Main Menu Richelle Mead Books In Order Publication Order of Georgina Kincaid Books Succubus Blues 2007 Hardcover Paperback Kindle Succubus On Top 2008 Hardcover Paperback Kindle Succubus Dreams 2008 Hardcover Paperback Kindle Succubus Heat 2009 Hardcover Paperback Kindle Succubus Shadows 2010 Hardcover Paperback Kindle Succubus Revealed 2011 Hardcover Paperback Kindle City of Demons 2016 Hardcover Paperback Kindle Chronological Order of Georgina Kincaid Books City of Demons comes after Succubus On Top aka Succubus Nights in chronological order Publication Order of Vampire Academy Books Vampire Academy 2007 Hardcover Paperback Kindle Frostbite 2008 Hardcover Paperback Kindle Shadow Kiss 2008 Hardcover Paperback Kindle Blood Promise 2009 Hardcover Paperback Kindle Spirit Bound 2009 Hardcover Paperback Kindle Last Sacrifice 2010 Hardcover Paperback Kindle Publication Order of Vampire Academy Graphic Novels Vampire Academy 2011 Hardcover Paperback Kindle Frostbite 2012 Hardcover Paperback Kindle Shadow Kiss 2013 Hardcover Paperback Kindle Publication Order of Dark Swan Books Storm Born 2008 Hardcover Paperback Kindle Thorn Queen 2009 Hardcover Paperback Kindle Iron Crowned 2011 Hardcover Paperback Kindle Shadow Heir 2012 Hardcover Paperback Kindle Publication Order of Bloodlines Books Bloodlines 2011 Hardcover Paperback Kindle The Golden Lily 2012 Hardcover Paperback Kindle The Indigo Spell 2013 Hardcover Paperback Kindle Fiery Heart 2013 Hardcover Paperback Kindle Silver Shadows 2014 Hardcover Paperback Kindle The Ruby Circle 2015 Hardcover Paperback Kindle Publication Order of Age Of X Books Gameboard of the Gods 2013 Hardcover Paperback Kindle The Immortal Crown 2014 Hardcover Paperback Kindle Publication Order of Glittering Court Books The Glittering Court 2016 Hardcover Paperback Kindle Midnight Jewel 2017 Hardcover Paperback Kindle The Emerald Sea 2018 Hardcover Paperback Kindle Publication Order of Short Story Collections Eternal Lover 2008 Hardcover Paperback Kindle Kisses from Hell 2010 Hardcover Paperback Kindle Publication Order of Graphic Novels Dark Swan Storm Born Volume 1 2011 Hardcover Paperback Kindle Publication Order of NonFiction Books Vampire Academy The Ultimate Guide 2011 Hardcover Paperback Kindle Richelle Mead Biography Richelle Mead is a young urban fantasy writer on the rise Her general focus are teen fiction an adult fiction he most famous being the Vampire Academy series which is about to hit movie theaters around the world Growing up in Michigan Richelle Mead developed a thriving captivation with folk lore that spurred her creativity She began her higher education at the University of Michigan and obtained a liberal arts degree before proceeding to Western Michigan University to achieve a Masters degree in Comparative religions After her first masters degree she moved to Seattle where she attended the University of Her novels The thriving success the two vampire series have had still do not yet over shadow Richelle Meads first series about powerful succubus Georgina Kincaid This series focusses on the seedy underbelly of the paranormal most writers would not touch with a ten foot pole In the first novel Mead introduces us to Georgina Kincaid a conflicted but adept succubus living in the big city When I comes to her real job reaping souls for hell she has everything she want any clothes she can ask for a seductive body and the power to drain away souls with a touch Despite Looking at Richelle Meads growing career and powerful works already making a name for themselves its easy to guess that this is only the beginning Only time will tell how long it will be before she is a common household name used in association with the more famous names like Rowling Meyer and George In terms of the paranormal and fantasy stage she is not a rising star but a predominant presence that will give already well known authors a run for their money Book Series In Order Authors Richelle Mead BOOK OF THE MONTH Jack Reacher is back Personally I thought this was the 2nd best Reacher book yet The latest book in the Jack Reacher series Past Tense came out November 5th Family secrets come back to haunt Reacher when he decides to visit the town his father was born in Why Because when he visits there he finds out noone with the last name of Reacher has ever lived there It leaves him wondering did his father ever live there Recommendations Every 2 weeks we send out an email with 68 Book Recommendations Well base this on various factors for example If you like Jack Reacher or If you like short stories in the horror genre Insert your email below to start getting these recommendations MISSING A BOOK I do my best to make sure the book lists are complete and current but due to human or machine error while attempting to keep 3000 authors up to date the occasional book can be missed or will be listed under an alternate title If you see one missing just send me an email below Thanks Featured Series One of my favourite series is the Brilliance Saga by Marcus Sakey and it is our featured series of the month Its just an incredible light scifi series that fans of Dark Matter would also enjoy Its free on Kindle Unlimited too Featured Author Our author of the month is Canadian author Opal Carew who writes erotic romance novels Opal has written over 100 novels with multiple book series such as the Dirty Talk series and the Abducted series If youre a fan of erotic romance be sure to check out Opal Carew Did You Know Charlaine Harris is a former weightlifter and karate student Harris resides in Magnolia Arkansas where she is the senior warden of St James Episcopal Church POPULAR AUTHORS TODAY Sue Grafton Tom Clancy James Patterson Lee Child Harlan Coben Suggestion Box Any authors or characters were missing that we should add Let us know were continually adding new authors and characters daily Name Email AuthorSeriesCharacter To Add

