text:
Bill would give rights to fetus
Published: Wednesday, April 6, 2005 at 3:15 a.m.
Last Modified: Wednesday, April 6, 2005 at 12:00 a.m.
COLUMBIA -- A fetus would have rights to due process and equal protection under a bill passed by the House Judiciary Committee on Tuesday.
The measure, which passed on a 15-5 vote, would establish that rights begin "at fertilization." The bill was sponsored by Rep. Ralph Davenport, R-Boiling Springs.
Opponents warned the bill likely would be declared unconstitutional and is counter to the landmark 1973 U.S. Supreme Court decision legalizing abortion.
A similar bill died in the committee last year.
This story appeared in print on page C6
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.
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subset: commoncrawl


text:
June 3, 2015 8:18 am
Download audio
July 8, 2010 — Jonathan Alboum is near the center of First Lady Michelle Obama's plan to reduce obesity in children.
Alboum, the chief information officer of the Agriculture Department's Food and Nutrition Service is playing a big role in the Apps for Healthy Kids program, co-sponsored by the federal chief technology officer Aneesh Chopra.
But FNS's part in the effort is just one of several priorities for Alboum over the next year.
He is responsible for system upgrades supporting several large benefit programs, including adding GIS functionality to the fraud detection system used to monitor Electronic Benefit Transfer (EBT) transactions. The new software will improve how FNS ensures the Supplemental Nutrition Assistance Program (SNAP) is not victim to waste, fraud or abuse.
And all of these are part of a broader priority to meet his internal customers needs with technology so they can meet the bureau's mission.
Alboum says if his office can prove to the rest of FNS that IT provides good service during a time of need, such as when their computer is down, they will not be hesitant to work with the CIO's office during a time of mission need.
How the US Mint and NIST are perfecting the money-making process.


text:
2.1.1341 Part 1 Section 184.108.40.206, start (Wrapping Polygon Start)
For additional notes that apply to this portion of the standard, please see the notes for chOff, §18.104.22.168(b) .
a. The standard states that the x and y attributes are represented in EMUs.
Office interprets the x and y attributes in a fixed coordinate space of 21600x21600.


text:
Lorraine Hunt Lieberson: A Tribute / McGegan
2 CD / Harmonia Mundi / 2011-08-09Works: George Frederick Handel: Ariodante; Theodora; Messiah, HWV 56, Oratorio; Clori, Tirsi e Fileno, HWV 96; Susanna; Radamisto; Ottone; Giulio Cesare; Arianna; Henry Purcell: Dido and Aeneas; Gottfried H...
Performers: Blumenstock, Elizabeth; Bowles, David; Butt, John [Organ, Conductor]; Collel, Bjorn; David Tayler [Lute/Guitar]; Freiberg, Sarah; Hunt Lieberson, Lorraine; LeGuin, Elisabeth; Linsenberg, Judith; McGe...
Conductors: McGegan, Nicholas
Ensemble: Freiburger Barockorchester; Philharmonia Baroque Orchestra
This set is a tribute to the supreme artistry of mezzo-soprano Lorraine Hunt Lieberson (1954-2006). It gathers together some of the finest recordings of arias...continue...
Hagen: Lute Sonatas / Schneiderman, Blumenstock, Skeen
1 CD / Sono Luminus / 2009-08-25Works: Joachim Bernhard Hagen: Trio Sonata for lute, violin & continuo in F major; Trio Sonata for lute, violin & continuo in E flat major; Trio Sonata for lute, violin & continuo in C major; Trio Sonata fo...
Performers: Blumenstock, Elizabeth; Schneiderman, John; Skeen, William
Schütz: Musikalische Exequien; Kleine geistliche Konzerte; Symphoniae Sacrae II
1 CD / CD Baby Independants / 2007-09-01Works: Heinrich Schütz: Musikalische Exequien (Funeral Music), for double chorus & continuo, SWV 279-281 (Op. 7); Bringt her dem Herren, for mezzo-soprano & continuo, SWV 283 (Op. 8/2); Ich liege und s...
Performers: Blumenstock, Elizabeth; Brandes, Christine; Brown, Nils; Butterfield, Benjamin; Jeffrey Thomas [Tenor Vocals/Conductor]; Nelson, Judith [Soprano Vocal]; Proosdij, Hanneke van; Richards, Kurt-Owen; Ta...
Ensemble: American Bach Soloists
Recording information: St. Stephen's Episcopal Church, Belvedere, California, (04/25/1994-04/27/1994)....continue...
Fire Beneath my Fingers / Musica Pacifica
1 CD / Sono Luminus / 2007-05-05Works: Antonio Vivaldi: Chamber Concerto in F major, RV 98 "La tempesta di mare"; Trio Sonata for Recorder, Bassoon and Basso Continuo in A minor, F 15 no 1/RV 86; Chamber Concerto for Flute, Violin and Bas...
Performers: Blumenstock, Elizabeth; Jolivet, Claire; Linsenberg, Judith; McCraw, Michael; Mealy, Robert
Ensemble: Musica Pacifica
Cover - Belinda Reynolds
1 CD / Innova / 2006-04-03Works: Belinda Reynolds: Cover; Solace; Yamp; Play; Turns; Dust; Circa
Performers: Benkeser, Peggy; Blumenstock, Elizabeth; Burritt, Tom; Foster, Bruce [clarinet]; Gresl, Jason; Hesselink, Gregory; Kampmeier, Margaret; Landau, Esther; McCollough, Teresa; Moehnke, Charles; O'Connor,...
Ensemble: American Baroque; Citywinds; New Millennium Ensemble
Kohaut: Lute Concertos / Schneiderman, et al
1 CD / Profil Edition Gunter Hanssler / 2005-08-16Works: Karl Ignatz Kohaut: Lute Concerto in F major; Divertimento in B-flat Major; Lute Concerto in D Major; Lute Concerto in A Major; Lute Concerto in B flat major; Concerto for 2 violins & continuo in F m...
Performers: Blumenstock, Elizabeth; Schneiderman, John; Skeen, William; Weiss, Lisa
John Schneiderman, a leading interpreter for the baroque lute, presents the lute concertos of Karl Kohaut. "John Schneiderman's convincing interpretation conveys a satisfying kaleidoscope of...continue...
Kropfgans: Lute Concerto, etc / Schneidermann, et al
1 CD / Profil Edition Gunter Hanssler / 2005-07-19Works: Johann Kropfgans: Sonata for lute, violin & cello (or lute & harpsichord) in G major; Divertimento for lute, violin & cello in F major; Concerto for lute, violin & cello in C minor; Divertimento for ...
Performers: Blumenstock, Elizabeth; Schneiderman, John; Skeen, William
Ensemble: Galanterie
John Schneiderman is known as a leading interpreter for the baroque lute. This unique program features the beautiful music of Johann Kropfgans. "The lute playing...continue...
Bach: Harpsichord Concertos / Sponseller, et al
1 CD / Delos / 2005-01-01Works: Johann Sebastian Bach: Concerto for Flute, Violin and Harpsichord in A minor, BWV 1044 "Triple Concerto"; Concerto for harpsichord, 2 recorders, strings & continuo no 6 in F major, BWV 1057; Concerto...
Performers: Blumenstock, Elizabeth; Linsenberg, Judith; Miller, Sandra; Proosdij, Hanneke van; Sponseller, Michael
Conductors: Thomas, Jeffrey
Ensemble: American Bach Soloists
Mozart: Oboe Quartets, Flute Quartets / American Baroque
1 CD / Music & Arts / 2003-07-01Works: Wolfgang Amadeus Mozart: Quartet for Oboe and Strings in F major, K 370 (368b); Quartet for flute, violin, viola & cello no 3 in C major, K. Anh. 171 (K. 285b); Quartet for Flute and Strings no 2 in ...
Performers: Blumenstock, Elizabeth; Kyme, Katherine; Ruiz, Gonzalo; Schultz, Stephen; Tomkins, Tanya
Ensemble: American Baroque Ensemble
"Oboist Gonzalo X Ruiz plays like an actor who relishes his workds, and every phrase speaks eloquently." - Andrew Farach-Colton, Gramophone...continue...
Vivaldi: Concertos from L'Estro Armonico / Arcangeli Baroque
1 CD / Meridian / 2002-05-07Works: Antonio Vivaldi: Concerto for 2 Violins in A minor, Op. 3 no 8/RV 522; Concerto for 4 Violins and Cello in F major, Op. 3 no 7/RV 567; Concerto for 4 Violins and Cello in B minor, Op. 3 no 10/RV 580;...
Performers: Blumenstock, Elizabeth; Grodin, Lisa; Sand, Michael; Weiss, Lisa
Conductors: Sand, Michael
Ensemble: Arcangeli Baroque Strings
Telemann: Fourth Book of Quartets / American Baroque
1 CD / Music & Arts / 2001-09-25Works: Georg Philipp Telemann: Quartet for flute, violin, viola & continuo in C major (4th Book of Quartets, no 4), TWV 43; Quartet for Flute, Violin, Viola and Basso Continuo, TV 43 no G 5 in G major; Quar...
Performers: Blumenstock, Elizabeth; Fulton, Cheryl Ann; Kato, Roland; Schultz, Stephen; Sherman, Charles; Whelden, Roy
Ensemble: American Baroque Ensemble
La Notte - Vivaldi: Concerti / Musica Pacifica, et al
1 CD / Sono Luminus / 1999-04-20Works: Antonio Vivaldi: Chamber Concerto for Flute, 2 Violins and Bassoon in G minor, RV 104 "La notte"; Chamber Concerto, for flute, violin, bassoon & continuo in F major, RV 100; Chamber Concerto, for rec...
Performers: Blumenstock, Elizabeth; Boenau, Marilyn; Linsenberg, Judith; Ruiz, Gonzalo
Ensemble: Musica Pacifica
"...the San Francisco based period instrument ensemble's music-making has its own interpretative style, and though their brush strokes are generally heavier than some of their...continue...
Vivaldi for diverse instruments / McGegan, Blumenstock, etc
1 CD / Reference Recordings / 1997-07-08Works: Antonio Vivaldi: Concerto for Violin, 2 Oboes, 2 Horns and Bassoon in F major, RV 569; Concerto for 2 Violins in A minor, Op. 3 no 8/RV 522; Concerto per l'orchestra di Dresda, for violin, 2 oboes, 2...
Performers: Blumenstock, Elizabeth; Kyme, Katherine; Ruiz, Gonzalo X.; Schachman, Marc; Weiss, Lisa
Conductors: McGegan, Nicholas
Ensemble: Philharmonia Baroque Orchestra
Vivaldi: Concertos from L'Estro Armonico / Arcangeli Strings
1 CD / Meridian / 1992-08-01Works: Antonio Vivaldi: Concerto for 4 Violins in D major, Op. 3 no 1/RV 549; Concerto for Violin in A minor, Op. 3 no 6/RV 356; Concerto for 4 Violins and Cello in F major, Op. 3 no 7/RV 567; Concerto for ...
Performers: Blumenstock, Elizabeth; Grodin, Lisa; Hale, Paul; Sand, Michael; Weiss, Lisa
Conductors: Sand, Michael
Ensemble: Arcangeli Baroque Strings


