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sisters seemed over it,
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poison play." And in the
end, there was no point
to that scene whatsoever!
Sadie: Without even
getting into the terrible
way this show exploits
- Alliance police are
warning parents of the
dangers of weapons after
they say a teen refused
to drop a gun that ended
up being fake. Officers
were called to the 300
block of West Cambridge
Street Monday for a
report of a teenager
CAMBRIDGE TWP., MI
– Tucked away on
Stephenson Highway near
Onsted, Bruce Schultz
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The Alliance Police
Department is asking
parents to talk to their
children about obeying
police orders after an
incident over the
weekend. Officers were
called to West Cambridge
Street Sunday evening for
a teen bragging about a
Thomas Lucas, 65, of
Cambridge, Ohio, formerly
of Bethesda, died
Wednesday from 11 a.m.
until the time of service
at noon, Kelly Kemp
Braido & Patron
— A white Cleveland
patrolman who fired down
through the windshield of
a suspect's car at the
end of a 137-shot barrage
that left the two unarmed
black occupants dead was
acquitted Saturday of
criminal charges by a
judge who said he could
Sheryl Weber was
told she was out as the
coach at Cambridge High
School earlier this
month. “I have no
idea why this is
said. In two years, she
has a winning record at
27-24. She also has the
support from her players
certification course is
being offered May 27 at
the Deerassic Education
Center in Cambridge,
Ohio. Passport to Fishing
is a one-day instructor
training program that
qualifies individuals to
become Division of
do ye spend money for
that which is not bread?
and your labour for that
which satisfieth not?
hearken diligently unto
me, and eat ye that which
is good, and let your
soul delight itself in
committee met in Durham
on Saturday to prepare
for this year’s
conference, which will
take place at Durham
University on 6-7
November 2015. Watch this
space for details about
Several days back in
Cambridge Heath, stencil
based artists Zabou &
Senor X hit out this
which is apparently based
on a true story, along
near the canal. This
isn’t the first
Kevin Church for
discovering this charming
exchange of ideas on a
Spotted in Cambridge, MA.
3 — Kevin Church
(@Kevin_Church) May 22,
Last year, Cambridge
revived its plans to
erect a statue to
football in the town that
council revealed the 4
(CBS) — If
you’re looking for
a truly extraordinary
sandwich, this place is
serving some all stars.
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has history, green spaces
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but how far has the craft
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cloisters? Filed under:
beers, cambridge, pubs
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Cambridge Is a Wise
Choice Right from
special hard crushing to
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crushing plant to the
although no studies have
been done in this area.
Various games are
Car Rental In
Cambridge Is a Wise
Choice The deadline for
insurers to file their
new rating structure the
your unique challenges
entertaining.If you still
have not played MGS4 on
the PS3 …
board and punt down the
What is the College
Backs? The College Backs
is the back end of many
of the colleges at the
University of Cambridge.
You can access the backs
SPECIAL INFORMATION FOR CAMBRIDGE
The importance of local education funding in CAMBRIDGE OHIO
Yesterday, President Obama spoke to the Council of the Great City Schools about the exceptional progress being made within local and state education levels. The work of our administrators and educators has been more impactful than ever, resulting in higher standardized test scores in some of the previously lowest-performing schools and increased resources for students.
In fact, more graduation caps are going airborne as high school students are graduating at the highest rate ever recorded, with the largest improvement among minority and low-income students.
See what President Obama had to say about what we must do to improve access to quality education in America:
This funding is an investment in our nation's future that has been able to give the kind of education our children need and deserve to compete in the 21st century.
President Obama hopes that the upcoming budget plan by the Republican House and Senate will reflect the priorities of educating every child. If their new budget maintains sequester-level funding of the past, we would actually be giving less federal support to America’s schools than we were back in 2000.
Most alarmingly, if their current proposal is not changed, over the next six years, billions of dollars would be cut in education funding. That means we'd be cutting the support given to America's most impoverished schools, the funding that has helped create the progress we're seeing today.
"The notion that we would be going backwards instead of forwards in how we’re devoting resources to educating our kids makes absolutely no sense."