O O B I B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Program Details UNICOR is a lifechanging correctional program that has a profound impact on everyone in the community Overview Program Benefits Costs Products Services Customers Factory Locations Overview Inmate Facts 24 Less likely to recidivate after leaving prison 14 More likely to find and maintain employment 8 Participation rate 25000 inmates on the waiting list 23 to 115 Typical Hourly Pay More facts and details UNICOR is the trade name for Federal Prison Industries FPI a wholly owned Government corporation that was established by Congress on June 23 1934 Its mission is to protect society and reduce crime by preparing inmates for successful reentry through job training UNICOR is entirely selfsustaining receiving no appropriated funds from Congress and operating at no cost to taxpayers UNICOR is first and foremost a correctional program The impetus behind FPI is not about business but rather inmate release preparation UNICOR assists offenders with acquiring marketable job skills so that they can one day become lawabiding contributing members of society The production of items and provision of services are merely byproducts of those efforts The PostRelease Employment Project PREP compared inmates who worked in prison industries with similar inmates who did not participate in the FPI program PREP found that inmates who worked in FPI were significantly less likely to recidivate than inmates who did not participate Inmates who participated were 24 less likely to revert to criminal behavior as much as 12 years following release and and 14 more likely to be gainfully employed following release from prison Minority groups benefited the most when compared to their nonminority counterparts Inmates who participated in FPI were also less likely to engage in prison misconduct while still incarcerated Although there are approximately 25000 inmates who are waiting to work in UNICOR only 8 of workeligible inmates participate in the program where they typically earn between 23 to 115 per hour A high school diploma or General Educational Development GED certificate is required for all work assignments above entry level lowest pay level Program Benefits UNICOR is a program that benefits everyone Society UNICOR programs help reduce recidivism reduces the amount of government spending and compensates society The Inmate Financial Responsibility Program IFRP ensures that inmates who have financial obligations contribute 50 of their earnings That money is used to pay for courtordered fines victim restitution child support incarceration fees and other monetary judgments In FY 2017 that amount equated to more than 941000 dollars Private Sector During FY 2013 73 of UNICOR expenditures went toward the purchase of raw materials supplies equipment and services from private sector businesses More than 50 of UNICORs purchases were from small or disadvantaged businesses Bureau of Prisons UNICOR contributes significantly to the safety and security of Federal correctional facilities by keeping inmates constructively occupied Inmates who participate in work programs and vocational training are less likely to engage in institutional misconduct thereby enhancing the safety of staff and other inmates For many inmates working in UNICOR represents an opportunity to learn a marketable skill and gain valuable work experience that will substantially enhance their ability to successfully reintegrate into society following release from prison The program teaches inmates prosocial values including the value of work responsibility and the need to respect and work with others Specific Skills Taught Equipment Maintenance Carpentry Forklift Operations Customer Service Basic Accounting View All Skills In their own words Listen to an exoffender explain how the UNICOR program has changed his life Watch the video Veterans Currently approximately 7 of the inmates employed by UNICOR are veterans This employment is critical as more than 200000 veterans are incarcerated in the nations prisons and jails Costs UNICOR is selfsustaining and operates at no cost to the taxpayer 100 of revenues are eventually returned to the community 78 Private Sector Approximately 078 of each 100 in sales revenue is spent buying raw materials supplies services and equipment from the private sector More than half of all purchases were from small or disadvantaged businesses 18 Operations Approximately 018 of each 100 in sales revenue is used to cover the programs operational expenses including the salaries and benefits of the civil service staff who train and supervise inmate workers 4 Inmates Inmates receive approximately 004 of each 100 in sales revenue primarily used to repay important financial obligations In FY 2017 UNICOR had 4838 million in net sales Products Services UNICOR is required by statute to diversify its product offerings as much as possible minimizing the programs impact on any one industry Currently UNICOR produces over 80 products and services including Textiles Electronics Metals Services Vehicle RepairRemanufacturing Wire Plastics Wood Energy Conservation Textile Services Capabilities include Cutting Sewing Weaving Embroidery Silk Screening Upholstery Schedule of Products Why Buy Customers With a few limited exceptions FPI is restricted to selling its products to the Federal Government FPIs derives over 50 of its sales from the Department of Defense Other key customers include Department of Agriculture Department of Homeland Security Department of Justice Department of Transportation Department of Treasury Department of Veterans Affairs Federal Bureau of Prisons General Services Administration Social Security Administration United States Postal Service The Consolidated and Further Continuing Appropriations Act of 2012 opened doors for greater private sector collaboration UNICOR received legislative authority to work with private sector companies to manufacture and sell products in the commercial market provided certain eligibility requirements are met Repatriation authority was granted to participate in pilot projects with prior Board approval in the commercial sector so long as the products are currently or would otherwise be produced andor assembled outside the United States Authority to participate in the Prison Industry Enhancement Certification Program PIECP was also granted by Congress These new authorities are expected to enhance UNICORs Factory Locations UNICORs network of nationwide locations colocated to BOP facilities helps to streamline operational costs and savings

O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


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Product Recalls and Safety Notices Bosch Dishwasher Power Cord Recall Expansion Recall expansion to replace the power cords on certain Bosch dishwashers manufactured from September 2012 through January 2015 Date Announced October 19 2017 Bosch Dishwasher Power Cord Recall Recall to replace the power cords on certain Bosch dishwashers manufactured from January 2008 through December 2013 Date Announced October 1 2015 Tassimo Hot Beverage Recall Voluntary recall to repair Tassimo single serving beverage makers sold from June 2008 through February 2012 Date Announced February 9 2012 Bosch Dishwasher Recall United States and Canada Voluntary recall for inhome repair of certain Bosch dishwashers in the United States and Canada that were manufactured from May 1999 through July 2005 Date Announced January 15 2009

O O O B I B I O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Home Country Thailand Brandpartners Asia Past Events Activities Jobs and Careers Organization Bossard Thailand EMail As a globally active group of companies we procure and distribute connecting components of every kind and provide the engineering and logistics services associated with these products Beyond this we offer industrial customers complete merchandise management and logistics solutions for Cparts We are one of the market leaders of our industry in the three economic regions of Europe America and AsiaPacific The region Thailand employs around 40 people at its headquarters in Bangkok We serve the markets in Thailand Myanmar Cambodia and Laos

