text:
Terrell Thomas was one of my New York Giants selection for TTR's Game Changers in 2012, but it looks like his entire season if not career could be in jeopardy now. This is disappointing news for the Giants and the promising young player.
The Giants don't sound particularly optimistic, after cornerback Terrell Thomas re-injured his right knee and was sent off for tests this morning.
Thomas missed last year with a torn ACL, and after getting tangled up with wide receiver Dominik Hixon Sunday, Thomas came in today with swelling and was sent to the Hospital for Special Surgery (which is a really ominous-sounding name for a hospital, by the way).
When coach Tom Coughlin was asked if there was any news on Thomas, he replied, "Unfortunately, there is, . . .," according to Ralph Vacchiano of the New York Daily News.
The Giants are expected to announce more this afternoon, but it doesn't take much reading between the lines to anticipate it's not good.
Last year's ACL tear was his second, with the first in his college days at Southern Cal. Despite that history, the Giants signed him to a four-year, $28 million deal in March, though the likelihood of him seeing that amount is slim. Read more here…


text:
Pfeiffer Beach Rocks
Pfeiffer Beach Rocks in Monterey County are a unit of the California Coastal National Monument
Rock at Pfeiffer Beach
Access to these rocks is available through the U.S. Forest Service - Los Padres National Forest Pfeiffer Beach Day Use Access Point.
This portion of the California Coastal National Monument is within the Monterey Bay National Marine Sanctuary managed by the National Oceanic and Atmospheric Administration (NOAA).
Bureau of Land ManagementCalifornia Coastal National Monument940 2nd AvenueMarina, CA 93933-6009Phone: (831) 582-2213fax: (831) 582-2266Contact us by e-mail

