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© 2017 - All Rights with Cartincoupon


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UK's Nuffield Council Releases Report on Human Genome Editing
On July 17, the UK's Nuffield Council on Bioethics released "Genome Editing and Human Reproduction: Social and Ethical Issues." The nearly 200-page report wrapped up several years of work for the ethics think tank that began with their initial 2016 inquiry into human genome editing and included a heavily criticized public consultation process in 2017. The report's main conclusion regarding human germline modification was that it "could be ethically acceptable in some circumstances." Karen Yeung, chair of the working group that drafted the report, was quoted as saying: "It is our view that genome editing is not morally unacceptable in itself. There is no reason to rule it out in principle." This implicit endorsement contradicts the longstanding international consensus that heritable genetic modification should not be permitted, although it does seem in line with a recent drift towards greater acceptance of germline editing among some scientists and ethics professionals. (Read more in the CGS press statement about the report.)
The report outlined two conditions for determining the acceptability of germline editing: When it is "intended to secure, and is consistent with, the welfare of a person who may be born as a consequence of interventions using genome edited cells" and when it is "consistent with social justice and solidarity, i.e. it should not be expected to increase disadvantage, discrimination, or division in society." As critics have noted, however, these "bioethics-lite" caveats are both contradictory (as when parents enhancing children to secure their "best possible" start in life would almost certainly "increase disadvantage, discrimination, or division in society") and so vague as to be almost meaningless.
Diverging from the recommendations of other recent reports, position statements, and guidelines, the Nuffield report admits that reproductive germline editing can't be considered therapeutic, as there is no sick patient being treated. Further, they note that the distinctions between treatment and enhancement, and between basic and clinical research are blurry and cannot be the basis for regulation.
While most see these points as further evidence that reproductive germline editing should not be allowed, the Nuffield Council sees nothing in these points that should prevent its use. As Marcy Darnovsky noted in a quote in The Guardian:
They acknowledge that this may worsen inequality and social division, but don't believe that should stand in the way. In practical terms, they have thrown down a red carpet for unrestricted use of inheritable genetic engineering, and a gilded age in which some are treated as genetic 'haves' and the rest of us as 'have-nots'.
News coverage of the report reflected a wide range of interpretations and reactions to the report. The BBC stated that the report found "no absolute reason not to pursue" germline editing for reproduction, while The Guardian reported that the "creation of babies whose DNA has been altered to give them what parents perceive to be the best chances in life has received a cautious green light."
Writing in The Guardian, CGS Executive Director Marcy Darnovsky argued forcefully that "The Nuffield Council on Bioethics has given its blessing to an unneeded and societally dangerous biotechnology" through a set of recommendations that "flies in the face of a widespread global agreement that heritable genetic modification should remain off-limits." She asks, "Haven't we been down the path of biologically defined hierarchies before? In a world plagued with obscene inequalities, in a time of resurgent racism, is this the road we want to travel?"
Other critical reactions were equally forceful. Dave King, of the UK's Human Genetics Alert, gave this quote to the BBC:
This is an absolute disgrace. We have had international bans on eugenic genetic engineering for 30 years. But this group of scientists thinks it knows better, even though there is absolutely no medical benefit to this whatever. The Nuffield Council doesn't even bother to say no to outright designer babies. The people of Britain decided 15 years ago that they don't want GM food. Do you suppose they want GM babies?
In a letter to Financial Times, Richard Hayes, CGS' Emeritus Executive Director, argued:
The absolute folly of opening the door to new forms of high-tech eugenics, in a world already wracked with inequality and conflict, is self-evident to world leaders and to the average person on the street. We can and should draw firm lines between the many benign, beneficent uses of genetic technology and those pernicious uses that would divide humanity against itself.
Commentary from gene editing proponents branded the widespread critique of the report as "fear" that might block gene editing's potential benefits for society. Julian Savulescu, writing on his blog, used the report as an opportunity to retread his arguments about parents' moral obligation to edit their children's genomes.
Below are a few more notable responses to the Nuffield Council's report.
Donna Dickenson, Emeritus Professor of Medical Ethics and Humanities at the University of London, who consulted on the Council's previous report, called the current conclusions a "dangerous lapse in medical ethics" in her commentary on Project Syndicate:
Simply put, I don't believe the recommendations adequately consider all the ethical or medical risks of manipulating heritable genes. Nor do I think the report gives sufficient weight to the question of whether sufficiently strong safeguards ever could be put in place to prevent the technology's misuse.
Writing in CounterPunch, Stuart Newman, a professor of cell biology and anatomy at New York Medical College, critiqued the report for implicitly enabling horrifying technological and social possibilities:
The biological and social hazards of the GMO human enterprise extend beyond political arrangements and should be stopped in its tracks.
Paul Knoepfler, UC Davis stem cell scientist and critic of reproductive germline editing, called the report "problematic overall." In his blog post, he noted the unfortunate coincidence of the report's release on the same day that new research documented significant damage caused by CRISPR gene editing. He said of the report:
There's an aspirational undertone to their report that suggests they have placed too much emphasis on hypothetical potential benefits and haven't weighted the range of risks sufficiently.
Writing in BioNews, Calum MacKellar elaborated on a range of ethical questions the report seemed not to consider or sufficiently address, concluding that these omissions undermined the report's recommendations:
Based on the above dangers to the absolute equality of value and worth of all persons in a civilised society, it is impossible to see any occasion when heritable genome editing could ever be acceptable or permitted by legislation. Indeed, a compassionate civilised society is one that offers unconditional acceptance of the deeply suffering, as well as the deeply contented child. It is one that learns to welcome all possible future children as equally valuable.
In The Independent, Felicity Boardman leveled a strong disability justice critique against the report's conclusions:
It is important that the voices of genetically disabled people – the very people whose lives could be eliminated through its introduction – are heard and understood. It is critical that we, as a society, consider not only what we gain through the use of genome editing, but also what we stand to lose, which, from this vantage point, we may yet not be able to see.
Jon Holmlund, from Trinity International University, blogged about the report and concluded :
Scientifically and socially, there will be unintended—or at least undesirable—consequences. These may be known but considered acceptable. For example, how many human embryos will need to be created and destroyed to perfect the procedure? How many generations will need to be followed to rule out some late complication? Can we really guarantee that "having babies the old-fashioned way" won't become a thing of the past? And, in spite of the laudable desire to bring healthy children into the world, wouldn't this be a wholesale acceptance of the basic assumption that only the people we want to be born, should be born?
For these reasons and others previously articulated on this blog, heritable human gene editing falls into a small but critical group of biomedical undertakings that should not be pursued.
Image via Nuffield Council

subset: commoncrawl


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Tuesday, March 25, 2014
Summer of Joy by Ann H. Habhart
Summer of Joy by Ann H. Gabhart was a book that I wanted to love and devour but that I had a really hard time getting into. I've read other books by this author and have loved them (especially Scent of Lilacs). This one though I started and it just never grabbed my interest.
From the back cover:
Unbeknownst to Jocie Brooke and her family, two people are making their way to the small town of Hollyhill, Kentucky. One everyone thought was gone for good and the other no one's ever heard of. Still, one thing is sure-they promise trouble. The past is coming to call, threatening to destroy strong relationships that everyone has simply taken for granted.
The summer of 1964 may be winding down, but the controversy in this little community where nothing ever seems to change is just heating up.
Bestselling author Ann Gabhart invites you to Hollyhill for a story both exciting and enduring that will stick with you long after you turn the last page.
This book was provided for review by Revell.
Posted by Suzanne at 1:59 PM
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VetUS Environmental Services is now Trilogy MEDWASTE
To our Customers,
I am please to announce that VetUS Environmental Services and Trilogy MedWaste are now officially operating as one.
As leaders in our industry, we pledge our continued commitment of delivering the quality of service you have come to expect from VetUS Environmental Services.
As we now work together, to deliver the even greater value of the combined companies, we continue to be focused on protecting our customers, our employees, and of course our environment.
I want to personally assure you our mission remains unchanged. Now, we simply have many more resources in providing the services and products designed around your needs.
In the meantime, please welcome Trilogy MedWaste to the family. If you have any questions, please feel free to reach out to us.
VetUS Environmental Services Management
Welcome VetUS customers. In 2018, Trilogy Med Waste, Inc. acquired VetUS Environmental Services. Trilogy is honored to provide reliable high-quality services for your practice or organization. We invite you to learn more about us and encourage you to reach out with any questions. More than likely, the representative who handles your account will remain the same.
For sales and new service inquiries, please call 713 300-1889


