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Tag Archives: Fine Cooking Magazine
Southwestern Pulled Chicken and Chile Hash
Southwestern Pulled Chicken and Chile Hash combines tender, slow-cooked chicken, crispy potatoes, a bit of heat and a touch of sweetness. Delicious! So I was standing at the kitchen counter, minding my own business while I peeled potatoes. I used … Continue reading
Classic Pumpkin Pie
Nothing says fall like flaky crust filled with a spicy, creamy filling. The Classic Pumpkin Pie is this season iconic dessert. And this one takes the cake. I gotta tell you, I'm a fan of pumpkin. Throw some sugar and … Continue reading
Bratwurst with Apple-Onion Relish
Sturdy pretzel buns are perfect for holding this two-handed burger. The apple-onion relish pairs perfectly with the bratwurst. This is game food at its best. Have I ever admitted my hot dog love to you? I know many culinary snobs … Continue reading
Linguine with Cauliflower and Prosciutto
Linguine with Cauliflower and Prosciutto: Take your comfort food to a new, uber-tasty level. Sautéed cauliflower and prosciutto make this pasta dish outstanding. If you had to choose between a bowl of broccoli and one of cauliflower, which would you pick? I'd … Continue reading
Salisbury Steak with Mushroom Gravy
Salisbury Steak with Mushroom Gravy: These perfectly cooked beef patties are covered in a silky smooth mushroom sauce. Comfort food and decadence combined. Do you have memories of coming home from church on Sunday morning to the aroma of dinner wafting … Continue reading
Indian Chicken Tikka
Indian Chicken Tikka: Super easy to grill, these yogurt-marinated kebabs make a fantastic meal that the whole family will love (even the little ones). I'm not a big one for believing everything I read. There are exceptions to that rule, of … Continue reading
Magazine Round-Up: Fine Cooking Magazine, August/September 2014
Reviewing the month's best dishes, this is a round-up of the foods I made from Fine Cooking Magazine's August/September 2014 issue. Yes, yes, I know that August isn't over yet and that this issue of Fine Cooking will carry us … Continue reading
Roasted Vegetable Broth
Roasted Vegetable Broth: Roasting is a fantastic way to pull out the flavor of vegetables and gives this easy-to-make broth heavenly twice as much depth and goodness. It looks like tea. Or beer. Or the makings of French onion soup. Doesn't it. For … Continue reading
Perfect Pork Spare Ribs with Plum-Chipotle Barbecue Sauce
Perfect Pork Spare Ribs with Plum-Chipotle Barbecue Sauce: It's not necessary to use a grill for fall-off-the-bone ribs. These oven-cooked ribs are tender and delicious. Yes, it's true. The grill sat cold and empty for this meal. It's hard to believe, isn't … Continue reading
Corn on the Cob with Smoky Sriracha Butter
Corn on the Cob with Smoky Sriracha Butter: Smoky, sweet, and spicy all blended into one delicious butter to slather on perfectly cooked corn on the cob. Okay, so here's the timeline of the ins and outs of this corn … Continue reading


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Content but missing my partner, lover, friend.....not interested in playdates...truly searching for my man. I am seeking someone who loves being outdoors in life, is healthy, active and kind. I am an avid hiker and camping girl. My friends call me their domestic goddess :) Love to grow my own produce and can make a mean martini... did I mention that I'm also a chef? Creating in the kitchen is another favorite way to spend an evening. Love asian and mediteranean cuisines...and making pasta....also love to read and relax....if this speaks to you, I would love to hear fro you
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I work as a sous chef and a vocalist...both of my jobs are truly love affairs. Not only do I work within a constant creative flow, but they give me the opportunity to make my own schedule and have plenty of time for my daughter. I am raising a warm, engaging and empathetic child. Truly the best job of all!
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- Fashion
- October 15, 2014, 01:00
Julian Assange calls Vivienne Westwood "a sartorial agitprop artist". The co-founder of Wikileaks is in a good position to describe Westwood, what (...)
- June 13, 2014, 17:37
Nearly 90 prisoners are on the run from an open jail, including some who have been missing for years, it has been revealed.HMP Ford near Arundel in We(...)
- November 20, 2013, 11:21
Four people, including two children, have been killed in a house fire in the UK.A third child is being treated in hospital for minor injuries after th(...)
- October 25, 2013, 01:02
The Strangers' Bar in the House of Commons is an overly bright, wood-panelled room, with a small bar counter at one end. Its best attribute is the ter(...)
- Culture
- October 14, 2013, 01:00
Unco is a word found as an adjective, adverb and noun, once common in Scotland, Ulster, and in the northern English counties of Northumberland, Cumbe(...)
- Irish News
- October 4, 2013, 13:59
Air accident investigators aim to release a final report into the cause of a plane crash that killed six people by the end of the year.The Manx2. com (...)
- Music
- August 9, 2013, 00:00
LAMB OF GOD were on course to be one of the biggest heavy metal bands in the world until lead singer Randy Blythe was arrested in Prague last year and(...)
- Music
- June 7, 2013, 00:00
For two generations of heavy metal fans, Donington Park in England's East Midlands was synonymous with an annual rock pilgrimage. The appropriately na(...)
- April 19, 2013, 05:00
Eric Pickles, an ebullient, often blustering Yorkshireman, was given two pieces of advice by his predecessor, Sir Robert McCrindle, when(...)


text: Landers Family 2013 View full-size image < previous next > Is this photo a winner? "Our photo was taken by the river in South Dakota while attending our annual family reunion. We had our shirts made to honor our Grandma who we called "Mimi" who recently passed. Our shirts say "Mimi's Crew"! Our experience with CustomInk was amazing, the website was easy to use, shipping was early and customer service was extremely helpful. I recommended CustomInk to everyone at the reunion. " - Marissa Landers (Jul 08, 2013) Share this photo on: Twitter Facebook Pinterest Similar Photos: family reunion | event reunion | family | honor | memorial remembrance | grandma | river | south dakota Feeling inspired? Visit the CustomInk Design Lab to start your own group order. Design Your Own


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TK-Tool Epotimizes Fitness Device Simplicityby Samantha Pankey
It looks like a cross between a punching pad and a push up bar, or maybe just a tiger printed shield. The TK-Tool is, in some ways, all of the above. You can use it as a punching pad/shield or as a push up bar or to do bicep curls or tricep extensions. The TK-Tool is a simple device with a lot of uses.
Roll Up Sail Turns Your Paddle Board Into A Mini Sail Boatby Samantha Pankey
Paddle boarding is a great way to enjoy the outdoors while staying active. However, every so often the staying active part becomes a little difficult, like those times when you're going against the current, paddling like crazy. With the roll up sail, you can turn your paddle board into a mini sailing vessel.
Beacon LED Yoga Mat Will Teach You Proper Posesby Samantha Pankey
Want to take up yoga? You could, of course, hire a personal trainer or take a class or two. You could even try to learn via instructional book or DVD. You could also check out this new concept from Molly Duffy--Beacon, an LED Yoga Mat that can teach you yoga.
Spyder 360 Works The Entire Core, Not Just The Absby Samantha Pankey
If you're in the market for a piece of equipment to train your core, you may as well get something that can train more than your core. With the Spyder 360, you not only get a great core trainer, you get a compact piece of equipment that can give your entire body a good workout.
3 Stretching Devices That Help Foot Pain From Plantar Fasciitisby Boomer Babe
Heel pain, particularly sharp and often excruciating, may be due to plantar fasciitis (PL), a condition caused by over-stretching the soft tissue that cushions the bones of the heel and the arch of the foot. Many runners get PL from pounding on the heels of their feet when they run, but most cases of PL are caused by inactivity, like standing on your feet all day without much movement. It is most common in middle-aged to older persons who are overweight and/or inactive.
Smart & Eco-Friendly Copenhagen Wheel Gives Bike Riders A Boostby Motors.new
Incorporating a lithium battery pack charged by regenerative braking, the "smart", innovative, environmentally-friendly and easy-to-install Copenhagen Wheel gives bicyclists a boost as they pedal based on how hard they're pedaling.
Athletic Track's Squared-Off Lanes Impress Officials, Inhibit Runnersby China.new
When life gives you lemons, make lemonade. When funding cuts give you a damaged athletic track, you... cut corners and pave the turns into right angles? That's exactly what staff at a Heilongjiang, China sports center did when governmental bigwigs sprung a surprise visit and employees wanted the track to look sharp.
Researchers At GE Are Working On A Universal Calorie Counterby Samantha Pankey
The tech market has been flooded with activity trackers and apps that allow you to account for your daily food intake. However, with all of this new technology, you still have to log in what and how much you eat, in order to get an accurate estimate of calorie consumption. There is nothing on the market that can automatically give you a calorie estimate of a meal. However, researchers from GE may give you that product sooner than you think.
Orbitwheels: New Concept For Wheeled Sportsby Samantha Pankey
What do you get when you cross a skateboard with an inline skate? You get something like what you see in the picture--the Orbitwheel--only the Orbitwheel allows the rider more freedom than either a skateboard or inline skates. The concept is a simple--two feet, two wheels.