subset: commoncrawl


text:
*From the Departments of Surgery (Dr. Toloza) and Medicine (Drs. Harpole and McCrory), Duke University Medical Center, Durham, NC.
Correspondence to: Eric M. Toloza, MD, PhD, Duke Thoracic Oncology, DUMC Box 3048, Durham, NC 27710; e-mail: email@example.com
Study objectives: To determine the test performance characteristics of CT scanning, positron emission tomography (PET) scanning, MRI, and endoscopic ultrasound (EUS) for staging the mediastinum, and to evaluate the accuracy of the clinical evaluation (ie, symptoms, physical findings, or routine blood test results) for predicting metastatic disease in patients in whom non-small cell lung cancer or small cell lung cancer is diagnosed.
Design, setting, and participants: Systematic searches of MEDLINE, HealthStar, and Cochrane Library databases to July 2001, and of print bibliographies. Studies evaluating the staging results of CT scanning, PET scanning, MRI, or EUS, with either tissue histologic confirmation or long-term clinical follow-up, were included. The performance of the clinical evaluation was compared against the results of brain and abdominal CT scans and radionuclide bone scans.
Measurement and results: Pooled sensitivities and specificities for staging the mediastinum were as follows: for CT scanning: sensitivity, 0.57 (95% confidence interval [CI], 0.49 to 0.66); specificity, 0.82 (95% CI, 0.77 to 0.86); for PET scanning: sensitivity, 0.84 (95% CI, 0.78 to 0.89); specificity, 0.89 (95% CI, 0.83 to 0.93); and for EUS: sensitivity, 0.78 (95% CI, 0.61 to 0.89); specificity, 0.71 (95% CI, 0.56 to 0.82). For the evaluation of brain metastases, the summary estimate of the negative predictive value (NPV) of the clinical neurologic evaluation was 0.94 (95% CI, 0.91 to 0.96). For detecting adrenal and/or liver metastases, the summary NPV of the clinical evaluation was 0.95 (95% CI, 0.93 to 0.96), and for detecting bone metastases, it was 0.90 (95% CI, 0.86 to 0.93).
Conclusions: PET scanning is more accurate than CT scanning or EUS for detecting mediastinal metastases. The NPVs of the clinical evaluations for brain, abdominal, and bone metastases are ≥ 90%, suggesting that routinely imaging asymptomatic lung cancer patients may not be necessary. However, more definitive prospective studies that better define the patient population and improved reference standards are necessary to more accurately assess the true NPV of the clinical evaluation.
Evaluation of patients with suspected lung cancer includes both a diagnosis of the primary tumor and an evaluation of the extent of spread to regional or distant lymph nodes or to other structures. The current system for staging lung cancer is based on the TNM classification.1–2 The staging of lung cancer patients not only provides important prognostic information with regard to survival, but also guides the decision-making process with regard to the choosing optimal treatment modality.
Mediastinal lymph node involvement is found in 26% of newly diagnosed lung cancer patients, and extrathoracic metastases are found in 49%.3 In patients with non-small cell lung cancer (NSCLC), those with mediastinal lymph node involvement are classified as having stage III disease, and those with extrathoracic metastases as having stage IV disease. For patients with small cell lung cancer (SCLC), both types of patients would be classified as having extensive disease. The remainder of newly diagnosed lung cancer patients who present without mediastinal lymph node or extrathoracic metastases are said to have stage I or II NSCLC or limited-stage SCLC.
The evaluation of a patient who presents with newly suspected lung cancer includes a clinical evaluation to assess for the presence or absence of extrathoracic metastatic disease and an imaging procedure to evaluate the mediastinum. As the most common sites of lung cancer metastases are the brain, bones, liver, and adrenal glands, the clinical evaluation ordinarily includes an assessment for headache, focal neurologic deficits, seizures, or changes in personality that may suggest brain metastases; bone pain or pathologic fractures that may suggest bone metastases; and abdominal or flank pain, or serum enzyme levels that may suggest liver metastases. Adrenal metastases are usually asymptomatic. Noninvasive imaging of the mediastinum may include the use of CT scanning, MRI, endoscopic ultrasound (EUS), or positron emission tomography (PET) scanning.
The purpose of the present study is twofold, as follows: (1) to assess the performance characteristics of noninvasive imaging procedures for staging the mediastinum; and (2) to assess the negative predictive value (NPV) of the clinical evaluation for predicting extrathoracic metastases. The NPV is the probability that a negative result correctly indicates the absence of metastatic disease.
The following two key questions were identified:
What are the sensitivities and specificities of CT scanning, MRI, EUS, and PET scanning for detecting malignant mediastinal lymph node involvement in lung cancer patients?
How accurate is the clinical evaluation (ie, symptoms, physical findings, or routine blood tests) for predicting metastatic disease among patients in whom lung cancer (ie, NSCLC or SCLC) has been diagnosed?
Computerized searches of the MEDLINE bibliographic database (January 1991 to July 2001), HealthStar, and the Cochrane Library were performed. The decision to limit the search to the past 10 years was based on the evolution of technology after consultation with diagnostic radiologists at Duke University Medical Center. Key words used for the search included lung neoplasm, bronchial neoplasm, neoplasm staging, neoplasm metastasis, lymphatic metastasis, CT, mediastinum radiography, emission-CT, adrenal gland neoplasms, and sensitivity and specificity. In addition, we searched the reference lists of included studies, selected textbooks, practice guidelines, systematic reviews, and meta-analyses in order to ensure that all relevant studies were identified. Only articles that had been published in English were considered.
To address question 2, all articles described in a previously published meta-analysis evaluating tests for extrathoracic metastases also were included.4
Titles and abstracts, and the full text of all articles passing the title-and-abstract screen, were evaluated independently by at least two of the authors for inclusion or exclusion based on the following five criteria: (1) publication in a peer-reviewed journal; (2) study size of > 20 patients (except for studies involving CT scan evaluation of the mediastinum, for which > 50 patients were required); (3) patient group not included in a subsequent update of the study; (4) histologic or cytologic confirmation of mediastinal nodes or extrathoracic sites in addition to the primary tumor; and (5) availability of the raw data needed to calculate independently the sensitivity, specificity, NPV, and positive predictive value (PPV) of CT scanning, PET scanning, MRI, or EUS (question 1), or, for question 2, the raw data needed to calculate the NPV of the clinical evaluation. This last criterion was most important when analyzing studies that did not originally differentiate between hilar nodal involvement and mediastinal nodal involvement. Only articles meeting all five of these criteria were included.
Data were abstracted from included studies and tabulated separately by type of noninvasive test (ie, CT scan, PET scan, MRI, and EUS). Studies that evaluated the mediastinum by CT or PET scan were tabulated both by correlation to nodal station and by correlation to patient. Some studies described both hilar nodal involvement (stage N1) and mediastinal nodal involvement (stages N2 and N3). We considered only mediastinal nodal involvement (stages N2 and N3) as being disease-positive in analyzing the studies, which is consistent with the 1997 revision of the lung cancer staging system.1 Patients with clinical or histopathologic stage IV disease were excluded from calculations of operating characteristics if the nodal stage was not described.
Either tissue histologic confirmation or, if that was unavailable, long-term (ie, ≥ 1 year) clinical outcome was utilized as the reference or "gold standard" by which imaging data were compared. If neither tissue pathologic confirmation nor clinical outcome was available, then the patient was deemed to be not evaluable and was excluded from further statistical analysis.
Data from studies that described the presence or absence of symptoms or signs of metastatic disease on clinical evaluation (ie, symptoms, physical examination findings, and laboratory evaluation results) were abstracted, with the presence or absence of extrathoracic metastases tabulated separately by the site of metastatic disease (ie, brain, abdomen, and bone). Positive findings on neuroimaging studies (ie, CT scan, MRI, or PET scan), abdominal CT scans, and radionuclide bone scans were used as references by which clinical evaluations for brain, abdominal, and bone metastases, respectively, were compared.