CAMBRIDGE OHIO tspan:3m
Get a Homeland Security Job in CAMBRIDGE OHIO
What You Need to Know
The Department of Homeland Security has unique career opportunities that will challenge your mind and reward your skills and talents. As a Homeland Security employee, you will help secure our borders, airports, seaports and waterways; research and develop the latest security technologies; respond to natural disasters or terrorists acts; and analyze intelligence reports.
- Find the Job Right for You. Find DHS jobs at dhs.usajobs.gov.
You can also use USAJOBS through an Interactive Voice Response Telephone System
From general mission support to law enforcement to immigration and travel security to prevention and response, exciting professional growth opportunities exist throughout the Department.
- Mission support careers involve the following fields: medical, human resources, facilities, budget, procurement, science and technology, training, intelligence, planning and coordination, detection, civil rights, fraud detection and more.
- Law enforcement careers offer positions in protection of the President, Vice President, their families, heads of state and other designated inpiduals; securing the nations borders and enforcing immigration laws; interagency law enforcement training; and enforcing economic, transportation and infrastructure security.
- Immigration and travel security careers involve protecting the nations transportation systems, as well as overseeing lawful immigration to the U.S.
- Prevention and response careers protect the public, environment and U.S. economic and security interests in any maritime region, as well as provide preparedness, protection, response, recovery and mitigation to reduce loss of life and property and protect the nation from all hazards are what these careers are all about.
- Read the Job Announcement. The announcement will provide you with information about job qualifications, duties, salary, duty location, benefits, and security requirements. Here you will be able to determine if your interests, education, and professional background make you a good candidate for the job.
A list of common terms is available to assist you in understanding Department job announcements.
Most Homeland Security jobs require U.S. citizenship and successful completion of a full background investigation and drug screening.
- Apply for the Job. Follow the instructions in the How to Apply section of each USAJOBS announcement (upper right tab). Instructions will guide you through the application process, providing you detailed information on the questions, forms, and format that must be addressed and used to capture your qualifications for the job. Submit all required documents and pay close attention to the application due date and application procedures, which will vary by job and the Department component.
During the application process, veterans may be asked to identify Veterans Preference status.
To post your resume online, apply to certain federal jobs, check on the status of your application, and receive automated job alerts, you must create a USAJOBS member account.
- Interview for the Job. The names of best-qualified candidates will be forwarded to the supervisor or hiring official. If you are one of the best-qualified candidates, the supervisor or hiring official may interview you in person or by telephone, or in rare cases may hire you based solely on your application materials. Selection procedures are subject to Federal Civil Service laws, which ensure that all applicants receive fair and equal treatment in the hiring process.
No matter where you are in your career - at the very beginning, transitioning to the federal government mid-career, or another stage in your professional life - the Department of Homeland Security has a place for you.
- Student and Recent Graduate Job Opportunities - Learn about internships, fellowships and training programs available across the Department.
- Experienced Professionals - Use your technical skills and management experience to contribute to the homeland security mission. Explore meaningful career opportunities today.
- Retirees - The Department offers retirees meaningful work opportunities, including short- and long-term projects, on a part-time or flexible schedule.
- Veterans - The Department is committed to recruiting and employing eligible veterans for suitable jobs.
Last Published Date:
December 16, 2014 
Advices to people with irritable bowel syndrome (IBS) in CAMBRIDGE OHIO
What is irritable bowel syndrome (IBS)?
Irritable bowel syndrome* (IBS) is a functional gastrointestinal (GI) disorder, meaning that the symptoms are caused by changes in how the GI tract works. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anusthe opening where stool leaves your body. Food is digested, or broken down, in the GI tract.
The organs of the GI tract
*See the Pronunciation Guide for tips on how to say words in bold type.
IBS is a group of symptoms that occur together, not a disease. Symptoms can come and go repeatedly without signs of damage to the GI tract.
What are the symptoms of IBS?
The most common symptoms of IBS include pain or discomfort in your abdomenthe area between your chest and hipsand changes in your bowel habits. The pain or discomfort of IBS may be reported as cramping and
- starts when you have bowel movements more or less often than usual
- starts when your stool appears looser and more watery or harder and more lumpy than usual
- goes away after a bowel movement
The changes in bowel habits with IBS may be diarrhea, constipation, or both.