Add Chalktrail To Your Kid's Bike Or Scooter For Artistic Exerciseby Amber Leventry
I can remember my long, youthful days of summer at the community pool, fierce neighborhood kickball games, and evenings of catching fireflies. I also remember riding my bike for hours each day. The feeling of freedom while riding to a friend's house or the exhilaration of speed while flying down a steep hill would have only been made better if I could have shouted, "Eat my chalk dust!" Chalktrail will let your kids do just that. But more importantly, by adding a piece of sidewalk chalk to your kid's bike or scooter, Chalktrail will let your kids create artwork while getting some exercise. The makers of Chalktrail like to call this blend of activity and artistic creativity, "Artivity."
PUSH Is A Fitness Tracker That Measures Strengthby Samantha Pankey
Fitness trackers are everywhere. They track your steps, your heart rate, your sleep, your calorie intake, anything you could think of in terms of fitness...except strength and power. You can scour the sporting goods stores and online markets, and you won't find a fitness tracker that measures strength and power, until now. Until PUSH.
VIGATAR: Exercise Machine And Video Game Controllerby Samantha Pankey
More and more kids are forfeiting active play for sedentary play, like playing video games. More and more we're seeing overweight and obese kids, and that's partly due to the increase in inactivity. VIGATAR is a machine that will allow kids (and adults) to play video games while still being active. It is an exercise machine that doubles as a video game controller.
Lumafit: The Fitness Tracker For Body And Mindby Samantha Pankey
Fitness trackers are all the rage right now, so to break into that market, a company has to come up with something special. The people at Lumafit have done that in developing a sensor that not only tracks your fitness and gives you interactive workouts, but coaches you in meditation, keeping your mind fit as well.
Fire Up Your Abdominals With ABXCOREby Samantha Pankey
Numbers don't lie, and the numbers on the ABXCORE may just prove that this device is the most effective ab device on the market. It is certainly more effective in recruiting your core muscles than a conventional sit up, and it puts less stress on your back.
Arcus Not Only Tracks Your Activity But Can Control Your Devicesby Samantha Pankey
Any 80's babies remember the show Captain Planet? Remember those awesome rings the kids had that controlled the earth's elements (and heart...lame)? Well the Arcus Motion Analyzer is a bit like those rings, but instead of controlling the earth, it can control your Bluetooth devices (and if you have a Bluetooth enabled fan, you could control the wind).
PocketBands Store Your Keys And Cashby Samantha Pankey
It's hard finding a place to put your keys when out for a run. Some like to hide them. Some tie them to their shoes, and some will inevitably lose them. PocketBands offer a sleek stylish solution to stowing your keys or cash when out for a walk or run.
Artefact's Pilates Shirt: A Cool Move Called Moveby M Dee Dubroff
The idea of wearable computers that challenge current conventions is the driving force behind Artefact's Pilates Shirt. Read on for more about this fascinating wearable tech innovation that monitors muscle movement and body position.
GetFitsu Is The Card Game That Will Get You In Shapeby Samantha Pankey
Sometimes it's hard to stick to a fitness routine. It's hard to stay motivated and it's hard to fit in time to work out. Working out with others helps. It also helps when the workouts are fun. That's just what the GetFitsu Fitness Card Game promises--a fun workout with friends.
Get In A Workout At The Office With Cubiiby Samantha Pankey
As working adults, we all lead busy lives. Sometimes with the responsibilities of work, friends and family, it's difficult to fit in fitness. With the Cubii, you don't have to go any farther than your office to get in a workout. Cubii is the world's first under desk elliptical trainer.
Improve Balance And Core Strength With Driftby Samantha Pankey
If your fitness routine is getting old and you're looking for some variety, or if you want to improve your core strength and stability, you may want to look into the Drift Balance Board. This unique piece of fitness equipment was designed to strengthen the core and improve balance.


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Jules Bianchi has suffered a "severe head injury" after crashing in to a recovery vehicle during the Japanese Grand Prix
Fernando Alonso says he has engineered himself in a position to decide his own future and believes Sebastian Vettel's departure from Red Bull is a consequence of his work [79]
Fernando Alonso looks set to leave Ferrari at the end of this season despite still having two years on his contract, with Sebastian Vettel the team's preferred replacement [61]
Lewis Hamilton set the fastest lap of second practice for the Japanese Grand Prix as Daniel Ricciardo brought out one of two red flags [16]
Nico Rosberg took pole position for the Japanese Grand Prix as he beat team-mate Lewis Hamilton at Suzuka [12]
Ferrari has confirmed that Fernando Alonso will leave the team at the end of the season [15]
"Jules Bianchi is no longer in the artificial coma, however he is still unconscious. He is breathing unaided and his vital signs are stable." [18]
In his latest Crash.net feature, Will Saunders looks back on Lewis Hamilton's debut year and the championship that got away amid a team-mate battle [15]
Daniel Ricciardo says he is enjoying being the central figure in Red Bull's development plans for the 2015 season [20]


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- List of properties
- Properties on map
222 commercial properties for sale found
- Photos: 3
- Floorplans: 0
Offers Invited
370,260 sq ft
Hotel for sale Beattock House, Beattock, Dumfriesshire, DG10 9QB
Beattock House is spectacular Victorian House located on the FRINGE OF THE VILLAGE of Beattock in Northern Dumfriesshire, set in some parkland type garden grounds. TWO LOG CABINS have been constructed at the southern end of the site at Beattock House, with PLANNING FOR A FURTHER 14. More details ›
6 bedrooms
guest house for sale 94 Dalkeith Road, Edinburgh, EH16 5AF
TRULY OUTSTANDING 5 star Gold Edinburgh Boutique Guest House. 6 luxuriously appointed AWARD WINNING en-suite bedrooms. Comprehensively REFURBISHED property with most IMPRESSIVE CONSERVATORY. Spacious owners accommodation and gardens. Located in a PRIME LOCATION with easy access to city centre. More details ›
£500,000 Offers in Excess of
Offers in Excess of £500,000
1,712 sq ft
Office for sale 30 New Street, Musselburgh, EH21 6JP
The property comprises a DETACHED two-storey traditional stone built villa with a GENEROUS garden and PRIVATE driveway. Having been in office use for a number of years, the building has a GOOD SIZED car parking area. Nicolson House benefits from generous apportioned rooms over both floors. More details ›
£500,000 Offers in Excess of
Offers in Excess of £500,000
1,712 sq ft
Office for sale New Street, Musselburgh, EH21
The property comprises a DETACHED two-storey traditional stone built villa with a GENEROUS garden and PRIVATE driveway. Having been in office use for a number of years, the building has a GOOD SIZED car parking area. Nicolson House benefits from generous apportioned rooms over both floors. More details ›
- Photos: 4
- Floorplans: 0
45,587 sq ft
Warehouse for sale Unit 8 Newbridge Industrial Estate, Newbridge, EH28
The premises comprise OFFICES, workshop and warehouse with a further separate warehouse at the rear within an overall SECURE self-contained site. Newbridge is located close to the outskirts of Edinburgh, ideally positioned to service the CITY and beyond via the nearby M9 and M8 motorways. More details ›
£350,000 Offers Over
Offers Over £350,000
14,810 sq ft
Commercial Property for sale Belgrave Halls, 34 Belgrave Road, Corstorphine, Edinburgh, EH12 6NF
The subjects comprise PURPOSE BUILT church halls and double garage occupying an ATTRACTIVE POSITION on Belgrave Road within a residential area. The site, which extends to approximately 0.34 acres (0.137 hectares), is broadly rectangular with a gently sloping gradient and bounded by STONE WALLS. More details ›
£4,000,000 Offers Over
Offers Over £4,000,000
Land for sale Peebles, Scottish Borders
CLOSING DATE SET FOR 12.00 NOON ON WEDNESDAY 3 DECEMBER 2014. An opportunity to purchase a top class quality, substantial productive commercial forest, capable of providing early income from timber sales, located in one of Scotland's premier timber growing regions. (contd...) More details ›
Added on 29/10/2014 by Bidwells, Cambridge - Rural. Call: 01223 559352 Local call rate
£2,250,000 Offers Over
Offers Over £2,250,000
Land for sale Walkerburn, Peeblesshire
A stunning residential and sporting estate on the River Tweed in the heart of the Scottish Borders More details ›
Added on 24/09/2014 by Strutt & Parker, Edinburgh. Call: 0131 291 0066 Local call rate
£1,850,000 Offers Over
Offers Over £1,850,000
Land for sale Lot 1 Clydeside Farm, Lamington, Biggar, South Lanarkshire, ML12
An outstanding mixed farm in an attractive location in rural Lanarkshire. About 263.36 Acres) of land in total. Traditional 4-bed farmhouse, 3 modern holiday cottages, excellent range of modern farm buildings. More details ›
Added on 12/09/2014 by CKD Galbraith, Stirling. Call: 01786 633412 Local call rate
£1,250,000 Offers in Excess of
Offers in Excess of £1,250,000
Farm for sale Cockburnspath
A productive block of 293 acres of eastern Berwickshire arable farm. More details ›
Marketed by Smiths Gore, Edinburgh. Call: 0131 291 0034 Local call rate
Thank you.
