQUEL FOR ALZHEIMERS, WOOT WOOOOOT".
But yea, you don't work in health care.
However I'm sure you have that cure for irreversible brain rot called alzheimers, and you're just waiting for the right opportunity to SURPRIIIISE!!! the world and claim your nobel peace prize.
'Till then, it's very low doses of antipsychotics to keep these people sleeping, calmer, and getting along. Making the best of an imperfect old age.
June 20, 2011 1:19 AM | Posted by : | Reply
Another med commonly used in dementia is mirtazipine and this is chosen for similar reasons as seroquel.
It makes you sleep, it makes you eat, and that's the major problem for alzheimers disease.
Remeron is not used for agitated dementia because its a daily med and not as flexible as seroquel. Seroquel is awesome for dementia, thank baby jesus for seroquel.
June 20, 2011 1:28 AM | Posted, in reply to , by : | Reply
1) Elevated prolactin causes breast development, lactation, and infertility, so it has an obvious well known consequences. It may have other less well described consequences, but it definitely has known consequences.
2) If you practice properly and run baseline lipids you will know if the patient had elevated triglycerides "forever" or if this is a new change from induction of antipsychotic medication.
If you practice by starting meds without running labs you are silly.
3) All people eat like crap - the poor and mentally ill generally eat worse because in being poor and mentally ill they lack either the opportunity or ability to learn information/make long term plans/delay immediate gratification.
Lecturing them about it and looking upon them in disgust for failing and remaining fat only highlights you as a rich educated person who was not raped as a child, does not have schizophrenia, was not beaten by their crazy drug addicted mother, did not have the money and opportunity to go to school to be a RNPP and they resent you for it. Education is one thing... lectures and disgust is totally unnecessary. I'm a nurse. Patient education is very important. Lectures and sneers and feeling contaminated by someone's presence is useless and unproductive.
June 20, 2011 1:33 AM | Posted, in reply to , by : | Reply
That sucks.
June 20, 2011 1:50 PM | Posted by : | Reply
that's where you go when a kid punches another kid or becomes hispanic
damn you, I almost choked on my lifesaver
June 23, 2011 9:58 AM | Posted by : | Reply
"The real problem is that these meds work so damn well and if you only get 3 days IP to fix a kid, Well there you go."
No, I don't think so.
I worked, as a 'psych tech,' or what the child-and-adol patietns call 'staff,' in a couple different treatment centers before it became de rigeur to Rx everyone. Most of the kids that came into the long-term place I worked, and the medium-term place I worked, were not on meds. Yes, this was quite a long time ago. BC: Before Clozaril.
We staff made the kids straighten up. How? Go watch SuperNanny. We were much more strict. At the first sign of anything, you got a 'consequence.' You cleaned up after yourself or the whole group would not leave the cafeteria/meal table for the next 'activity,' or for free time.
If you acted out of line, the world stopped until you got on board.
Etc. Very strict.
Also, obviously, we were trained to not be abusive, and never were. We never called anyone by any derogatory names, beyond lazy or foolish. We never hit, shoved, spanked, or threw things at the kids in the treatment center.
And we kept our word. Scrupulously. If we said you would stand in a corner for one minute if you failed to follow some instruction, like put your plate in the sink, you WOULD stand in the corner - if it took three of us to get you there. And we would keep you there until you stood there under your own power for one minute - AND once that minute was up, you were DONE! - But you had to THEN go and clear your plate.
So, you figure out pretty darn quick if 'staff' asks you to clear your plate, or apologize for name-calling, or whatever, you ought to fall in line because you will eventually perform anyway.
As staff, we learn to commit 100% to anything we say. So, we learn to not make idle threats - because we know we will be tested, adn will have to back up our words.
Unlike the parnts of these kids, we did not have a steady stream of unfulfilled threats coming out our mouths.
Do you ever wonder how some parents control kids with just a look?
How uncle so-and-so, or the one day care worker, gets kids to behave simply by seeming scary? those ppl mean what they say.
In those first 3 days, the kids got in line. Really, the worst it ever was was maybe close to 2 weeks to get a kid in line. It took only a couple or a few of these episodes for kids to shape up. These were the worst kids from their schools, and they were not from nice schools.
All definitely looked "improved" at 3 days. Because of the social / parenting context. Thy did not look doped up because we did not have them on drugs.
Here is what is odd: no one ever asked us 'staff' what we did to achieve results. Not one parent. We had a system. If you talk to anyone who has done this type of work, we ALL have the same standard operating procedure. No one asks us.
At the day treatment place, we were the ones who received the kids in the morn, and from whom the parents picked up the kiddo in the evening. Any parent at any time could have said, 'hey, what is it that you do to get my kid to resemble a human?'
At the long-term "residential" place, the parents would get their kid for weekend passes, and were supposed to be there weekly for a 'parenting group.'
Did the parents ever ask us staff how we changed the kid from "adhd," or 'conduct disorder," to behaving human?
Did the parents ever ask the MSW who led the parenting group, "hey, the house parents have my kid making his bed, doing homework, talking respectfully, doing laundry, cooking meals for groups, etc -- can the house parents come into this 'parent group' and tell us how they do it?"
Honestly, I would have been happy to answer. See, we spent time with the kids, and grew to love and appreciate them. We never cut them slack, but we did care abt them. It's only human to care for kids you are caring for. It would have been awesome to tell a parent, you have to have rules, you have to be strict, and mean what you say, and punish early and with a big punishment, don't repeat yourself more than twice, and also spent quality time, and have fun and laugh. And don't use food, sleep, abuse, or lack of caring be used as punishments. evar.
Nope. Why not?
My guess, now that I have become one of the people with diplomas on the wall, and a state license number-
1. We all somehow believe the doctor is orchestrating everything , and is responsible for results. If we docs are not, then the whole charade starts to fall apart, and we with diplomas would have to admit that you would be btter off with the supernanny visiting your home for a week, than our remeron.
2. the parents always had a sheepish, embarrased style - they knew how we achieved behavior change: by acting like parental authorities - our success was proof that the problem was their parenting. They already pretty much knew the answer. Going through the charade of the one-hour-a-week counseling, and or the meds, helps the parent escape total humiliation for having lousy parenting skills. And, for friends and everyone, the parent had an excuse for their kid's behavior - the kid has adhd - honest! the doc said so!
So, the three-day fix comes from 'staff.' call it 'milieu therapy' if you want.
send the kid back home, and they might take their antipsychotics, but will still be acting lousy. no pill makes a kid behave like a civilized member of society. no pill makes a kid take the trash out without being reminded.
June 27, 2011 1:21 PM | Posted by : | Reply
I work as a social worker in a shelter for teens who have no place to live for a variety of reasons. I recently won a long battle to get a 15-year-old taken off Haldol. He had been on it since age 10, and in addition to having developed TD, the medication clearly was doing nothing to suppress the undesirable behaviors that were firmly rooted in severe developmental trauma. When I got a top DCF psychiatrist to evaluate him and agree to absorb the risk of removing the kid from the meds, I was elated.
However, the day he decided he took off on a quest to go back to the hospital (because it was located an hour closer to his family), he was admitted and immediately placed back on the med. Why? Because in theory it would make him easier for hospital staff to control. (In reality, his behavior was even more unmanageable because he was disoriented, so they threw him on Clonidine as well to "stabilize" him for discharge.) Screw the permanent, life altering side-effects--they needed to empty the bed. Oh--and in addition to being a kid, he was on public insurance and Puerto Rican.
June 30, 2011 2:00 PM | Posted by : | Reply
The following medical study on the internet from the journal of Endocrinilogy and Metabolism, August 2010. The scientific and medical study:
"Atypical Antipsychotic Drugs perturb AMPK-dependent regulation of hepatic lipid oxidation"
An excerpt from the abstract: "Taken together, these data suggest that AAPD-stimulated hepatic dysregulation of lipid metabolism could result from the inhibition of AMPK activity, and pharmceutical means to potentiate AMPK activity would contribute to restore hepatic lipd homeostasis that occurs during AAPD treatment." End quote.
