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NC State students are emerging thinkers and doers, high-performing learners on the fast track to career readiness — and proud lifetime members of the Wolfpack.
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Aug 28, 2014
New Tuition Rules Impact Financial Aid
New guidelines adopted by the Board of Governors will place limits on the percentage of tuition increases set aside for financial...
Aug 28, 2014
Student Leader Tackles Big Issues
Grad student and Park Scholar Rusty Mau takes a no-nonsense approach to his position as student body president, speaking out on issues such as sexual...
Aug 27, 2014
Redesign Enhances NC State Website
Take a peek behind the redesign of the NC State website, a mobile-friendly facelift that merges the university's main news channels, introduces a new...
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Catch up on the latest tweets from NC State's official accounts. Follow us on Twitter at @NCState for Wolfpack news, events and conversations.
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My experience is the same to others, this burnt so bad! I had to go rinse my eyes with water.. WOULD NOT go 50ft near the product anymore =(
This product is supposed to be gentle, but it is not gentle enough for my sensitive skin. It burns and irritates the skin around my eyes. I much prefer Natura Bisse's eye makeup remover, or Origins' well off. This stuff is not for sensitive skin.
Burned and stung my eyes; didn't remove a trace of my light eye makeup.
This is by far the best makeup remover I have ever tried. I've been loyal to Lancome's Bi Facil, but once I tried this, I fell in love. NO greasy feeling and everything comes off!! I wear a lot of eye makeup and this takes it right off...plus it has a cooling feeling to it.

subset: commoncrawl


text:
Home » News » Public Safety
November 18. 2013 7:43PM
Pinkerton Academy senior dies following asthma attack
"It is with great sadness that I inform you of the passing of Marena Maggio, Class of 2014," Dean of Students Glenn Ahrens announced.
She enjoyed spending time with her sister and her many, many friends, her obituary said.
The guidance office was made available for anyone needing support.
- Victim identified in fatal Pelham motorcycle accident - 0
- Man killed in Pelham motorcycle accident identified as local man, 24 - 0
- Manchester man seriously injured after driving into oncoming traffic - 0
- Derry police continue to look for missing gun left in courthouse bathroom - 0
- Backyard boulder kills Raymond homeowner - 2
- Merrimack police find car sticking into road, charge man - 0
- Police say impairment and speed not factors in fatal crash in Conway - 0
- Manchester man sustains life-threatening injuries in Bedford crash - 0
- Barrington man, 41, dies in cycle crash - 0
Free gun lock giveway begins Sept. 1 in ConwayREADER COMMENTS: 0
- Market Basket deal reached; Arthur T. Demoulas to return - 1
- Police mum on reported shooting in Manchester - 0
- Manchester men charged with drive-by shooting in Nashua - 0
- Multiple reports say deal reached for Arthur T. to buy Market Basket - 0
- Fisher Cats get behind early, fall to Senators - 0
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- Authorities mum about reports of shooting in Manchester - 0
- Bruins agree to long-term agreement with Providence - 0
NHIAA Boys' Soccer Preview: Talent to bootREADER COMMENTS: 0
Where is Shaheen? Hiding from you
Where is Shaheen? Hiding from you
Reports: Market Basket doomsday plan would shutter 61 of 71 stores if deal not struck soon
Reports: Market Basket doomsday plan would shutter 61 of 71 stores if deal not struck soon
GOP for legal pot? Hemignway's high help
GOP for legal pot? Hemignway's high help
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Sounds Like: Kings Of Leon, PIXIES, The Clash, Toots & the Maytals, The Hives
Label: Independent, The Shadow Network ™ © ℗
Manager: Mr. Mirainga
Bio: Mr. Mirainga (pronounces mere-rain-gay) has been in the music scene for years and has developed into one of the most desired bands to listen to and see live. Their not-so run of the mill music has people wanting more and has created a new sound that blends, rock, mambo, ska, reggae, latin, and pu... See Full BioMore Info
Sep 1
With Special Guest, The Tequila Worms. During the Historical City of Orange Street Fair.
Jun 29
Afternoon show in downtown HB. Good times for all, with special guest, Oscar, get away from heat and hang with some some great live music and history along the coast with MiRainga & Oscar at GALLAGHERS in HB, starts at 3 pm.
Jun 1
Record Release Party, AFTERNOON SHOW, 3-7 pm. FREE. with Special Guest the "Tequila Worms". Give Away's, Drink Specials. Get the new anticipated EP from Mr. Mirainga at the show.
Oct 13
Come on down to the beach to downtown Huntington Beach, Saturday, October 13, 2012. FREE, DAYTIME show. Starts at 2 till 5-6ish. ALL AGES.
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Come on down to the beach to downtown Huntington Beach, Saturday, October 13, 2012. FREE, DAYTIME show. Starts at 2 till 5-6ish. ALL AGES.
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Financial Daily from THE HINDU group of publications
Friday, Dec 09, 2005
Industry & Economy
Meet on `Kerala Studies'
Our Bureau
THIRUVANANTHAPURAM: The West Bengal Chief Minister, Mr Buddhadeb Bhattacharjee, will inaugurate the three-day International Congress on Kerala Studies (ICKS) being organised here by the AKG Centre for Research and Studies from Friday.
The AKG Centre Director, Mr M.A. Baby, and seminar convener, Dr T.M. Thomas Isaac, said here that 525 panelists from within and outside the country would lead the discussions covering a gamut of issues relating to societal and developmental issues pertaining to the State.
Among those expected to take part in the valedictory function are CPM leader Mr Prakash Karat, the Chief Minister, Mr Oommen Chandy, and his Tripura counterpart, Mr Manik Sarkar.
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Well it might've taken me an entire week to stamp these but they're finally going out!
I've missed my pen pals this summer!!!
Check out this rad beeper someone left laying on my counter #bringingbackthe90s
Maybe it's just because I've been watching a lot of #cosmos over again lately but the sun looks SO POWERFUL right now///
(Source: kittiezandtittiez)


