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Hi. I'm Deb. I love reading and am so excited to be a part of the team here. I developed my passion for reading romances ten years ago and haven't looked back since. I take my Kindle everywhere and am always on the lookout for a new book to read. Regency romances are a favourite of mine, but I'm equally as happy reading about the rugged mountains of Montana and a handsome cowboy or two.
I'm mother to two boys and wife to a very supportive man, who often feeds my addiction for reading romances. I love cinema and am a huge fan of anything that makes me cry or scream. I'm addicted to coffee, love chocolate and enjoy photography in my spare time.
Romance at the Royal Menagerie by Ruth J. Hartman
The 30 Day Sub by Alaska Angelini
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From Destination:
0.92m / 1.48km
Rates From:
171 Fraser Street,
Riviere-Du-Loup, QC, G5R 1E2, Canada
Phone: 418/862-6927
The Health Spa & Nordic Spa at this Riviere-Du-Loup hotel ensures guests are pampered and spoiled throughout their stay. Indulge in the offerings of the Health Care Center Estuary whether taking care of business or in town on a romantic getaway.... More
Experience the discovery of the senses in contemplating the beautiful St. Lawrence River
|Hot Tub
|High Speed Internet
|Restaurant Onsite
From Destination:
65.71m / 105.79km
Rates From:
280 Boul Hebert,
Edmundston, NB, E3V 0A3, Canada
Phone: 506-739-0000
Welcome to BEST WESTERN PLUS Edmundston Hotel! Explore the nearby Botanical Gardens for a relaxing afternoon, just moments away from our Edmundston hotel. With the College Communautaire du Nouveau-Brunswick and the University of Moncton, Campus... More
Located close to the University of Moncton and CCNB and major restaurants.
|Complimentary Breakfast
|Hot Tub
|Fitness Center
|High Speed Internet
From Destination:
99.6m / 160.36km
Rates From:
187 Ouellette Street,
Grand Falls, NB, E3Z 3E8, Canada
Phone: 506/473-6200
Come and discover the sights of Eastern Canada while staying at this comfortable, newly built Grand Falls, New Brunswick Hotel. The BEST WESTERN PLUS Grand-Sault Hotel & Suites is the perfect place for vacationing families and business travelers.... More
Award winning comp hot brkfast buffet, salt water pool and hot tub. Close to shopping and restaurants.
|Complimentary Breakfast
|Hot Tub
|Pets Allowed
|Fitness Center
|High Speed Internet
* Rates are based on selected occupancy and dates. Rates may change depending upon final dates, room type, and guest occupancy.

