text:
Recent content from Janet Moore
Plans to upgrade MOA transit station fall short financially
One Met Council member asked last month whether the Mall of America's owner could pitch in financially. MOA officials disagreed.
MSP airport workers seeking higher pay start 24-hour fast
It is part of campaign to win $15 an hour and better benefits.
Met Council approves pedestrian bridge to Vikings stadium
The $9.65 million bridge upsets some on the Met Council.
Another Metro Mobility driver fired for sex encounter
A second Metro Mobility bus driver was fired for a sexual encounter with a developmentally disabled passenger.
Explosives-sniffing dog joins TSA at MSP in time for holidays
The latest tool being deployed at the Minneapolis-St. Paul International Airport in the war on terror has four legs, a sleek black coat and a…
Cost of pedestrian bridge near Vikings stadium surges to $9.65 million
Metro Transit says bridge is needed to ensure safe passage for Viking stadium-goers.
Price tag hike of almost $500M for northern suburbs light rail
The cost estimate for the next light-rail transit project in the Twin Cities, linking Minneapolis to the northern suburbs, now stands at $1.48 billion.
More car-sharing options may be offered at MSP
A pilot project with Car2Go, Zipcar and Hourcar awaits OK.
Metro Mobility provider sued for alleged wage theft
Drivers claim they are not paid for work performed before and after shifts.
Met Council, Metro Transit invest in solar power at wastewater plants, bus garages, maintenance facilities
Metropolitan Council honchos and others on Tuesday will tour the new solar energy "farm" at Shakopee's Blue Lake Wastewater Treatment Plant — the largest project…
Eagan man's suit says DARTS fired him for highlighting bus safety problems
Whistleblower says he was fired after telling Met Council about bus safety problems.
Park Nicollet's clinic for women, built by women in St. Louis Park
Park Nicollet's new Women's Center consolidates women's specialties under one roof in St. Louis Park.
Minneapolis City Council gives OK for Southwest light rail — again
On Friday, Minneapolis became the last city along the Southwest light-rail line to approve (again) the transit project's route, essentially putting the project back on track after months of reworking. The City Council voted 10-3 to approve the scaled-back plan for the $1.77 billion line.
Bus rapid transit projects move forward in the Twin Cities
About a dozen BRT projects are in the works for the Twin Cities, with Orange Line between Burnsville and Minneapolis set for 2019 debut.
Metropolitan Airports Commission leader Jeff Hamiel set to retire next spring
Salary could prove a challenge to finding a new Metropolitan Airports Commission leader.
Minnetonka, Eden Prairie and Hopkins approve scaled-back SWLRT plans
The scaled-down plans move through second approvals.
Transit officials quietly planning fourth Twin Cities light-rail line
Extension of Blue Line faces familiar obstacles as the controversial Southwest LRT.
Obituary: Jack Dietrich, Wayzata children's clothier, arts patron
When the Foshay Tower in downtown Minneapolis was re-christened the W Minneapolis Hotel in 2008, John C. "Jack" Dietrich was on hand to celebrate, wearing…
U of M study looks a gender differences in commuting times
Research by University of Minnesota associate professor Yingling Fan has confirmed what many parents already know: Women spend more time running errands than men. But…
Southwest light-rail project planning continues, despite delays, uncertainties
Lawsuits, financial concerns, municipal approvals still remain for the $1.77 billion project.
Twin Cities 'run-commuters' leave the rat race in their dust
A nascent but fervent few workers are run-commuting in the Twin Cities and beyond. No car, transit pass or bicycle is necessary — just a well-hewn pair of running shoes and a plan for cleanup upon arrival on the job.
Yelp reviews of federal services say little about MSP airport so far
Last week, the online review website Yelp announced that its users may now officially review various federal government departments and services. That includes national parks,…
MSP Chick-fil-A's day of rest draws grumbles from some
Usually, retailers and restaurant operators must stay open 365 days a year to win a coveted airport spot. But there is one big exception
New restaurants, luggage and lingerie shops coming to MSP
Craft beer, a live music venue, and ethnic and food-truck fare are among the more than 50 proposals the airports commission is considering for MSP.
Weekend traffic: Snelling Av. bridge opens tonight; Hwy. 100 closes
Bridge is part of a $13.2 million overhaul of busy Midway area.
Twin Cities taxi companies take on Uber, Lyft ride-sharing
Cab companies are expanding technology to help level the playing field with Uber and Lyft.
Southwest light-rail costs increase $30M to help get federal funds
The increase reflects a recent transfer of land worth $30 million by the Hennepin County Railroad Authority. Half of that amount is expected to be matched by the Federal Transit Administration.
Judge declines to halt SW light rail, criticizes Met Council
Though the judge rejected a request to immediately stop the project, he rapped the Met Council for its "significant drumbeat of support" for its preferred route.
Craft beer, foodie fare among options for MSP airport enhancements
Live music, food-truck fare, wine bars and craft beer are the kind of hipster sustenance, shops and amenities being considered by the Metropolitan Airports Commission to remake parts of the Minneapolis-St. Paul International Airport.
