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DoD News Briefing with Dr. S. Ward Casscells and Lt. Gen. Eric Schoomaker at the Pentagon, Arlington, Va.
Presenters: Assistant Secretary of Defense for Health Affairs S. Ward Casscells and Surgeon General of the U.S. Army Lt. Gen. Eric Schoomaker
April 17, 2008
STAFF: Well, good afternoon and welcome. And thank you for joining us for what, I think, is a very exciting initiative that the department has undertaken with respect to regenerative medicine.
Today, we have a number of people to talk to you about this. Dr. Ward Casscells, the assistant secretary of Defense for Health Affairs, and Lieutenant General Schoomaker, Army surgeon general, are here to announce the creation of a new federally-funded institution, the Armed Forces Regenerative Medicine.
This is an effort to address the unprecedented challenges of caring for servicemembers that are returning from Afghanistan and Iraq with multiple traumatic injuries. And it is an effort that is made up of multi-institutional consortiums.
And so we have a number of individuals joining us from outside the department today from Wake Forest University, University of Pittsburgh and Rutgers University and the Cleveland Clinic -- will all be participating in this. And some of these representatives are even here today.
So welcome and thank you for taking the time to come to the Pentagon also.
And with that, let me go ahead and get Dr. Casscells up here to tell you what this is really about.
DR. CASSCELLS: Thank you, Mr. Whitman.
And thank you for coming.
I'd like to welcome General Dr. Mike Kussman, representing the VA, undersecretary, veterans health care system, as you know, Dr. Kussman, thank you for coming. Thanks for being a great partner in the care of our wounded warriors and in the care of our retirees broadly. It's an honor to work with you.
Dr. Tony Atala, from Wake Forest, a pioneer in this area of tissue reconstruction, using a number of techniques, including stem cell technologies.
And Dr. Joachim Kohn from Rutgers University. Dr. Bob Vandre from the U.S. Army Medical Research Command. (Name inaudible) -- Office of Naval Research.
And particularly Lieutenant General Eric Schoomaker, the Army surgeon general, who will be announcing in a few minutes the launching of the Armed Forces Institute of Regenerative Medicine. And let me say just a little bit about the context, and he'll tell you about what the center will be.
We've had just over 900 people, men, some women, with amputations of some kind or other since the start of the conflicts in Afghanistan and Iraq. We've had a large number of burns. We've had a couple hundred people with spinal cord injuries and\or significant vision loss.
And getting these people up to where they are functioning and reintegrated, employed, able to help their families and be fully participating members of society -- this is our task.
And as those of you know, most of you have covered the military for some time. You know the military health system. We focus on what we can do today and what we can do now, and not so much on the research that's going to bear fruit in 10 or 20 years or 50 years from now. That's very important too. That's work done primarily at the National Institutes of Health.
And so what we focus on is things like training, safety, protective equipment, wearing the protective equipment, the goggles, the rapid evacuation -- not just having a great helicopter, but making sure people know how to get to the right person, and making sure they're willing to go in the face of fire, and making sure that they have, to the best we can, the nerves of steel to work under these conditions. These are things that we do pretty well. We always work on doing them better.
And as you know, we've got a lot to show for it. We've got a died-of-wounds rate of 10 percent, versus 23 percent in Vietnam. We've got a disease and non-battle injury rate of 4 percent. That's half what it was in Kosovo. These are major advances.
Having said all that, we have a ways to go. You know, we've worked very hard in this past year to recover from the concerns raised by the media, God bless them, about the care at Walter Reed, the frustrations of the disability system, the delays in getting outpatient treatment, the communications snafus. Under General Schoomaker's leadership, these are being addressed as quickly as government can do it. It's not perfect, but it's getting a lot better. And the surveys show that wounded warriors are increasingly happy with their care. They've recognized, for sure, the efforts that are being putting into it.
Now, having said all that, we still face -- and some members in this room face -- the issue of living with the loss of a limb or some other important part. And while we don't typically, in the military, focus on research for the sake of research -- we try to focus on, you know, practical research, research that will pay off in our lifetime -- when we hit a dead end, where we really need fundamental advances, we can collectively as a military, focus our resources, which are ample, to move that particular rock out of the way.
And one of them is trauma care broadly, and tissue regeneration in particular. And trauma care broadly has not gotten the funding that, say, cancer has and some other areas. So we are trying to make up for that, and in particular in this area of tissue regeneration. And as I think Dr. Schoomaker will tell you, recent advances in stem cell research are so exciting that this seemed like a timely opportunity to bring these resources together. And General Schoomaker, who has the deep academic credentials, who is a physician, a scientist, and who's been in the fight and who is a leader, has done so, and you'll hear the report today, because this is an exciting step forward.
So I'm delighted to say that Health Affairs is one of several funders of this effort, by no means the only one. We expect there to be considerable funding from other government agencies, like the NIH, in particular, will put in defense-wide, not just Health Affairs, but defense-wide about $85 million in funding. And there will be about $180 million from other federal and state agencies, academic institutions and industry. So in that, I'm speaking on behalf of the Office of Naval Research, Air Force Surgeon General, NIH, and on behalf of Dr. Kussman, Veterans Affairs. And I'll ask Dr. Kussman and the others to be available for questions after this because they may have some questions that I can't answer.
So my privilege to introduce a great doctor and leader in American medicine and military medicine, General Schoomaker.
GEN. SCHOOMAKER: Well, thank you, Mr. Secretary. And thank you all for being here today. This is really an exciting day to be in Army medicine and military medicine. It's an exciting day to be in medicine altogether.
I want to welcome General Kussman, Dr. Kussman, and thank you for being here, Mike, a representative of the Veterans Administration, and to our colleagues from academia and our partners in the joint medical force. Today really marks an historic day in Army and military medicine, and it highlights the commitment of all military medical professionals, as Dr. Casscells has discussed, to provide our nation's wounded heroes the very best medical care possible.
In order to accomplish this goal, the Army's Medical Research and Materiel Command, which is a subordinate command of my medical command, is partnering with our Air Force and our Navy colleagues, with the Veterans Administration and the National Institutes of Health. Together we'll continue to build on the early successes in this field called regenerative medicine, unlocking its unlimited potential for future successes, with a primary focus of improving the lives of our injured service members.
The Armed Forces Institute of Regenerative Medicine, AFIRM -- this is the Army, so you're going to get some acronyms -- but AFIRM will be made up of at least two multi-institutional consortia that Dr. Casscells referred to. One's led by Wake Forest University and the University of Pittsburgh, and the other is led by Rutgers University and the Cleveland Clinic.
The United States Army Institute of Surgical Research, represented here today in San Antonio, Texas, part of the Medical Research and Materiel Command, will work with these academic consortia to provide key guidance on military medical needs and to conduct trials of new therapies. These large multi-university institutions are the incubators in the clinical expertise and the basic science expertise that will then develop these regenerative medical products that will be used for our wounded and injured warriors.
The Armed Forced Institute of Regenerative Medicine has a five- year initial cooperative agreement with funding of $85 million, provided by the federal government, along with $80 million in matching funds from universities and local and state governments. An additional $100 million in existing grants from other agencies, such as the National Institutes of Health, in research initiatives bring the total funding to more than $250 million. As far as we know, this is the largest U.S. government-funded research consortium in the field of regenerative medicine.
Not only that, we're bringing together a dream team of some of the greatest minds in tissue engineering and regenerative medicine, some represented here with us today. This is, frankly, a very exciting venture for all of us.
It's also one that's very personal for me. A couple of years ago while I served as the commander of the Army's Medical Research and Materiel Command, headquartered at Fort Detrick and with a subordinate laboratory at the Institute of Surgical Research in San Antonio, we were wrestling with how to treat the many problems caused by this -- the weapons of the current conflict, especially blasts.
Among the mix of wounds we encounter are a large number to the extremities and to face. Eighty-two percent of all our wounded have extremity injuries, 30 percent have wounds to the head and the face, and 6 percent have severe burns. The most seriously wounded often require amputation or extensive reconstructive surgery, which results in long periods of rehabilitation and physical therapy.
It was at this time that we heard a presentation by Dr. Tony Atala from the Wake Forest University, who's with us here today.
He presented a paper to our combat casualty care scientists who were gathered together, conferencing on battlefield medicine and how we could push, how we could advance -- as Dr. Casscell's mentioned -- how we could advance our understanding and our survival and recovery and relocation of our soldiers.
It was during his talk that we really began to understand the tremendous potential for advances and breakthroughs in regenerative medicine. Prior to his talk, I have to say, frankly, that I and many of us thought that tissue engineering and regenerative medicine were decades away from being able to deliver really any meaningful replacement organs or sophisticated structures, regrowing limbs and digits, for example.
Dr. Atala stunned the crowd when he described his experiments to replace damaged bladders using a patient's own cells, grown in a biodegradable bladder implant, a framework or a matrix under which the patient's own cells, not at risk for rejection, could then grow and form a solid multi-layered organ. He showed case results of patients that he had implanted with artificial bladders over seven years previously who had then returned to normal bladder function. He went on to describe similar results in other structures in the body, in which they'd formed tubular structures like vessels and ureters connecting the bladder to the kidney.
At the moment, I was not alone in seeing that this had tremendous potential to solve some of our big reconstructive medical problems facing our surgeons and potential benefit for injured soldiers, sailors, airmen, Marines, Coast Guardsmen. With the help of Colonel Bob Vandre, who is here in the audience, who's really one of the heroes of this saga -- Bob, a career Army dentist, has really taken this project to heart and has been tireless and tenacious in ensuring that this consortium has come together -- we started obtaining the process of obtaining funding from other federal agencies and then setting up a contracting process that has resulted in the formation of the Armed Forces Institute of Regenerative Medicine. It's truly a privilege to see these efforts become reality and then become part of Army medicine and medicine for the entire joint force.
The new institute will work to develop techniques that will help to make our soldiers whole again, will use the soldiers' own stem cells to repair nerve damage, to regrow muscles and tendons, to repair bone wounds and to help them heal without scarring. In addition, the team will work to develop techniques to salvage and reconstruct damaged limbs, hands, fingers as well as facial repair of ears and noses, to help in cranial reconstruction of severe head injuries.
