text:
Jutexpo Doggy Bag Gives Timothy The Wandering Spaniel A New Lease Of Life
A doggy bag with a difference has given Timothy the King Charles Spaniel a new lease of life – and turned him into an internet sensation.
Timothy used to love going for long walks with his owners Rory and Ann Fox from Harrow, North-west London but an enlarged heart and regular seizures left him confined to the house.
But his owners were determined not to leave him behind when they went out for day trips or on holiday – and discovered that a Royal British Legion jute bag with a poppy design was perfect to enable them to carry him with them.
He is now inundated with photo requests wherever he goes and has his own dedicated website www.doginabag.co.uk and Twitter and Facebook pages so fans can follow his adventures. Fans can even have their own timothy the dog calendar featuring photos of his adventures.
And his owners take him to places with a dog-related name each year for his birthday – including Barking, Barkham Manor in Berkshire and the Isle of Dogs!
The environmentally-friendly jute bags are produced for the Royal British Legion by Jutexpo, the world's biggest supplier of reusable jute bags, who have now designed Timothy his own unique bag featuring his picture and a "feel free to take my photo" message in response to the repeated requests to take his picture. They have also offered him free bags for life.
The jute bags have a lifespan of up to four years, so are the perfect size and strong enough to carry Timothy.
The wandering spaniel, who is 12 on September 21, first had a seizure whilst walking from the Tube into Camden in London with Rory, 37, a network administrator, and Ann, 41, an English language teacher.
Rory said: "The breed has a weak heart, which cases it to swell and press against the lungs, leaving Timothy short of breath. The average age of a King Charles is around eight or nine, so he is doing very well to still be here.
"Timothy first collapsed on a hot day while we were sitting on a bench outside a café.
"He looked like he was a goner but we carried him home in our arms and when we got to the end of our street he recognised where he was and wanted to walk the last few yards home.
"He was then able to walk short distances but the next time we went on another long walk he had another seizure.
"We were faced with a decision between leaving him at home on his own or carrying him with us, so we hunted around for a strong suitable bag and the jute Royal British Legion Poppy Bag was the perfect size for him.
"I can put the bag on the floor without it falling over, and then put Timothy into it on my own. He's a good nine kilos, so carrying him all day is no joke: having the comfortable handles makes the difference."
"We didn't realise he would attract so much attention but the first time we took him out in his bag was on a trip to Saltaire in Yorkshire, I hung his bag on a fence post while I bent down to tie my shoelace and when I looked up there were half a dozen people taking his photo.
"People are always asking to take his photo and he has become a bit of a celebrity. I carry him onto the Tube on the way to work and he even makes people on the Tube smile, which is an achievement.
"We have had little business cards printed telling people they are welcome to take his picture and giving them details of his website, so they can read all about him and why he is in the bag.
"We have just come back from a fortnight camping in Shropshire and he loved it.
"It is like having a celebrity in the family. We have only ever had two people complain that it is cruel but if he didn't like it he would try to get out and the alternative is to leave him sitting at home on his own for five hours until one of us gets home from work."
Sam Turner, compliance director of Jutexpo, said: "Our bags are usually used as a reusable and environmentally-friendly alternative to plastic bags and were not designed with adventurous dogs in mind but we are delighted that our bags are perfect for helping Timothy get out and about.
"We thought he deserved a bag of his own and hope he enjoys travelling around in it."
Jutexpo is the world's biggest supplier of reusable jute bags and has more than 80 per cent of the UK market.
The company's jute bag production rose from 5.5million bags per year before the English plastic bag tax was introduced in 2015 to help reduce litter and protect wildlife, to 8.5million in the year of the bag tax and 7million a year since.
Jute is a fully sustainable product and it is estimated that there is enough to provide everybody in the world with two bags per year.
Jutexpo partners with a wide range of charities to produce fund-raising jute bags, raising millions of pounds for good causes across the UK.
Jutexpo Supplies A Range Of Reusable Eco-Friendly Bags For Waitrose & Partners' 'Unpacked' Test
Butlin's Offers Visitors A Range Of Eco-Friendly Fold-Away Pouch Bags Made Entirely From Recycled Plastic Bottles
Caroline Gardner Designs Waitrose, Eco-Friendly Charity Bags In Aid Of Meningitis Now
Waitrose & Partners launches reusable Emma Bridgewater shopping bag made from recycled plastic bottles by Jutexpo
Caroline Gardner Designs John Lewis Shopping Bag Made Entirely From Recycled Plastic Bottles
Bag Tax (11)
Butlins (1)
Delta Taxis (1)
Dog in a Bag (1)
Emma Bridgewater (2)
Juco (1)
Jutexpo (13)
Market Review (1)
Meningitis Now (2)
Merlin Entertainments (1)
Personalised Bags (1)
Plastic Bag Use (10)
Royal British Legion (7)
rPET (8)
Selfridges (1)
Timothy the Dog (1)
unpacked (1)
Waitrose (4)


You must have already rejected the 'Valentine Week'. Hopefully this time your 'valentine day' will be very special. Right now, in Valentine's Week, you have a lot of love to do, promise to do, as well as give a gift, but now in the coming days you should get rid of your anger, improve your mistakes, teach someone a lesson And there will be a chance to finish the relationship.
Yes, the whole week will come for you. The 'slap day' is celebrated on the next day of 'Valentine's Day' on 15th February. Usually people consider it a bad day and take it seriously. But do you know any day is not bad? You can also enjoy 'Slap Day', let's learn how.
You have been troubled by a whole 'valentine week', or someone is very tight to you, so today it is the perfect day when you can take action against him. Yes, you can tasting fun at 'Slap Day'. You have to call the person troubling you where you feel comfortable and when he comes, lovingly saying, 'Sorry, I did not celebrate' valentine wik 'with you, but we will definitely celebrate' slap de ' Slap the slap.
You want to teach someone a lesson but if you are not able to do this, you will not get a better day than 'slap day'. If you want, you can slap it by slapping him on today. But if you are not able to do this then you should make him feel so gilt with your words that he realizes how bad he has done to you.
Slap You want to celebrate 'Slap Day' but you can not find anybody with whom you celebrate 'Slap Day', its best solution is to call your valentine and slap a slap of emphasis on 'Slap Day' 'Wish you This will not delay your partner to understand that you want to celebrate your Valentine with good and bad every day.
Many people think of 'slap day' as bad and keep on screaming. But you do not do it, but also enjoy it every day. Celebrate it with your friends in humor and joke. Take it as fun. Then see how good your 'slap day' is. Task Like Take 'Slap Day' as a task. If you want to give your friends the slap to slap somebody on this day. But keep in mind that all this should be during fun and fun.
So now you can celebrate 'Slap Day' with anger, love and laughter.


Hasty Lace Templates Hasty Lace® templates are made of heavy laser-cut plastic. The designs consist of many 1mm holes in the template which you can use to emboss and pierce paper. The most commonly used paper is translucent vellum. When it is embossed, light weight vellum can resemble brocade. This is an elegant look for a frame or background. Heavier translucent vellum, when pierced and embossed can resemble lace, beading, and cross stitch. You can make large spectacular pieces to hang on the wall or small intimate pieces to accent a card.
The templates can also be used to pierce opaque paper, just as you would do for paper piercing in general. The difference is that the needle is finer, and the holes are smaller and closer together. The effect is striking.
You can extend the design that is on a template, or use just part of it. You can combine parts of one design with another. The possibilities are so broad that I consider the Hasty Lace® templates to be more like using a paint brush than following a specific pattern.


Meme: Because it's easier than writing another real update!
1) Who is the last person you high-fived? Connor; we high-five one another at least a dozen times a day, for various reasons. It's kind of our "thing."
2) If you were drafted into a war, would you serve? No. I am a pacifist, and would conscientiously object.
4) Have you ever won a spelling bee? No. I can't remember ever participating in a spelling bee. If I had, I might have won. I am a good speller. Although, I'm not that good at spelling aloud. I often have to write a word down to know whether or not I'm spelling it correctly, so maybe spelling bees wouldn't have been such a good thing for me? It does seem strange to me now, though, that I never had the opportunity to be in one. What was wrong with the schools I attended?!?!
6)How fast can you type? Last time I took a test (sometime back in the early 90s), my speed was around 80 wpm. No idea how fast I type now; probably slower than that, although maybe not, when I really get going. I've certainly had a lot of practice since then, so who know? Maybe I'm faster now. I type fast enough to keep up with my train of thought, and that's good enough for me.
7) Are you afraid of the dark? No, I like the dark. Sometimes I'm afraid of things I can imagine lurking in the dark, though. And in my house, it is smart to be afraid of toys with pointy edges which might be laying on the floor between the bed and the bathroom in the dark. This is why I usually turn on a light.
8) What color are your socks? I almost never wear socks, although I do own some, in various colors. I even have Hogwarts socks (which are gray, if we still care about color).
9) When is the last time you chose a bath over a shower? That's not really a choice for me. The two things fulfill entirely different objectives. Showers are for washing hair and getting clean; baths are for relaxing and reading. So, I don't choose one over the other; it's just a matter of which of those things I am trying to accomplish at the time.
10) Do you knock on wood? See #5 above.
11) Can you hula hoop? Yes, a bit, although I'm not sure how long I could keep it going now. There was a time when I could do it pretty much indefinitely. I suspect those days are long gone, though.
12) Are you good at keeping secrets? Yes. Very.
13) What do you want for Christmas? ??? Who knows? I haven't thought that far ahead. Um, maybe confirmation about the date we'll be moving to Puerto Rico?
14) Do you talk in your sleep? Yes, occasionally.
15) Have you ever flown a kite? Yes.
16) Do you wish on your fallen eyelashes? No, and I'd never even heard of anyone doing this until I saw this question.
18) Have you ever asked for a pony? No. I would have rather had a cap gun or an electric guitar instead.
20) Can you juggle? Yes - three things. I would love to learn four, and one of these days I'll sit down (or, rather, stand up) and try it.
21) If you could enact any new law, what would it be? I would outlaw talking on cell phones while driving. It would be nice to outlaw the putting on of makeup, eating bowls of cereal, reading newspapers, etc., too, but if I couldn't get all that through at once, I'd be happy to start with just the cell phones.
22) If you had only enough energy left in you for one last smile, who would you give it to? Connor.
23) Have you ever been suspended or expelled from school? Yes, suspended. From high school. On my official record, it says I was caught smoking a cigarette. I will neither confirm nor deny that tobacco was, in fact, the substance I was smoking in the art building darkroom. Also, I was the only one who got caught, and the fact that I didn't rat out the others in there with me seems to apply to #12.
24) Have you ever crawled through a window? Many times. More than one window, in fact. I did it regularly as a teenager, to get out of the house at night. I've also broken in to my house (as an adult) on at least two occasions when I locked myself out. (In these cases, I had to break the window first; one of these times I was still in my nightgown and bare feet when it happened).
25) Have you ever eaten dog food? No, but when I was a kid we used to eat those bone-shaped doggie biscuits. (My father was the one who instigated this. I don't even want to think about it now). They didn't taste bad (kind of nutty, IIRC), but the texture was horrible.
26) Can you handle the truth? Yes. I prefer it, in fact.
27) Do you like green eggs and ham? This is a silly question. I do not like them in a box. I do not like them with a fox. I do not like them in a house. I do not like them with a mouse. I do not like them here or there. I do not like them anywhere. I do not like green eggs and ham. I do not like them, Sam-I-am. Then again, I'm not sure I've ever actually tried them, so maybe they'd be okay?