Financing tool for Southwest light-rail project questioned by GOP legislator
The obscure financial tool would provide bridge financing to aid in rail line's cash-flow problems.
Metropolitan Airports Commission leader Jeff Hamiel gets a raise
Even with his pay raise, to $200,095, he's still second from the bottom — Las Vegas is last.
Transit deja vu: Another round of public hearings for Southwest light rail
Just when it seemed like a retooled Southwest light-rail line was back on track, the Metropolitan Council opted Wednesday to order a new round of public hearings that will stretch into October.
Met Council approves light rail's new $1.74B budget
Met Council approves the line's new $1.74B budget.
Met Council approves Vikings stadium pedestrian bridge
The team will pay for half of the construction cost.
Hennepin County approves more funds for Southwest light rail
It's the first public body to give Southwest project extra boost.
Vikings offer to pay half of costs for new pedestrian bridge
The Met Council will vote on a proposal that caps team's share of pedestrian bridge at $3.5M.
Southwest light-rail advisory board lays out cuts to save line
Members of a Southwest light-rail line advisory board voted Wednesday to recommend ending the transit project at Southwest station in Eden Prairie, cutting about $250 million from the project's bottom line.
Beyond cost cuts, Southwest light rail faces new barriers
State funding for the light-rail line linking downtown Minneapolis and the southwest suburbs is still unclear.
Eden Prairie to bear brunt of cuts to Southwest light rail
After various ways to trim $341 million from the Southwest light-rail project's burgeoning budget were bandied about Wednesday, an advisory committee appears to be leaning toward a solution that hits Eden Prairie the hardest.
MSP expansion, minimum wage hike to $10 get a nod
Commissioners downplay Sun Country shutdown threat.
Downtown Minneapolis: A new east side
Details from the Ryan Companies proposal for a $400 million redevelopment near new Vikings stadium.
Met Council closer to footing bill for pedestrian bridge near Vikings stadium
Money would pay for $6M pedestrian walkway, but Vikings asked to contribute.
Minnesotans enjoying low gas prices – on crumbly roads, bridges
Lawmakers can't reach a deal to fund repairs, and taxpayers seem happy to keep paying less.
$500 million in cuts proposed for Southwest light-rail line
Several stations could be in jeopardy through effort to pare project's $2 billion price tag.
Minnesota lawmakers stick with status-quo on transportation bill
Gov. Dayton calls the bill "very, very disappointing."
Airport commission tackles labor issues: Sun Country dispute, minimum wage
Sun Country pilot dispute fueled the decision by he MAC.
Transit board urges restraint in Southwest light-rail price tag
Members of a transit board that is a key funder of the project say the board should not contribute more than the $496 million it had already promised.
Public funds for $6M transit bridge near Vikings stadium draw fire
Its $6 million cost pales in comparison to the $1 billion Minnesota Vikings stadium nearby, but a publicly financed pedestrian bridge at the Downtown East light-rail station is provoking protest from critics, who say the team should foot the bill.
Met Council chair shrugs off critics, looks forward
Fate of Southwest light-rail line in hands of young, eclectic fan of Dutch transit ideas.
April 27: New $2B price tag puts Southwest light rail at risk
The additional $341 million in costs are tied to poor ground conditions and soil contamination in St. Louis Park and Hopkins.
Light-rail fare dodgers outrage lawmakers
Last Monday, a widely reported account of fare dodgers on the metro's light-rail lines surfaced during a Minnesota House Transportation Policy and Finance committee meeting.…
Minnesota House passes $7B transportation bill
73-59 vote follows lengthy, fractious debate.
Obituary: Rodney Burwell, serial entrepreneur
The term "serial entrepreneur" was probably invented to describe Rodney Palmer Burwell. The Orono resident and Minnesota Business Hall of Fame recipient founded and was…
Minnesota DNR upgrades aircraft to combat wildfires
The Minnesota Department of Natural Resources has upgraded its fleet of firefighting aircraft — and not a moment too soon. More than 91 percent of…
Light-rail fare dodgers could cost $1.5M, Met Council audit says
Green Line sees more fare dodgers than older Blue Line, says a report to be discussed Wednesday.
April 30, 2014: Andersen plans $18 million expansion in Bayport
The expansion will add 100 jobs and involves improving an existing building at the company's sprawling 3-million-square-foot complex, parts of which date back a century, and purchasing new machinery.
MnDOT names first 'Scholar-in-Residence'
University of Minnesota Prof. Greg Lindsey has been named the first "Scholar in Residence" at the Minnesota Department of Transportation. This may strike some —…
Dayton unveils 600 road and bridge projects
Republicans object to tax and fee hikes, suggest using budget surplus and cutting spending instead.
Dayton puts minimum wage cart driver on the MAC
Ibrahim Mohamed has worked at MSP for the past 11 years. At one time, he drove a truck while assigned to empty the toilets and refill the water systems on airliners.
Cost soars for Minn. driver registration, licensing upgrade
An ambitious effort to modernize Minnesota's driver's license and vehicle registration system has taken years and cost nearly $37 million, but the state has little to show for it so far. By 2018, when it's expected to be completed, the price tag could be as much as $93 million.
