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The House That Crack BuiltPaperback
List price $7.82
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- Publisher: CHRONICLE BOOKS
- Format: Paperback | 33 pages
- Dimensions: 188mm x 192mm x 6mm | 118g
- Publication date: 10 June 1999
- Publication City/Country: California
- Illustrations note: colour illustrations
- Sales rank: 345,554
Product description
With a beat reminiscent of hip hop or rap music, a well known nursery rhyme is brilliantly transformed into a powerful poem about the tragic problem of illegal drugs and its victims. From the harvesting of the coca plants to dealers and gangs to the innocent crack babies born everyday, cocaine's journey is starkly traced from beginning to end. The rhythmic text, which is realistic but not moralizing, will appeal to teenagers and adults. But it is also accessible for even very young children, making this a valuable resource for parents, teachers, librarians, caregivers, and everyone else who is looking for a way to broach this difficult subject. A list of organizations is provided for those seeking help for a loved one or a way out for themselves. A forword by children's advocate Michael Pritchard teaches us that we are all victims of this debilitating drug but reminds us that we also have the ability to change our world.
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Author information
Clark Taylor has worked as a bartender, an oil field laborer, and a jail services volunteer but now makes his living as a comedian. Mr. Taylor lives in New York City. Jan Thompson Dicks is the illustrator of The House That Crack Built, published by Chronicle Books in 1992 to extraordinary critical acclaim. She lives in Albuquerque, New Mexico.
Review quote
--"PUBLISHERS WEEKLY, "Starred Review, June 1, 1992, Best Books of 1992 A familiar nursery rhyme takes a decidedly dark turn in this sobering picture book. Written in a hip-hop rhythm an based on "The House That Jack Built," the new cumulative rhyme focuses attention on the drug trade and abuse of crack cocaine. No stone is left unturned as the text demonstrates the drug's ripple effect, which begins with exploited South American coca farmers--"These are the Farmers who work in the heat"--and ends up invading urban neighborhoods also infested with gangs, violence, despair and hopelessness: "This is the Street of a town in pain"; "This is the Girl who's killing her brain." Dicks uses muted, somber colors and almost cubist figures and images, to illustrate crack's lethal potential. The picture book format is well-suited to presentation of this subject matter to a wide audience--younger readers can readily digest the sparse text and ask questions about the art, while older children and adults may use the book as a jumping off point for more involved discussion. All of the publisher's proceeds from the book will go to drug education, prevention and rehabilitation programs that specifically help children. All ages.-- "BOOKLIST, " April 15, 1992 With a relentless rap beat, this handsome picture book transforms the old, gentle children's rhyme into a dark, cumulative verse about drugs. It connects glamor, violence, and misery across society. "This is the Street of a town in pain / that cries for the Drug known as cocaine." Adding one line at a time, the verse builds up always repeating what's gone before, from the mansion of the crack lord and the guns of the gang to the hungry baby "born of the Girl who's killing her brain / smoking the Crack that numbs the pain." Opposite each verse is a dramatic, richly colored framed painting in a style reminiscent of a vivid street mural. With an element of the surreal, the strung-out addicts are like figures in Pica


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Are you a freelance blogger with a full-time job?
Wish you could write for a living but can't afford to just yet?
If you answered yes, then here's what I have to say: Good.
Wait. Did she just say good?
Let me explain. As a freelance blogger, you're in a unique position to help your company succeed. And more importantly, help your career succeed.
Here are 5 reasons why moonlighting as a freelance blogger benefits both you and your 9-5 employer: Continue reading…

subset: commoncrawl


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U.S. consumers are more confident about the economy than they have been in nearly seven years.
The Conference Board said Tuesday that its confidence index rose to 90.9 in July from an upwardly revised 86.4 in June. The July reading is the highest since October 2007, two months before the recession officially began.
It was the third consecutive increase in the index. Economists said strong job growth has helped boost consumers' assessment of current conditions and also improved their outlook on jobs and the economy.
"Americans felt a heck of a lot more confident in July," said Jennifer Lee, senior economist at BMO Capital Markets. She said part of the confidence boost likely came from declining gas prices.
Conference Board economist Lynn Franco said the improvements in consumers' confidence and expectations about the future indicate that the recent strengthening in overall economic growth should continue in the second half of the year.
Confidence has been rising since bottoming in February 2009 at 25.3. The index is now well above last year's average of 72.3 and with July's gain has now returned a level above 90, where it often hovered before the recession.
Consumers' attitudes are closely watched because their spending accounts for about 70 percent of U.S. economic activity.
For July, consumer assessment of the labor market improved with those saying that jobs were plentiful, increasing to 15.9 percent, up from 14.6 percent.
Consumers' expectations about the future were also more optimistic; with anticipating more jobs in the months ahead increased to 19.1 percent, up from 16.3 percent in June.
The unemployment rate fell to 6.1 percent in June, the lowest level since September 2008. Employers added 288,000 jobs in June, marking the fifth consecutive month of job gains above 200,000. That is the best such stretch since the late-1990s tech boom.
Economists expect job gains to continue in coming months and will help propel stronger growth.
In the January-March quarter, economic output went into reverse, falling at an annual rate of 2.9 percent.
That drop was blamed in large part on severe winter weather. Those conditions dampened everything from trips to the mall by shoppers to factory production.
The government will provide its first look at economic activity in the April-June quarter today, and economists are predicting a solid rebound to growth of around 2.9 percent.
Analysts believe the economy will pick up even more momentum in the second half of the year, helped by further job gains providing people with more money to spend.


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AKC Purebred Red fox and Yellow Labs, Champion lines, Hunting and Dock Jumping. All shots, Deworming and declaws. Ready to go home on Christmas day!More info Email a friend
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1st Arrondissement Louvre Apartment Rental Photos and Description
2 bedrooms, 2 full bathrooms
This beautiful, traditional French, 2 bedroom - 2 bathroom elegant apartment (85 square meters - 915 square feet) is situated in the heart of central Paris, directly on the gardens of the historic Palais Royal and a short walk across the beautiful gardens from the Louvre Museum. The apartment has kept its traditional French architecture with several entrances to the apartment, a long hall separates the master bedroom and large shower bathroom from the rest of the apartment. There are large beautifully rounded floor-level windows in each room and typical French low ceilings which enhance the elegance, warmth and charm of its French/Italian decor. This Palais Royal rental flat sleeps 4 comfortably and there is additional space for 2 children on the sofas in the living room.
Computer and Internet Access : WIFI is available and included in the rental of this apartment. We also provide a computer (PC) for your use, however, you are welcome to bring your own laptop and we will happily help you connect it.
What We Offer Our Guests : We will be at hand to meet and settle you into the apartment, answer questions and help out in any way we can. We can make restaurant, theater and activity reservations and recommendations. As we live in Paris we will happily share our knowledge, insight and experience with our guests.
The rental price is all inclusive, including fresh flowers, French wine and croissants upon arrival, a computer with high-speed Internet access, all electricity and heating charges, sheets, bathrobes, towels, liquid soap and staples in the kitchen (salt, pepper, bottled water, coffee, tea, sugar and more).
- Suitability:
- children welcome
- pets considered