To give you an idea of how this regenerative medicine works, I did bring one slide. I don't know if that's available to us. If it's not I'll just describe it to you. But the slide depicts a young, 22- year old, severely burned Marine, pictured here on the right, who, as you can see, has experienced severe facial burns. And he's undergone at this point in the procedure over 40 operations to repair the damage done by the burn.
But with current techniques, there's really no means of regrowing ears or the tip of his nose.
But using a scaffold in the shape of a nose, as you can see here in the middle of the slide, and seeding it from stem cells, cells which these terrific, innovative scientists have figured out how to turn into any one of a number of cells required to remake a nose, we can direct those stem cells -- we in the corporate sense -- to grow them in large number and then paint them on the outside of this biodegradable scaffold, this scaffold that will resorbed by the body once implanted.
They're incubated by a few weeks until they grow down into the scaffold. The scaffold is then implanted onto the skin of the patient and sewn over. And over the ensuing months, the scaffold will the be dissolved and resorbed into the body. Cells will continue to grow and form a replacement of the structure that was lost.
This procedure has already been done in animals. You can see a picture over here of a mouse that's growing a human ear, to show you on that scaffold that you can form these cells into any of the appendages that we're looking for. This work here was done by -- (names inaudible) -- member of the new Armed Forces Institute of Regenerative Medicine.
So I think you can see, the future of regenerative medicine is truly amazing. We're embarking on a new generation of research that's going to redefine Army and military medicine as we know it today.
We're doing it together with just terrifically enthusiastic and skilled partners, who have been very selfless in coming forward, asking how they can support our wounded and injured soldiers, by making our soldiers, sailors, airmen, Marines, Coast Guardsmen some of the earliest recipients of these really exciting regenerative medicine and bioengineering products.
And we're very grateful for them and we'll welcome them into this family of military research and then care. Most importantly we're doing this really for the care of our wounded warriors. And with that, I'll entertain any questions that you may have.
Yes, sir.
Q (Off mike) -- says that the first clinical trials could begin in about two years. What's been done with this young Marine isn't considered a clinical trial yet.
GEN. SCHOOMAKER: I don't believe that we've reached the point. We've got the representative from the Institute of Surgical Research, that the trial has begun with him.
But some of our earliest work will be growing, for example, new digits for badly burned patients who may lose the capacity to use their hand in a fashion where they can grasp. So some of those are the earliest efforts.
You want to talk about that, Dr. Wenke?
DR. JOSEPH WENKE (Army Institute of Surgical Research): Sure.
GEN. SCHOOMAKER: Let me introduce you to Joseph Wenke. He's a principle investigator at the Army's Institute of Surgical Research down in San Antonio.
DR. WENKE: Yes. Thank you for the question. To date, no, the clinical trials have not started. A lot of these things are going to be done as compassionate care. Currently, there have been a couple different projects for compassionate care, surgeries that have occurred, one for -- as the general talked about -- extending a digit, so somebody who's missing a finger, they're applying a scaffold over time and on a regular basis where this digit is -- hopefully will get you a longer length to allow the person to oppose. And then another person who's missing entire muscle in his thigh, and what's happening is a similar process, but instead of as dust, an actual matrix is being placed in there and hopefully, similar to this ear, will be incorporated by the body cells and regenerated into a functional muscle.
Q These pieces have been implanted on this young man here?
DR. WENKE: No, no. Not to date.
GEN. SCHOOMAKER: Yes, ma'am.
DR. WENKE: Thank you, General.
GEN. SCHOOMAKER: Thank you.
Q Could you just walk us once through -- again once through the nose example? And further, where do the stem cells come from? And then could you in very simple English -- layman's terms -- for those of us who don't cover this kind of thing very often, just walk us through again how it is that you would implant the nose on someone like this young Marine?
GEN. SCHOOMAKER: Well, I'm a pretty simple layman in this respect.
Q Okay.
GEN. SCHOOMAKER: And I'm going to ask Dr. Atala to come up here and just complement what I'm going to say, especially as I get -- the cells that we're talking about actually exist in our bodies today.
Q But where? I mean, how do you --
GEN. SCHOOMAKER: Come up here. Come up.
Q I'm sorry, this is probably very -- (inaudible) -- you, but I don't understand.
GEN. SCHOOMAKER: No, this is a really good question. And most people don't realize this, but we, even as adults, possess in our bodies small quantities of cells which have the potential, under the right kind of stimulation, to become any one of a number of a different kinds of cells. We do this on a daily basis, in our own bone marrows, for example. We have stem cells that regenerate our bone marrow or in our liver.
What these gentlemen have figured out how to do is to harvest those and to stimulate them to become any of a number of different cells necessary to regrow organs.
Anthony, did I get it right?
DR. ANTHONY ATALA (Institute for Regenerative Medicine, Wake Forest University): Absolutely, General. Yes, excellent answers, in fact.
So, all your body, basically, all the parts of your body, tissues and organs, have a natural repository of cells that are ready to replicate when an injury occurs. And what -- some of the strategies that are used are to take some of those cells out of the body -- just with a very small piece of tissue, with a very minimally invasive approach where you take just a small sample of tissue from that specific organ. And then you can tease the cells apart, those specific cells that have that potential. Then you grow those outside the body in large quantities. It usually takes about four to six weeks, sometimes up to eight weeks to grow those cells.
Then you go back and then take those cells and use those cells into three-dimensional molds very much like you see there. And you just coat or paint the molds with the cells. Then you take that mold and you place it into an oven-like structure. So you start cooking it, if you will, very much like baking a layer cake. And it's under the same conditions as a human body, 37 degrees centigrade, 5 percent C02, 95 percent oxygen, and it stays there for one or two weeks. And then you have your construct that's fully seeded with the cells.
And then you can implant that back into the patient, into the same patient, thus avoiding rejection.
Q So you would take the cells from this specific Marine here to regenerate his nose or ear, whatever?
DR. ATALA: It depends on the circumstances. Yes, there are several strategies, but certainly this is one. We'll --
GEN. SCHOOMAKER: But we are the source of our own regeneration. With very little risk -- for example -- and correct me if I'm wrong -- for example, conversion into cancer -- that's one of the risks of other forms of stem cells. Adult stem cells don't carry nearly that risk. And so this is an exciting technology.
DR. ATALA: That's exactly right. If I may add, like the general said, the more primitive the cell, the more the potential for that to be -- form a tumor. So the ideal cell currently, for clinical application, is the very cell set in your body.
GEN. SCHOOMAKER: Let me invoke an image for you, because we all began to think about this, especially after people like Dr. Atala began to talk to us about it. We all remember the great pictures of amphibia, like salamanders, who can regrow their tails or regrow a limb. Why can't a mammal do the same thing, and why can't a large mammal? Well, there's lots of good debates about why that is, and there's arcane reasons for that, why we have adopted a kind of approach that says let's stop the bleeding, let's seal off the scar and stop infection and not allow these stem cells to regrow. But in fact, under the right conditions, that's exactly what we're doing. We're converting. And one of the groups has a -- even a motto: Let's convert mammalian physiology into amphibian physiology.
Yes, let me go here, and we'll go back over here now.
Q On some of the things that I've seen associated with this project, there's potential limb regeneration. How far down the road is that? And what do the technologies involve? Obviously a limb is much more complicated than just a simple -- (inaudible).
GEN. SCHOOMAKER: This is where we have the advantage of working with established investigators. These people have been doing this literally for decades now, in a very disciplined fashion, which does -- has not raised unnecessarily expectations from patients or the community before it's a proven thing. It's one thing to grow a single layer of cells in large quantity. It's another to build a multi- layered set of cells. It's another altogether to put that into a hollow organ. It's another to put that into a solid organ or into a multi-layered, multi-organ limb, such as we're talking about.
I can tell you that the preliminary work has already been done to grow small extensions of digits, for example, to provide some function to what would otherwise be an unfunctional kind of paddle after a severe burn to the hand.
Q And to the 900 amputees that you mentioned, I mean, will this provide hope to them eventually down the road or just to a limited number who have had -- (off mike)?
GEN. SCHOOMAKER: I think initially -- and I'm -- correct me if I'm wrong, any of my colleagues here -- but I think, as you heard Dr. Wenke talk about, probably the initial effect will be to provide greater structure to those amputees who may have a partially functional limb but have lost a large amount of muscle mass or who have very damaged skin, that we can regrow skin. I mean, frankly -- and the burn patient is a good example -- the rate-limiting step, the step that threatens life, is trying to close off this large, open gaping wound that is created by the loss of skin and allows entry of foreign, you know, bacteria and the like and threatens life as well as loss of fluids and the like.
So I think that's where we're going to see this use, initially, as Dr. Wenke described, regrowing whole muscle groups in a very badly damaged limb, which may be only partially functional. But if we can get them a new muscle and tendon group, it's going to turn what is only a partially effective limb or stump into a much more functional one.
Would you agree with that, or did I misspeak? (Off-mike response from colleague.) Good.
Yes, sir?
Q I just wanted to be clear. Is this work being done now, on humans, or only on laboratory animals?
GEN. SCHOOMAKER: No, it's being done now on humans. Dr. Atala's been doing this over the last decade, and has implanted bladders and aortas and blood vessels. It's being done on human beings today in very, very well controlled careful clinical trials with studies for outcome, meaning we're not just going to do the surgery and see if we can -- if that organ implanted survives for a week or a month, but we want to see years out that we now have a fully functional organ again. And that's been one of the real blessings of working with this group.
Did that answer your question?
Q Yeah.
GEN. SCHOOMAKER: Over here?
Q Can you explain in just a little more detail what it is about the nature of this particular conflict, these particular conflicts in Iraq and Afghanistan that have led to these sorts of injuries and a need for this kind of -- (inaudible) -- research.
GEN. SCHOOMAKER: That's a great question. That's a great question.
A couple things. You'll often here people talk about the signature wound of this war being this injury or that injury. I can tell you, from my perspective, the signature weapon of this conflict is blast, and blast is a potentially devastating weapon which can burn, can result in amputation of limbs, that can result in loss of eyesight and hearing, that can damage brains and obviously, as we're all concerned, can lead, because of the context of the conflict for the combatant, to many post-traumatic stress results.
But coupled with the technologies that we use on the battlefield, beginning with the nature of the protective equipment that we place on our soldiers and Marines and others and our vehicles, we have provided the combatant now with much greater protection against life- threatening wounds.