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Goodbye November!
- 30
- November
- 2017
Now that November is coming to a close, Christmas will be coming quickly as well as colder weather. Look for holiday closing dates as well as tips for winter weather for you and your pets. We will also include information on preparing your pets for new visitors, holiday travel and so much more.
Bring on the holidays!
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by Erica N. Bohannon
In our society, in some aspect, we all struggle with understanding who we truly are and the worth that we bring to the universe. Growing up, I never really felt like I truly knew who I was. I was aware of the gift that God had given me, but to truly say that I knew Erica…was still a mystery. From being a fatherless girl at birth, having my father reject me face to face along with handling molestation from age eight to twelve and burying it deep down in my subconscious, I thought that I had healed and was strong enough to push through. It wasn't until I hit my teenage and early adult years that it began to manifest itself in my life and boy was I in for a surprise…
As a young adult, on the outside, I appeared to be happy and full of joy, but deep down inside, I knew that I had been missing something. A piece of me was longing for something. I thought I could fill this void with boys, sexual pleasures, my accolades, and material possessions. The hurt and pain from desiring my father to affirm my worth, looking for my mother to just listen to that part of my soul that longed for such a deep relationship, and for a man, who portrayed himself to be safe in my home; only to rob me of such an innocence that I believed until recently, that I couldn't get back began to suffocate me and consume the essence of who God created me to be.
It wasn't until the summer of 2010, that I met a pastor, in the middle of what I'd like to call, "my beautiful chaos" who saw a light in me…He told me, "I am not sure of who you are, but I am a pastor from Florida and God told me to come to you and let you know that you're so special and that He has something amazing for you." Count it strange, but I would have people speak over me and say things similar to this, but this time, it felt different. God met me right when I felt that I couldn't make it any longer with the lifestyle that I had grown accustomed to (drinking/clubbing EVERY weekend, smoking,
fornication, abortion) and said to me, "You mine. I chose you. You are so beautiful to me. I know that you have experienced hurt, I know that you've felt abandoned. I know that rejection from your father has made you feel like it has torn you apart. I will never leave you. I will never hurt you. You are my daughter and I forgive you. I need you."
That same week I cried my heart out and accepted Christ into my life. From that moment on, I have seen some amazing changes in my spirit.
God placed people around me that would reflect what I thought about me.
From my best friends, my aunts, co-workers, and especially my son's father; they have all contributed to this beautiful version of me.
My son's father has helped me so much in my walk with Christ (I am not sure that he even knows ). Through him, God has used him to help mold and shape me into a woman of God. He has shown me so much patience and love that I can't thank him enough. God also has helped show me my worth through my son. I can't begin to say how many times Chace has shown me forgiveness when I had not deserved it. Having him at an early age helped groom me as well. My worth comes from Jesus dying on the cross for every sin I have, would have and will commit. My worth comes from the blood he shed for me. My worth also comes from Him choosing me. I heard his voice and I
chose to respond to His call to show me my worth. I am forever grateful (I am trying not to cry as I type this. My faith has shown me that anyone can find their worth in Him if they just believe. My faith as also shown me that even when I do fall, that He gives me the grace to get back up and hit the re-start button. To know that I can try again is such an amazing thing.
I hope this helped someone out there who needed a story of light in their dark days.


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Seven abstractionist visitations from recent months, mostly West Coast.
Horace Tapscott with the Pan Afrikan Peoples Arkestra and the Great Voice of UGMAA, "Why Don't You Listen? Live at LACMA 1998" (Dark Tree). On the title track, as the Great Voice choir begins Linda Hill's litany of vital cultural clues to which whites have turned a deaf ear, the audience are not listening. The urgency shuts them up, though, as Tapscott's Ark always has. This was one of the pianist-composer's last concerts, and he made it pay with generous, driving expansions on his own tunes and Duke's "Caravan," rollicking the 88s and clearing plenty of space for the searing, cutting saxes of Michael Session and the pleading wail of Dwight Trible. This music made a difference. (Buy/listen here.)


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…this little cutie saw ink again.Like so many of my stamps I buy them because I love them and never really make full use of them.
I've made this to enter in the C.R.A.F.T. sketch challenge:
I've coloured Smookie Pot with a mix of Promarkers and Copic Atyou Spica pens.The papers are a free download from Funky Hand.The tan and lime green card is Papermania Textured and teams with the papers well.Circles are cut with Nestabilities.The floral element has been created using my new Sizzix Elegance Decorative Strip and some flowers punched from a ribbon strip from the element sheet from the download.Tiny buttons have been added to the centres.The greeting,which I trimmed down, and ribbon are also from the same download sheet.I used a ribbon brad for the element on the sketch.It doesn't show but I did use the clear Spica on the flowers on the paper circle and on the words on the sentiment.
Craftybunny x


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Hi, all! In this mind map, I go over some information about eukaryotic cells. Primarily, I go over two things. The first is some of the ways in which eukaryotic cells differ from prokaryotic cells. The second is the view that eukaryotic cells were originally predators. This image is more wide than it is long, so you'll have to save the image and zoom in, or open it in a new tab and do so in order to read it more easily. Happy studying!
E. Coli in Molecular Biology
Hi all. In this post, I touch on the importance of E. coli. E. coli has been a thoroughly studied organism that has taught us a lot about the field of biology. Below is some information about it and what it has taught us!
Hi, all. In an effort to continue experimenting with ways that improve my studying and also improve my readers' interest and retention of information, I decided to try a new technique for this post. In this post, I discussed how analysis of gene function is done using a mind map. It is pretty self-explanatory. I thoroughly enjoyed doing it and will likely to continue to do so for most of my posts, if not all of them at least in the near future. I will continue to experiment with different ways of displaying information. I have yet to decide if I'd still like to continue making text-based posts. Please enjoy!
A prospective medical student, looking to help others succeed.
November 2016


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If a survey has revealed that the property you are about to buy has damp, what does that mean and what do you do about it?
Well, you don't have to be a damp squib. Help is at hand.
It might be rather dry reading (excuse the pun), but here's the low-down on damp and what you can do about it.
What is damp?
Damp is generally defined as unwanted water or at least, moisture, in quantities that are unsightly or could cause deterioration to the building or furnishings. There are several types of damp: penetrating damp, rising damp, damp caused by plumbing defects and damp caused by condensation.
Penetrating Damp
Penetrating damp occurs as a result of problems with the fabric of the building that can allow water to leak into the walls or floors.
Penetrating damp can also make your house smell musty, and can also cause health problems, especially among asthmatics or people with other respiratory ailments. Damp can also contribute to a feeling of cold in the home and therefore could cause you to crank up the heat, making your utility bills more expensive.
What causes penetrating damp?
The damp could stem from problems on the interior or the exterior of the property or both.
To stop penetrating damp, the source of the moisture needs to be tackled and this usually involves repair work to your house of some kind.
Rising Damp (not be confused with the 1970's TV show of the same name)
Rising damp is water from the ground that enters a structure by capillary action. Water that enters or affects a building through any other route can move about in various ways but is not rising damp. Rising damp can be cured by the installation of a chemical damp proof course.
What can I do about rising damp in my house?
Rising damp comes from water slowly rising UPWARDS into the building fabric from the ground or from any other source such as walkways and deck access and paths that run around your house, but are directly next to the walls
This is important to note the difference. Also one strange fact is that in most houses, damp will rise in what's called "capillary action" and will usually rise about 4 or 5 feet and then stop. So if you have damp in UPSTAIRS rooms its probably penetrating damp and NOT rising damp.
The main cause of rising damp in houses is the lack of an adequate damp proof course. The damp proof course may be missing altogether or may have failed or have been bridged or bypassed in some way. The damp does not rise quickly and does not normally reach higher than 1 metre up the wall. It leaves characteristic tide marks and sometimes salt deposits on this edge. The marks will look the same for long periods and are not normally affected by changes in climatic conditions.
This damp is usually seen on external and party walls above the skirting boards.
Plumbing defects
This type of damp can be caused by:
Plumbing defects are typically solved by:
Condensation Dampness
Condensation is caused when moisture produced by everyday activities such as cooking and bathing meets a cold surface and condenses forming water droplets. Mould growth will quickly appear and spread all over the cold surface such as a wall or window frame. The amount of moisture deposited is dependant on how warm the air is, how much moisture the air is carrying and how cold the surface is.
The signs of common condensation are:
Condensation control is a complex issue and is a balance between:
If a survey has suggested that the property you have made an offer on has a damp problem, then it is best to seek the advice of a professional to assess the job and advise on the costs involved in solving the issue. At this point you could choose to pull out of the sale or alternatively, you could ask that the sale price be re-negotiated to reflect the cost of repairs – and this is where your estate agent can really act as your champion. If you decide to undertake repairing the damp it is best to employ a professional builder or specialist.
If you need the advice of a damp specialist, Northfields can refer you to our preferred contractor so that you don't have to take a risk with the finding someone on the internet. Call our Property Management team on 020 8799 4362 – we can recommend someone to help who we know is up to the job.


