text:
India's ace leg-spinner Anil Kumble has announced his retirement from One-Day cricket, but will continue to play in Tests.
After India's dismal performance and early exit from the World Cup, the role of the seniors has been severally criticised and their place in the team is being questioned. Should some other seniors too follow suit and announce their retirement?
posted on Wednesday, March 28, 2007 1:15 PM
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text:
In Africa, loss of sight not only means a life of darkness. For many adults it means a loss of income and the ability to work, requiring dependence on family members and reducing a family's overall productivity. Currently more than three million African children under the age of five are blind and an estimated 43 million are threatened by vitamin A deficiency, a leading cause of blindness and vision problems. These children are also more susceptible to life-threatening diseases.
The John Dau Foundation founded the Duk Lost Boys Clinic in 2007 to provide basic medical services to diagnose and treat common illnesses and specific medical disorders indigenous to this region. "When we first started the clinic, the needs were massive and overwhelming; vision and nutrition were low on the list," said Dr. David Reed, the foundation's medical director.
But as the years passed, the clinic staff continued to see throngs of blind patients being led on sticks by children or family members. "We realized that you're not only taking away one life but you're also needing a guide to walk them around. In terms of tribal attacks, these people are such easy victims because they have no chance to escape."
Preventing blindness has moved to the forefront of the clinic's efforts. Clinic staff now regularly distributes vitamin A supplements to villages. For the first time last year, the clinic also incorporated surgical procedures to treat vision-related ailments such as cataracts and glaucoma. In a span of a few days, a team of surgeons was able to perform more than 300 surgeries, restoring sight to patients as young as two years. The clinic plans to continue with prevention efforts to distribute vitamin A in villages in addition to restoring lost sight through simple surgical procedures with teams of visiting doctors from the United States.
Ultimately, Dr. Reed says, the goal is to train Sudanese to perform the operations themselves, but achieving that goal is several years away. In the meantime, the Foundation has formed a partnership with Moran Eye Center in Salt Lake City. "They've committed to help for five years to look at surgical and non-surgical methods to protect vision. The Center will send surgeons to South Sudan again next year to perform several hundred operations," he said.
Learn more about how Aid for Africa members are working to provide health services, train health workers, and eradicate disease in Sub Saharan Africa.
Aid for Africa is an alliance of 85 U.S.-based nonprofits and their African partners who help children, families, and communities throughout Sub-Saharan Africa. Aid for Africa's grassroots programs focus on health, education, economic development, arts & culture, conservation, and wildlife protection in Africa.
Related Stories:
Literacy Libraries Change Lives in Africa
Is Slaughtering Elephants Joseph Kony's Latest Lifeline?
Read more: africa, blindness, global health, sub saharan africa
Thank you for the information
Thanks for the article
Great news!
GREAT news, thanks for article!
Important post!
Thanks for the article.
There is an Israeli team there too. It's been here since the day the country claimed its independence, but no one outside Israel hears about that
Excellent to extend good health services.
Disclaimer: The views expressed above are solely those of the author and may
not reflect those of
Care2, Inc., its employees or advertisers.
Wow!!! But to you people, Muslims are big in numbers then it comes to people on earth.
I have never introduced a new cat over a one-o-three month period. The longest I ever separated the…
Thanks for posting.

subset: commoncrawl


text:
Where was the Luftwaffe on D-Day? Historians have debated that question for six decades, but in 2010 a formerly classified World War II D-Day history was restored, and in it were a new set of answers. Pointblank is the result of extensive new research using that newly restored history to create a richly textured portrait of air power and leadership, and perhaps the last untold story of D-Day: Three uniquely talented men and why, on the single most important day to the survival of the Third Reich, the German Air Force was unable to mount a single effective combat mission against the invasion forces.
After a year of unremarkable bombing against Germany aircraft industry, and with just five months to go until D-Day, General Henry H. "Hap" Arnold, commander of the United States Army Air Forces placed his lifelong friend General Carl A. "Tooey" Spaatz in command of the strategic bombing forces in Europe and gave his protEgE, General James "Jimmy" Doolittle command of the Eighth Air Force in England. For these fellow aviation pioneers and air war strategists, he had but one set of orders: Sweep the skies clean of the Luftwaffe by June 1944. Spaatz and Doolittle couldn't do that, but they could do what Arnold really wanted: Clear the skies sufficiently to gain air superiority over the D-Day beaches. The plan was called Pointblank. In Pointblank, L. Douglass Keeney carefully reconstructs the events in the air war that led up to D-Day while painting an in-depth portrait of the lives and times of these aviation pioneers.
About the Author
L. Douglas Keeney is the award-winning author or co-author of more than a dozen books. He received his Bachelors and Masters degrees from the University of Southern California and was a sponsored post-graduate student at the Institute of Advanced Advertising Studies in New York City. He spent sixteen years on Madison Avenue before he founded Douglas Keeney & Company, a publishing and marketing company with various business interests including content creation for cable television networks, advertising for packaged goods companies, and books for NY publishers. In 1992, Keeney cofounded The Military Channel with two other partners. His work has been reviewed in numerous publications, including The New York Times, The Wall Street Journal, Salon, and Bloomberg. He lives in Louisville, Kentucky.
Praise For…
"A thoroughly satisfying read: informative and entertaining. What is always mind-boggling is the sacrifice made in any war. Pointblank Directive shows quite clearly what the airwar leading up to D-Day cost both sides of the conflict. More importantly, it fills a needed gap in knowledge of exactly how critical the proper air campaign can be in determining the ground conflict. Historians and students of World War II history alike will be well-served reading this book."
--Bernie Chowdhury, author of The Last Dive: A Father and Son's Fatal Descent into the Ocean's Depths (Harper)
"The Pointblank Directive is a richly textured portrait of air power and leadership, possibly the last untold sotry of D-Day. Using extensive new research, Keeney carefully reconstructs the events that led up to the success of that battle."
--Savannah Jones, www.sirreadalot.org
"...comes from a historian who considers the politics and personalities of The Pointblank Directive and how it become one of the most amazing military come-backs in history. By raid's end some forty percent of the Allied planes had been shot down. The story of how forces recovered from these heavy losses and flew to victory against impossible odds makes this a powerful account of strategic air command decision-making processes, battles, and close encounters, offering a fresh analysis of how The Pointblank Directive changed the world."
--The Midwest Book Review (March 2013)
"I enjoyed this book immensely. It was fast-paced, exciting, filled with the untold yet in no way unglamorous adventures and perilous day-to-day existence of the United States Air Force ... This is one of the best historical books I have read."
- The San Farncisco Book Review (April 16, 2013)


text:
In a typical day, I write or debug programs in several languages: typically Foxpro, C#, VB, C++ and 32 bit assembly, with an occasional MSIL, IDL and 64 bit ASM thrown in.
Sometimes, I like to switch between one version of code and another. This is useful if I want to do side by side comparisons of behavior.
One way to do this is with preprocessor macros, like this:
#If SomeValue
<one version of code>
<another version>
However, that's a fair amount of typing.
There's a shortcut that works with C# and C++ style comments.
In these languages, a line that starts with "//" is a comment.
Also, a block comment (which can span multiple lines) starts with "/*" and ends with "*/"
int sub foo1() {
int x = 2;
Console.WriteLine((new System.Diagnostics.StackTrace().GetFrames()[0].GetMethod().Name)); // shows Foo1
return x;
int sub foo2() {
int x = 3;
Console.WriteLine((new System.Diagnostics.StackTrace().GetFrames()[0].GetMethod().Name)); // shows Foo2
return x;
// */
With a single character change I can switch between foo1 and foo2: just delete the very first "/". That changes the single line comment into a block comment. The "*/" of the "/*/" now acts like the end of the comment block.
Using an editor that colors the code (like Visual Studio) shows the switch properly
This technique is useful when creating sample code for others to play with, such as in my next blog post.