Sensitivity is defined as the percentage of people with the disease who are detected by the test. It is calculated as the number of true-positive results divided by the sum of the number of true-positive results and false-negative results. Specificity is defined as the percentage of people without the disease who were correctly labeled by the test as not having the disease. It is calculated as the number of true-negative results divided by the sum of true-negative results and false-positive results. The PPV is defined as the likelihood that a patient with a positive test result actually has the disease. It is calculated as the number of true-positive results divided by the sum of true-positive results and false-positive results. The NPV is defined as the likelihood that a patient with a negative test result actually does not have the disease. It is calculated as the number or true-negative results divided by the sum of true-negative results and false-negative results. Both the PPV and the NPV vary with the prevalence of disease, which is the frequency of disease in the population. The prevalence can be calculated as the number of patients with either true-positive or false-negative results divided by the total number of patients.
Summary sensitivity and specificity, and their respective confidence intervals (CIs), were calculated using statistical software for the meta-analysis of diagnosis tests (Meta-Test; New England Cochrane Center; Boston, MA).5 For studies that included patients with a positive and negative clinical evaluation, the sensitivity, specificity, and PPV of the evaluation for metastatic disease were calculated. As most studies of clinical evaluation included only asymptomatic patients, the primary outcome in these studies was the NPV.
We calculated NPVs using statistical software (FAST*PRO),6which tests individual study estimates for homogeneity and calculates a summary estimate of the NPV. Summary receiver operating characteristic (ROC) curves were generated for studies that provided information about patients with both positive and negative clinical evaluation results and for studies with tissue confirmation of disease.7 As with conventional ROC curves, a summary ROC curve closer to the upper left-hand corner of the graph indicates better overall diagnostic test performance. To compare the summary ROC curves, a t test comparing the intercepts was performed using a Student t test.
Although some studies analyzed results by nodal station, which may increase the correlation between imaging abnormalities and pathology, clinical decisions are made based on the accurate staging of multiple lymph-node stations in the mediastinum. We therefore present results at the patient level, not at the nodal-station level.
Twenty studies,8–27 with 3,438 evaluable patients, evaluated the accuracy of standard CT scanning for staging the mediastinum (Table 1
). All but three studies,16–17,27 used a > 10-mm short-axis diameter as the criterion for nodal positivity. The individual studies are plotted by sensitivity and 1 − specificity in Figure 1
, which also displays the summary ROC curve. The pooled sensitivity of CT scanning was 0.57 (95% CI, 0.49 to 0.66), and the pooled specificity was 0.82 (95% CI, 0.77 to 0.86). However, there was marked heterogeneity in the sensitivity and specificity of the individual studies. The overall PPV and NPV of CT scanning for a patient were 0.56 (range, 0.26 to 0.84) and 0.83 (range, 0.63 to 0.93), respectively. The overall prevalence of mediastinal disease among the patients was 28% (range, 18 to 50%).
Staging the mediastinum by PET scanning was assessed by 18 studies8,11,13–14,16–18,21,28–37 that included 1,045 evaluable patients from total of 1,166 enrolled patients (Table 2
). In all studies, the imaging technique used 18F-2-fluoro-2-deoxy-D-glucose as the positron emitter. The individual studies are plotted by sensitivity and 1 − specificity in Figure 2
, which also displays the summary ROC curve. As compared with the CT scanning summary ROC curve, the PET scanning summary ROC curve was significantly more accurate (t = 19; p < 0.001). The pooled sensitivity was 0.84 (95% CI, 0.78 to 0.89), and the pooled specificity was 0.89 (95% CI, 0.83 to 0.93). The heterogeneity was less than that found among the studies of CT scanning. The overall PPV and NPV were 0.79 (range, 0.40 to 1.00) and 0.93 (range, 0.75 to 1.00), respectively. The overall prevalence of mediastinal disease was 32% (range, 5 to 56%).
Three studies,16–17,31 including 152 patients total, evaluated the mediastinum with both CT and PET scanning. The sensitivity of the combined tests ranged from 0.78 to 0.93, and the specificity ranged from 0.82 to 0.95. The PPV ranged from 83 to 93%, and the NPV ranged from 88 to 95%. The prevalence of mediastinal disease ranged from 32 to 50%.
One study38 of 20 patients assessed the accuracy of MRI for staging the mediastinum with and without gadolinium enhancement. With gadolinium, the sensitivity was 1.0, the specificity was 0.91, the PPV was 0.96, and the NPV was 1.0. Without gadolinium, the sensitivity dropped to 0.63, the specificity improved to 1.0, the PPV improved to 1.0, and the NPV fell to 0.55.
Five studies39–43 assessed the use of EUS to stage the mediastinum in 163 evaluable patients (Table 3
). The size of the lymph node and evidence of necrosis (ie, echo heterogeneity) or capsular disruption (ie, irregularity of shape) provided criteria with which to determine the presence of metastases. The pooled sensitivity of EUS was 0.78 (95% CI, 0.61 to 0.89), and the pooled specificity of EUS was 0.71 (95% CI, 0.56 to 0.82). The overall PPV was 75% (range, 38 to 100%), and the overall NPV was 79% (range, 57 to 89%). The overall prevalence of mediastinal involvement in these patients was 50% (range, 25 to 76%).
Seventeen studies10,44–59 were included that evaluated the ability of clinical evaluation to detect brain metastases in 1,784 patients (Table 4
). Eight studies,46,48,51–56 provided information on patients with both positive and negative clinical evaluations, while nine studies10,44–45,47,49–50,57–59 included only patients with a negative clinical evaluation findings. One study44 used both CT scanning and MRI as the reference standard in two separate analyses. Only the results from the CT scan analysis are considered here.
The NPV of the clinical neurologic evaluation ranged from 0.79 to 1.00, but there was significant heterogeneity. The calculated summary estimate for the NPV was 0.94 (95% CI, 0.91 to 0.96). For studies that evaluated patients with both positive and negative clinical evaluations (n = 8), the pooled sensitivity was 0.76 (95% CI, 0.64 to 0.84), and the pooled specificity was 0.87 (95% CI, 0.74 to 0.94). The PPV was 0.54, with a range of 0.21 to 1.00. The overall prevalence of brain metastases in these patients was 13% (range, 0 to 32%).
Twelve studies48–50,60–68 assessed the ability of the clinical evaluation to detect adrenal and/or liver metastases in 1,201 patients (Table 5
). Three of the studies,60–61,64 evaluated both symptomatic (including abnormal liver function tests as the only symptom) and asymptomatic patients, while nine studies48–50,62–63,65–68 included only negative clinical evaluation patients. There was heterogeneity in the NPV, which ranged from 0.82 to 1.0. The calculated summary estimate was 0.95 (95% CI, 0.93 to 0.96). For studies that evaluated patients who had a negative and a positive clinical evaluation (n = 3), the pooled sensitivity and specificity of clinical abdominal evaluation for detecting abdominal metastases were 0.92 (95% CI, 0.82 to 0.97) and 0.49 (95% CI, 0.25 to 0.74), respectively. The PPV ranged from 0.20 to 0.59, with a mean of 0.32. The overall prevalence of abdominal metastases was 10% (range, 0 to 40%).
Seven studies48,50,69–73 assessed the ability of clinical evaluation to detect bone metastases in 633 patients (Table 6
). All but two studies,50,71 included both symptomatic and asymptomatic patients. The pooled sensitivity and specificity of clinical bone evaluation for detecting bone metastases were 0.87 (95% CI, 0.79 to 0.93) and 0.67 (95% CI, 0.40 to 0.88), respectively. There was heterogeneity in the NPV, with a calculated summary estimate of 0.90 (95% CI, 0.86 to 0.93) and a range of 0.70 to 1.0. The mean PPV was 0.36 (range, 0.16 to 0.90). The overall prevalence of bone metastases was 20% (range, 8 to 34%).
