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Home Health is a state-licensed, Medicare certified and Joint Commission accredited department of HSHS St. Nicholas Hospital.

Home Health

Home Health offers services to individuals in their home who require the skills of a nurse or therapist, are homebound and are under the care of a physician. Home Health services focus on improving the health and independence of those in the community while allowing individuals to receive health care services in the comfort of their own home. Home Health offers a variety of services at a significant cost savings and Home Health is covered by Medicare, Medicaid and most insurance plans. For more information about any of our services, how to qualify or insurance coverage, call (920) 457-5770 or (800) 924-4110.

Telehealth is the delivery of health-related services and information via telecommunications technologies. Telehealth may be part of a client’s Home Health plan of care. Telehealth provides the opportunity for our nurses to review some of our client’s health information, even when a visit to the home is not needed.

Telehealth encompasses preventative and curative aspects and helps promote client independence. With Telehealth, Home Health will be able to monitor weights, blood pressures, oxygen saturations, pulse, and blood sugars.

LIFELINE Personal Response System

A fall, or some other need to call for help, could happen at any time. With the push of a button, LIFELINE cannot only protect a life, it can preserve a cherished way of life by giving seniors the confidence to continue living in their own homes.

Learn more

Home Health services through HSHS St. Nicholas Hospital Home Health offers home health services, medical supplies, and equipment to residents of Northeast Wisconsin. Home Health services are provided under the direction of the patient's doctor. Certified or licensed professionals provide services such as:

  • Case Management: Comprehensive coordination of all received Home Health services, including insurance benefits and referrals to community resources such as Mobile Meals, LIFELINE, and medical equipment providers.
  • Skilled Nursing: Registered nurses work with your doctor to provide home care services. Their assessment, skilled treatment and support provide the high quality care you need to recover at home. They are available to you for urgent situations or questions 24 hours a day, 7 days a week. This may include home intravenous therapy, tube feedings, post-surgical care, wound management, diabetes management, cardiac care, respiratory care, and much more. In addition, health education is provided for patients and their families.
  • Home Health Aide Services: Our Certified Nursing Assistants help nursing and therapy staff to provide skilled care such as complex bathing, dressing, grooming, and therapy exercises.
  • Physical Therapy: Our physical therapy staff provide therapy and training in the home such as prescribed therapeutic exercise, gait training and instruction in using a walker or cane.
  • Speech Therapy: Speech therapy staff help patients improve problems eating, swallowing, cognition, and communication.
  • Occupational Therapy: Occupational therapists help patients to adapt or regain day-to-day skills such as eating, cooking, dressing, bathing and general housekeeping.
  • Social Work Services: Social workers provide counseling to help patient and families to understand and cope with problems caused by illness or injury. They also can make referrals to community agencies and can help explore options with financial resource issues.
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Jolly Halloween Print

Catalog Item #: 39495
Please allow 3 weeks for delivery

Availability: Ships from manufacturer

Quick Overview

  • Artist Ellen Clapsaddle
  • Hardwood patina creates a rich, warm glow
  • Vintage appeal enhances Halloween charm
Jolly Halloween Print

With her jack-o-lantern and black cat, this little witch is ready for A Jolly Halloween. Dressed in white with a red hat and cape, she is sure to charm your guests all season long. The blue and white background comes through the hardwood beautifully; a radiant patina enhances the timeless appeal of this wall art among your rustic home accents. Artist Ellen Clapsaddle. Printed onto hardwood, embellished by raised grain and knotty features surrounded by a roughhewn tobacco lath frame with a keyhole hanger. To clean, dust with a dry cloth. USA. 16.5”H x 11.5”W
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New boys needed time to adapt to different culture, says Rangers boss Pedro Caixinha

Rangers manager Pedro Caixinha takes training at Ibrox (SNS Group / Paul Devlin)
Rangers manager Pedro Caixinha takes training at Ibrox (SNS Group / Paul Devlin)

PEDRO CAIXINHA reckons Rangers can start laying down foundations for a successful season now his foreign recruits are finally feeling at home in Scotland.

The Ibrox club have recovered from a difficult start with back-to-back wins over Ross County and Dundee.

And Caixinha believes that turnaround has been prompted because summer signings such as Colombian hitman Alfredo Morelos, Mexican playmaker Carlos Pena and Portuguese wideman Daniel Candieas have found their feet.

He said: “All of them needed different times to get adapted. It’s a different reality, a different culture.

“Even for me as a European from Portugal it’s different coming to live in Scotland.

“Imagine what it’s like for someone from the other side of the world to get adapted to this culture, this type of football.

“For example, the guys from Mexico find it unusual to play all the time with the pitch wet. That gives you more pace in the game and they need to understand that.

“However, they’re now getting together in the direction we want.

“We’ve brought their families over, found them a place to live, found a college for their kids, but there’s still other adaptations, like food and nutrition. So there’s lots of things to think through and get together for them to feel comfortable and confident. Then they can express the football they have.”

Pena has taken longer than most to settle in.

A lot was expected of the £2.5million signing from Guadalajara but he has so far only been given three brief substitute run-outs.

He did open his account in Saturday’s 4-1 win over Neil McCann’s Dark Blues, however, and Caixinha is confident the Mexico international will make a bigger contribution soon.

He explained: “Against County and Dundee when there was more space because we were leading, Carlos felt free to perform.

“But now we’re preparing him to understand sometimes the time and space isn’t there.

“That’s the question we need to go a little bit further on, to the next level, for him to perform with us on a regular basis.

“He’s going to get the rhythm by playing in the match, not by training. The training is not going to improve him – the match makes the difference.”

After his side lost to Hibernian and then drew 0-0 draw with Hearts, Caixinha found himself under pressure as Rangers dropped five points behind the early pace-setters.

But victory over Partick Thistle on Friday could see Rangers top the Ladbrokes Premiership, for a few hours at least.