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$810 - $1075
1 - 2
1 - 2
When you make your home at Imperial Palms you gain exclusive access to many of the highly acclaimed amenities of the Palms of Largo Campus. The benefits of a home at Imperial Palms presents living options that you can tailor to your unique lifestyle. You may elect to partake in our delicious chef prepared evening cuisine, or sign up for a housekeeping or laundry service package. Getting around is as simple as taking advantage of the free shuttle to the mall or grocery stores. The tram service (also free to you) will take you to the exciting new Campus Plaza where you can enjoy an array of activities or have a delicious lunch with friends. All you really need to do is enjoy your stay at Imperial Palms so take some time for you and have fun, swim, play a little billiards or shuffleboard it's your life we are here to help you have the best of times.
Around Here
1 Bedroom $810 - $1000 1 Bath 750
Unique Features:
Utilities Included:
Unique Features:
Utilities Included:
Unique Features:
Utilities Included:
Unique Features:
Utilities Included:
2 Bedroom $905 - $1075 1 - 2 Baths 950 - 1065
Unique Features:
Utilities Included:
Unique Features:
Utilities Included:
Unique Features:
Utilities Included:
Features & Amenities
- Air Conditioning
- Pool
- Residents Lounge
- On-Site Maintenance
- Meal Service
Contact Property
Pet Policies
- Cats Allowed
- Small Dogs Allowed
- Large Dogs Allowed
Additional Information:
Small dogs and cats welcome! Maximum weight is 25 pounds. Two pet maximum. Breed restrictions to apply - please call the leasing office for further information. Non-refundable fees are due at lease signing.
Lease Length
- 7 months
- 8 months
- 11 months
- 12 months
- 13 months
- 14 months
- 16 months
- 18 months
Property Information
- BuildingType: Apartment
- Number of Floors: 2
- Number of Units: 638
- Housing Type: Short Term Lease
Office Hours:
Weekdays: Mon: 8:00 AM-5:00 PM, Tue: 8:00 AM-5:00 PM, Wed: 8:00 AM-5:00 PM, Thu: 8:00 AM-5:00 PM, Fri: 8:00 AM-5:00 PM, Saturday: 9:00 AM-5:00 PM, Sunday: 9:00 AM-5:00 PM
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Ratings & Reviews
Rated 4.8 out of 5?by 4 reviewers.
Rated 4 out of 5?by Marbi Enjoyed my two months here. I found the apartment clean and stocked with everything I needed. The heated swimming pool was amazing and always super clean. The planned activities were of interest and I joined in and enjoyed. The bus trips were well planned destinations, grocery stores, malls, library, and all day trips. This year we went to the Strawberry Festival and to view the manatees by Apollo Beach. The nearby traffic was mostly heavy. But I could walk to two grocery stores, two drug stores, Bealls, dollar store and numerous eating establishments. April 21, 2014
Rated 5 out of 5?by BudSharon The amenities are wonderful. We have lived here for over 2 years and everything is great. We stay so busy with all the activities of which are great. The Activity Department is wonderful. The Maintenance and Resident Service are there when you need them and they are very friendly. We have made Imperial Palm our home and love living here. April 1, 2014
Rated 5 out of 5?by JonandSueNY Hope to move back in January. Only left to move back in with our son while he was going through some hard times. Now we are ready to come back to Florida and couldn't think of anywhere else we'd rather live. The maintenance here is the best. December 9, 2013
Rated 5 out of 5?by Mollysayz Based on a visit with my sister. I was very impressed with the level of services and area. I stayed only 2 nights in a rental above hers and loved it. She is very satisfied with her 1 bedroom apartment and the entire Palms of Largo community. April 27, 2013
Read All ReviewsHide All Reviews
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Adams Central concluded its 2010 volleyball season with a 3-0 loss to Woodlan in the Adams Central Sectional 37 semi-finals Saturday afternoon.
The ACAC champion Warriors stopped the Jets 25-15, 25-21, and 25-21. Bishop Luers, then defeated the Warriors in four games to win the sectional crown. Luers earlier swept past South Adams in three games.
Senior Hali Wendel led Central with 11 kills, adding 12 digs and 3 assists for the Jets, which closed out at 18-13 for coach Jeremi Schortgen.
Adams Central took care of business Thursday night in the opening round of Sectional 37 (2A) Volleyball play, handling Bluffton in straight games, 25-10, 25-11, and 25-13.
Senior Hali Wendel was her dominant self,, whacking in 18 kills with two blocks and 12 digs, and setter Alyssa Keller was busy with 30 assists, eight digs and five kills, plus an ace and a block.
In one of the strongest soccer conferences in the state, Bellmont's players earned five slots overall, including a first-team position for junior forward Alex Hammond as the Northeast Hoosier Conference announced it's All-NHC team this week.
"It was great to get five all-conference awards. The other three Bellmont players who got votes were all very close to making it too," said BHS coach Bill Meyer.
"We'll be ready to play. I'll be very shocked if we're not," stated Bellmont football coach Rick Burkhalter as his Braves prepare to meet the state's No. 1 3A team, Eastbrook, Friday night at Bob Worthman Stadium.
A year ago, the Braves apparently were not ready for the Eastbrook style in a stunning 34-0 loss in the sectional title game. Eastbrook later lost to eventual state champ West Lafayette.
"There's probably any number of teams that could win it," stated Churubusco coach Lee Etzler on Sectional 35's possibilities for a champ.
"There are quite a few teams that have shown good success this year. The team that wins is going to have to show up each and every week with their A-game, that's for sure," said Etzler whose Churubusco Eagles play host to Adams Central Friday night in one of the early critical games. The No. 3 Eagles come in at 8-1, while the improving Jets are 7-2.
"This is not the first game Eastbrook wanted either," stated veteran Panthers' coach Jeff Adamson, noting the draw for the first round of the IHSAA State 3A football playoffs.
Eastbrook, rated No. 1 by the Associated Press, will be at Bob Worthman Stadium for the 7 p.m. game Friday in a rematch of the 34-0 surprise rout by the Panthers a year ago.
Adams Central sophomore Nathan Barger won his first Kokomo Regional Singles Tourney match, pounding Zach Saylor of Peru 6-1, 6-1. However, Barger fell to Bishop Dwenger's Betrum Najev, 7-5, 6-2 in the title match.
Barger finished a sterling season at 22-2.
"Nathan played some of his best tennis this Saturday. Nejev was in the zone (for the finals match)," stated Adams Central Coach Michael Hower.
Adams Central's seventh grade volleyball team went undefeated this season, racking up a 20-0 mark, going 9-0 in the ACAC, and winning the conference tournament by beating Garrett and Heritage.
Coach Becky Brown congratulated her players by saying, "They never had to go three games with any opponent all season and they defeated three previously unbeaten teams: Norwell, Bellmont, and Leo.
MARION — Both the Bellmont boys and girls cross country teams competed well Saturday at the Marion CC Regionals, and both finished in eighth place, three places short of qualifying for semistate action.
South Adams did better as both teams made it out, qualifying fourth in both races. Hannah Moore finished sixth in the girls race with a 19:17. Eric Isch led the boys with a 9th-pace finish in 16:06 for the Stars.
Bellmont held off a solid Wapahani squad, winning 25-23 in the first game, then taking the next two, 25-17, 25-20, to complete a 29-4 regular season.
The Squaws also downed Wes-Del in three (23, 17, 20) in the earlier match Saturday. Adams Central fell to both Wes-Del and Wapahani in the other two matches at the Bellmont Quad.
"Wes-Del was undersized, but definitely did a nice job against us," stated BHS coach Craig Krull.
Fort Wayne FusionIndianapolis Colts


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Amelia Island Hotels with a Hot Tub or Whirlpool
Search for Hotels with Hot Tub / Whirlpool
Take self-pampering to the next level with these Amelia Island, FL hotels, all of which offer a hot tub or whirlpool that will lull you into a state of utter relaxation. Imagine taking a dip in the steamy water and letting go of your worries and woes on your next vacation.
Amelia Island Hotels with a Hot Tub or Whirlpool
Days Inn and Suites Amelia Island at the Beach is three miles from Amelia Island Museum of History.
Residence Inn by Marriott Amelia Island has a convenient location near Fernandina Beach Municipal Airport.
Hoyt House is a luxurious bed and breakfast situated just 1.5 miles from Fort Clinch State Park.
Omni Amelia Island Plantation Resort located off the Northeast Florida coast is more than just a standard hotel stay; it is an experience of a lifetime.
The Ritz-Carlton; Amelia Island is located near Fernandina Beach Municipal Airport in northern Florida.
Villas of Amelia Island Plantation is located near 1st Coast Highway, the main highway running through the beautiful Amelia Island of northern Florida.
All prices are in US Dollars
Search for Hotels with Hot Tub / Whirlpool


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Long Description to add
No-cook Cheesecakes with Caramelised Rhubarb
Without doubt this is one of the easiest ways to produce some brilliant cheesecakes without any of the whisking or cooking and so on. You will have to partly freeze them to firm them up, but even that's better than all the fiddle.
Return to Homepage
Visit the Delia Online Cookery School with Waitrose
Click here to go to Waitrose.com
Most Popular recipes
- Lemon Ricotta Cheesecake with a Confit of Lemons
- Banoffee Cheesecake with Toffee Pecan Sauce
- Fromage Frais Cheesecake with Strawberry Sauce
Barbecue recipes: burgers, kebabs and the rest


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Regional One Health exercises a grant received by the Tennessee Department of Health: Traumatic Brain Injury (TBI) Program with the purpose of providing services for children and adults with a traumatic brain injury; providing information; making referrals to services and agencies; assisting consumers in applying for and accessing services; advocacy; support group development; and the development of new programs and activities. More than one thousand TBI survivors and their loved ones have participated in support group events hosted by Traumatic Brain Injury Services.
Traumatic Brain Injury Services addresses the emotional, behavioral, cognitive, physical and psycho-social aspects of treatment. A comprehensive treatment plan, catering to each person's unique needs, is developed in collaboration with the person with a brain injury, his or her family members and the treatment team. The goals are to build skills and help the individual prepare for the future. Whether that means returning to school, work, the family home, a care facility, or another setting, the aim is to help the individual enjoy the highest possible quality of life.
Traumatic Brain Injury Services works with individuals of all ages, and referrals to this free service can be made by the brain injury survivor, a family member or caregiver, rehabilitation facility, or any other affiliated professional in the community. As an added benefit of all the outstanding services offered, Traumatic Brain Injury Services will provide a Brain Injury Survivor I.D. Card to individuals with TBI. TBI survivors may request this I.D. card free of charge and it is a beneficial safeguard in case of an emergency. To request a complimentary card, contact Carolyn Chambers at (901) 545-8487 or email@example.com.


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|Project by Pdub
|posted 1814 days ago
|1181 views
|1 time favorited
|10 comments
10 comments so far
#1 posted 1814 days ago
Beautiful work thanx for the look
-- Greg S.E. Ga. www.thesawdustfactory.net
#2 posted 1814 days ago
All of your scroll workk looks great! Good job! I haven't figured out how to stop trimming my knuckles with the saw yet. ; )
-- Never board, always knotty, lots of growth rings
#3 posted 1814 days ago
Great looking scroll work.
-- Nubs,Reserve
#4 posted 1814 days ago
Don't feel bad Kindlingmaker, my knuckles are usually safe, but I always manage to run a fingertip into the blade.
-- Paul, North Dakota, USAF Ret.
#5 posted 1809 days ago
That's a good idea with the light! I might borrow that if youdon't mind. Nice scroll work.
-- burl, Indiana,
#6 posted 1809 days ago
Burl, I don't mind at all, I think it adds alot to a project.
-- Paul, North Dakota, USAF Ret.
#7 posted 1808 days ago
#8 posted 1802 days ago
Superb !! I like the detail & how you layerd the woods to give a dimensional look.
-- Rj's Woodworks,San Jose & Weed Ca,
#9 posted 1790 days ago
I can tell you this. You never know what's gonna sell at a craft show. Your work is by far, better then that. Try online maybe. I've only did craft shows a few times and when people buy is when my friends come over to the table and stand around for ahwile talking. Everyone else thinks your stuff is flying off the shelf, when it's really not. Then they buy. Impulse buying, which I don't like. Not that I'm not guilty of that myself, but I don't like it. I havent done one for aleast 15 or 20 years and probably never will again, since we have the internet now. I suggest you find a shop, gift shop, that can put your things in. Some charge commission and some don't. Or try the internet. Good luck with it.
-- Janice
#10 posted 1790 days ago
Thanks Janice, I appreciate your kind words about my work. I do one craft show a year and everything else is by special order, which seems to keep me as busy or as bored as I want to be. Thanks for the advice!
-- Paul, North Dakota, USAF Ret.
Have your say...
You must be signed in to post the comments.