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The Avengers Archives - Page 3 of 6 - Robot 6 @ Comic Book Resources
50 years of the Avengers, assembled on one poster
I saw this on io9 over the weekend and couldn't resist:a poster created by Michael Mateyko of Komboh for Emerald City Comicon depicting the membership of Marvel's the Avengers over the past 50 years. It's available as a print at their Society 6 store.
Venom? Dr. Octopus? They'll allow anyone in these days.
The Fifth Color | Who are the Avengers NOW?
Marvel NOW! is not half bad! In fact, from this new vantage point where we've mostly seen the first major debuts roll out through November, I can say that it's a bigger success than the Heroic Age. There's been some significant changes to theme and tone of our superheroes while still leaving continuity intact and everyone recognizable to the public. Everything that happened in the past few months of comics has carried over into the NOW!, we're just looking at it with a new style, a fresh coat of paint and, of course, oodles of variant covers.
Story styles and artistic choices come and go, and while we might love a particular run or artist team, we have to adapt and move into more modern and evolving ideas for the Marvel Universe. Sure, I'm not too on board with the upcoming Guardians of the Galaxy series because I really enjoyed their previous iteration, but if you look at the last series, it was a far cry from what it was when it started. Why not give the new book a chance and see if it can hook me in all over again? Losing Peter Parker as Spider-Man (for a while) is a big deal, but why not watch just to see how Dan Slott pulls this whole thing off? Change is good is what I'm trying to say, and Marvel NOW!, while still essentially the same heroes and villains we know and love, is also a lot of change.
It's weird to think that Brian Michael Bendis pretty much set the Avengers for the modern era. Yes, great storytellers had come before to establish what we all know and love about Earth's Mightiest Heroes, but Bendis really did blow all that up and rebuilt Marvel's premier super-team from the ground up. From Stark Tower to the essential leadership of Captain America and Iron Man to who's on the roster and why, to endless, endless lunches, most new comic readers know of the Avengers through Bendis' work. He's the man who made us read the book, for better or for worse and for six years, he's been the bottom line in Earth's Mightiest Heroism. It's a really tough act to follow, but if anyone is going to make us say "Bendis who?" in the next few months, it's Jonathan Hickman. Starting from the first issue (on sale this week!), there's a stage being set that will change the way we view the Avengers and their place in the grand scheme of the universe.
But who are the Avengers? What does it mean to join their ranks? How is it that, within the confines of a single issue, we've learned the essential secret to this new NOW! series? Click on, Dear Reader, and I will explain.
WARNING: I'll be talking about the contents of Avengers #1, but you still probably want to read Avengers #1 and see for yourself if any of my theories match up. So grab a copy and read along!
Butcher Billy inserts some four-color magic back into superhero movies
We've featured the Brazilian artist Butcher Billy a couple of times in Art Barrage; he's an illustrator whose work demonstrates a keen eye for modern culture and a wicked sense of humor. His latest portfolio of work, posted at the creative network Behance, is "The Superhero Media Crossover Project," a collection of images inserting comic art into stills taken from their movie adaptations. It's very effective, and strangely moving, for this fan of classic comic art, anyway. These images demonstrate what, to me, is missing in just about every comics-to-film adaptation — a little pop-art brightness and fizz (Edgar Wright's Scott Pilgrim vs. The World being the only one in recent times to get a pass on this matter — am I really the only one who wants to see sound effects rather than just hearing them?). In Billy's own words:
Hawkeye runs out of arrows in Saturday Night Live's Avengers spoof
The Avengers star Jeremy Renner hosted Saturday Night Live this weekend, bringing with him not only a ratings boost — it was the second-highest rated episode of the season — but also a send-up of Marvel's $1.5 billion blockbuster. The skit lampoons Hawkeye's contributions to Earth's Mightiest Heroes as the archer runs out of arrows at a crucial time in their battle against the Chitauri. "I'm all out of arrows, I don't have any more," Hawkeye says. "So, uh, I guess I'm done, right? All right, I'll be in the car. Stay safe!"
Old graphic novels live again — as the Avengers
My good friend Robin Brenner is an expert on graphic novels (she's a former Eisner Awards judge) and the young-adult librarian at the Brookline, Massachusetts, public library. She's also very clever with her hands, as you can see from these book hedgehogs she made from discarded books.
The basic algorithm for making book hedgehogs is pretty simple, but Robin took it a step further and came up with a whole array of personalized hedgehogs based on comics characters. Here are some close-ups, including the tiny bow and arrows for the Hawkeye hedgehog, and here is a gallery of more characters. It's amazing what you can do with an old book, some duct tape, and plenty of imagination!
Loki is a big fan of Kieron Gillen's Loki
Oh, sure, he may have enslaved Hawkeye and Dr. Selvig, wreaked havoc on
Cleveland Stuttgart, Germany, and Cleveland New York City, and killed Agent Phil Coulson in Marvel's The Avengers, but deep down Loki is a pretty swell guy. Er, god.
For proof you need look no further than this week's Journey Into Mystery #645, which marks the departure of writer Kieron Gillen, whose take of "Kid Loki" has made the pint-size god of mischief beloved by Tumblr users the world over. Gillen's final "Journey Into Stationery" letter page starts with a laudatory message from a certain Tom Hiddleston, who knows a thing or two about Loki:
Robert Goodin's Covered blog ends on a high
You'd probably already heard that Robert Goodin's excellent and influential blog Covered was in the business of winding down, but the final curtain has now come down. Since announcing on Sept. 16 that he was intending to end the blog, Goodin has run four entries by Steve Rude, and a couple by Art Adams. Now that's how to go out in style.
Comics A.M. | Why collectors' market is booming; Homestuck Kickstarter
Comics | Auction prices for comics and original comics art have soared over the past few years, ever since a copy of Action Comics #1 broke the $1-million mark in 2010. Barry Sandoval of Heritage Auctions (admittedly, not a disinterested party) and Michael Zapcic of the comics shop Jay and Silent Bob's Secret Stash discuss why that happened—and why prices are likely to stay high. [Underwire]
Crowdfunding | Homestuck is a phenomenon. Kickstarter is a phenomenon. Put them together and you get … a Kickstarter to fund a Homestuck game that raises $275,000 in a matter of hours. [Kotaku]
Creators | Brian Michael Bendis looks back on his eight-year run on Marvel's Avengers franchise. [Marvel.com]
Note to Nick Fury: The Russians have a Helicarrier
I don't know all the details because I don't read Russian, but the video speaks for itself. Remote-control, working Helicarriers transcend the language barrier. In the comments, the creator mentions that the model's battery life is six to seven minutes, but I wouldn't recommend reading too far down. It's amazing how people can find negative things to say about something as completely awesome as this.
Briefcase company sues Marvel over The Avengers box set packaging
It turns out a planetary invasion by Loki and his Chitauri allies was only the beginning of Nick Fury's problems.
Now a German manufacturer of luxury travel briefcases is suing Marvel and Disney's Buena Vista Home Entertainment over the attaché case used by the S.H.I.E.L.D. director in the billion-dollar blockbuster The Avengers.
Hollywood, Esq. reports that Rimowa GmbH, which provided the studio with an aluminum Topas attaché case for Samuel L. Jackson to carry in the film, has filed a lawsuit in federal court in California claiming that Marvel damaged the company's trademark by then manufacturing replicas for the "Marvel Cinematic Universe: Phase One — Avengers Assembled" limited-edition box set. Arriving Sept. 25, the collection comes "complete with glowing Tesseract" and an "exclusive replica of Nick Fury's iconic briefcase."
Noelle Stevenson's Badass Scooby Gang (the name says it all)
Thanks to Super Punch, I'm now obsessed with Noelle Stevenson's illustrations of the Badass Scooby Gang, which have nothing to do with Buffy the Vampire Slayer and everything to do with the 1960s-'70s Hanna-Barbera cartoon. While I like the latest piece, in which Stevenson's version of the Mystery Inc. bunch heads to the beach, I'm really taken by some of the older pieces, which recast the characters as something between an old-school criminal crew and and a team of spies, complete with a tattooed, cigarette-smoking Daphne, who's apparently exchanged "danger-prone" for "dangerous." I'm itching to see these spun off into a parody project, a la The Venture Bros.
If Freddie Jones Jr. in trunks and an ascot aren't to your liking, Stevenson also has a series of endearing illustrations prominently featuring Hawkeye from Marvel's The Avengers.
Comics A.M. | New York Comic Con three-day tickets go on sale
Conventions | Three-day tickets went on sale this week for New York Comic Con. Confirmed guests so far include Geoff Johns, Jim Lee, Mike Mignola and Josh Gates. [Collider.com]
Publishing | The revelation that DC's newly reintroduced Green Lantern Alan Scott is gay has moved Christian comic publisher Art Ayris, who is also the executive pastor of a Baptist church, to announce that his company Kingstone Media won't be including gay characters in its lineup: "If Kingstone is the only comic book company in America doing it, we will stand for the things God says are godly and stand against things that clearly fall under the category of sin." [Baptist Press]
Retailing | The Avengers movie seems to be bringing new customers into comics stores looking for Marvel titles, at least in Maryland. Pullbox requests for Marvel comics are also up, suggesting some of the uptick is from existing customers. [The Star Democrat]
Comics A.M. | Plan to replace New York's Javits Center falls apart
Conventions | New York Gov. Andrew Cuomo has mothballed plans for a giant convention center in Queens, leaving the unlovely, unloved, but well-situated Javits Center as the home of New York Comic-Con for the near future. [The New York Times, via The Beat]
Publishing | Alex Klein sees the "outing" of Green Lantern Alan Scott as a desperate move to boost sales by a publisher whose market share is dropping: "Switching up sexual orientation is a cunning way of compensating for flagging sales and aging characters. In the meantime, the industry is rebalancing: toward independent publishers, author ownership, and cross-platform digital tie-ins. As small studios sap talent from the giant conglomerates, comics are changing—and there's a lot of money to be made in the process—just not in the comics themselves." And he talks to The Walking Dead creator Robert Kirkman and Image publisher Eric Stephenson about what they can do that the Big Two can't. [The Daily Beast]
Comics A.M. | New York Comic Con absorbs New York Anime Festival
Conventions | ReedPOP has officially announced it will fold the New York Anime Festival into New York Comic Con, rather than continue them as separate events held at the same location. "This move has nothing to do with our loyalty or commitment to the anime community and everything to do with the growth and identity of New York Comic Con as a leading pop culture event," ReedPOP's Lance Fensterman said in a statement. "NYCC embraces all elements of the pop culture world, including anime, and we have evolved to a point where the existence of NYAF outside our universe is almost a contradiction. We will be better able to serve the anime community from within the NYCC infra-structure rather than have a show which is separate and which will always be dwarfed by everything that New York Comic Con represents and is." [press release]
Passings | Cartoonist Jim Unger, whose one-panel comic Herman served as an inspiration for Gary Larson's The Far Side, passed away Monday at his home in British Columbia. He was 75. The comic appeared in about 600 newspapers worldwide from 1974 until Unger's retirement in 1992. [The Daily Cartoonist]
Catching up from the long weekend: WSJ's superhero smackdown
The article everyone was talking — and tweeting — about this weekend was Tim Marchman's scathing critique of superhero comics, which purported to be a review of Christopher Irving and Seth Kushner's new book Leaping Tall Buildings but in fact barely mentioned the book and went straight to a critique of the comics industry. Marchman starts by pointing out that despite the popularity of The Avengers movie, sales of superhero comics are far below their 1990s levels:
If no cultural barrier prevents a public that clearly loves its superheroes from picking up a new Avengers comic, why don't more people do so? The main reasons are obvious: It is for sale not in a real bookstore but in a specialty shop, and it is clumsily drawn, poorly written and incomprehensible to anyone not steeped in years of arcane mythology.
There's a lot more, though, and the piece is well worth a read, whether you agree with it or not. Reaction seems to be mixed in the comics blogosphere so far — I would say everyone finds something to disagree with, but there are a lot of attaboys as well. Todd Allen posts excerpts from the column at The Beat, along with some tweets between Marchman and readers.