Patients presenting with newly diagnosed lung cancer need to be assessed for potential mediastinal and extrathoracic metastases. When selecting a test for staging the disease of a patient with known or suspected lung cancer, two issues need to be considered. First, one needs to select a test that will assess the patient for metastatic disease. This test should have a high sensitivity and specificity. Second, one needs to be able to interpret accurately the test results for an individual patient. For example, what is the likelihood that a negative test result means a patient is free of metastatic disease or, conversely, that a positive test confirms metastatic disease? This issue is addressed by the PPVs and NPVs of a test. However, the NPV and PPV of a test are affected by the prevalence of disease. Thus, patients may be approached differently depending on one's initial degree of suspicion regarding mediastinal or extrathoracic involvement. A patient suspected of having metastases would require a test with high sensitivity to confirm the diagnosis. In contrast, a patient suspected of having early-stage disease would require a test with high specificity to rule out advanced disease. Determining the most expeditious and cost-effective method of doing this has been the focus of considerable research.4,74–78
The present meta-analysis suggests that PET scanning of the mediastinum is more sensitive and specific than either CT scanning or EUS alone. A comparison of the summary ROC curves demonstrates greater accuracy for PET scanning than for CT scanning, with a negative PET scan providing a > 90% certainty of the absence of positive mediastinal lymph node metastases. These findings are compatible with those of Dwamena et al,77 who also demonstrated the superiority of PET scanning to CT scanning for detecting mediastinal nodal metastases. Other studies11 have demonstrated improved sensitivity and specificity for PET scanning vs CT scanning and have shown that > 60% of patients have a resultant change in their clinical stage when using PET scanning vs CT scanning for staging. Additionally, a randomized trial comparing a conventional workup (ie, invasive diagnostic and therapeutic procedures) alone vs PET scanning followed by a conventional workup identified more patients in the PET scan group with mediastinal and distant metastases, and subsequently fewer patients who underwent futile thoracotomies.,79 EUS without biopsy is limited in that it cannot image all nodal stations, and its sensitivity and specificity are lower than those for PET scanning
Our meta-analysis of CT scanning demonstrated that the accuracy of CT scanning for mediastinal staging has not improved over the past decade, despite improvements in CT scan resolution. The sensitivity and specificity of CT scanning in our analysis were not significantly better than those in a meta-analysis of studies performed between 1980 and 1988,80 with sensitivities of 57% vs 79%, respectively, and specificities of 82% vs 78%, respectively.
Although only three studies,16–17,31 which had small sample sizes, have evaluated the performance characteristics of combined CT and PET scanning for mediastinal staging, the combination of the two imaging tests may achieve greater staging accuracy than either test alone. A cost-effectiveness analysis utilizing PET scanning for all patients who had node-negative CT scan results was encouraging, demonstrating that the cost of PET scanning was nearly compensated for by the more appropriate selection of patients for beneficial surgery.78 Future studies should include the evaluation of a combination of CT and PET scanning in prospective clinical trials. Furthermore, the ongoing development of fusion scanners that combine CT and PET warrants clinical trials and may provide an optimal method for noninvasive clinical staging.
The present meta-analysis also updates the meta-analysis performed by Silvestri et al4 As with his study, we found the calculated summary estimates for the NPV to be ≥ 90% for the clinical evaluation of asymptomatic patients for brain, abdominal, or bone metastases. These findings are consistent with the findings of a retrospective analysis75 of 755 patients with clinical stage T1-2N0, which found only five sites of silent metastasis after extensive imaging for extrathoracic disease in all presenting patients. However, within the studies combined in our meta-analyses, there was considerable heterogeneity with respect to their individual NPV. The greatest range was found for the evaluation for bone metastases, in which the NPVs ranged from 0.7 to 1.0. Some of the heterogeneity may be due to the imperfect reference standard, in which abnormal bone scan findings were not followed up with histologic confirmation of disease. For example, in the study in which 30% of patients had a false-negative clinical evaluation,50 only 4 of 17 patients with abnormal bone scan findings received confirmations of lung cancer that was metastatic to bone. There was also significant variation in the stage and cell type of disease in the patients who were evaluated in the included studies. For the evaluation of abdominal metastases, the NPVs also ranged broadly between 0.82 and 1.0. In this case, (1) the studies did not control for stage and/or size of the primary tumor, (2) the reference standard was suboptimal, as abnormal findings on CT scanning were not always confirmed with biopsy, and (3) patient populations varied between studies. For the evaluation of brain metastases, with the exception of one very poorly designed study,57 the NPV, although heterogeneous, ranged more narrowly between 0.91 and 1.0.
In contrast, although the PPV varied among the studies included in this meta-analysis of the clinical evaluation for detecting metastatic disease, the resultant following conclusion remains the same: further diagnostic testing is necessary to confirm the presence of disease in patients with abnormal findings on clinical evaluation.
A separate issue that was not evaluated by this meta-analysis is the role that whole-body PET scanning may play in the workup of asymptomatic patients for metastatic disease. A recent randomized trial79 suggests that the addition of PET scanning to a conventional workup identified more patients with distant metastases among those with suspected NSCLC.
There are limitations to the present meta-analysis. No attempt was made to obtain unpublished data or non-English-language studies. An evaluation of performance characteristics by cell type and/or stage was not possible, but such data, if available, may be useful for assessing the optimal staging criteria for different tumor types.
In summary, the clinical evaluation of a newly diagnosed lung cancer patient suggests that PET is more accurate for detecting mediastinal metastases than the standard assessment with CT chest scanning. Future studies should be performed to determine the role of combined PET and CT scanning or to delineate which patients should undergo PET scanning after undergoing a CT scan. Future technologic advancements, such as the development of a single-modality scanner that performs the role of both a CT and PET scanner, may provide a more accurate and cost-effective approach. However, this would need to be validated in prospective clinical trials.
This update of the meta-analysis performed by Silvestri et al4 suggests that the clinical evaluation of patients who present without symptoms of metastatic disease may obviate the need for brain, abdominal, and bone imaging to detect distant metastases. However, more definitive prospective studies that clearly define the patient population, including cell type and stage, that address the issue of patient referral bias, and that provide improved reference standards with histologic confirmation of positive findings are necessary to more accurately assess the true NPV of the clinical examination. Moreover, the role of whole-body PET scanning for evaluating mediastinal and extrathoracic metastases remains to be studied.
Abbreviations: CI = confidence interval; EUS = endoscopic ultrasound; NPV = negative predictive value; NSCLC = non-small cell lung cancer; PET = positron emission tomography; PPV = positive predictive value; ROC = receiver operating characteristic; SCLC = small cell lung cancer
This research was supported by a contract from the American College of Chest Physicians.
NR = not reported.
Neuro = neurological; NR = not reported.
Not included by Silvestri et al.4
PPV could not be estimated because study evaluated with neuroimaging only those patients in whom the clinical examination findings were negative.
See Table 1 for abbreviation not used in the text.
PPV could not be estimated because study evaluated with CT scanning only those patients in whom the clinical examination findings were negative.
PPV could not be estimated because study evaluated with bone scanning only those patients in whom the clinical examination findings were negative.
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Frontier Fine Grind Grey Sea Salt
Item #: 4409
Product Overview
Our Grey Sea Salt is an all-natural sea salt, unrefined and unprocessed, sourced from clean coastal waters along the Guérande Region of Brittany, France. This robust, briny and mineral-rich sea salt is harvested by traditional Celtic methods using a paludier, a craftsman salt harvester. This is a lovely, aromatic salt to flavor water for boiling pasta, or to adorn grilled shellfish, bivalves and fish. - 1 lb


