text:
Yahoo. Stamp came through on my SBR AR-15 shorty or whatever you young mall whipersnappers call them new fangled weapons.
I have not touched one in 40 years. Well fired one I think?
Last one I had was full auto and the Guberment gave me free ammo.
Now I need magazines, ammo, lights, bells, whistles. I want to be a "mall ninja"
ProjectGuns "Stan" just called with the good stamp news. Yahooo. Applied about 3 months ago I think. The ATF must have just came back from vacation. Just kidding Mr. ATF.
Need mags. What are good ones. Need ammo. What to buy. Need instructions on how the hell to load this new fangeld thing?
90 days not bad. Must have been that extra $20 I gave them for a case of beer.


text:
NICEVILLE — Northwest Florida State College at a Dec. 17 pinning ceremony recognized 28 students who completed the Associate of Science in Nursing degree.
Associate of Science graduates may take the Registered Nursing licensure exam.
Associate of Science in Nursing graduates are as follows:
•Baker: Elizabeth Sarah Irvine
•Crestview: Liudmila Y. Andrew, Lara Barrow, Diadema Go Bruno, Kimberly Deichelbor, Eric Daniel Hinojosa and Mary Margaret Wilkinson
•Destin: Evan Whitney Dehaan, Joanna Kattine Hayslip, Shirley Kathleen May and Kathern L. Tagert
•Fort Walton Beach: Michelle D. Blumenthal, Claire Hooks, Sarah M. Pacheco and Jenna M. Wilson
•Freeport: Samantha Beville
•Mary Esther: Toni V. Altieri, Janna L. Boswell and Layloni L. Eugenio
•Miramar Beach: Natalie Nuffer
•Niceville: Toni Marie Becker, Michelle Debolt and Misty Parsons
•Santa Rosa Beach: Inna E Kolb, Lauren P. Schafer and Lisa Anne Thurston
The nursing faculty expressed gratitude to Fort Walton Beach Medical Center for donating nursing pins for the ceremony.

subset: commoncrawl


text:
Only hotels in Live Oak are listed below. Search for cheap and discounted hotel and motel rates in or near Live Oak, CA for your business or personal leisure travel. We provide the best Live Oak, California hotel and motel rooms. Browse the Live Oak area hotels to find the perfect lodging! Please use the provided map of the Live Oak hotels. Group booking? Search Live Oak Group Hotel RatesThe Live Oak center is about 13 miles from Yuba County Airportn and 16 miles from Marysville Amtrak Station.
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text:
USC Aiken's University Theatre returns Thursday with the annual "Experimental Relief" production.
The program will debut at the Etherredge Center on Thursday at 7:30 p.m., followed by performances at the same time on Friday and Saturday and on Sunday at 2 p.m.
There is no admission fee; however, donations are encouraged with proceeds going to Helping Hands, the residential shelter for children in Aiken.
Each year's production features five new or excerpted one-act plays, and all of them are directed and acted out by students.
Morgan Hall is acting in an unusual movement play of dance and is also directing "The Bachelorette," a comedy written by student Shane Barber.
"It's my first time as a director," Hall said. "It takes place the morning of the wedding, and everything that could go wrong does."
The other cast members are Jesse Sistare, Kelsie Blocker, Zakkiyya Vel'Ale and Sydney Fowler.
"I just wanted to write pure comedy," Barber said. "Basically, I just wrote it, and everyone who's seen it seems pleased."
Barber is also directing "Rock Candy," written by Quintin Williams.
It's a murder mystery that begins after the one-year anniversary of death of one Harold Miller. But that day, the widow, Darlene, is found dead, and the mystery, of course, is who done it.
The cast includes Sistare once again, with Lauren Ellis, Kelsie Blocker, Tevin Reddick, Daniel Burkett and Alexander Newton.
But the audience won't see Sistare long as Darlene.
"I'm the extra who gets killed," she said cheerfully. "One short paragraph, and I'm gone."
The dance piece is called "Little Red Riding Hood: The Movement." Genny Brady choreographed the performance and also plays the wolf. Sydney Fowler portrays Little Red Riding Hood, and Hall is the Wood Woman.
"We really get to experiment," said Fowler. "It's something we don't have readily available."
Brady, a senior, usually works on the technical side of the University Theatre program.
"I'm a first-time director, and there are four different dance pieces and a fight scene at the end," she said.
The other plays are as follows:
• "Breaking Bones" - written by David Hallman and directed by Quintin Williams. The cast is comprised of Alex Newton and Michael St. John.
• "Sordid Lives" - an excerpt from a 2000 film and later a play, originally written and directed by Del Shores. Barber and Lauren Ellis perform in the two-person act.
Hallman, who graduated last May, was well known for his humor, both in performing and writing.
"It's hilarious, really comical," St. John said of "Breaking Bones."
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text: Many of our members have speculated that emotional stress or job-related stress was a significant contributor in their eventual development of preeclampsia or other pregnancy hypertension. Many also consider self-imposed bedrest or leaving their jobs during a subsequent pregnancy in the hopes of reducing their chances of developing preeclampsia. What is your opinion of this? Does maternal stress cause or exacerbate preeclampsia? What role does stress play in pregnancy hypertension?


text:
Information Design and Communication
The MS program in Information Design and Communication has been developed in response to a growing need for professionals in the expanding field of information design, information architecture, content development, communications management, and visual communication.
The basic objectives of the program are:
• To educate those persons with diverse academic and work backgrounds who seek to begin their careers in the field of information design and communication, and
• To provide a useful credential for current information designers and technical communicators who need advanced training to move ahead in their careers, either as employees or managers of a company or as independent consultants.
The Information Design and Communication program offers students the choice of three program options – an Internship Option, a Thesis Option, and an all Course Work Option.


text:
The Rays camp experience provides a fun and engaging atmosphere to ensure each child increases his or her love of the game while also assisting in the advanced development of their baseball and softball skills. Our mission is to teach children the fundamentals of the game through professional instructions that place an emphasis on structured teaching and personal attention.
Register for Summer Baseball Camps
Below are the camps that the Rays are offering in the summer of 2015:
At our Rays Baseball camps every camper will have the opportunity to enjoy a Major League training experience and create their own moments just like Evan Longoria and Alex Cobb have!
All Rays Baseball camps will feature a guest appearance by a CURRENT or FORMER Rays player or coach. At the end of camp, there will be a Q & A session where you will have the opportunity to learn about the professional side of baseball. After each session, there will be time set aside in order to receive an autograph and take pictures.
Camps are for kids, ages 6-13.August 10-13 (4-day camp $200)
TradeWinds Island Resorts is the official beach resort for the Tampa Bay Rays and is offering a Rays Summer Camp Special from June 5 - August 13, 2015. Right on the Gulf of Mexico and just 15 minutes from Tropicana Field, Guy Harvey Outpost, a TradeWinds Beach Resort is the perfect place to call home for the week, for just $795 for five nights ($1,295 value). Available Sundays - Thursdays. Call 877-212-1844 or visit www.justletgo.com/RaysCamp to make your reservation now and call TradeWinds Island Beach Resorts "home plate" for the week.
Register for Summer Baseball Camps
For more information on the Rays Summer Baseball Camps call 727.825.3108.


text:
Tory Burch
Printed Flip Flop
USD http://schema.org/OutOfStock
size Size Chart
Color:The Tory Burch Thin Flip Flop, finished with a mini logo medallion, is the perfect off-duty wardrobe essential for the beach and beyond. It's also a great extra pair to throw in your gym bag or weekend carryall.
- Rubber.
- Open toe with metal logo hardware.
- Rubber sole.
In-Store Availability
Style Number: 31138200
Rated 4.3 out of 5 by 27 reviewers.
Rated 5 out of 5 by abeard Tory Burch Flip Flops Love love love Tory Burch! Super cute/super comfortable! I am a huge fan! December 9, 2013
Rated 5 out of 5 by Jo2013 Cute flip flops I love those flip flops. They are super comfy and true to size. Once again Tory Burch has made something very classy. December 8, 2013
Rated 5 out of 5 by Julpha LOVE IT It looks pretty, it's lightweight I love it - super comfortable. December 6, 2013
Rated 4 out of 5 by Heidi99 This product has great features This is the first time I order online on Tory Burch and I really like the product. Although, I get something wrong, but they solve it very fast. I think I will not worry about any problem. December 5, 2013
Rated 1 out of 5 by Darcel2 Tory burch flip flops Compared to the original flips their thin strap flip flops are poor quality ....I've ordered at least 5 pairs of Tory burch original flip flops and they've all lasted really well and non of the logos ever broke of after even up to a year of wear but these the emblem broke off in a a few days wear.....very disappointed ....I was lucky to find it to glue it back on......but won't be ordering these again ...... But I will order the originals though .....I hope Tory Burch improves the quality of these !!! December 4, 2013
Rated 4 out of 5 by Marie35 It's a flip flop Great flip flop for the price! If you're looking to own a pair of Tory Burch shoes and not spend a lot of money this is the shoe for you. I haven't worn them yet because it's too cold but I'm sure they will get a lot of use next summer. I was pleasantly surprised at how thick the sole of these flip flops are but the next pair I purchase I will buy them a half size bigger. November 30, 2013
Rated 4 out of 5 by Aarti great flip-flops perfect size and great look. they were so good i got a couple. November 26, 2013
Rated 5 out of 5 by Jan250 Fits perfectly Love it! My avg show size fits perfectly. I wear a size 6 in all shoes and ordered a size 6 in this one. Vey comfortable. November 26, 2013


text:
Quick Links
Shop All Jewelry
RG10068 In Stock
With a ring of pure .925 silver adorned with a little charm to add that little something that can't be described, this designer inspired sterling silver 1837 lock ring is sure to add a smile to your face. The rhodium finished sterling silver has a look of platinum while still maintaining the desirable sterling silver characteristics. The ring is also resistant to tarnishing to make sure that it'll always look its best for you. Weighing an easy 4.0 grams, this simple yet intriguing sterling silver 1837 lock ring is a fine choice for those seeking something a little new.
Eve's Addiction.com wants you to be a happy customer. We want you to be completely satisfied with the sterling silver jewelry that you receive from us, as we only sell high quality silver and cubic zirconia cz jewelry. We do understand that you may not like your purchase for some reason.
You may return or exchange your jewelry within 60 days of purchase if you are not satisfied with it. The jewelry must be returned in its original condition for a refund or exchange. Engraved, personalized, photo, monogram, name and initial, chocolate and clearance items are not returnable or exchangeable.


