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Washington Nationals
Steve Davis: That Nationals Sure Seem Like Hypocrites
The Nationals cry foul about MASN, take a loan from MLB but have the cash to give Scherzer $50 million up front? Steve is suspect.
MLB Awards 2016 ASG To San Diego Over Baltimore
Major League Baseball announces that San Diego's Petco Park will host the 2016 All-Star Game.
Playoff Pinch Hits: Wild-Card Teams Dominating MLB Postseason
The Royals and Giants, both wild-card teams, could each make the World Series. The top MLB regular-season teams are out, again. Is this good for baseball?
6 Fantastic Sports Photos You Have To See
By Adam W. Bloom Perhaps one of the greatest side notes from sports is those fantastic moments of time that are captured in photography. Moments where you see athletes flying through the air in positions […]
Playoff Pinch Hits: Giants Eliminate Nationals With Three One-Run Wins
The San Francisco Giants advanced, beating the Washington Nationals in the NLDS in three close games. But are the upsets really a surprise?
Going Down the Road to DC
Jason Reid, a columnist for the Washington Post, joins the guys to talk about the Nationals' second collapse in the postseason, as well as DC's football team's failure of late.
Playoff Pinch Hits: Kershaw And Dodgers Can't Get Past Cardinals Yet Again
The Cardinals eliminated the Dodgers to advance to the NLCS for the fourth straight year. They will face the Giants, who topped the Nationals.
John Heyman Joins Scott Jeremy and Jason
John Heyman from CBS Sports joined the Scott Garceau Show with Jeremy Conn to cover the MLB post season and to give his thoughts on the remaining games in the NLDS.
Vinny's Stock Report – October 7, 2014
Everyday Vinny gives us an update on Wall Street and also tells us whose stock is rising and whose stock is plummeting in the sports world.
Playoff Pinch Hits: Nationals One Loss Away From Another Playoff Disappoinment
The Nationals are facing NLDS elimination… again. The Dodges and Cardinals continue to slug it out.
Rob Long: Tigers Down; Orioles Move On To The Next One
Just in case you've been in a cave, the Baltimore Orioles just completed a three-game sweep of a team that had been to the Postseason four straight years.
Playoff Pinch Hits: Four LDS Matchups In Full Swing For Weekend Action
All four League Division Series are well underway now in the 2014 MLB Playoffs, and as usual, there are plenty of surprises.


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Pronunciation: Alþjófur
Added on: 2011-04-23 Listened: 157 timesin: Norse Mythology, dwarfs
Pronunciation in Icelandic [is]
- Pronunciation by hlodver (Male from Iceland)
Could you do it better? different accent? Pronounce Alþjófur in Icelandic
Accents & languages on maps
- Random word: aðalstýriverk
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subset: commoncrawl


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Inventory Search
One Pay Lease Benefits:
- The least expensive way to drive a vehicle
- No monthly payments to worry about, make one single lump payment in the beginning
- Typically, more incentive from the factory versus conventional financing(Higher rebates)
- You insulate your vehicle's value from market fluctuations and economic downturns
- Free "GAP" insurance provided by the leasing institution in the event of a total loss
- No worries about diminished value from accidents(Carfax history)
- Customizable mileage and terms for any driving scenario
- Save money on taxes. Pay only on the term driven, not the entire purchase price.
- Same insurance requirements as a purchase, no extra coverage required
- Can trade just like a purchase, not obligated to keep the entire term
- Some plans pay for routine maintenance, Onstar, and XM radio(See dealer for details)
- Guaranteed purchase price/value at lease end.
- No hidden fees, no disposition fee at lease end if you turn in. Simply walk away.
- Let your money earn money! You decrease your amount of investment into a depreciating asset like an automobile. An automobile is an expense. Why pay for the entire cost upfront if you don't have to? Pay a portion at the initial transaction, then pay the deferred value at a later date, all while costing less money out of pocket to you in most cases.
Example of a One Payment Lease: 2013 Buick Enclave
Automobile with a MSRP of $39270. The cash price would be $41412.26 at time of purchase. The one pay amount at time of purchase would only be $13147.40. The deferred price would be $27312.28 after 24 months(including taxes, out the door). This is a savings of $952.58 and you kept $28264.86 in the bank or market for 24 months earning interest. If you put your $28264.86 in an interest earning account for 24 months, here are the yields:


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Perfect Summer Days/Memories of #Italy
Tuesday, July 22, 2014 | Category: Reflections, Travel Stories
Ed. note: We've been having a lot of them lately here in New England. Reminds me of a perfect day in Italy not so long ago . . .
We sit at the kitchen table in the morning
Drinking the juice of mangoes and blood oranges
Eating creamy yogurt out of chipped white porcelain cups
Planning our day, as if we needed anything more than this
The early sun and strong black coffee are enough
The easy laughter and deep breathing are enough
Flowering magnolias and the scent of wild jasmine are enough
Anticipation and memory are enough
Today, we agree, we will go nowhere
Because for now, everything we need is right here
In the warm June breezes of plenty
Laundry dancing in the yard
(c) Linda Dini jenkins, 2009, Up at the Villa: Travels with my Husband
Buon viaggio!


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Tag Archives: academics
Self-Design It!
A recent interview with Dean Miree led to some clarification on the Self-Designed Major and independent study at AUBG.
Student Government Presidential Elections
Posters and Facebook groups, all came together to form a rally for the position. But apart from the visuals, what do the candidates really have to offer?
A Sneak-Peak at the New Professors
Dilemma caused by AUBG Student Centre
A new $350 dining services deposit on each student's account also proposed, apart from the increase in the Activities fee.


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Chateau De Verrieres
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Travel Blogs from Saumur
Saumur - last stay before Paris
... day, but require aren't staffed, and our credit card isn't accepted. We fortunatley had enough fuel for our small amount of travel sightseeing the next day, which was Sunday, until the next day when there would be an attendant available at one of the facilities.
Sunday we went to the nearby town of Chinon to visit the Chateau De Chinon, which is a medieval chateau, where the royalty used to live, although over the centuries ...
We are staying here for another day. We aren't sure yet where we will go after this. But there are several places that we are considering, including Orleans, Blois and Chinon. It was a watery sun this morning. Lunch with Sue and Tony in Les Rairies. It is so good to catch up with someone who has been a friend for over 40 years. The rain started after lunch and we quickly did the shopping we needed before heading back to Monty. We found when we were at a previous aire, ...
Nantes to Durtal
Hugely misty this morning. Getting out of Nantes was a bit of a nightmare as Snooper froze again. I suppose that she wasn't getting a good gps signal with all the trees. But we did eventually get on the autoroute and headed off to Durtal. We know Durtal - it has narrow cobbled streets. So we knew that we should separate as soon as we ...
Eleanor of Aquitaine
This morning we set out for the ancient town of Turquant, a Troglodyte village. Homes carved out of rock many centuries ago and still inhabited today. Some used as storage for wine for the constant temperature and others are very arty with galleries and a glass blower, we picked walnuts that have fallen from the trees, fresh walnuts have an entirely different taste to the dried ones we get at home.
... palm trees, roses and apparently Charlotte tells us there is a tame crane, but we never see it. The property which is quite extensive was a nursery until Charlottes husband passed away five years ago. There are 2 gites and the main residence. Charlotte is absolutely delightful and so helpful. She gives us impromptu lessons in French.
Kitchen, dining and bedroom with shower and toilet downstairs. The whole of the second level is a huge suite with a ...


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Street style tip of the day: Sleeveless coat
QUIZ: Who is your celebrity fashion twin?
7 HOT spring hair color trends
Shop this video: Stop skin damage before it surfaces
7 reasons why you don't need money to be stylish
Street style tip of the day: Blush midi
Face Your Day
Lip Service
Water, Water Everywhere
Get Up and Glow
Smooth Operator
Revive, Rinse, Repeat
Naturally You
Protect Your Assets
Sweat It Out
Decent Exposure
It's summertime and the living is easy, but this also means the season's harsh sun is beaming down on your skin. When the beach beckons and the pool pulls you in, stay smart and protected with all the right practices for a safe time in the sun.
Sunscreen is an obvious choice when at the beach, but when it comes to running errands, it's easy to forget to apply. Have no fear, we've got the 10 best tips to keep your skin radiant no matter where the next few months take you. From exercise regiments to daily diet and exfoliating routines, here are the best ways to achieve healthy, sun-kissed skin!
Click through the gallery for 10 must-have tips for healthy summer skin.