text:
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61 year old man | Erie, PA, USA | Seeking women 45-57 within 50 miles
looking for a partner ? it could be me,,
i'm just a laid back down to earth guy looking for somebody to keep me on the normal side,,and or at least out of jail. i just retired in dec. of 2009. now the fun begins,, well thats what they say anyway. i'd like to find a woman with the same frame of mind. if you like rideing mortocycles let me know that too. i can ride anytime the weather permits. i cant,or just dont cook, but if you can teach me i'm willing to learn. i dont smoke so i dont like hanging out in bars. unless they have live music.
Camping , Coffee and conversation , Dining out , Fishing/Hunting , Movies/Videos , Music and concerts , Exploring new areas , Nightclubs/Dancing , Travel/Sightseeing , Watching sports
Billiards / Pool, Bowling, Dancing, Golf, VolleyBall, Walking / Hiking
I exercise 1-2 times per week.
Middle of the Road
i like sight seeing, historacal places, museums. i also do a bit with astronomy. I like camping, hunting. I never cought on to fishing but i like going.
i like most music axcept rapp unless there isnt any lyrics,,lol. tv shows,, well news, documentories and a bit of sci-fi. i love the special effects. also comp. gennerated cartoons like ace age and shrek,,lol
I go to a few clubs around town when the bands are playing sept-may. also going to the 8 great tuesdays and the thursday block parties. and a few other hot spot when rideing around the countys near here.
i have a few books around the house but dont read all that much any more. reading strains my eyes a bit.
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What he is looking for
|5'7" (170cms)
|5'0" (152cms) to 5'8" (172cms)
|Body type:
|A few extra pounds
|About average, Curvy, A few extra pounds
|No preference
|Dark blonde
|No preference
|No Way
|No Way, Yes, but trying to quit
|Social Drinker
|Social Drinker
|No preference
since my retirement (dec.09) i've played a bit more golf. and will have a lot more time to ride my motorcycle and a bit of traveling.
|$35,001 to $50,000
|$35,001 to $50,000
|Widow / Widower, Currently Separated, Divorced
|Have kids:
|Yes, and they live away from home (2)
|Yes, and they live away from home, Yes, and they live at home
|Wants kids:
|No, but it's OK if my partner has kids
|White / Caucasian
|Latino / Hispanic, Native American, White / Caucasian
|Spiritual but not religious
|Christian / Other
i dont really like going to church all that much, but will go if asked. i do most of my praying at home and on the road.
|High school
|High school, Some college


text:
Environmental Management Companies in California
Pure & Secure, LLC.
based in Lincoln, NEBRASKA (USA)
Pure & Secure, LLC. is the leading manufacturer of premium water distillers for families and businesses. For over 40 years our Pure Water brand of water distillers has been recognized as the single most effective way to protect against the full range of possible contaminants that can be found in water. Pure & Secure, LLC. is a family owned business that still manufactures ...
Telkonet Inc.
based in Waukesha, WISCONSIN (USA)
Telkonet Inc. (OTCQB: TKOI), is a publicly traded clean energy company that helps clients decrease operating expenses, reduce carbon footprints and improve sustainability with the green technology EcoSmart intelligent wireless energy management system. Telkonet offers EcoSmart technology to achieve a balance between energy efficiency and occupant comfort. EcoSmart ...
Applied Oxidation LLC
based in Chattanooga, TENNESSEE (USA)
Applied Oxidation LLC specializes in chlorine dioxide chemistry for water purification and pathogen control in municipal and industrial markets. We manufacture specific technologies to fit various applications and demands. We work with distributors as well as direct with industry to provide solutions in demanding environments. Chlorine dioxide is our specialty however we ...
based in St. Petersburg, FLORIDA (USA)
Industrial and Environmental Health and Safety Instrumentation: Air Sampling Pumps, Calibrators, Equipment, and Accessories. Colorimetric Gas Detector Tubes. Point Gas Monitors. Open Path Gas Detection. Sound, Noise, and Vibration Measurement Instruments. Real-time Dust Monitors. Flame Detectors.
Strathkelvin Instruments Ltd.
based in Motherwell, UNITED KINGDOM
Our expertise is in the field of Activated Sludge Bacteria which are used to treat wastewaters in biological treatment plants. Our instrumentation can quickly and directly measure Activated Sludge bacterial performance saving our clients time and money by determining the effects of reducing feeding and aeration programmes, and the inhibition of the bacteria whilst also ...
based in Boynton Beach, FLORIDA (USA)
HGI Industries' has created cutting edge ultra violet hydroxyl generating technology which has been at the forefront of high volume odor processing,air-decontamination and air-purification for the past decade.HGI's patented technology is the world's ONLY scientifically proven non-contained Hydroxyl Generator. This non-chemical device provides an environmentally safe ...
MERCODOR GmbH Sondermaschinenbau KG
based in Frankfurt am Main, GERMANY
MERCODOR GmbH Sondermaschinenbau KG in Frankfurt am Main was founded in 1973. The family-owned company has always made shredders and manufactures them individually from start to finish in its own factory in Trebur according to customer specifications. The company`s shredding systems are now successfully employed, for instance, in industrial and commercial establishments, ...
Myron L Company
based in Carlsbad, CALIFORNIA (USA)
Myron L Company manufactures cost-effective high performance tools for solution control and water quality analysis, as well as calibration solutions, accessories and kits that keep instrumentation operating at peak performance in diverse applications. Our current product line includes handheld instruments, inline monitor/controllers and field test kits that measure ...
LuminUltra Technologies Ltd.
based in Fredericton, NEW BRUNSWICK (CANADA)
LuminUltra's innovative microbiological monitoring technologies provides fast, complete and accurate insight into microbiological activity. The proprietary technology platform uses the measurement of Adenosine Triphosphate (ATP) - the main energy carrying molecule for all forms of life, and therefore a direct indication of total microbial counts. Advanced 2nd Generation ...
SSI Shredding Systems, Inc.
based in Wilsonville, OREGON (USA)
SSI Shredding Systems is a leading manufacturer of industrial shredders and size reduction systems. SSI custom designs and manufactures high quality 1-shaft, 2-shaft, and 4-shaft rotary shear shredders and primary waste reducers as well as pre-load transfer station and metals compactors. Our highly qualified staff provide you with complete system design and engineering ...


text: I was speaking recently with a representative of Greenback U's dining services. My intent (predictably) was to move them towards changing their menus and practices, with an eye towards emitting less greenhouse gas.This is a conversation we have periodically, and it pretty much always comes out the same. They do purchase locally when they can, they do push fruits and vegetables as much as possible, they do operate as energy efficiently as possible. They want to do the right thing.


text:
GQ's digital edition designed specially for your device
Only £1 an issue!
He took Mr Chips and turned him into Scarface. He went from
abandoned teenager to Hollywood player, battling his demons en
route to resurrection as Breaking Bad's Walter White.
And now he's aiming even higher in this month's big screen Godzilla
reboot. In this month's GQ read Cranston's
extraordinary tale of family poverty, his father's rage and why his
greatest achievement is working as an actor for 25 years.
Want more from GQ? See the related stories
Icon: David Parkinson by Paul Gorman
The Kids Were Alright (Stuart McGurk, May
At The End, They Even Stole His Death (Fred
Vermorel, January 2011)
Men Of The Year: Peter Blake (Dylan Jones, October
Heeeere's Jimmy! by Michael Wolff
Incapability Brown (Michael
Wolff, March 2014)
Anchorman, too (Chris Ayres, June 2013)
Why I love Fox News (Michael Wolff, January 2012)