text:
MOUNTAIN VIEW, Calif. (AP) — A solar-powered airplane left Northern California on Friday for the first leg of a planned cross-country trip that its co-pilot described as a "milestone" in aviation history.
The Solar Impulse – considered the world's most-advanced sun-powered plane – left Moffett Field in Mountain View just after dawn. Its creators said the trip is the first attempt by a solar airplane capable of flying day and night without fuel to fly across America.
It plans to land at Sky Harbor airport in Phoenix, Dallas-Fort Worth airport in Texas, Lambert-St. Louis airport, Dulles airport in the Washington area and New York's John F. Kennedy airport. Each flight leg will take about 19 to 25 hours, with 10-day stops in each city.
"All the big pioneers of the 20th century have tried to fly coast to coast across America," said co-pilot and one of the plane's founders, Bertrand Piccard. "So now today we're trying to do this, but on solar power with no fuel with the first airplane that is able to fly day and night just on solar power."
The plane is powered by about 12,000 photovoltaic cells that cover massive wings and charge its batteries.
The delicate, single-seat Solar Impulse flies around 40 mph and can't go through clouds. It weighs about as much as a car, making it vulnerable to bad weather.
Its creators said solar planes will never replace fuel-powered commercial flights. But the goal is to showcase the potential of solar power.
"What we look for is to have a new milestone in this very exciting history of aviation that can attract interest of the people, of the political world, of the media and show that with renewable energies and clean technology for energy efficiency, we can achieve impossible things," Piccard said.
The plane has previously impressed audiences in Europe. It is expected to reach Phoenix around 1 a.m. Saturday.
Notice about comments:
Aiken Standard is pleased to offer readers the enhanced ability to comment on stories. Some of the comments may be reprinted elsewhere in the site or in the newspaper. We ask that you refrain from profanity, hate speech, personal comments and remarks that are off point.
We do not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. If you find a comment that is objectionable, please click the X that appears in the upper right corner when you hover over a comment. This will send the comment to Facebook for review. Please be reminded, however, that in accordance with our Terms of Use and federal law, we are under no obligation to remove any third party comments posted on our website. Read our full terms and conditions.


text:
- Report - National Seminar "How to support School Leadership for Equity and Learning"
- Final report - workshop in Georgia "Career advancement of teachers through continuous school-based professional development"
- External report - Evaluation on Module A: Physical education and sport for democracy and human rights (SPORT)
Latest information - Third Summer School of the Pestalozzi Programme
22/05/2015Participants are now on board! Here is an overview of the calendar. The Pestalozzi Programme Summer School 2015 entitled "Pedagogy makes the difference" will look at the core of what being a...
Intercultural matters
20/10/2014Publications, web application, report of the Summer School "Understanding Diversity", recognising intercultural competence, Training teaching resources for diversity...
Final report and manifesto of the conference 2014
29/11/2014The professional image and ethos of teachers The conference has highlighted the importance of education for preparing our youth for a life as democratic citizens in diverse democratic societies,...
The PESTALOZZI Programme is the Council of Europe programme for the professional development of teachers and education actors.
Council of Europe
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text:
No, that's not Santa coming down the chimney - it's a wild animal!
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Dear Angie: How much can I expect to pay to have my wood fireplace converted to gas? Our house is about 30 years old. The bottom of the fireplace looks like it's easily accessed through the basement. The conversion would involve running 30 to 50 feet of gas line. — Thomas M., Cincinnati, Ohio
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text:
Dawn Reed
Guest Columnist
When preschoolers are potty-trained, it's awesome. Moving from diapers to pull-ups and then big girl panties or big boy underwear is a big deal. As a preschool teacher, there's a teeny weeny part that's awkward. With girls, it's not a problem, wiping is simple. But…with little boys, I'm never sure what the protocol is about…umm…dabbing with paper or "shaking" before pulling up the drawers. If you don't do anything, the underwear gets wet. So something has to be done!
About a year ago, I was at a total loss. I had a new two-year old in class who'd just graduated to "big boy" status. He had just finished a timely job of going to the potty for the first time in my class, and there we were-the moment of decision. I didn't want him to pick up a new habit from me and then confound his Mom or Dad. (It's a little uncomfortable, too, asking the parents. "Is your child allergic to anything? Do you dab or shake?") So, I had an ingenious idea. I said, "OK, now, do a dance!" which shook his whole body and got the job done. When he went home, I imagined his dance at the potty, Mom and Dad asking where he'd learned it and him telling them "Miss Dawn!"
This past week in class, one of my boys yelled, "I need to pee!" (Sometimes when you're little it's necessary to shout important things.) We hurried like Ninjas just in case he'd waited too long.
In the bathroom, mercifully attached to the classroom, he jabbered about Captain America and some of his favorite super heroes. (He usually wears a cape and pretends to be a different character almost every week.) He's two, but takes care of his business like a pro. I was bragging about what a big boy he is. We were pulling up his pants and suddenly he grabbed at the front of his big boy underwear. He made a horrible sound! "AAAwwwrrrrr!" I don't know exactly how to spell it, but it was bad!
"What is it, Braydon?!" I begged. He made the sound again. He was obviously in pain. Was it a bladder infection?! Something was burning and I didn't know what to do!
"The Hulk!" he yelled and pointed to his underwear.
"Why, it sure is!" I exclaimed thankfully as I saw The Hulk's picture. I laughed to myself. I couldn't wait to tell his Mom and Dad! We washed our hands and went to finish our "God Made Fish" sheet. (We are studying the Creation.)
A few weeks ago, I had seen Braydon's Papaw at church with a scab on his nose the size of Texas. It was so bad I wouldn't look right at him and certainly wasn't going to ask him what had happened. I didn't know if he'd had surgery or skin removed or even a graft, but it was scary. Something had peeled the skin off of his whole nose! I just found out that "Captain America" got a new shield. Not only does it deflect bullets and arrows but also, if you get too close, things on your face!


text: Hillary Madison Hughes, 81, of Radford, passed away Thursday, October 11, 2012. He was retired maintenance supervisor with Carroll County Schools and a member of The Presbyterian Church of Radford. He was a U. S. Navy veteran having served in the Korean Conflict and a lifetime member of the VFW Post in Hillsville. He was preceded in death by his wife Nancy Lee Kemp Hughes. Survivors include his children Richard Lee Hughes of Galax and his daughter Deborah Hughes-Bullock of New Bern, NC; ; half-sisters Mary Hilda Martin and Linda Hilton; grandchildren Shannon Dalton and husband Bradley of Galax and Richard Conley Hughes and wife Julie of Hardy; great-grandchildren Bradley Dalton, Jr., William Lee Dalton and Elizabeth Hughes; first cousin Judith Doyle of Lakeland, FL and her son and Brian and Susan and Masie Doyle; and sister-in-law Doris Goad and husband Paul of Hillsville. A graveside service will be held Monday, October 15, 2012 at 2:00 pm at the Highland Memory Gardens in Dublin where members of VFW Post 776 will conduct military graveside rites. Funeral services will follow at 3:00 pm at The Presbyterian Church of Radford with Rev. David Dickerson officiating. The family will receive friends from 4:00 pm until 6:00 pm Sunday at Mullins Funeral Home. The Hughes family is in the care of Mullins Funeral Home & Crematory in Radford, VA. www.mullinsfuneralhome.com


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text:
American College of Chest Physicians
American Thoracic Society
Health Canada
The Canadian Lung Association
Baumann MH. Management of spontaneous pneumothorax.
Clin Chest Med
. 2006; 27:369-81.
Currie GP, Alluri R, Christie GL, Legge JS: Pneumothorax: an update.
Postgrad Med J
. 2007;83:461-5.
Leigh-Smith S, Harris T. Tension pneumothorax-time for a re-think?
Emerg Med J
. 2005;22: 8-16.
Light RW. Disorders of the pleura, mediastinum, diaphragm, and chest wall. in: Kasper DL et al., eds.
Harrison's Principles of Internal Medicine
. 16th ed. New York: McGraw-Hill; 2005:1568.
The Merck Manual of Medical Information, Second Home Edition online.
Available at:
. Accessed November 9, 2005.
Sahn S, Hefner JE. Spontaneous pneumothorax.
N Engl J Med
. 2000;342:868-73.
Tschopp JM, Rami-Porta R, Noppen M, Astoul P: Management of spontaneous pneumothroax: state of the art.
Eur Respir J
. 2006;28:637-50.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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COLUMBIA — Several portions of South Carolina's immigration law are still blocked from going into effect, according to a ruling issued Tuesday from a federal appeals court.
The 4th U.S. Circuit Court of Appeals upheld a lower court's ruling barring certain provisions from the 2011 law, including those that would make it a state crime not to carry immigration paperwork or for people in the country illegally to house or transport themselves.
Those portions, the court wrote, inappropriately criminalize activity that should be left up to the federal government to regulate.
"They make criminals out of aliens attempting to do no more than go to school, go to work, and care for their families," the court wrote.
The new law – modeled after similar legislation in Arizona and considered among the toughest in the nation – has been in litigation ever since it was passed by the state Legislature. The federal government and civil liberties groups quickly challenged the law, saying in a 2011 lawsuit that portions including a provision allowing police to check people's immigration status were unconstitutional.
Some business-related parts of the law went into effect in January 2012, including a requirement that businesses check new hires' legal status through a federal system. South Carolina's lawsuit was put on hold while the U.S. Supreme Court considered a legal challenge to Arizona's law.
At that time, U.S. District Judge Richard Gergel blocked several provisions, including the status check provision, as well as policies that would make it a state crime not to carry immigration paperwork or for people who are in the country illegally to transport or house themselves.
When the U.S. Supreme Court ruled much of the Arizona law unconstitutional – but kept the status check provision in place – Gergel revised his ruling, allowing a similar portion of South Carolina's law to take effect but continuing to block the paperwork and transportation provisions.
South Carolina Attorney General Alan Wilson asked the 4th Circuit to review that decision, which the higher court upheld Tuesday. His office said the Republican was studying the decision and reviewing his options.
Kinnard can be reached at http://twitter.com/MegKinnardAP
Notice about comments:
Aiken Standard is pleased to offer readers the enhanced ability to comment on stories. Some of the comments may be reprinted elsewhere in the site or in the newspaper. We ask that you refrain from profanity, hate speech, personal comments and remarks that are off point.
We do not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. If you find a comment that is objectionable, please click the X that appears in the upper right corner when you hover over a comment. This will send the comment to Facebook for review. Please be reminded, however, that in accordance with our Terms of Use and federal law, we are under no obligation to remove any third party comments posted on our website. Read our full terms and conditions.