App developed at U alerts teens, parents to risky driving
The Teen Driver Support System smartphone app was developed after nearly 10 years of work. The U is now exploring whether the app can be commercialized.
Dayton's roads plan has hikes in gas tax, metro sales tax
The proposal would likely mean Minnesotans would pay more at the pump, plus see a half-cent metro-area sales tax. Dayton also wants a metro sales-tax increase for mass transit upgrades.
DFL unveils $800 million fix for roads and bridges
Call for new wholesale gas tax and higher license fees mirrors Gov. Dayton's transportation plan.
Dayton: Challenges could delay Southwest light rail
State still on the hook for $121 million for the project.
Broken bridges, ruined roads: All agree something must be done
A multibillion-dollar fix is needed for state's highway system, one of country's most run down.
Officials put price tag at $280M to upgrade safety of oil train routes
The report, ordered by the Minnesota Legislature, identified the 100 highest-risk intersections when oil trains pose a risk because tracks cross roads and highways.
Transportation beat: Air passengers forget to remove loaded guns from bags
Even with heightened security these days, it's a tad surprising that travelers still bring loaded guns to airports in their carry-on bags. Every week,…
Motorist killed in head-on crash in North Branch
A motorist was killed in a head-on collision in North Branch on Saturday evening, according to the State Patrol.The accident occurred on Hwy. 95 and…
Obituary: Peter Lupori, artist and teacher
Peter Lupori was a respected artist and beloved professor at St. Catherine University whose passion for art influenced and delighted generations in the Twin Cities…
MSP airport workers get paid sick time in approved policy
Decision affects more than 2,000 people who are employed by firms at Minneapolis-St. Paul International.
Transit sleuths track 'hide-and-riders' along Green Line
Cities often end up posting restrictions to discourage hide-and-riders from taking up parking spots on residential streets to ride the light rail. But while there are free park-and-ride lots along the Blue Line, no such lots exist along the Green Line
Preliminary Southwest LRT station designs released
Metro Transit is releasing basic plans for suburban light-rail stations; proposals to be fine-tuned in 2015.
Millennials driving their way to becoming multimodal generation
Economics push young adults to expand their transportation menu beyond the automobile and to bikes, buses and trains.
Kenilworth light-rail bridge designs released
Public input on channel bridge will be sought in 2015.
Met Council chairwoman quits, wants 'just to have one job'
Metropolitan Council Chairwoman Susan Haigh announced her resignation Wednesday, saying it has proved too time-consuming to juggle the demands of her work for the regional…
More from Star Tribune
- Planned Parenthood, civility are victims in a warlike attack
- Highways mostly clear after day of difficult metro commutes
- Four-star offensive lineman Sean Foster decommits from Gophers
- It's not pretty, but Vikings happy with being a run-oriented force
- Peterson is close to his 2012 pace, with a catch
- Unlikely pairing helps Gophers push past Clemson


text:
Add to Favorite List:
Create a new folder:
Next »
Jaime Pressly Poison Ivy 3 Nude Scenes
Recognize a pornstar in this video?
Help make pornstars easier to find on Tube8 by telling us who is in this video.
Thanks! The pornstar names will be added to this video when enough users submit the same names.
You must enter a pornstar name that already exists in our database.
- Category: Amateur
- Views: 362,098
- Added: 3 years ago
- Description: Jaime Pressly, nude scene compilation from Poison Ivy 3
- Tags: cinemacult, celeb, celebrity, sex, celebriti
- Pornstars: Add Pornstar
- Favorite by: 419
- Featured: 3 years ago
- Report This Video
Video Comments
All Video Comments (3)
Related Videos
AdBlock blows! Please disable the add-on to ensure you get the most out of Tube8's features and functionality. Read about why you shouldn't use AdBlock. Close

subset: commoncrawl


text:
Fresh Hamptons
203 Bridgehampton Sag Harbor Tpk. (Narrow Ln.) Send to Phone
631-537-4700 | Make Restaurant Reservations
OpenLunch & Dinner daily, Brunch Sun.
- Dress code: Casual
- Full bar
- Heart-healthy dishes
- Kid-friendly
- Reservations suggested
* Click here for rating key
Fresh Hamptons Restaurant Review: Chef Todd Jacobs is well known in the Hamptons. After working at Sag Harbor's American Hotel and opening Tierra Mar in Westhampton, he launched Fresh Hamptons. This farm-to-table restaurant boasts an ever-changing menu that finds inspiration in a variety of different international cuisines and utilizes local produce, meats and fish. Appetizers range from organic soups to salads to small plates like raw summer rolls and iced shellfish. Mains include fish prepared in several different ways, grilled Moroccan spiced hanger steak, and a burger made with beef from nearby Mecox Bay. Sides are offered in two sizes and include hand-cut fries, honey-glazed carrots and organic collards. Fresh cocktails and "mocktails" follow the same philosophy as the rest of the menu. Staff is occasionally overwhelmed, but this has improved since the restaurant's debut.
