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Hyphema is a complication that can occur after glaucoma filtering surgery. Biomicroscopic examination of the anterior segment is commonly used to diagnose it and gonioscopy may provide a useful support to find the source of the haemorrhage. Unfortunately, when the blood hides the structure of the anterior segment the gonioscopic examination fails. In this case we performed ultrabiomiscroscopy with 50–80 MHz probes to overcome the limits of gonioscopy. The use of this technique to study the anterior segment of the eye has previously been reported in literature, but we illustrates its importance for performing a correct diagnosis in a specific case of hyphema.
Case presentation
We report a case of a sixty-year-old caucasian male with recurrent hyphema in the left eye. The episodes of hyphema were four in two years and the patient came to the hospital for the first time in the last occasion. The past episodes were managed with topical corticosteroids and mydriatic drops. He referred surgical trabeculectomy in both eyes 5 years before the first symptoms and no specific eye trauma before the first episode. The examination of the anterior segment revealed a 2 mm hyphema in the left eye due to blood leakage through the superior iridectomy. Gonioscopy could not identify the source of the haemorrhage. B-scan ultrasound and ultrabiomiscroscopy, with 50–80 MHz probes, were performed. Ultrabiomiscroscopy, mainly with the probe of 80 MHz, provided images of high resolution of the structures of the anterior segment and it allowed the visualization of an abnormal vessel at the inner margin of the trabeculectomy opening, probably responsible of the recurrent hyphema.
Ultrabiomicroscopy proved to be a useful diagnostic technique for identifying the cause of the recurrent hyphema when other examination techniques are not applicable.
Keywords:Ultrabiomicroscopy; Recurrent hyphema; Trabeculectomy
Hyphema is a complication that can occur after glaucoma filtering surgery, although the causes are not always well known [1,2]. In some cases abnormal vessels have been detected at the internal margin of the trabeculectomy opening [3] and they are supposed to be the cause of the haemorrhage.
Gonioscopy normally, when present, can show the neovascularization of the irido-corneal angle but it has a limited application when blood hides the structures of the anterior segment.
In these cases ultrabiomicroscopy (UBM), using 50 MHz and 80 MHz probes, can provide images of high resolution of the anterior segment revealing the cause of the haemorrhage. We have reported a case of recurrent hyphema in a patient with an abnormal vessel at the internal margin of the trabeculectomy successfully found with UBM.
Case presentation
In July 2011, a 60-year-old caucasian male came to our Department referring recurrent episodes of hyphema in the left eye (LE). The patient reported no previous eye trauma, systemic hypertension or other systemic diseases and the bleedings were not associated with any physical efforts or drugs such as anticoagulants. He referred bilateral cataract extractions 7 years before, followed by trabeculectomy two years later in both eyes. At the moment of our observation the patient was under maximal topical medical therapy for glaucoma with timolol, apraclonidin, brinzolamide and acetazolamide because of the failure of filtering surgery. Best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/40 in the left eye. At the slit-lamp examination the intraocular lens (IOL) was placed in the sulcus in both eyes and an active bleeding in the anterior chamber of the LE causing hyphema was present (Figure 1). The cataract surgery was done in another hospital and there was no information about the reasons of the position of the lens in the sulcus. In fact the posterior capsule was normal and there was no other alteration that can be related to surgical complications. The position of the haptics was studied with UBM and they seemed to be in the right place and far from iridectomy. Anterior segment in the right eye (RE) was normal. Biomicroscopic fundus examination showed vitreous detachment in the LE and negative findings in the RE. Intraocular pressure (IOP) measured with Goldmann tonometry was 14 mmHg in both eyes. A gonioscopic examination was done, but the blood present in the anterior chamber of the LE covered the irido-corneal angle structures. B-scan ocular ultrasound showed no pathological echoes in the vitreous chamber but the cause of the haemorrhage could not be identified. Ultrabiomiscropy was performed to study the area of the trabeculectomy, iris and ciliary processes. A 50 MHz probe was first used and it revealed an area of hyperreflectivity at the internal margin of the trabeculectomy with hyperreflective elements that moved from the anterior to the posterior chamber through the iridectomy and the pupillary hole in the LE. Iris and ciliary processes were normal with no sign of haemorrhage and the IOL was rightly placed in the sulcus (Figure 2). The UBM with 80 MHz probe confirmed the presence of a hyperreflective area at the inner margin of the trabeculectomy and it also showed hyperreflective elements jutting into the anterior chamber from the same area. This site was supposed to be the source of the haemorrhage (Figure 3) and an argon laser coagulation was performed on it without problems in the visualization of the abnormal vessel. The parameters of the laser treatment were 20 spots, 50 μm of diameters, 600 mW of power and 100 msec of time. Before doing laser a topical therapy with heparin drops, steroids and mydriatic was done for seven days without any result. After a 18-month follow-up the patient did not report any other episode of hyphema.
Figure 1. Slit-lamp photo of the left eye. Slit-lamp examination of the anterior segment revealing active bleeding in the anterior chamber. Blood coming out from the superior iridectomy (arrow).
Figure 2. Ultrabiomicroscopy 50 MHz of the involved eye. Ultrabiomicroscopy with 50 MHz probe showing a hyperreflective area at the internal margin of the trabeculectomy (arrow) and the presence of corpuscolated elements in the anterior chamber. The posterior chamber seems to be within normal limits. The lens is correctly placed in the sulcus (on the left side). There are no signs of iris or ciliar processes haemorrhage (on the right side).
Figure 3. Ultrabiomicroscopy 80 MHz of the involved eye. Ultrabiomicroscopy with 80 MHz probe providing a more detailed image of the hyperreflective area found with 50 MHz probe. The 80 MHz probe reveals hyperreflective elements jutting into the anterior chamber from the inner margin of the trabeculectomy opening (arrow). On the lower part there is a magnified image of the trabeculectomy area. The features of the trabeculectomy can be well studied with this technique.
The aim of the therapy of glaucoma is to preserve the visual function and to avoid progressive anatomical and functional damages with minimal side effects [4]. The reduction of intraocular pressure is commonly obtained by the use of topical drugs as the first-line treatment of glaucoma. When this therapy fails, both laser and surgical therapies are useful in the management of glaucoma. Filtering trabeculectomy remains the "gold standard" therapy for long-lasting intraocular pressure reduction in uncontrolled glaucoma [5]. It works through a trans-scleral fistula that allows the outflow of the aqueous humour in the subconjunctival space, establishing a filtering bleb. The most known complications of trabeculectomy surgery are bleb leakage and failure, hyphema, retinal and choroidal haemorrhages, endophthalmitis, chronic hypotony, cataract [1,2].
Hyphema consists in the presence of blood in the anterior chamber of the eye. It may appear as a reddish tinge or it may appear as a small pool in the lower part of the anterior chamber. Hyphema is often caused by injury and according with its extension it may partially or completely block vision. Among the other causes of hyphema there are uveitis, intraocular tumours, congenital disorders, systemic hypertension, retinal detachment, haematological diseases and cataract surgery [6,7]. Hyphema can be rarely associated with antiplatelet or anticoagulant therapy [8] and also with Fuchs' heterochromic cyclitis (FHC) [9]. In our case we also excluded the uveitis-glaucoma-hyphema (UGH) syndrome, which may occur after cataract surgery [10]. Moreover recurrent hyphema has been described as both an early and late complication of glaucoma filtering surgery [1,3]. Wilensky [3] hypothesized that after trabeculectomy the cases of recurrent hyphema are more frequent than those reported. This happens mainly in older patients who have a poor visual acuity because of the contemporary presence of cataract and glaucoma, in which slight changes of visual acuity might not be noticed. Most of hyphemas spontaneously resolve without complications but in some cases they may require a specific treatment. In fact a long-standing hyphema may result in hemosiderosis and heterochromia. Blood accumulation may also cause an increase of the intraocular pressure, which is dangerous mostly in glaucomatous eyes. In most of the cases of hyphema the interruption of any antiplatelet or antitrombotic drugs, the elevation of the head of approximately 45 degrees associated with bedrest are sufficient to its resolution. In refractory cases or in those with associated high intraocular pressure, argon laser treatment is useful to stop directly the source of the haemorrhage. The identification of the source of bleeding is crucial and UBM can be helpful to get it.
In this case report, the patient complained of recurrent hyphema after a failed glaucoma filtering surgery and it was decided to perform a laser treatment because of the recurrent episodes of hyphema. Slit-lamp examination revealed an active bleeding through the superior iridectomy but it was not capable of finding the source of the haemorrhage. B-scan ocular ultrasound with 10 MHz probe, did not show any pathological echoes in the vitreous chamber and according to literature, UBM with 50 and 80 MHz probes was carried out to explore the trabeculectomy area, the anterior and the posterior segments [11,12]. UBM with 50 MHz probe showed no active bleeding from iris or ciliar processes related to IOL and it revealed a hyperreflective area at the internal margin of the trabeculectomy. These features were better studied with UBM 80 MHz probe that showed a hyperreflective area from which hyperreflective elements jutted in the anterior chamber. These images likely corresponded to an anomalous bleeding vessel at the internal margin of the trabeculectomy and probably the hyperreflective elements were blood cells.
Comparing UBM using 80 MHz probe with the other above mentioned diagnostic techniques, we suggest the usefulness of its high resolution images for detecting the precise site of the haemorrhage on which a successful targeted argon laser coagulation was performed.
Moreover ultrabiomicroscopy may prove a suitable diagnostic technique in all those conditions in which detailed images of the eye structure are required. This is valid both for primary ocular diseases and for ocular involvement in systemic conditions.
In our opinion, ultrabiomicroscopy proved to be a useful diagnostic technique for identifying the cause of the recurrent hyphema when other examination techniques are not applicable.
Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
SV and GM contributed to this case report's conception and design. They also performed the literature research, prepared the manuscript and reviewed it for publication. CM, SC and AC were involved in the literature review and helped draft parts of the manuscript. SMR, AP and SV supervised the writing of the manuscript. SMR, AC and AP supervised the general management and follow-up of the patient. All authors have read and approved the final manuscript.
Edmunds B, Thompson JR, Salmon JF, Wormald RP: The National Survey of Trabeculectomy. III. Early and late complications.
Eye (Lond) 2002, 16(3):297-303. Publisher Full Text
Ashaye AO, Komolafe OO: Post-operative complication of trabeculectomy in Ibadan, Nigeria: outcome of 1-year follow-up.
Eye (Lond) 2009, 23(2):448-452. Publisher Full Text
Wilensky JT: Late hyphema after filtering surgery for glaucoma.
Sverrisson T, Gross R, Pearson J, Rusk C, Adamsons I: The dorzolamide/timolol combination versus timolol plus pilocarpine: patient preference and impact on daily life. United States Patient Preference Study Group. International Patient Preference Study Group.
J Glaucoma 1999, 8:315-324. PubMed Abstract
Ramakrishnan R, Khurana M: Surgical management of glaucoma: an Indian perspective.
Indian J Ophthalmol 2011, 59(Suppl):S118-S122. PubMed Abstract | Publisher Full Text | PubMed Central Full Text
Jones NP: Spontaneous hyphema associated with anterior uveitis.
Speakman JS: Recurrent hyphema after surgery.
Can J Ophthalmol 1975, 10:299-304. PubMed Abstract
Carter K, Miller KM: Phacoemulsification and lens implantation in patients treated with aspirin or warfarin.
J Cataract Refract Surg 1998, 24(10):1361-1364. PubMed Abstract
Noda S, Hayasaka S: Recurrent subconjunctival haemorrhage in patients with Fuchs' heterochromic cyclitis.
Ophthalmologica 1995, 209:289-291. PubMed Abstract | Publisher Full Text
Angunawela R, Hugkulstone CE: Uveitis-glaucoma-hyphema syndrome and systemic anticoagulant.
Eye 2005, 19:226-227. PubMed Abstract | Publisher Full Text
Dada T, Gadia R, Sharma A, Ichhpujani P, Bali SJ, Bhartiya S, Panda A: Ultrasound Biomicroscopy in Glaucoma.
Surv Ophthalmol 2011, 56(5):433-450. PubMed Abstract | Publisher Full Text
Pavlin CJ, Harasiewicz K, Foster FS: Ultrasound biomicroscopy of anterior segment structures in normal and glaucomatous eyes.
Am J Ophthalmol 1992, 113(4):381-389. PubMed Abstract