Symptoms of diarrhea are
- passing stools three or more times a day
- having loose, watery stools
- feeling an urgent need to have a bowel movement
Symptoms of constipation are
- passing fewer than three stools in a week
- having hard, dry stools
- straining to have a bowel movement
Some people with IBS have only diarrhea or only constipation. Some people have symptoms of both diarrhea and constipation or have diarrhea sometimes and constipation other times. People often have symptoms after eating a meal.
Other symptoms of IBS are
- whitish mucusa clear liquid made by the intestinesin the stool
- a swollen or bloated abdomen
- the feeling that you havent finished a bowel movement
Women with IBS often have more symptoms during their menstrual periods.
IBS is a chronic disorder, meaning it lasts a long time, often years. However, the symptoms may come and go. You may have IBS if
- you have had symptoms at least three times a month for the past 3 months
- your symptoms first started at least 6 months ago
While IBS can be painful, it doesnt lead to other health problems or damage the GI tract.
What causes IBS?
Doctors are not sure what causes IBS. Researchers are studying the following possible causes of IBS:
- Brain-gut signal problems. Signals between your brain and the nerves of your gut, or small and large intestines, control how your gut works. Problems with brain-gut signals may cause IBS symptoms, such as changes in your bowel habits and pain or discomfort.
- Colon muscle problems. The muscles of your colon, part of your large intestine, may not work normally. The muscles may contract, or tighten, too much. These contractions may move stool through your gut too quickly, causing cramping and diarrhea during or shortly after a meal, or slow the movement of stool, causing constipation.
- Sensitive nerves. The nerves in your gut may be extra sensitive, causing you to feel more pain or discomfort than normal when gas or stool is in the gut.
- Mental health issues. Psychological, or mental health, issues such as anxiety or depression may be related to IBS in some people. Stress can make the nerves of your gut more sensitive, causing more discomfort and emotional distress.
- Infections. A bacterial infection in the GI tract may cause some people to develop IBS.
- Small intestinal bacterial overgrowth. Normally, few bacteria live in the small intestine. Small intestinal bacterial overgrowth is an increase in the number or a change in the type of bacteria in the small intestine. These bacteria can produce extra gas and may also cause diarrhea and weight loss. Some researchers believe small intestinal bacterial overgrowth may lead to IBS; however, more research is needed to show a link between the two conditions.
How is IBS diagnosed?
Your doctor may be able to diagnose IBS based on your symptoms. Your doctor may not need to do medical tests or may do a limited number of tests.
Your doctor will ask about your
- medical history
- eating habits
- medicine use
Your doctor will look for a certain pattern in your symptoms. Your doctor can diagnose IBS by using symptom-based standards such as the Rome criteria. Based on the Rome criteria, IBS may be diagnosed if
- your symptoms started at least 6 months ago
- you have had abdominal pain or discomfort at least three times a month for the past 3 months
- your abdominal pain or discomfort has two or three of the following features:
- Your pain or discomfort improves after a bowel movement.
- When your pain or discomfort starts, you notice a change in how often you have a bowel movement.
- When your pain or discomfort starts, you notice a change in the way your stools look.
Your doctor will also conduct a physical exam and may perform blood tests to make sure you dont have other health problems. IBS can have the same symptoms as other health problems, so more tests may be needed. If any blood tests suggest you may have another health problem, your doctor might also perform the following tests:
- Stool test. A stool test is used to check stool for blood or parasites, which are tiny organisms found in contaminated food or water. Your doctor will give you a container for catching and storing the stool. You will return the stool sample to your doctor or a commercial facility. The sample will be sent to a lab to check for blood or parasites. Your doctor may also check for blood in stool by examining your rectumthe lower end of the large intestine leading to the anusduring your physical exam.