subset: commoncrawl


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Asbestos-Related Disease
Background: Asbestos is a naturally occurring fibrous silicate that was widely used in the past for commercial applications because of its heat-resistance properties. Asbestos exists in several forms. The 2 primary groups of asbestos comprise amphibole and serpentine fibers. Amphibole fibers, which are characteristically straight, rigid, and needlelike, can be subdivided into commercial amphiboles (crocidolite, blue asbestos, and amosite, or brown asbestos) and noncommercial amphiboles (actinolite, anthophyllite, and tremolite). Chrysotile (white asbestos) is the only form of serpentine asbestos that is used commercially, and it accounts for more than 90% of asbestos used in the United States.
For the most part, asbestos exposure has been industrial or occupational and primarily affects workers involved in mining or processing asbestos or those involved in the use of asbestos in the shipbuilding, construction, and textile- and insulation-manufacturing industries. Chrysotile is mined in Canada, and tremolite and anthophyllite are mined in Finland and North America. Crocidolite and amosite are mined in South Africa and Australia. About 2-6 million people in the United States are estimated to have had significant levels of exposure.
High exposures ceased in the United States in the late 1970s, and later in the United Kingdom, because of governmental legislation passed after the adverse effects became recognized. However, because the latency period between an initial exposure and the development of most asbestos-related disease is 20 years or longer, asbestos-related disease remains an important public health issue.
The spectrum of asbestos-related thoracic diseases includes benign pleural effusion, pleural plaques, diffuse pleural thickening, rounded atelectasis, asbestosis, mesothelioma, and lung cancer.
Asbestosis is defined as diffuse lung fibrosis due to the inhalation of asbestos fibers, and it is one of the major causes of occupationally related lung damage. Mesothelioma is a malignant pleural or peritoneal tumor that rarely occurs in patients who have not been exposed to asbestos.
The diagnostic approach to asbestos-related intrathoracic disease is different from that of other diffuse lung diseases because of the medicolegal implications. The likelihood of asbestos-related disease should be determined, and other possible causes should be eliminated. An assessment of the extent of disease is used to calculate compensation. Therefore, imaging plays a pivotal role in the diagnosis and management of asbestos-related disease.
Physical properties of asbestos fibers
Evidence regarding the relative importance of the different physical properties of the asbestos types in causing disease is conflicting. Certainly, fine fibers are more pathogenic than thick fibers. Fibers of 5 mm or more in diameter tend to become deposited in larger airways, in which they are effectively cleared through mucociliary action. In comparison, fibers that are more slender tend to be deposited in small airways or airspaces, from which only a proportion of them are cleared.
The effect of fiber length is less certain, but straight fibers that are approximately 5-20 mm long, such as crocidolite fibers, are not cleared as effectively as others are, and they can cause intense inflammation and fibrogenic changes within the interstitium. Conversely, chrysotile fibers are flexible, they usually do not fragment, and they are longer than 100 mm; therefore, they tend to be deposited in major airways, from which they are cleared to a large extent.
Despite differences in their physical properties, all types of asbestos fibers are fibrogenic. However, crocidolite is the most carcinogenic.
The pleura are more sensitive than pulmonary parenchyma to the effects of the fibers. Thus, pleural plaques develop after low, intermittent exposure, whereas asbestosis is associated with cumulative, high-level, long-term, continuous exposure in association with a definite dose-effect relationship. Nonmanual workers in industries involving asbestos, inhabitants of areas immediately surrounding asbestos mills, and families of asbestos workers have an increased incidence of mesothelioma. However, even with significant industrial exposure, asbestosis is unusual.
Pleural plaques are the most common manifestation of asbestos exposure, occurring after a latent period of approximately 20-40 years. A history of exposure can be elicited in more than 80% of patients. Histologically, pleural plaques consist of acellular collagen bundles that form a basket-weave pattern, which almost exclusively involves the parietal pleura. The plaques may contain chrysotile asbestos fibers.
The precise pathogenesis of pleural plaques remains undetermined. That they were caused by the mechanical effect of asbestos fibers piercing the visceral pleura (the scratching theory) was assumed. Currently, however, the fibers are believed to be transported to the parietal pleura via lymphatic channels, where they incite an inflammatory response. Plaques slowly grow over time, even after cessation of exposure, but they are not considered premalignant.
Calcification occurs later, often 30-40 years following exposure. Pleural plaques tend to occur in isolation without any other manifestations of asbestos-related disease; however, the converse is not true. Asbestosis is rarely seen in the absence of plaques.
Diffuse pleural thickening is less specific for asbestos exposure than the presence of pleural plaques, since thickening also may be seen following TB pleuritis, hemothorax and empyema. Usually, the latent period is approximately 15 years. The pathogenesis is unclear, but it is believed to be due to inflammation and fibrosis of the visceral pleural lymphatics, and it has been considered to be an extension of parenchymal fibrosis. Histologically, the appearances are similar, although in diffuse pleural thickening, fusion of the visceral and parietal layers and asbestos bodies (which are absent in pleural plaques) is profuse. Development of diffuse pleural thickening has a similar time line as plaque formation.
Benign asbestos-related pleural effusions are often the earliest manifestation of asbestos-related disease, typically occurring within 10 years of exposure. The effusions are exudative. Occasionally, they are hemorrhagic, but otherwise, their features are nonspecific. Effusions tend to be self-limiting, with a duration of a few months, but they can be chronic or recurrent. Diffuse pleural thickening not uncommonly develops following resolution of the effusion.
Fibers not cleared by mucociliary action are believed to be transported into the interstitium, where they form aggregates, usually at the level of the respiratory bronchiole. Research results suggest that the fibers stimulate the release of a collagenase inhibitor–like protein that locally disturbs the balance of collagen turnover, resulting in fibrogenic changes within the interstitium.
Asbestosis is usually seen when levels reach 10 million asbestos fibers per gram of pulmonary tissue. Asbestosis characteristically occurs following a latent period of 15-20 years, with a progression of disease even after exposure has ceased. Fibrosis first arises in and around the respiratory bronchioles, predominating in the subpleural portions of the lung in the lower lobes. This progresses to involve the alveolar walls, eventually causing honeycombing in a minority of patients.
Folded lung (also termed round atelectasis, pulmonary pseudotumor, or Blesovsky syndrome) specifically refers to an area of atelectatic lung adjacent to pleural thickening, with characteristic in-drawing of bronchi and vessels. Blesovsky first reported folded lung in 1966. Although folded lung is strongly associated with asbestos exposure, it may also be seen as a consequence of any inflammatory or infective organizing pleural exudate.
The presence of the effusion has been postulated to cause passive atelectasis, with infolding of the lung resulting in invagination of the adjacent pleura. This process causes tethering, which prevents reexpansion of the lung upon resolution of the effusion and which causes round atelectasis. A more accepted alternative explanation is that an insult to the pleura leads to localized inflammation and fibrosis, which results in volume loss and buckling of the underlying lung. Interestingly, the changes have been shown to resolve after decortication. The lingula is the most common site, followed by the middle and then the lower lobes, although lesions may be multiple and bilateral.
Malignant pleural mesothelioma is a rare neoplasm, accounting for less than 5% of pleural malignancies. Malignant pleural mesothelioma is strongly associated with asbestos exposure, particularly crocidolite exposure, although the association does not appear to be dose-related because significant numbers of cases occur after trivial environmental or household exposure. No relevant history of any asbestos exposure is found in 20% of patients. The disease is frequently seen in the absence of any other manifestations of asbestos exposure and usually develops after a long latent period of 35-40 years.
Mesothelioma is 80% pleural and 20% peritoneal in origin. Pleural effusions are not a precursor of mesothelioma, but they often antedate development of malignancy. A confident diagnosis is often difficult to make and usually requires ultrastructural analysis and histochemical and immunohistochemical tests. Histologically, 3 forms of malignant mesothelioma are recognized: epithelial, mixed, and sarcomatous or mesenchymal. These must be differentiated from mesothelial hyperplasia and metastatic adenocarcinoma. The most common histologic subtype is epithelial, accounting for 50% of cases.
Bronchogenic carcinoma is estimated to develop in 20-25% of heavily exposed asbestos workers. Smoking has a cumulative effect, further increasing the risk of lung cancer to a factor of 90 versus a factor of 5 in exposed nonsmokers. Often, asbestos-related interstitial disease is associated; however, no correlation exists between the severity of asbestosis and the development of lung cancer. Furthermore, lung cancer has been reported in individuals without interstitial lung disease who are exposed to asbestos. A latency period of 25-35 years is usual. Histologically, the predominant subtype is bronchoalveolar cell carcinoma, but adenocarcinoma and squamous cell carcinoma also occur.
Associations between asbestos exposure and other cancers have been reported anecdotally. Carcinomas of the larynx, esophagus, stomach, colon, and a variety of lymphoid malignancies have been described.
Mortality/Morbidity: After the onset of symptoms, severe asbestosis may lead to respiratory failure and death over 12-24 years. Respiratory failure may be accelerated by the development of Caplan syndrome; pulmonary hypertension; or malignancy, including lung cancer or mesothelioma.
No treatment for asbestosis is effective. The primary strategy is prevention, with the worldwide elimination of asbestos use and with the replacement of asbestos by safe synthetic products.
Mesothelioma tends to appear late and is usually associated with an extremely poor prognosis. The median survival is 10 months or less, and most patients die within 2 years.
Race: No race predilection exists for asbestos-related disease.
Sex: Mesothelioma has a male-to-female ratio of approximately 4:1. Asbestos-related disease in women is uncommon and usually confined to spouses of industrial workers and secretarial and domestic staff working in asbestos industries.
Age: A minimum latency period of 8-10 years is required for an asbestos-related pleural effusion to develop; this is usually the earliest manifestation of asbestos-related disease. Similarly, a latency period of more than 20 years is required for the development of asbestosis. As a result, most patients with asbestos-related disease are older than 40 years.
Mesothelioma usually is seen after a longer latency period, with most patients in the sixth-to-eighth decades of life.
Clinical Details:
International staging system for malignant mesothelioma is as follows:
Preferred Examination: HRCT is playing an increasingly important role in the diagnosis of diffuse interstitial lung disease. However, chest radiography remains the initial modality for the detection and characterization of pleural and parenchymal disease. Ultrasonography has a role in characterizing pleural effusions and guiding pleural aspiration and biopsy. Nuclear medicine study has a limited role in the investigation of asbestos-related intrathoracic disease. Gallium-67 citrate testing has been used to differentiate benign from malignant asbestos-related pleural disease and to give a quantitative index of inflammatory activity.
Limitations of Techniques: The limitations of chest radiography in the diagnosis and evaluation of asbestos-related disease are well recognized. The quality of the radiograph and the size, shape, position, and degree of calcification determine whether the radiologist can detect pleural plaques on the image. While the identification of bilateral scattered calcified costal and diaphragmatic pleural plaques is virtually diagnostic of asbestos exposure, studies have shown an 11% false-positive rate with chest radiographs. In particular, extrapleural fat mimics pleural thickening and is a significant cause of false-positive readings. Conversely, a high false-negative rate has also been reported.
CT scans has long been known to be more sensitive and specific than chest radiographs for the diagnosis of asbestos-related pleural disease.
Radiographic-pathologic studies have shown that chest radiographic findings are normal in as many as 20% of patients with asbestosis. HRCT is more sensitive and specific than other studies, particularly when images are obtained with the patient in the prone position, which allows differentiation of mild parenchymal changes from dependent density (increased attenuation of the posterior, usually basal, lung, which is gravity induced and secondary to nonaeration of dependent alveoli).
Nuclear medicine studies have been used in small series, and their exact role remains unclear.
Rib fractures
Causes of diffuse pleural thickening
Degree of Confidence: The presence of bilateral calcified pleural plaques can be considered diagnostic of asbestos exposure.
Unfortunately, the value of chest radiography is limited. Reviewing a series of 200 radiographs, Epstein et al have found that images in 18% of the patients showed small opacities. This finding was consistent with pneumoconiosis, according to the International Labour Office (ILO) classification. Of these patients, 61% had no known occupational exposure to asbestos. Furthermore, as many as 20% of patients with histologically proven asbestos-related lung disease have normal chest radiographic findings, and 80% of patients with radiographic findings of mild disease have histologic results of moderate or severe fibrosis.
The extent of malignant mesothelioma frequently is underestimated with chest radiography.
False Positives/Negatives: False-positive, false-negative, and interobserver variability rates are relatively high when chest radiographs are evaluated for pleural plaques. Prominent subpleural fat or normal rib companion shadows may mimic focal or diffuse pleural thickening, leading to false-positive diagnoses in as many as 20% of patients.
Plaques may be difficult to differentiate from diffuse pleural thickening radiographically. However, plaques usually spare the costophrenic angles and apices and rarely extend over more than 4 rib interspaces, while diffuse pleural thickening rarely calcifies and is usually more irregular and ill defined.
Extensive pleural calcification usually suggests other etiologies, such as talc exposure, hemothorax, empyema, and therapeutic pneumothorax. However, bilateral diaphragmatic calcification with costophrenic angle sparing is considered pathognomonic for asbestos-related disease.
The differential diagnosis of predominantly basal subpleural fibrosis includes idiopathic pulmonary fibrosis (cryptogenic fibrosing alveolitis or usual interstitial pneumonitis), drug reactions, and connective tissue diseases.
The most important differential diagnosis of round atelectasis is bronchogenic carcinoma. Biopsy may be necessary. Round atelectasis is not specific for asbestos exposure and may be preceded by pulmonary infarction, Dressler syndrome, heart failure, and nonspecific pleural effusions.
No definite evidence links benign asbestos-related pleural effusion to the development of malignant mesothelioma; however, malignant mesothelioma is an important differential diagnosis for benign asbestos-related effusion. Specific criteria for the diagnosis of a benign asbestos-related effusion include (1) a history of asbestos exposure, (2) the elimination of other etiologies of an effusion, and (3) the absence of malignancy for 3 years after the onset of the effusion. Although benign asbestos-related effusion and mesothelioma are both related to asbestos exposure, effusion tends to occur earlier than mesothelioma, with an onset approximately 10 years after exposure versus approximately 20-40 years.
Findings: CT has been established as the criterion standard in the evaluation of pleural disease. Recent developments in HRCT have made it an invaluable tool in the assessment of asbestosis. Scanning the patient in both the prone and supine positions increases sensitivity and specificity.
Degree of Confidence: Compared with radiographs, CT scans are more sensitive and specific for the detection of diffuse pleural thickening than chest radiographs. Furthermore, interobserver agreement in assessing pleural disease is greater with CT than with chest radiography.
The positive predictive value of chest radiographic findings for the diagnosis of pleural disease in asbestos-exposed individuals is reported to be 79% compared with 100% for HRCT findings.
HRCT scans can depict subtle parenchymal abnormalities in approximately 33% of patients with asbestos-related disease is cases with no chest radiographic evidence of interstitial disease and isolated borderline diminished lung capacity. However, no HRCT finding is specific for asbestosis. Thus, while HRCT is more sensitive than chest radiography for the diagnosis of asbestos-related disease, its specificity has been questioned.
The diagnosis is based on a combination of features, including bilateral pulmonary fibrosis and bilateral pleural plaques or diffuse pleural thickening in an individual with an appropriate history of exposure. The specificity of the diagnosis increases with the number of features identified; however, while asbestosis rarely occurs in the absence of plaques, plaques are not invariably present.
A small study correlating HRCT features and histopathologic findings revealed the presence of interstitial lines (84%), parenchymal bands (76%), architectural distortion (56%), subpleural lines (44%), and honeycombing (32%) in patients with proven asbestos-related lung disease. The specificity increased from 60% in patients in whom 1 feature was identified, to 80% with 2 features and 100% with 3 or more features.
In addition, HRCT is valuable in excluding disease in individuals with equivocal chest radiographic findings. CT is of value in differentiating benign disease from malignant pleural disease. The presence of a contiguous sheet or pleural rind, pleural nodularity, and thickening greater than 1 cm and the involvement of mediastinal pleura are regarded as suggestive of malignancy. However, case reports also report a variant of asbestos-related diffuse pleural thickening that appears nodular and that is radiologically indistinguishable from mesothelioma. In equivocal cases, biopsy is recommended.
False Positives/Negatives: Normal extrapleural fat can be seen on HRCT scans internal to the ribs, particularly posterolaterally from the fourth-to-eighth ribs extending into the costophrenic angles. Fat can be several millimeters thick. Fat may be difficult to distinguish from pleural plaques or thickening, particularly when extended window settings are used, but it is more easily recognizable on soft tissue window settings because of very low attenuation.
The transversus thoracis and subcostalis muscles, segments of intercostal veins, visceral pleural thickening, and confluent subpleural nodules (pseudoplaques) mimic pleural thickening. The transversus thoracis and subcostalis muscles usually are smooth, of uniform thickness, and are symmetric bilaterally. The subcostalis muscle is present only in a minority of individuals and is seen as 1- to 2-mm-thick lines internal to 1 or more lower ribs. The transversus thoracis muscle is almost always visible internal to the costochondral junctions anterior to the heart and adjacent to the sternum.
Intercostal vessels are seen commonly in the paravertebral regions and may cause spurious appearances of focal pleural thickening. Intercostal vessels can occasionally be traced to the azygos or hemiazygos veins; this observation allows the correct interpretation of the findings. Moreover, extrapleural fat should be visible between the vessel and the pleura, and when the images are read on the lung window setting, intercostal segments do not indent adjacent lung, while pleural plaques invariably indent. Furthermore, pleural plaques usually are visible over several contiguous intercostal segments and may contain calcification.
Bilateral calcified pleural plaques are usually considered asbestos related, although rare causes, such as radiation exposure, hyperparathyroidism, pulmonary infarction, and pancreatitis, have been reported. Unilateral pleural calcification rarely is related to asbestos exposure and should prompt consideration of old tuberculosis, empyema, or hemothorax. Unilateral noncalcified pleural plaques also are rare in asbestos-related disease.
Coal miner's pneumoconiosis, silicoses, and sarcoidosis occasionally can give rise to confluent subpleural nodules (pseudoplaques) that may mimic pleural plaques; however, these are associated with pulmonary nodules rather than pulmonary fibrosis. Interstitial fibrosis seen in asbestosis is indistinguishable from idiopathic pulmonary fibrosis at radiographic, HRCT, and pathologic examination; the only distinguishing feature is the presence of asbestos bodies.
In most patients, CT appearances of round atelectasis are sufficiently characteristic to obviate intervention; however, differentiating benign fibrotic masses from bronchial carcinoma is essential, and some patients require close follow-up monitoring or biopsy. Although bronchial neoplasms can opacify to some degree after the intravenous administration of contrast material, uniform enhancement has not been reported as a feature of lung cancer. On radiographs, malignant mesothelioma cannot be reliably distinguished from pleural metastases resulting from an adenocarcinoma. Focal mesothelioma may be mistaken for a benign fibrous tumor.
Findings: The role of MRI in the diagnosis of interstitial lung disease has not been established, and no consistent pattern of signal intensity has been described for round atelectasis. However, MRI has a complementary role in the evaluation of pleural effusions and mesothelioma.
Mesothelioma typically shows high signal intensity on T1-weighted images and moderately high signal intensity on T2-weighted images.
Degree of Confidence: MRI and CT scanning have been shown to be similar in terms of their accuracy in the diagnosis of malignant mesothelioma, although MRI is superior to CT in depicting isolated foci of chest wall and diaphragmatic invasion. However, this difference has not been shown to confer any benefit in terms of overall staging.
MRI provides a certain advantage because the thorax can be directly imaged in various planes. The normal pleural space cannot be depicted by using current MRI techniques. T2-weighted sequences may offer tissue-specific information concerning pleural effusions and chest wall invasion by malignant processes because of increased tumor-to-muscle contrast.
Findings: Ultrasonography is useful in characterizing pleural effusions and evaluating pleural thickening or masses. Ultrasonography also facilitates image-guided pleural intervention.
Sonography has also been used to help evaluate round atelectasis. It has been shown to reliably demonstrate both the mass and adjacent pleural thickening. The presence of a highly echogenic line within the mass, which represents invaginated fibrotic pleura, is described as a useful ancillary finding, one seen in 86% of patients.
Findings: Lung uptake of 67Ga has been used to create a quantitative index of inflammatory activity in patients with asbestosis. Combined with evidence of serum markers indicating inflammation-associated pulmonary collagen formation, these findings may provide a clinically useful algorithmic approach permitting an early diagnosis of asbestosis. Single photon-emission computed tomography (SPECT) improves the sensitivity for detecting the presence and extent of interstitial occupational lung disease.
67Ga study has also been used to differentiate malignant from asbestos-related pleural disease. Although studies in 86% of patients with asbestos-related mesothelioma show radionuclide uptake, only 19% of patients with benign asbestos effusions have positive findings.
Positron emission tomography with [fluorine 18]-fluoro-2-deoxy-D-glucose has been suggested to aid in the differentiation of round atelectasis from bronchogenic carcinoma. To date, limited studies have shown round atelectasis to be metabolically inactive.
Degree of Confidence: Although experience is limited, the combination of HRCT, 67Ga scanning, and inflammatory serum marker testing may allow for an earlier diagnosis of asbestosis.
False Positives/Negatives: Mesothelioma unrelated to asbestos exposure is also known to give rise to positive findings on 67Ga scans.
Intervention: No treatment for asbestosis is effective. The primary strategy is prevention, with the worldwide elimination of asbestos use and with the replacement of asbestos by safe synthetic products.
Image-guided pleural thoracentesis or pleural biopsy is occasionally required for the further evaluation of pleural effusions and masses.
Symptomatic patients with malignant pleural effusions may initially be treated by means of therapeutic aspiration or drainage; however, effusions tend to recur and often require pleurodesis. Pleurectomy is considered only if the prognosis is otherwise good. Percutaneous biopsy is occasionally required to differentiate round atelectasis from bronchogenic carcinoma. Asbestos bodies have been identified in fine-needle aspirates from round atelectasis.
A theoretical risk exists of seeding tumor cells along the needle track after biopsy of suggested malignant mesothelioma. Some centers advocate prophylactic radiation therapy at the biopsy site, which should be marked with India ink immediately after the procedure.
Medical/Legal Pitfalls:


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The Eye of the Storm -- Trailer for The Eye of the Storm
Eye of the Storm -- Stuck in a house, surrounded by Zombies, the survivors must trust the one man who can save them.
The Finder: Season 1: Episode 7 -- Walter weathers a storm to find a missing girl.
The Eye of the Storm -- Elizabeth Hunter controls all in her life - society, her staff, her children; but the once great beauty will now determine her most defiant act as she chooses her time to die.
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See that smiling, cartoon face above? It's my attempt at creating an avatar so you'll get an idea of the man on the other side of the computer screen. It doesn't exactly look like me but it was the best I could do with the choices I had available. (For example, I have really tiny ears.) You can make one for yourself at www.faceyourmanga.it.
As for the music, there is a bit of a backlog in the underrated music pipeline. (The backlog actually existed when I first started the website back in September of last year because I have so much music I want to share with you.) When you add the many wonderful recommendations from other people, the backlog gets even bigger. But don't worry, I'll eventually get them up on the website so you can enjoy them as much as I have.
When we were in need to print out some really large custom order for our company we didnt knew where to go, but then our friend told us about Flexography ,not sure I spelt that correct? and from that day we bought our very first own flexo printing machine and now it has been breeze to print out new customer covers!
All four of the CDs below were supposed to be on the website weeks ago. Jason Mraz's CD was supposed to be part of the "Boys! Boys! Boys!" recommendations until Elisabeth Withers's voice chirped up and commanded my attention with "The World Ain't Ready." Now Mraz is finally making an appearance here and you'll see why I've been playing him (and the other three CDs) so much. They're all worth the wait.
By the way, thanks so much for using the Feedback button to tell me about your favorite music. That's what it's for…well, one of the reason. And I'm grateful you're using it. I'm enjoying alot of the music so you can be sure I will be recommending them to you soon.
For now, check out the great music below.
If the music player does not appear at the top of the panel, download Adobe Flash Player.
To move to the next or previous music track, use the green triangles.
Jason Mraz – We Sing, We Dance, We Steal Things – Alternative Pop
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Jason Mraz
PRESS THE PLAY BUTTON (triangle) TO HEAR FIVE TRACKS FROM THIS CD.
We Sing, We Dance, We Steal Things is the third full-length release from this incredibly talented singer/songwriter/guitarist from Virginia. His style of music is generally described as "blue-eyed soul" but you can easily see the many other influences in his music…from acoustic guitar/folk to funky R&B horns, to catchy pop melodies to hip-hop lyrical phrasing. It all comes together to make Jason Mraz a unique artistic gift.
Jason Mraz moved from Virginia to New York to attend the American Musical and Dramatic Academy but dropped out after a year. He eventually moved to San Diego and quickly became a favorite at a local coffeehouse. He's been at it for a long time and the dedication to his art clearly shows in his clever and intelligent lyrics, his vocal style and his willingness to embrace and challenge his uniqueness, instead of attempting to fit the molds created by more popular artists.
As you hear his voice skateboard over tightly-constructed grooves, you'll appreciate just how special he is.
Jason Mraz – We Sing. We Dance. We Steal Things
Duffy – Rockferry – Soul
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PRESS THE PLAY BUTTON (triangle) TO HEAR FOUR TRACKS FROM THIS CD.
Everything old is new again. The sounds of the 60s are once again making a comeback and noone does it better than Duffy (born Aimeé Ann Duffy). But, unlike the current crop of throwbacks who attempt to dress today's sound in yesterday's clothing, this Welsh singer cranks up the time machine and drives us back to the fat, bell-bottomed pop-soul sound of that decade. It's the good stuff. I cannot find enough words to adequately express how much I love this CD. From beginning to end, Duffy's melodious voice gives you your money's worth and more. It's absolutely amazing.
She's frequently compared to Amy Winehouse. And though Winehouse sounds more believable at times (especially in her expression of pain), the superior quality of Duffy's voice and CD makes Winehouse seem more like a singer playing dress-up after rummaging through Mommie's closet.
I'm grateful her record label let her record a CD that's an expression of who she is and the music she loves instead of attempting to fashion her into the next Britney. (No disrespect intended. I actually like Britney.) Now break out your tambourines and ease into this one.
(Here's an interesting piece of trivia. In the late 1990s, Duffy and her family had to go into police protective custody when it was discovered that the ex-wife of Duffy's stepfather hired someone to murder him.)
Duffy – Rockferry
Halou – Wholeness & Separation – Electronica
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PRESS THE PLAY BUTTON (triangle) TO HEAR FOUR TRACKS FROM THIS CD.
I must admit I'm a little close-minded when it comes to trip-hop. Though my mind allows an artist like Tricky to slip in with a special exemption (there's something incredibly special about his raspy voice), I usually want my trip-hop performed by a female singer….and I usually want the vocals performed on a sweet and sour mashup of lush strings and noisy beats and samples, especially when the resulting tracks have a dark, industrial or ethereal quality to them. Halou is exactly that. They do electronica exactly the way I like it and I can feast on their tracks forever.
Wholeness & Separation is the third full-length album from this husband/wife duo out of California. This is another one of those CD where I like every single track. I particularly enjoy the way the variety of sounds and samples used in their tracks battle for attention…delicate sounds and voices poking their heads from the background battle against powerful (sometimes harsh) sounds that hog the musical spotlight. To enjoy them both, you just have to surrender. If you're a trip-hop fan, Halou will take you on a ride you'll definitely enjoy.
Halou – Wholeness & Separation
Various Artists – Once – Soundtrack/Score
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PRESS THE PLAY BUTTON (triangle) TO HEAR FOUR TRACKS FROM THIS CD.
Even if you don't like musicals, you'll love this phenomenal underrated movie and the companion soundtrack. You may not even realize it's a musical until you're about halfway through it. It's an engaging romantic story of what happens when two struggling artists find each other. The film stars musicians/singers Glen Hansard and Markéta Irglová (now a real-life couple), who wrote the songs for the film. They also recorded a CD under the group name The Swell Season prior to the making of this movie.
Even if you haven't seen the film, you may recall Hansard and Irglová when they won the Oscar for Best Original Song. The telecast cut to commercials before Irglová was able to thank anyone. When the commercials ended, Jon Stewart had her return to the stage so she could give her thanks.
Both of these singers sing with an intensity that will instantly penetrate your heart. Hansard, with his fiery vocals that can singe your eyebrows and Irglová, with a vulnerability that makes you want to protect her from all the evils of the world. Definitely go out and rent this one today. Then, after the movie, you can enjoy the soundtrack over and over again…like I have.
Glen Hansard & Marketa Irglova – Once (Music from the Motion Picture)