THe above content is good to read with the Proceedings from the national Academy of Sciences February 2007 edition that related the Johns Hopkins study implicating the Histamine 1 receptor involvement with AMPK for weight gain and other metabolic syndrome feature development with AAP usage. Additionally the rapid response piece of RIchard FIddian Green: SChizophrenia and adverse effects of its treatments on mitochondrial metabolism" This piece from the British Medical Journal most likely, possibly the Journal Chest.
June 30, 2011 7:10 PM | Posted, in reply to , by : | Reply
So, does that mean my Claritin does all that?
July 5, 2011 12:19 PM | Posted, in reply to , by : | Reply
Does such medication deal with the problem or suppress it ? My guess is suppress it, so it leaps out when the child starts work, great. Is modern medicine able to provide ANY cure or solution for Alzheimer's disease...?...Is modern medicine able to provide a cure for the common cold or HIV...?...Modern medicine is far from fully understanding the modern brain and human body, it is therefore in my unqualified opinion highly irresponsible and ludicrous to prescribe "numbing" medication to 10 year old children. WAKE UP AMERICA. Your children are either obese or they are too active and put on suppressive medication. You are wiping out a generation, you are wiping out spirit and individualism, you are wiping out the future generation of entrepreneurs. SOLUTIONS - everywhere has activity, more local recreational clubs need to tune into the school systems - deal with over-activeness head on with extra activity. If the schools can recommend doctors and psychologists, surely they can recommend licensed and qualified recreational enterprise instructors.
July 6, 2011 2:13 AM | Posted, in reply to , by : | Reply
That's really depressing.
However, speaking as a nurse, I can tell you that sometimes social workers and therapists and even psychiatrists think things are going on which ARE NOT really going on. From your perspective this kid may be wrongly and unjustly placed on haldol... from the perspective of the RN, this kid NEEDS haldol and there is no other way for him to even be communicative without throwing over a table or trying to choke a staff member or mumbling about how he's going to stab people in their sleep. He's paranoid and aggressive.
In a setting working with dementia patients, and even schizophrenic and manic depressive patients, there have been SO MANY TIMES I've called our resident psychiatrist idiot and told him a problem was brewing. I TOLD him this is going on... the manic depressive is getting paranoid, he is becoming loud and hostile, he is clearly decompensating. I've had this phone battle so many times only to hear him reiterate his preconceived ideas about what kind of treatment the patient needs. He doesn't even listen you might as well talk to the wall.
Yea, those patients always wind up assaulting someone and/or being sent to a psych facility for stabilization. We could have nipped it in the bud, now he's crazy as fuck.
I rarely see psych patients (we are a rehab facility, with a long term unit) but more commonly we see dementia. Dementia with behavioral disturbance is dangerous for the patient unless his behaviors are adequately controlled. This dude REFUSES to medicate even though it is necessary. I tell him he needs to do something... patient gets agitated, patient cannot be redirected or distracted, patient does not sleep. He usually waits till the dementia patient falls or hits people until he does anything.
Idiot is always 2 steps behind.
If only he listened to the input of the nurses.
So many times I observe the perspective of doctors and therapists is not the reality nurses are seeing every day.
Are you sitting with this 15 year old kid at mealtime while he is mumbling under his breath and palming his kitchen utensils? You see him in a structured one on one atmosphere for like, what, 30 minutes or something?
July 6, 2011 8:50 PM | Posted, in reply to , by : | Reply
Actually, I work in a shelter program where I spend most of the day with the kids, at meals, in school, during activities, in the community... and he was not psychotic, I know what psychosis looks like, nor was he a threat to anyone, nor did the Haldol even significantly achieve the desired effect of subduing his "out of control" behavior. It did make him somewhat sedated, and certainly caused the TD, but it was in no way "therapeutic." Sorry you feel you've been victimized by docs who don't respect your professional opinion, but from your post, it sounds like you're the one who's paranoid and aggressive.
July 7, 2011 5:53 PM | Posted by : | Reply
The following medical study: "Atypical Antipsychotic Drugs Perturb AMPK-dependent regulation of hepatic lipid oxidation."
Excerpt: "Moreover, AAPD's decreased transcriptional activity of [email protected], a critical transcriptional regulator for controlling hepatic fatty acid oxidation, via an AMPK-dependent manner. Close investigations recorded that mutations at the known p38 MAPK phosphorylation sites (S167/373/453A) block AAPD-dependent reduction of [email protected] transcriptional activity, suggesting that p38 MAPK might be also involved in the regulatory pathway as a downstream effector of AAPD's/AMPK." ENd quote.
THe significant quote from the abstract: "Treatment of constitutive active AMPK restored AAPD-mediated dysregulation of genes involved in both lipid synthesis and fatty oxidation." End quote.
It seems this last sentence states that the researchers were able to successfully treat the underlying causes of hyperglycemia and other deleterious metabolic syndrome conditions in the above study using some therapeutic application on the experimental mice.
Possibly they essentially reversed the hyperglycemic condition, that is. I could only get into the abstract since the full text of the study is still non accessible; the study emerged only recently in April 2011 according to some sources, though it possibly appeared as early as August 2010. An earlier June 30 2011 comment entry on this Last Psychiatrist article, involving Senator Grassley, I posted some additional excerpted content from the above article cited in this posting.
July 12, 2011 4:47 PM | Posted by : | Reply
Eli Lilly Zyprexa,Risperdal and Seroquel same saga
The use of powerful antipsychotic drugs has increased in children as young as three years old. Weight gain, increases in triglyceride levels and associated risks for diabetes and cardiovascular disease.
The average weight gain (adults) over the 12 week study period was the highest for Zyprexa—17 pounds. You'd be hard pressed to gain that kind of weight sport-eating your way through the holidays.
One in 145 adults died in clinical trials of those taking the antipsychotic drugs Zyprexa. This is Lilly's # 1 product over $ 4 billion year sales,moreover Lilly also make billions on drugs that treat the diabetes often that has been caused by the zyprexa!
Daniel Haszard Zyprexa victim activist and patient who got diabetes from it.
July 13, 2011 2:17 PM | Posted by : | Reply
The June 30, 2011 posting by me, Harry Horton, and another earlier posting, JUly 7 2011 by Harry Horton----these two postings can be read with extensive further medical research studies posted in the late October 2010 Last Psychiatirst entry article; "Why zyprexa makes you fat"--entry article title was something similar to that wording. Also combine the following 'recent medical news' that went out on July 13, 2011 from Psych central to the above just meentioned studies from the above just mentioned postings. The Psych central news piece was titled: "Antipsychotic Drugs weight gain tied to lower body temperature." Rick Nauert Phd Senior news editor John M. Grohol Psych D. on July 13, 2011. The study was conducted by Dutch researchers and the group examined the drop in body temperature with AAP usage as a central propelling force and factor for development of metabolic syndrome conditions in AAP treated patients.
These findings from the Dutch researchers harken back to earlier Richard Fiddian Green's rapid response piece or study on worshipping new Gods: pH and temperature. THese two biological phenomena are at the core foundation for maintaining all later evolved subsequent energy homeostasis system operations that appeared in earlier evolution on the evolutionary geo historical time scale; and thus body temperature and ph maintains their healthy evolved status of functioning in the present day body. When either one of them goes awry metabolic syndrome maladies are ripe to onset. This Dutch study is one more step into these areas, for elucidating the underlying causes for 'AAP induced metabolic syndrome comprised' illnesses.
July 29, 2011 10:54 PM | Posted by : | Reply
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November 3, 2011 10:39 AM | Posted by : | Reply
Antipsychotics are being heavily prescribed to school children in the U.S. and most times on very shallow grounds. My cousin who's a psychologist at Narconon shared with me this video a couple of days ago about changing the current education paradigms: http://youtu.be/zDZFcDGpL4U it was really inspiring, we need to wake up our kids instead of anesthetize them.
January 8, 2012 9:59 PM | Posted by : | Reply
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January 23, 2012 1:04 PM | Posted by : | Reply
Ok, let's take a virtual vote in our imaginations shall we?
-There is an AMA-Pharma conspiracy
-There is not ...
-Conspiracies never happen, ever!
-I don't believe in coincidences
-all of the above
-none of the above