text:
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You can now invite anyone to meet at your favorite Starbucks.
Limited-time feature
55 year old woman | Winter Springs, FL, USA | Seeking men 50-60 within 50 miles
Active within 3 days
Moving on and having the time of my LIFE!!!
I would like to start off by saying....I am christian lady, I belief in the power of prayer. I'm not religous, big difference. I am looking for a man who is honest and faithful. I am a honest and faithful lady. A woman of integrity! When I give my heart, you get my whole heart, NOTHING LESS!!! Life is short and I am ready to share my love, my compassion for life with someone like me. I believe in giving.... I raise money for St. Jude Children's Research Hospital every year. This year I raised $15,000.00, for the kids, words cannot express the delight of delivering that check. Every year I visit St. Jude, I play and interact with the kids, tour the Target House and hospital (life changing experience). In October, I have a "Cancer Survivor Ceremony," where we honor the women that fought the battle of that deadly disease and won (another life changing event). Then of course raising money to help find a cure ( the event is growing every year). So I can only imagine what you are thinking???.... "She must have had a sick child that went to St. Jude"? or..."She must have had cancer"? NO.....NO and NO....... Neither........That is why I do what I do. I am so thankful, to have healthy kids and to be healthy myself. Did I say that I am so thankful for good health? I can't say that enough. I have a desire to impact this world, I want to save lives and make a difference. I am on my way. I pride myself on being a wonderful mother and friend to those who love me. On another note: It is my compassion to work out and take care of myself. I love to work out. I love spinning, weight training, ZUMBA, step, running, tennis, snow boarding. Did I mention Ketle bell ? What an amazing workout! Anything, bring it on!!! Life is great, enjoy it to the fullest!!! We all enjoy life in different ways, I felt like you needed to know who I am and what I stand for. You don't have to be crazy about exercise like I am, but it is essential that you have values and you are honest with yourself and others. Thank you so much for reading my profile. I pray that you find your perfect match, but I also pray that I have inspired you to give back. The rewards of giving are better than your first date on match, I promise! P.S. "Don't tell match I said that.
Business networking , Dining out , Movies/Videos , Music and concerts , Exploring new areas , Performing arts , Playing sports , Religion/Spiritual , Shopping/Antiques , Travel/Sightseeing , Volunteering , Watching sports , Wine tasting
Aerobics, Cycling, Dancing, Other types of exercise, Running, Skiing, Tennis / Racquet sports, Walking / Hiking, Weights / Machines
I exercise 5 or more times per week.
Don't display my sign
Any Beach, The Islands, New York City at Christmas, Snow Boarding
Rollins College, Winter Park, FL
Relaxing on the beach after a jog, spinning, body pump, step class, Sharing a bottle of wine with someone. Shopping, and did I mention shopping. Shopping in New York at Christmas.
I enjoy the beach for relaxing. I own a gym and Day Spa, but I find working out or anything athletic fun. I love the Islands and sailing.
I love motivational books. Some of the last books read: "Become a Better You" Joel osteen I love every book he has written. "Over the Top" Zig Ziglar, "How to win friends Influence People "Dale Carnegie I love books that stir my heart!!!
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What she is looking for
|5'1" (154cms)
|5'6" (167cms) to 7'0" (213cms)
|Body type:
|Athletic and toned
|Slender, Athletic and toned
|No preference
|Light brown
|No preference
|No Way
|No Way
|Social Drinker
|Social Drinker
|Medical / Dental / Veterinary / Fitness
|No preference
I own a Gym and Day Spa. I have a passion for what I do, Love going to work everyday!
|$75,001 to $100,000, $100,001 to $150,000, $150,001+
|Widow / Widower, Divorced
|Have kids:
|Yes, and they sometimes live at home (3)
|No preference
|Wants kids:
|No, but it's OK if my partner has kids
|No, but it's OK if my partner has kids
|White / Caucasian
|White / Caucasian
|Christian / Other
|Christian / Other
|Bachelors degree
|Bachelors degree


text:
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text:
Rev. Irene Monroe: During the Civil Rights movement, Bayard Rustin was always the man behind the scene, and a large part of that had to due with the fact that he was gay.
Progressive Media Advocates
Treva Brandon Scharf: Confident people don't bash themselves; they don't let negative thinking and self-loathing screw up a good workout or undermine their progress.
Edward Wasserman: The larger question, to me, was less why she did what she did, but why everybody seemed to care so much, and why her case provoked so much anger.
Joe Mathews: But with immigration flatlining and the climate drying up, it may soon be.


text:
Change Usernames
View Single Post
Son Goku
Registered User
Join Date: Feb 2003
Location: 439 East District, Mount Paozu
Posts: 1,714
Re: Change Usernames
You might want to be careful exactly what name you give yourself. 3 letter names might/might not go over well, depending on site policies. I say this of course, because the profanity filter does seem to have some rather innocent but bizzare ommissions. Such as where I mentioned in a recent thread about my Tai Chi teacher's father having had someone over for ****tails, it filtered that as a bad word, and we all noticed the same on 9/11 when people couldn't mention the terrorists gaining entry to the ****pit of the plane without similar effect.
The very fact, there is such a filter, might suggest your desired name might not be a smart choice
Son Goku
View Public Profile
Find More Posts by Son Goku


text:
If you are craving an unhealthy choice, tell yourself you CAN have it, AFTER you've eaten your 5 - 7 servings of fruits and/or veggies for the day. By that time, you will rarely still want it.
I eat my veggies first!
Having difficulty eating your fruits and veggies? Eat them at the start of your meal, when you're really hungry. They'll taste better if you're hungry than if your stomach is already full, and you won't have to make up excuses for not eating them. Works for me everytime, and in fact, this made me realize that most fruits and veggies taste in fact extremely good and are very refreshing! I'm no longer struggling to eat them, I just eat them first!26745
For me healthy eating is mostly about portion control, increasing my veggies and fruits, and decreasing my carb and fat intake. But how to do? I plate my veggies and fruits first, I know that my veggies and fruit should take up more than half of my plate so I make sure they do, then I can plate a smaller portion of protein and carbs. 41 I also make sure that I start with my fruits & veggies first, this way I get my servings in for the day and my full meter rings at the carbs & protein!!


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GeForce FX5600 XT Driver prob
I have a GeForce FX5600 XT card from Galaxy. I'm experiencing problems with newer drivers, the 61.77 etc. I'm able to play games like Sof2, but the performance is reduced like 2,5 times. And in tests with 3DMark03 it gives me less points (about 800 points). If I use the older driver 5664, it works just fine, and gives me about 1800+ 3DMark points! (This is with NO overclocking)
Did I misunderstand something?? I thought the new drivers supported the old cards like mine!?
Re: GeForce FX5600 XT Driver prob
Just because drivers support a particular card doesn't mean newer versions will offer performance benefits. If the older drivers are working well for you, then stick with 'em.
Re: GeForce FX5600 XT Driver prob
There are a whole slew of things that can adversely affect drivers.
Hard Drives
DVD - CDroms
TV Card
other software you have running
Ambient temperature of the room
It all depends on how the system is setup
if its overclocked, if all hardware is working properly
The list goes on and on.
Basically you just need to see what drivers ,bios and settings work best for Your system.
And like saturnotaku said, "Just because drivers support a particular card doesn't mean newer versions will offer performance benefits".
Re: GeForce FX5600 XT Driver prob
I didn't count on any benefits, but atleast as good performance as before.
Just so you know it, there has been no change in settings, inbetween the drivers. In other words, in every driver, I tested the Default configuration.
Thanks for the replies!
Re: GeForce FX5600 XT Driver prob
welcome, angel
Glad to see there were no problems too.
As far as benefits its kinda like the ol saying ...
Somedays your the dog, somedays your the hydrant.
Looks like your the dog today (-:
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A police car exits the Roumieh prison, Monday, Feb. 24, 2014. (The Daily Star/Hasan Shaaban)
BEIRUT: Several arrests were made during the Eid al-Fitr holiday, over offenses that included drug possession, stolen vehicles and weapons possession.
The ISF released a statement Thursday saying that 23 arrests were made, and 46 motorcycles and 13 cars confiscated during Eid al-Fitr in Beirut.
Among the 23 arrested, 10 were detained for drug possession, two for robbery, two for driving stolen motorcycles, two for carrying weapons, one for prostitution and the rest for different offenses.
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Three Syrian workers were injured in an accident at a construction site near Jounieh, north of Beirut, a security...


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They say that one's future driving skills can be measured during instances when he is asked to check the signal lights: if he says, "Yes, it is. No, it isn't...", he will be a terrible driver. Wow them with your driving and parking skills with a car reverse sensor for AED 59 instead of AED 120 from ATC Car.
- Voltage :12V
- Maximum detecting range: 1.5m
- Detecting angle: Approx. Horizontal 90', Vertical 90'
- Available in 6 colors: Black, White, silver, Dark Grey, Red and Gold
- 1 box contains 4 sensors
Like an built-in traffic warden in the car's back bumper, this sensor detects obstacles and bumps at the rear of a car. Problematic parkers can appreciate the alarm with display, and the gizmo's ability to detect the entire back area. These lights then work with a series of sounds that changes to point out increasing proximity before a slightly dented neighbour does.
ATC Car is part of a group of companies that was established in 1965 in the United Arab Emirates and is currently considered to be one of the leading companies in its fields since it was established. The company plays a major role in the development of auto parts, car alarms, car parking sensors, car multimedia and DVD systems, accessories and more in the country.


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North Carolina Contact
For more information about North Carolina's testing requirements, visit the North Carolina Department of Public Instruction website or contact:
- Mail:
- North Carolina Department of Public Instruction
Licensure Section
6365 Mail Service Center
Raleigh, NC 27699-6365
- Phone:
- 1-919-807-3310
For general information about The Praxis Series®, contact ETS.
Ready to take a
Praxis® Test?
Praxis® Official Study Guides and Practice Tests
Praxis Test Centers and Dates
See test centers, dates and deadlines for Praxis tests.


