text:
CHAPTER 11 Foot Surgery
Foot surgery has undergone
tremendous changes in the past few decades. In the first half of
the twentieth century the emphasis was on correcting the physical
manifestation of the problem with little effort made toward
addressing the forces behind the deformity -- in much the same manner
that a mechanic may replace a tire with uneven wear without
realigning the wheels.
This tendency contributed to
unacceptably high failure and recurrence rates in foot care. Also
a factor was the lack of sophisticated instruments available. As
recently as 1970 many surgeons were still utilizing modified
hammers and chisels to perform foot surgery. Today, most foot
surgery is performed with high-speed power equipment that enables
the surgeon to make precise bone incisions.
Today's foot surgery focuses on
getting the patient walking as soon as possible, sometimes
immediately after surgery. This is in sharp contrast to foot
surgery of the past, which too often left the patient immobilized
for long periods of time. Still, the decision to have foot surgery
is not one to be taken lightly. If you are considering having foot
surgery, keep the following information in mind:
1. Almost all foot surgery is
elective. You should have your foot operated on only after you have
tried more conservative therapies. A heel spur, for example, will
often respond to strapping, steroid injections, or to the wearing of
orthotic devices (customized sole inserts), so you owe it to
yourself to try these therapies first. Do what is best for you, not what
is most expedient for the surgeon.
However, in the case of certain
conditions, such as painful bunions or hammertoes, the conservative
option, such as wearing a molded shoe, may be unacceptable to you.
If this is the case, surgery may be the only alternative.
2. Avoid "same day" surgery. Most
foot conditions develop slowly. This gives you the time to make a
careful, sound decision. Don't let yourself be pressured while
you're "in the chair." If you have doubts, go home and
sleep on it. You may also want to get a second opinion. Most health
insurance companies will be more than happy to send you to a
qualified doctor, often at no charge to you.
The only type of surgery that
should be performed during your first visit is minor skin
surgery, such as the removal of an infected ingrown toe nail or the
removal of a skin tumor such as a wart.
Occasionally emergency surgery is
necessary, as in the diagnosis of osteomyelitis (bone infection),
but this is a rare occurrence. There is no valid reason why
corrective bone surgery can't be scheduled at your convenience.
3. Elect a time that is best for
you. Since foot surgery is elective, plan to have it done when you
will be least inconvenienced. Swelling results from most foot
surgery and necessitates the wearing of a surgical shoe for a few
weeks. If you have to attend a wedding, you'll probably want to
delay the procedure until after the festivities. If your job
requires the wearing of stylish shoes, you may want to delay the
surgery until your vacation.
Weather may also be a factor in the
choice of your surgery date. Most people who live in a cold climate
prefer to have their feet operated on in warmer weather because it
is easier to fit a swollen foot into a sandal than a winter boot.
4. Cosmetics alone is not a good
reason to have foot surgery. You may consider your foot problem
unattractive but, unless you model your feet for a living, it's
usually best to leave them alone. Good reasons for having foot
surgery are to relieve pain, to help you walk better, or to help you
fit into normal shoes.
5. Select the best foot surgeon
available. Find out the qualifications of your surgeon. Every
podiatrist or orthopedist is legally permitted to operate on your
feet, but the training and experience of individuals varies widely.
While there is no one criterion by which to judge an individual's
competence, you should look for the following attributes: a)
completion of a surgical residency; b) board certification; c)
hospital surgical privileges; d) satisfied patients; and e) a good
reputation among other specialists.
A doctor who over-advertises to
obtain surgical patients should be considered suspect -- a top foot
surgeon needs only his or her track record as his advertisement.
Your surgeon should not be offended if you ask for a second opinion
or a copy of your X- rays.
There are first-rate surgeons in every
large city, so invest the time and energy to seek these individuals
out. You deserve the best.
6. Foot surgery is not painful.
Many procedures can be performed under local anesthesia. Your foot
can be numbed with a Novocaine-like substance: Marcaine(r) is
popularly used because it keeps the foot pain-free for about twelve
hours. More extensive foot surgery is usually done under general
If you are in pain after the
anesthetic wears off, many analgesic tablets, ranging from aspirin
to narcotics, are available to keep you pain free.
7. Allow time for your foot to
heal. Modern surgical techniques now allow you to walk on an
operated foot shortly after surgery. But don't expect to be running
a marathon the following week.
Nature needs time to fully heal the foot and this
can vary with the individual. Some "fast healers" return to work a
few days after surgery. Others need a week or more to recover. The
duration and extent of the surgery are also factors. In general,
the more extensive the surgery, the longer the recovery time.
The foot's healing process occurs
in two stages. In the first phase, known as the "primary" healing
stage, the body actively heals the incisions. This period lasts
three to four weeks and you will be aware of the process. In the
"secondary" healing stage, your body gradually remodels the bones
which have been operated on. This stage can take from several
months to several years, and you will rarely be aware of the
underlying changes. Gradually you will be able to resume all normal
activities but you may occasionally feel a funny numbness, twinge,
tingling or other sensation. When these disappear you know that the
healing process is complete.
Office Versus Hospital Surgery
Where to have your surgery is an
often controversial subject. Simply put, minor foot surgery should
be performed in a doctor's office and major foot surgery should be
performed in a hospital. But there are complicating factors. Some
surgeons' offices now contain operating suites as elaborate and well
prepared as those in hospitals. And some procedures previously
thought of as being major are now considered minor. So, where your
procedure should be done depends ultimately on how much support
care you need.
Most doctors' offices are not
equipped for such ancillary services as general anesthesia,
attending physicians, or nursing. Nor are they equipped for
overnight stays. If your surgery is extensive, if you have a
medical problem such as a heart condition, or if you have no one
to care for you at home, you will be better off in a hospital. If
your procedure is minor, you are in good health, and you have someone to
take care of you at home, you're better off having your surgery
performed in a well-equipped doctor's office.
Conventional versus Minimal Incision Surgery
Two distinct techniques of foot
surgery are currently being utilized and there is a great deal of
controversy over the advantages and disadvantages of each method.
Conventional foot surgery is the
predominant style used by hospital-based surgeons. In this
technique, the surgeon makes a lengthy incision over the area to be
operated on and proceeds to "open up" the area. The surgeon can
then visualize the internal structures and proceeds to cut and
remove bone using power drills and saws. Scalpel blades are often
used to cut and reposition soft tissue structures such as tendons
and capsules. This type of surgery is often referred to as "open"
Minimal incision surgery is
performed predominantly in doctors' offices. In this technique a
small incision is made over the involved area. A small dental-type
drill is used to "grind off" bone. This method is often referred to
as "closed"' surgery since the surgeon cannot visualize the actual
It is this inability to literally
see the bone which fuels the vigorous opposition of many surgeons
to "closed" surgery. They argue that due to the comparatively
"blind" technique many unidentified structures are cut. This
argument has somewhat lessened with the advent of portable imaging
devices such as the Lexiscope(r). Opponents also point out that
often necessary ancillary procedures such as the insertion of a
joint implant or repositioning of tendons and joint capsules are
simply not possible with minimal incision surgery.
Minimal incision surgeons contend
that their technique offers the following advantages:
1. It can be performed in a doctor's office, thus
saving considerable expense to the patient.
2. The patient does not have to remain in the hospital overnight. He may immediately ambulate, and often return to work within days.
3. The scar is usually smaller. Minimal incision surgeons also argue that with the use of X-rays during the actual surgery, they
do know what structures they are cutting. It is probable that
advances in technology which will improve the ability of the
"closed" surgeon to see the structures he or she is cutting will in
turn enhance the scope and safety of procedures. The photon image
intensifier, which acts like a portable fluoroscope to make the
underlying bones "visible," is just one of the many devices holding
such promise.
The technique performed on your
foot will depend on both the training of your surgeon and the
severity of your foot condition. Small procedures such as the
elimination of bone spurs on the toes are most easily corrected by
minimal incision surgery. Major foot deformities involving the
replacement of joints can only be corrected using "open"
techniques. There are some conditions such as metatarsal
deformities and minor bunion operations in which either technique
can be utilized.
Soft Tissue Procedures
These procedures do not involve
the cutting of bone. They range from the simple removal of a wart
to the more complicated removal of a deep nerve tumor (neuroma).
Wart Surgery
As discussed, warts are benign
skin tumors caused by a virus infection. They are commonly found on
the bottom surface (plantar) of the foot and therefore are usually
referred to as plantar warts. Technically warts are known as
verrucae and papillomas. Surgical excision of a wart is indicated
in cases when the growth is large, or when non-surgical therapy such
as the use of acid has not been successful.
The surgeon first applies local
anesthesia to numb the wart area and then uses an instrument known
as a curette to "scoop out" the entire growth. No sutures
(stitches) are needed to close the wound, and usually no significant
scar results. Sometimes a cauterizing agent such as phenol is used
to help prevent the wart from recurring.
This procedure is not
debilitating. The area where the procedure was performed may feel
sore for a few days, and there may be some bleeding, but you should
he able to return to your job the next day.
Nail Surgery
Nail surgery is also a relatively
minor procedure. The most common indications are chronically
ingrown and infected nails, in which case a small section of the
side of the nail is usually removed. If you have a history of
repeated infections of the same nail, the growth portions (nail
root and matrix) at the back of the nail may also be removed. This
can be accomplished by surgically removing these "growing"
More commonly a caustic phenol
solution is applied to these areas to prevent regrowth. The result
is that the major portion of the normal nail will continue to grow,
while the offending ingrown section will not. This procedure is
both simple and highly effective. Occasionally, however, the
offending portion of nail will regrow and the procedure will have
to be repeated. In some cases of severely deformed or
fungus-infected nails, it may be necessary to remove the entire
nail. Again, you and your doctor will make the decision as to
whether the procedure should be temporary or permanent (removal of
the entire growth plate).
Permanent removal of a nail is not
as drastic as it sounds. Your toenails serve little function and
you can do very well without them. After this procedure is
performed, a "nail-like" tough skin forms where the nail
originally was. This can be covered with nail polish or an
artificial nail.
Removal of a nail portion is
not debilitating. You may, however have to wear loose-fitting shoes
for a few days after the procedure.
Morton's Neuroma
Morton's neuroma is a fairly common benign nerve
growth usually developing between the third and fourth metatarsals
and most often found in women. It is caused by the irritation of
branches of the medial and lateral plantar nerve as they cross
between the metatarsal bones.
Wearing tight shoes pushes the
metatarsals together squeezing the tumor between them, and this
friction causes the nerve to enlarge. Symptoms of a neuroma vary but
may include a sharp, tingling or burning sensation that radiates to
the toes.
The conservative treatment of a
neuroma includes injections of steroid into the neuroma as well as
changing to wider shoes. If these measures are not successful,
surgery may be necessary.
The procedure for neuroma removal
requires an incision over the neuroma site. The surgeon then must
carefully dissect and remove the entire tumor. Often the ligaments
attaching the adjoining metatarsals are cut. This allows these
metatarsals to separate and helps prevent recurrence of the tumor.
Neuroma removal can be performed in either an office or hospital.
This procedure requires sutures and you will have to wear loose
shoes or sandals for about two weeks afterward.
Toe Procedures
Most toe procedures are designed
to eliminate painful corns. These accumulations of extra skin
develop because of excessive friction on the skin of the toe as it
gets pressed between the bone on the inside and the shoe on the
outside. This is usually caused by two structural conditions: most
commonly, the tendons of the toe gradually contract causing the toe
to "buckle up" and rise. As the "knuckle" of the toe rises higher
it is likely to rub against the top of the shoe. thereby causing a
corn. When this condition occurs at the middle of a toe it is known
as a hammertoe. Mallet toe results when the buckling
occurs at the end of the toe.
The second condition which may
cause a corn is the presence of a bone spur on a toe. A bone spur -
- technically known as an "exostosis" -- is a calcium deposit which
forms on an area of bone subject to great friction. Bone spurs
usually form at the ends and the sides of toes. The most common
location for this type of corn is on the outside of the little toe,
where friction against tight shoes is the greatest.
Corns due to bone spurs can also
occur in between the toes as the skin gets rubbed between two toe
bones. These corns become soft and rubbery due to the presence of
moisture between the toes and are known as "soft" corns. Another
place that corns caused by bone spurs are likely to occur is at the
end of a toe. Occasionally these bone spurs occur underneath a nail
causing a painful condition known as a subungual exostosis.
"Soft Tissue" Toe Surgery -- Tenotomy
A tenotomy is a simple procedure available for the
correction of a hammertoe. Tenotomies are useful only in hammertoe
cases where the problem is being caused by a contracted (tightened)
tendon. The tendons going to your toes are located just below the
skin. Look down at the top of your foot. If your tendons are tight,
you can probably see them as "cordlike" structures. In a tenotomy,
the surgeon uses a tiny blade to sever a tight tendon on the top of
your foot, beyond your toes. Occasionally the tendon on the bottom
of the toe is also cut. Sometimes the surgeon will also perform a
capsulotomy in which he cuts the joint capsule just below the
tendon as well.
Tenotomies are only useful when a
hammertoe deformity is "flexible." By "flexible," we mean that the
toe can be manually straightened. When a hammertoe has progressed
to the point where the "knuckle" joint becomes rigid, a tenotomy to
relax the tight tendon will be of little value. If you have a
hammertoe, reach down and try to straighten the toe. If you can
easily straighten the toe, a tenotomy may be indicated. If the toe
is "stiff" and unbending, a tenotomy (or capsulotomy) by itself
will be virtually useless. If your corn is a result of a bone spur,
it is also unlikely that you will benefit from a tenotomy.
Perhaps the most compelling
limitation to the tenotomy is that its benefits tend to be
temporary. After the procedure you will need to stretch the
corrected toe daily for many months to prevent the tendon from
Bone Procedures for Toe Problems
The most effective long-term cures
for corns due to hammertoes and bone spurs are procedures that
either straighten the toe or remove the offending spur. When the
corn occurs near the "knuckle" or joint, a procedure known as an
arthroplasty is performed using either the open or closed
technique. In the open method, an incision is made on the top of
the toe and a section of bone at the raised area of the "knuckle"
is removed. In the closed method, a small incision is made on the
top or the side of the toe and a burr is inserted into the bone,
and rotated by a dental-type drill. The excess bone is pulverized
into bone paste which is then squeezed out of the small hole on the
top of the toe.
The advantage of the closed
technique is that only a tiny scar will remain after the toe has
healed. The advantage of the open method is that there is less
chance of subsequent stiffening of the joint. In the open
procedure, the offending bone is cleanly removed from the joint
space. In the closed or minimal incision technique, bone paste can
be left in the joint and this paste can regrow to form bone which
may result in a stiff or arthritic joint. Each procedure takes
about thirty minutes and can be performed in a doctor's office
under local anesthesia. If you have this procedure done on a
Friday, expect to be back to work on Monday (albeit in loose or
cut-out shoes).
As in any procedure performed on
the foot, it is important that no pressure be put on the operated
area. Your doctor may give you wooden "post-op" shoes, or you may
choose to wear loose fitting sneakers or an old pair of shoes
with a hole cut in the top. If the weather is warm, sandals are
also acceptable. Whatever you select, remember that no pressure is
to be put on the healing wound for several weeks.
Surgery for "Spurs" on Toes
Bone spurs are actually calcium deposits which
result from increased pressure or friction on bone. The body
"lays down" this calcium for protection in the same way that the
skin develops callus to protect itself from excessive force.
Technically known as an exostosis, this is basically a permanent
condition which cannot be helped by reducing the amount of calcium
in your diet.
Bone spurs can occur anywhere on
your foot. You may be able to feel them as small lumps and bumps.
Often these lumps are painless. If this is the case, leave them
alone. Sometimes they may result in corns, particularly when they
develop on the outside of the little toe or between the toes, where
they result in "soft" corns. Surgery is indicated when you can no
longer get relief from wider shoes,
A subungual exostosis occurs
when a bone spur develops underneath a toenail. Surgery is
indicated for this painful condition when you can no longer get
relief from wearing a shoe with a higher toe box (the part of the
shoe above the toes).
In the case of a simple exostosis,
in which there is no joint involvement, closed surgery can be used
to easily grind off the extra bone. This procedure is done in an
office under local anesthesia and usually requires no sutures. An
exostosis can also be removed via open surgery. Ultimately it is up
to your surgeon to choose the method, but it is important for you
to be aware of the options.
Metatarsal Surgery
The metatarsals are the "long"
bones of your feet. The "ball" of the foot is the area located
below the front part of the metatarsal bones. Metatarsal problems
range from the bunion, which is the deformity occurring at the
first metatarsal, to a "tailor's bunion," which is found on the
fifth metatarsal. Plantar-flexed or "dropped" metatarsals are a
condition which often results in painful callus formation on the
bottom of the foot.
Bunion Surgery
A bunion is a deformity found at
the first metatarsal-phalangeal joint, behind your big toe. It is
a condition that develops slowly and results from the gradual
dislocation of the metatarsal-phalangeal joint which has become
"unstable" during the propulsive phase of walking (a time when the
joint should be stable). As the deformity progresses, the
big toe itself will shift toward the outside of the foot. In severe
cases, the big toe will actually overlap or underlap the second
toe. Bunions are often painful and they can make shoe fitting very
difficult. Contrary to what many people believe. tight shoes do not
cause bunions, but they will aggravate them and accelerate their
development. The tendency for bunion formation is hereditary and
surgery is the only way to correct them. Exercises, splints, and
other devices look good on paper but they just don't work.
The forces causing a bunion are simply too great for any known
device to correct. Orthotics designed to stabilize the foot during
gait are custom-made inserts which fit into your shoes. While these
devices do not correct a bunion, they may be useful in providing
relief and slowing down bunion development.
If your bunions don't hurt and you
don't have difficulty finding shoes, there is no need for surgery.
You should, however, see a podiatrist about having orthotics made
to counteract deforming foot forces. If your bunions are painful,
bunion surgery is indicated.
Most of the recent advances in
foot surgery have been directed at bunion surgery. In the past,
emphasis was placed on the removal of the "exostosis" or lump, and
straightening of the big toe. The reasoning was "if the toe looks
straight, it will function properly." Each surgeon had his own
favorite procedure. Today, we know that there are many different
types of bunions and that no single procedure will give the best
results. Your surgeon must first X-ray your foot to determine the
type of joint you have. He or she will then measure the various
angles of your foot. Only then can it be determined which procedure
is best for your bunion. Procedure selection is very important. No
matter how expertly the surgery is done, your results are only as
good as the procedure selected.
In a "simple" bunion, where the
toe is straight, only the exostosis need be removed. This procedure
can be done either in an open or closed manner. Most bunions,
however, are not simple and require either cutting of capsular
tissue, or cutting of bone (osteotomy). These procedures are
generally best done using the open technique. in which there is
less chance of traumatizing the first metatarsal-phalangeal joint.
Depending on the nature and
severity of the bunion, your surgeon and you will decide whether to
perform the procedure in an office or hospital and whether to have
the operation done under local or general anesthesia. If you have
bunions on both feet, you'll want to decide whether or not to have
them corrected at the same time. Each choice has its own advantages
and disadvantages.
You'll initially have a longer
recuperation time when you have both feet operated on at the same
time, but you may feel that this is preferable to having one foot
operated on and then having to go back and do the other foot later.
The recovery period from bunion surgery will vary depending on the
specific procedure and your body's healing rate. Most people can
walk satisfactorily within a few days after surgery. Again, you
will have to wear modified footgear until the post-op swelling
subsides. Some people need a couple of months to return to normal
shoes. Don't expect to be a "cripple" after bunion surgery, but
don't expect to go dancing the week after either.
If you work at a desk job, expect
to return to work the week after surgery. If you have a walking job
or have both feet operated on at the same time, your disability
time will probably be two weeks or more. Keep in mind that these
are general guidelines which your surgeon may modify. Don't be
misled by advertisements for "lunch-hour" bunion surgery -- you may
turn out to be "the slowest healer" the doctor has ever had!
Prevention of Bunion Recurrence
After bunion surgery you must take
measures to prevent the recurrence of this deformity. The best way
to do this is with orthotic devices, which act to control the
faulty biomechanics responsible for the instability of
the first M-P joint.
"Bunion-Like" Conditions
The joint involved in bunion
formation (the first metatarsal-phalangeal or M-P joint) assumes
more weight than any other foot joint in the propulsive phase of
gait and is more likely to be affected by osteoarthritis, a
condition resulting from excessive "wear and tear" in which extra
bone is deposited near the joint. This extra bone restricts the
motion of the joint and causes severe pain during walking.
While bunions result from a
gradual dislocation of the joint, painful bunion-like conditions
can occur in which there is no dislocation of the first M-P joint.
In these cases, the big toe and joint will look straight, but will
hurt when moved. In the early stages of osteoarthritis of the big
toe joint, a small bone spur forms at the top or side of the joint.
This spur causes a limitation of motion, creating a condition
referred to as hallux limitus. If left untreated, eventually the
condition progresses to the point where there is virtually no
motion left in the joint. This is referred to as hallux rigidus.
The early stages of hallux limitus
should be treated with physical therapy to maintain as much range
of motion as possible. When normal ambulation is no longer
possible, surgery is necessary to "remodel" the joint. This is an
open procedure in which the excess bone surrounding the joint is
excised and it is often necessary to replace the entire joint with
an artificial inplant.
After this procedure it is
important that vigorous physical therapy be instituted to maintain
normal joint motion. Osteoarthritis can also affect the lesser
metatarsals. In these cases. therapy and treatment parallel that of
osteoarthritis of the first M-P joint.
Tailor's Bunion
A tailor's bunion or "bunionette"
is a bunion-like condition of the fifth M-P joint (the area behind
the little toe). It derives its name from the old belief that
tailors developed this condition as a result of working at their
sewing machines with their legs crossed and the outside of their
feet touching. This condition is caused by faulty foot mechanics
and, like a conventional bunion, tends to be hereditary.
Two procedures are commonly used
to correct the tailor's bunion. In some cases, an angulated
incision is made in the bone, which is then slid inward. Other
times the front or side part of the bone is removed. Regardless of
which method is elected, this is generally a highly successful
procedure, and post-op ambulation and healing are rapid.
Surgery for "Dropped" Metatarsals
Ideally, all five metatarsal bones
should hit the ground at the same level. Often, however, one or
more metatarsals can be structurally lower than the others. This
condition is referred to as plantar-flexed or "dropped"
metatarsals. The increased pressure of one metatarsal hitting the
ground with more force than the others often results in the
formation of a painful callus-like lesion known as an intractable
plantar keratoma (IPK).
The conservative treatment of an
IPK involves using an accommodative orthotic with a built-in
depression below the dropped metatarsal. While this device will not
correct this condition, it will allow the dropped metatarsal to
functionally hit the ground at the same level as the other
metatarsals. In an older, less effective treatment, metatarsal pads
were placed behind the affected bone. The theory was that these
pads "raised" the dropped metatarsal.
Experience has shown, however that
it is better to let a plantar-flexed metatarsal drop harmlessly
into a small hole, than to attempt to "lift" it. When conservative
therapy has not been successful, surgery is indicated. This highly
successful procedure, known as an osteotomy, involves surgically
raising the dropped metatarsal. This can be accomplished easily
using either the open or closed method. In both cases, an incision
is made into the metatarsal causing a precise surgical fracture.
The patient is allowed to walk immediately in wooden post-op shoes
which "float" the fractured bone and let it heal in a new raised
position. Healing from an osteotomy takes about three weeks.
Heel Spur Surgery
A heel spur is a painful bone
formation on the heel caused by the gradual "pulling off" of bone
from the heel by the stretching of the ligaments of the arch. These
ligaments originate in the heel and terminate in the metatarsal
bones. Surgery is indicated only after all other conservative
treatments have been unsatisfactory.
Heel spur surgery is performed
through a small incision on the inside back part of the foot. It is
no longer considered absolutely mandatory to remove the entire
spur. Often detaching ligaments attaching to the spur (the plantar
fascia) is sufficient to make this condition asymptomatic.
Major Foot Surgery
Major foot surgery is also
available for the correction of foot deformities such as flatfeet,
high arched feet, clubfoot, and ankle instability. Many of these
procedures require the use of wires, screws and extensive casting
to fixate bones. This type of surgery should therefore not be
considered as "ambulatory." The procedures for these
"reconstructive" surgeries are complex and are best discussed with
your own surgeon.
What To Expect After Surgery
Foot surgery is unique -- in what
other type of surgery are you required to walk on a healing wound?
The foot, though, is a sturdy structure which responds well to this
challenge, and most foot surgery heals uneventfully. But you should
be prepared for any of the following possible post-op
1. Post-op Swelling
(edema). Some swelling should be expected following your
operation. Generally, the more extensive the surgery, the greater
the swelling will be. Elevating your feet will help reduce this
swelling. One way you can do this is to place a large book such as
an encyclopedia or Sears catalog under the base of your mattress.
Remember that the more you're on your feet after surgery, the
longer it will take for the swelling to go down. Most edema should
be gone after one month. Some residual swelling. However, may
remain for the next few months. This residual swelling should not
be painful. but may restrict you from wearing tight-fitting shoes.
2. Black and blueness. This
is a normal sequela of surgery and results from small internal
bleeding in the wound site. Sometimes this discoloration may even
appear in other parts of the foot. Bunion surgery, for example,
might result in black and blue adjoining toes. Post-op
discoloration will gradually fade and completely disappear within
a month.
3. Soreness. This will also
vary with the extent of surgery and your own pain threshold. Many
people require little or no pain medication after surgery-often the
application of ice is sufficient. Others use aspirin or Tylenol(r).
If you are in discomfort, your surgeon can prescribe medication
ranging from codeine to stronger narcotics. Generally it makes
sense to take as little medication as needed following surgery.
Still, you don't have to be a hero. Take as much medicine as you
need to feel comfortable.
The soreness you feel after
surgery will peak in about forty-eight hours and will decrease
every subsequent day.
4. Infections. Your foot
surgery was performed under sterile conditions, so the risks of
infection are minimal. Keeping your bandages clean after surgery
will also decrease the chances of an infection developing, but
unfortunately, even under the best of conditions infections may
occur. Fortunately, modern antibiotics make infections much less of
a problem than they once were. Be aware of the "cardinal" signs of
an infection: throbbing pain, increased temperature, redness,
swelling, pus.
Infections take a few days to
develop. If you notice any of these signs, call your doctor
immediately. The sooner an infection is detected, the faster it can
be resolved.
5. Numbness. This is a
normal post-operative finding that results from the cutting of
small nerves during surgery. You may experience "funny" feelings
such as a pins-and-needles sensation or an occasional sharp pain.
These feelings are signs that your wound is healing and that the
nerves are regenerating. Normal feeling should return to the
operated part of your foot within a few months.