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summer 2018 was a blast Thanks to our donors families and partners we had the best summer ever We enrolled over 140 explorers created a number of new partnerships and explored all over Boston by foot the T bikes and boats Check out our photos on our Facebook Registration for summer 2019 will open in January 2019 2018 Photos Have you ever wanted to be an adventurer and explore really cool places in the city Would you like to go to the tops of tall buildings row boats in the Boston Harbor explore secret spaces and learn about Bostons amazing history Would you like to build things with your hands have lots of time for free play and to choose activities you like to do Then Boston Explorers just might be the camp for you Boston Explorers is about four things we make things with our hands we explore Boston we have fun and we are kind to everyone Boston Explorers is an amazing place for kids Brandon explorer explorers describe their experiences

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Home Accepting Your Bipolar Disorder Diagnosis Accepting Your Bipolar Disorder Diagnosis By Donna Jackel August 1 2009 14 Comments 4625 Views For some the diagnosis takes years for others a single trip to the doctor can do it but accepting that you have bp is another thing By Donna Jackel At age 29 Julie C seemed to be at an enviable place in life She had good friends She had come out as a lesbian and was comfortable with her sexuality And she had a fulfilling job that took her to faroff places She was coordinator of a Torontobased Foundation That life began to slip away from her in 2007 when she was beset by money and relationship problems Julie became suicidal was hospitalized twice and treated for depression But her psychologist knew another side of the young womanthe highenergy high achiever who could sometimes work at a furious pace with little sleep In 2008 the psychologist told Julie that she believed she had bipolar disorder I was terrified at first Julie recalls months later I had this dropping feeling in my gut All the stereotypes I had about bipolar came flooding into my head I have a friend who is bipolar and she has been almost homeless a couple of times and in and out of hospital I thought Oh my Godis this what my life is going to be Julie now 31 has accepted her diagnosis She is stable and feels much better than in the past She takes her medication daily maintains a regular sleep schedule works out and has improved her eating habits She still works for the Foundation but is planning to move back to her hometown and work longdistance For others the road to acceptance can be long and circuitous Peggy M 38 of Wisconsin has experienced highs and lows since her teens Although Peggy was diagnosed with bipolar in 2002 acceptance did not come until six years later when she had her first negative work evaluation Peggy received a poor rating in several areas the comment that hurt most was poor communication skills I have a masters degree in communications The review was a direct contradiction to what I knew about myself Peggy says Thats when I finally had to admit it was the bipolar affecting my work I had talked myself into thinking I had bplight Many factors influence how well a consumer is able to adapt to bipolar These include the severity of the illness level of selfawareness ones attitude about mental illness availability of a support system and access to quality health care Some consumers are able to accept their illness after one or two manic episodes Others remain in denial for years burning through relationships jobs and money until they hit rock bottom Bipolar is one of the illnesses people have the hardest time accepting says Sagar V Parikh MD deputy psychiatristinchief at the University Health Network in Toronto and professor of psychiatry at the University of Toronto Maybe onethird accept the diagnosis right away At least a third totally reject it and a third believe it but when they are better for a while begin to doubt it again Its common for acceptance to take years agrees Evette J Ludman PhD a clinical psychologist and researcher at Group Health Cooperative in Seattle and coauthor of Overcoming Bipolar Disorder A Comprehensive Workbook for Managing Your Symptoms and Achieving Your Life Goals New Harbinger Publications 2009 Fully accepting the diagnosis is almost like joining the priesthood Parikh says The commitment to treatment is a major one that involves going to the doctor regularly and paying a lot of effort to regulating ones lifestyle Its not just a commitment to medication but a way of life In his research Parikh found that consumers with bipolar II have greater difficulty acknowledging the diagnosis than do those with bipolar I which is typically characterized by clearcut episodes of mania and depression The symptoms of bipolar II are subtle he explains making it difficult to perceive the hypomania as a symptom of the illness rather than part of ones identity Your highs are mild your brain is working faster you have more confidence and energy you need less sleepits the ideal human condition says Parikh Because the symptoms of bipolar II tend to be sporadic it is difficult to conceptualize it as an illness he adds In his 20 years as a Methodist minister Ron M encountered people with bipolar disorderthere was the female parishioner who had threatened him with a knife and the wild young man who had stripped off all his clothes Because Ron associated the illness with such extreme behavior he missed his own symptoms when they began in early 2003 He attributed his racing thoughts restlessness auditory hallucinations and crying jags to depression His behavior resulted in Ron being placed on disability leave by his denomination he began seeing a psychiatrist and a therapist and started taking an antidepressant Eight months later Ron was diagnosed with bipolar II and prescribed a moodstabilizer He continued to tell himself he was only suffering from depression however I told myself There is no way Im bipolar I was convinced that if I could tough it out Id be fine he says I told myself There is no way Im bipolar During this period his marriage of 20 years ended Looking back Ron says it was this denial that prevented him from getting adequate treatment Despite his skepticism Ron began reading about bipolar disorder and keeping a mood chart By the summer of 2004 he had accepted his diagnosis The research indicated that my moods and cycling were pretty consistent with the disease he says Since this breakthrough life has gotten a lot easier Ron says He is more openminded about taking medication And by continuing to chart his moods he can predict the ups and downs I will have five to seven good days and then I will crash and have about seven to 10 dark days he says You can almost set your watch by my cycling Meanwhile a series of changes have enriched Rons life He moved from St Louis to Tucson to be near family and friends medication adjustments have brought him greater wellness and last January he fell in love and remarried When I grieve for how my life used to be I remind myself that if it was like it used to be I would never have met her he says of his wife Because of his rapidcycling Ron now 52 does not believe he will be able to lead a congregation again However he finds great fulfillment helping others as president of the Tucson DBSA Depression and Bipolar Support Alliance chapter I force myself to go to meetings when Im not feeling good he says And when I am feeling good I need to go so I can share with someone to help them in their time of struggling Indeed the stigma and discrimination associated with mental illness is a huge barrier in coming to terms with bipolar consumers and experts agree It is because there are so many misconceptions and preconceptions about mental illness that Ludman the Seattle psychologist and researcher hesitates using phrases like accepting the diagnosis Im not very fond of labels she explains Everyone has their own story of what accepting the illness means It may mean Im crazy or No one loves me Jo R an executive assistant for an Atlantabased optometry association resisted her 1997 diagnosis for eight years To her bipolar disorder meant that she could no longer trust her own mind After 36 years of living I couldnt think my thoughts were incorrect says Jo who grew up in poverty in the small hamlet of Jasper Florida I was intelligent and had accomplished a lot so I couldnt be crazy Being bipolar forces you to be the best you can be Jo told herself that her sleeplessness and psychoses were side effects of her antidepressant Denial cost her deeply She lost two jobs resulting in bankruptcy and the loss of her home But it was not until she spent a week in a state mental hospital that the reality of her situation fully hit There was a beautiful woman there who yelled and barked like a dog there was another girl who urinated on herself she says The people there were crazy and I was among them so I was one of them I told the doctor Im ready to do whatever I need to do to manage this Thats when I accepted the diagnosis Jo now 48 made good on her promise learning all she could about bipolar and what she needed to do to stay well Today she works full time and has her own apartment She keeps a mood chart and a journal exercises