text:
AUCKLAND, New Zealand -- Fourth-seeded Vince Spadea reached
the second round of the Heineken Open with a 6-0, 6-0 victory over
David Sanchez on Monday.
Spadea overwhelmed his Spanish opponent in 45 minutes, allowing
Sanchez only 17 points in the match.
Sanchez defeated Spadea on clay in their only other meeting, but
Spadea controlled this match played on hard courts in warm, humid
"I like the Auckland surface; it suits my game," Spadea said.
"I love everything about it here, apart from never having won."
Also, fifth-seeded Fernando Gonzalez beat American James Blake
7-6 (4), 6-1, Jose Acasuso topped Julien Benneteau 6-1, 3-6, 6-4,
and Potito Starace beat Mark Nielsen 6-4, 6-4.


text:
|Big Beach Sports drops players into a seaside resort setting where up to four players can compete in sports including volleyball, soccer, American football, bocce, disc golf and cricket. The additional single player tournament structure encourages players to master each sport through the use of creative control combinations and real-life sport motions.
Customer Reviews of Big Beach Sports
For the disc4/23/2013
This game shows it's commitment w/overall intuitive controls considering the restriction of the wii ability and the best ideas: as little players as possible so feels more 1st person and when there's only 2, you control them both. it has different levels of play (have to be unlocked through play), you can decide how many points / goals to win a game, the length of time of a game for all the games & other options.
For the disc golf lovers1/12/2013
I just bought this game. This game is simply astounding, way to go to the company that made this. Beach Volleyball and Cricket are my favorites so far. Amazing Volleyball dynamics, you feel right in the game. Mostly I have played this game as a single player but when my friends have come over they love it as well. I think the part that is better than Wii Sports more challenging, It's an excellent Party Game! It's more interactive than Wii sports
View all buying options for Big Beach Sports
Game disc(s) only. Fast shipping. Free tracking/insurance in USA. Items weighing under 13 oz ship USPS first class mail, heavier items ship USPS Parcel Select.
+ $4.95 shipping
Shipping: Usually ships in 1 to 2 business days
Condition: Used-Acceptable
Shipping: Usually ships in 1 to 2 business days
Condition: Brand New
About the Seller
Seller Description
All of our products listed are in-stock and ready to ship. We do not "drop-ship". All of our items sold on Rakuten.com Shopping are brand new and factory sealed genuine products unless stated otherwise.
We carry products for many systems including Nintendo (NES, SNES, N64, Gamecube, Wii, DS, Gameboy), Microsoft (XBOX, XBOX 360) and Sony (PS1, PS2, PS3, PSP).
Marketplace Guarantee ClaimBuyers should receive Marketplace items in the condition that they were listed. We ask buyers to first contact the seller to give them a chance to address any issues. If the seller does not respond or if the issue is not addressed to the customer's satisfaction buyers can rely on our Rakuten.com Marketplace Guarantee Claim which, covers the first $750 of every purchase... read more
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Expedited Shipping: 2 to 6 business days


text:
Some highlights from Thursday and Friday at the 2008 San Diego Comicon.
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text:
Does it come with a Dock Connector ????
- Asked by Ramona H from Las Vegas
Griffin PowerBlock Reserve for iPod and iPhone
Product No Longer Available
1 Answer from the Community
No it doesn't it says in What's Included just the battery and wall charger for the battery
- Answered by Naryan D from Fort St. John


text:
Bay Star Consignments
101 Marlboro Avenue, Suite 5
Easton, MD 21601
Over 7000 square feet of incredible treasures with over 300 items arriving daily specializing in women's and children's fashions, furniture, collectibles, antiques, gifts and much more. Open seven days a week.
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at 21:28, 07-06-2015.
Easton Area Attractions
Third Haven Friends Meeting House
Little Red School House
Adkins Arboretum
Academy Art Museum
No Corner for the Devil
Pickering Creek Audubon Center
Little Ashby Vineyards
Christ Chruch
Historical Society of Talbot County
Historical Society Museum


text:
Gunmetal Black Ep 01
episode 14.23 / 5.00 3,836 Views
Lucina's First Day
A look at the first day of Lucina in Super Smash4.22 / 5.00 11,920 Views
BATMAN v SUPERMAN final showdown
SPOILERS!!4.16 / 5.00 10,929 Views
Meh. MEH!
I didn't like this one very much. I did like the way that when the eggs made themselves change, their surroundings took on the characteristics. But it was short and really pointless. C U after part 2.
so.. am i the only person who figured out that this flash was a product of north korean propaganda and not japanese at all
I don't like eggs
Way too much protein in this movie
Too damn cute...
Get rid of the damn music during preloader! I really shouldn't have watched this.
*shudders* to colorfull to happy
this scared me


text:
So back in 1961 the LA Lakers introduced a logo with a fun-loving giraffe (seen top right) and soon after abandoned it. Let's face it, nobody really knows what a laker is, especially in LA, and a giraffe wouldn't add too much to the confusion.
More Mark Crosby
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text:
The heat and sun have slowed down the fishing slightly (mostly in the afternoon) The Clark Fork below town has been good and at times it's dry fly paradise down here, like most of the rest of our waters. PMD's, Golden's, Sallies and tons of Caddis are all on the fishes menu. Still of few green drakes stumbling around out there. A Golden Chubby, Rasta, Rogue Golden or Crystal Stimi with a PT, Hare's Ear, Copper John, Reckoner or Tungsten Sally dropper has been doing well. Once the PMD's come off switch to a Cripple or Comparadun. Caddis are coming off in huge numbers just before dark. An X-Caddis or Elk Hair will do the job if you're out late. Fish continue to rise well after dark. You could even fish a Hopper if you wanted too.
Remember we have 1/2 off Fridays!!! Your first 12 nymphs and dries are half-off!
Hatch Reels are what you need for the Big Clark Fork Rainbows. These fish are hot and you need a premium drag!
Hoot-Owl Restrictions...no fishing 2:00pm-12:00pm


text:
You are using an outdated browser. Please upgrade your browser to improve your ReverbNation experience.
Alby Skandul
Label: King Hit Records
Sons of Art started back in 2002 as Dizzy N Ronikal under Midway
Ent.Now known as Ronikal N Skandul, Sons of Art formed in Maroubra, Sydney Aus. Setting the bar for Sydney rap and now dubstep, there aint no mountain high enough for these artists to conqueur.
With a kilometre of mixtapes behind t...See Full Bio
: Now that's sum selfies right here for you selfie takin, lookin all day in the mirror maa fuckaz. LIKE your fav &... http://t.co/yXhu1EQFpR


text:
Password Recovery Issue
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When editing the password recovery information for a certifier the
administrator recieves the error...."A required certier was not found in the
address book".
On review a certificate for the certifier being edited for password recovery
was in the Directory.
We then figured maybe it is looking at the administrators personal address
book. We opened the Public Directory and copied the certificates in the
Server-Certificates view. Then we pasted the certificates into the
administrators personal address book.
This still did not work...
We then went to the administrator client to the People and Groups Tab. We then
navigated to the Server-Certificates View. Once in this view in the
administrator client you have an action button to copy the certificates to your
personal address book. We clicked on this action button and copied the
certificates to the administrators personal address book.
We then edited the password recovery certifier that we were working with an it
worked without an error.