Chewy Pumpkin Chocolate Chip Oatmeal Bars are soft, moist, and loaded with pumpkin, chewy oats, warm spices, and rich chocolate chips for a perfect fall treat!
Happy November, everyone! Are y'all tired of pumpkin yet? Hopefully not, because I have one last pumpkin treat for you this season…and I think it was worth the wait!
This past weekend, we celebrated a special milestone birthday for my hubby. As is customary every year, I baked him a homemade pecan pie, since he prefers that over any type of cake that I could possibly concoct. His parents came over, we sang 'Happy Birthday,' and between the seven of us, we polished off about half of the pie.
So when I gave this recipe another go last weekend, I decided to adapt the ingredient amounts to fit a large, rimmed sheet pan, à la my all-time favorite brownie recipe. And whaddya' know…it worked! The bars were still slightly gooey coming out of the oven, but as they cooled, they transformed into perfectly soft, moist bars peppered with chewy oats and decadent chocolate chips. The pleasant pumpkin flavor came without being overwhelming. And while the cookies bordering the edges of the pan were slightly firmer than those in the center, the entire batch was much more evenly cooked than my earlier cake pan attempt.
But for the real test…were these Chewy Pumpkin Chocolate Chip Oatmeal Bars good enough to distract my kids from recalling the existence of their Daddy's hard-earned (turning a year older takes work) pecan pie? In one word, YES. They were so zoned in on their pumpkin goodness they didn't even notice that someone else at the table had a different treat on his dessert plate.
And, as further evidence, the 8-year-old then asked me if they could have pumpkin oatmeal bars for breakfast tomorrow. Because, OATS. He even tried to defend his argument by listing off all of the other oat-y breakfast goodies that I regularly make for them. While he claims he wants to be a host on College GameDay when he grows up ("I'm going to take Lee Corso's place one day and pick which head to wear every week"), I'm pretty sure he'd make a formidable attorney.
Position rack in center of oven and preheat to 350°F. Generously butter a rimmed 12x18x1-inch baking sheet; set aside.
In a medium bowl, whisk together flour, baking soda, salt, cinnamon, ginger, nutmeg, and allspice. Mix in oats until well-blended. In a large bowl, use an electric mixer to stir butter until creamy. Blend in sugar and brown sugar and beat on medium-high speed for 3 minutes or until light and fluffy. Mix in the eggs, one at a time, until combined, then add the vanilla and pumpkin and mix until smooth.
I am hoping to make these pumpkin chocolate chip oatmeal bars, but the recipe does not say when to add the pumpkin. Can you tell me? They look great!
I can't wait to try these. I've gone over the recipe several times and don't see where you added the pumpkin. I'm sorry if I'm missing it. Is it with the wet ingredients, after the eggs, or at the end with the chocolate chips. ?
I made them today Samantha and all I can say is….AMAZING!!! The whole family loved them, just trying to get them to wait for them to cool was near impossible. I can't rate this high enough. It's so yummy, you can't stop at one. Thank you for sharing such a great recipe.
Oh, it makes me so happy to hear that, Anne! I'm thrilled that these bars were such a hit and I appreciate you taking the time to come back and let me know how much y'all enjoyed them. 🙂 Hope your week is off to a great start!
Hi I'm Maggie, I'm fourteen and I just wanted to thank you so much for these recipes!!! I make them all the time for my dad and my brother. Please keep making new recipes!!!
Hi, Maggie…what a sweet comment! I am thrilled to have you here…and how lucky are your dad and brother to have you cooking and baking for them?! 🙂 I'm sure that everything you make is delicious, and I'm so happy that you're enjoying my recipes. Thanks again for taking the time to let me know, and I hope you have a great weekend!
Is there a way to make these gluten free? I can use gluten free oatmeal but what about almond flour as a substitute for the white? Will it taste just as good? These bars are amazing and just trying to make them a but healthier. Also. Can I sub white sugar with coconut sugar and molasses or agave for the brown sugar?
Hi, is it supposed to be 2 1/2 cups of prepared oatmeal or 2 1/2 cups of rolled oats? I'm assuming rolled oats, as some people just say oatmeal, but wanted to be sure before making it.
Hi Amanda! You are totally right…the recipe should say "rolled oats." So sorry about that…I go in and clarify it now. 🙂 Thanks for bringing it to my attention, and I hope these bars are a hit!
Just a word to say I just pulled this out of the oven and it is super tasty! I actually halfed the recipe and it cooked nicely in a 9″x13″ pan. Thanks for the recipe!


text:
Authors note: the following story is a fictional account and is for demonstration only.
Chester's palms began to sweat.
Each time they drove by mile marker seven, his dad tapped the horn and uttered, "Five more minutes!" His father, "Uncle Chet" as he was known to the rest of the extended family, was the eighth and final sibling. Every month, at least 18 family members gathered at the grandparents for a get-together. Chester's family, much to his chagrin, rarely missed out on this event.
Most people would be envious of how frequently these families met and treasured this time together. But as much as all the others valued it, Chester despised it even more. No one in the world knew how much he detested these gatherings except for his little sister, Gina. She was the only one he could confide in. But every time they discussed it, he made her promise not to tell anyone.
At school, the other sixth graders thought Chester was kind of cool. His cousins, on the other hand, saw him as clumsy, even nicknaming him CC for Clumsy Chester. You see, five years ago Chester spilled a glass of soda on his shirt and since then, every time they got together, he unwittingly had some accident which his cousins seized upon, never hesitating to laugh and make fun of him.
Chester, being a younger cousin, refused to give them the pleasure of seeing him hurt. He'd distract himself by twisting his tongue inside his mouth or pinching his thigh. So far on this visit, he had avoided calamity and with only a half hour left, his confidence soared.
The grandkids followed grandpa into the backyard for the traditional marshmallow roast and as Chester slipped the hot confectionery off the end of the stick, it splatted in his lap. Immediately, the cousins chuckled as if they were watching him in anticipation of this accident. Frustrated beyond measure, no amount of thigh pinching could deter him from holding back the tears.
On the ride home, Chester was his usual quiet self while his parents recapped the highlights from the day's festivities. They weren't outside to witness the marshmallow mishap, nor did they hear their nieces and nephews making fun of him.
"What's wrong, son?" his mother asked.
"Nothing," he mumbled. "I'm just tired." His family usually was the last one to leave which only prolonged his misery.
When they returned home, everyone went straight to bed. A half hour after his parents turned off their lights, Chester tiptoed into Gina's room and unloaded his grief, sadness, and shame. This ritual began about a year ago when he was so distraught that he asked Gina if he could come into her room and talk. She was incredibly understanding for an eight-year-old and did her best to console him every time.
On this occasion, Chester cried more than usual, even taking Gina's pillow and covering his mouth not to wake his parents. The most frustrating dilemma was that he couldn't bring himself to tell his parents. It was the highlight of their month and the last thing he wanted to do was upset his mom. Even though she was not related by blood, Chet's family treated her like their sister.
Gina pleaded with him to tell their parents, but Chester assured her it was better to stay silent. "This way," he reasoned, "only one person gets hurt instead of two people." Gina wasn't so sure but agreed because she admired her big brother so much.
Not-so-great Expectations
The above story is not simply another situation highlighting shame. What it also reveals is that in certain circumstances, others create expectations in how they presume we will act, causing us to feel deeply ashamed.
Chester was not clumsy in the slightest. But the anxiety he felt after five years of continual harassment seemed to dictate his unplanned accidents. No matter how hard he tried, their expectations fueled his anxiety which ultimately caused these unintentional misfortunes.
The behaviors are not limited to clumsiness. In other circumstances it may have to do with our physical characteristics. Perhaps we can be overly curious or much smarter than our peers and they seize on our strengths simply to make us feel bad about our achievements. There are countless examples of how shameful thoughts and/or actions can be triggered by shameful feelings about ourselves.
How many of you have been in a situation similar to Chester's? How many of you have been like his cousins? Truthfully, they may have had no idea how much their actions amplified Chester's shame. Nevertheless, the hopelessness and despair overwhelmed him every time he thought about another family gathering.
It's incidents like these that magnify shame. Even more damaging is that Chester undoubtedly reflected on these moments several times throughout the month and each time, it reinforced the negative perceptions he felt about himself. Although no one had any ill intent, these times of "family fun" continued to plague him in many ways. Granted, strong family connections are great, but their success should never be at the demise of one of their own.
Now imagine situations not involving family where people have no concern for the wellbeing of the one being shamed. These incidents are not restricted simply to children. Adults are often be more cruel. Men will tell other men to "man up," or that speaking up is seen as "snitching." And don't even think about showing emotions because that is the greatest weakness ever.
The breakout
Breaking out of these situations is extremely difficult because of the unintended expectations we've unintentionally put on ourselves. Our blunders may be perceived as normal, sometimes feeling strange if we don't act in a shameful manner.
If you find yourself in one of these situations, the best action you can take is to become aware of and stop this destructive pattern. Realize when it happens and the moment you being to feel shameful, forgive yourself and tell yourself it's okay because you've been repeating this behavior for quite a while. Awareness of these situations allows you to take steps to remedy them.
It's also very easy to act as one of Chester's cousins did. The amusement at someone else's misfortune can be funny or entertaining. However, we should do our best not to contribute to another's shame. Recognizing this type of behavior in ourselves is perhaps one we all can take steps to change as well.
I do hope Chester's story has helped you consider incidents in your own life and cause you to take action to fight shame – whether you were the victim or the antagonist.
My thanks to Hanna Morris on Unsplash for the fitting picture and I look forward to your comments.