text: 5 Metal Gear - A Legacy ForeverDanielVale | 13/06/2008 | See all DanielVale's reviews (10)Metal Gear Solid, in my opinion, is without a doubt, the best series released on the PlayStation (Resident Evil a close second). Its sheer perfection. From the first Metal Gear Solid released on the PS, I was hooked. Poetry in motion if you want to call it that. Me and one of my best mates, played the original round his house, just amazed of how good the graphics were, how much attention to detail there was, and how gripping the storyline was. If you have played all of the Metal Gears, then you will know exactly what I mean when I say Metal Gear Solid 4, brings the whole series together so brilliantly. Nostalgic!MGS2 was abit of a snack game, it was great, but really you just couldn't forget about Meryl, Noami and many more great characters from the first installment. MGS3 was pretty much a prequel. Setting up the past, for the future, and filling in the gaps about the lead up to Solid Snake, his history, and thus; his future.People picking up MGS4 will be confused, theres no two ways about it. You NEED to have played the first 3 games to REALLY get to grips with the storyline. This is probably the only downside to this game - but if you love MGS as much as I do, you really are in for a treat. Old characters, new characters, extremely dark and twisted enemies; and a few moments of "I'm touching cloth now" is to be expected!Hands down. This is the BEST game I have EVER played. Its actually made me weep at night, stay up late till silly-o-clock and have dreams about playing MGS in my sleep. The graphics are simply top-notch, the gameplay is astonishingly realistic, the number of hours you can rack up on this are endless and the fun factor hits well above the 100% mark. Hideo Kojima is a sheer legend - and I thank him for giving us Playstation gamers, a game that we can rightly call our own. Every cut scene, every moment, every rifle shot, every enemy you come across; is just unreal. Untouchable.This review probably sounds really biased and prententious, but I couldn't care less. This game is a MUST OWN game. If you don't have this in your collection, and you haven't played the original MGS games before, you just simply MUST have it. Hideo has made us MGS fans wait a good 10 years now for what I can say, is the REAL sequel to MGS1.This game isn't just a gimmick for the PS3. Its pure gaming at its best. A cinema epic. A legacy. Metal Gear Solid 4: Guns of the Patriots - in my opinion; will be best game on the PS3 for a very very long time, if not, forever.