text:
Samsung plans to launch its Apple Pay competitor this summer
Meanwhile, PayPal acquires mobile payments firm Paydient.
1 - 10 of 4596 Results
More than 80% of consumers will buy them this year, according to the NRF.
Posted 11/13/2013Allison EnrightPost a comment
Related Content:Gift Cards
The service resembles applications offered by Wal-Mart and CafePress.
Posted 12/12/2012Zak StamborPost a comment
Tweet-a-coffee is Starbucks' latest run at encouraging gift giving on social networks.
Posted 10/30/2013Stefany ZarobanPost a comment
As a category, Top 500 flowers and gifts merchants posted the highest conversion rate.
Posted 10/19/2010Bill BriggsPost a comment
Related Content:Gift Wrap | Furniture Online Sales Statistics | Conversion Rate Furniture
83% of online consumers say they'd share such an image on Facebook.
Posted 08/30/2013Paul DemeryPost a comment
Related Content:Packaging | Multi-channel
While dads look to the online channel when buying Mother's Day gifts, moms look elsewhere when buying Father's Day gifts, according to findings from the new LIVEmark retailer index from hosted analytics provider Coremetrics Inc.
Posted 06/22/2005Kurt PetersPost a comment
More than half of consumers are looking forward to shopping the day after Thanksgiving.
Posted 11/12/2013Thad RueterPost a comment
Facebook will sell only gift cards through its Gifts program, not tangible goods.
Posted 08/26/2013Zak StamborPost a comment
Related Content:Sephora
But the gift e-retailer is taking a cautious view for the holiday season.
Posted 11/07/2013Allison EnrightPost a comment
The e-retailer's newest store is called Amazon Curated Flowers Collection.
Posted 09/12/2013Amy DustoPost a comment
Related Content:1800flowers | Flowers