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To upgrade a system that is currently monitored by a PEM agent to a more-recent version of PEM agent, simply download and invoke a newer version of the platform-specific PEM agent installer on the system that the agent is monitoring.If you are a Linux user, you can invoke the installer by opening a terminal window, assuming superuser privileges, navigating to the directory in which the installer resides and entering:./pem_agent-x.x.x-linux.runWhere x.x.x specifies the version information for the installer.If you are a Windows user, you can invoke the installer by right-clicking on the downloaded installer's icon, and selecting Run as Administrator.The PEM Agent Setup Wizard opens, welcoming you (see Figure 2.1).Read and accept the License Agreement (shown in Figure 2.2) before clicking Next to continue.The setup wizard will automatically detect an existing agent, and upgrade the installed version (see Figure 2.3). Click Next to continue.To proceed with the installation, you may be required to provide a service account password. If prompted, provide the password and click Next to continue.When the Ready to Install dialog (shown in Figure 2.4) informs you that the installation is about to begin, click Next to continue.The setup wizard displays progress bars to inform you of each component that is being installed (see Figure 2.5).The PEM Agent Setup Wizard will inform you when the installation completes (see Figure 2.6). Click Finish to exit the wizard and close the window.The executables of a PEM 5.0 agent are not modified when you install a PEM 6.0 agent into a system that already contains a PEM 5.0 agent; you must manually copy the configuration file of the existing agent to the new installation location.
1. Stop the pemagent service.
3. Copy the configuration file of the existing PEM 5.0 agent to the location of the PEM 6.0 configuration file (/usr/pem-6.0/etc/agent.cfg). To copy the configuration file of a PEM 5.0 agent to the location required by the PEM 6.0, use the command:
4. Restart the pemagent service.For detailed information about using an RPM package to install the PEM agent, please see the PEM Installation Guide or the Advanced Server Installation Guide, available at:


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- Made with natural ingredients like eggs collected from hens kept outside (seriously, it's on the label!)
- Delicious French condiment with a Dijon kick
- Use it with meat, egg, poultry and to give your vegetables a bite
- This unique Dijonnaise is a creamy Dijon mustard
- Amora has been making fine french condiments for 120 years
French Dijon Mayonnaise Tube, or Mayonnaise de Dijon is French Mayo, made in France and so very French! If you've tried Trader Joe's Mayonnaise you're going to be blown away when you try out this condiment (and if you've had Amora's Mustard you'll definitely want to try this!) Made with natural ingredients (literally one ingredient is listed as "egg yolks from hens kept outdoors") like paprika, Dijon mustard, marigold extract and more you'll be able to use this as a mayonnaise base for your own creations. Add in chipotle, wasabi or whatever else you've always wanted to try with this excellent base. This is a rich mayonnaise made with outdoor hens that give it its excellent color. Try it with small asparagus, salads, chicken parmesan and more and explore the wonderfully wide and delicious world of French cooking! Copywriting created on June 13, 2013 by Sara © Le Panier Francais


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Gloss Black Framed Made in Wales Welsh Pride Framed Poster 61cm x 91.5cm (24" x 36")
Product Description
If you're proud to be Welsh then express your love with this awesome poster. Staring the Welsh flag alongside the caption 'balchder cymraeg' it's perfect piece of patriotic art for your home. Complete with a 61cm x 91.5cm gloss black plastic frame, fronted with transparent Perspex and ready to hang in your home.
- Size: 61cm x 91.5cm (24" x 36")
- Stock ID: 173210
- View all Posters…
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The PopArtUK Guarantee: 100% Satisfaction or Your Money Back!
We're so confident you'll love your purchase, if for any reason you are not 100% satisfied we will be happy to exchange your goods or give you a full refund - guaranteed!
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©2002-2020 PopArtUK. Registered office: 43 Bull Street, Holt, Norfolk, NR25 6HP, UK. Company registration number: 07280106.


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Risk adjustment payments to be based on 2018 premiums, CMS proposes
CMS will use the statewide average premium for the 2018 benefit year in its risk adjustment payment calculations, allowing the program to continue for the 2018 benefit year, federal officials proposed Aug. 8.
The risk adjustment program was established under the ACA to encourage insurers to participate in the ACA marketplace and accept all customers without charging more for patients in need of substantial medical services. In addition, it was put in place to protect insurance companies from major losses. The program collects money from insurers with fewer high-cost members and transfers those funds to insurers with more high-cost members.
Prior to the proposed rule, CMS issued a final rule July 24 that adopted the risk adjustment methodology CMS used in the 2017 benefit year. The agency did so to continue making $10.4 billion in payments to health insurers for the 2017 plan year. CMS initially froze the payments after a federal court decided earlier this year that the formula to determine risk-adjustment payments was flawed.
The government asked the court to reconsider its decision and is awaiting a ruling.
"Today's proposed rule continues our effort to help stabilize the individual and small group markets," CMS Administrator Seema Verma said in a prepared statement. "Our goal has been, and will continue to be, to stabilize the market and provide American consumers with more affordable health coverage options."
More articles on payers:
UnitedHealth scoops up physicians in purchase of 63K-member plan
Opinion: GM's contract with Henry Ford should worry insurers
AMA urges Justice Department to block CVS-Aetna deal
© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


text: Say goodbye to numb fingers and embrace long miles in the saddle with the Mavic Ksyrium Elite Gloves. With three areas of gel and foam padding, these gloves provide exceptional cushioning and vibration dampening to soften the roughest roads. The back features a mix of breathable yet protective materials to keep your hands comfortable and dry, while a hook-and-loop strap at the wrist holds the gloves securely in place.


