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If you're doing progression still, you should be using all your VP for the maximum possible performance gain that week. It seems like the people that aren't seeing improvement just aren't using their upgrades. If you happen to get a BiS item, you probably shouldn't upgrade it right away; compare its value of going 0/4 > 4/4 vs going 2/4 > 4/4 on two of your existing items. It's unlikely the 0/4 will come out ahead unless you only have rings/bracers/necks left at 2/4 and just got a new weapon/trinket.
If you were vigilant in capping VP and came into the patch at 3k and upgraded gear for the highest performance that week, you should have an extra 5 ilvls by now. That's an extra 5-8% DPS/HPS/Survivability across your raid. There's no way that hasn't helped progression. You may not have killed a new boss yet, but you should have gotten closer.
If you're already 14/14H and getting bored, sure, just use your VP "efficiently" (upgrade BiS items, then pool 3k before upgrading items with the potential to be replaced). This is highly ineffective for increasing your performance week-to-week, though. It will only save you time VP capping by the end of your BiS gearing (which could take months or just never happen anyways).

subset: commoncrawl


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Leaders in the field of audio and visual production, Royal Productions now serves some of the largest convention and trade shows in the nation as their official computer rental provider. We have been renting computers for more than 17 years.
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Consolidate all of your equipment needs with us and reduce the number of contact points and hassles associated with the organization of your convention or trade show! We also provide registration software and full support to help enhance your meeting or convention.


text:
When the recent cloud of volcanic ash cruelly snatched my vacation away from me, not only was I miffed I wouldn't be heading across the ocean (and let me tell you, there's nothing more depressing than unpacking a non-used swimsuit, sandals, and sunscreen out of a suitcase), but I was sad I would be missing dinner with Yotam Ottolenghi at his restaurant, Ottolenghi. I'd written him a fan letter, and after agreeing to a psychiatric evaluation, and a pass through a metal detector, he consented to have dinner with me.
I swooned over his first book and featured his gently salted, crisp almond chocolate-dipped Florentines a while back, which I had trouble not finishing the moment the slick chocolate coating had cooled on their underside.
Usually when flipping through a new cookbook, I bookmark a few things that catch my eye. Like his previous book, if I'd bookmarked all the recipes I wanted to try in his new book Plenty, my copy of the book would've been twice as large as it originally was.
Continue Reading Ottolenghi's Fried Beans with Sorrel, Feta & Sumac…


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Greene Tosses Complete-Game Three-Hitter while Offense Pounds Out 19 Hits in 10-1 Baseball Win over Armstrong
April 9, 2013
PEMBROKE, N.C. - Pfeiffer University's Ethan Greene tossed a complete-game allowing just one run on three hits fanning seven en route to the Falcons' 10-1 win over Armstrong Atlantic in non-conference baseball action on Tuesday night. Behind Greene, the Falcons improve to 19-24 overall while dropping the Pirates to 22-10.
Pfeiffer got on the board in the second with a pair of runs thanks to a Kyle Hackney double to left and a Dalton Lindley base hit to left. In the fourth, Lindley plated Izzy Perez with a groundout to short while Jon Gray blasted a solo homer just an inning later to make it 5-0 lead.
The Falcons would use the long ball again in the sixth as Jacob Yates lifted off for a three-run shot to right-center while Gray followed with his second bomb of the night on the very next pitch. Insurance in the eighth would come thanks to a Pirates throwing error and solo homer by Cole McGraw.
Greene would nearly record the complete-game shutout until Armstrong finally broke through with a two-single run-scoring single in the top of the ninth. Behind Greene's arm, the Falcon offense pounded out 19 hits in the win as Gray, McGraw, Perez and Lindley each recorded three hits while Yates, Hackney and Kevin Price each had two hits.
Pfeiffer will look to carry their momentum into a three-game Conference Carolinas weekend series with King at Joe Ferebee Field. Saturday's series-opening doubleheader will begin at 12:00 p.m.


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RICHLANDS — Northside's smallest starter and youngest one played beyond their size and age Wednesday night.
Kayla Hill, a 5-foot-4 senior, scored 18 points and freshman Erin Bowerman scored all 12 of her points in the fourth quarter to lead the top-seeded Monarchs to a 56-42 victory over fourth-seeded Clinton in the semifinals of the East Central 2-A Conference girls' basketball tournament at Richlands High.
"The way Kayla played and how strong she played and the way Erin came through in the fourth quarter, that was the final knockout punch tonight," Northside coach Chad Novelli said. "They came to play."
And because of their efforts, Northside (21-4) advanced to the
Northside, this year's outright regular-season champion, has won the previous three conference tournament titles.
"We feel like we have to defend our title," Hill said. "We didn't want to come out here and lose because of our nervousness."
This marked the Monarchs' third win this season over the Dark Horses (18-8). Each of the previous games came down to the end, but this time Northside built a 14-point lead early in the fourth quarter and fought off any attempt of a Clinton rally.
Down 43-29, the Dark Horses got to within 49-42 with 3:06 left, but the Monarchs scored the final seven points.
"When you play them … they can get to the paint so fast and hit outside shots and 14, 16 points can go away real fast," Novelli said. "We got on our heels just a little bit there for a second and it was a wake-up call that they weren't going to go down easy.
"To beat a team like Clinton with the talent they have, especially on the perimeter, and who is as well-coached as they are, is a testament once again to what these girls can do."
Bowerman, a 5-9 center, was a reason the Monarchs again beat Clinton.
She started the fourth quarter by making a baseline jump shot that gave Northside a 37-26 lead.
After Clinton's Bianca Owens made a 3-pointer with 3:06 left to pull the Dark Horses to within 49-42, Ashanti Curry made a free throw for Northside to extend the lead.
Moments later, Curry missed two free throws, but Bowerman got the rebound and scored to make it 52-42 with 1:15 left. Bowerman, who ended with 13 rebounds, then completed a three-point play after a putback with nine seconds left for the final margin.
"Our freshman, Erin, she got big on the boards and our momentum changed," Hill said. "Normally, she's scared to go back up with the ball, but we told her that once she gets the rebounds, go back up. That's what she did and it paid off for her."
But while Bowerman was the key late, Hill sparked the Monarchs earlier.
Hill scored 14 points between the second and third quarters to give Northside room to breathe after the two teams struggled to score early.
The game was tied at 13-13 when Hill made a free throw with 2:15 left in the second quarter to give Northside the lead for good. She then followed with a jumper and a layup to give her squad an 18-13 lead.
Hill then scored 9 points in the third quarter.
"Kayla was playing smart," Novelli said. "They were playing her tight, and obviously when they're playing you tight, you want, especially the guards we have, to attack. Kayla was attacking with the best of them tonight and I like it when she is able to do that and willing to do that.
"I like it when she has the confidence to do that and I hope she continues to have it."
Hill, who also had 6 steals, said her confidence grew with each drive to the basket.
"Once I made one, I got my confidence," she said. "I knew coach told us to go to the basket."
Curry added 11 points, Journee Collins had 9 points and 9 rebounds and Lizzie Perez had 6 points and 10 rebounds for the Monarchs.
Courtney Pearsall and Lexus Simpson each scored 10 points for the Dark Horses, who were outrebounded 46-29 by the Monarchs, a stat that didn't surprise Novelli, despite Northside's lack of size besides Bowerman.
"I've been able to watch these girls progress and they have learned to play down low," Novelli said. "Anybody is willing to go up for a rebound. We don't rely on any set group of players to get rebounds. Anybody can go up and get it."
Clinton 7 8 11 16 — 42
Northside 8 10 17 21 — 56
Pearsall 10, Simpson 10, Owens 3, Glasper 6, Johnson 6, Murphy 5, Edwards 2. Totals— 16-48 9-15 42.
Bowerman 12, Hill 18, Curry 11, Collins 9, Perez 6. Totals— 21-59 12-26 56.
3-Point Goals— C 1 (Owens), N 2 (Perez 2). Rebounds— C 29 (Murphy 9), N 46 (Bowerman 13, Perez 10, Collins 9). RECORDS— C: 18-8, vs. TBA in state 2-A playoffs. N: 21-4, vs. Swansboro-East Duplin winner on Friday at 6:30 p.m. in final.