subset: commoncrawl


text:
Illy Cafe Espresso - Whole Bean Dark Roast
Is Illy Cafe Espresso - Whole Bean Dark Roast not too oily for a super automatic machine
Is Illy Cafe Espresso - Whole Bean Dark Roast not too oily for a super automatic machine
mjackson ♦ Dennis,
These beans will work OK in a super auto. There dark roast is not as dark as some other dark roasts. It will work well in all of the machines. It will work very well in the machines that have ceramic burrs. Such as the Gaggia Platinum machines. Please let us know if you have any more questions.
I don't see on your web site where it states how many cans of coffee are in a case.
Mike Russo ♦ Scott...Thank you for your interest in the Illy Cafe Espresso Whole Bean Dark Roast. There are six cans per case. Thanks
Dear Customer Service Representative,
I apologize if this stupid question, but, how many cans are in a case for the Illy Cafe Espresso?
Thank you!
- Martin
mjackson ♦ Martin,
It is a valid question. There are 6 cans in a case of this great coffee.
My company needs almost 200kg of illy Dark roast espresso. How much discount will I get from you. I live in Dubai.
DRuff Hi Sosen. Thank you for your question. Illy makes a great coffee for sure. I would urge you to sign up an account with Whole Latte Love so that you can receive our customer exclusive offers. We often will run promotions offering coffee at a discount for our customers. If there isn't a current promotion and you need coffee you can also call and speak with a sales rep at 888-411-5282 opt 1. There is always something we can do for our customers. Happy Brewing.