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Is that all there is?
June 15, 2018
It's such a cliché, the mid-life crisis. Even now they have something called the "quarter life crisis" that supposedly Millenials deal with around age 25. I struggle with my own identity being born in 1981 as I'm on the cusp of being a millenial or being Generation X.
Those of us born the year Reagan was shot, can't even commit to a generation, let alone a mortgage/career/marriage. (Though, I have all 3). So I'm reluctant to call what I'm going through a "mid-life crisis" because, hell, I'm only 36. This can't be mid-life, can it? But seeing as I've been married almost 10 years, been a home owner half that time and already have 2 kids, maybe I've achieved all the benchmarks for a mid-life crisis just a little on the early side. Damn me and my over-achieving.
So, I'm peeling back the layers of my alleged "mid-life crisis" and I see a theme, mostly each statement starts with "I'm not happy". I'm not happy with how my life has turned out so far. OUCH.
Okay, so I have to take responsibility for that right? I mean, I can't blame it all on my upbringing/spouse/economic climate, can I? It would be so much easier to blame it on all that shit, but like, that's not gonna make it any better right? Dammit, this is MY responsibility. I'm the one who chose the mortgage/career and marriage that I'm in. No one held a gun to my head, and yet, these choices don't always feel super fulfilling. Maybe more like the default decision. Is that all there is?
But, I love my home and I love my husband, so that's 2 outta 3 that I maybe mostly got right? That leaves career. This is the stinkiest layer of the onion. My head is spinning with….
How important is career to my happiness? What in a career defines success for me? What am I good at? What do I enjoy? What should I do with the REST OF MY LIFE???
So, naturally, I asked about it on Facebook. Most of the responses were from men talking about sports cars and dating younger women. The women were mostly commenting on male mid-life crisis not on their own. Do men get the jump start on mid-life crises because they have the luxury of the time to think about it? Women are so busy running the household and raising the kids, maybe they aren't noticing being in the midst of a mid-life crisis until they can't get out of bed some mornings (me)? I've known for a while that something wasn't totally in alignment with work, but I didn't really have time to think about it as I chugged through my day working, taking kids to after school activities and trying to get dinner on the table. I love what Brené Brown says about pain,
"Pain is unrelenting. It will get our attention. Despite our attempts to drown it in addiction, to physically beat it out of one another, to suffocate it with success and material trappings, or to strangle it with our hate, pain will find a way to make itself known."
― Brené Brown, Braving the Wilderness: The Quest for True Belonging and the Courage to Stand Alone
Ultimately, the pain of being out of alignment has finally gotten my attention. Maybe it's a mid-life crisis, maybe it's a quest for true belonging, or maybe I'm just bored.
There's nothing I love more in life than a PLAN. Follow this plan and you'll get into college, get the lead in the play, get to buy a home, get a promotion, etc. etc.
Now is the murky part where I have to sit still and listen, do some reading, ask questions of others and myself, and just marinate in it, until the plan reveals itself. Most of all, I'm going to focus on doing the things that "feel good" and avoid as many Kinks as possible. Tap starts to flow again and then, flip the script to "How does it get better than this?" For right now, I don't know. And admitting that is a triumph in and of itself.
"It Was on HBO, That Was the Criteria" – Cobra Kai, Unbreakable Kimmy Schmidt, Grantchester
June 14, 2018
Episode 2 – What Have You Watched? "It Was on HBO, That Was the Criteria"
Marie discusses Cobra Kai
Vin dives into Unbreakable Kimmy Schmidt
Oldie but Goody: Grantchester
Out of Touch
June 12, 2018
Do you ever feel just so outside your own mind and body that you literally don't know what you like or don't like?
That's me, right now. Like "what the eff am I doing with my life?" mixed with "how did I get here?" And I've been at this intersection for about a year. To borrow an expression from the youngin's, FML.
And that sucky feeling got so into my bones that last night I sat in bed making a list of "kinks" and "things that feel good". That's when I realized, "man, I've gotten so far out of alignment, I don't know who I am."
Do I like tuna fish for lunch? Or would I rather drink a protein shake? Do I like to cook, or do I dread it? Do I like drinking espresso daily, or is it a crutch? This is the shit going through my head while I made that list last night. I came up with a long list of stuff that feels good (espresso was on it) and a shorter list of "Kinks" in my hose. (See Peta Kelly's new book Earth is Hiring for the "Kink" theory).
The truly unfortunate part is that the Kinks for me right now, or where I've been spending a lot of my time over the last few years, and it's why I have no love flowing through my tap. One of the major Kinks right now is being on Facebook. I scroll through mindlessly so many times a day I can't count. I don't like what I'm seeing or even what I'm sharing sometimes. I am totally STUCK when it comes to Facebook right now and that's a problem for me because, well, I do a lot of business on Facebook. A friend/mentor of mine just took a 30 day Facebook hiatus and I thought to myself, "Oh I wish I could do that" because I didn't think I was allowed to since I have so much business on Facebook. There isn't anyone telling me I can't quit FB for a month, just me and the faceless people I think are watching/judging me.
Another Kink was my diet. I'd been following the same diet for years and it didn't feel like it was working for me anymore. I didn't have any excitement around it and every time I thought about it the faceless masses in my head told me, "Marie, you don't have a choice, this is what you must do." KINK KINK KINK. But the truth is, my body has changed, I'm getting
older wiser, I just got diagnosed with a thyroid condition and my goals are different. In a place of alignment, I'd be willing to play around with my diet and experiment, but being in a KINKY stuck place, again, I didn't think I had a choice.
That's where the major Kink comes into focus. Having a choice for me is so important to my flow and my alignment that when I don't have a choice it really jams my radar for life. I like living in NYC because if I don't want to be somewhere I can jump in a cab/subway/bus and get outta there easily, it's my choice. I'm not stranded somewhere without a car. I like working for myself because I have a choice as to what to focus on and where to put my energy to make money. I'm married to a man who really supports me and let's me navigate our lives for the most part, because I like to have a choice. Listen, I've worked jobs and always been a valued employee because I am also a rule follower and a producer, so I can do that and I have for years, but it's not necessarily what floats my boat. I'm also really good at being a team player (I should add that to my feel good list) so working in groups is great for me too. I can adapt and be flexible (like most kids of divorce) but it's not water flowing, tap is on, loving life kinda mojo for me. It's duty and obligation and it takes away my choice. KINK.
So here I am, writing this blog, which makes me feel good so that I can UNKink some of these Kinks. I changed my diet almost 3 months ago and gave up red meat and poultry. I'm a pescatarian now! I also started using the Weight Watchers app to count points/calories. That's another UNKink I'm working on. I'm getting back to reading for the first 10 minutes after I wake up everyday because it UNKinks me. So far these tweaks are helping to get my juices flowing again which is why I have the presence of mind to even write this blog.
But Facebook, seductive, life-shaming and affirming at the same time, Facebook. What to do with you? I'm open to ideas, people! For now, I'm going to post 2x a day and look at it morning and night and that's it! I'm gonna give this a try for a week and see if it helps UNKink me. That's my choice! Choosing UNkinks me too. Even if it's just choosing where to get my espresso in the morning. Aaaaahhhhhhh. 🙂
I Couldn't Help But Wonder…Was SATC Good for You?
June 6, 2018
One of the best features of watching TV on demand is seeing in the "info screen" the original airdate of the episode. For me, it is anyway, because I have always loved the conversation about putting art into context. Even as far back as 15 years ago when I graduated with a Bachelors of Arts in "The History of Theater; The Theater of History." My friends still make fun on that one.
A few weeks ago, it was a rainy weekend and my kids were otherwise occupied so when I saw SATC (SATC might be the last television show of recent times to inspire a recognizable acronym like GWTW or EPL) on cable in re-runs, I snuggled up for the long haul. SATC on regular cable is more like LATC or FATC (love / friends) because a lot of the sex has been scrubbed to make it syndication friendly. As a habit, I noticed the original air-date and I couldn't help but wonder if Sarah Jessica Parker was right? Would present day NY would be unrecognizable to Carrie Bradshaw? A few clicks on IMDB also revealed that SATC was about to celebrate 20 years since it's premiere on June 6, 1998.
Yeesh, that must mean our heroines are well into their 50s now. Heck, Cynthia Nixon is running for governor! Times, they are a changin'.
Remember back in 1998 when Bill Clinton was still president and was dealing with the Monica Lewinsky scandal? When the entire country was in a discussion about what constitutes "sexual relations" and what the meaning of "Is" is? The biggest show (according to Neilsen ratings) on TV was ER (followed by Friends and Frasier). Online dating hadn't gone mainstream yet, Mark Zuckerberg was still in grade school, and people still used pay phones to check their machine! It's safe to say the world technologically speaking was a very different place. And that's where SATC came in. Finally you could see women talking about what they wanted in the bedroom out in the open. I guess nowadays if you really thought your boyfriend had "funky spunk" you'd just goggle it and not bother your girlfriends with it and have to deal with the embarrassment. But 1998 was a year before google became a verb so if you really had questions about sex, maybe you had nowhere to turn. I know when I was in college in 2001 and a guy told me he only had 1 ball, I had to go to my girlfriends / gay guy friends to verify that having 1 ball was a legitimate thing and not a prank he was playing on me. It would have never occurred to me then to look it up online.
HBO who aired SATC originally, was not known as a prestige network winning tons of awards. Sopranos hadn't aired yet, so HBO was known mostly for comedy specials, Real Sex, and replays of many PG-13 movies. The only original show I could think of pre-SATC was "Dream On" and I was too young to watch it. From the many interviews I've read by Sarah Jessica Parker, Michael Patrick King and Matthew Wiener, HBO was a great place to work in the 90's/early aughts. They gave you creative freedom, they didn't give a ton of notes, and they valued the work over the ratings. SATC in it's third season became the first cable show to win the "Best Comedy" Emmy and with that put a stake in the ground for HBO to become the award winning network of movie stars slumming it on TV. Sarah Jessica admits regularly in interviews she made the pilot for SATC and promptly forgot about it. After the fact she didn't even want to do the series and tried to get out of it. Can you imagine another actress captivating the world as Carrie Bradshaw? I can't.
SATC's first season aired in the summer of 1998 and quickly caused a stir. The reviews were mixed, but people were tuning in. Now looking back over the 6 seasons plus 2 movies, no one looks back at season 1 as their favorite. There were many growing pains like talking directly to the camera and stories of random peripheral friends never to be seen again. Heck, they don't even figure out how to tame Sarah Jessica's frizz until episode 6 when her romance with Big really gets going. That, coincidentally, is when the show starts to take shape as we follow the major romantic arc for the series – the uncertain woman meets the man they describe as "Donald Trump, but younger and more handsome" who's great at withholding and game playing. Watching their chemistry became the secret sauce of SATC's success initially, because the other female characters are caricatures for many episodes. Their differing viewpoints are so harsh at the beginning it's hard to find a character you identify with, shockingly, because the conversation of "I'm a Carrie" or "I'm a Miranda" takes over the media for about 10 years after the show goes off the air. (Obviously, I AM a Miranda). Miranda takes shape in the middle of season 2 when she finally gets into a relationship with Steve and then has to let him go when he's a lowly bartender and she's a high powered lawyer. Charlotte's defined by her quest for perfection right up to the point when she marries the wrong man: Trey. (Yes I recognize that both of these storylines has to do with "meeting your mate", but for me seeing them in relationship to the men is what ultimately gives them definition beyond the cliché). For Samantha, I actually think she comes into her own in the first SATC movie when she realizes she says Smith's name more every day than her own. But Kim Catrall is just so damn sexy, beautiful and funny that she makes Samantha three-dimensional despite there not being that much dimension on the page.
I've listened to all the director's commentary on the dvds of both the SATC series and movies and to hear Michael Patrick King's insights is fascinating because you hear from him how layered the show was from the writing/directing point of view. Not all of it comes out on screen though, which begs the questions, "Does it count?" SATC is a bit ham-fisted at times, cramming down our throats the pithy nicknames for the men "Mr. Pussy", "Springroll Guy", "Catholic Guy" and "Manhattan Guy" are among the silliest. Something Kyle Smith and I don't agree on, despite his rare rave for the show. There's also the running theme for each episode anchored in the column Carrie is writing that feels forced by 2018 standards, but at the time I don't remember thinking it's weird that all of a sudden we're talking about the stock market in the middle of an SATC episode. Perhaps it's only feels shoe-horned in when your binge watching it, not watching one episode per week. Shows are made differently now, and of course the trope of the "four (mostly white) girlfriends" has been executed over and over again with lackluster results since 1998. The best one being Lena Dunham's Girls, also on HBO. Cashmere Mafia, move right along.
Meanwhile, as the 20th anniversary of the premiere approached, I started to see more and more articles online about SATC's legacy. Here's the rub, a lot of it is negative. Someone is actually claiming SATC ruined their life because they moved to NYC to live the life of Carrie. But before SATC, didn't young women move to NYC to live the life of Annie Hall, or Holly Golightly? Gimme a break. I watched SATC as a young twenty-something and moved to NYC (well, Brooklyn, but close enough) and I never once bought a pair of Manolos. The show was never about the fashion, or the men, or the pop culture it influenced. It was about the pursuit of finding yourself amongst the backdrop of the New York City skyline, and maybe finding "the one" who would love the real you in the process.
Now that's a show I can still get on board with. The final words of the series are, "Later that day I got to thinking about relationships. There are those that open you up to something new and exotic, those that are old and familiar, those that bring up lots of questions, those that bring you somewhere unexpected, those that bring you far when where you started, and those that bring you back. But the most exciting, challenging, and significant relationship of all is the one you have with yourself. And if you find someone to love the you that you love…well that's just fabulous."
Maybe in about 15 years, when my daughter is 19 and it's a rainy weekend, I'll fire up the HBO Go and show her the tv show that all the fuss was about when I was 19. Happy Birthday Sex and the City, you're still fabulous.
The Best Episodes of Sex and the City (in no particular order).
Season 1 – The Baby Shower
The four girls jumping in the car only to realize, no one got in the driver's seat is pure New York. Plus the realization that people do get married and move to the suburbs, even Laney, is important for the series because so much of their identity is wrapped up in NOT doing that, because it doesn't feel right for them. We also get the first visions of how scary parents are! Breastfeeding a kid who can chew steak? No, thank you.
Season 2 – The Chicken Dance
Finally Carrie has to take notice of the fact that Big loves her, but maybe not exactly the way she wants. Yes they're back together, but he still has boundaries and won't sign the card for the wedding and has to take work calls while she's reciting her poem (which is a lovely poem by the way). This is the foreshadowing that will come to a head in La Douleur Exquise. Guest star Carrie Preston, which is what Carrie Bradshaw's name becomes once she marries BIG in SATC 2.
Season 2 – La Douleur Exquise
The exquisite pain of Carrie and Big. Carrie realizes what she means to Big and it's not pretty. Women around the world relate to Carrie feeling like she's giving her all to the relationship and he's only thinking of her when it's convenient. This feeling alone has inspired countless songs, stories and themes in couples therapy.
Season 3 – Easy come, Easy Go
Carrie gets her revenge, sort of. Big finally admits that he made a mistake by rushing to marry Natasha and utters the words every dumped woman wants to hear, "I made a mistake, I love you." Miranda and Steve learn to break up with dignity and remain friends. Meanwhile Samantha struggles to deal with "funky spunk" from her latest bedmate, guest star Bobby Cannevale. And Charlotte talks Trey into marriage in possibly the least sexy way.
Season 4 – The Real Me
It's easy to overlook this episode as one of the episodes without the romanctic arc of Carrie/Big or Carrie/Aidan that dominate this season. But watching it with fresh eyes I realized that this is the episode of the series that defines the series. We all get knocked down in life, it's how you get back up that matters. It's there in the opening sequence of the series, and it's in this episode. Guest star Alan Cumming as a bitchy designer.
Season 4 – Ghost Town
Steve and Aidan open a bar? Sure why not! It's a great excuse to put Carrie and Aidan back in the same room. He's moved on and looks fabulous. She's haunted by how she hurt him and reconciles her feelings about moving forward. Plus, Miranda and Steve cement their friendship post breakup.
Season 5 – Plus One is the Loneliest Number
The love letter to the single girl. Sometimes big moments in your life will happen and you won't have that special someone to share them with. It's ok, NYC can be your date where there's always late night hot dogs and the men who give them to you for free. Samantha gets an ill advised chemical peel and Anthony screams "PINK!". What's not to love? Meanwhile Miranda stares into Brady's eyes and really gets it, "she's a mother now and life has changed forever."
Season 6 – The Post it Always Sticks Twice
I remember watching this episode the night it first aired with one of my friends and we cracked up at Smith being a "zygote" and the way Carrie smokes a doobie. We've all been broken up with in ways that feel icky (texts, phone messages and straight out ghosting) but having it written on a post-it was just so perfectly 2004. It hurts but it's still kinda old school. The girls go out to get Carrie's mind off her latest indignity and Samantha realizes she might just have some real feelings for Smith, Miranda gets into her skinny jeans and gets her sexy back. Charlotte comes to terms with her second engagement which is undoubtedly less perfect than the first, simply because it is not the first one.
Season 6 – The Domino Effect
The words we'd all longed to hear from Big, "what are we doing?" as he realizes life is fragile after heart surgery. Carrie is rocked by the tears that flow when she thinks about Big, but also smart enough to know his limitations when he turns on the witholding again. Miranda takes a personal day to get it on with sexy Dr. Robert Leeds, guest star Blair Underwood and poor Steve catches them in the act. Steve and Miranda have a Brechtian moment at her front door, when Steve says "Miranda…" The audience just wants these two to get over themselves and find eachother but as in real life, these things take time!
Season 6 – One
Miranda finally sees that Steve is the one and proclaims her love for him in the laundry room during Brady's party. Samantha has to come to terms with aging "down there" and Charlotte finds a way to bounce back after losing her baby. First appearance of "The Russian" played by Mikhail Baryshnikov shows Carrie there there's more love to be had, post Big. Or is there?