We've armed them with a fellow combatant, an infantryman or Marine who knows, a buddy who knows, at the moment of injury, how to begin lifesaving steps before that medic gives. We've provided them with a better trained medic, more technically proficient, with better equipment. We have looked at every step of the evacuation and treatment to improve outcome.
And now what we have are devastating blast-induced wounds, which in a prior conflict would have resulted in almost, you know, death in the first few hours to days afterwards, to survival.
So we're seeing survival of soldiers, sailors, airmen, Marines, Coast Guardsmen that we would never have seen in a prior conflict, even from levels of injury, what we call the Injury Severity Score, that exceed anything seen in the private sector, seen in our trauma centers in the United States. We know that, because our trauma surgeons go over to Landstuhl, Germany, or go into Baghdad, and work along with our surgeons and report that back to us.
So we've got a system of medical care. It's a good news story. We've got a system of care, of coupling with the developers of materiel to protect our soldiers that have pushed survival from battlefield wounds higher than it's ever been before. But as a consequence of that, we brought back now a group of soldiers that had survived their wounds but now have challenges in rehabilitation and recovery.
Yes, sir.
Q Do you all envision, I mean, someday down the road, growing these sorts of things in advance, when they're needed on the field right away?
GEN. SCHOOMAKER: That's a great question.
I mean, we've talked about a repository of one-zone stem cells, or stem cells that are identical to those that we all carry, that upon notification of a soldier being badly burned, we can begin growing replacement skin almost instantaneously.
So by the time they arrive a couple days later, at the burn center or the Institute of Surgical Research, we've already started to harvest the skin that's going to be required to cover it. You have anticipated exactly our thoughts.
Yes, sir.
Q (Inaudible) -- compartment syndrome. Could you explain that a little bit, how these new technologies help that?
GEN. SCHOOMAKER: Compartment syndrome is kind of the technical term that was used to describe what Dr. Wenke and I just talked about, with replacing muscles.
In a very severely damaged limb, like the lower leg or the forearm, there are compartments of very rigid tissue that contain vessels, nerves -- blood vessels -- excuse me, in muscles, that, because of the damage and the swelling that ensues following the injuries, shuts down circulation and effectively destroys the muscle inside. That's called a compartment syndrome.
We respond surgically if it's timely, and to try to decompress that compartment, but it often results in a devastating loss of muscle, nerve vessels inside. And this technology is intended to replace those damaged muscles and vessels.
Does that answer your question?
Q Yes.
GEN. SCHOOMAKER: Yes, ma'am.
Q So in Pentagon terms, $250 million doesn't sound like a lot of money. What can you meaningfully expect to develop over -- you know, see the foreseeable future that could benefit vets today?
GEN. SCHOOMAKER: Wow. $250 million, I --
Q At the Pentagon, sir, you know well that that's not a lot of money.
GEN. SCHOOMAKER: But for medics, that's a great starter seed- corn for demonstrating the utility of what we're talking about, and stimulating an exciting -- the community at large -- I just see this as the beginning of a process that's going to attract more and more interest and more and more support. I mean, we're doing what we can as a military and what we can as a federal system to do that. And I'm encouraged to hear you say that this is just the beginning of this, and that we shouldn't think of 250 million (dollars) as the final size that we could see invested in this.
Q Well, do you foresee this -- wasn't it 80 million (dollars) coming out of DOD?
GEN. SCHOOMAKER: Yes, ma'am.
Q You foresee that being an annual appropriation or sort of one-off?
GEN. SCHOOMAKER: No, I think we've projected this over a five- year timeline, so we're doing what we can to help our academic and industry partners provide a part of the total investment portfolio that they require to do this. And we're responding to their requests and their demands.
Bob, do you want to comment about that? Come on up here.
COL. ROBERT VANDRE (Army Medical Research and Materiel Command): There's a part of the equation that you might not know about. The National Institutes of Health actually funds about $500 million of stem cell research every year, yearly. But they don't have a program where it puts it all together to actually put it into -- to translate that into patients.
And this, actually, will take a lot of this research -- and most of the researchers -- I think in your handout -- did you give them a copy of all the researchers? Did that get in there? Yeah, there's a copy of all the principal investigators in there. Most of them have -- already have funding from the NIH that makes up some of the -- supports funding for this.
But what this will do is take all that research that's being done and take the best of it that can be -- help us and put it all into something and actually get then translated into a patient. So there is a lot of other funding -- federal funding going into this, which isn't, you know, part of what we're actually doing, but it'll help.
GEN. SCHOOMAKER: And Bob brings up a -- Dr. Vandre brings up a very important part, that one of the things that we in the joint medical research community pride ourselves in is working with academic and federal partners to find the very best candidates for these kinds of things, things that are coming out of basic science. I mean, we're building -- we're standing on the shoulders of generations of basic scientists who have laid the foundation through bench research to do this. We are plucking some of the very best ideas and some of the very best products that can be found and moving that as quickly as possible to the bedside and into the operating rooms for our patients. And that's really --
STAFF: Time for about one more.
GEN. SCHOOMAKER: Pardon me?
STAFF: We've got time for about one more, maybe two.
GEN. SCHOOMAKER: Okay, let me get you in. We'll go back to you.
Q Sir, you mentioned that Dr. Atala has been doing clinical research for the past 10 years, yet here -- (inaudible) -- talks about starting clinical trials within two years. Is there --
GEN. SCHOOMAKER: (Off mike) -- this class of injury and this kind of a(n) appendage.
Q (Off mike) -- some of the research that Dr. Atala is doing begin to be applied immediately to the war wounded?
GEN. SCHOOMAKER: I think as needed, yes, sir. I mean, Dr. Atala is a pediatric urologist by training, and he's been doing this work in that community of urology for some time and has been -- and has been doing work for living patients for some time.
Q So there'll be a number of clinical trials with regard to various aspects of this?
GEN. SCHOOMAKER: Oh, yes, sir.
Yes, sir?
Q What's the role of industry? How do they -- how does industry play into this?
GEN. SCHOOMAKER: Well, historically, what industry has represented to us -- industry frequently does not want to take the research and development risk to develop the basic science necessary to bring these products to fruition. But once they see the potential and the opportunity, they become very, very active in the process and join with us. And we are always looking for industry partners to help us with the materials necessary to make these things useful and enduring. So industry, if not already engaged, will, I'm certain, be increasingly a part of this equation and has always been.
Q What about patents and that kind of thing?
GEN. SCHOOMAKER: That's a part of the agreement that put together this consortium. All of the legal framework for intellectual rights and patents and the like has got to be written into the framework of this cooperative research agreement.
(Cross talk.)
Q Since we have the opportunity to speak with you today, I was wondering if you could just give us your reaction to this RAND study that's out today. You've spoken a lot to us in the past about PTSD and TBI. (Off mike) -- troops coming back from Iraq and Afghanistan, experience symptoms of PTSD, TBI.
Have you seen the study?
(Cross talk.)
GEN. SCHOOMAKER: I have. I actually received an outbrief from the team.
I thought the team was an extremely talented, very professional group that, I think, used some great survey techniques to essentially validate, in my view, much of the work that we've been conducting, within the military community for the past five years.
It was encouraging to see that what they are seeing, by sampling soldiers of all components nationally, really echoes many of the themes that we have seen, in terms of the emergence of symptoms of post-traumatic stress. And it encourages me that if we again are aggressive about screening, early in the reintegration of a returning warrior, that we can find these symptoms, that we can begin applying the necessary evidence-based treatments that we know work.
And we've got -- the RAND group is equally passionate about our applying those practices and those treatments that have been shown effective in these conditions, and that we will see recovery and prevent long-term disability from post-traumatic stress disorder.
I think they're raising, helping us to raise, the visibility and the attention that's needed by the American public at large, with leadership from groups like the Veterans Administration that have been working in this area for decades to focus the efforts of everything from primary care providers, family practitioners and internists and nurse practitioners right up into specialists in behavioral health, to focus our energies on early screening and treatment of these folks.
Q Did any of the barriers that they mentioned specifically concern you? The security clearance concern was one that we hadn't heard much about before today.
GEN. SCHOOMAKER: Well, I think barriers, if I recall, was used in a very generic sense to mean anything that would impede access of a returning soldier or family to care.
And that might be a geographic barrier that puts them at some distance from where they need to get care. It involves, in some cases, a stigma or economic barriers. And I think they're helping us to identify what those barriers are so that we can systematically go after them.
We know from the last five years of studies and our application of what we call "Battlemind Training," to build resilience and then to educate families and soldiers upon return about what are the symptoms of post-traumatic stress, that that coupled with the chain teaching that our chief of staff and secretary of the Army conducted last year across the entire force has begun to lower the stigma associated with seeking care, such that we're seeing in subsequent Mental Health Advisory Team studies more and more willingness of our soldiers to seek care.
And so the RAND study, I think, is helping us identify what those barriers are and give us strategies for how we can go after it. The other thing that I'm very encouraged by is they're making this a national debate.
Does that answer the question?
Q Yes.
GEN. SCHOOMAKER: Okay. Well, thank you very much for being here.
STAFF: Just a special thanks to people that traveled to the Pentagon today to be with us. And I've been asked to make one administrative note that has to do with the Marine's picture here. The image -- in case you were wondering, he gave specific consent for use of this image today in this presentation.
So, thank you.
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text:
Road project not necessary
Recently, I read two articles on the front page of the Aiken Standard. The first was about the widening of Hitchcock Parkway. According to the authorities, this is needed to accommodate the traffic to the Savannah River Site. The second article, right underneath it, had a headline that read: "SRNS workers to take vacation over holidays" and stated that they are dealing with a "severe budget crisis . . . unlike we have faced historically at this site," in the name of a $175 million shortfall."
As a result, about 14,000 people have been let-go the past several years. Apart from that, the SRS has entrances from direction Whiskey Road and Highway 520. This unnecessary 4.9 mile stretch of road from Silver Bluff Road to Route 1 will cost us $26.5 million. However, it is just a small part of a much bigger project, which will cost us an estimated $260 million.
Among the various representatives at last night's meeting was state Rep. Tom Young, who thinks the widening is a great idea.
Please, Mr. Young, study this project. It is not necessary. We can save a lot of money here. Adjustments can be made, by regulating the speed, inserting right and left hand lanes or traffic circles. You cannot solve the country's budget deficit, but you can make a start by using money responsibly and only for necessary projects.
Jeanine Gates
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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.