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Live updates
The A438 between Bridge Sollers and the A480 at Stretton Sugwas has been reopened.
The road had been closed while a massive search was conducted for two kayakers on the River Wye. Both people were found safe and well at 7.15am.
River Wye pair found safe and well
Police have confirmed that a pair of kayakers who went missing on the River Wye have been found safe and well.
Emergency services were called at 2.40am this morning after a man and woman began experiencing difficulties on the river near Swainshill. They told police they had become disorientated.
A search lasting more than four hours was carried out about seven miles west of Hereford.
West Mercia Police closed the A438 near Hereford. That road remains closed, but officers hope to reopen it shortly.
The pair were found at 7.15am.
River Wye being searched for two missing people
Incident 28th Aug 03:41 Multi Agency search including Fire Service is being carried out on River Wye for two missing persons nr #Hereford
The River Wye near Hereford is being searched for two missing people.
Hereford and Worcester Fires Service has confirmed that emergency services are carrying out a search in the area at the moment.
The A438 near Hereford is closed in both directions between Bridge Sollers and the A480 at Stretton Sugwas because of the incident.
Herefordshire teen grows exotic watermelons
A 19-year-old agricultural student has succeeded in growing exotic watermelons in Herefordshire.
Joe De Pascalis challenged a local fruit and vegetable grower that he could harvest a crop of the fruit.
He used an artificial heater on the seedlings to emulate the sunnier climes in which watermelons are usually grown.
His produce will go on sale at Tesco on Thursday.
"These watermelons taste so good that we don't think shoppers will be able to tell the difference between them and the imported ones sold on high streets from Spain and Brazil.
"Joe has clearly done a very good job growing them and in doing so made a mark on British agriculture."
RSPCA: Swallowing fish in game 'simply not acceptable'
The RSPCA says swallowing fish as part of an online drinking challenge is 'simply not acceptable'.
A man from Herefordshire was today sentenced to an 18-month conditional discharge for causing unnecessary suffering to four fish, after he swallowed them taking part in the 'neknomination' game.
Pippa Boyd, from the RSPCA says she hopes today's sentencing is enough to put people off doing something similar.
- ITV Report
Shocking footage: Man swallows four fish in Neknominate
A man in Herefordshire who swallowed four live fish as part of the Neknominate craze and posted it on YouTube has appeared in court.Read the full story ›
Hereford United statement on club's future expected
Hereford United are expected to give a statement on the club's situation today after a sponsorship bid to save them was rejected last week.
The club will go into liquidation if the debts are not cleared by September 1st.
Prayers for couple found shot dead in Herefordshire
Prayers will be held at the local church of a couple who were found shot dead at their home in Herefordshire earlier this week.
John Knott, who was 71, and his wife Anne who was 70, were both discovered by police at their home in Pow Green near the village of Bosbury on Monday.
Police later said they were not looking for anyone else in connection with their deaths.
Holy Trinity church will be open all day and a service of readings, prayers and quiet meditation will be held in Holy Trinity Church at 6pm.
Vicar, Nicky Seabright said:
"This is an opportunity for us all to come together and reflect on the tragedy in Bosbury this week and to pray for everyone caught up in this deeply distressing event."
Picture released of Herefordshire man found shot dead
The first picture of a man from Bosbury in Herefordshire who was found shot dead with his wife has been released.
John Knott, 71, and Anne Knott, 70, were found dead with gunshot wounds at their home in Pow Green on Monday.
Police say there is no evidence of any third party involvement.
Married couple from Herefordshire died of gunshot wounds
Police have confirmed a married couple from Bosbury in Herefordshire found dead on Monday died of gunshot wounds.
Anne Knott, aged 70, and John Knott, aged 71, were found at their home in Pow Green.
Police visited the Knott's home on Monday after concerns were raised by their relatives. Sadly, a search of the property found them both deceased. They each had a single shotgun wound, which the post mortems have now confirmed were the cause of death.
A shotgun registered to Mr Knott was recovered at the scene.
At this stage of our investigation there is no evidence of any third part involvement and we can confirm we are not looking for anyone else in connection with the shootings. Our thoughts and condolences are with the family at this time.
We would like to speak to anyone who saw Anne and John Knott prior to Monday (11 August). At present, the last confirmed sighting was around midday on Saturday (9 August) and if anybody has had contact with them in recent days, we urge them to come forward.


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Posted Apr 22, 2014By Anya Semenoff
Baehrden Lodge was built in 1927 to serve as a summer home for William A. Baehr — a Chicago utilities magnate — and his family. In 1986, Jefferson County Open Space acquired the property and slowly been renovating it ever since. Visitors can tour the property on Sundays, starting in June.
The Capuchin Poor Clares, a long-time monastery in Denver, is looking to move out of Denver and into rural Watkins.
Photos from the Mid-term Election Day in Colorado on Tuesday, November 4, 2014.
Photos from the 11th annual Denver Gorilla 5K fun run in Denver, Colorado on Sunday, November 2, 2014.
Hearts 'n' Hands is a nonprofit that helps adults with developmental disabilities get better employment opportuniti
Former president Bill Clinton spoke to a packed audience during a get-out-the-vote rally in Aurora on Monday evenin
First Lady Michelle Obama spoke to a crowd of about 1500 people at the Exdo Center at 1399 35th Street in Denver, C


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⚏Latest Headlines
- DANCING WITH THE STARS: Who is the Proud Owner of a Mirror Ball Trophy?! Recap 11/25; FULL RESULTS!
- Truce? Midler Tweets About Grande's 'Beautiful Voice, On a Couch or Off'
- Prophetic New Poster Announcing Final Season Of GLEE
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I have got SIMS working in a few schools are support with no issues. These are a mixture of 2012 and 2012 R2. The only quirk I have seen is that SIMS will launch and then disappear, you just have to click on it from the task agar to bring it back into focus.
Did you install SIMS onto the session host server/s using the recommended method for application installation?