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Authors: Alexandre Vasseur
This page is under construction - it will be ready before July 14th with 1.0 beta 1 release
This tutorial tries to walk you through the idea of Aspects deployment we have introduced in AspectWerkz 1.0.
You will learn how to integrate aspects and aspects libraries as regular components in your J2EE environment through the help of META-INF/aop.xml and WEB-INF/aop.xml files.
It won't give a lot of detail on what is AOP, how the aspects are implemented using AspectWerkz, etc...
If you want to read more about that first, you can read and practice the
In this tutorial, we will use Tomcat 5 samples applications since everyone can download it easily. Some more articles are on their way to explain integration on BEA WebLogic Server and Apache Geronimo, where the same concepts apply.
Download the 1.0 AspectWerkz release and unzip it into a relevant location. I will use C:\aw\aspectwerkz\
This tutorial is based on the 1.0 beta1 version of AspectWerkz (you need to move file after unziping since this beta release contains some extra aspectwerkz3 subdirectory etc.).
The latest distribution can be found here.
After installation you need to set the
ASPECTWERKZ_HOME environment variable to point to the installation directory.
This is because quite a few of the scripts use this to find the required libraries and those scripts aims at making this tutorial
simpler to understand by focussing on the topic to cover.
Below is some samples (for Windows - adapt for Unix/Linux and do an
export ASPECTWERKZ_HOME)
You should check that your
JAVA_HOME is properly configured as well.
Then you need to install Tomcat 5, since we will deploy our aspects in Tomcat samples applications.
The distribution 5.0.25 can be found here (choose jakarta-tomcat-5.0.25.zip). Download and unzip it to somewhere relevant.
I will use C:\aw\jakarta-tomcat-5.0.25\
After installation, it is wise to check the Tomcat installation by launching
and open your browser to (this link should work) http://localhost:8080/ to access the main Tomcat page.
In the next parts of the tutorial, we will go thru some Tomcat servlet samples http://localhost:8080/servlets-examples/ and jsp examples http://localhost:8080/jsp-examples/.
Shutdown Tomcat by closing the MSDos window or doing some
CTRL-C twice.
The reusable Aspect
Since Tomcat provides several sample applications, we have to provide a test Aspect that we can use and reuse to understand the different aspect deployment schemes.
To make things easy to understand, we will not go into the details.
Just notice that it is yet another tracing aspect, and that the aspect method named "trace" will be our around advice.
This aspect will print some information about himself, like the hashcode of the ClassLoader that created it (I do not use toString() since Tomcat is too verbose, but you can give it a try).
We will pack this Aspect in different ways in the next parts of the tutorial, but we can already compile it as a regular Java class.
I will write this Aspect in C:\aw\tomcat, in the package
This is a standard Java class, and can be compiled with
javac ... demoAOP\HelloWorld.java to produce the regular ".class" file in the "target" directory. We need to link to the aspectwerkz jar due to this JoinPoint class that is used in the source code of the DemoAspect, so we should write
javac -classpath %ASPECTWERKZ_HOME%\lib\aspectwerkz-1.0-beta1.jar demoAOP\DemoAspect.java, but usage of the environment variable makes sense here to set the
From there we have several options if we are using online mode (class load time weaving), which is standardized in Java 1.5 with JSR-163 but that AspectWerkz support even for Java 1.3:
- copy the aspect
.classfile in the
WEB-INF/classesdirectory and write a
WEB-INF/aop.xmlAOP XML descriptor to define the aspect pointcut within the web application scope
- package the aspect
.classfile in a jar file, and add a
META-INF/aop.xmlin this jar file. Copy this jar in the
- instead of deploying our aspect within a specific web application, we could copy the jar at the system classpath level. The interesting thing to understand is that such a system wide
META-INF/aop.xmlAOP XML descriptor will affect all web applications due to java ClassLoader hierachies.
- and of course we could have both: some aspects at the application level with a
WEB-INF/aop.xmland some aspects at the system wide level with a
When using offline mode (post compilation of your classes before deployment), the same results can be achieved, though it can be sometimes a bit tricky to remember to weave the application both for its own aspects and for the system level aspects.
We will not go through offline mode in this tutorial (refer to HelloWorld tutorial).
To keep things simple, we will always use the following pointcut that will allow to pick out all public methods execution:
As a consequence, the following AOP XML descriptor will be used.
Write this file in C:\aw\tomcat\META-INF\aop.xml for now.
Note that we could have simplified this XML by defining our
DemoAspect with annotations (see HelloWorld tutorial for this).
Some of you will have already understand that when the aspect is deployed within the web application, its weaving scope will not be the same: the
pointcut will pick out public method from classes really loaded by the web application (e.g. not
javax.servlet.http.HttpServlet class).
Enabling online mode in Tomcat
Since we will use online mode, we need to alter some of the Tomcat startup scripts. If we were using BEA JRockit or Java 1.5, it would be a matter of adding a single JVM option.
Since I will not make any assumption on your JVM environment, I will skip the interesting details in this part and we will use a non-optimized but out-of-the-box solution that ships with the AspectWerkz distribution: the command line tool in
ASPECTWERKZ_HOME/bin/aspectwerkz (read doc).
Open the Tomcat startup script
bin/catalina.bat (C:\aw\jakarta-tomcat-5.0.25\bin\catalina.bat).
The main idea is to set
ASPECTWERKZ_HOME in this script and replace
JAVA_HOME/bin/java with
Locate at the end of the script:
and alter it as follows:
For a complete understanding of the different options and other modes, refer to the AspectWerkz weaving schemes documentation.
Note that as a consequence of using the command line tool for simplicity here, we will run the Tomcat with -Xdebug JVM mode (with Java 1.4).
Do not startup Tomcat for now.
Aspect deployed in the application with a WEB-INF/aop.xml
This section explains the main step required and consequences of packaging an aop.xml file in your deployed application (WEB-INF/aop.xml).
The big picture is as follow:
In this section we decide to package our aspect as a regular class of the web application, and we define the pointcut and activate the aspect
through the help of the WEB-INF/aop.xml file.
As a consequence, only the classes of the web application will be eventually weaved (if the pointcut match), even if the pointcut is supposed to match everything (all public method execution as explained in the previous section). In fact, the deployment mechanism tied to the web application deployment add an unbreakable isolation, and only public method execution of classes loaded belonging to the web application will be targetted by our
Lets apply our Aspect to the Tomcat jsp-examples web application:
Lets add the AOP XML descriptor to the web app:
To sum up we have only
- added the aspect class to the web app as regular web app packaging dictates to do
- added a WEB-INF/aop.xml file to the web app
Lets start Tomcat with the
bin/startup.bat script (which will delegate to our modified
catalina.bat script).
On the stdout window some AspectWerkz message should appear, with some verbose blocks of logs about aop.xml deployment.
And immediately we should see our DemoAspect at work, with some information about the web app initialization.
You will notice this 7088278 hashcode here, which indeed match the web app classloader hashcode as logged at deployment time.
By browsing the jsp-samples web application, we learn more about public method execution of the web application.
Off course, no information about Tomcat itself since the aspects was deployed within the web application.
This section is interesting, and I hope you have already some new ideas to deploy your aspects in your J2EE application with AspectWerkz.
But what happens if you would like to provide some ready to use out of the box aspects, completely obliouvness to the user ?
Shutdown Tomcat for the next section.
Aspect deployed in the application with an Aspect jar file
This section explains the main step required to package a "drop n weave" aspect jar file that contains a META-INF/aop.xml file, and consequence of adding this jar file in your deployed application (WEB-INF/lib).
The big picture is as follow:
In this section we will achieve the same result as in previous section, but in a slightly different way.
We will package our Aspect in a jar file, and we will add the
aop.xml file in the jar file itself in the special
META-INF folder, so that our jar file is completely self defined.
The jar file is then added to the web application as a regular jar file.
As a consequence of web application deployment, the aop.xml file from the aspect jar file will still be deployed by the web application class loader, and the same behavior will happen: the aspect will target classes laoded by the web application.
Lets prepare the jar file (regular java / jar packaging rules applies)
You will end up in having a C:\aw\aspect.jar file ready to use.
Lets add this drop n weave jar file to the Tomcat servlet samples web application.
Startup Tomcat.
Note: if you still have the jsp sample application with its aspect, you will see some messages as well as detailled in previous section.
The following should appear on stdout: some messages about the deployment of our aspect.jar file and its
META-INF/aop.xml AOP XML deployment descriptor and right after that, our DemoAspect at work.
Something interesting: if you kept the jsp sample application aspect, you realize that you deployed the same aspect class and the same aop.xml file twice. This is made possible due to class loader hierarchies. They don't see each other and the naming space is guaranteed by the class loader and by the AspectWerkz AOP container.
Browse some in the servlet sample application and see the DemoAspect at work.
We will learn something more about that in the next part...
Have you heard that "Aspects are everywhere" (c) The AspectWerkz team ?
Go on reading !
Shutdown Tomcat
Aspect jar file at the system classpath
This section explains the main step required to package several META-INF/aop.xml files and understand what happens then.
The big picture is as follow:
In this section we keep the packaging of the previous section, but we add a new aspect.jar file at the Tomcat wide level (system classpath) to check if we can have there a more wider pointcut. Remember the pointcut is supposed to match all public method, but that AOP container behavior enforce isolation based on the regular class loader hierarchy.
There is an important things to do.
AspectWerkz AOP container requires sysem id as defined in the aop.xml file to be unique within a class loader hierarchy. That means:
- we can not just copy the previous aspect.jar at the system classpath level without changing its id
- we could just copy the previous aspect.jar to some other webapplication, since then it will be in a parallel classloader hierarchy due to regular J2EE classloading schemes
Lets change the
META-INF/aop.xml then and may be lets reduce some the scope of the pointcut so that we don't have too much data:
The C:\aw\tomcat\META-INF\aop.xml file will look like
Lets package a new weave n drop aspect jar file:
You will end up in having a C:\aw\aspect-system.jar file ready to use.
Copy this file to C:\aw\jakarta-tomcat-5.0.25\common\lib which contains some regular jar for Tomcat.
Startup Tomcat.
Now we have:
- learned how to package and deploy our aspect along our web application
- understood the consequence of doing so
- understood the difference with an Aspect jar that would belong to the system classpath
- practice class load time integration using the command line tool