text:
Iowa Poll: More Iowans back Bakken pipeline than oppose it
More Iowans favor a proposed Bakken oil pipeline through Iowa than oppose it, although public support for the project has declined over the past year.
A new Des Moines Register/Mediacom Iowa Poll shows that a plurality of 47 percent of adult Iowans support construction of the pipeline, while 40 percent are against it and 14 percent are not sure. However, public support for the pipeline has decreased by 10 percentage points since February 2015.
The pipeline is proposed by Dakota Access LLC, a unit of Dallas-based Energy Transfer Partners. It would follow a 346-mile route through 18 counties in Iowa while transporting up to 570,000 barrels of crude oil daily from North Dakota's Bakken oil patch to a distribution hub at Patoka, Ill.
The Iowa Utilities Board could vote as soon as Thursday on whether to grant a state permit for the pipeline to proceed, and both critics and supporters expect the project will be approved.
The poll shows sharp differences between the views of men and women on the Bakken pipeline. Fifty-seven percent of men favor the pipeline, but only 37 percent of women support the pipeline. There are also dramatic differences between political parties with 70 percent of Republicans favoring the pipeline compared with just 28 percent support among Democrats and 45 percent among independents.
The poll was conducted Feb. 21-24 by Selzer & Co., which surveyed 804 Iowa adults. The poll has a margin of error of plus or minus 3.5 percentage points.
Linda Clark, 68, of Ottumwa, a poll respondent who grew up on a farm and is retired from Pella Corp., said she supports the pipeline project.
"I think the pipeline would be beneficial for Iowa. I am for oil and coal," she said.
But poll respondent Jim Kimball, 77, of Osceola, a longtime family doctor and the current president of Clarke County Development Corp., is dubious of claims the pipeline will improve life in Iowa.
"Once it gets built, it doesn't transport Iowa oil, nor does it transport oil to Iowa," Kimball said. "It just transports the oil across Iowa. The only thing I can see is that it will cause an environmental risk without any benefits to the citizens of Iowa."
Regulators in North Dakota, South Dakota and Illinois have already approved the $3.8 billion pipeline project, which would follow a 1,168-mile route through four states. Construction would begin this spring and be completed later this year with an estimated 2,000 to 4,000 workers in Iowa alone.
That's why James Lewis, 18, a senior at Shenandoah High School who stocks shelves at Hy-Vee, said he sees the pipeline as being positive for Iowa.
"It would help for jobs," he said.
Business leaders and union construction workers have lined up in support of the project, citing positive economic benefits and a desire for U.S. energy security. They also point out that Iowa is already crossed by thousands of miles of pipelines that safely transport natural gas, gasoline, diesel fuel and other products.
But many farmers object to having a pipeline passing through their land. They have been joined in opposition by environmental activists who decry further national reliance on fossil fuels and predict pipeline leaks would be inevitable and have devastating consequences.
RELATED STORIES: Bakken pipeline proposed through Iowa
PREVIOUS IOWA POLL: Iowans back energy projects, but oppose eminent domain
Bill Gerhard, president of the Iowa State Building & Construction Trades Council, said he's been around pipeline projects his entire career. He thinks the Dakota Access project would be a great shot in the arm economically for Iowa's union construction workers.
"These are great, good-paying jobs with health insurance and pensions," Gerhard said.
His view is shared by Richie Schmidt, lead organizer for the Laborers International Union of North America, which has local unions in Des Moines, Ottumwa and Sioux City. Energy Transfer Partners has promised to use union construction workers and at least half will be Iowans making more than $20 an hour, Schmidt said. However, once the pipeline is built, the facility would only require 12 to 15 permanent workers in Iowa.
Jonas Magram, an activist from Fairfield, strongly opposes the pipeline. He said approving the project would be a mistake that would trample on land owners' rights and jeopardize Iowa's soil and water and the climate. He's a member of the steering committee of the Bakken Pipeline Resistance Coalition, which includes about 30 groups battling the project. He's particularly unhappy that some Iowa Utilities Board proceedings have seen large shows of support from out-of-state union construction workers who see opportunities to work on the pipeline project.
"These are not Iowans. The Iowa Utilities Board is supposed to make its decision based on public need and necessity," Magram said. "Presumably Iowans should be the public with whom the Iowa Utilities Board is concerned, not people from Florida and Oklahoma and New York and other states."
The pipeline would cross 1,295 tracts of land in Iowa, but Dakota Access has failed to obtain easements to cross nearly 300 of those tracts, which means hundreds of Iowa farmers could face eminent domain proceedings. Eminent domain is the government power to take private property for public use in exchange for fair market compensation.
Poll respondent Gene Maahs, 84, of Adel, a retired Iowa Farm Bureau official, opposes the pipeline. He said farmers should receive a check annually for use of their land rather than a one-time payment to have it buried under their fields.
"They need to wait and get the compensation straightened out," he said.
Pamela Alexander of Ottumwa, whose family owns two farms in Mahaska County on the pipeline route, has refused to sign easements allowing the pipeline to run through the farms. She believes many Iowa farmers who have signed easements have done so only under duress because of the threat of eminent domain, which she said isn't justified for a privately owned pipeline that could simply ship the North Dakota crude oil to foreign markets.
"You know, we didn't ask for this. Our land wasn't for sale. Many of us have farms that have been handed down for generations. This is part of our family's history," Alexander said.
The Iowa Poll, conducted Feb. 21-24 for The Des Moines Register and Mediacom by Selzer & Co. of Des Moines, is based on telephone interviews with 804 Iowans ages 18 or older. Interviewers with Quantel Research contacted households with randomly selected landline and cell phone numbers supplied by Survey Sampling International. Interviews were administered in English. Responses were adjusted by age, sex and congressional district to reflect the general population based on recent census data.
Questions based on the sample of 804 Iowa adults have a maximum margin of error of plus or minus 3.5 percentage points. This means that if this survey were repeated using the same questions and the same methodology, 19 times out of 20, the findings would not vary from the percentages shown here by more than plus or minus 3.5 percentage points. Results based on smaller samples of respondents — such as by gender or age — have a larger margin of error.
Republishing the copyright Iowa Poll without credit to The Des Moines Register and Mediacom is prohibited.