text:
The Miami Dade College (MDC) Foundation, Inc. plays an essential role in the growth of the College and its service to the community. The Foundation promotes interest in and support of the College. The Foundation is vital to the College's leadership in high quality, accessible and affordable educational services for the community.
Miami Dade College graduated 14,000 students across 8 campuses in 2011. President Obama spoke at the North and West graduations, and was the third U.S. President in the past four years to speak at an MDC graduation.
The Miami Culinary Institute officially opened to lots of fanfare, community support and accolades earlier this year providing the only regional public option for culinary studies and a curriculum totally steeped and rooted in sustainability. In its state‐of‐the art and "green" building, it provides dynamic programming for students, enthusiasts and the workforce in the restaurant and hospitality industries.
MDC Live! (formerly Cultura del Lobo) has a 20-year legacy of bringing unique, diverse performances from around the world to South Florida. Behind the scenes, the Series provides master classes by visiting artists, an essential component of the College's mission to not only present the best in the arts, but also foster future artists and audiences through meaningful educational experiences.
The 2015 MDC Alumni Hall of Fame is coming up on April 9, 2015. The MDC Alumni Hall of Fame...Read more
On behalf of the Miami Dade College Foundation, a heartfelt thank you to everyone who supported us on Give Miami Day. The total amount of contributions during the 24-hour event was $34,155. Whether it was the I Am MDC Fund, Miami Book Fair International, North Campus Student Resources Program, or the New World School of the Arts, your gift helps to make dreams possible.
MDC features successful alumni through daily ads in prominent publications such as The Miami Herald and El Nuevo Herald... Read more


text:
Use the tools below to refine your search by only displaying reviews with a certain number of star ratings or to only show reviews from a certain time period. Eg click on '1 star' to just display the reviews we have which received a 1 star rating click or 'Within the last month' to display just reviews posted over the last month.
Written on: 10/03/2008 by mart1200 (1 review written)
I ' ve had this car a while now and it ' s the best car I've had to date. Handling is nice (but sits a tad high for my liking, lower springs required). The engine pulls fantastic for a diesel. Lights are also fantastic, dual xenon's. My only gripe so far is the passenger seat feels very weak when folding back into place, and I have a small wear patch already coming through on the driver ' s seat. This car has the capability of demolishing a few so called 'hot hatches' too, which is… Read Full Review
Written on: 14/11/2007 by dingodean (2 reviews written)
I only had the car 6 months and it needed a new turbo at 25,000 miles. After 7 months it needed a new AC unit. The styling is great, but it has poor build quality. Shame Citroen were so close but just missed… Read Full Review
As rated by real users
" Avoid like plague " Read More
" Ford Fiesta 1.3 petrol T reg " Read More
Written by chazza32
" Good Strong Diesel " Read More
" Love this car! " Read More
" Superb and likeable car " Read More
Written by eddduck1948


text:
Chase opens branch No. 115
Chase opened a new branch on Beaverton Hillsdale Highway on Wednesday.
Photo galleries See all photo galleries
Newly independent Portland company gets a Nasdaq-listed owner
2 Photos
A look at the PBJ's partner nonprofits for this year — and for all time (Photos)
48 Photos
Top CRE honors go to well-known brokers at annual awards gala (Photos)
12 Photos
Peruvian shoes waltz on in to Portland retail space
2 Photos
Beer lovers flock to gargantuan growler as Bend company easily hits funding goal
2 Photos
After $4M venture round, sneaker consultant eyes Portland
3 Photos
PNCA transforms the historic post office building with a $34M remake (Photos)
21 Photos
More good food — Little Big Burger, Bamboo Sushi and Voodoo Doughnuts — coming to your door
3 Photos
Most Popular
- Most popular
- Emailed
- Mobile
- ZoomCare rolls out 9 new clinics, new 'campus' in Portland
- A look at Oregon's most popular breweries, according to locals
- Nike, University of Kentucky agree on lengthy $30M extension
- Kitzhaber tie means no easy passage for Oregon's clean fuels bill
- South Waterfront retail spaces going gangbusters after long silence
- Dick's CEO walks back comment about Adidas
- FLIR's soon-to-be ex CFO lands a new gig with another local firm
- Portland medical products company to lay off 88
- 700 Portland physicians form a powerhouse care network
- PNCA transforms the historic post office building with a $34M remake


text:
... taken for migraines are: Zoloft, Propranolol, and Imitrex. Can I also take Migrelief with these? Thank you!
Feverfew - Is Migrelief safe to take with someone who has Barretts Esophagus? Also, meds being?
- Posted:
- 29 Feb 2012 by marsh235
- Topics:
- imitrex, zoloft, migraine, cluster headaches, migraine prevention, feverfew, propranolol
Responses (1)
Should have said that if the meds you are taking are not helping you need to speak with your doctor to try something new, however do not just stop your meds as there can be reactions... mary
Further Information
- Imitrex Drug Information
- Zoloft Drug Information
- Feverfew Drug Information
- Propranolol Drug Information
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Similar questions
Does the Imitrex injection provide a benefit similar to trigger-point injections?
I get migraine headaches that are the result of severe muscle spasms in my neck. In total desperation one time I used my prescribed Imitrex injection ...
5 answers • 19 Apr 2010
What are your thoughts re Endep being the right drug for me?
Have been prescribed Endep for 4 fold reasons. 1--chronic cluster headaches; hopefully to replace Topomax due to side effects. 2--migraine ...
2 answers • 18 Feb 2011
Inderal - migraines and a hard place?
I've been a migraineur for 20+ years. It has only been the last 2 years that my neurologist and I have been fighting back. So I've tried ...
2 answers • 9 Mar 2013
Migraine - Question about petadolex, feverfew or other medications that have worked?
Hello! I'm wondering if anyone else with migraines has tried Petadolex (butterbur extract) or feverfew for migraines? And if so if it helped or ...
1 answer • 21 May 2013
My wife suffers from cluster migraines. We've found the only thing that works is the Sumatriptan?
... Subcutaneous (injections) from Imitrex or Caraco Pharmaceutical Laboratories. Our insurance won't pay for more than 4 injections every 3 ...
2 answers • 12 Jan 2014


text:
Downton Abbey News
Cast members from the wildly popular PBS series "Downton Abbey" were in New York last night to talk about the upcoming fifth season of the show. Just what did we learn? Read More...
http://www.hitfix.com/news/d More »
Well of course George Clooney looks dapper in 1930s duds. The man can look good in any decade. The recently wedded A-plus lister booked a guest stint on a Downton Abbey s ketch for a UK charity holiday More »
The second season of the Brit gangster drama goes out on Netflix Nov. 14 .
Read More...
The ITV drama, which airs on PBS in the U.S., averaged 8.29 million viewers in the overnight ratings
Read More...
"This will provide audiences with a fresh opportunity to see what will befall our much loved characters". Read More...
http://feedproxy.google.com/~r/thr/television/~3/ZXrDicGl9tw/story01.htm More »
The Tom Branson depicter thinks the period drama series can't last for more than two more seasons because 'the period of time we want to tell' is 'coming to the end.' Read More...
http://www.aceshowbiz.com/news More »
Just when "Downton Abbey" seems to be plodding a bit in Season 5, an episode pops up that is chock full of excitement and heartbreak. As always, don't keep reading if you don't want to be spoiled.
Upstairs More »
Will Lord Grantham's pet have soon fetched her last stick? Read More...
http://feedproxy.google.com/~r/thr/television/~3/W1BNc7Lt7dk/story01.htm More »
The Guest opened in limited release last week and, after performing well, is platforming out into more theaters this weekend. The new film from director Adam Wingard and writer Simon Barrett (You're Next, V/H/S/ More »
Someone give PBS a hug.
The network is in danger of losing its biggest show, British import Downton Abbey , sooner than it would likeif rumors out of the UK are true.The show'screator Julian Fellowes mig More »


text:
Pronunciation: خسرنا
Added on: 2013-01-07
Listened: 0 times
Add categories to خسرنا
Pronunciation in Arabic [ar]
- Pronunciation by maamrr (Male from United Arab Emirates)
- Could you do it better? different accent? Pronounce خسرنا in Arabic
Accents & languages on maps
- Random word: بعدهم
by Yandex Translate English translation:
خسرنا = Lost
Not satisfied?
Modify word:
· Add languages
· Add categories
Report word:
Is there anything wrong with this word?
Please report it here.


text:
Wow, I did absolutely nothing today.
, 18th February 2013 at 10:14 PM (243 Views)
Let me show you my schedule today
10:00 I wake up
10:30 I ate food and brushed my teeth
3:00 after watching the dubbed version of full-metal I then proceed to try to run the 3 mile trail with my parents
3:25 I start to feel nauseous, so I then proceed to go home
it's now 7, so YA!!! What a day


text:
Skip to Section Subnavigation Skip to Page Content
Between emergency, enrollment, and athletic forms, parents complete quite a bit of paperwork. If you're missing something, find it here.
Andover and Lahser were combined in the fall of 2013 to become Bloomfield Hills High School. The new/renovated BHHS campus is set to open in the fall of 2015.
Our data dashboard highlights measurable components in multiple areas in order to ensure a high quality school system. The data presented provides a holistic view of our school district and key factors that are tied to student success.
We are pleased to provide personal tours, enabling you to visit schools when it is most convenient. We look forward to meeting you and your children!
We are unable to count the reasons why people love Bloomfield! Learn just some of the reasons families move to our neighborhoods and send their children to our schools.
Bloomfield Hills Schools generally holds Board meetings on the first and third Thursday of each month, beginning at 7 p.m. For additional meeting information, click here.
If you weren't able to make a Board meeting, or were present and would like to review what happened, read the meeting minutes here.
Did you know that full-time employees can enroll their children at BHS free-of-charge? Click here to view employment opportunities at Michigan's finest school district.
From our exceptional D/HH program, to Wing Lake Developmental Center's warm and welcoming environment, BHS is proud of the myriad of services we offer special education students.
Thank you for joining us at the Celebrating Lahser & Andover, the end of an era! Friends and teachers reunited and walked through their school one last time!
There are always a lot of amazing things going on at Bloomfield Hills Schools! Stay informed and up to date by receiving our email news. Sign up by clicking the link above.
To fund programs that engage students, empower educators and enrich the community!
Discover the many ways to support Bloomfield Hills Schools!
Skip to Page Content
Congratulations to the BHHS girls' varsity ski team on achieving 3rd place in the 2015 Division 1 MHSAA State Ski Finals at Boyne Highlands on Monday, February 23! Congratulations to JT Stewart, on the boys varsity ski team, who was runner-up state champion in GS, and to Ryan Stewart who came in 7th.
The BHHS and Model visual arts departments are proud to announce 15 student portfolios were selected as Scholastics Gold Key winners! Additionally, 27 Gold Key, 44 Silver Key, and 41 Honorable Mentions were awarded to 62 BHHS and Model students in the categories of photography, mixed media, digital art, painting, sculpture, drawing and illustration, comic art, and ceramics and glass. Gold Keys awarded will be judged at the national level in March. Check out some of the Gold Key artwork here!
How do you see the future of our properties? In the fall of 2015, Bloomfield Hills Schools will have four properties not in use and we're asking for your ideas! Come share with us your vision for the future in one of many small focus groups. Each date and time has a different primary focus. Please select the group that best suits your ideas.
Attention Black Hawk fans of ALL ages, BHHS will be selling spirit wear items at 9th grade campus during all lunches on Friday, March 6, and at the main campus on Friday, March 13. Cash and checks only please!
Students from across the district are working hard to create a collaborative stained glass art piece that will later be donated to Children's Hospital.
Parents of 4th graders who will attend Bloomfield Hills Middle School (BHMS) in the Fall are invited to attend a parent (only) orientation on Tuesday, March 31, at 7:00 p.m at BHMS. Principal Randy English and Associate Principal Brian Fitzgerald and other staff will discuss the transition from 4th to 5th grade. They will cover schedules, electives, lockers, cafeteria and other 5th grade topics. They will also discuss the 5th grade student orientation program, "Where Everybody Belongs" (WEB), that will take place in August.
Here is a link to Ms Musson's newsletter and art page.
Check it out and see what your student has been doing in art class.
Its that time of year that you don't want to miss out on your child's school memories. Please submit candid photos for consideration in the yearbook. The deadline to submit photos is March 13th as well. See the attached flyer to submit the photos.
Congratulations to BHHS senior, Josh Thelen, for receiving 1st place in the local Optimist Club Essay Contest! Josh won a scholarship for his essay about optimism as a priority. He competed with 22 students from BHHS, Cranbrook, Country Day, and Sacred Heart. He will move on to compete in the next round of the competition. Way to go, Josh!
Dear Families,
Eastover Elementary, in coordination with our PTO, is participating in a school-wide community service project called "Spring for our Troops." This service project is also done in coordination with a community organization called, "Desert Angels," which supplies much needed items for our troops who are deployed. The students had an assembly explaining the start of this project. Attached is a copy of the letter that went home with students. The letter outlines the project dates, a list of items to think about donating, and the date for our packing party. We will start our item collection on Tuesday, February 24th and continue this collection until March 12th. Our school is excited about participating in this wonderful opportunity and giving back to others.
Thank you for your time and consideration for this effort.
Mrs. Crocker, Principal