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Matthew Immanuel Walker - December 18, 2013To William "Bill" and Veronica Walker of Jakarta, Indonesia, on Friday, Nov. 22, 2013, a son, Matthew Immanuel, weighing 7 pounds, 4 ounces, and was 19¾ inches in length. He was welcomed home by brothers, Delon and Farell.
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text:
The Aliens Are Coming
Release Date: January 1st, 1980
Not Yet Rated|1 hr. 40 min.
Plot Summary
An astrophysicist looks for extraterrestrials from a dying planet who have arrived on Earth to steal human bodies.
Cast: Tom Mason, Eric Braeden, Melinda Fee, Fawne Harriman, Matthew Laborteaux, Ron Masak, Caroline McWilliams, John Milford
Director: Harvey Hart
Genres: Science fiction


text:
I can't help but noticed (and who can't really) on the recent debacle that has befallen the gamer's equivlant of the town's whipping boy: Gamestop. Hatred for this company is nothing new to anyone, but it seems that it has now raised to an all-time high thanks to their actions in dealing with the Deus Ex: Human Revolution scandal. It was easy enough to hate gamestop for their crappy trade-in amounts and high priced offerings for used games on recently released genres. But now it's come to this where gamestop would rather pull something from a game's packaging because the said extra (the OnLive Code) would go in direct competition to their own version of OnLive that is yet up and running.
Now I'm sure many will (and have) already argued the reasonings and actions on why Gamestop chose to do what they do. But personally for myself I'd wish we'd get more info out of Gamestop over these said reasonings. Not to defend them, but to only understand how things work exactly at this company. Sure we'll here the corporate line from them in due course, filled with legalities and double wordings possibly, but I'd like to hear from the side of the WORKERS at these stores. And not just the ones who are there at the register or stockroom that don't know or care about games and are just there to get a paycheck.
I want to hear from the workers that actually know and care about games and how things are SUPPOSE to run at these store locations: be it personal store manager decisions and/or the standard operational policy. I only ask because I can recall some tidbits I learned about Gamestop during a job interview many years ago during my questions, and it made me wonder what exactly has changed over the course of years.
Everyone seems shocked to learn that new games are opened at a Gamestop: yet I can recall not just from the interview but from recent years it's a general practice in some stores. Sometimes to prevent shoplifting, others due to limited space. It might be suprising to some but most Gamestop stores don't have much room for backstock behind that unconspicious door at the back of the store. Plus those glass sliding window shelves behind the register can only hold so much...
Now I don't mean to defend Gamestop, (honestly, it's a store, not a fair madien who's honor has to be restored) I just wish some actual Gamestop employees who care about running a clean shop could come forward and speak on what happens at the ground level of these stores. Besides I'm sure that when someone has shopped there, they have had to atleast known about their practice of opening new games. Where do you think those clear, circular stickers that find themselves affixed along the opener of the game holder come from?
Sure boycotts will come and go, we all know there is more than one place to buy games other than Gamestop, I just hope when the dust settles from this we can atleast hear a few words from the average gamers that work there, who can help set the record straight on things we just assume we know when it comes to selling games. Who knows, if we take a step back and look at the situation as a whole, perhaps we might learning the method to this maddness that is used game sales. Just because we can sell games on ebay or craigslist ourselves doesn't make us marketing geniuses. Common sense can only get us so far, but we can still use it in understand this mess.


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THIS ESTABLISHMENT HAS BECOME WYNDHAM MIDTOWN 45 The Alex
Designer rooms and state-of-the-art amenities distinguish this hip Midtown retreat.
Chic, stylish and soothing, this midtown hotel sits quietly just off busy Third Avenue and has everything you want for a short stay in New York City. The two hundred three hotel rooms and studio, one bedroom and two bedroom suites are designed by architect Costas Kondylis. The David Rockwell designed furnishings and state-of-the-art amenities all result in guest rooms that are stylish, decked out with retro-cool furniture and suitably upscale. Suites have Poggenpohl kitchens tricked out with gourmet-friendly appliances: SubZero refrigerators, Advantium ovens, Gaggenau counter cooktops and Miele dishwashers. Flat-screen TVs and wireless Internet access come in every guest room. The hotel is located smack in the center of the action: great restaurants, lounges and many corporate headquarters are steps away. When the weather outside goes frightful, the lobby fireplace tempts guests to cancel all plans and just sit tight. House restaurant Atrium @ The Alex Hotel serves innovative American cuisine.


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NUS Guitar Ensemble
Formed in 1981 by Mr Alex Abisheganaden, the NUS Guitar Ensemble (GENUS) is a 40-member strong ensemble. As the region's first Niibori guitar ensemble and the pioneer group in Singapore to use Niibori guitars, GENUS has set the benchmark for local guitar ensembles.
Using the fingerstyle method and a special set of guitars with varying pitch compasses, GENUS reveals its uniqueness through its exploration of varying shades and tonalities. Under the guidance of their music director, Dr. Robert Casteels, the ensemble boasts a wide repertoire ranging from classical works to jazz, traditional folk and popular contemporary pieces.
The ensemble also seeks to challenge itself through competing in local and international competitions, as well as participating in overseas exchange programmes. GENUS won first prize in the ensemble section in the Singapore Guitar Festival and was placed fourth in the 2nd International Festival and Competition for Guitar Orchestra in Rheine, Germany. In May 2014, GENUS embarked on an exposure trip to Japan, homeland of the Niibori-styled guitar orchestra, which culminated in a successful joint concert with Niibori's Group B Ensemble, conducted by both Dr. Casteels and Mr. Terada, principal of Niibori Academy.
Apart from performing on campus platforms such as the NUS Arts Festival and ExxonMobil Campus Concerts, GENUS has also performed for
- FM 92.4's 10th Anniversary Celebration
- Asean University Games
- National University of Singapore Welcome Convention
- Charity Gala Ball
- Singapore Arts Festival
- Beautiful Sunday at Esplanade
To find out more about NUS Guitar Ensemble, do email them at email@example.com or visit their for more photos and updates.


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Website Migration
The site will be migrating today to a new server. There may (or may not) be some small periods of down time.
Also, I've been updating some of the Alchemist Notebook pages – they are not linked in, but you can view them directly here:
Cracking and Winnowing (with history of the Aether, plans, and more)
Filed under: Alchemist's Musings, Cracking & Winnowing, Roasting, What's new & Updates