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Obama's book cooking economic recovery
Just as he does every election year, President Obama is pivoting to the economy. Published October 1, 2014
Joseph Curl covered the White House and politics for a decade for The Washington Times. He can be reached at firstname.lastname@example.com and on Twitter @josephcurl.
Just as he does every election year, President Obama is pivoting to the economy. Published October 1, 2014Shares
For President Obama, the color of a man's skin is far more important than the content of his character. Published September 28, 2014Shares
President Obama on Wednesday delivered a speech at the United Nations filled with his usual soaring rhetoric of global collectivism and the importance of "international norms." But the president also displayed a shocking naivete about global affairs, religion, Islam — a Pollyannaish interpretation on the state of the world and America's role in it. Published September 24, 2014Shares
CNN uber-host Wolf Blitzer said a remarkable thing recently. As he motor-mouthed through his usual breathless babble, stomping about the glitzy high-tech studio and gesticulating wildly at the "Multi-Touch Collaboration Wall," he threw out this little nugget. Published September 21, 2014Shares
This year, far more than the last midterm elections, Democratic candidates across the country are fleeing the incumbent president. Published September 17, 2014Shares
Finally, an authoritative voice has weighed in on the Scottish independence question. Published September 14, 2014Shares
While Barack Obama was playing his 190th round of golf as president, chilling out on Martha's Vineyard for a 15-day vacation at a $12 million mansion, the U.S. electorate began to change — fast. Published September 10, 2014Shares
When President Obama said Saturday that he was reversing his pledge to take executive action on immigration by summer's end, what he meant was simply this: I'll wait until after the midterm elections before I ignore the Constitution and break the law. Published September 7, 2014Shares
The @#%& is about to hit the fan. Health care costs are about to explode — again — and just in time for the 2014 midterm elections. Published September 3, 2014Shares
On TV, incompetence is funny, sometimes hilarious. Jackie Gleason made a career of it on the old "Honeymooners" show; Tom Haverford is absurdly incapable on "Parks and Recreation"; and Michael Scott brought the Peter Principle to new heights in "The Office." Published August 31, 2014Shares
Dear Barry — Boy, what a summer you've missed here in the nation's capital! Then again, you got outta town just in time! So much going on since you left for Camp Vineyard, so lemme' try to catch you up so when you get back to the office, you'll have a clue what's been going on (bosses blow, don't they?). Published August 24, 2014Shares
If you had predicted six years ago that America's first half-black, half-white president would actually make race relations in the U.S. worse, they would have laughed you out of the room. Published August 20, 2014Shares
Who are President Obama and the Democrats most afraid of? That's easy to see: Just find the Republicans they target with phony scandals. Published August 17, 2014Shares
As Barack "Eldrick" Obama approaches his 200th round of golf since his election as president, here's a fact to put that into perspective: Since January 2009, Tiger Woods has played 269 rounds of golf. Published August 13, 2014Shares
Could the milquetoasty, bloviating windsurfer and failed White House wannabe from Massachusetts be having a worse time of it? Published August 10, 2014Shares
It seems Republicans have finally figured out that with the world imploding, the U.S. economy flagging and the current Democratic majority looking to grant amnesty to 12 million illegal aliens, perhaps there are better things to discuss than abortion and rape. Published August 6, 2014Shares
The Obama administration, the most politically calculating team in U.S. history, had once again succeeded, simply by falling silent. When disastrous news emerges, Team Obama does two things: refuses comment and charges its foes with playing politics. Published August 3, 2014Shares
You can always tell when it's election time: President Obama suddenly starts talking about the economy, and, weirdly, God. Published July 30, 2014Shares
President Obama and his sycophantic minions don't even bother any more to come up with plausible answers to queries from the suddenly awakened media. Instead, they just repeat past talking points — aware that they've been repeatedly proven false, but not caring a bit. Published July 27, 2014Shares
Everyone I've met during my two-plus months in Florida has been touched by dementia. Not a few people, or nearly everyone, but — Every. Single. Person. Published July 20, 2014Shares


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Narrow your search
The carrier says its new map of network coverage uses real-time data and will be updated every two weeks.
Which has the most apps? Which has the coolest features? Which one is the best? The most popular streamers all have their merits, so we'll help you decide which box is right for you.
The upcoming Coachella and Lollapalooza music festivals have joined a growing number of events worldwide forbidding selfie sticks on the grounds.
Actor Ryan Reynolds took to Twitter to show off his costume for the "Deadpool" movie, tweeting out a picture in full costume lying on a bear rug in front of a roaring fire.
The not-safe-for-work Apple Watch band animations the company does in fact want you to see.
We put the latest high-end desktop PC gaming cards to the test in the CNET Labs.
Facebook and Twitter will combine to own a third of the US display ad market in 2017, according to research firm eMarketer.
Technically Incorrect: See what you make of HTC's new ads, which ask you -- or the company itself, perhaps -- to "shoot for the moon."
Meerkat has enjoyed over a month of dominance in the streaming-video category, but Twitter's release of Periscope has changed all that. Here's why.
It's unknown why Google is interested in InMobi in particular; what is clear is that Google needs to bolster its efforts in mobile advertising.


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It was really effortless to shop at your website. I appreciate stores where they actually calculate the shipping, that is awesome. Thanks a lot and...Read More ->
When they sent me the package they refunded me for shipping charges because they found out that my address does not accept Express Mail. I'm really...Read More ->


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Not wanting it to be over
Does anybody else have a hard time with not wanting all the "things to do" surrounding the death of their loved one to end? Today is 11 weeks that my mom passed (I hate typing that!!!) and I just finished up the thank you cards, her car is now in my name and I two services for her, one in the state we're from and one in the state we recently moved to and they're both over. All the details and things to do are coming to an end and I'm having a hard time with it. It's like the longer I do these things, the more I feel like I'm still doing something for her, taking care of her in a way, know what I mean?
I know exactly what you mean. It was sad to sell my brother's house. I enjoyed driving out there (8 hours) and living in his space, sleeping in his bed, and touching his things. He had investments, and I met with people at the bank and the investment firm. They would all look rather surprised when I said my brother died (I was 37) and then they'd do a double take when they saw how much he had saved during his short life. It would give me another chance to talk about him. It's been 16 months, and I have more tax paperwork to do. I guess I'm procrastinating. I'm not sure if its laziness or that I don't want it to be over. I guess we just hang on to whatever little bit we can.
In my case I was very glad all of that part was over. There was always so much confusion then - my daughter was gone, yet I was always having something to do as though she was still here. Many people that I know go back to work just to get away. That's not always the best idea because you are really just running away from it, and at a time when you just aren't ready to handle the emotions. I did go back to work but I was working in a very casual environment, with much of it being outside. I don't know what I would have done if I was behind a desk though. What I did notice though was that as time passed, and "things" were less and less on my mind, I began to feel guilty because the intense sense of loss was going away. I kept trying to reach back to grab that pain again. It was as though not feeling as much pain, meant that I wasn't missing her as much. I now know that it was a part of the natural grieving process - 2 years they say, to get back to "normal". What you are going through is normal, natural, expected and OK. As time goes on, the other natural emotions associated with healthy grieving will come to play. You will eventually look back at "today" as something that you had to go through, and did. But you will have so much more time and emotional space for the wonderful memories. Peace be with you, for sure...
I've felt that way before, reluctant to finish things up.
Maybe it's because, once the 'projects' are finished, the loved one is in the past.
Maybe we mourn the loss of our present to the past as well as mourning the loss of the person we cared about.


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Fresh in today – the report to the Planning Committee on 8 April. And yes, it does recommend approval. :-(
Planning Committee, 8 April, arrangements
From the Council…..
Dear Sir/Madam,
Notification of committee date
Application No.14/05930/F & 14/05982/LA
Proposals: Demolition of Westmoreland House and No.4 Ashley Road (Grade II Listed), partial demolition, alteration and renovation of the Carriageworks building providing 721 sqm of non-residential accommodation (Use Classes A1/A2/A3/A4/D1/D2/B1) and 118 residential units (Use Class C3) and creation of new public realm, new communal landscape garden areas, bio-diverse living roofs, roof gardens, disabled car parking, servicing and access.
Site Address: Westmoreland House 104 – 106 Stokes Croft Bristol BS1 3RU
I am writing to let you know that the applications above will be considered by the Development Control Committee A at its meeting on Wednesday 8 April 2015. The meeting will take place at At-Bristol, Anchor Road, Harbourside, Bristol, BS1 5DB starting at 6.00pm, although it is not possible to say when the case will be considered.
This committee may be webcast. Please go to our website www.bristol.gov.uk/webcasts to find out more.
From the Wednesday before the committee date, a copy of the officer's report and recommendation can be viewed with the planning application documents (or www.bristol.gov.uk/planningonline ).
Whilst this report will have a recommendation to either grant or refuse permission, it is important to note that this recommendation does not mean that the decision has already been taken, as the decision now rests entirely with the elected members.
There is no need to write a further letter on this, unless you have additional points to make. You have a right to attend the meeting, and you are able to make a statement to the committee, subject to advance notice being received. Further information on making a statement is contained in the leaflet titled "Having your say at Bristol City Council's Development Control Committees". Please note that the statement should be sent to the Democratic Services Team by 12 noon on the day before the committee meeting and not the case officer.
To find out what happened at the committee meeting, you could telephone us from mid-day on the day following the meeting or you may view the application summary.
If you require any further information about this application, please contact us.
Development Management
Bristol City Council
Planners recommend approval of planning application
We have just heard that the Planning officers are recommending approval of Fifth Capital's planning application. Planning Committee meets on 8th April. Please submit your comments to email@example.com by 12 noon on Tuesday 7th April.
If you wish to attend the planning committee meeting and speak to your statement (3 minute time limit), it's at 6pm on Wednesday 8th April at the @At-Bristol Science Centre, in Millennium Square.
Development towers over neighbours
A 3D model produced by Fifth Capital shows the proposed buildings towering over the neighbours. The submission by Professor Costa Georghiou describes the way in which the scheme comes right up to the boundary thereby reducing their potential for redevelopment. Neighbours have also voiced alarm about shadowing and overlooking. This model clearly shows how intimidating the new buildings will be.
Planning Chief slams Carriageworks scheme
A senior Planner has slammed the Fifth Capital proposals for the Carriageworks. He says it should be refused planning permission as it is contrary to Government and City Council policies and against the principles of sustainable development.
Costas Georghiou is Visiting Professor of Architecture & Urban Design at the University of Wolverhampton and was previously the Chief Planning & Highways Officer for the City of Wolverhampton and Head of Urban Design at Bristol City Council.
In an objection lodged with the City Council Professor Georghiou maintains that the proposals for 118 flats and houses on the site represent over-development and will be detrimental to the living conditions, amenity, health and well-being of future residents. Fifth Capital have claimed that the economics of developing the site mean that the proposed density of development is essential. But Professor Georghiou says this should not be an excuse for poor and sub-standard development especially where it creates poor living conditions and is both damaging to the wider community and contrary to policy.
In particular Professor Georghiou highlights the lack of natural light and ventilation that will afflict over half the flats as a result of only having one external wall. In many cases this wall faces North East and thus away from the path of the sun. The resulting lack of sunlight will have not only health implications for residents but will also mean higher heating bills due to the lack of solar gain.
The lack of sunlight also impacts upon the open spaces in the scheme. While artist's impressions show courtyards bathed in direct sunlight, the reality is that the tall buildings will cast long shadows thus meaning that the spaces will be far from attractive areas for residents to sit in and relax. It also means that the proposed vegetable garden will be in shade throughout the afternoon.
Professor Georghiou has also criticised the way in which some of the blocks are too close to the southern boundary thus impacting upon any future potential to redevelop neighbouring sites. Residents in Hepburn Rd have voiced similar concerns and are alarmed at the proximity of the buildings to their gardens and back rooms. The cramped development also means that the gardens for so-called family houses are much too small and will not provide the space for children to play.
Finally Professor Georghiou points out that the huge 86 space refuse store is much too close to residential units which will suffer from smells and contamination.
Professor Georghiou sets out the steps that would have to be taken to make the proporsals acceptable including reducing the height of residential blocks from six to four stories, giving apartments double aspects in order to increase natural daylight, moving residential units away from refuse stores, moving one of the blocks away from the boundary with neighbouring properties and increasing the size of gardens. In the absence of these steps he firmly believes that the City Council must refuse planning permission.
Download and read Costas' full submission to the City Council (pdf)
To write your own submission, read our handy guide and then follow the instructions here…
Red nose skull
Bristol Party Meeting – Monday 6:30pm
The Bristol Party is hosting a collective action meeting on Monday to discuss the Fifth Capital planning application for the Carriageworks and Westmoreland House.
Monday 9th March, 6:30pm at PRSC, Jamaica Street.
You'll find more details on their fine webpage:


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NYC Parks Events Calendar
Get up, get out, and do something! Just about any day of the year, you can find something fun, informative, and healthy to enjoy at an area park. Feel free to browse the listings below, or use the search tools to find an event that matches your interests and location.
Viewing 871–880 out of 15,920 events
from November 21, 2012 (x) to April 25, 2026
Thursday, April 17, 2014
Nature Exploration Hike
at Van Cortlandt Nature Center (in Van Cortlandt Park), Bronx
1:00 p.m.
Immerse your kids, and yourself, in the natural world. Experience history, wildlife, birds, bugs, and more.
Category: Nature, Kids, Kids' Week
Nature on the Go!
at Audubon Center at the Boathouse (in Prospect Park), Brooklyn
2:00 p.m.–3:00 p.m.
Join the Alliance at the Audubon Center to learn about the nature that is all around us.
Category: Education, Games, Kids
Insect Exploration
at Dana Discovery Center (in Central Park), Manhattan
2:00 p.m.
Immerse your kids, and yourself, in the natural world. Experience history, wildlife, birds, bugs, and more.
Category: Nature, Kids, Kids' Week
Animal Encounter
at Audubon Center at the Boathouse (in Prospect Park), Brooklyn
3:00 p.m.–4:00 p.m.
Curious as to how "Snappy" the turtle got her name? Want to watch the snake gobble up a mouse? Join the Alliance at the Audubon Center to learn more about the animals in our collection.
Category: Education, Nature, Kids
Volunteer with the Garden Crew
at Sherman Creek Park (in Sherman Creek), Manhattan
4:00 p.m.–6:30 p.m.
Garden Crew meets to maintain and revitalize the ornamental and native plantings around Sherman Creek and Swindler Cove.
Category: Nature, Volunteer
Bryant Park Birding Tours
at 'wichcraft Coffee Kiosk (in Bryant Park), Manhattan
5:00 p.m.–6:00 p.m.
Discover the surprising diversity of the birds that call Bryant Park home during migratory season with guided tours. Presented in partnership with the New York City Audubon Society.
Category: Birding, Nature, Tours
Shape Up NYC: Bootcamp
at McDonald Park House (in McDonald Playground), Staten Island
6:00 p.m.–7:00 p.m.
Bootcamp is a total body workout that addresses muscle strength and endurance while keeping the heart rate up to burn calories and improve cardiovascular health.
Category: Fitness
Nature at Night
at 200 Nevada Avenue (in High Rock Park), Staten Island
7:00 p.m.–8:00 p.m.
From fluttering bats and moths to calling frogs and more, hike along the edge of the wetlands in search of wildlife.
Category: Education, Nature
Friday, April 18, 2014
Doors To The Bronx Exhibition
at Poe Park Visitor Center (in Poe Park), Bronx
8:00 a.m.–4:00 p.m.
An art exhibition comprised of paintings made by Bronx artist, Danilo Peguero. This exhibition is a celebration of the Bronx's rich architectural history. The show features some of…
Category: Art
Art in the Garden: "Get the Picture?"
at Queens Botanical Garden, Queens
8:00 a.m.–4:30 p.m.
Artist Alan Richards's colorful satirical composite images, or photomanipulations, feature elements juxtaposed to create pieces that portray humor and whimsy.
Category: Art
Pages:< Prev1…85868788899091…1592Next >
Related Information
- Get information on upcoming events directly in your inbox by signing up for our Email Newsletters.
- Know about an event that's not on the calendar? Send us a tip!
- Planning an event and considering hosting it in a park? Make sure to read our Planning an Event page.


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The most famous woman you've never met
The hottest ticket on Broadway continues to be "The Book of Mormon," a musical that pokes fun at the Mormon faith in particular and Christianity in general. It is also full of profanity and blasphemy. If there was a show called "The Book of Muhammad," the Eugene O'Neill Theatre probably would have been burned down by now. New Yorkers are selective when picking their targets.
Now there's a new musical called "Scandalous," about a colorful, some would say corrupt, evangelist named Aimee Semple McPherson, founder of the Foursquare Church. In the early part of the 20th century, Aimee was more famous than any TV evangelist today. She combined a considerable amount of show business with an equal amount of religiosity and packed them in at her Angelus Temple in Los Angeles, which remains in operation today, long after her death.
"Scandalous" has just begun previews. I saw it in development and thought it excellent. Carolee Carmello, the actress who plays Aimee, is superb. She is on stage most of the show and commands it better than any TV evangelist ever has.
In her prime, Aimee was the scourge of fundamentalists. They denounced her as a fraud, a tool of Satan, and worse. And there was ample evidence to support many of their claims. On May 18, 1926, Aimee disappeared for five weeks. She claimed to have been kidnapped and held for ransom. Witnesses placed McPherson in a seaside cottage in Carmel-by-the-Sea with her married radio engineer Kenneth Ormiston. The Los Angeles district attorney filed obstruction of justice charges, a trial followed and McPherson's fantastical story landed on the front pages of newspapers around the country.
You'd think this would interest a New York audience, which in the past has turned out to see plays about corrupt religious leaders, "Elmer Gantry" comes immediately to mind. And an uncorrupted evangelist named Billy Graham turned out hundreds of thousands of New Yorkers during his 1957 Crusade, filling both Yankee Stadium and Madison Square Garden.
The book and lyrics for "Scandalous" were written by Kathie Lee Gifford, who is controversial in her own right, not because she is guilty of any of the sins associated with Aimee, but because she is a Christian who tries to live a life pleasing to the One she follows. There are people who still dislike Gifford for talking so much and so glowingly about her children and husband on the old "Regis and Kathie Lee" show; she now co-hosts the fourth hour of the "Today" show on NBC.
Gifford, who is a friend, called me to talk about the show she hopes will appeal to all faiths and none. She wants people to know that "Scandalous" isn't about promoting faith. It is a creative work of theatrical art. It's entertainment and should be seen as such.
For years numerous groups, starting with the Moral Re-Armament movement of the '30s, to the Hayes Commission, which censored Hollywood films of material it deemed too racy, to the Moral Majority, have denounced films, TV shows and the performing arts for their content, but put no real effort into creating better entertainment of high quality that people of faith would see. This failure all but ensured what the late Richard John Neuhaus called the "naked public square," a culture absent a conservative biblical and cultural voice. Kathie Lee Gifford has created good entertainment and with "Scandalous" she attempts to lights a few candles in a dark arena.
Liberals and conservatives, religious or not, ought to love "Scandalous." Buy a ticket. Go see it. Be entertained. Appreciate the unique power and strength of Carolee Carmello.
Secret Service agents study counterfeit bills in order to better identify the genuine article. Even if you're a skeptic about religion, you might be better able to judge authentic faith after seeing the counterfeit.
Also see...
Making a man believe that his child doesn't exist for decades is an unusually cruel thing to do. But for Tony Trapani, a secret letter he found after his wife...Read More
Cal Thomas
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Air Jordan 1 Low "White/Red" Releases This Saturday by Sneaker News 0 Comments
August 2, 2011 BY Sneaker News / 0
The iconic Air Jordan 1 will get a much different look in September, as Jordan Brand will introduce the Air Jordan Retro V.1 – a low-top Air Jordan 1 with a lifestyle-inspired vulcanized midsole and elephant-print traction taken from the Jordan Grown series. This upcoming Black/Cool Grey-White colorway features a black nubuck upper with micro-perforated panels, an elephant print swoosh, and black/yellow work-boot style roped laces. White Jordan branding on the tongue as well as the heel complete the look. Could the Air Jordan Retro V.1 be a sign of other V.1 version of other Air Jordans? Take a look below and expect these to hit Jordan Brand accounts this September.
Air Jordan Retro V.1
Black/Cool Grey-White
Filed under: Air Jordan
Air Jordan 1 Retro High GS "Gradient Sole" by Patrick Johnson 0 Comments
Expect Another Original Air Jordan 1 Low Next Week by John Kim 0 Comments