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- Filed Under
Rockets, Rams players commit
ASHEVILLE - Two more Western North Carolina high school athletes have committed to play college sports.
Roberson junior Dominick Cammarata will continue his baseball career at Georgia. Cammarata was a catcher for the Rams (26-3) last season and batted .294 with 21 RBIs and three home runs.
He is the sixth current Roberson player to make a college commitment, joining Nathan Blaylock (Liberty), Tanner Bush (UNC Asheville), Braxton Davidson (North Carolina), Katon Harwood (Clemson) and Parker Johnson (Wake Forest).
Reynolds senior Chris Cubra has committed to the Brown track program as a thrower. Cubra was third in the boys shot put at last spring's NCHSAA 4-A meet with a personal-record throw of 54 feet. He finished the season as Western North Carolina's top performer in the discus (154-7).
WCU offers Swain's Tisho a scholarship
CULLOWHEE - Western Carolina University has offered a football scholarship to Swain County senior wide receiver/defensive back Greg Tisho.
Tisho was an All-Smoky Mountain Conference selection this past season for the 1-AA Western Regional champion Maroon Devils (15-1), who tied a school record for single-season wins.
He made 66 receptions for 1,441 yards and 20 touchdowns. Tisho's single-season yardage was a school record. He also set NCHSAA state-championship game records for receptions (13) and receiving yardage (261) in the 1-AA state finals.
Lenoir-Rhyne offered Tisho last week.
Bulldogs play at Northeastern today
BOSTON - The UNC Asheville men's basketball team will face Northeastern today at Matthews Arena starting at noon.
The game is the second of a three-game road trip for Asheville. The Bulldogs lost at seventh-ranked Ohio State, 90-72 on Saturday. They'll finish the road trip at Big East foe St. John's Friday night at 7:30 p.m.
BSC names Hornsby player of week
CHARLOTTE - UNC Asheville guard Keith Hornsby has been named Big South Conference player of the week.
A 6-foot-4 sophomore, Hornsby scored 47 points in two games and made 17-of-25 shots from the floor, including 10-of-14 3-pointers.
In a 90-72 loss to No. 7 Ohio State, Hornsby finished with a career-high 26 points and sank 6-of-8 3-point attempts.


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|8 posts found
Managing Editor
Joined: 7/08/05
Community Manager Laura Genender takes a look at a thread from our forums that discusses instancing in MMORPGs.
Read more of this column here.
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Apprentice Member
Joined: 2/28/07
I have to agree with the quote from Lomillar in the article, Instancing is neither good or bad, it is a tool. It's how the developer uses it that determines if it works or ruins a game.
My main problem with City of Heroes Instancing was the limited number of mission maps and tiles. Considering such a large amount of their game is dedicated to Instanced missions you would think they would have provided more variety for them. Anyone who has a played CoH/CoV has seen the exact same end-mission sewer room, or the same warehouse entry room, or the same office intersection hundreds of times. CoH had to institute lower death penalities inside Instances to get people to go back into those missions instead of just street grinding (where there was at least a little more variety). But Cryptic STILL didn't add any more variety to the maps and tiles.
Personally I think Instances should be reserved for special quests/missions where the Developers don't want some climatic scene ruined by an ADD 11-year old. If they're going to be used as a major part of a game, then steps need to be made to keep them fresh and interesting. They have a place in MMORPGs, like any other tool available to developers, they need to be wisely used.
Apprentice Member
Joined: 1/12/05
I also agree that instancing isn't bad or good it is how they are used.
Instancing a zone when the population gets over a certain point can be good to help with load times and lag. Just make sure you give options to still be able to zone into Version One of the zone if someone wants to meet up with a friend.
WoW's instancing of dungeons was done well to eliminate the camping and such that was a problem in EQ1. Now no one is fighting over who gets to kill Baron when he spawns, everyone has their own version of him.
GW's vast amount of instancing is great for the pve aspect, dynamic quests and such, but really hurts the social interaction aspect. The only time you meet people is in towns, rest of the game is a personalized instance for you and your party. So in this case, instancing is a mixed blessing.
Novice Member
Joined: 1/20/07
They're a valuable tool that limits the griefers ability to ruin another players gaming experience - hence they're good!!
I'm all for them, obviously, and I love their useage. I've played MMORPG's since The Realm, and I wish they would have been developed for UO and early EQ during the old days. It certainly would have made game play more fun for most players ( except the griefers, of course ).
Novice Member
Joined: 6/27/07
i agree with the how they are used theory too!
i think most of a world should have no instances. i played some games and completed a dungeon to get an item that i thought maybe a rare item just to walk out and see 10 people in the same area around me holding the same items. this seems to devalue things for me. and also it does ruin the idea of a virtual world when you are fighting the same mob as a 1000 other people at the same time. though you can't see them and there should be one of that mob not 100.
Spotlight Poster
Joined: 2/09/06
"No path is darker then when your eyes are shut." -Flemeth
Wow, I am famous now. ^^
Thanks for taking this topic into a feature.
So much pressure now to live up to the fame. ^^
People don't ask questions to get answers - they ask questions to show how smart they are. - Dogbert
Novice Member
Joined: 8/03/06
I like and don't like instances, mostly for reasons already given. It's nice to be able to get to the big name bosses in a game without having to climb over the corpses of every other guild on the server. And it's nice to avoid the endless camp for that one quest item you need - if the quest is set up like that - and the opportunity it gives the player to become more integrated into the story.
And story is the main reason, in my opinion, to use instances. It would be great to see more done in MMO's that use instances as a story telling tool. In fact, one of the biggest detractors from live events in EQ was the way everyone would mob the GM run characters as stories were taking place. The spam was also insane. It would be interesting to see instancing used as a GM tool to invite players into a more intimate setting for lore and story events. Right now you can get cinematics and major storyline involvment in Guildwars, but it's still static in the way a non-MMO RPG is static. It would be interesting to see what developers could do for live events with people behind the NPC's in an instanced environment.
I think that there is no losing the instancing in MMO's. They're a useful tool for developers to control and manipulate the gaming environment and quest lines. It will be interesting to see how the use of instances evolves with the industry.
Apprentice Member
Joined: 7/03/07
When it comes to Instancing- it depends who you are talking to.
Instancing in EQ1 really shook the game around. Ive heard of massive clans coming together to do raids back in the day (Pre Kunark) 100ish people in Plane of Fear. Now with instancing-the leash on how many ppl can join an instance is shortened-Somewhere around 60. They took a tool and dumbed players down to having to work with that # of ppl- DPS wise-that extra 40 ppl makes a diff!
Everyone is right- it is a tool. But for the most part in my opinion, they are being used incorrectly. Right now- its dungeons and missions that are instanced. These little tangents of the game. If you really want to add a real storyline, massive scripting is the way to go- not privatized dunegons. From there the average non-RPer. is sunk into the repetative dungeon crawl. It is really just a haunted house- find your loot, rescue someone, whatever excuse.
I am really for non private open zones, where others can join (without being part of the raid).
1) Having high end clans doing the same bosses yet never clashing- where is the fun in that? Where is the competition?
2)PvP Aspect- Having a high end clan hidden away in an inaccessable zone ruins gameplay, Already they non pvp town zones ruin PvP.
3)Having wide open instanced zones, you can implement scripts similiar to PoP, or The Great Divide (Velious Era of eq1). Right now, everyone is dependant still on Tank, Healer, DPS trinity (sorta going off on a tangent) things like this can break the mold, have fun as whatever class and enjoy a great storyline.
Storylines are not about what happens in a dungeon or an office building, Especially with worlds as big as Middle Earth or Norrath or Paragon City etc etc etc.
"Tell me what your gamer plays.