text:
BEST: Blake Lively looked Gossip worthy at The Cinema Society & Blackberry Bold Haywire screening in NYC, rocking a fab Dolce & Gabbana frock with ribbed tights, chunks booties and a red Chanel bag.
WORST: As if Katie Price, AKA Jordan, in a boobiful spandex catsuit wasn't bad enough, the Brit personality convinced Amy Willerton to dress up like her clone.
Pacific Coast News
BEST: Kate Beckinsale showed off her superior stems in leather leggings, pairing them with a chic blazer and Fendi stilettos.
WORST: Suzanne Somers dragged out this dress from 1987 and wore it to The Grove for a taping of Extra.
Ramey Photo
BEST: Eva Mendes looked chic on the streets of Beverly Hills, wearing a cardigan sweater over a stylish shirtdress with espadrille wedges and a Salvatore Ferragamo tote.
WORST: Helena Bonham Carter definitely wasn't trying to go under the radar, having a massive plaid attack in London.
BEST: Elizabeth Banks donned black and gold getup to The Cinema Society & Blackberry Bold Haywire screening in NYC, carrying a Lauren Merkin ALLIE clutch.
Pacific Coast News
WORST: Most people wear camouflage to blend into the background, but not Amber Rose! The hip-hop muse stepped out in NYC, showing off her faux pas fashion and pointy, bright white manicure.
BEST: The face of the G-Star Spring 2012 collection Clemence Poesy was dressed to impress and represent at the Bread & Butter trade show in Berlin.
Ramey Photo
WORST: Bobby Trendy was up to his old attire antics during a Los Angeles shopping trip, wearing lots of sparkles, bling and brands.
Thursday Best And Worst


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Tag Archives: GLISS KEXP LIVE BROADCAST
KEXP presents a LIVE performance with Gliss, Unknown Mortal Orchestra and more..
We are beyong thrilled to be playing on the KEXP LIVE BROADCAST Friday March 15th at 5:30PM CST. Performing from SXSW in Austin, TX at Mellow Johnny's Bike Shop! If you'll be in the area, we invite you to attend … Continue reading


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Gaga wore similar lingerie on the cover of Rolling Stone in 2010, but that was before the Sandy Hook Elementary School massacre reignited the debate over gun violence. Gun rights advocates have also accused Hollywood and the media for it's frequent and reckless portrayal of gun use.
PolicyMic's Tom McKay called the outfit "tasteless and inappropriate."
"It rubs salt in the wounds of pro- and anti-gun advocates, and much trashier, the wounds of a despondent and horrified community that just lost 20 of its children," McKay said.
"I think it is gun porn," Ladd Everitt, of the Coalition to Stop Gun Violence, said.
"It's almost like she's telling her fans, 'The only way I can stimulate you is to show you guns and violence.'


