Big Girls Use the Potty!

Take the worry out of toilet training with these two engaging books, specially designed to motivate boys and girls to get excited about using the potty.

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Bye-Bye, Diapers (Muppet Babies Big Steps)

Baby Piggy explains how she used to wear diapers. She used to get her diaper changed a lot every day, whether she liked it or not. She used to get diaper rash, and she used to get annoyed when her mother wouldn’t change it right away. One day she wanted to be like the big kids. So she decided that she’d had enough of wearing diapers. Now she goes on the potty; whenever she has to go, she says, I have to go now; she wears big-kid pants and she can pull them up all by herself. S

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Perinatal Safety Initiative Reduces Adverse Obstetrical Outcomes

Manhasset, NY (Vocus/PRWEB) March 09, 2011

Having a child is a life event that is equal parts magic and fear. Will the baby be healthy? Will labor and delivery pose challenges? Are there ways to reduce the risk for adverse events? Hospital obstetrical units face these questions round-the-clock.

To increase the chances of a safe labor and delivery, and make way for a memorable birthing experience, the North Shore-LIJ Health System has launched a new prenatal quality initiative, led by Adiel Fleischer, MD, of obstetrics and gynecology at North Shore University Hospital and Long Island Jewish (LIJ) Medical Center, and Brian Wagner, MD, a maternal-fetal medicine specialist.

They designed and implemented a two-year comprehensive training program for all staff in the obstetrics wings at North Shore University Hospital and LIJ Medical Center. Staff was required to complete the formalized training that included evidence-based protocols to reduce adverse events.

These protocols included competency in reading electronic fetal heart rate monitors, communication skills and problem solving on a wide range of high-risk obstetrical emergencies through simulation programs. The hope was that the obstetrics initiative would lead to fewer adverse outcomes for mother and child.

It worked.

A team of scientists in the Division of Health Services Research in the health system’s Department of Population Health analyzed almost a dozen adverse outcome measures and found that such problems, including returning to the operating room and birth trauma, were significantly reduced by more than half – from two percent to 0.8 percent. Data also showed better outcomes were maintained over the two-year study period.

The analysis was published in the March issue of the Journal for Healthcare Quality .

In addition to improved outcomes, staff perceptions of safety improved significantly, as did perceptions among new mothers, who reported that their obstetrics teams were more cooperative and hard-working. What’s more, there were improvements in the documentation of abnormal fetal heart rate tracings and obstetric hemorrhage.

“The importance of the study and its long-term impact is that the safety measures that we introduced have provided better communication among the various healthcare providers. There is earlier identification of at-risk patients and team approach to patient care is critical to patient care,” said Dr. Fleischer.

Kenneth Abrams, MD, senior vice president of clinical operations and chief quality officer at the North Shore-LIJ Health System, agrees. “We improved patient safety and enhanced both staff and patient experience,” said Dr.Abrams. “This initiative shows that we can reduce adverse events and enhance a culture of safety.”

North Shore-LIJ hospitals deliver more than 21,000 babies every year, which represents nearly 10 percent of all births in New York State. Following the national trend to identify problems in the delivery of healthcare and reduce medical errors, clinicians implemented internal and external reviews of sentinel events, which included examinations of monthly obstetric charts. The chart reviewers looked at the documentation and management of obstetric hemorrhage and abnormal fetal heart rate tracings. The review led to a comprehensive list of potential causes of adverse events, including an inadequate escalation policy, and lack of standard protocol and standardizations pertaining to the interpretation for fetal heart rates. These factors are thought to play an important role in adverse outcomes.

As part of the program, Dr. Fleischer and his colleagues introduced multidisciplinary teaching rounds to help foster communication. During these daily meetings, the perinatal team reviewed and discussed appropriate assessment and management of obstetrical admissions. They enhanced the electronic medical record and implemented new protocols that have been shown to reduce the risk for adverse events.

Patients were contacted after they left the hospital and asked to complete a questionnaire about their experience during labor and delivery. Staff perceptions of safety were also assessed before and after the program.

“A critical component of the initiative was the educational process designed to improve recognition, appropriately document complications and avoid interventions that increase the risk of complications,” the researchers wrote in the journal. The study was led by Renee Pekmezaris, PhD, vice president for community health and health services research in the North Shore-LIJ Department of Population Health.