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The way my mother (she hails from rural Alabama) says "even"
Sometimes she says it like this -- ee-muh.
Sometimes she says it like this -- ee-muh.
"That boy ain't ev'm studying you!"
by WildEyedLissa May 01, 2006
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Type your email address below to get our free Urban Word of the Day every morning!
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NEW YORK (AP) — The stock market bounced back Tuesday following a surge in U.S. home prices and signs of recovery in Europe's economy. Strong earnings reports also helped power the gains.
Stocks rebound on home prices, earnings; Dow up 99
The Dow Jones industrial average ended the day 99.22 points higher at 13,979.30, erasing a large part of its loss from Monday. The index traded above 14,000 during the day before falling back in the last hour.
The Standard & Poor's 500 gained 15.59 points to 1,511.29. The Nasdaq composite was up 40.41 points to 3,171.58.
The rise follows two days of whiplash. On Monday, the Dow dropped 129 points, its worst sell-off of the year so far, as fears about Europe's finances resurfaced. On Friday, the index gained 149 points, closing above 14,000 for the first time since 2007. The Dow is now 185 points below the record high of 14,164 it reached on Oct. 9, 2007.
After strong gains for stocks this year, investors are wondering whether they should sell now, or wait and see if the rally still has legs, said Brad Reynolds, chief investment officer at LJPR, Inc.
"The market is extremely skittish right now, that's why we're seeing such big moves," said Reynolds.
Tuesday's advance was driven by new data showing that U.S. home prices rose in December at the fastest pace in more than six years. CoreLogic, a real estate data provider, reported that home prices rose 8.3 percent. In Europe, a measure of manufacturing and service businesses rose to a 10-month high January.
Estee Lauder rose $3.66, or 6 percent, to $64.71 after reporting earnings that beat analysts' expectations. Profits surged 13 percent at the beauty products company as sales in the U.S. and emerging markets rose. Computer Sciences Corp., an information technology services company, was the biggest gainer in the S&P 500. CSC rose $3.84, or 9.2 percent, to $45.75 after the company said it was raising its earnings outlook for the year because its cost-cutting efforts were yielding better results than it had expected.
Stocks have gotten off to a strong start this year. The Dow advanced 5.8 percent in January, its best start to the year since 1994, according to data compiled to S&P Dow Jones indices. The S&P 500 rose 5 percent last month.
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Highlights: PSV Eindhoven 4-2 NEC Nijmegen
PSV went into Sunday's Eredivisie encounter with NEC in Eindhoven knowing the title race was out of their hands.
(01:28) | May 5, 2013
More Eredivisie Videos More »
Play Video
WATCH: Top 3 Dutch Eredivisie goals
Eredivisie: Relive the best goals from week 13 in the Dutch Eredivisie featuring some fantastic skill.
(01:14) | Nov 23, 2014
Play Video
Highlight: Ajax 4-1 Heerenveen
Eredivisie: Ajax came from behind to record a 4-1 victory over 10-man Heerenveen in the Dutch Eredivisie.
(01:33) | Nov 23, 2014
Play Video
WATCH: Ricardo Kishna humiliates defender
Eredivisie: Ajax's 19-year-old midfielder Ricardo Kishna humiliates a Heerenveen defender with a brilliant piece of skill.
(00:24) | Nov 22, 2014
Latest Video & Audio More »
Play Video
Dyche looks for third win in a row against Villa
Premier League: Burnley manager Sean Dyche says his team must continue their winning ways against Aston Villa on Saturday.
(01:41) | Nov 27, 2014
Play Video
Monk expecting a physical Palace
Premier League: Swansea City manager Gary Monk believes their next nine Premier League games will define their season ahead of hosting Crystal Palace.
(01:36) | Nov 27, 2014
Play Video
Pardew: The players are on fire
Premier League: Alan Pardew admits he is surprised about how well his Newcastle side are currently playing as they look to extend their unbeaten run in the Premier League.
(01:21) | Nov 27, 2014
Play Video
Lambert coy on future
Premier League: Paul Lambert refused to be drawn on his future at Aston Villa saying he is simply concentrating on trying to win games starting against Burnley.
(01:03) | Nov 27, 2014
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Poyet: Chelsea our biggest challenge
Premier League: Sunderland manager Gus Poyet says his team will need to be at their best if they are take anything from their Premier League game against leaders Chelsea.
(01:31) | Nov 27, 2014
Play Video
Spieth leads Australian Open by one
Golf Video: Jordan Spieth holds one shot lead after first round of Australian Open with Rory McIlroy two shots back.
(01:27) | Nov 27, 2014
More from the web
FA charges Wigan chairman Whelan over commentsWigan chairman Dave Whelan has been charged by the FA over remarks he allegedly made in response to criticism of the club's decision to appoint Malky Mackay as their new manager
Ligue 1
Brandao given prison sentence for Motta headbuttBastia striker Brandao has been sentenced to one month in prison and fined €20,000 following his heatbutt on Paris Saint--Germain midfielder Thiago Motta
Premier League
'Bad' year didn't influence my retirement, says GiggsManchester United assistant manager Ryan Giggs has told the Daily Telegraph that a "bad" final season at the club did not swing his decision to retire from playing
Premier League
Balotelli troubles due to absent daughterMario Balotelli is struggling to adapt to life at Liverpool because he misses his young daughter, according to his agent
Premier League
Arsenal's Jack Wilshere out for three months after surgeryJack Wilshere has been ruled out of action for three months after having surgery on his ankle, Arsenal have confirmed
Bruce to punish old club Man Utd at 9/1
Manchester United's 2-1 victory over Arsenal last weekend was only their second win in five games and former United captain Steve Bruce will be looking to extend that indifferent form on Saturday
Quote Unquote
"I'd had bad seasons and disappointing seasons before - last year was bad, yes, but it had no influence on my decision whatsoever"
Bow to the King?
Is it true that Kenny Dalglish is the only player to score 100 goals in the Scottish and English Football Leagues?
Sakho's six
Diafra Sakho has scored in his first six Premier League matches for West Ham - is this a record?


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|nodin on Jul 5, 2007
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|re: Midwest Ice Conditions-14/15 season
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By chris deulen
From: Merriam, Kansas
Jul 6, 2008
|Wow. This is the best free standing boulder in Duluth. Relatively good landings, some classic problems, and a convenient location. More people need to get out here and give it some respect!
By Chris Craft
Jan 2, 2013
|What about adding Andy Raether's problem "Snatch"? He put it up in the early 2000's if I remember correctly, and rated it V11. I remember it being on the side of the boulder not facing the road (if this makes any sense- I was last there about 9 years ago and don't have the clearest memory of the boulder). It was a short little problem with a very heinous hold one had to use.
By BIATHLON
From: Duluth Mn
Jan 19, 2013
|Not sure where this is at Chris. Where would it be in relation to the numbers on the beta photo on this page? I have an inkly of where it could be but not positive.


text:
Dr. James R. Hayes II, MD
Family Medicine, Spring Hill Family Health Group
- 5421 Main St Ste A
Spring Hill, TN 37174
- 1 Office Location
- (931) 486-2500
Dr. James R. Hayes II has been practicing medicine for 21 years. Dr. Hayes II graduated from the University of Alabama School of Medicine in 1993. He practices medicine in Spring Hill, TN and specializes in Family Medicine. Dr. Hayes II is affiliated with Maury Regional Medical Center. He speaks English and Spanish.
Gender: Male
Years in Practice: 21 Years
Languages Spoken: English, Spanish
Medical School: University of Alabama School of Medicine
Graduation Date: 1993
Hospital Affiliations: Maury Regional Medical Center
Specialties: Family Medicine


text:
NEWS > 2014 News
Second Open House Draws Record Crowd
November 22, 2014
It was standing room only as Vaughn's second fall open house drew record numbers of prospective students and their families to the College on a clear November day. The number of student attendees over the two weeks topped 500, a record for the College. There was a tremendous interest from the those on site to hear more about Vaughn's aircraft operations (flight) and engineering programs, as well as aviation maintenance and management programs.
Ernie Shelpelsky, vice president of enrollment and President Dr. Sharon B. DeVivo began the program describing what the day would be like, with attendees being broken into groups by areas of interest to receive specific degree program information, followed by hands-on, interactive experiences. As DeVivo noted, "The day is designed so you can learn more about Vaughn, have your questions answered and ultimately determine if the College is the best fit for you." She went on to encourage the crowd to speak to current students to learn more about daily life at Vaughn.
Jonathan Bubloski came from Rockland County with his mother Rosanne to hear about Vaughn's flight and air traffic control offerings. While only a freshman in high school, he was bitten by the aviation bug early and decided to investigate his opportunities for the future. Bubloski heard about Vaughn through a New York area aviation club where he met current aircraft operations student Tevin Goodridge '15. Bubloski hopes to become a pilot and learn air traffic control in college, and is starting an aviation club at his school. Taking his first simulator ride today he noted, "This was a great experience for me. I was able to handle the controls and feel the cockpit movement. Today just reinforced my passion for flight and aviation."
Deb Henneberry, assistant professor in the aviation department, spoke to a room filled to capacity about the aircraft operations or flight program and the addition of a new aeronautical sciences bachelor's degree that would be offered starting in the spring. She answered questions from the room and talked about Vaughn's submission to obtain Federal Aviation Administration (FAA) Part 141 approval that when received, would reduce the number of required flight hours for some programs.
Midway through the day, information on clubs and campus activities were available for those interested in attending Vaughn. Career service, student advisement and athletics' personnel were all present to answer questions. Additionally, Vaughn student club officers were also nearby to showcase their offerings. The unmanned aerial vehicle (UAV) club flew drones in the hangar and the robotics team provided a demonstration of their award-winning robots.
VAUGHN COLLEGE'S SECOND FALL OPEN HOUSE: Clockwise from top left, President DeVivo opens the program speaking to a large crowd, a prospective student takes a ride in a simulator, Jonathan Bublosk attends open house with his mother Rosanne, robotics club showcases their awards and robots.
November 22, 2014
Second Open House Draws Record Crowd
More than 260 Students in Attendance
November 21, 2014
Speakers on Campus at Vaughn Share Experience and Insights
Management Series hosts John Allen and the Honorable Chris Hart
November 15, 2014
More than 250 Prospective Students Attend Vaughn's Open House
Standing Room Only at First of Two Fall Open Houses
November 12, 2014
Arts and Sciences Professor to Hold Education Workshop
Workshop Designed to Assist High School Instructors Teaching Calculus
November 10, 2014
Vaughn College takes First Place at Fall Robotics Challenge
Crowd Gathers in Hangar to Watch Event
November 04, 2014
Vaughn College Robotics Club to Host Fall Challenge
Robotics Club to Host Challenge for Local High Schools and Colleges