subset: commoncrawl


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Service Bulletin 20190103 Yahoo Weather API EOL
Jump to navigation Jump to search
Service Bulletin - Yahoo drops supports for its weather API used in the WXOnline HSYCO I/O Server
As of Thursday, Jan. 3, 2019, the weather.yahooapis.com and query.yahooapis.com for Yahoo Weather API will be retired. These APIs are used in the WXOnline HSYCO I/O Server, starting from version 3.5.1.
Release Date
January 3, 2019
Affected Platforms
- Any HSYCO Server from version 3.5.1 to version 3.6.1
The API used in the WXOnline HSYCO I/O Server is not supported any more, causing the WXONLINE I/O Server to fail.
Upgrade to HSYCO 3.7.0 or later.


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It really seems that you cannot go anywhere in the Cleveland area without hearing some tale of ghosts and hauntings.
Tag: LGBT
Following a Tour: The Birthday Massacre story
In my forty-eight years of life, I think I may have gone to a total of four concerts, Van Halen (in my teen years), Bush, the Gin Blossoms (in college), and a Jo Dee Messina (free concert) concert in the late 90s. I never really got into the crowds of concerts, it just wasn't appealing [...]
Silence equals death
A slogan made popular during the heights of the AIDS epidemic in the1980s is as relevant today only in a slightly different way. Maybe our queer elders foreshadowed events to come or history only repeats itself more than we cafre to admit. Either way, our silence is exactly that, our death. Each day we stand [...]
Pokémon Legends: Arceus
I want to start this post by saying that I know nothing about the Pokémon universe
Switch games I regret playing
I have had a Nintendo Switch for just about five years and it has become my favorite console. Maybe not for the reasons you might think. I have been playing video games since Pac-Man was first released in the 80s. I have played, at some point, most styles of video games but what keeps me [...]
Visiting Costa Rica
Pura Vida is the motto of Costa Rica and has been a part of their vocabulary for over 50 years.
Is Bob's Burger LGBTQ Friendly?
Is Bob's Burger LGBTQ Friendly?
Where We Are Now
Imagine walking into a sporting arena, a place that you may not typically go to, and being surrounding by queer folx and Pride flags everywhere. You are left feeling wrapped in safety and a feeling of belonging, it is as if no one thinks twice about how different you are from them. It almost feels [...]
My Top 5 Nintendo Switch Games
Console gaming has come such a long way since the first iteration back in the 1960s (check date on first system). Handheld games swept the market in the 80s and then it all changed with the invention of the Nintendo Gameboy. That little platform gave rise to the Nintendo Switch and for many people it [...]
Video Games 101
My next big love was Wolfenstein 3D and then DOOM.


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Arsenal welcome German side FC Koln to the Emirates Stadium in the Europa League tonight (Thursday).
Manager Arsene Wenger is expected to rest several first team player however Jack Wilshere and Alexis Sanchez are both expected to start.
Petr Cech,Laurent Koscielny,Aaron Ramsey,Mesut Ozil ,Granit Xhaka ,Danny Welbeck and star summer signing Alexandre Lacazette have all been left out of the squad.
Fc Koln have certainly brought fans aplenty as videos over social media have saw them signing and dancing down the streets of London ahead of the 8.05 pm kick off time .
After Manchester United's Europa League success saw them make a return to this season's Champions League French manager Wenger said he would rather reach that tournament through the top four in the Premier League.
However this is a great chance of silverware for the Gunners and one that they should really be taking seriously.
French striker Oliver Giroud is also expected to start the clash days after admitting he was very close to leaving the Emirates over the summer.
"it's true that I was close to leaving the club because I said I wanted to play" he said, this game gives him a big chance to shine to start alongside Lacazette in Sunday's big Premier League showdown with Chelsea at Stamford Bridge.
With the focus very much on that clash on Sunday this is why Wenger is expected to rest so many key stars.
However Koln have had a nightmare start in the Bundesliga and sit rock bottom after the first three fixtures so this should be a comfortable victory for the North London side.


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I have just come off the telephone with an old friend of mine who retails a lot of his cars on ebay motors. He recently told me about a Toyota Prius he's taken on board and I was intrigued as to what his thoughts were of this mainstream Hybrid and how much interest he was getting.
He told me he's been getting a great reaction so far for his inaugural Hybrid fuel car. He goes on to say that the Prius was a car he "didn't want to like", because of its association with celebrities vocally reducing their carbon footprint which led to an irrational dislike for it. However having used it on his daily commute (involving the dreaded A406)and experiencing the 60mpg , £15 per year road tax and free entry to the London congestion zone (if he needed a quick shimmy down a rat run) and the tranquil silence whilst in battery mode, which he describes a definite road rage reducer, he is now totally seduced buy "this city car of the future".
This coming from a dyed in the wool motor trader who has probably driven every car going is praise indeed.
From our own point of view we think that the Prius ticks so many boxes for todays motorist that it simply shouldn't be ignored. That's not to say it's for everyone, let's face it, it's not a "drivers" car but in addition to what's already been mentioned it should be noted that the advanced aerodynamics play their part in making the Prius highly efficient. Toyota took great pains to lower the body's drag when moving through air; the smooth sleak lines help to reduce drag and cut back on fuel costs, having a drag coefficient number of 0.26 – quite low for the type of car. Add to that low carbon dioxide emissions (104g/km), meaning low company car tax bills, and exemption from London's congestion charge, and this car should be a cost-effective family or fleet purchase as well as a technological showcase. it's also got a well-equipped, roomy cabin and a five star Euro ncap safety rating. However on the downside it can be noisy on the motorway and, of course will lack performance in certain conditions but it is certainly the type of car more and more people will be considering, there's no doubt about that.


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Every minister needs a Janyce Sisson in their lives. A woman who believes in you, fights for you, prays for you, calls you out when needed and loves you like her own. Her love for Jesus and for those who serve Him run deep. She's one of my favorites and I want to be like her when I grow up. I'm honored to share her prayer for you, your ministry, your summer and your kids today.
As this summer begins, Lord of Grace and Mercy, I pray for those who consistently, faithfully present the truths of Your Kingdom of Heaven on Earth to the young ones of the world. May these ministers of Your loving kindness find courage to meet the busy-ness of the calendar, the more involved projects and the increased numbers of people, even though many are small.
May they be reminded frequently that knowing You personally comes most often through a process built on many, many small encounters– stories told in memorable ways, experiences thoughtfully constructed and often just spaces created to allow You to show Your Glory. Bless these leaders of our children with patience and the humility to know they are part of what is always Your work within the hearts of those they serve. May they be nourished regularly by witnessing "magic moments" of faith blossoming in these young lives. And, Lord of Yesterday, Today and Forever, grant them the great privilege over the years to hear stories of mature faith embedded in those they served later grown on into adulthood.
Within the hearts these servants, God Beyond Measure, deepen the well of awareness of Your boundless love for them so they may continue to minister to these small ones from that place of gratitude and surrender. Greatly increase their discernment to notice opportune moments and situations to share a kind word, a gesture of affirmation or a just a listening ear. Enrich their storehouse of wisdom to call on as days grow long and energy deflates in the summer's demands. Replenish the physical capacities, again and again, for these who carry Your Word and Spirit onto the front lines of childhood enthusiasm.
Lord of Mystery and Light, provide Your carriers of grace with surprising, serendipitous moments that reveal Yourself to them just for their own joy and pleasure. Bless them as they bless the lives of others.
Empower their ministry in transformative ways that only You can provide so they may grow the fruit that displays Your Kingdom alive in their hearts. Surround them with helpers and family support that enables freedom to minister confidently while boldly trusting You to provide for other necessities along the way. Protect them, All Powerful God, from darkness and fear that only serves to distract and derail Your good work this summer. Place loving encouragers along the way to make the warm days ahead alive with rejoicing and sweetness.
All these gifts of Your Holy Grace and Mercy I pray for these who have accepted the challenge this summer to bring Your Good News through tangible ministry into the lives of children of this world.


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Design and Layout Service For Your Convenience
Quantum Storage Systems provides a design and layout service for your convenience. Why take the risk of putting wire shelving into a designated space unless you know it will fit. If you can provide the room dimensions, Quantum can show you several different ways to add your shelving so that it works for you!


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This Unusually Cool 1974 Lamborghini Urraco P250 Is For Sale
Orange crush.
Love this unusually cool Lamborghini Urraco P250 circa 1974. It feels so modern but so disco-era too, with striking looks, great lines, and a cream interior that just screams awesome. Here's a few gorgeous shots of the ride, which is actually up for grabs now.