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The U.S. housing market's looming recovery apparently was news on Wall Street even before it hit Main. In the past year Standard & Poor's index of home-building stocks rallied 140%, far more than the broader market, as earnings, orders, and housing starts picked up across the industry.
Yet if history repeats, even partially, the rebound in residential housing is in the early innings (see cover story, "Happy at Last"), and it's open house in many builders' shares. "We are in the early stages of a housing recovery," says Rick Beckwitt, president of Miami-based builder Lennar. LEN -0.5321610365571494% Lennar Corp. Cl B U.S.: NYSE USD42.99 -0.23 -0.5321610365571494% /Date(1435870921312-0500)/ Volume (Delayed 15m) : 33222 AFTER HOURS USD43.2259 -0.004099999999994 0.5487322633170505% Volume (Delayed 15m) : 46765 P/E Ratio 13.69108280254777 Market Cap 10249447383.5698 Dividend Yield 0.3721795766457316% Rev. per Employee 1263530 More quote details and news » "Despite the increase in home-building stock prices, there should be plenty of upside, given the improving fundamentals of the business."
Among the group, Lennar (ticker: LEN), D.R. Horton DHI 0.10885341074020319% D.R. Horton Inc. U.S.: NYSE USD27.59 0.03 0.10885341074020319% /Date(1435870962824-0500)/ Volume (Delayed 15m) : 3311359 AFTER HOURS USD27.59 % Volume (Delayed 15m) : 84583 P/E Ratio 17.685897435897434 Market Cap 10115183805.9425 Dividend Yield 0.9061254077564335% Rev. per Employee 1658070 More quote details and news » (DHI), and Beazer Homes USA BZH -0.050226017076845805% Beazer Homes USA Inc. U.S.: NYSE USD19.9 -0.01 -0.050226017076845805% /Date(1435870838351-0500)/ Volume (Delayed 15m) : 340718 AFTER HOURS USD19.8528 -0.0472000000000001 -0.2371859296482412% Volume (Delayed 15m) : 2700 P/E Ratio 40.61224489795919 Market Cap 546235077.686692 Dividend Yield N/A Rev. per Employee 1427170 More quote details and news » (BZH) look best positioned to deliver fat investment gains.
Other names deserve watchful waiting. Toll Brothers TOL -0.15584415584415584% Toll Brothers Inc. U.S.: NYSE USD38.44 -0.06 -0.15584415584415584% /Date(1435871104438-0500)/ Volume (Delayed 15m) : 2486321 AFTER HOURS USD38.44 % Volume (Delayed 15m) : 43984 P/E Ratio 18.75121951219512 Market Cap 6769398956.15738 Dividend Yield N/A Rev. per Employee 1175310 More quote details and news » (TOL) specializes in luxury homes and owns valuable land, and is enjoying strong order growth. But its current price/earnings multiple could constrain the shares. After doubling in the past 12 months, to $33.50, Toll sells for 31 times the $1.06 a share it is expected to earn in the fiscal year ending in October 2013. Toll, Los Angeles-based KB Home KBH -1.2507444907683145% KB Home U.S.: NYSE USD16.58 -0.21 -1.2507444907683145% /Date(1435871052911-0500)/ Volume (Delayed 15m) : 1838599 AFTER HOURS USD16.55 -0.0299999999999976 -0.18094089264173704% Volume (Delayed 15m) : 147 P/E Ratio 1.8798185941043084 Market Cap 1524564210.6665 Dividend Yield 0.6031363088057901% Rev. per Employee 1627890 More quote details and news » (KBH), and PulteGroup PHM 0.5873715124816447% PulteGroup Inc. U.S.: NYSE USD20.55 0.12 0.5873715124816447% /Date(1435871084399-0500)/ Volume (Delayed 15m) : 8580371 AFTER HOURS USD20.55 % Volume (Delayed 15m) : 92289 P/E Ratio 16.983471074380166 Market Cap 7492652765.95613 Dividend Yield 1.5571776155717763% Rev. per Employee 1389480 More quote details and news » (PHM), the nation's largest home builder with almost $5 billion in annual revenue, also sell above two times book value, versus a current industry average of 1.7. The shares would be attractive on pullbacks.
According to JPMorgan, housing stocks have rallied an average of 271% following the industry's four big downturns in the past 30 years. So far, they're up 140%. David Paul Morris/Bloomberg News
Analysts are cautious, as well, about Hovnanian Enterprises (HOV), a builder of entry-level homes. The Red Bank, N.J., company is saddled with debt and has been losing money, although it surprised the Street Thursday by posting a fiscal third-quarter profit.
Few experts expect home builders to earn as much in coming years as they did at the 2005 peak, when companies such as KB Home and Lennar put up profits of more than $8 a share. But many analysts see three to five years of increased residential construction, leading to normalized annual housing starts of more than one million units by 2014, up from a low of 554,000 in 2009. As JPMorgan noted in a recent report, home builders' shares have rebounded by 271%, on average, following the industry's four major downturns in the past 30 years.
JPMorgan analyst Michael Rehaut has Overweight recommendations on KB, Lennar, Ryland Group RYL -1.0252029047415634% Ryland Group Inc. U.S.: NYSE USD46.34 -0.48 -1.0252029047415634% /Date(1435870939069-0500)/ Volume (Delayed 15m) : 611323 AFTER HOURS USD46.34 % Volume (Delayed 15m) : 260 P/E Ratio 14.71111111111111 Market Cap 2170936307.34985 Dividend Yield 0.2589555459646094% Rev. per Employee 1749080 More quote details and news » (RYL), Pulte and Beazer. He cautions that the shares are volatile, but says, "you can buy these names in the next few years and still have upside."
The Bottom Line
Stocks such as D.R. Horton, Lennar and Beazer could deliver the biggest gains from here. Consider buying KB Home, PulteGroup, and Toll Brothers on pullbacks.
Housing analyst Ivy Zelman, of Zelman & Associates, who called the market's 2005 top, thinks the group could double from here. "The industry could triple in size, to 1.8 million housing starts in the next three to four years," she says, citing rising home prices and apartment rents, increased household formation, and inventory down 43% from the peak. Zelman likes Lennar. The stock trades for $34, or 24 times consensus fiscal 2013 estimated earnings of $1.38 a share and two times book value. Both multiples are lofty relative to historical averages, but earnings and book value are expected to rise for Lennar and the group. Lennar's orders rose 40% in the second quarter, and average selling prices for the company's homes increased 2%, to $250,000. Zelman estimates Lennar could earn as much as $5.30 a share by the fiscal year ending in November 2015, up from 48 cents a share last year.
LIKE LENNAR, D.R. HORTON was a smart operator during the downturn. The largest builder in terms of home closings, it cut costs to the bone when the recession hit, but benefited from doing business in its home base of Texas, which held up better than other regions. Horton shares have risen 97% in the past year, to a 52-week high of $20.14, and Jason Benowitz, of Roosevelt Investments, sees more gains in store, especially as the company operates across 73 markets.
Beazer, which sells for $3.10 a share, is a more speculative bet. The Atlanta company won't break even until 2014, and was dogged by liquidity fears until launching several capital-market offerings, including a July bond deal. UBS analyst David Goldberg is cautious on the housing stocks but rates Beazer a Buy. "Management has generated sufficient financial flexibility to allow opportunistic behavior, including accelerating land spending," says Goldberg, who has a price target of $5.50.
If the today's housing recovery plays out as expected, investors could find a happy home in housing stocks.
Room to Spare
The home builders' high P/E and price/book multiples are misleading, as earnings and book value are depressed . Lennar, Ryland, and Horton pay modest dividends.
| Change
|Val (bil)
|Book Val
|D.R. Horton/DHI**
|Ryland Group/RYL
|Beazer Homes/BZH**
|*Fiscal year ends Nov. 2013. **Fiscal year ends Sept. 2013. E=Estimate. NM=Not meaningful.
|Sources: Thomson Reuters; Bloomberg
E-mail: email@example.com