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BioMimetic Therapeutics, Inc. (BMTI)
Q4 2008 Earnings Call Transcript
March 13, 2009 8:30 am ET
Kearstin Patterson – Director, Corporate Communications
Sam Lynch – CEO & President
Larry Bullock – CFO
Steve Hirsch – EVP & COO
Imran Zafar – Deutsche Bank
Michael Matson – Wachovia Capital Markets
Debjit Chattopadhyay – Boenning
Anup – Canaccord Adams
Franz Tudor [ph] – Incremental Capital [ph]
Previous Statements by BMTI
» BioMimetic Therapeutics, Inc. Q3 2008 Earnings Call Transcript
» BioMimetic Therapeutics, Inc. Q2 2008 Earnings Call Transcript
» BioMimetic Therapeutics Inc. Q1 2008 Earnings Call Transcript
I would now like to turn the presentation over to your host for today's call, Ms. Kearstin Patterson, Director of Corporate Communications for BioMimetic. Please proceed.
Kearstin Patterson
Thanks, Erica. Before we begin, I would like to remind you that any statements made during this call can be considered forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on the current intents and expectations of the management of BioMimetic Therapeutics. These statements are not guarantees of future performance and involve risks and uncertainties that are difficult to predict. There are many important factors that could cause actual results to differ materially from those indicated in the forward-looking statements.
BioMimetic's actual results and the timing and outcome of events may differ materially from those expressed in or implied by the forward-looking statements because of risks associated with the marketing of BioMimetic's products, unproven pre-clinical and clinical development activity, regulatory oversight and other risks detailed in the Company's filings with the Securities and Exchange Commission. Except as required by law, BioMimetic undertakes no responsibility for updating the statements made during this call.
Please note that for your convenience, this conference call webcast will be archived on the Investor Information section of our Web site for at least 30 days.
Now I'd like to hand the call over to Dr. Sam Lynch, President and CEO of BioMimetic Therapeutics.
Sam Lynch
Great. Thank you, Kearstin, and good morning, everyone. And thank you for joining us bright and early on this Friday, the 13th. Welcome to BioMimetic Therapeutics 2008 fourth quarter and year end earnings conference call. I have with me on the call today, Larry Bullock, our CFO and Stephen Hirsch, our COO and EVP for Orthopedics.
The first part of the call will address our product development programs and business activities, which will then be followed up with Larry reviewing our financial results for the fourth quarter and yearend December 31 '08, which were released yesterday evening. We will also be happy to answer any questions that you may have during the Q&A portion of the call.
We saw many of you at our analyst and investor meeting at the end of February just a few weeks ago and we appreciate your continued support and interest in the BioMimetic story. We hope that that meeting provided you greater insight into our upcoming corporate milestones and allowed you to get a feel for the immediate and longer-term market potential of our product candidates. In case you weren't able to attend that meeting, the webcast is located on our Web site.
The past year was a challenging but very productive one for BMTI. Some of the highlights for 2008 included the completion of enrollment in both our North American and EU pivotal clinical trials for Augment Bone Graft; reporting of encouraging data in our pilot clinical trials for Augment Injectable Bone Graft, our second generation orthobiologics product in our pipeline; the sale of our orofacial therapeutics business; and the issuance of a patent that will provide protection for our Augment product line and certain other PDGF product formulations until at least 2025.
Finally, we were able to achieve liquidity for some of our assets that were tied up in auction rate securities by arranging a $39 million loan secured by those bonds. We are proud of our record of accomplishments during 2008 and the strong reputation that we believe that we are building within the orthopedic community.
Let me take a few minutes to give you some more details on the significant product development milestones that we've accomplished throughout '08.
I will start with our lead orthopedic product candidate, Augment Bone Graft, which is being developed as a preferred alternative to the use of autologous bone graft.
The enrollment in our North American pivotal trial has been one of the Company's most visible milestones, for those of you who have been following BMTI's progress, due largely to a strong acceleration of enrollment in the fourth quarter, we successfully completed enrollment in December. Therefore, we expect to be able to file the clinical data with the FDA in the fourth quarter of this year.
We have previously discussed with you our plan to do a modular filing of our PMA. The first two sections of the PMA, the pre-clinical and the manufacturing and quality sections are on schedule to be filed this spring, very shortly, allowing time for the agency to review these data well in advance of the clinical module.
So, when our clinical data package is sent to the FDA in the fall, we hope that we will have already been able to address all the questions the agency may have on these first two modules. We believe this strategy will allow the most efficient and timely review and ultimate FDA approval. Since we know there will be a good deal of interest in the results of the clinical trial, we will work to determine the most appropriate venue to release the data later this year.
Read the rest of this transcript for free on seekingalpha.com