subset: commoncrawl


text:
Knowledge Bureau
Associate Sponsor
Knowledge Bureau is Canada's leading educational institute focused on excellence in financial education for professional advisors and their clients. We are the home of the Master Financial Advisor (MFA) designation, which signifies mastery in a strategic, inter-advisory approach to wealth advisory services.
Professionals develop competencies in tax, investment, retirement, estate and succession planning services, through our world class, virtual campus. Course delivery includes e-learning modules, instructor-led workshops, the Distinguished Advisor Conference as well as educational partnerships with leading financial institutions and manufacturers. Individual certificate courses may be taken for continuing education purposes.


text:
Diane P. Dupont
Department of Economics
Diane P. Dupont
Professor of Economics
Associate Dean, Graduate Studies and Research, Faculty of Social Sciences
Office Location on Campus: Plaza Building Room 441
Email: email@example.com
Phone: 905-688-5550 ext 3129
Research Website: Canadian Water Economics
Ph.D. (Economics), The University of British Columbia, 1988
Fields: Environmental and Natural Resources and Public Finance
Areas of Research Interest:
Non-market valuation, Environmental Economics, Fisheries Economics
Brock University Distinguished Research and Creative Activity Award, 2012
Chancellor's Chair for Research Excellence, Brock University, 2006-2009
Editorial Experience:
Associate Editor, Canadian Water Resources Journal, 2011-
Associate Editor, Water Resources Research, 2011-
Associate Editor, Society and Natural Resources, 2010-2013
Associate Editor, Australian Journal of Agricultural and Resource Economics, 2007-2010.
Board Experience:
Member, North American Association of Fisheries Economists, 2011-2014
Elected Researcher Member, Canadian Water Network Board of Directors, 2010-2012
Member, North American Association of Fisheries Economists, 2003-2007
Member and Chair (2008-2009) of the Scientific Advisory Committee for the Worldfish Centre, Penang, Malaysia, 2007-2009.
Full CV
Selected Research
- Dupont, D.P., Walder, C., Bharadwaj, L., Plummer, R., Carter, B., Cave, K., and Zagozewski, R. (accepted) "Drinking Water, Health Risk Perceptions and Choices in First Nation and non-First Nation Communities in Canada" International Journal of Environmental Research and Public Health
- Renzetti, S. and Dupont, D.P. 2013 "Household behaviour related to water conservation" Water Resources & Economics. 4:22-3
- Zhang, J., Adamowicz, W., Dupont, D.P. and Krupnick, A. 2013. "Assessing the Extent of Altruism in the Valuation of Community Drinking Water Quality Improvements" Water Resources Research.
- Bruneau, J., Dupont, D.P. and Renzetti, S. 2013. "Economic Instruments, Innovation and Efficient Water Use" Canadian Public Policy.
- Dupont, D. P. 2013 "Water Use Restrictions Or Wastewater Recycling? A Canadian Willingness To Pay Study For Reclaimed Wastewater" Water Resources & Economics. 1(1): 61-74.
- Dupont, D.P. and Bateman, I. J. 2012 "Political Affiliation And Willingness To Pay: An Examination of the Nature of Benefits and Means of Provision" Ecological Economics. 75:43-51.
- Day, B., Bateman, I., Carson, R. Dupont, D.P., Louviere, J., Morimoto, S., Scarpa, R., and Wang, P. 2012."Order Effects and Choice Set Awareness in Repeat-Response Stated Preference Studies". Journal of Environmental Economics and Management. 63:73-91.
- Adamowicz, W., Dupont, D.P., Krupnick, A., and Zhang, J. 2011. "Valuation of Cancer and Microbial Disease Risk Reductions in Municipal Drinking Water: An Analysis of Risk Context Using Multiple Valuation Methods" Journal of Environmental Economics and Management. 61(2):213-226
- Bateman, I.J., Day, B.H., Dupont, D. P. and Georgiou, S. 2009 "Procedural invariance testing of the one-and-one-half-bound dichotomous choice elicitation method" The Review of Economics and Statistics. 91(4): 806-820.
- Renzetti, S. and Dupont, D.P. 2009. "Measuring the Technical Efficiency of Municipal Water Suppliers: the Role of Environmental Factors" Land Economics. 85(4): 627-636.


text:
Manson Branch
In Memoriam
Manson Branch
Manson Branch, age 67 of Sevierville, passed away on Thursday, November 14, 2013. He was a member of Maples Branch Baptist Church.
Mr. Branch was preceded in death by his parents, Leonard and Juletty Whaley Branch; infant children, Fonda and Calvin Branch; sisters-in-law, Helen and Susie Branch
Survivors include: His loving wife: Doris Branch; Children: Rhonda Branch, Joe Branch and wife Jackie, Michael Rawlings and wife Melody, Chad Rawlings; Grandchildren: Ellen and Lyla Rawlings, Robert Sutton and wife Sterling, Dustin Sutton, Tyler Hembree; Great-grandchildren: Brooklynn and Parker Sutton; Brothers: Auther and Clarence Branch; Father-in-law: Roy W. Whaley; Special "Sis", Betty Cannon and many nieces and nephews.
The family will receive friends 4-6 PM Sunday at Maples Branch Baptist Church with funeral to follow at 6 PM officiated by Rev. Thomas Clay, Rev. Danny Sutton and Rev. Clay Sutton. Interment 11 AM Monday at Walnut Grove Cemetery. Pallbearers will be Dustin Sutton, Tyler Hembree, Auther Branch Jr., John David Hancock, Herbert McCarter, and Ken Carr. Arrangements by Atchley Funeral Home, Sevierville.


text:
Virgil Donati
View Single Post
Pioneer Member
Join Date: Jun 2005
Location: Boston
Posts: 702
Re: Virgil Donati is the Buddy Rich of our time ("IMO"...I suppose)
I don't think there is much to compare in my opinion. Donati has no charisma as a person or as a drummer. I think more people can identitfy with Buddy because he was a showman. I feel that Buddy wasn't out to conquer the drums and play drum paterns at rediculous BPM and such. Buddy was interested at entertaining a crowd his entertainment was his instrument. He could entertain nondrummers. I find Virgil's appeal more to musicians . Also I find some of the music that Virgil plays is overproduced and out right boring. I can listen to big bands. I find it hard to listen to a bunch of virutosos noodling around personally. Yes they are good musicians but it seems they only make music that doesn't appeal to the masses.
View Public Profile
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text: Tom Ford Eyeshadow (11) Brush ($55.00) is large, lightly fluffed-up, eyeshadow brush with a flatter, wider shape that is dome-shaped at the top. The brush head is 15mm in length, 14mm in width, and 6mm in thickness. It has a pinched, gold metal ferrule, and a total brush length of 6.75 inches or 17 centimeters. The handle is etched with the brand's logo and the brush's number in gold foil at the end of the handle, and the very tip of the handle is flat.