text:
Coyotes are a nuisance to pet and livestock owners, as well as vegetable farmers.
They're true scavengers and will eat just about anything — sheep, calves, poultry, deer, watermelons, snakes, foxes, cats, rabbits, grass, carrion, garbage, pet food…
They're mainly active at night but can be seen during daylight hours close to sunrise and sunset.
The canine species is brownish gray with a light gray or cream-colored belly. These animals have erect pointed ears with a slender muzzle and bushy tail and weigh between 20 and 45 pounds.
Coyotes can live just about anywhere but frequently are found in deserts, swamps, tundra, grasslands, brush, forests and even in the suburbs.
They become bolder when living in urban areas, and beware: dogs and pet cats are easy prey.
These are just some of the reasons to safeguard your home and prevent interaction with these wild animals.
Coyote Safety 101
Here's what you can do to reduce the chance of having a coyote conflict:
•Don't feed coyotes
•Eliminate water sources near your home
•Place bird feeders out of reach
•Secure garbage containers
•Feed pets indoors when possible and store pet food where coyotes cannot access it
•Trim shrubbery near ground level to reduce hiding cover
•Surround your yard with a fence at least 6 feet high and 6 inches buried
•Don't leave small children unattended outside if coyotes have been seen in the area
•Don't allow pets to roam free, especially at night.
•Discourage coyotes from hanging around by chasing them away — shouting, loud noises or throwing rocks at them normally works. Coyotes generally will not challenge an adult human.
Jennifer Bearden is an agent at the University of Florida's Institute of Food and Agricultural Sciences Extension office in Crestview.


text:
Occupational Health
9850 W. St. Luke's Drive,
Suite 207
Nampa, ID 83687
(208) 505-2712
Directions / Map
Office Hours:
Mon.-Fri., 8 a.m.-5 p.m.
Home > Clinic > Occupational Health > Nampa
St. Luke's Clinic –
Occupational Health
Welcome to St. Luke's Clinic – Occupational Health. We provide comprehensive health-related services to ensure new employees are safely prepared to begin employment, current employees remain healthy, and employees with work-related injuries return to work as soon as possible.
Occupational Health
Office Hours:
St. Luke's Clinic – Occupational Health benefits workers, employers, and insurers through the following occupational health, prevention, safety, and rehabilitative services:
New Patients / Appointments
We are accepting new patients. To contact us or make an appointment,
please call (208) 505-2712.
After Hours and Emergency Care
Download our location flyer
What is Occupational Health Medicine?
St. Luke's Occupational Health Services provides health-related services including employee physicals, work injury medical care, immunizations, medical surveillance, and more. Occupational health professionals respond quickly to employees' needs and offer appropriate treatment in a clinic specially dedicated to occupational medicine. They are committed to keeping workers healthy and safe, giving them prompt medical care after an injury, and helping them remain productive and active during recovery.
St. Luke's Clinics
St. Luke's Clinics are an integrated network of highly skilled health care professionals in locations throughout our region.
For more information about Occupational Health Services at St. Luke's, please call (208) 706-5452 or email email@example.com.
Cody Heiner, MD, MPH, FACOEM, Medical Director of St. Luke's Occupational Health, is board certified in occupational medicine and a certified medical review officer. He provides comprehensive health-related services for employers and employees, including work injury medical care, drug and alcohol testing, employee physicals, disability evaluations, impairment ratings, and immunizations.
Dr. Heiner earned his medical degree from the University of Iowa College of Medicine and completed his general clinical internship and occupational medicine residency at the University of Iowa Hospitals and Clinics. He earned his Master of Public Health degree from the University of Iowa College of Public Health.
Brian Johns, MD, MPH, FACOEM is board certified in occupational medicine and a Fellow in the American College of Occupational and Environmental Medicine. He is also an experienced independent medical examiner. He is available to see patients for work injuries, pre-placement, DOT, respirator, Hazmat, and other examinations; disability assessments; impairment ratings; and independent medical evaluations.
Dr. Johns earned his medical degree from the University of Utah School of Medicine and completed his internship at Ball Memorial Hospital. He earned his Master of Public Health degree and completed his residency in occupational medicine at the University of Iowa.
Timothy Ruth, MD, Senior Aviation Medical Examiner, served in the U.S. Air Force as a family physician and is currently a flight surgeon in the Idaho Air National Guard. He specializes in the management of chronic illnesses, and has an interest in wilderness and aerospace medicine.
Howard Shoemaker MD, MHS is board certified in occupational medicine and a certified independent medical examiner and medical review officer. He has more than 30 years of experience in occupational medicine, and provides comprehensive health-related services including work injury medical care, drug and alcohol testing, employee physicals, immunizations, disability evaluations, and impairment ratings.
Dr. Shoemaker earned his medical degree from the University of Miami School of Medicine and completed his occupational medicine residency at the University of California, San Francisco. He earned his Master of Health Sciences degree from the University of Colorado.
Michael Weiss, MD, MPH, FACOEM, FAAPMR, FAANEM is board certified in occupational medicine, physical medicine and rehabilitation, and electrodiagnostic medicine. He is a Fellow of the American College of Occupational and Environmental Medicine, American Academy of Physical Medicine and Rehabilitation, and American Academy of Neuromuscular and Electrodiagnostic Medicine. His is an aerospace medical examiner for FAA physicals and a certified medical review officer. He is an experienced disability evaluator and is available for independent medical evaluations.
Dr. Weiss earned degrees in epidemiology from the University of California, Berkeley and medicine from the University of California, San Francisco. He completed his residency in physical medicine and rehabilitation at Stanford University and occupational medicine at the University of California. He is an assistant clinical professor at the University of Washington School of Medicine.
Your Appointment
We try to stay on time, as a courtesy to you and others. Since paperwork may take a few minutes, please arrive early. As emergencies do occur, there may be occasions when your appointment time will be delayed. We will always try to keep you informed in the event of a delay, and will be happy to reschedule your appointment, if you prefer. We ask that you respect the appointment time we have reserved for you, and call 24 hours ahead to cancel or change appointments so that others may be helped during that time.
Communication with your provider is extremely important. It may be helpful for you to write down questions for your doctor or nurse practitioner prior to your visit. Bring a list of medications and the dosages, or bring the bottles with you.
Make sure you understand any instructions you are given. If clarification is needed, review your instructions with the provider or medical assistant before you leave. If you aren't doing well after your visit, we want to hear from you. Our goal is to improve your health.
Medication Refills
Talk with your provider at each visit to be sure your prescriptions are up to date. When you need to refill your prescriptions, you can request them directly through your myChart account.
You can also request a refill by contacting your pharmacy. Your pharmacy will then contact our office for verification and approval. For patient safety, narcotics cannot be refilled outside of office hours. Talk with your provider before your prescription runs out, and please allow 48 hours for refills.


text: Giorgio Armani #408 Rouge d'Armani Lipstick ($30.00 for 0.14 oz.) is darkened, cool-toned red with micro-fine ruby red shimmer finished with a pearly sheen. NARS Amsterdam is warmer. MAC Rocker is very similar but matte. shu uemura has a similar texture but is warmer. Rimmel Metallic Seduction is a bit browner. Make Up For Ever #48 doesn't have shimmer. MAC Digna is just slightly lighter.


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Online Games //
Galactic Spy
Become the galaxy's greatest spy – spot hidden characters, items, and other surprises in a fun new puzzle game.
LEGO Star Wars: Quest for R2-D2
Help find R2-D2 and hidden blueprints to build a powerful secret starship!
Star Wars Rebels: Ghost Raid
Fly the Ghost across the galaxy and raid Imperial shipments for the growing rebellion!


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Hangover Helper: Spoonbread-Stuffed Chile Relleno and Brisket Nachos at Trigger in Portland, OR
For a slow day at the office made even slower as a result of hitting the sauce a little fervently the night before (hey, no one's judging anyone here), a hearty bite of Tex-Mex is just what the doctor ordered. And it's what you'll order, too, if you find yourself in a similar predicament and manage to make your way to the doors of Trigger, the newest place in Portland to procure that soul-pleasing marriage of Texas and Mexican comfort food. More


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Read the whole piece online here.
George Vradenburg calls for "action-oriented follow-through" to G8 dementia summit, China's aging population, and the need to reverse the nation's current course on funding biomedical research (read more).
Must reads
The latest research on the origins of Alzheimer's, the year's top biomedicine stories, and what the budget deal means for US science and medical research (read more).
Do crossword puzzles really help stave off Alzheimer's? The importance of early detection, what the budget deal means for medical research, and five medical technologies revolutionizing healthcare (read more).
Advice on keeping the holidays bright from USAgainstAlzheimer's supporters, the need for congress to act against Alzheimer's, and the increased importance of charitable funding of life-science research (read more).