text:
Betty J. Cox
Betty J. Cox
Betty J. Cox, 83, of Wichita Falls passed away Saturday, April 19, 2014. Funeral Services will be held at 10:00 AM Tuesday, April 22, 2014 at the chapel of Hampton Vaughan Funeral Home with Rick Ross of Liberty Baptist Church officiating. Interment will follow in Crestview Memorial Park. Visitation will be from 7:00 until 8:00 Monday evening at the funeral home.
Betty was born on November 3, 1930 in Tarrant County, TX to Otis and Ollie Mae Trout. She was a near lifelong resident of Wichita Falls. She was a member of Liberty Baptist Church here in Wichita Falls. Betty was retired from McClurkan's Department Store.
She was preceded in death by her parents; husband, Jerry Cox and a daughter, Sue Ross
Survivors include a daughter, Charlotte Haley of Bowie, TX; sons, David Starnes of Denton, TX and Lynn Edwards of Wichita Falls; eight grandchildren and numerous great grandchildren; brother, Pete Trout of Dean, TX; sister, Imogene Holman of Grand Prairie, TX.
Visit www.hamptonvaughan.crestview.com to post on line messages of condolence to the Cox family.
Subscribe to the Times Record News
Need Help? Call us at 1-877-710-6181.
Monday-Friday: 5:30am-8pm / Saturday: 6am-1pm / Sunday: 6am-1pm


text:
The Top 10 In Action Sports
01Brick By Brick: Camping Lego Style
02Booze and Bikes: 14 Tours That Let Combine Two of the Best Things in the World
03Who Needs Hollywood? These Incredible Videos Were All Filmed on the Simplest Cameras
04Sam Pilgrim vs. The World: The Champion Aiming To Reclaim His Crown In A New Era Of Biking
05Eccentric Adventures Episode 2: Britain's Most Brutal Illegal Event is All About Cheese
06A Journey Into Darkness: We Went Mountain Biking in the Abandoned Mines of Slovenia
07After the Apocalypse: Inside The World's Most Breathtaking Ghost Towns
08Debate: Let's Stop Hating On Parents Who Want To Raise Adventurous Kids
09Guns, Roses, And Eating Insects: Adventure Cycling in Vietnam
10From Intense Trails to Intensive Care: Dicing with Death In a Mountain Biking Paradise
LINE Traveling Circus 6.3 PVC Pipe Jocks featuring Will Wesson and Andy Parry
Will and Andy return to Salt Lake City for early-season training! Free wood, homemade rails and early season snowfall makes an excellent training facility for these courageous athletes. www.linetravelingcircus.com www.facebook.com/linetravelingcircus Follow us @line_trvlngcrcs
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text: Loved it all, especially the three different deserts! Allthough I had high expectations, they were met by the quality, diversity and ingenuity of the different dishes. We had the regular menu and a wine menu to complement the dishes and both were great. Looking for a negative I would say we had... read more


text:
Log In
In the Season 6 finale, a celebration of friendship ends in a web of betrayal and deceit as the girls find themselves in the slammer with a detective investigating the death of one of their own.
Written by:
Ilene Chaiken
Directed By:
Ilene Chaiken
Showtime Advisories
Graphic Language, Adult Content
Duration65 min.
Audio Format
Surround Sound, Dolby Digital 5.1, English/Spanish
Video Format
HDTV, Closed Captioning
tvma-dlvsadult content, graphic language, nudity. viewer discretion advised
The L Word: ©Showtime Networks Inc. All rights reserved.


text:
Recently I went to Point Isabel in Richmond, CA with some friends. It turned out to be a dog park on the water. The ocean + cute dogs = happy Jenna. Simple equation, but true.
Thanks go out to: Melisser, Meg, Ryan and Strummer
Vegan Richa's Indian Kitchen
21 hours ago


text:
- 1 Your invitation to change the face of education
- 2 Register a team for the Reinventing School Challenge
- 3 Gather resources & tools
Displaying 3 of 20 total tasks See All Tasks »
Activity Wall
posted message: The Reinventing School Challenge has begun. Come join us.... http://reinventingschool.com.au/
16 Sep 2011 via p2pu.org
posted message: Divine sleep awaits me.
27 Aug 2011 via p2pu.org
posted message: I'm thinking to include QR codes here in each task so you can go right to the online resources from your smartphone. I'm also considering a second Android App for the entire course here. Any thoughts?
22 Aug 2011 via p2pu.org
posted message: I think I am 60%+ done creating this course. I will have it finished by the 1st week of September in time for the September 7 launch of the challenge.
20 Aug 2011 via p2pu.org


text:
2005 Chevrolet Trailblazer Q&A
2005 Chevrolet Trailblazer Question: How do we troubleshoot an intermittent starting issue?
We have a 2005 Chevy Trailblazer that has recently been having an intermittent starting issue. We have replaced the battery, ignition switch, starter relay and had the starter tested - it's good. So we are not sure what to do. The car may start for several days and then you go to start it and all the lights come on and the accessories work, but it won't start. After lots of tries it may start and it may not. We would appreciate any help and advice. Thank you!!! - Gmom
Answer 1
COULD BE INT STARTER STICKING INTERNALLY. NEXT TIME STARTER DOES THAT TAP WITH A SMALL HAMMER AND SEE IF THAT HELPS IF SO REPL STARTTER. MAKE SURE SOMEONE IS INSIDE AND HAS KEY IN START POSITION AND E BRAKE ON - globalhelper
Answer 2
I have same problem. Did you ever get yours fixed? Nobody around here knows what to do. Thanks. - NancyLynn
Related Content
1. stevieray1
2. pushrod
3. globalhelper
4. csubak30
5. ziptie12


text:
This massage offers an idyllic treatment combining the warmth of the shells with deeply relaxing massage techniques, creating a sense of balance to the entire body and mind. During the massage, the shells are worked over the palms, arms, feet and legs in slow deep moves to warm and de-stress. This is followed by a wonderfully tranquil massage on the back, neck and shoulder area to ease away all tension, knots and stress.
Hotel Spa
Online bookings let you pick date/time for your visit.
If you purchase an eVoucher you will need to book with the venue directly.
Our old Wahanda Gift Vouchers can still be redeemed at over 3,000 locations. Use them to pay as you would with cash. Please note, the Wahanda Gift Voucher's successor – the Wahanda Gift Card – can only be used for online purchases.


text:
Coal Shares Rise After Supreme Court Strikes Down Mercury Rule
Coal – Bloomberg reported that coal shares rose after the U.S Supreme Court rejected the rule on mercury and acid gases from power plants.
Coal – Bloomberg reported that coal shares rose after the U.S Supreme Court rejected the rule on mercury and acid gases from power plants.
Coal – Mining.com reported that an SNL Energy analysis of coal mine employment data from the U.S. Mine Safety and Health Administration showed that the sixteen counties hit hardest by coal mine employment loss were in a contiguous band in Central Appalachia.
Coal – Mining.com reported that Metallurgical coal has fallen to levels not seen since 2004.
Coal – Mining Weekly reported that Indian thermal coal imports are expected to see a tick upwards in coming months. Projections have been set at 200 million tons of imports for the year, but that could increase by 15 to 20 percent with a lack of rain during the monsoon season, according to the news outlet.
Coal – Australian Mining reported that Queensland coal exports would reach record levels, with increased demand for thermal coal in India backed up by a report from the Office of the Chief Economist,
Coal – Australian mining reported that Indonesia is struggling to consolidate the coal industry by merging operations, even as the market continues to decline.
Coal – Mining.com reported that Monadelphous has announced counterclaim worth $200 million against the Wiggins Island Coal Export Terminal (WICET).
Coal – Australian Mining reported that the Queensland government has filed a fifth charge against Linc Energy (ASX:LNC) citing allegations of soil contamination caused by the experimental Coal Gasification Plant in the Surat Basin.
Coal – Mining Weekly reported on BP's publication 'Energy in 2014: After a calm comes the storm.' According to BP chief economist Spencer Dale, coal will retain a dominant share of global energy (currently around 30 percent) but he added that "its rate of growth was likely to slow over the medium term."
Coal – Mining.com reported that the World Coal Association (WCA) has urged the G7 leaders to invest in cleaner coal technology to lend support to developing and emerging economies meet development and climate objectives.
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In Adams County, Pennsylvania, you can find 1 community college serving 1,699 students.
Minority enrollment is 48% of the student body (majority Hispanic and Asian).
The student:teacher ratio of :1 is less than the state average of 26:1.
Adams County Community Colleges
- College Location Students
GettysburgHarrisburg Area Community College-Gettysburg
731 Old Harrisburg Rd
Gettysburg, PA 17325
(717)337-38551,699 students
Recent Articles
Updated June 19, 2015
Community colleges have responded to the needs of working adults with online options.
Leading the country in slashing public education spending, Arizona voted to defund higher education, including Pima and Maricopa Community College Districts, leaving many Arizona college students wondering what this new state legislation means for the future of their education.
Not all community college students spend their winter and summer break on vacation. Some utilize that time to take a few extra classes and earn credits that can help them graduate early. Other students test out of courses and receive credit for work experiences in order to get ahead. In this article, learn about the various methods you can use to pursue extra college credits.


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Lime Sherbet
8 Oct 2009
This Lime Sherbet is a wonderful cooler during the warm summer months. Pour over some crushed ice or chill it for some extra effect ! Do try this citrus quencher out and let me know if you've enjoyed it !Your suggestions for this Lime Sherbet are welcome !
|Sour lime
|1 Dash
|2 Teaspoon
|1 Tablespoon
To two glasses of cold water, add the juice of one lime.
Add sugar and a dash of salt and serve with ice.
Put a sprig of mint in each glass to impart a cool flavor.
Variation: Instead of sugar, put one teaspoon of honey and one tablet of sweetener to each glass of sherbet.
Lemon and honey are very good for health.
If you have a tin of cherries at hand, put a cherry in each glass.
Recipe Summary
Difficulty Level:Easy
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Lime Sherbet Recipe