Check out the 2015 edition of GAYOT's Annual Restaurant Issue, which features the Top 40 Restaurants in the US and more.


text:
- LebanonHealthFunding via Al Majmoua Lebanese Association for Development
JanetUgandaServicesFunding via HOFOKAM Ltd., a partner of Catholic Relief Services
Tomasa ClairePhilippinesRetailFunding via Negros Women for Tomorrow Foundation, Inc. (NWTF)
Santa Barbara Group
Carmen says that this is the first time she's worked with Pro Mujer. Currently, she has a business growing vegetables, which she started with her parents' help when she was young.
The loan she's requesting now is to purchase seeds for her crops, which she will obtain in the city of El Alto. Selling her harvests allows her to bring in an income to support her family, since she is married and has two children.
When we ask her what she likes about Pro Mujer, she answers that she likes the loans and the ability to save.
La señora Carmen, indica que es la primera vez que integra Pro Mujer por invitación de la promoción. En la actualidad ella tiene un negocio de sembradío de verduras que inicio desde niña con el apoyo de sus padres.
El crédito que ahora sacará es para la compra de semillas para cosechar que adquirirá de la ciudad de El Alto y los venderá posterior al cultivo. Esta forma de trabajo le permite generar recursos para apoyar en lo posible a su familia, pues ella es casada y tiene dos hijos.
Cuando se le consulta qué le gusta de Pro Mujer, ella responde que le gusta los préstamos y el ahorro.
Additional Information
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 Bolivia
146View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 8 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- May 31, 2011
- Listed
- Jun 13, 2011
- Currency Exchange Loss:
- Covered
- Ended:
- Dec 15, 2011


text:
you can be sitting there,
working, eating, exercising.
& all of a sudden it hits you;
a song, a word, a scent - -
and your mind flips panic mode.,
overdrive, over thinking, everything..
the insecurities surface, every
little thing bothers you thereafter.
every word is a scratch on your
already raw, broken heart.
you spend the day in silence,
feeling so awful you can't even
i am a woman.
i am irrational.
take me, or leave me.


text:
The Top 10 In Action Sports
01Kenton Cool And The Legend Of Everest
02The Martyn Ashton Interview: Meet the Man Who Got Back on the Bike
03Legends Behind the Lens: The Dan Milner Interview
04We Asked Surf Star Coco Ho For Her Step-by-Step Guide to the Basics
05The Tony Hawk Interview: How Is The Birdman Still Flying High After All These Years?
06We Toured Britain's Action Sports Hotspots With The New Ford S-MAX
07The Legend Of El Dorado: One Man's Obsession With Finding A City Made Of Gold
08I Am Legend: How Audiences – Real Or GoPro'ed – Can Affect Your Mind And Performance
09Watch A Freerunning King Defy The Laws Of Gravity In This Urban Assault On London
10Living On The Blood and Urine of Dead Sea Turtles: The Shocking Story of A Sailor Stuck in Hell
USA Road Trippin' 2012
Check out the visual recap of my trip to the USA. It's the first video I ever filmed and chopped, so don't be too harsh on me. I had an incredible time and I'd like to thank everyone who made it happen. See you guys again next spring. As for now, pump up the volume, lean back and enjoy! Shot on Location at: Salt Lake City, Park City, Snowbird & Alta, Utah, Mammoth Mountain, California Song: Fly Solo - Wiz Khalifa


text:
Furniture | Nov-28-15
All sorts of different ideas inspire furniture designers when it comes to their creations and while many look to geometric or abstract forms, many others turn to nature for a... more »
Furniture | Nov-22-15
My favorite type of furniture designs are the ones that embrace an artistic approach and this stunning Wooden Sphere series is definitely as much art as it is functional objects.... more »
Furniture | Nov-18-15
MYK has several new pom pom furniture designs and we couldn't wait to bring them to your attention. Pompoms conjure up feelings of soft, cozy and fun details and Myra... more »
Furniture | Nov-16-15
The cuteness of modern poufs cannot be under-estimated! These soft poufs will look great in your living room or any other room, and we've got them for indoors and out.... more »
Furniture | Nov-12-15
While Pointillism is the technique of painting with tiny dots of colour to form an image, in the case the Cactus Chair, designed by Vedat Ulgen and Deger Cengiz, pointillism... more »
Furniture | Nov-10-15
I love a fun design, and the Swing Chair by Iwona Kosicka is not only fun to look at - its fun to use! The "O" so sassy seat boasts... more »
Furniture | Nov-09-15
When you are the proud parent to one or more dogs the dilemma is always the same. How to create a modern space within our homes that will look beautiful... more »
Furniture | Oct-30-15
The Street Art Project by Ariel Design is a unique and exciting concept that brings together the two creative genres of art and furniture design, merging them into a fun,... more »
Furniture | Oct-14-15
Here are 21 of the best upcycled furniture ideas that we've seen out there in a while. And you know what they say, recycle, repurpose, reuse - and you reduce... more »
Furniture | Aug-08-15
This hanging outdoor lounge known as Kodama Zome is a geodome wonder. The geodesic dome was the brain child of revolutionary architect, Buckminster Fuller and as you can see -... more »


text:
Home & Outdoor
Home is where the heart is- so keep your home sparkling with our eco-friendly home cleaning products. Planning on a trip to the great outdoors? We've got you covered there too, with bug repellents and first aid supplies. From indoor to outdoor, we've got products to help you with all of your daily needs.
