Texas - Howard Sherman
takes and gives, adds and
subtracts — paints,
then brushes over —
canvasses until they
scream with powerful
strokes, sinuous marker
lines and cartoonish
references. A bulk of the
committed local food
advocate, is planning a
dinner that involves
testing a sample of
American Waygu ribeye
from A Bar N Farms in
Sherman, Texas, and
serving it with eye of
goat beans gifted to him
by Sharon Hage. Michael
Ehlert and family spend
Austin College associate
professor of religious
studies, and her
colleague Zhou Xun of the
University of Essex in
the United Kingdom, have
edited the book Disease,
Religion and Healing in
Asia: Collaborations and
his "Texan" -- Texas Tech
AD Kirby Hocutt
Virginia's Oliver Luck)
-- and the return of
Archie Manning. Hocutt is
a Sherman, Texas native.
Manning -- that son of
the South -- intends to
return if he can get over
some physical issues
Texas – Tyson
Foods, Inc. altered the
work schedule at its
Sherman, Texas, plant in
preparation for a winter
storm that is expected to
bring strong winds,
freezing rain and drive
freezing. Gary Mickelson,
a Tyson Foods ...
Bernice Moslander, 86, of
Edmond, Okla., passed
away February 18, 2015.
Bernice was born July 2,
1928 to Horton and Thelma
Tracy in Sherman, Texas.
She graduated from
Classen High School in
1946 . Bernice worked for
AT&T, starting as a
he was transferred to
Perrin Field, Sherman,
Texas, for training in a
BT-13A and instrument
training in a Link
trainer. He received
advanced training at
Foster Field, Victoria,
Texas, in the famous
North American AT-6 for
formation flying ...
(right) and Sherman Mayor
Cary Wacker appear
Wednesday in Sherman. The
visited the Sherman area
during his first break
from Washington. Related
Links HR 596 SHERMAN,
Texas -- Sherman got a
visit Wednesday ...
Jefferson and Jake
Sherman are to be married
Sunday at the
father is a pediatric
pulmonologist at Texas
in Houston. Her mother
retired as a special
assistant at the Houston
mayor’s office of
Texas jury found a member
of a Dallas-area real
estate family guilty
Friday of duping
investors with tales of a
fake Walt Disney theme
park and resort project.
The federal jury
deliberated less than a
half day in Sherman
before convicting Thomas
now it will be time to
have a baby and our bags
are officially packed. I
am not sure which items I
will actually end up
using and which I
I’d rather err on
being over prepared than
William T. Sherman
Writing after the end of
the war, Maj. Gen.
William Tecumseh Sherman
wrote that his armies
left Columbia South
Editor’s Note: The
Society is pleased to
contribute items from
its collection to
the Remembering Lincoln
digital collection (going
live on March 18). The
majority of items are
the images above are from
when Keena purchased in
2013. Images courtesy
Rodeo Realty.The always
informative Lauren Beale
at LA Times Hot Property
revealed back on January
7, 2015 that Entourage
between the rains, after
the air had been washed,
the skies were radiant.
And enormous cumulus
clouds towered above,
bottoms gray, tops white.
The sun came and went.
Streets of dark
I have read
this book three times.
Once was for fun and I
absolutely loved it. The
second and third times
were for school. It
occurred to me how fresh
each read is. I learn
more and more from this
SPECIAL INFORMATION FOR SHERMAN
Schools and libraries with Wi-Fi in SHERMAN TEXAS ?
In June 2013, I joined the President in Mooresville, NC, to launch ConnectED an initiative to close the technology gap in our schools and bring high-speed Internet to 99 percent of Americas students within five years. This vision that all students should have access to world-class digital learning is well on its way to becoming a reality.
Thanks to the leadership of the President and the FCC, the resources are in place to meet the Presidents connectivity goal. In addition, various private-sector partners are making over $2 billion worth of resources available to students, teachers, and schools. These include tablets, mobile broadband, software, and online teacher professional development courses from top universities. Fewer than 40 percent of public schools currently have the high-speed Internet needed to support modern digital learning.