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Medical Policy Stereotactic Radiosurgery and Stereotactic Radiotherapy Type: Policy Specific Section: Medical Necessity and Surgery Investigational / Experimental Original Policy Date: Effective Date: February 26, 1992 July 7, 2008 Description Stereotactic describes a procedure during which a target lesion is localized relative to a fixed 3- dimensional reference system (e.g., rigid head frame, affixed to the patient, fixed bony landmarks, a system of implanted fiducial markers, or other similar system). This type of localization procedure allows physicians to perform image-guided procedures with a high degree of anatomic accuracy and precision. Stereotactic Radiosurgery (SRS) is a radiation therapy method by which multiple convergent beams deliver a single focused high dose of radiation to a target lesion. This outpatient procedure has minimal effects on surrounding tissue and organs and minimizes the complications and recovery time associated with open brain surgery. Since this single session treatment has such a dramatic effect on the targeted tissue, targeted changes are considered surgical even though no incision is made. Since its introduction in recent years, SRS has been primarily used in the treatment of brain tumors, but the technique can be applied to extracranial lesions as well. Stereotactic Radiotherapy (SRT) is a technique of radiation therapy where an optimum radiation treatment dose for a tumor is subdivided into smaller, cumulative doses. These hypofractionated treatments are delivered with stereotactic guidance over a period of several days to several weeks. Because the total dose is given in installments, radiation side effects are usually lessened since normal cells have time to heal between treatments. Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 In either case, a radiation oncologist, a neurosurgeon and a radiation physicist work together to create an individualized, computerized treatment plan for each patient. Guidance is provided by a variety of imaging techniques, including angiography, computerized tomography (CT), and magnetic resonance imaging (MRI). Five main methods of this technology exist: gamma-ray radiosurgery (GammaKnifelinear- accelerator radiosurgery (LINAC) including Cyberknifeproton-beam radiosurgery, helium-ion radiosurgery, and neutron-beam radiosurgery. The latter 3 energy sources are collectively referred to as charged particles. (Further detailed information in Background section below) Please see the following Blue Shield of California (BSC) related Medical Policies for additional information: • Charged-Particle (Proton or Helium Ion) Radiation Therapy (non-stereotactic applications) • Intensity Modulated Radiation Therapy (IMRT) Policy Stereotactic radiosurgery using a Gamma Knife®, LINAC (linear accelerator) including Cyberknife®, or proton beam unit may be considered medically necessary and effective when used in the treatment of small (< 4 cm in diameter or <12 ml) and no more than 3 lesions for any of the following indications: • Arteriovenous malformations (AVM) (inoperable AVM's of the brain which are less than or equal to 5 cm in greatest dimension); • Benign brain tumors such as meningiomas and acoustic neuromas (also known as vestibular schwannomas); • Pituitary adenomas (Cushing's disease or acromegaly); • Non-resectable, residual, or recurrent meningiomas; • Solitary or multiple brain metastases (initial or recurrent treatment) in patients having good performance status and no active systemic disease (defined as extracranial disease that is stable or in remission); • Primary malignancies of the Central Nervous System (CNS), including but not limited to high grade malignant gliomas (i.e., anaplastic gliomas and glioblastoma multiforme) (initial treatment or treatment of recurrence); • Trigeminal neuralgia refractory to conservative medical treatment; • Early stage (stage I) primary non-small cell lung cancer (NSCLC) that is inoperable; • Hepatocellular carcinoma (HCC) that is localized and inoperable; • Isolated liver metastases in patients who are poor candidates for surgery; Medical Policy 2 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 • Localized prostate cancer of low to intermediate risk (Gleason Score less than or equal to 7); • Spinal and paraspinal tumors; • Spinal and paraspinal tumor metastases; All other uses of stereotactic radiosurgery are considered investigational and include, but are not limited to: • Treatment of functional disorders other than trigeminal neuralgia (i.e., Parkinson's disease); • Epilepsy; • Chronic pain Note: Charged-particle radiation can also be used without stereotactic guidance. In this setting, the use of charged particles is referred to as proton, helium or neutron radiation therapy. Applications of this therapy are discussed in a separate policy Charged-Particle (Proton or Helium Ion) Radiation Therapy (non-stereotactic applications). Background SRS is a proposed alternative to conventional surgery. Radiosurgery has potential advantages over open surgery in that it is not invasive and can more easily address inaccessible or multiple lesions. In addition, the border zone between the lesion and normal tissue may receive a radiation dose sufficient to decrease the risk of local recurrence. The two major disadvantages of radiosurgery are that it generally is applicable only to lesions less than about 2.5-3.0 cm in diameter and that it results in slow tumor shrinkage over weeks or months rather than relieving mass effect immediately. The primary risk of radiosurgery is radiation necrosis, which may occur 6-24 months after treatment and is related to the dose delivered and the volume treated. The GammaKnife and linear accelerator (LINAC) systems are similar in concept and in efficacy; both use multiple photon radiation arcs that intersect at a stereotactically determined target, thus permitting higher doses of radiation delivery with sparing of surrounding normal tissues. The differences between the two relate to how the energy is produced (i.e., through decaying cobalt or from x-rays) and the number of energy sources used (i.e., multiple energy sources in the gamma knife versus 1 in the linear accelerator system). In a multi-center clinical trial that examined the two systems in the treatment of brain metastasis, no differences in efficacy or toxicity were observed in patients treated with GammaKnife and LINAC. Charged-particle beams are fundamentally different in that they take advantage of the Bragg peak phenomenon (i.e., the deposition of energy at a specific depth with minimal scatter). Typically, 3 to 5 fixed beams are used, similar to the beam arrangement in conventional radiotherapy. The differences in the various stereotactic radiation systems are summarized in the following table: Medical Policy 3 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Device Energy Source Energy Characteristics Gamma Knife 201 separate cobalt-60 sources Gamma rays, consisting of arranged in a steel shell; two photons with an average beams intersect on target energy of 1.25 MeV Cyberknife Device consists of a 1) An advanced, lightweight lightweight linear accelerator linear accelerator (LINAC) (LINAC) mounted on a six- (this device is used to produce axis robotic manipulator that a high energy (6MeV) "killing permits a wide range of beam beam" of radiation), 2) A orientations combined with robot which can point the real- time image guidance and linear accelerator from a wide guided delivery which variety of angles, and 3) eliminates the need for a head Several x-ray cameras frame or other skeletal fixation (imaging devices) that are combined with powerful software to track patient position Linear accelerator adapted for Single beam of x-rays, rotated X-rays, consisting of photons stereotactic use to produce multiple with an average energy of 2 intersecting beams MeV Charged particles 3 to 5 fixed beams of protons, Charged particles have neutrons, or helium ions minimal scatter as they pass through tissue, depositing ionizing energy at a precise depth (Bragg peak) The radiosurgical procedure is preceded by a process of localizing the target, which can be performed with 1 or more of the following techniques: cerebral angiography, computed tomography, and magnetic resonance imaging. SRS is typically performed in 1 session, usually requiring no more than an overnight stay. Stereotactic radiotherapy refers to stereotactically guided radiation therapy applied over several days. This fractionated form of radiation therapy is made possible by the recent availability of noninvasive repositioning devices that can be used in lieu of a head frame. Stereotactic radiotherapy is based on the basic radiobiologic principle that fractionation decreases the short and long-term side effects of radiation therapy. In some settings, this permits higher total dosage to be given. Image-guided radiosurgery or radiotherapy is a relatively new development collectively describing techniques that can vary radiation therapy delivery by patient. One example is the Cyberknife device, consisting of a lightweight linear accelerator (LINAC) mounted on a six-axis robotic manipulator that permits a wide range of beam orientations. In addition, the Cyberknife uses real-time image guidance, which eliminates the need for a head frame or other skeletal fixation. The Cyberknife system incorporates two diagonal x-ray cameras positioned Medical Policy 4 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 orthogonally to acquire real-time images of the patient s internal anatomy during movement. The images identify internal anatomic landmarks, including implanted markers (referred to as fiducials), which are then automatically compared with a prior treatment planning CT scan. The precise tumor position is then communicated to the robotic arms that align the radiation beam with the intended target. These planning techniques are collectively referred to as image-guided radiation therapy. The Cyberknife device is essentially a technique for delivering intensity modulated radiation therapy (IMRT) (i.e., the use of treatment beams of varying different intensities administered from different directions, combined with image-guided delivery), albeit with inverse algorithm and limited by coned beams. Other techniques for delivering IMRT include the use of multi-leaf collimators, tomotherapy, and the step and shoot technique. Stereotactic Radiotherapy Stereotactic radiotherapy (SRT), also known as hypofractionated or staged stereotactic radiosurgery (SRS), is a process in which the total dose of stereotactic radiation is divided into several smaller doses, with each dose delivered on a separate day. Normal tissues are spared because the treatment is given over sequential days. In stereotactic radiotherapy (SRT) radiation is delivered at different times, at lower intensities to the target lesions. In contrast, stereotactic radiosurgery (SRS) is delivered in high doses all at once in a single session to the target lesions. The major advantage of fractionation is that higher doses of radiation can be delivered to the tumor because the surrounding normal tissues are able to tolerate these smaller fractionated doses. Challenges to an Evidence-Based Approach to Rapidly Evolving Technologies in Radiation Oncology This policy groups together several different techniques for delivering stereotactic radiosurgery, including the Gamma Knife, LINAC devices (including Cyberknife), and proton beam radiotherapy. However, from an evidence-based approach, it is difficult to compare these different modalities to determine if one is superior to another for a particular indication. In a multi-center phase III RTOG (Radiation Therapy Oncology Group) clinical trial in 2004, Gamma Knife and LINAC were found to be of similar efficacy and toxicity in the treatment of brain mestastases. A literature search in 2008 failed to identify any controlled trials directly comparing all of the SRS modalities of treatment in homogeneous groups of patients. In addition, the field of radiation oncology is rapidly evolving with current intense interest in emerging image-guided technology. A limited number of stereotactic radiosurgery options may be available in individual markets, and thus the choice among devices may be dictated primarily by geography. Size of Lesion In terms of stereotactic radiosurgery, the superiority of one energy source over another depends primarily on the dose distribution capabilities, which in turn depend on the target's volume, location, and shape. For small lesions (i.e., <5 cm3), the dose distributions produced by the Gamma Knife are essentially identical to those achievable with LINAC units. When the target lesion is nonspherical or of intermediate size (e.g., between 5 and 25 cm3 ), LINAC units may Medical Policy 5 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 have an advantage over Gamma Knife units, due to their ability to treat larger lesions without requiring multiple isocenters (which makes treatment planning difficult), and the ability to shape the dose using collimated fields. However, when targeting large volumes (i.e., >25 cm3 ), charged particle units that use a small fixed number of beams have the best ability to shape dose distributions and thus offer some advantages over both LINAC and Gamma Knife units. Dose Fractionation Standard radiologic principles suggest that fractionating radiation therapy (i.e., delivery in multiple sessions) will reduce both early and late toxicities to surrounding normal tissues. Radiosurgery (one treatment) or hypofractionation (limited number of treatments) may be considered when patient movement limits the use of conventional radiation therapy, or may be offered as a convenience to patients, particularly those that require rapid pain relief. These two clinical indications are also associated with different outcomes that must be considered as part of an evidence-based analysis. A more basic scientific issue is an underlying understanding of the radiosensitivity of surrounding normal tissues. Dose Escalation New forms of radiation therapy, for example, the Cyberknife, other techniques of delivering IMRT, and proton beam therapy have been proposed as ways to provide dose escalation. In this setting, clinical questions include whether or not dose escalation provides improved tumor control, which depends on the dose response rate of individual tumor types, and whether an increased dose is associated with increased toxicity to surrounding tissues. Decreased Toxicity A variety of novel treatment planning and delivery approaches are designed to reduce toxicity. The ability of the Cyberknife to accommodate patient movement is a unique feature and a variety of applications have been suggested, including treatment of lung, prostate, and pancreas cancer. In these settings, respiratory motion can limit the ability to deliver IMRT, and thus the Cyberknife may be considered an alternative to multileaf collimators, tomotherapy, or the step and shoot technique. Evidence of reduced toxicity would require directly comparative studies. Many of the potential benefits of the Cyberknife and other treatment delivery systems have been based on modeling studies, or studies with phantoms, and clinical experiences have been much more limited. In summary, the lack of comparative studies of different techniques of radiation planning and delivery in homogeneous groups of patients limits any scientific analysis regarding the relative safety and efficacy of different systems for different clinical situations (i.e., reduction of fractionation, dose escalation, reduced toxicity, or a combination of all three). Therefore, the scientific evidence is inadequate to permit scientific conclusions regarding the superiority of one device over another. The following discussion focuses on different general applications of stereotactic radiosurgery and radiotherapy. Medical Policy 6 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Rationale The peer reviewed medical literature supports stereotactic radiosurgery, using either gamma ray (Gamma Knife) or x-ray (LINAC, including Cyberknife) as an effective method of treatment for arteriovenous malformations, acoustic neuromas, pituitary adenomas, some types of meningiomas, brain metastases, high grade gliomas, and trigeminal neuralgia. Multiple well- controlled randomized clinical trials continue to show evidence supporting the conclusion that this procedure has demonstrated an advantage over traditional radiation treatments allowing high dose delivery and minimal radiation exposure to surrounding normal tissue. More recently, SRS has been investigated as a treatment of functional disorders, including trigeminal neuralgia, epileptic seizures, and chronic pain. Intracranial metastases have also been considered ideal targets for radiosurgery due to their small spherical size, non-infiltrative borders, and location in non-eloquent areas of the brain. Brain metastases are a frequent occurrence, seen in 25% to 30% of all patients with cancer, particularly in those with lung, breast, colon cancer or melanoma. The treatment of primary brain tumors such as gliomas is more challenging, due to their generally larger size and infiltrative borders. Acoustic neuromas are benign tumors originating on the eighth cranial nerves, and they can be seen in association with neurofibromatosis. Although these tumors are benign, they are associated with significant morbidity and even death if their growth compresses vital structures. Treatment involves complete surgical excision using microsurgical techniques, but radiosurgery has also been investigated, either as a primary treatment or as a treatment of recurrence after incomplete surgical resection. In fact, acoustic neuromas were one of the first indications for Gamma Knife radiosurgery, dating back to 1969. Stereotactic Radiotherapy (SRT) treatment of acoustic neuromas, where the most significant desired effect is functional preservation of the facial and auditory nerve, has also been studied. In a single institution study, Meijer and colleagues reported on the outcomes of single fraction versus fractionated LINAC-based stereotactic radiosurgery in 129 patients with acoustic neuromas. With an average follow-up of 33 months, there was no difference in outcome in terms of local tumor control, facial nerve and hearing preservation. Chung and colleagues reported on the results of a single institution case series of 72 patients with acoustic neuromas, 45 who received single fraction therapy and 27 who received fractionated therapy. Patients receiving single fraction treatment were functionally deaf, while those receiving fractionated therapy had useful hearing in the affected ear. After a median follow-up of 26 months, there was no tumor recurrence in either group. Chang reported that 74% of 61 patients with acoustic neuromas treated with Cyberknife using staged treatment had serviceable hearing maintained at least 36 months of follow-up. Three other single-institution case series also reported on 87 patients with metastatic disease, 143 patients with astrocytomas, and 36 patients with cerebral AVMs, respectively, who were treated with fractionated stereotactic radiotherapy. While all reported promising outcomes, the lack of a control group receiving stereotactic radiosurgery severely limits interpretation. Pituitary adenomas are benign tumors with symptoms that are related to hormone production (i.e., functioning adenomas) or to neurologic symptoms due to their impingement on surrounding neural structures. Treatment options for pituitary adenomas include surgical excision, Medical Policy 7 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 conventional radiation therapy, or SRS. Surgical excision is typically offered to patients with functioning adenomas, since complete removal of the adenoma is required to control the autonomous hormone production and the effects of radiation therapy may be delayed or incomplete. In patients with nonfunctioning adenomas, treatment goals are to control growth; complete removal of the adenoma is not necessary. Conventional radiation therapy has been used in this setting with an approximate 90% success rate with rare complications. Arteriovenous malformations consist of a tangled network of vessels in which blood passes from arteries to veins without intervening capillaries. They range in size from small, barely detectable lesions to huge lesions that can occupy an entire hemisphere. SRS incites an inflammatory response in the vessels, which results in ongoing fibrosis with eventual complete obliteration of the lesion over a course of months to years. This latency period is variable, depending on the size of the AVM and the dose distribution of the radiosurgery. During this latency period, there is an ongoing but declining risk of hemorrhage whereas surgical excision provides an immediate risk of hemorrhage. Total surgical extirpation of the lesion, if possible, is the desired form of therapy to avoid future hemorrhage. However, a small subset of AVMs because of their size or location cannot be excised without serious neurological sequelae. SRS is an important alternative in these patients. Trigeminal neuralgia is a disorder of the fifth cranial (i.e., trigeminal) nerve that causes episodes of intense, stabbing pain in the face. Although trigeminal neuralgia is initially treated medically, in a substantial number of cases, drug treatment is either ineffective or the adverse effects become intolerable. Neurosurgical options include microvascular decompression, balloon compression, and rhizotomy. SRS has been investigated as an alternative to these neurosurgical treatments. Patients with trigeminal neuralgia are frequently elderly and not candidates for conventional surgery. Studies have shown that patients who have undergone SRS treatment for trigeminal neuralgia experience 80-85% improvement of pain. It must be noted that as many as 40% of patients experience recurrence of pain within five years. Intracranial stereotactic radiosurgery has been studied for a variety of other indications including seizure disorders (epilepsy), chronic pain, and functional or movement disorders. Seizure disorders are initially treated medically, and due to its potential morbidity, surgical treatment is only considered in those rare instances when the seizures have proven refractory to all attempts at aggressive medical management, when the seizures are so frequent and severe as to significantly diminish quality of life, and when the seizure focus can be localized to a focal lesion in a region of the brain that is amenable to resection. SRS has been investigated as an alternative to neurosurgical resection. The 1998 TEC Assessment cited 2 studies of 11 and 9 patients, in which radiosurgery was used to treat epilepsy. The subsequent literature search revealed 3 small studies on the use of radiosurgery for medically refractory epilepsy. Regis et al selected 25 patients with mesial temporal lobe epilepsy, of which 16 provided minimum 2-year follow-up. Seizure-free status was achieved in 13 patients, 2 patients were improved, and 3 patients had radiosurgery-related visual field defects. Schrottner et al included 26 patients with tumoral epilepsy, associated mainly with low-grade astrocytomas. Mean follow-up among 24 available patients was 2.25 years. Tumor location varied across patients. Seizures were simple partial in 6 (3 with generalization) and complex partial in 18 (5 with generalization, 1 gelastic). Seizures were Medical Policy 8 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 eliminated or nearly so in 13 patients. Little improvement was observed in 4 patients and none in 7. Whang and Kwon performed radiosurgery in 31 patients with epilepsy associated with non- progressive lesions. A minimum of 1-year follow-up was available in 23 patients, of whom 12 were seizure-free, 3 had anti-seizure medications discontinued, 2 had seizures reduced in frequency, and 9 experienced no change. While the Regis series selected a fairly homogeneous clinical sample, the other 2 studies were heterogeneous. No confirmatory evidence is available on mesial temporal lobe epilepsy. The available evidence from patients with epileptic lesions of various sizes and locations is insufficient to show what factors are associated with favorable outcome. There is inadequate reporting of complications associated with radiosurgery. The studies published to date are preliminary in nature. The 1998 TEC Assessment observed