redpajama_set_name: RedPajamaCommonCrawl


Key developments related to Carrier Ethernet 2.0.
Cisco is to acquire small British outfit Ensoft, which develops software that supports routing, switching, carrier Ethernet and much more.
Light Reading's Carol Wilson and Mitch Wagner tell you what they're looking forward to at MEF18 in Los Angeles.
Cloud connections, not video or 5G, will be the global network operator's growth drive.
Also in today's EMEA regional roundup: OBS majors in multicloud; TE Connectivity sells subsea unit; Telefónica goes 200GigE roaming.
Flexware, AT&T's virtual CPE platform, evolves to support SD-WAN in early 2018, in a marriage of AT&T's Intelligent Edge approach and its intelligent network.
ORLANDO, 11/27/2017 – Verizon's Shawn Hakl says MEF 3.0 is focused on what carriers need to interconnect in a virtual world.
ORLANDO, 11/21/2017 – Pascal Menezes points to inter-carrier operation of SDN services only a year after that work began as an example of how quickly industry can move.
Light Reading looks at MEF 3.0, SD-WAN and the persistent issues around people and culture.
Services don't suffer, neither the sales. People do. T.
The Israeli startup scene that produced Pcube, Chromatis, Intucell etc, has mostly abandoned the shrinking telecom market. Most of these companies you visited have been around for 15 or 20 years.
Re: Re: Place in the sun?


is a book for people with ideas.
Click here for autographed copies, bulk orders, and additional resources.
Do you make plans that never get implemented? Are they overly complicated and fail because you simply can't stop planning until it's perfect? Or do you refuse to plan because you care only about getting things done, but end up failing and causing chaos for those closest to you (spouse, partners, teammates, etc.)? Do you end up reworking projects instead of accomplishing your goals?
Let's find the happy middle ground—the sweet spot that combines planning and action! It's sure to be more than scribbles on a napkin, but far less than a binder overflowing with pages of details.
What is it that you want to achieve? Whatever it is, it's not going to be easy. Not if it's something BIG worth doing right.
But it can be made easier, and in doing so, make it look like it was easy to anyone who didn't see the blood and sweat you poured into your idea. Let's get to work!


Cathy Newman's Channel 4 interview with Canadian psychologist Jordan Peterson has gone viral across the internet. Now, opinions on it are mixed and generally reflecting whichever side of the political spectrum their holders happen to fall upon. I follow both left and right-wing news sources on Facebook, and can conclude that most on the left agree with Newman and most on the right agree with Peterson. But it is not as clear cut as that. I also follow Peterson himself, who has publicly called for an end to all the abuse that Newman has received since the interview.
I think the general consensus is that the left believe that Newman was championing political correctness and identity politics in her questioning of Peterson, and that that is a good thing. But Peterson's recent success has revolved entirely around his statements about the incredible dangers of identity politics and political correctness. Newman's overuse of the phrase "So you're saying . . . " followed by some whimsical claim of sexism or bigotry that Peterson has never actually expressed, allowed him to deconstruct the claims made against him. So, in effect, she did him a favour. And all the criticism she's received, such as Douglas Murray's opinion piece in The Spectator, has highlighted that her style of debate has highlighted all that is wrong with leftist politics, and is a disastrous example of what not to do in order to progress.
I actually agree with this position. Newman did not debate properly or successfully. But the abuse and criticism she has received is not only disgusting but, I would argue, ignorant. Cathy Newman is clearly not a stupid person. She read English at Oxford, graduating with a first, and has had a very respectable career in broadcasting and journalism with a ruthless commitment to truth. She has been nominated for the Orwell Prize, and, from what I've read, Newman's work was worthy of such an award.
The problem with leftist politics and political correctness is an ignorance of truth and the foregrounding of control through finding offense. People who hold such views feel very strongly, I feel, that the person sitting opposite them in a debate is just plain evil and must be shut down. Which is ludicrous. In American universities, leftist fascism of this ilk has led to genuine calls for violence against opponents of political correctness – just look at the ridiculous and ignorant antics of the group Antifa. The name supposedly means "Anti-fascist," so I struggle to understand why they want to ban everyone and treat those that disagree with them with physical harm. Isn't that a bit … fascist? I've worried about the rise of this in recent years in British universities, and my fears were conformed this week as Jacob Rees-Mogg was met with violent protests from far-left activists hiding behind masks when he gave a speech at a university this week. Now, to return to the subject of this article, I don't think Cathy Newman is comparable to any of these people, as the right seems to be claiming. She clearly showed a great deal of respect for Peterson, was not filled with violent hatred towards him, and described him as a good sport. She even gave a respectable reply to Douglas Murray's criticism of her. A quick check of her twitter just now reveals that she found the protests against Jacob Rees-Mogg deplorable. She blogs for the Telegraph, for goodness' sake! It's just ridiculous to label her a leftist.
Her interviewing technique was questionable. But it is was comparable to that of Paxman or John Humphrys. Deliberately trying to bring out the worst in someone. It often works when interviewing shady politicians. It will never work on someone as intelligent as Dr. Peterson. When the person being interviewed actually wants to be interviewed and actually wants to get everyone on the same page, rather than themselves in 10 Downing Street, it's not an appropriate style. I think informing Cathy Newman of this is fine, as she herself definitely strikes me as somebody who wants the former. So, as Peterson has said, her critics need to criticise. Not abuse. How can you complain about fascist-style politics by demonstrating the same principles? It's an endless cycle of lunacy around the political spectrum that we do not need. Stop looking for problems where there aren't any. Ironically, that's the problem with leftism in the first place. You can't criticise it by doing it. Let's move forward together.


The Carter Broadcast Group, Inc. (_Carter_) announces a definitive agreement to acquire a substantial interest in KSJM-FM in Wichita, Kansas from The Sherman Broadcast Group, Inc.
Michael L. Carter, Chairman and Chief Executive Officer, stated, _The attractiveness of the opportunity is our partnership with Don and Denise Sherman, another African American family whom we are honored to join with and share ownership of the fine franchise they have built in Wichita._ The new partnership/company is named the Carter Sherman Broadcast Group.
Commerce Bank will provide the financing for this acquisition. _We listened to Carter_s short and long term goals and helped solve their capital needs for this transaction and for future growth needs. Commerce Bank is pleased to begin a relationship with one of Kansas City_s leading locally owned Media properties_ said Jay Reardon, Vice Chairman of Commerce Bank.
America_s oldest continually African American owned and operated radio broadcaster routinely leads the Kansas City market. Carter Broadcast Group, Inc. currently operates a proven community-based operation with three licenses (1 FM, 2 AM) in the nation_s 29th largest radio market. Its flagship license, KPRS-FM, is the leading station in Kansas City.
Pending FCC approval, the transaction is anticipated to close in the 2nd quarter of 2004. Carter was advised by Barker Capital, LLC, a media specialist investment bank. George R. Reed of Media Services Group, Inc. represented Sherman in the transaction.