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Tommy Feathers — Hot Mess of the Day
Location: Home alone.
Location: Home alone.
What's going on here – and why?
Name: Allie the Asphyxiator (pictured right)
Location: The 'special accommodations needed' aisle on the airplane.
Occupation: Paperweight.
Wow. This guy's dead wife is kinky. Click through to see the photo.
Name: Prodigy Pat
Location: Hartford, CT
Occupation: By day: Janitor at Hartford High School. By night: "Google Gatekeeper" at the Internet Nucleus Worldwide HQ, A.K.A. the Hartford HS computer lab, where he also lives, "for right
Names: The Mousketeers (of Your Deepest Fears).
Location: Los Angeles, CA
Occupations: Co-owners of a local dog-walking and obedience training business.
Hobbies: Puppy play (playing with puppies), BDSM puppy play (G
Names: The BakeN'Bra Brothers
Location: Traveling show.
Occupations: Performance artists/artisan bakers/babysitters-for-hire.
Hobbies: Playing human double dutch, eatin' their veggies and being supportive.
5 Things They Can'
Got the 'Workin' Man's Blues?' Cheer up, it could be worse. Trust us.
Hey friend, you're looking a bit tired. Seems like you could use a break. As the weather cools, our minds turn to vacations. Puzzled about what kind of vacation you'd like to go on? We've got some tips to help you plan a WTF vacation you'll never, ever forget.
Names: Chilly Billy
Location: Baltimore, MD
Occupation: Guest Services at Best Western.
Hobbies: I mean, it's pretty obvious. Not much time for anything else.
6 Things He Can't Live Without: Ploppy, Swee
Name: Nana Necktats
Location: Hell's Kitchen, NY
Occupations: Walmart greeter and prescription drug mule (primarily Cialis).
Hobbies: Knitting, doom metal, baking with the grandkiddies,
Names: Vulture and Pancake Marianelliolo-Manicotti-Stugots
Location: Deer Park, Long Island
Occupations: Tag-team duo of the Strong Island Gladiators, a local copycat league of the early 1990's TV show 'American Gladiators.' Matches are held every Friday at 8pm in the West Gymnasium of St.


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Virginia, There is a place on the web to download a form to fill out for a marriage record. I just received my grandparents from Hartford, ct. I am sorry i cannot remember where it is but i can give you the address to send for one:
City of Hartford
Health and Human Services
Bureau of Vital Records
550 Main st. Hartford, ct. 06103
Good Luck Betty Facciuto McLaughlin
Notify Administrator about this message?
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Are you ready for more Andrei Arlovski? The UFC is, so much so that they've made him the headliner for their 51st edition of Fight Night. The Pitbull will be facing off against Antonio Silva in a rematch that will take place on September 13th. Their first fight, four years back and under the Strikeforce banner, was a pretty action packed affair that saw Silva take a unanimous decision.
The question you may be asking yourself is, "why?" After a pretty lackluster performance against Brendan Schaub at UFC 174, why turn right around and have him headline a card? MMA Junkie reports UFC president, Dana White's explanation for the turnaround,
"I was disappointed in both of their performances," White said of Arlovski (22-10 MMA, 11-4 UFC) and Schaub. "It doesn't mean the guys are never going to fight again. I just let them know how I felt. The fight sucked. I've got Schaub hitting me up telling me that he got robbed. I'm like, 'No, we got robbed.'"
"Guys have bad nights," White said. "It's not like I hate Brendan Schaub or Andrei Arlovski because of it. I just hated that fight. You guys know how it is; I'll always let guys know how I feel about a fight.
"For anybody to be complaining about being robbed in that fight...believe me, I've seen some robberies, and that wasn't a robbery. That could go either way, and at the end of the day, nobody would give a s-t, because the fight was terrible."
UFC Fight Night 51 takes place September 13th in Brasilia, Brazil.


text:
PhD candidate Andrew Ferguson was quoted in The Guardian speaking about the works of science-fiction author RA Lafferty.More.
Audrey Golden, a recent PhD and lecturer in the English Department, has been named third prize winner in the National Collegiate Book Collecting Contest.More.
Professor Lisa Woolfork's recent summer class on 'Game of Thrones' continues to capture media attention.More.
Walter Sokel (1917-2014)More.
Open the original version of this page.
Usablenet Assistive is a UsableNet product. Usablenet Assistive Main Page.


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this wiki
|This article needs more images.
You can help by adding some relevant images or discussing changes on the talk page.
- "Uhh, nothing."
- ―Leroy before being knocked out.
Leroy is a character appearing as a minor character in Grand Theft Auto Online and Grand Theft Auto V. Leroy is a member of the Families and a friend of Lamar Davis. Leroy owns a small chain of stores, called Leroy's Electricals, with one store in Strawberry (near Franklin Clinton's first house) and another in Mirror Park.
Grand Theft Auto Online
During the mission Caught Napping, Leroy is kidnapped by the Ballas, and Lamar orders the player to rescue him. The player needs to escape from the Ballas and deliver Leroy to his store in Strawberry. If the player crashes the car several times before getting there, Leroy will make remarks about the driving.
Grand Theft Auto V
In Fresh Meat, Leroy makes a cameo appearance, walking by Franklin's house in Forum Drive (probably on the way to his store), before Trevor Philips sucker punches Leroy, making him fall to the ground.
Mission appearances
- GTA Online
|Online Player • Simeon Yetarian • Gerald • Lester Crest • Martin Madrazo • Trevor Philips • Ron Jakowski • Lamar Davis • Mechanic • Niko Bellic • Claude • Misty • John Marston
Category:Characters in GTA Online • GTA Online • Category:Characters


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Open for Business
Georgia Works!! Not so much…
I guess if you live long enough you get to see it all. According to a Wall Street Journal article, President Obama had decided the government should follow a Georgia idea to deal with the unemployment issue. Georgia has come up with a very interesting pla
The Buffet … Rule?
What Can Business Teach Us About Life?
Tom's Favorite Web Sites
My small business web site, www.smalltownmarketing.com, went online way back in April of 1998 which means that this month I will be starting my 15th year on the web. Like most of you, I've come across many helpful and interesting sites over tha
It's Good Friday: Sheets are on Sale!
Employees Are Your Best Business Builders
Open for Business: Should the rich pay more taxes? My next guest say YES.
KMMS Saturday Swap Meet Popularity Growing
Tom Egelhoff's business tips to be included in MSNBC business book.
Tom Egelhoff, host of "Open for Business" on Saturdays, 11-2 PM on KMMS has been invited to contribute to a new book from the "Your Business" TV show on MSNBC. An MSNBC producer contacted Tom for permission to use a quote from an article written on


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The Top 10 In Action Sports
01We Tried A New Yoga Class... In The Middle Of A Canal
0223 Weird and Wonderful New Bike Inventions For 2015
03Guard Dogs and Phallic Objects: 6 Weird Ways To Stop Your Bike Getting Stolen
04The Biggest Dirt Quarter Pipe Ever Built is Back. And This Time the World's Best BMXers Have A Ticket To Ride...
05'I Had Nightmare Visions of Being Gunned Down Wearing Nothing But My Speedos…'
0615 Unbelievably Weird Skate Inventions That You Never Knew You Needed
07Surfers Beware! They're Deadly, They're Lurking In The Water, But You Can't See Them...
08How To Make Your Girlfriend/Boyfriend Hate Your Sport
09Winter Is Coming: The World's Best Snowboarders Are Back - And They're Absolutely Ripping.
102014: The Year British Mountain Bikers Showed the World Who's Boss
Stitched Up Clipped Up: Official Teaser
A Snowboarding video by Enako - 943 views
Here's the official teaser for Ian Post's east coast snowboarding movie Stitched Up Clipped Up - Coming to your TV or computer screen THIS month (August).
Luke Haddock | Yale Cousino | Riley Nickerson | Hans Mindnich | Shaun Murphy | Johnny O'Connor | Jeff Deforge | Dylan Dragotta | Tanner McCarty | Brad Hesson | Steve Lauder | Ben Wachowiak | Alex Hereford | John Murphy | Ralph Kucharek | & Friends
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George Watts, Trevor Harris, Eric Durand, Skylar Brent, Harry Hagan, Hans' Head, Jonathan Goggin
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championvisions.com (JPN)
facebook.com/stitched.up.clipped.up - Win some oakleys!