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Get the best search news, tips and resources, delivered each day.
Does Sound Encourage Searchers To Use SearchWiki?
Michael Arrington went on a rant about Google testing sound effect in the new Google SearchWiki. In short, Michael is upset that Google would spend the time adding sound effects over adding an option to turn off SearchWiki. I do agree with with Michael on this, but we do know that feature is coming in early 2009.
But if you watch Michael's video, using SearchWiki becomes addictive when you hear the sound effects – at least to me. Watch the video:
I can see searchers hear the sound and then be led to remove or promote more results, because it makes it more fun.
However, I think this is a limited test. When I tried on both a PC and a Mac, on both Firefox, IE and Safari, I did not hear any sound effects:
Matt Cutts of Google did comment saying sound is not a new thing. And Matt is right, Philipp Lenssen reported it back when it first launched. So this must be a limited test to some users. I think, if you have SearchWiki on, keep those sound effects. But clearly, adding a way for a searcher to opt out of the SearchWiki feature is a big win for the Google searcher.
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Dipped in Gold
The glitter and glamour of gold is catching the eye as a 2015 home decor trend.
Sheds, but overall great rug. Similar to other high end stores....
This Lhasa hand-woven rug is made from a combination of natural wool and jute fibers in a ribbed loop wool design. This rug is great for indoor and outdoor use. The natural colors blend well with any decor. This rug measures five feet x eight feet.
ITEM#: 14175484This Lhasa rug is made from a combination of wool and jute fibers. This rug features a ribbed loop design with jute and wool, both versitile and plentiful natural fibers.
|Casual Transitional
|Jute Natural Fiber Wool
|Weave Type
|Product Features
|Non Skid Backing
|See description
|30 day Limited Manufacturer
|See description
|Model Number
Sheds, but overall great rug. Similar to other high end stores.Read More
This is a lovely simple rug, neutral color, very soft underfoot, very pliable. Although the details in the product description describe the rug as having a non-skid backing, it doesn't. (The top and underside are identical.) If you are placing the rug on a hardwood floor where there is no furniture anchoring it in place you will DEFINITELY need an anti-skid pad because it is so light that it will slid all over the place and could become a safety hazard. I've only had it on the floor for a couple of days and so far no shedding, but it's not in a high traffic area. Actually, I wouldn't recommend this rug for a high traffic area both because it is so light in color (sort of hay colored) it would show dirt quickly and the weave is quite loose so I suspect it would wear quickly or get stretched out of shape.Read More
I love the look and feel of this rug!!! But it sheds a ton... Looks like piles of dog hair all over my hardwood floors. Only had it about a month so am hoping the shedding slows down!Read More
This rug is absoutly beautiful! I love the natural look it gives my more modern living area. The texture of the rug feels nice under your feet, easy to vacuum and holds up to foot traffic...including a large dog. I always return to Overstock when I am shopping for any home decor items.Read More
This is a beautiful rug that's a great deal for the quality and appearance. It looks just like other rugs available from more expensive stores.Color and texture is beautiful and it really brightened up our TV room.Read More
I saw a rug identical to this at a certain high end home store, but when I went to order that rug I noticed that the reviews were terrible saying that the rug shed a lot. Having another rug from that company that is also a shedder I believed the reviews. I found this rug and decided to give it a try instead and I couldn't be happier. In person the rug is thick and soft and really lovely. Best part - no shedding! Overstock is really my go to place for rugs. I have another rug from Overstock that I bought 2 years ago and it's still beautiful!Read More
If you want a rug that looks and feels like Pottery Barn for half the price than this is the rug for you! We love the look of Pottery Barn, but hate the price. This rug is extremely soft and well made. It does "shed", but it has decreased with the recommended vaccuming. I would recommend this rug to anyone!Read More
The rug is awesome, so far. It does shed but it supposed to eventually stop after a few sweeps or vaccumming.Read More
great value, looks alot like rug from high end store. It is soft and doesn't shed. It has less wool than high end store and still looks great. It hold its shape well and lays flat immediately out of container.Read More
I am very satisfied with this rug. It seems to be well constructed and looks and feels very similar to that of another high end store selling this same type of rug but costs much more. The color pattern allows for versatility and blends well with similar color schemes. The rug has a nice soft feel. Rug pad is definitely needed.Read More
The glitter and glamour of gold is catching the eye as a 2015 home decor trend.
If you want to refresh your home this spring, new pendants and lamps help create a chic, brightening effect.
How to Size Your Room for an Area Rug from Overstock.com. Select the right size rug for any room using these tips. Shop with confidence for the perfect area rug size with help from this guide.
How to Choose an Area Rug for your Bedroom from Overstock.com. Here's how to narrow down your choices and find the area rug that's perfect for your room.
Say goodbye to boring flooring! Transform your home from the ground up with attractive area rugs and eye-catching ottomans. Your space will never be the same once you add these brightening updates.
How to Care for Wool Rugs from Overstock.com. With a gentle approach and a little time, you can keep your wool rugs looking beautiful for many years.
How to Protect Wood Floors with Area Rugs from Overstock.com. The easiest way to protect wood floors from scratches and wear is to decorate with an area rug. This guide covers what you need to know.
Best Area Rugs for Christmas 2014 from Overstock.com. To help get you started on your search for the perfect rug, here are this year's most popular area rug styles. Update your home for the holidays, or give a gift that's a treat for the feet.
Tips on Buying a Persian Rug from Overstock.com. Add classic elegance and rich texture to your home with a Persian rug. Here's what you need to know when you're online shopping for Persian area rugs.
Sole Redemption: 5 Rugs to Make Your Feet Feel Good from Overstock.com. Having the right area rug underfoot can activate energy zones throughout your body.
Tips on Buying Outdoor Rugs from Overstock.com. Here's how to choose the outdoor rugs that are perfect for your home. Complete your patio or deck and save money on the outdoor area rug that's just your style.
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Learn more about PNY GeForce 8400 GS Low Profile 256MB DDR2 64-bit PCI-E DirectX 10 Video Card:
|Play it and watch it in HD with a Verto GeForce® 8400GS HDCP-capable graphics card. Features full support of DirectX®9 and DirectX 10 for games, plus the ultimate HD movie experience with HD-DVD and Blu-ray movie playback capability.
NVIDIA® unified architecture: Fully unified shader core dynamically allocates processing power to geometry, vertex, physics, or pixel shading operations, delivering up to 2x the gaming performance of prior generation GPUs.
GigaThread™ Technology: Massively multi-threaded architecture supports thousands of independent, simultaneous threads, providing extreme processing efficiency in advanced, next generation shader programs.
Full Microsoft® DirectX® 10 Support: World's first DirectX 10 GPU with full Shader Model 4.0 support delivers unparalleled levels of graphics realism and film-quality effects.
NVIDIA® TurboCache™ Technology: Shares the capacity and bandwidth of dedicated video memory and dynamically available system memory for turbocharged performance and larger total graphics memory.
Customer Reviews of PNY GeForce 8400 GS Low Profile 256MB DDR2 64-bit PCI-E DirectX 10 Video Card
Descent card for the value12/29/2008
I bought a dell 530 slim case and knew when I bought it I would have to upgrade the onboard video. This was the best card I could find and so far its worked well. I have 2 of those Dell PC and I went ahead and got 2 of the video cards for each. It now is able to play some games that the PC would not run before. But all in all it is a descent card for the price.3 Helpful | 0 Not Helpful