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One of our largest signature towers, each box has been filled to the brim with one of our favorite snacking indulgences. A wonderful gourmet gift to celebrate any special occasion!
Gift Includes:
- Jelly Belly Jelly Beans
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Measures 18" H.Gift #17632
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Aaron Bell Roasted AlmondsLiven up snack time with seasoned almonds! Dusted in a piquant blend of seasoning and spice for an irresistible treat. Two included, 1.5 oz each
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Warm Celebration Gift Tower has been purchased most frequently by our customers for the following occasions:
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the recipients were very pleased and thought it was beautiful. They loved the boxes and plan to use them after the contents are gone.
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Great display of delivery. Snacking great for all palates and the boxes can be used again! Delivery estimate was right on time. Very pleased and would use this company for other occasions.
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This is the second time I have sent a gift tower to a family member and both times they were awesome. Well packaged and presented, arrived on time, and the contents were just right!


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I'm not sure exactly what attracted me to the frozen arctic to hunt muskox. There are certainly easier animals and places to hunt. I guess it was the allure of the unknown.
I booked a spring 2008 hunt with Fred and Martin Webb who were highly recommended by bowhunting acquaintances. My goal was to harvest a record book muskox, and the Webbs' area in Kugluktuk, Nunavut (northern Canada), is known for producing the largest in the books.
I initially planned to hunt only barren ground muskox on my arctic adventure, but later decided to hunt Greenland muskox (different subspecies) as well. It's a long way from Texas to Nunavut, so I figured I might as well make the most of the trip.
Due to logistics and the incredibly cold temperatures expected in March, it took more preparation than other hunts. I purchased special clothing and boots to protect me from temperatures that would dip to 50 below zero.
I carried two Mathews bows with me, both in top condition that I shot at least 30 arrows from every day for months. I practiced shooting in the gloves, head cover and heavy clothing that I planned to wear. I discovered that when the time came to make a shot, I'd first have to shed the big parka. It would keep me warm, but it was like wearing a space suit and made shooting a bow difficult. With it on, I looked like the Michelin man.
The first day of air travel, I met Daryll Southwick from Colorado and Phil Gaines from California in Edmonton. From there, we traveled together to Yellowknife, spent the night, and then flew to Kugluktuk, where Fred and Martin were waiting. We left there and went to their house to get our licenses and tags and to sort our gear.
My guides were Charlie and George. I would hunt first on Victoria Island for Greenland or 'white face' muskox, a smaller cousin of the barren ground muskox. The mode of transportation for the hunt would be a wooden sled pulled behind a snow machine.
It is an understatement to say that riding in the sled was rough. Imagine being pulled on a tube or board behind a boat in choppy water; now imagine that the water is frozen solid. There were times when I thought my tail bone hit me in the chin.
The trip from Kugluktuk across Coronation Gulf to Victoria Island was 132 miles each way, not including the distance traveled while hunting on the island. After more than four hours of travel (about halfway there), visibility deteriorated. The guides found a suitable place to set up a tent and camp for the night.
Caribou hides were placed on the ice under our sleeping pad and bag. I crawled into the sack early the first night to get warm. I fell asleep while the guides were still awake and the stove was keeping the inside of the tent warm. When I woke up an hour or so later, my face numb, I realized that going to sleep with my bare head exposed was a mistake. It didn't take me long to put on a stocking cap and get my noggin in the bag.
Despite a little weather delay the next morning, we reached Victoria Island by midday. During the trip, we stopped every hour or so to stretch and have coffee, tea, hot chocolate or bullion to warm up (a relative term). The temperature was colder than it was in Kugluktuk, since we were 150 miles farther north. It was at least minus 35 degrees with a chill factor approaching 60 below zero.
Once on Victoria Island, we found a couple of herds of muskox. I could only judge one muskox relative to another, so I really didn't know how good the biggest bull in the herd was. But one sure looked good enough to take. I peeled off my big parka and mitts in preparation for a shot and stalked up to within 33 yards of the bull. It finally turned from facing me to pretty much broadside, a slam dunk at that distance.
I drew my bow, settled my 30-yard pin a little high behind its left shoulder and triggered my release. But the arrow didn't go anywhere.
As I looked at my hand and release in disbelief, the string came off the release and the arrow flew at least 20 feet over the muskox.
I was a little panicked, but I figured the delay was just a fluke. However, the same thing happened when I tried again. Except the second arrow flew low and left and hit the bull in the front leg. That really shook me up; my confidence in my equipment plummeted. It hit rock bottom when I tried to nock another arrow and saw that my rest had broken off.
I was sick as I stood there with a practically useless bow in the presence of an injured muskox. For some reason, the bull stood there. If it hadn't had an arrow in its leg, it would have probably been amused. In reality, it was pretty upset. It stared at me, pawing the ground.
Still being determined to arrow the bull and being less cautious than advisable, I walked up inside 15 yards and tried to shoot without a rest.
That didn't work well at all. I shot under the bull, which was enough to send it packing.
By that time, my fingers were frozen to the point I thought they would never thaw or bend. I briefly considered stopping right there and camping for the night; regrouping to get warm and fix my bow. Ethically, however, I felt I needed to finish things as quickly as possible.
My backup bow was at least 16 hours away in Kugluktuk. In retrospect, it was a pretty dumb move to lug a second bow all the way from Texas and then leave it where it was of no use to me. So all things considered, I decided that the thing to do was harvest the muskox with Charlie's .223 rifle.
We also had a couple of issues with the rifle. Earlier in the day, the gun had fallen off the sled and was dragged for some distance, packing the end of the barrel with ice. After chipping the ice out of the barrel and removing the bolt, he picked a spot on the ice and looked down the bore and at the cross hairs in the scope and saw that the scope had been knocked off. He made horizontal and vertical adjustments to the scope based on the bore sighting and we took off after the bull.
I approached to within 50 yards of the muskox and dispatched it with the rifle.
I was happy to have taken a nice Greenland muskox. At the same time, I was disappointed with the sequence of events that did not allow me to take the animal with archery tackle. The good news was that we were going back to town the next day and I would have time to repair my broken arrow rest and get my backup bow before embarking on a quest for a barren ground muskox on the mainland.
After congratulations were exchanged, we took pictures of my trophy. The muskox was a beautiful animal with excellent hair and nice horns.
Charlie and George pulled the sleds next to the ox, put up our shelter for the night and lit the Coleman stove in the tent. The wind picked up and it got extremely cold, so this gave us a way to take a break and warm up while skinning.
I didn't have a thermometer that would work, but it was brutally cold. Charlie figured it was 50 below zero before figuring in chill factor. An arctic fox came in to help himself to the carcass that night. I enjoyed watching it.
Fred and Martin had secured a room for me at the Coppermine Inn in town. Daryll and Phil were both back at the hotel after successfully harvesting nice muskox on the mainland. We had an opportunity to exchange stories and look at pictures that evening and over breakfast the next morning.
After cleaning up and reorganizing my gear, I spent a couple of hours that night repairing the arrow rest that broke using duct and electrical tapes. I also reinforced the rest on my other bow in the same way. I was 100 percent confident that I would have no more problems with the rest, but I was still very concerned about the release problem that I really didn't understand.
Charlie, George and I regrouped at Fred's house the next morning and departed in the sled and snow machines, heading east for about three hours to a cabin on the south shore of Coronation Gulf.
The cabin was like a hotel compared to sleeping on the ice in a tent.
The next morning, we took off to hunt what Charlie referred to as "good muskox country."
He was correct; it took only another couple of hours to spot a herd of muskox that consisted of 10 bulls, all good. There were no cows or calves in the bunch. The majority of the bulls were B&C animals. We looked them over and picked out what appeared to be a really old bull.
We were able to get in position so that the closest bull was approximately 35 yards and the bull I wanted to take was 50 yards. I nocked an arrow, put my 50-yard pin behind his shoulder and attempted to release my arrow. The same thing happened as before; the arrow flew harmlessly through the air over the muskox. I knew then that there was no way that the bow string was going to release like it should under those conditions.
The bull walked to the right a little and then turned back around at the same distance. Frustrated but more determined than ever, I again settled my pin just behind the left shoulder and tripped the release. The string again did not release but I held the pin in place and carefully jiggled the release to send the arrow on its way.
The shot strayed a little from where I was aiming, but it still hit the bull in the chest. Fatally hit, the animal fell behind the others as they ran.
After catching up to within 35 yards of the bull, I took another shot with the same release problem. Again, my shot strayed a bit, but it hit the ox in the right hind quarter. Blood immediately poured from the wound, indicating the broadhead had clipped a major artery.
The bull didn't go far and lay down. I walked to within 10 yards and was able to perform the unconventional release one last time and put an arrow through his lungs. He bolted toward me a few yards as I retreated, and then he flipped over backward.
Charlie and George discussed a plan for the rest of the day and decided to put up a small tent and get the stove burning so that we could warm up during the skinning process. We would then try to make it back to the cabin before dark to spend the night. It took about five hours to get everything done and begin the trip back.
The weather had deteriorated to very windy and almost whiteout conditions. I'm sure glad the guides knew where they were going. Under low light conditions in the snow, there is little or no depth perception. It was interesting when I looked up to see that I was passing the snow machine only to realize that we were going down a pretty steep grade.
We arrived back at the cabin just after dark and celebrated by enjoying muskox tenderloin.
I hope that the lessons I learned from my equipment failure will help others considering a trip to the Arctic. The only thing I can figure is that due the extremely cold temperatures, the string was freezing to the hooked jaw on the release.
Maybe string wax on the serving contributed to the problem. The single-caliper release seemed to open fine, but the string just wouldn't come off as designed when at full draw. Perhaps a double-caliper design might have worked better. I had a drawer full of those at home. I wish I'd carried one as a backup, maybe along with a finger tab.
Regarding the rest that broke, I recommend that no part of the rest be plastic. The fall-away feature of the rest I used worked fine. The plastic part that holds the arrow just got brittle in the cold and broke.
Problems aside, I had a great adventure. I feel privileged and very appreciative to have hunted with a quality outfitter and two great guides with a vast knowledge of the area.
-- Reprinted from the September 2009 issue of Buckmasters RACK Magazine.
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4/21/2014 Summer 1 Mailer
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Jet Silver Tube Slide Necklace
Beautifully beaded jet and crystal necklace with silvertone tubes for a sparkling modern statement. Sliding snake chain adds for unique edge.
- Approximately 36" length.
- Sliding closure.
- Adjustable necklace.
- Faceted glass beads. Faceted acrylic and glass stones.
- Imitation rhodium.
- Custom designed exclusively for WHBM. Handcrafted with nickel-free and lead-free metal.
We're so sorry: this item sold out sooner than expected. For an equally stylish substitute, please call our Style Experts at 1.877.948.2525. Or click on Live Help below for immediate assistance.