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Kyani Akti - Apartments - Halkidiki - Greece
Stroll around the garden,lie under the hot sun and treat yourself to unforgettable moments of rest and relaxation!
Kyani Akti apartments are located on the east side of Nea Skioni Halkidiki and our 40 year experience is enough to garantee your pleasant stay and absolut satisfaction.
We will be glad to have you here!
Have a nice stay!
Αριθμος ειδικου σηματος λειτουργιας : ΜΗ.Τ.Ε.:09.38.Κ.12.3Κ.03451.0.0.
Copyright © 2015 kyaniakti.gr - Κατασκευή Ιστοσελίδων ENTERID


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About Reading For Education
ReadingForEducation is a great way to support your school by shopping our extensive selection of magazines, gourmet popcorn and home decor items.
You can also donate a Gift Of Reading card to a student's classroom. Your donation will be used by their teacher for books and educational magazines. Donating a Gift Of Reading card is a wonderful way to enhance the reading and learning experience for an entire classroom.
180 Freedom Ave.
Murfreesboro, TN 37129
(800) 528-7789


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Pullman Food Bank (Pullman Residents Only)
Pullman Child Welfare | 108 NW Stadium Way, Pullman WA 99163
Saturday 9:00 – 11:00 am
Council on Aging and Human Services
The Council on Aging and Human Services is the lead agency responsible for countywide commodity distribution by the USDA Temporary Food Assistance Program.
In Palouse, Rosalia, Garfield, LaCrosse, Malden/Pine City, St. John, Oakesdale, Endicott, Tekoa, Colton/Uniontown and Colfax community volunteers distribute food to those who come into our commodity distribution sites.
Are you looking for other emergency services, early childhood development, legal information, or transportation assistance?
Go here: https://www.cacwhitman.org/support-services/


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Individual Growth as well as Progression Units
Source: Flickr
Individual growth and property development systems already existing for those preferring improvement in their lives. There are actually personal systems of self improvement readily available. Assets such as daily life teachers and also world wide web personal growth systems are actually abundant for those finding change.
Lifespan preparation: This area of expertise gives abilities and also approaches for encompassing your way of life with total recognition. Coaches or even mentors describe particular inadequate locations required for renovation and also assistance to build a specific prepare for effectiveness. This could consist of setting objectives, motivation, or time management. The arena of life organizing might additionally include bodily or even mental self-help, or maybe economic. Additionally included in lifespan organizing units is source management assistance.
Executive or Professional designs: Lots of companies offer private growth as well as development units seminars to offer their workers much better tools for success. They understand the staff members need to have for better techniques in efficient interactions as well as time control. This area particularly pays attention to profession possibility. This is claimed that those which go to the workshops possess a greater self-respect and also are much more self-assured in their occupation communications.
Financial/Legal systems: Personal debt consolidation and also economic planning companies continue to be a prosperous sector. They are actually generated exclusively that can help people obtain control of their financial resources and also manage their funds much better. Debt reduction as well as negotiation business have actually structured devices that can help their customers reduce their personal debt proportion.
Mental/Medical self-help designs: These devices are even more complex, and need educated specialists. Examinations, analyses and diagnosis are the determining techniques used around. There are typically conditions including anxiety, or stress problems, which should be actually managed by experts. Physical restrictions or even issues need to additionally be actually managed through those taught to perform thus.
Religious/spiritual designs: Over both many years, this private development and advancement device has blown up. Folks not content along with just what the planet means have actually returned to religious ways to experience far better. They pursue revival, cleaning as well as assistance coming from relinquishing to a greater resource. This is actually a highly productive field for individual change. That comes to be a moral and also personal obligation for enhancing your lifestyle. It supplies confidence and hope supplied from theological forerunners or even spiritual content. The message is eternal.
Personal improvement/personal transformation units: Close to theological and spiritual designs, this system permanently change is actually indisputably significant. Funds already exist in varieties for self-improvement. Lifestyle trainers, workshops, as well as web web sites are actually just a handful of tips to consider when seeking a personal change. Any sort of location of your way of life you require help on exist in personal remodeling designs. Devices for successful lifestyle can be found out as well as a support group can be built. It is actually a stimulating as well as highly effective source for personal understanding.
There are actually many units available for those requiring assist with their lifespans. Not carries out one must opt for the palm way of life inflicted. Just through communicating, comes the responses. Human potential is not restricted to circumstance. A positive outlook comes back to your way of life through having the advantage on feeble spots. By means of carefulness and determination, you can easily redeem and recreate your life circumstance. Do not fear seeking assistance from any of these individual development as well as progression systems. They are actually exclusively created along with you in thoughts.


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3301 Straight Tapered Jeans
AU$ 200 including GST
3301 Straight Tapered Jeans
AU$ 200 including GST
3301 Straight Tapered Jeans
AU$ 200 including GST
This product is currently out of stock. Select your size and subscribe to get notified when your size is back in stock.
Model is 1.9m and is wearing a size 32/32 (Waist 81cm, Hips 00cm). See size guide
3301The 3301 is a classic 5-pocket jean and represents the cleanest style in the G-Star denim range. Based on the hard-wearing laborer's pant of Western origins, which was known for its 'non-fit', the 3301 is a wardrobe staple. Its name is derived from the fabric and color code of the first raw denim introduced by G-Star in 1996.
The G-Star 3301 is a style neutral jean with classic 5-pocket construction. Stripped down to its purest form, this essential jean combines authentic details with clean styling.
Straight Tapered fit
- Button closure
Beln Stretch Denim
98% Cotton, 2% Elastane
Medium Vintage Aged
Washing instructions
30°C normal process
Art. nr.: 51003-9118-4970


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The long reign of sultan Suleyman (r. 1520-66) marks the apogee of political, economic, and cultural development under the Ottomans. Known in English as "the Magnificent" because of the splendors of his court, he is usually known in Turkish as kanuni, or "law-giver," because he issued a set of laws that harmonized traditional Islamic and Ottoman legal codes. His given name, the Arabic and Turkish form of Solomon, encouraged the sultan to consider himself a worthy successor to his namesake, the biblical king celebrated in the Koran and Muslim lore. One of the sultan's many architectural projects was the refurbishment of the Dome of the Rock in Jerusalem, which was believed to stand on the site of the Jewish temple built by King Solomon.
Suleyman inherited a vast empire and an efficient administration, and his reign was punctuated with military campaigns toward the east and west. He repeatedly took up arms against his rivals, the Shiite Safavids in Iran, capturing the major Shiite shrines in Baghdad and southern Iraq. He also became a major protagonist in European and Mediterranean affairs, waging seven campaigns into Hungary and defeating the combined Venetian-Spanish fleets at the battle of Preveza in September 1538. Suleyman died while besieging the city of Szigetvar, a few hours before it fell on September 7, 1566.
Suleyman's favorite wife, Hurrem, known in the West as Roxelana, occupied an unusually important place in his court. His love for her was, by all accounts, extraordinary, and his love poetry to her, written under the pseudonym Muhibbi, was copied and illuminated by court artists. Many of the other arts flourished under the sultan's patronage, notably ceramics and glazed tiles, which were needed to decorate the many architectural ensembles built by the sultan and his courtiers.


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Surgery is done. John came through with flying colors! His pain is under control so he is jabbering away like nothing happened. Keeping him flat for 48 hours is going to be a challenge! Getting him to rest in a hospital filled with noises and buttons and people is going to be challenge number 2. Thankfully they disengaged the buttons on his bed that raise and lower his head so challenge number 3 has been avoided. He's in hyper-vigilant mode right now from stress. We will probably be here until Friday. It's going to be a LONG week!
Thank you for all the prayers lifted on his behalf.