text:
Bill Gates:
Innovating to zero!
At TED2010, Bill Gates unveils his vision for the world's energy future, describing the need for "miracles" to avoid planetary catastrophe and explaining why he's backing a dramatically different type of nuclear reactor. The necessary goal? Zero carbon emissions globally by 2050.
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This talk was presented at an official TED conference, and was featured by our editors on the home page.
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What does my name mean? It might be just curiosity for you but your name is much more than just a name!
Do you want to know the meaning behind your name? Simply fill out the form on the sidebar and click "Go". As a bonus gift, a free name poster will be generated for you everyday.
You may optionally enter your birthday if you want to know who you were in your past life. Feel free to use the Name Explorer Tools if you want to know more about your name. For example, how popular your name is.
According to Wikipedia, onomastics or onomatology is the study of proper names of all kinds including the origins of names. On the other hand, anthroponomastics or anthroponymy is a branch of onomastics. It's the study of 'anthroponyms' – from the Greek words anthropos, 'man', + onoma, 'name' – combined together it means 'the names of human beings'. There are 21,681 names in the database including its meaning and origin. That's a lot of names, isn't it?
Here's a sample data: Rosana of Hebrew origin, a girl's name which means "Graceful rose".
This site also utilizes the Popular Baby Names statistical data available at the Social Security Administration website. To date there are 5,647,426 records in the database. The oldest record dates back to 1880 and the newest in 2014. That's 135 years of data about popular names in 51 states of the USA.
Name Projects to Create, Share, and Treasure
A name sticks with us from birth until death and although we often have no control over it, our names can define us. "The Meaning of Names – What Does My Name Mean" is a free iOS app that explores the history, meaning, heritage, and qualities that each name holds. Discover your name's meaning and more!
After your free mobile download, you can search for your own name and pull out amazing information from the massive name database. With more than 5 million statistical records and historical references for popular baby names after 1880, this app is packed with eye-opening facts. Expand your search by traveling back in time to discover the meanings of more names for your coworkers, pets, friends, and family. Create a stunning visual display to share with your friends as a personal gift and share on social media sites.
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Collect all details on Paul Mcrae by studying PeopleFinders.com. We offer several simple ways to locate people in our extensive database of public records that includes known relatives, prior addresses, aliases, and more. Paul Mcrae can be found in Delray Beach, FL. Their known relatives include Thomas Mcrae, Florence Mcrae.
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Timothy Webster, best known for his work as a spy for the Union during the Civil War, began his career as a New York City policeman. In the mid-1850s he left the police department and took a job for Allan Pinkerton with his newly formed detective agency. Webster went on to serve the United States as a spy in the Civil War. He traveled to the Confederate capital multiple times and made many connections high up in the Confederate military and government. For a time he was the Union's top spy, but his career came to an abrupt end when, in 1862, he was betrayed by fellow spies and became the first spy executed in the Civil War. Join author Corey Recko for this talk on the subject of his most recent book.
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A Randomized Trial of Unruptured Brain AVMs (ARUBA)
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The purpose of this study is to determine if medical management is better than invasive therapy for improving the long-term outcome of patients with unruptured brain arteriovenous malformations.
Unruptured Brain Arteriovenous Malformation
Procedure: invasive therapy [endovascular procedures, neurosurgery, or radiotherapy, alone or in combination]
Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:
|A Randomized Trial of Unruptured Brain Arteriovenous Malformations
- Composite event of death from any cause or symptomatic stroke (hemorrhage or infarction confirmed by imaging) [ Time Frame: from enrollment to study end for primary outcomes of death or symptomatic stroke including hemorrhage ] [ Designated as safety issue: Yes ]
- Risk of death or clinical impairment (Rankin Score >/= 2) at 5 years post-randomization [ Time Frame: from enrollment to study end for primary outcomes of death or symptomatic stroke including hemorrhage ] [ Designated as safety issue: Yes ]
|Estimated Enrollment:
|Study Start Date:
|October 2006
|Estimated Study Completion Date:
|July 2017
|Estimated Primary Completion Date:
|December 2013 (Final data collection date for primary outcome measure)
|Assigned Interventions
No Intervention: 1
Symptomatic medical management alone:
Patients participating in the trial will receive the best medical management possible for the disorder being tested in the trial and for any general medical illnesses they are demonstrated to have. One important consideration in the medical management of patients in this trial is stroke risk factor reduction.
Active Comparator: 2
Symptomatic medical management with invasive therapies (any combination of surgery, endovascular embolization, or radiotherapy):
A patient randomized to interventional therapy is expected to begin interventional therapy within 3 months following randomization. Interventional therapy consists of endovascular attempts at occlusion of the nidus and feeding vessels, coiling or microsurgery for feeding artery aneurysms, microsurgery for BAVM itself, and radiosurgery, these alone or in various combinations and timings.
Procedure: invasive therapy [endovascular procedures, neurosurgery, or radiotherapy, alone or in combination]
All interventional procedures are standard of care for the treatment of AVMs. They are not experimental.
Endovascular procedures involve specially designed catheters/tubes position in the small arteries feeding blood to the AVM. The tubes are inserted into an artery in the groin and threaded up through the artery into the brain. Once positioned, the physician injects a special material that changes from liquid to solid very quickly. Once it solidifies, it blocks the artery that is feeding blood to the AVM.
Neurosurgery involves the opening of a portion of the skull and the brain's outer lining to get access to the AVM.
Radiosurgery involves high energy radiation (like X-rays) carefully targeted at the brain AVM to shrink it and, in the best results, eventually eliminate the artery-to-vein links and the risk of bleeding. The effect often takes one to two years to occur.
Detailed Description:
Brain arteriovenous malformations (BAVMs) are an infrequent but important cause of stroke, particularly in a young population. Current invasive treatment strategies are varied and include endovascular procedures, neurosurgery, and radiotherapy. All of these treatments are administered on the assumption that they can be achieved at acceptably minor complication rates, decrease the risk of subsequent hemorrhage, and lead to better long-term outcomes.
Recent data from the literature comparing initial presentation and outcome for patients with ruptured and unruptured BAVMs have raised the possibility that such elective invasive treatment for unruptured BAVMs may yield worse outcomes than managing patients symptomatically with therapy. Unfortunately, no controlled clinical trials have yet been undertaken for management of unruptured BAVMs to address these concerns. Therefore, the goal of this randomized controlled trial is to determine if the long-term outcomes of patients who receive medical management for symptoms (e.g., headache, seizures) associated with an unruptured BAVM are superior to those who receive medical management and invasive therapy to eradicate the BAVM.
Participants will be randomly assigned to receive either symptomatic medical management alone or such management with invasive therapies (any combination of surgery, endovascular embolization, or radiotherapy). Functional assessment will be carried out at the time of randomization, pre-intervention and 48-hour post-intervention, and for all participants at 1 month, and at 6 month intervals throughout the follow up period which will be a minimum of 5 years.
|Ages Eligible for Study:
|18 Years and older
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patient must have unruptured BAVM diagnosed by MRI/MRA and/or angiogram
- Patient must be 18 years of age or older
Exclusion Criteria:
- Patient has evidence of recent or prior BAVM hemorrhage
- Patient has received prior BAVM therapy (endovascular, surgical, radiotherapy)
- Patient has BAVM deemed untreatable by local investigator, or has concomitant vascular or brain disease that interferes with/or contradicts any invasive therapy type (stenosis/occlusion of neck artery, prior brain surgery/radiation for other reasons)
- Patient has baseline Rankin ≥2
- Patient has concomitant disease reducing life expectancy to less than 10 years
- Patient has thrombocytopenia (< 100,000/nl) or coagulopathy (spontaneous or iatrogenic INR>1.5)
- Patient is pregnant or lactating
- Patient has known allergy against iodine contrast agents, multiple-foci BAVMs, or any form of arteriovenous or spinal fistulas
- Patient has a diagnosed Vein of Galen type malformation, cavernous malformation, dural arteriovenous fistula, venous malformation, or neurocutaneous syndrome such as cerebro-retinal angiomatosis (von Hippel-Lindau), encephalo-trigeminal syndrome (Sturge-Weber), or Wyburn-Mason syndrome
- Patient has diagnosed BAVMs in context of moya-moya-type changes, or hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber)
Please refer to this study by its ClinicalTrials.gov identifier: NCT00389181
Show 66 Study Locations
|Principal Investigator:
|J.P. Mohr, MS, MD
|Stroke Center/The Neurological Institute, Columbia University
|Principal Investigator:
|Alan J. Moskowitz, MD
|InCHOIR, Department of Health Policy, Mount Sinai School of Medicine
|Principal Investigator:
|Michael Parides, PhD
|InCHOIR, Department of Health Policy, Mount Sinai School of Medicine, Co-PI
|Principal Investigator:
|Christian Stapf, MD
|Clinical Coordinating Center, Europe
|Principal Investigator:
|Eric Vicaut, MD
|Clinical Coordinating Center, Europe, Co-PI
|Principal Investigator:
|Claudia S. Moy, PhD
|NINDS, Co-PI
Additional Information:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|Responsible Party:
|Jay Preston Mohr, Daniel Sciarra Professor of Neurology, Columbia University
|ClinicalTrials.gov Identifier:
|NCT00389181 History of Changes
|Other Study ID Numbers:
|Study First Received:
|October 16, 2006
|Last Updated:
|April 22, 2013
|Health Authority:
|United States: Federal Government
Keywords provided by Columbia University:
unruptured brain arteriovenous malformation
Intracranial Hemorrhage
Additional relevant MeSH terms:
Arteriovenous Malformations
Congenital Abnormalities
Cardiovascular Abnormalities
Cardiovascular Diseases
Neoplasms by Histologic Type
Neoplasms, Vascular Tissue
Vascular Diseases
Vascular Malformations
ClinicalTrials.gov processed this record on June 01, 2015