subset: commoncrawl


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- SenegalFoodFunding via CAURIE Microfinance, a partner of Catholic Relief Services
Asmao's GroupSenegalFoodFunding via CAURIE Microfinance, a partner of Catholic Relief Services
Fanta's GroupSenegalFoodFunding via CAURIE Microfinance, a partner of Catholic Relief Services
Ansatou Djite's Group
Mrs. Ansatou (sitting on the right) is the star borrower of the group. She is 35 and is married with three children (one boy and two girls.) This woman has made noteworthy progress since she joined the village bank system and her capacity to finance her business has progressed well. In addition to her activity at the market, she buys dried fish in the coastal area to the south of the country by the basketful.
With this loan she plans to stock up on dried fish, palm oil, and groundnut paste.
For four baskets of dried fish at 60 000 F Cfa, that she resells retail at a price that varies between 200 and 1000 F Cfa
For 2 cans of 20 litres of palm oil at 30 000 F Cfa that she resells in sachets at 100 or 200 FCfa and bottles of one litre for 1'000 FCfa.
For two buckets of 20 litres of groundnut paste at 26 000 F Cfa resold for 100 to 500 F Cfa. per sachet.
The profits from her activity enable her to help her husband to assume the daily management of the household and to increase her savings.
Madame Ansatou (assise droite), est l'emprunteuse vedette du groupe, âgée de 35 ans, elle est mariée et mère de 03 enfants (1 Garçon et 2 filles). C'est une femme qui connait une évolution notable depuis son entrée dans le système des bancs villageois et sa capacité a financé son activité suit une croissance notable. En plus de son activité directe au marché, elle achète du poisson sec dans la côtière du sud du pays par panier.
Avec ce prêt elle compte s'approvisionner en poisson sec, en huile de palme et patte d'arachide.
- Pour poisson sec 04 paniers à 60 000 F Cfa, qu'elle revend au détail au prix variant entre 200 et 1 000 F Cfa.
- Pour l'huile de palme 02 bidons de 20 litres à 30 000 F Cfa revendus par bouteille d'un litre à 1 000 F Cfa et sachet de 100 à 200 F Cfa.
- Pour la patte d'arachide 02 seaux de 20 litres à 26 000 F Cfa revendus par détail en sachet de 100 à 500 F Cfa.
Les bénéfices de son activité lui permettront de soutenir son mari dans la gestion quotidienne de la maison et de renforcer son épargne.
Additional Information
More information about this loan
This loan is going to a borrower or borrower group living in a rural area.
About CAURIE Micro FinanceThe mission of CAURIE Micro Finance is to contribute sustainably and to offer microfinance services adapted to impoverished micro-entrepreneurs, primarily women, based on the principles of 'credit for the poor' and on microfinance best practices, all while investing in order to become financially independent.
This is a Group Loan
In a group loan, each member of the group receives an individual loan but is part of a larger group of individuals. The group is there to provide support to the members and to provide a system of peer pressure, but groups may or may not be formally bound by a group guarantee. In cases where there is a group guarantee, members of the group are responsible for paying back the loans of their fellow group members in the case of delinquency or default.
Kiva's Field Partners typically feature one borrower from a group. The loan description, sector, and other attributes for a group loan profile are determined by the featured borrower's loan. The other members of the group are not required to use their loans for the same purpose.
About Senegal
35View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 8 months (Additional Information)
- Repayment Schedule
- At end of term
- Pre-Disbursed:
- Jun 28, 2013
- Listed
- Jul 9, 2013
- Currency Exchange Loss:
- Possible
- Ended:
- Jan 17, 2014


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Discover a selection of top forums different hufflepuff on the internet. Come to share your passion on forums different hufflepuff and meet other fans of different hufflepuff. Then, why don't you create your own forum of different hufflepuff ?
Free forum : A Harry Potter Role play Forum, where there is one key difference, the Prophecy that foretold Harry as the one who would defeat Voldemort is never made.
wizarding, world, good, evil, power, harry, potter, role, play, prophecy, voldemort, james, lilly, order, phoenix, hogwarts, school, gryffindor, slytherin, students, ravenclaw, #hufflepuff, sirius, black, weasley's, drama, characters


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324 Views 1 Reply Latest reply: Nov 20, 2012 11:51 AM by a brody
a brody Nov 20, 2012 11:51 AM
Re: I have a DVD I recorded from my tv. I am trying to make copies and when I insert the DVD I get a message saying it is blank even though it is not. My question are: Why does my computer think it's blank? And how can I copy a DVD? in response to sheilaniner Helpful
TV video typically is copyrighted content. We'd be breaking several rules trying to help you. Good luck!


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November 25, 2015
CHICAGO (AP) -- President-elect Barack Obama is pledging to eliminate unnecessary government spending and programs.
He's vowing to get rid of programs that have outlived their usefulness, or that exist solely because of the power of politicians.
As he named Peter Orszag as his White House budget chief, Obama told reporters that budget reform is a necessity, not just an option. He said it's not about big government or small government, it's about smarter government.
Renewing his campaign pledge, he said his staff is going through the federal budget, page by page and line by line, to make sure that those programs that are kept are done sensibly.
Obama's comments come even as he calls for an economic rescue plan that could add up to hundreds of billions of dollars.
(Copyright 2008 by The Associated Press. All Rights Reserved.)
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Posted by Dr. M
I have had multiple dealing with this law firm. I have used this firm for closings, estate planning, and general legal advice. Specifically, my dealings with Andrew Gonser have always been met with a concerned ear and responsive conversation to fully understand and address my issues. I have referred multiple people to Mr. Gonser and have always been thanked for such a good recommendation. I am 100% confident that he has my best interests at hand.
Posted by Francesca
I was very fortunate a friend referred me to Andrew Gonser after he had represented her. Andrew gonser took the time to explain all the proceedings in my divorce/child custody case. He understood my requests and reasoning. Mr Gonser was very patient with me as this was my first time needing legal representation. I was married for 15 years with 3 young children and now I am happily divorced with full custody !
Posted by Amy
Drew did not protect my financial future/assets in my divorce settlement 3 years ago as a single parent working full time for 25 years as an RN with the responsibility of 3 children and a self employed ex-spouse of 19 yrs. Despite the background information I provided regarding my ex-spouses previous financial and personal irresponsibility, Drew pursued a settlement which was unrealistic for my ex-spouse and extremely financially risky for myself. We owned 4 properties together in which 3 of them needed to be sold or refinanced. My ex-spouse insisted on maintaining responsibility for 2 of the properties which he was clearly incapable of doing as history showed. (Which Drew ignored after multiple warnings from myself!) Drew basically "kicked the can" down the road for me to clean up now on my own once again after spending over $10,000 for Drew in the first place. I would have been better off representing myself as he did not protect me from my concerns. Drew was not pro-active and appeared to want to settle my case as opposed to doing the right thing for my overall protection. If you need solid, complete financial protection in a divorce and child support agreement, Drew is not the attorney I would recommend.


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See All Contributors »
Not great, but good.
Prevail and Ride: Tresselball.
It's all snark from here on out
OK...do you expect change?
All truisms are false. All of them.
I agree with the last slide. If he doesn't coach anymore, he will work for ESPN.
"The greatest risk in life is not taking one"
The last one where he is walking to ESPN is classic.......
Originally Posted by CyCrazy
The last one where he is walking to ESPN is classic.......
I liked the "This is a media conspiracah" one. I chuckled. Stupid Buckeyes.
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10 Steps to Pick the Right Doctor
Whether you need a primary care doctor or a specialist, these 10 steps will ensure you find the right doctor for you. View Slideshow
Dr. Juergens' Experience
- Addiction Psychiatry
Board Certifications
- Addiction Psychiatry
- Psychiatry
- Psychiatric Evaluation
- Anxiety
- Bipolar Disorder
- Major Depressive Disorder
- Schizophrenia
Background Check for Dr. Juergens
Malpractice Claims not available
- Healthgrades does not collect malpractice information for Washington.
- No sanctions history found for the years that Healthgrades collects data.
0 Board Actions
- No board actions found for the years that Healthgrades collects data.
Awards & Recognitions
Education & Training
Medical School
- Mayo Medical School
- Graduated in 1979
Internship Hospital
- Hennepin Co Mc
- Complete in 1980
Residency Hospital
- Mayo Grad School Med
- Complete in 1985
- University Of Washington
- Complete in 1983
Languages Spoken by Dr. Juergens & Staff
- English


text:
- Filed Under
Junior center Peter Jurkin obtained his release from Indiana and will transfer, his AAU coach told The Star on Saturday.
A member of IU's touted 2012 basketball recruiting class, the 7-0 Jurkin struggled with injuries through most of his two seasons in Bloomington. He was also suspended for the first nine games of his freshman season by the NCAA for receiving impermissible benefits during his prep career.
Jurkin appeared in eight games last season, scoring two points and pulling down four rebounds. ...