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Booze figures beat average (From Lancashire Telegraph)
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Booze figures beat average
11:33am Tuesday 10th June 2014 in News
BLACKBURN and Burnley have some of the highest rates of booze-related hospital admissions in the country, according to new figures.
New stats from the Health and Social Care Information Centre (HSCIC) showed Burnley had the ninth highest rate, with 2,760 admissions per 100,000 head of population in 2012/13. Blackburn with Darwen had the 11th highest rate, with 2,750 admissions per 100,000.
The rates in Hyndburn, Pendle and Rossendale were also above the national average of 1,890 per 100,000.
HSCIC chairman Kingsley Manning said: "This report highlights one of the areas of impact that alcohol dependence has on our NHS. This data provide an insight into the effect of alcohol on services, and will offer a better understanding to the public, health professionals and policy makers into this on-going public health issue."
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Last Thursday and Friday, the Small World Labs team enjoyed the exciting two-day Texas Nonprofit Summit, sponsored by Greenlights for Nonprofit Success and held at the AT&T Conference center right here in Austin. It was a great event filled with interesting speakers, including Dr. Tererai Trent, Dr. Peter Bishop, and our very own Michael Wilson. We were proud of the success of the Greenlights 501(c)ommunity, the network for nonprofit professionals, which we happily gave demonstrations of.
We are very excited to announce Mobile Optimization functionality as part of the Small World Labs Platform! Along with other platform updates and improvements, such as improved Site Messages formatting, soon you'll be able to optimize your community for all major mobile devices. The mobile version of our platform is currently in development and testing stage, and the full release will be available next Wednesday September 5 at 3 pm CST.
As this functionality is new, we'll be working with you and all of our clients to establish configuration best practices.
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We are doing a bit of travel and conference attending! In April, several members of Small World Labs will be at the following conferences:
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Manzanita Cottages have been a tradition for us for years. My husband, my daughter and my mother vacation in Laguna faithfully, and wouldn't stay anywhere else! It is the best of both worlds; it is private and quiet, yet all that comes with Laguna Beach is just a few blocks away. We always stock the kitchen with groceries, as it... more
Entrance to the Green Cottage


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Scenes from games across Gwinnett County on Aug. 29, 2014.
Scenes from the 2014 Corky Kell Classic held Aug. 24 at McEachern High School.
Scenes from week one football action across Gwinnett County.
A look back at Collins Hill grad Maya Moore's career after high school
Scenes from the U.S. Amateur Championship at the Atlanta Athletic Club.
Standout local golfer serves as caddie for high school teammate.
The Atlanta Falcons practice on Aug. 1 at Archer High School in Lawrenceville.
A look back at the Major League Baseball career of Duluth graduate Nick Green.
Gwinnett County's top seniors compete in the All-Star baseball game.
Game 1 and 2 of the Class AAAAAA state semifinals.
Game 1 and 2 of the Class AAA state semifinals.
Grayson falls to Harrison 2-1 in Class AAAAAA girls soccer state championship game
Brookwood beats Mill Creek in to claim the Class AAAAAA state title.
GAC beat Westminster for the Class AA boys soccer championship
GAC beat Lovett in the Class AA girls soccer state championship.
Grayson holds off East Coweta 4-3 in AAAAAA girls soccer semifinals.
GAC defeated Wesleyan 5-2 in the Class AA semifinals.
Brookwood boys beat Douglas County in the Class AAAAAA semifinals.
Parkview sweeps Coffee County in the state quarterfinals.
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Start reading The Ultimate Dog Treat Cookbook on your Kindle in under a minute.
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With 50 canine-tested, veterinarian-approved recipes,The Ultimate Dog Treat Cookbook has something to delight every canine connoisseur. Dog lovers can stir up appetizing homemade treats for their beloved pooches using easy-to-find ingredients and easy-to-follow instructions. Recipes include Peanut ButterHoney Nut Cheerios Balls, Taco Treats, Birthday Blueberry Pupcakes, Halloween Treats, Frozen Magic Meatballs, and more. There are even delicious doggy delicacies for pets with special needs, including Turkey Jerky and Salad Bar Bones. Fun and funky color illustrations plus Nutritional Notes and Treats and Tidbits about cooking and storing the goodies ensure that cooks will enjoy this book as much as their pets enjoy their homemade treats!
I've tried a couple of these recipes and they turned out great! It's a fun cook book to thumb through with a lot of added info.Published 6 months ago by Michelle Turk
I havent purchased this book yet but i plan to along with a few others and will write a better review once I've done so, but I just wanted to clarify that garlic is only toxic to... Read morePublished 7 months ago by Mandee Lynn
It seems like a lot of good doggie goodies. Just haven't had time to try make a doggie treat but will update once I try onePublished 10 months ago by Rafean Mercado
This book is cute and fun. I bought it so my grandkids and I could bake some fun treats for my dog junior. Read morePublished 10 months ago by Melissa
I have looked over this book and the recipes seem to be pretty straight forward. Although I haven't tried making any yet, they are next on my list.Published 12 months ago by Patricia L Watts
My daughter has made several recipes out of this. These recipes combined with the doggie cookie cutters - makes great gifts for the neighbor dogs.Published 13 months ago by T
There are some good recipes for making dog treats in this book. The book came on time and the book was in good condition.Published 15 months ago by Irene
I prefer to make homemade treats versus the store bought for my babies. I found this very helpful and informative. Read morePublished 15 months ago by Gina M. Scroggins