Pokhara valley is situated at an altitude of 827 meters above the sea level and is 200 kilometers west of Kathmandu valley. Prithivi Raj Marga is the highway linked with by Bhairahawa by Siddhartha Raj Marga [Sunauli border]. It is a combination of the long arrays of world famous snow clad peaks, emerald lakes, turbulent rivers with deep Georges and picturesque villages inhabited by major, Gurungs and Thakalis. Pokhara offers the magnificent views of Dhaulagiri, Manaslu, Machhapuchhare, five peaks of Annapurna Himalayas and others. Pokhara numerous lakes known as "Tal" in Nepal offer fishing, boating and swimming, which ensure the famous Phewa, Begnas and Rupa lakes of Pokhara. Pokhara is also referred as the center of adventure. It is the starting point for most of the popular trekking & rafting destination. The serenity of Phewa Lake and the magnificence of Machhapuchhare [6,977m] rising behind it, creates an ambiance of peace and magic.
Phewa Lake is situated at an altitude of 784m above sea level with an island temple in the middle of the lake. It is second largest lake in the kingdom. A temple situated on the island is the two storied pagoda dedicated to the boar magnification of Ajima. The reflection of Mt. Machhapuchhare & Annapurna can be seen in its serene water. Thick forest lies on the adjoining southern slopes of the lake. Seti River Gorges carved by Seti-Gandaki is one of the natural wonders of Pokhara. K.I. Singh bridge at Bagar, Mahendrapool & Prithivi Highway Bridge near bus park, provides a perfect view of the river's dreadful rush and the deep gorge made by the turbulent flow of white water. Davi's Water Fall locally known Patale Chhango in the southern flank of the Pokhara valley is where the stream flowing from Fewa Lake collapses and surges down the rock into a deep gorge, leaping through several potholes. Mahendra cave lies at the north of the Pokhara valley. It is a large limestone cave which is one of the few stalagmite stalactite caves found in Nepal. Tibetan Village Tashiling in the south and Taxi Palkhel in the north of Pokhara valley is the two Tibetan village which is inhabited by the Tibetan people who keeps themselves busy by producing and trading woolen carpets and other handicrafts. Museum: One museum displays the lifestyles and history of the Gurungs, Thakalis and Tharu and another one Natural history museum and is functioned by the Annapurna Conservation area project. Butterflies, insects, birds and wildlife found in the Annapurna region. Mountains Views: Spectacular Panorama of the Annapurna range forms the backdrop of Pokhara valley. The mountains stretching from east to west include Annapurna I to IV. It lies at the distance of 40kms from the valley and at the elevation of 900m. Among these Annapurna, Annapurna I (8.091m high is the highest peak. Mt. Machhapuchhare with its pyramid shape dominated all the other neighboring Peaks. The other peaks are Mt. Dhaulagiri 8167m, Lamjung Himal 6983m and Manaslu 8163m and Himalchuli. Barahi Temple: This is the most important religious monument in Pokhara. Built almost in the middle of Phewa Lake, this two-storied pagoda is dedicated to the boar manifestation of Ajima, the protector deity representing the female force Shakti. Devotees can be seen, especially on Saturday, carrying male animals and fowl across the lake to be sacrificed to the deity. Bindhyabasini Temple is the center of religious activity in the old bazaar. It is dedicated to Goddess Bhagawati, yet another manifestation of Shakti. The park like grounds offer a fine picnic area, and on Saturday and Tuesday when devotees flock there to offer sacrifices, take on a festival local flavor.
Sarangkot Australian Camp hiking start hiking from Sarankot all the way to Naudanda. Passing through the candle than climb 45 minutes to reach Australian Camp. The magnificent view from Australian Camp than hike to Dhampus village. End your hike in Dhampus Phedi than drive half an hour to Pokhara. 5 Day trip brings from Kathmandu to tourist paradise city Pokhara, sightseeing in Pokhara one full day and 2 days hiking than return to Kathmandu.
Highlight of trip: Short and easy hiking, nearby Pokhara, Sunrise and sunset view, hidden valley view, Green mountain, Panoramic view of Annapurna and Dhaulagiri ranges, beautiful city Pokhara Sightseeing.
Day 01: Kathmandu to Pokhara drive 6 hours by tourist bus. half say sightseeing in Pokhara, overnight in Pokhara at hotel.
Day 02: Pokhara to Sarangkot 3-4 hours hiking, overnight in Sarangkot at hotel.
Day 03: Hiking from Sarangkot to Australian Camp -5 -6 hours, overnight in Australian Camp at Hotel.
Day 04: Hiking to Dhampus village half an hour and continues hike to Phedi 1.30 hours and half an hour drive to Pokhara, sightseeing, overnight hotel.
Day 05: Drive to Kathmandu by tourist bus 6 hours, overnight in Kathmandu at hotel.
Note: It is possible to fly Pokhara or by private car/van. Itinerary subject to change as your interest and time frame.
Kathmandu to Pokhara / Kathmandu bothway by tourist bus.
4 nights Accommodation with breakfast during the hiking (2-3 star hotel in Lakeside, Hotel in Sarangkot and Australian Camp).
Sightseeing by private Vehicle in Pokhara.
Drop and Pick up from start and end point of hiking.
Entrance fees/ permit in Pokhara Sightseeing.
Professional equipped English speaking hiking/tour Guide.
Lunch and dinner during the hiking.
Domestic air ticket if you desire.
Day 01: Kathmandu to Pokhara drive, 6 hours overnight in Pokhara at hotel.
At 6.30 pick up from your hotel in Kathmandu, 10 minutes walk to tourist bus park. At 7am the tourist bus move to Pokhara. It takes 6 hours drive. The bus is stops for breakfast and lunch on the way to Prithivi Highway. At 2-3pm reach in pokhara than transfer to hotel. At 4-5 Pm visit to Phewa/fewa Lake, one hour boating in fewa lake and have a dinner at 6-7pm, overnight in hotel.
Breakfast at 6-7am, Start hiking from your hotel to bank of the Lake, The plance call Paye where you can eat fresh fish. After that the trail goes up to climbing. The fist of climbing through the jungle after that we meet the local house. it is very nice walking because you always see the beautiful Fewa Lake, I mean carry the Lake and climbing the hill. Wehen you will be to of the hill, is call Sarangkot. It is so intesting to see the many Paraglading such as birds. Transfer to hotel, have lunch and walk around the ride of the hill. See the sunset view which is very nice and dinner, overnight in Hotel.
Wake up early morning for sunrise view at 5am, enjoy the sunrise view from Sarangkot hill top. There is view tower, its interesting view when the sun touch to the Himalaya. You can see the view start from left handside Mt. Dhaulagiri 8167m continues all the way to Nilgiri, Annapurna I, Annapurna south, Himchuli, massif view of Machhapurchchhe or "Fistail", Annapurna III, Annapurna IV, Annapurna II, Lamjung Himal at last the range of Manaslu. After sunrise view and breakfast hiking start at 8am. The first part hiking is follow by off road so its easy hiking 2 hours to Naudanda and again 1 hour to Dumre. You have lnch at 12pm to 1 pm. The last one hour hiking is climbing to reach Australian Camp which is wunderful view. overnight in Australian Camp at Hotel.
Day 04: Hiking to Dhampus village half an hour and continues hike to Phedi 1.30 hours and half an hour drive to Pokhara.
At 5am morning call. See the untauchable mountain view from Austalian Camp includes Mt. Dhaulagiri to Manaslu with beautiful peak Fishtail. At 7-8 am have a breakfast and start at 9am hike to Dhampus village half an hour and continues hike to Phedi take 1.30 to 2 hours all the way down, have many staps. Lunch in Phedi at 12pm and half an hour drive to Pokhara, transfer to hotel in Pokhara. After that short sightseeing or boating and shopping. At 6-7pm dinner. overnight in pokhara at Hotel.
After breakfast at 7am drop to tourist Bus Park for own way journey to Kathmandu 6/7 hours. Its stop for Lunch on the Prithivi way Highway, transfer to hotel in Kathmandu, overnight Katmandu.
Note: if you are looking 4-5 start hotel or budget hotel, the price may change.


Please check the current newsletter for additional events !
Abington Quarter invites you to join us in a workshop for opening up conversations aimed at mutual appreciation through humility, patience and the power of simple speech. At this program, you may recognize aspects of worship sharing guidelines familiar to many of us. Using these guidelines to facilitate dialog between differing perspectives is the strength behind this approach.
Click for details about this April 13th workshop, In This FLYER. Please announce and distribute this information to Friends in your meetinghouse.
meditation group and classes,women's topics... etc.


The Health Research Board (HRB) is committed to building capacity in health research, and to encouraging and supporting early and mid-stage researchers to develop their careers. Our Internship Programme gives researchers who have recently earned a PhD or an MSc an opportunity to gain first-hand experience of working in a State agency alongside experienced professionals. Please note that some eligibility criteria have changed from previous calls.
The duration of a HRB Internship is 24 months.
• How evidence can be effectively used to inform policy and drive the development of new and existing services.
For detailed roles and responsibilities, please refer to the guidelines.
The Internship Award includes salary and related costs (PRSI and employer's pension contribution) and an overhead contribution (25%). Salary costs will be paid at the appropriate point on the Irish Universities Association's Researcher Salary Scale (Level 2 in year 1 of the HRB Internship Programme and Level 3 in year 2 of the Programme).
• The ability to work well in an office environment, as part of a team and under their own initiative.
The HRB Internship Programme is targeted at researchers with a degree in a health-related area who have recently earned, or will shortly earn, a higher degree (MSc, PhD). They should not have earned their higher degree more than 36 months before applying for the Internship Programme. Candidates who have completed their research for a higher degree, but have not yet graduated, may apply for the Internship if they have successfully conducted their viva examination.
Applicants must have been funded through a peer-reviewed grant from the HRB or other funding agency within the previous 30 months. Applicants may be currently working in a host institution, or they may have reached a natural break in their career.
Candidates must be available to take up the Internship by 6 January 2020. Previous HRB Interns are not eligible to apply. Applicants must have the support of a host institution. See www.hrb.ie/research-strategy-funding/policies-guidelines-and-grant-conditions/policies-and-position-statements/approval-of-host-institutions/ for a list of approved HRB host institutions and details of the HRB's host institution policy. Prospective applicants are advised to contact a host institution for guidance.
Details on the application process will be updated soon.


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Montañas de la península Guajira, se encuentran ubicadas en el departamento de La Guajira en Colombia. Formadas en la era Paleozoica, estas montañas están compuestas por rocas de granito, gneis, cuarcita y esquistos hornbléndico. Los macizos cristalinos se encuentran separados entre sí por llanuras que son antiguas fallas formadas en el Oligoceno y costas con depósitos marinos recientes.

Aspectos orográficos

El departamento está conformado por el Macizo Guajiro al noreste, un macizo antiguo que abarca la península de La Guajira y comprende las serranías de Jarara Cocinas, Carpintero y La Macuira, esta última posee la máxima elevación que alcanza el cerro Palúa con 865 m; además el cerro LaTeta y Huitpana.

Al suroeste está la Sierra Nevada de Santa Marta, un macizo joven que alcanza su máxima altura en el pico Codazzi con 5.390m, llegando a ser la mayor elevación del departamento. Está constituida por la sierra de Treinta y numerosas cuchillas que definen el paisaje de la planicie aluvial Ranchería-Cesar en el sector occidental.

La serranía del Perijá abarca una angosta franja territorial al sur de La Guajira, siendo los Montes de Oca y la serranía de Carraipía las principales formas del relieve al norte de este macizo joven. Define de lado oriental la planicie aluvial del departamento y su máxima elevación se encuentra al sur en cerro Pintao, con 3000 m convirtiéndose en la segunda elevación.