text:
Photos: Police presence at Norview High School
Police increased patrols at Norview High School, following a fight that led to an alleged assault on a security officer and two teen arrests…
Sponsored by:
Police increased patrols at Norview High School, following a fight that led to an alleged assault on a security officer and two teen arrests…
Thousands showed up to watch the World Beard and Moustache Championships in Portland, Ore. Oct. 25, 2014.
These individuals are wanted by the Suffolk Police Department for crimes committed in the city.
Photos from high school football games in Hampton Roads, Va. on Oct. 24, 2014.
Several students were shot at Marysville-Pilchuck High School in Marysville, Wash., Friday, Oct. 24, 2014.
10 On Your Side spoke with the Suffolk Police Department Thursday, which expects to arm officers with body cameras by next year.
Halloween happenings around Hampton Roads in 2014.
A million-dollar lawsuit claims a company's product created dangerous roads, all across the country, in an effort to cut costs.
A soldier standing guard at the National War Memorial in Ottawa, Canada was shot by an unknown gunman, and people reported hearing gunfire i…
Students and parents packed into the Mathews High School library to send a message to the school board.
Felicia Bailey is asking Surry County schools to test for mold, but the superintendent says there is none.
The fight over a historic house has taken a nasty turn.
Some WAVY viewers woke up on Oct. 21 in time to see a rainbow- or even two.
Oscar De la Renta, who dressed first ladies, socialites and Hollywood stars for more than four decades, died Oct. 20 at his Connecticut home…
Oscar de la Renta, the designer who shaped the wardrobe of socialites, Hollywood stars and first ladies, has died at 82. Here is a look at h…
Locally based troops, sent to Liberia to help the country battle Ebola, are back in Hampton Roads.
After an eminent domain case involving Integrated Global Logistics and VDOT, access to the property was limited by a road closure.


text:
"Stay focused on self-direction and personal growth and away from finger-pointing. The behavior of love is what counts, so be specific about your actions."
Nina Atwood
"Don't you see there is only one thing surrounding you? It is called ABUNDANCE!"
Roxana Jones
"Love with passion what you do… Success is the natural result of that love!"
"Learn how to speak in Love! Your heart will teach you the only language we can all understand!"
"Possible or impossible? Believe that you can do anything and you will!"
"Be still! In the silence of the heart, One learns the journey of the wise"
"Tonight: Be grateful for all that you have lived today and start dreaming your new YOU!"


text:
Love seeing Current TV host/Liberal hag Joy Behar get her comeuppance whenever it happens. See this link for another example. This question was in reference to Al Jazeera buying Current TV. Question is, will Ms. Behar now be required to wear a Burqa?
Tag Archives | current tv
What will we do this election cycle? Apparently, the Big O is on the outs with Big Al. Great read from the NY Times Media Decoder blog at the link above.
An Election Year Without Keith Olbermann?
Welcome to my blog and thanks for dropping by! Please feel free to join the discussion by leaving comments, and stay updated by subscribing to the RSS feed.
Sponsored Links
Blogs I Read
- All American Blogger
- American Thinker
- Atlas Shrugged
- Campaign Spot
- Carpe Diem
- CATO At Liberty
- Dump N Chase
- Fox Nation
- Freakonomics
- Freedom's Lighthouse
- Gateway Pundit
- Hot Air
- HotAirPundit
- International Liberty
- Japers Rink
- Jen Kuznicki
- John Stossel's Take
- Legal Insurrection
- Maggie's Farm
- Matt Walsh
- Newsbusters
- Newsy
- Pro Football Talk
- Pro Hockey Talk
- Rare
- Real Redskins
- Redskins Blog
- Riehl World View
- Ted's Take
- The Other McCain
- White House Dossier


text:
(March 3, 2012: Kailua, HI 96734) The Kailua Surfriders baseball team scored 7 runs and limited the visiting Castle Knights to 6 in the Surfriders league victory on Saturday.
The Surfriders (3-1) will now prepare for their match against Castle (Kaneohe, HI). The Knights go into the Oahu - East match with a 1-2 record.
The Knights (1-4) will now prepare for their match against Kailua (Kailua, HI). The Surfriders go into the Oahu - East match with a 1-1 record. In their last match, Kailua 'Iolani (Honolulu, HI), 1-1, in a non-league match.
Not a Member? Join MaxPreps now for free access to rankings for thousands of teams across all sports. IT'S FREE, IT'S FAST, IT'S EASY!


text: The professional reputation of some actors and performers is inextricable from that of a larger ensemble to which they belong. Comedian/actor/screenwriter Aziz Ansari epitomizes this idea. Ansari shot to fame in the mid- to late 2000s as a member of the three-person comedy troupe responsible for [RoviLink="VW"]The Human Giant -- a weekly, [RoviLink="VW"]SNL-style collection of outrageous and irreverent comedy sketches that the group wrote and performed on [RoviLink="VN"]MTV. An... Read more


text:
2530 J Street, Suite 100, Sacramento, CA 95816
Phone: (916) 446-2591
1.3 mi
1201 Alhambra Blvd Ste 220, Sacramento, CA 95816
Phone: (916) 731-7900
1.7 mi
Can't find a business you think should be on YellowBot?
If you don't see your business listed on YellowBot, please add your business listing.
YellowBot wants to get your input! If you have a comment, find a bug or think of something neat we should do, let us know by emailing us.
© 2007-2015 Solfo, Inc. – All rights reserved


text:
Joola Snapper Net and Post
Play Video
You Save $10.00 or 20%
Item # 3859211
Eligible for $20 Off Your Purchase of $100 or More! (see promotion details) |
Eligible for Free Shipping on Orders $49 or More! (see promotion details) |
Members of The League get 5% back when you spend $100! (see promotion details) |
Product Details
The Joola® Snapper net and post set is a compact, convenient addition to your table tennis table. It's crafted using sturdy metal, and the clip system features a vertical adjustment.
- Compact metal net and post set
- Vertical adjustment
- Clip system


text:
Use our new superlist posting interface and quickly create exceptional, media-rich buzz posts.
Could not DISAGREE more - this article actually made me nauseous…
faith134 is a BuzzFeed user and their posts have not been vetted or endorsed by BuzzFeed's editorial staff. BuzzFeed Community is a place where anyone can post awesome lists and creations. Learn more or post your buzz!
has been editing this post since .
took your lock at .
Something's wrong, a mini-history of this post:


text:
Goldman Sachs has launched the first structured product based on the UK Investment Property Databank (IPD).
The tracker, which will be quoted on the London Stock Exchange, is linked to the all-property index of the IPD. It expires in March 2011 and carries a 2.8% management charge - comparable, Goldman Sachs said, to the cost of buying and selling a conventional property unit trust over the same period.The property derivatives market has seen growing activity during the past 12 months, but Goldman Sachs' product is the first listed tracker.
A survey carried out last year by the London-based Property Derivatives Interest Group found high demand for property derivatives among institutional investors, which is the main target for Goldman Sachs' new tracker. But it also found that most investors would prefer more specific underlyings to the all-property index, to allow tactical reallocation.
Derivatives are considered preferable to direct investment because of the expense of stamp duty and other transaction costs of investing in property directly. They also provide the ability to structure exposures more accurately.
Topics: Goldman Sachs
More on Structured Products
China ETFs rocked and UBS shocked by Stock Connect
UBS suffers VAR exception on huge P&L swings following scheme's launch
Eurozone insurers eye CLNs as ECB easing hits bond yields
Dealers tout hybrid credit and equity-linked notes with Eurostoxx 50 exposure
French regulator urges clarity on structured products ratings
Risk comparisons must be made easier under Priips KID, says AMF
EU structured products reforms lack co-ordination, says industry
JAC calls on regulators to co-ordinate cost disclosure rules in KID with Mifid II
Sign up for Risk.net email alerts
Related media
Sponsored video interview: Multifonds' Keith Hale
Multifonds talks to Custody Risk on being nominated for the Post-Trade Technology Vendor of the Year at the Custody Risk Awards 2014
Examining the current state and future direction of enterprise stress testing
Sponsored webinar: IBM Risk Analytics
There are no comments submitted yet. Do you have an interesting opinion? Then be the first to post a comment.
Updating your subscription status
Risk iPad and iPhone Apps
Click here to see our full portfolio
Email alerts
Readers poll


text:
1960s Furniture
£3,200.00Flat bar chrome frame lounge chairs by milo baughman for Thayer Coggin, Learn More
£325.00Black painted wooden bench, possibly Yugoslavian circa 1960. Learn More
£375.00Walnut and Travertine Floor Lamp with built in Travertine table. Learn More
£1,250.00Warren platner coffee table with nickel plated steel rods, Glass top 1960's circa. Learn More
£495.00A Tessellated Stone Console table very similar in style to Maitland Smith tables. Learn More
£550.00Sheldon Rose Alphasculpt resin side table 1968, signed and dated. Learn More
£4,250.00A high back Warren Platner for Knoll international lounge chair circa 1966. Learn More
£495.00A Hollywood Regency-style, Italian gilt metal sheaf of wheat table with glass top. Learn More
£295.00A Danish Teak Side Table with Basket Drawer. Learn More
£295.00A 1960s Plycraft Norman Cherner Plywood Side Chair. Learn More
To us,the essence of happy chic was founded in 1960s mid century modern furniture pieces. Very relevant to exuberant decade, furniture pieces also boasted of the brightest hues and the most buoyant shapes.
Inject some happy flair into your home by considering a few of our 1960s furniture online from London, England, UK.
Mid-Century Modern Furniture deals with rare and beautiful furniture from outstanding mid-century furniture designers from the 1960s. Browse our collection and shop for exceptional mid-century furniture online.