takes her medication and avoids toxic people Indeed Jo is so vigilant about maintaining her down time and getting enough sleep that friends and family know not to call her after 9 pm She carefully tracks her spending keeping to a strict budget and recording all her purchases The bipolar diagnosis has been a true blessing Jo now The first step following a diagnosis of bipolareven before medicationshould be learning about your illness says Parikh It is the single most effective remedy aiding acceptance Youre not going to follow any treatment plan unless it makes sense to you Mental health experts generally agree that accepting the diagnosis makes it easier to follow a treatment plan Yet disagreement exists as to how to best approach patients who are in denial Gary S Sachs MD founder and director of the Bipolar Clinic and Research Program at Massachusetts General Hospital and an associate professor of psychiatry at Harvard Medical School doesnt push acceptance as a requirement Many patients will be willing to accept some form of intervention if I dont require that they accept the label as well he says Ambivalence about treatment is kind of the norm agrees Mark S Bauer MD professor of psychiatry at Harvard Medical School director of the Harvard South Shore Psychiatry Residency Training Program and a coauthor of Overcoming Bipolar Disorder Studies show that only 20 percent of consumers come to treatment fully on board he says Rather than try to convince skeptical patients Bauer teaches them how to recognize their mood swings understand how episodes have affected their quality of life and how to control these patterns He also helps consumers develop a detailed plan for living a full life based on their But others believe that accepting the diagnosis is integral to treating the illness effectively By accepting what the problem is and informing yourself about the disease and treatment you are empowering yourself to control the disease says Francis M Mondimore MD assistant professor at Johns Hopkins University School of Medicines Department of Psychiatry and Behavioral Sciences and author of Bipolar Disorder A Guide for Patients and Families The Johns Hopkins University Press 2006My message to people is that we know a lot about how to treat this problem how to manage the symptoms You need to know all the options Lise E of Northfield Vermont grew up around mental illness Her father committed suicide when she was 17 and her late sister had schizoaffective disorder I was always in fear of being like my sister Lise admits A librarian at Norwich University in Northfield and the mother of three teenaged boys Lise 48 had for years been treated sporadically for depression Then a 2003 car accidenta drunk driver totaled the car she and her family were riding inheightened her depression Her family doctor switched her antidepressant and before long Lise became manic She left her husband and sons and moved hospitalization and a diagnosis of bipolar II followed At first I was just dealing with the ramifications of what I had done and was kind of in shockhow could I lose sight of my kids and my family Then Lise had to learn to live with a new diagnosis Instead of the more socially acceptable label of depression she had a severe chronic mood disorder It was scary and it made me sad she recalls In fact consumers often get very caught up in whether symptoms indicate depression or bipolar says Mondimore What were learning about mood disorders is there is a lot of overlap As time goes on we probably wont even have separate categories for depression and bipolar Instead there will be a classification for mood disorders Lise found that her family history actually strengthened her resolve to reclaim her life I lost my father to suicide and I will not do that to my kids no matter how hard it is she says I go get help as soon as I feel those suicidal thoughts coming Medication adherence is the biggest roadblock to fully accepting bipolar disorder according to Mondimore That is the hardest thingadmitting that you are not always able to control your emotional life he says But these feelings subside with the support of loved ones and by undergoing psychotherapy he adds Side effects are a more tangible reason people refuse or go off psychotropic medication For example Jo had to learn to live with a 100pound weight gain and hand tremors For her part Julie initially refused to take lithium because it was so heavily associated with bipolar disorder I had talked myself into thinking I had bplightthat I had a very mild version of what other people had she says wryly Friends also told me not to take itthat I could manage without it But then Julie began cycling more noticeably One week I would be excited and the next I would think the world was ending she says My therapist said lithium would help that It can also be deeply frustrating to accept that medications can only manage not cure bipolar Ludman points out The notion of having to take pills every day for the rest of her life intimidated Wendy L 55 of Owensboro Kentucky who has trouble doing anything routinely But there was a more basic reason Wendy at first resisted medication I liked my manic highsI felt very productive I didnt want them taken away she says After discussions with her husband however Wendy decided that for his sake she needed to stabilize her moods Wed been married for 30 years and Diagnosed at age 50 Wendy has gradually learned to live with flat moods I was used to flying high and feeling all these ranges of emotions and that wasnt there anymore Missing the soaring highs and bursts of energy leads many to stop their medication and land back in the hospital Its very common for patients to stop taking moodstabilizing medication when they begin to feel better Ludman says Sachs of Massachusetts General believes that having someone in your life to help you stay on track is so crucial for patients with bipolar that he helps those who dont have an existing support system to develop one Mood disorders include periods when your perceptions are distorted so the most important thing to include in your treatment plan is a care partner he says Those fortunate enough to have a loved one willing to join them on the road to recovery travel a less lonely path My husband educated himself We sat down talked about the symptoms signs and different triggers that had happened over years says Wendy He was willing to work through the changes He was so accepting of it that it helped me accept it You dont have to be in a romantic relationship to find supportan understanding boss who lets you come to work a bit later because a new medication is making you sleepy family and friends who visit you in the hospital or a relative with bipolar who shares what worked for himall can contribute to your wellness Julie who was living in a small town when she came out as a lesbian believes society is more accepting of homosexuality than mental illness In my office I dont care if people know Im gay she says The few coworkers who do know about my bipolar will be like So are your meds working now as if Ill get on some meds and then Ill be normal Thats not going to be itIll have to manage my illnesseven when Im well When Julie told her boss she had bipolar the woman who is also a good friend responded You are still the same person Nothing has changed except that you know something about yourself that can make you feel better Printed as Accepting The Diagnosis Summer 2009 acceptance Bipolar depression diagnosis fall 2009 medication therapy treatment About the author Donna Jackel Donna Jackel is a health writer based in Upstate New York whose work has been featured in Gannett Newspapers and The Bark Rochester and Her magazines 14 Comments Related BLOG 3 Ways Managing Bipolar Has Improved My Life Julie A Fast November 8 2018 Managing bipolar takes a lot of hard work and dedication but the positive effects in your life can certainly make it worth it Bipolar disorder is a genetic illness that affects a persons ability to self regulate the mood Ive lived with the illness for can you believe it almost 40 years Yikes The READ MORE VIDEO Going Public With Your Bipolar Disorder Insight on the Impacts Natasha Tracy May 7 2018 Publicizing your bipolar diagnosis can lead to both support and negative comments or attacks Heres how you can handle the good and bad I happen to be a very public person and I very publicly have bipolar disorder Everyone who reads me everyone who reads my book anyone who sees anything to do with READ MORE VIDEO What I Would Change About the Worlds Perception of Bipolar Julie A Fast March 30 2018 I would like the world to know how hard it is to have this illness How strong we are to manage it daily I was recently asked the question what would I like to change about the perception of bipolar disorder In honor of World Bipolar Day which is March 30th I thought I READ MORE CAREGIVERS How Dealing With Bipolar Made This Young Couple Stronger bp Magazine December 14 2018 In their early 20s Emily and Sean have lived together for over two years the engaged couple share their positive journey with Seans bipolar EMILY What does caregiving in your household look like Caring for Sean has never been a burden for me For a while Sean had trouble keeping a job just READ MORE Current Issue bp Magazine for Bipolar Fall 2018