About The Feinstein Institute for Medical Research

Headquartered in Manhasset, NY, The Feinstein Institute for Medical Research is home to international scientific leaders in cancer, leukemia, lymphoma, Parkinson’s disease, Alzheimer’s disease, psychiatric disorders, substance abuse, rheumatoid arthritis, lupus, sepsis, inflammatory bowel disease, diabetes, human genetics, neuroimmunology, and medicinal chemistry. Feinstein researchers are developing new drugs and drug targets, and producing results where science meets the patient, annually enrolling some 10,000 subjects into clinical research programs.

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Author John Crawley Announces New Novel: “The Man on the Grassy Knoll”

Dallas, TX (PRWEB) March 24, 2011

Author John Crawley announced the publication of his seventh novel, The Man On the Grassy Knoll.

The new novel is a work of historical fiction. With over 10 years of research into the countless theories about the assassination of President John F. Kennedy in Dallas on November 22, 1963 as a backdrop, Crawley introduces the reader to Raul Domingo Salazar. Salazar tells the story in his own words from his military prison cell outside Port-au-Prince, Haiti during intense interviews with a reporter named John.

The writing leads the reader into the prison interrogation room where John listens as Raul tells his story of being framed by the CIA and the Mob to keep him quiet about the role he played in the death of John Kennedy.

“This is by no means my longest or most ambitious novel,” Crawley explains. “It is, I think, my best. It is so terse and the story so direct, that one gets separated from the fact that it is fiction. It’s designed and paced to lead the reader into the prison interrogation room with the reporter to listen, first hand, to Raul Salazar as he describes being recruited to work first for the CIA and then for Castro. Later he describes in detail how he was trained for that day in Dallas and how the entire chain of events was planned and how it all went down.

“I wanted the experience to be as if you were reading a court transcript or the transcript of a tape recording made with Raul just days before. I wanted the reader to sit and listen to Raul tell his story, rather than reading a novel.”

The streets of Dallas in November in 1963 are recreated not in the author’s image and through his eyes, but rather through the memory of the second shooter that fateful day. Raul Salazar tells his story, a confession of sorts, about his life and that of the revolutions sweeping the globe in the ‘60s.

“There’s not one word in The Man On The Grassy Knoll, that isn’t from the experience of Raul, with the slight exceptions of the notes that the reporter adds to the manuscript to explain lapses on the tape or reactions to things that Raul has said. In so doing, the stripped-down story, the terse prose, is all part of the conversation we are being allowed to listen in on.”

As Crawley concludes, “Remember, this is fiction. Or is it?”

The Man On The Grassy Knoll is available at lulu.com and Amazon.com. Cover design by Bob Young of The Young Company, Dallas. Other novels by John Crawley include Baby Change Everything, Among the Aspen, The House Next Door, Under the Radar, The Uncivil War, and Between Sunday’s Columns. Visit http://www.wordsandsuch.com

About John Crawley

John Crawley is a 1973 graduate of the University of Texas at Austin, where he received a BA in English with an emphasis on Creative Writing. He spent the next 30-odd years as a writer and creative director in the advertising profession, developing award-winning TV, radio and print campaigns for clients such as AT&T, American Airlines, Blue Bell Ice Cream, BellSouth, Disney, Jaguar, Mazda and Xerox.

Besides sitting at a keyboard and typing, Crawley, who lives less than 10 minutes from Oswald’s perch in the Texas Schoolbook Depository building in Downtown Dallas, also enjoys painting, playing his guitars (which he has an impressive collection that he is quick to share with visitors at an ample volume). He is also an award-winning photographer, as well a father of three and the husband of Michele – herself an advertising executive. Together they have two cats and a dog.

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Shady Grove Fertility’s 2009 IVF Success Rates Released

Rockville, MD (PRWEB) May 20, 2011

Shady Grove Fertility Center is pleased to announce that its 2009 IVF Success Rates were recently published on the Society for Assisted Reproductive Technology’s (SART) website. Shady Grove Fertility exceeded the national averages in nearly every category for fresh IVF cycles.