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Massimo Bruno's Italian Supper Club Message Board › Calabria Menu - YUM!
|Andrea S.
user 8236047
East York, ON
Hello everyone,
It has been a busy time for the Massimo Bruno team as we gear up or next Tuesday's Eat, Drink & Give Fundraiser for Haiti next week. A great event for a great cause, hope to see you there!
Okay now on to the yummy stuff, we are getting close to our first Calabria event (Friday February 12th) and many of you haven't yet committed to attend, well perhaps this menu will change you mind! Calabria is a wonderful region with lots of culinary choices and I think that Massimo has really chosen well with this menu, have a look and RSVP today. I can't wait to see you all soon.
Meetup members, Log in
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VIEWS: 3 PAGES: 94 POSTED ON: 11/3/2012 Public Domain
The Care of Children with Acute and Chronic Respiratory Diseases and Physical Therapy Interventions Jonathan Popler, M.D. FAAP, FCCP Georgia Pediatric Pulmonology Associates American Physical Therapy Association 9/25/12 Objectives • Discuss the presentation and underlying pathophysiology of pediatric respiratory diseases in both the acute and chronic care setting. Objectives At the end of the presentation, participants should be able to: • Identify typical pediatric pulmonary diseases found in acute and chronic care settings • Understand the underlying pathophysiology of common pediatric pulmonary diseases • Identify pediatric patients with pulmonary disease in whom physical therapy intervention and rehabilitation services would be successful What are Typical Pediatric Pulmonary Diseases? • Asthma • Cystic Fibrosis • Respiratory complications from Sickle Cell Disease • Respiratory Complications from neuromuscular Disease Kids can be unpredictable! Atlanta Asthma Capital of the United States!!! What is Asthma? "Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role: in particular, mast cells, eosiniphils, T lymphocytes, macrophages, neutrophils, and epithelial cells. In susceptible individuals, this inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or in the early morning. These episodes are associated with widespread but variable airflow obstruction that is often reversible either spontaneously or with treatment. The inflammation also causes an associated increase in the existing bronchial hyperresponsiveness to a variety of stimuli. Reversibility of airflow limitation may be incomplete in some patients with asthma." (EPR 1191; EPR-2 1997) What is Asthma? Asthma is a chronic inflammatory disorder of the airways which causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or in the early morning. These episodes are often reversible either spontaneously or with treatment. Asthma is the Most Common Chronic Illness of Childhood •Highest-ranking chronic condition resulting in hospitalization •31% of ER visits for asthma in 1998 were children under 14 •An estimated 6 million children have asthma •In Georgia, 75,000 children missed 470,000 days of school •Asthma deaths in children between the ages of 5-14 doubled between 1980 and 1993 Asthma in Childhood Prevalence 8.8 – 9.2% OF CHILDREN UNDER 18 YEARS 6 – 7 million children with asthma 8 - 11% OF AFRICAN AMERICAN CHILDREN 9 - 11% OF LATINO CHILDREN 20 - 25% OF INNER CITY CHILDREN Estimated costs of asthma in 2007 Hospital care: $4.7 billion Physician Services: $3.8 billion Prescription drugs: $6.2 billion Asthma is Underdiagnosed and therefore Undertreated in Infants and Children •Children with asthma are often mislabeled as having recurrent bronchitis, bronchiolitis or pneumonia. •The diagnosis of asthma is not needed to consider and begin to treat wheezing in children. •Upper respiratory viral infections are the most common precipitant of wheezing and cough in this age group, and do not preclude the diagnosis of asthma. Risk Factors MAJOR MINOR • Atopic dermatitis • Allergic Rhinitis • Eosinophilia • Maternal history of asthma • Wheezing without colds Racial Differences in Physiologic Parameters of Asthma Middle-class African American Children with Asthma •Decreased FVC and FEV1 •Increased Airway Responsiveness •Increased total serum IgE levels (In comparison with a matched cohort of European- American Children with Asthma) Joseph et al, CHEST, 2000 Age Adjusted Death Rates 16 5 to 34 yo 14 12 10 Death Rate per 8 Total 100,000 Blacks 6 Whites 4 2 0 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1997 Source:CDC Mortality Statistics 1992; 1998 2007 NHLBI ASTHMA GUIDELINES • New categories created for children ages birth to 4 yrs, 5 – 11 yrs, and 11 –18 yrs • Emphasis placed on assessing risk and impairment, not just "severity" Treat the symptoms….or should we? Why treat young children…..? Young children are at high risk for severe exacerbations Childhood asthma has the potential to persist and/or relapse Chronic changes of asthma can develop in the preschool years IgE Sensitization • Allergic reactions • Immediate reaction require EXPOSURE induces typical allergy and SENSITIZATION symptoms • Must be exposed for a period of time • Indoor allergens : • Late phase reaction younger than age 2 yrs induces "priming" of • Outdoor allergens : 3- the nasal mucosa 5 yrs becomes hyperresponsive Cough and Asthma • Nocturnal Cough • Cough first thing in the morning • Cough during or after exercise • Exercise Coughing : Uncontrolled asthma or Exercise Induced Asthma Inhaled Corticosteroids • Nebulized – Budesonide • Metered Dose Inhalers – Fluticasone, Beclomethasone, Ciclesonide, Combination therapies • Dry Powder Inhalers – Fluticasone, Mometasone, Budesonide, Combination therapies Stepping UP Therapy Follow up is essential 2 – 6 weeks after starting therapy Every 1 - 6 months once control established Reassess Severity Before making changes : Assess compliance Assess technique Assess knowledge Stepping UP Therapy • Addition of other drugs versus increasing dose • In young children, preferred to first increase dose • Addition of montelukast versus LABA • Assess co-morbities (particularly rhinitis) Other Considerations • Allergy Testing – Trigger Avoidance – Omalizumab (Xolair) – Immunotherapy • Other diagnoses – Cystic Fibrosis – Sinusitis – GER – Vocal Cord Dysfunction – Laryngomalacia Massage Therapy in Asthma • Sixty (60) children with asthma were divided randomly into two equal groups: massage therapy group and control group. • Subjects in the massage therapy group received a 20- minute massage therapy before bedtime every night for 5 weeks • Spirometry was performed for all children on the first and last days of the study • At the end of the study, mean FEV1 of the massage therapy group was significantly higher than controls (2.3-0.8 L versus 1.9-0.9 L, p=0.04). Fattah MA J Altern Complement Med. 2011 Nov;17(11):1065-8. Physical Activity in Pediatric Asthma • Comparison of baseline and post-intervention activity levels among 59 children aged 10-16 with well-controlled asthma and 59 healthy matched controls, Participants completed spirometry, physical examination, anthropometric measurement, and psychosocial questionnaires. • Participants wore blinded calibrated pedometers for a baseline typical activity week • Similar rates of objectively measured physical activity among youth with well-controlled asthma and controls • The intervention was successful even among typically sedentary groups, and represents an effective, safe, and inexpensive walking program, even for asthmatic children. Walders-Abramson N, Wamboldt FS, Curran- Everett D, Zhang L. Pediatr Pulmonol. 2009 Sep;44(9):909-16. Moderate and vigorous exercise programs in children with asthma • Children with asthma (7-14 years old) were randomized to a 9-week swimming or golf program. • Combined group analysis revealed that only six symptom exacerbations • Post-exercise decreases were observed in asthma symptom severity scores (9.3-7.3, P < 0.001), improved parental QOL (4.9-5.4, P < 0.001), and reduced urgent physician visits for asthma (1.3-0.2 visits per person, P = 0.04). • Vigorous and moderate-intensity physical activity programs are well-tolerated, safe. Participants and parents reported reduced childhood asthma symptoms and physician office visits and improved parental QOL. • These findings suggest a potentially beneficial role for moderate to vigorous physical activity in childhood asthma. Weisgerber M, et al. Pediatr Pulmonol. 2008. Dec;43(12):1175-82. Cystic Fibrosis in the Pediatric Population • Chronic sinus and pulmonary infections and malabsorptive symptoms • Median predicted survival to the mid 30s • CF gene encodes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein, which functions as an ion channel and controls the movement of salt and water into and out of cells Genetics of CF • Autosomal recessive inheritance • Gene on chromosome 7 – Over 1,000 mutations have been identified – F508 is the most common mutation How is the diagnosis of CF made? • Should be suspected in any patient with chronic respiratory symptoms, including chronic cough, wheezing, or poor exercise capability. • Meconium ileus, caused by thick inspissated meconium is a common presentation in the neonatal period. • Failure to thrive, as pancreatic insufficiency increases, is a common presentation in infancy and childhood. • Neonatal screening for CF is currently available in all 50 states. • In patients with suspected CF who have not received neonatal screening, a sweat chloride test is commonly performed, which often shows high concentrations of chloride and sodium within sweat. A concentration in sweat of greater than 60 mmol/L is considered diagnostic of CF. Cystic Fibrosis Foundation. Cystic Fibrosis Foundation Patient Registry Annual Report 2000. Bethesda: Cystic Fibrosis Foundation, 2001. Affected Organs in CF • Sinuses – Sinusitis, nasal polyps • Lung – Endobronchitis, bronchiectasis • Pancreas – Exocrine Insufficiency CF Related Diabetes • Intestine – Meconium ileus Constipation/Obstruction • Liver –Sclerosis • Vas Deferens – failure to develop • Sweat gland – salt-losing dehydration Welsh and Smith, Sci Am, 1995 CF Lung Disease End-stage Lung Disease in CF Current Treatments • Antibiotic therapy, airway clearance • The clearance of mucus and inflammatory debris from the airways will help improve the patient's lung function. • Airway clearance therapy CPT, Flutter®, Acapella®, Vest®, IPV • Nebulized hypertonic saline, which will induce the expectoration of mucus. • Dornase alfa to decrease the viscosity of purulent sputum and to help relieve mucus plugging • Patients will receive mechanical airway clearance treatment, such as manual chest physiotherapy, autogenic drainage with forced expirations, and high- frequency oscillating vest therapy • Supplementation of the fat-soluble vitamins (vitamins A, D, E, and K. Effects of a short-term rehabilitation program on airway inflammation in children with cystic fibrosis. • Investigated the effects of pulmonary rehabilitation, including physical activity and chest physiotherapy, on airway inflammation in children with CF. • Eighteen children with stable CF (six females), aged 8.2- 16.2 years, participating in a 3-week multidisciplinary inpatient rehabilitation program were recruited. • Median (IQR) symptom scores decreased from 19 [23] to 16 [21], P = 0.005. • Vital capacity and FVC increased significantly (P < 0.05). • Short-term inpatient rehabilitation for children with stable CF with intensive physical activity mainly improve subjective clinical symptoms and measures of lung function such as VC and FVC Moeller A, et al. Pediatr Pulmonol. 2010 Jun;45(6):541-51. Trampoline use as physiotherapy for cystic fibrosis patients. • Papers in the general pediatric population mostly document an increased incidence of injuries, ranging from minor trauma to spinal cord injuries and even death • Based on the accumulated data, the presumed benefits of trampoline use for CF patients are not proven. • The suggested benefits could be acquired using other types of exercise. Weighing the known risks of trampolines against the potential benefits that are not unique to this modality suggests that the use of trampolines for CF should not be recommended. Barak A, et al. Pediatr Pulmonol. 2005 Jan;39(1):70-3. Usefulness of a program of hospital- supervised physical training in patients with cystic fibrosis. • Evaluation of the effects of a physical aerobic training program • Cystic fibrosis patients participated in 12 weeks of training twice a week. Each training session consisted of walking or running on the treadmill for 30 min at the speed that allowed the child to attain 60% of the maximal heart rate obtained during a baseline stress test for 4 weeks, 70% in the following 4 weeks, and 80% in the last 4 weeks, under strict medical supervision. • There was a significant increase in time of exercise (TE) (P < 0.002), VO2, VO2/kg, and pulmonary ventilation (VE) (P < 0.0001, P < 0.001, and P < 0.001, respectively). • A simple training program improves short-term cardiopulmonary fitness in children with CF Turchetta A, et al. Pediatr Pulmonol. 2004 Aug;38(2):115-8. Effect of Exercise on lung function in children with cystic fibrosis. • Cystic fibrosis (CF) lung disease leads to progressive deterioration in exercise capacity. • Lung function, nutritional status, and exercise capacity and assessments of habitual activity were measured before and after a two-month, subject-designed exercise regimen based on self-reported activity assessment • Subjects completing the study demonstrated significant improvement in exercise capacity and body image perception, a CF-specific QoL measure (p<0.001). • In secondary analyses, subjects improving exercise capacity showed significant increases in lung function and self-reported habitual activity. Paranjape SM, et al. Cyst Fibros. 