Caixinha, though, has urged his men to retain their hunger as they look to close the quality gap that still separates them from Celtic.

“The players aren’t satisfied when they win a game 4-1,” he said. “I wasn’t happy and that’s the mentality we need to spread.

“Yeah we won 4-1. Okay it was a good result, a good performance in some moments but we need to improve in others. That’s the reality we need to face and always be thinking we can grow as a team.”


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Shut Up Karaoke Song - The Black Eyed Peas

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Cape San Blas Things To Do

Guide to Cape San Blas and surrounding area

Cape San Blas is paradise in the heart of the Forgotten Coast, but it’s no longer forgotten; The Cape is one of the nations best beaches (voted #1 beach by Dr. Beach in 2002) and voted the #1, best dog friendly beaches in the country in 2015!

This peaceful sliver of land nestled between the Gulf of Mexico and St. Joseph’s Bay is perfect for a quiet family vacation away from the crowded beaches and high-rises common to the rest of the Panhandle.

But if you get tired of relaxing, there is plenty to do on the Cape and in the nearby towns of Port St. Joe, and Apalachicola.


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Unitywater's guesswork slammed

ESTELLE Laming wants to know why she has received an estimated read in her electricity account and why she has been charged a specific amount for water consumption even though her meter was buried under grass and dirt.

She is not alone.

A lack of trust in consumption amounts on the first set of Unitywater bills sent out in the past month has fuelled anger that led to protest meetings at Kawana and Noosa this week.

Fed up with what it sees as gross misrepresentation about who is responsible for rapidly increasing water costs, the South-East Queensland Council of Mayors has requested a full and independent review of the books of the three council-owned water retailer-distributors, Allconnex, Unitywater and Urban Water Utilities.

Local Government Association of Queensland CEO Greg Hallam said the offer had been made to defuse the unseemly row that has erupted and put community concerns about water pricing to rest.

Both Premier Anna Bligh and Natural Resources Minister Stephen Robertson have claimed councils can control water prices.

Sunshine Coast Bob Abbot denies that and quotes legal advice that supports his position. He has also made clear that water prices will continue to pay for a water grid that brings no net benefit to this region.

Ms Laming, of Buddina, the wife of former state parliamentarian Bruce Laming and mother of federal Liberal member Andrew Laming, said she is being billed monthly by her electricity retailer Lumo even though the meter is being read by Energex only every three months.

She has told the company she will only pay accounts for consumption based on actual meter reads, something she said Lumo has accepted.

Mr and Mrs Laming were absent from their Buddina home for the entire month of August. They use solar for their hot water. The meter has not been read since June 17.

Their latest bill for August was allegedly based on their July account but at $144 is higher even than the corresponding bill 12 months ago of $138 for a three-month period.

“I think it’s appalling,” Mrs Laming said.

“I don’t think anyone should pay a bill until the meter has been read. It’s the same with the water meter. Ours was all covered with dirt and grass. You could tell the meter has not been disturbed.”

Original Sunshine Beach home sells for millions

The original beach home on The Esplanade at Sunshine Beach.

'Exquisite sea, sand, headland and coastal views with beach access'

Win $1000 travel voucher for a dream getaway

family enjoying romantic sunset on the beach

We have a $1000 travel voucher available to one of our readers

CRIME SPIKE: Mass car theft sparks police warning

There was more than one car theft a day on the Sunshine Coast last week.

Police are reminding residents to lock their cars and homes

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Home » Angel Numbers » Angel Number 1002 Meaning

Angel Number 1002 Meaning

Significance & Meaning Of Angel Number 1002

Angel Number 1002 as a repetition number is asking you to make your home environment lively and constructive by removing all the junk and making renovations. You should be more affectionate with family members and should establish harmony in the home life.

Angel Number 1002 is a communication from the angels that you should have absolute faith in the divine forces. At the same time you should be optimistic and full of affirmative intentions and outcomes.

This will go a long way in accomplishing your ambitions in life as per your expectations with the help of Supreme Power.

Angel Number 1002 Meaning

Number meaning 1002 comprises of 1, 0, 2, number 10, number 12, number 00, 100 and 102. Hence Number 1002 will consist of combination of the attributes and energies in the same proportion. Number meaning 1 is an indicator of the fate we create by our thoughts and actions and stands for management and forcefulness, determination and aspirations, commencement of fresh ventures.

Number 0 has the quality of multiplying the forces of the number it is linked with, and in this case of Number 1 and Number2. Number 0 relates to personal spiritual development and the challenges you are likely to face in the spiritual voyage. It also signifies completeness, perpetuity, successive phases in life along with your capabilities and preferences.

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Number 2 has the vibrations of life objectives and divine intent, convictions, collaboration, instincts, alliances and contradictions in life.

Angel number 1002 denotes that if you are following your objectives of life as per divine instructions, you are sure to achieve your desires. If you have confidence in your abilities and actions, you will have the support and supervision of the guardian angels in your endeavors. You should not lose hope by the challenges you may face on your way. Many of them will prove beneficial in the days to come.

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2018 Utah Conference on Undergraduate Research at SUU

UCUR Conference Banner

The mission of the Utah Conference on Undergraduate Research (UCUR) is to promote undergraduate research, scholarship, and creative activity, done with the mentorship of a faculty member or others, through an annual conference. Undergraduate research has been demonstrated as one of the truly high-impact educational practices. Student presentations are welcome in all fields and disciplines from the creative and performing arts to biomedical, engineering, and social science research.

Important Dates

Call for Proposals Open September 15, 2017
Proposals Due October 31, 2017
Notification of Acceptance December 10, 2017
Registration Opens December 11, 2017
Registration Deadline January 10, 2018
Conference February 9, 2018

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What Tablet can Replace my Laptop? (Winners Only) - Still Blonde After All Thes Years

$500 Microsoft Store Gift Card from Still Blonde! Just submit your name on the form for a chance to win.

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First Prize

$500 Microsoft gift card.