También existen cerros independientes de altura inferior a los 200 m, los cuales son cerro Peralta y Anaime. La planicie aluvial surcada por los ríos Ranchería y Cesar se encuentra a una altura promedio de 200 m, a diferencia de la planicie baja del centro del departamento que posee altura inferior a 50 m y constituye la mayor porción territorial.

Principales serranías

 Serranía de Jarara
 Serranía Carpintero
 Serranía El Cerrejón
 Macuira
 Serranía Corojo
 Serranía de Cocinas

Clima y vegetación
El ambiente ecológico es semidesértico en gran parte de la península Guajira, solo en las montañas se concentra alguna humedad que produce un "monte guajiro" con vegetación xerófila.

Referencias
.

Montañas de Colombia
Relieve de La Guajira

redpajama_set_name: RedPajamaWikipedia


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What is generalized anxiety disorder?
Generalized anxiety disorder (GAD) is a condition characterized by debilitating, excessive, unfocused worrying and anxiety. While occasional feelings of anxiety are a normal part of life, people with generalized anxiety disorder tend to experience a loss of control over their thoughts.
This significant anxiety can cause a person with GAD to struggle to function in important areas of life, such as socially or professionally.
Even everyday tasks may become difficult to complete.
In addition to prolonged and excessive feelings of anxiety, people with GAD may also experience physical symptoms, such as restlessness, muscle tension and difficulty sleeping.
Generalized anxiety disorder can appear at any age, but it often begins in adolescence or early adulthood.
GAD is generally a long-term condition, and people with this condition tend to experience fluctuations in their level of anxiety over time.
It is believed that around 5-10 percent of the U.S. general population are affected by generalized anxiety disorder at some point during their lifetime.
Treatment usually focuses on helping the person to manage the effects of GAD. Typically, a doctor will recommend treatment through psychotherapy, medication or, most often, a combination of the two.
With effective treatment and support, it is often possible for an individual with GAD to manage the disorder and function effectively in everyday life.
Other types of anxiety disorder
Generalized anxiety disorder is a type of anxiety disorder. A number of different conditions fall under the category of anxiety disorder, each characterized by feelings of excessive anxiety, fear and/or worry. Alongside GAD, other anxiety disorders include:
Panic disorder, resulting in recurrent and unexpected panic attacks, often without an established trigger.
Social anxiety disorder, significant fear or anxiety of one or more social situations, where the person may feel scrutinized or negatively judged by others.
Separation anxiety disorder, where a person experiences significant and persistent worry relating to the separation from or loss of, home or a significant person in their life, usually a parent or caregiver. It may be accompanied by physical symptoms including headache and stomachache. Although separation anxiety is a normal developmental stage in early childhood, it becomes a disorder in more developmentally mature children and is the most common anxiety disorder of childhood. Adults and adolescents may also suffer from this disorder, though it is much less common.
Agoraphobia, an intense fear of situations where help or escape are perceived as being difficult, such as crowded places, enclosed spaces, moving vehicles or remote spaces.
Specific phobias, intense fear or anxiety about a specific object or situation. Examples of common phobias are spiders, heights, flying and injections
Although each of these disorders can result in feelings of anxiety and fear, they are distinct conditions that may require different approaches and treatment. Generalized anxiety disorder is characterized by excessive anxiety that is either nonspecific, or focuses on certain general themes, such as work, health or safety.
Good to know: Obsessive compulsive disorder (OCD), acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) are no longer considered anxiety disorders, although they are closely related.
Symptoms of generalized anxiety disorder
The most common and troublesome symptom of generalized anxiety disorder is persistent, invasive, and uncontrollable anxiety or worry. Unlike other types of anxiety disorder, people with GAD can experience anxiety around any issue or situation.
Anxiety-related signs to look out for that may indicate GAD include:
Excessive anxiety and worry that is present on more days than not, for six months or longer
Anxiety that significantly interferes with daily life, affecting things such as attention to tasks and normal social and occupational functioning
Anxiety or worry that is stronger than is appropriate for the situation
Anxiety or worry that is focused on various events or activities
Difficulty controlling the feelings of anxiety
Worries that may change over time
Physical manifestations of anxiety, such as restlessness, muscle tension, irritability and sleep disturbances
The levels of anxiety experienced often fluctuate and can intensify during times of stress, e.g. new job, moving house, relationship changes. Common areas that can cause anxiety in a person with GAD include:
Family and other relationships
Worried you may be experiencing generalized anxiety disorder? Download the free Ada app to carry out a symptom assessment.
Symptoms of generalized anxiety disorder in children
The presentation of generalized anxiety disorder is consistent across all ages, with both children and adults experiencing similar symptoms. However, children generally experience more physical symptoms than adults and often have complaints such as stomachache or headache. Additionally, the focus of the anxiety often differs between age groups. For example, while adults are more likely to worry about the wellbeing of themselves and their family, children and adolescents with generalized anxiety disorder tend to worry more about:
Sporting events at school
Children with GAD may also appear overly perfectionistic, self-critical or reassurance-seeking. This can be a defence mechanism against concerns they are feeling relating to their own self-worth and performance.
Furthermore, adolescents tend to experience more severe symptoms than adults or children.
Good to know: Children with GAD can often present with physical complaints and irritability as significant symptoms. However, these are symptoms of pediatric anxiety disorders in general and are not specific to GAD.
Causes and risk factors for generalized anxiety disorder
GAD is a common disorder, believed to affect around 5-10 percent of people in the U.S. at some point during their lives.
However, despite its prevalence, GAD's exact cause is still unknown.
Although some people may develop generalized anxiety disorder for no apparent reason, there are a number of risk factors which are believed to play a role in causing generalized anxiety disorder. These include:
Gender. Women are twice as likely to be diagnosed with GAD as men, though this difference may be the result of the underdiagnosis of men
Genetics. Having a predisposition towards GAD can run in families
Age. The median age at onset for GAD is 30 years old, which is later than other anxiety disorders. However, a very broad range exists for the age of onset. GAD may develop gradually, beginning at a younger age and presenting initially as an anxious temperament.
Substance abuse. Alcohol and drug abuse often occur simultaneously with GAD. An anxiety disorder that is believed to have resulted due to substance or medication intake is often referred to as a substance/medication-induced anxiety disorder.
Mental health. People with GAD commonly suffer from other anxiety conditions, as well as depression.
Stress. Stressful life experiences, such as the death of a family member may contribute towards the condition. This is also true for continual stressors relating to ongoing situations, such as working in a high-pressure environment
The role of genetics and environment as contributing factors for the development of anxiety disorders is an ongoing area of research. However, it is generally believed that there is no single cause of generalized anxiety disorder, and instead, it occurs as a combination of biological and social factors.
Diagnosis of generalized anxiety disorder
Diagnosis of generalized anxiety disorder may be made by a doctor or psychologist following an assessment of the person's symptoms and personal history. There are specific clinical criteria to help diagnose generalized anxiety disorder.
This can help doctors to differentiate GAD from normal feelings of anxiety that arise in everyday life, as well as from other conditions that may be causing the symptoms.
In order to receive a diagnosis of GAD, a person must exhibit a specific set of symptoms in addition to:
Excessive, nonspecific anxiety that is difficult to control and has occurred on more days than not during a six month period
Affected people must also display three or more of the following symptoms:
Difficulty concentrating
Even if the requisite symptoms are present, a doctor may suggest further tests before making a diagnosis to exclude other possible causes of the symptoms. These tests can include physical examination and blood tests.
Other conditions and substances can cause similar symptoms to GAD. Therefore, a doctor will need to exclude the following prior to making a diagnosis of GAD:
Other anxiety disorders, such as panic disorder, social anxiety disorder, separation anxiety disorder, agoraphobia and specific phobias
Other mental health disorders, including depression, schizophrenia, obsessive compulsive disorder (OCD), acute stress disorder and post-traumatic stress disorder (PTSD)
Prescription medication side-effects
Good to know: It is important for doctors to rule out other possible causes of anxiety, as the precise contributing factors are likely to influence the recommended treatment methods.
If you think you may have generalized anxiety disorder, you can share your symptoms and begin your personal health assessment using the free Ada app.
Treatment of generalized anxiety disorder
The treatment of generalized anxiety disorder usually involves a combination of psychotherapy and medication,
with treatment aimed at managing the symptoms of the disorder.
While some people make a full recovery, for most people GAD is a long-term condition that requires ongoing management with psychotherapy and/or medication. This usually allows people with the disorder to lead an otherwise healthy life.
Psychotherapy is a psychology-based treatment method that is often referred to as talk therapy.
There are a number of different types of psychotherapy, some of which can be used in the treatment of generalized anxiety disorder.
CBT is a form of psychotherapy that is often used in the treatment of generalized anxiety disorder.
Treatment using CBT takes place over a number of sessions, during which a trained psychologist or psychiatrist discusses a person's problems with them. Thought processes that are contributing to anxiety are identified, and suggestions are made and discussed to help the person deal with these negative thoughts and behaviors. CBT can be carried out one on one, or in a group setting.
CBT aims to equip people with skills and strategies to enable them to:
Recognize harmful or irrational thoughts and behaviors
Gain control of negative thought processes using specific stress management techniques
Alter negative behaviors accordingly
Doctors often prescribe medication to people with generalized anxiety disorder, usually in addition to psychotherapy, as the combination of the two has been suggested to be more effective than medication alone. However, the efficacy of combining medication and psychotherapy to treat GAD is an ongoing area of research.
Antidepressants, often used to treat depression, can also be beneficial in the treatment of GAD. Two types of antidepressant medication often used to treat GAD are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
Buspirone, a type of drug that also affects serotonin levels in the brain, has also been shown to be effective at reducing symptoms of GAD.
SSRIs, SNRIs and buspirone medication can take at least two weeks to begin working. Benzodiazepines, another type of anti-anxiety medication , are sometimes prescribed on an urgent basis to manage anxiety symptoms in the short-term.
Benzodiazepines, however, are not a suitable long-term treatment option, as they very often lead to drug dependency.
Various self-help techniques can be used to help manage the symptoms of generalized anxiety disorder. However, these self-help measures are best used as part of a controlled treatment plan, and are often suggested by a doctor alongside psychotherapy and/or prescription medication.
Possible self-help techniques include:
Relaxation techniques, including controlled breathing and muscle relaxation
A reliable source of emotional support may also help ease stress. A support person may also help a person with GAD recognize the signs of worsening anxiety and support the person in seeking appropriate help. Emotional support may come from family, friends or even support groups. However, this is not a replacement for psychotherapy or prescription medication.
Good to know: Once treatment has begun, the progress of people with generalized anxiety disorder will be regularly monitored. The frequency of this depends on the severity of the disorder as well as the chosen treatment methods, but often starts with reviews every four to eight weeks.
These reviews allow healthcare professionals to track the success of the chosen treatment methods and, if they are not suitably effective, potentially modify the approach.
Preventing generalized anxiety disorder
Although research has provided some evidence that the risk of developing generalized anxiety disorder can be minimized in certain groups, anxiety prevention is a relatively new field of research, and studies are still ongoing.
Generalized anxiety disorder FAQs
Q: What are the main symptoms of generalized anxiety disorder?
A: The main symptom of GAD is anxiety that is excessive and difficult to control. The source of the anxiety can be anything, but worries around general areas such as work, health and relationships are common. Other symptoms of GAD that may accompany the feelings of anxiety, include:
A person with GAD may also display physical signs linked to their feelings of anxiousness, such as sweating, trembling and increased heart rate.
Q: Is there a test to check for generalized anxiety disorder
A: Although there is not a single test that will confirm the diagnosis of GAD, there is specific diagnostic criteria that is based on the presence of certain signs and symptoms. This diagnostic criteria usually allows doctors to make a diagnosis of generalized anxiety disorder based on a clinical evaluation of a person's symptoms.
It is important, however, to differentiate GAD from other types of anxiety disorders as well as any other factors that may be causing or contributing to anxiety, e.g. depression or drug misuse. A doctor may therefore suggest additional tests, such as physical examination and blood tests to exclude other possible causes.
Q: Are there different types of anxiety disorders?
A: Yes, there are a number of different types of anxiety disorders of which generalized anxiety disorder is one. Other types of anxiety disorders are:
Specific phobias
Each of these anxiety disorders is a distinct condition that requires its own approach and management.
Q: Can medication be used to treat generalized anxiety disorder?
A: Yes, medication is often used to treat GAD and is generally prescribed alongside a programme of psychotherapy. Combining the two treatment methods aims to help the affected person both manage their symptoms as well as address their negative thought and behavior patterns.
Q: Can children have generalized anxiety disorder?
A: Yes. GAD is the most common anxiety disorder in children. The symptoms experienced by children may be similar to those of adults, but children tend to have more physical symptoms, and their anxiety focuses on different themes than adults, such as school performance. Treatment of childhood generalized anxiety disorder is usually accomplished through psychotherapy and, potentially, also prescription medication.
Research into pediatric anxiety disorders has shown a genetic link in the disorders, where a child of a parent that suffers from an anxiety disorder, is more likely to suffer from an anxiety disorder themselves. However, both genetic and environmental factors can place a child at higher risk of developing GAD.
Q: Are generalized anxiety disorder and depression related?
A: Although generalized anxiety disorder and depression are two separate conditions, there is the high possibility of a person with one of these disorders to develop the other. This is due to the similarities in brain abnormalities that causes similar symptoms in both conditions.
Such symptoms include restlessness, fatigue, difficulty concentrating and difficulty sleeping.
There are, however, some key differences between the two. People with GAD tend to feel anxious about the future, whereas people with depressive disorders are more likely to be past-oriented. Furthermore, mood swings and suicidal thoughts are uncommon in GAD, but are common in people with depressive disorders.
If you are concerned you may have symptoms of anxiety or depression, you can use the Ada app to carry out a free symptom assessment.
Other Names for generalized anxiety disorder
Generalised anxiety disorder
July 6, 2020 edwincarroll
Schizophrenia → ← Post Traumatic Stress Disorder (PTSD)