2012 Jan;11(1):18-23. SICKLE CELL DISEASE The substitution of valine for glutamic acid in beta- globulin of hemoglobin has been known as the cause of sickle cell anemia since 1957. That this specific knowledge has not resulted in a rationally designed, specific cure is a disappointment. Platt, OS. NEJM 2000;342:1904-1907 Sickle Cell Disease Clinical Background • 1:650 African Americans • 70-80,000 patients in US • Median Life Expectancy – 48 years in females; 42 years in males • Improved Pediatric Survival – Newborn Screening – PCN prophylaxis – Pneumococcal and HIB vaccine Derangements Affecting the Lungs in HbSS Disease • Right shift of the oxygen- Hb • Increased synthesis of reactive dissociation curve ----- hypoxemia. oxidants --- tissue injury • Hypercoaguability ----- increased thrombin, fibrin, and platelet activation. • Functional asplenia – deficient phagocytosis • Arteriolar vasculopathy – adherence of red blood cells to vascular endothelium. Bunn HF, N Engl J Med 1997; 337:762-69. Acute Sickle Cell Pneumopathies • Vasocclusive (pain) crises with splinting and resultant atelectasis • Asthma Exacerbations • Asthma Exacerbations preceding pain crises • Acute Chest Syndrome Acute Sickle Cell Pneumopathies Vasocclusive crisis with atelectasis • Painful involvement of ribs, sternum, spine or abdomen • Splinting with reduced ventilation • Segmental or lobar atelectasis • Increased V/Q mismatch, alveolar hypoxia and intrapulmonary shunting • ? Prelude to Acute Chest Syndrome (ACS) Sickle Cell and Airway Reactivity • Chronic airway inflammation likely • Studied by cold-air challenge – "Hyperreactivity" noted • 73% prevalence in group • 64% in "asymptomatic" subgroup Allen, J Ped 1997; 131:278-83 Pulmonary Function in Children with Sickle Cell Disease • 63 children and adolescents – 35 African Americans and 28 Hispanics – homozygous SS disease • 35% with lower airway obstruction – 78% respond to bronchodilator • 8% with restrictive disease – 67% respond to bronchodilator Koumbourlis et al. J Peds 2001 The Asthma Phenotype and Acute Chest Syndrome • Asthma and increased bronchial hyper-reactivity but not atopy are more common in children with SCD than age and ethnically matched controls • SCD Children with Atopy and Asthma ("Atopic Asthma") are more likely to have recurrent ACS • Asthma is associated with increased risk for both Knight-Madden JM et al Thorax 2005;60:206-210 ACS and CVA Nordness ME et al. Clin Mol Allergy 2005;3:2-6 Acute Chest Syndrome - ACS • Acute Pulmonary Illness in Patient with SCD – Up to 50% initially admitted for another dx Vichinsky, NEJM 2000;342:1855-65 • Accounts for 25% of deaths in SCD – Most common cause of death in SCD • More Common in Children – 50% of children with SCD in first decade Gill, Blood 1995; 86:776-783 • Most Prevalent in SS Disease > SC > S-Thalasemia ACUTE CHEST SYNDROME IN PEDIATRIC PATIENTS • 50% of patients originally admitted for VOC • New Pulmonary Infiltrates – Initial CXR may be normal • Fever (83%) • Cough (65%) • Chest Pain (41%) • Tachypnea (47%) • Dyspnea (35%) • Mean SpO2 92% Vichinsky NEJM; 2000;342:1855-1865 ACUTE CHEST SYNDROME Keys to Therapy • Early recognition • Adequate pain control • Adequate hydration, correction of acidosis • Antibiotics – cephalosporin & macrolide • Hematologic Support – Simple Transfusion • Elevate Hb to 10-12g/dl • Elevate HbA % – Exchange Transfusion • Reduction in HbS% - <30% Inpatient Management of ACS at Children's Healthcare of Atlanta • Pulmonology consultation in any patient with VOC and altered pulmonary mechanics, atelectasis or hypoxemia. • Early management of ACS – Aggressive pain control – Adequate hydration – Supplemental oxygen – Bronchodilator therapy – Incentive Spirometry / PEP therapy/ VEST therapy – Non-invasive ventilation with moderate dyspnea, increasing hypoxemia O2 requirement > 2 lpm – Simple transfusion – Ceftriaxone + macrolide ACUTE CHEST SYNDROME IN PEDIATRICS Therapy • Adequate oxygenation • Maintain SpO2 93%-95% • Adequate pulmonary toilet • ?CPT • segmental breathing, "huff breaths" • Vest therapy • Bronchoscopy/Mucolytics • Adequate ventilation • Incentive spirometry (Bellet, NEJM 1995;333:699) • Non-invasive vs. invasive ventilation Other Therapies • Steroids • ECMO • iNO VEST THERAPY • High frequency oscillatory chest percussion • Well tolerated in patients with pain • Multiple vest sizes • Alternative or adjunct to CPT, airway clearance techniques • Decreases atelectasis, facilitates recruitment • Settings – 7 to 12 Hz (1-20) – Pressure level 5-7 (1-15) – 10 minute cycles x 2-3 up to qid Non-invasive Ventilation in Acute Chest Syndrome • Early intervention to prevent or slow pulmonary deterioration • Facilitates alveolar recruitment Decreases hypoventilation due to pain and resultant splinting • Decreases atelectasis • Improves V/Q matching, decreases alveolar hypoxia Chronic Pulmonary Problems and Management of the Patient with Sickle Cell Disease Comprehensive Sickle Cell Pulmonary Clinic • Each patient jointly seen by hematologist and pulmonologist • Full pulmonary function, oximetry at each visit • Continuous database • Inhalation technique review (spacer teaching) • Ongoing therapy • Social services support Proactive Cardiopulmonary Management • Diagnostics – Serial Pulmonary Function Testing • Spirometry • Plethysmography • DLCO – Polysomnography – Routine Pulse Oximetry – Echocardiogram Pulmonary Function Testing • Identification of Increased Airway Reactivity – bronchodilator response • Identification of Obstructive Disease • Identification of Restrictive Disease • Serial measurement of DLCO/VA – normal early – rises in early teen years • correction for anemia, alveolar volume – normalizaltion may suggest "shrinking" pulmonary vascular bed Management of Obstructive Lung Disease in Sickle Cell Disease • Surveillance – Serial Spirometry and Plethysmography • Management – Maintenance Anti-Inflamatory or Combination Therapy • ICS, LTRAs • ICS+LABAs – Prn Bronchodilators, Exercise Pre-treatment – Routine Pneumoccocal and Influenza Vaccines Monitoring of Restrictive Lung Disease in Sickle Cell Disease • Surveillance – Serial Spirometry, Plethysmography, DLCO – Polysomnograpy or 24 hr Oximetry – Echocardiograpy • Management – Supplemental Nocturnal Oxygen (if indicated) – Trial of Inhaled Therapy • ICS or Combination Therapy • Prn Bronchodilators – Consider Hydroxyurea – ? 5-Lipoxygenase Inhibitors Management of Restrictive Lung Disease in Sickle Cell Disease • Management – Pulmonary Recruitment Therapy • Incentive Spirometry • PEP Therapy • VEST Therapy • Nocturnal BiPaP – Routine Influenza and Pneumococcal Vaccines – Treatment of Pulmonary Hypertension (if present) – Consideration of Hydroxyurea Sickle Cell Disease(SCD) and Nocturnal Oxyhemoglobin Desaturation (NOD) • Nocturnal desaturation seen in up to 40 % of children and adolescents with SCD Franco M, ARCCM 1996;153:A496 • OSA may be more severe and may complicate SCD Sidman 1986, Madden 1988, Samuels 1992 • OSA does not appear to explain the prevalence of NOD Brooks 1997, Needleman 1999 • Reduced pulmonary function does not correlate with NOD Needleman 1999 • V/Q mismatching which may result from progressive sub-clinical intrinsic lung disease not systematically explored Management of Nocturnal Hypoxemia in Children with Sickle Cell Disease • Surveillance – Serial Oximetry – Consider polysomnography in any child with SaO2 < 93%, history of ACS or suspected lung disease – Echocardiography Management of Nocturnal Hypoxemia in Children with Sickle Cell Disease • Management – Treatment of any Obstructive Sleep Apnea (OSA) – Supplement for TST (total sleep time)< 90% > 10% – Titrate oxygen supplementation to maintain nocturnal SaO2 > 93% – Repeat polysomnography or home surveillance of nocturnal oximetry – Sprometry, Plethysmography, DLCO when possible – Aggressive management of clinically or physiologically evident lung disease PAH in Sickle Cell Disease 32% frequency of PAH in adult patients with SCD –N=195; Hb SS (69%), SC (18%), S-Thal (12%) –Increased risk of death (rate ratio 10.1, 95%CI 2.2 to 47.0, P<0.001) Gladwin MT, Sachdev V, Jison ML, et al. Pulmonary hypertension as a risk factor for death in patients with sickle cell disease. N Engl J Med 2004;350:886–95. Age and PAH in Sickle Cell Disease Above patients <20 y.o. all 18 y.o. Other studies published in abstract form estimate PAH prevalence of 25% in children with SCD and as high as 57% in the setting of comorbid pulmonary problems1 8-33% prevalence in children from other studies2 1 - Castro O, Gladwin M. Pulmonary Hypertension in Sickle Cell Disease. Hem Onc Clin Nor Am. Vol 19, 2005. 2 - J Pediatr Hematol Oncol. 2009 Feb;31(2):97-100. Pediatr Pulmonol. 2009 Mar;44(3):281-9. Contributing factors • Hemolysis – Markers of hemolysis correlate with PH – NO scavenging by free Hb – Oxidative stress (reactive O2 and NO species) – Erythrocyte arginase release – Downstream effects • VCAM-1, P-selectin, endothelin-1, thrombosis • Acute chest syndrome, pneumonia, chronic hypoxemia, other pulmonary disease • Endothelial damage from sickling, in situ thrombosis • Other – iron deposition, liver disease, hyposplenism, anemia, high cardiac output Etiologic Considerations As A Basis for Therapy in PAH • Elevated pulmonary artery pressures (i.e. MPAP>25 mmHg) – Due to left heart disease • Normal transpulmonary gradient • PVR < 3 indexed WU • Elevated PCWP or LVEDP • Diuretics, ACE-inhibitors, beta-blockers – Due to increased PVR • Elevated transpulmonary gradient and PVR • Normal or mildly elevated PCWP or LVEDP • Pulmonary vasodilators, warfarin – Mixed etiology • Moderately+ elevated PCWP/LVEDP • PVR > 3 indexed WU • Treat left-heart disease first, re-evaluate after 6 months Prevalence and Risk Factors of Elevated Pulmonary Artery Pressures in Children with Sickle Cell Disease Pashankar, FD et al. Pediatrics 2008;121(4):777-782 • Echocardiography obtained in 62 patients with SS or S0 thalassemia 6 years or older in outpatient setting • 30 % (19/62) with TR > 2.5 m/sec consistent with PAPest > 30 mm Hg • Elevated PAP observed only in SS patients • Unrelated to age or gender • Elevated PAP associated with – Higher reticulocyte count ( p = .01) – Higher platelet count (p = .03) – Lower SpO2 (p = .03) • 13 % (8/62) with a history of CVA or abnormal TCD – No elevation of PAPest observed Monitoring at Children's Healthcare of Atlanta • Screen starting at age 5 years • TR jet < 2.5 m/sec – Screening echo every year – TR jet 2.5-3 m/sec – Confirmatory repeat echo within 6 mo – If still 2.5-3 m/s, consider intensification of sickle cell treatment • Hydroxyurea, chronic transfusion • Aggressive pulmonary management – Identify and optimize contributing factors • OSA (T & A, CPAP/BiPaP, O2), iron overload (chelation), thromboembolism (anticoagulation), • Q6 mo echo while in this range • TR jet > 3 m/sec – Confirmatory repeat echo within 3 mo with cardiac evaluation – Same recommendations as above for 2.5-3 m/sec plus – If TR jet is still >3 m/s, consider right heart catheterization in discussion with hematology (sedation/transfusion recommendations from hematology prior to procedure) • Left heart disease vs PVD vs mixed Pulmonary Vasodilator Therapy for PAH in SCD • Choice based on relative risk profile for individual • Sildenafil (Revatio, Viagra) - safe in small series of patients in open label use1 – PDE-5 inhibitor, increases NO levels – Rationale: impaired NO synthesis due to increased arginase activity; increase NO destruction via free hemoglobin scavenging – Risks: priapism • (Bosentan (Tracleer) – currently in trial for this indication – Nonspecific endothelin receptor antagonist – Rationale: elevated endothelin levels in SCD, pulmonary vascular remodeling – Risks: liver toxicity, anemia, increases plasma volume • L-arginine? (low toxicity, minimal evidence, fair rationale) 1 - MachadoRT, Martyr SE, Anthi A, et al. Pulmonary hypertension in sickle cell disease…. Br J Haematol 2005;130:445–53. Derchi G, Forni GL, Formisano F, et al. Efficacy and safety of sildenafil…. Haematologica 2005;90:452–8. HYDROXYUREA THERAPY IN SCD ?Potential Reduction in SCLD • Increases HbF, decreases HbS%, ?decreases WBC • Significant reduction in ACS in adults and children Marwick, JAMA 1995;273:611, Scott J Ped 1996;128:820 • Decrease in VLA-4 and CD36 adhesion molecules Styles, Blood 1997;89:2554 • Splenic regeneration Claster, Blood 1996;88:1951 Hydroxyurea may be an NO donor Spectrum of pulmonary problems MECHANISMS: Exercise PA hypertension •Low pO2 Limitation •Low NO •High Chronic Lung inflammatory Disease mediators •High VCAM •Fibrosis Infection Acute Chest Non ACS Vaso- Asthma Pain occlusion 2012 American Thoracic Society - Multi-Center Collaboration to Establish: • Pediatric Sickle Cell Registry – Epidemiological Data Base – Monitoring • Controlled Clinical Trials – Chronic Pulmonary Management • Application of traditional therapies • Application of novel therapies – Anti-inflamatory – Cytoprotective – Acute Chest Syndrome Management • Application of traditional therapies • Application of novel therapies Pediatric Neuromuscular Syndromes • Neuromuscular diseases are disorders caused by an abnormality of any component of the lower motor neuron system: anterior horn cell, peripheral nerve, neuromuscular junction, or muscle. • Acquired - poliomyelitis, Guillain-Barré syndrome, myasthenia gravis, polymyositis • Genetic - spinal muscular atrophy, hereditary motor sensory neuropathy, congenital myasthenia gravis and Duchenne's muscular dystrophy Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscul Disease in Children Common symptoms • infantile floppiness or hypotonia • delay in motor milestones • feeding and respiratory difficulties, • abnormal gait characteristics, frequent falls, difficulty with stairs or arising from the floor Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Physical Exam Findings • Pseudohypertrophy - Increased gastrocnemius calf circumference caused by increase in fat and connective tissue, not true muscle (DMD, Becker's) • Stork leg appearance—focal atrophy of distal lower extremity muscles particularly seen in hereditary motor sensory neuropathy • Muscle fasciculations—seen in a variety of lower motor neuron disorders, especially common in spinal muscular atrophy • Hepatosplenomegaly—common in metabolic myopathy such as acid maltase deficiency and types 3 and 4 glycogenosis Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Physical Exam Findings • Gowers' sign—results from proximal weakness of the pelvic girdle muscles causing patients to rise off the floor assuming a four-point stance on hands and knees, • Toe walking/myopathic gait—weakness of hip extensors produces anterior pelvic tilt and tendency for trunk to be positioned anteriorly to the hip. Patients compensate by maintaining lumbar lordosis, which positions their center of gravity posterior to the hip, stabilizing the hip in extension. • Trendelenburg gait/gluteus medius gait—weakness of hip abductors produces tendency toward lateral pelvic tilt and pelvic drop of swing phase side. Patient compensates by bending the trunk laterally over the stance hip joint • Steppage gait/foot slap—occurs secondary to distal weakness affecting ankle dorsiflexion and evertors. Steppage gait facilitates clearance of plantar flexed ankle Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Dystrophic Myopathies • Duchenne's and Becker's Muscular Dystrophy • Early on weakness is generalized, however, predominantly proximal. • Greater than 40%–50% loss of muscle power occurs by age 6 years. The average age to wheelchair dependency is approximately 10 years with a range of 7–13 years. • Scoliosis—Prevalence varies from 33%–100% and is related to age. 50% acquire scoliosis between ages 12–15 years. • Pulmonary—Forced Vital Capacity (FVC) volumes increase during the first decade of life and plateau during early part of the second decade. There is a linear decline of FVC between age 10 and 20. FVC less than 40% is a contraindication to surgical spinal arthrodesis secondary to increased peri-operative morbidity • Cardiomyopathy usually is first noticed at age greater than 10 years and is apparent in nearly all patients more than 18 years old. Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Management of Dystrophic Myopathies • Promotion of activity • Prevention of fixed deformity (e.g., equinus) by passive stretching • Braces for promotion of ambulation if loss of ability to walk in late stages Prevention and management of scoliosis if chairbound Therapy in Neuromuscular Disease • Eccentric or lengthening contractions produces more mechanical stress on muscle fibers than concentric or shortening contractions • No systemic studies using Duchenne's muscular dystrophy populations have shown any deleterious effect of resistance exercise. Generally a submaximal strengthening program is prescribed • Wheelchair reliance is imminent when knee extension strength becomes less than anti-gravity and time to ambulate 30 feet is greater than 12 seconds • Duration of ambulation in Duchenne's muscular dystrophy has been successfully prolonged by 2 to 5 years by prompt surgery and bracing following loss of independent ambulation • Little evidence supports the efficacy of early prophylactic lower extremity surgery in Duchenne's muscular dystrophy for independently producing prolonged ambulation •Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Congenital Muscular Dystrophies • A heterogeneous group of cases presenting with clinical weakness or deformities in early infancy and having variable dystrophic changes in the muscle • Presenting with hypotonia and weakness, fixed deformities (arthrogryposis), variable sucking, swallowing, and respiratory difficulty, delayed motor milestones in later onset cases • Variable course and prognosis • Infants present with hypotonia, muscle weakness at birth or within the first few months of life, congenital contractures and a dystrophic pattern on muscle biopsy • Children exhibit early contractures, equinovarus deformities, knee flexion contractures, hip flexion contractures and tightness of wrist flexors and long finger flexors Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Management • Active physiotherapy to encourage mobility • Passive stretching of "fixed" deformities • Surgical correction of residual deformities at appropriate stage (equinovarus correction when able to stand) • Avoid immobilization that promotes fixed deformity • Supportive treatment for respiratory problems Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children Spinal Muscular Atrophy SMA Type I (Werdnig-Hoffman Disease)—Severe SMA • An autosomal recessive disorder of early infancy with severe axial and limb weakness due to degeneration of the anterior horn cell of the spinal cord • Presents in the first months of life with hypotonia and weakness, sucking and swallowing difficulty, respiratory insufficiency • Cardinal Clinical Signs - severe limb and axial weakness, frog posture, marked hypotonia, poor head control, bell- shaped chest • Prone to respiratory infections • Prognosis poor; majority die of pneumonia in first year, most within 3 years • Fasciculation of tongue (about 70%) •Cuccurullo S. Physical Medicine and Rehabilitation Board Review. •Neuromuscular Disease in Children SMA – Type II • Intermediate SMA • weakness predominantly of the legs, with ability to sit unsupported but not to stand, due to degeneration of the anterior horn cells of the spinal cord • Presents between 6 and 12 months •Cuccurullo S. Physical Medicine and Rehabilitation Board Review. •Neuromuscular Disease in Children Management: • Prevention of scoliosis by early bracing • Treatment of scoliosis by spinal braces or surgery • Early achievement of standing posture in standing frame or calipers • Promotion of ambulation by appropriate orthoses •Cuccurullo S. Physical Medicine and Rehabilitation Board Review. •Neuromuscular Disease in Children SMA Type III • SMA Type III (Kugelberg-Welander syndrome) • Mild SMA characterized by proximal weakness, predominantly of the legs, due to degeneration of the anterior horn cells of the spinal cord • Presents from the second year of life through childhood and adolescence into adulthood • Presents with difficulty with activities such as running, climbing steps, or jumping, abnormal gait; waddling, flat- footed, wide base • Difficulty rising from floor (Gowers' sign), proximal weakness; legs > arms • Hand tremor (variable), Tongue fasciculation (variable) • Good long-term survival, depending on respiratory function •Cuccurullo S. Physical Medicine and Rehabilitation Board Review. • Neuromuscular Disease in Children Mangement • Encourage activity and ambulation • Rehabilitation in braces if ambulation lost • Vigorous treatment of respiratory infections Cuccurullo S. Physical Medicine and Rehabilitation Board Review. Neuromuscular Disease in Children THANK YOU!
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The Journal Sentinel's team of Packers beat writers provide the latest news, notes and analysis
Carimi declares himself the draft's top tackle
Indianapolis — Confident. Extremely confident.
That's the best way to describe how Gabe Carimi came across to the media at the NFL Combine today.
Carimi, a four-year starter at left tackle for the University of Wisconsin and the 2010 Outland Trophy winner, called himself the best tackle in the draft. Carimi also said he can start for somebody from day one.
"I know I can play right away," Carimi said. "That's my best asset. I'm a draft-ready tackle.
"I'm physically stronger and have more career starts and better knowledge of the game than any other tackle out there. That's why I'm the No. 1 tackle out there."
Carimi appears to be competing with Boston College senior Anthony Castonzo and USC junior Tyron Smith to be the No. 1 offensive tackle selected. The 22-year-old Carimi was measured at 6-foot-7 1/8 and weighed 314 pounds.
Carimi noted that he faced three potential first round picks in 2010: Iowa defensive end Adrian Clayborn, Purdue defensive end/outside linebacker Ryan Kerrigan, Ohio State defensive end Cameron Heyward. Carimi also battled UW defensive end J.J Watt, a possible top 10 pick, each day in practice.
"I have a better résumé of going against better talent than anyone else, so that makes me more (pro) ready," he said.
Some scouts have said Carimi will make a better right tackle than a left one. Carimi said wherever he ends up he'll excel.
"Obviously, I think I can play left tackle," said Carimi, who made 49 career starts at UW. "It's up to the organization what their needs and wants are. I can play right tackle. If they have a left tackle locked down, I'll be a backup at left tackle and they can put another guy at right tackle."
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Introduces the essential concepts and techniques necessary for shooting video with a DSLR camera.
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5 of the Weirdest Ways to Die
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1. Too much of a good thing - Water Intoxication
In June of 2007 Jennifer Lea Strange joined a short list of people who drank themselves to death with water when she fatally consumed an overdose of H2O during a radio contest called "Hold Your Wee for a Wii". The young wife and mother agreed to drink as much water as possible as part of the contest in order to win a Wii game player for her family. Contestants competed to see who could go the longest without stopping to urinate. After the contest Strange collapsed and died resulting in a civil lawsuit against the radio station. Water intoxication which is also known as hyper-hydration can cause a fatal disturbance in the brain when the electrolytes in the body are thrown off their normal balance. Other famous deaths from water intoxication include artist Andy Warhol whose family claimed he was given too many fluids following gallbladder surgery in 1987.
2. Jumping into a Volcano
In 430 BC Empedocles a Greek philosopher who is best known being the originator of the cosmogenic theory of the four classic elements threw himself into the very active Mount Etna either to convince his followers, he was a god, or because he believed himself to be immortal. He might also have thought he would be reincarnated. The volcano put a quick end to any more hypotheses on his part.
3. Laughter isn't always the best medicine
In 1599 when Burman king Nanda Bayin was informed by a visiting Italian merchant that Venice was without a king and therefore a free state he started to laugh. Unfortunately, for him he couldn't stop laughing. His death was more than likely a result of brain hemorrhage brought on by the strain of his giggle fit. Thomas Urguhart a Scottish aristocrat and diplomat is said to have died in the same manner in 1660 after hearing that Charles II had been made king.
4. What a way to go - Death by Overeating
After drinking champagne and consuming a meal of lobster, smoked herring, caviar, sauerkraut, and over a dozen servings of a favorite dessert Swedish king Adolf Frederick understandably complained he didn't feel well. He died a few hours later. Sadly, Adolf's favorite pastimes as ruler had been to make snuff boxes and not much else. He's therefore remembered only as "the king who ate himself to death" in his own homeland.
5. A great demonstration - Lawyer proves his case by killing himself
In 1871 while representing a defendant in a murder case lawyer Clement Vallandigham a United States Congressman and one time political opponent of Abraham Lincoln wanted to prove the supposed murder weapon could have accidentally been fired by the victim. Taking the gun from evidence Vallandigham tried to demonstrate to the jury how the victim might have shot himself. His mistake was in not checking to see if the gun was loaded. Just as Vallandigham had speculated the firearm discharged and just as he'd conjectured the result was a mortal wound. On an upbeat note at least the defendant was acquitted.
Link Written by Kacey Stapleton – Copyrighted © www.weirdworm.com
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Learn the art and science of designing furniture in SketchUp with Fine Woodworking's official blog. Moderated by a devoted community of woodworkers, we feature step-by-step SketchUp tutorials on designing components, downloads of pre-built 3D models of furniture parts, and news and information about the evolving world of digital furniture design.
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Don't miss Dave Richard's brand-new DVD/video download, The Basics.
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Basic SketchUp Tutorials
Learn the basics of building furniture in SketchUp with these classic posts from the Design. Click. Build. blog.
Creating a Project Plan in SketchUp
How I Draw in SketchUp
Axes in SketchUp
The SketchUp Move Tool
The SketchUp Rotate Tool
The SketchUp Scale Tool
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Applying Wood Grain Skins in SketchUp
Easy Dovetail Joints in SketchUp
Digital Project PlansDownload and modify SketchUp files for select projects from Fine Woodworking. View all. Top Sellers: Matt's Monster Workbench New England Pine Cupboard Garden Bench
Meet the Authors
DaveRichardsI am a Biomedical Equipment Technician. I maintain anesthesia and respiratory equipment for the largest medical facility in southeast Minnesota. I...
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Tim KillenI am retired from Bechtel Corporation after 36 years in Engineering and IT management. I grew up among woodworking machinery in...
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Politics News
In emails, Hillary's outside advisers pushed hawkish Afghan line
WASHINGTON - In the fall of 2009, as U.S. President Barack Obama conducted a long, divisive review of whether to pour more U.S. troops into Afghanistan, an influential group of advisors were quietly pushing a hawkish line.
- U.S., Cuba restoring diplomatic ties after 54 years |
- California moves to strike 'lynching' language from state law
- Republican senators demand liquidation plan for U.S. Ex-Im Bank
- New York City reviewing contracts with Donald Trump, mayor says
- Obama pushes state Medicaid expansion in healthcare hub Nashville |
Recent Politics News
Bill for one-month budget fails to pass Illinois House
SPRINGFIELD, Illinois - A bill pushed by Democratic lawmakers that is aimed at keeping "essential services" operating in Illinois for a month failed to attract enough votes on Wednesday to pass the Illinois House.
Wisconsin Governor Walker signs bill banning microbeads
- Wisconsin Governor Scott Walker on Wednesday signed a bill into law that bans the manufacturing and sale of personal care products containing tiny plastic beads that are known to pollute waterways.
Chicago mayor urges legislature to tackle teacher pension funding woes
CHICAGO - Chicago Mayor Rahm Emanuel on Wednesday called on the Illinois Legislature to make fundamental changes to the funding of teachers pensions to stop the financial free fall at the city's public school district.
Democrat Clinton raises $45 million since April U.S. campaign launch
WASHINGTON/NEW YORK - Democratic presidential contender Hillary Clinton has raised more than $45 million since she entered the race in April, aides said on Wednesday, setting a fast pace in what is sure to be the most expensive U.S. political campaign in history.