text:
Posted at 05:30 PM in Trauma | Permalink | Comments (4)
This little guy evidently did something to antagonize his adult buddy in the home. Apparently, the big guy bit down on his head - ouch. He didn't crack it like an egg, but close. His owners found him with a severe nose-bleed, a few puncture wounds, and the top of his head puffing in and out when he breathes. Here's a link to the video.
I had hoped it was just a puncture to his sinuses, but his nasal bones were broken and caved in, as well. Every time he breathed, air was puffing under the skin. We also found that the muscle and periosteal membrane (that covers the bone, usually), were stripped away from the top of his skull. There were big blood clots over both eye sockets, as well as in his nasal passages. You don't want to see that picture.
We cleaned things out, and put him back together (pretty much - there were a few things we had to toss out). He looks pretty "Frankenstein-ish" in the post-op picture, and you can see there's a lot of swelling still present. Even though this doesn't look so great, this morning he was up, and willing to eat and drink. Hooray! We sent him home on antibiotics and more pain medicine, and I think his prognosis is pretty good.
You can see in this video that he is feeling much better, even though he doesn't look so great.
Posted at 12:54 PM in Surgery, Trauma | Permalink | Comments (3)
At this holiday time of year, we think about giving and receiving gifts, and about helping those in need. Kennett's Humane Officer, Tena Petix, has been going above the call of duty in helping the animals in her care. Dr. Mobley and Dr. Brigance and the whole team at Kennett Veterinary Clinic are helping her help again this year with "The Pet Angel Tree".
During the month of December, you can bring a donation for the shelter animals to Kennett Veterinary Clinic at 1704 Saint Francis Street on the west end of Kennett. Donations can be monetary, food, treats, towels, blankets, or pet-toys. When you bring in a donation, your name will go up on the The Pet Angel Tree, and you will receive a $5.00 credit toward your own pet's next examination at Kennett Veterinary Clinic.
For the last four Decembers, clients responded by donating generously. We'd love to see even more this year.
So help the animals (and help your own pet) by bringing a donation to The Pet Angel Tree at Kennett Veterinary Clinic, on Saint Francis St., on the west side of Kennett.
Posted at 10:33 AM | Permalink | Comments (3)
I was a little surprised to find my last post about our animal control situation printed in the Daily Dunklin Democrat newspaper as a letter to the editor. I'm not upset, just surprised, as they didn't talk to me about it, and I didn't send it to them. Of course, anything on the internet is fair game, so no worries.
There were two reasons I didn't send it to the newspaper. The first is that I figure people who read my blog are at least half-way interested in what I have to say, whereas the general public may not be.
The second is that I thought my discussion was too long to be printed as a letter to the editor. Since the whole point of the discussion was trying to be balanced, I really didn't want things cut out willy-nilly.
The post was printed in its entirety, without any editorial changes (at least I think so; I might have missed a typo). I'm pretty sure it took up more space than the original coverage of the city council meeting. Slow news day, I guess.
Some surprises are okay.
Posted at 03:34 PM in A day in the life, Current Affairs, Explanations | Permalink | Comments (0)
You may be aware that there are some upsets and disagreements over the handling of our city's animal control department. This is a complex issue, and I fear that it is being oversimplified in a polarizing way. When people of good will seem to be at odds, there is usually some failure to communicate.
It is a mistaken idea to portray this as a contest between people who love animals and want to find homes for them, versus people who hate them and want to kill them. Or you might say that it's a contest between having a "shelter" that finds homes for the unwanted pets, versus an "impoundment facility" that holds them briefly before destroying them. It's a great deal more complicated than that, and we need to take a more comprehensive look at the situation in order to make the best decision as to how to handle it.
Mayor Crafton makes some valid points when he notes that the purpose of the city's animal control department is to provide a city service. Roaming stray animals are a hazard to public health and to the much-loved pets of the law-abiding public. He is correct in saying that protecting our citizens is the primary purpose for having an animal control department. If the city's impoundment facility is full, then there is no place to put newly captured strays, and the department is limited in its ability to function. This is not only inconvenient to our citizens, but dangerous to them as well.
While he states that the city of Kennett is not a humane society (true), I think he would agree that caring for the animals in city custody must be done as humanely as possible. I think he would also agree that it would be preferable to find homes for the impounded animals rather than destroying them. In the recent city council meeting, his statements seem to indicate that he feels the best solution is lots of empty cages at the facility, and that this is best handled by an inflexible ordinance: after seven days impoundment, destroying the animal is mandatory. Is this the best solution? I think there may be a better one.
In contrast, we have the status quo. Officer Tena Petix has done some amazing things. While hundreds of animals are impounded yearly, very few have to be destroyed. She finds homes for them unless they are medically unsalvageable or so dangerously aggressive that they are not adoptable.
Not only are pets adopted locally, she has leveraged social media and contacts with other shelters and rescue organizations throughout the country. It is not uncommon for her to move out ten pets at a time, up to thirty or more sometimes.
Again, through leveraging social media, pet-lovers locally and across the country have supported this with enough donations so that all the food and supplies for running the shelter are provided with no cost to the city. The expense of transporting the animals to other organizations also is at no cost to the city. Needed medical treatment of the animals is paid for. The city's expenses in the animal control department are now limited to personnel salary, building utilities and major maintenance.
Although Officer Petix and quite a number of volunteers put in many extra hours each week, there is no additional compensation from the city.
Unfortunately, the process of moving these animals out can take more than a few days to achieve, and the "shelter" can get completely filled up. Most folks are very happy that hundreds of animals are finding homes instead of being destroyed. On the other hand, we also want immediate control of the stray dog that is turning over our garbage, or frightening our children. That is a real concern.
One thing I am sure we do not want is the kind of public relations debacle that occurred some years ago when every animal in custody was euthanized on the same day and every media outlet within 100 miles was crucifying us. Another thing that I don't want is to see our city government ridiculed in a media circus, being reduced to being portrayed as "a contest of wills between the mayor and the dogcatcher". We are better than that. The Mayor is better than that. The Animal Control Officer is better than that.
It seems like a bad idea to trade in a widely praised and popular program that is entirely self-supporting and good for the city. Especially since what we get in return is increased costs of operation (costs of animal care, euthanasia and disposal, plus no more donations from pet-lovers) and plenty of hard feelings and bad publicity.
We don't wish to destroy sheltered animals simply because the shelter is too full to accept newly captured strays. Yet, if those strays are not dealt with, they themselves are no less victims of neglect because they continue to run loose.
I have worked full time in the Central Missouri Humane Society when I was a student. We adopted out five pets almost every day. Unfortunately, we took in ten pets every day. Something has to give. You cannot fill the shelter to double its capacity and just keep putting more animals in. It is unsanitary, dangerous, and inhumane. You also cannot ignore the continued need to deal with newly presented animals.
I would suggest that a more flexible solution be adopted. The ordinance as now written actually has the intent that the animals must not be destroyed before seven days, giving the owners ample opportunity to reclaim them. Its intent was never to require their destruction after seven days.
Under the present operating system, finding homes for hundreds of animals each year (instead of destroying them) actually saves money for the city, and is great public relations. There is no reason to scrap this popular effort. Mandating across-the-board euthanasia after seven days is a lose-lose situation. It could also possibly open the city to liability should a bite-victim surface and the biting animal be unavailable for testing or the full ten-day quarantine.
However, when the shelter is too full to provide care for newly captured strays, it is no good to neglect those loose strays, letting them suffer, not to mention creating problems for community. We don't want to sacrifice the animals we already have in custody, but in this case we are pretty close to deciding that the new animals get sacrificed. We aren't actively euthanizing them, but we are sure not caring for them.
When I worked in a shelter, and we got over-crowded, we had to euthanize some of the animals when we couldn't find homes for them. We selected the animals not only on the basis of how long they had been in residence ("First in, first out"), but also on their likelihood of being adopted. An abandoned gun-shy hunting dog with a skin condition just didn't have the same prospects as a little purebred house-dog. The more adoptable animal got to stay longer, as we felt that would be one less euthanasia.
I would suggest that the present adoption and rescue program be continued as is. However, the public health mission of the Animal Control Department is its reason for being, and should be carried out.
In the event of a prolonged period when the shelter is too full to accommodate the impounding of new strays, the Animal Control Officer would have to select animals for euthanasia. This would allow for discretionary judgment in the matter. One would first be sure that the impoundment period had been completed, and then make a selection from among the least adoptable animals.
If the shelter is not over-full, and the public health mission of the Animal Control Department can be fulfilled, there is no reason to have an inflexible mandate for the euthanasia of healthy animals. It increases costs of operation, is inhumane, and is terrible public relations for our city.
Posted at 02:51 PM in A day in the life, Current Affairs, Explanations | Permalink | Comments (5)
Eating non-food items is a big problem in pets. It happens so often that I am amazed at how seldom I have to do surgery to remedy the situation. Frequently the animal vomits up the item. Sometimes it passes all the way through.
In September, we were all set to do surgery for an intestinal blockage on a young Saint Bernard. She had eaten very little food for the past 3 weeks, and had lost 25 percent of her body weight. I could feel a mass in her abdomen. The night before her operation, she passed a pair of underpants she had eaten weeks earlier. Her recovery was uneventful after that.
The most dangerous are items that lodge in mid-intestine, as they are more likely to perforate the bowel, and that is bad news.
Items that sit in the stomach can cause intermittent problems depending on where they lodge. That's what happened to this little gal (pictured in recovery, post-op). She had been having problems for 5 days. At night, she vomited and felt terrible. The next morning, she seemed fine, ate, drank, kept it down.
On Friday evening, she vomited up some pieces of plastic flower she had consumed at some unknown time. "She just chews on everything!" I couldn't help thinking that maybe we need to "pick up everything off the floor".
Taking an X-ray to look for foreign objects is usually unrewarding, as most of them are not dense enough to be seen. This is certainly true for plastic. However, sometimes you can see a flat piece of plastic if you catch it edge-on. This makes it very thick, as far as the X-ray is concerned, and that's what we see here. At left is a close-up view of the top picture. There is a white line that is lying flat over the exit valve from the stomach, like a closed door. Stuff can't pass through, so the dog vomits and feels bad.
The next morning, she feels fine. The new X-ray (on the right) now shows the white line in a different position. The foreign object has moved, and the "door is open". We can't tell what the object is, but we know something is in there.
I had hoped we might be able to retrieve it with the endoscope, using a grasping forceps. There were several long strips of plastic, and we were able to grab these, like so.
Unfortunately, the plastic leaf that was the "door" had become embedded in the exit, and we could not grasp it through the scope. She wound up having to have surgery after all.
Her prognosis is great, provided she can limit her future intake to food.
Posted at 07:25 PM in Diagnostic Testing, Explanations, Surgery | Permalink | Comments (0)