Your information has been sent to 0 out of 6 agents who have property to sell in the area you specified.


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Sprint Selects Samsung and HTC for Windows Phone 8 Launch with Truly Unlimited Sprint 4G LTE
Sprint today joined with Microsoft to announce the upcoming availability of Windows Phone 8 smartphones on the Sprint nationwide network. Sprint will bring two initial handsets to customers by summer - one each from Samsung and HTC.
"Sprint has had a strong relationship with Microsoft for many years so we are excited to reinforce our commitment to the Windows 8 platform by sharing the details and timing for our first Windows Phone 8 smartphones"
Sprint is the only national carrier with Truly Unlimited? 4G LTE data, text and calling to any mobile with no metering, no throttling, and no overages. Sprint will bring the unlimited data experience to Windows Phone 8 with Sprint's Everything Data plan with Any Mobile, AnytimeSM including unlimited Web, texting and calling to and from any mobile in America while on the Sprint Network, starting at just $79.99 per month. This is a savings of $20 per month versus Verizon's comparable plan with unlimited talk, text and 2GB Web (excludes taxes and surcharges).
"Sprint has had a strong relationship with Microsoft for many years so we are excited to reinforce our commitment to the Windows 8 platform by sharing the details and timing for our first Windows Phone 8 smartphones," said Fared Adib, Sprint senior vice president, product development and operations. "These smartphones combine a robust new operating platform with the benefit of Sprint's unlimited data plans. There is no doubt these phones will quickly become an extension of your PC experience right in the palm of your hand."
Both the Samsung and HTC smartphones will offer Sprint 3G and 4G LTE and impressive lists of features including dual cameras enabling video chat, dual-core processors for enhanced internal speed between applications and support for expandable external memory. Additional device details, including pricing, will be shared closer to their availability dates.
Windows Phone 8 offers a truly personal phone experience, connecting Sprint customers to the people and information that matters most to them. With a similar look and feel, the same technology core, and the same built-in SkyDrive cloud service, Windows Phone 8 is built to work seamlessly with Windows 8 PCs, Microsoft Surface devices and the Xbox 360 console.
"We're looking forward to bringing two new Windows Phone 8 devices by Samsung and HTC to market with Sprint this summer, adding to our strong Windows Phone 8 portfolio," said Terry Myerson, Corporate Vice President of the Windows Phone Division. "These devices, coupled with Sprint's unlimited 4G LTE data experience, will make it easy for Windows Phone 8 customers to have the most personal smartphone experience possible, wherever they are."
Sprint introduced its all-new 4G LTE network in July 2012 and now offers service in 49 marketsi. Sprint has announced nearly 150 markets that will see an official LTE launch in the coming months. For the most up-to-date details on Sprint's 4G LTE portfolio and rollout, please visit www.sprint.com/4GLTE. For detailed 4G LTE maps, providing coverage information right down to the address, please visit www.sprint.com/coverage. Customers are encouraged to check back often, as the maps will be updated when coverage in these markets is enhanced.
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November 20, 2014
About Author
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Find commute times to your work, school, gym and more.
- This property is no longer listed on Rent.com. For this reason please note that any pricing or description information may not be up-to-date.
Tall Oaks Apartments
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Property Features
- Convenience
- Extra Storage
- On Site Maintenance
- On Site Management
- Leisure
- Clubhouse
- Fitness Center
- Playground
- Laundry
- Laundry Facility
- Utilities Included
- Some Paid Utilities
- Other
- 24 hour emergency maintenance
- Activities for residents
- Community center
- Emergency Maintenance
- Gas Range
- Parking at your doorstep
- Patio
- Public transportation
- Renovated Kitchens
- Renovated kitchens and baths
- Rent Includes Water, Sewer, Trash
- Rent includes water, sewer, trash and gas for cook
- Security deposit required (1 Month)
- Select homes offer microwaves
- Spacious floor plans
- Subject to eligibility requirements
- We do not discriminate on the basis of disability
- We provide service with a smile
Units may feature
- Amenities
- Cable Ready
- Disability Access
- Smoke Free
- Kitchen
- Dishwasher
- Microwave
- Refrigerator
Property Details
Welcome to Tall Oaks Apartments, a North West side community combining extraordinary convenience and affordable, spacious living. Surrounded by a park-like setting of mature trees, Tall Oaks is just minutes from shopping, the metro station, restaurants, recreation areas, lively entertainment and maintains easy access to surrounding Interstates. Tall Oaks Apartments offers spacious single level 1 bedroom apartment homes and two and three bedroom town homes designed for your comfort. Call or stop in today to find out why Tall Oaks is the perfect choice for your new home!
Leasing Information
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No Pets. Call for service animal policy.
Our lease terms are: 12 Months. (Please note that lease terms may vary, are subject to change without notice, and are based on availability. Inquire with property staff for complete details).
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Samantha Power '99
Ambassador Samantha Power has had a long and prestigious career in public service. She was the youngest U.S. Permanent Representative to the United Nations and the youngest member of President Obama's Cabinet. At the United Nations, Ambassador Power works to advance U.S. interests, promote and defend universal values, and address pressing global challenges to global peace, security, and prosperity. Prior to working at the United Nations, she was Special Assistant to the President and Senior Director for Multilateral Affairs and Human Rights on the National Security Staff at the White House focusing on issues like UN reform, LGBT and women's rights, the promotion of religious freedom, human trafficking, democracy, and human rights. Before coming to HLS to study law, Ambassador Power was a long-time war correspondent. She wrote the Pulitzer Prize winning book, "A Problem from Hell," which she started writing as a student at HLS. She was also a professor at the Harvard University's John F. Kennedy School of Government and founded the Carr Center for Human Rights Policy. Power has been inspirational for her many professional achievements while being "an amazing wife and mother of two young children."
Power earned her B.A. from Yale University and J.D. from Harvard Law School.


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5 Tricks to Get That Luxe Spa Feeling -- At Home
Throw on a robe, crank up the Enya, and relax with these (practically free) home spa treatments.
By Kayleigh Donahue Hodes
Unwind at home
Trick your body into thinking you're at the spa with these easy home treatments.
Matthew J. Atanian


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Nurse Jobs in Bastrop, Louisiana
1 Bastrop, LA Nurse jobs found on Monster.Jobs 1 to 1 of 1
Fresenius Medical Care Bastrop, LA
Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what i...
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Healthcare Career Tools
Registered Nurse (RN)
$56,160.00 - $90,000.00
Typical Salary for Registered Nurse (RN) in Bastrop
(7 Respondents)
Source: Monster.com Careerbenchmarking Tool
Education / Training
(5 Respondents)
Source: Monster.com Careerbenchmarking Tool
Registered Nurse (RN)
Promotes and restores patients' health by completing the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; supervising assigned team members.
Rate of Growth
0 %
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Related Skills
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#17 - blutzcrunk (01/02/2013) [-]
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A special issue of Medical Care has just been published; it was sponsored by the Veterans Health Administration's Office of Patient Centered Care and Cultural Transformation. A press release made the following statement about it:
Complementary and alternative medicine therapies are increasingly available, used, and appreciated by military patients, according to Drs Taylor and Elwy. They cite statistics showing that CAM programs are now offered at nearly 90 percent of VA medical facilities. Use CAM modalities by veterans and active military personnel is as at least as high as in the general population.
If you smell a bit of the old ad populum fallacy here, you may be right. But let's look at the actual contents of the special issue. The most interesting article is about a study testing acupuncture for posttraumatic stress disorder (PTSD).
Fifty-five service members meeting research diagnostic criteria for PTSD were randomized to usual PTSD care (UPC) plus eight 60-minute sessions of acupuncture conducted twice weekly or to UPC alone. Outcomes were assessed at baseline and 4, 8, and 12 weeks postrandomization. The primary study outcomes were difference in PTSD symptom improvement on the PTSD Checklist (PCL) and the Clinician-administered PTSD Scale (CAPS) from baseline to 12-week follow-up between the two treatment groups. Secondary outcomes were depression, pain severity, and mental and physical health functioning. Mixed model regression and t test analyses were applied to the data.
The results show that the mean improvement in PTSD severity was significantly greater among those receiving acupuncture than in those receiving UPC. Acupuncture was also associated with significantly greater improvements in depression, pain, and physical and mental health functioning. Pre-post effect-sizes for these outcomes were large and robust.
The authors conclude from these data that acupuncture was effective for reducing PTSD symptoms. Limitations included small sample size and inability to parse specific treatment mechanisms. Larger multisite trials with longer follow-up, comparisons to standard PTSD treatments, and assessments of treatment acceptability are needed. Acupuncture is a novel therapeutic option that may help to improve population reach of PTSD treatment.
What shall we make of this?