According to SART, Shady Grove Fertility is the largest fertility center in the country based on the number of treatment cycles performed. In 2009, Shady Grove Fertility performed a total of 3,673 fresh IVF cycles, resulting in an average pregnancy rate across all age groups (under 35 to over 42) of 43% compared to the national average of 37%.

Eric Widra, MD, Board Certified Reproductive Endocrinologist at Shady Grove Fertility explains, “We know how important these success rates are to patients undergoing treatment and to those just beginning to explore their options for treatment. We also know that sorting through IVF statistics can be a challenge.”

Fertility center websites and other online forums present a wide array of statistics in many different formats. “For success rates to be a truly useful tool for patients, they must know who the trusted sources of data are, what the different reporting categories mean, and what the data reveals about individual fertility centers,” says Dr. Widra.

SART and the Centers for Disease Control (CDC) are considered the most trusted sources for IVF statistics, and their websites provide extensive information on assisted reproductive technology. According to the CDC, nearly all of the 436 fertility centers in the U.S., both SART and non-SART members, report their yearly data. Centers that do not report their data are listed on the CDC website as “nonreporters,” as required by law. Over 85% of all fertility centers are members of SART, and thus report to both organizations.

Some common questions fertility patients may have when reading these reports:

1. What are my chances of having a baby if I start a cycle? For this answer, patients would look at Live Births per Cycle, which may vary by age. For example, patients at Shady Grove Fertility age 35 and younger, have a live birth rate of 47.8% While live birth rates slowly decline as the patient’s age increases, a patient’s chance of success cumulates with each treatment cycle attempted.

2. What is the difference between Pregnancy Rate and Live Birth Rate? A pregnancy is determined after a positive pregnancy test (HCG) is received and confirmed by an ultrasound. The live birth rate is determined by the number of patients who deliver a baby. Because some pregnancies end in a miscarriage, the percentage of cycles resulting in pregnancies is higher than the percentage of cycles resulting in live births.

3. Does Implantation Rate Matter? This number demonstrates the quality of our Center’s clinical and laboratory work. A Center with good implantation rates should be able to transfer fewer embryos and still achieve high pregnancy success rates. If they don’t, this can be seen in the percentage of twin and triplet pregnancies. As desirable as a twin birth may sound after struggling with infertility, it is a riskier pregnancy.

4. What is the rate of Twins and Triplets Plus? Multiples pregnancies are higher risk and can result in higher rates of disabilities and other challenges for the child. Shady Grove Fertility is proud to have rates lower than the national average in both categories.

“While the numbers presented in our reports are critically important to us and to our patients, our success at providing high quality ethical and personalized care to our patients is equally important,” says Dr. Widra. “Our physicians, nurses and staff are dedicated to helping our patients achieve their goal of a healthy pregnancy and thus a healthy baby.”

To learn more about how Shady Grove Fertility’s success compared to the national average, please visit our website. To schedule an appointment, please speak with one of our friendly patient specialist by calling 888-761-1967.

About Shady Grove Fertility

Shady Grove Fertility Center is the largest and one of the most progressive fertility and IVF Centers in the United States. Twenty-three reproductive endocrinologists, as well as PhD scientists, geneticists, and 420 highly specialized staff care for patients in 13 full-service offices throughout the Washington and Baltimore metropolitan areas. Shady Grove Fertility conducts clinical research in collaboration with the National Institutes of Health and is part of their subspecialty training Fellowship in Reproductive Endocrinology. Shady Grove Fertility has pioneered a number of nationally and internationally recognized programs, such as Shared Risk 100% Refund Program, Shared Donor Egg, International Donor Egg, and Shared Help, among others. Since Shady Grove Fertility’s inception in 1991, more than 27,000 babies have been born. Shady Grove Fertility is a member of the Attain Fertility Network.