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Select () or exclude () categories to narrow your recipe search.
As you select categories, the number of matching recipes will update.
Find exactly what you're looking for with the web's most powerful recipe filtering tool.
1/2 Photos of Vegetable Burgers
Prep Time:
Cook Time:
10 mins
10 mins
I just LOVE trying different vegetable burger recipes. They are all just slightly different. This is one I've adapted from a recent edition of the Australian magazine 'Women's Day'. This is a recipe which offers the scope for varying the ingredients to suit individual tastes.
Serves: 4
Units: US | Metric
Serving Size: 1 (293 g)
Servings Per Recipe: 4
Every recipe, menu, tip and how-to is right here, at your service.


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What's New
Gate Judge Certification & Incentive Program
November 10, 2014
At some point in your child's racing career, you will be asked to volunteer as a Gate Judge. Your decisions in this position could
2014-2015 Technical Delegate Assignments
November 4, 2014
Attached document is the TD assignments for all races in PARA. Technical Delegate Assignments.
PARA AO Workshops 2014-2015 Season
October 2, 2014
AO PARA Regional Clinic - (Western Region of PARA)
2014-15 Season Equipment Regulations
September 20, 2014
Attached you will find the USSA equipment regulations as of July, 2014
USSA Coaches Clinics
August 21, 2014
We hope you have enjoyed your summer and are looking forward to a productive a
U12 State Championships
June 27, 2014
On behalf of the PARA Executive Committee, it is my pleasure to award the 2015 and 2016 U12 Derby Pennsylvania State Championship to Tussey Mountain of State College. The event will be hosted by the Tussey Mountain Alpine Race Team ( TMART ).


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March 8: Daily Headlines Video
Date: March 8, 2013
by: Eddie Kirsch | Web Editor
Daily Headlines
+General employees vote down union
Two former city commissioners point to different factors for low voter turnout in Sarasota. One says a date change would bring more voters to the polls.
+Siesta Key Village incompatible with noise ordinance
Sarasota County conducted a study that showed sound maintains intensity as it reaches the Terrace Condominium Complex.
+Popcorn Bob's Movie Magic
Enjoy this week's movie reviews by Popcorn Bob.
+Aging in Paradise Health Fair
The Aging in Paradise Health Fair will include 25 medical resources.
+Polo for Pup's
This Saturday's polo match will benefit Honor Animal Rescue.
+Annual Creators & Collectors Art Tour
Fine Arts Society of Sarasota hosts its annual tour to artist's studios around Sarasota County.
+2013 It's Read Everywhere
Traveling somewhere? Don't forget to pack your Observer newspaper! Bring along the Sarasota Observer, Longboat Observer, East County Observer or Pelican Press; snap a photo of you with your newspaper on your vacation; submit to win!
+Find the Balloon Sweepstakes!
Search the pages of this week's Observer to find the red hot air balloon, then enter online for a chance to win big prizes from the upcomingFlorida Wine & Balloon Festival! Enter the Page Number you find the red Observer hot air balloon, and you'll be entered to win a weekly prize giveaway.
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- Dec
3 Advent Study
7:00 pm - 8:30 pm
- Dec
6 17th Annual Jingle & Jog Road Race and 1 Mile Fun Walk
8:00 am
- Dec
6 Manatee Aubuon - OPEN HOUSE at Felts Audubon Preserve
8:00 am - 11:00 am
- Dec
7 6th Annual Charity Event
12:00 pm - 4:00 pm


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Chinese officials who oversee pricing matters are inquiring into the practices of foreign luxury-car makers in the world's No. 1 car market, which has become a significant profit center for high-end brands. Read More »
Jul 23, 2014
Chinese officials who oversee pricing matters are inquiring into the practices of foreign luxury-car makers in the world's No. 1 car market, which has become a significant profit center for high-end brands. Read More »
After years of swilling cheap mass-produced domestic beers like Yanjing, Tsingtao and Snow, Chinese microbrewers are starting to make a splash in Beijing's craft beer scene. Read More »
A glittery Jimmy Choo shoe suddenly sold out in Asia, thanks to a Korean TV show.
Christina Binkley explains why the fad says a lot about the growing importance of Asian consumers and their approach to entertainment media and luxury goods. Read More »
China may still be the world's biggest consumer of gold. But after a decadelong buying spree, appetite in the Middle Kingdom is finally starting to wane, thanks to the country's economic slowdown and constrained credit market. Read More »
Wal-Mart hasn"t had the easiest of relationships with the Chinese government. In the past three years, it's been fined $9.8 million and variously sanctioned for using misleading pricing, selling poor-quality products and selling donkey meat that actually turned out to be fox. But now Wal-Mart is doing something that Western companies rarely do in China: Telling Chinese authorities that they also need to clean up their own act. Read More »
Some skeptics think IMAX's popularity in China isn't going to last. China Real Time dives into the numbers to see what's really going on. Read More »
What happens when Chinese demand zeroes in on a humble lavender farm in a remote corner of Australia? For one farm that sells purple "Bobbie Bear" toys stuffed with lavender, it was a shocking experience. Read More »
A new law that went into effect earlier this month has given frequenters of hot pot restaurants, karaoke joints and other entertainment venues something to cheer about. Read More »
Faced with increasing signs that its old growth model is running out of steam, China's government is keen to promote consumer spending as a new force in the economy. The only problem: Chinese households hate to consume. Read More »
People who have embraced the label diaosi, a term that has come to essentially mean "loser," are becoming a potent force in an economy where growth in sales of luxury goods is slowing and the middle class is still small and focused on basic needs such as housing and education. Read More »
China's Communist party wants to remain in the driver's seat when it comes to managing morality in society--even during the country's annual auto shows.
As Xi reaches his two-year anniversary Communist party chief, he has displayed remarkable resolve in his efforts to be a different leader for a different China. The still-unanswered question is whether being different will be enough of a change, or too much.
Michael O'Hanlon: Taken together, the two military accords reportedly near completion could substantially reduce risks in the security sphere that could threaten the entire U.S.-China relationship.
News out of Beijing that China and Japan have decided to move closer to dialogue on territorial disputes in the East China Sea is likely be to welcomed by everyone, with one notable exception.
As U.S. President Barack Obama gets ready to meet Chinese President Xi Jinping following the Asia-Pacific Economic Cooperation summit in Beijing next week, relations between the world's two largest economies are mired in a troubling inertia.
Content engaging our readers now, with additional prominence accorded if the story is rapidly gaining attention. Our WSJ algorithm comprises 30% page views, 20% Facebook, 20% Twitter, 20% email shares and 10% comments.
China Real Time Report is a vital resource for an expanding global community trying to keep up with a country changing minute by minute. The site offers quick insight and sharp analysis from the wide network of Dow Jones reporters across Greater China, including Dow Jones Newswires' specialists and The Wall Street Journal's award-winning team. It also draws on the insights of commentators close to the hot topic of the day in law, policy, economics and culture. Its editors can be reached at email@example.com.