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Same. I was lost for a second
Same. I was lost for a second
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text: The Death of Endodontics – Is There Life After Death? The word "Zombie" has several interesting definitions. Zombie can mean: 1. a person considered to lack energy, enthusiasm, or the ability to think independently 2. a spirit that supposedly brings a dead body back to life again 3. a hidden software program that is installed on another computer by means of a virus, allowing it to be accessed remotely and used to access or attack another computer. Current Endodontic practice appears to resemble "Zombie endodontics"in all three ways: 1. As commercialism has invaded the specialty many of us have "lost the energy, enthusiasm, or the ability to think independently." We have lost our ability to think for ourselves. We believe what others tell (and sell) us. We are being bought. 2. Others such as Dr. Carr have implied that Endodontics is a dead specialty (especially with the advent of Implants) and that only bringing it back from the dead will truly revive it. 3. The internet has allowed for the dissemination of Endodontic philosophies that are ultimately as toxic to the specialty as a deadly virus is to the human body. At the 20th annual Chartan lecture, held in Philadelphia's Albert Einstein Medical Center on Wednesday March 21, 2007, approximately 100 people (including many post grad students) listened as Drs. Gary Carr (Director of the Pacific Endo Research Foundation , San Diego, Ca, )and Dr. Winston Chee (Professor of Restorative Dentistry, Director of Implant Dentistry, Co-Director of Prosthodontics, University of Southern California )addressed the subject: "The Death of Endodontics". It was on one hand stimulating and inspiring, on the other, it was a sobering assessment of the lamentable state of the specialty, how it got that way and how difficult it will be to resurrect. I'm sure that Dr. Carr's initial introduction shocked many in the room. Carr first suggested that many of us that practice Endodontics are "already dead". What is worse is that most of us don't even know we are dead! His discussion focused on his remedy for a possible "life after death" and what (if anything) we can do to resuscitate the corpse of Endodontics. Dr. Carr was forthright with his disclaimer regarding his authoring and selling TDO software. He is justifiably proud and it and of the TDO community that surrounds the product (both creators and users.) But you could also see his sincere irritation and frustration with those who think that TDO is some sort of Cult. He deeply resents the implication that somehow he has "hypnotized" or "brainwashed" some 500 + clinicians in to believing in this product. Gary showed photos of the large TDO gatherings and commented on the sense of family that pervades the group. This includes the doctors and the staff. I was surprised to hear that an average of 35 cases is posted on TDO chat DAILY! (Halevai ROOTS – Ed.) Most TDO users have visited Gary's office and he considers them not only TDO clients but personal friends. Dr. Carr has met more Endodontists and has probably been to more endodontic offices than any single Endodontist alive today. Almost a full third of all the Endodontists of the time (and 2/3rd of all graduate program directors) visited his PERF institute when it was still a functional teaching institution. He also is involved with many of the current postgraduate programs and 100+ new office designs. Because of this he believes that he has a unique endodontic perspective about what is happening in the specialty. Carr believes that TDOers have come together because they share a common understanding and perspective: unless there is a dramatic change in the specialty…we are finished. Carr: "Excellence and Success are not the same thing". Gary is not impressed by success per se. He says "Being successful is not difficult but being excellent AND successful is VERY hard." World class endo takes time. (He said that he never met an Endodontist who felt he was not doing "world class" endo.) 1 "The fulfillment you get in life is directly related to how well you do things'". Your commitment to excellence is what makes you happy. Since we were in Philadelphia, Dr. Carr specifically mentioned Dr. I.B. Bender and how the two became friends through personal correspondence. Gary quoted a graduation speech I.B. had once sent him called "Endodontics: from the Outhouse to the Penthouse". In it Bender described how Endodontics was in the "outhouse" in its early years. Endodontics lacked credibility; focal infection and extraction were common. Endodontics moved to the "Penthouse" because of how it embraced science and became respected. Unfortunately, in Gary's opinion and for many reasons, we seem to be back in the outhouse again and the chances for us to regain our place in the penthouse are not good. He then played Gordon Christensen's famous "Take it out" clip. In it Christensen discusses the unreliability of endo treatment and retreatment. He recommends extraction and an implant or prosthesis. This is very troubling because of the high regard in which Christensen is held by many dentists. Carr also quoted Dr. Felton, (a NC Prosthodontist): Every implant system commercially available today has a success rate that is better than endo. Why would you perform a root canal on a patient when you can take the tooth out and put something in that you know will succeed? Dr. Bill Becker has suggested one particular criterion for extraction and implant placement: Strategic teeth that require Endodontic retreatment. THIS IS RETREATMENT UNDER DIRECT ATTACK. Carr tells the new Endo grads that US endodontic practice consists of a lot of retreatment. If retreatment has no credibility then your practice will have no credibility. Gary believes that retreatment is such a big part of Endodontic specialty practice that if retreatment is lost, they will not even have a practice. (That may be true in many parts of the US, but there are still many places in the world where this statement is simply NOT true. It would be interesting to see what % of TDO cases (as a whole) is retreatment based. I am sure that the main TDO database can generate this easily.–Ed.) Carr then quoted Christensen's Dentistry Today article that suggested an Endodontic "paradigm shift" is occurring. Christensen concludes that the relative positive success of implants over the last 20 years vs. the success rates of conventional endodontic treatment will encourage dentists to remove teeth and replace them with implants. He predicts that THE TREND WILL CONTINUE. Therefore the article is not just questioning retreatment. This implies no endodontic treatment AT ALL - because Christensen says it is unreliable! Carr asks us: "Why does Christensen think this way?" Gary believes that Christensen is not basing it on the literature because the literature shows favorable success rates when endo is done properly. Gary says that Christensen bases it on HIS OWN EXPERIENCES WITH HIS ENDODONTISTS. He believes that the movement to Evidence Based treatment is an effort to stem this kind of thinking but that this strategy will ultimately fail because THIS IS GORDON'S PERCEPTION and perception often trumps the literature and statistics. Christensen has been known to ask Dentist audiences if any of the endodontic procedures done on them by Endodontists still hurt. (He would assume that only the best treatment would be performed when colleagues do work on each other. No?) That is his "literature". And who can argue with that? TDO's charting software allows detailed analysis of the "Hows and Why's" of retreatment. It has spaces for input of the name of the previous DDS or Endodontist, Single visit treatment, radiographic analysis, short fill, Thermafil, broken file, missed canal, etc. Because of this Gary has the ability to examine, isolate and identify in detail the various factors that contribute to treatment failure. TDO also allows him to use a filter to select these factors and examine them more closely. Carr says that it his ability to do this (especially with the many tens of thousands of cases done by TDO users) that gives him the perspective that we lack. Carr says he sees many, many cases that were done by an Endodontist. He asks: "Why should I be seeing even ONE case like 2 this?" He is shocked. In his analysis of cases, less than 6% of the cases that he saw were deemed an "adequate Root Canal Treatment" by the TDO software. (Editor's note: Again, my perspective is different. I've been practicing 21 years in the same location. I can probably count on two hands the number of failing cases I have seen from the other local Endodontists in my area. In the population of patients that Gary sees, the ratio of retreatment failures Endodontist/General Dentist is about 7/5. This is something to which I personally simply cannot relate. Perhaps, it may be a more US or localized based phenomenon. But, as he says, I could be wrong. ) Gary then showed a case of misdiagnosis of a traumatized maxillary central incisor. The initial radiograph examined by the first Endodontist showed an unclear indistinct radio-opaque area at the apex. He prescribed endodontic treatment. Carr's proper work up revealed a normal pulp tests. Proper and appropriately angled radiography clearly showed an impacted mesiodens over the root apex that had been misdiagnosed. Treatment of the tooth was not necessary. In a second case he showed a mandibular molar treatment performed by an Endodontist on the wife of one of his best referrals. She had lingering pain and a radiolucency caused by inadequate conventional treatment. Carr retreated the M root, discovered untreated anatomy and symptoms disappeared. He was discouraged by this obvious lack of quality in the most basic kinds of treatment. He was most disturbed by the possible rush to surgery and of the Endodontist's favorite excuse for persistent pain: "It MUST be fractured (i.e. / not MY fault!) – Let's extract. " Another case is shown where an Endodontist sent the patient to an Oral Surgeon for maxillary molar root resection and retrofill. The patient looked like they had been shot in the face. Amalgam was everywhere but in the canal. Carr then quoted Felton: Why would you send a patient for periapical surgical procedure with a mean success rate of 66% in 31 studies? Why not take the tooth out and place an implant? In this case, Gary retreated the case conservatively. Missed anatomy was dealt with and the lingering pain symptoms resolved immediately. A further surgery was done, merely to clean up the amalgam shot that was causing some buccal palpation sensitivity. The amalgam was actually sitting in the soft tissue – not in the root! All symptoms resolved. Carr concluded: LINGERING PAIN HAS NOTHING TO DO WITH ENDODONTIC FAILURE AND SHOULD NOT HAVE ANY EFFECT ON THE DECISION OF WHETHER TO SAVE A TOOTH OR NOT. At that point Gary pronounced us as Dead – we just don't realize it. The only question is how we deal with our "death". Being one of the fathers of microscopic Endodontics, Carr believes that if you are not using a scope, you simply do not know what you are missing. You don't even know what you don't know. He went as far as to say that if you do not use a scope, you are part of the problem. Another part of the problem is our success. Endodontics and Endodontists are very financially successful. But that only is correct if success is measured by financial reward. Dr. Carr then showed one of Dr. Sashi Nallapati's retreatment cases that was done at Nova U. during Sashi's graduate education. It was a typical beautiful "Sashi" case involving a mandibular premolar with 3 canals. It was managed carefully and skillfully. Even Dr. Carr was impressed with the result. Unfortunately, Sashi's mark was downgraded. Why? –because it took him 6 or 7 hours to treat. His instructor reduced his mark simply because he felt that Dr. Nallapati needed to be faster when in private practice- otherwise he would" lose his shirt". Dr. Carr said that is was a disgrace that the educational model for Endodontics has been taken over by a financial model rather than one that values skill and excellence. 3 Convincing people like Christensen that predictable asymptomatic endo is possible is going to be a monumental job because it means that not only do we have to provide the evidence, we must alter his perception and his every day experiences. Another Felton quote stated that: Endodontic success rates vary from 53% to 98%. If the Endodontist you are working with has a success rate of 53% - wouldn't you want to know why? Carr says: Yes, you would! Who would want to work with an Endodontist with a 53% success rate? And WHY is this happening? The reason is: "Assembly Line Endodontics" based on a business model and not on a professional model. This business model has overtaken us, enthralled us and we are in denial. Now because of it, Carr says we are dead. Gary says that we like to blame the "15 minute endo" proponents, the gurus that focus on production, speed and financial success. Let's not kid ourselves. This is all about money; it has nothing to do with quality. Carr asks: Why aren't Endodontists up in arms about this? Where is the outrage? Did it ever occur to anyone that these people are just copying US? WE provided the leadership for this. One Endodontist's website touts how you can work 20 weeks a year and still be in the top 1% of earners. Reduce stress, take vacations, buy yachts, etc. Outrageous! Gary said that in all his conversations with Bender, Seltzer, Naidorf and other giants of endodontic thought, he NEVER heard them discuss how fast they could do endodontics. Now we are inundated by those who wish to sell us on money and speed. Why are we so enthralled with this? Why are we impressed with this? Another Endodontist site says that a relieved reamer design and a 2 day course can give you "Total mastery of single visit endodontics." Gary says he's been doing endo for 25 years and he still doesn't have "total mastery". What has happened to us as a specialty? There will be no life after death unless we face up to what the problem is – the assembly line model, and the emphasis on money. However, Gary is also a realist. He feels that the likelihood of fixing the problem is very small. He said (with obvious regret) that we are "already dead" and the chances that we can come back are very small because we can't easily fix it. At one point he actually approached me personally (sitting in the first row as usual) and asked me"Rob, If this is a problem in your office and I ask you to fix it but while the quality of your work will go up and you will be happier, your income will go down…what is the likelihood that I will be successful in convincing you to do this?" (Silence) Carr feels that only a small % is willing to make that kind of major course correction. And because of that he is pessimistic about our potential resurrection. Gary says it is the ultimate irony that his initial selfishness many years ago (Let them screw up! It was more work for him!) may actually have doomed his mode of practice. Whereas his practice used to consist almost entirely of retreatment cases, by not insisting on higher standards in the specialty, he now faces the prospect of fewer and fewer retreatment referrals, simply because these teeth with lingering pain are being extracted rather than referred to him. ______________________________________________________________________________________ At this point he turned the lecture over to Dr. Winston Chee. Dr. Chee originally got involved with endodontic discussion through his original association with the late Dr. Dick Burns. Dr. Chee said that the discussions were often heated and disagreements many. He then became involved with Dr. Carr when Gary asked that he get involved with the TDO group and help them with their implant education. Dr. Chee is pleased that Endo programs are now getting involved with implants. 4 Winston feels that you cannot really appreciate what is involved with treatment planning and prescribing implants unless you do them yourself. So he believes Endodontists need to know how to do them. Undergrads now consider implants part of routine treatment planning. Dr. Chee thinks that implants need to be considered in every possible treatment plan. He emphasized that he was not going to discuss endodontic treatment ( since he was not an Endodontist ) but that he wished to make the point that even when endodontic treatment is executed perfectly, it may not be the appropriate treatment for THAT patient. Dr. Chee then pointed out an interesting irony. He said that many Endodontists don't think implants work. (Funny, considering how Gary Carr had just finished telling us how poorly regarded endodontic treatment appeared to be by many prominent restorative dentists!! .Ed) He said that he was speaking with an Endo Department head whose daughter had an implant that failed and this Endodontist concluded from this that all implants had a poor success rate. (Perception a la Christensen!) He mentioned a similar point of view espoused by Trope in his opinion piece - Implant or root canal therapy: an Endodontist's view (J Esthet Restor Dent. 2005; 17(4):197-9). Dr. Chee obviously believes that they do and says that the literature supports this. He suggests that while treatment of pulpitis may have a very good prognosis Endodontists should NOT excessively promote retreatment as an option because the numbers simply do not support it. The Endodontist must demonstrate that under certain conditions, retreatment MIGHT be the right treatment for the patient. Dr. Chee then quoted several papers that studied many thousands of implants over time and found 91%-96 success rates. On the other hand, Fixed Partial denture success rate studies (over 10 to 20 years) show success initially in the 7-8 year range. Success rates then drop steeply in the successive years – usually from caries, post failures and fractures (but not generally from pure endo failure). The longer the fixed partial denture, the shorter the lifespan. Dr. Chee says that the longer the fixed partial denture, the poorer the fit. It is that simple. Dr. Chee says you cannot evaluate your single crowns with the same acuity as that of an 8 unit bridge. THERE IS NO COMPARISON IN THE FIT BETWEEN THE TWO– NO MATTER WHO DOES IT. And anyone who says that they can fit equally well is either not looking closely enough or is lying. One of the fathers of Fixed Prosthetics, Dr. MM DeVan has said "Our objective should be the meticulous replacement of what is missing but also preservation of what remains." In other words, the less dentistry we must do, the better. Chee says the preparation of teeth for strictly aesthetic purposes is NOT a good thing for dentistry (although it may be good for endodontics!) DO THE RIGHT THING AND THEN…… DO THE THING RIGHT! Dr. Chee then did a bit of "show and tell" history of implants as they first were placed in edentulous spaces and RPDs. (A lot of this material does not translate particularly well to text, and requires photos to illustrate.) Winston showed a case done by Perio and Prostho graduate students (their first case in school). He wanted to make the point that the procedures are predictable and not difficult to do – if you know what you are doing! The most difficult part of implant dentistry is the treatment plan – picking the right treatment for the patient. The execution is not the difficult part – anyone who can properly do a molar endo should be able to do an implant. You can also manipulate the soft tissue. Dr. Chee says that you should be able to create a situation where the soft tissue around crowns, pontics and implants looks natural. Another good thing about implants is that it forces you to work in an inter-disciplinary fashion. Dr. Chee believes that Endodontics should be planned in a similar way – not merely prescribed by prescription as a single tooth procedure – (i.e. / one line on a referral form – "please do endo on #12" with no description of restoration or information about the overall treatment plan.) 5 If the tooth DOES need endo – why is this? Has there been trauma? Is the tooth prone to decay? If it is, perhaps Endo/restoration is NOT the best treatment for this patient with their current oral environment. Dr. Chee says that there is a tendency for some of us to rush to place the rubber dam on a single tooth and not place treatment in context with the overall patient needs. Treatment planning with other clinicians and specialties gives us the opportunity to make sure we haven't missed something - BEFORE we commence treatment? Perhaps someone has a better idea or plan – Dr. Chee likes getting feedback and suggests that those types of clinicians are the ones he ranks at the top of his referral list. He then showed a congenitally missing maxillary lateral case. Treatment was initiated first with Ortho (to close the diastema between the centrals), making space for the implants and then restoring the edentulous space. Another byproduct of good treatment planning is working with enjoyable patients and referrals – it makes your work more pleasant. Dr. Chee discussed elective forced eruption cases where the tooth was intentionally erupted to allow for increased bone and gingival height. The tooth was then extracted and an implant placed. The elective forced eruption allows for better implant support and more aesthetic soft tissue appearance. The gingival levels all matched – giving a beautiful result. 1. PLANNING FOR FAILURE In the early implant days we used to try to keep every tooth we could. This could involve root amputations, hemisections, and orthodontic root movement to allow for restoration and cross arch splint for stabilization. Post op photos were taken as quickly as possible because we never knew how quickly one part of this would fail. You cringe every time you see their name in the appointment book because you never know what will fail. Then you have to face the patient. Chee says that often the actual tooth fails (not the endo). It is never a comfortable situation because after all this work, patients frequently become removable partial denture patients. (Dr. Chee said something fascinating. He said that Dr. Carr was the only Endodontist that he worked with that actually did any recalls! None of the other Endodontists he knew did them and therefore they could never know how successful their treatments could be. Wow! Is that not an indication of "death"?....NO RECALLS?) As a University based clinician he sees many of the graduate students doing the most heroic procedures you can imagine. Unfortunately, when they leave after a couple of years, Dr. Chee is left to pick up the pieces! Dr. Chee has noted that since greater numbers of implants have been used by graduate students (with fewer heroics), the number of problem cases has been drastically reduced. Dr. Chee then took us through a typical 15 year old full arch fixed prosthetic circa 1990. He says "Patients lose teeth for a reason!" So inevitably, if they lost the pre-prosthetic case due to caries or perio problems, these problems inevitably return with time – over 8-10 years after placement. There is not much that we can do to change their environment. Removal of the prosthesis showed recurrent decay and various areas of soft dentin. The question is: IS IT WORTHWHILE PUTTNG THE PATIENT THROUGH THAT INITIAL RECONSTRUCTION OR IS IT TIME TO REMOVE THE TEETH FIRST? Chee said jokingly: When you DO get the phone call from a patient saying that their bridge is loose – what is the first question you ask your staff? 1."Did we do it?" (If not…you're happy!) 6 2. If it IS your bridge…you ask your staff…"When did we cement the damned thing?!" Inevitably, one abutment usually stays cemented while one or more are mush. We now have converted a patient who may have had relatively intact teeth (abutments) prior to the fixed prosthesis – to one where the decay has now virtually destroyed their mouth. These abutments can no longer be used. We need to treatment plan to avoid this. Chee does many fewer fixed partial dentures now – HE SAYS HE NOW PLANS FOR FAILURE WHENEVER HE CONSIDERS A TREATMENT PLAN. 2. PRESERVATION OF TOOTH STRUCTURE 8-9% of crown prepared teeth proceed to endo as a rule – no matter who does it. For that reason implants are becoming more commonly used in treatment plan. Delta Dental Insurance is starting to cover implants!!! WHY? Because in their database they found that teeth TEETH NEXT TO PONTICS HAVE 8X THE NUMBER OF PROCEDURES DONE TO THEM COMPARED TO TEETH NEXT TO IMPLANTS. They are considering this because in the long run it will save Delta money. This occurs because fixed partial dentures never fit perfectly and in the long run create a host of problems. 3. Decide on the Supporting Abutment Teeth As much as we don't like splinting teeth, we DO like splinting implants. When you splint implants you distribute the forces and biomechanically it is a lot stronger. We try NOT to connect implants to teeth because they have a differential in mobility. In certain situations we will remove "perfectly good" teeth when they are not strategic or may present problems later. This implant treatment planning philosophy s different than the "preserve teeth is at all possible" philosophy of the past. Do the teeth that are within that span truly need to be there? (Whenever we are considering a fixed partial denture, we always give the patient an option of replacing the pontics with implants and single units – we plan for failure. We have proof in the literature that single units survive longer and when they do fail, you can replace them independently. ) Chee showed a case where after provisional replacement of two missing central incisors, the patient started to complain about pain in one crown prepared maxillary lateral tooth. The Endodontist tested both crown prepared laterals and found that one was pulpitic and the second lateral was borderline. At that point a decision had to be made. Considering the minimal root structure in each lateral incisor , the structural loss that occurs in endodontic treatment and the likelihood of long term survival – a decision was made to extract them both (Two central implants were placed with 2 cantilever laterals) . These teeth were not needed for support. Winston said that you can hang a whole arch on 4 strategically placed implants, as studies have shown. So by placing only 2 implants in the central sockets, these turned out nicely, even without the laterals! Dr. Chee says that 6-7% of the implants fail but that most are discovered immediately upon initial testing. You get relatively few late failures. The other consideration is that endodontic teeth that have lesions must undergo healing. When is it "safe" to place a restoration on these endo treated teeth? How long do you wait in provisionals? Can those provisionals leak while you are waiting for endo healing? How healed does a lesion have to be before restoring it definitively? With implants this is less of a consideration. Dr. Chee then showed a case of a mandibular RPD patient with severe bone loss in the posterior edentulous areas. The 6 anterior teeth were present but far supraerupted. A decision was made to extract these healthy anterior teeth, do an ostectomy to REDUCE the bone height (!?) , replace them with 6 anterior implants (which were in good solid bone) and then hang the posterior prosthetics off of these 6 implants. Today we are 7 comfortable and confident enough in implants to be able to remove ALL of the patient's healthy remaining mandibular teeth and replace them with implants, should the need be. When we are considering such a drastic step, we must always remember that removal of these teeth is an irreversible step. Does the patient have any systemic health problems that may reduce the possibilities for integration? Careful thought is required. Another advantage of implants is that we can precision fit these parts together in a way that is far more accurate than any casting that we make. These parts can be machined to tolerances that are superior to any cast prosthetics. Better fit means better longevity. These parts are also totally interchangeable, so if one component fails it can be easily and quickly replaced. Dr. Chee always gives his patients the provisionals to keep as spares in the event that the final restoration needs to be repaired. 4. Risk and Cost Benefit Analysis- Remove Teeth in favor of Implants? Whenever we consider remake of a previous major rehabilitation, we have to ask ourselves whether the teeth that are to be restored merit the remake. What is the cost/benefit ratio? What is the likelihood of retention for 5 years? 10 years? What is involved in remaking the prosthesis should failure occur in one particular tooth? A definitive treatment must be established. The moment a new restoration is required, discussions must take place with the patient that explain the benefits and risks involved with retaining teeth and/or extracting them and replacing them with implants. That is not to say that we are in a rush to remove all teeth. The advantage of retaining certain teeth is that you maintain papillary contours. Placing adjacent implants can result in the loss of natural papillary contours between them, especially in the aesthetic zone. If this is done unilaterally, we can get unbalanced aesthetics. Age Factors As patient's age their mouths age as well. Older patient's mouths are drier. Whereas complex tooth supported prosthetics may have been less caries prone earlier in life, these same teeth may be more prone to caries due to medications they are now taking. Implants seem to be more resistant to "dental disease". Other Random Comments Socket Grafting = Socket Interference Dr. Chee disagrees with the concept of putting anything in the healing socket. He says the best grafting material is a good blood clot. Immediate Loading of Implants Dr. Chee has tried immediate loading of implants but has since backed off in their use. Use of platelet-rich plasma (PRP) (a concentrated suspension of the growth factors found in platelets) to enhance would healing – Dr. Chee says "Forget it!" Implants are not a cure, they are merely a tool to an end – and we need to understand how to use these tools. The ultimate results will be based upon your ability to treatment plan appropriately for the individual patient and use the tool properly. ________________________________________________________________________________________ Dr. Carr's afternoon continuation consisted of a discussion of TDO, Office Design Ergonomics and Philosophy of Practice. 8 We must, as professional, stop thinking like a guild. It is not a turf war over who does what procedures, we must remember to "do the right thing" for the patient at all times. Dr. Carr showed a lower anterior tooth that had a missed 2nd canal. The tooth initially looked "easy". This endodontic failure is not a failure in skill; it is a failure of understanding and case selection. Endodontists need to start to think like restorative dentists, instead of limiting their thinking to the specialty. In order to decide whether we wish to incorporate implants into the treatment plan, we must understand and appreciate the strengths, weaknesses and limitations of implants. We need to know how to do them so our judgment is credible. At that point Dr. Chee responded that Endodontists need to know more about their patients than the minimal information listed on the referral form. We need to know whether they are disease prone (caries prone?) Is caries in resistant or non-resistant teeth? This will affect our decision to endodontically treat or replace with an implant. Dr. Carr subscribes to the attitude illustrated by the famous UCLA Basketball coach John Wooden's quote: "If you do enough small things right, big things can happen." Dr. Carr frequently works on patients with limited jaw openings and closed lock cases. One tip he illustrated was the use of ethyl chloride spay on the temporalis, Masseter and lateral pterygoid areas. The eyes are protected and a heavy spay is used directly on the muscles. This allows patients to open much wider. Even still he uses small curvable Carr mirrors positioned toward the posterior and superior areas of the dam. These small mirrors (in combination) with the enhanced magnification of the SOM give him virtually the same visibility to that of patients that CAN open wide. This also allows us to use our tactile skills along with our visual skills to obtain the optimal result. Gary is not satisfied with those clinicians who use "I did the best job I could" as a cop out. He says that our patients and the specialty deserve better Dr. Carr is adept at negotiating ledges. He does this by using customized, specifically bent file tips. In ledged cases where the Buchanan B Bender cannot place a small enough curve, he uses a pair of nail clippers to place a bend on the extreme tip of the file. With various bend designs he says virtually all ledges can be negotiated. He will try to negotiate a ledge on 3 separate occasions before he gives up. By closing the case and bringing the patient back, he finds that often he can negotiate a canal easily that was once thought to be blocked. All he needed was a fresh perspective. Many of us give up too easily when attempting to find MB2. A scope is essential and it is often necessary to take out the entire proximal box of the restoration to be able to see the MB2 orifice. This is because it is frequently located very close to the mesial side of the tooth. Practices that do a lot of SRCT are part of the problem. We have the ability to retreat cases very successfully via non-surgical means. One of the ways you can lower your surgical rates is to examine previously treated extracted teeth or perform endodontics on them and then SHAVE THE TOOTH DOWN from a lateral perspective until you have the barest minimum of dentin over the canal system and fill. This will leave you a thin "window" to allow you to examine how clean your canal is, and how your fill corresponds to what you think was present. This is done by using a 12 fluted finishing bur and "paring" the root dentin slowly and carefully until you see the filling material through the thin dentin layer remaining. In this way – you test your DOGMA! 9 Dr. Carr says another part of the problem is that we rely too much upon radiographs to assess the quality of endodontic treatment. Because of this we have produced a crop of clinicians who know how to make films that look good but are less concerned with the quality of treatment. Their specialty is not endodontic treatment; it is making a pretty image. Pretty images without substance (quality) = death. At this point Dr. Carr showed photos of the TDO system and how it allowed for "contemporaneous" collection of data. By this he means that his truly "paperless" office collects all test results, notes, treatment info and patient data at the time of treatment. The patient's post op report is ready literally before they reach the front desk for payment. There is no after hours paper work or reports to generate. Referring Dentists have online access to all of their patient's records, images and notes by means of secure password, at any time. The "no post it notes" philosophy of TDO ensures that no job falls through the cracks. Dr. Carr then discussed Office Design and showed us pictures of his old and new offices. Interestingly, he appears to have given up fixed X ray units and is going with the Aribex Dental Nomad (a portable hand held X ray unit.) Carr offered to visit to any office at his own expense – but only if he can bring his camera!! (So he can expand his collection of photos of offices that are "NOT" ergonomically designed and look awful!!) When searching for cabinetry to equip his new office, Gary was surprised to find an inexpensive source; IKEA. For a fraction of the cost of custom made cabinetry he managed to purchase store designed IKEA cabinets for his sterilization area. His main operatory cabinet is a stock IKEA closet unit with sliding frosted glass front door and rear access. (At this point there was an audible moan from Dr. Dam Shalkey, sitting behind me, and who had just spent a gazillion dollars on custom cabinetry for his new dental office. ) The Final part of Dr. Carr's presentation was a new lecture entitled "Nurturing Quality". When designing an office, it is important to ergonomically design the operatory for optimal patient communication. This means: Patients need to know: 1. Do you understand them and their needs? 2. Can you fix my problem? Have you done this before? 3. Address their concerns and fears Patients need to think these things about YOU: 1. That you have a comprehensive understanding of their particular problem 2. That they are confident in your abilities 3. You are UNIQUELY qualified to fix their problems The key to a successful practice is communication with the patient. We need to do this differently for different patients. You will speak differently to a health care professional than you would to an accountant, plumber or teacher. THIS IS "HIGH ART". Illustrations are essential in doing this. Customized drawings using Pen/ tablet or pen/screen are an integral part of the explanation process. EYE CONTACT IS ESSENTIAL. In order to build the proper patient relationship, you must develop trust. This can only be achieved with direct eye contact and when you are seated at the same level as them, directly in front of them so they do not have to turn their head. (Office and operatory should be designed specifically to allow for this.) Trust comes from honestly communicating to the patient how much you LOVE what you do – Enthusiasm! 10 NEVER LET THEM SEE YOU SWEAT. No matter how tough the case is, you should always give the appearance that you are in total control. Self examination also involves "doing the metrics". Patients need to be surveyed as to their level of post op pain and what they think of your care. TDO has a specific form with questions that deal with this. Patients are asked be honest with their responses. Dr. Carr believes it is a good policy to eat with your staff at least 2-3 times a week. Sharing a meal with staff builds a team, allows for communication outside the "normal" work areas and opens staff up us persons. Gary recommends that every office have a "kitchen" built into it, not just a small staff lunch room. One of the biggest problems Dr. Carr sees is the lack of fulfillment of staff. He told the story of one staff member that had been with him for many years and ended up quitting. He asked "Why?" and she said "Because, Dr. Carr, you never finish anything." From that he learned that staff feels most fulfilled when: You give them a job that they allowed to complete successfully and well….and then move on to the next job." That is all they want from you as a boss!! It was an exhausting day. We learned A LOT about implants and it gave me a whole new perspective on how to incorporate them into my treatment planning and referral discussions. Seeing Gary Carr always leaves me with mixed emotions. I am always inspired by the many things he does so well, clinician, educator, software producer, photographer, Electron microscope owner/researcher. His passion for excellence is obvious. Unfortunately, human nature being what it is, I fear that he is probably one of the few true remaining "renaissance men" that has not be tainted by the allure of commercialism in endodontics. And as much as we'd like to think Endodontics isn't about money…..it is. Sadly, I share his pessimism for the future of Endodontics. But I am comforted in the knowledge that I have at least recognized the problem and can take steps to delay my own personal endodontic demise. END 11