I know I must sound like a broken record to some, but I have strong reservations that the interpretation provided here is correct. One does not even need to be a 'devil's advocate' to point out that the observed outcomes may have nothing at all to do with acupuncture per se. A much more rational interpretation of the findings would be that the 8 times 60 minutes of TLC and attention have positive effects on the subjective symptoms of soldiers suffering from PTSD. No needles required for this to happen; and no mystical chi, meridians, life forces etc.
It would, of course, have been quite easy to design the study such that the extra attention is controlled for. But the investigators evidently did not want to do that. They seemed to have the desire to conduct a study where the outcome was clear even before the first patient had been recruited. That some if not most experts would call this poor science or even unethical may not have been their primary concern.
The question I ask myself is, why did the authors of this study fail to express the painfully obvious fact that the results are most likely unrelated to acupuncture? Is it because, in military circles, Occam's razor is not on the curriculum? Is it because critical thinking has gone out of fashion ( – no, it is not even critical thinking to point out something that is more than obvious)? Is it then because, in the present climate, it is 'politically' correct to introduce a bit of 'holistic touchy feely' stuff into military medicine?
I would love to hear what my readers think.
After yesterday's post mentioning 'biopuncture', I am sure you are all dying to know what this mysterious treatment might be. A website promoting biopuncture tells us (almost) all we need to know:
Biopuncture is a therapy whereby specific locations are injected with biological products. The majority of the products are derived from plants. Most of these injections are given into the skin or into muscles. Products commonly used in Biopuncture are, for example, arnica, echinacea, nux vomica and chamomile. Arnica is used for muscle pain, nux vomica is injected for digestive problems, echinacea is used to increase the natural defense system of the body. Biopuncturists always inject cocktails of natural products. Lymphomyosot is used for lymphatic drainage, Traumeel for inflammations and sports injuries, Spascupreel for muscular cramps. Injections with antiflogistics, hyaluronic acid, blood platelets, blood, procaine, ozon, cortisone or vitamin B are not considered as Biopuncture…
How can such a small dose influence your body and stimulate healing? Scientists don't have the final proof yet, but they postulate that these injections are working through the stimulation of the immune system (which is in fact your defense system). Let's compare it with a vaccination. When you receive a tetanus vaccination, only small amounts of a particular product are necessary to stimulate the immune system against lockjaw. In other words, just a few injections can protect your body for years…
An important issue in Biopuncture is the detoxification of the body. It literally means "cleaning the body" from all the toxins that have accumulated: for example from the environment (air pollution, smoking), from bad nutrition, or from medication (e.g., antibiotics and steroids you've taken). These toxins can block your defense system. Some injections work specifically on the liver and others on the kidneys. Cleaning up the lymphatic system with Lymphomyosot is considered very important in Biopuncture. It is like taking the leaves out of the gutter. The down side of such an approach is that old symptoms (which have been suppressed earlier on) may come to the surface again. But that is sometimes part of the healing strategy of the body…
That sounds strange, to say the least. But remember: strange treatments might still work! The question is therefore: IS BIOPUNCTURE AN EFFECTIVE THERAPY? If you ask it to Dr Oz, the answer would be a resounding YES – but let's not ask Oz, let's try to find some reliable evidence instead. In my quest to locate such evidence, I came across claims like these.
Examples of some acute conditions we treat with biopuncture:
- Knee and ankle sprains
- Muscle sprains- quadriceps, hamstring, adductors, rotator cuff
- Whiplash
Examples of some chronic conditions we treat with biopuncture:
- Headaches
- Achilles tendinitis
- Tennis elbow
- Chronic arthritis of the knee, hip, shoulder
- Back pain
- Myofascial pains
- Irritable bowel syndrome
- TMJ syndrome
Somehow I had the feeling that this was more than a little too optimistic, and I decided to conduct a rudimentary Medline search. The results were sobering indeed: not a single clinical trial seems to be available that supports any of the claims that are being made for biopuncture.
So, what should we conclude? I don't know about you, but to me it seems that biopuncture is quackery at its purest.
Here and elsewhere, I have repeatedly written about the many things that can go wrong with acupuncture. This invariably annoys acupuncture fans who usually counter by accusing me of being alarmist. Despite their opposition, I continue to think it is important to regularly point out that acupuncture – contrary to what many acupuncturists would tell us – can result in serious injury. I will therefore carry on reporting new evidence about the harm caused by acupuncture. Here is a very brief review of new (2014) articles on this important topic.
A recent study found that the incidence of any adverse events per patient was 42.4% with traditional acupuncture, 40.7% with minimal acupuncture and 16.7% with non-invasive sham acupuncture. These figures are much higher than those around 10% previously reported.
Other authors described the case of a broken off acupuncture needle in a patient's abdomen. A very long needle was used which happily is unusual in routine practice.
Pneumothorax has been often noted as a complication of acupuncture – it is by far the most frequently reported serious complication caused by acupuncture; well over 100 instances have been described in the medical literature which, of course, reflects only the tip of an iceberg – new cases are being reported almost on a monthly basis.
Cardiac tamponade is even more dangerous but fortunately also much rarer. A case of life-threatening cardiac tamponade due to penetration of an acupuncture needle directly into the right ventricle was recently published. Cardiac tamponade can happen when the patient is unfortunate enough to have a sternal foramen, an congenital abnormality that is not normally detected by simple inspection or palpation. An investigation found that the frequency of a sternal foramen is approximately 10.5%. The authors concluded that sternal acupuncture should be planned in the region of corpus-previous CT should be done to rule out this variation. Furthermore, we strongly recommend the acupuncture technique which prescribes a safe superficial-oblique approach to the sternum.
A review from Egypt noted that acupuncture presented a significant risks for acquiring hepatitis C infections.
Other types of infections can also be transmitted by acupuncture needles, if the therapist fails to adhere to proper procedures of sterility. One report described the diagnosis, treatment and >1 year follow-up of 30 patients presenting with acupuncture-induced primary inoculation tuberculosis.
Similarly, Chinese authors reported the case of a 54-year-old woman who presented with progressive low back pain and fever. She underwent surgical decompression, with an immediate improvement of her pain. A culture of the epidural abscess grew Serratia marcescens. One year postoperatively, magnetic resonance imaging revealed the almost complete eradication of the abscess. This case is the first case of Serratia marcescens-associated spinal epidural abscess formation secondary to acupuncture.
Other authors reported a rare case of isolated unilateral hypoglossal nerve injury following ipsilateral acupuncture for migraines in a 53-year-old lady.
Finally, Greek authors published a case of severe rhabdomyolysis and acute kidney injury after acupuncture sessions. Rhabdomyolysis is a rare condition that can be caused by muscle injury and presents with muscle weakness and pain. It is characterized by myoglobinuria which, in turn, may cause acute kidney injury.
I can hear the world of acupuncture arguing that all of these events are extreme rarities and that conventional treatments are much more dangerous. This may well be true but it also ignores the following facts:
- The frequency of such events is essentially unknown. Contrary to conventional medicine, alternative medicine has no functioning systems to monitor adverse events. Therefore the true incidence figures of acupuncture-related complications are anyone's guess.
- Most conventional treatments in common use are backed up by good evidence for efficacy and therefore demonstrably do more good than harm, even if they regularly cause adverse effects. This is not the case for acupuncture. In the absence of solid evidence for efficacy, even relatively rare or minor adverse effects would mean that the risk/benefit profile of acupuncture is not positive.
For these reasons, it is an ethical imperative, I think, to keep a keen eye on the harm caused by acupuncture and to inform the public about the fact that it is undeniably not free of risks.
An international team of researchers wanted to determine the efficacy of laser and needle acupuncture for chronic knee pain. They conducted a Zelen-design clinical trial (randomization occurred before informed consent), in Victoria, Australia (February 2010-December 2012). Community volunteers (282 patients aged ≥50 years with chronic knee pain) were treated by family physician acupuncturists.
The treatments consisted of A) no acupuncture (control group, n = 71), B) needle (n = 70), C) laser (n = 71), and D) sham laser (n = 70) acupuncture. Treatments were delivered for 12 weeks. Participants and acupuncturists were blinded to laser and sham laser acupuncture. Control participants were unaware of the trial.
Primary outcomes were average knee pain (numeric rating scale, 0 [no pain] to 10 [worst pain possible]; minimal clinically important difference [MCID], 1.8 units) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index, 0 [no difficulty] to 68 [extreme difficulty]; MCID, 6 units) at 12 weeks. Secondary outcomes included other pain and function measures, quality of life, global change, and 1-year follow-up. Analyses were by intention-to-treat using multiple imputation for missing outcome data.