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Dennis Ross
Riding on more sanctions and rhetoric, tensions between the U.S. and Iran continue to escalate. Margaret Warner discusses whether the U.S. and Iran appear to be sliding into war with Tufts University's Vali Nasr and Dennis Ross, who served in the National Security Council and State Department in four administrations. Continue reading


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Information about expectations for student conduct and other policy matters affecting students are described here. These policies are subject to review and change and their publication does not forfeit that right. A printed copy of an individual policy can be requested from the Office of the Dean of Students, 118 Gilchrist Hall.


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The end of the month is all very hectic at the moment and straight in the middle of our busiest time ATI have dropped the latest driver on us like clockwork. Combined with the pre-Computex news getting along that there's an NDA lifting on the new mid-range GTX 400 series next week and it's just busy, busy, busy times.
On the performance front ATI isn't promising us anything with the 10.5s so we're not expecting anything too exciting. To be honest, the late release in the month makes us think it was all a little rushed.
In saying that, there's some things worth noting. Two big features are the fact that 120Hz displays are now supported on both HD 3000 and HD 4000 series cards which is great for people who want to get some ultra smooth gaming done.
The other big news is that the flicker on extra monitors has been fixed. This was done by upping the 2D clocks which has in turn bumped up idle temps, but for most it shouldn't be anything too serious.
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Great Live Moments - Michel CamiloSubmitted by jjackson on Fri, 2008-04-04 09:32
Happy birthday today to pianist Michel Camilo.
WBGO recorded Michel's trio at Iridium on April 24, 1997.
Michel Camilo, Bassist Lincoln Goines and drummer Cliff Almond had a killer piano trio sound. Listen to "A Night in Tunisia" from the WBGO Archives.
And do you know what inspired Michel Camilo to play jazz? Hearing Art Tatum play "Tea for Two." When Camilo was 14, he heard that jazz record in his native Dominican Republic. Since you cannot see Art Tatum magic on a record, and you can no longer see him play, you'll have to check out this re-performance of "Tea For Two."
Nat King Cole Born TodaySubmitted by jjackson on Mon, 2008-03-17 08:35
As the luck of the Irish would have it, Nathaniel Adams Cole , aka Nat King Cole, was born on this date. Most people know him more as the singer of "Nature Boy" than of "Danny Boy."
I think I love Nat Cole's piano playing as much as, if not more than, I love his smoky voice. Years ago, I spent college scholarship money on the 18-CD set on Mosaic Records, The Complete Capitol Recordings of the Nat King Cole Trio. 349 songs from 1942-1961. Now out of print...
I suppose that technically counted as an education expense, right?
Anyway, here's a video of Nat Cole playing "Tea for Two." Listen for the "Foggy Day" quote in his introduction, and to his "Rhapsody in Blue" reference in his solo. - Josh