But now we have the resources to solve this problem. We just need help from our nations superintendents and school technology chiefs.
Last year, the FCC approved the first major update to the E-Rate program since it was created in 1997. E-Rate (also known as the Universal Service Program for Schools and Libraries) makes it more affordable for schools and libraries to connect to high-speed Internet with the goal of making the gigabit speeds we see in cities like Cedar Falls, Iowa, and Chattanooga, Tennessee the norm in schools across the country.
These updates have unlocked funding to support internal Wi-Fi network upgrades in schools and libraries this year for the first time since 2012. Wi-Fi is important because no matter how fast the Internet connection is to a school, students cant take full advantage of it without a robust wireless network within the school.
To secure E-rate support for Wi-Fi, schools and libraries must submit a form describing their project needs to the Universal Service Administrative Company (USAC). USAC then posts the request for competitive bidding. The Department of Education has prepared an Infrastructure Guide to help district leaders navigate the many decisions required to deliver cutting-edge connectivity to students. That said, schools and libraries have the final say when they submit an application to USAC for approval.
Bringing our schools up to speed is a major priority, and E-rate provides an opportunity to make doing so much more affordable. For all of the superintendents and technology officers: If you havent yet done so, get your requests submitted by February 26, 2015, and your applications in before March 26, 2015 (requests must be up for 28 days before a school can choose a vendor). Your students, your community, and your country will thank you for bringing our classrooms into the 21st century.
SHERMAN TEXAS tspan:3m
People help people. Gods do not help people
Organ transplants have saved more than two million years of life in the United States over a period of 25 years, new research shows.But fewer than half the people who needed a transplant in this period they received, according to a report in the online edition of the January 28 issue of the journalSurgery JAMA ."The critical shortage of donors continues to affect this field. Just 47.9 percent of patients on the waiting list during the 25 years of the study underwent a transplant. The need is increasing, and therefore the Organ donation should increase, "wrote Dr. Abbas Rana, Baylor College of Medicine in Houston, and colleagues. The researchers analyzed the medical records of more than 530,000 people receiving organ transplants between 1987 and 2012, and nearly 580,000 people who signed up for the waiting list but never received a transplant. In that period, transplants saved 2.2 million life years, with an average of just over four years saved for each person who received a transplant from a living body, the study authors noted in a news release from the journal . The number of years saved by type of organ transplant life were: kidney, 1.3 million years; liver, more than 460,000; heart, almost 270,000; lung, about 65,000: pancreas and kidney, nearly 80,000; pancreas, just under 15,000, and intestines, around 4,500. One expert noted the relevance of the findings. "This study highlights the importance of organ donation, and shows that solid organ transplants save lives. One organ donor can have an impact on up to 50 lives," said Dr. Kareem Abu-Elmagd, director of the Center for transplant at the Cleveland Clinic in Ohio. "The field of transplantation continues to seek ways to save more lives," said Abu-Elmagd. "For example, the program of ex vivo perfusion of organs of the Cleveland Clinic has been studying perfusion technology to better preserve organs donated." Powered by infusion, a machine pumps oxygen and nutrients to the donated enriched to prevent damage or deterioration of the body prior to transplant into a patient waiting, according to the Cleveland Clinic organ solution. Baylor researchers suggested a direct solution. "We call for greater support of transplantation and solid organ donation, valuable efforts have an impressive record of achievements and tremendous potential to do even more good for humanity in the future," concluded the authors. HealthDay, translated by HispaniCare
SOURCES: Kareem Abu-Elmagd, MD, Ph.D., director, Cleveland Clinic´s Transplant Center, Ohio; JAMA Surgery , news release, Jan. 28, 2015
Advices to people with irritable bowel syndrome (IBS) in SHERMAN TEXAS
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