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In its recent third quarter reporting, the company posted a 7% decrease in user engagement and a slide in growth of monthly active users: growth increased 23%, but that was down from 24% posted in the second quarter of 2014 and down from 38% reported in the third quarter of 2013. Consequently, Twitter's stock price has fallen in recent weeks, and the S&P downgraded Twitter's debt to junk status, describing the company's risk as significant. So, how did it come to this? Where did Twitter go wrong, and, more importantly, what can it do to right the ship and recruit new users?
Chris Sherman
Nov 01, 2001
3. Know ThyselfJust as important as knowing your reader is to know yourself. Publishing a regular newsletter is a time-intensive process, and many people underestimate the time required to create a first-rate publication. Things get easier once you've developed a rhythm, and have created templates for recurring information or shortcuts for using your publishing tools.
Be sensitive to the risk of burnout. In the first few weeks or months of producing your newsletter, the euphoria of creating something new, and the satisfaction of seeing your subscriber list grow, makes burnout seem like a remote possibility. But after time, the necessary rote repetition of certain housekeeping tasks, as well as the discipline required to produce the newsletter on a regular schedule, will start to wear on you. If you sense burnout coming on, don't fight it-scale back for a while until your normal enthusiasm returns. Publishing a newsletter is a marathon, not a sprint, and you need to learn to pace yourself accordingly.
4. Create Content, Not AdvertisingAll too often, companies offer "newsletters" that are nothing more than come-ons to visit the corporate Web site. In the days when banner advertising provided a meaningful revenue stream, this strategy made sense: Get the reader to click through so that an ad impression could be served. Newsletters using this "click here for more" approach work to draw traffic to a site in much the same way as a search engine does. But readers have become more sophisticated, and want more.
"Search engines are important ways to get people to your site initially," says Danny Sullivan, editor of the Search Engine Watch Newsletter. "Once they come, you want to ensure they return. An excellent way to do this is via a newsletter. However, if you don't offer decent content in your newsletter, it will become nothing but an annoying promotional email."
Obligatory disclosure: I work for Search Engine Watch, so I'm about as far from unbiased as you can get about the publication. But it's no accident that Sullivan's newsletter reaches more than 170,000 subscribers, thousands of whom also pay an annual premium for a members-only version. Though Search Engine Watch carries ads, it's the content that draws-and keeps-readers.
Sullivan thinks that all too often, companies make the mistake of creating "newsletters" that are nothing more than thinly veiled marketing messages with no meaningful content. "For instance, today I got my regular email from one of the airlines I've flown with. I've been getting this thing for months now, since I registered my frequent flyer account with them online. It never provides me with any useful information-no tips on flying, no decent travel-related news, nothing but a few promotions that I'm never interested in.
"Finally, I'd had enough and unsubscribed. Now this airline no longer has the ability to reach out to me. Had they put just a little more thought and effort into their newsletter, they might have kept that channel open," says Sullivan.
5. Promote, Promote, and Promote Some More!"It was harder than expected to generate a lot of new signups for our newsletters," says Traffick's Goodman. "We do get a steady flow of them, mainly from our Web site, but at a certain point we had to take more direct action to find subscribers. Most publishers won't be satisfied by the trickle of signups they get."
How do you promote your newsletter? Beyond the obligatory but very viral "please forward this newsletter to a friend" message that should be a part of every issue, one of the best and least expensive ways to promote your newsletter is to use the Web. Submit details of your newsletter to specialized directories like EZine Universe and BestEzines.com. Consider writing guest articles for magazines and Web sites in related subject areas-and include a link to your signup page.
Perhaps the most powerful means of promoting your newsletter on the Web is to publish an online version that includes a Rich Site Summary (RSS) of the contents. Creating RSS data is a simple way to get headlines from your newsletter included with newsfeed providers such as Moreover. When your headlines are picked up by these services, they are automatically served to the hundreds or even thousands of Web sites that offer "news" to their readers.
"RSS is very important for a newsletter like mine, because of the wide variety of subjects I cover," says Tara Calishain, editor of Research Buzz. "If I covered swimming pools, then RSS wouldn't be as necessary, because I'd know my audience and my audience, eventually, would know me. But in one of my newsletters, I might cover a golf resource, a newspaper resource, and a medical resource. Moreover can take those headlines and drop them into the appropriate categories, reaching people that I'd have no way of reaching otherwise (well, not without a lot of expense and effort.) People reading RSS headlines (using AmphetaDesk or whatever) can skim my headlines and jump immediately to the articles that interest them."
And, if they like what they read, they will subscribe to your newsletter with the convenient link you provide at the end of each article.


text:
Select () or exclude () categories to narrow your recipe search.
As you select categories, the number of matching recipes will update.
Find exactly what you're looking for with the web's most powerful recipe filtering tool.
1/1 Photo of Lemon and Pomegranate Refresher
Prep Time:
Cook Time:
10 mins
1 hr
A refreshing drink from Smoothies and Summer Drinks. Cook time is chill time and only an estimate.
Units: US | Metric
Serving Size: 1 (281 g)
Servings Per Recipe: 4
The following items or measurements are not included:
hibiscus lemon tea bags
Make this season merry, bright and manageable with our easy ideas.


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Gabriela Bertante By Karan Shah Launch vehicle When I came to India, I started as a VJ for MTV. But my first significant role was in a TV... ...http://indianexpress.com/article/entertainment/screen/brazilian-beauty/
Puri Jagannadh has found a new muse... err item girl rather. A Canadian model of Moroccan origin named Nora Fatehi, who is presently shooting for a... ...http://timesofindia.indiatimes.com/entertainment/telugu/movies/news/Nora-Fatehi-grooves-with-NTR-in-Puri-Jagannadhs-film/articleshow/44417809.cms
Morally vacuous and riddled with asinine scenes, this film is best avoided CAST Mika Singh, Shaan, Gabriela Bertante | DIRECTOR Sunil Agnihotri... ...http://www.openthemagazine.com/article/cinema/balwinder-singh-famous-ho-gaya
If you thought you had an insatiable appetite for cinema, you are about to get lucky. Nine small and medium budget films will release this Friday... ...http://www.mid-day.com/articles/eight-bollywood-films-to-release-this-week/15632188
Watch Mika Singh & Gabriela Bertante in the song 'Main Tera Hoon' from the upcoming film BALWINDER SINGH FAMOUS HO GAYA. The song is sung &... ...http://broadband.glamsham.com/balwinder-singh-famous-ho-gaya/mika-singh-tells-gabriela-bertante-main-tera-hoon-video_fa714f233.html