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Now & Forever Sweepstakes - Apartment Therapy

One prize winner will receive a $4,000.00 Now & Forever prize package. Entrants may enter the Sweepstakes only once during the Sweepstakes Period.

•Complete Wedding Invitation Suite from Minted
•Wedding gown of your choice from BHLDN
•Flatware from Anthropologie
•Apartment Therapy 'Registry Picks' from Anthropologie.

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About Me

Sylvia in 2nd grade

Finding My Voice

I entered this world backwards – feet first and left-handed – and according to my mother, have done most things backwards ever since. My father was a heavy equipment operator and my dependent, submissive mother stayed home and fulfilled her responsibility as wife and mother.

At seventeen, I married a local boy and became the “pastor’s wife” while a senior in high school. After graduation, we moved to Fort Worth where my then husband attended seminary, and then later to several small towns where he pastored local Baptist churches. After being appointed as foreign missionaries to the Caribbean island of Trinidad, we lived and worked there for six years (along with our three children) before returning to the U.S, and settling in El Paso, Texas.

At 41, and after having a fourth child, I found the courage to take my very first freshman class and within five years fought my way to a BA in Sociology and a Masters in Educational Psychology, all while raising four children, and still serving as the pastor’s wife, and missionary.

My years in college opened my eyes to a whole new world that I had never known existed. I learned to question, to doubt, to seek, to ask, to explore and to learn. As you might expect, by the time I graduated with the master’s degree, my marriage came to an end and my young son and I struck out on our own.

My employment included working in non-profit and for-profit organizations within the human services field. I managed a sheltered workshop that provided employment to adults with mental disabilities. I was regional director of long-term care facilities. I conducted private practice as a licensed professional counselor and marriage and family therapist. I provided interpersonal skills training to corporate mid-managers. I led therapy groups for sexual offenders on parole, adult survivors of sexual abuse, and assertiveness classes for women. I taught graduate classes in counseling. I conducted psycho-social assessments for psychiatric hospital patients. I served as a vocational expert witness to administrative law judges in Social Security Disability hearings.

For two years, I studied spiritual warrior training under a shaman in New Mexico. I have studied taro card readings, and am particularly attracted to the culture of the gypsies. I am a trained hypno-therapist, dream therapist, Strategic Family Therapist. I have studied Jung, Freudian, Frankel, Skinner, Carl Rogers, and any number of other psychological theories.

I am task-oriented, and can jump from one project to another without taking a breath. My mother used to say I was the only person she knew who could stop right in the middle of housecleaning, sit down and read a magazine. I have a high degree of patience and understanding with others, but do have that point where I walk away.

Like my dad, I never meet a stranger. I talk to people everywhere and in all situations, from bikers to priests and prostitutes. I delight in watching the expression of a weary checker at the grocery store turn from gloom to a big smile when I ask how they are and genuinely listen and respond to their answer. I cannot carry a tune and do not have a good sense of rhythm. I love music, but when I write, I must listen only to instrumental arrangements since my mind can’t shut out the lyrics.

I am moved by the beauty of nature and I love seeing animals in their natural habitat. I enjoy the laughter of a baby. I grow frustrated with people who only complain and never take action to make their lives better. One of the most beneficial things I’ve learned is clear, direct communication. I believe in paying my bills on time. I work hard to achieve my goals and do not settle for failure. Rejection makes me dig in my heels and work harder. I regret not having a healthy enough self-esteem when I raised my first three children to teach them about it earlier. I am proud of the mother I was and am. I am proud of my children and who they are. I didn’t learn how to give firm no’s until I was middle-aged.

Five years after my divorce, I married William M. Smith, a retired full-bird Army Colonel, and we eventually relocated to the Austin, Texas, area. I retired three years early and kept talking about writing a book. A friend told me to quit talking about it, sit my b… in the chair and write. I did. Starting from scratch, I taught myself first, how to write, then how to write fiction, and then mysteries.

When I decided to set my first mystery in Orange, and began conducting research on the area, I soon discovered that a rich history awaited me. The more I studied, the more I learned to respect the folks who live there, folks with an iron strength and determination to survive wars, plagues, hurricanes, and mosquitoes as big a horseflies (almost). I also formed a new sense of awe and respect for the meandering Sabine River once plied by Paleo-Indians, pirate schooners, steamboat captains, Confederate Cottonclads, and then WW II destroyers.

The result of this research led me to weave the past with the present in my mystery series with Sidra Smart and later, the historical novel, A War of Her Own, set during World War II. The focus of my writing is to first, tell a great story, and second, to help women pave their way to finding their voice.

Between us, Bill and I have five children and fifteen grandchildren. Besides writing, I enjoy cooking, gardening, movies, and reality television.

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TAC Sciences

Coping with Pain When Getting That First Tattoo

Looking forward to that first tattoo can be both exhilarating and scary at the same time. The tattoo will be a beautiful piece of work you can show off to your friends. The thought of pain from that needle is a bit alarming.

You Are Wired to Avoid Pain

No one likes having sharp objects borrowing under their skin and our minds are wired in such a way to make you avoid sharp objects.

Luckily, there’s a way to make the tattoo process less painful and maybe even enjoyable. Lots of people you see walking around showing off their massive tattoos used a tattoo cream to numb their skin while they had the tattoo done. As a matter of fact, people covered in tattoos used a tattoo numbing cream to help them deal with the pain. They used it repeatedly to sit through that detailed tattoo they are now showing off. You can too.

Dulling the Pain with a Numbing Cream

The numbing cream TAC, will help with the pain aspect of the process. But you also want to get in the right state of mind. Tattoos are a pleasurable, yet painful experience. That’s where the phrase tattoos can be addictive came from.

You know what to expect when you walk into a tattoo parlor. That’s because your brain premeditates and simulates the tattoo experience well before you get to the tattoo artist.