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The City of Aiken's 39th Annual Hopelands Gardens Summer Concert Series is just around the corner.
The concert series will open May 6 with a performance from the Aiken Concert Band, which will play some summer songs to get attendees in the mood for the upcoming season.
The May 6 show will be presented by Security Federal Bank. The Aiken Concert band is a nonprofit organization made up of residents from around the CSRA and was established more than 25 years ago.
The series will continue each Monday until the end of August, and concerts will begin at 7 p.m. unless otherwise noted. The concerts will be held at Hopelands on the Windham Performing Arts Stage.
Hopelands Gardens Supervisor Lisa Hall said it's hard to believe that it's that time of the year again and that the series is a summer tradition for many residents.
"It's the 39th year, and we're very excited about that," said Hall. "We have some old favorites coming back and some new people coming in."
Hall said one of the new shows will be the Glor na Daire Academy of Irish Dance that will perform traditional dance forms originating in Ireland. Hall added that there's a prospective concert in July in which classic country tunes will be performed.
Hall said she is hoping for some great weather this year.
"We're glad it's here and we definitely hope it's not as hot and not rainy so we can actually have an outdoor concert series," Hall said.
If there is inclement weather, the concerts will be moved into the Odell Weeks Center, located at 1700 Whiskey Road. Call the City Parks, Recreation and Tourism rainout hotline at 803-643-4661 for more information if there is a threat of rain on a concert night.
The event is free to the public. Food is allowed, but alcohol is not permitted. Well-behaved pets on leashes are permitted.
Public parking is available at the Green Boundary Club on Whiskey Road across from Hopelands Gardens. Handicap parking is available at the Hopelands Gardens parking lot at 135 Dupree Place. Staff, performers and additional handicap parking is located at the Rye Patch, 100 Berrie Road.
Parking is not allowed along the sides of Berrie Road or Dupree Place.
Hall added that they are looking for any volunteers who would be interested in learning the sound system. For more information, call 803-642-7631.
Summer Concert Series schedule
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Wind: 0 mph
Waitsfield residents David, Beck, and Mark Sinclair and Trey Kiendl recently competed in a unique running race around the Island of Nantucket, called the Rock Run. The Rock Run, held on August 1, is a 50-mile relay race around the circumference of the island. It is a run in the sand, on the beach and in the water. There are no course markings. Runners keep the water on their left and the sand on their right. They start when the sun comes up and are done when the sun starts to set.
The race is broken up into five legs. The Sinclairs had three family members participating, and they recruited local hockey star Trey Kiendl, son of Suzanne and Phil Kiendl, of Waitsfield, who own and manage the Barnacle Inn in Nantucket. After some arm twisting, the Sinclairs also convinced Neil Levine, cross-country running coach for the Oliver Ames High School in Massachusetts, to become the fifth member of the team. In honor of the Kiendl family's inn, the team was named "The Barnacle Boys."
The race was challenging. The footing was brutal at times. People run in sneakers. They run barefoot. They run in surf shoes. There were 25 teams and 8 individuals who started the race.
David Sinclair, a senior at GMVS and accomplished Nordic skier, started the race at Coutou, a barren windswept sandbar in the middle of the ocean. David did the team proud on this 12-mile leg. He ran with sneakers across the hard-packed sand, fighting off wind, greenhead flies and his competitors. He handed off to his dad in second place.
Mark took off from Great Point in sneakers to complete the second 12-mile leg. Battling the surf, sand and men and women half his age he soldiered on. Holding second place was not an option. Surviving was the goal. Mark handed off to Trey Kiendl in eighth place.
Trey woke up that morning with the exuberance of a champion. He did not want to let his team down. He took off with a vengeance. The footing was soft sand. Running in surf socks and with the heart of a lion he was able to advance the team into seventh place by the time he handed off to Neil Levine at Surfside Beach after seven miles.
For eight miles Neil fought pounding waves, wet gritty sand and the blaring sun. He held position and passed the baton to Beck Sinclair in seventh place.
Beck's leg started out with a two-mile run on the roads. He then turned to the coast crossing over marshland and quicksand. Next up were stone bulkheads that jut out into the ocean. You either climb over them or swim around them. The bulkheads are followed by soft mushy sand with shells and rocks that tear up your feet. With absolutely no training, Beck ran the 10-mile anchor leg with the best athletes on the island and the team finished in ninth place.
The team's combined time was 8:02:00. Not bad for 50 miles. Of the 25 teams that started, 24 finished. Of the eight individuals that started, four finished. The best reward, however, was that the race raised over $5,000 for charity to fight autism.


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Planes, Trucks and Cars! This set of three chunky vehicles with easy-rolling wheels and spinning propeller are sure to delight your little one. Great for early pretend play, baby ca race around the house and make noises for each vehicle.
Measures (packaged): 14.5" x 3.5" x 5.5"
Ages: 1 year +


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Chattanooga at Wofford
Benjamin Johnson Center - Spartanburg, S.C.
Monday - Feb. 4, 2013
Head Coach Wes Moore
On the play of Alex Black:
"She was in foul trouble...so she ended up scoring 14 points in 15 minutes. She was definitely our leading scorer at a point per minute almost. We need to get her a game like that and play her for 40 minutes. 3-3 from the 3-point line. Alex can shoot that thing. She has been going through a little bit of a slump, but it is good to see her knocking down some threes because she is very capable of doing that."
Thoughts on the game:
"Forced 23 turnovers and got 16 steals. That was what kept us in the game in the first half. We were getting outrebounded. We got our rear-ends kicked on the boards by 10 and that ended up being the final margin. As I always say, rebounding is what wins championships. We are going to have to do a little bit better job of focusing on that. You have to give (Daniella) Motley credit. She is a great offensive rebounder...she scored 16 offensive points and had eight boards. She is a tough matchup. We have to do a lot better job...on some of these great offensive rebounders."
On the second-half run to take control of the game:
"We have had enough of these nail-biters going down to the final minute or so. It was nice to have a game where we had a little bit of a lead and could rotate some people and not have to sweat it out down the stretch. It was a good team win and a lot of people did some good things."
On the depth of the team:
"I told the team our strength is our depth. Our strength is that on a given night, we got a lot of people that can come in and pick us up and help us survive and win that game. I like the way our team...when someone is having an off night, someone else can step up."


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Ludie Clara Harrison was born March 27, 1914 in Little Cedar to Matthew Cole and Eustacia Jane (Reid) Smith. She passed from this life June 2, 2011 in Antlers at the age of 97. Ludie Clara Smith married Alton Ike Harrison in Antlers on December 28, 1931. She was the last surviving member of the Smith Family. Ludie was a member of the Little Cedar Baptist Church. She was a very talented cook and enjoyed spending time with her family and friends. Ludie was preceded in death by her husband: Alton Ike Harrison; a son: Alton Harrison, Jr.; parents: Matthew & Eustacia Smith. She is survived by a daughter: Velvree Partin & husband Oscar of Arkansas City, KS; three grandchildren: Halley Rosebeary & husband David of Albemarle, NC., Chrystal McKinney & husband Dr. Rick of Newton, KS., and Lisa Virden & husband Glen of Manhattan, KS.; six great grandchildren: Justin Rosebeary, Neil Rosebeary, Cole McKinney, Paige McKinney, Kody Virden, & Kyndol Virden; as well as many other relatives and friends. Funeral services were held at 10:00 a.m. on Monday, June 6, 2011 at the Antlers First Baptist Church with Reverend JW Ray and Reverend Philip Savage officiating. Musical selections included special music by David and Montie Smith. Pallbearers were: Mike Baggett, Bob Carper, Kevin Carper, Justin Rosebeary, Cole McKinney, Neil Rosebeary and Kody Virden. Honorary pallbearers included: the men of Little Cedar Baptist Church. Interment followed at the Finley Cemetery in Finley. In lieu of flowers the family asks that donations be made to the Little Cedar Baptist Church of Antlers or First Southern Baptist Church of Arkansas City, KS ~ 138 E Kansas, Arkansas City, KS 67005. Family and friends may send online condolences at www.millscoffey.com [1].
Funeral services conducted by Mills & Coffey Funeral Home of Antlers.
[1] http://www.millscoffey.com