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Granny Fucked My Boyfriend 2Favorites [+]
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Dear Developers,
have you ever wanted to easily use cryptography in your software?
The most expert of you use to create their own RSA Library or use the ones provided with such advanced platforms as .NET Framework and Java.
And what do the less expert ones? Cryptography is not a simple matter: the most complex to understand is an algorithm, the most secure the system is.
Web sotware development is really spreading these days, and PHP is one of the most used languages, because it's free and easy to learn.... read more


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November 30, 2015
Stay Connected Anywhere
DODGE CITY, Kan. (AP) _ Assistant Attorney General Natalie K. Randall says she plans to run in the Republican primary election for Ford County attorney.
Randall was an assistant Ford County attorney until joining Attorney General Derek Schmidt's office a year ago. Randall told The Dodge City Daily Globe (http://bit.ly/JDn8Li ) she misses working in Ford County and wants to restore a full time prosecutor to the position.
Randall is a member of the Republican Women's Association and the First United Methodist Church. She lives in Dodge City with her husband and daughter.
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- Filed Under
Geico uses a camel to promote its insurance; Capital One uses Alex Baldwin and a bunch of Norsemen to promote its charge card.
Librarians, however, take a different approach to promoting their card. They use the month of September. This month is National Library Card Month, a celebration held at the beginning of the new school year to remind parents and caregivers that a library card is the most important school supply of all.
A library card opens the door to so much for its holder. It's a passport to see the world through books, whether in print or digital. It's the access point to educational support for adults and students, an invitation to cultural activities, and a ticket to the movies.
Libraries have provided the services people suffering during the current economic downturn and slow recovery, even though they have felt the financial pinch themselves. They provide computers and Internet access for those who need them to find employment. They've provided activities to entertain and educate at no charge.
From infants to senior citizens, libraries have become the cultural hub in the community. But sadly, there's still an estimated that 44 percent of Americans don't have a library card. On its website, the American Library Association has a list of 60 things to do with a library card. Here's what we think are the 10 best reasons to get one:
? Download an e-book. Your library is where you can get e-books and other digital content. The Wayne, Garden City and Westland libraries offer OverDrive, a digital collection of e-books, audiobooks and music. Through Download Destination, you can check out and download material like any other item in the library collection. After your check-out period expires, the title will cease to work on your device.
? Not sure how to download an e-book on your new device? A librarian can show you how. Take a workshop on how to use your e-reader or other gadgets. The Westland library is offering an eReader and Tablet Support Group that meets 2-4- p.m. the third Thursday of the month.
? Students can get help with homework, research a term paper, work on a class project or use a computer to finish a school project. According to the ALA, almost 91 percent of public library outlets offer wireless Internet access.
? Check out a pass to a museum. The Wayne, Garden City and Westland libraries are offering the Michigan Activity Pass, which provides access to nearly 60 participating institutions around the state. Some cultural partners offer complimentary or reduced price admission; others, discounts in their gift shop or other exclusive offers for MAP pass holders only.
? Launch your future at the library. Get free assistance with job searches, resume writing and interviewing tips at the library. The Westland library offers a Job Seekers Lab three days a week to help people file for unemployment, create a resume in Microsoft Word or learn how to upload their resume into the Michigan talent bank or other job-searching websites.
? Attend preschool story hour with your child. September is the time libraries begin their fall story times hours for preschoolers. With their older siblings back to school, youngsters, and even families, get a chance to enjoy stories, games, crafts and much more.
And our favorite reason to having a library card: Save money and enjoy some quality time. Plan a family afternoon at place that's free - the library.
Of all the cards in your wallet, it's the library card that is the best deal. It's the one card that's free of charge and requires no minimum payment or interest charge.
If you don't have a library card, get one. If you have one, use it. Either way, you can't go wrong.


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The Chicago Bears had a nice, long break, but the off-week is over, and the Detroit Lions will be waiting for them one week from tonight.
This will be the second year in a row the Bears will take on the Lions on Monday Night Football, and the Bears players remember well when Detroit beat them 24-13 at Ford Field in Week 5 of last season.
"They have been (hostile), especially last year after that Monday night game, we owed them something in the second one," Chicago's tight end Kellen Davis said. "I think that's kind of the pace that it's going to be this year for the next two. I'm kind of looking forward to getting out there and mixing it up."
Bears defensive back D.J. Moore got into a tussle with Lions quarterback Matthew Stafford, and it quickly turned into a melee. Players from both benches made their way into the ruckus, and that may have forever changed the way today's players look at this matchup.
The Bears returned the favor later in the season last year, whipping up the Lions 37-13 in Week 10. And there are still ill feelings left unresolved.
"I'm sure Chicago is not one of Detroit's favorites, and they're not one of our favorites," Bears head coach Lovie Smith said. "It should be like that in the division, and when everyone is playing good ball, you have to be ready each play."


text: You are viewing Fat Guy - 3 of 4 Fat Guy - Ep 3: The Show By Fat Guy In episode three of "Fat Guy", Caskey and Eva go see Kelly's newest show.... more »In episode three of "Fat Guy", Caskey and Eva go see Kelly's newest show. After the performance, Kelly decides to play cupid and introduces Caskey to Greg. « less Published December 15, 2011 120 views More Info » Full Credits Fat Guy Uploader Stats & Data 5 Funny Votes 3 Die Votes 124 Views Published December 15, 2011 Categories: Web Series Keywords: Comedy Caskey Fat Guy NYC Up Next: Fat Guy - Ep. 4: The Date AUTOPLAY Up Next In: 10 Fat Guy - Ep. 4: The Date Fat Guy - Ep 1: The Offer Fat Guy - Ep. 2: The Shoot Fat Guy - Ep 3: The Show Follow Facebook Twitter Tumblr Instagram Browse Related Comments Fat Guy 4+ more View All ▶ 4+ more View All ▶ Fat Guy Vaguely Related Videos Vaguely Related Pics & Words Advertisement


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Her little Ladyship, eyeing me askance, answered, 'I can't come now—the dress-maker is waiting to fit on my frock.'
When John Kenyon entered his office, he thought the clerk looked at him askance.
They crowded away from the two well-dressed high-school girls, looking at them askance.
Claude, who was now growing embarrassed, had examined the girl, askance.
In more fashionable circles the mere possession of a pipe might be looked at askance.
The lanky Sucatash looked at him askance, catching the note of sentiment.
Lukynitch stood with his grey head bent on his breast, and stared at me askance in a strange sort of way.
"You speak of the castle as if you knew about it," said the landlady, eyeing her askance.
At first, indeed, his activity had been looked at askance at Innsbruck, as but another force making for disintegration.
Men pretending virtues as relentless as his own were often inclined to eye him askance.
1520s, "sideways, asquint," of obscure origin. OED has separate listings for askance and obsolete Middle English askance(s) and no indication of a connection, but Barnhart and others derive the newer word from the older one. The Middle English word, recorded early 14c. as ase quances and found later in Chaucer, meant "in such a way that; even as; as if;" and as an adverb "insincerely, deceptively." It has been analyzed as a compound of as and Old French quanses (pronounced "kanses") "how if," from Latin quam "how" + si "if."
The E[nglish] as is, accordingly, redundant, and merely added by way of partial explanation. The M.E. askances means "as if" in other passages, but here means, "as if it were," i.e. "possibly," "perhaps"; as said above. Sometimes the final s is dropped .... [Walter W. Skeat, glossary to Chaucer's "Man of Law's Tale," 1894]Also see discussion in Leo Spitzer, "Anglo-French Etymologies," Philological Quarterly 24.23 (1945), and see OED entry for askance (adv.) for discussion of the mysterious ask- word cluster in English. Other guesses about the origin of askance include Old French a escone, from past participle of a word for "hidden;" Italian a scancio "obliquely, slantingly;" or that it is a cognate of askew.