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Cerebral Hemisphere Demonstration – Sanjoy Sanyal – Neuroscience Lab Fall 2013
This is an impromptu video recorded by Med 3 Neuroscience student of MUA, Chinasa Onuoha. Commentator is Dr Sanjoy Sanyal, Professor and Course Director of Neuroscience and Co-Course Director of FCM-III Neurology in Medical University of the Americas. It is on as-is basis, without any editing, as the demonstration was going on in the dissection lab. It is an actual human brain specimen that was preserved in formalin. Camera credit goes to Med 3 student Chinasa Onuoha. Errata: Because it is... More
Material Type: Online Course
Technical Format: Flash
Date Added to MERLOT: December 28, 2013
Date Modified in MERLOT: March 27, 2014
Submitter: Sanjoy Sanyal
Keywords: Sanjoy Sanyal, Neuroscience, MUA, Parietal lobe, Professor, Human Brain
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Primary Audience: College Upper Division, Graduate School, Professional
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Technical Requirements: Broadband Internet, Flash player
Language: English
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This work is licensed under a Attribution-NonCommercial-NoDerivs 3.0 United States
This work is licensed under a Attribution-NonCommercial-NoDerivs 3.0 United States
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Discussion for Cerebral Hemisphere Demonstration – Sanjoy Sanyal – Neuroscience Lab Fall 2013
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35 weeks ago
Sanjoy Sanyal (Faculty)
This demonstration was created on a formalinized human brain in the Neuroscience lab for Neuroscience Med 3 students in Medical University of the Americas, Nevis, St. Kitts and Nevis. It was recorded live by a student Chinasa Onuoha. It was well received by the students, who found it immensely helpful for their Exams.
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LSCU offices closed Monday, Sept. 108/29/2014 10:29 am
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Florida Primary Election results08/27/2014 09:00 am
The results for Florida's primary election are in and there was one upset and another race that will most likely to a recount.
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Which brand names do Obama and Romney remind voters of?
Likely voters were asked to associate the Obamas and the Romneys with brand names in a variety of categories.
Likely voters were asked to associate the Obamas and the Romneys with brand names in a variety of categories.
Team Obama ran more than twice as many ads as Team Romney during the two-week convention period.
It's their job to talk up their candidate, party or platform
Michelle Obama's speech Tuesday at the Democratic convention grounded her husband's policy initiatives in personal terms.
If you really want to follow the political conventions, switch screens. Your computer has way more coverage than your TV.
Convention coverage 'revs' up host of 'Good Morning America,' who's seemingly here, there and everywhere
Yahoo! News fired its political director Wednesday morning after he was heard saying Mitt and Ann Romney were uncaring of black people.
Ann Romney was straightforward in appealing to women to look again. "You can trust Mitt," she said.
News organizations left to fill holes created when Republicans cancel first day of national convention.
Friday morning saw the second fatal shooting by New York police along crowded, tourist-packed streets in the past two weeks.
As the parties fly into Tampa and Charlotte, a tweet of caution: The well-scripted conventions are just 140 characters away from chaos.
President Obama and Mitt Romney have spent little advertising in Pennsylvania, one of the most-contested states of 2008.
President Obama is far more active online than Mitt Romney, and so are his followers.
Former Pennsylvania senator Rick Santorum says President Obama is planning to weaken work requirements for government aid.
Mitt Romney's new line of attack alleges Obama would end a welfare work requirement set up by Clinton and Gingrich.
After Bill Clinton came to President Obama's defense on welfare, Newt Gingrich resumed the attack.
The debut of a public database charting political advertisements has revealed little information about ad buys.