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Stephen Curry Injury: Updates on Warriors Star's AnkleJanuary 29, 2013
Golden State Warriors point guard Stephen Curry injured his ankle late in the third quarter against the Toronto Raptors Monday night.
UPDATE: Saturday, Feb. 2, at 10:00 p.m. ET by Rob Goldberg
The Warriors finally got some good news as it appears that Stephen Curry is healthy enough to play against the Phoenix Suns.
Marcus Thompson of the Bay Area News Group reported on Twitter that the guard will start on Saturday night:
Curry missed the last two games, but it seems like the ankle injury is behind him.
---End of Update---
UPDATE: Thursday, Jan. 31, at 8:57 p.m. ET by Tyler Conway
The Warriors will once again have to send Jarrett Jack from the bench into the starting lineup, as Curry will miss Thursday night's clash against the Dallas Mavericks, per the San Francisco Chronicle's Rusty Simmons:
This will be Curry's second straight missed game, with the first being Tuesday night against the Cleveland Cavaliers. Jack put up 26 points and 12 assists against Cleveland, a feat the Warriors certainly hope will happen again Thursday.
---End of update---
UPDATE: Tuesday, Jan. 29, at 5:39 p.m. ET by Tyler Conway
As most expected, Curry (along with forward Harrison Barnes) will sit out Tuesday night's game against the Cleveland Cavaliers, according to Fox Sports' Sam Amico:
Though Curry's injury isn't considered debilitating, his history of ankle problems undoubtedly have the Warriors playing it as safe as humanly possible. With a struggling team like the Cavs on tap, Tuesday seems like a logical night to rest the star guard.
---End of update---
UPDATE: Tuesday, Jan. 22, at 12:50 p.m. ET by Adam Wells
According to Mary Schmitt Boyer and Jodie Valade of the Cleveland Plain Dealer, Curry's ankle injury has left him questionable for Tuesday night's game against the Cavaliers.
Curry has played a huge role in the surprising start for the Warriors this season. Hearing that he is questionable does provide some hope for the team that this won't be a lingering issue, though he can't miss a lot of time for this team to stay as hot as it has been.
--End of update--
Curry stepped on a foot as he drove to the basket and tweaked the ankle. At the time of the injury, Curry had 17 points, five assists and a rebound in 26 minutes. He was shooting 7-of-12 from the floor, including 1-of-3 from three.
The Bay Area News Group's Marcus Thompson provided a serious of tweets about the injury:
The injury is worrisome for Warriors fans, as Curry has had his fair share of ankle injuries in the past, most recently January 16. A significant or lingering injury could leave Curry's status in question, and how long he's out or how much the injury impacts his play could have a big effect on the Warriors' playoff hopes.
The injury comes on the same night that teammate Andrew Bogut finally returned from an ankle injury of his own after logging just four games on the season.
Curry has been playing great basketball and has been a big factor in the Warriors' surprising success this season. He came into the game averaging 21 points, 6.5 assists and 4.0 rebounds per game, and was largely considered a worthy All-Star candidate by many, but was left off the roster.
The Warriors will certainly have trouble replacing the star point guard. Backup point guard Jarrett Jack has been good coming off the bench (28.7 minutes per game) thus far, but his ability to handle big-time minutes as the floor general remains to be seen.


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Other trends included the planting of drought tolerant plants and incorporating native plants in to low maintenance
landscapes.The planting of vegetable gardens continues to remain popular, as do other ways to reduce lawn area such as the addition of fire pits or fire places. Various ways to manage water also made the list, including the installation of permeable paving, rainwater harvesting, and the use of water-efficient irrigation systems.
The top four most popular outdoor design elements?
- Fire pits
- Fireplaces,
- Wireless/internet connectivity
- Outdoor lighting.
All the best!


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The Monsoon Garden
Gardens for Humanity president, Richard Sidy, checks harvest two months after planting okra and squash seeds at the onset of monsoon rains. After nursing young plants through the hot dry months of May and June, the onset of the monsoon season is a great relief for gardener and garden alike. Monsoon rains bring a burst [read more]


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Matisse cuts it fine
By Olivia Weinberg
Light, immediate, pure—just don't call them naive. Matisse's cut-outs, or gouaches découpés as they are more seductively known, may look simple to an untrained eye, with their loose, irregular shapes, but they have a sculptural precision. If the pinks, yellows and greens are garish rather than pretty, they sit in harmony and throb with energy. Seen en masse for the first time, they should take us inside the mind of a great artist who had found a new way to turn the depredations of old age to advantage.
It was during the war that Matisse, in his 70s and besieged by illness and immobility, began to play with scissors. From his bed or wheelchair, he cut confident, unpredictable silhouettes from stashes of paper, prepared by his doting assistants. Pinned to the walls, each shape was moved around like a jigsaw slowly coming to life—until Matisse said stop. His bedroom morphed into a studio, and the studio became a whirlpool of intense experimentation.
The cut-outs are much more than impromptu experimental studies. Stripped back and uncluttered, they show a cool, calm clarity of thought—a calculated balance between form and colour. Each component is like an abbreviated sign: an emotional, unrehearsed response to reality that interacts with the rest to form a unified whole.
Look at "Blue Nude I", 1952. It is part of an iconic series and a good example of Matisse's ability to make use of everything inside the picture plane. The supple, elongated limbs, the bulge of the breast and the heavy thigh work together effortlessly—but they only make sense thanks to the empty space that surrounds them. Unlike his paintings, the cut-outs are not about detail. Matisse is concerned with the broader context, the spirit and substance of his subject, and it is the conversation between the components that allows him to capture the essence.
This gives the cut-outs a fierce sense of freedom. Vibrant and unrestrained, they are charged with a power that is hard to put into words. They are a rich culmination of experience—the fruit of half a century of sharp observation. Here is Matisse's closing statement, and it is dusted with magic. ~ Olivia Weinberg
Henri Matisse: the Cut-Outs Tate Modern, London, Apr 17th to Sept 7th
Vikings: Life and Legend (British Museum, London, to June 22nd). A jam-packed show full of wonderful artefacts from all over the world launches the Sainsbury Exhibitions Gallery, the museum's first purpose-built space for temporary shows. (See feature.)
Gauguin: Metamorphoses (MoMA, New York, to June 8th). With a focus on his less well-known prints and transfer drawings (works with a print on the front and a pencil drawing on the back), this exhibition should tell us something new about an artist who is too often buried underneath predictable corn.
Vincent van Gogh/Antonin Artaud. The Man Suicided by Society (Musée d'Orsay, Paris, to June 15th). In 1947, Antonin Artaud, the French playwright and poet, wrote a fiery homage to Van Gogh having just been released from a psychiatric hospital. "Le Suicidé de la Société" is a rich, evocative text that forms the heart of this show, alongside drawings, letters and paintings.
Yoko Ono. Half-A-Wind Show. Retrospective (Guggenheim, Bilbao, to Aug 31st). A big, kooky exhibition from a figure who is revered by fellow artists and musicians. For the general viewer, a sense of humour may be needed.
Veronese: Magnificence in Renaissance Venice (National Gallery, London, to June 15th). Veronese was a superb painter—full of grandeur and glory, his enormous canvases are out of this world. Add Venice and you get some of the most exquisite paintings of the Italian Renaissance.
The Glamour of Italian Fashion 1945-2014 (V&A, London, Apr 5th to July 27th). The dream team: Prada, Missoni, Valentino, Armani, Pucci—together on one fierce catwalk. An overview—and a chance to spot some of the new kids on the block. ~ OW
Image: Lydia Delectorskaya © Succession Henri Matisse
More from 1843 magazine
"I'm the same as Mahsa. And I want my freedom": anger at Iran's regime spills onto the streets
A young woman, a journalist and a tech professional speak out
Shoulda, woulda, coulda: why FOMO won't let go of us
The pandemic suspended our fear of missing out. Did it also teach us how to handle it better?
The inside story of the siege of Azovstal
Ukraine's iron resistance at the steelworks