How Your Brain Tricks You

The brain plays a few tricks on you. However, when your brain thinks about the tattoo, the first images that it throws out are those of the tattoo needle. It tells your body it has to endure that sharp needle for a considerable amount of time. The body then starts simulating the imagined pain from the imaginary tattoo needle.

How You Can Trick Your Brain

That’s where most people chicken out on getting their first tattoo. Not you though, because you know of a special tattoo cream that will make the pain go away. You can tell your brain you will use a numbing cream to reduce the discomfort during the tattoo process.

When you do that, your brain tells your body to concentrate on the pain relief the cream offers. When you start thinking that way, the fear of getting your first tattoo vanishes.

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Non-Profit Agency Honors Volunteers at Annual Awards Ceremony

Community members were recognized for their outstanding contribution to Project Self-Sufficiency at the agency's annual Mosaic Awards ceremony.

Volunteers and representatives from local businesses and organizations were recognized for their outstanding efforts in support of Project Self-Sufficiency and the Sussex County community at the agency’s annual Mosaic Awards ceremony on Thursday.    The event recognizes individuals, schools, civic groups, businesses and non-profit organizations which have provided invaluable assistance to the agency during the previous year.  A special Human Services Hero Award was bestowed on Mary Jo Mathias, longtime Executive Director of the Sussex County Arts & Heritage Council, in recognition of her years of dedication to the community.  Several dedicated volunteers were welcomed into the new Louise E. Murphy Center for Volunteerism Circle of Leaders.  Project Self-Sufficiency is a local, non-profit agency which specializes in services for low-income families in Sussex County, as well as portions of Warren and Hunterdon Counties.

“The Mosaic Awards honors the individuals and organizations that have been instrumental in helping us to pursue our mission throughout the year,” noted Deborah Berry-Toon, Executive Director of Project Self-Sufficiency.  “This event recognizes that even the smallest contributions can combine with the efforts of others to have a powerful impact on the community.  The lives of thousands of local families have been changed for the better because of the thoughtfulness and generosity of these individuals.”

A focal point of the evening was the special Human Services Hero Award bestowed on retired Sussex County Arts & Heritage Council Executive Director and longtime Project Self-Sufficiency supporter Mary Jo Mathias.  “The support provided to Project Self-Sufficiency and many other individuals and local organizations by Mary Jo Mathias throughout the years has been invaluable,” noted Deborah Berry-Toon, Executive Director of Project Self-Sufficiency, pointing out that Mathias has also volunteered with the American Association of University Women and the League of Women Voters.  “Mary Jo leads by example and selflessly shares her vision, organizational skills and musical talent wherever it is most needed.  We are constantly grateful for her generosity of spirit.”

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Several longstanding volunteers and businesses were inducted into the Circle of Leaders, under the umbrella of the Louise E. Murphy Center for Volunteerism.  All have contributed countless hours over multiple years by volunteering at agency events, coordinating toy drives, creating activities for children and families, and other endeavors.  Audrey Ashley and Nancy Harrington were singled out for their extensive volunteering in the agency’s Career Center, where they have taught computer classes and assisted with the Higher Opportunities for Women program.  Girl Scout Ruby Esposito was lauded for initiating the Project Toys for Teens toy drive in pursuit of her Gold Award.  She continued the effort again last year with record success.  Fellow Girl Scout Anah Oozerally was recognized for coordinating a tennis camp for students in the Project Launch Newton program for three consecutive years.  Julie Killen was honored for her assistance with numerous agency events, including the Season of Hope Toy Shop and last fall’s fundraising event at Talbot’s in Sparta.  Mike and Sandy Lipka have made major contributions to a variety of Project Self-Sufficiency endeavors, most notably the annual Back-to-School Fair and the Season of Hope Toy Shop.  Chuck Mathias was honored for his longstanding support of agency initiatives, for serving on multiple task forces and advisory councils, and for his musical prowess as part of the High Point Harmonizers.

Food insecurity is a dire problem for many Project Self-Sufficiency participants, and contributions to the agency’s food pantry, Thanksgiving baskets and other support programs are always welcome.  Volunteer Paul Franek was singled out for his contribution to the Thanksgiving food drive.  Dolores and James Fernandez were thanked for providing an on-going supply of diapers for agency clients.

Project Self-Sufficiency is in the final stages of launching Project Café, using a newly-renovated kitchen in the campus Community Education Center to develop culinary arts programming and a working restaurant.  Kristi and Chris Adams and Margaret Post were lauded for their efforts in bringing this project to fruition.

Assistance with fundraising is vital to Project Self-Sufficiency’s existence.  Agency participants Diane Oksienik and Maxine Swentzel were recognized for offering to share their stories at the Project 300 fundraising event.  Ann Steyh was thanked for her financial support of Project Self-Sufficiency for more than 25 years.  Local shop owners and caterers George and Frances Delgado were thanked for providing invaluable support to the annual A Taste of Talent, while Tracey Ivaldi was honored for coordinating the fundraising event at Perona Farms for the past 21 years.

Project Self-Sufficiency relies on a veritable army of volunteers to assist with client events like the Sister-to-Sister Prom Shop, Season of Hope Toy Shop, Back-to-School Fair and others.  Volunteers who were recognized for consistently lending a helping hand include Caitlin Leshiner, Marcella Vitaletti, Carley Ward, and Denise Ward.  In addition to assisting with a host of events as a volunteer, Bea Rush was thanked for supporting the agency for almost 30 years in her role at NORWESCAP.

Assistance with workplace training, education and internships is vital to the agency’s mission of helping individuals to become economically self-sufficient.  Pope John Computer Science Department teacher Adam Michlin was thanked for his invaluable assistance with workplace training, and for putting in long hours as a volunteer at the Season of Hope Toy Shop.  The Sussex County Community College Testing Center was acknowledged for their partnership in providing high school equivalency testing for the New Jersey Youth Corps program.  Robert Fox was thanked for spearheading the development of Project Self-Sufficiency’s 401K program.