At 12 weeks and 1 year, 26 (9%) and 50 (18%) participants were lost to follow-up, respectively. Analyses showed neither needle nor laser acupuncture significantly improved pain (mean difference; -0.4 units; 95% CI, -1.2 to 0.4, and -0.1; 95% CI, -0.9 to 0.7, respectively) or function (-1.7; 95% CI, -6.1 to 2.6, and 0.5; 95% CI, -3.4 to 4.4, respectively) compared with sham at 12 weeks. Compared with control, needle and laser acupuncture resulted in modest improvements in pain (-1.1; 95% CI, -1.8 to -0.4, and -0.8; 95% CI, -1.5 to -0.1, respectively) at 12 weeks, but not at 1 year. Needle acupuncture resulted in modest improvement in function compared with control at 12 weeks (-3.9; 95% CI, -7.7 to -0.2) but was not significantly different from sham (-1.7; 95% CI, -6.1 to 2.6) and was not maintained at 1 year. There were no differences for most secondary outcomes and no serious adverse events.
The authors drew the following conclusions: In patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients.
This is one of the methodologically best acupuncture studies that I have seen so far.
- its protocol has been published when the trial started thus allowing maximum transparency
- it is adequately powered
- it has a very clever study-design
- it minimizes bias in all sorts of ways
- it tests acupuncture for a condition that it is widely used for
- it even manages to blind acupuncturists by using one treatment arm with laser acupuncture
The results show quite clearly that acupuncture does have mild effects on pain and function that entirely rely on a placebo response.
Will acupuncturists learn from this study and henceforward stop treating knee-patients? Somehow I doubt it! The much more likely scenario is that they will claim the trial was, for this or that reason, not valid. Acupuncture, like most of alternative medicine, seems unable to revise its dogma.
An article with this title was published recently by a team from Israel; essentially, it reports two interesting case histories:
Case 1
A 59-year-old male underwent a course of acupuncture for chronic low back pain, by a acupuncturist. During the therapy, the patient noted swelling at the point of puncture, but his therapist dismissed the claim. The region continued to swell, and three days later his family doctor diagnosed cellulitis and prescribed oral amoxicillin with clavulanic acid. The following day the patient's condition worsened—he started to suffer from chills and more intense pain, so he went to the emergency room. At that stage, the patient had a fever of 37.9°C, a pulse of 119, and a blood pressure of 199/87. Edema was noted over the patient's entire right flank (Figure 1A). Laboratory results were notable for a level of glucose of 298 mg/dL, sodium of 128 mmol/L, and white blood count (WBC) of 26,500 cells/μL with left shift. An emergency CT revealed an abscess of the abdominal wall involving the muscles, but no intra-abdominal pathology (Figure 1B).
Figure 1.The patient received broad-spectrum antibiotics and was taken to the operating room for debridement. Upon incision there was subcutaneous edema with no puss, gangrene of the entire external oblique muscle, and an abscess between the external and internal oblique muscles. The muscles were debrided back to healthy, bleeding tissue and the wound copiously irrigated with saline. The wound was left open, with gauze and iodine as a cover. Gram stains and cultures returned group B streptococcus (GBS) sensitive to penicillin, and antibiotic coverage was adjusted accordingly. The patient returned to the operating room for serial debridement until the wound developed healthy granulation tissue. The patient received four units of blood and required 13 days of hospitalization. To date, he suffers from a disfiguring wound of his abdominal wall.
Considering the fact that group B streptococci live primarily in the female vagina, and that the acupuncturist was a young female, it is possible to assume that the cause for this grave illness was due to improper hygiene while treating our patient with acupuncture. Although rare, this tragic consequence of acupuncture has been seen previously by other researchers.
Case 2
A 27-year-old male with chronic cervical and back pain without any previous medical treatment or imaging was referred to a tertiary medical facility. To manage his pain, the patient used the services of a chiropractor who used cervical manipulation. Immediately after such a manipulation, the patient felt a severe cervical pain; 30 minutes after manipulation the patient started feeling paresthesia in his hands and legs. The patient was admitted to an emergency room with symptoms of progressive weakness in all four extremities and weakness. No additional symptoms were seen. Immediate MRI demonstrated an epidural hematoma at the C3-4 level (Figure 2).
The patient underwent immediate surgery to evacuate the hematoma via an anterior approach and C3-4 cage placement. The day after surgery the patient showed a remission of symptoms. At 6 months follow-up his remission was complete.
The literature includes several reports of SSPE immediately following a chiropractic manipulation that was considered the cause of this event. The authors of this case report concluded that chiropractic procedures can be dangerous when performed by practitioners who might be only partially trained, who might tend to perform an insufficient patient examination before the procedure, and thus endanger their patients.
On this blog, I have repeatedly warned that not all alternative treatments are free of risks. These two cases are impressive reminders of this undeniable fact.
I am sure that most proponents of alternative medicine will try to claim that
- such complications are true rarities,
- I am alarmist to keep alerting my readers to such events,
- conventional medicine is dimensions more harmful,
- the above cases are caused by poor practice.
However, I feel compelled to stress that there are no adequate post-marketing surveillance systems in alternative medicine and that the true frequencies of such events are therefore unknown. It seems therefore imperative (and not alarmist) to publicize such risks as widely as possible – in the hope that alternative practitioners, one day, might do the ethically and morally correct thing and implement proper surveillance of their practices.
For every condition which is not curable by conventional medicine there are dozens of alternative treatments that offer a cure or at least symptomatic relief. Multiple sclerosis (MS) is such a disease. It is hard to find an alternative therapy that is not being promoted for MS.
Acupuncture is, of course, no exception. It is widely promoted for treating MS symptoms and many MS patients spend lots of money hoping that it does. The US 'National MS Society', For instance claim that acupuncture may provide relief for some MS-related symptoms, including pain, spasticity, numbness and tingling, bladder problems, and depression. There is no evidence, however, that acupuncture can reduce the frequency of MS exacerbations or slow the progression of disability. And the 'British Acupuncture Council' state that acupuncture may provide relief for some MS-related symptoms, including pain, spasticity, numbness and tingling, bladder problems, and depression.
Such claims seem a little over-optimistic; let's have a look what the evidence really tells us.
The purpose of this brand-new review was to assess the literature on the effectiveness of acupuncture for treating MS. A literature search resulted in 12 peer-reviewed articles on the subject that examined the use of acupuncture to treat MS related quality of life, fatigue, spasticity, and pain. The majority of the studies were poorly designed-without control, randomization, or blinding. Description of the subjects, interventions, and outcome measures as well as statistical analysis were often lacking or minimal.
The authors concluded that although many of the studies suggested that acupuncture was successful in improving MS related symptoms, lack of statistical rigor and poor study design make it difficult to draw any conclusions about the true effectiveness of this intervention in the MS population. Further studies with more rigorous designs and analysis are needed before accurate claims can be made as to the effectiveness of acupuncture in this population.
And what about other alternative therapies? Our own systematic review of the subject included 12 randomized controlled trials: nutritional therapy (4), massage (1), Feldenkrais bodywork (1), reflexology (1), magnetic field therapy (2), neural therapy (1) and psychological counselling (2). But the evidence was not compelling for any of these therapies, with many trials suffering from significant methodological flaws. There is evidence to suggest some benefit of nutritional therapy for the physical symptoms of MS. Magnetic field therapy and neural therapy appear to have a short-term beneficial effect on the physical symptoms of MS. Massage/bodywork and psychological counselling seem to improve depression, anxiety and self-esteem.
That was some time ago, and it is therefore reasonable to ask: has the evidence changed? Thankfully, the 'American Academy of Neurology' has just published the following guidelines entitles complementary and alternative medicine in multiple sclerosis:
Clinicians might offer oral cannabis extract for spasticity symptoms and pain (excluding central neuropathic pain) (Level A). Clinicians might offer tetrahydrocannabinol for spasticity symptoms and pain (excluding central neuropathic pain) (Level B). Clinicians should counsel patients that these agents are probably ineffective for objective spasticity (short-term)/tremor (Level B) and possibly effective for spasticity and pain (long-term) (Level C). Clinicians might offer Sativex oromucosal cannabinoid spray (nabiximols) for spasticity symptoms, pain, and urinary frequency (Level B). Clinicians should counsel patients that these agents are probably ineffective for objective spasticity/urinary incontinence (Level B). Clinicians might choose not to offer these agents for tremor (Level C). Clinicians might counsel patients that magnetic therapy is probably effective for fatigue and probably ineffective for depression (Level B); fish oil is probably ineffective for relapses, disability, fatigue, MRI lesions, and quality of life (QOL) (Level B); ginkgo biloba is ineffective for cognition (Level A) and possibly effective for fatigue (Level C); reflexology is possibly effective for paresthesia (Level C); Cari Loder regimen is possibly ineffective for disability, symptoms, depression, and fatigue (Level C); and bee sting therapy is possibly ineffective for relapses, disability, fatigue, lesion burden/volume, and health-related QOL (Level C). Cannabinoids may cause adverse effects. Clinicians should exercise caution regarding standardized vs nonstandardized cannabis extracts and overall CAM quality control/nonregulation. Safety/efficacy of other CAM/CAM interaction with MS disease-modifying therapies is unknown.
Interestingly, on yesterday it was announced that the NHS in Wales has just made available a cannabis-based spray for MS-sufferers (I should mention that most cannabis-based preparations are not full plant extracts and thus by definition not herbal but conventional medicines).