What is wrong with this kitten? How did she get this classic "Roman Nose" profile? She wasn't born with it. She has an infection called Histoplasmosis, a systemic fungus.
Most folks have heard of "toe-nail fungus" or "athlete's foot" or ringworm. These are fungus infections of the skin, and they don't go deep into the body. They are very unlikely to affect any internal organs, or make you sick. You just get funky-looking itchy places.
Systemic fungus infections are very dangerous indeed. In our area, the two most common are Histoplasmosis and Blastomycosis. We are in an endemic area for both (meaning that the fungus is widespread and it's been here for a long time, and it's not going away).
The fungal spores live a very long time in the soil, and it's not really possible to get rid of them. A specialist once told me that you would have to soak your yard six inches deep with formaldehyde. Even supposing you were willing and able to do this, it would kill everything in your yard, plus it would be illegal. The stuff is dangerous. The Department of Natural Resources and the Environmental Protection Agency would be all over you. So, that's not happening.
Fortunately, the spores rarely grow into the lifestage of the fungus that is infectious. We're not sure what stimulates the Blastomyces fungus. We just know that it thrives in swampy soil. For us, that means anyplace you could drive to in an hour. I've seen cases even from high, well-drained sandy areas in southeast Missouri. Still swampy enough, apparently.
Histoplasma spores are fertilized by bird manure. Beware of starling roosts, chicken houses, and so forth. If your yard looks like this car, be careful. If you have to clean up such a place, be sure to wear a respirator so you don't inhale any of the dust.
I have been told by public health authorities that most people in my area have had enough exposure to this that you can find they have some immunity if you blood-test them. It may not be enough to overcome massive exposure, though. Wear that respirator.
Even though the Histoplasma fungus is extremely common in our soil, I rarely see cases of it -- less than half a dozen in over 30 years. Blastomycosis, on the other hand, we see several times each year.
Both germs can affect lungs, lymph nodes, skin, intestinal tract, even the bones and eyeballs. Really, the fungus can go about anywhere inthe body. We suspect a systemic fungus when an infection doesn't respond to antibiotics, as we would expect a bacterial infection to do.
There are certain patterns that develop on the chest X-ray that are more common with a fungus-caused pneumonia than with bacteria or viruses.
Sometimes you can find the organism in pus if you have an open sore place on the skin. On the left, you see Blastomyces,which looks pretty big next to these white blood cells around it. It's the double-walled, budding yeast.
On the right, you see Histoplasma organisms, which in this photo are actually within big white blood cells called macrophages that are trying to eat them and kill them.
In this little kitten's case, we were able to find it when we drew some cells out of a swollen lymph node. Our sample looked a lot like the pictue. More frequently, you cannot find the organism, so you want to test for it.
In years past (and sometimes now), we sent out blood samples. Unfortunately, these often give false negative tests in the early course of the disease. Now there is a test for the fungus antigens (microscopic pieces of the fungus itself) that uses urine specimens. Surprisingly, this is more sensitive and more accurate as a general rule. We send them to MiraVista Labs.
Our patient started out with the swollen nose, and little sore nodules on her eyelids. At first, antibiotics seemed to help, then things got worse, and the lymph nodes began to swell. We suspected systemic fungus and knew we had something suspicious in those cells from the lymph node. Treatment with itraconazole was started right away, and we soon had confirmation of Histoplasmosis from the University of Missouri Clinical Pathology laboratory.
This patient has no history of exposure to the bird manure, and she tested negative for the immunosuppressive diseases we see in cats (Feline Leukemia virus and Feline Immunodeficiency virus). She was very small for her age, however, so her body defenses may not be all they should be. So far, she seems to be responding well to treatment.
Even with the right medicine, it takes two months or more of treatment to eliminate the infection. With a two-pound kitten like this, that's not so bad. With an 80-pound Labrador, it is VERY expensive.
It is also possible to become re-infected down the line, so these are really bad diseases. When they get into the eye, that eye is usually lost. If a testicle is affected, surgical removal is indicated. Bad stuff.
Fortunately, though the micro-organism is very common in our soil, the infections are rare. They are best treated as early as possible when they do occur. If your pet has a persistent infection that doesn't seem to be responding to antibiotics, it's time to consider the possibility of a systemic fungus.
Posted at 05:11 PM in Diagnostic Testing, Explanations, Internal Medicine | Permalink | Comments (0)
Well, I wish I had known this a long time ago. I tried to reply to someone's question yesterday and could NOT get it to show up.
Comments are moderated, which means that I get an email to approve them before they are published. If they have any general interest, I publish them, and reply when appropriate. I usually answer two to four questions each day.
What I didn't learn until today is that the hosting site has a bunch of filters that flag stuff as spam for reasons that are not entirely clear to me. It's great that they stop me from having to deal with Viagra ads and cheap real estate deals. Unfortunately, I just learned that they are blocking a lot of significant questions that I would be happy to help with. I found this when the spam filter was blocking my own reply.
When I published my own to the blog, I published some more, but now I can't find them to answer them. If you sent a question recently, please feel free to re-send it.
SO, I apologize for the unanswered questions. I'll be checking the spam comments folder from now on.
Posted at 05:57 PM in Explanations | Permalink | Comments (0)
I don't usually put these things in the form of a post, but the comments don't seem to be working as they should on the Aural Hematoma post, so I am re-posting this lady's question, along with my answer.
Hello Doc-- I'm contacting you regarding my 7 year old golden retriever mix with very floppy ears. He is absolutely my fur baby and having him in pain of any sort breaks my heart. He recently suffered an awful aural hematoma.
After multiple attempts to eliminate other possibilities I believe he is allergic to grass which causes some redness and itching in his ears as well as his lower belly. I treat this with antibiotic cream, hypoallergenic hydro-cortisone spray with aloe vera, and Dynavite in his daily diet, which seems to help a lot. However, he continues to shake his head excessively and scratch quite a bit, resulting in this hematoma.
Unable to afford the very expensive surgery I consulted multiple online sites similar to yours(though I'd easily say yours is the best so far) on which multiple other pet parents encouraged the use of arnica gel as a homeopathic treatment for aural hematomas. I used this for about a week and a half with no result. Very stressed, I was advised by family of a local vet who would perform what was quickly appearing to be the necessary surgery for just $85. With some reservation I opted to seek out this veterinarian.
He did in fact perform the surgery for the price indicated, but his bedside manner was not great. I was never even given the opportunity to speak with him. He simply performed the procedure and sent me home with a large drainage hole in my dogs ear, un-bandaged and bleeding freely, with nyastatin cream as the only additional treatment and instructions to return in two weeks to have the stitches taken out.
I have no way of knowing if he performed the procedure correctly or not. My pet does act as if he feels significantly better. He has returned to his normal exercise and eating levels, but is drinking a lot more water than he used to. His ear is slightly swollen and has been so since the day of the procedure. It is warm but not hot to the touch.
My biggest concern is he continues to shake his head vigorously. It is obvious to me that his ear is itching still and when I catch him he will let me scratch it lightly which helps keep him from shaking. After reading through several posts here I'm worried he may have an infection, and even more so that when we take the stitches out his hematoma will simply fill back up due to the continuous head-shaking. I just don't know what to do. Please advise.
My advice can only be general, as I have not seen your dog.
Personally, I like to send home antibiotics when I have an open draining wound, like an aural hematoma surgery. This doctor may have had different experiences with these surgeries, and has seen your dog, while I have not.
It is good that the dog is feeling better now. That's a plus.
The discomfort may be post-surgical, and additional pain control medicine may be needed. It is also possible that your dog does have an ear canal infection. Did you ask the doctor about this? Are you supposed to put the ointment down into the ear canal?
Ear canal infections need to be thoroughly cleaned of debris before treatment with medicines. Medicine cannot penetrate waxy gunk. This may require sedation or even general anesthesia. The doctor may have done this prior to performing the surgery.
Often the ear canal is swollen and painful, and treatment with oral cortisone is needed to open things up, even before cleaning can be accomplished. Reducing the inflammation also makes the dog feel better, but it is just the first step (though an IMPORTANT first step).
Dogs with chronic recurring ear infections usually have an underlying problem, most frequently allergy. Environmental allergies will usually require some type of systemic cortisone treatment.
Food allergies are more complicated to deal with. Here's an old post on them:
If you do not have confidence in your doctor, then find one that you do have confidence in. These can be complicated cases and can't really be treated "long distance".
Posted at 03:44 PM in Allergy, Ear Problems, Explanations | Permalink | Comments (8)
Ken writes:
I adopted my dog from a shelter 2 years ago. She was estimated to be 1 year old at the time. She is a mix of Chihuahua and Terrier. She weighs approx. 11 pounds and is 12 inches tall. She tested positive for heartworms but I elected to adopt her anyway.
I had her treated with Immiticide. She was then put on Heartguard and am giving it to her monthly per my Vets instructions. After 2 years she is still testing positive for heartworms (adults) but has been negative for the babies for over a year. The vet has said that she has not previously seen a dog still testing positive for adult heartworms after two years.
The vet has discussed two choices: 1) Second round of treatment of Immiticide, or 2) Continue giving the Heartguard monthly and hope that the adult worms present will die. The vet was not clear on what was the better alternative.
I ask, "What would you do if it were your dog?" and the response was "I guess I would treat it with the Immiticide", but she wasn't overly convincing.
Overall, Sadie is in good health. She is not experiencing any symptoms consistent with advanced heartworm disease. I am not certain I want to subject Sadie to this procedure unless it is the better alternative. I have read your web pages on this topic and appreciate your thoroughness. I would be interested in your opinion in this matter.
Hello, Ken,
Generally speaking, the best person to advise you is the doctor who is seeing your dog.
That being said, there are two scenarios that come to mind.
First, we have to remember that the Heartgard (and other monthly preventives) work to kill the lifestage of the parasite that exists from mosquito bite up to about five or six weeks afterward.
Second, it takes around six months from the time of the mosquito bite for the adult worms to be developed in the heart. It is only at this stage that they can be detected with the blood test. This is also the stage when the Immiticide works.
SO, there is roughly a four-month window where the parasites have matured past the point where the monthly preventive can kill them, but they haven't reached the point where they can be detected with a blood test, or killed with Immiticide.
If your dog was treated with Immiticide in October, for instance, and started on Heartgard at that time, baby heartworms acquired in June, July, August and September will go ahead and mature, and be showing up in the next spring's blood test. They are too mature for the preventive, and not mature enough for the Immiticide to get them.
The Immiticide may have killed all the adult worms present at time of treatment, but it didn't keep the partially mature ones from growing up. Thus you have a positive blood test again, even though you were faithful with your preventive.
The other scenario is the dog where the worms just don't all die with the treatment. Some dogs (rare) will never get a totally clean blood test.
My bias would generally be to re-treat with Immiticide in early spring (April is not too late, and don't stop your preventive medicine). Any previous parasite exposure will then be in the life-cycle stage where they can be killed.
In the case of a dog who had already undergone Immiticide treatment, and started on monthly preventive right away, we would expect very few worms to be present, and we would expect a good result from the treatment.
I hope this is helpful to you.
Posted at 06:00 PM in Explanations, Parasites | Permalink | Comments (13)