White Egret
All In One Candling Kit, Herbal Beeswax
4 Therapeutic Candles
List Price: $14.16
Save: $1.17 (8% off)


text:
Re: [fw-wiz] VPN endpoints
From: Kevin Sheldrake (kev_at_electriccat.co.uk)
Date: 08/31/04
- Next in thread: Paul D. Robertson: "Re: [fw-wiz] VPN endpoints"
- Maybe reply: Paul D. Robertson: "Re: [fw-wiz] VPN endpoints"
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ] [ attachment ]
To: "Devdas Bhagat" <email@example.com>, email@example.com Date: Tue, 31 Aug 2004 21:48:15 +0100
> On 30/08/04 14:48 +0100, Kevin Sheldrake wrote:
>> So, unless you like no encryption, VPNs are not secure (although some
>> specific examples may be 'secure' (see 2)). Also, bear in mind the
>> implementation of the VPN encryption algorithms might not be textbook -
>> how will you know?
>> 2) 'Secure' is an undefined term. What's secure for me might not be
> "Secure" is a very well defined term.
> A system is secure when the cost of an unauthorised entity accessing the
> data on the system or the loss of the data itself is higher than the
> value
> of the data itself.
Ignoring momentarily the difficulty of quantifying risks, please bear in
mind the post to which I was replying to had stated that VPNs were
secure. My point was that that was an illogical statement as the term
'secure' was situation dependent; what's secure when exposed to one
environment is not necessarily secure when exposed to a different one. To
that end it is certainly not well defined...
Also, I tend to disagree with the notion that anything should be
considered 'secure' - I prefer to take a risk management approach
instead. Risk is inherent in information of any value, simply by virtue
of a potential attacker existing. The threat agents do not necessarily
disappear just because countermeasures have been implemented. When new
vulnerabilities emerge, it isn't a case of are we still secure, but more
like how much additional risk are we exposed to and what will possible
countermeasures do to the risk? I suppose you could say "a system is
secure when..." provides a binary value, where as risk management offers a
full and rich array of useful information about the state of security.
[ The less scrupulous of us might consider that a risk management approach
always ends with the customer carrying some risk (as some risk is always
inevitable); a desire over time to further reduce this risk may lead to
more work! ;) ]
>> SSL VPNs are IMHO generally a bad idea. In a nutshell, this is because
>> most of the benefits are in the fact that practically any client can be
>> used, and that the authentication mechanisms are not particularly
>> intrusive (and often are fault-tolerant). By allowing uncontrolled
>> clients you introduce potentially major risks; controlling the clients
> <not_a_troll>
> Is a Microsoft Windows (tm) system that has been connected to a non
> trusted
> network a controlled client?
> </not_a_troll>
It's not necessarily the OS that I'm worried about, more the untrusted
network and management function that the client exists within. If your
remote user can use any PC with a modern browser to SSL VPN into your
network, then they can use PCs in Internet cafes, wireless access points,
airport kiosks, etc. All you need is a crook managing the network and you
could be looking at anything from keyboard sniffers through to hacked
Internet browsers. SSL VPNs by their nature must trust the browser
software and often the Java VM.
A traditional IPSec VPN, however, requires a client and some reasonable
key management. This will reduce the chances of an employee using a third
party provided workstation to connect into the network. IPSec isn't as
vulnerable to man-in-the-middle attacks, either.
> The problem as I see it is not the technology itself, it is the fact
> that the technology puts a great deal of responsibility for policy
> enforcement on the end user who is non technical that is the problem.
Okay, ettercapNG (ettercap.sourceforge.net) is a tool for
man-in-the-middle attacks. It can perform an active attack on SSL in
switched and hubbed networks. As part of the attack it switches the
certificate with its own, signed by itself. This allows it to set up a
tunnel to the client and another to the server; the data is decrypted at
the ettercap attack workstation. All the user often sees different to the
norm is a warning that something is a little odd with the certificate. In
one browser it presented two green ticks to say the cert was in date and
related to the right site, and one amber wiggly line to say it was signed
by someone we _don't yet trust_. The user has two choices, 1) click No
and don't get their email, have to ring the IT dept, this might be the
next day if outside office hours, they may take a while to sort it, they
may think the user is stupid... or 2) click Yes and get their email. It
appears that many users will hit Yes.
So, yes, it is the user at fault but the technology didn't really help
itself, did it? It should have said "You don't trust this certificate.
It could be fake. This could be an attempt at phishing. This could be a
part of a hack. Report this to your IT dept." or perhaps something
Also, as I mentioned above, IPSec doesn't suffer this particular flaw. So
if the technologies present different vulnerabilities, should they not be
> Actually a good idea if you are in a place where jobs are being
> outsourced, plumbers are appaently rarer than unemployed IT personnel
> and earn about the same.