- Flexible sigmoidoscopy. Flexible sigmoidoscopy is used to look inside your rectum and lower colon. This test is used to look inside the rectum and lower colon. The test is performed at a hospital or an outpatient center by a gastroenterologista doctor who specializes in digestive diseases. Anesthesia is usually not needed. Your doctor will give you written bowel prep instructions to follow at home before the test. You may need to follow a clear liquid diet for 1 to 3 days before the test. You may also need a laxative or enema the night before the test. You may also have one or more enemas about 2 hours before the procedure.
For the test, you will lie on a table while the doctor inserts a flexible tube into your anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The test can show problems in the rectum or lower colon that may be causing your symptoms.
You can usually go back to your normal diet after the test, though you may have cramping or bloating during the first hour after the test.
- Colonoscopy. Colonoscopy is used to look inside your rectum and entire colon. The test is performed at a hospital or an outpatient center by a gastroenterologist. Youll be given a light sedative and possibly pain medicine to help you relax. Your doctor will give you written bowel prep instructions to follow at home before the test. You may need to follow a clear liquid diet for 1 to 3 days before the test. You may need to take laxatives and enemas the evening before the test.
For the test, you will lie on a table while the doctor inserts a flexible tube into your anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The test can show problems in your colon that may be causing your symptoms.
Cramping or bloating may occur during the first hour after the test. Driving is not permitted for 24 hours after the test so that the sedative can wear off. Before the appointment, you should make plans for a ride home. By the next day, you should fully recover and go back to your normal diet.
How is IBS treated?
Irritable bowel syndrome is treated by relieving symptoms through
- changes in eating, diet, and nutrition
- psychological therapy
You may have to try a few treatments to see what works best for you. Your doctor can help you find the right treatment plan.
Eating, Diet, and Nutrition
Eating large meals can cause cramping and diarrhea in some people with IBS. If you experience these symptoms, try to change your eating patterns by eating four or five small meals a day.
Certain foods or drinks may make symptoms worse, such as
- foods high in fat
- some milk products
- drinks with alcohol or caffeine
- drinks with large amounts of artificial sweeteners, which are used in place of sugar
- beans, cabbage, and other foods that may cause gas
To find out if certain foods trigger your symptoms, keep a diary and track
- what you eat during the day
- what symptoms you have
- when symptoms occur
Take your notes to your doctor and talk about which foods seem to make your symptoms worse. You may need to avoid these foods or eat less of them.
Fiber may improve constipation symptoms caused by IBS because it makes stool soft and easier to pass. Fiber is found in foods such as whole-grain breads and cereals, beans, fruits, and vegetables. The Academy of Nutrition and Dietetics recommends that adults consume 21 to 38 grams of fiber a day.
While fiber may help constipation, it may not be enough to treat the abdominal discomfort or pain of IBS. In fact, some people with IBS may feel a bit more abdominal discomfort after adding more fiber to their diet. Add foods with fiber a little at a time to let your body get used to them. Too much fiber at once can cause gas, which can trigger symptoms in people with IBS.
Your doctor may give you medicine help relieve symptoms. Follow your doctors instructions when you use medicine to treat IBS. Talk with your doctor about possible side effects and what to do if you have them.
These medicines can lessen the symptoms of IBS:
- Laxatives treat constipation. Many kinds of laxatives are available. Your doctor can help you find the right laxative for you.
- Loperamide (Imodium) treats diarrhea.
- Antispasmodics help reduce muscle spasms in the intestines and help ease abdominal pain.
- Antidepressants in low doses can help relieve IBS symptoms.
- Lubiprostone (Amitiza) is prescribed for people who have IBS with constipation.
- Linaclotide (Linzess) is also prescribed for people who have IBS with constipation.
The antibiotic rifaximin can reduce bloating by treating small intestinal bacterial overgrowth; however, scientists are still debating the use of antibiotics to treat IBS and more research is needed.
Probiotics are live microorganismstiny organisms that can be seen only with a microscope. These microorganisms, most often bacteria, are like the microorganisms normally found in your GI tract. Studies have found that probiotics taken in large enough amounts improve symptoms of IBS; however, more research is needed. Probiotics can be found in dietary supplements, such as capsules, tablets, and powders, and in some foods, such as yogurt. Talk with your doctor before using probiotics, supplements, or any other complementary or alternative medical treatment. Read more at www.nccam.nih.gov/health/probiotics.