text:
Probably my favourite 8track playlist thus far. Great job!
soo good. check out some songs for summer!
This mix just too good, can't stop hearing it!
download link and youd be amazing! love the mix
I'm in love with you. This is the best music mix EVER.
happy happy happy!!!
best mix!!!
this is so happy :) i love it
Why is it not possible to like a mix a million times?! Love this mix! ♥
love thisss
This playlist is perfect! It was a pick-me-up from midterm stress so thanks :)
It's 70 degrees in Oklahoma on this fine February day, and this mix is perfect.
thank you thank you thank you.
The girl in the front of the picture is quite attractive
hahah it's not my picture soo i don't know who that is
I Love this mix!
Plus double The Kooks!! Aahhh-mazing
Happy songs for a cold mid-winter season!!
This mix makes me incredibly happy!
Made my month!
This is AWESOME! I've had it on repeat for hours!
Perfect way to get pumped for the beach in a few weeks and actually get prepared! Thanks!
I could listen to this playlist forever!
L O V E ittttttt
Ahh this is great! I got a random burst of energy today and I needed some happy music to accompany my random dancing and here it is! Thank youu
nailed it.
Great mix! Perfect hangover cure
hahah thanks!
This is absolutely amazing. Thank you! :-)
lol you're welcome! :)
this is a great playlist. the songs are fantastic!
thank you!
i love how you stuck with one mood. too many playlists are all over the place. good taste!
awh thank you!
waddup ;)
LOL sachi


text:
Written by Rosemary Reynolds on August 20, 2014
Hillsboro, Ore. – A second employee of the Washington Jail has been arrested for
having sex with Inmate.
According to Sgt. Bob Ray these sexual encounters are happening in a more secluded part of the jail. Civilian employee, 32-year-old Brett Robinson is in hot water now.
"From the arrest that we made last month, a different jail services technician. We discovered information that Ms. Robinson had also engaged in sexual activity with the same inmate, but completely independent of Ms. Curry."
Sgt. Ray says obviously this was another poor decision and the window for opportunity is really small. What's most concerning is this kind of activity risks the security of other jail staff and inmates.


text:
Women's and Gender Studies
Master of Arts
For More Information
Campus address: Burdine Hall (BUR) 536, phone (512) 471-5765, fax (512) 475-8146; campus mail code: A4900
Mailing address: The University of Texas at Austin, Graduate Program, Center for Women's and Gender Studies, 2505 University Avenue, A4900, Austin TX 78712
E-mail: email@example.com
URL: http://www.utexas.edu/cola/centers/cwgs/
The mission of the Center for Women's and Gender Studies (CWGS) is to develop committed communities that address challenges in the areas of gender, sexuality, diversity, and equity, through interdisciplinary research, undergraduate and graduate teaching, and social advocacy. The center's vision is to be a world-class center for interdisciplinary research, teaching, and activism in women's and gender studies.
Facilities for Graduate Work
The Center for Women's and Gender Studies, which administers the master's degree program in women's and gender studies, is a campus-wide interdisciplinary program with almost three hundred affiliated faculty members from almost all colleges and schools. The center hosts a major lecture series or scholarly conference each year and its annual Emerging Scholarship in Women's and Gender Studies Conference in which graduate and undergraduate students present their work.
The University offers several unique resources for interdisciplinary and cross-cultural research in women's and gender studies. The Harry Ransom Center includes celebrated rare book and manuscript collections in American and modern literature, including letters by Radclyffe Hall and Una Troubridge's papers; papers of twentieth century authors including Anne Sexton; papers, including diaries and recipes, reflecting women's daily life; artwork, including Frida Kahlo's Self-Portrait with Thorn Necklace and Hummingbird (1940), as well as the photographs of Victorian photographer Julia Margaret Cameron; and more, as reflected on the Ransom Center's Women's Studies area guide. The Nettie Lee Benson Latin American Collection is one of the world's great collections of materials in Latin American, Mexican American, and Latino studies. Archival collections at the Benson include the materials of queer Chicana feminist author Gloria E. Anzaldúa, Texan author of Borderlands/La Frontera: The New Mestiza; letters of Nobel-prize winning Chilean author and diplomat Gabriela Mistral; materials of internationally-renowned Austin musician Tish Hinojosa; and the papers of the National Latino/a Lesbian and Gay Organization. The Dolph Briscoe Center for American History holds the largest collection of extant historical manuscripts dealing with Texas, including the Black Texas Women Archive of materials and oral histories gathered by Austin-based historian Ruthe Winegarten; the papers of Frances (Sissy) Tarlton Farenthold, Texas-based international advocate for human rights who visited Greenham Commons and was nominated to be the Democratic candidate for the US vice presidency; the Lesbian Issues Collection of journals (1975-1991) and two letters by Rita Mae Brown; and the papers of various Austin and Texas feminist and women's organizations including the Center for Women's and Gender Studies and the Austin Chapter of the National Organization for Women. Various locations in the University Libraries house microfilm sets of archival collections of advocates and organizations, including those of feminist organizing in Brazil, diaries of regional groups of women in the nineteenth century, Eleanor Roosevelt, Margaret Sanger, and Elizabeth Cady Stanton. The University Libraries developed the Black Queer Studies Collection, a virtual collection that makes visible the libraries' substantial holdings in black diasporic queer materials. The Women's and Gender Studies librarian provides additional information about women's studies holdings at http://www.lib.utexas.edu/subject/gender/.
Convenient to the University are other research facilities, including the Lyndon Baines Johnson Library and Museum, the Texas State Library and Archives, and the Austin History Center. The Austin History Center houses archives of local advocates and organizations, including the Texas Statewide Queer People of Color Organization, and has research guides for materials on women's resources, African American sources, Asian American sources, Mexican American sources, and more.
Areas of Study
Women's and gender studies comprises research or creative work that raises new questions, formulates theories, or carries out empirical investigations that further understanding of science, social science, history, the humanities and arts, education, public and social policy, and paradigms of knowledge in applied and professional fields in such a way that women and gender systems are brought to the center of scholarship. Students pursue disciplinary and interdisciplinary research or creative work that prepares them for research or professional careers in which knowledge about women and gender is crucial. Students who complete the program graduate with a greater understanding of the field of women's and gender studies; an understanding of and commitment to resisting interlocking oppressions; critical knowledge of women's human rights; and scholarly connections to the center's faculty. The master's degree in women's and gender studies is excellent preparation for further training in public policy, social work, health care, education, the arts, technology, and business. It also prepares graduates to pursue doctoral work in a traditional discipline or in women's and gender studies at another institution.
Graduate Studies Committee
The following faculty members served on the Graduate Studies Committee in the spring semester 2013.
Kamran Ali
Samer M Ali
Jacqueline L Angel
Katherine M Arens
Marilyn Armour
Germine H Awad
Hina Azam
Phillip J Barrish
Kirsten L Belgum
Rebecca Bigler
Daniel A Bonevac
Pascale R Bos
Keffrelyn D Brown
Simone A Browne
Virginia Garrard Burnett
Noel B Busch-Armendariz
Charlotte Canning
Ben Carrington
Mia E Carter
Shannon E Cavanagh
Ruramisai Charumbira
Dana L Cloud
Judith G Coffin
David F Crew
Elizabeth Cullingford
Ann Cvetkovich
Janet M Davis
Mercedes L De Uriarte
Andrew F Dell'Antonio
Marlene A Dixon
Hector Dominguez-Ruvalcaba
Philip Doty
Elizabeth Engelhardt
Karen L Engle
Melanie Diane Feinberg
Jennifer Fuller
Laura J Furman
Dorie J Gilbert
Gloria Gonzalez-Lopez
Darlene Grant
Benjamin G Gregg
Daniel S Hamermesh
Julie Hardwick
Barbara J Harlow
Tracie C Harrison
Mark D Hayward
Elizabeth A Hedrick
Susan S Heinzelman
Geraldine Heng
Kathleen M Higgins
Neville Hoad
Carole K Holahan
Juliet A Hooker
Thomas K Hubbard
Aletha C Huston
Ted L Huston
Robert W Jensen
Jacqueline Jones
Omi Osun Joni L Jones
Mary C Kearney
Elizabeth L Keating
Su Yeong Kim
Sara E Kimball
Nhi T Lieu
Carol H MacKay
Michael S Mackert
Jill A Marshall
Sofian Merabet
Julia L Mickenberg
Gail Minault
Lisa L Moore
Fehintola A Mosadomi
Gretchen Murphy
Joan H Neuberger
Mary C Neuburger
Martha G Newman
Cynthia Osborne
Shelley M Payne
Julia A Reed
Donna L Rew
Ann M Reynolds
Matt U Richardson
Victoria E Rodriguez
Sharmila Rudrappa
Nancy Schiesari
Sonia T Seeman
Martha A Selby
Alissa R Sherry
Faegheh S Shirazi
Patricia A Somers
Shannon Speed
Joseph Straubhaar
Pauline T Strong
Sharon L Strover
Catherine A Surra
Gayle M Timmerman
Janice S Todd
Ann Twinam
Anita L Vangelisti
Kamala Visweswaran
Lorraine O Walker
Samuel C Watkins
Jo Lynn Westbrook
Lynn R Wilkinson
Jennifer M Wilks
Christine L Williams
Zipporah B Wiseman
Hannah C Wojciehowski
Helena Woodard
Wei-Hsin Yu
Admission Requirements
An admission committee composed of Graduate Studies Committee members evaluates all applications. The committee seeks to admit a small, dynamic group of students who will make a difference in the community, both in and outside of academia. The limited size of the incoming cohort allows the program to provide each student with personal attention and fosters a sense of community among students and faculty members.
The Admissions Committee looks for candidates with an understanding of women's and gender studies as a field, commitment to antiracist feminist practice, a strong academic background, and a clear sense of the topics or areas they wish to pursue during the two-year master's degree. The Center for Women's and Gender Studies depends on students to be activists and leaders in the community. The Admissions Committee also looks for students who will not only attend class but also attend workshops and conferences, form organizations, volunteer, and participate in extracurricular activities.
A complete list of required application materials is published by the Center for Women's and Gender Studies at http://www.utexas.edu/cola/centers/cwgs/graduate-application/Apply.php.
Graduate Portfolio Program
The women's and gender studies graduate portfolio program is open to all graduate students at the University of Texas at Austin. It offers graduate students from all disciplines an opportunity to incorporate women's and gender studies into their degree programs. Students may enter the program at any point in their graduate work, but it is recommended that they do so as soon as they decide to pursue the portfolio.
The program builds upon the Center's rich and broad-based expertise across disciplines and colleges/schools. Portfolio students develop a specialization unique to their own program of work through women's and gender studies courses, scholarly papers, and presentations.
Once all portfolio requirements are completed and the student's graduate degree is awarded, their official University transcript will indicate completion of the graduate portfolio in women's and gender studies.
Requirements and application information is available at http://www.utexas.edu/cola/centers/cwgs/graduate-application/portfolio.php.
Graduate Seminar Courses
The Center for Women's and Gender Studies offers an interdisciplinary program that focuses on understanding women's experiences from a variety of perspectives and on the role gender plays in shaping society. The program's large and diverse faculty draws on the scholarship of more than 270 distinguished faculty members from twenty-nine departments and fourteen colleges and schools. Women's and Gender Studies 393, Seminar: Topics in Women's and Gender Studies, provides access to cutting-edge scholarship from multiple perspectives by offering topics from nearly every graduate discipline. The program's faculty affiliates offer as many as thirty different seminar classes every semester.