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A Segmentectomy is one of 3 main types of lung surgery performed during Thoracotomy on help diagnose Mesothelioma.
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Child Behavioral Therapist Degree
Take a look at how you get a child behavioral therapist degree. Read on to learn about what you will learn in a child behavioral therapy program and how this degree can lead you to work in the field of child therapy.
Career Information at a Glance
Child behavioral therapy can be undertaken by any qualified therapist; however, completing a master's degree in the field can increase your knowledge and opportunities. See the chart below for further details about studying child behavioral therapy at college.
|Education Level
|Master's degree
|Training Required
|Internship/ residency
|Required by your state
|Skills Required
|Compassion, interpersonal skills, listening, organization
|Job Growth (2018-2028)
|22% (for all qualified marriage and family therapists)*
|Median Salary (2018)
|$50,090 (for all qualified marriage and family therapists)*
Source: *U.S. Bureau of Labor Statistics (BLS)
What Is Child Behavioral Therapy?
Child behavioral therapy is a treatment given by trained professionals primarily to improve a child's behavior. It is also commonly used to help self-control or self-esteem issues in children. The ultimate aim of child behavioral therapy is to diminish and eventually eradicate problematic behaviors by encouraging the child to engage in favorable behavior instead. Depending on the age and circumstance of the child, their parents may play a big part in the therapy process.
What Is Typically Included in the Program?
Master's courses in child behavioral therapy or a closely related field, such as child and adolescent behavioral health, typically last for two years when taken full-time. During the course, you can expect to learn about policies in the field of child therapy, including how and why policies have been put in place. You will also learn how to communicate with a wide range of clients and have the opportunity to develop your cross-cultural skills. Researching and evaluating different therapy methods is a typical part of the course.
How Can I Study Child Behavioral Therapy?
Many accredited colleges offer master's degree programs in child behavioral therapy or a similar field. You should already hold a bachelor's degree in an area related to social work, counseling or psychology before applying for your master's program. You may be expected to write a personal statement outlining why you are interested in this subject area and what you would like to achieve, including any relevant experience you have and how this relates to your overall goals.
What Personal Skills Should I Have?
Dealing with children who have a range of complex issues requires a high level of compassion. You must be able to empathize with your clients. Building strong and trusting relationships is also a crucial part of the role, so interpersonal skills are essential. It is important to have good listening skills, as clients will require your full attention and proper treatment cannot be completed unless you have a thorough understanding of their needs.
What Are the Job Prospects?
Once you've completed your master's degree program in child behavioral therapy, you can expect a favorable job outlook relative to other professions. The BLS reported that for the period 2018 through 2028, job opportunities for all marriage and family therapists is expected to increase by 22%. This is expected due to plans to integrate health care, using a range of specialists to address health problems including mental health.


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Fit Test Dummy David & Shuna take the 30 day challenge!
Follow Us! Like Us! We like you 🙂
Fit Test Dummies try a workout with Spri's Step 360.
Check it out!
Spri Products
Hello Fans,
Last month, we traveled to San Francisco to film at the ultimate fit test playground, IHRSA 2011! We had a blast to say the least! We walked up and down every aisle and reviewed over 20 products. Everything from indoor cycling to trampolines to bed spas, Fit Test Dummies were diving in head first! We have so many hours of footage, we've been working around the clock to post them on our site.
Everybody there welcomed us with opened arms – embracing our outrageous hosts and their outlandish kid-like wonder everywhere we went. By the 2nd day of the convention, we had fitness brands demanding that we come to their booths to test their products. It was truly an event to remember! So far, we have 6 IHRSA videos up: LifeLine USA, M Core, Real Ryder, Total Gym, Jump Sport Fitness, and Cybex. And there's many more to come! There's so much exercise equipment out there that don't have national name-brand recognition or marketing yet are on the cutting edge of fitness. So it's our job as Fit Test Dummies to BRING THEM TO YOU!
Along with new IHRSA videos, the FTD team are gearing up for season 2. We have a brand new co-host, and brand new fitness equipment to test so get ready for some more over-the-top zaniness – with some insightful reviews sprinkled in : ). Also, keep sending us your ideas and equipment you want us to test on the show. We have some great stuff lined up!
So for everyone here at Fit Test Dummies, thanks for supporting us and we'll see you soon! Until then, keep fighting to reach your fitness goals, and most importantly, KEEP GOING!
Producer Sean
Fit Test Dummies try the Fitness Trampoline by JumpSport.
Check it out!
David and Madison test the Cybex Arc Trainer at 2011 IHRSA in San Francisco.
Check it out!
Biggest Loser Arc