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A Modern Classic
Play A Game of Thrones: The Card Game at Days of Ice and Fire, April 12th-14th
"We are the ironborn, and once we were conquerors. Our writ ran everywhere the sound of the waves was heard. My brother would have you be content with the cold and dismal north, my niece with even less…but I shall give you Lannisport. Highgarden. The Arbor. Oldtown. The riverlands and the Reach, the kingswood and the rainwood, Dorne and the marches, the Mountains of the Moon and the Vale of Arryn, Tarth and the Stepstones. I say we take it all! I say, we take Westeros." –A Feast for Crows A new age of legend has come. Dragons have returned to the world, and magic is rekindled. Winter chokes the north with one hand and reaches southward with the other. A boy king sits the Iron Throne, and the tenuous peace that once held the Great Houses has been forever shattered. From this chaos, new heroes and heroines will rise. These champions will steer the course of history. Their names will echo forever in song. Only one question remains: Who are they? This April 12th – 14th at the FFG Event Center, we will learn their names. Days of Ice and Fire 2013 is coming, and the annual Days of Ice and Fire tournament for A Game of Thrones: The Card Game has quickly grown into the stuff of legend. Don't miss out on one of North America's premier A Game of Thrones events! Register now!
A Game of Thrones: The Card Game at Days of Ice and Fire 2013 The first Days of Ice and Fire tournament took place in 2010, drawing players from across the Midwest and beyond. Since then, it has quickly grown into one of North America's largest A Game of Thrones: The Card Game tournaments and one of each year's premier events. The event has proven itself an excellent opportunity for players to reconnect with old friends, find enthusiastic new opponents, participate in top-quality competition, and witness the hottest new decks in action. This year, like last year, the Days of Ice and Fire tournament also doubles as the Minnesota Regional Championship Tournament for A Game of Thrones: The Card Game. It starts on Friday evening with the Melee and continues through Saturday's Joust, ending with a showcase of the Joust championship match on Sunday morning. Like as not, though, the tournament is only part of the draw for seasoned A Game of Thrones players. Many take advantage of the annual event to reconnect and socialize together after the cards have been put away. Past attendees have remarked upon the close-knit nature of the A Game of Thrones player community, and each year of Days of Ice and Fire has borne testament to this sentiment as players (and developers) have enjoyed dinners together at local restaurants.
What to Expect The Days of Ice of Fire tournament has grown each year since it started in 2010. Last year's Days of Ice and Fire was the first to double as a Regional Championship Tournament, and it drew a terrific audience for both the Melee and Joust. You can read more about last year's event in the tournament reports from last year's champions, Anthony Christie and Jeremiah Duggan.
2012 Melee and Overall Champion Anthony Christie (left) and Joust Champion Jeremiah Duggan (right)
The fact that the Days of Ice and Fire tournament is also a Regional Championship means that participants can earn the Regional Championship prizes on top of the exclusive gift bag they receive for attending Days of Ice and Fire. These include a trophy, two engraved granite House cards, eight full-color playmats, and sets of six custom, double-sided Regional House cards. The winner will also receive a free ticket to the World Championship Weekend in November. With all of these prizes and players' pride on the line, you can expect to find players making excellent use of the game's newest strategies, including those built around the House of Dreams agenda (A Roll of the Dice, 119) from the Beyond the Narrow Sea cycle and the Black Sails agenda (Reach of the Kraken, 18) from the current A Song of the Sea cycle.
Against these, you can expect to find players fielding a number of refined, classic decktypes, including Targaryen Knights of the Hollow Hill (Mountains of the Moon, 59), Stark murder decks built around The Siege of Winterfell (Lords of Winter, 48), Greyjoy raid decks, and Lannister kneel. In fact, due to its large and diverse player base, the Days of Ice and Fire tournament has traditionally been represented by top decks from every House and archetype. Altogether, the tremendous diversity of the Houses and decks represented at the Days of Ice and Fire tournament makes it one of the best opportunities for new players to learn about the game and for top North American competitors to gain a sense of the evolving metagame ahead of Gen Con's North American Championships and November's World Championship Weekend.
Beyond the Days of Ice and Fire Tournament Days of Ice and Fire 2013 holds plenty more in store for those interested in extending their horizons beyond the A Game of Thrones: The Card Game tournament. You'll be able to participate in a new Civil War variant of A Game of Thrones, featuring the rival powers within House Greyjoy. You'll find tables available all weekend for Battles of Westeros and A Game of Thrones: The Board Game Second Edition, you can prove your knowledge of A Song of Ice and Fire and win cool prizes in our trivia contest, and you can meet and mingle with the LCG designers working on your favorite card game! Register Early to Get More As mentioned earlier, each individual attending Days of Ice and Fire 2013 will receive a unique gift bag with his or her registration. However, the first 100 registrants will receive more.
- An exclusive early copy of an as-of-yet-unannounced Print on Demand expansion for A Game of Thrones: The Board Game Second Edition! This specially designed four-player scenario is playable in about two hours, and presents players with an entirely new set of objectives. Can you secure the Iron Throne in this game-changing scenario?
- A custom name badge, displaying your chosen house affiliation. Once you've registered, you'll receive an email asking you to select your favorite Great House of Westeros. Just be sure to choose promptly; anyone who doesn't select a house, or who registers late at the door, will be labeled a lowly thrall of the Iron Islands!
- An attractive Westeros-themed drawstring bag, suitable for dice, counters, markers, or similar small components. Keep close tabs on your dice for Battles of Westeros, your gold and power tokens for A Game of Thrones: The Card Game, and more!
We still have a number of slots available for early registration, but they are filling up quickly. If you're a fan of A Game of Thrones: The Card Game, you don't want to miss the Days of Ice and Fire tournament. This modern classic has become one of the highlights of the gaming year, so register today!
in our forums!


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Scotland Hate Crime Guide Scotland Cornerstone Document
Police Scotland defines a hate crime as being a crime motivated by malice or ill will towards a social group by
and describes hate crimes as being 'abhorrent and target marginalised and vulnerable members of our communities with devastating effect on both victims and their families.'
Police Scotland defines a hate incident as any incident that is not a criminal offence, but something which is perceived by the victim or any other person to be motivated by hate or prejudice.
The Offences (Aggravation by Prejudice) (Scotland) Act 2010 put hate-motivated offences against LGBT people, as well as disabled people, on the same footing as incidents aggravated by racial or religious intolerance (laws for which already existed). Stonewall Scotland's campaigning and years of hard work helped to secure unanimous support for this bill in the Scottish Parliament.
This law means that if you're assaulted or harrassed because of your sexual orientation or gender identity - if you get verbal or physical abuse, threats, or your possessions's graffitied or vandalised - and you report it to police, they have a duty to note the motivation behind what happened and take it seriously.
It means that when someone does something that's already a crime – from a breach of the peace right through to murder – for homophobic or transphobic reasons, sheriffs and judges can take account of this motivation in sentencing.
Stonewall has produced a brand new hate crime reporting guide, covering all forms of hate crime. It tells people how they're protected, where to go for help, and why it is important to report hate crime.
Every time you report a hate incident, that report gives the police a clearer picture of homophobic and transphobic hate crime, both in your community and across Scotland. Telling someone about what happened means you're standing up for your rights and those of other LGBT people in Scotland. When you report the incident, the person you report it to will also be able to put you in touch with support services, if you want or need them. Every report that's made plays an important part in raising awareness and changing attitudes for the better.
We've produced a series of posters to raise awareness of reporting hate crime - amongst those who experience hate crime as well as those who witness it.
Download a pdf version of these posters here.
You can also read guidance on what to do if you've experienced a homophobic hate crime or incident, Blow the Whistle on Gay Hate (Easy Read Version available here)


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Interesting Things
- If you are using named parameters, watch out! A routes-named-parameters bug bit us. It's fixed in Edge Rails but not in a released version of Rails.
- … And as a public service announcement, Rails' routing was rewritten for version 1.2. If you are experiencing weird routing behavior, check the bug list.
- False alarm! The REGEX bug we mentioned the the last standup meeting… our fault.
- Let's say you have the desperate need to generate a drop-shadow for an image, or any other sort of shadow (haven't we all?). Check out Rmagick's Image::shadow() method, which can do it for you. Very cool stuff!
- More
svn:externalsproblems. I won't get into the gory details, but if are changing or removing a
svn:externalsproperty on a directory, your best bet is to delete that portion of the directory tree and get a fresh version from SVN. You'll avoid most problems.
- One project is using the Rails Simple Captcha plugin with success, and even has a successful Selenium testing strategy.
- Watch out for this appable_plugins bug ActiveRecord models in your plugin do not reload when your environment sets
config.cache_classes = true. End result: you might get "method missing" errors in your application for methods that the plugin's model declares. Ouch. Details available upon request.
Ask for Help
- Doh! Somehow we broke
ruby script/generate migration MyMigration. I suppose we should fix that.


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Vineyard Vines
Washington Nationals Canvas Club Belt
Style # 6A13391
Rating Value: 3.0 Rating Count: 1.0
In Stock
Product Description
Cheer on your favorite team while sporting one of our stylish men's belts all at the same time. Game on!
Details & Features
· 100% Italian bridle leather
· Imported printed silk on cotton canvas webbing
· Brass buckle
· Embossed signature whale logo on leather ends
· 1 3/8" high
· Made in the USA
Care Instructions:
· Spot clean
Customer Care
Need Help?
Need Help?
Call us: 1-800-892-4982
Email us: firstname.lastname@example.com
Mon - Fri 8am - 8pm ET
Customer Reviews
Reviewed by 1 customer
- Look Like A Rich Preppy
- People Think You're Rich
- Well Made
- Some Don't Like Preppies
- Some Don't Like The Rich
Best Uses
- Special Occasions
- When With Other Preppies
- When With Rich People
Comments about Vineyard Vines Washington Nationals Canvas Club Belt:
Wear it when you're with rich preppies, otherwise people tend to make fun of you, thinking you're trying to act snobbish, preppy, and rich.
- Sizing:
- Feels too small
- Was this a gift?:
- No


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Lisa Hoffman's new perfume
Now, we didn't get the chance to try Lisa's skincare yet but the concept seems good enough (if, maybe, a bit wasteful). Mixed reviews have come back after the first handful of months but we're sure she'll keep on just fine. In the meantime her perfume has been rolled out for the holidays. Again, like her skincare, and portable and 'pre-edited' so you don't have to carry around a 12oz. pump bottle or spritzer bottle, so, naturally, her 24-hour skincare seems to be the star of the show. We admit, that we do think it's a leeeetle bit gimmicky but if it works, it works. Gimmicks or not.
It's available at Harvey Nichols this November.