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by: Melinda Hult
On Monday the Belleville City Council will consider a crime-free housing ordinance. I will be voting against it for many reasons, chief among them is the concept of holding one person responsible for another's actions.
Under the proposed new policy, a landlord will be required to begin eviction procedures against a tenant who has been accused of one or more crimes. If the landlord chooses to use his own judgment and allows a family to stay in their home, he could have his right to rent his own property suspended by the city. The ability to operate his business at that location will have been revoked. His investment will yield no profit because of government interference.
An additional flaw in the logic of forced evictions is requiring it before the proof or conviction for a crime has occurred. Simply because the police are called to a certain address and a form is filled out is not verification that a prosecutable offense has occurred.
This ordinance is not interested in the constitutionally guaranteed right of innocent until proven guilty. The mere fact that the neighbors have been bothered and the Police Department has responded is considered sufficient for action.
Many people may applaud at the "bad guys" being forced to move before they are proven guilty. However, the erosion of rights affects us all.
Another problem with this ordinance is the way it differentiates between Belleville residents who are renters and those who are property owners. Equal treatment under the law is the foundation to our way of life. We cannot and should not be making laws treating the "haves" and "have-nots" by different standards.
I recently attended a meeting at City Hall to deal with the ongoing issue between feuding neighbors in my ward. They were both homeowners, though one of them had a police record with approximately 150 entries. If we are trying to legislate good neighbors, what do I tell those who live near this person? That if he had been a renter we could have solved their problem, too bad he bought his home? This highlights the completely false hope that crime-free housing will fix living situations.
Most inhabitants of Belleville are not aware of the numerous letters we have received on this subject from state and national organizations. We have been warned many times that this ordinance will subject the city to liabilities and lawsuits. It unfairly discriminates against low-income residents, discourages residents from calling the police on domestic issues and denies due process.
Although residents of Ward 2 have told me I must pass this legislation to protect them, I see voting against it as the greater protection. It is clear this will not fix our problems, but it does expose us to the arduous and expensive task of defending the inevitable lawsuits. Avoiding that path seems the wiser choice.
This ordinance proposes collecting fees from landlords for services the Police Department already offers for free, but does not guarantee where the money will be spent. Although a great deal of discussion has implied that Belleville will hire more policemen, nowhere does any part of this ordinance require it.
Landlords are also required to do criminal background checks on everyone in a household who is at least 18 years old. No latitude is given for renting to relatives or allowing the landlord to use his own methods for choosing tenants. The ordinance doesn't prevent him from renting to someone with a criminal record, just requires him to expend the funds to acquire the information.
In short, the government is requiring more documentation on more people, limiting commerce, forcing evictions without evidence of a crime, ignoring due process and collecting unencumbered funds, all at the same time.
So what should we do? Evenhandedly enforce our current ordinances. If a property is run down, deal with the owner. If a crime is committed, deal with the offender. Putting the words "crime-free" in a title will not make it so. Trading privacy and free commerce for the illusion of safety is a poor bargain.
I will be voting no and I encourage my fellow aldermen to join me. Melinda Hult is an alderwoman for Belleville Ward 2.
This article was written by Melinda Hult and originally published on bnd


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Some readers have asked about handicraft ideas for preschoolers.
Make large wooden bead necklaces with shoelaces. These can be remade over and over again.
Clay ornaments with cookie cutters
Sew burlap bags with large plastic needle and yarn
Make a felt bag with large needle, embroidery thread and whip stitch.
Make a key holder with nails, hook screws and board.
Paint clay pots and put a plant in them.
Carve soap with a butter knife
This does not mean that young children should never have opportunities to cut and glue and work with paper. These activities can be helpful. It's the overabundance of this kind of work that is cautioned against. Also, I think we as parents may feel we need to structure everything for our children. My three year old is often given scissors and paper and crayons and he cuts to his heart's content. There is often no resulting masterpiece and he doesn't care. He just liked the process and he learned a little coordination as well. My point being that moms need not make a plan that must be followed. Let the little ones explore in their own way. It is not only okay, but beneficial to their development— not to mention mom's sanity.
I think ample opportunities for natural play outside should be our primary concern for children under six years. Too much time spent on handicrafts often leads to frustration for little developing fingers. Legos and creative toys are useful but I try to save them for the winter months while taking advantage of warm weather as much as possible. Charlotte Mason recommended at least four hours a day of outside play during the summer. In watching my own children's development, I see the wisdom in this advice.


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Mercer Generating Station
Mercer Generating Station was a 652.8-megawatt (MW) coal-fired power station owned and operated by Public Service Enterprise Group near Hamilton, New Jersey.
Plant Data
- Owner: Public Service Electric & Gas Fossil LLC
- Parent Company: Public Service Enterprise Group
- Plant Nameplate Capacity: 652.8 MW (Megawatts)
- Units and In-Service Dates: Unit 1: 326.4 MW (1960), Unit 2: 326.4 MW (1961)
- Location: Lamberton Rd., Hamilton, NJ 08611
- GPS Coordinates: 40.182267, -74.731944
- Technology: Subcritical
- Coal type: Bituminous
- Coal Consumption:
- Coal Source: Buchanan Mine 1 (Consol)[1]
- Number of Employees:
- Unit Retirements: Both units retired in 2017.[2]
Plant Retirement
The plant will be will be retired on June 1, 2017. Plant owner PSE&G Power said it "could not justify the significant investment required" to upgrade the plant "to meet the new reliability standards," given the lower cost of electricity alternatives.[3]
PSEG Fossil L.L.C. Civil Judicial Settlement
On November 30, 2006 the U.S. EPA and the U.S. Department of Justice along with the State of New Jersey announced a settlement with Public Service Enterprise Group (PSEG) related to the company's failure to comply with a 2002 consent decree that required the utility to install pollution control devices at two of its coal-fired power plants.
PSEG was required to pay a civil penalty of $6 million – $4.25 million to the federal government and $1.75 million to New Jersey. Under settlement agreements PSEG was also required to spend $3.25 million on environmental mitigation projects.
The amended agreement, signed by the United States and the State of New Jersey, requires the electric utility to accelerate the installation of air pollution control equipment at its Mercer Generating Station, to install additional control equipment that was not previously required and to carry out a host of interim pollution control measures in exchange for delaying the installation of pollution controls required under the original timeline at PSEG's Hudson Generating Station.
The EPA notes that "Under the 2002 consent decree, PSEG was required to install pollution control equipment at the Mercer and Hudson plants to reduce sulfur dioxide (SO2), nitrogen oxide (NOx) and particulate matter (PM), and take steps to reduce mercury and carbon dioxide emissions. The utility did install pollution control equipment for nitrogen oxides known as selective catalytic reduction (SCR) at its Mercer plant. SCR is capable of reducing nitrogen oxides by approximately 90%. However, PSEG has failed to take the necessary steps to install required pollution control equipment at the Hudson facility as required by the original settlement."
The settlement required PSEG to install an acid gas scrubber for removing sulfur dioxide from (SO2) exhaust gases produced by the power plant – at one of the Mercer plants as well as one at an additional Mercer plant by 2010. In addition, PSEG agreed to install baghouses or dust collection chambers at its Mercer plant.
PSEG was also required to meet new NOx emissions limit at the Mercer plant starting January 1, 2007. In addition, the company was required to install baghouses or dust collection chambers at its Mercer plant to cut pollution more than a less effective technology it was previously using. Lastly, PSEG is required to use carbon injection systems, not previously required, to reduce mercury emissions from the Mercer facility.
The EPA also stated that these measures include year-round operation of the existing NOx control equipment "utilizing selective non-catalytic reduction to reduce NOx, use of ultra-low sulfur coal, compliance with annual emission caps for NOx and SO2, and operation of an electrostatic precipitator and a fly ash conditioning system to control PM. Installation of permanent controls will be delayed until December 31, 2010, unless PSEG chooses to shut down the unit altogether in 2008."[4]
Emissions Data
- 2006 CO2 Emissions: 3,246,945 tons
- 2006 SO2 Emissions: 14,517 tons
- 2006 SO2 Emissions per MWh:
- 2006 NOx Emissions: 3,891 tons
- 2005 Mercury Emissions: 87 lb.
Death and disease attributable to fine particle pollution from Mercer Generating Station
In 2010, Abt Associates issued a study commissioned by the Clean Air Task Force, a nonprofit research and advocacy organization, quantifying the deaths and other health effects attributable to fine particle pollution from coal-fired power plants.[5] Fine particle pollution consists of a complex mixture of soot, heavy metals, sulfur dioxide, and nitrogen oxides. Among these particles, the most dangerous are those less than 2.5 microns in diameter, which are so tiny that they can evade the lung's natural defenses, enter the bloodstream, and be transported to vital organs. Impacts are especially severe among the elderly, children, and those with respiratory disease. The study found that over 13,000 deaths and tens of thousands of cases of chronic bronchitis, acute bronchitis, asthma, congestive heart failure, acute myocardial infarction, dysrhythmia, ischemic heart disease, chronic lung disease, and pneumonia each year are attributable to fine particle pollution from U.S. coal plant emissions. These deaths and illnesses are major examples of coal's external costs, i.e. uncompensated harms inflicted upon the public at large. Low-income and minority populations are disproportionately impacted as well, due to the tendency of companies to avoid locating power plants upwind of affluent communities. To monetize the health impact of fine particle pollution from each coal plant, Abt assigned a value of $7,300,000 to each 2010 mortality, based on a range of government and private studies. Valuations of illnesses ranged from $52 for an asthma episode to $440,000 for a case of chronic bronchitis.[6]
Table 1: Death and disease attributable to fine particle pollution from Mercer Generating Station
|Type of Impact
|Annual Incidence
|Heart attacks
|Asthma attacks
|Hospital admissions
|Chronic bronchitis
|Asthma ER visits
Articles and Resources
- ↑ "Preliminary Monthly Electric Generator Inventory" eia.gov, 860m March 2020
- ↑ Eric Kiefer, "PSEG Will Close Hudson County Coal Plant In 2017," Hoboken Patch, October 5, 2016
- ↑ " United States and New Jersey Announce Clean Air Act Settlement with PSEG Fossil LLC for Violations of 2002 Consent Decree; Utility Required to Pay Significantly Increased Penalties and Reduce Emissions," U.S. EPA, November 30, 2006.
- ↑ "The Toll from Coal: An Updated Assessment of Death and Disease from America's Dirtiest Energy Source," Clean Air Task Force, September 2010.
- ↑ "Technical Support Document for the Powerplant Impact Estimator Software Tool," Prepared for the Clean Air Task Force by Abt Associates, July 2010
- Existing Electric Generating Units in the United States, 2005, Energy Information Administration, accessed Jan. 2009.
- Environmental Integrity Project, "Dirty Kilowatts: America's Most Polluting Power Plants", July 2007.
- Facility Registry System, U.S. Environmental Protection Agency, accessed Jan. 2009.
- Carbon Monitoring for Action database, accessed Feb. 2009.
Related GEM.wiki articles
- Existing U.S. Coal Plants
- New Jersey and coal
- Public Service Enterprise Group
- United States and coal
- Global warming
- EPA Coal Plant Settlements