Project Self-Sufficiency welcomes assistance with coordinating programs for children.  Lynn Okeson was singled out for her help with the children at the Little Sprouts Early Learning Center.  Newton School District staff members Kathy Bottoni, Angela Dunbar, Kristi Greene and John Succamelli were recognized for their dedication to the Project Launch Newton after school program.  Volunteers from NJ City Serve were acknowledged for packing boxes of snacks for students to use throughout the school year.  Girl Scouts Allison Lynch and Isabel Costello were honored for developing a special carnival for the children at the Little Sprouts Early Learning Center.

Project Sussex Kids, The Sussex County Council for Young Children, was launched during 2015 to support local families parenting children up to the age of eight.  The coordinator of the Hardyston Special Education Parents Group, Ria Smith, was thanked for her dedication to the Project Sussex Kids program.

The Season of Hope Holiday Toy Drive involves the participation of hundreds of individuals, schools, civic organizations and businesses each year.   The 2016 toy drive gathered more than 20,000 items for distribution to more than 2,200 children.  The United States Marine Corps Toys for Tots program, represented by Gunnery Sergeant Joseph Clayton, was acknowledged for their enormous contribution to the effort.  Staff members from Intercar Mercedes Benz & Sussex Honda were thanked for their years of support.  Employees from Selective Insurance Company of America were recognized for hosting a bike-building contest at their Branchville headquarters every December, during which 20 – 30 bikes of all sizes are assembled for donation to the Season of Hope Toy Shop.  The Newton Robotics Team was thanked for providing bike assembly services in support of the toy shop.  In the past few years, several area musicians and choral organizations have volunteered to provide holiday music during the toy shop, including Loni Bach and the strings students from Sparta High School; Harmony in Motion; High Point Harmonizers; Margaret Korczynski and her piano students from the Sussex County Music Workshop; Aimee Nishimura; No Strings A Cappella; Crista Orefice; and Katie Van Varick.  Several of these musical groups have also provided music for other agency events throughout the year.

Access to legal services is a constant challenge for many agency participants.  In addition to receiving a Mosaic Award, local attorney John Graves, Esquire, will be honored at Law Day as Project Self-Sufficiency’s Attorney of the Year in recognition for his dedication to providing legal consultations to area residents in need.

Project Self-Sufficiency works closely with schools and social service agencies throughout the year.  Joanne Koch was recognized for supporting Project Self-Sufficiency’s programs with the Sussex County School Counselor’s Association.  Retired school social worker Wendy Adams, along with staff from the Sussex County Division of Social Services Adult Protective Services, were thanked for their work with Project Sussex Warren Family Connect, Project Self-Sufficiency’s Central Intake program.  The agency’s long and successful relationship with Birth Haven was also singled out for recognition.

Project Self-Sufficiency is a private non-profit community-based organization dedicated to improving the lives of low-income families residing in northwestern New Jersey.  The agency’s mission is to provide a broad spectrum of holistic, respectful, and comprehensive services enabling low-income single parents, teen parents, two-parent families, and displaced homemakers to improve their lives and the lives of their children while achieving personal and economic self-sufficiency and family stability.  Since 1986 Project Self-Sufficiency has served more than 25,000 families.  For information about the programs and services available at Project Self-Sufficiency, call 973-940-3500 or 844-807-3500, or visit

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Sparta Police: Stop for Broken Light Ends with DWI for Newton Man

February 17, 2018

SPARTA, NJ – A Newton man caught the attention of Sparta Cpl Rubino when he drove passed him on West Shore Trail with a broken license plate light.  Alexis Obolensky was stopped in his gold Subaru on February 15 around 7:45 p.m., police report.

When the officer was stopping the 28-year-old driver he saw him flick a cigarette out the window.  As Rubino spoke with him he smelled ...

Sparta Police Nab Two on Outstanding Warrants

SPARTA,NJ – Several people with active warrants were picked up by Sparta Police this week. On February 12 around noon, Sparta Police Officer Christopher Favaro stopped Newark resident Alex Nunes-Ramalho, 23, for broken break lights on his gold Chevy Impala.

 Nunes-Ramalho told Favaro that he did not have his wallet with him.  Instead, the driver showed the officer a ...

Sparta Police: Marijuana Card is Not a Free Pass for NY Man

SPARTA, NJ – A man speeding on Route 15 faces drug charges despite having a medical marijuana card.  Muhammad Khan, 26, of Valley Stream, New York was stopped by Police Officer Erick Finley driving his red Lexus SUV 75 mph in a 55 mph zone, police report.

When the officer spoke with the driver and passenger Abubaker Masood, 29 of West Islip, New York, the officer smelled raw ...

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Tue, February 27, 6:30 PM

Sparta United Methodist Church, Sparta

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Newton Rotary Pancake Breakfast

Food & Drink

One Injured in Two-Family House Fire in Newton

February 6, 2018

NEWTON, NJ—One man was injured, while three others escaped unharmed when a two-family two story apartment house caught fire on Saturday.  On January 27 at around 6:26 a.m. Newton Police received a 9-1-1 call from a passerby reporting a house on fire. Patrols immediately responded to the area and found a structure fire at 75 Trinity Street police report..

According to Police, ...

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How to Talk with Kids About the Florida Shooting

February 15, 2018

The tragedy of the Florida school shooting is devastating, leaving 17 killed and 15 injured. Our children can easily identify with what occurred yesterday. It will be the topic of conversation today in schools everywhere. School administrators are doing all they can to provide support and guidance. The shootings affect children, teachers, and school personnel. The school shooting ...

Does Marriage or Mortgage Come First?

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Very Hot Tea Increases Cancer Risk

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AtlantiCast Episode 011

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Sussex County Board of Chosen Freeholders February 14 2018 Meeting Video

NEWTON, NJ - Sussex County Board of Chosen Freeholders February 14 2018 Meeting Video

Coalition for Health and Safe Communities to Host Workshop for Community Pharmacists

February 16, 2018

NEWTON, NJ—A Pharmacist Workshop will be hosted by the Coalition for Healthy and Safe Communities, a program of Center for Prevention on Sunday, February 25.