A hub of visual and performing arts with a concert theatre housed at a refurbished industrial building.
12.15 Guided tour of the Benaki Museum - 138 Pireos st.
Founded in 2004, this private non-profit foundation focuses on the visual arts and music, with a special interest in modernism. The driving force behind the imposing cultural center, housed in a neoclassical building opposite the Greek Parliament, is Basil Theocharakis, a prominent businessman who is also an avid and talented painter, and his wife Marina. Temporary exhibitions, classical concerts, and workshops are held here on a regular basis, while Merlin Café, the elegant first-floor café, offers a welcome respite from the city's hustle and bustle.
Take the chance to admire the unique exhibits and combine it with a delightful wine tasting lunch prepared especially for you with Greek products at Merlin Café which welcomes visitors in a luxurious way and pleasantly extends their experience beyond the Foundation's admirable exhibitions.


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Looptail: How One Company Changed the World by Reinventing Business
October 2, 2013 By Dave
It's a moment I'll never forget. In Fall 2009, while routinely checking my Twitter account for new followers, I was surprised to find Bruce Poon Tip, founder of G Adventures.
I immediately followed him back, while wondering why on Earth the founder of a global travel company was following me.
His tweets served as my introduction to the unique culture and values of a company he'd spent 20 years building from scratch, a topsy-turvy story documented in his first book, Looptail: How One Company Changed the World by Reinventing Business.
At its heart, Looptail is a book about the challenges and rewards of building a global travel business with sustainable tourism practices, exceptional customer service, and an engaging and supportive company culture.
What makes the G Adventures story so unique is that Bruce was always ahead of the curve with regard to the direction he was steering his business, as evidenced by the fact that he was building a presence on Twitter years before other travel companies caught on to the platform's potential.
And, rather than putting restrictions on the use of social media by employees (to punish the few abusers), he instead empowered them all to become active on Twitter too.
Another example from around the same time was the launch of the Wanderers in Residence program, which sought top travel bloggers as brand ambassadors.
By 2010, G Adventures was big enough to contract with A-list celebrities (think Cameron Diaz), but they chose to work with bloggers instead.
One thing all the Wanderers have in common is that they are incredible storytellers, a skill Bruce emphasizes early on as being important for entrepreneurs.
Bruce (center, left) makes time to stop by a DC Travel Happy Hour in May 2010
But don't let the themes of business and customer service scare you off. There's plenty of Bruce's personal travel stories weaved throughout Looptail, which I believe broadens its appeal.
For example, after a very warm foreword by His Holiness the 14th Dalai Lama, we're introduced to Bruce as he prepares to enter Tibet, his 100th country before the age of 30.
In an effort to provide encouragement to Tibetan monks about the status of their spiritual leader in exile, he smuggles images of His Holiness into Tibet.
Was that wise? I don't know, but it had an immediate and positive impact on the monks to whom he gifted the images.
I've dreamed of visiting Tibet for more than 10 years, and narrowly missed my first attempt in 2008, so there was no better way to capture my attention and imagination.
Bruce also takes us along as he describes the first tours he began to set up in Belize and Ecuador. Venezuela was an early third choice, but didn't prove as popular.
Oh, and there was the time he was imprisoned in Burma.
And the South Pole. Yeah, he's been there too, sharing photos on Twitter to prove it.
I enjoyed reading Looptail for all its themes, from leadership and management to travel and entrepreneurism.
Whether you're trying to build your own business, manage someone else's, or are simply interested in a behind-the-scenes look at how an innovative global brand is built, there's plenty to learn from Bruce's story.
Looptail: How One Company Changed the World by Reinventing Business is currently available on Amazon.
Filed Under: eBooks & Travel Books, Features Tagged With: book review, g adventures
Nick says
Thanks, Dave. Timely review. Just picked up my copy a couple of days ago and I'm looking forward to getting started on it soon.
Aktar says
Hey Dave, very informative post dude……. learnt a lot from this post and looking forward for many more posts.