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Latest Weather Blog
Content Tagged As mosquito
Tagged News
Rain brings mosquito boom in Livingston Parish check to see if lock exists for regeneration Play Video
November 17, 2015 5:34 PMDENHAM SPRINGS - With more rain on the way the city of Denham Springs plans to rev up its mosquito spraying program. The city started its own program a few months ago but eventually stopped last month after complaints about mosquitoes died down. However, the buzz is back after rain... more »
Louisiana: 55 West Nile cases this year, 4 deaths
October 9, 2015 9:47 AMBATON ROUGE- Louisiana's Department of Health and Hospitals says one newly reported case of West Nile virus and two additional deaths from the disease have been reported this week. That brings the total number of cases to 55 and the number of deaths to four. Thirty-four of the reported cases... more »
Mosquito protection check to see if lock exists for regeneration Play Video
August 17, 2015 9:55 AMBATON ROUGE- You can't have a hot and humid summer in Louisiana without mosquitoes. Even though this has been one of the milder summers for the insects, mosquito abatement officials are still encouraging people to protect themselves from the pests. This morning, Randy Vaeth from East Baton Rouge... more »
Mosquito plane flies in Baton Rouge tonight
July 22, 2015 4:31 PMBATON ROUGE - A mosquito plane will be circling parts of the city and unincorporated areas Wednesday night. The mosquito control agency announced aerial spraying in Baker, North Baton Rouge, and parts of Southdowns and Kenilworth - in that area, the plane will spray above Perkins Road to Kenilworth.... more »
Mosquito spraying starts Monday night in Denham Springs
July 13, 2015 5:20 PMDENHAM SPRINGS - Denham Springs will kick off its new mosquito abatement program when it sprays Monday night. The city plans to begin spraying along Hatchell Lane and surrounding streets at 8 p.m. Denham Springs will spray four nights a week to knock down the mosquito population. This... more »
No West Nile in EBR yet check to see if lock exists for regeneration Play Video
June 26, 2015 5:34 PMBATON ROUGE - The East Baton Rouge Mosquito Abatement and Rodent Control told News Two, lab results that were released Friday show there are no mosquitoes that have tested positive for the West Nile virus. "We're happy this year but we're not letting our guard down," said Randy Vaeth,... more »
Denham Springs resuming mosquito control check to see if lock exists for regeneration Play Video
May 26, 2015 6:12 PMDENHAM SPRINGS - With no mosquito control in Livingston Parish, the city of Denham Springs is moving forward with plans to provide its own. The city recently purchased 20 cases of insecticides for nearly $3,500. That's the amount allocated for mosquito control in next year's budget for Denham Springs.... more »
Mosquito population explodes
April 22, 2015 7:09 PMBATON ROUGE- Standing water left behind by last weeks rain is causing the mosquito population to explode. The major concern is West Nile Virus. So parishes with mosquito control workers are out in force this week. According to the Department of Health and Human Services, the virus shows no... more »
Experts: Weather helping mosquitoes in Livingston Parish check to see if lock exists for regeneration Play Video
March 13, 2015 5:11 PMWALKER - Livingston Parish residents have mixed feelings about the future of mosquitoes in the parish with no mosquito control in the area. Voters shot down a property tax twice last year that would have kept the program alive. Instead, mosquito abatement closed its doors in late October and... more »
Mosquito money still a problem in Livingston check to see if lock exists for regeneration Play Video
November 11, 2014 9:55 PMDENHAM SPRINGS- As the end of the Mosquito Abatement program nears in Livingston Parish, current director Jeanine Tessmer is working hard to secure funding that could keep the program alive. "We will not be spraying in 2015 and that's going to allow the mosquitoes to grow in the numbers... more »
Livingston Mosquito Abatement shutting down check to see if lock exists for regeneration Play Video
October 16, 2014 3:36 PMDENHAM SPRINGS - Mosquito abatement in Livingston Parish will come to an end sometime next week. The program is running out of money after voters struck down a fee that would have tacked on to property taxes. Mosquito Abatement Director Jeanine Tessmer says drivers will spray until the chemicals... more »
Capital region has most of new West Nile cases
September 26, 2014 8:55 PMGONZALES- A new case of West Nile in Ascension Parish is among the 15 total new cases state-wide the health department released Friday. The additional cases bring the year's total to 118 reported infections. The Department of Health and Hospitals said the new infections include five of the more... more »
DHH confirms 13 new cases of West Nile in Louisiana
August 15, 2014 3:19 PMBATON ROUGE - Health officials confirmed 13 new case of West Nile in the state Friday. The Department of Health and Hospitals reported multiple cases in East Baton Rouge, Ascension, Caddo, Calcasieu and Livingston. Officials say the 13 new cases were reported in the state's latest surveillance report, bringing... more »
Cases of a new mosquito virus in Louisiana
July 30, 2014 6:52 PMBATON ROUGE - Chikungunya is a mosquito borne virus that comes from the Caribbean and it is spreading into the states including in Louisiana. Chikungunya started to break out in the Caribbean last year, and has spread throughout the United States. The Center for Disease Control said there are six... more »
First Louisiana West Nile death of the year
July 25, 2014 7:36 AMSHREVEPORT - Louisiana health officials say a person in Shreveport has died from the West Nile virus. The individual who died was between 60 and 74 years old. The gender of the victim has not been released at this time. Martha Whyte, public health chief in northwest Louisiana, tells the... more »
Human cases of West Nile becoming more prevalent capital city area
July 9, 2014 6:58 PMThree human cases of West Nile were found Tuesday in Livingston Parish and as of Wednesday more than 30 cases have been reported in mosquitos. Experts at the East Baton Rouge Mosquito Abatement say they anticipate to see more human cases due to the amount of mosquitos that are... more »
Mosquito control forced to make cuts despite cases of West Nile
July 8, 2014 10:45 PMLIVINGSTON - Mosquito control is cutting back since funds are running out despite three cases of West Nile in the parish. Voters vetoed a $3 million property tax in October to keep spraying the parish. Funds could be gone by next year. Jeanine Tessmer, the Mosquito Abatement Director,... more »
Clothing, blood-type can make you mosquito magnet check to see if lock exists for regeneration Play Video
June 24, 2014 9:29 AMBATON ROUGE - Researchers have identified certain factors that could make you a more tasty target for mosquitoes. Research shows that blood type plays the largest role. Mosquitoes land on people with Type-O bloods twice as often as those with Type-A. They landed on people with Type-B blood the... more »
Rain sends number of mosquitoes soaring check to see if lock exists for regeneration Play Video
June 5, 2014 4:16 PMPORT ALLEN - West Baton Rouge Mosquito Control plans to ramp up spraying after millions of mosquitoes spawned with last week's rain. Just Wednesday night, George Bragg with mosquito control collected more than 500 mosquitoes in one trap in Port Allen. "It's a pretty good amount for just... more »
Mosquito control: Expect an "explosion" of mosquitoes check to see if lock exists for regeneration Play Video
February 28, 2014 5:16 PMDENHAM SPRINGS - Mosquito experts say to expect an "explosion" of mosquitoes in Livingston Parish when mosquito control stops spraying in the parish in 2015. Livingston Parish Mosquito Abatement Director Jeanine Tessmer says mosquitoes will be everywhere when mosquito control closes its doors. "There will be nothing to... more »
Livingston Mosquito Abatement's future at risk check to see if lock exists for regeneration Play Video
October 4, 2013 4:22 PMDENHAM SPRINGS - Livingston Parish Mosquito Abatement District officials fear that they'll fold if voters don't approve a 3-mill property tax on October 19. Mosquito Abatement Director Jeanine Tessmer says they spray daily in Livingston Parish to keep the pesky mosquito population at bay. They currently bill more than... more »
Mosquito abatement buzzing for tax check to see if lock exists for regeneration Play Video
September 16, 2013 10:36 PMLIVINGSTON - The mosquito abatement in Livingston Parish is warning people it might not have an income if a tax is denied next month. It's been voted down before, and will be up for decision a second time in October. "They spray at night, you can hear the... more »
State's first death from West Nile reported Friday
September 6, 2013 4:04 PMALEXANDRIA- State health officials announced Friday, the first death in Louisiana connected to West Nile. A person in Rapides Parish got sick and died. Specific details about the victim were not released. Also this week, ten more people contracted the virus. Now, 31 people are sick from West... more »
Mosquitoes test positive for West Nile check to see if lock exists for regeneration Play Video
May 14, 2013 10:56 PMPORT ALLEN- Mosquitoes in traps in West Baton Rouge have tested positive for West Nile, the potentially dangerous disease carried by the bugs. The positive results were found earlier than usual. So, crews have started spraying parts of the parish, first focusing on areas where the bugs were found... more »
Mosquito trucks to spray for first time this season
May 13, 2013 4:15 PMBATON ROUGE - Mosquito trucks will hit the road spraying in East Baton Rouge Parish tonight for the first time this season. Mosquito abatement officials said the trucks will be out in south Baton Rouge around sundown this evening. Randy Vaeth with mosquito abatement said they usually go... more »
Leaders plan to push tax increase again
April 25, 2013 9:06 PMLIVINGSTON - Just one year later, leaders want to push a property tax increase to fund Livingston Parish mosquito control again. It was voted-down last year, but since about a third of residents still skip-out on paying the fee, Mosquito and Abatement believes the tax is necessary. Without... more »
Mosquito fight more difficult in winter check to see if lock exists for regeneration Play Video
December 7, 2012 5:51 PMDENHAM SPRINGS - Workers fighting the bite of mosquitoes in Livingston Parish are changing their tactics. The window to spray for mosquitoes has changed to from 4:30 p.m. until about 8:00 p.m. That's because sunset is around 5:04 p.m. this week. Livingston Parish Mosquito Abatement Director Jeanine Tessmel... more »
Mosquito problem in Livingston Parish
September 21, 2012 10:10 AMLIVINGSTON - Residents in Livingston Parish may be dealing with an issue bigger than they can handle. Recent rain and Hurricane Isaac left behind a lot of standing water, which could bring a lot of mosquitoes. The Livingston Parish Mosquito Abatement also doesn't have adequate funding to cover... more »
Isaac may spark swarms of mosquitoes
September 4, 2012 10:23 AMHOUMA - After Hurricane Isaac left a lot of water behind, south Louisiana residents may be dealing with swarms of mosquitoes. And with Louisiana experiencing the highest rate of West Nile virus infections in several years, state officials are warning residents to take precautions against mosquitoes. The Courier reports that... more »
DHH: 53 new West Nile cases, 3 deaths check to see if lock exists for regeneration Play Video
August 24, 2012 4:20 PMBATON ROUGE - The state Department of Health and Hospitals said three more people died this week from the West Nile Virus, and 53 new cases were reported. That brings the year's total deaths to nine, the most in recent years according to DHH. The most was in 2002,... more »
24 new cases of West Nile announced
August 17, 2012 2:03 PMBATON ROUGE - The Louisiana Department of Health and Hospitals reported 24 new cases of West Nile virus infections this week. No additional deaths from the virus have occurred, but six people have died so far this year. DHH has found a total of 92 cases of West... more »
Additional West Nile deaths reported
August 10, 2012 4:05 PMBATON ROUGE - The Louisiana Department of Health and Hospitals has reported an increase in West Nile Virus infections with 15 new cases and four deaths from the disease this year. DHH has seen the highest total of West Nile neuro-invasive diseases since 2006. Of the 68 cases... more »
First case of West Nile reported in St. Bernard Parish
June 22, 2012 11:00 AMNEW ORLEANS - The Louisiana Department of Health and Hospitals reported Louisiana's first case of West Nile virus in humans was in St. Bernard Parish. DHH said the case was asymptomatic, meaning the person had no sign of illness. Health officials characterize West Nile infections in three ways:... more »
West Nile Virus found in the area
June 13, 2012 10:22 AMBATON ROUGE- Mosquitoes carrying the West Nile Virus have been found in several local parishes, according to mosquito abatement workers. The East Baton Rouge Parish Mosquito Abatement office says virus-carrying bugs were found in East Baton Rouge Parish, West Baton Rouge Parish, Livington Parish, Tangipahoa Parish, St. Tammany Parish,... more »
Area residents dealing with mosquito problem
March 8, 2012 2:54 PMBaton Rouge- Mosquitoes are bad now, but they are about to get worse, as area residents are trying to fight the bite. Local entomologist say you can help get rid of them by wearing protective clothing or by spraying insect repellent with deet. The mosquitoes out right now... more »
West Nile: It only takes 1 mosquito
February 2, 2012 2:18 PMNEW ORLEANS - Low numbers of mosquitoes won't protect you from West Nile virus in Calcasieu Parish. The state Office of Public Health says that although drought kept the mosquito population down in Calcasieu last year, two people came down with encephalitis or meningitis from the virus. A report in... more »
DHH confirms 1 new case of West Nile virus
September 23, 2011 4:05 PMBATON ROUGE - Louisiana's health department says a West Nile virus case in Calcasieu Parish is the tenth diagnosed statewide this year and the fifth dangerous infection of the brain or spinal cord. The Department of Health and Hospitals says the last dangerous "neuroinvasive" case to be diagnosed also... more »
Mosquito numbers up after Tropical Storm Lee
September 21, 2011 3:03 PMGONZALES - The Ascension Parish Mosquito Control Department is currently battling the largest outbreak of mosquitoes they've seen this year. The outbreak stems from the abundance of rainwater from Tropical Storm Lee. Inspectors are picking up as many as 75 to 100 mosquitoes per minute in many locations... more »
West Nile virus found in St. Charles Parish
August 13, 2011 11:39 AMKILLONA, La.- St. Charles Parish officials say a mosquito sample turned up with the dangerous West Nile virus. The parish says its mosquito control teams are increasing spraying and taking other measures to knock down the mosquito population. Because birds and mosquitoes throughout Louisiana carry the virus, the... more »
Mosquitoes hatching after days of wet weather
July 19, 2011 6:16 PMBATON ROUGE- Mosquitoes are hatching after several days of wet weather and East Baton Rouge Mosquito Control is working to eliminate the pesky insects. Inspector Marcus Goss visits a dozen or more homes a day. He looks for standing water where mosquito larvae thrive and also fogs the area... more »
Workers find "greener" solutions to fighting mosquitos
April 1, 2011 5:01 PMASCENSION - Mosquito control crews are gearing up to fight the bite of those pesky bugs we all grow to hate. This year, Ascension Parish workers are also trying to fight them cheap... and green. Teams in the parish are searching ditches and waterways for minnows that like to... more »