that evidence was insufficient to permit conclusions about the effects of radiosurgery on epilepsy. Conclusions about the health outcome effects of radiosurgery await additional studies. A variety of surgical alternatives for chronic pain that is refractory to medical and psychological treatments are available. Neurodestructive procedures include cordotomy, myelotomy, and stereotactic radiofrequency thalamotomy. SRS targeting the thalamus has been considered an alternative to these neurodestructive procedures. The TEC Assessment from 1998 identified 2 papers, with 2 and 47 patients, who underwent radiosurgical thalamotomy for chronic pain. No new studies were found in the search of recent literature. Thus, the conclusions of the 1998 TEC Assessment have not changed. In these cases, there is a lack of evidence comparing the safety and effectiveness and health outcomes of SRS to standard therapies. Patient selection criteria, optimum radiation dose, and maximum treatment volume remain issues that require further study. Treatment of Extracranial Sites Although SRS and SRT have mostly been used in the treatment of brain lesions, there is an emerging body of evidence in extracranial SRS and stereotactic body radiation therapy (SBRT). Early and incomplete evidence at this time suggests that extranial SRS and SBRT may be efficacious and medically necessary in treating stage I primary non small cell lung carcer (NSCLC); head and neck cancers of squamous cell origin; hepatocellular carcinoma (HCC) and isolated liver metastases; spinal and paraspinal tumors. Non Small Cell Lung Cancers SBRT for NSCLC has been relatively well studied. From 2005-2007, no fewer than seven trials reported on overall positive outcomes of hypofractionated SBRT for early stage (Stage I) NSCLC. Although surgical resection is the preferred approach for early stage NSCLC, these studies demonstrated good local control could be achieved with SBRT, for surgically respectable and unsectable tumors. In the largest case study by Onishi et al, 300 patients with stage I NSCLC in a multi-institution Japanese trial received varying radiation doses of 18 to 75 Gy delivered in 1 to 22 fractions. Favorable five-year survival rate of 74% was achieved in those subjects that received a biologic equivalent dose (BED) of >100 Gy. Timmerman concluded that prospective trials using SBRT in North America have been able to identify potent tolerant dose levels and confirm their efficacy, but also noted that sometimes debilitating toxicity has been observed for patients with tumors near the central airways. Hof reported on outcomes (median follow-up 15 months) for 42 patients with stages I and II lung cancer who were not suitable for Medical Policy 9 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 surgery and who were treated with stereotactic radiotherapy. In this series, at 12 months overall survival was 75% and disease-free survival was 70%. Better local control was noted with higher doses of radiation. Early preliminary results were also noted for this treatment approach with liver, renal, and prostate cancer. Zimmerman et al. (2006) performed SRS on 68 inoperable patients with a median age of 76 years who had non-small cell lung cancer stage 1. Exclusions included patients who were previously administered chemo- or thoracic radiotherapy. The results indicated a local tumor control rate of 96%, 88%, and 88% after one, two, and three year follow up. Cancer specific survival was 96%, 82%, and 73% at one, two, and three years. Eleven of the patients died from comorbidities, making a 53% overall three year survival rate. The authors concluded that their SRS protocol was safe for elderly patients with Stage 1 NSCLC and significantly reduced lung capacity. The protocol leads to high local control rates. The authors further advised that it should be offered to patients who were not amenable for a curative tumor resection. Hodge et al. (2006) reported on the feasibility of SBRT for medically inoperable T1/2 N0 M0 non-small cell lung cancer in nine patients. The authors advised that delivery of SBRT in patients with early stage medically inoperable non-small cell lung cancer is feasible and well tolerated. Further studies would be warranted for evaluation of the efficacy of their treatment protocol. In 2006 Timmerman et al. conducted a prospective phase II trial. SRS was performed on 70 patients with clinically staged T1 or T2 (< or =7 cm), N0, M0, biopsy-confirmed NSCLC who had comorbities that prohibited lobectomy. Sixty percent (60%) of patients had major response rates at 3 months. At two years, local control was at 95%. Median overall survival was 32.6 months and two year overall survival was 54.7%. Fourteen (14) patients developed grade 3-5 toxicity. It was noted that patients who had peripheral lung tumors had a lower rate of severe toxicity as compared to patients with central lung tumors. The authors concluded that local control was high with their regimen for inoperable patients with NSCLC and local recurrence and toxicity occurred late after treatment. Hepatocellular Carcinoma (HCC) and Liver Metastases In 2001, Herfarth et al published one of the first phaseI/II trial findings of SRS treatment for localized primary HCC as well as metastatic liver lesions. SRS single-dose was performed on 37 patients with 60 liver tumors (3 primary HCC and 57 liver metastases). 98% of tumors were locally controlled at 6-week follow-up, with 81% control at 18-months. In 2004, Lin et al studied SBRT in HCC patients with unresectable tumors and portal vein tumor thrombosis (PVTT) who were contraindicated for Transarterial Chemoembolization (TACE) therapy, and reported that SRT could recanalize the PVTT in unresectable HCC patients, and achieved improved 1- and 2-year survival in responders. In 2006, Choi et al reported on SBRT for primary HCC in a small case study of 20 patients. Five or 10 fractions of SBRT were delivered over 2 weeks. Overall response rates were favorable, with 80% showing complete or partial response, and median survival and median disease-free survival of 20 and 19 months respectively. In 2008, Tse et al reported findings of phase I trial of SBRT for unresectable primary hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (IHC), with 6-fraction Medical Policy 10 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 SBRT. Results were overall favorable, given the aggressive and unresectable nature of the tumors, with median survival of 11.7 and 15 months for HCC and IHC respectively. In 2005, Schefter et al published phase I trial findings for maximum tolerated dose of SBRT for liver metastases, and concluded that biologically potent dose of 60Gy was well tolerated in patients with limited metastatic liver lesions. In 2006, Kavanagh et al. reported an interim analysis of prospective Phase I/II study of SBRT for liver metastases. Thirty-six patients with liver metastases with a maximum tumor diameter of < cm and less than or equal to 3 discrete lesions have been enrolled. Their most common primary sites are the lung, colorectal and breast cancer. Patients received 60 Gy in 3 fractions of SBRT over 3-14 days. Interim results demonstrate local control at 18 months of 93% (21 patients with a median 19 months post SBRT follow up, with 28 lesions). This interim analysis of these results indicated that a high rate of durable in-field tumor control can be safely achieved with SBRT to 1-3 liver lesions as administered in this protocol. The results support the continuation of the trial into the second phase as more patients are added. In 2007, Katz et al. conducted a retrospective review of 69 patients (174 with metastatic liver lesions) treated with hypofractionated SBRT for the treatment of liver metastases. Sixty patients were evaluated by an abdominal computer tomography scan at a minimum of three months after SBRT was completed. The overall in-field local control rate of the irradiated lesions was 76% and 57% at 10 and 20 months, respectively. The median overall survival time was 14.5 months. The progression free survival rate was 46% and 24% at six and 12 months. None of the patients developed Grade 3 or higher toxicity. The authors advised that hypofractionated SBRT provides excellent control with minimal side effects in selected patients with limited hepatic metastases. Prostate Cancer Head to head comparison studies of radiation therapy versus surgery for prostate cancer is generally lacking. Outcome interpretation is difficult and often biased, due to lead-time and PSA end-point (biochemical progression-free survival) bias. Currently, external beam radiation therapy (EBRT), including IMRT and IGRT, and brachytherapy (interstitial radioactive seeds) are the two modalities that are considered effective. Most studies done regarding SRS and prostate cancer are feasibility studies. King et al. (2003) reported that there is a clear dose response for localized prostate cancer radiotherapy and a probable radiobiological rationale for hypo-fractionation. This study discussed stereotactic radiosurgery for localized prostate cancer and examined the rationale and technical feasibility of using the Cyberknife and hypo-fractionated regimens. The authors argued that this combination should maximize tumor control and increase therapeutic ratio. They also suggested that SRS with Cyberknife could provide superior target coverage and dose volume histograms for sparing of the rectum and bladder as compared to IMRT. There is discussion in the literature as to whether prostate cancer treatment using the Cyberknife robotic system should be considered as a new treatment and then investigated through classical clinical research procedure rather than technical improvement of an already validated treatment. Hannoun-Levi et al. (2007) presented a comparison of the CyberKnife and other validated treatments for prostate cancer (radical prostatectomy, 3 D conformal radiation therapy and low Medical Policy 11 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 and high dose rate brachytherapy). The authors summarized that CyberKinfe treatment should be considered as a technical improvement of an already validated treatment in order to deliver a prostate boost after pelvic or peri-prostatic area irradiation. Spinal Lesions The site most studied involves spinal and paraspinal lesions. The spine is uniquely suitable for SRS because of its sensitivity to radiation toxicity, and because the side effect of radiation myelopathy is worrisome. In one of the largest case series, Gerszten and colleagues in 2004 reported on the outcomes of 115 consecutive patients with 125 spinal tumors of varying etiologies (i.e., benign, metastatic, single, or multiple lesions, in a variety of locations [cervical, thoracic, lumbar, and sacral] that were treated with the Cyberknife in a single session. Axial and radicular pain improved in 74 of the 79 symptomatic patients. There was no acute radiation toxicity or new neurologic deficits in the follow-up period (9-30 months; median 18 months). Conventional external beam radiation therapy typically is delivered over a course of 10 to 20 fractions. In contrast, in this study only 1 Cyberknife treatment session was used. In a 2005 study, Degen and colleagues reported on the outcomes of 51 patients with 72 spinal lesions who were treated with the Cyberknife. Patients underwent a median of 3 treatments. Pain was improved, as measured by declining mean visual analogue scale (VAS) score, and quality of life was maintained during the 1-year study period. Gerszten in 2007 published results on a series of 500 cases from a single institution using the Cyberknife system. In this series, the maximum intratumoral dose ranged from 12.5 to 25 Gy with a mean of 20 Gy. Long-term pain improvement occurred in 290 of 336 cases (86%). Long- term radiographic tumor control was demonstrated in 90% of lesions treated with radiosurgery as a primary treatment modality. Twenty-seven of 32 cases (84%) with a progressive neurologic deficit before treatment experienced at least some clinical improvement. While the results show pain improvement, the extent of pain relief and impact of quality of life is not reported. As noted above in the rationale, comparative studies are needed along with more details about relevant outcomes. Chang reported on phase I/II results of SBRT in 74 spinal lesions in 63 patients with cancer. The actuarial 1-year tumor progression-free incidence was 84%. Pattern-of-failure analysis showed 2 primary mechanisms of failure: recurrence in the bone adjacent to the site of previous treatment; and recurrence in the epidural space adjacent to the spinal cord. The authors concluded that analysis of the data obtained in their study supports the safety and effectiveness of SBRT in cases of metastatic spinal tumors. They add that they consider it prudent to routinely treat the pedicles and posterior elements using a wide bone margin posterior to the diseased vertebrae because of the possible direct extension into these structures, and for patients without a history of radiotherapy, more liberal spinal cord dose constraints than those used in the study. Benefit Application Benefit determinations should be based in all cases on the applicable contract language. To the extent there are any conflicts between these guidelines and the contract language, the contract language will control. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. Medical Policy 12 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Some state or federal mandates (e.g., Federal Employee Program (FEP)) prohibit Plans from denying Food & Drug Administration (FDA) - approved technologies as investigational. In these instances, plans may have to consider the coverage eligibility of FDA-approved technologies on the basis of medical necessity alone. This Policy relates only to the services or supplies described herein. Benefits may vary according to benefit design; therefore, contract language should be reviewed before applying the terms of the Policy. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement Policy Type Code Description CPT 20660 Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) 61793 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator), one or more sessions 61795 Stereotactic computer-assisted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in addition to code for primary procedure) 77299 Unlisted procedure, therapeutic radiology clinical treatment planning 77371 Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based 77372 Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based 77373 Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 77399 Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services 77432 Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of one session) 77435 Stereotactic body radiation therapy, treatment management, per treatment course, to one or more lesions, including image guidance, entire course not to exceed 5 fractions Medical Policy 13 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Type Code Description 77520 Proton treatment delivery; simple, without compensation 77522 Proton treatment delivery; simple, with compensation 77523 Proton treatment delivery; intermediate 77525 Proton treatment delivery; complex HCPCS G0173 Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session G0251 Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment G0339 Image guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session, or first session of fractionated treatment G0340 Image guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment ICD-9 Multiple Diagnosis ICD-9 92.25 Teleradiotherapy using electrons Procedure 92.26 Teleradiotherapy or other particulate radiation 92.29 Other radio-therapeutic procedure 92.30 Stereotactic Radiosurgery, not otherwise specified 92.31 Single source photon radiosurgery 92.32 Multi source photon radiosurgery 92.39 Stereotactic Radiosurgery, not elsewhere classified Place of Hospital Inpatient Service Hospital Outpatient/Surgicenter Medical Policy 14 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Prior Authorization Requirements Prior-Authorization is required. Clinical Evidence to support medical necessity must be provided and used for determination (see below). Prior authorization requests must be submitted with the appropriate procedure codes. To obtain authorization, contact the Prior Authorization Department at 1-800-343-1691 or visit the Provider Portal www.blueshieldca.com/provider. Documentation Required for Clinical Review Include all of the following documents applicable to the patient's diagnosis: History & physical and/or Consultation notes including: • Diagnosis, lesion descriptions including size, number, and location, and history of treatments (if applicable) • Medical Oncologists progress report indicating systemic disease status within the past 2 months • Documentation of functional and performance status over the past 3 months • Tumor Node Marker (TNM) classification (except if tumor does not have a TMN classification (i.e., brain tumors)) • Gleason score for prostate cancer • Daily Treatment Records (for retro review claims) • Any radiological reports in the past 2 months must include brain, bones & abdominal CTs or MRIs • With arteriovenous malformations (AVMS) neuromas, gliomas, indicate size and therapy tried for patient's condition • Associated radiological procedure codes to be billed References 1. Aoyama H, Shirato H, Onimaru R et al. Hypofractionated stereotactic radiotherapy alone without whole brain irradiation for patients with solitary and oligo brain metastasis using noninvasive fixation of the skull. Int J Radiat Oncol Biol Phys 2003; 56(3):793-800. 2. Aoyama H, Shirato H, Tago M et al. Stereotactic radiosurgery plus whole-brain radiation therapy vs stereotactic radiosurgery alone for treatment of brain metastases: a randomized controlled trial. JAMA 2006; 295(21):2483-91. Medical Policy 15 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 3. Chang EL, Shiu AS, Mendel E et al. Phase I/II study of stereotactic body radiotherapy for spinal metastasis and its pattern of failure. J Neurosurg Spine 2007; 7(2):151-60. 4. Chang SD, Adler JR. Robotic and radiosurgery--the CyberKnife. Stereotact Funct Radiosurg 2001; 76(3-4):204-8. 5. Chang SD, Gibbs IC, Sakamoto GT et al. Staged stereotactic irradiation for acoustic neuroma. Neurosurgery 2005; 56(6):1254-61. 6. Chung HT, Ma R, Toyota B et al. Audiologic and treatment outcomes after linear accelerator-based stereotactic irradiation for acoustic neuroma. Int J Radiat Oncol Biol Phys 2004; 59(4):1116-21 7. Degen JW, Gagnon GJ, Voyadzis JM et al. CyberKnife stereotactic radiosurgical treatment of spinal tumors for pain control and quality of life. J Neurosurg Spine 2005; 2(5):540-9. 8. Gerszten PC, Burton SA, Ozhasoglu C et al. Radiosurgery for spinal metastases: clinical experience in 500 cases from a single institution. Spine 2007; 32(2):193-9. 9. Gerszten PC, Ozhasoglu C, Burton SA et al. CyberKnife frameless stereotactic radiosurgery for spinal lesions: clinical experience in 125 cases. Neurosurgery 2004; 55(1):89-99. 10. Hof H, Muenter M, Oetzel D et al. Stereotactic single-dose radiotherapy (radiosurgery) of early stage nonsmall-cell lung cancer (NSCLC). Cancer 2007; 110(1):148-55. 11. Kondziolka D, Patel A, Lunsford LD et al. Stereotactic radiosurgery plus whole brain radiotherapy versus radiotherapy alone for patients with multiple brain metastases. Int J Radiat Oncol Biol Phys 1999; 45(2):427-34. 12. Lindvall P, Bergstrom P, Lofroth PO et al. Hypofractionated conformal stereotactic radiotherapy for arteriovenous malformation. Neurosurgery 2003; 53(5):1036-43. 13. Madsen BL, Hsi RA, Pham HT et al. Stereotactic hypofractionated accurate radiotherapy of the prostate (SHARP), 33.5 Gy in five fractions for localized disease: first clinical trial results. Int J Radiat Oncol Biol Phys 2007; 67(4):1099-105. 14. Meijer OW, Vandertop WP, Baayen JC et al. Single-fraction vs. fractionated LINAC-based stereotactic radiosurgery for vestibular schwannoma: a single-institution study. Int J Radiat Oncol Biol Phys 2003; 56(5):1390-6. 15. Mendez Romero A, Wunderink W, Hussain SM et al. Stereotactic body radiation therapy for primary and metastatic liver tumors: a single institution phase i-ii study. Acta Oncol 2006; 45(7):831-7. 16. Plathow C, Schulz-Ertner D, Thilman C et al. Fractionated stereotactic radiotherapy in low-grade astrocytomas: Long-term outcome and prognostic factors. Int J Radiat Oncol Biol Phys 2003; 57(4):996-1003. 17. Raizer J. Radiosurgery and whole-brain radiation therapy for brain metastases: either or both as the optimal treatment. JAMA 2006; 295(21):2535-6. 18. Regis J, Bartolomei F, Rey M et al. Gamma knife surgery for mesial temporal lobe epilepsy. J Neurosurg 2000; 93(suppl 3):141-6. 19. Schrottner O, Eder HG, Unger F et al. Radiosurgery in lesional epilepsy: brain tumors. Stereotact Funct Neurosurg 1998; 70(suppl 1):50-6. 20. Svedman C, Sandstrom P, Pisa P et al. A prospective phase II trial of using extracranial stereotactic radiotherapy in primary and metastatic renal cell carcinoma. Acta Oncol 2007; 45(7):870-5. Medical Policy 16 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 21. TEC Assessments 1998; Tab 28. 22. Timmerman RD, Park C, Kavanagh BD. The North American experience with stereotactic body radiation therapy in non-small cell lung cancer. J Thorac Oncol 2007; 2(7 suppl 3):S101-12. 23. Weltman E, Salvajoli JV, Brandt RA et al. Radiosurgery for brain metastases: a score index for predicting prognosis. Int J Radiat Oncol Biol Phys 2000; 46(5):1155-61. 24. Whang CJ, Kwon Y. Long-term follow-up of stereotactic Gamma Knife radiosurgery in epilepsy. Stereotact Funct Neurosurg 1996; 66(suppl 1):349-56. 25. Yu C, Chen JC, Apuzzo ML et al. Metastatic melanoma to the brain: prognostic factors after gamma knife radiosurgery. Int J Radiat Oncol Biol Phys 2002; 52(5):1277-87. Index / Cross Reference of Related BSC Medical Policies The following Medical Policies share diagnoses and/or are equivalent BSC Medical Policies: • Charged-Particle (Proton or Helium Ion) Radiation Therapy • Intensity Modulated Radiation Therapy (IMRT) • Robotically-Assisted Surgery and Robotic Surgical Systems Key / Related Searchable Words • Cyberknife • GammaKnife • Helium Ion Radiosurgery • IMRT (Intensity Modulated Radiation Therapy) • LINAC • Linear accelerator radiosugery • Proton Beam Radiosurgery • SRS • Stereotactic Radiosurgery • Stereotactic Radiotherapy Policy History This section provides a chronological history of the activities, updates and changes that have occurred with this Medical Policy. Effective Date Action Reason Medical Policy 17 of 18 Medical Policy: Stereotactic Radiosurgery and Stereotactic Radiotherapy Original Policy Date: 2/26/1992 Effective Date: 7/07/2008 Effective Date Action Reason 02/26/1992 Policy Adopted Medical Policy Committee 12/7/2006 Policy revision to include additional BCBSA TEC guideline on BCBSA TEC guideline for refractory Refractory Trigeminal Neuralgia trigeminal neuralgia 01/30/2008 Disclaimer statement added to policy Administrative Update 05/16/2008 Policy revision-BCBSA MPP adoption Medical Policy Committee New description, defined policy criteria, Coding updated. Title changed from, Stereotactic Radiosurgery to Stereotactic Radiosurgery and Stereotactic Radiotherapy 07/07/2008 Policy revision- Extended medical Medical Policy Committee necessity criteria to extracranial sites. The materials provided to you are guidelines used by this plan to authorize, modify, or deny care for persons with similar illness or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. These Policies are subject to change as new information becomes available. Medical Policy 18 of 18
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From the album 'I Predict A Graceful Expulsion', released May 22, 2012 on Mute / EMI Records
Doom Soul. That's how Cold Specks describes her music, equal parts downcast goth and Deep South gospel. An intriguing figure, Cold Specks is the stage name of Al Spx, which seems straight forward enough except Al Spx is also a pseudonym. She was born and raised in Ontario, but is based out of the UK scene where she debuted, which makes her stand out on both sides of the pond. Watch "When the City Lights Dim" before you miss out on the chance to brag to your friends that you were into Cold Specks before they were.
Smooth on the Mic
Lissie "Shameless"
King Krule Already Among the Stars
White Lung "Drown with the Monster" Video
Sightlines "Commiseration" Video