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O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 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Home Home insulation Ceilings Gold Ceiling Batts The smart choice is gold Bradford Gold ceiling insulation is designed to reduce heat transfer through the roof of your home improving your homes comfort and energy efficiency Gold Ceiling Batts Bradford Gold ceiling insulation can reduce your energy bills for heating and cooling by up to 45 leading to a decrease in your energy consumption and in your energy bills Choosing the right insulation is important You need confidence that the product installed delivers on the performance that is promised Whether building a new home or undertaking alterations or additions to existing homes insulating ceilings with Bradford Gold will provide peace of mind for you and your family Play it smart with Bradford Gold Made in Australia for Australian conditions Reduces heat transfers in your home Improved comfort all year round Saves on energy costs Reduces greenhouse gas emissions Low allergen Meets the highest Australian insulation standards 70 year performance warranty Environmentally sound made from up to 80 recycled glass 100 biosoluble Non combustible Backed by CSR serving Australia since 1855 Made by Bradford Australias most trusted insulation company for 80 years About Gold Ceiling Batts Reasons to upgrade to Gold Hi Performance Ceiling Batts What RValue is best for you Find out the minimum RValue you need to comply Be safe with Bradford Gold Installation guide and tips Specifications Buy online Bradford Gold HiPerformance Ceiling Batts are made in Australia to withstand Australian conditions and boast the highest RValue ratings of R50 to R70 The higher the RValue rating the more effective the insulation is as the batts provide a better level of the resistance to heat in your home Understanding the difference between RValues is important as it can mean the difference between getting an average product for your home with average benefits and getting the best product for your home Bradford Gold HiPerformance Batts are made from glasswool the worlds most popular insulation material It is a highly costeffective solution to rising energy costs and greenhouse gas emissions Bradford Gold HiPerformance ceiling batts have the ability to give your home an optimal level of comfort which youll notice straight away in your ability to turn off your air conditioning and heating on most days saving it as a last resort for only those really hot or cool days in the season Therefore when you install premium Bradford Gold HiPerformance batts in your homes ceiling you use less energy and waste Dan Dani from The Block tell you why its worth upgrading to Gold HiPerformance Batts Your browser does not currently recognize any of the video formats available Click here to visit our frequently asked questions about HTML5 video

O O O O B I I O O O O O B I O O O O O O O O O O O O O O O O O O O O O B I I B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