It would be wonderful, if other alternative therapies were of proven benefit to MS-sufferers. But sadly, this does not seem to be the case. I think it is better to be truthful about this than to raise false hopes of desperate patients.
There must be well over 10 000 clinical trials of acupuncture; Medline lists ~5 000, and many more are hidden in the non-Medline listed literature. That should be good news! Sadly, it isn't.
It should mean that we now have a pretty good idea for what conditions acupuncture is effective and for which illnesses it does not work. But we don't! Sceptics say it works for nothing, while acupuncturists claim it is a panacea. The main reason for this continued controversy is that the quality of the vast majority of these 10 000 studies is not just poor, it is lousy.
"Where is the evidence for this outraging statement???" – I hear the acupuncture-enthusiasts shout. Well, how about my own experience as editor-in-chief of FACT? No? Far too anecdotal?
How about looking at Cochrane reviews then; they are considered to be the most independent and reliable evidence in existence? There are many such reviews (most, if not all [co-]authored by acupuncturists) and they all agree that the scientific rigor of the primary studies is fairly awful. Here are the crucial bits of just the last three; feel free to look for more:
All of the studies had a high risk of bias…
All included trials had a high risk of bias…
The studies were not judged to be free from bias…
Or how about providing an example? Good idea! Here is a new trial which could stand for numerous others:
This study was performed to compare the efficacy of acupuncture versus corticosteroid injection for the treatment of Quervain's tendosynovitis (no, you do not need to look up what condition this is for understanding this post). Thirty patients were treated in two groups. The acupuncture group received 5 acupuncture sessions of 30 minutes duration. The injection group received one methylprednisolone acetate injection in the first dorsal compartment of the wrist. The degree of disability and pain was evaluated by using the Quick Disabilities of the Arm, Shoulder, and Hand (Q-DASH) scale and the Visual Analogue Scale (VAS) at baseline and at 2 weeks and 6 weeks after the start of treatment. The baseline means of the Q-DASH and the VAS scores were 62.8 and 6.9, respectively. At the last follow-up, the mean Q-DASH scores were 9.8 versus 6.2 in the acupuncture and injection groups, respectively, and the mean VAS scores were 2 versus 1.2. Thus there were short-term improvements of pain and function in both groups.
The authors drew the following conclusions: Although the success rate was somewhat higher with corticosteroid injection, acupuncture can be considered as an alternative option for treatment of De Quervain's tenosynovitis.
The flaws of this study are exemplary and numerous:
- This should have been a study that compares two treatments – the technical term is 'equivalence trial – and such studies need to be much larger to produce a meaningful result. Small sample sizes in equivalent trials will always make the two treatments look similarly effective, even if one is a pure placebo.
- There is no gold standard treatment for this condition. This means that a comparative trial makes no sense at all. In such a situation, one ought to conduct a placebo-controlled trial.
- There was no blinding of patients; therefore their expectation might have distorted the results.
- The acupuncture group received more treatments than the injection group; therefore the additional attention might have distorted the findings.
- Even if the results were entirely correct, one cannot conclude from them that acupuncture was effective; the notion that it was similarly ineffective as the injections is just as warranted.
These are just some of the most fatal flaws of this study. The sad thing is that similar criticisms can be made for most of the 10 000 trials of acupuncture. But the point here is not to nit-pick nor to quack-bust. My point is a different and more serious one: fatally flawed research is not just a 'poor show', it is unethical because it is a waste of scarce resources and, even more importantly, an abuse of patients for meaningless pseudo-science. All it does is it misleads the public into believing that acupuncture might be good for this or that condition and consequently make wrong therapeutic decisions.
In acupuncture (and indeed in most alternative medicine) research, the problem is so extremely wide-spread that it is high time to do something about it. Journal editors, peer-reviewers, ethics committees, universities, funding agencies and all others concerned with such research have to work together so that such flagrant abuse is stopped once and for all.
If you are pregnant, a 'breech presentation' is not good news. It occurs when the fetus presents 'bottom-down' in the uterus. There are three types:
- Breech with extended legs (frank) – 85% of cases
- Breech with fully flexed legs (complete)
- Footling (incomplete) with one or both thighs extended
The significance of breech presentation is its association with higher perinatal mortality and morbidity when compared to cephalic presentations. This is due both to pre-existing congenital malformation, increased incidence of breech in premature deliveries and increased risk of intrapartum trauma or asphyxia. Caesarean section has been adopted as the 'normal' mode of delivery for term breech presentations in Europe and the USA, as the consensus is that this reduces the risk of birth-related complications.
But Caesarian section is also not a desirable procedure. Something far less invasive would be much more preferable, of course. This is where the TCM-practitioners come in. They claim they have the solution: moxibustion, i.e. the stimulation of acupuncture points by heat. But does it really work? Can it turn the fetus into the correct position?
This new study aimed to assess the efficacy of moxibustion (heating of the acupuncture needle with an igniting charcoal moxa stick) with acupuncture for version of breech presentations to reduce their rate at 37 weeks of gestation and at delivery. It was a randomized, placebo-controlled, single-blind trial including 328 pregnant women recruited in a university hospital center between 33 4/7 and 35 4/7 weeks of gestation. Moxibustion with acupuncture or inactivated laser (placebo) treatment was applied to point BL 67 for 6 sessions. The principal endpoint was the percentage of fetuses in breech presentation at 37 2/7 weeks of gestation.
The results show that the percentage of fetuses in breech presentation at 37 2/7 weeks of gestation was not significantly different in both groups (72.0 in the moxibustion with acupuncture group compared with 63.4% in the placebo group).
The authors concluded that treatment by moxibustion with acupuncture was not effective in correcting breech presentation in the third trimester of pregnancy.
You might well ask why on earth anyone expected that stimulating an acupuncture point would turn a fetus in the mother's uterus into the optimal position that carries the least risk during the process of giving birth. This is what proponents of this technique say about this approach:
During a TCM consultation to turn a breech baby the practitioner will take a comprehensive case history, make a diagnosis and apply the appropriate acupuncture treatment. They will assess if moxibustion might be helpful. Practitioners will then instruct women on how to locate the appropriate acupuncture points and demonstrate how to safely apply moxa at home. The acupuncture point UB 67 is the primary point selected for use because it is the most dynamic point to activate the uterus. Its forte is in turning malpositioned babies. It is located on the outer, lower edge of both little toenails. According to TCM theory, moxa has a tonifying and warming effect which promotes movement and activity. The nature of heat is also rising. This warming and raising effect is utilised to encourage the baby to become more active and lift its bottom up in order to gain adequate momentum to summersault into the head down position. This technique can also be used to reposition transverse presentation, a situation where the baby's has its shoulder or back pointing down, or is lying sideways across the abdomen.
Not convinced? I can't say I blame you!
Clearly, we need to know what the totality of the most reliable evidence shows; and what better than a Cochrane review to inform us about it? Here is what it tells us:
Moxibustion was not found to reduce the number of non-cephalic presentations at birth compared with no treatment (P = 0.45). Moxibustion resulted in decreased use of oxytocin before or during labour for women who had vaginal deliveries compared with no treatment (risk ratio (RR) 0.28, 95% confidence interval (CI) 0.13 to 0.60). Moxibustion was found to result in fewer non-cephalic presentations at birth compared with acupuncture (RR 0.25, 95% CI 0.09 to 0.72). When combined with acupuncture, moxibustion resulted in fewer non-cephalic presentations at birth (RR 0.73, 95% CI 0.57 to 0.94), and fewer births by caesarean section (RR 0.79, 95% CI 0.64 to 0.98) compared with no treatment. When combined with a postural technique, moxibustion was found to result in fewer non-cephalic presentations at birth compared with the postural technique alone (RR 0.26, 95% CI 0.12 to 0.56).
In other words, there is indeed some encouraging albeit not convincing evidence! How can this be? There is no plausible explanation why this treatment should work!
But there is a highly plausible explanation why the results of many of the relevant trials are false-positive thus rendering a meta-analysis false-positive as well. I have repeatedly pointed out on this blog that practically all Chinese TCM-studies report (false) positive results; and many of the studies included in this review were done in China. The Cochrane review provides a strong hint about the lack of rigor in its 'plain language summary':
The included trials were of moderate methodological quality, sample sizes in some of the studies were small, how the treatment was applied differed and reporting was limited. While the results were combined they should be interpreted with caution due to the differences in the included studies. More evidence is needed concerning the benefits and safety of moxibustion.
So, would I recommend moxibustion for breech conversion? I don't think so!
Auricular acupuncture (AA), according to the 'COLLEGE OF AURICULAR ACUPUNCTURE', has its origins in Modern Europe. In 1957 Dr. Paul Nogier, a neurologist from Lyons in France, observed a locum doctor treating sciatica by cauterizing an area of the ear. This prompted extensive research culminating in the development of the somatopic correspondence of specific parts of the body to the ear based upon the concept of an inverted foetus. Dr. Nogier believed that pain and other symptoms in the body could be alleviated by needling, massaging or electronically stimulating the corresponding region of the ear. Auricular Acupuncture is a specialized complementary therapy where acupuncture points on the outer ear are treated, using either needles or acupunctoscopes (electrical location and stimulation machines) to help relieve many chronic complaints. There are over 200 acupuncture points on the ear, each point named after an area of our anatomy. The outer ear acts like a switchboard to the brain. Each acupuncture point being treated, triggers electrical impulses from the ear via the brain, to the specific part of the body being treated.