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The Accidental Inventor of Today's Capitalism; Jean-Baptiste Say, No Longer a Villain, Stands Guard Over Free Markets
By LOUIS UCHITELLE
Published: February 21, 1998
He came of age in the French Revolution. In the spirit of the times, he greatly admired Benjamin Franklin and Thomas Jefferson. And when the Bourbons managed to get their throne back in 1814, a discouraged Jean-Baptiste Say almost emigrated to America. He even wrote to Jefferson, asking how much he would have to pay to purchase a working cotton farm near Jefferson's own Virginia spread.
''I specify the neighborhood of Charlottesville,'' Say wrote from his home in Paris, ''because it is neither so close to the seaports to make the land too expensive, nor so distant as to present the rigors of a new settlement.''
The Say family -- there were five children -- never came to America. Say considered himself too old, at 47, to go through such a stressful relocation. (Jefferson agreed.) But the economic theory he popularized in a French best seller eventually made the journey. And today a pithy ''law of markets'' that bears Say's name has become American capitalism's guiding aphorism. It stands as a warning against undue tinkering with markets, even when they are out of whack, as they are now, in Asia, in a particularly Saysian way.
What is arguably the most famous ''law'' in economics is just five words: ''Supply creates its own demand.'' Build a field and the players will come. Manufacture 10 cars and the buyers will materialize. That is how markets work. Just leave them alone, let them be free, and demand will automatically meet supply at a robust level. The people who make the 10 cars, or supply the metal and parts that go into the cars, earn from their efforts the income to then buy the cars.
Say certainly believed this. So did most of the other great thinkers in the early days of the Industrial Revolution, before recessions and slumps had been recognized as the downside of capitalism or had entered very much into anyone's thinking. In the opening sentence of ''The Wealth of Nations,'' Adam Smith, the father of free market capitalism, laid down virtually the same ''law'' as Say -- although taking 48 words to make the point.
Say, who died in 1832 at age 65, is one of the stranger figures in economic history. He never actually wrote ''supply creates its own demand.'' His best seller, the ''Treatise on Political Economy,'' published in 1803 -- seven years after Smith's great work -- is full of the concept, but not the famous five words.
''I do not see how the products of a nation in general can ever be too abundant, for each such product (through payment of wages, profits, etc.) provides the means for purchasing another,'' Say wrote. ''The mass of products composes the mass of a nation's wealth, and wealth is no more inconvenient to nations than it is to private persons.''
A century after the Frenchman's death, John Maynard Keynes attributed Say's law to Say, and made him famous. It was the Great Depression of the 1930's, and free market concepts were ripe for attack. Supply certainly was not creating its own demand. There was supply, but no buyers. And Keynes singled out Say, making him the foil for his own view of how markets work and the role government should play in keeping markets on track. Keynes was successful, but in making his case, he may have cut a corner or two, perhaps editing Say to suit his needs.
''Before Keynes, the way I would have heard about Say is not that supply creates its own demand but that overproduction is not possible,'' Paul Samuelson, the Nobel laureate in economics, said in an interview. He was a graduate student in 1936, the year that Keynes published his most famous work, ''The General Theory of Employment, Interest and Money,'' the book that elevated Jean-Baptiste Say to star villain status.
Mark Blaug, a British economist, agreed. ''Say seems to us a tremendously important figure, but it is a case in which Keynes really elevated him,'' Mr. Blaug said. ''What he was was a very good teacher of Adam Smith to French readers. In the 19th century, the French learned their Smith by reading Say. He was mainly a popularizer.''
In Reality, a Model Of Flexibility
The irony is that of all the early 19th-century thinkers, Say was perhaps the most flexible. David Ricardo and James Mill were more dogmatic in their adherence to what is now known as Say's law of markets. And when Thomas Malthus objected to that law, Ricardo took him on far more than did Say, who could see two sides of an argument.
''If in a society composed of 10,000 families,'' Say wrote, ''5,000 engaged in making crockery vases, and 5,000 in making shoes, this society would undoubtedly have too many vases and too many shoes, and would lack many things no less favorable to its well being. But it is also evident that this inconvenience would arise not from producing too much, but from not producing exactly what is wanted.''
Say thought such distortions could occur, but not for long, not when people lack so much of everything. ''I live at this moment in one of the richest regions of France,'' he wrote. ''Yet of 20 houses there are 19 in which, on entering them, I see none but the coarsest food, nothing to serve the well being of families, none of the things that the English call comfortable; not enough beds for all members of the family to lie on, not enough furniture for them to sit at ease at their meals; not enough linen, nor of soap, for proper laundering, etc.''


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About INSERM UMR 643: The INSERM UMR 643 is a French public academic laboratory. Its scientific activity is centered in the analysis of immune responses and in immunointervention strategies in organ transplantation. The rat is an important immunological model, and INSERM routinely generates transgenic rats using DNA or lentiviral vector microinjection. The generation of transgenic rats also is open to the scientific community through an open facility. More information is available at www.ifr26.nantes.inserm.fr/ITERT/transgenese-rat.
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