William Congreve Quotes Heaven has no rage like love to hatred turned nor hell a fury like a woman scorned William Congreve Biography Author Profession Poet Nationality English Born January 24 1670 Died January 19 1729 Links Find on Amazon William Congreve Cite this Page Citation Related Authors Alfred Lord Tennyson William Blake William Wordsworth Alexander Pope John Keats W H Auden John Milton Percy Bysshe Shelley Topics Fury Hatred Heaven Hell Love Nor Rage Scorned Turned Woman Quotes to Explore There is only one happiness in this life to love and be loved George Sand Life Love Happiness Loved Only Love yourself It is important to stay positive because beauty comes from the inside out Jenn Proske Positive Love Beauty Yourself Inside The most important thing in the world is family and love John Wooden Family Love World Important Most Infuse your life with action Dont wait for it to happen Make it happen Make your own future Make your own hope Make your own love And whatever your beliefs honor your creator not by passively waiting for grace to come down from upon high but by doing what you can to make grace happen yourself right now right down here on Earth Bradley Whitford Motivational Life Love Future Hope Success is no accident It is hard work perseverance learning studying sacrifice and most of all love of what you are doing or learning to do Pele Work Love Hard Work Success Learning Peace is the beauty of life It is sunshine It is the smile of a child the love of a mother the joy of a father the togetherness of a family It is the advancement of man the victory of a just cause the triumph of truth Menachem Begin Life Family Love Smile Beauty Joy Christmas is the perfect time to celebrate the love of God and family and to create memories that will last forever Jesus is Gods perfect indescribable gift The amazing thing is that not only are we able to receive this gift but we are able to share it with others on Christmas and every other day of the year Joel Osteen Family Love Memories Christmas Time Love myself I do Not everything but I love the good as well as the bad I love my crazy lifestyle and I love my hard discipline I love my freedom of speech and the way my eyes get dark when Im tired I love that I have learned to trust people with my heart even if it will get broken I am proud of everything that I am and will become Johnny Weir Love Good Eyes Heart Trust Freedom Being deeply loved by someone gives you strength while loving someone deeply gives you courage Lao Tzu Love Strength Courage Loved Loving A good teacher can inspire hope ignite the imagination and instill a love of learning Brad Henry Love Good Learning Hope Good Teacher Kindness in words creates confidence Kindness in thinking creates profoundness Kindness in giving creates love Lao Tzu Love Kindness Confidence Giving Family is a unique gift that needs to be appreciated and treasured even when theyre driving you crazy As much as they make you mad interrupt you annoy you curse at you try to control you these are the people who know you the best and who love you Jenna Morasca Family Love Best Gift Crazy People The greatest healing therapy is friendship and love Hubert H Humphrey Friendship Love Moving On Healing Were born alone we live alone we die alone Only through our love and friendship can we create the illusion for the moment that were not alone Orson Welles Friendship Love Alone Live Moment

B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Consultants Designed to help you to implement BRC Global Standards into your site Overview Courses BRC elearning Category Learning Modules Find an Approved Training Partner Find a Consultant BRC Professional BRC Global Standards Consultants The BRC Global Standards Consultants scheme has been designed to help with the implementation of BRC Global Standards Consultants are a link between BRC Global Standards and manufacturing sites and they have the skills knowledge and expertise to help you achieve and maintain your certification The BRC Global Standards Consultants scheme also provides recognition for industry experts who meet the rigorous criteria as laid out by the scheme By selecting a BRC Global Standards Consultant you can rest assured they will have a thorough understanding of the most recent BRC Global Standards Use the search below to find a BRC Global Standards Consultant Disclaimer Whilst every effort is made to ensure Consultants meet the strict requirements of the scheme BRC Global Standards accepts no liability for the consultancy serviceadvice provided by the BRC Global Standards Consultants to any organisation BRC Global Standards will not be responsible for the consequences of any actions taken by a company on the basis of the information provided by the BRC Global Standards Consultant If for some reason the company does not pass BRC Global Standards Certification after following the recommendations of the BRC Global Standards Consultant BRC Global Standards can not be held liable Find a BRC Global Standards Consultant You can search for a BRC Global Standards Consultant by the applicable BRC Global Standard course and country Please note if a consultant is not listed in our database it means they are not approved by BRC Global Standards Select a Standard Food issue 7 Packaging issue 5 Storage Distribution issue 3 Retail issue 1 Agents Brokers Issue 2 Consumer Products Issue 4 Product Safety Management Food Issue 8 Category All

B O O O O O O B I I O O O O O O O O O O O O O O O O O O O O B I I B O B I I B O O O O O O O O O O B I I B O O O O B I I O O O O O O O O O O O O O O O O O O O O B I I B O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O B I I O O O O O O O B I I O O O O O O O O O B O O O O O O O B I I O O O O O O O O O O B I I B O O O B I I O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O B I I O O O O O O O B I I O B I I O O O O O O O B I I O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Tools to Help You Protect Yourself from Unwanted Surveillance Business owners corporate leaders law enforcement teams and government officials are concerned about information security Sensitive details are often discussed in meetings and on phone calls making it essential for conference rooms corporate offices and phone lines to be secure Private consumers are also often concerned about information security when dealing with legal concerns or the handling of personal sensitive information Information security is about more than ensuring that you have all of the protective measures in place Its also important to monitor and protect yourself from unwanted surveillance that could come in the form of a security breach Counter surveillance tools are designed to help users detect and prevent unlawful and unwanted monitoring whether that means detecting hidden cameras scrambling unseen signals or creating white noise masking that prevents recording devices from capturing voices At BrickHouse Security we carry a wide variety of counter surveillance tools designed to help users protect their own privacy Personal Corporate Government See All Counter Surveillance Gear Protecting Privacy Since 2005 As a leader in the security industry BrickHouse is proud to be trusted by thousands of law enforcement agencies and over 600000 customers both in the public and private sector Counter Surveillance Tools Designed for Security Protecting your information and privacy is easy to do with the right counter surveillance tools for the job We carry counter surveillance tools designed to meet a wide range of security needs from camera lens detectors which can help you determine if someone is watching you from a hidden camera to RF detectors which can find and identify unauthorized signals from hidden surveillance tools The security experts at BrickHouse Security are committed to helping our customers choose the most appropriate security tools for your corporate or personal needs No matter what level of security you are seeking we can help you find the right counter surveillance tools for the job We invite you to contact us directly if you have questions or need assistance making the best choice for your security Were here for you when you need to know Trusted by What Our Customers Have to Say Ive read reviews on the personal multibug detector and it seems to be the best on the market in its price range Dennis M I am ordering again because I was completely satisfied with the first order I had Prompt wellpackaged product with fine instructions Mary L I have ordered several products from Brickhouse Security They have always arrived quickly and work as described Customer service is great I would highly recommend this company Kris L The online chat was helpful and answered all of my crazy questions It made the buying experience easy to complete Charles H See All Reviews Learn From the Experts Video Articles

O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O B I O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