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LEXINGTON, Ky. — Kentucky received the news it dreaded Wednesday when freshman forward Nerlens Noel was declared out for the season with a torn ligament in his left knee.
Noel, a native of Everett, tore his ACL on Tuesday night when No. 25 Kentucky lost at Florida. An MRI revealed the injury, and the 6-foot-10 forward will have surgery in the next two or three weeks.
The projected recovery period is six to eight months.
Noel's injury deals a serious postseason blow for the defending national champions, who had appeared to be gaining some footing after struggling earlier this season while trying to blend in four freshmen. Leading the way defensively for the Wildcats was Noel, who began Tuesday first in the nation with 4.5 blocks per game.
The rookie took a positive approach to the diagnosis, posting on Twitter, "Minor setback for a MAJOR comeback! I love you all and can't thank y'all enough for the prayers."
Noel was hurt with 8 minutes left in the Wildcats' 69-52 loss to the seventh-ranked Gators. He ran into the basket support after blocking a layup from behind. Noel landed awkwardly, dropped to the floor and started screaming while clutching his knee.
Noel had eight points, six rebounds and three blocks before the injury.
"I've been coaching for 22 years and this is the first injury we've had of this kind during the season, which makes it even more devastating," Kentucky coach John Calipari said in a statement.
"I met with Nerlens earlier today. The meeting was really positive, and I loved his attitude. The way he is already dealing with this injury lets me know that he is going to come back stronger than ever. ... Obviously this is not a career-ending injury and it's one that athletes bounce back from all the time."