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This is a very solid rust free 1955 Chevrolet 150 2 door wagon. It has a 350 crated GM performance engine mated to a... More
1957 Chevy 2dr post model 150. 327 eng, 700 R trans., 4 wheel disc brakes, updated 605 power steering box with 20" American Racing... More
1957 Chevy Model 150 2dr post. Rebuilt small block engine. 700 R trans. P.S., air, new gauge package, custom stainless wheels with 4 new... More
SUMMARYRestoration completed in 2010502 cubic inch GM Performance Parts V8GM 700R4 4-speed automatic transmissionCustom Leather interior / Vintage Air conditioning / Custom Autosound audioTastefully... More
496 CID V-8 bored 60 over ... Turbo 400 automatic ... 9" Ford rear end ... Disc brakes ... Steel body ... Fiberglass hood... More
350 V-8 with Rochester quadrajet carb 5 speed overdrive transmission BRAND NEW PAINT All new door handles and latches. Power brakes All new front end Rally wheels Tinted windows Daily driven for... More
Now THIS is an awesome find! Quite likely the lowest-priced Chevy you could buy in 1957, this 150 4-door sedan is an incredible 30,000-mile... More
This 1955 Chevrolet 150 Coupe is finished in its original color combination of Skyline Blue with Black/Brown interior. Equipped with its original 265ci V8... More
1957 Chevrolet 150 Custom Coupe Ram Jet 350ci Fuel Injected GM Performance Create Engine 5-Speed Manual Transmission A/C by Vintage Air Power Steering with Tilting Column Extremely Clean Reupholstered... More
Blue flame 235 cu. In. OHV 6 cyl. 3 speed manual transmission column shift Excellent Gray cloth/vinyl interior Refinished in Surf Green/Bermuda Green... More
Domani Motors is proud to announce the arrival of this amazing resto-mod 1957 Chevrolet Bel Air Black Widow Clone. Finished in a Black... More
1956 Chevrolet 150 Handyman Wagon. Restoration done back in 2003, with detailed photographs. Paint is done in a beautiful Sherwood Green and Pinecrest Green... More
*What a cool car! This plain Jane 57 150 very low optioned with radio delete clock delete poverty hub caps and rubber floor mat... More


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Stay up to date on the latest news about our products, contests, and more...Sign Up!
Can I charge my phone when it is placed inside of one of the LifeProof mounts?
Last Updated: 12/10/2012 4:03 pm
Unfortunately, you will not be able to charge your phone while it is attached to one of our mounts. This includes the following: the GoPro Mount Adapter, Belt Clip, Bike Mount, LifeProof Armband, and the Lifejacket.


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Winter Lens
|» More Images
Double lens with thermal effects - balances out vast temperature changes
Large panorama lens - perfect glare protection
Made of shatter-proof polycarbonate
Prismatically balanced offering the highest quality optical vision without distortions
All around glare and debris protection
Provide 100% uvA and uvB protection
Gradient tinting (darker on top, lighter on bottom) offers ideal vision down to the surface
Include a microfiber bag that can be used for gentle cleaning of lenses
Ventilation technology inspired by performance apparel
Ensures perfect climate and ventilation regulation for every temperature and sport
Fog-free vision with simultaneous panoramic glare protection
The new Wenger Sport Glasses System gives outdoor enthusiasts a custom fit, sport-specific lenses and optimal vision for all their activities so they can concentrate fully on their goal.
*Important Note: All components must be ordered separately. See Sport Glasses System below.
The biggest challenge for sports eyewear is the compensation for factors like temperature, light conditions, and speed, which vary depending on the type of sport, season or time of the day. Wenger Sport Glasses provide maximum protection for the eyes while ensuring optimum acuity. Heres how it works:
Product Specifications
More About This Item


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Interesting Things
- The iPhone SDK version 2.2 was released.
- An interesting Selenium Object Pattern was discussed.
Ask for Help
"How big should a typical mongrel be? Ours is starting out at over 200 megs but is not leaking from that point."
Everyone agreed that 50MB to 70MB is standard and anything over 100MB is considered pretty big. People suggested RubyProf for inspecting object counts and possibly tracking down the memory hogging code.
"What pattern does everyone use for non-model Reports with ActiveRecord? We are trying to create a report that counts a single model and groups by two associated models"
There was consensus around modeling a distinct report object and calling the referenced models. For example, FooReport and FooReportController fit nicely in a RESTful Rails world.


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Wednesday, February 6, 2013
Keeping a set starting five has been one of those problems the Berkeley Stags have struggled with all season long.
With Ormaine Thomas sitting out against Hanahan on Jan. 29, the Stags dropped a 50-47 thriller; with Thomas back for Friday night's tilt against James Island, Berkeley suffered through a 26-point blowout, losing 72-46 to drop into fourth place in Region 8AAA standings.
Against the Trojans the Stags mustered just seven points for the entire first half, three in the first quarter and four in the second, and were never in the game afterwards.
Alex Taylor led the Stags with 12 points while Diamonte Harley added 10.
Against Hanahan, Berkeley jumped out to a good start, going up 8-2 early, and held a 10-8 lead at the end of the first quarter.
After Harley canned a 16-footer from the right wing to put the Stags up 12-8, the Hawks went on an 8-0 run to take a 20-16 lead into the locker room.
In the third quarter the Stags got hot from long distance with treys from Harley, Rashawn Matthews and D'Andre Richardson, but were not able to cut into the Hawks' four-point lead until a Harley three-pointer tied the game at 47-47 with 2:58 left in the game. The Stags could not find the basket over the final three minutes of the game.
Hanahan added a late bucket and a free-throw to put the game away.
Harley had 13 points and Richardson chipped in 11 to lead Berkeley.
Mired in a three-game losing streak, the Stags have fallen from a second place tie to a fourth place tie in a little more than a week.
At 3-5, Berkeley, Hanahan and Hilton Head are locked in a three-way tie for fourth place behind region leading Orangeburg-Wilkinson at 7-2 and Stall at 5-3. The Stags were poised to travel to Orangeburg to take on the Bruins on Tuesday and host Stall on Senior Night in the regular season finale on Thursday.
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Narrow your search
Sling TV's bargain price and freedom from contracts make it well worth a test-drive for prospective cord-cutters or "cord-nevers" who can live with its stripped-down selection of live TV channels.
Visit manufacturer site for details
We've limited the list to standalone streaming boxes, but be aware that lots of other home theater devices are competent streamers these days, from Blu-ray players to game consoles.
Despite its "good enough" picture quality, the TCL Roku TV is one of our favorite entry-level sets, thanks to an awesome smart-TV suite and rock-bottom pricing.
Microsoft confirms its console will play older Xbox 360 games and get a fresher user interface in November. Next up: TV recording capabilities in 2016.
Google is taking yet another shot at a living room software platform with Android TV, which runs on the upcoming Android L platform.
Pricing not available
While the Nvidia Shield's 4K video and solid gaming chops make it the most potent Android TV device yet, app shortfalls and a relatively high price limit its appeal.
The Fire TV streaming-media box is an impressive living room debut for Amazon, with standout features like voice search, gaming, and superfast video streaming, but it falls short of being an elite streamer -- at least for now.
Apple's World Wide Developer's Conference (WWDC) has come and gone without the widely expected announcement of a new Apple TV box. But the company may still announce a replacement for the venerable streamer this year. If it does, here's what it could look like.
Pricing not available
Razer's Android TV device has its own PC game-streaming technology, and will be arriving in the first part of the year. Can it help define the iffy Android gaming space?
While it doesn't match the app selection or search capabilities of Roku, Amazon's Fire TV Stick's solid performance and mastery of Amazon content make it easily worth the $40 price.
The PlayStation TV sounds great on paper, but out of the gate, it underwhelms as both a gaming and an entertainment box.


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Wednesday, October 2, 2013
The Teachers' Supply Closet 2013 Golf Benefit Tee It Up Fore Kids! was a success as the event attracted more than 150 participants to the award-winning Links at Stono Ferry on Friday, Sept. 20.
The tournament consisted of four-player teams in a Captain's Choice format, a Closest to the Pin, Straightest Drive and Hole-in-One challenges, and a reception and silent auction following a fun-filled day of golf. Prizes consisted of an 8-day, 7-night golf getaway package for Myrtle Beach, Orlando or Hilton Head, a Folly Beach vacation, a custom set of Ping Graphite Irons, as well as silent auction packages from local businesses.
The benefit nearly doubled the proceeds from the 2012 inaugural golf tournament and will assist with providing free supplies to 13,000 students and 500 teachers who the Teachers' Supply Closet serves in Charleston Dorchester and Berkeley counties.
"We can't be more excited about the wonderful support received from the community for our second annual golf benefit," said Marilyn Schnitz, TSC board member and chair of the golf benefit. "The weather was perfect and the participants were so enthusiastic about supporting a great cause. It was truly a success across the board and we look forward to working on next year's benefit being just as significant to what we do in supporting the children and teachers of the Tri-County community."
The winners of the tournament were John Craig, John Anderson, Alan Porter and Mike Stowell.
The Teachers' Supply Closet Mission is to serve children in the Tri-County area in meeting their educational and creative needs by providing free supplies, donated by businesses and individuals.
Founded in 2007, Teachers' Supply Closet has provided more than $1.4 million in supplies to qualified Title I schools in Charleston, Dorchester and Berkeley counties.
The Teachers' Supply Closet store is located at 1401 Sam Rittenberg Blvd. Teachers can "shop" twice a year for the supplies they need. The store is open to teachers in public schools with at least 88 percent of students on the free or reduced lunch program.
For more information on the Teachers' Supply Closet or upcoming TSC fundraising events, go to www.teacherssupplcloset.org.
The Journal Scene is pleased to offer readers the enhanced ability to comment on stories. We expect our readers to engage in lively, yet civil discourse. We do not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. Responsibility for the statements posted lies with the person submitting the comment, not The Journal Scene.
If you find a comment that is objectionable, please click "report abuse" and we will review it for possible removal. Please be reminded, however, that in accordance with our Terms of Use and federal law, we are under no obligation to remove any third party comments posted on our website. Read our full terms and conditions.
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I just wanted to make some waterproof matches for my kit and to use for camping, so I figured I'd get some when I went to the grocery/dollar store. I had to hit 4 stores before I found some of the little boxes, I wanted the big ones, none of the dollar stores had em. I didnt check wallyworld.
Got me wondering if they are classified as dangerous now or something? Seems like they were everywhere when I was a kid.
Anyway, time to break out the parraffin and have waterproofing class with the kids.