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We are an extended family group of 4 adults and 2 children. We have just spent a fantastic fortnight at Santa Barbara, Cefalu in apartment C (the largest of the apartments). On arrival at the property we were immediately struck by the gorgeous views of the Mediterranean and the mountain backdrop, especially given the ease of access into the beautiful Medieval city of Cefalu. The apartment is simply and adequately furnished, and any requests for additional items (in our case a large pasta pan!) are quickly and graciously addressed. Alexander and Sergio are friendly and helpful. Apartment C is on the same level as the pool and the barbecue with French doors out onto both, making it very family friendly and giving a feeling of extensive outdoor space in which to enjoy the Sicilian sunshine. Whilst the pool seems small on first sight, there was plenty of room for our 10 and 8 year old, for cooling off and for family pool games on lilos! We had an amazing holiday in a place close to our hearts, massive thanks to Alexander, Sergio and Gwendolyn at Sicily4U and also to the lovely Irish family who left us the lilo and lots of yummy food and wine on their departure.
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- Also Known As:
- Santa Barbara Cefalu, Sicily


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August 2, 2014 in Letters, Opinion
Working for citizens
This past week, I had the honor of being introduced to Rep. Cathy McMorris Rodgers and was so impressed to see and hear firsthand how McMorris Rodgers is fighting for the citizens of Eastern Washington. It was truly gratifying to hear how she is working across the aisle to fight for bills that will directly affect us, like her hydropower bill that passed through the House unanimously and was signed by the president.
As a young woman, I admire McMorris Rodgers' positive and pragmatic leadership. Her strong voice and willpower radiate throughout Congress and Eastern Washington as she continues to fight for and represent us.
McMorris Rodgers is not only a leader we can be proud of, but also a leader we deserve in a time when there is so much negativity and discouragement with our federal government. She is making a positive difference and is a great asset to the Northwest. There is no doubt that I'll be voting for McMorris Rodgers to keep her working for us, and so should you.
Shelby Pelon