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Reposted from Rainforest Action Network (RAN) with permission. Greenpeace is working with RAN to stop Bank of America from bankrolling reef destruction. Original post by Amanda Starbuck of RAN ...On October 29, 2014 / By Guest Post
Villagers and activists were assaulted, handcuffed and hospitalized today while protecting olive trees at the site of a proposed coal plant in Turkey. The Kolin Group wants the ...On October 21, 2014 / By Andrew Davies
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Guest post from environmental activist Akshey Kalra If you haven't heard so far, the Supreme Court of India cancelled 214 coal blocks allocated to private companies since 1993, deeming ...On September 26, 2014 / By Guest Post
Jeff Holmstead, perhaps the nation's prime example of a revolving door lobbyist, was dismissed by a federal judge as an expert witness in a lawsuit brought by the ...On September 11, 2014 / By Connor Gibson
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A combination electrosurgical instrument and vibratory device provides simultaneous transmission of radiofrequency energy and vibratory ultrasonic energy via a simple efficient handpiece attachment enabling a surgeon to modulate all types of tissues with different degrees of effectiveness. The combination of the invention enhances the proven effectiveness of both radiofrequency and ultrasonic technology. In a preferred embodiment, a small unbalanced motor that vibrates when activated is used to cause an electrosurgical handpiece containing the electrosurgical electrode to vibrate as a whole and to transmit to the electrode ultrasonic energy. The invention is of especial value when applied to skin resurfacing, but will also be of value for tissue modulation, coagulation, hemostasis and other electrosurgical procedures.
1. An electrosurgical instrument providing ultrasonic energy, comprising:
(a) a housing having a device for generating ultrasonic energy,
(b) a handpiece for holding an electrosurgical electrode, said handpiece being mounted to the housing,
(c) means for supplying electrosurgical currents to the handpiece and via the handpiece to the electrode,
(d) means for activating the device for generating ultrasonic energy such that ultrasonic energy is imparted to the electrode while electrosurgical currents can be applied to the electrode, wherein, the device for generating ultrasonic energy comprises an unbalanced motor mounted in the housing.
2. An electrosurgical instrument as claimed in
3. An electrosurgical instrument as claimed in
4. An electrosurgical instrument providing ultrasonic energy, comprising:
(a) a housing having a device for generating ultrasonic energy,
(b) a handpiece for holding an electrosurgical electrode, said handpiece being mounted to the housing,
(c) means for supplying electrosurgical currents to the handpiece and via the handpiece to the electrode,
(d) means for activating the device for generating ultrasonic energy such that ultrasonic energy is imparted to the electrode while electrosurgical currents can be applied to the electrode, wherein the device for generating ultrasonic energy is a DC vibrating motor.
5. An electrosurgical instrument as claimed in
6. An electrosurgical instrument as claimed in
7. In combination:
(a) a handpiece having means at one end for connection to electrosurgical apparatus capable of supplying high frequency RF currents and having at its opposite end means for mounting the electrically-conductive shaft of an electrosurgical electrode and for supplying the high frequency currents to said electrode;
(b) means for generating ultrasonic energy such that ultrasonic energy is imparted to the electrode while electrosurgical currents can be applied to the electrode.
(c) wherein the means for generating ultrasonic energy comprises a fractional-horsepower DC unbalanced motor.
8. The combination of
9. The combination of
10. The combination of
11. A surgical procedure for a patient, comprising the steps:
(a) providing electrosurgical apparatus connected to a handpiece holding an electrosurgical electrode,
(b) providing a source of ultrasonic energy that can be imparted to the electrosurgical electrode, wherein the source of ultrasonic energy comprises a fractional-horsepower unbalanced motor rotating at a speed that will impart ultrasonic vibrations to the handpiece,
(c) applying the electrosurgical electrode to a surgical site of patient while activating the electrosurgical apparatus and the source of ultrasonic energy.
12. A surgical procedure for a patient as claimed in
13. A surgical procedure for a patient as claimed in
This invention relates to an electrosurgical instrument useful for tissue modulation, skin resurfacing, coagulation, hemostasis and other electrosurgical procedures. It also relates to an attachment for a standard electrosurgical handpiece that will cause the electrosurgical electrode to vibrate when activated.
Ultrasonic-ultrasound technology used in conjunction with a standard surgical scalpel is a known surgical procedure. It typically has the following disadvantages:
The surgical blades must be sharp, similar to scalpel blades.
The cutting speed and coagulation effect are inversely related. With ultrasound/ultrasonic technology, it is important to control or balance a number of factors for good surgical results, including (a) power (b) blade sharpness (c) tissue tension (d) grip force/pressure.
(a) Power-increasing power increases cutting speed but decreases coagulation; less power decreases cutting speed and increases coagulation. The ultrasonic vibration is typically 55,500 Hz and remains the same at all power levels.
(b) Blade Sharpness-Blades must be sharp to get cutting results.
(c) Tissue Tension-More coagulation is achieved with slower cutting when tissue tension is reduced. Faster cutting results in less coagulation by increasing tissue tension.
(d) Grip Force/Pressure�Gentle force or light pressure achieves more coagulation with slower cutting. A firmer grip force achieves less coagulation and faster cutting. The balance is often difficult for the surgeon to control. Dissection cutting uses force directed energy. Cavitational bubbles can result from pressure differentials at the ultrasonic blade tip.
The typical components of an ultrasonic scalpel are:
Generator�Microprocessor-controlled high frequency switching power supply that drives the acoustic system in the handpiece.
Handpiece�Contains a transducer that consists of a piezoelectric ceramic that expands and contracts to convert the electrical energy from the generator into mechanical vibration. The ultrasonic vibration is transmitted from the transducer through an extending rod to the attached scalpel blade. The blade extender is supported by silicone rings positioned at nodes to direct the flow of energy in a longitudinal direction and to prevent energy from being dissipated on the sheath.
While it is believed that others may have attempted to convert the ultrasonic scalpel to electrosurgery, to our knowledge, such attempts have not proven satisfactory, mainly because the use of the standard ceramic transducer imposed unreasonable demands of size and power in order to produce sufficient ultrasonic wave generation within the handpiece.
An object of the invention is an improved electrosurgical instrument for applying electrosurgical currents to the tissue of a patient in a more effective and controlled manner.
Another object of the invention is a procedure for more evenly distributing electrosurgical currents to the tissue of a patient being treated.
The essence of the invention is to vibrate the active electrosurgical electrode that modulates the patient's tissue. We have found that vibrating the electrode causes a more even distribution of the RF electrosurgical currents to the tissue site being treated. In addition, another advantage of the vibration is that it enhances the effectiveness of the radiofrequency energy because it allows minimal tissue contact and a superficial light touch. The normal reaction is for the surgeon to use pressure during surgical procedures that actually reduces the effect of the radiofrequency energy on the tissue. With RF electrosurgical currents, the lighter the touch or contact, the greater the effect of the radiofrequency energy on the water molecules of the tissue in contact. The enhancement of the vibration reduces the normal reaction of pressure and enhances the radio frequency performance by allowing a light touch to the tissue thereby creating maximum performance out of the radiofrequency device. Less tissue contact equals better performance.
In accordance with a preferred embodiment of the invention, simultaneous transmission of radiofrequency energy and vibratory ultrasonic energy via a simple efficient handpiece attachment enables a surgeon to modulate all types of tissues with different degrees of effectiveness. The combination of the invention enhances the proven effectiveness of both radiofrequency and ultrasonic technology.
The invention is of especial value when applied to skin resurfacing, but will also be of value for tissue modulation, coagulation, hemostasis and other electrosurgical procedures. In an electrosurgical skin planing procedure, it enables physicians to offer to patients a dermatologic treatment that is efficiently performed, easily learned and thus performed at a significantly reduced cost, with less tissue damage compared to procedures done heretofore, and, most important, with better control over the depth of skin treatment. Other disciplines that can use this technology include neurosurgery, laparoscopy, gynecology, urology, and head and neck surgery.
Vibration of the electrode can be achieved by vibrating the entire handpiece that holds the electrode or by transferring the effect of the vibration to the active part of the electrode. It will prove of benefit with various known electrode shapes and sizes, including the electrode described in U.S. Pat. No. 5,746,746.
In accordance with another preferred embodiment of the invention, we have found an improved surgical effect by adding to a standard radiofrequency (RF) electrosurgical handpiece a vibrator device capable of vibrating at a speed of the order of 8,000-12,000 revolutions per minute (8K-12K rpm).
In accordance with another preferred embodiment of the invention, experiments have demonstrated that when a vibrational effect at approximately 10K rpm is combined radiofrequency energy such as produced with the ellman Surgitron Dual Frequency electrosurgical unit by attaching a vibrator device onto the RF handpiece, improved performance is achieved when the vibrational radiofrequency is realized and simultaneously applied by applying RF energy and switching on the vibrator to vibrate the electrosurgical electrode mounted in the standard handpiece or any electrosurgical device. Among other things, it is highly effective in rapidly moving through all tissue thickness for a complete cutting effect with little to no adjacent tissue charring. The effect of the vibration offers the advantage of even distribution of the RF energy to the skin surface. This even distributon of radiofreqency has the advantage that it cannot be ordinarily obtained by the use merely of manual light touch of the surgeon. Since the RF energy effect is increased by the lighter touch or minimal contact with the skin surface or tissue, the combination of the ultrasonic effect added to the RF electrode produces maximum effect of the RF energy.
Further, each waveform mode of the RF energy is greatly enhanced by the simultaneous application of the vibratory activity. Cutting alone with the RF current and vibration becomes much faster, and movement through the tissue meets much less resistance. In the cut and coagulation mode, a fast movement through tissue is realized while simultaneously creating a more aggressive coagulation of blood vessels. The hemostatic effect while quickly and smoothly cutting is quite controlled while reducing the margin of burned tissue edges. In the coagulation mode, the simultaneously combing of vibration with RF energy quickly allows a rapid hemostasis and control of bleeding vessels.