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If you're able to remain departing factors towards the prior moment, you will get special offers once more. The actual air carriers don't like in order to travel along with bare chairs, as well as if you're certainly flexible, and may travel on the times identify, after that this may carry out for you personally.
Preserve Performing Exactly what Your own Performing
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However, you will get considerable financial savings nowadays, with the trip webpages close to. These people perform a fairly excellent profession, associated with evaluating prices, as well as displaying a person lots of trip choices. These types of "aggregated" journey internet sites have all of the air carriers, hotels, locomotives, luxury cruise as well as automobile leasing companies beneath only one roofing. Just one stop obtaining as they say. You will find actually a few trip web-sites, which combination these types of websites.
The majority of individuals understand the choice an individual way of getting the cheapest plane tickets attainable — frequently e-book as soon as possible. However are you aware that you will find, a minimum of, additional valuable methods to help you assist saving 100s, most likely actually numerous amounts of lbs in your plane tickets?
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Probably the most sought-just following period with regard to reserving plane tickets is actually 9 in order to 5 which is actually whenever air carriers backpack their own costs to improve income therefore, to assist may well avoid cash, this is more preferable to stay lacking out of this period position totally. Do that and also you tend to be extra feasible to get the reduce plane tickets.
For example, the most recent explore Expedia with regard to roundtrip airfares through Ny in order to Ohio discovered that the 6: 30 the. michael. or even a good 8: 15 the. michael. trip upon Ough. Utes. Breathing passages applies to $220 however the identical trip from 8: forty five or even 9: 00 the. michael. goes with regard to $249. That's a $29 improve upon simply what is generally thought to be the least expensive plane tickets obtainable in those days. Think about exactly how a lot of huge difference which improve can make whenever you rapidly need to buy 2 or even a lot more seats!
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Because the majority of plane tickets tend to be business connected and many company vacationers prefer to come back right before the actual weekend break, air carriers provides you with a far greater offer should you remain close to for that weekend break. Nonetheless, avoid soaring on the Mon or perhaps a Fri because those tend to be preferred leaving as well as come back times. Tuesdays as well as Wednesdays would be the reserving times you want in order to catch which decreased cost.
Therefore, if you're looking to find the best provide upon plane tickets for any 1 particular-week journey (7 days) in order to Sarasota through Ny, you'll likely obtain a much better offer should you proceed from the Wednesday to some Wednesday fairly than the usual Mon to some Mon.
Concerning the Writer
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I mentioned recently that I'm worried Emmett will like his nanny more than he likes me, so some of you suggested I try being a "full-time mom"*. But I can't!
First of all, while Rory's salary is great, he doesn't make enough to support the three of us if we're going to continue living in Brooklyn. (And saving for our future.) Of course we could move to the 'burbs, but Rory doesn't get home 'til 8 p.m. as it is; we'd never see him if he had a real commute. Besides, we're just not ready for Connecticut yet.
And even if Rory were making $2 million a day, I still don't think I'd want to be a stay-at-home mom.
I really enjoy my career. I'm proud of what I've accomplished and excited for what I'm going to accomplish. And I like that my job allows me to interact regularly with grown-ups who have no opinion on Pampers vs. Huggies and are oblivious to the scandalous Sponge Bob news. (For the record, Team Pampers, and theres's a reason Emmett doesn't watch TV!)
Plus—and this is harder to admit—I'm just not that good at doing 12 hours straight of baby stuff. I love my baby with every ounce of love I have, but after eight consecutive readings of Let Your Light Shine!, Emmett's current favorite, I'd rather smack myself in the face with the book than read it for the ninth time. I'm happy to take him to the park, the zoo, the aquarium, the children's museum—heck, I've taken him on field trips to Target just to get us out of the house. But doing that stuff all day, every day just doesn't appeal to me. And I think that's okay. I didn't go into this "mom" thing thinking I'd be the type of woman who'd want to be a stay-at-home mom. (Not that there's anything wrong with stay-at-home moms! It's just not the job for me. Please don't freak out on me—unless you're also going to freak out on Rory for not wanting to be a stay-at-home dad.)
Are you a stay-at-home mom? Do you plan to be one day? Or will you always be in the workforce?
* I hate the term "full-time mom." As my wise, working-mom friend Deb once said, "EVERY mom is a full-time mom. You don't stop being a mom when you go to work."


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In the "Great Disaster," Japan has been thrown into chaos by onmyouji (a kind of magician). Harutora Tsuchimikado was born into an onmyouji family, but has no power whatsoever. His childhood friend Natsume (another member of the Tsuchimikado family) appears to him one day to take him up the promise he made long ago to become her shikigami (familiar). A battle between onmyouji is about to begin.Genres: Action Comedy Drama Romance Supernatural
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Our current home is the top floor of a converted barn. Below us, the barn remains unconverted. The building is built into the hillside, so while our front door leads into a small lobby with stairs up to the main rooms of our home, the back door leads straight out to ground level a good way up the hill. From the back door you step onto a small flat-ish area of lawn surrounded by trees and bushes of various cultivated varieties. Behind that, the steeply rising ground is the home of oak, holly and the occasional beech tree with, at this time of year, a carpet of daffodils.
Both the woods and the garden shrubbery are old established, possibly over a hundred years in the case of the woods. Over time, the shrubbery has climbed steadily up the hill and the woods have edged their way slowly downwards. Now, that terror of the spelling bee – the rhododendron, is from the Himalayas. For them, a steep incline is no deterrent. It seems to me that what is needed to keep them in check is some Himalayan local fauna. Honey made from the rhododendron pollen is toxic to humans. As anything with any semblance of human form is automatically drawn to consume everything that doesn't actually kill them very often, and lacking any clear evidence to the contrary, I feel justified in assuming that that denizen of desolation, the Yeti, must exist on a diet of rhododendron flowers.
We're hoping he'll pose for a photo when he turns up – watch this space.