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- Description
The Daystate Huntsman Regal HR adds the Huma Regulator to the re-visioning of the classic Daystate Huntsman. Featuring a recogniseable mechanical bolt-action mechanism and a two stage mechanical-release adjustable trigger, the Regal will feel right at home in the shoulder. Contemporary English styling, complimented with Italian crafted woodwork cradles the solid yet lightweight barrel and action. Featuring the Harper Patended Valve System, the Regal is capable of muzzle energies up to 35 ftlbs in it's .22 FAC Variation
- Length: 928mm
- Barrell Length: 430mm
- Cylinder Capacity: 132cc
- Unscoped Weight: 2.75kg
- Magazine Capacity: 10-shot Rotary magazine supplied (can be adjusted for L/H or R/H insert)
- Available Calibres: .177, .22
- Fill Pressure: 230 BAR (3,335 psi)
- Trigger: Two stage mechanical release, adjustable for weight and length of stage
- Safety Device: Manual rotary lever at rear of action
- Additional Information
Additional Information
Item ID DAY-HUNTSMAN-REGAL-HR Manufacturer Daystate Colour No Licence No Air Gun Type PCP (Pre-Charge) Calibre / Cartridge No . 0 .. 0 Condition New
- Reviews
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Wang, Chen Pin
School of Medicine
|9/2019 - Present
|Associate Professor/Research
|UTHSA, Population Health Sciences, San Antonio, TX
|9/2018 - Present
|Senior Biostatistician
|Biggs Institute, San Antonio, TX
|9/2017 - Present
|Associate Professor/Research
|UTHSA, Epidemiology and Biostatistics, San Antonio, TX
|1/2015 - Present
|Geriatrics Research, Education & Clinical Center (GRECC) South Texas Veterans Healthcare System, San Antonio, TX
|10/2013 - Present
|South Texas Veterans Health System Audie L Murphy Medical Center, San Antonio, TX
|4/2011 - Present
|Special Member of Faculty (Assistant Professor)
|University of Texas at San Antonio, Management Science and Statistics, San Antonio, TX
|University of Florida
Gainesville , FL
|University of Florida
Gainesville , FL
|Central University
Chungli , Taiwan
Big Data Analyses- I have 14 years of experience conducting research using electronic medical records (EMR). I am the PI on two NIH funded studies that assessed health outcomes in nationwide veterans with type 2 diabetes. I also contributed to analyses of numerous studies involving EMR from VA and Department of Defense. I have developed the expertise in analyses in longitudinal studies, including model validation and prediction, modeling of heterogeneity (e.g., disparity) and causal modeling.
Model Validation- I have (1) derived the asymptotic relationship between Bayesian posterior predictive p-value and information criteria for model fit; (2) derived a Kullback-Leibler based information criterion for comparing both nested and non-nested models; (3) developed a comprehensive residual diagnostic procedure for assessing model fit of general latent variable (mixed effects) models; (4) extended the utilities of propensity scores to health disparity research.
Statistical Modeling of Longitudinal Studies- Latent Variable Modeling (LVM) is an advanced statistical modeling technique for assessing repeatedly measured outcomes. LVM provides a robust parametric modeling framework by employing both discrete and continuous random variables to characterize complex correlation, non-linear correlation, or non-normal outcomes. I have developed expertise in the advancement of LVM, including (1) employing the Bayesian technique to overcome non-identifiability in estimation of competing risks models; (2) integrating the pseudoclass imputation technique with empirical Bayes estimation to obtain patient-level estimates; (3) integrating propensity score technique with the principal stratification methodology to derive causal inference and mediation effects for comparative effectiveness or pharmaco-epidemiology studies.
|Wang CP, Lehman D, Lam F, Kuhn J, Mahalingam D, Weitman S, Lorenzo C, Downs JR, Ramirez AG. Metformin Reduces Racial/Ethnic Disparity in Prostate Cancer Incidence; 2015 Jun. (Diabetes).
|Espinoza SE, Wang CP, Reaven P, DeFronzo R, Tripathy D, Musi N. Pioglitazone is Equally Effective for Preventing Diabetes in Older compared to Younger Pre-Diabetic Adults; 2015 May. (J Am Geriatr Soc; vol. 63, no. s1).
|Wang CP, Espinoza SE. Differential Impact of Metformin on Diabetes-related Comorbidities in Older Veterans with Type 2 Diabetes; 2015 May. (J Am Geriatr Soc; vol. 63, no. S1).
|Frausto EE, Espinoza SE, Rottman-Sagebiel R, Aung T, Cupples N, Wang CP. A Pharmacist Based Transitional Care Project Leads to Safer Prescribing in Hospitalized Older Veterans.. 2015; 63(Suppl 1): S217; 2015 May. (J Am Geriatr Soc; vol. 63, no. S1).
|Braden HM, Rottman-Sagebiel R, Cupples N, Morris M, Gonzalez E, Conde A, MacCarthy D, Wang CP, Espinoza SE. Cost Savings Associated with A Pharmacy-based Transitional Care Program for Hospitalizes Older Veterans. 2015; 63(Suppl 1): S267; 2015 May. (J Am Geriatr Soc; vol. 63, no. s1).
|Espinoza SE, Wang CP, MacCarthy D, Orsak B, Padala P, Padala K, Kellogg D. An Individualized Low-Intensity Walking Intervention Improves Physical Characteristics of Frailty in Older Veterans; 2015 May. (J Am Geriatr Soc; vol. 63, no. S1).
Journal Article
|Sara Espinoza, M.D.1,2; Chen-pin Wang, Ph.D.1,2; Devjit Tripathy, M.D.3; Stephen C. Clement, M.D.4; Dawn C. Schwenke, Ph.D.5; Mary Ann Banerji, M.D.6; George Bray, M.D.7; Thomas Buchanan, M.D.8; Robert Henry, M.D.9; Abbas Kitabchi, M.D.10; Sunder Mudaliar, M.D.9; Frankie Stentz, Ph.D.10; Peter Reaven, M.D.11; Ralph A. DeFronzo, M.D.3; Nicolas Musi, M.D. Pioglitazone is Equally Effective for Diabetes Prevention in Older versus Younger Adults with Impaired Glucose Tolerance The Age Journal 2016 Jan;.
|Rebecca Rottman-Sagebiel, Nicole Cupples, Seth Cope, Stephanie Pastewait, Hanna Braden, Chen-pin Wang, Daniel MacCarthy, Alicia Conde, Melody Moris , Sara Espinoza. A Pharmacist-Based Transitional Care Program Reduces Readmissions in Older Hospitalized Adults: A Clinical Demonstration Program Journal of the American Geriatrics Society 2016 Jan;.
|Noel PH, Parchman ML, Finley EP, Wang CP, Bollinger M, Espinoza SE, Hazuda HP . Primary Care-Public Health Linkages: Older Primary Care Patients with Prediabetes Preventive Medicine (Accepted) 2016 Jan;.
|Pugh MJ, Finley EP, Wang CP, Copeland LA, Jaramillo CA, Swan AA, Elnitsky CA, Leykum LK, Mortensen EM, Eapen BA, Noel PH, Pugh JA, and the TRACC Research Team. A Retrospective Cohort Study of Comorbidity Trajectories Associated with Traumatic Brain Injury in Veterans of the Iraq and Afghanistan Wars Brain Injury 2016 Jan;.
|Mansi I, Frei CR, Wang CP, Mortensen EM. Statins and the risk of new-onset diabetes mellitus and diabetic complications: A retrospective cohort study of healthy US adults Journal of General Internal Medicine 2015 Nov;30(11):1599-1610.
|Jaramillo CA, Cooper DB, Wang CP, Tate DF, Eapen BC, York GE, Pugh MJ. Subgroups of US IRAQ and Afghanistan veterans: associations with traumatic brain injury and mental health conditions Brain Imaging Behav 2015 May;.
|Teshome Besu, Lee Grace, Reveles Kelly, Attridge Russell, Koeller Jim, Wang Chen-pin, Mortensen Eric, Frei Christopher. Application of a methicillin-resistant Staphylococcus aureus risk score for community-onset pneumonia patients and outcomes with initial treatment BMC Infectious Diseases 2015 Jan;15.
|Laurel A Copeland, John E Zeber, Edward Y Sako, Eric M Mortensen, Mary Jo Pugh, Chen-Pin P Wang, Marcos I Restrepo, Julianne Flynn, Andrea A MacCarthy and Valerie A Lawrence . Serious mental illnesses associated with receipt of surgery in retrospective analysis of patients in the Veterans Health Administration BMC Surgery 2015 Jan;15.
|Pugh MJ, Finley EP, Copeland LA, Wang CP, Noel PH, Amuan ME, Parsons HM, Wells M, Elizondo B, Pugh JA. Complex comorbidity clusters in OEF/OIF veterans: the polytrauma clinical triad and beyond Medical Care 2014 Jan;52(2):172-178.
|Wang CP, Hernandez J, Lorenzo C, John Downs, Thompson IM, Pollock BH, Lehman D. Statins and Finasteride Use Differentially Modifies the Impact of Metformin on Prostate Cancer Risk in Men with Type 2 Diabetes Annals of Translational Medicine & Epidemiology 2014 Jan;1(1).
|Wang C-P; Hazuda H. Better Glycemic Control Is Associated With Maintenance of Lower-Extremity Function Over Time in Mexican American and European American Older Adults With Diabetes Diabetes Care 2011 Feb;34(2):274-279.
|Funding Agency
|Metformin for Preventing Frailty in High Risk Older Adults (PI: Espinoza)
|6/2016 - 5/2021
|Grant Detail
|Aim 1: To determine whether the administration of metformin to glucose intolerant older adults reduces the onset or worsening of frailty. Aim 2: To determine whether improvements in insulin sensitivity (secondary outcome) and/or reductions in inflammation (secondary outcome) are associated (predict) the preventative effect of metformin on frailty.
|Funding Agency
|Department of Defense and Department of Veterans Affairs Office of Patient Care Services
|Chronic Effects of Neurotrauma: Epidemiology Project (PI: Pugh)
|2/2015 - 12/2018
|Grant Detail
|AIM 1: Describe the prevalence of psychological, cognitive, neurological (e.g., seizures, neuroendocrine/ sensory deficits, movement disorders) and pain comorbidities. AIM 2: Identify trajectories of comorbidity over time among VA patients with mild TBI (mTBI). Using data from Aim 1 we will use statistical methods (latent class analysis) to identify patterns of TBI-related comorbidity over time (trajectories of comorbidity) among those individuals who meet mTBI criteria. Primary outcome variables for this aim are trajectories of comorbidity that will be developed using latent class analysis. This procedure will use dichotomous indicators of specific comorbid conditions found in Aim 1 to be common (at least 0.5%) among individuals with mTBI.
|Funding Agency
|Trajectories of Pain and Pain Treatment in Veterans with Mild Traumatic Brain Injury (PI: Pugh)
|7/2016 - 6/2018
|Grant Detail
|AIM 1: Identify patterns (trajectories) of pain scores over time in an IAV cohort with mTBI. Using pain scores (0-10 rating scale) collected in the course of VA clinical care, we will conduct Latent Growth Mixture Models to identify trajectories of pain. AIM 2: Identify trajectories of pain treatment over time. Latent Class Models will identify trajectories of treatment approaches using VA pharmacy (e.g., opioid, non-steroidal anti-inflammatory drugs, antidepressants and anticonvulsants commonly used for pain, skeletal muscle relaxants, etc.) and clinic visit (e.g., physical therapy, pain clinic, complementary and alternative medicine clinics, etc.) data. AIM 3: Examine the impact of pain and treatment trajectories on measures of adverse outcomes. We will identify adverse outcomes including suicidal ideation/attempt, overdose, accidents, development of substance use disorder, emergency care and hospitalization.
|Funding Agency
|Veterans Administration
|VA Vascular Injury Study (VAVIS): VA-DoD Extremity Injury Outcomes Collaboration (PI: Pugh & Shireman)
|4/2015 - 3/2018
|Grant Detail
|Objectives: 1) Describe characteristics and outcomes of vascular repair among OEF/OIF/OND (Operations Enduring Freedom/ Iraqi Freedom/New Dawn)Veterans with initial in-theatre limb salvage, 2) Characterize the preventive services received by individuals with vascular repair and related outcomes, and 3) Describe patient-reported functional outcomes in individuals with initial limb salvage.
|Funding Agency
|VA Rural Health Office
|GRECC Connect (PI: Espinoza)
|7/2014 - 9/2017
|Grant Detail
|Older adults living in rural areas often do not have access to specialized geriatric care, such as comprehensive geriatric assessment and evaluation and treatment of geriatric syndromes and conditions, such as dementia, falls, chronic pain, and advanced care planning. The goal of this project is to improve the healthcare for medically complex older Veterans enrolled in rural community-based outpatient clinics within Veterans Integrated Service Network 17.
|Funding Agency
|Veterans Affairs Office of Rural Health
|Geriatric Medicine Education at Discharge (PI: Espinoza)
|6/2014 - 9/2017
|Grant Detail
|This award funds our successful pharmacy-based transitional care project to improve post-discharge outcomes, including reducing 30-day readmission and polypharmacy in older veterans transitioning from hospital to home at Audie L. Murphy VA Hospital.