text:
There are currently no items in your cart.
There's No Business Like Show Business
There's No Business Like Show Business by Irving Berlin. For Guitar, Piano/Keyboard, Vocal. Piano Vocal. 8 pages. Published by Hal Leonard (HL.5239).
Sheet Music.
Customers Who Bought There's No Business Like Show Business Also Bought:
Anything You Can Do $3.95
Everything's Coming Up Roses $3.95
Memory - From "Cats" $3.99
Hello, Dolly! $3.95
Sweet Home Alabama $4.99
Putting It Together $4.99
The Definitive Broadway Collection ... $24.99
Close To You (They Long To Be) $3.95
Smells Like Teen Spirit $3.95
Every Breath You Take $3.99
Scarborough Fair/Canticle $3.95
You Won't Succeed On Broadway $4.99
Jesus Christ Superstar $9.95
Any Dream Will Do $4.99
Hey, Good Lookin' $3.50
Camelot (From Camelot) $3.95
Downtown $4.99
Sentimental Journey $3.95
There's No Business Like Show Business
- Explain exactly why you liked or disliked the product. Do you like the artist? Is the transcription accurate? Is it a good teaching tool?
- Consider writing about your experience and musical tastes. Are you a beginner who started playing last month? Do you usually like this style of music?
- Feel free to recommend similar pieces if you liked this piece, or alternatives if you didn't.
- Be respectful of artists, readers, and your fellow reviewers. Please do not use inappropriate language, including profanity, vulgarity, or obscenity.
- Avoid disclosing contact information (email addresses, phone numbers, etc.), or including URLs, time-sensitive material or alternative ordering information.
- We cannot post your review if it violates these guidelines. If you have any suggestions or comments on the guidelines, please email us.
- All submitted reviews become the licensed property of Sheet Music Plus and are subject to all laws pertaining thereto. If you believe that any review contained on our site infringes upon your copyright, please email us.
- Read Sheet Music Plus's complete Privacy Policy
There's No Business Like Show Business
Tell a friend (or remind yourself) about this product. We'll instantly send an email containing product info and a link to it. You may also enter a personal message.
We do not use or store email addresses from this form for any other purpose than sending your share email.
Read our Privacy Policy.
Now you can also view your purchased titles on your iPad with our
free Sheet Music Plus Digital Print Viewer app.
With Digital Print, you can print from your computer immediately after purchase, or wait until its convenient. And our software installation is easy - we'll guide you through the simple steps to make sure you have Adobe Flash Player, Adobe AIR and the Sheet Music Plus AIR application on your computer.
See all System Requirements for Digital Print
Note: Our Digital Print items are purchased solely through our website. By purchasing a Digital Print item, you are authorized by the publisher to print out the purchased number of copies for that particular title. Thus, we are unable to fax, mail or email digital titles in any form or file format (including PDF) as it violates copyright law.
Google Chrome Users: The most recent Google Chrome update is not compatible with Adobe AIR. We recommend using an alternate browser (such as Internet Explorer, Safari, or Firefox) in order to download Adobe AIR and print your music.
Digital Print - Available Instantly!
If you have any questions, comments or concerns, please contact us at firstname.lastname@example.com.
Make a wish list for gifts, suggest standard repertoire, let students know which books to buy, boast about pieces you've mastered: Music Lists are as unique as the musician! Easily share your music lists with friends, students, and the world.
To create a music list, please sign in.
Existing Accounts New AccountsSave up to 25% on New Releases for Piano at Sheet Music Plus
Taylor Swift - 1989 $17.99 $13.49
Into the Woods $19.99 $14.99
Sam Smith - In the Lonely Hour $16.99 $12.74
Taylor Swift - 1989 $16.99 $12.74
Endless Communion $18.95 $14.21
Ed Sheeran - X $16.99 $12.74
2015 Greatest Pop & Movie Hits $14.99 $11.24
First 50 Classical Pieces You Shoul... $14.99 $11.24
Popular Performer -- Great American... $19.99 $14.99
Chart Hits of 2014-2015 $16.99 $12.74
Frank Sinatra - Centennial Songbook $24.99 $18.74
How to Train Your Dragon $14.99 $11.24
33. Gospel $16.99 $12.74
James Bond - The Ultimate Music Col... $17.99 $13.49
5 Seconds of Summer $16.99 $12.74
Popular Songs for Piano Solo - 14 S... $16.99 $12.74
George Gershwin for Easy Piano $14.99 $11.24
Best of Ed Sheeran $14.99 $11.24
See Similar Sheet Music
More by this Performer: Irving Berlin Sheet Music Irving Berlin Piano, Vocal, Guitar Sheet Music Irving Berlin Voice Sheet Music Irving Berlin Guitar Sheet Music
Instrument: Piano, Vocal, Guitar Sheet Music Voice Sheet Music Guitar Sheet Music
Genre: Standards Sheet Music


text:
UNCP is open on a normal schedule today, Thursday, February 26. The Adverse Weather Policy is in effect until 12 noon.
Students, faculty and staff should use caution traveling to campus.
Off campus sites will follow the host campus schedule.
✖ Close
Mixed Media by Alceon Jones, Lumbee
Return to Art


text:
Pronunciation: Cäsarenhals
Added on: 2012-07-07
Listened: 17 times
Pronunciation in German [de]
- Pronunciation by Berliner (Male from Germany)
- Could you do it better? different accent? Pronounce Cäsarenhals in German
Accents & languages on maps
- Random word: Süßdolde
Not satisfied?
Modify word:
· Add languages
· Add categories
Report word:
Is there anything wrong with this word?
Please report it here.


text:
Straw man argument IMO. Two different worlds the Rulers of the Peoples Republic of California routinely make decisions on what they think is best for their subjects who expect their government to provide for them.
The State of Alaska has no subjects nor rulers. The people of Alaska are free hardworking independent self reliant liberty loving citizens of a free state in a free nation. One of only three states in the union that respects their own Constitution and the Constitution of the United States as written. Alaska is run by the people. Not by second generation nazi socialists like Peoples Republic of California is
What happens in one is no indication of what will happen in the other


text:
NFL Games
AFC Wild Card Game: Indianapolis Colts at Baltimore Ravens
78 of 180 | Show all photos
Jeff Saturday speaks at a news conference after signing a one day contract in order to retire as an Indianapolis Colt Thursday, March 7, 2013, in Indianapolis. Saturday spent 13 seasons in Indianapolis before signing with Green Bay last year. (AP Photo/AJ Mast)


text:
Michael Ring TD, Minister of State at the Department of Transport, Tourism and Sport, was in Italy last week where he met a number of key Italian travel decision-makers. Minister Ring was in Italy as part of a "Promote Ireland" programme around St Patrick's Day – helping to promote tourism to Ireland and inviting members of the Diaspora living in Italy to come home during this special year of The Gathering Ireland. During his time in Italy, Minister Ring met with influential tour operators, carriers and media, encouraging them to promote Ireland as a superb holiday and business tourism destination.
Tourism Ireland's St Patrick's 2013 programme spanned Great Britain, Mainland Europe, North America, Australia and New Zealand, as well as emerging tourism markets like China, India, the Middle East and South Africa. About 70 landmark buildings and iconic sites around the world went green at the weekend to celebrate St Patrick's Day. In Italy, they included the Leaning Tower of Pisa, the Palazzo della Loggia in Brescia and the Torre del Filarete in Milan. Elsewhere around the globe, the Sydney Opera House, the London Eye, Selfridges in London, Niagara Falls, Burj al Arab in Dubai and the Prince's Palace of Monaco were all illuminated in green as the sun set on 17 March. Tourism Ireland took every opportunity to capitalise on Ireland's heightened profile around St Patrick's weekend, with the saturation coverage about Ireland across the global airwaves, in newspapers and digital media, proving an invaluable boost for Ireland's overall tourism marketing drive this year.
Niall Gibbons, chief executive of Tourism Ireland, said: "We are delighted that Minister Ring travelled to Italy to help us deliver the message about the many great reasons to visit Ireland in 2013 and, in particular, The Gathering Ireland.
"Our 'greening' initiative got even bigger and better this year, with some famous additions like the Pyramids of Giza, the Christ the Redeemer statue in Brazil, Anfield stadium in Liverpool, the Eye Film Institute in Amsterdam, the Kingdom Tower in Saudi Arabia, the Gateway of India in Mumbai and even the Friends Arena in Stockholm, where the Republic of Ireland takes on Sweden later this week in the World Cup qualifying campaign. Our aim is to bring a smile to the world and to convey the message that Ireland offers the warmest of welcomes and great fun, as well as fantastic scenery and cultural activities." Niamh Kinsella, Tourism Ireland; Minister Ring; Silvestro Serra, Touring Club Italia; Shane Clarke, Tourism Ireland; and HE Patrick Hennessy, Irish Ambassador to Italy, viewing the Ireland promotion in the window of the headquarters of Touring Club Italia in Milan. -ENDS-
Further media information: Sinéad Grace, Tourism Ireland Tel: 087-685 9027
Notes to Editors: • Tourism Ireland is the organisation responsible for promoting the island of Ireland overseas as a leading holiday destination. • Tourism is the island of Ireland's largest indigenous industry; responsible for in excess of 4% of GNP in the Republic of Ireland and employing approximately 200,000 people. • In 2012, an estimated 7.27 million overseas visitors came to the island of Ireland, delivering revenue of approximately €3.51 billion. Overseas tourism business accounts for 59% of all tourism revenue. • Tourism Ireland's international website is www.ireland.com, currently rolling out in 11 different language versions for over 30 individual markets around the world. • 'The Gathering Ireland 2013' is Ireland's biggest ever tourism initiative, consisting of a year-long programme of festivals, events and gatherings in every part of the country; Tourism Ireland has an extensive programme of promotions under way to highlight 'The Gathering Ireland 2013' around the world, working closely with the 'Gathering' project team.
Who's Who
Search for Tourism Ireland Contacts


text: Yes, President's Day is over. No, we don't have another three day weekend until May, not that I'm counting. But buck up kids, the weekend will not only bring sun, but also the promise of international celebration with Russian festivals, Chinese New Year parades, record-setting rappers, and the glamour of the red carpet as stars gather for the 85th Academy Awards.