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Do You Have to Host a Brunch the Day After the Wedding Luke and Isabel Photography Weddings are no longer a single event on a Saturday afternoon These days theyre a weekends worth of celebrations from a Friday night welcome party to the Sunday morningafter brunch Those brunches may be popular ways to ease a hangover and say goodbye before guests head out of town but are they absolutely necessary After all youve spent so long planning and have played host for a nightdo you really need to do it again tomorrow Weve broken down the factors to help you figure out if a postwedding brunch is right for you After hosting one of the biggest nights of your life and finally tumbling into bed as a married couple the question is Do you want to set your alarm get dressed up and do it all again in the morning The good news is you dont have to Its up to you and your partner whether you decide to gather everyone for breakfast or head off to your honeymoon Still on the fence These pros and cons will help Pro It keeps the celebration going With so much to celebrate it can be hard to see your wedding night come to an end Throwing a brunch the next morning gives you one more opportunity for festivitiesand one more chance to wear white Con Youll have to set your alarm in the morning Weddings are emotional and exhausting especially if you and your partner are the last ones to leave the afterparty in the wee hours of the morning If you have a brunch youll need to find the strength to roll out of bed and make yourselves presentable instead of sleeping all day with your new spouse by your side but hey you can always sleep in on your honeymoon Pro Everyone is already in the same place If you ask your married friends what they loved most about their wedding a majority will mention having all the people they love in one room There are few times in life when that gets to happen so arranging a brunch the next day gives you a few more hours surrounded by those closest to you with no extra travel required Con Some guests wont be able to make it A Saturday evening wedding means guests will be using Sunday to travel home and get ready for their week Brunch is a great idea but with early flights and long travel days ahead of them a lot of your guests might already be on the road before it starts Pro Breakfast is delicious Pancakes waffles bacon eggs coffee Bloody Maryswhats not to love If youre a fan of breakfast food but werent brave enough to swap that steak dinner at your reception with breakfast sausage nows your chance to treat your guests to your favorite morning goodies Con Its one more thing to add to your budget While the rehearsal dinner is usually paid for by the grooms parents the morningafter brunch falls squarely on a brides parents budget meaning youll have to take funds away from your wedding in order to feed everyone the next morning If the pros outweigh the cons here are a few tips to keep in mind Keep it casual Instead of a sitdown meal morningafter brunches are the perfect chance for a rolling gathering Give guests a range of times to stop by 930 am to 1130 am for example so they can pop in once theyre up and packed and grab a little something to eat before they head to the airport Opt for a buffet In line with that casual vibe let guests fill their plates or pick up a togo coffee and a croissant and find a seat on their own Even if you give guests a full menu the time it takes to order and wait for food to arrive could mean theyre racing to catch their flight A spread of premade food means they can eat quickly or settle in for a leisurely breakfast whatever works best Dont forget the coffee Mimosas and Bloody Marys are much appreciated but you dont need to spring for booze if you dont want to Coffee and juice however are essential Be prepared to stay a while When choosing the timing for your brunch make sure you and your new spouse are available to stay for the whole thing This way anyone who chooses to attend can give you a hug whether theyre early birds or stragglers Brunch Weddings Are Seriously Trending Among Millennials Ask for RSVPs Even with a lowkey rolling brunch you still need an idea of who will be attending Add a line to your RSVP card or go easy with an evite that allows guests to RSVP online The count may not be exact but the difference between breakfast for 75 and 150 is huge A rough estimate of how many guests can be there will allow you to order food and arrange for seating accordingly TOPICS Advice Instagram