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|SUMMARY: At last, here's a Case Study that answers the age-old online form design debate: do drop-down boxes work better than type-in answer fields to gather customer info? The data may surprise you. Plus great info on print advertising (that works) from eretailer Y Lighting.
|Enter your email below to join thousands of marketers and get FREE newsletters with practical Case Studies, research and training on email, demand gen, SEO, social media and more, as well as MarketingSherpa updates and promotions.


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John Smedley Mens Black Beanie Hat
- John Smedley Beanie Hat
- 80% Wool 10% Cashmere 10% Silk
- Ribbed Detail
Wrap up warm in style this winter with this Beanie Hat from John Smedley. The ribbed detail is modern and stylish, add some gloves for extra warmth.
Product Code: HANOVER-SMEA-BLK
Rating of Psyche, calculated from over 1300 customer reviews.
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Delivery available from £14.95
We understand that there may be a need to return goods for a refund or exchange, so we have made the process as simple as possible.
We aim to process returned items within 1 working day of receipt of arriving on our premises.
Our site uses the latest 128 bit SSL security, complying with and exceeding all necessary security requirements to protect your details. We do not store any sensitive information (card number, etc).
SSL encrypts your order online to avoid any decoding of that information of anyone other than the necessary processing parties. To check the security of your connection, look at the status bar of your browser window after accessing the website. If you see an unbroken key or a closed lock then, depending upon your browser, SSL is active. You can also double check by looking at the URL line of your browser - while accessing a secure server the first characters of the address will change from HTTP to HTTPS.


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Kingo ROOT 126.96.36.1991
Among the benefits of rooting an Android phone is access to a whole new set of apps that cannot be installed unless the device is unlocked; and these open the door for extended functionality of the phone.
Simple installation, device support
The installation routine is swift and should not pose any trouble to the user as long as the instructions on the screen are followed.
When all the necessary files are on the system all there is left to do is hook the device to the computer and continue with the instruction on the screen to carry out the job. However, a glance at the list of supported devices and Android versions is advisable as it may save you some time.
Although the developer touts support for a large number of devices it may not work on all of them, as it happened during our testing with one phone model.
One-click rooting
One of the first steps to rooting the connected Android device is to enable USB debugging, which is an operation documented in the application for multiple Android versions.
After this there should be little to be done to finish the job as the program runs the unlocking routine unattended.
Rooting risks
As appealing as unlocking the full potential of the phone might sound, there are some risks to take into consideration because the device is no longer functioning in the protected mode defined by the developer for the average user.
As such, care should be taken when tinkering with some settings as these can lead to unpleasant behavior of the phone. Also, apps have access to sensitive areas on the system.
Kingo ROOT is built for the average user that needs a simple environment for unlocking the device to its full capacity.
The developer boasts support for a wide list of devices but the program may not recognize all of them. However, when the phone is recognized the entire rooting process should go smoothly, but risks are still present.
Reviewed by Ionut Ilascu, last updated on December 12th, 2014
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- Freeware
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- Kingosoft Technology Ltd
- operating system(s):
- Windows XP / Vista / Vista 64 bit / 7 / 7 64 bit / 8 / 8 64 bit
- category:
- C: \ Mobile Phone Tools \ Others
In a hurry? Add it to your Download Basket!
- New version features:
- Added an auxiliary wizard to improve stability when rooting.
- Fixed several bugs concerning link relations to improve success rate.
- Optimized rooting scripts and UI.
Application descriptionKingo ROOT is a handy and efficient program designed to root Android devices in a one-click operation, safe and easy.K...


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• Unequaled Low Light Performance
• Brightest Night Sights Available Today
• Used by Military & Law Enforcement
• All Tru-Dot® sights are covered by a 12 years usable illumination warranty to orginal purchaser.
DISCLAIMER: "GLOCK" is a federally registered trademark of GLOCK, Inc. and is one of many trademarks owned by GLOCK, Inc. or GLOCK Ges.mbH.
Neither Natchez Shooters Supplies nor this site are affiliated in any manner with, or otherwise endorsed by, GLOCK, Inc. or GLOCK Ges.mbH.
The use of "GLOCK" on this page is merely to advertise the sale of GLOCK pistols, parts, or components. For genuine GLOCK, Inc. and GLOCK Ges.mbH products and parts visit www.glock.com.
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Tesla Announces Details Of Proposed Gigafactory Battery Plant
Feb 27th 2014 @ 12:45PM
It's another day and electric automaker Tesla Motors is in the news once again.
Tesla announced Wednesday that they will be offering $1.6 billion in convertible senior notes to the public. According to the press release, Tesla will use these funds to assist in "the development and production of its 'Gen III' mass market vehicle, the development of the Tesla Gigafactory and other general corporate purposes."