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Mausoleum of Qin Shi Huangdi Run (10/24/09)
I was thinking about setting it up on the 31st, but it would be on Halloween and I don't think I'll be online anyway. But, I'll be pushing for a next week Saturday event for us to do a Maus run and I hope you'll all join us. A small band of Moogles tested the GD and it wasn't too bad, just need a little bit more people.
We'll aim for a 8:00pm PST / 11:00pm EST unless otherwise. Be sure to check out Frosty's guide on Maus if you haven't heard of it. I have a book for 2F, so it shouldn't be as bad as our suicide run :P. Expect an in-game mail as a reminder.
And If we end up not having enough people, we'll try to run an alternative GD. If there isn't a ND at 5:00pm PST and there happens to be a good handful around that time, we could also do a GD that's not Maus, maybe Snake for the new members that joined us (if they're high enough).
We'll see...
Maus Guide: /forum/atlantica-gen...gdi-guide.html
Time Zone Map: http://www.worldtimezone.com/
I'm in. I can play a lot after this weekend until the end of the month.
On the 24th I'm either working or volunteering to serve food at some youth charity banquet. If I'm home in time for the run, I'll try to be there.
Finally a day where I can be fully available, as it seems right now.
The 'suicide run' was composed of Boomy, Rip, Alundra, yours truly, and a kitchen utensil to make char kway teow. I still say we would have cleared the last floor if we didn't do the bonus room AND make two key mistakes;
1) Was 'moving back'. We made the mistake of 'backing off'. The mobs do not agro until you go near em, then the agro range is huge. Once they start chasing they will chase you till they get you.
2) Trying to tag the Generals of Eternity first. I believe Frosty's guide was more written with more ppl in mind. With less ppl we should have left well enough alone and headed straight for the back to drop the tower/gates first.
FWIW, the 2nd floor without the book has mobs that hit at Ghost Ship strength level. Which is frankly not too bad at all. The 3rd floor is at that exact same level, and the book DOES NOT reduce damage on the 3rd floor. I believe the book can be permanently skipped as clearing the bonus room does not award any extra boxes.
Poor Rip and his sword... vaporised, ahhhh...
I'll be there too
Count me in for now.
We were doing fine until the gate got oneshotted..baww.
I guess on 3F we need teams to drop the towers and gate asap, as well as someone to defend our own gate, and a few trash mob parties. That should cut it for a really smooth run.
The monsters aren't really hard at all.. except maybe the 2F gate (seems to hit quite hard) and the miniboss on 3F. The annoying thing about 2F is the massive AP drain `-`
Well anyhow, I should be able to come. Can't confirm yet though.
1F and 2F, ppl can do anything they want as it's easy. 3F we'll need the following plan;
1) Tower teams make a beeline for the back and hit the towers/gates ASAP.
2) Trash teams start clearing the mobs around the Generals of Eternity, considering how many there are there's no fear of getting hit by the General.
3) Once tower/gates are down, strongest tower team tags the Imperial Witch before she goes oneshotting the other teams, other tower team starts taking out the Generals of Eternity.
That should pretty much be it really. Another thing i should mention is that for our weaker trash teams it would be ideal to assign a 'looter' role in the party of 3. The weakest member of the party will have the role of simply looting mobs. Why? Prevents the auto resurrections. For trash teams the absolute worst thing to happen is to have a mob resurrect on you, especially they res at full life.
Count me in for the duration. I'll be on a lot for the next two weeks, I'm hoping to get up to 100 by halloween. Only about 2 more levels to go.
I'll try to get on by that time.
wakie wakie people who should've come :P
^This is directed at me, amirite? :P
Sorry I couldn't come though. Got bogged down with work. And way to punk me, I actually believed that you guys failed the run `-`
Hey, some of it was true ;o
ding ding.
grats to all that participated.
you all helped make this possible.
It was pretty fun :U
I wish I wasn't so laggy though.
Call the necro police.
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Click for the 'Contact Us' prompt at the top right hand corner of the Drugs - For - Cost. You can identify this as it always commences with "https" (the "s" means secure). Now, we'll talk next about the process of filling a prescription. you just need to be 18 to sign up Ameri - Corps, and you also have a selection: $4,750 per year injetavel onde comprar temovate toward student loans OR toward tuition in the event you haven't yet attended college. 'The pharmacy should offer the full range of prescription pharmaceuticals.
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Finding a web-based pharmacy could be a stressful job, if you happen to be using a web-based medical store for the first time. Bureau of Labor Statistics, "The middle 50 % of all pharmacists made between $83,180 and $111,000 annually as of 2010. It is clear medical treatments play an part in preventing SREs and other complications. Before choosing, investigate things such as insurance acceptance, copay, generic medication availability, as well as any discount programs that may be offered. It may be important to understand fully each new drug before you take it and also to know what interactions are certainly not reccommended.
THey call themselves the " injetavel onde comprar temovate #1 online injetavel onde comprar temovate drug company" of their banner, but I can advise you, from several numerous years of tracking these crooks, these are anything BUT that. It is really because the medicines are delivered for the customers directly from your manufacturer. 5 milligrams, if it should happen to be 10 milligrams. For instance, you might use low estrogen birth control pills, like Alesse, Fe, Yasmin, Loestrin while others available with any discount pharmacy or women's online pharmacy. There was obviously a time on this country when women can't buy simple contraceptive measures over the counter.


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Austin, TX - "furniture stores" search results
About Furniture Stores
Did you know that you can find so many great features at your local furniture stores? It is true, there are plenty of advantages for shopping at your local furniture store. First of all, you can find unique furniture found at these stores. There are things such as chairs, tables, and even bed frames that are specially made just for that particular store. It is great to have a unique piece of furniture in your own that stands out amongst them all, and going to your local furniture stores can give you this. Another advantage of shopping at your local furniture stores is that you can haggle with the prices. Most of the local furniture stores are owned and run my families. They are willing to negotiate the price, especially if you are willing to buy more than one piece. For instance, if you buy a whole living room set, instead of just a sofa, they can decrease your price by 20%. Being about to negotiate price for your furniture is great, especially when money is tight. Your local furniture stores can give you the best quality of furniture. Some of them are even handmade and can last for a life time. Each piece is detailed and you can really tell a lot of hard work was put into it. This is because most local furniture stores are craftsmen, and they like to sell their own things. You can really tell that this furniture will last because of the work that was put into it.
Sac-N-Pac Stores Inc
6200 Jack C Hays Trl, Kyle, TX 78640(512) 268-0194 Write a review
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H-E-B Food Stores
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Shopping at your local furniture stores not only benefits you, but it also gives back to the community. Giving business to your local furniture stores allows the community to grow. It not only gives you great furniture, but also feeds a family or two. It is like recycling your money back into the community. If you are not sure where to find your local furniture stores you can look online. It is easy to find local furniture stores just by typing in your city and furniture stores. It is best to go to these stores in person, since they may not have websites to order. If you are looking for a specific piece of furniture you can just call all of your local furniture stores to see if they sell anything like that before you actually go to them. There are so many great benefits from shopping at your local furniture stores. You will be amazed how many great treasures you can find there. Not only is the quality great, but you are more than likely to get a great price as well. By shopping at your local furniture stores you are supporting the growth of your community, you will also be adding a great piece of furniture to your collection. So, next time you are looking to something out of the ordinary, make sure you check out your local furniture stores. You are sure to find something that fits any of your rooms.


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Jordi Diaz Alamà is the director of Barcelona Academy of Art. Study with him and other international painters, with an academic and contemporary program stemming from XIX century ateliers. www.academyofartbarcelona.com
Follow me on Vimeo, to see Barcelona Academy of Art live, works in proces, video tutorials and so much more.


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XboxOne faceplate in different colors depending on what variation you choose. They are simple to install, remove side covers, remove 5 torx screws, swap faceplates, and re-assemble.
You will need a prybar and Security T8 Torx. Also available in my store. Add both to your cart and checkout at one time for combined shipping.
Like the domed thumbsticks? Pick up a pair for your new faceplate and get ready to game like a champ.