> PS: For the humour impaired, that last is a joke.
I do believe in London plumbers earn more per hour than generalist IT
-- Kevin Sheldrake MEng MIEE CEng CISSP Electric Cat (Bournemouth) Ltd _______________________________________________ firewall-wizards mailing list firstname.lastname@example.com http://honor.icsalabs.com/mailman/listinfo/firewall-wizards
- Next in thread: Paul D. Robertson: "Re: [fw-wiz] VPN endpoints"
- Maybe reply: Paul D. Robertson: "Re: [fw-wiz] VPN endpoints"
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ] [ attachment ]
Relevant Pages


text:
Saturday night in the main event of UFC on FOX 9, UFC flyweight champion Demetrious Johnson knocked out Joseph Benavidez at two minutes and two second of round 1.
The twitterverse issued a collective holy f---ing s---!
Julie Kedzie @julesk_fighter
Sarah Kaufman @mmasarah
Shayna Baszler @QoSBaszler
Manny Gamburyan @MannyGamburyan
Roy Nelson @roynelsonmma
Stipe Miocic @smiocic
Joseph Sandoval @JosephSandoval1
Bubba McDaniel @BubbaTheMenace
Tony Ferguson @TonyFergusonXT
Conor McGrego @TheNotoriousMMA
What was your reaction?
Recent Comments »
12/15/13 10:39 PM by The Winter Soldier
12/15/13 6:16 PM by SQUEEZIE
i think brian stann is the best pre fight post fight guy out of them all.


text:
Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
your express consent. For more information, please refer to our Privacy Policy.
You currently have no recent searches
Hornbech, Kåre MD; Ravn, Jesper MD; Steinbrüchel, Daniel Andreas DMSc
Department of Cardiothoracic Surgery, Rigshospitalet, University Hospital of Copenhagen, Copenhagen East, Denmark.
Disclosure: The authors declare no conflicts of interest.
Address for correspondence: Kåre Hornbech, MD, Department of Cardiothoracic Surgery, 2152, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen East, Denmark. E-mail: email@example.com
Introduction: In this study, we analyze the results of management of pulmonary metastases in 5 years consecutive operations at our institution. We aim to define the patients who are most likely to benefit from surgery by investigating long-term survival and prognostic factors associated with prolonged survival.
Methods: The data on all consecutive patients between 2002 and 2006 were reviewed retrospectively. One hundred seventy-eight patients underwent 256 surgical resections for suspected pulmonary metastases from different primary malignancies. Prognostic factors analyzed included age, sex, surgical approach, surgical resection, number of metastases, distribution of metastases, disease-free interval, presence of synchronous metastases, recurrence of disease, prior liver resection (colorectal cancer), and tumor histology (sarcomas).
Results: Complete resection was achieved in 248 cases (96.8%). The mean follow-up was 61.6 months. Five-year survival with respect to primary malignancy was colorectal carcinoma (50.3%), sarcoma (21.7%), malignant melanoma (25.0%), renal cell carcinoma (51.4%), and miscellaneous malignancies (50.0%). Of the prognostic factors analyzed by univariate analysis, none was found to be significant in all the different groups of cancers.
Conclusions: Pulmonary metastasectomy is a safe and effective treatment that may be associated with prolonged survival in highly selected patients. Low morbidity and mortality rates in contrast with the lack of any other effective treatment justify the aggressive approach of surgery. Thoracoscopic resection is a valid option in selected patients. In case of recurrence of pulmonary disease and if the patient fulfils the initial criteria for pulmonary metastasectomy, repeat surgery should be performed. Solid prognostic factors still need to be established.
Metastatic spread of malignant disease remains one of the major obstacles when treating patients with cancer. The lungs are the most common organ to which cancer metastasizes, and approximately 30% of all patients with cancer will develop lung metastases at some point.1 Pulmonary metastasectomy has been performed for decades, and numerous retrospective series have demonstrated long-term survival superior to conventional oncological treatment. Many prognostic factors have been analyzed and the ones that primarily emerge are as follows: number of pulmonary metastases, disease-free interval (DFI), radical surgery, and for colorectal cancer, level of preoperative carcinoembryonic antigen.
Today, despite the lack of randomized studies, pulmonary metastasectomy is considered an accepted therapeutic option in selected patients as a treatment of proved value. With the advancements in anesthetical and surgical techniques, the safety of surgery has improved and the indications for surgery have been extended more widely. More and more patients are now being referred to thoracic departments for pulmonary metastasectomy. In a recent survey by Internullo et al.,2 among the members of the European Society of Thoracic Surgeon, lung metastasectomy represented up to 10% of clinical volume, and the need for solid prognostic factors remains strong and has yet to be established.
In this study, we analyze the results of management of pulmonary metastases in 5 years consecutive and recent operations at our institution. We aim to define those patients who are most likely to benefit from surgical treatment by investigating outcome, long-term survival, and prognostic factors associated with prolonged survival.