Sounds odd? Well, that's because it is odd!
But just because something is odd does not mean it is ineffective – so, what does the reliable evidence tell us? Here are some conclusions from systematic reviews:
The evidence that auricular acupuncture reduces postoperative pain is promising but not compelling.
The evidence for the effectiveness of AA for the symptomatic treatment of insomnia is limited.
The benefit of ear-acupressure for symptomatic relief of allergic rhinitis is unknown…
All of these analyses point out that the quality of the studies is usually very poor, and stress that more and better research is required. It is therefore interesting to note that a new study has just been published. Perhaps it could settle the question about the effectiveness of AA?
The aim of this study was 1) to evaluate whether auricular acupuncture effective for reducing health care provider stress and anxiety and 2) to determine, if auricular acupuncture impacts provider capacity for developing caring relationships with patients. Pre-intervention and post-intervention surveys were evaluated to see, if auricular acupuncture was associated with changes in State-Trait Anxiety Inventory (STAI), Professional Quality of Life, and Caring Ability Inventory scores. The results indicate that, compared with baseline, participants had a significant reduction in state anxiety (STAI), trait anxiety (STAI), burnout, and secondary traumatic stress scores (Professional Quality of Life). Significant increases were noted in courage and patience, two dimensions of the Caring Ability Inventory.
From these findings, the authors conclude that auricular acupuncture is an effective intervention for the relief of stress/anxiety in providers and supports heightened capacity for caring.
Sounds odd again? Yes, because it is odd!
I would argue that a study of any controversial therapy that has already been tested repeatedly in poor quality trials must have sufficient scientific rigor to advance the field of inquiry. If it does not fulfil this criterion, it is quite simply not ethical. The new study does not even have a control group; we can therefore not begin to tell whether the observed outcomes were due to non-specific effects, the natural history of the condition or regression towards the mean (to mention but a few of the possible sources of bias). To conclude that AA is 'an effective intervention' is therefore utterly barmy.
All of this could be entirely trivial and inconsequential. I am afraid, however, that it is not. Alternative medicine is littered with such unethically flawed research conducted by naïve and clueless pseudo-scientists who arrive at outrageous conclusions. This relentless flow of false-positive findings misleads consumers, health care professionals, decision makers and everyone else to draw the wrong conclusions about bogus therapies. And, in the end, this sort of thing even does a grave disfavour to any branch of alternative medicine that might have some degree of respectability.
A new book is currently being promoted. It specifically targets cancer patients and misleads them into thinking that alternative therapies offer hope for this vulnerable group of patients. Here is what the press release says:
Endeavoring to provide the 1.2 million Americans diagnosed with cancer annually with alternative treatments co-authors Johanna C. Schipper and Frank J. Vanderlugt announce the launch of "The Natural Cancer Handbook". The useful book explores how more than fifty alternative treatments work, their price, and where they can be obtained…. Contributing to the war on cancer with a bevy of scientific and anecdotal evidence to support the effectiveness of the treatments the handbook is a respite from the mixed messages patients often endure.
With more than fifty of the most effective alternative cancer treatments listed The Natural Cancer Handbook is the work of two years of research. Used successfully over the last century, the remedies found in the handbook are significantly cheaper than standard cancer treatments and in most cases can be used alongside them.
…The handbook discusses the successful alternative treatments Budwig Diet, Beta 1, 3D Glucan, and the readily available green food supplements such as barley grass, chlorella and spirulina. The Natural Cancer Handbook also explores the benefits of Melatonin, Noni, Resveratrol and the Canadian Resonant Light and the Hulda Clark generators.
…Vanderlugt is a Chartered Accountant with a Bachelor of Science in Biology and Schipper has researched cancer extensively and has five years training in medicine.
Let's just take the first treatment mentioned above; this is what a reliable source like CANCER RESEARCH UK have to say about it:
The Budwig diet was developed by a German biochemist called Johanna Budwig in the 1950s. It involves eating flaxseed mixed with cottage cheese or milk. Flax is a plant grown in many parts of the world. Pressing its seeds produces linseed oil to use in cooking or as a food supplement. The seeds contain high levels of fibre and many vitamins and minerals. You grind the flaxseed, usually in a coffee grinder. As well as flaxseed and cottage cheese, the Budwig diet is rich in fruit, vegetables and fibre. You also have to avoid sugar, meat, and fats such as butter, margarine and salad oil.
There is no reliable scientific evidence to show that the Budwig diet (or any highly specific diet) helps people with cancer. It is important to make sure that you have a well balanced diet when you are ill, especially if you are undernourished. We know from research that a healthy, well balanced diet can reduce the risk of cancer. You can find information about diet, healthy eating and cancer on our News and Resources website.
This is a polite way of telling us that diets such as this one is not balanced and not what cancer patients need; in fact, such diets are not just ineffective, they can be dangerous to cancer patients.
Texts like the Natural Cancer Handbook tend to make me quite angry. I find it deeply immoral to mislead cancer patients in this way, simply to make a profit. The truth could not be simpler: There is and never will be such a thing as an alternative cancer 'cure'.
The concept assumes that there exists an effective cure which is being suppressed only because it originates from alternative medicine circles. But this assumption is idiotic. As soon as a treatment shows promise, it will be picked up by the scientific and oncologic communities and researched until its therapeutic value is known. At the end of this process, we might have a new option to treat cancer effectively. Many examples exist where a new drug was developed from a plant; taxol is but one of many examples.
Those who deny these simple facts in order to make a fast buck from the desperation of some of the most vulnerable patients are, in my view, charlatans of the worst kind.


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Dec 23, 2011 at 12:26PM EST
OMG TELL ME ALL ABOUT YOUR CLASS!!1 The professor I studied with wrote this paper so if you come across it you can say you know someone who knows him. He changed my life in college, I miss him so much ;_;
I actually haven't read FW yet. D: don't judge.
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So that's two close calls for Matt Nader. The former Westlake High School (Texas) football player nearly died in 2006 when, as a senior lineman, he collapsed on the sideline during a game at College Station. His life was saved by an automated external defibrillator, and the University of Texas, with whom he had earned a football scholarship, honored the deal and let him pursue his education. Although his football playing career was over, Nader earned a spot as a student assistant coach with the Longhorns.
Then on Monday, Nader was playing golf with friends at Lions Municipal Golf Course in Austin, when a man behind them began complaining that they weren't playing fast enough. The argument spilled into the parking lot following play, which is when Edwin Dailey, 73, allegedly pulled a .25-caliber Browning handgun loaded with hollow-point bullets and pointed it at Nader. Yikes. Bonus quote from Mr. Crazy: "If I feel threatened, I am morally obligated to destroy you."
From the AUSTIN AMERICAN-STATESMAN:
The man then concealed the gun and went back to the clubhouse while the men called police.
Later, the suspect returned while the group was on the phone and said, "If I feel threatened, I am morally obligated to destroy you," according to the affidavit.
Austin police arrested Edwin Dailey, 73, who was charged with aggravated assault with a deadly weapon, a second-degree felony. An Austin city marshal pulled him over in his white Ford Focus, a few blocks from the course better known as "Muny." He was released after posting $15,000 in bonds, the Statesman reported.
But that incident wasn't nearly as dire as that day in Sept., 2006, when Nader almost died on the sideline. Luckily, because of the defibrillator and the fact that his dad, a physician, and two other parents who are also doctors were at the game, Nader pulled through. Golf, though; that sport can be rough in Texas.


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Find records of Verda Audirsch
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Verda W Audirsch (1906 - 1998) was born on March 6, 1906. She was born into the Audirsch family.
Verda had no relationships. Verda died on January 19, 1998 at 91 years old.
Verda W Audirsch's last known residence is at Winnfield, Winn County, Louisiana.
The data on this page comes from the official record for Verda W Audirsch in the SSDI (United States Social Security Master Death Index). According to information provided to the SSDI, this death record has been verified by a family member of the deceased. This data can be considered very accurate. What is the SSDI?
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Pam Dixon presents:
October 16th – November 30th
Join us for the opening Reception
October 18th from 3-6 p.m.
Gallery 621 is pleased to host this very special exhibit featuring
30 internationally and nationally known ceramists,
many of who got their start right here in the I 80 corridor
between Sacramento and San Francisco.
ARNESON, BAILEY, VOULKOS, SHAW, SHANNONHOUSE, BRADY, GILHOOLY and MANY MORE
The beniciaMOA seeks to advance and preserve Benicia's Historic Legend of Art for present and future generations by actively endowing Benicia with a presence of Art in the 'spirit' of Benicia's Art legacy. Join us at Gallery 621 in recognizing and celebrating this heritage and the beniciaMOA.