O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Alzheimers

Disease

and

Women

A

Research

Update

Expert

Alzheimers

Disease

and

Women

A

Research

Update

James

M

Ellison

MD

MPH

Swank

Memory

Care

Center

Christiana

Care

Health

System

This

article

explores

the

latest

research

concerning

Alzheimers

and

women

Alzheimers

disease

AD

is

as

we

often

hear

a

public

health

problem

of

epidemic

proportions

It

is

the

fifth

leading

cause

of

death

in

Americans

aged

and

older

More

than

five

million

Americans

are

already

affected

AD

will

become

an

even

greater

societal

burden

in

the

future

due

to

the

growth

of

our

population

both

in

number

and

in

expected

length

of

life

While

AD

is

a

major

source

of

suffering

death

expense

and

caregiving

burden

for

all

of

us

it

has

an

especially

powerful

impact

on

the

lives

of

women

The

Age

Factor

Many

more

women

than

men

suffer

from

AD

A

recent

study

reported

that

million

women

age

and

older

compared

to

million

men

are

affected

in

the

United

States

Since

the

most

powerful

risk

factor

for

Alzheimers

disease

is

age

many

researchers

believe

that

womens

greater

life

expectancy

explains

why

so

many

more

women

are

affected

According

to

the

latest

census

Americans

of

both

sexes

now

expect

to

survive

into

their

early

but

women

will

live

on

average

nearly

three

years

longer

than

men

Researchers

confirmed

the

importance

of

womens

longer

survival

as

a

risk

factor

for

AD

by

following

a

large

group

of

aging

East

Boston

adults

They

showed

that

the

lifetime

risk

for

AD

among

the

women

in

this

group

was

while

the

lifetime

risk

for

men

was

only

MaleFemale

Differences

Womens

lives

and

bodies

differ

from

mens

in

a

variety

of

ways

that

might

affect

the

course

and

expression

of

Alzheimers

disease

Some

studies

have

focused

on

socioeconomic

factors

including

educational

level

lifestyle

and

the

different

stresses

that

affect

women

as

compared

to

men

In

addition

a

very

important

body

of

research

has

explored

the

effects

on

AD

of

hormonal

differences

between

men

and

women

Early

research

findings

in

animals

indicated

that

estrogen

has

multiple

beneficial

effects

on

the

brain

including

Improved

synapse

formation

the

synapse

is

a

structure

that

permits

cells

to

communicate

with

one

another

Increased

cerebral

blood

flow

and

glucose

metabolism

Increased

choline

acetyltransferase

activity

this

enzyme

helps

in

the

formation

of

acetylcholine

an

important

brain

chemical

involved

in

nerve

cell

communication

Reduced

deposition

of

toxic

betaamyloid

one

of

the

hallmarks

of

Alzheimers

disease

is

the

accumulation

of

betaamyloid

plaques

between

nerve

cells

in

the

brain

Prevention

of

mitochondrial

damage

mitochondria

are

the

cells

power

plants

and

also

provide

other

important

functions

In

women

started

on

estrogen

therapy

in

early

postmenopause

estrogen

therapy

was

shown

to

have

cognitive

benefits

The

famous

Womens

Health

Initiative

Study

however

reported

an

increased

risk

for

dementia

among

women

who

began

estrogen

or

estrogen

with

progesterone

at

ages

to

years

This

finding

alarmed

many

patients

and

clinicians

and

led

to

a

decrease

in

the

prescribing

of

Hormone

Replacement

Therapy

HRT

Subsequent

reconsideration

of

the

many

sources

of

data

on

HRT

however

has

suggested

an

explanatory

window

effect

or

timing

effect

theory

This

theory

proposes

that

estrogen

begun

in

early

postmenopause

has

beneficial

effects

on

the

Surprisingly

some

research

suggests

that

not

only

the

number

of

affected

people

but

also

the

character

of

the

disease

is

affected

by

gender

Men

with

AD

have

been

found

more

likely

to

show

aggressiveness

preoccupation

with

bodily

function

and

apathy

Women

by

contrast

have

been

found

to

show

more

reclusive

behavior

emotional

lability

hoarding

and

refusal

of

help

The

Impact

of

Caregiving

Finally

a

discussion

of

ADs

effects

on

women

must

acknowledge

womens

disproportionately

large

caregiving

role

Women

account

for

three

out

of

every

five

AD

caregivers

This

means

that

about

million

women

in

America

provide

unpaid

care

for

someone

with

dementia

The

impact

on

these

caregivers

lives

is

extraordinarily

stressful

An

NACAARP

poll

taken

in

showed

that

nearly

half

the

caregivers

who

responded

considered

the

stress

of

caregiving

to

be

maximal

Many

employed

caregivers

are

forced

to

take

a

leave

of

absence

from

a

paid

job

or

to

give

up

a

job

altogether

as

a

result

of

caregiving

demands

The

majority

of

caregivers

report

having

less

time

for

their

friends

and

families

Although

there

may

be

positive

aspects

of

caregiving

women

who

take

on

this

role

often

have

done

so

as

a

result

of

their

promise

to

keep

a

relative

or

friend

out

of

an

institution

or

to

avoid

the

prohibitively

expensive

costs

associated

with

other

options

such

as

paid

care

at

home

or

in

an

Assisted

Living

dementia

unit

Dementia

care

compared

to

caregiving

for

other

illnesses

or

disabilities

is

a

particularly

demanding

form

of

caregiving

Female

dementia

caregivers

according

to

an

NACAARP

study

provided

an

average

of

hours

of

care

per

week

significantly

more

hours

than

other

types

of

Summary

The

future

may

hold

significant

advances

for

the

prevention

and

treatment

of

AD

There

has

been

progress

in

early

detection

lifestyle

modification

somatic

therapies

and

psychosocial

treatments

However

the

special

needs

of

women

are

among

the

important

questions

that

demand

additional

attention

Further

investigation

is

clearly

needed

in

a

number

of

areas

including

the

effects

of

HRT

on

brain

health

biological

biomarkers

genetic

risk

factors

and

better

detection

of

those

at

risk

for

AD

to

mention

a

few

Also

to

improve

the

lives

of

women

affected

by

AD

it

will

be

crucial

to

have

greater

support

for

caregivers

to

develop

Sources

Carter

CL

Resnick

EM

Mallampalli

M

et

al

Sex

and

gender

differences

in

Alzheimers

disease

Recommendations

for

future

research

J

Womens

Health

US

Census

Bureau

Statistical

Abstract

of

the

United

States

consulted

Hebert

L

Scherer

PA

McCann

JJ

et

al

Is

the

risk

of

developing

Alzheimers

disease

greater

for

women

than

for

men

Am

J

Epidemiology

Rocca

WA

Grossardt

BR

Shuster

LT

Oophorectomy

menopause

estrogen

treatment

and

cognitive

aging

Clinical

evidence

for

a

window

of

opportunity

Brain

Res

Kitamura

T

Kitamura

M

Hino

S

et

al

Gender

differences

in

clinical

manifestations

and

outcomes

among

hospitalizes

patients

with

behavioral

and

psychological

symptoms

of

dementia

J

Clin

Psychiatry

Ott

BR

Tate

CA

Gordon

NM

et

al

Gender

differences

in

the

behavioral

menifestations

of

Alzheimers

disease

J

Am

Geriatr

Soc

J

Am

Geriatr

Soc

Fetherling

D

Fazio

S

Maslow

K

What

toll

does

Alzheimer

caregiving

take

on

women

In

Skelton

K

Geiger

A

Morgan

O

et

al

eds

Alzheimers

in

America

The

Shriver

Report

on

Women

and

Alzheimers

New

York

Free

Press

pp

Alzheimers

Association

unpublished

data

from

NACAARP

survey

of

caregiving

in

the

United

States

from

Skelton

K

Geiger

A

Morgan

O

et

al

eds

Alzheimers

in

America

The

Shriver

Report

on

Women

and

Alzheimers

New

York

Free

Press

pp

Miittelman

MS

Roth

DL

Clay

OJ

et

al

Preserving

health

of

Alzheimers

caregivers

Impact

of

a

spouse

caregiver

intervention

Am

J

Geriatric

Psychiatry

Resources

Alzheimers

Disease

Toolkit

Helpful

Information

to

Understand

and

Manage

Alzheimers

Disease

Expert

Information

on

Alzheimers

Disease

Articles

This

content

was

last

updated

on

October

This

content

was

first

posted

on

November

Disease

Alzheimers

Disease

Disease

Stage

Prevention

Caregiving

Drugs

Medication

About

the

Author

James

M

Ellison

MD

MPH

Swank

Memory

Care

Center

Christiana

Care

Health

System

James

Ellison

MD

received

his

medical

degree

from

UCSF

in

and

trained

in

psychiatry

at

the

Massachusetts

General

Hospital

Full

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