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5 English Speaking Rules : www.letstalk.co.in 3. Reading and Listening is NOT enough. Practice Speaking what you hear! Reading, listening, and speaking are the most important aspects of any language. The same is true for English. However, speaking is the only requirement to be fluent. It is normal for babies and children to learn speaking first, become fluent, then start reading, then writing. So the natural order is listening, speaking, reading, then writing.
Video Rating: 4 / 5

In this video, award-winning children’s author, illustrator MIKE ARTELL reads his lift-the-flap book LEGS. Mike also gives you a peek at the iPhone app version of this book. Mike has a special LEGS page on his web site. The page contains coloring sheets, information about different animals shown in the book and some video. Just visit www.mikertell.com/legs.htm Mike Artell has written and illustrated more than 40 books for children. Many of his books have won awards. His book PETITE ROUGE – A CAJUN RED RIDING HOOD was named 2099 Read Aloud Book of the Year by the National Association of Elementary School Principals. Mike has also written and illustrated science books, wordplay books, cartooning books and professional books for teachers. Each year, Mike visits more than 50 schools across the US where he shares his books and shows teachers how to think, write and draw more creatively. Mike is also a popular platform speaker and speaks to business, healthcare and educational groups about ways to think more innovatively and build teamwork within corporate communities. For more information, visit www.mikeartell.com/speaking.htm or visit Mike’s web site designed specifically for the training and development community: www.mikeartell.net
Video Rating: 5 / 5

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From the innocence of Mady the squiggly ferret to the diabolical plans of the nefarious black sneaky cat, Crittertude is a place where life is magically transformed from the daily doldrum of existence to the realm of fantasy, imagination and the occasional unplanned mayhem. Fans of the online comic have felt a strong connection to each of the characters over the years as they have made us laugh, cry and ultimately realize how the simple unconditional love of a pet can transform our lives in ways never before imagined. The Crittertude book is available on Amazon at www.amazon.com Perhaps the rising star in all of this is Mady the squiggly ferret, who adds a certain unpredictability and air of innocence to the house. Booper the white fluffy dog is the guardian of the house and general underdog for the innocent (no pun intended). Lazy Orange Fat Cat is, essentially, a cranky behemoth with an appetite that is rivaled only by her girth. Melvin is our resident green cheek conure who constantly vies for attention and, according to a pet psychic reading once taken on a dare, secretly wishes that all the other animals in the house would just pack up, go away and die. Sitting in the cage nearby, our Zebra and Java Rice finches share a common nest and are the best of friends. Black Sneaky Cat is an easy-going, silent observer that is often undone by his own desire for playtime and overall power. Finally, there’s our dearly departed One of Six, the only surviving bird out of a litter …

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on the treadmill at the slowest setting at home.
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NAPW Sarasota Chapter Held a Networking Meeting on June 22

Garden City, NY (PRWEB) July 01, 2011

NAPW Sarasota Held a Chapter Meeting on June 22, 2011 to welcome new members and discuss how to utilize the NAPW website for optimal networking.

Chapter President and Owner/Coach of Restyled Life, Susanne Daniels, opened the meeting by welcoming everyone, including two new members, Laurin Ripley and Betsy Zackrison to their first chapter meeting.

Susanne suggested that members update and attach their profiles to the local chapter. She told the group about the NAPW website, and encouraged all to explore the local chapter page, message center, and community wall. She reminded members that the website is full of useful tools and resources such as, seminars, discounts, online networking, and member marketplace and recommended that they use member access to their full benefit. She invited members to consider being a guest speaker or to recommend a speaker for future meetings. She gave a special thank you to The Dattoli Cancer Center Foundation for the use of the Education Center and Ron Koster Library for the NAPW Sarasota Chapter meetings. She then shared her experiences from the NAPW National Conference held at the Waldorf Astoria on April 29. Susanne then spoke about the NAPW Chapter objectives and how they will reflect and support the brand promise of NAPW, to be a trusted place for professional women to Connect, Learn, Grow and Inspire.

Patrice Say, member, is originally from New England. Patrice moved to Sarasota 26 years ago when an opportunity became available with Kelly Services. Patrice received her Bachelor’s degree from University of Florida and her area of study was Human Resources and Customer Service. She is a member of the Society for Human Resource Management and is a Certified Senior Professional in Human Resources SPHR. She lives with her husband and two daughters in Sarasota. Patrice has Human Resources, Marketing, and Management Training background. She currently is a principal owner of Aspire Partners, whose principal products and services include hands on business consulting. She provided expert advice on business practices, time management, profit and loss analysis per department, staffing suggestions, job descriptions and personal development seminars, and project management. When she is not devoting time to her work, she enjoys traveling, boating, golf, and reading.