Between January 2002 and December 2006, 307 operations for suspected pulmonary metastases were performed at our institution. The operative data were entered into the Patient Analysis & Tracking System, version 1108-UK16. When these data and patient charts were reviewed retrospectively, one operation was performed because of pain and another because of continuous air leakage. These two operations were therefore excluded. Two patient charts accounting for two operations could not be located and were thus also excluded. Of the remaining 303 operations, 47 were solely for diagnostic purpose and therefore not with curative intent. Thus, these were excluded. Therefore, a total of 256 pulmonary resections with curative intent were included in this study.
The patients eligible for curative surgery were to meet the following standard criteria1: primary tumor was controlled,2 no extra-thoracic lesions were detected (with the exception of hepatic lesions in which it was possible to completely remove both hepatic and pulmonary metastases),3 the metastases were technically resectable, and4 the general and functional risks were tolerable.
Preoperative diagnostic assessment to exclude extra-thoracic disease and to assess patient risks included chest x-ray, chest and abdominal computed tomographic (CT) scan, and cardiac and pulmonary function tests (spirometry, electrocardiogram and/or pulmonary perfusion scintigram, echocardiogram, and positron emission tomography/CT). In some patients, bronchomediastinoscopy was performed to exclude malignant disease in the hilar and/or mediastinal lymph nodes if suspected by CT. Lymph node dissection was not systematic and only performed with the detection of malignancy suspect lymph nodes during surgery.
The medical charts for all patients were reviewed for age, gender, primary tumor, date of primary tumor operation, date of pulmonary resection, surgical approach, type of resection, location and number of metastases, DFI, 30-day mortality and morbidity, and duration of survival. DFI was defined as the time from the date of primary tumor surgery till the date of pulmonary metastasectomy. Survival was calculated from the time of pulmonary metastasectomy to death or the date of last follow-up. All available survival data were updated in January 2010 for a minimum follow-up of 36 months. Survival status of the patients was obtained from the Danish National Registry.
Data on preoperative level of carcinoembryonic antigen were only available in a few patients and therefore not analyzed. Moreover, data on neoadjuvant and adjuvant chemotherapy/radiotherapy were not readily available for analysis.
In total, 256 thoracic procedures with curative intent were performed in 178 patients. The surgical approach was chosen according to the location and number of metastases. One hundred forty-three thoracotomies and 60 video-assisted thoracoscopic surgery (VATS) were performed. In 53 patients, the operation was initiated as VATS but was converted to thoracotomy because of inability to achieve radical resection thoracoscopically. The type of pulmonary resection ranged from predominantly wedge resection to extra-pleural pneumonectomy in one patient.
Table 1 is a summary of surgical approach and types of resection.
The data were analyzed using the SPSS for Windows software (Statistical Package for Social Science, SPSS Inc, version 15.0). Probability of survival was analyzed according to the Kaplan-Meier method using the date of pulmonary resection as the starting point. For patients who underwent staged bilateral surgery, the date of the first operation was used as starting point. The significance of differences between variables was analyzed using the log-rank test. A p value of 0.05 or less was considered significant.
Factors analyzed included age (</>60 years), sex, surgical approach (VATS versus thoracotomy), surgical resection (wedge resection versus all other), number of metastases, distribution of metastases (unilateral versus bilateral), DFI, presence of synchronous metastases, recurrence of pulmonary disease, prior liver resection (colorectal cancer only), and tumor histology (sarcomas only). In Table 2 the results are summarized.
The 30-day mortality was 1.9% (5/256). One patient with hepatocellular carcinoma with benign histology from the resected lung lesion was discharged to another ward and died 4 days after. Of the patients with radical metastasectomy, three patients died due to the following complications: fatal stroke, perforated ulcer, and sepsis/respiratory failure. One patient was discharged to the oncological department and died 12 days after his third surgery in which radical resection could not be achieved.
Postoperative complications occurred after 6.6% (17/256) of the procedures and included seven infections, two pneumonias, two atrial fibrillations, two empyemas, one pneumothorax, one persistent air leak, one stroke, and one perforated ulcer.
Twenty-six (10.1%) operations revealed benign histology of the resected lesion. Twenty-five (9.8%) operations revealed a primary lung cancer, and these patients were either perioperatively treated with lobectomy or entered the formal diagnostic protocol for lung cancer. A total of 127 patients with a total of 205 procedures were therefore included as having performed radical surgery for pulmonary metastases. Table 3 is a summary of patient demographics of the patients with pulmonary metastasectomy.
Exact calculation of DFI was possible in 11 patients. In most patient charts (N = 64), the time of primary surgery was only noted with month and year of surgery, e.g., March 2002. In these cases, the date of surgery was set to the 15th. In the remaining cases (N = 52), only the year of primary surgery was known, and in this study, the date was set to the 1st of June.
Ninety-eight patients had unilateral surgery and 29 patients had bilateral metastases and therefore staged bilateral surgery as their initial surgery. In all, 24 of 127 patients developed recurrent pulmonary disease. In these patients, 49 repeat resections were performed ranging from one to six operations.