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Based on the type of stroke, a number of interventions are necessary to reduce risk:
- Medications that reduce the chance of blood clots by preventing platelets (a type of blood cell) from sticking together.
- Medications to help prevent blood clots from forming. Medications that help to prevent additional blood clots from forming are called anticoagulants, as they prevent the coagulation of the blood.
- Medications to treat existing medical conditions, such as diabetes, heart, or blood pressure problems.
- Medications used to lower cholesterol levels- certain cholesterol lowering medications known as Statins have been shown to reduce recurrent stroke risk in the SPARCL trial.
- Lifestyle changes such as losing weight, quitting smoking, and exercising regularly.
Learn more about Stroke Prevention.
For more information, contact The Johns Hopkins Hospital Stroke Center at 410-955-2228.
If you have questions about the Stroke Prevention And Recovery Center, please call us at 443-287-8514.


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by Simon Black: When
Will the Renminbi Overtake theDollar?
is Chile's largest and most famous beach town, only about a
2 hour drive from Santiago. It's summertime here, so it looks
more like the south of France or coastal Spain than you would expect
of a relatively unknown place like Chile.
This is typically
the reaction I get when I talk to most people about Chile –
they know about the miners, and they know about the earthquake,
but their expectations are of some banana republic, not an exceedingly
civilized, almost European country.
On that note,
let's move on to this week's questions.
First, Nancy
asks, "Simon, what happened to the 7.0 earthquake in Chile
this week? What's it like being in an earthquake region?"
To be honest,
I didn't have the foggiest idea that we had an earthquake a
few days ago. It was fairly close, about 350 miles away, yet we
didn't feel anything here in Santiago.
Every country
in the world has multiple elements of potential disaster –
hurricanes, tornadoes, earthquakes, wildfires, volcanoes, landslides,
floods, avalanches, blizzards, disease pandemics, etc.
It happens
everywhere, there's no avoiding it. Some of the worst natural
disasters in history have been in places like Portugal, New Zealand,
Thailand, Alaska, Japan, US, Italy, Turkey, Mexico, Argentina, etc.
I'm not
trying to be nonchalant about such awesome forces of nature, but
have experienced several myself, the critical distinction is how
each place deals with its disasters.
for example, are so accustomed to hurricanes that they laugh off
anything below a Category 5 storm. In Texas, tornadoes are frequent
– in fact we had one when I was in Dallas a few months ago.
I watched it from my balcony, as did everyone else.
Chile has a geological predisposition to earthquakes; every couple
of decades, the country suffers a major earthquake in the 8s. Last
year's 8.8 was brutal, though loss of life was "minor"
by comparison at 521 victims.
Hurricane Katrina,
by comparison, claimed nearly 2,000 lives, while the 7.0 Haiti in
2010 earthquake claimed 230,000.
The one that
occurred this week was a 7.1 on the Richter scale, stronger than
what destroyed Haiti last year… however there was barely any
damage in Chile this week because this country has incredibly strong
building code, construction quality, development planning, and response


text:
Surgeons' Disrupted Sleep Not a Safety Factor
A study designed to assess the effect of disrupted sleep on surgeons finds that surgical complications did not increase when surgeons who operated on emergency cases during the midnight to 7 AM shift operated on scheduled patients later in the day.
Surgeons with disrupted sleep, who operated on patients between midnight and 7 AM., and on different patients undergoing elective gallbladder surgeries after 7AM, did not demonstrate higher rates of complications in the second set of patients.
That's the finding from a first-of-its kind study in Tuesday's JAMA that looked at outcomes from 2,078 elective laparoscopic cholecystectomies performed by 331 Canadian general surgeons. All of the surgeons had operated on different patients who needed emergency surgery between midnight and 7 AM.
The at-risk surgeries, defined as daytime procedures performed by surgeons who had operated hours earlier, were matched with four other procedures performed by the same doctors who had not been operating hours earlier.
"There was no evidence that operating the night before was associated with conversion to open cholecystectomy, the risk of iatrogenic complications, or death from elective laparoscopic surgery performed the next day," the authors wrote.
Comments are moderated. Please be patient.
May (11/7/2013 at 4:46 PM)
For a general surgeon,performing a laparoscopic cholecystectomy is "overlearned" behavior, similar to someone who manages to drive home safely after several drinks. The impaired individual can make it home as long as nothing out of the ordinary happens. The true difficulty for the fatigued surgeon would be addressing a complication, should one arise, or doing a more technically challenging procedure. Surgeons who are fatigued do not limit themselves to performing only laparoscopic cholecystectomies. We should not use the results of this study to justify the practice of physicians caring for patients in an impaired (fatigued)state.
john (11/6/2013 at 2:55 PM)
So we should believe that by some magical power surgeons are immune to the effects of fatigue and sleep deprivation? I'll have to read the original. I'm facinated by the claim, "errors attributable to disrupted sleep occur in common and routine tasks."
Tyco Brahe (11/6/2013 at 10:29 AM)
Why do I so not believe this study?
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- HL20: Lee Aase—Who's Behind @MayoClinic


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End of another weekend, huh? They go by way too fast This weekend was especially fast because of how busy we were, but it was definitely worth it.
Friday, James and I spent the majority of the night cleaning and finishing unpacking. The house is finally unpacked (still not filled with furniture), and it's so nice to have everything in it's place!
Saturday, James and I went for a run then got ready to host some of James's co-workers and their significant others. We had them over for a little game night, and I made a little spread of appetizers.
First, I made spinach and artichoke dip using this recipe. I used plain greek yogurt instead of sour cream, and next time I think I will use some Laughing Cow cheese instead of cream cheese. But it was absolutely delicious. We also had some salsa to got with the tortilla chips.
Next, after a little collaboration with my mom, I came up with a meatball recipe we loved (see below)!
Seriously, what recipe is complete without some mom collaboration? :) I definitely recommend making these — soo easy and flavorful.
We also included some pretzel crisps (buffalo and jalapeno) in our spread, as well as these DELICIOUS pumpkin chocolate chip cookies.
These were a hit, and I would recommend them for any Thanksgiving function you are attending next week.
All in all, between the foods, games, and fun drinks, we had a great night.
Them, this morning, James and I got up bright and early for brunch, and it was well worth it!
We met Alysha and Brittney and their significant others at Blue's Egg, which is supposed to be one of the bst brunch places in the Milwaukee area. Alysha had been there before and there was an hour wait, so she suggested we met at 8 a.m. It sounds early, but there definitely would have been a wait otherwise, and the food was wonderful! There was such a variety of traditional and nontraditional options, and it didn't disappoint!
I know now why this place comes so highly recommended! I got the hash browns with curry tofu, yogurt sauce, and a buttermilk pancake on the side. James got a crab cake with toast and two poached eggs. We were both extremely happy with our choices!
Unfortunately, no pictures (we joked about forgetting cameras), but we spent too much time talking to think about pictures. In fact, we chatted for probably close to an hour after we finished eating! It was so great getting to see Alysha again and hang out with Brittney! I'm definitely looking forward to hanging out with them more.
After brunch, James watched the while Milo and I napped.
Then we played in the backyard with Milo for a bit, watched more football, and relaxed.
Luckily, this is a short week, because I am a little tired still, but that's ok because the weekend was definitely worth it. Fun times with great friends and great food is always the perfect combo!
On that cheesy note, time to do a little reading then bed. Have a great T-Giving week!
Hot & Sweet Crock Pot Meatballs
- 1 large bag (or multiple small bags) of frozen, precooked homestyle meatballs
- 12 oz can of beeer (I used Miller Lite)
- 1 bottle plus 1/2 cup more of your favorite BBQ sauce
- 1/2 cup of ketchup
- 1/4 cup grape jelly
- 2 T of garlic
- 3 T hot sauce
- 3 generous T of brown sugar
Thaw the meatballs to prevent your sauce from being too runny (I left them out overnight). Add thawed meatballs and all the other ingredients to a crock pot and cook on low for 8 hours.
These were great on their own, and as a part of a meatball sandwich. Definitely something I will be making again for a party or event. Enjoy!