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Alex Parker has the latest from Redskins training camp before their 1st preseason game. Plus, we introduce you to Redskin WR Skye Dawson, and his mother. And Ryan Encinas' story.
© WJLA | Portions are © Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or distributed.
WJLA is the local ABC affiliate for the greater Washington DC area. From our studios in Arlington, VA ABC7 covers national and local news, sports, weather, traffic and culture and carries entertainment and sports programming. WJLA serves Alexandria, Springfield, Annandale, Tysons, Reston, Ashburn, Centreville and Manassas, Virginia and Bethesda, Rockville, Gaithersburg, Silver Spring, Wheaton, Beltsville, Greenbelt, Bowie, College Park, Largo, Crofton, Annapolis, Hyattsville and Takoma Park, Maryland, and all the communities in between.


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- 11-24-2013, 04:50 PM Thread Author #1iMore Genius
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How can I save bookmarks on my iPad?
No matter what iPad you have, How do you save bookmarks in the native Safari Browser?
- 11-24-2013, 05:05 PM #2iMore Genius
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Re: How can I save bookmarks on my iPad?
With iOS7... bookmarking is in the 'Share' feature... the box with the arrow out the top... tap that... then bookmark....
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Latest News and Research on Achondroplasia
Health News Posted on October 28, 2016 -
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Medindia provides you with the latest news and research breakthroughs on Achondroplasia. Please find 73 such items on this topic.
AchondroplasiaAchondroplasia is a bone growth disorder resulting in short stature with extremely short arms and legs. Achondroplasia is one of the oldest known birth defects and major symptom includes enlargement of brain.
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realmagick.com The shrine of knowledge.
A selection of articles related to ordination.
Original articles from our library related to the Ordination. See Table of Contents for further available material (downloadable resources) on Ordination.
- Arcane Ruminations
- Special Plates Notice how each particle moves. Notice how everyone has just arrived here from a journey. Notice how each wants a different food. Notice how the stars vanish as the sun comes up, and how all streams stream toward the ocean. Look at the chefs...
Tarot Cards >> The Major Arcana
Ordination is described in multiple online sources, as addition to our editors' articles, see section below for printable documents, Ordination books and related discussion.
Suggested News Resources
- Community Celebrates 50th Anniversary of Ordination of Fr. Thomas Wheeland
- From the "In case You Missed It File": Over 400 friends and well wishers jammed the ballroom at the Hyatt Hotel in Downtown Rochester on Saturday night to celebrate the 50th anniversary of the Ordination of Father Thom Wheeland. Father Wheeland was ...
- China financial regulators say more co-ordination, data sharing necessary to
- China's stock markets have room for improvement when it comes to coordination and data sharing among regulators to help quell excessive volatility and prevent potential market manipulation, according to a top financial official in Shanghai. Gui Minjie ...
- Chinese government to take control of ordination from Catholic Church
- Catholic ordination in China is to come under the authority of the government, after two state-controlled Catholic organisations endorsed new plans. Reuters.
- Ordination is call to service, says new Bishop Tighe
- Newly ordained Bishop Paul Tighe, a priest of the Archdiocese of Dublin, greets the faithful during his ordination to the episcopate in St. Peter's Basilica at the Vatican Feb. 27.
Great care has been taken to prepare the information on this page. Elements of the content come from factual and lexical knowledge databases, realmagick.com library and third-party sources. We appreciate your suggestions and comments on further improvements of the site.
Ordination Topics
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This TV Show was marked as 'Ended', which means that is no longer available on TV. But don't worry - we have thousands of TV Shows ready for you here.
When will be Los Serrano next episode air date? Is Los Serrano renewed or cancelled? Where to countdown Los Serrano air dates? Is Los Serrano worth watching?
- TV Show Ended -
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Death to All: House of Blues Concert in Tribute to Chuck Schuldiner
House of Blues Chicago, Between Kinzie St. and Wacker Dr. 329 N. Dearborn St. Chicago, IL 60654
Our Price
Full Price
Death to All is a musical tribute to legendary metal guitarist and frontman Chuck Schuldiner, featuring former members of Schuldiner's band Death. Often referred to as "The Father of Death Metal," Chuck Schuldiner was a major force in the history of metal, a talented singer, songwriter and guitarist who found success with the bands Death and Control Denied before succumbing to complications of brain cancer. Featuring Death's amazing musicians as well as special guests, this concert at the House of Blues is in celebration of the life and music of Chuck Schuldiner and the Sweet Relief Musicians Fund, a charity that provides financial assistance to career musicians faced with illness, disability or age-related problems. Also performing are prog-metal rockers Anciients.
* Additional fees apply. No coupon or promo codes necessary to enjoy the displayed discount price.
All offers for Death to All have expired.
The last date listed for Death to All was Sunday April 21, 2013 / 7:30pm (Doors Open at 6:30pm).
Currently at House of Blues Chicago
Who's Bad: The Ultimate Michael Jackson Tribute Band Delivers a Thrilling Concert
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Short of the King of Pop himself, it doesn't get any better than Who's Bad. The world's… More
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The weather was very nice . I wore casual dress, comfortable setting.star this tip starred
Chairs are packed in downstairs. Wear fitted clothing and keep your accessories small or across the body.
Gospel Brunch at House of Blues Chicagostar this tip starred
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text: HIGHLIGHTS Comes in attractive mocca finish Extremely strong and durable Manufacturing code of this product : M SNK MOC. Incorporates swivel spout Features dual flow mixer Tap Supplied with metal heads and fixing nut Crafted from fine quality of brass Contemporary and stylish design Supplied with 1/2" inch standard valve Suitable for all plumbing systems 15mm screw-in copper inlet pipes Centre of inlet to centre of outlet is 235mm Refer technical diagram for technical detail Requires Min 2.0 bar Max. 0.7 bar operating water pressure Suitable for high water pressure system Image is for illustration purpose only 5 years of guarantee from Bristan.


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THE Cancer Golf Challenge is set for the Fish River Sun on Saturday. The challenge is part of a country-wide campaign to raise R2.5million for cancer control services between March and July 2010 through various golf challenges. To be part of this campaign to help Cansa save lives, companies or individuals are encouraged to sponsor a tee-box or a green for R500 or donate prizes for the competition. Profits from the golf day will go towards Cansa. "They can also encourage others to … [Read more...]
Uitenhage golf day a huge hit
by Meshack Khotha (Sowetan) An amount of R100000 was raised during a fundraising golf tournament held at the Uitenhage Golf Course in the Eastern Cape at the weekend. This was a dream come true for Butityi "BK" Konki, boss of BK Investment Holdings, who was the organiser of the one- day event to celebrate his 50th birthday. "It has been my wish to stage a development tournament in Uitenhage. I am chuffed about the way things happened and would like to thank all participants who made this … [Read more...]