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Local Veterinarians in Your Area
2391 Route 66, Ocean, NJ 07712
A great local veterinarian loves your pet (almost) as much as you do by providing the best preventive pet health care. From nose-to-tail veterinary medical exams to vaccinations, microchipping, dental care and surgery, you'll find the vet your pet deserves at your neighborhood Banfield Petview deal
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Cream Ridge Pet Care Center is a full-service veterinary medical facility, accredited boarding kennel and grooming salon, located in Cream Ridge, NJ. The professional and courteous staff at Cream Ridge Pet Care Center seeks to provide the best possible care for their highly-valued patients. We are
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Oakhurst Veterinary Hospital has a staff of over 70 dedicated individuals trained in pet care, including 8 small animal doctors and 6 certified veterinary technicians. The hospital is staffed 24 hours a day, 7 days a week (including all holidays) to ensure that your pet is kept safe and comfortableview deal
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614 Route 33E Unit B, East Windsor, NJ 08520
Welcome to East Windsor Animal Hospital! East Windsor Animal Hospital is a full service veterinary medical facility. The professional and courteous staff at East Windsor Animal Hospital seeks to provide the best possible care for their highly valued patients. We are committed to promotingview deal
1124 State Highway 34, Aberdeen, NJ 07747
Our goal is to provide your family pet with the highest quality medical, surgical and dental care in a timely manner. Experience the difference our personal care approach benefits the health and well being of your pet. Our staff knows each patient by name, not by a number. Dr. Jonathan Bach's
315 Robbinsville-Allentown Rd., Robbinsville, NJ 08691
NorthStar Vets is a 24 hours, 7 days a weeks, veterinary, emergency, trauma and specialty hospital dedicated to exceeding our client's expectations. Our services include cardiology, dermatology, emergency, trauma, and critical care, exotics and avian, internal medicine, oncology, ophthalmology, pet
2101 State Route 35, Holmdel, NJ 07733
A great local veterinarian loves your pet (almost) as much as you do by providing the best preventive pet health care. From nose-to-tail veterinary medical exams to vaccinations, microchipping, dental care and surgery, you'll find the vet your pet deserves at your neighborhood Banfield Petview deal
777 Helmetta Boulevard , East Brunswick , NJ 08816
A Wealth of Veterinary Experience at Your Service! At Edgebrook Animal Hospital, your dogs, cats, birds and exotic pets will be treated compassionately and with state-of-the-art technology by our experienced veterinarians. We focus on wellness and preventative medicine and offer a wide variety of
2506 Rogers Walk, Mount Laurel, NJ 08054
Welcome to Homeopathy for Animals! At Homeopathy for Animals, we specialize in *Homeopathic and Holistic medicine *Natural healing methods *Stress management *Nutritional counseling *Alternative medicine for the well-being of your pet We are a phone consultation service and weview deal