text:
HALL, BENJAMIN FRANKLIN (1803–1873). Benjamin Franklin Hall, minister and soldier, was born in Christian County, Kentucky, on June 13, 1803, the son of a Revolutionary War soldier and early settler of Limestone, Kentucky, and Martha (Foster). Hall was ordained by Barton Warren Stone, Sr., and preached with Alexander Campbell. He wrote numerous articles for Campbell's Millenial Harbinger (which was published from 1830 to 1870) and before coming to Texas was coeditor with J. T. Johnson of the Gospel Advocate, begun in 1835 in Georgetown, Kentucky. (This newspaper should not be confused with a later Gospel Advocate published in Nashville). Hall was married three times, first in 1827 to Dorindo Chisholm, with whom he had twins and who died in 1830; in 1836 to Susan Ball, a widow, whom Hall described as a strong-willed and bitter woman. This troubled marriage ended in divorce after she abandoned him. Texas law permitted divorce after five years of absence by a wife. Not knowing whether the second Mrs. Hall was living, in 1863 Hall married Elizabeth Collins; this marriage subjected him to much criticism and finally a church trial at Mantua, which was decided in his favor.
Known as the "strolling dentist," Hall often took preaching journeys, principally in the South, where he established and nourished young frontier congregations. He also worked briefly for a New Orleans firm locating land on the Texas frontier and may have also studied law at this time. On his first trip in Texas in the winter of 1848–49 he traveled from Aransas Bay to San Antonio and visited Goliad and the Alamo.
He preached for churches in Kentucky and Tennessee before 1856, when he moved to Texas. His subsequent ministry was chiefly in Grayson, Collin, and Dallas counties. With Nathan H. O. Polly he started congregations in many North Texas locations. During the Civil War he was chaplain in the Sixth Texas Cavalry, organized by Col. Barton W. Stone, Jr., of Dallas. Chaplain Hall served for nine months and was in the battles of Pea Ridge and Prairie Grove, near Fayetteville, Arkansas.
The Dallas Herald (see DALLAS TIMES HERALD) stated about Hall: "As a scholar and pulpit orator he has but few equals. Deeply versed in the Sacred Scriptures, he proclaims their truths with telling effect." He died at his home in Kentucky Town, a Grayson County community, on May 1, 1873. He was a friend of Collin McKinney and is buried in the McKinney plot in the Van Alstyne cemetery.
William Baxter, Pea Ridge and Prairie Grove (Cincinnati: Poe and Hitchcock, 1864; rpt., Van Buren, Arkansas: Press-Argus, 1957). Carter E. Boren, Religion on the Texas Frontier (San Antonio: Naylor, 1968). Winfred Ernest Garrison and Alfred T. De Groot, The Disciples of Christ: A History (St. Louis: Bethany, 1948; rev. ed. 1958). Genealogical Biographies of Landowners of Grayson County, Texas, from 1836 through 1869 (Sherman, Texas: Oak Room Emporium, 1967). Benjamin Franklin Hall, Autobiography (MS, Special Collections, Texas Christian University Library). Colby D. Hall, Texas Disciples (Fort Worth: Texas Christian University Press, 1953). R. L. Roberts, Jr., "B. F. Hall: Pioneer Evangelist and Herald of Hope," Restoration Quarterly 8 (1965). R. L. Roberts, Jr., "Benjamin Franklin Hall, 1803–1873," Restoration Quarterly 20 (1977).
The following, adapted from the Chicago Manual of Style, 15th edition, is the preferred citation for this article.
R. L. Roberts, "HALL, BENJAMIN FRANKLIN," Handbook of Texas Online (http://www.tshaonline.org/handbook/online/articles/fhaeq), accessed March 03, 2015. Uploaded on June 15, 2010. Published by the Texas State Historical Association.


text:
Top Chef
- Network: Bravo
- Genre: Reality TV
Common Sense Media says
- Network: Bravo
- Genre: Reality TV
What parents need to know
Parents Need to Know
Parents need to know that this reality series is a reflection of the real hierarchical power struggles in the restaurant industry. Produced by the same folks who put together the highly successful Project Runway, this show focuses on the nasty behavior between competitors instead of the cooking process itself. Critiques from judges are harsh, which may be hard for kid viewers to understand.
User reviews
Parents say
Kids say
What's the story?
In TOP CHEF, aspiring cooks compete for the title of king/queen of the kitchen. The competitors face two challenges each week, in which they're judged by famous chefs and other notable foodies. First they must prepare a meal using a specific -- and often unusual -- ingredient under tight time constraints. The winner of this challenge is safe from elimination from the second challenge, which is to prepare another meal for a group of demanding clients. The last chef standing will receive, of course, the title of Top Chef, along with lucrative prizes they can use to jump-start their culinary career.
Is it any good?
Kids like to cook, but this show skimps on the process, focusing on personalities instead. The whiny, confrontational, self-absorbed contestants' language and behavior aren't age-appropriate for younger viewers, and they never show what it takes to work cooperatively as a team.
Also, some challenges aren't for young eyes. For example, one season had an episode that was all about preparing sexy, erotic food for a fetish ball. And another challenge revolved around cooking monkfish for a group of 10-year-olds; many of the competing chefs threw up their noses at the idea of preparing food for kids. Whose team won? The mom of three.
Families can talk about...
Families can talk about the challenges of working in a creative field under tight time pressures. What skills are required to make this situation successful? Also, how do you balance your individual creative talent while working cooperatively as part of a team? For kids interested in cooking, the featured meals may spur discussions about exotic foods or the process of preparing and cooking them.
TV details
Cast: | Gail Simmons, Padma Lakshmi, Tom Colicchio |
Network: | Bravo |
Genre: | Reality TV |
TV rating: | TV-14 |
Available on: | DVD, Streaming |
Great handpicked alternatives
For kids who love reality television
Browse more TV
Top advice and articles
What parents and kids say
A safe community is important to us. Please observe our guidelines


text:
AHH! OLGA All of these photos are AMAZING!!!!!!!!!!
Printable View
AHH! OLGA All of these photos are AMAZING!!!!!!!!!!
Olga, I LOVE your photos!
Great job, Olga! The Käthe Wohlfahrt ornaments look wonderful!!
I have a similar type ornament that was made in Germany by Christian Ulbricht:
Love the ornaments!
Oh, this company is so much older than Käthe Wohlfahrt, but, I know that its also one of the best (if not the best), with great experience in making ornaments, nutcrackers and lots of handmade products..
Your ornament seem to fit perfect with my tree decoration!!!!! :tree1:
Wonderful pictures Olga :)


text:
I am going Contiki!
Southern Adventure (Start New Orleans)
7 days to go
Follow KristynTahnee27-year-old Female living in Victoria Australia
Sarcastic sentimentalist, Nostalgia enthusiast and all round eccentric. Kristyn likes watching classic Hollywood movies, reading beautiful old books and just being generally anachronistic.
Level 1 Traveler
1 tour
1 country


text:
Join Now
Join ePHOTOzine, the friendliest photography community.
Upload photos, chat with photographers, win prizes and much more for free!
PortraitPro FREE TRIAL + EXTRA 10% OFF coupon EPH315
Rating: no rating
Pentax 645D 40mp Medium Format Digital SLR- Specifications
- Ratings
- Reviews
- News
- Images
- Compare Prices
- Related Products


text:
Put on your best costume and head to COSI for the COSI Costume Fun & Run. The event features a 5K race and one mile Family Fun Walk, all with a COSI twist. All participants receive an event t-shirt, food and beverages at the finish line celebration, and a general admission pass to COSI. Thanks to all that attended our inaugural event. To view photos from the 2014 COSI Costume Fun & Run, click here.
2015 race date coming soon
Catalyst, COSI's Celebration of Inspiration, is an annual luncheon event unlike any other, featuring elements of COSI's live shows, hands-on activities, and exciting demonstrations as the backdrop to a program that will highlight COSI's mission to inspire interest in science and encourage people to want to learn more about their world.
For one special day each year, COSI pays tribute to its many catalysts: our vital corporate and community supporters whose contributions have helped fuel COSI's growth as a world-class Center of Science, serving nearly one million people annually with informal education experiences that bring science to vibrant life. Jam-packed with science cart activities, tabletop science, and hands-on demonstrations, Catalyst gives COSI supporters the chance to experience for themselves COSI's unique brand of learning. Dynamic, FUN, and interactive — Catalyst is anything but boring!
Thank you to all those who attended our 2014 Catalyst luncheon. We hope you enjoyed the event as much as we did! To view photos from the 2014 event, click here.
April 25, 2015
Join us on Saturday, April 25, 2015 for Blast, COSI's signature fundraising event and party with a purpose in celebration of COSI's impact on learners of all ages. This event will feature favorite local restaurants serving gourmet fare, beer and wine, lively music, an exciting auction, a unique raffle and more, all with a COSI twist. Special musical guests Mojoflo will take the stage and have the dance floor groovin' for hours in honor of the evening's official theme: fun! With over 320,000-square-feet of COSI to explore during the party, and interactive exhibits and demonstrations available to enjoy throughout the museum, Blast offers a truly unforgettable evening for guests and a reminder that their event attendance supports a valuable educational resource in the Central Ohio community.
Current Culinary Partners:
Bake Me Happy
Banana Leaf
Bar 145
Barley's Brewing Company
Bernard's Tavern
Carabba's Italian Grill
Columbus Brewing Company
Gigi's Cupcakes
Harvest Pizzeria
Hot Chicken Takeover
Katie's Kandies
Milestone 229
Nothing Bundt Cakes
Papa John's Pizza
Rusty Bucket
The Goat
The Market Italian Village
Weilands Market
Westies Gastropub
Current Beverage Partners:
Buckeye Vodka
G&J Pepsi-Cola Bottlers
Land Grant Brewing
OYO Vodka & Whiskey
Southern Wine & Spirits
Event Partner:
MVP Parking
Blast Ticket: Includes admission to Blast party featuring local restaurants, live music, COSI exhibits, silent auction and raffle, as well as open bar featuring beer and wine only. Must be 21 years of age or older.
VIP Ticket: Includes admission to Blast party featuring local restaurants, live music, COSI exhibits, silent auction and raffle, as well as access to the VIP Lounge and open bar including beer, wine and spirits. Must be 21 years of age or older.
Ticket Sponsors: Franklin County Farm Bureau and The Ohio State University Wexner Medical Center
© Copyright 2012-2013 COSI. All rights reserved.