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Available in Packages: PRESENT Podiatry Board Review w/ Boards By The Numbers PRESENT Complete Podiatric CME Online
Section: CME Category: Dermatology
A Cosmetic Approach to Nails
Tracey Vlahovic, DPM
Tracey Vlahovic, DPM discusses the different types of cosmetic nails available on the market and how nail art can effect you and your practice.
Identify how nail polish can cause contact dermatitis
Identify the chemical properties of nail polish and the different types of nail art available
Identify how penetration of topical onychomycosis therapy may be affected by the use of nail polish and how nail polish can be used as drug carriers
Define how pedicures can be dangerous to your patients
Associate Professor of Podiatric Medicine and Orthopedics
Temple University School of Podiatric Medicine
Tracey Vlahovic has disclosed she is on the advisory board and is a consultant for Valeant
I can think of no better way to spend your postprandial hour than to talk about nail cosmetics. So, my name again is Dr. Tracey Vlahovic. I'm from Tempo. And let's get that lecture loaded up. Dr. Shawn House says he doesn't have to introduce me because you already know me. Alright. So, we're going to talk about a cosmetic approach to nails and I always joke that this is my typical patient in Philadelphia. They come in wanting their nails evaluated but they come in having much nail adornment on them, so it's a little frustrating. So, just as a disclosure I'm -- done research and I've been involved as a speaker for PharmaDerm, Valeant, and Innocutis. And by the way, if this could be my nails I would love that. So, let's just start from the very beginning, a history of nail cosmetics. So, believe it or not nail polish and car paint are related. Back in the '30s, they basically had oil-based paint for cars which would take a really long time to dry. They were starting to use and starting to create lacquers for cars and basically what a man named Charles Revson did was he took lacquer and applied pigment to it. Up until then, nail polish in the '20s and '30s was transparent. So, it really had no color and you would only apply it to part of the nail. So, what Charles Revson did was he said let me take this new lacquer technology and apply pigment. And basically what happen was he created an opaque nail polish as what we know today. So, back then, again, nail polishes were not opaque. They were transparent. He created an opaque nail polish. Now, Charles Revson, that name might sound familiar because he ended up creating Revlon cosmetics. So, he took these nail polish colors that he was creating and created lipsticks on the same color and suddenly women had the choice of matching their outfit or their skin tone with an opaque nail polish. Now, some of my former students in the audience know that if I could I would look like that car all day long just covered in sequence holographic light and glitter and feathers and I would be extremely happy person. But I calm myself down to lecture. But of course, you know, this is my ideal situation. So, what is in nail polish? And you may have never really thought about this before. So, as I said it's basic ally lacquer with pigment. But it's much more than that. It's pigments in a volatile solvent. Think about what nail polish has to do for fingernails or toenails. It basically has to create a film on your nail plate that should last, right. It should color. It should be opaque. It should color the nail. But also it should adhere to the nail plate but also not damage it. So, there's a couple of things that in it to create what we're looking for. Number one, are the film-formers or resins. This creates flexibility for wear. Now, the most common ingredient that is a film-former or a resin in all nail polishes and this really hasn't changed since 1938 is nitrocellulose. Now, nitrocellulose is basically this compound that allows oxygen breathability within the nails. So you can apply the nail polish and you can still have some moisture vapor transfer which is important for nail health. So, that's one thing. Nitrocellulose is pretty much and still all in nail polish. But there's something called toluene sulfonamide that is still in some nail polishes. But unfortunately, toluene is an extreme allergen. And people who develop allergies to nail polishes are often allergic to toluene. So, if you see a nail polish brand that is hypoallergenic it will not have toluene in it. Now, plasticizers are also a component of nail polish. Now, what does that do? It allows it to be freely mobile in the bottle. Think about nail polish, if it was hard as a rock, you'd never be able to use it. So, pliability in the bottle is obtained with the phthalates or DBP as well as camphor. Now, the problem is is DPB is also an extreme allergen. So, people who again, who'd developed allergies you have to give them either 3-free or what's called 5-free nail polish which is DBP free as well as toluene, formaldehyde resin, and camphor free. So, those nail polishes don't have the long-lastingness that polishes that do have DBP in it. But its one of those things where people go for that.
[05:01] Tracey Vlahovic: You just probably have to change it more often. You also have solvents because, remember, it has to be involve with solvent acetate, ketones, xylene, and alcohols as well as your pigmentation. But my personal favorite of what's in nail polish are the specialty filters. Again, nail polishes are opaque. But we tend to have all these different finishes now whether it's glitter or, again, holographic, you know, colors and things like that. So, one of the things that they have found is if you look at that fish, that's obviously a real fish. When you catch a fish typically their scales have some holographics sort of coloration to them. They actually grind fish scale down and use the guanine that's in there that what's causing that coloration and user that in nail polish. So, you're wearing ground up fish scale [Laugh] as well as mica flakes and there's also bismuth. So, there's all different types of filters that they can use to create the effect that you want. So, with nail polish, home nail polish application would be considered a base coat or something that would allow the color to adhere to the nail plate. Two coats of colors again enamel or varnish and then a clear top coat to create sort of seal in the nail color so that it lasts. Now, nail polish in general is relatively safe and can be used in pregnant patients as well as we have even nail polishes for children. But as I mentioned before we have issues with both toluene and DBP or the phthalates that can create a contact dermatitis. So, as you can in the picture on the top those are patients who've had contact dermatitis, issues with some of the products or some of the components in nail polish. Now, the other thing that you can actually develop contact dermatitis, too, if you're allergic to nickel. If you ever take a nail polish bottle and shake it up you'll hear like a little bead. Well, once upon a time, they only used to use metal beads that were nickel based. So, if you have a nickel allergy you could conceivably have an issue with nail polish. Now, they've changed that to plastic bead in most cases. The other thing that we will see is that with reds and purple nail polishes there will be nail plates staining. So, the bottom picture is a picture of the yellow discoloration that can happen after using red or purple nail polish. Now, that can last up to 14 days and you could simply take a blade and scrape that off. However, patients will come in again thinking that they have onychomycosis and in reality it's just superficial staining on the nail plate. I have an interesting case back in Philly where I had a young boy, I call him a punk. If you've been to Philly you know when I say punk you know what I'm talking about. This punk 18-year old kid came in with his mother and he wouldn't talk to me. He just gave me like the grunts, you know, like hmm-mm, mmm-mm, no. And he had green stained nails, all 10 nails were stained green. And so, I said to him I said do you have socks that are green, do you have the inside of your shoes that are green. He's like no, no. And I said okay, well, I'm just going to go get a Dremel and I'm going Dremel this off because I guarantee you this is superficial staining. So, as I walked into the room with the Dremel his mother said, oh, I remember exactly what happened. I gave him green socks for Christmas and he basically never took them off. And I'm like not only is this kid a punk, he's a dirty punk. But it just goes to show that not only just nail polish can stain your nails but the environment can stain your nails. So you have to be aware of that. Again, it's a superficial staining. You can just Dremel it off. Now, acetone remover certainly we as healthcare workers have to be very aware of using nail polish and nail polish products around patients. So, just the process of removing nail polish can be irritating. Some of the products are a little bit gentler, but true acetone based extremely drying and certainly that can create a lot of havoc for the skin. So nail polish is actually the most popular nail cosmetic in the world and it allows patients to have self-expression. So, the patient who has the Skittle colored nails, that's one of my patients who have sickle-cell anemia, I always say she tasted rainbow. She would just delight with glee when she would come and then show me her nails, the bottom picture with the plate, it's another patient of mine and then the other two, well, I wish they were my patients. One has the Hello Kitty manicure and then the other one is just fabulous, pretty much a very limited in your shoe gear as to what you can wear with that type of pedicure. But that said, I basically believe that if you Google nail polish or nail art, I mean, it's one of the most Googleable things that are out there. There is so much self-expression that you can see on Instagram, in Facebook and YouTube, so it's making people into sort of instant star. So, it certainly something that we as practitioners have to be aware of.
[10:01] Tracey Vlahovic: It's what to deal with it. And one of the things is is when we do a nail culture or nail biopsy. One of my good friends who's a dermatopathologist Dr. Adam Rubin and his group in Philadelphia took a look at nail polish and the histology of nail polish. They were getting specimens upon specimens both again for nail biopsies and for cultures. Seeing this of discoloration on the surface of the nail and said, okay, well, alright let's take a look at this a little closer. So they found three different patters that nail polish can have on the surface of the nail plate. One of them actually is polarizable. But the problem is is that this can be to someone who doesn't know this article or doesn't look it at that way. It can be misconstrued as having as a hematoma or even as melanoma. So it's one of those things that before you either examine a patient who's coming in for a nail issue or you're going to do any kind of nail procedure remove the nail polish. I know that sounds logical, but you will assist the dermatopathologist by removing the nail polish. Because again not all of them will be aware of what it looks like histologically. So just bottom line, just remove it and do it really well because remember it's going to get in those crevices before you send something to the lab. So let's talk about other types of nail art besides nail polish. Well, one of the most popular for a long time is acrylic nails. Now what are acrylic nails? They're either actual whole nails or extensions on your regular nail that is basically a pre-formed piece of plastic. And it's usually glued on and it's sculpted to the pattern that you want. You can see that there's something called a squoval. Who knew? Square, oval or squoval-shaped nails. Now the problem is that for years with acrylic nails they have gotten a bad wrap and there's a lot of good reason for it. Number one, acrylic nails as your regular nail grows out it lifts up and you can get a space there that microorganisms can just have a field day. The other thing is is that it can harbor the bacteria fungus and there's been cases both in pediatric ICUs as well as ICUs of nurses bringing communicable diseases through their nails. So what the World Health Organizations as well as the CDC published and said that acrylic nails basically should be banned in the hospital. But it goes further than that. Of course acrylic nails that make sense, but what about nail polish? Well, what they did was they did a study that said, okay, let's have people with no nail polish, let's have people with fresh nail polish and people with a week-old manicure and see what happens. See how much bacteria is harbored on that nail polish. And so what they found was that even folks who had any kind of nail polish on, the bacteria count was higher than those who didn't have nail polish. And that was after a surgical scrub. The problem is is that all of these different studies that are out there both with acrylics and even just scrubbing with nail polish are really inconclusive because it's hard to do a clinical trial based around that. So the studies are a bit inconclusive. Certainly my take away from all of these is obviously don't wear acrylic nails at the hospital. Probably is banned at your hospitals. And if you're going to wear nail polish you should change it weekly. And if you have any chips or cracks in the nail polish remove it. Or just leave all the nail art to your toe nails which are covered at the hospital and leave your finger nails bare. What about gel nails? Well gel nails have certainly taken a huge leak forward over acrylic nails. And why do gel nails exist? Well, gel nails exist because they're long-wear and they're usually chip and crack resistant. Now, what are they? Basically it's a monomer and a photo initiator. So you have usually two monomers and a photo initiator and then it's applied. Then you apply either UVA or some sort of ultraviolet lamp to it and it hardens. So the thing is, is it long last anywhere from two to four weeks depending on what you're doing. So the problem is with these gel nails is that you have to remove them with an acetone soak. So number one, that's not good for your skin. Number two, the process of it because then you peel away any gel nail resin that's left over can actually cause thinness and brittleness to the nails. And they actually did confocal microscopy testing of the nail plate that had gel nails and found that these patients definitely had more brittleness and thinning than those who do not have gel nails. So that's something. Gel nails do have that issue. But also the big story right now is the ultraviolet light exposure that you have.