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You might have outgrown the phase of picking fights at the park over someone else cheering for Miami's rival, but you'll never outgrow challenging people to take on your Hurricanes! The Bring It Mascot tee from BMOC is a great way to represent your team while quietly daring them to say any other team is above yours! This shirt features a Miami wordmark printed over "Bring It" lettering on the front, while the back boasts a muscular Sebastian. The mascot is surrounded by "Bring It", "Canes" and "It's all about the U" lettering, as well as a school wordmark. With this duel-worthy tee, you'll never have to worry about losing any team spirit contests!
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Who better to learn the Carlsbad pawn structure from than the great Mikhail Tal?
GM Melikset Khachiyan continues his series on the Carslbad structure with an enlightening game from the former world champion.
Learn how both sides planned their strategies in this hard-fought, lesser-known game. | Watch video
Melik & Me: Complete Show from 1-29-15
GM Melik Khachiyan and Chess.com's Shaun McCoy begin a new episode of the Melik & Me show.
GM Khachiyan reviews Shaun's game to get inside the mind of an intermediate player and learn what he was thinking.
Watch in real time as GM Khachiyan teaches Shaun the rudiments of the Philador Defense. — except with a novelty on move three. | Watch video
Garry Kasparov is universally considered one of the finest chess tacticians of all time, and for good reason.
GM Dejan Bojkov begins a new series on Kasparov's greatest combinations, and you won't want to miss these brilliant games.
Learn how a young Kasparov cracked his opponent's home preparation with a fantastic over-the-board attacking idea, topped off by a sparkling sacrificial combination. | Watch video
When is it theoretically correct to sacrifice your queen early in the game?
FM Mike Klein shows you six opening lines that allow — and sometimes require— you to give away your queen for a greater goal.
Learn how to win even without a queen with superior minor pieces in this entertaining video,
| Watch video
You've seen GM Simon Williams' crazy gambits against the Sicilian, the Caro-Kann, and the King's Pawn defenses, but what is there to do against the French, perhaps Black's most solid response to e4?
Don't worry — there's a spicy gambit available against the French, too, and it will infuriate any opponent who wants to stick to the main lines.
Learn how to achieve an almost-unbreakable attacking setup early in the game with this powerful idea. | Watch video
GM Alex Yermolinksy and GM Robert Hess team up to bring you the highlights of rounds nine and ten from the Tata Steel supertournament in Wijk aan Zee.
Enjoy the most exciting games and the best moves from these critical tournament rounds in this highlights video of the live show broadcast earlier this week. | Watch video
GM Alex Yermolinksy and GM Robert Hess team up to bring you the highlights of rounds nine and ten from the Tata Steel supertournament in Wijk aan Zee. Enjoy the most exciting games and the best moves from these critical tournament rounds in this complete replay of the live show broadcast earlier this week. | Watch video
Is sending your queen on a kamikaze mission a good idea?
GM Roman Dzindzichashvili doesn't think so.
In this member-game analysis, GM Dzindzichashvili explains that when your opponent has a bad plan, you shouldn't try to defend against it.
In a game full of comical errors, the second-to-last player to make a mistake usually wins, and it's true in this game. | Watch video
When can rooks defeat a queen?
FM Mike Klein shows you five exciting games where a queen sacrifice proved that sometimes, the rooks are better.
Learn this explosive theme from some of the best players in the world: Anand, Kramnik, and Victor Bologan are all practitioners of this sacrifice.
Which queen sacrifice do you think is most spectacular? Let us know in the comments. | Watch video
The Carlsbad is a popular topic on Chess.com, and GM Melikset Khachiyan chimes in with an instructive lesson on the opening system from another Harry Nelson Pillsbury game.
Even though this game was played more than 100 years ago, its opening ideas are relevant today.
Learn the crucial plans for both sides in this popular opening as GM Khachiyan reviews the most important lines. | Watch video
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Club competitions
National team competitions
25-17, 23-16, 23-27, 14-18
Telekom Baskets Bonn have maintained a perfect record to begin the new EuroChallenge season, knocking over the previously undefeated Hapoel Holon 85-78 in EuroChallenge Group H action on Wednesday night.
Despite taking the lead for good on a Kyle Weems three-pointer midway through the opening frame, victory was never a done deal for Telekom Baskets against a tenacious Israeli side who were still in the picture late in the game, despite having trailed by as much as 19 points.
With less than five minutes gone in the third quarter, Telekom Baskets could be forgiven for already sensing victory when a Benas Veikalas pair from the charity stripe had the Germans up 58-39.
However, the hosts lost their way momentarily, allowing their hosts to score 21 points in the back end of the quarter to have their lead cut to 11 going into the final stanza. Momentum remained with the visitors following the break and when David Smith brought up his 17th point of the night from the free-throw line with 05:17 to play, the lead was down to four points.
It was then Veikalas who snapped the home team back to life, sinking a three-pointer to open the gap back up to seven and relieve some of the pressure Telekom Baskets were facing down the stretch.
Veikalas ended the game with just the five points whilst Jared Jordan led with a 20-point, 12-rebound double-double. Weems chipped in with 17 points on four-from-four shooting from outside while Chris Ensminger contributed 12 and Patrick Ewing Jr. helped out with 10.
Franklin Hassell was prominent inside the paint for Hapoel Holon, recording 18 points and 12 rebounds.
Bonn head coach Michael Koch:"We had a good start, came out aggressive and ready to play. We knew we have a special task at hand with three consecutive home games, so it is important for us to secure our home floor before heading into the last two road games. Going into the third period we relaxed a little too early instead of finishing strong and closing out the game."
Bonn player Benas Veikalas:"It was a hard-fought game we needed to win. We were glad to take an early lead and felt too comfortable after intermission. In the end we finished strong with couple big plays to grab a commanding lead."
Holon head coach Dan Shamir:"Congratulations to Bonn for the win. We are a team in progress with many rookies as far as international play is concerned. We gave away too many offensive rebounds and easy layups, instead of attacking the paint ourselves."
Holon player Jerome Dyson:"We gave away too many easy baskets that hurt us in the long run. Our slow start is something we have to work on in order to be successful, especially when we play on the road."
Jared Jordan
Franklin Hassell


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Miami Hockey Postgame Notes
Miami vs. Bowling Green
Friday, January 25, 2013
Steve Cady Arena - Oxford, Ohio
- With the 2-1 win over Bowling Green, head coach Enrico Blasi earned his 300th win at Miami. Already the school's all-time winningest coach, Blasi now boasts an impressive career record 300-190-53 in 14 seasons at Miami.
- The RedHawks are now 14-6-5 overall and 9-4-4-4 in the CCHA. With the 2-1 win over the Falcons Friday, Miami is unbeaten in its last 15 games against Bowling Green (14-0-1). Bowling Green still leads the all-time series by 13 games, however, with the series standing at 58-45-8.
- Miami struggled to get on the scoreboard during the first period, allowing Bowling Green to take an early lead. The RedHawks have scored only twice in the first period in the past 12 games, with the last time being in their 2-1 victory over Wisconsin Jan. 19. The RedHawks have now given up four goals in the first period over their last 12 games, but improved to 3-4-4 when their opponent scores first.
- Sophomore forward Cody Murphy tied the game up 51 seconds into the second period. Murphy kept the goals coming, putting Miami up 2-1 eight minutes into the middle period. Friday was Murphy's second multi-goal and third multi-point game of the season. Murphy's last multi-goal game was Nov. 30 when he scored two goals against Alaska. He now has three multi-goal games for his career, all two-goal efforts.
- Freshman defenseman Matthew Caito earned a pair of helpers on Murphy's two goals, putting him at nine assists and 12 points on the season. Friday was Caito's first multi-assist and third multi-point game of his career. He leads all RedHawk defenseman in scoring.
- Freshman forward Riley Barber assisted Murphy's first goal, giving him 17 assists and 26 points on the season. After tonight's game, Barber and sophomore forward Austin Czarnik are tied for first on the team with nine goals, 17 assists, and 26 points.
- Senior forward Curtis McKenzie worked with Caito to help Murphy score his second goal. McKenzie now has nine assists and 16 points for the season, which is third on the team.
- Both goals Friday came on Miami power plays. The last time Miami scored two or more goals on the power play was against Northern Michigan Nov. 9. The RedHawks went 3-for-8 on the power play in that game, scoring one goal in the first period and two in the second. The RedHawks finished 2-for-3 on the power play Friday.
- Miami went 5-for-5 on the penalty kill Friday after surviving a five-minute Bowling Green power play 11 minutes into the third period. The RedHawks have now killed 36 of their opponents' last 37 power plays this season dating back to Dec. 8.
- By giving up just one goal Friday, Miami has let in one goal or less in 10 of its last 14 games, while eight of their last 11 contests have been decided by one goal. Miami has gone 4-4 in those one-goal games, winning the last two.
- Prior to Friday's game, freshman forwards Riley Barber and Sean Kuraly were honored for winning the gold medal with Team USA at the World Junior Championship Jan. 5 in Ufa, Russia. They are the first RedHawks to win gold at the WJC.
- The RedHawks will attempt to sweep the series against the Falcons Saturday, Jan. 26 at 7:05 at Steve Cady Arena. The RedHawks will be home again Feb. 2-3 to take on Alaska.