text:
Ida Kar and a friend
3 of 137 portraits of Ida Kar
Ida Kar and a friend
by Unknown photographer
cream-toned postcard print, early 1920s
5 3/8 in. x 3 1/2 in. (138 mm x 88 mm) overall
Purchased, 1999
Photographs Collection
NPG x129571
Click on the links below to find out more:
Sitterback to top
- Ida Kar (1908-1974), Photographer. Sitter in 137 portraits, Artist associated with 1508 portraits.


text:
For status updates, visit lucyburns.org.
High Priority: Legal purchase of medical marijuana the center theme of documentary
October 21, 2009
Wednesday night at the University of Southern Maine saw the screening of Waiting To Inhale, a documentary by Jed Riffe on medical marijuana and the importance of its legal purchase. Wendy Chapkis, a professor at USM and author of Dying to Get High presented the film at Luther Bonney Hall located in the middle of campus. The screening, attended by approximately 50 students and faculty, lasted 110 minutes and interviewed many medical marijuana patients who faced self-described problems of obtaining their medicine. Also in attendance were volunteers for the pro-Question 5 campaign. Question 5, if passed, would allow patients to get medical marijuana from non-profit dispensaries and create ID card systems to protect them from arrest.Before the screening, Question 5 supporter Ben Chipman, a member of the Maine Marijuana Policy Initiative campaign, spoke to the audience about their efforts and about the opportunity to join them. Campaign volunteers also passed out fliers that called for "Safe and reliable access to their medicine," along with "protection from arrest, loss of job, home, or children for using medicine their doctor recommended."
After the brief speech, Chapkis agreed with the campaign, stating, "This is a critical time in Maine. When it comes to medical marijuana, we need to have ethical medical marijuana provisions to ensure patients' health and safety."
The documentary presented a range of topics, from the scientific breakdown of the cannabis plant to political efforts for and against its medical practice. The film began with interviews from a family that grew the plant for medical purposes, and who were raided on September 5, 2009 by Drug Enforcement Administration agents. The film also covered Proposition 215, the 1996 initiative in California that allowed for the medical use for the drug and the aftermath that ensued. Successful creation of ID card systems in the state of California after the measure was passed was shown, with Oakland Cannabis Clubs used as the main example. According to the film, the procedure for obtaining an ID card for medical marijuana included a doctor's permission and a background check of said doctor by the club. Interviews from physicians, politicians such as Barney Frank, and activists were also included in the documentary.
After the screening, Chapkis was available to sign her book outside of the auditorium, which were also on sale for those in attendance.


text:
Majolica Town
From Bulbapedia, the community-driven Pokémon encyclopedia.
Majolica Town カワラケタウン Kawarake Town | |
Majolica Town | |
Region | Sinnoh |
Debut | A Shield With a Twist! |
Majolica Town (Japanese: カワラケタウン Kawarake Town) is an anime-exclusive location in Sinnoh.
It was featured in A Shield with a Twist! as a venue for a Pokémon Contest, which was held as a fund-raiser. Jessie, with her Yanmega, won her second Ribbon here.
Language | Name | Origin |
Japanese | カワラケタウン Kawarake Town | From the 河原決明 kawaraketsumei, Chamaecrista. |
English | Majolica Town | From a type of ceramics, a possible reference to 土器 kawarake (earthenware). |
Spanish | Pueblo Majolica | Same as English name. |
Chinese (Taiwan) | 河原家鎮 Héyuán-jiā Zhèn | From 河原家 kawarake. 河原家 means "river plain home". |
This article is part of both Project Anime and Project Locations, Bulbapedia projects that, together, aim to write comprehensive articles on the Pokémon Anime and Locations, respectively. |


text: DictionaryOl•gaPronunciation: (ol'gu, ōl'-; Russ. ôl'gu), Strict Standards: Non-static method FenSites::linkTo() should not be called statically in /site/html/dictionary/olga.html on line 85 [key] —n. 1. Saint, dieda.d.968?, regent of Kiev until 955: saint of the Russian Orthodox Church. 2. a female given name: from a Scandinavian word meaning "holy." Random House Unabridged Dictionary, Copyright © 1997, by Random House, Inc., on Infoplease.


text:
Penguins-Flyers outdoor game site undetermined
Penguins/NHL Videos
CHICAGO — Penn State may have to wait for the Penguins.
A potential outdoor game at Beaver Stadium involving the Penguins and Philadelphia Flyers has one significant obstacle to overcome, a high-ranking NHL official said Thursday.
"It's always fun to come up with those scenarios in the league office or as a third party, but at the end of the day it does require a club to give up a home game," said NHL chief operating officer John Collins.
"We haven't broached that yet."
Penguins CEO David Morehouse and his Flyers counterpart, Peter Luukko, held preliminary conversations about a potential outdoor game that would bring the commonwealth's two NHL clubs to Beaver Stadium.
Neither side is eager to dismiss the Beaver Stadium game as a possibility, but there is no firm agreement between the Penguins and Flyers on how to pull off a neutral site game.
NHL clubs — unlike those in NFL and MLB — generate the majority of their revenue from home gates. The NHL, not its accommodating host club, receives an undisclosed share of the gate for the Winter Classic and its outdoor game series.
Collins, a former NFL executive, was the driving force behind the NHL's original Winter Classic in 2008, and that event's success sparked the five additional outdoor games this season.
Although the Classic — which will be staged between Detroit and Toronto on New Year's Day at Michigan Stadium — remains the most significant event on the NHL calendar other than the Stanley Cup Final, the five additional outdoor games are potential building blocks for future series, Collins said.
"Every game opens a new opportunity," Collins said, citing a Los Angeles showdown between the Kings and Anaheim Ducks at Dodger Stadium that will take place the night after the Grammy Awards ceremony.
"I think it's a fairly unique year."
The Penguins are proving a unique instrument for the NHL because Sidney Crosby is, according to NHL commissioner Gary Bettman, "the face of our game" across North America.
Crosby played for the Penguins in their exhibition game at United Center on Thursday night. It was only his second game in the Windy City since his rookie season (2005-06).
If healthy, his return to Chicago would be on March 1, 2014, for a game between the Penguins and Blackhawks at Solider Field.
That would mark the third appearance in an outdoor game for Crosby and the Penguins. They pioneered the Winter Classic on New Year's Day 2008 at Buffalo's Ralph Wilson Stadium, and the Classic came to Heinz Field, where the Penguins and Washington Capitals played at night on Jan. 1, 2011.
The Penguins-Blackhawks game at Solider Field will pit the former perennial Cup favorite against the defending Cup champion.
It also will feature other stars such as the Penguins' Evgeni Malkin and Chicago's dynamic duo of Jonathan Toews and Patrick Kane.
Crosby and Toews (Canada), Malkin (Russia) and Kane (United States) — if healthy — figure to be heavily promoted by NBC during its February broadcast of the Winter Olympics.
"It's not an accident," Collins said. "We think it's a great way to get a lift coming out of the Olympics."
Pittsburgh is likely to get a lift coming off the Penguins agreement to serve as a visiting club for the second time in an outdoor game.
If multiple outdoor games in a season are going to become standard, the Penguins want to be among the handful of go-to franchises to play host — and Collins suggested their willingness to play in Chicago would put Pittsburgh in play.
"I don't think somebody playing as an opponent precludes them (from hosting another Winter Classic and/or outdoor game," Collins said. "Often times it is a club's willingness to being an opponent that leads them to hosting."
NHL officials are intrigued by the possibility of an outdoor game at PNC Park because of a perceived made-for-TV outfield backdrop of the Clemente Bridge, Allegheny River and Downtown skyline.
Collins would not commit on specifics of a likely future Pittsburgh outdoor NHL game, but he pointed out "a lot of people who think of the ballpark in Pittsburgh as one of the best ballparks in the country."
Rob Rossi is a staff writer for Trib Total Media. Reach him at email@example.com or via Twitter @RobRossi_Trib.
Show commenting policy
Most-Read Penguins
- Finding perfect pairing for Ehrhoff key for Penguins
- Trade for Winnik gives Penguins competition among bottom six
- Rossi: Winnik nice, but not enough for Penguins
- Penguins notebook: No discipline for Capitals' Wilson
- Capitals' duo more productive than Crosby, Malkin
- Penguins add scoring depth by dealing for Maple Leafs' Winnik
- Penguins eye move for former center Staal
- Penguins GM: Team needs, will keep Martin for Stanley Cup run
- Penguins finally find way to beat Capitals
- Penguins notebook: Crosby's wrist 'fine' after fight
- Hornqvist, Malkin score twice in Pens' win over Panthers


text:
Tag: nukotoys
Nukotoys digital apps and physical cards available now
Back in January at CES, one of the most magical things we got to see was these new cards from Nukotoys, physical collectible cards that somehow interacted with Apple's capacitive touchscreens (probably with an invisible pattern, if I had to hazard a guess). The project seemed very cool, and Nuk...
Nukotoys introduces two physical card sets for interacting with iPad apps
One of our first appointments here at CES this week was with a company called Nukotoys, which co-CEO Rodger Raderman told us was interested in asking the question for today's children: "What is a toy?" As we've reported here before, more kids than ever are interested in getting iPod touches and...
Software Updates
more updates- Apple Remote Desktop updated with Yosemite support
- OS X Yosemite 10.10.2, iOS 8.1.3 updates now available
- Sports Illustrated 120 SPORTS channel comes to Apple TV
- Logic Pro X update brings AirDrop support, new effects, tools, and more
- Parallels Access 2.5 released, adds file manager, computer-to-computer remote access
- The Google Translate iOS app is about to get a lot smarter


text:
Find your next destination
Hundreds of destinations
Discover places you hadn't thought of! Search by interest, region, budget and temperature.
Start your searchKLM Package Deals
Would you like to book a hotel or car, in addition to your KLM flight, for a nice deal? You can arrange it with KLM Package Deals!
Read more about KLM Package DealsCorcovado
In the mood for a sun-soaked holiday full of adventure? Book flights to Rio de Janeiro and enjoy the pulsating nightlife or the sensational rainforest flora and fauna.
Find ticketsWhy fly with KLM
Need help? Ask away.
For an answer within the hour and a solution within a day, contact us 24/7 through Facebook