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nn2009nnJune 24- Terry Schreiber and Peter Jensen will be featured at the 92YTribeca's Noontime Talk series. Martin Denton, the founder and editor of nytheatre.com will be moderating. So come hear about the adventures of running an acting school and a theatre for 40 years! (You may just hear a few anecdotes about some famous alums!)nnnJune 3- Terry Schreiber was interviewed about his teaching career by United Stages. Read the interview on their website.nnMay 7- T. Schreiber Studio received five 2009 Backstage Reader's Choice Awards: Favorite Scene Study Class, Favorite Off-Off Broadway Theatre, Favorite Dialect Coach (Page Clements), Favorite Cold Reading Class, and Favorite Vocal Coach (Page Clements). We were even runners up for Favorite Rehearsal Studio and Favorite Casting Director Workshop!nn2008nnAugust 14-25 Terry Schreiber traveled to Chile where he taught a successful series of workshops and participated in the 4th Annual SANFIC (Santiago International Film Festival).nnJune 24- Peter Judd received a nomination to the 2008 New York Innovative Theatre Awards for Outstanding Actor in a Lead Role for his work in the T. Schreiber production of You Can't Take It With You.nnJune 15 – T. Schreiber Studio earned a spot on NYTheatre.com's 2007-08 Memorable Highlights list!"nnJanuary 7 – NYTheatre.com selected T. Schreiber Studio as one of its "People of the Year 2007!"nn2007n
nSeptember 27 – George Allison was awarded the 2007 New York Innovative Theatre Award for Outstanding Set Design for his work on the T. Schreiber Studio production of Picasso at the Lapin Agile, directed by Cat Parker.nnJuly 31 – An actress and five production team members have received nominations to the 2007 New York Innovative Theatre (NYIT) Awards for the T. Schreiber Studio's 2006-2007 season.n
* Better Living received three nominations: Jennifer McGuire for Outstanding Actress in Featured Role, Hal Tiné for Outstanding Set Design, and Andrew Eisele for Outstanding Sound Design.nn* Picasso at the Lapin Agile received three nominations: Karen Ann Ledger for Outstanding Costume Design, Andrea Boccanfuso for Outstanding Lighting Design, and George Allison for Outstanding Set Design. Awards will be presented in September.
n2006nnSeptember 19 – T. Schreiber Studio productions and players took home multiple awards at the 2006 New York Innovative Theatre (NYIT) Awards ceremony!n
* Summer Crockett Moore received a Best Featured Actress award for her work in Last Summer at Blue Fish Cove,nn* Trey Gibbons took home a Best Featured Actor Award for his work in How I Learned To Drive, andnn* Eddy Trotter received an Outstanding Set Design award for Love! Valor! Compassion!
nStudio productions, players, and production staff received an unprecedented 12 nominations for the 2005-2006 season.nn2005nnJuly 14 – Terry Schreiber's book, Acting: Advanced Techniques for the Actor, Director and Teacher has been released and is now available in bookstores and online. The T. Schreiber Studio is hosting a panel discussion and book signing in the Gloria Maddox Theatre from 7:00 – 10:00 p.m. Wine and cheese reception to follow.


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2nd - 8th GRADE ONLY:
The weekly menus will be added to the website as they are submitted by Lessings. These are the items that will be changing on a daily basis.
Lessings will also offer on a daily basis the following items: Bagels with cream cheese or butter, Fresh Fruit Salad, Green Salad, Chicken Tenders, Hamburgers and Cheeseburgers, as well as Snack Pack.
Print the weekly menu and use it as an order form for the correct day. Check or highlight choices for the day your child would like to order lunch. Only items from the day you are ordering lunch can be chosen; no"write-ins" or substitutions.
Include student name and homeroom.
Return to school with cash or indicate on the form if your child has a My Kids Spending Account.