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Wednesday, March 20, 2013
A jury turned in a guilty verdict last week for a man involved in a 2011 murder. Judge Stephanie McDonald sentenced the suspect, Ricardo Mendoza, to 20 years, according to Ninth Judicial Circuit Deputy Solicitor Bryan Alfaro.
The jury found Mendoza guilty of voluntary manslaughter, according to Alfaro.
The victim was Omar Rodriguez, also known as Juan Velazquez, according to a police statement from that time.
Moncks Corner Police Department officers responded to shots fired shortly after 9 p.m. on May 21, 2011 in Park City Mobile Home Park, located on Fairground Road near U.S. 52 in Moncks Corner. Investigators were able to locate several witnesses who provided information leading to the identification of Mendoza as the person who shot Rodriguez and fled the scene in a black Jeep Cherokee, according to police.
According to Alfaro, the defendant and victim had exchanged words at a party earlier that day.
Later that evening the victim was sitting in his car listening to music when the defendant walked up, pulled a .380 pistol from behind his back and shot into car five times, according to Alfaro.
The victim was hit in the left arm and left side of the chest. The other three bullets were recovered from driver's side door. The victim tried to drive off after being shot but hit a retaining wall in back of trailer park. His car rolled backward and stopped against a trailer.
The victim was already deceased when police and EMS arrived. Assistant Solicitor Ashley Cornwell was the lead prosecutor in the case.
Staff Writer Jim Tatum contributed to this report.
The Berkeley Independent is pleased to offer readers the enhanced ability to comment on stories. We expect our readers to engage in lively, yet civil discourse. We do not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. Responsibility for the statements posted lies with the person submitting the comment, not The Berkeley Independent.
If you find a comment that is objectionable, please click "report abuse" and we will review it for possible removal. Please be reminded, however, that in accordance with our Terms of Use and federal law, we are under no obligation to remove any third party comments posted on our website. Read our full terms and conditions.
© 2015 The Berkeley Independent an Evening Post Industries company. All Rights Reserved.
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Greg Marra
Gregory William Marra master sculptor is dedicating his life towards the pursuit of classical historical statuary to be honored in the United States of America, and other countries. After receiving a B.F.A. in 1998 at The University of Hartford, he studied in The Tirolean region of northern Italy. There he delved into the Renaissance art of Tuscany and the history of Europe. Once returning he extended his education to the master's degree level, where he received an M.F.A. in 2001, at the New York Academy of Figurative Arts in Manhattan. Once again Marra decided it was time to return to the old world to learn with the great masters of Europe. Living in Vienna he practiced his art and taught at Webster University an international program next to the U.N., Living a total of 3 years in Austria and a year in Slovakia. He would often draw Antonio Canova's work and visited many archeological sites to get inspiration. Marra also returned with a sense of Patriotism for his country which is unparalleled by any one in his trade. Today Mr. Marra has several large commissions in progress for Pennsylvania, Florida and West Virginia and D.C. Greg is endorsed by congressman and senators from each state as well as the Chase gallery who represents Frederick Harts work. He is working on these statues in Sarasota Florida, because he believes this city is sculpture mecca with super positive energy. The light and warmth in the subtropics of Sarasota make the artist more prolific and positive. Greg Marra's determination to teach well, sculpt well and always strive for big goals is his greatest strength, as well as his ability to relate to everyone. Greg Marra has recently been inspired to start the Gulf Coast Sculpture Atelier where he will share his gifts talents and secrets with his students.


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Zebra Chair is part of the new range of Safari themed furniture by Wonderworld. The Zebra Chair is beautifully designed and well crafted using a solid piece of wood for both the chair seat and back, not mdf. The Zebra Chair has black and white legs, a zebra face and a cute zebra face back support. It is one of three animal chair designs which go with the new Safari Table. Sturdy and will be cherished for years to come.
Eco-Friendly: Made in Thailand from environmentally friendly rubberwood and strictly using Non-Toxic Paints, Dyes and Lacquers and Formaldehyde Free Glue. Packaging is made from at least 70% recycled paper.Shipping Note: This item ships directly from the manufacturer within contiguous United States only. Cannot be shipped to AK/HI, PO boxes, US territories, or APO/FPO addresses.


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These Borla polished stainless steel intercooled exhaust tips have cooling fins around the inside of the pipe to cool and condense exhaust gases, reducing backpressure and mellowing out your exhaust tone. Engineered for top performance, Borla delivers maximum low-end torque and top-end horsepower. These tips are offered in round or square outlets.
* Shipping Notes: Please note FREE Shipping refers to shipping within the contiguous contential US. All other locations extra. If your order will be delayed you will be notified via email the estimated shipping date.
Total Reviews for this product: 0
(Be the first to comment about this product)
Exhaust looks awesome. Very impressed with speed of delivery. Ordered the part on a Monday night and it was at my door on Thursday early afternoon. Also was surprised to open the box and find a free hat along with my purchase. I will definitely Purchase other products from this site and recommend to my friends. Glad I chose Borla. Great experience.
Current Mods:
R2C Cold Air Intake, Borla S-Type Axle Back Exhaust
Borla Accord 2013-14 Rear Section Exhaust Touring Honda Accord Coupe 3.5L/2.4L
Most of my dispute is with fedex under the free shipping. They did a lot of backtracking because the label was bad so my package was delayed. However, I installed it myself at home with the use of rhino ramps. I would however recommend taking it to a professional to install. This is because the bolts on the OEM midpipe are a half inch too short to properly mount the axleback. So I had to buy longer bolts to mount it better. The old ones can be grinded with a dremel at the weld points by the bolt head and knocked out with a hammer. It looks great and sounds great. There is some drone when ran cold but it does mellow out as you drive. Also for the AT, it does do a slight drone around 2k-3k rpms. If you are willing to spend some extra money and do some extra work to make it fit, then this will be a great buy for any 9th gen accord coupe owners.
Current Mods:
Injen Cai Headlight Retrofit MD2S Borla Axleback
BORLA Toyota Camry 3.5L 2007-09 Stainless Steel Rear Section
They are awesome!!! There's really nothing more to say honestly!!!! I'm a vet happy customer!!!
Current Mods:
Intake and now exhaust!!!
See More Reviews on Borla Parts


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Safavieh Gavin Tufted Side Chairs - Set of 2
This piece will be the perfect addition to any home décor.
The Gavin tufted side chair is a chic piece that is sure to impress your family and friends.
Use the Gavin tufted side chair while entertaining or simply for enjoying a family dinner. The Gavin Tufted side chair is upholstered in a smooth bicast leather and stands on sturdy wood legs with an attractive finish. It features a classic design and elegant tufting detail on the seat. The Gavin Tufted side chair comes in a set of two.
Dimensions: 21.9" L x 20.1" W x 32.3" H; 36 lbs.
Safavieh Gavin Tufted Side Chairs - Set of 2
Reviewed by 1 customer
- Attractive Design
- Comfortable
- Comfortable Backs
- Creamy Color
- Expresso Wooden Legs
- Gives More Room Rspace
- Modern Look
- Not Too Heavy
- Rich-looking Leather
- Soft Pebble Leather
- Sturdy
- Stylish
Best Uses
- Dining Room
- Formal
- Informal
Comments about Safavieh Gavin Tufted Side Chairs - Set of 2:
This style of chair lends more space to my small condo dining area. Also gives a modern, bright look to my decor. Color is very neutral, works with color scheme. I imagine that the rich, creamy color would work in ALL color schemes. Chairs look marvelous with my beautiful glass table.
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Call us toll-free
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Talking Pens with Suction Cup Base
For a promotion that's all smiles and laughs! These delightful novelty pens say, "Hey! Don't Forget to Smile, Laugh and Have A Great Day! Woo-Hoo!" Press down on the bobble head to hear a fun recorded message!
From: $3.07 | Min Qty: 100 | Production Time: 5 Days
Earth Bobble Head Pens
Have fun and get your logo noticed with the excellent Bobble Head Pens. It features a smiling earth bobble head suction cup foot fuzzy feather hair and black ink. Make a lasting impression with potential clients using these unique pens.
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Bobble Head Bee Pens
Get your logo noticed with this fun Bobble Head Pen. It features a fun bee bobble head suction cup foot fuzzy feather hair and a cute bee design.
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Spoon Utensil Pens
Got a big advertising appetite? Eat up before these pens run out. At first glance, our new utensil pens look like a real piece of flatware. A fun giveaway at festivals, luncheons and much more!
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Syringe Pens
This clever black ink pen in the shape of a syringe is a fun gift for a variety of healthcare events and observances. Click top of plunger to expose pen point. Choose from either blue or red liquid.
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Pens, Link Carabiner Pen
Add a twist to your next promotion with our custom Link Carabiner Pens. These fun pens open close and twist into a carabiner that hooks onto belt loops and bag straps. A great item for a unique promotion!
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Retractable Pens, Swanky
Get your brand noticed with Swanky Pens! These delightful pens come in assortment of fun colors and feature a smiley face tip and a matching designer bow tie clip. Your recipients can't help but grin when they see these one-of-a-kind custom pens.
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Syringe Pens, w/ Highlighters
Give your brand a boost with Syringe Pens. These fun syringe shaped pens feature a clear syringe design and measurement markings including a ballpoint pen at one end with the bright colored highlighter on the other.
From: $0.88 | Min Qty: 250 | Production Time: 10 Days
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Get your promotions spinning in the right direction with these personalized Click Pens. Spinner pens are uniquely built click pens with 3 different stock spinning shapes: globe, heart or smiley face.
From: $0.67 | Min Qty: 250 | Production Time: 5 Days
Maze Stick Pens, Plastic Maze
Clever pens that put your message in the palm of their hands are the right choice for brand recognition. These pens are truly A-MAZE-ING. These fun pens contain 2 metal balls that can be moved through the maze.
From: $0.51 | Min Qty: 500 | Production Time: 7 Days
|Images are not necessarily shown in proportion to other products.
|Images are not necessarily shown in proportion to other products.