text:
+myConnections: Engage your community - connect to news, events and information you care about. View more information...
View your community's facilities and features online with the new Facilities Module.View the new Facilities
Personalize your online experience to stay up-to-date on news, events and other information.View My Dashboard
Sand Flats Recreation Area
The Sand Flats Recreation Area (SFRA) near Moab, Utah is a nationally significant public lands treasure at the heart of the Colorado Plateau. A high plain of slickrock domes, bowls and fins, it rises in the east to meet the colorful mesas and nearly 13,000 foot peaks of the La Sal Mountains.
Bordering the area on the north and south are the canyons of the Negro Bill and Mill Creek Wilderness Study Areas. Further north lies the deep gorge of the Colorado River and Arches National Park.
Area Activities
Sand Flats' famous Slickrock and Porcupine Rim bike trails and almost 40 miles of jeep trails are world-renowned for their combination of challenge and awesome scenery. Sand Flats is also popular for camping. Approximately 150,000 visitors enjoy this 9,000 acre recreation area annually.
Management & Mission
The Sand Flats Recreation Area is managed through a unique partnership between Grand County and the Bureau of Land Management. In 1995 this area was developed through the collaborative efforts of Americorps, the Bureau of Land Management, Grand County and the Moab community.
SFRA's mission is to protect the natural features of the area from adverse recreational impacts while providing access to sustainable and enjoyable recreational opportunities.


text:
Our very own, Dr. Janice Sheufelt, a SEARHC family practice physician and Medical Director of Primary Care Clinics, has a new title – 2014 Race Across America ultra-marathon bicycle champion.
For those of you that aren't aware, Race Across America (RAAM) is a grueling, 3,000 mile bicycle race that began in Oceanside, CA and ended in Annapolis, MD. The race includes solo riders, and teams of two, four and eight cyclists among various age groups and from several countries. Started in 1982, it is now one of the longest annual endurance events in the world.
On June 10th, Dr. Sheufelt started the race strong and had built up a considerable lead. Entering Colorado, she suffered from breathing difficulties that required her to seek emergency medical attention. In spite of being off the course for 14 hours, she was able to regain the lead. She won the race by a 14 hour margin, completing it in 11 days, 18 hours and 2 minutes on June 22nd. As she crossed the finish line, she became the solo women's rider age 18-49 division champion and met her goal to finish in less than 12 days. She was 17th overall in riders completing the course, and was named Rookie of the Year, Queen of the Prairies, Queen of Mountains, and awarded the Seana Hogan Fastest Woman trophy.
Please join me in congratulating Dr. Sheufelt. I'm sure I speak for the entire organization when I say, "We could not be prouder!"
The SEARHC company picnic in POW was held Friday June 20th, with about 65 people in attendance. Activities included a bean bag toss, cup game, ladder toss, croquet, badminton, volleyball, kickball, blanket/ball toss, non- dominant hand Frisbee toss competition, partner paddle game, and whiffle throw. Friends and family were included in the fun.
Special thanks go to Lenny Armour and June May for volunteering to help with this wonderful event. It definitely enhanced the positive relationship the SEARHC family has at ARMC.
SEARHC employees, Esther Bezemer and Vanessa Pereira wear one XXL shirt won in the raffle.
A public hearing will be held at the Juneau Assembly Chambers on Monday, June 30, 2014 at 7:00 pm to address the question of whether the Juneau City Assembly should amend the Secondhand Smoke Control Code, adopted by CBJ in 2008. The proposed amendment would treat the vapors that are emitted from devices like electronic (e-) cigarettes just like tobacco smoke, thus banning them from bars, restaurants, and public buildings.
In addition to re-glamorizing smoking for young people, e-cigarettes put clean indoor air in public places at risk. Contrary to what some believe, the aerosol emitted from an e-cigarette is not "water vapor"; it contains nicotine that is highly addictive, can damage a developing brain, and result in poisoning when ingested or absorbed through the skin. The toxins in the ultra-fine aerosol particles are carcinogenic, may cause eye, throat, and airway irritation and result in children developing asthma. Nicotine exposure can have lasting adverse consequences for reproductive health and adolescent brain development. Integrating a ban on electronic cigarettes alongside existing clean indoor air policies will protect children, adolescents, pregnant women, and non-smokers from involuntary exposure to aerosolized nicotine and potentially to other psychoactive substances according to the 2014 United States Surgeon General's Report on Tobacco Use.
For more information about e-cigarettes and the CBJ Assembly vote next Monday, visit no-smoke.org or juneauempire.com.
The WISEWOMAN Women's Health Program in partnership with the Breast Cancer Detection Center has set the Summer 2014 mobile mammography schedule. The mobile mammography van will visit Hydaburg on Friday, August 1, Klawock from Saturday, August 2nd through Friday, August 8th, Hoonah from Tuesday, August 12th through Friday, August 15th, Skagway on Monday, August 18th, and Haines on Wednesday August 20th through Monday, August 25th. For more information contact your local clinic, call the SEARHC WISEWOMAN Women's Health Program in Sitka at 966-8782 (or 1-888-388-8782, toll-free in Alaska), or e-mail the WISEWOMAN Health Program.
In order to decrease the frequency of patients missing appointments at Ethel Lund Medical Center in Juneau, we have implemented a new no-show policy. A missed appointment, or "no-show," occurs when a patient misses a scheduled appointment without advance notice and therefore delays the opportunity for others to receive timely care. Your understanding and cooperation as we implement this new policy is appreciated. You may contact the clinic if you have any questions or would like additional clarification.
The Injury Prevention Falls Prevention Program kicked off the "Sitka Senior Walking Group" at the Sitka Memorial National Park on Tuesday, June 3rd. There will be weekly walks for the rest of the summer, and walkers of all ages and activity levels are welcome to meet outside the National Park Visitor's center on Tuesdays at 10:15AM. Anyone that would like to know more about this program should contact SEARHC Injury Prevention at (907) 966-8866
Through a collaboration between SouthEast Regional Health Consortium (SEARHC) and the Alaska Native Tribal Health Consortium (ANTHC), Alaska Natives and American Indians may be eligible for free additional health insurance coverage through a trial program known as Tribally Sponsored Health Insurance Program (T-SHIP), and is available to those the program's criteria. Anyone interested in being screened for health insurance coverage should call Andrea Thomas at (907) 966-8883 or email her at email@example.com.