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Biologists want island for salmon habitat; farmers worry about livelihoods
Dan Bates / The Herald
A bald eagle prepares to leave its perch on Smith Island near I-5 and the Snohomish River in January.
Dan Bates / The Herald
Framed by the Cascades, the view eastward from Smith Island spans hundreds of acres of wetlands, including the northern tip of Spencer Island and Steamboat and Ebey sloughs in January.
Dan Bates / The Herald
A variety of thistles grows on Smith Island in January.
Dan Bates / The Herald
Framed by the Cascades, the view eastward from Smith Island spand hundreds of acres of wetlands, including the northern tip of Spencer Island and Steamboat and Ebey sloughs in January.
Dan Bates / The Herald
A gravel access road on Smith Island is gated in January.
Bald eagles watch over an area on Smith Island between I-5 and the Snohomish River.
Dan Bates / The Herald
Cattails form a pattern against the dried winter grasses on Smith Island in January.
Others consider it a threat to their livelihood.
The project is a massive undertaking to breach an old 1930s dike along Union Slough north of Everett and build new dikes farther from the water. By flooding more than 300 acres, the county hopes to bring back some of the salmon habitat converted to farmland after settlers arrived here in the 1800s.
"The Snohomish River basin is the most important chinook-producing river in the Puget Sound area, second only to the Skagit River system," County Councilman Dave Somers said. "Rebuilding the Snohomish River is a very top priority for the entire Puget Sound."
By sheer size, the Smith Island proposal is the second largest estuary-restoration project in the region after the 750-acre Nisqually National Wildlife Refuge in the south Puget Sound.
It will come at a price: $18 million, most of it from grants. The total includes $2 million from the city of Everett.
That's an awful lot to pay, some argue, for a project estimated to restore 900 or so spawning adult chinook per year to the Snohomish River and its tributaries.
There's more to the cost than what the county will pay. A neighboring lumber mill and tree farm worry that resulting changes to the estuary could put them out of business. At a minimum, they want to see the county conduct more thorough studies.
There's also a vocal contingent of farmers dead-set against what they view as needless destruction of what is now agricultural land. State law, they correctly point out, requires the county to protect farmland, even as federal law often spells out conflicting steps to protect salmon.
You can expect to hear more about Smith Island in the coming months -- and beyond. After years of study, the county on June 10 issued a final environmental impact statement. That's a precursor to seeking permits.
Balancing the competing needs of farmers and fish is one of the trickiest feats governments in Western Washington are asked to perform. It's why Snohomish County convened the nonpartisan Sustainable Lands Strategy three years ago to seek equilibrium.
In Snohomish County government, it's easy to find leaders on both sides of the fish-farmer teeter-totter.
Somers, who worked as a fisheries biologist for the Tulalip tribes before joining the County Council, said there's solid science behind the Smith Island project and its benefits for salmon.
The county arrived at this point after more than a decade of study, he said. Nobody was forced from the land.
"We bought the land from a willing seller," he said. "We have not condemned any land."
Councilman John Koster, a former dairy farmer, is staunchly opposed because once saltwater floods the ground, it will become unfarmable.
"The bottom line for me is it's taking out in excess of 300 acres of farm ground when we have people looking to farm and (it flies) in the face of our mandate to conserve farm ground," he said.
While opposed to the project, Koster can't see any way for the county to back out. To sell the land, the county would have to repay grants used for the purchase years ago.
"This is a freight train running down the track and I don't know that it's even possible to stop it," Koster said.
The fate of the Smith Island project, from here on, won't necessarily rest with the County Council.
With a final environmental impact statement issued, people can ask Snohomish County to consider any unanswered concerns.
The county must submit a shoreline development permit, among others, before breaching dikes or any construction. That permit can be appealed after it's issued, likely late this year. The appeal would go to a state hearings board.
Smith Island sits between Union Slough to the east and the main stem of the Snohomish River to the west.
The county project involves the part of the island east of I-5 and north of Everett's sewage treatment plant.
Buse Timber, on the west side of I-5, is one of the businesses that could be affected. Originally founded in 1946, Buse has about 70 workers and is now employee-owned.
"We're not opposed to the project, we just need some assurance," said Mark Hecker, Buse's recently retired president and a former commissioner with the local diking district.
The company has two concerns: being protected from floodwaters and being able to use Union Slough to float logs to the mill.
"We've never had any flooding as long as those dikes have been there," Hecker said. "So they're pretty strong."
Buse wants the county to make commitments about dredging the slough if the new dike system causes it to silt up.
"That channel is pretty critical for us," Hecker said. "If that were shut off, it would seriously impact whether we could run or not."
Another nearby business facing potential effects is Hima Nursery, an 80-acre organic farm on the east side of I-5. Owner Naeem Iqbal worries that tampering with the dikes would prevent his land from draining properly and allow saltwater to seep in, potentially wiping out his nursery.
On Friday, Diking District 5, which is comprised of local landowners, voted to appeal the county's final environmental impact statement. They're asking the county for further examination the issues business owners have raised.
"Negotiations with the county have been going on for two and a half years and some of those issues aren't resolved yet," attorney Peter Ojala said.
If not for the fish-habitat plans on Smith Island, some farmers would like to grow crops there.
Ken Goehrs, of Everett, represents a Mount Vernon farmer who's had trouble finding good cropland in the Snohomish Valley.
As Goehrs sees it, the county is looking to spend millions to destroy ag land. If farmed, that same land could provide jobs for dozens of agricultural workers.
"There is not enough farmland here to start with," he said. "It's going to destroy farmland. It's going to take jobs out of the valley and it's going to take taxes out of their (the county's) coffers."
The Smith Island project was spawned by the 1999 Endangered Species Act listing of the chinook salmon.
To address the problem, the federal government in 2007 adopted an overall Puget Sound recovery plan, part of which addresses the Snohomish River basin.
The Smith Island property, by 2001, already had been identified the best of a dozen places in Snohomish County for re-creating salmon habitat, according to a report from the county's Public Works Department. The other sites would have carried similar costs for realigning dikes.
Federal studies have identified two distinct populations of naturally spawning chinook salmon in the Snohomish estuary: Skykomish chinook and Snoqualmie chinook. Several environmental factors, including habitat loss, have driven those populations to about 3 to 6 percent of historical levels, respectively.
The Puget Sound Partnership, which consists of government agencies, businesses and the public, said the spot near the mouth of the Snohomish River has importance beyond those two groups of salmon.
"This project potentially benefits all 22 populations of chinook in Puget Sound, including Nisqually fish leaving Puget Sound that may use the Snohomish estuary as well," spokeswoman Alicia Lawver said.
If completed, the Smith Island project would satisfy about a quarter of the goals for restoring salmon habitat in the Snohomish River basin.
Noah Haglund: 425-339-3465; firstname.lastname@example.com.
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Anyway Unlike my last Topic that I want to burn in h*** on what happened I'll remake another showing all the class Cute, cool, whatever you all wanna call it, Costumes you get in game. *Some you can get anyway*
The game has over...only god know how many Costumes this sweet game has or will have on every update they make, i'll try to show them all with or If Mom can help me on it when shes Free. *Thank you again, huggies*
For now here's some of the Lyn Costumes, and I guess depending on what other class people wanna see later on i'll post that after im done with the Lyn's. Should be 2 more videos left for Lyn I need to make HD.
Um, if you all want better Views of the Costumes I guess I'll upload some Photo's too......that ill mark. Will be 1600 Size.
JIN WON THE VOTE, so ill be doing Jin videos next.
Holiday Costume
Lyn Male & Female Costumes
Final 2 videoss are now done sorry it took so long, been playing RO 2 and Sony Vegas 12 is more annoying than 8 was with all the problems im getting from it, anyway Enjoy.
This post has been edited by Mushi: Jan 09, 2013 - 7:44 AM