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Your Heartbreaker Virtual Training Center
Made by runners, for all runners, Heartbreak Nation provides the tools you need to get faster and have fun. Join the Heartbreak community.
Virtual training center and community access
5K beginner, intermediate, & advanced training programs
10K beginner, intermediate, & advanced training programs
13.1M beginner, intermediate, & advanced training programs
26.2M beginner, intermediate, & advanced training programs
Weekly newsletter
Weekly Coach Q&A
Exclusive access to team gear
On-demand video treadmill classes
On-demand instructional videos
Chicago Marathon weekly guidance
Boston Marathon weekly guidance
NYC Marathon weekly guidance
Shopping discounts & free shipping
Exclusive events
Complimentary team singlet for annual members
Monthly Coach's Office Hours & social beer run
Weekly coached practice
Normatec recovery boots
Hearbreaker Gym access (Chicago)
One in-studio class per month (Boston)
Monthly Memberships
Annual Memberships
(includes complimentary team singlet)
2021 Annual Memberships
* Membership through 12/31/21 at which time the membership will automatically renew to normal annual membership
Lifetime Live Membership
get to know the team
Heartbreaker Highlight
Heartbreaker Highlight
Heartbreaker Highlight
Heartbreaker Highlight
Heartbreaker Highlight
Meet the Chief Heartbreaker, Dan Fitzgerald
Dan is co-founder of Heartbreak Hill Running Company, as well as the founder and coach of the Heartbreakers, a USATF certified running club. As the most sought after marathon coach in Boston, Dan creates, leads, and oversees programming for more than a dozen Boston Marathon charity teams, including Mass General Hospital, The American Red Cross, Boston Celtic's Shamrock Foundation, and Beth Israel Deaconess Medical Center. In total, he empowers more than 500 runners cross the finish line each year. As the creator of all treadmill studio programming and running experiences under the Heartbreak umbrella, Dan scouts, trains, and develops current and future coaches and leaders. Dan was named "Best Running Coach" by Boston Magazine in 2016. As an athlete, Dan captained the Boston College Track and Field team, where he competed in the 800m. He ran his first Boston Marathon in a time of 2:46.
Virtual Training Center Sample Videos
"As soon as David Schrager and I walked into Heartbreak Hill Running Company in the winter of 2014, we knew we had to be a part of this community (and more importantly friends with Dan). After our first speed workout on a frigid night in the common we were hooked. Fast forward 4.5 years, lifelong friendships and 22 minutes faster in the marathon, I couldn't imagine a better running community."
– Cara, pre-Heartbreaker: 3:35 marathoner, as a Heartbreaker: 3:13 marathoner, registered dietician
"I'm still very new, but I've already noticed how much I push myself during weekly workouts with the Heartbreakers. There's really something wonderful about this community."– Jordan, 20-something, medical professional
"The Heartbreakers came into my life during a time when I felt stuck and swallowed whole by the day to day dealings of new motherhood. This team gave me part of myself back. Training for my first marathon with this community gave me something to look forward to and the time I needed to take care of myself during the week at Hill Club and training runs. I've never made so many friends so quickly. You guys are the best and I'm forever grateful for you all."
– Emma, cheer zone boss
"Running with other like minded people is more fun and helps you get faster. I credit my 15 minute marathon PR to training with this team." – Eric, bearded, fast AF
"I think I've PR'd at every distance I've raced in the year since I became a Heartbreaker, I've made a bunch of excellent new friends, and I look a whole lot better when I'm out there because of all the sweet gear we have. But being a Heartbreaker has changed more than just my running for the better. Last week I was in the hospital with a malfunctioning heart. Not only did I identify the issue early because of advice I got from a teammate (thanks Molly) and have a second teammate offer to come hang out with me in the ED (thanks Gilpin) but right before they knocked me out so they could zap my heart back into rhythm - a procedure that's fairly routine but feels like anything but when you're the one lying there - I heard Dan's voice from the Boston Marathon training video saying "you will not be heartbroken, you are a heartbreaker" and that totally calmed my nerves. At the pace I run most of the team is usually in front of me but at that moment is was nice to have them behind me." – Chris, long run water stop champion, community cheerleader, road racer, law professional
"The Heartbreakers were what made Boston feel like home after first moving into the South End. Can't imagine a more supportive group of people, I'm constantly inspired and motivated by this team. Not to mention PR'ing at every single distance within the past couple years!" – Erin, pre-Heartbreaker: 3:28, as a Heartbreaker: 2:59
"I took 30 minutes off my previous marathon time after I joined the Heartbreakers. I also made a lot of awesome friends!!" – Brittany, legal professional
"Running with the Heartbreakers makes the hard runs easier and the easy runs more fun. In my first year as a Heartbreaker, I ran my fastest 5k and my longest run ever - 17.5 miles. I stood at the Boston Marathon Starting Line with the Heartbreakers on a training run. And I got up at the crack of dawn to stand on Comm Ave with the Heartbreaker Cheer Squad to cheer on the Heartbreakers at the BAA 10k. That's the thing with being a Heartbreaker - fast, slow, in-between, having the run of your life or on injured reserved, we support each other. Always." – Mary Beth, 60-something, friend to all, pre-Heartbreak: post-race leftovers in beer tent, as a Heartbreaker: choice of beer in beer tent. Every minute matters!


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Naidu is the caste name of the people belonging to the Kapu castes and its sub castes Balija/ Balija Naidu , Telaga, Ontari, and Turpu Kapu in Andhra Pradesh , Tamil Nadu,Karnataka, Kerala, Maharashtra, Orissa,Chattisgarh and Pradesh. This caste uses title Naidu and it constitutes more than twenty five per cent of Andhra Pradesh. Historical records suggest that the Kapu communities primarily served as soldiers hundreds of years ago, they protected the village communities against the attack of bandits in the medieval ages. They later took into other professions like village heads and farmers. Historians suggest the term Nayakas became Naidus over a period of time. The Naidu community is primarily concentrated in the coastal districts of Andhra Pradesh.
In Kerala there are just about 5000 Naidu families spread all over the state. Their ancestors migrated 200 years ago from Madurai and are settled in Kerala. Some families also came from Tirunelveli region. In Kerala, the two major sub-sects of Naidu caste are Balija and Kavara (Gavara) Naidus. The Naidus of Pattipparambu of Kerala can be classified as Balija Naidus. Balija Naidus wear a conical shaped Thali (Mangala sutram), whereas the other sub-sect Kavara (Gavara) Balija wears a pot-shaped Thali (Mangala sutram). However there is no clear distinction between these two subsects in the modern times as some traditions are used by both the sub-sects, especially in marriages.
What does the word Naidu mean?
Nayakas title was originally conferred upon Kapu, Telaga and Balija communities. However, during the expansion of the Vijayanagar kingdom into Southern India, the title was conferred upon other non-Telugu speaking communities who served as Commanders, Barons or Governors under the Vijayanagar emperors in Tamil Nadu and Karnataka. Due to this reason the word "Naidu" is used as a surname in many non-Telugu speaking communities in states like Tamil Nadu, Karnataka, Kerala and Orissa.
What did it denote in the earlier days?
• The word Naidu denoted a commander or a Governor
• Title of honour among Hindus in the Deccan
• The general name of the Kings of Vijayanagar
Some of the common Gothrams found in the Kapu community are Janakula, Paidipala, Mahipala, Raghukula, Kasyapa, Dhanunjaya, Athreya, Achyuta etc. Naidu matrimony portals are now popular among the present generations. Naidu matrimonial portals have opened the opportunities for people who are settled in different States and countries to find their life partners.


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Good Friday
No School on Friday, April 19 in observance of the Good Friday Holiday.
Fight For Ally Fun Run
Thank you to those who have spoke to your family and friends about making a donation towards the Ally Fun Run! Thank you also to those who have already turned in their Ally Fun Run donations! Please turn in your donations in the orange envelope to your Study Skills teacher by Tuesday, April 16 in order to be eligible for awesome prizes! You could win a 2-night staycation to Waikiki Beach Marriott Resort and Spa! Other prizes include gift certificates to Dave & Busters, McDonalds, The Pacific Club, Sea Life Park, and much more! If your Study Skills class collects the most donations, you will be rewarded with an awesome class party! C'mon students, teachers, and staff... let's help Ally in her fight against cancer!
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March 2020


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Sorry about the sombreness of today's post however some days are just tough. Getting through them can be gut wrenching, confusing…..and no fun at all……and I love Fun!
But Today is one of "those" days. I have some important decisions to make, I have to do what I have to do regardless of how I feel about these situations.
When you get down on yourself and you do, you need to pick yourself up. So I thought I would share this if/when others have similar 'tough' days.
So, how does one prepare for battle?
Regardless of what is going on, you have the ability to fight. You may have to dig deep, however inside of you is the resilience to see through this & look forward to another day. I believe that you must have a deep self belief that you are making the correct decisions and faith that brighter days are ahead…..and you do have a powerful ally, the power of Choice.
I choose to have brighter days ahead….. I can feel it already!
Be good to yourselves
# Find out more about me by visiting my :
- Fabulous "Virtual Coach" page here where ongoing support and life changing assistance is just a keystroke or two away. Why not sign up while you are there?
- Facebook page over there & "like" , if you like
- website @ www.davidstevenslifecoach.com.au
- follow me on Twitter


text: BUY BACK PRICE: 16.99 USD These increasingly rare 1 oz Silver rounds, made in 1986 by Johnson Matthey, are in good to excellent condition. Contains 1 oz of .999 fine Silver. Obverse: Depicts a frontier family of three in front of an old American flag with 13 stars. Centered upon the silhouette of America's borders, this family is encircled by "FREEDOM" and "THE AMERICAN WAY". Reverse: Displays an elaborate scale encircled by "JOHNSON MATTHEY" and "1 TROY OUNCE .999 FINE SILVER". "1986" is to the left of the scale and "USA" is to the right of it. Below the scale is the JM logo with crossed hammers. Secondary market rounds may have lavender toning, light contact marks, or spots.