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Join SLU Health News on Facebook
Hey, We're Like-able
SLU Medical Center is a busy place. Did you know our Center for Vaccine Development is one of a handful of centers to test the H1N1 vaccine used during last year's flu outbreak? Or that we held a welcome party for six hens who moved into our nutrition and dietetics garden? Or that 100 percent of our nuclear medicine technology students passed their board exams?
|SLU Health News
Life moves fast, so we've started a Facebook page called SLU Health News where you can keep up with what's going on at the Medical Center. Join us on Facebook - we'll share updates about our students, faculty and doctors as well as health tips from our experts.
We also want to hear from you. Let us know what's happening in your Medical Center lab, classroom or office, and what you'd like to hear more about. You can contact any of us in Medical Center Communications at:
Nancy Solomon (director): 314-977-8017
Carrie Bebermeyer: 314-977-8015
Sara Savat: 314-977-8018
Once you "like" SLU Health News, you can get updates in your Facebook news feed and participate in discussions, like this week's question about New Year's resolutions. We invite you to weigh-in on health topics, congratulate our award-winning students or jump into a wellness discussion.
We're really proud of everything that's happening on campus. We're your fans. Now come be ours: http://www.facebook.com/SLUHealth
We'll see you on Facebook.


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Who has the prettiest statement necklace?
Bold jewelry is the quickest way to add oomph to any outfit. Can you tell who has the better bold necklace?
Your score: 0
Which star has the prettier statement necklace?
See how many out of 20 you can get right. Score by clicking on the photo with the most votes.
Good luck!


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Imaging Artifacts: An ED Ultrasound Overview
This month we're going to answer some basic ultrasound questions and go over imaging artifacts. The main benefits of learning how to perform bedside ultrasounds include efficiency and the ability to obtain repeat scans. Efficiency, for obvious reasons, is a critical consideration in the management of the unstable patient. Ultrasound offers real-time imaging within seconds of plugging in and turning on the machine. The average limited bedside scan only takes a few minutes and the results are immediately available to the provider. There is no waiting for a tech to come in or for a radiologist to receive, review, and finally communicate time-sensitive results. In cases such as a suspected ectopic pregnancy, pericardial tamponade, or a leaking abdominal aortic aneurysm, the results of an ultrasound can truly help expedite patient management options. Furthermore, in cases such as suspected intra-abdominal hemorrhage, where serial exams are warranted, bedside ultrasound can be used to obtain various data points during the patient's course in the ED.
ED ultrasound should not replace a comprehensive study. It is an adjunct to expedite decision making in potentially unstable patients. In most institutions it is still recommended that your bedside interpretation be confirmed by a formal imaging study once the patient has been stabilized.
Now let's talk about how it's done. First off, your department needs an ED dedicated ultrasound machine. You need to know how to turn the machine on and how to select the proper probes. Make sure you know how to get started prior to a single coverage night shift when there is no one else to show you the ropes. Most ED sonography can be performed with one of two probes. The multi-use curvilinear probe is useful for scanning deep structures and internal organs. Although it has a larger footprint, it can be maneuvered in between ribs and other tight spaces when necessary. The linear probe is the other basic transducer you should learn how to use. It has a smaller footprint than the curvilinear probe, and provides better resolution at the expense of less penetration. Use the linear probe when you are scanning superficial structures <5-8cm deep such as blood vessels, musculoskeletal structures, and foreign bodies.
To ensure proper orientation of your images while you scan, there are a couple of markers and indicators you need to review before you begin. Remember that the indicator on the ultrasound screen corresponds to the indicator on your ultrasound probe. The screen indicator may be a dot, a symbol, or the logo of the machine manufacturer. Except for bedside echocardiography, the indicator on the screen should be positioned to the right of the ultrasound image while you scan. During the scan, remember to keep the marker on the ultrasound probe pointed towards the patient's head or their right side at all times. This will ensure that the left side of the image on the screen corresponds to either the cephalad direction or towards the patient's right side. By convention, during a bedside echo, the right-to-left orientation is reversed, and the indicator dot on the ultrasound screen should be positioned to the right of the image.
Air is the enemy of ultrasound. While you scan, note that ultrasound image quality can be adversely affected by obesity, COPD, a pneumothorax, subcutaneous emphysema, or bowel gas. These things are pretty much out of your control, but it is helpful to at least know the reason why you may be having a tough time getting a good view of the heart on a 350-pound patient with COPD. In most situations, scanning through a window or organ that contains more fluid will improve your image quality. Learn how to create your own acoustic windows for better imaging quality (To be covered in the next EPM edition)
Learn the language. When describing how dark or light a structure appears on ultrasound there are three common terms you should be familiar with. Hyperechoic structures reflect ultrasound waves well and will appear relatively "white" on your screen. Some examples include the diaphragm, the pericardium, and bones. In addition, structures behind very hyperechoic areas may be more difficult to see because the ultrasound waves do not penetrate well - more on this later. Hypoechoic structures reflect ultrasound waves partially and therefore appear gray on your screen. Some examples include the kidneys, the spleen and the uterus. Anechoic structures do not reflect ultrasound waves at all and will appear black on the screen. Some examples include unclotted blood (whether free in the abdomen or flowing in arteries and veins), bile, urine, ascites, and effusions. Anechoic, and to a lesser extent hypoechoic structures, allow good ultrasound wave transmission and therefore make good "windows" to improve visualization of deeper structures. This is why, for example, a full bladder helps to visualize the uterus on a transabdominal view.
Ultrasound, like other imaging modalities, may at times be affected by certain types of imaging artifacts. These artifacts can impair accurate interpretation of an image when their presence is either not noticed or not understood.
What 4 types of imaging artifact can you identify in these four images?
Click on image to view answer.
Image 1
click to view answer
See the next pages for the answers.
{mospagebreak title=Image 1 Answer}
Image 1 shows a gallbladder with many very small stones or stonelets. Shadowing and posterior enhancement are also visible behind the small stones and the stone-free area of the gallbladder respectively. It is important to be aware that a single or a few very small stones may not cast a visible acoustic shadow, therefore making ultrasound less sensitive for tiny gallstones.
{mospagebreak title=Image 2 Answer}
Image 2 shows an ultrasound of the eye of a patient with a retinal detachment. The vitreous is black. The retina is white and is partially detached. Note the intense posterior enhancement artifact below the globe in the far field.
{mospagebreak title=Image 3 Answer}
Image 3 shows the paired femoral artery and vein. Notice the large echogenic clot within the femoral artery. Below the artery in the far field there are two areas of linear shadowing know as edge artifact, which occur in these locations because the sound waves are more attenuated after passing through the arterial wall.
{mospagebreak title=Image 4 Answer}
Image 4 shows the gallbladder with a gallstone. Behind the gallstone a dark anechoic stripe is seen. This is an ultrasound shadow, which is one type of common artifact. The presence of the shadow helps to identify the gallstone. It is important to realize that very small stones may not shadow. Directly behind the rest of the gallbladder the liver appears more echogenic, or lighter gray, than other parts of the liver. This is due to posterior enhancement, which is an artifact of improved sound wave transmission through the anechoic gallbladder.
Continue next for Pearls and Pitfalls of ultrasound description and artifacts.
{mospagebreak title=Pearls and Pitfalls}
Pearls & Pitfalls: Ultrasound Description and Artifacts
Hyperechoic: a relatively "white" appearance. Examples include the diaphragm, the pericardium and bones.
Hypoechoic: a gray appearance. Examples include the kidneys, the spleen and the uterus.
Anechoic: a black appearance. Examples include unclotted blood (whether free in the abdomen or flowing in arteries & veins), bile, urine, ascites and effusions.
Imaging Artifact: an echo or line that does not correspond to a true anatomical feature (i.e. acoustic shadows, edge shadows, acoustic enhancement). Knowledge of imaging artifacts helps avoid misinterpretation of images.
Posterior Enhancement Artifact: seen when tissues appear more echogenic and bright because they are being visualized through a fluid-filled structure like the uterus sitting behind the urinary bladder.
Shadowing Artifact: an anechoic area behind calcified structures such as bones and stones. It is difficult to obtain information about objects farfield or within the shadow artifact.
Edge Artifact: a shadow far-field from the edge of hyperechoic structures
Reverberation Artifact: bright arcs seen on the screen from the sound waves bouncing back and forth between two highly reflective objects. Scan at a different angle, adjust the time gain compensation (TGC), or change the depth gain to reduce the amount of reverberation artifact present.
Practice Makes Perfect: With bedside ultrasound there is no substitute for experience. The more ultrasounds you do, the better you will be able to differentiate abnormal from normal, even when you may not be sure exactly what the abnormality is. An image library of normal and abnormal ultrasounds helps immensely and EPMonthly.com can take you there. Just go to EPMonthly.com and click the ultrasound library link within the "Real-Time-Readings" department.
Brady Pregerson manages a free online EM Ultrasound Image Library and is the editor of the Emergency Medicine Pocketbook series. For more information visit www.ERPocketBooks.com
Teresa Wu is the Director of Simulation Education and Training for Graduate Medical Education, and Ultrasound Faculty at Orlando Regional Medical Center in Orlando, FL.
# Visit... — 2013-01-30 08:52
Hi Teresa... I am taking notes of these overview. Bookmarked and will be shared to my friends who also need to write up for our defense... Thanks
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