Among the procedures for which the invention is especially suitable, but to which it is not limited, are dermal browlift, removing vascular lesions, hair removal, skin resurfacing, and tissue vaporization of skin lesions.
The electrosurgical procedure has the important advantage of being able to remove tissue with minimum surgeon pressure while at the same time coagulating the cut tissue causing minimum bleeding. It is preferred that the electrosurgical currents used be above 2 MHz, and preferably about 4 MHz. At these high frequencies, commonly referred to as radiosurgery, cutting is accomplished by volatilizing intracellular fluids at the point of the transmitting electrode contact which is primarily responsible for only small lateral heat spread and thus less damage to neighboring cell layers.
Although it is preferred that the radiosurgery device be above 2 MHz, and preferably about 4 MHz, it will be realized that the effect of the vibration will enhance even lower frequency electrosurgery instruments.
The various features of novelty which characterize the invention are pointed out with particularity in the claims annexed to and forming a part of this disclosure. For a better understanding of the invention, its operating advantages and specific objects attained by its use, reference should be had to the accompanying drawings and descriptive matter in which there are illustrated and described the preferred embodiments of the invention, like reference numerals or letters signifying the same or similar components.
In the drawings:
FIG. 1 is a perspective view of one form of electrosurgical instrument in accordance with the invention, shown connected to electrosurgical apparatus;
FIG. 2 is an exploded perspective view of the electrosurgical instrument of FIG. 1 showing the internal construction,
FIG. 3 is a perspective view of another form of electrosurgical instrument in accordance with the invention;
FIG. 4 is an exploded perspective view of the electrosurgical instrument of FIG. 3 showing the internal construction.
FIG. 1 illustrates a preferred form of the novel electrosurgical instrument 10 of the invention. It comprises an elongated conventional handpiece 12 of electrically-insulating material having a central electrically-conductive tube or conductor (not shown) extending throughout its length and connected at its end to a cable 16 which is connected in the conventional manner to conventional electrosurgical apparatus 18. As examples only, the electrosurgical apparatus can be model AAOP Surgitron FFPF or Dual Frequency electrosurgical unit available from Ellman International, Inc. of Hewlett, N.Y. The Ellman equipment is preferred due to its high operating frequency, typically above 2 MHz, preferably above 3 MHz; however it will also be realized that the effect of the vibration will enhance any RF electrocautery device. This particular apparatus provides electrosurgical currents at 3.8 MHz.
At the opposite end of the handpiece 12 is mounted the electrosurgical electrode 20 which comprises an electrically-conductive straight axial brass rod 22 running lengthwise through it and mounted at its end nearest the handpiece 12 in the handpiece collet and thus electrically connected to the electrically-conductive cable 16. The distal or working end of the electrode (not shown) can be any one of the shapes and sizes well known in the art, examples being shown in Ellman catalogs, and comprises an electrically-conductive working surface electrically connected to the brass rod 22 and from which are generated the electrosurgical currents to the operative site when the electrosurgical unit 18 is activated. Also connected to the electrosurgical apparatus 18 is the usual indifferent plate (not shown) which during use is in contact with a patient's body. When the electrosurgical apparatus 18 is energized, high frequency electrosurgical currents are generated which are coupled by way of the cable 16 and electrically-conductive rod 22 to the notshown working end. The handpiece 12, which preferably is a standard handpiece, is removably mounted in a semi-cylindrical holder, for example, of plastic, lined on its interior with a friction-aiding material 25 such as rubber. The handpiece holder 24 is mounted on a cylindrical housing 26 having on its side a pushbutton cover 28 and at its front an optically-transparent region 30 which may be an opening, a lens or a plate. The physician, in the usual way, holds the assembly 10 while applying the active working end of the electrode to the desired area of the patient to be treated and then presses the pushbutton 28 while activating the electrosurgical unit 18.
The interior construction is shown in the exploded view of FIG. 2. The assembly 26 is made up of two parts 32, 34 which can be snapped together or separated as desired. A hollow battery holder 36 is mounted to a box 38 having two compartments 40, 42. The rear compartment 40 houses a small vibrating DC motor 44. The front compartment 42 houses a pushbutton switch 46, a small light bulb 48 which projects froward of the front wall, and a small circuit board 50 with wires or connections (not shown as obvious and simple) interconnecting by way of the circuit board 50 the DC motor 44, the switch 46 and the light bulb 48, such that, when the pushbutton is depressed, the motor vibrates and the light bulb lights. The latter is positioned such that its light rays 51 (FIG. 1) can pass out through the front opening 30 to illuminate the operative site. The assembly is formed by placing a battery 52 into its holder 36 (the wires or contacts connecting the two terminals of the battery to the circuit board are not shown), mounting the motor 44 into its compartment 40, and snapping the rear part of the housing 34 onto the front part 32. The pushbutton cover 28 is positioned to cover the pushbutton switch 46. Then the handpiece 12 can be placed into its holder 24 where it is gripped by the rubber lining 25. The assembly is then ready for use.
FIGS. 3 and 4 are perspective and exploded views of a variation, in which similar items are designated by the same reference numerals. The main differences are that the FIGS. 3 and 4 embodiment 56 is wider and shorter and accommodates two batteries 58. The wider shape may be preferred by certain surgeons. As before, the outer housing is split into front and rear sections 60, 62 that snap together and separate to change batteries. The front half 60 accommodates separate compartments 40, 42, the former to house the vibrating DC motor 44 and the latter to house the switch 46, the circuit board 50 and the light bulb 48. The interconnections, again, are not shown for simplicity. A cover 64 is also shown for the motor compartment. The batteries are received in separate compartments 66 which are located in the hollow spaces in the rear part 62. The standard handpiece 12 is removably gripped rectangular member 68 lined on its interior with rubber 74. A U-shaped cover 72 fits over the rectangular member 68 and in turn seats within the hollow space 70 of the generally U-shaped rear part 62. The assembly is shown in FIG. 3 and operates in the same manner as that of FIG. 1.
The pushbutton switch can also be of another kind such as a slide switch. Also the manner in which the motor and switch are mounted in the housing as well as how the handpiece is attached to the housing can also be varied without departing from the teachings of the invention. What is important in the preferred embodiments is that the vibrations are caused not by an expensive energy-hungry ceramic transducer, but by an inexpensive fractional-horsepower vibrator motor commercially available. Such motors are well known in the art and are constructed so as to be unbalanced, for example, with eccentric shafts or eccentric cams, as in the example shown at 76, and when activated by a low-voltage DC source, the eccentric rotor rotating at a speed of about 10K rpm causes the unbalanced motor to physically vibrate at an ultrasonic frequency. The vibrations of the motor are transmitted to its housing and in turn to the attached handpiece. The result is that the entire apparatus vibrates at the ultrasonic frequency indicated, and so does the electrode 20 held by the handpiece. This causes the electrode's working end also to have ultrasonic energy imparted to it producing the advantageous results described above. The vibrations do not have a high intensity, but nevertheless the working end of the electrode is subjected to ultrasonic energy to assist in the cutting or coagulation. Motors with a horsepower of about 1/8 have been used satisfactorily, but it will be understood that the invention is not so limited and motors with other horsepowers will also be effective. The light while desirable can be omitted if desired. The shape of the electrode working end will be chosen in accordance with the desires of the surgeon. Certain shapes are well known and preferred for certain procedures. The Ellman catalogs illustrate the various shapes available and the procedures for which they are best suited. The versatility of the unit is evidenced by making the handpiece removal from the assembly if the surgeon desires not to use the vibratory effect.
While the preferred embodiments illustrate a vibrating attachment for a standard handpiece, it will be understood that the parts can be permanently assembled if so desired.
Suction can also be combined with the vibrating handpiece to remove smoke, and fluid and irrigation can be added as well to enhance the effect of tissue interaction with the vibration that creates minimal contact with the tissue or maximum effect of the radio frequency that effects the water molecules by adding appropriate suction or fluid conduits to the handpiece. The addition of a fluid will in particular enhance the performance of a skin resurfacing or other surgical procedures.
While the preferred embodiments use a battery-driven dc motor, it will be understood that the battery-driven dc motor can be replaced by an ac motor or any kind of motor or another vibrating device, either mechanical or electronic, operated by batteries or alternatively by an ac source connected by a line cord to the handpiece if the effect of the other vibrating device is to impart ultrasonic energy to the electrosurgical electrode activated by RF currents. Alternatively, the electrical power needed to operate the vibrating device can be derived from the electrosurgical apparatus supplying the electrosurgical currents. Such apparatus is connected to an ac source and typically comprises a transformer from whose windings the voltages needed to operate the electrosurgical circuitry are derived, and can readily supply another voltage which can be supplied to the handpiece via the appartus cable to operate the vibrating device if desired.
While the invention has been described in connection with preferred embodiments, it will be understood that modifications thereof within the principles outlined above will be evident to those skilled in the art and thus the invention is not limited to the preferred embodiments but is intended to encompass such modifications.
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Makes me feel like this is the "undisclosed source" (if there is one) that Mehta was quoting all last season, talking about how the lockerroom thought Sanchez was so bad, and all that other crap.
I know I'm probably starting another fire for no reason with that statement, but he obviously resents Sanchez, and the team, and apparently he felt like a scapegoat last year; all things which would make him more likely to let off some steam by releasing anonymous quotes to the media (if you can call Mehta "the media").
Either way, he may or may not be right about the Jets looking for someone to blame, but in his case, he wasn't a scapegoat, he was the epitome of what was so awful about our team last year: the inconsistent, crappy, underproducing offense, and especially the lack of talent at wide receiver.


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