Psychological therapy can help improve IBS symptoms.
- Talk therapy. Talk therapy may reduce stress and improve IBS symptoms. Two types of talk therapy used to treat IBS are cognitive behavioral therapy and psychodynamic, or interpersonal, therapy. Cognitive behavioral therapy focuses on your thoughts and actions. Psychodynamic therapy focuses on how your emotions affect your IBS symptoms.
- Gut-directed hypnotherapy. In hypnotherapy, a therapist may help relax the muscles in your colon by putting you into a trancelike state.
- Mindfulness training. Mindfulness training can teach you to focus your attention on sensations occurring at the moment and to avoid catastrophizing, or worrying about the meaning of those sensations.
Does stress cause IBS?
Although stress does not cause IBS, if you already have IBS, stress can make your symptoms worse. In addition, simply having IBS symptoms can produce stress.
Learning to reduce stress can help improve IBS. With less stress, you may find you have less cramping and pain. You may also find it easier to manage your symptoms.
Meditation, exercise, hypnosis, and counseling may help lessen IBS symptoms. Getting enough sleep and changing life situations to make them less stressful may also help. You may need to try different activities to see what works best for you.
Points to Remember
- Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, meaning symptoms are caused by changes in how the GI tract works.
- IBS is a group of symptoms that occur together, not a disease. Symptoms can come and go repeatedly without signs of damage to the GI tract.
- The most common symptoms of IBS include pain or discomfort in your abdomenthe area between your chest and hipsand changes in your bowel habits.
- While IBS can be painful, it doesnt lead to other health problems or damage the GI tract.
- Doctors are not sure what causes IBS. Researchers are studying the following possible causes of IBS:
- brain-gut signal problems
- colon muscle problems
- sensitive nerves
- mental health issues
- small intestinal bacterial overgrowth
- Your doctor may be able to diagnose IBS based on your symptoms. Your doctor may not need to do medical tests or may do a limited number of tests.
- IBS is treated by relieving symptoms through
- changes in eating, diet, and nutrition
- psychological therapy
- Although stress does not cause IBS, if you already have IBS, stress can make your symptoms worse.
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKs) pision of Digestive Diseases and Nutrition conducts and supports basic and clinical research into many digestive disorders.
Clinical trials are research studies involving people. Clinical trials look at safe and effective new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. To learn more about clinical trials, why they matter, and how to participate, visit the NIH Clinical Research Trials and You website at www.nih.gov/health/clinicaltrials. For information about current studies, visit www.ClinicalTrials.gov.
flexible sigmoidoscopy (FLEK-suh-buhl) (SIG-moy-DOSS-kuh-pee)
irritable bowel syndrome (IHR-ih-tuh-buhl) (boul) (SIN-drohm)
For More Information
American Neurogastroenterology and Motility Society
45685 Harmony Lane
Belleville, MI 48111
International Foundation for Functional Gastrointestinal Disorders
700 West Virginia Street, Suite 201
Milwaukee, WI 53204
Phone: 18889642001 or 4149641799
Rome Foundation, Inc.
P.O. Box 6524
Raleigh, NC 27628
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This publication was reviewed by Douglas A. Drossman, M.D., University of North Carolina at Chapel Hill.
Thank you also to the Salvation Army, SE Corps, Washington, D.C., for facilitating field-testing of the original version of this publication.
The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this document are used only because they are considered necessary in the context of the information provided. If a product is not mentioned, the omission does not mean or imply that the product is unsatisfactory.
National Digestive Diseases Information Clearinghouse
2 Information Way
Bethesda, MD 208923570
The National Digestive Diseases Information Clearinghouse (NDDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1980, the Clearinghouse provides information about digestive diseases to people with digestive disorders and to their families, health care professionals, and the public. The NDDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about digestive diseases.
This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.
This publication may contain information about medications and, when taken as prescribed, the conditions they treat. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1888INFOFDA (18884636332) or visit www.fda.gov. Consult your health care provider for more information.
NIH Publication No. 134686
Page last updated October 16, 2013