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Western anti-Syria bids target global peace: Analyst
It also has very dangerous implications globally … this is larger than Syria. This is an attack of the sovereignty of nations around the world by the British and US, [and] NATO forces." Political analyst Lawrence FreemanThe Western-sponsored scenario to destabilize Syria is aimed at wreaking havoc on the entire Middle East and violating the sovereignty of the other world nations, a political analyst tells Press TV. In a Wednesday interview with Press TV, Lawrence Freeman, with Executive Intelligence Review, pointed to the West's campaign against Damascus and noted, "They are intent on overthrowing the government in Syria."
"This will destabilize the entire region, may cause multiple wars between Sunnis and Shias, between the Kurds and Turkey," he pointed out."It also has very dangerous implications globally … this is larger than Syria. This is an attack of the sovereignty of nations around the world by the British and US, [and] NATO forces," Freeman added. The analyst argued that the US is "very, very cautious not to involve the military in this situation (in Syria), because we could end up with a situation worse than we had in Iraq and Libya." "The strategy is chaos and destruction of the nation ... there is now increasing military aid being given to these forces but you don't have to tell these forces what to do. You don't have to deploy them, he pointed out.
The comments come following a media revelation on Wednesday that US President Barack Obama has reportedly signed a secret order, authorizing more support for the insurgents fighting against Syrian President Bashar al-Assad's government.The decree broadly permits the CIA and other US agencies to aid the insurgents in Syria against the country's army. The order, known as an intelligence "finding," marks Washington's growing support for armed terrorists in Syria. The move came after the United States and its allies failed to push tougher sanctions against the Assad government in mid-July at the UN Security Council. Syria has been experiencing unrest since March 2011. Damascus says 'outlaws, saboteurs, and armed terrorists' are behind the unrest while the opposition accuses the security forces of killing protesters. ASH/HJL/IS


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Harry S Truman Parkway
Windsor Forest, Savannah, 31419
Commute to Downtown Savannah
Almost all errands require a car.
Flat as a pancake, minimal bike lanes.
Score Details
Harry S Truman Parkway has a Walk Score of 21 out of 100. This location is a Car-Dependent neighborhood so almost all errands require a car.
This location is in the Windsor Forest neighborhood in Savannah.
Explore how far you can travel by car, bus, bike and foot from Harry S Truman Parkway.
View all Windsor Forest apartments on a map.
Popular apartment searches include hardwood floor, fireplace and pool.
Harry S Truman Parkway is in the Windsor Forest neighborhood. Windsor Forest is the 53rd most walkable neighborhood in Savannah with a neighborhood Walk Score of 31.


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Did you know..."BARN DOOR" Halibut weighing up to 400 pounds can be caught out of Homer?
Homer is a 5-hour drive south of Anchorage, located on the tip of the Kenai Peninsula where the Sterling Highway ends. No visit to Homer is complete without a visit to "the Spit", a long, narrow finger of land that extends 4.5 miles into Kachemak Bay. Although it is known as the "Halibut Fishing Capital of the World," this is not your typical fishing town. Homer is known throughout Alaska for its strong art community. With the beauty of Kachemak Bay, glaciers and mountains, it's no wonder where the artists get their inspiration!
Activites in Homer:
Visit the full-service Tutka Bay Lodge for an all inclusive remote retreat to the wilderness complete with luxurious spa services and world class, award winning cuisine.
Try for record size halibut on a guided fishing charter. Average catches are not uncommon to be from 100-200 pounds!
Take in a flightseeing tour for a bird's eye view above of the "Ring of Fire" volcanoes.
Or get up close and personal with Grizzlies on a backcountry excursion into "Bear Country."
|End of the Road
|Starting At
Homer, nestled on the shores of Kachemak Bay, offers breathtaking vistas and wildlife viewing! Learn More »


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Belichick wins third AP coach of year award
Posted by Shalise Manza Young, Globe Staff February 2, 2011 07:50 PM
Today's end-of-season award announced on NFL Network was coach of the year, and as expected, Bill Belichick is the recipient of the award this year.
Belichick garnered 30 of a possible 50 votes; Buccaneers coach Raheem Morris was second, with 11.5 votes.
During a call into NFL Network, Belichick accepted the award on behalf of the entire Patriots organization and credited his players. Under his tutelage, a young team -- particularly on defense -- went 14-2 and earned the number one seed in the AFC.
Belichick also said that he has already fielded calls for New England's draft picks. The team holds three of the first 33 selections.
This is the third time Belichick has won the AP coach of the year award. He also won in 2003 and 2007.
News, analysis and commentary from Boston.com's staff writers and contributors, including Zuri Berry and Erik Frenz.
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Eddie Murphy famously asked, "Why don't white people leave the house when there's a ghost?" It's a testament to director David Jung's smart script and Shane Johnson's performance that Michael King's decisions seem largely free of horror-movie logic -- the stubborn refusal to acknowledge danger, an insistence on going it alone. Lost in grief, the widowed documentarian King throws himself into an exploration of black magic, wanting to prove that all spirituality is bunk. Johnson tilts at this windmill with conviction, underplaying the desperation that such tilting reveals.
King's tour of unsavory mystics includes a dying priest confessing that exorcisms are real, a funeral director who practices necromancy, and a Satanist couple, more sleazy than spooky. But when he begins behaving strangely after one of these encounters, King doesn't retreat; he investigates … intelligently. He goes to a psychiatrist; he has his audio recordings analyzed. He's as curious as we are, and the film is more engaging because of it. Alas, after a promising start, rote possession imagery eventually becomes the focus, culminating in a by-the-numbers ending. But even then, the film offers some new shudders -- King's demonic guest has an affinity for ants, and Jung uses them to unsettling effect.
Find capsule reviews, showtimes & tickets for all films in town.