text:
There is a looming obesity crisis facing children today. It should not be ignored. Here are some scary statistics: · Sixteen percent of children ages 6-19 are overweight or obese (over 9 million). · Over the past three decades, the childhood obesity rate has more than doubled for pre-school children ages 2-5 and adolescents ages 12-19. · The rate has more than tripled for children ages 6-11. · Nearly one-third of U.S. children ages 4 to 19 eat fast-food every …
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text:
Everyone is talking about Madonna's Super Bowl halftime show, putting it among the most buzzworthy entertainment performances in Super Bowl history. Check out some of the others.
New Kids On The Block made a forgettable Super Bowl halftime appearance in 1991 that didn't even air live due to coverage of the first Gulf War.


text:
Joy feels inferior for not finishing college, so she decides to hit the books and earn her degree. Although she passes her classes, Eddie isn't satisfied with her grades, and he decides to take matters into his own hands, which leads to Joy getting kicked out of school.
Download the TV Guide app for iPhone, iPad and Android!


text:
By now, most of have heard the story of Bryan Stow, the SF Giants fan who was savagely beaten by two Dodgers fans. Stow suffered brain damage and remains in a coma.
Some writer named John Steigerwald from a newspaper in Pennsylvania decided to chime in on the horrific attack.
Maybe someone can ask Stow, if he ever comes out of his coma, why he thought it was a good idea to wear Giants' gear to a Dodgers' home opener when there was a history of out-of-control drunkenness and arrests at that event going back several years.
Remember when it was the kids who were wearing the team jerseys to games? It was a common sight to see an adult male coming through the turnstile dressed as a regular human being with a kid dressed in a "real" jersey holding his hand.
Are the 42-year-olds who find it necessary to wear their replica jerseys to a road game, those kids who are now fathers who haven't grown up?
Are there really 40-something men who think that wearing the jersey makes them part of the team? It was cute when a 10-year-old kid got that feeling by showing up at Three Rivers Stadium in a Pirates jersey, but when did little boys stop growing out of that?
Here's tip for you if you actually think that wearing your team's jersey makes you a part of the team:
It doesn't.
The team is those guys down on the field, ice or court who are, you know, actually playing the games. They like the noise you make as a group, and they love playing in front of you. If you're an adult, and you approach them in a replica game jersey with their name on it and your face is painted, you scare them.
If you don't put that jersey on in the locker room with them and have your own name on your jersey, you're not one of them.
What a POS and easily the biggest dbag ever to win our illustrious DOTM award.


text:
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Hope that title isn't too corny... lol... I couldn't come up with a better name for them though. I felt like doing something different, and not from a recipe book.
Started by cutting up some chicken wings and giving them a dusting of Baking Powder and DP Tsunami Spin.
Then placed those on the BGE indirectly at around a 385 deg f dome temp....
In the meantime, I whipped up an "after sauce"... it included some Hot Mango Chutney, Pineapple Juice, Diced Jalapenos, Ginger (I usually use fresh, but this worked conveniently for me tonight), the juice of one Lime and it's Zest, fresh Garlic, and Honey (which is not in the pic, but later added it for some sweetness).
Once the wings were nice and crispy, I took them off the BGE and then tossed them around in the Sauce.
As you can see in the next pic, the wings got nice and crispy from the added Baking Powder.
Then time for the Sauce...
Served up with some Sweet Potato Fries with Sea Salt, Cracked Pepper and Parmesan Cheese. These wings were delicious. Probably some of the best we've ever had. It had a nice sweetness from the Mango and Honey, a nice bite from the Ginger and Lime, and a nice kick from the Jalapenos. Will definitely repeat these in the future. They may even make it to an Eggfest sometime.
Richardson, Texas
Griffin's Grub or you can find me on Facebook
The Supreme Potentate, Sovereign Commander and Sultan of Wings
Thanks, y'all! Jim, I guess that depends on whether you are a fan of ginger or not. I am personally a big fan of ginger, but my wife isn't fond of biting into big pieces of it. It definitely added the flavor of ginger I was hoping for, without taking away from the enjoyment of the wings for my wife. So I think it was a happy medium for the both of us. You can find it in the produce section near the salad dressings.jfm0830 said:Dyal the wing king does it again! Those look hot in more ways than one. Curious what you thought of the squeeze ginger vs fresh ginger. If fresh ginger is 100 percent, how would you rate this stuff?
No "care package" for his genius invention? lolcaptjo said:Would it be alright with you if we included this awesome recipe on the Dizzy Pig website? It would be on the new site, launched sometime this spring, with your name or handle name as credit.
Sweet! That would be awesome. I'll hafta make them again so I can get a better idea of the proportions of the ingredients.captjo said:
Would it be alright with you if we included this awesome recipe on the Dizzy Pig website? It would be on the new site, launched sometime this spring, with your name or handle name as credit.


text:
By Matthew J. Perry
The Delaware County Board of Supervisors received a sobering report last Wednesday on the radio system used by emergency services and police.
While there are no immediate, glaring problems that suggest lives may be at stake, county officials are facing the daunting challenge of necessary, expensive work, with initial estimates of as much as $24 million, upgrades and, worse, a looming deadline.
Delhi — Janice Burdick was honored as Democrat of the Year at last Saturday's Delaware County Democratic Committee (DCDC) dinner.
Tom Coddington, the 2008 honoree, presented Janice with a plaque from the committee, and a certificate and letter of congratulations from Rep. Scott Murphy. Tom thanked Janice for her years of exemplary service as deputy commissioner and her excellent work meeting the challenges of the recent special election.
Leslie Roselli will serve as the keynote speaker at the 2009 Andes Central School graduation ceremony on Friday, June 26. The celebration will be held at 7 p.m. in the school's gymnasium. Seven graduates will receive their diplomas.
ACS seniors Hattie Brown and Melody Grapes, who possess averages less than one percent apart, will serve as co-valedictorians of the Class of 2009.
By Jay Braman Jr.
The cost of building and operating a sewer system in Phoenicia, along with related technological issues, has kept the project at a controversial standstill for years, but new technology has now appeared that may convince voters in this hamlet that installing a system is the right thing to do.
Three years ago voters in the district turned down plans for a conventional system that would have cost $17 million.
By Brian Sweeney
Exterior renovations got underway this week on a project to turn the Margaretville Masonic Building into an eCenter business incubator.
The building was purchased last year from the Masonic Lodge by the Delaware County Industrial Devel-opment Agency. The IDA previously has established an eCenter in Delhi.
By Jay Braman Jr.
Be careful where you park in Fleischmanns.
While violators of the no parking zones in the village may have in the past gotten off with a warning, it appears those days are gone following a special meeting of the village's board of trustees Monday evening that had the board and audience members standing on Main Street and arguing over where parking zones end.
By Julia Green
The Village of Margaretville Board of Trustees opted Monday not to accept a letter of resignation submitted by Margaretville Police Officer Harold Fox on June 4. The decision was made following an executive session at the board's monthly meeting.
"Mr. Fox came before the board requesting that the board reject and not accept his letter of resignation, and the board agreed to reject and not accept his letter of resignation," said Margaretville Mayor John VanBenschoten. "Mr. Fox continues to be the police officer for the Village of Margaretville."
By Julia Green
The Middletown Town Board appointed Margaretville resident Kate VanBenschoten last Tuesday to fill a vacancy on the town's planning board.
The vacancy was initially created when longtime planning board member and New Kingston resident Pete Palen submitted a letter of resignation on Jan. 13 of this year. The opening was temporarily filled when the town board appointed Kathleen McCarthy to the post on March 10; however, she tendered her resignation on May 11 after serving for only two months. In her resignation, McCarthy said that, "due to unforeseen personal circumstances, [her] availability and ability to serve on the planning board [would] be affected."
By Julia Green
The top honors graduates have been named at local high schools.
By Brian Sweeney
A 45-year-old Andes woman faces two driving while intoxicated charges stemming from a fatal accident last December, but was not indicted for vehicular manslaughter.
Christine Arnao pleaded innocent last Thursday to charges of driving while intoxicated and aggravated DWI stemming from the accident in which Jon J. Church, 31, of Wells Bridge was killed.
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How to say "Beautiful" in Chinese:
piao4 liang5
The word beautiful in Chinese can be used in many if the same situations as the English beautiful can. For example, it can be used after witnessing an amazing goal in a soccer game as in "That was a beautiful shot!".
Here are a few good combinations to commit to memory:
Very beautiful = hen3 piao4 liang5
Really beautiful = zhen1 piao4 liang5
Not beautiful = bu4 piao4 liang5