Dr. Kennedy has a Chiropractic practice in Sarasota, Kennedy Chiropractic. She told the group that her greatest pleasure is in helping people create and maintain health. She uses her practice to support local Hospice. She shared that she and each of her late parents gained so much from their experience with Hospice staff that she has chosen to waive the initial visit fee (which is the most costly visit for patients) for a $ 25.00 donation to Hospice. Dr. Kennedy shared that this outreach to benefit hospice and patients health is an expression of her belief that “through giving, we get back”.

Rev. Jacquie Riker is the Minister and Director of Community Care Program at the Center for Positive Living in Sarasota. Her ministry includes weddings, baby blessings, memorial ceremonies, house blessings and women’s circles. She studied Vision, Creativity and Intuition training with Dr’s Caroline Myss and C. Norman Shealey. Jacquie certified in visionary cranio-sacral work has a private healing arts practice.

Giovanna McGrath is aHealthcare Business Consultant works with local physician practices to create success and promote health awareness. She works with local children’s charity groups and foundations. She said she loves bringing great people together.

Linda Cooper is a Retail Account Executive with the Herald Tribune Media Group and the author of She Ain’t My Sister. Linda is the account executive for Sarasota downtown advertising with the largest newspaper in the New York Times Regional Media Group. Her book: She Ain’t My Sister, is a memoir based on her childhood as an adoptee, published in February. She invited the group to attend her book signing at the Bookstore One, on July 19th 6-8 pm

Kathryn G. Stephens, Image Consultant, works with who she calls “Middle Women”, the working women of Sarasota who may not have the money or time to devote to their image. She works with a person’s outside beauty, helping to create an image on the outside that builds confidence on the inside. She also teaches etiquette.

Laurin Ripley is a member and works with The Women’s Resource Center of Sarasota County as a Project Manager. Laurin develops, schedules, and supervises educational and training programs and manages grant-funded programs for women. She calls this her retirement job, which means she does it because she loves it.

Betsy Zackrison is a member, a Business Success Coach with Coaching for Success, and a community volunteer. She volunteers at The Women’s Resource Center in Sarasota and in Venice. In Sarasota, she works with the women in the Returnship Program. She has a workshop called Becoming More Assertive and Confident in Your Job Search. She helps women become better in their job interviews so they will get the job and have a better life.

Sandy McCourtney is a Realtor and former chair of the Sarasota Board of Realtors. She shared that she wants to be part of a group who support one another. She has been a member of the Sarasota Department of Education and a volunteer with Habitat for Humanity. Her community focus involves bullying issues and children with addictions.

Susanne Daniels is a member and personal development coach and business consultant with Restyled Life. Her background and education in human resources, training and employee relations transitioned into her new restyled life as a transition and career coach, trainer and consultant.

“I am interested in working with women in career and business transition, helping them to navigate the workforce and beyond with goal focused success strategies,” she said. She volunteers time presenting workshops at the Sarasota County Women’s Resource Center that provide skills needed by women seeking to reenter the workforce. She is leading a workshop at the WRC on July 28 titled Build Your Own Website. She loves being by the water, walking early in the morning and traveling.

For additional information regarding the Sarasota local chapter and/or [NAPW please visit http://www.napw.com.

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My Baby First Steps

• Customize your baby with all new items – cute outfits and accessories, fun toys, and even decorate their room to your liking.
• Care for your baby and teach them new things ? how to walk, talk, shapes, colors, and keep them out of trouble!
• Choose whether you want a boy or girl, name your baby, and pick your baby?s look with even more options– or just let it be a surprise!
• All new activities for having fun with your baby ? trying new foods, reading bedtime stories, potty training, and tracking your baby?s growth through his or her toddler years.
• Innovative gameplay that is based on the unique features of the Wii and the Nintendo DS – stylus, touch pad, voice recognition, and the microphone – not a compilation of minigames.

Your baby has grown so fast! Can you believe that a year has already gone by? Take care of your baby from their 1st birthday until they’re 3 years old. Your baby will discover its entire environment and learn from it, they’ll walk, babble and speak, try to catch every object they can, and put everything in their mouth… Your baby will be the apple of your eye! In My Baby Next Steps, the companion to the bestselling My Baby Girl and Boy on Nintendo DS, you can experience the magic of caring

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