The event will take place from 6 to 8 p.m. with registration starting at 5:30 p.m. It will be held at the Center for Prevention on Newton Sparta Road.

This workshop will provide pharmacists with a Narcan training along with ...


text:
This is a great game to revise vocabulary and you can use it with any age group and any level by changing the category headings.

It really gets students focused and working on task as a team and can be a saviour to fill the last ten minutes on a class when you have run out of ideas!

  • Put the students into teams of three or four.
  • Draw on the board a table like the ones below and get each team to copy it onto a piece of paper.
  • Students simply have to think of one item to go in each category beginning with the set letter.
  • Give an example line of answers for the first time you play with a new group.
  • The first team to finish shouts 'Stop the Bus!'.
  • Check their answers and write them up on the board and if they are all okay that team wins a point. If there are any mistakes in their words, let the game continue for another few minutes.
  • If it gets too difficult with certain letters (and you can’t think of one for each category) reduce the amount of words they have to get. You can say, 'OK, for this round you can Stop the Bus with four columns.'
 animals colours foodclothes countries sports

For higher levels change the category headings. For example:

 something in the Kitchen something in the living room something in the bedroom something in the bathroom something in the office something in the garden

Or, for even higher levels:

 something made of metal something made of glass something made of plastic something made of wood something made of material

First published 2009

Jo Budden


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We are living in a world where more than 1 billion people are at the time of writing still considered to be living in poverty and where 20 per cent of the population hold 90 per cent of the world’s wealth. In 2011 it was estimated that 2.2 billion people were living on less than $2 per day. There are close to 60 million refugees in the world today, the highest levels since World War II. Approximately 1.2 million children are trafficked every year. These are just some of the realities of the world we live in. At Tearfund Ireland we believe that transformation is possible: we have hope for a better world, a more equal world.

Through our partners of local churches and faith-based organisations working on the ground and at grassroots levels in the countries we work in, we have witnessed many lives that have been changed. We have many testimonies of families lifting themselves out of poverty in Ethiopia, thousands of children being rescued and protected from human trafficking, children separated or orphaned being supported in families and communities, communities more resilient to natural disasters and babies being born free from HIV. The local churches are right at the heart of poverty and their reach extends even to those on the furthest margins.

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text:
Rewriting Life

The Rogue Immune Cells That Wreck the Brain

Beth Stevens thinks she has solved a mystery behind brain disorders such as Alzheimer’s and schizophrenia.

In the first years of her career in brain research, Beth Stevens thought of microglia with annoyance if she thought of them at all. When she gazed into a microscope and saw these ubiquitous cells with their spidery tentacles, she did what most neuroscientists had been doing for generations: she looked right past them and focused on the rest of the brain tissue, just as you might look through specks of dirt on a windshield.

“What are they doing there?” she thought. “They’re in the way.’”

Stevens never would have guessed that just a few years later, she would be running a laboratory at Harvard and Boston’s Children’s Hospital devoted to the study of these obscure little clumps. Or that she would be arguing in the world’s top scientific journals that microglia might hold the key to understanding not just normal brain development but also what causes Alzheimer’s, Huntington’s, autism, schizophrenia, and other intractable brain disorders.

Microglia are part of a larger class of cells—known collectively as glia—that carry out an array of functions in the brain, guiding its development and serving as its immune system by gobbling up diseased or damaged cells and carting away debris. Along with her frequent collaborator and mentor, Stanford biologist Ben Barres, and a growing cadre of other scientists, Stevens, 45, is showing that these long-overlooked cells are more than mere support workers for the neurons they surround. Her work has raised a provocative suggestion: that brain disorders could somehow be triggered by our own bodily defenses gone bad.

Top of page: A microglial cell from a human brain, stained for research purposes. Above: A type of glial cell known as an oligodendrocyte.

In one groundbreaking paper, in January, Stevens and researchers at the Broad Institute of MIT and Harvard showed that aberrant microglia might play a role in schizophrenia—causing or at least contributing to the massive cell loss that can leave people with devastating cognitive defects. Crucially, the researchers pointed to a chemical pathway that might be targeted to slow or stop the disease. Last week, Stevens and other researchers published a similar finding for Alzheimer’s.

This might be just the beginning. Stevens is also exploring the connection between these tiny structures and other neurological diseases—work that earned her a $625,000 MacArthur Foundation “genius” grant last September.

All of this raises intriguing questions. Is it possible that many common brain disorders, despite their wide-ranging symptoms, are caused or at least worsened by the same culprit, a component of the immune system? If so, could many of these disorders be treated in a similar way—by stopping these rogue cells?

Complex machinery

It’s not surprising that scientists for years have ignored microglia and other glial cells in favor of neurons. Neurons that fire together allow us to think, breathe, and move. We see, hear, and feel using neurons, and we form memories and associations when the connections between different neurons strengthen at the junctions between them, known as synapses. Many neuroscientists argue that neurons create our very consciousness.

Glia, on the other hand, have always been considered less important and interesting. They have pedestrian duties such as supplying nutrients and oxygen to neurons, as well as mopping up stray chemicals and carting away the garbage.

Scientists have known about glia for some time. In the 1800s, the pathologist Rudolf Virchow noted the presence of small round cells packing the spaces between neurons and named them “nervenkitt” or “neuroglia,” which can be translated as nerve putty or glue. One variety of these cells, known as astrocytes, was defined in 1893. And then in the 1920s, the Spanish scientist Pio del Río Hortega developed novel ways of staining cells taken from the brain. This led him to identify and name two more types of glial cells, including microglia, which are far smaller than the others and are characterized by their spidery shape and multiple branches. It is only when the brain is damaged in adulthood, he suggested, that microglia spring to life—rushing to the injury, where it was thought they helped clean up the area by eating damaged and dead cells. Astrocytes often appeared on the scene as well; it was thought that they created scar tissue.