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Ryan Gosling is back in theaters with a new flick, Only God Forgives. The film is his second collaboration with director Nicolas Winding Refn, who first directed Gosling in Drive. Whether or not the second time around is a success, everyone will be talking about what happens to Gosling and Kristin Scott Thomas' incredible performance. Those are just two of the ten talking points VH1 has pulled together for you. Think of it as your cheat sheet to the film.
Ryan Gosling
Happy New Year! Here Are Our 2013 New Year's Resolutions For Beyonce, Taylor Swift And More Of Our Favorite Celebs
On January 1st we can start a clean slate and draft our ever crucial new year's resolutions. Whether or not we actually achieve those goals is another matter (we've yet to do 2012's spring cleaning). Nevertheless, it's always a fun challenge to set them for ourselves…and also for our friends in Hollywood. Just like us, our celebs could use a little goal setting for 2013. Just like your mother says, we do it because we love you. Here's our resolutions to the stars, and -most importantly- Happy New Year!
Eva Mendes and Ryan Gosling – We know one of Hollywood's hottest couples is costarring in The Place Beyond the Pines in 2013 together. However, after watching the two show their comedy chops in the latest Drunk History clips, we cannot wait to see more of these two collaborate. We know the duo has some off screen chemistry, and the silver screen may not even be able to handle the hotness between them. We have a proposition for these two for 2013: more projects together, please!
Steve Jobs Biopic: Who Would Play The Young Apple Mastermind?
By Sabrina Rojas Weiss
Mere hours after the passing of Apple co-creator Steve Jobs, Deadline.com asked, "Will Hollywood Book Biopic of Steve Jobs?" Too soon? Maybe. But it does seem inevitable. Long before Mark Zuckerberg was making computer geekery the stuff of an Oscar-nominated hit, Jobs and Steve Wozniack were tinkering in a garage, Tom Edison-style, back in 1976.
Of course, that gets us dreaming up who could play Jobs as he prepares to revolutionize our lives — and we love picturing the great '70s costumes and sets this movie would require. And yeah, we're thinking out of the box a bit with this, but come along in this imaginative exercise, and then let us know your own suggestions in the comments below!
[Photo: Getty Images, ]


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Click Here to Watch the Whole Video in HD at Phoenixxx
Phoenixxx is a brand new studio founded in January 2011 by the talented minds behind the very successful Boycrush and Gaylifenetwork studios.
Jake Steel's Tired of Paying for His Boy Phillip Ashton's Gas-guzzling Piece of Junk Car, so He Buys Him Something New! In Return, Phillip Is Quick to Please Him. They Get Into a Hot 69 on the Bed Before Jake Bends Over the Bed, Offering Up His Ass to Phillip's Big Dick.
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text: Seven ACC schools will play their spring games this weekend, but the teams aren't the only ones looking to get better. You might notice an eighth official has been added to the crews this spring. This is part of a national experiment authorized by the NCAA to determine the feasibility and benefit of increased officiating. Because of the speed of the game, the popularity of no-huddle and hurry-up offenses, and an increased emphasis on player safety, timing and substitutions, some officiating experts are wondering if more eyes will pay off. The Big 12 apparently thinks so, as the conference will use eight officials this fall.


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Definition of e-dating in English:
Another term for online dating. even in the modern age, e-dating remains a risky business
More example sentences
- We'll also hear listener stories about e-dating - the good, the bad, and the ugly.
- However, the problem with e-dating is that the 'true' identity of online daters can be a mystery and very difficult to determine.
- I didn't have much luck finding women in high school, so I tried e-dating for a bit.
Definition of e-dating in:
- British & World English dictionary
What do you find interesting about this word or phrase?
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On Friday nights, you're like a wolf on the hunt, looking for that cute girl you can't resist. Show off your skills with this Secret Wolf tee from the Secret Artist Society. The front features an enraged wolf's face surrounded by a banner and other primal imagery. The top of the back displays the brand's logo. Not only will you look like the alpha male in this shirt, you'll be sporting a Derrick Castle original.
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4X games are a genre of strategy video game in which players control an empire and "explore, expand, exploit, and exterminate". The term was first coined by Alan Emrich in his September 1993 preview of Master of Orion for Computer Gaming World. Since then, others have adopted the term to describe games of similar scope and design. Read the full article at the Wikipedia.
Dominions II: The Ascension Wars
Dominions II: The Ascension Wars is a turn based fantasy game in which you take the role of a pretending god.Genre: 4X, Strategy
Dominions I: Priests, Prophets & Pretenders1.15
Dominions: Priests Prophets & Pretenders is a turn based fantasy game in which you take the role of a pretending god.Genre: 4X, Strategy
Call to Power II
by ActivisionRev. 1111 - Unofficial! Apolyton (12 Jun 2011)
What if the Ancient Egyptians had worshiped the god of commerce? What if world leaders left global warming unchecked? What if Japan...Genre: 4X, Turn-based, Strategy
Starsector3 Nov 2014)
Two hundred years ago, the galaxy was ravaged by war.Genre: 4X, Strategy
Civilization: Call to Power
by Activision1.2a (30 Nov 2000)
Build an empire to span history, from primitive beginnings into the sci-fi future of AD 3000.Genre: 4X, Turn-based, Strategy
Sid Meier's Alpha Centauri20 Jun 2001)
Legendary designer Sid Meier presents the next evolution in strategy games, with the addictive gameplay.Genre: 4X, Turn-based, Strategy
Open Imperium Galactica0.95.103 (18 Sep 2012)
Open-IG is an open source clone of the Digital Reality game Imperium Galactica, a popular real time space strategy game developed around...Genre: 4X, Strategy
X²: The Threat
by EGOSOFT1.4.07 (20 Aug 2010)
X²: The Threat is of a new generation of space simulator games, you play the role of Julian Gardna who continues the story set by...Genre: 4X, Construction and management, Shooter, Simulation
X³: Reunion
by EGOSOFTSteam only (20 Aug 2010)
The sequel to Egosoft's space combat/trading game series, which featured such games as X: Beyond The Frontier and X²: The Threat,...Genre: 4X, Construction and management, Shooter, Simulation
Freeciv2.5.0 (14 May 2015)
Freeciv is a Free and Open Source empire-building strategy game inspired by the history of human civilization.Genre: 4X, Turn-based, Strategy
FreeOrion0.4.4 (4 Sep 2014)
FreeOrion, an open-source game inspired by Master of Orion, is a turn-based game of epic space strategy that builds on the classic...Genre: 4X, Turn-based, Strategy
FreeCol0.11.3 (8 Mar 2015)
FreeCol is a turn-based strategy game based on the old game Colonization, and similar to Civilization.Genre: 4X, Turn-based, Strategy


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Daemen College : Offices & Services : Academic Affairs : Resources and Contacts
The offices for Academic Affairs are located throughout the Daemen College campus. The administrative offices are located in Duns Scotus Hall, with business hours Monday through Friday 8:30am - 4:30pm.
Michael Brogan, DPT, PhD., Vice President for Academic Affairs & Dean of the College Office: DS103 Phone Ext.: 8227
Doris Murphy, MS, CPCU, Executive Director ~ Office of Academic Affairs Office: DS103 Phone Ext.: 8227
Kathleen Boone, PhD., Associate Vice President of Academic Affairs Office: DS102 Phone Ext. 8301
Arlene Lina, Secretary to the Associate Vice President Office: DS102 Phone Ext. 8301
* * * * * * * * *
See the categories in LEFT MENU for more information on the current list of Divisional Deans and Academic Department Chairs.
That's the best way to really get a feel for what Daemen is all about! Daemen is located in suburban Amherst, New York just minutes away from the city of Buffalo. To schedule a weekday individual interview and tour the campus, email us firstname.lastname@example.com or call 800.462.7652.
Health Care Studies Professor Justine Tutuska, accompanied by her students, traveled to the Dominican Republic to work on Public Health Issues and school building.
International Business
David was an international student from Caracas, Venezuela. He majored in International Business and had an internship at Liberty Pumps, which eventually turned into a job.
Memorial GivingA memorial gift is a gift that takes on special meaning and memorial givers enjoy knowing their actions will live on for future generations.
©2014 Daemen College : 4380 Main Street, Amherst, NY 14226 : 800.462.7652


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Based on 237 guest reviews
Property Location
With a stay at Travelodge Fort Lauderdale in Fort Lauderdale, you'll be near the beach and convenient to Parker Playhouse and Stranahan House. This motel is within close proximity of Galleria and Andrews Living Art Studio.
Make yourself at home in one of the 36 air-conditioned rooms featuring refrigerators and microwaves. Conveniences include coffee/tea makers, and cribs/infant beds (complimentary) can be requested.
Rec, Spa, Premium Amenities
Enjoy the recreation opportunities such as an outdoor pool or make use of other amenities including complimentary wireless Internet access.
A complimentary continental breakfast is served daily.
Business, Other Amenities
Free self parking is available onsite.
The Travelodge highlights above are subject to change without notice.


text: Think Skateboards Joined 5 years ago Location San Francisco, CA User Stats 13 videos 0 likes 0 following 0 groups 0 channels 0 albums Profile Images Follow Message User Bio Think Skateboards. Established 1990 in San Francisco, CA.We think, therefor we are. External Links ThinkSkateboards.com Facebook Instagram Related RSS Feeds Think Skateboards's Videos Think Skateboards's Likes Recently Uploaded + See all 13 videos Think Skateboards Perspective Series 1 year ago THINK SKATEBOARDS Presents - Josh Matthews Professional Debut 2 years ago THINK SKATEBOARDS Welcomes - Joey Guevara 2 years ago THINK SKATEBOARDS Welcomes - Kevin Coakley 2 years ago


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3:55 am
Fri September 27, 2013
Is North America The Next World Capital Of Energy?
By Uri Berliner
Originally published on Fri September 27, 2013 6:07 am
A perfect storm of sorts is leading some Western energy companies to step back from investments and operations in the Middle East. Companies see increased risk in the region because of the turmoil and violence following the Arab Spring. And, advances in technology have made it easier to produce oil in North America.