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JC Whitney is the best place to shop for Rugged Ridge products that'll turn your ordinary jeep into a beastly machine on the road or off-road. Our prices are just half of what you'll find at other stores, so you can save more here than anywhere else. Browse our catalog of Rugged Ridge parts below and get ready for an incredible rough and tumble ride in your jeep.
Rugged Ridge's All Terrain floor liners feature extra high Chevron shaped treads, a reinforced heel area and high walls to protect... Read more
Replace broken door straps with higher quality straps by Rugged Ridge and keep your vehicle's body in shape. Read more
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Maryanne Meyer, a professional harpist from Philadelphia, treated BHS students to a concert/workshop on the harp as used in professional orchestras.
- Filed Under
The Binghamton High School music program recently had two guest artists visit through a program available through Broome-Tioga BOCES Arts-in-Education.
The percussion duo LOOP 2.4.3 spent a day with BHS students in rehearsals, lessons, a ...


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If we're serious about serving the purposes of God in our generation, we must contend not only for the proclamation of sound doctrine, but also for the demonstration of real apostolic power.
READ: Acts 19:11-20; Rom. 15:15-19; 1 Cor. 2:1-5; 1 Cor. 12:31; 1 Cor. 14:1; 1 Thess. 1:5.
HEART ISSUE: Are you earnestly seeking God's power as well as God's truth?
PRAYER FOCUS: Father, give me a heart that will contend earnestly for true apostolic faith in my generation. Amen.
If we want to see the power of God at work in our lives and our generation, we must be willing to take the long view and persevere in living holy, radical lives for Jesus.
READ: Ps. 24:3-6; Luke 2:36-38; Luke 24:49; 2 Cor. 12:9-10; Heb. 10:35-36; 1 Pet. 2:9-12.
HEART ISSUE: Have you given up on any of God's promises because you haven't seen them manifested yet?
PRAYER: Lord, help me to persevere in prayer, fasting and holy living for Your name's sake. Amen.
For a limited time, we are extending our celebration of the 40th anniversary of Charisma. As a special offer, you can get 40 issues of Charisma magazine for only $40!
NEW - Life in the Spirit is your Spirit-filled teaching guide. Encounter the Holy Spirit, hear God speak to you, and enjoy timeless teachings on love, mercy and forgiveness. LEARN MORE!


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Hotel Club Palm Garden
Club Palm Garden
We paid £116 each for the two day overnight trip and £29 for the one day trip, we then go to the beach and are now dubious of the beach boys trying to sell us trips and the like, a week goes past and we got to kandy vatious places and it was a good trip. We then found we will test the water and the next day we booked a river trip with a beach boy, about £20 for the three of us for three hours, we got talking to them and said we had been to kandy and booked this other day trip with our rep and they said they could take us to kandy for £65 each and the single day trip for £16! Half price, we then booked another trip with the boys to a waterfalls were they cooked prawns and fresh fish for us and played the bongos whilst we all a had good party with much arrack consumed. This trip was one of the highlights of our holiday and was a fanastic day out for £20 each we had fresh prawns and fish, plus all our drinks. We then become very friendly with the lads and spent the rest of our holiday with them, we went a sri lankan house warming party, and again was blown away by the kindess and welcome we received and what a night, 60 sri lankan's, me my wife and our daughter, but by far a great night and defintly as we experienced the local way of life, we were cooked traditional rice and curry b y the older women of the family and they could not do enough for you. We enjoyed our time with these local beach boys and become very good friends with them that we are going back to spend christmas with them at they're guset house, please do not be put off by the beach boys the majority of them are fine and just trying to make you happy and make your holiday fun and all for cheaper than the rep does!! If you are travelling to Beruwela and need to to arrange trips or tours please email and i can put you in touch with the friends out there, who will make it a holiday you wont forget, unless you drink to much arrack with them!!
Unique Quality: The swimming ool facilities are good and they do try to put on a entertainments package.
- 1
Nearby Hotel Club Palm Garden
Nearby HotelsSee all 3
Riverina Hotel 83 feet away
Eden Resort & Spa 111 feet away
Induruwa Beach Resort 2.8 miles away
Bentota Beach Hotel 3.5 miles away
Taj Exotica 3.7 miles away
Hotel Club Palm Garden
We've found that other people looking for this hotel also know it by these names:
- Hotel Palm Garden
- Club Palm Garden Hotel Beruwala
Address: Moragalla Beruwela Beach, Beruwala, 80070, Sri Lanka
1 Photo of Hotel Club Palm GardenView Professional Photos
Amenities at Hotel Club Palm Garden
- Restaurant
- Swimming Pool
- Wheelchair Accessible
- Room Service
- Fitness Center
- Business Services
Sponsored Listings
Beruwala Travel Forum
Need advice about Beruwala, Sri Lanka? Visit the Travel Forum for Beruwala and ask our Answer Gurus.


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Brought to you by: Deborah Elwell
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text: Tagged: enfold, gallery, pagination Viewing 2 posts - 1 through 2 (of 2 total) Author Posts November 7, 2013 at 12:19 am #185389 primarythoughtsParticipant I am using the "One Page Portfolio". I have a gallery that I want to paginate. It is currently a thumbnail lightbox with 4 columns, 20 rows; a total of 80 images. I would like to limit it to 4 columns, 3 rows; a total of 12 visible thumbnails with pages and the ability to view all images if selected. I attempted to use a WP plugin (Paginated Effects Gallery). It seemed simple – install, activate and place [peg] on the page that needs the gallery to be paginated. I placed the code in the Theme Options > Styling > Quick CSS section, but it didn't work. Do you have a plugin that you would suggest using or can you advise on how to change the CSS code to accommodate the pagination of a gallery? November 8, 2013 at 12:17 am #185889 JosueModerator Hi, Did you paste [peg] in the Quick CSS? can you create an administrator account and post it here as a private reply? Regards, Josue Author Posts Viewing 2 posts - 1 through 2 (of 2 total) The topic 'Enfold Gallery Pagination needed' is closed to new replies.


text: > View Product Details Please select the size of the product. Please enter valid quantity. Hermes green and white stripe knit wool tie overview details Retail: $250.00 Bluefly: $209.50 10% Off : $188.55 color : We're sorry. This style is sold out. Green / White Pull together the perfect ensemble with this stylish and fun Hermes tie. Color: Green / White Stripe patterned wool knit H embroider at tail Half silk lining Measures approximately 53'' long x 2�'' at widest point Original box included 100% Wool; Dry Clean; Imported; style#326004401


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Perry White doesn't just return to Smallville on this Friday's episode; he makes a deal with Lois.
The clip below is courtesy of "Hostage," which finds Martha Kent surprising her son with the identity of her new boyfriend, while Lois takes Perry aback when she reveals information on The Book of Rao.
Watch below and visit our Smallville spoilers section for a more detailed look at how this season will conclude:
[video url="http://www.tvfanatic.com/videos/hostage-clip/" title="Hostage Clip"] [/video]


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1991 All Other Makes All Other Models
I am experiencing something that I cant explain. I have oil leaking into my air intake hose and dripping down into my air filter and ruining my performance. I have checked all hoses and changed pcv valve as well. I am out of ideas do you have any idea what I can do now please help me
March 19, 2006.
March 19, 2006.
Check out the related content below while we wait for the question to be answered by a professional mechanic.
I just bought a 2004 Ford Focus ZTS with a 2.3 Liter I4 PZEV motor - according to the Owners Guide. These engines seem to only have a air filter sensor instead of the option to replace...
9 answers • 1997 Ford Taurus • 140,000 miles
I recent had the air filter in my 2003 oldsmobile alero changed and now the car seems to***** when I put it into drive and on the first gear shift. The second gear shift is not as bad ...
2 answers • 2003 Oldsmobile Alero


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"We should not be afraid sometimes to confront beauty and horror."
"Empirical Construction, Istanbul" (2004)
"Your relationship to the space in the painting shifts depending on where you're standing and what you're looking at. Standing in one spot you can participate in several different spaces conceptually, at the same time. And when you're standing in a different spot you see those same spaces in a very different way."
-Julie Mehretu


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Diamond Supply Co Heather Grey, Blue, & White Board Shorts
Item # 226528
Buy 1 Get 1 50% off
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text: Insidious 2 Scares Up Friday the 13th Win By Ruth Brown, Newser Staff Posted Sep 15, 2013 1:43 PM CDT STORY COMMENTS (4) (Newser) – In fitting news for the weekend of Friday the 13th, low-budget horror sequel Insidious: Chapter 2 frightened the box office with a $41 million opening—the second best September opening of all time, reports the Hollywood Reporter. The weekend's only other opening, mob comedy The Family, came in a distant second with $14.5 million. Last week's winner, Riddick, dropped into No. 3 with only $7 million; Lee Daniels' The Butler was No. 4 with $5.6 million; and We're the Millers was No. 5 with $5.4 million. In this film publicity image released by Film District, Patrick Wilson, left, and Rose Byrne are shown in a scene from "Insidious." (AP Photo/Film District) ADVERTISEMENT(Click Prev or Next to continue viewing images.) « Prev« Prev | Next »Next » Slideshow Hollywood Reporter (Source Grid ») Entertainment box office • movies • The Family • Insidious: Chapter 2 CLICK BELOW TO VOTE 26% 13% 9% 22% 9% 22% RETURN TO THE STORY To report an error on this story, notify our editors.