This emergency convergence of microglia and astrocytes was dubbed “gliosis,” and by the time Ben Barres entered medical school in the late 1970s, it was well established as a hallmark of neurodegenerative diseases, infection, and a wide array of other medical conditions. But no one seemed to understand why it occurred. That intrigued Barres, then a neurologist in training, who saw it every time he looked under a microscope at neural tissue in distress. “It was just really fascinating,” he says. “The great mystery was: what is the point of this gliosis? Is it good? Is it bad? Is it driving the disease process, or is it trying to repair the injured brain?”

Barres began looking for the answer. He learned how to grow glial cells in a dish and apply a new recording technique to them. He could measure their electrical qualities, which determine the biochemical signaling that all brain cells use to communicate and coördinate activity.

“From the second I started recording the glial cells, I thought ‘Oh, my God!’” Barres recalls. The electrical activity was more dynamic and complex than anyone had thought. These strange electrical properties could be explained only if the glial cells were attuned to the conditions around them, and to the signals released from nearby neurons. Barres’s glial cells, in other words, had all the machinery necessary to engage in a complex dialogue with neurons, and presumably to respond to different kinds of conditions in the brain.

Why would they need this machinery, though, if they were simply involved in cleaning up dead cells? What could they possibly be doing? It turns out that in the absence of chemicals released by glia, the neurons committed the biochemical version of suicide. Barres also showed that the astrocytes appeared to play a crucial role in forming synapses, the microscopic connections between neurons that encode memory. In isolation, neurons were capable of forming the spiny appendages necessary to reach the synapses. But without astrocytes, they were incapable of connecting to one another.

Hardly anyone believed him. When he was a young faculty member at Stanford in the 1990s, one of his grant applications to the National Institutes of Health was rejected seven times. “Reviewers kept saying, ‘Nah, there’s no way glia could be doing this,’” Barres recalls. “And even after we published two papers in Science showing that [astrocytes] had profound, almost all-or-nothing effects in controlling synapses’ formation or synapse activity, I still couldn’t get funded! I think it’s still hard to get people to think about glia as doing anything active in the nervous system.”

Marked for elimination

Beth Stevens came to study glia by accident. After graduating from Northeastern University in 1993, she followed her future husband to Washington, D.C., where he had gotten work in the U.S. Senate. Stevens had been pre-med in college and hoped to work in a lab at the National Institutes of Health. But with no previous research experience, she was soundly rebuffed. So she took a job waiting tables at a Chili’s restaurant in nearby Rockville, Maryland, and showed up at NIH with her résumé every week.

After a few months, Stevens received a call from a researcher named Doug Fields, who needed help in his lab. Fields was studying the intricacies of the process in which neurons become insulated in a coating called myelin. That insulation is essential for the transmission of electrical impulses.

As Stevens spent the following years pursuing a PhD at the University of Maryland, she was intrigued by the role that glial cells played in insulating neurons. Along the way, she became familiar with other insights into glial cells that were beginning to emerge, especially from the lab of Ben Barres. Which is why, soon after completing her PhD in 2003, Stevens found herself a postdoc in Barres’s lab at Stanford, about to make a crucial discovery.

Barres’s group had begun to identify the specific compounds astrocytes secreted that seemed to cause neurons to grow synapses. And eventually, they noticed that these compounds also stimulated production of a protein called C1q.

Conventional wisdom held that C1q was activated only in sick cells—the protein marked them to be eaten up by immune cells—and only outside the brain. But Barres had found it in the brain. And it was in healthy neurons that were arguably at their most robust stage: in early development. What was the C1q protein doing there?

A stained astrocyte.

The answer lies in the fact that marking cells for elimination is not something that happens only in diseased brains; it is also essential for development. As brains develop, their neurons form far more synaptic connections than they will eventually need. Only the ones that are used are allowed to remain. This pruning allows for the most efficient flow of neural transmissions in the brain, removing noise that might muddy the signal.

But it was unknown how exactly the process worked. Was it possible that C1q helped signal the brain to prune unused synapses? Stevens focused her postdoctoral research on finding out. “We could have been completely wrong,” she recalls. “But we went for it.”

It paid off. In a 2007 paper, Barres and Stevens showed that C1q indeed plays a role in eliminating unneeded neurons in the developing brain. And they found that the protein is virtually absent in healthy adult neurons.

Now the scientists faced a new puzzle. Does C1q show up in brain diseases because the same mechanism involved in pruning a developing brain later goes awry? Indeed, evidence was already growing that one of the earliest events in neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and Huntington’s was significant loss of synapses.

When Stevens and Barres examined mice bred to develop glaucoma, a neurodegenerative disease that kills neurons in the optic system, they found that C1q appeared long before any other detectable sign that the disease was taking hold. It cropped up even before the cells started dying.

This suggested the immune cells might in fact cause the disease, or at the very least accelerate it. And that offered an intriguing possibility: that something could be made to halt the process. Barres founded a company, Annexon Biosciences, to develop drugs that could block C1q. Last week's paper published by Barres, Stevens, and other researchers shows that a compound being tested by Annexon appears to be able to prevent the onset of Alzheimer’s in mice bred to develop the disease. Now the company hopes to test it in humans in the next two years.

Paths to treatments

To better understand the process that C1q helps trigger, Stevens and Barres wanted to figure out what actually plays the role of Pac-Man, eating up the synapses marked for death. It was well known that white blood cells known as macrophages gobbled up diseased cells and foreign invaders in the rest of the body. But macrophages are not usually present in the brain. For their theory to work, there had to be some other mechanism. And further research has shown that the cells doing the eating even in healthy brains are those mysterious clusters of material that Beth Stevens, for years, had been gazing right past in the microscope—the microglia that Río Hortega identified almost 100 years ago.