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If you've never tried on a pair of the Breakwall sunglasses by Maui Jim, then you've never treated yourself to a glare-free, unfettered and delightful view of the world you live in. They feature an ultra-light nylon, team-colored frame with a rimless wrap design to provide protection against the wind, neutral gray polycarbonate lenses that provide excellent color contrast in any weather condition, a modified rectangular frame that compliments a range of facial shapes and a saltwater-safe treatment applied to the lenses and frame, so they can withstand any wear and tear they may incur while you're in action on the course, in the stands or just during your daily commute to work. They also come with a handsome hard case highlighted by a printed team logo and a microfiber team logo cleaning cloth. With this much sleek professionalism and team-spirited charm, these unstoppable specs are sure to smash right through the former standards for your simple-minded eyewear to rocket you to the top of your game in unyielding Tigers style!
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Welcome to the Nursing Times Learning online training course on neuropathic pain.
It is one of many online courses for nurses available from Nursing Times, the UK's leading independent, peer-reviewed journal for nurses. It will teach you:
- The common causes of neuropathic pain
- The symptoms, clinical features and potential changes in psychosocial functioning in patients experiencing neuropathic pain
- How to to explain a possible assessment strategy for neuropathic pain
- About drug treatments and any associated limitations for neuropathic pain
My Learning Log
How do I start learning?
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Bedspread Set
Surround yourself in luxury at a price that's affordable! This silky satin bed set includes a diamond-quilted bedspread and two matching shams (Twin has one.). Polyester. Imported. Machine wash and dry. Additional shams available.
|Colors: Blue,Burgundy,Ivy
|May We Suggest
Bedspread Set Reviews
Reviewed by 1 customer
- Attractive Design
- Comfortable
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Best Uses
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Sprained Ankle Center - Laredo, TX
Laredo Orthopedic Surgeon Doctors for Sprained Ankle
Type of Physician: Orthopedic Surgeon
What is a Orthopedic Surgeon ?
A certification by the Board of Orthopaedic Surgery; practitioners focus on the investigation, preservation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. Birth defects, trauma, infections, tumors and metabolic disturbances of the musculoskeletal system are problems cared for by the orthopaedic surgeon.
Specialty: Orthopaedic Surgery
Common Name: Orthopedist
Orthopaedic Surgeon Doctors in Laredo *
Jason Defrancis MD LC
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Soriano & Soriano MDs
South Texas Spinal Clinic
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Sprains and Strains
Muscle sprains and strains facts
Other Related Sprained Ankle Articles
Emergency Contact for Laredo
Nearby Laredo Hospitals *
Laredo Medical Center
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*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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Part 2 of 2: Thom Ruhe speaks on entrepreneur/CPA/lawyer/author Lou Hutt's popular XM Radio show discussing various matters related to entrepreneurship, the Kauffman Foundation, the E=R Campaign and our current business/economic climate.
Part 1 of 2: Thom Ruhe speaks on entrepreneur/CPA/lawyer/author Lou Hutt's popular XM Radio show discussing various matters related to entrepreneurship, the Kauffman Foundation, the E=R Campaign and our current business/economic climate.
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Mississippi movie storytellers abound
OXFORD TOWN – Most Mississippians are natural born storytellers. So, it comes as no surprise that this year's Oxford FIlm Festival is chock full of creative narrative stories for the visual medium. Page 8 in this week's issue of Oxford Town features Melanie Addington's introduction to Mississippi's narative stories coming to the Oxford Film Festival on Feb. 10. (February 3, 2011, Page 8)


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Knights Defeat Falcons in Tournament Play
Misenheimer, NC (April 17, 2008) – The Knights of St. Andrews defeated the Falcons of Pfeiffer in the first round playoffs of Conference Carolinas Tournament. The Falcon had the higher seed of fourth place. St. Andrews came into play having been beat by Pfeiffer twice during regular season play already. The Falcons fall to 8-9 (4-5) to finish their season while St. Andrews climb to 6-10 (2-7) and play #1 Limestone College on Saturday for the semi-finals.
It was a hard fought match as the Falcons led at half time 7-6. The Lady Falcons jumped up to a 10-6 lead early in the second half but it was St. Andrews who fought hard to make a 6-1 comeback.
Pfeiffer led in every category, shots (31-29), groundballs (17-15), and draw controls (13-11). However, St. Andrews Eryn McCaffrey was able to make 14 saves to stay in the game.
Pfeiffer was led by Krissy Bentolila with 4 goals. Ashley Hill added 2 goals, 1 assist, and 5 draw controls. Six other Falcons added 1 point a piece. On defense, Amanda Smith contributed 5 draw controls and 3 caused turnovers. In goal, Kristine Schafer was able to make 12 saves.
The Falcons graduate one senior, Elie Fenton.


text:
Club competitions
National team competitions
19-19, 21-24, 23-11, 16-20
Chester Simmons has scored 24 points for Krasnye Krylia who claimed a 79-74 win over their Cypriot guests, Keravnos, in their opening EuroChallenge Group B fixture on Wednesday evening.
Simmons starred for the home side, pulling his team out of ruts at decisive moments.
Trailing by six points late in the opening half, Simmons hit a three-pointer, before adding the first five points of the second half to hand the home team the momentum.
When Simmons again hit from outside early in the final quarter, the lead for the Russians was out to 14 points (68-54), but thereafter they went cold from the floor, allowing Keravnos to fight back to be within four points, 74-70, on a Julian Vaughn and-one play, with the clock showing 3:19 remaining in the contest.
Vaughn shared top scoring honours for the guests with 16 points alongside Antonio Crocker. He also picked up 12 boards whilst Crocker had eight.
However, with Simmons making one from the charity stripe before following it up with a jump-shot soon after, the buffer was back out to seven points and the home team would not be threatened again
On six-for-eight shooting from the field, youngster Nikita Balashov provided the main scoring support for Simmons, ending the game with 15 points and six rebounds. Aaron Miles had 11 assists and six points.
Keravnos head coach Panagiotis Yiannaras
"First of all, congratulations to Krasnye Krylia. Each time we try to win, we prepared well for this game, watched videos to see the strongest points of Krylia. We played bad in the third period, two players got three fouls, another one was badly injured, and also Damjanovic could not come because of visa problems. We missed some open shots at the end of the game - and we lost it."
Krasnye Krylia head coach Sergey Bazarevich
"I'm satisfied with the victory, but the quality of the game was not that good. We made too many mistakes, and maybe we underestimated Keravnos. I guess the first two minutes of the game affected our players in the wrong way - the first points were easy for us, and players thought it will be the same for the rest of the game. We played good defence in the last period and took more rebounds - that was the key point."
Keravnos player Julian Vaughn
"The game was tight. We were preparing for this team, watched the videos, we knew that Krylia is not an easy team to play against. Now we have time to analyse our mistakes and be ready to a second game, which we play at home."
Krasnye Krylia player Chester Simmons
"We started quite good, scored easily, but it was not a smart start. Personally I was not so good in the last couple of games in the domestic championship, but anyway basketball is a team game and there are five players on the court - and I'm happy that I helped my team today to win the game."
Nikita Balashov
Julian Vaughn