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(LOS ANGELES, CA) -- Look out Los Angeles, there are some dangerous curves ahead. Those mercurial ladies collectively known as the Swenz are rolling into town.
For the uninitiated, the Swenz is comprised of April 2010 Penthouse Pet, 2010 XRCO Awards host and Fox Sports' Cubed regular Nikki Benz, and Sweden's finest erotic export, Puma Swede, the sultry star of New Sensations' recently-wrapped Golden Girls. This dynamic duo is pleased to announce they will be making their first Los Angeles signing appearance together at Hollywood's respected Bizzy B lingerie boutique this Saturday, May 8th from 2pm - 6pm.
One of the most distinctive and unique erotic boutiques of its kind in Los Angeles, Bizzy B is the brainchild of Beatrice Prochazka, a former Playmate and Playboy cover model in her home country of Norway. From bustiers and role-playing costumes to accessories and exotic toys, this trend-setting establishment is a veritable one-stop shop for devotees of such brands as Leg Avenue, Shirley of Hollywood, Andrew Christian, Dreamgirl, Roma, and Body Zone.
Known for providing costumes and props for both adult and mainstream productions, the Bizzy B engagement will provide fans with the perfect opportunity to get up close and personal with the Swenz.
For her part, gorgeous Nikki can't wait to see her followers (collectively known as the Benz Mafia) at the storied venue. ''Puma and I will be taking Polaroid pictures with our wonderful fans, and we'll have DVDs and 8x10s on hand as well, which we will gladly autograph.''
This Saturday's festivities will have an added resonance for the statuesque Puma, who reveals ''I'm very excited to be doing my first store signing in L.A. With Nikki! It's going to be a lot of fun, and I encourage all of our Los Angeles area fans to come out and get an autograph, a DVD, or a spanking!
In summing up her thoughts, the leggy Ms. Swede observes, ''the Bizzy B event is a great opportunity for our fans to meet both of us at the same time.'' She's quick to point out that since she's balancing a thriving adult career with academic pursuits in the fields of web design and computer programming, it's becoming increasingly rare to catch her and Ms. Benz at the same venue. ''With our hectic schedules, it's not everyday that you get the Swenz out and about together. I'm really looking forward to May 8th. I can't wait to see all of my fans again!''
Whether they're breaking hearts or in-store attendance records, the Swenz are not to be missed. Experience the magic yourself this Saturday at Bizzy B, 6548 Hollywood Boulevard in Los Angeles, California.
For more information, please visit:
Adult Biz Halloween Party
Bukkake Participants Needed
Sugarcookie Earns Nom
Hookers for Hillary
Tarts for Trump
Color Blind ~ Reviewer Rated
Lamar Odom's Prostitute Talks
Kagney Linn Karter in Minneapolis
Angelina Castro Anniversary
Elizabeth Starr May Lose Breasts
Lolly Ink Self Booking
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PSK Celebrates 13
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Layton Benton to Exxxotica
Vivid Hosts Texxxas Parties
Dani Daniels in Houston
GFE at Sheri's Ranch
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ED Expo Returns to NO
Kendra Sunderland at Sapphire NYC
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Cindy Starfall Appearances
Priya in NYC
Tony Batman to Big Easy
Elizabeth Bentley Hits Circuit
Allie Haze in Columbus
Vivid NYC Nommed
Raven Bay at Exxxotica
Little Sassee Cassee in OK
Dee, Michaels in Alabama
Nikki Benz Headlines Ohio
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Throwback Expo Registration Rates!
Tanya Tate at Comic Con
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Ideal Image Supperclub Party
Angela Sommers in Houston
Starfall to Exxxotica
Prinzzess at Treasure Chest
Danica Dillon in Bath
Library Girl at Exxxotica
ED Awards Host Thea Vidale
National Porn Star Day
Strippers Ready for Baseball
ED Expo to Big Easy


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Hi Guest, welcome to the TES Community!
Connect with like-minded professionals and have your say on the issues that matter to you.
Don't forget to look at the how to guide in the welcome lounge and help forum.
Where's best to live on the South coast & commute to London?
Discussion in 'Personal' started by sesame1, Jul 22, 2013.


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It Ain't Necessarily So: How Media Make And Unmake The Scientific Picture Of Reality
It Ain't Necessarily So: How Media Make And Unmake The Scientific Picture Of Reality
The Discourses Of Science
In the MediaView all
The Economic Impact of Rural Broadband, April 20th, 2016
Why the U.S. is the Center of Software Innovation: A Discussion with Technology Entrepreneur Alan Dabbiere, April 11, 2016
A Conversation with Representative Anna Eshoo, September 18, 2014
All Research
Is Tech Going to Save America's Bacon Yet Again?
The news that telemedicine is beginning to have a bigger impact is a much bigger story than many think....Continue Reading
America's Insatiable Demand for Drugs: Examining Alternative Approaches
David Murray on the Obama Administration's current drug control policy....View PDF
Learning from Japan's Revolution in Space
Military experts agree: The U.S. is losing the race to protect its satellites from attack. ...Continue Reading
Policy Centers
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- Obesity Solutions Initiative
- Bradley Center for Philanthropy & Civic Renewal
- Center for American Seapower
- Center for Substance Abuse Policy Research
- Kleptocracy Initiative
- Hudson Institute Political Studies


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GSO Team Conducting Submerged Habitat Mapping Study for National Park Service
A team of researchers from GSO, lead by Dr. John King, has been collecting data at Fire Island National Seashore as part of a National Park Service funded project to better understand ecosystem dynamics within park submerged lands. Click on the link to learn more! — NPS_GSO_Submerged_Habitat_Mapping


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Highland Park West
3303 Northland Dr
Austin, TX 78731 Phone number & directions
3303 Northland Dr
Austin, TX 78731 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Stephen Robirds:
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Education & Awards
Dr. Robirds graduated from Emory University , Atlanta.
Home > Find a Dentist > TX > Austin Dentists > Dr. Stephen Robirds, DDS
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- Additional Information
- Dr. Stephen Dale Robirds DDS is a male dentist and practices in Orthodontics.
- Where does Dr. Stephen D. Robirds practice?
- Dr. Stephen Robirds has 2 office locations.
Dr. Stephen Robirds practices Orthodontics near Austin, TX.
Additional practice locations include: Elgin, TX.
See Austin Dentists.