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How a law school grad hustled to skip law firms and landed a Google business development job straight after graduation
"It's amazing how much an actual interpersonal interaction matters." - Amrit Dhir, Google Partner Development Manager
An entrepreneur turns down McKinsey to start a tech company; now his startup has Hearst, Gannett, Time Warner Cable, and AOL as customers
It's when you take that leave of absence or quit your job to focus on the startup full-time that it becomes real. - Roger Lee, president at PaperG
What a social entrepreneur learned about rejection early on that then helped him start a non-profit funded by Echoing Green
"I believe energy begets energy, positivity begets positivity. Small wins really lead to other things." - Rey Faustino, One Degree
What a healthcare PhD learned at McKinsey about "relationship capital" that helped him create a new career as a Ruby on Rails software developer
"Part of job satisfaction is knowing that you're doing a really good job." - Adarsh Pandit, thoughtbot
How a college grad without programming experience started a Y Combinator company and created a blog with hundreds of thousands of readers
Paul Graham was like, "This could be the Altair Basic." - Jason Shen, Ridejoy
Why this cardiologist left medicine for the business world, and how one of his patients who died defined what matters most to him
"Just listening and communicating, even if it takes some extra time out of your day, is extraordinarily important." - Tarun Mahajan, doctor and BCG consultant
How this White House intern landed a job in the West Wing as Deputy Associate Director of the National Economic Council, and then founded a venture-backed company worth millions
"If you make a line from the Oval Office to people's offices in the West Wing, and you measure that distance, there is definitely a correlation with IQ." - Jonathan Swanson, former White House staffer
Why this engineer and beauty pageant winner left McKinsey to pursue acting and modeling (and how she got her foot in the door while working full-time at McKinsey)
"Acting for me is the craft of self-exploration, and it's the study of human nature." - Melanie Kannokada, actress and model
The biggest entrepreneurship lessons this science major learned in two failed attempts starting a company, before nailing it the third time with a multi-million dollar venture-backed food startup
"In a startup, there are many situations where you just don't know what you're supposed to do because you've never seen it before. But it's also really exciting because you get experience you may never get in a traditional job." - Kevin Yang, EAT Club
How this professional re-invented her career from non-profit to marketing at a tech company (oh, she's also a professional symphony cellist)
"You can re-invent yourself during a career transition. Don't be confined to who you were or what others expect of you." - Stephanie Lai, marketer at Smule


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This article is part of the supplement: Proceedings of the 13th European workshop on QTL mapping and marker assisted selection
QTLMAS 2009: simulated dataset
1 Animal Breeding and Genomics Centre, Wageningen University, Wageningen, The Netherlands
2 Animal Breeding and Genomics Centre, Wageningen UR Livestock Research, Lelystad, The Netherlands
3 Plant Breeding, Wageningen University, Wageningen, The Netherlands
4 Biometris, Plant Research International, Wageningen, The Netherlands
BMC Proceedings 2010, 4(Suppl 1):S3 doi:10.1186/1753-6561-4-S1-S3Published: 31 March 2010
The simulation of the data for the QTLMAS 2009 Workshop is described. Objective was to simulate observations from a growth curve which was influenced by a number of QTL.
The data consisted of markers, phenotypes and pedigree. Genotypes of 453 markers, distributed over 5 chromosomes of 1 Morgan each, were simulated for 2,025 individuals. From those, 25 individuals were parents of the other 2,000 individuals. The 25 parents were genetically related. Phenotypes were simulated according to a logistic growth curve and were made available for 1,000 of the 2,000 offspring individuals. The logistic growth curve was specified by three parameters. Each parameter was influenced by six Quantitative Trait Loci (QTL), positioned at the five chromosomes. For each parameter, one QTL had a large effect and five QTL had small effects. Variance of large QTL was five times the variance of small QTL. Simulated data was made available at http://www.qtlmas2009.wur.nl/UK/Dataset/. webcite


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Height: 6-foot-1
Weight: 205 pounds
Class Year: SR
Hometown: Westlake, OH
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The Latest: Boise State rolls past Miami (Ohio) 39-12 — 9/19/2012
BOISE, Idaho (AP) D.J. Harper rushed for a career-high 162 yards and three touchdowns to lead Boise State past Miami (Ohio) 39-12 on Saturday.[details]
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- Jessa Duggar shares a rare photo of her brother Josh Duggar's daughter Meredith - US Weekly
- Michael Lohan's estranged wife Kate Major is detained by cops at an airport - TMZ
- Is there something between Ben Affleck and Halle Berry? - Gossip Cop
- The Hunger Games author Suzanne Collins says goodbye to the popular series after the final movie is released - Just Jared Jr
- What happened backstage with Kylie Jenner at The Ellen Show? - Radar
- Bryan Cranston tears up over a Breaking Bad memory - Huffington Post
- Leonardo DiCaprio's Oscar race heats up - Lainey Gossip
- The Captain America: Civil War movie may be better than the comic book - The Hollywood Reporter
17 October 2009 at 11:37 PM
Alexander Skarsgard Screams BEST VILLIAN
Posted in Alexander Skarsgard Screams BEST VILLIAN
About this photo set: True Blood hunk Alexander Skarsgard crouches down to speak into the mic during Spike TV's Scream Awards 2009 held at the Greek Theatre on Saturday (October 17)… Read More Here
Photo #: 2293672
Posted to Alexander Skarsgard, Kate Bosworth


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A new age of comic book heroes are culturally diverse
In another giant leap for comicbooks - with regards to equality and inclusion – the 1968 character, Ms. Marvel, will return as Kamala Khan: a 16-year-old Muslim girl living in Jersey City to Pakistani immigrants.
Spiderman - another white male in Marvel's ranks - but are times-a-changin'?
Marvel comics have long been criticised for being stuck in the past; their key characters – central to their universe – strike a homogenous bunch. Spiderman, Iron Man, Captain America, Hulk and Wolverine are all Caucasian males, and aren't exactly representative of the wider society we live in today.
"[We have the] desire to explore the Muslim-American diaspora from an authentic perspective," editor Sana Amanat said. "I wanted Ms. Marvel to be true-to-life, something real people could relate to, particularly young women," added writer G. Willow Wilson.
"High school was a very vivid time in my life, so I drew heavily on those experiences — impending adulthood, dealing with school, emotionally charged friendships that are such a huge part of being a teenager... It's for all the geek girls out there and everybody else who's ever looked at life from the fringe." (Yahoo.com)
Wonder Woman Movie: Who Do You Want For The Leotard And Lasso?
Kamala – and we're not sure if even this isn't subtly racist – is a shape shifter, manipulating her limbs into any position she wants. Of course, the street performers of Pakistan, famous for their emphatic contortions, would have had nothing to do with this. But comic books are doing one thing, and that's diversifying their characters.
Dust is a young Afghan woman capable of controlling sand and dust, while Nightrunner – a young Muslin from Algeria living in Paris - was introduced in 2010. Simon Baz is an Arab-American Muslim was also added to the Green Lantern series recently, a hero who was reintroduced by the DC universe as gay himself.
"Kamala is not unlike Peter Parker," Marvel Editor-In-Chief Axel Alonso said. "She's a 16-year-old girl from the suburbs who is trying to figure out who she is and trying to forge an identity when she suddenly bestows great power and learns the great responsibility that comes with it."


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November 25, 2015
Knoxville (WVLT) -- The Multi-State Lottery Association says there was one winner of the $300 Million Jackpot.
The winning ticket was sold in Indiana.
Additionally, 2,589,933 players won more than $20.5 Million worthy of prizes.
The estimated jackpot will be reset to $15 Million
The winning numbers were:
Click Here to access the online Public Inspection File
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Star Trek: Axanar
View Single Post
November 16 2013, 07:23 AM
Lieutenant Commander
Re: Star Trek: Axanar
batboy853 wrote:
so the official CBS star trek website that says something is canon, is wrong because one individual at CBS says something that differs. gotcha. I think im understanding it now TOS trumps all, including Spocks Brain. Everything else isn't canon.
either way im looking forward to this series looks good.
The CBS Star Trek website is written by writers. Some of who work for CBS and some who don't. Thinking that it has the final word on Star Trek is a bit naive.
You don't know the CBS brand manager/head of licensing. So let me tell you a bit about him. He knows everything going on in the world of Star Trek. He coordinates the Star Trek novels, Star Trek online, the Star Trek comics, ALL of which run through him. He has been at CBS/Paramount for 15 years. The people at CBS look to HIM when anything Star Trek happens.
So you don't know who he is and you make assumptions. Well, we know what those are good for. When he says that CBS does not consider TAS canon, he speaks for CBS.
So consider some article written by an unknown author who may well have nothing to do with CBS other than getting a paycheck the final say if you wish. But that doesn't change the fact that CBS, at least those people who actually spend ANY time thinking about canon and actually care, doesn't consider TAS canon.
But as he said, each person can consider canon what it means to THEM personally. The only reason canon matters at all is because TO THE WRITERS what appears onscreen must generally be consistent (although there are many contradictions of course) with what has come before. NO ONE writing for Star Trek is ever required to to honor anything other than what is seen on screen in the live action Star Trek. No books, no comics, and no animated episodes.
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