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Evan Selinger is an associate professor of philosophy at Rochester Institute of Technology and a fellow at the Institute for Ethics and Emerging Technology.
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Maybe the answer for making online comments more thoughtful isn't in people, but in code.
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Does the old rallying cry "Guns don't kill people. People kill people" hold up to philosophical scrutiny?
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For years the Turing Test has been used to compare humans with computers. Now sociologists are using it to compare humans with each other.
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An ethicist considers the ramifications of using apps to improve our habits. And also whether willpower as we normally think about it even exists.
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A truly versatile reel, the Abu Garcia Cardinal Spin Reel can handle a range of fishing conditions with smooth performance. The four ball bearing drive is paired with an instant anti-reverse bearing to handle hard hook sets and provide a trouble-free fishing experience.
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When your dog, bird, or water-dwelling mammal disappears, who do you call? Ace Ventura ([[Performer~P11257~Jim Carrey~jimcarrey]]) is a low-rent private eye who specializes in recovering lost animals, so when Snowflake, the Miami Dolphins' aquatic mascot, is kidnapped, team representative Melissa Robinson ([[Performer~P15465~Courtney Cox~courteneycox]]) puts Ace on the case. However, Snowflake isn't the only Miami Dolphin who has gone missing; several key members of the team also disappear, including...more
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Watch this: Arrow of Time
Why is time directional? We experience time heading away from the past and toward the future. Dr. Sean Carroll, a cosmologist at the California Institute of Technology made an appearance on Sixty Symbols, a physics web series, to talk about the directionality of time. He makes an analogy with the directionality of space. Imagine an astronaut floating out in space — the astronaut doesn't experience up or down. All the directions are the same. Now, here on earth, we distinguish up and down because of the presence of the giant rock beneath our feet. Carroll says that the Big Bang is analogous to earth, giving a direction to time. Give it watch to learn more about the thermodynamic roots of this cosmological problem.


text: Embed Lausanne - CHUV Sud - Switzerland Zoom Lausanne - CHUV Heliport - Switzerland Zoom Lausanne - CHUV Est - Switzerland Zoom Lausanne - CHUV Ouest - Switzerland Zoom Images Webcams (4) 360° Pano (2) 20th century architecture in Lausanne with its nose in the air. The years between 1890 and 1910 was a time of great change in Lausanne. Many buildings were constructed at this time, both in the town centre and in the various areas on the outskirts. 0 Comments Comment this article Name* e-mail address* Anti Spam Code Repeat Anti Spam Code* Publish on Facebook Fields marked with * are required.


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System Prep
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Book your room at Emporikon
Hotel in Thessaloniki near Church of Panagia Chalkeon
Collect 200 points.*
Simply enter your Nectar card number on the confirmation page. Your points will be credited 30 days after your trip is complete. *Offers may apply
Located in the heart of Thessaloniki, this hotel is within walking distance of Church of Panagia Chalkeon and Aristotelous Square. Also nearby are Saint Demetrios Church and Church of Hagia Sophia.
Hotel Features
Emporikon provides a coffee shop/café, complimentary wireless Internet access, dry cleaning/laundry services, and laundry facilities.
Room Amenities
All guestrooms feature beds with pillowtop mattresses, complimentary wireless Internet access, and refrigerators. Other amenities include air conditioning and climate control.Information missing or incorrect? Tell us!
At your hotel
The hotel offers a coffee shop/café. Public areas are equipped with complimentary high-speed wireless Internet access. This Thessaloniki hotel also offers tour/ticket assistance, concierge services, and laundry facilities.
- Number of floors - 3
- Number of buildings/towers - 1
- Free Wi-Fi
- 24-hour front desk
- Total number of rooms - 33
- Breakfast available (surcharge)
- Coffee shop or café
- Elevator/lift
- Tours/ticket assistance
- Hair salon
- Concierge services
- Express check-in
- Dry cleaning/laundry service
- Luggage storage
- Laundry facilities
- Parking (limited spaces)
- Free parking nearby
Stay connected
Available in all rooms: Free Wi-Fi
Available in some public areas: Free Wi-Fi
Park your car
Parking (limited spaces), Free parking nearby
In your room
- Private bathroom
- Complimentary toiletries
- Blackout drapes/curtains
- Shower only
- Free Wi-Fi
- Daily housekeeping
- Air conditioning
- Phone
- Refrigerator
- Hair dryer
- Television
- Iron/ironing board (on request)
- Rollaway/extra beds available
- Climate control
- Pillowtop mattress
The recreational activities listed below are available either on site or nearby; fees may apply.
- Scooter/moped rentals nearby
The fine print for Emporikon
When you arrive
Check-in time starts at 8:30 AM
Check-in time ends at noon
When you leave
Check-out time is noon
How you can pay
Accepted at this hotel: American Express, Diners Club, MasterCard, Visa
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Hotel Registry Number - 0933K012A0167300
- Self parking fee: EUR 10 per day (a different rate applies for extended parking)
- Valet parking fee: EUR 10 per day
We should mention
Cash transactions at this property cannot exceed EUR 1500, due to national regulations. For further details, please contact the property using information in the booking confirmation. No pets and no service animals are allowed at this property.


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How do you do it all?
Hi all, I'm a 25 y/o mom of 3 (8, 4, and 2) and I'm looking to transition into being a stay at home mom starting this summer. I've been chipping away at completing a degree for...
Started by Eva on 03/14/2010 in Stay At Home Moms
Last update on 03/19/2010 by Michelle