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Results 1 to 30 of 201
Thread: red book
May 30th, 2010 #1
red book
A while ago i stopped my old sketchbook and now i think it's time to start a new one I bought a new moleskine and recently i've been drawing people on the train. I will try to upload as often as possible.
Last edited by JellevdVegt; May 30th, 2010 at 01:28 PM.
Hide this ad by registering as a memberMay 30th, 2010 #2
Wonderful sketches. I really like that most of your faces show believable expressions (that lady reading the book really looks concentrated and the girl with the speech bubble really looks totally sad. Very well captured!)
May 30th, 2010 #3
May 30th, 2010 #4
very inspiring stuf. I wish I could draw ppl like that from real life, maybe one day. Expecially the lady at the top is really good. Well done keep posting and Ill keep looking. /Brain
Cheers/ your friend PMB
"Painting my brain with memories of the future"
Pencil and brush is my choice of weapons!
My Sketchbook!
May 30th, 2010 #5
Welcome back Jelle, cool to see you're going to be drawing again.
Portfolio |Sketchbook | Blog | Facebook | Youtube
June 4th, 2010 #6
your work is pretty awesome (looking in your old sketchbook too) =D
i saw your entry in the creature of the week and i was wondering what tips you could give me on like getting that cleaner look you have to you work. Your work shows alot of understanding of lighting most things which makes your work like easy to see, and i was wondering if you could point me in the right direction.
June 4th, 2010 #7
killer stuff so far! and points for very unique sketchbook title
June 4th, 2010 #8
AG: thanks I might have called it train book, since i only draw there.
Lightmode108: Ill try to take a look in your sb soon, ill give you some pointers.
Lyno: Good to hear from you again lyno!
PaintMyBrain: Thanks! just keep drawing i guess
marcotronic: Thanks for that, its good to hear what you specifically like about my work, because i'm not always very aware of it myself.
June 4th, 2010 #9
Hmm nice drawings! Makes me wanna buy a moleskin.
June 11th, 2010 #10
Kambei Shimada: buy one, they're pretty good!
Expect a pause in update, because i don't have to go anywhere by train lately
The Following User Says Thank You to JellevdVegt For This Useful Post:
June 11th, 2010 #11
I love your pencil work! They way you show expression on each face is beautifully accurate and drawn well. I'd love to see more!
My Sketchbook
DA Gallery
July 15th, 2010 #12
Aresa: thanks
I've decided that this will be my new sketchbook for everything, also my digital stuff
Last edited by JellevdVegt; July 15th, 2010 at 01:47 PM.
August 12th, 2010 #13
hey you're back! lovely sketches on the train, i miss traveling on the train/subway..great way to practice! show us some more
August 15th, 2010 #14
Frank Gressie: thanks mate!
Here's a piece i worked longer on then my usual stuff, just to trying to push my color skills. Another goal was to put in alot of details to see. I used sketchup to make a start, as sort of an experiment. I think i won;t use it again because its alot faster to make a line drawing. For a next painting i will also not do black and white first because its a pain to add colors to a black and white painting. Its also not very usefull because a b&w painting misses all the contrasts you can get with color. anyway, i added a step by step so you guys can follow my big clumsy workflow for this painting. Im not super happy with the end result but it makes up for the fact i learned alot. I am very happy how the left below area turned out.
last piece is something i did for a friend, he;s making a game based of a frysian folklore called grutte pier.
Last edited by JellevdVegt; August 31st, 2010 at 03:14 AM.
August 20th, 2010 #15
this design represents all the shallow concept art shit today...
August 23rd, 2010 #16
Thanks for the awesome attention.
I'm currently following a workshop involving visual thinking to help companies visualize abstract processes and stuff. super awesome guys at the workshop. There was also a masterclass involving fun creature stuff and drawing a farm from different camera views.
workshop 1 involving a company
Last edited by JellevdVegt; August 23rd, 2010 at 03:45 PM.
The Following 6 Users Say Thank You to JellevdVegt For This Useful Post:
August 23rd, 2010 #17
aw shit dude. you really know your perspective. so THATS how simple perspective sketches are done. off to practice. love the portraits too
Painting depends on your state of mind and everything affects your state of mind. Use music, food, your workspace, your relationships and your intention to your advantage. Create an ecosystem of creativity for yourself.
[...] what concerns us here is not imagination itself, but rather creative imagination; the faculty that helps us pass from the level of conception to the level of realization.
- Igor Stravinsky, The Poetics of Music
August 23rd, 2010 #18
love those last farm images! what kind of masterclass was that? Confident lines/strokes, I like!
BLOGGER - Actually updated once in a while.
August 25th, 2010 #19
found you ... you bastard hehe nice job i am glad to see you back man ... keep in touch
August 25th, 2010 #20
August 25th, 2010 #21Registered User
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Very impressive lines. Respect. I like it.
August 31st, 2010 #22Registered User
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Vind 't steeds leuker om naar je tekeningen te kijken jelle! ben nu zelf ook elke dag aan het tekenen. We moeten binnenkort even afspreken om samen een paar schetsen te maken van geniale ideen die de wereld gaan veranderen.
thumbs up voor je koe!!
August 31st, 2010 #23
very beautyfull lines =)
I can do so little in so much time!
°.°)~ Sketchbook ~(°o° | Deviantart | Pixiv | dreamanime.de
You feel frustrated and don't know where to turn this frustration on? No problem here is your salvation!
Just critique me in my critique thread and let it all out, please *bow*!
August 31st, 2010 #24
Nice sketchbook. I see that everyone is getting these moleskin sketchbooks. What is the advantage to having one? Are they expensive?
August 31st, 2010 #25
Awesome portraits dude! I think I'd feel a bit stalker-ish drawing/watching people in such a close space, but you make it look so fun! I also really enjoy the lively way you sketch foliage, particularly the trees in that last image with the cows. Keep up the good work!
Sketchbook * Deviantart * Twitter * Google+ * Facebook
August 31st, 2010 #26Registered User
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Solid stuff! The shallow concept piece made me lol, I like your style
September 4th, 2010 #27
life drawing dump
richart:glad you like it
dierat: Yeah, sometimes i feel like a stalker aswell, just try not to get caught and you'll be ok. most of the time i draw people from behind so theyll never see you.
BenjaminL: Moleskine is pretty good paper in a nice cover. The paper is good for rendering, mind that you should never press hard on the paper, then its absolutely worthless. Only use soft strokes and if you want to go dark just build up alot of soft strokes. you have to have patience I dont like moleskine paper super much btw.
Klaus Reinbach III:thanks klaus
tjozero: Hey tj!!! thanks man, Nice that you're drawing so much lately man, but i already told you. Start your new sketchbook, im curious about your drawings. Im pretty happy with the cow aswell
Nartano:Thanks mang
Obstbrand:thank you
m0uS3r: thanks for stopping by again man you've gotten so much better since i last saw your work, just keep on it.
Vloth: thanks, it was a masterclass about drawing creatures actually, they teached to start with loose abstract doodles and then make a creature out of it. very fun indeeeed
aks9: thanks! perspective isnt difficult to understand. You just need to practice alot to get it into your system, so you dont have to think about it that much.
This is some stuff from the life drawing masterclass
September 16th, 2010 #28
Wow nice! I didn't get the e-mail about the update from your last thread, so I was still checking your old thread for updates hihi but now I found it! :-)
Really great sketches, nice points of view too, I'd say that you could work on your fluidity of lines, but you seem to do that already in the moleskine book.
See you soon!
P.S. I have a new sketchbook too! I changed the link in my signature.
→ Sketchbooks to check:! My Sketchbook | Marlisa | PaperX | JellevdVegt | Yngling | Merlin | ajvenema
→ The Netherlands Sketchmeets! | my website
September 16th, 2010 #29
I am drooling on my keyboard.... I can't wait for more work )))
September 17th, 2010 #30
Blueberry: thanks man!
Noë: hehe, funny, thats what the guys at the workshop also told me, that i should work on more fluidity in lines. Ill check your sb soon. see ya soon!
Here's a big ass update of some fun stuff, nothing serious just enjoying and relaxing. Also, this time i wanted to do something different. Im going to show some of my recent notes i take at the faculty. some crazy doodling going on there, i hope you enjoy. Im doing a minor called house of the future at the moment which is very cool
fun relaxing
face study
drawing on the touchpad of my macbook
panorama of classroom
school stuff
chair designing
random shit out of my sketchbook
Colab with Noë
Last edited by JellevdVegt; September 18th, 2010 at 02:18 AM.
Members who have read this thread: 1