According to long time Bay Area art critic Gregory Ghent, Benicia holds a special place in Art Legacy of the Bay Area:
"California Funk is considered the only truly original art movement that started in California. Funk is an art form still very much alive today. Ceramics and the town of Benicia play crucial roles in the evolution of Funk." read more…
Invited Artists include: Robert Arneson, Clayton Bailey, Jeffery Beckerleg, Mark Boguski, Robert Brady, Jennifer Brazelton, Sandy Calhoun, Pam Dixon, David Gilhooly, Arthur Gonzalez, Lee Kavaljian, Suzanne Long, Kris Lyons, Joe Mariscal, Tony Natsoulas, Jeff Nebeker, Win Ng, Majia Peeples-Bright, Lisa Reinertson, Annabeth Rosen, Tiffany Schmierer, Sandra Shannonhouse, Martha H. Shaw, Richard B. Shaw, Sandy Simon, John Toki, Pete Voulkos, Peter VandenBerge and Wanxin Zhang
Sponsored by the Benicia Museum of Art: A new museum dedicated to preserving and promoting Benicia's Historic Art Legacy. Special thanks to the Rudolph and Emily (Betsy) Strand Family Collection, Herman and Frances Ng, Philip Lederer Fine Art of Novato CA , Stephen Headley and Artworks Foundry Gallery in Oakland CA, the Arneson family and Madeline Ibrahim.
Benicia Magazine: Benicia's Internationally Important Legacy Of Ceramic Sculpture
Benicia Herald: A long, illustrious legacy in art: Benicia Museum of Art to launch with appreciation for '60s 'Funk' movement
Also at the Gallery:
Recent work by Susan Aulik, Kari Brinck, Nikki Basch-Davis, Pam Dixon, David Fitzgerald, Bea Guttman, Phyllis Lasche, TaVee McAllister Lee, Robert Nelson, Kathy Oja, Chuck Potter, Ruth Santee, and Diane Williams
TRANSMIGRATIONAL: Ceramics from the Corridor
48" x 36" x 36", ceramic and copper tubing[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_long1storytellerdetail72dpi.jpg]10.5k0Suzanne Long, Story Teller
23 - 30" h, ceramic[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_brady-robert-boweb.jpg]47360Robert Brady, BO
26" x 12" x 13.5", ceramic/glaze[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_peeples-bright-good-gurnsetweb.jpg]46850Maija Peeples-Bright, Good Gurnset
ceramic[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_mariscal-rex500.jpg]10.3k0Joe Mariscal, Rex
13" x 11" x 13", low fire Ceramic, terra sigillata[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_brazeltonfukushimared500.jpg]10.4k0Jennifer Brazelton, Fukushima Red
15"w x15"h x 3"d, ceramic, Keraflex porcelain, glue[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_nebeker-toulouse-lautrec-web.jpg]45830Jeff Nebeker
Toulouse Lautrec (French Painter Bob)[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_bailey-clayton-spottedclinkerweb.jpg]45500Clayton Bailey, Spotted Clincker
18" x 12" x 12", hyperthermic terra cotta[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_gonzales_broken-magic-detail-72dpism.jpg]10.4k0Arthur Gonzales, Broken Magic
ceramic[img src=http://gallery621.com/wp-content/flagallery/transmigrational-ceramics-from-the-corridor/thumbs/thumbs_gonzales_brokenmagic_500px.jpg]10.3k0Arthur Gonzales, Broken Magic


text:
EA Sport Cricket 13 Patch
seeders: 35
leechers: 4
EA Sport Cricket 13 Patch (Size: 492.02 MB)
EA Sports Cricket07 – clean installation with no other patches.
Ankit's NextGen Gameplay Patch v6 [included]
Cricket 2013.exe Modified [included]
AC Studios 256 HD BatPack (CLICK HERE) PASS: 256hd
Latest roster – teams & players!
Realistic stadiums!
Multiple overlays – different overlays at different stadiums + the pause menu too!
Multiple outfields, pitchads, stumps at different stadiums!
Realistic bats – the players have been assigned the bats they use!
Realistic gameplay – you can't just hit sixes every ball now!
New modified menu!
New EA Intro video
Ultimate realistic faces!
The latest 2013 kits of every team!
IPL and BBL teams!
CLT20, WCT20 and other tournaments are there too!
Free hit for IPL and BBL teams!
Related Torrents
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Uploader Comments
anonymous • 24 Aug 2013, 14:31
Instructions..any..?? plz giv..
anonymous • 09 Nov 2013, 04:57
how to patch in Ea sports 2007
All Comments
anonymous • 25 October 2014, 18:27 Show comment
where is EA sports cricket 07 directory located!
anonymous • 22 September 2014, 15:50 Show comment
Cricket 13 Executable.rar 3.2 MB NGP V6.0.rar 1.36 MB read me.pdf 231.61 KB ROSTER.zip 141.99 KB Cricket 07 All Patches.htm i already download this file systems..but i cant install this patch.. and i didint knw how to insatll this patch... please help me pls...
anonymous • 22 September 2014, 15:44 Show comment
how to install this patch... please help me pls... if u have you tube tutorial means please sent me that link...please help me...
anonymous • 22 September 2014, 15:42 Show comment
i have 2012 world cup game.. but i cant install this game in my pc.. how to install this patch?? please help me...
anonymous • 08 September 2014, 05:23 Show comment
huchi hudgi nind kundyag tatti balu-alubhatti nind kundyag saar haak eeshi tin huch mamutti babanti hale mad chadyag
anonymous • 04 September 2014, 16:00 Show comment
Patch is ok, but buggy. There are no new "kit" or uniforms for teams that replace the English County Cricket teams from the original Cricket07. Sure the names and rosters are there but all the faces and uni's do not match. Would have been nice if this was a true megapatch and had all uniforms too.
indranild10 • 30 August 2014, 20:04 Show comment
Where is the Stroke Variation Patch by Abhinav Bhakat?? Would u tell me. It says STROKE VARIATION NOT FOUND.
anonymous • 26 August 2014, 06:26 Show comment
we have to download cricket 7 to install cricket 13
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Book details the curious paths of famous remains
Rest in Pieces: The Curious Fates of Famous Corpses by Bess Lovejoy
c.2013, Simon & Schuster
$22/$26 Canada
329 pages
You walked into a room the other day, and completely forgot why. These lapses in memory just kill you. If you couldn't remember what you needed, you were dead in the water.
But ideas don't expire, which is a good thing because it took a while to recall what you wanted.
Seriously, sometimes you'd forget your head if it wasn't attached – and that's a problem, but as you'll see in the new book Rest in Pieces by Bess Lovejoy, there are a lot worse things you could lose.
It's a fact: Everybody dies at one time or another, but "some of the most notable lives in history have had surprising postscripts."
The bodies to which those lives were attached had more adventure in death than they perhaps had in life; they've been "bought and sold, studied, collected, stolen and dissected …"
Take, for instance, the guy who inspired the legend of Santa Claus. Yes, Saint Nicholas was a real person with a real body that's been fought over since Nick died 1,600 years ago. He began his end in Turkey and now lies in Bari, Italy.
Or Venice. Maybe both.
Deceased Swedish scientist Emanuel Swedenborg lost his head to someone who wanted to study bumps on his noggin.
One of Joseph Haydn's friends took Haydn's head as a memento, while Beethoven's doctor stole bones from the composer's inner ear.
Einstein got to keep his head, but his brain went on an extended road trip from New Jersey to the Midwest and back.
Even ashes make splashes: Hunter S. Thompson's cre-mains went up with a pop, while Timothy Leary's went out of this world, along with Gene Rodenberry's. Joan of Arc's ashes were probably just thrown in the Seine.
Mary Shelley kept her husband's heart. Alistair Cooke's cancerous bones were illegally used for organ donation. Elvis' body may have been the target of grave robbers (or it may've been a publicity stunt).
Edgar Allen Poe's death and his gravesite both hold mystery. Lee Harvey Oswald's body is in the right grave, but authorities are "not so sure about the head."
And Napoleon Bonaparte wasn't as short as history claimed – but the same can't be said for his, um, appendage.
Informative, lively and rather macabre in a fun way, Rest in Pieces is one of those books that makes you call your friends on the phone just so you can say, "Hey, listen to this!"
You won't be able to help yourself. You'll have to share.
That's because author Bess Lovejoy has filled this volume with little-known information on the bodies of the well known and what happened to them.
Some of the stories are a little squirmy, yes, but it's hard not to be fascinated by what you'll read – all of which makes for an unusual history book that will also appeal to lovers of the odd.
If you're in the mood for something interesting and loaded with quirk, I really think that this is a book you should dig up. For you, missing Rest in Pieces would be a grave mistake.
Terri Schlichenmeyer has been reading since she was three years old and never goes anywhere without a book. She lives on a hill in Wisconsin with two dogs and 11,000 books. Readers with questions or comments may write to Terri in care of this publication.
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