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Hold Onto Your Blunts: New Study Shows Dinosaurs May Have Gotten High on Psychedelic Fungus
Well, they're all literal stoners now.
They've figured out how to open doors. Doors to your mind, maaaaaan.Read More
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Want to know what your brain is like on drugs without actually having to take the drugs themselves? Because AsapSCIENCE wants to tell you all about how crack cocaine allows for a buildup of dopemine in your brain by blocking your reabsorption receptors, and then later makes you feel like you're covered in bugs.Read More
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Going to the gym is a great idea in theory. Once you get there, though, I think we can all agree that it almost always seems like a terrible idea. A terrible idea full of grunting and being sore where all of the things around you are covered in a fine sheen of other peoples' sweat. Luckily, researchers may have made a breakthrough that could finally release humanity from the curse of going to the gym without dooming them to life as a grotesque shut-in -- a pill that simulates some of the effects of physical exercise. In case there was any doubt, yes, we live in the future now.Read More
Come on, admit it -- we've all fantasized about having superhuman strength at one point or another. Having the sort of car-tossing, Mjolnir-swinging, evildoers cowering before your might sort of strength we've all seen in comic books may be out of the question, sure, but science is helping us learn more and more about how we get strong, and that understanding could help us get better at getting stronger. In their latest video, AsapSCIENCE explains what it takes to reach that goal, why some people naturally have greater muscle mass than others, and how new technologies could make super strength a reality in the future. You won't even need to be bitten by a radioactive spider.Read More
This right here, folks? This is why we can't have nice things. A recent study published online by JAMA Pediatrics found that one hospital in Colorado is dealing with a new medical phenomenon in the wake of marijuana being approved for medicinal use in the state -- children being hospitalized after unwittingly snacking on their parents' therapeutic pot brownies.Read More
Some technology currently being used during battle in places like Afghanistan could soon find its way into the war on drugs. This weekend the U.S. Navy tested several items they hope could help them stop drug smugglers out on the open seas. The technology they're using isn't exactly new, but with sequester budget cuts in place, the Navy is getting creative.Read More
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