Now Stevens’s lab at Harvard, which she opened in 2008, devotes half its efforts to figuring out what microglia are doing and what causes them to do it. These cells, it turns out, appear in the mouse embryo at day eight, before any other brain cell, which suggests they might help guide the rest of brain development—and could contribute to any number of neurodevelopmental diseases when they go wrong.

Meanwhile, she is also expanding her study of the way different substances determine what happens in the brain. C1q is actually just the first in a series of proteins that accumulate on synapses marked for elimination. Stevens has begun to uncover evidence that there is a wide array of protective “don’t eat me” molecules too. It’s the balance between all these cues that regulates whether microglia are summoned to destroy synapses. Problems in any one could, conceivably, mess up the system.

Evidence is now growing that microglia are involved in several neurodevelopmental and psychiatric problems. The potential link to schizophrenia that was revealed in January emerged after researchers at the Broad Institute, led by Steven McCarroll and a graduate student named Aswin Sekar, followed a trail of genetic clues that led them directly to Stevens’s work. In 2009, three consortia from around the globe had published papers comparing DNA in people with and without schizophrenia. It was Sekar who identified a possible pattern: the more a specific type of protein was present in synapses, the higher the risk of developing the disease. The protein, C4, was closely related to C1q, the one first identified in the brain by Stevens and Barres.

McCarroll knew that schizophrenia strikes in late adolescence and early adulthood, a time when brain circuits in the prefrontal cortex undergo extensive pruning. Others had found that areas of the prefrontal cortex are among those most ravaged by the disease, which leads to massive synapse loss. Could it be that over-pruning by rogue microglia is part of what causes schizophrenia?

To find out, Sekar and McCarroll got in touch with Stevens, and the two labs began to hold joint weekly meetings. They soon demonstrated that C4 also had a role in pruning synapses in the brains of young mice, suggesting that excessive levels of the protein could indeed lead to over-pruning—and to the thinning out of brain tissue that appears to occur as symptoms such as psychotic episodes grow worse.

If the brain damage seen in Parkinson’s and Alzheimer’s stems from over-pruning that might begin early in life, why don’t symptoms of those diseases show up until later? Barres thinks he knows. He notes that the brain can normally compensate for injury by rewiring itself and generating new synapses. It also contains a lot of redundancy. That would explain why patients with Parkinson’s disease don’t show discernible symptoms until they have lost 90 percent of the neurons that produce dopamine.

It also might mean that subtle symptoms could in fact be detected much earlier. Barres points to a study of nuns published in 2000. When researchers analyzed essays the nuns had written upon entering their convents decades before, they found that women who went on to develop Alzheimer’s had shown less “idea density” even in their 20s. “I think the implication of that is they could be lifelong diseases,” Barres says. “The disease process could be going on for decades and the brain is just compensating, rewiring, making new synapses.” At some point, the microglia are triggered to remove too many cells, Barres argues, and the symptoms of the disease begin to manifest fully.

Turning this insight into a treatment is far from straightforward, because much remains unclear. Perhaps an overly aggressive response from microglia is determined by some combination of genetic variants not shared by everyone. Stevens also notes that diseases like schizophrenia are not caused by one mutation; rather, a wide array of mutations with small effects cause problems when they act in concert. The genes that control the production of C4 and other immune-system proteins may be only part of the story. That may explain why not everyone who has a C4 mutation will go on to develop schizophrenia.

Nonetheless, if Barres and Stevens are right that the immune system is a common mechanism behind devastating brain disorders, that in itself is a fundamental breakthrough. Because we have not known the mechanisms that trigger such diseases, medical researchers have been able only to alleviate the symptoms rather than attack the causes. There are no drugs available to halt or even slow neurodegeneration in diseases like Alzheimer’s. Some drugs elevate neurotransmitters in ways that briefly make it easier for individuals with dementia to form new synaptic connections, but they don’t reduce the rate at which existing synapses are destroyed. Similarly, there are no treatments that tackle the causes of autism or schizophrenia. Even slowing the progress of these disorders would be a major advance. We might finally go after diseases that have run unchecked for generations.

“We’re a ways away from a cure,” Stevens says. “But we definitely have a path forward.”

Adam Piore is a freelance writer who wrote “A Shocking Way to Fix the Brain”  in November/December 2015.


text: AMD's “PIC”s, short for Personal Internet Communicator, embedded PCs designed to be super-cheap to help bring Internet access to people all around the world, are going to be closer to home than we originally thought. In fact, your local Radio Shack may have one. They aren't intended to be performance machines, of course, and are in fact just another way of saying “E-Machine”, intended solely for Internet access. For $299 though, a smart enthusiast could probably build something better – Maybe. It's still very interesting, and I'd like to see what people end up doing with these.


text:
Drupal Development

twodotcuddlyInternet και Εφαρμογές Web

4 Δεκ 2013 (πριν από 4 χρόνια και 3 μήνες)

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Drupal Development
Precise Minds Ltd is a micro business specialising in bespoke web development and
accessible, standards-based websites. With 10 years of experience delivering bespoke web
solutions to a wide range of clients in the UK and internationally, our client list includes
Greater London Authority, Amicus (now Unite), World Heritage Office – Cornwall, Camel
Valley Wine, Cornwall Council, Imerys PLC and ASPRO UK.

Drupal is an open source CMS and PHP framework with a very strong developer community.
It provides a secure, solid and incredibly powerful platform for building community-focused
and high performance websites. Over recent years the CMS user interface has been greatly
improved making drupal not only a framework loved by developers but easy to use for
website managers.

Details of the Drupal development services we provide through the G-Cloud Services
Framework and CloudStore are provided on the following pages.

To contact Precise Minds for further information or to request a no-obligation quotation
please contact us using the following details:

Precise Minds Ltd
Pool Innovation Centre
TR15 3PL

01872 275095

Further details on Drupal can be found here:

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