[14:58] Tracey Vlahovic: If you think about it, you have both hands down and maybe the feet. So it's about 10 minutes of ultraviolet exposure about once a month or twice a month, we'll say. What they have found was that it basically equates to spending an extra three minutes in the sun. The people we have to really worry about to have this ultraviolet light exposure at least twice a month would be those who are on something that a photosensitizing medication like doxycycline or one of the Retin-As. So those are the patients that perhaps they should wear gloves with the fingernails cut out. So they have minimal exposure or where they can wear SPF, sun screen, or just avoid it all together. So there's a lot of controversy out about that right now. But it seems to right now be at the level where it just adds about three minutes if you were in the sun to your lifetime each month. So the other thing that's kind of interesting about gel nails is -- okay, well this morning I talked a little bit about Jublia, and there's another medication called keratin. Now, the problem is is that patients aren't very good about using things on a daily basis. So what if we can harness those who like to use these products like gel nails that are going to last for two to four weeks and made them basically medication little vehicles. So one study recently took gel nails and applied either terbinafine or amorolfine. Now amorolfine is not available in the United States. It's only available in Europe as an antifungal. It's not a very good antifungal. But it's over the counter and it's easy to get. And basically what they found was they created a very specific resins for nails that could be applied and then apply these medications. They found that amorolfine was able to get through to the nail plate very well, terbinafine wasn't. They thought terbinafine kind of got stuck during the whole polymerization process with the UV light. And maybe the pores within the gel nail itself wouldn't allow the terbinafine to get through to the nail plate. So certainly it has potential, but we're not there yet. We're still in the scientific bench study phase. But certainly it could be interesting to take, say, the two medications that just came out in the market and see if they could be applied to gel nails and where that could take. So again just to insure patient compliance. Now, I do love this picture. Dr. Spalding is podiatrist in Tennessee and he wrote this book called "Death by a Pedicure". I always feel like it should be followed by a dun, dun, dun, dun, right, because it's just like very evil looking type of picture. But the reality is is that you know the CDC looks at the instrumentation that is used in pedicures as critical instruments, meaning that they are being exposed to both skin and vascular structures. So as I mentioned before you have nail fungus and then the person after you doesn't in theory because they are not properly sterilizing these instruments it could be passed on from patient to patient to patient. And not just fungus, we're talking about viruses, bacterial infections, certainly hepatitis and all of those things who have potential as well. In reality cold sterilization has to be either eight or ten hours. Salons aren't going to do that. Salons aren't also going to pay for to have autoclave instruments. So we're dealing with that, number one. Number two, oftentimes there's scraping at the hyponychium. So they're breaching that border. They're pushing back the cuticle which is also breaching the border as well. If you damage those two portals, eventually that should be sealed you are going to run into problems and these are just some of the patients that I've had experienced issues with pedicures. The patient on the bottom with the second toe, the issue that she had was that the salon that she went to changes their workers every six weeks. So when she went back to complain it basically she had to go to an infectious disease doctor, get an IV. She almost lost her toe. They basically said, sorry, all those folks are gone. In reality from state to state there's different regulations. And there's not enough people at the sate level to go salons and police them with these regulations. So you really are taking your life into your own hands as -- no pun intended --when you go and use the instruments that they already there. So my suggestions to my patients is, number one, bring your own instruments. Number two, do not have them scrape under the hyponychium or scrape at the cuticle. Just have them file paint and polish. Now the other thing that you have to worry about with pedicures is the chairs that have the water piped in. That's actually where the "Death by Pedicures" happened. There's been two, I think possibly three at this point reported.
[19:55] Tracey Vlahovic" Those filters don't get changed. So pseudomonas and other bacteria can kind of hang out in those filters and they might just dump some Clorox on that water, but it's not enough if you don't change that filter. So what happen was as the patients who went in or clients I should say who had pedicures had shaved there legs previous to have these pores entry that were there pseudomonas got in, other bacteria got in. They had a raging infection and then actually the one patient end up losing her leg and then dying. So it's one of those things where pipeless chairs are a good thing. Or a place that only has a basin with a lighter. So what can do as practitioners? Well, in theory, if you can't beat them join them. We can have medical spas where we have own practitioners that we hire to do these procedures as well as healthy, safe pedicures, meaning using autoclave instruments. If there's an issue, if they're diabetic, if they have any sort of vascular issues there's a podiatrist on call. There's a podiatrist right next door, right part of that practice. So certainly you can create that business for your self and do things the right way so that patients who want to employ this service can have a better situation ultimately. So what about onychomycosis in nail polish? Well, many of my patients will come in and use nail polish to camouflage their nail disease or they use Band-Aids. Band-Aids get expensive after a while for some of my patients. Some nail polish seems like a good alternative. However, what about using it with other treatments? Well, up into the two recent medications came out we really couldn't. Ciclopirox, lacquer you cannot use with nail polish. You can't have a lacquer and a lacquer together. And certainly pedicures could exacerbate or even re-infect these patients who are on therapy. Now just so you know nail polish can come in ease with nail polish with both tavaborole, ethniconazole were not done in phase three clinical trials. So patients had to be pedicured, nail polish free during those clinical trials. So basically what has happened is, okay, we have these two products that are alcohol-based solutions, what can happen if we actually expose them to nail polish? So the next two studies I'm going to talk about were done in vitro, okay. These are in vitro cadaver finger nails that are not diseased. So basically what was done and this paper just came out. I'm the author on it. There were two. We did two studies, but the study that I want to talk to you about specifically is using multiple coats of nail polish which is more consistent with what patients do on a daily basis. So cadaver finger nails from several female donors, again they were none diseased. Group one had four coats of nail polish a base coat, two coats of color and a clear coat. Group two had one brand of salon brand nail polish and if you are somewhat savvy with nail polish, you know that there's a little bit of a difference between salon nail polish and the stuff that you can buy at the drug store. That's with the home brand nail polish is. And then group four was one coat of home brand nail polish and group five was untreated control. All groups had tavaborole applied to them everyday for 14 days. And on day 15 data was collected. Now the one graph it says through one layer of nail polish that's basically showing that it actually can penetrate through nail polish. The one that says through multiple layers of nail polish shows that it's able to penetrate through four coats of nail polish. So again this is in vitro data. This is not a human in vivo with onychomycosis. Certainly that is going to happen. We are going to see what the data is. What the efficacy is with humans who have onychomycosis using nail polish. But at this point, this is really lovely data to see the in vitro cadaver finger nails seeing that it has the ability to penetrate through four coats of nail polish. Now what about ethniconazole 10% solution in nail polish? Well, their study was done a little bit differently. Basically the cadaver finger nails had either some kind of red nail polish. So two coats of Dior, Essie and Revlon and gain those of us who were nail polish savvy in the audience know that there's a difference between Dior, Essie and Revlon, that there's a slight difference. And then one group of the untreated control. The nails had ethniconazole applied daily for almost 7 days. They had two days off during the week end and on day eight data was collected. So basically what this shows is that two coats of nail polish did not appear to inhibit permeation of ethniconazole through the nail. So that's all it's saying is that there was no difference in permeation between the nails that had nothing applied to the no nail polish and those that have two coats of nail polish. So again, this is all in vitro data. You can take from this and extrapolate this from how you wish, but certainly in my own practice I know how I've been handling this data with my patients.
[24:55] Tracey Vlahovic: Now, what about if you have a patient who has bridging nail dystrophy that could be related to onychomycosis or psoriasis or something? We can use a product called poly-ureaurethane 16% nail solutions. It's commonly known as Nuvail. This was FDA approved specifically for nail dystrophy. Now this is sticky. This is not a lacquer, but it's just basically a film that can get very sticky. So I like to use this in patients who have a hammer toe with their nail that's been just really biomechanical sort of tested. Patients again who have both loins, angiorrhexis, post nail procedures things like that. And interestingly enough when they did the clinical trials for poly-ureaurethane they actually looked it for onychomycosis even though it's specifically approved for onychomycosis that's what they studied. And so basically the subjects that were in the trial for poly-ureaurethane had poly-ureaurethane applied once daily for 6 months. And as you can see the progression of pictures, the first picture is base line, then it's three months then six months. The end of six moths you still see that there's some nail fungus left, but actually those subjects were KOH and culture negative. And so what they said was, okay, well, let's give you a 6 month break, you use nothing, right. You're not going to use any product at whatsoever. So they brought those subjects back at 12 moths again 6 months of not using anything. And as you can see the nail continued to progress in a positive direction. So what poly-ureaurethane is doing to nail fungus? We're not exactly sure. But certainly it could be interesting to see how this product which basically acts likes a sealant. If you seal your backyard porch where your wooden areas and your backyard you have to put a sealing on to protect it from the weather. So that's kind of how this is acting. It's creating this very flexible, breathable film for the nail. So certainly this could be in theory use concomitantly with again to the two new antifungals. And that's actually going to be a study that's going to be done very, very soon, is to see, do they work in harmony together. Now what about cosmesis that we can perform as podiatric physicians? Well, there's something called Cariflex which is a cosmetic resin. The company that created this product they also make teeth lacquers and things like that. So I would say they go from teeth to toes. Somehow they made that connection. It's an organic resin that you have to use ultraviolet light. It is not a gel nail because it is not removed with acetone. And basically it creates this really water type seal that's cosmetically appealing to patients. So as you can see you have a patient here who is just very micronesia dystrophic nail and you can create a really nice looking nail for that patient. But the thing is is I like to think of this as a protection. It's like a good barrier for trauma. So for instance you could use on ballerinas which it would help reduce some of the trauma they're getting in there point shoes. Hockey players, things like that. But it's a very simple process to do. You deprive the nail. You apply a bond which is not odorous. You apply the resin. You use UV light for two minutes. You shape and file and they're good to go. They can use nail polish on top of it. They can remove nail polish they just cannot deprive the nail. They can only file it. The other thing with Cariflex is that it can last up to 6 to 9 weeks or even 12 weeks depending on that patient's nail growth. So you can use this to camouflage a host of problems not just on onychomycosis, but certainly someone who's had multiple nail procedures in the part, psoriasis, you know, lichen planus, things like that. And that's it for me. Thank you so much for your attention. Are there any questions?