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Welcome to Audiko.net! It's easy to download a free Everlast ringtones for your iPhone or mobile. Take your favorite episodes from your favorite composition - What It's Like, White Trash Beautiful, Little Miss America, or any other track. Then download the prepared Everlast ringtones to your mobile, and enjoy Rock music by Everlast every time your phone rings. If you are mad with Rock or maybe Singer-Songwriter and Acoustic music, then you will probably like Kid Rock, Live, or Fun Lovin' Criminals as well. For all who want a free Everlast ringtone, we also recommend listening to Blues, Alternative Rock, and Alternative. You are welcome to receive your ringtone both in the MP3 and m4a formats, supported by both mobile phones and iPhones. Just select a track, and choose free Everlast ringtones download option.
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30 Nov 1998
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(Epistaxis; Bloody Nose)
- Anterior nosebleed—Blood comes from the front of the nose. It usually flows from the semi-rigid walls that separate the two nostrils. This is the most common type of nosebleed.
- Posterior nosebleed—Bleeding starts deep within the nose. This is often more severe and difficult to treat than an anterior nosebleed.
|The Nasal Passage
|Copyright © Nucleus Medical Media, Inc.
- Irritating or breaking the lining of the nose
- Injuring the nasal tissue, which occurs more easily when nasal structure is not normal, or when the passages are inflamed due to a cold or allergies
- Very dry nasal tissue
- Picking or bumping the nose
- Forcefully blowing or rubbing the nose
- Having clot from a previous nosebleed becoming disturbed or dislodged
- Placing a foreign object in the nose
- Having a tumor in the nose and/or sinuses
Risk Factors
- Irregularity in the structure of the nose
- Abnormalities of the blood vessels in the nose (angiomas)
- Dry climate
- Dry, heated indoor air
- Allergies
- Colds
- Sinusitis
- Diseases, such as sarcoidosis or systemic lupus erythematosus
- Cocaine use
- Bleeding or clotting disorders
- Anticoagulant (blood-thinning) drugs, including aspirin
- Very high blood pressure
- Anterior nosebleed—These produce blood flow from one nostril when sitting or standing. Blood may pass down the throat if you are coughing or tipping your head back.
- Posterior nosebleed—These cause bleeding down the back of the mouth and throat. Blood may flow from the nostril if you lean forward.
When Should I Call My Doctor?
- There is a lot of blood
- The bleeding will not stop
- The bleeding is caused by an injury
- You experience frequent nosebleeds
- Stay calm.
- Sit up and lean forward.
- Pinch the soft parts of your nose together. Hold for at least five minutes without releasing pressure.
- Once the bleeding stops, do not pick or blow your nose.
- Avoid straining, bending, or lifting.
- If the bleeding starts again, reapply pressure for ten minutes.
Medical Intervention
- Lubricate dry nasal passages near the front of the nose. Place a small dab of lubricating cream or ointment on your fingertip. Apply the lubricant to the inside of the nose. You may do this at bedtime or up to 3 times during the day. Polysporin and petroleum jelly are examples of lubricants that may be used.
- Use a saline nasal spray. These help keep nasal passages moist. Be sure that the nose spray does not contain medications, such as phenylephrine or oxymetazoline. These types of medications should be used for only a few consecutive days.
- Do not pick your nose. Cut children's fingernails short to discourage picking.
- Humidify the air, especially in bedrooms.
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
Family Doctor—American Academy of Family Physicians http://familydoctor.org
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Canadian Society of Otolaryngology http://www.entcanada.org
Nosebleed. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 15, 2013. Accessed August 21, 2014.
Nosebleeds. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/nosebleeds.html. Updated April 2014. Accessed August 21, 2014.
Nosebleeds. American Academy of Otolaryngology website. Available at: http://www.entnet.org/content/nosebleeds. Updated December 13, 2010. Accessed August 21, 2014.
Revision Information
- Reviewer: Marcin Chwistek, MD
- Review Date: 08/2014 -
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.
Copyright © EBSCO Publishing
All rights reserved.
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Support Programs
Customers can choose from four levels of support:
- Gold: Designed for customers with business critical support needs. Gold support provides all the service offerings associated with Silver support, plus our fastest response and resolution times for critical issues, and personalized service through our TIBCO DirectConnectSM program, which includes named points-of-contact within Support.
- Silver: For customers with high availability requirements, the Silver support program provides coverage 24 hours a day, 7 days a week to help resolve production-critical issues as quickly as possible. TIBCO DirectConnect OnDemand and TIBCO DirectConnect Advantage can be purchased as an add-on option to Silver Support.
- Bronze: Suitable for customers with support needs during normal business hours, the Bronze package provides coverage during normal 8 hour business days, Monday through Friday, in the customer's time zone. TIBCO DirectConnect OnDemand can be purchased as an add-on option to Bronze Support.
- Upgrade Only: This package gives customers access to product downloads and updates as they become available, but does not provide access to customer support resources.
- TIBCO DirectConnect Support: Provides personalized, consistent, timely, and coordinated support, all directed by TIBCO DirectConnect Managers. TIBCO DirectConnect OnDemand is a monthly support service. TIBCO DirectConnect Advantage is an annual support package. Gold Support is an annual support package and includes all TIBCO DirectConnect Support services.
- Additional Assigned Contacts: Both Silver and Bronze programs provide a number of customer contacts to be named as designated interfaces for working with TIBCO's customer support group. Customers may purchase additional contacts if this number is not sufficient to meet their needs.
- Long-term On-site Support: This option places a TIBCO customer support engineer at your location for an extended period of time, typically one year.
- Short-term On-site Support: This option places a TIBCO customer support engineer at your location for a short period of time when a higher level of support is required, such as during the deployment of a new application, during a product upgrade, or during high-risk "go live" periods.
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Despite a lengthy and sometimes contentious debate, the Illinois Senate approved sweeping changes to the way the state funds public education Tuesday.
The measure, sponsored by state Sen. Andy Manar, D-Bunker Hill, would require the state to distribute public education funding based on each school district's level of financial need.
"The state has changed in 17 years," Manar said. "The law that governs school funding has not. This (legislation) is a reasonable approach."


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Posted April 19, 2013 10:42 a.m. CDT
More than 20 officials from the City of Roseville, Calif., got a special tour of UP's J.R. Davis Yard last week, courtesy of UP Public Affairs Director Liisa Stark.
Working to help Roseville city leadership become more familiar with the 6-mile, 950-acre facility, Stark explained yard operations and how the create value for UP customers. She also outlined the role Davis Yard has played in UP's efforts to test and use new technology to reduce locomotive emissions.
The mayor, city council representatives, Roseville Police, emergency responders and others attended the tour and were surprised to learn 98 percent of all rail traffic in the region flows through J.R. Davis Yard – the largest rail yard west of the Rockies.
Community Ties — news, photos and video about Union Pacific, our employees and the communities where we live and work.
Content is produced by Union Pacific Corporate Relations, 1400 Douglas St., STOP 1550, Omaha, NE 68179. Contact us via the Feedback page.


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Houston Gamer
Video games with Willie Jefferson
Posts filtered on Tag
Activision shows off "Trap Team" gameplay at event
NEW YORK – The Sky is not the limit for Activision's toy game franchise, Skylanders. During the "Skylanders Trap Team" reveal event in New York City, Activision CEO Eric Hirshberg shared an assortment of new features coming to the game series. He also emphasized how Activision wanted to make children say "Wow." The most-talked about […] [Read More]
The winner of the Skylanders Easter basket is …
The results are in. And the winner is … Thanks to ALL of the contestants. I am going to do more giveaways shortly. I want to thank Activision for the opportunity to give away one of the coolest Easter-related video game presents I've seen in a while. This weekend Also – what are you playing […] [Read More]
Skylander Easter basket winner incoming …
So, today is the day. I'll do a video announcing the winner this evening. I wish you all the best and to the winner, I'll contact you before the video and the post go live. Thanks again for taking part in the Skylander Easter basket giveaway, sponsored by Activision! [Read More]
UNBOXING Xbox One headset, media remote, rare Skylander
This week has been a great week for video gaming. Respawn's epic mech shooter, "Titanfall," debuted on the Xbox One and PC Tuesday. The multiplayer-only shooter lets gamers pilot huge mechs or hit the ground and battle enemies in traditional first-person shooter style. I'm still playing through "Titanfall" and will post a review shortly. Stay […] [Read More]
New features shine in Skylanders SWAP Force
Skylanders SWAP Force Developed by: Vicarious Visions Published by: Activision Available: NOW Available on: PS4, Xbox One, Xbox 360, PS3, Wii U, Wii, Nintendo 3DS This holiday, it pays to be a young gamer. Just think about it – you are deep into "Skylanders Giants" and then, you see Disney's "Infinity." And guess what? A […] [Read More]
This weekend – Wii Party U and the GameStick
M4d Ski11z: THIS WEEKEND, I'll be tossing it up with "Wii Party U" for the Nintendo Wii U and the PlayJam Gamestick. You don't know what the Gamestick is? It's a small HDMI device that's packed with an Android OS. It comes with a controller and the ability to download Android-flavored games. Of course, I'm […] [Read More]
Hands-on with PS4, Skylanders Swap Force and DUALSHOCK 4
This. M4d Ski11z got a sweet treat on Friday – an hour with a Sony PlayStation 4, Skylanders Swap Force – in his Man Cave at his house. No, really. More on the jump! [Read More]
The Weekend – What we're playing: A PS4, Skylanders Swap Force!
What are you playing this weekend? For M4d Ski11z, he'll be tossing it up with "Skylanders: Swap Force" and "GTA V." [Read More]