Completeness of resection was not achieved in eight (3.1%) patients. Of these, six patients were diagnosed inoperable perioperatively, and two patients had microscopically nonradical surgery and could not tolerate further surgery. Three patients were lost to follow-up. The mean follow-up was 61.6 ± SD 18.1 months.
Fifty-three patients were resected because of colorectal metastases, and the median survival was 33.5 months and the estimated 5-year survival was 50.3% (Figure 1). Of the prognostic factors analyzed, age, sex, type of resection, type of surgical approach, the number of metastases, or the presence of synchronous metastases none significantly influenced survival. The median DFI between resection of the primary tumor and lung resection was 13.1 months (range 0–139 months). No cutoff value of DFI was significant. Forty-one patients presented with unilateral disease and 12 patients with bilateral disease and thus staged bilateral surgery was performed. No significant difference in survival was found (p = 0.61).
In seven patients, recurrence of pulmonary metastases resulted in repeat resections (one to three operations) after the initial complete resection of lung metastases. Repeat resection was not associated with an increase in morbidity or mortality or with a significant difference in survival (p = 0.30).
Seven patients had liver resection performed because of hepatic metastatic disease before lung metastasectomy. For patients with liver metastases, the median survival and 5-year estimated survival were 15.4 months and 0% and for patients without liver metastases 28.6 months and 61.7%, respectively. The difference in survival between these groups was found to be significant (p = 0.001).
In two patients, radical surgery could not be achieved. They died 18 and 27 months after attempted pulmonary metastasectomy, respectively.
Thirty-two patients were resected because of sarcoma metastases, and the median survival was 25.5 months and the estimated 5-year survival was 21.7% (Figure 2). The group was composed of a heterogeneous group of sarcomas such as osteogenic, Ewing sarcoma, chondrosarcoma, liposarcoma, synovialsarcoma, and others. Of the prognostic factors analyzed, age, sex, type of resection, type of surgical approach, tumor histology, presence of synchronous metastases, or number of metastases, none significantly influenced survival. The median DFI between resection of the primary tumor and lung resection was 21.4 months (range 0–317 months). No cutoff value of DFI was significant.
Twenty-three patients presented with unilateral disease and nine patients had bilateral disease and therefore staged surgery. No statistical difference in survival was found (p = 0.25).
In all, 10 of 32 patients (31%) had repeat surgery for recurrence of lung metastases after the initial complete resection of pulmonary metastases. Number of repeat surgery ranged from one to six operations after initial radical surgery. Repeat resection was not associated with an increase in morbidity or mortality or with a significant difference in survival (p = 0.37).
Three patients did not have radical surgery. All were diagnosed inoperable perioperatively because of extensive tumor growth. They died after attempted surgery after 4, 5, and 8 months, respectively.
Sixteen patients were resected because of metastatic melanoma, and the median survival was 10.2 months and the estimated 5-year survival was 25.0% (Figure 3). Ten patients were resected because of renal cell carcinoma metastases, and the median survival was 43.4 months and the estimated 5-year survival was 51.4% (Figure 4). Sixteen patients had pulmonary metastasectomy because of miscellaneous primary tumors (Table 4). For this heterogeneous group, the median survival was 39.9 months and the estimated 5-year survival was 50.0%.
Of the prognostic factors analyzed, age, sex, presence of synchronous metastases, laterality, type of resection, type of surgical approach, and repeat resection did not significantly influence survival.
For malignant melanoma, the number of pulmonary metastases was found to be a significant prognostic factor. The cutoff value that significantly differentiated between good and poor prognosis was found to be two or less metastases with a median and 5-year survival of 17.9 months and 40.0% and 7.3 months and 0% for three or more metastases (p = 0.04). No other differences in number of metastases were found to be significant. In the renal cell carcinoma or miscellaneous group, the number of metastases was not significant.
The DFI was a significant prognostic factor in both the renal cell carcinoma and the miscellaneous cancers group. For renal cell carcinoma, the median DFI between resection of the primary tumor and lung resection was 15 months (range 0–215 months). A DFI of less than 12 months resulted in median survival and 5-year estimated survival of 30.6 months and 33.3% in contrast to median survival and 5-year estimated survival of 55.4 and 75.0% (p = 0.04) for a DFI more than 12 months. For miscellaneous primary tumors, the median DFI between resection of the primary tumor and lung resection was 31.3 months (range 11–198 months). A DFI of less than 12 months resulted in median survival and 5-year estimated survival of 2.7 months and 0% in contrast to median survival and 5-year estimated survival of 48.3 and 44.4% (p = 0.03) for a DFI >12 months. In both groups, further statistical analysis of DFI could not demonstrate other cutoff values of significance. However, one must bear in mind that the number of patients in these groups is very small so statistical analysis must be interpreted with caution.
During the last decades, pulmonary metastasectomy has become an increasingly used therapy for various metastatic malignancies to the lungs with metastasectomy from colorectal carcinomas and sarcomas being the most common. However, pulmonary metastases from a wide range of tumors are being referred for treatment. The search for solid prognostic factors is ongoing and needed. We therefore decided to retrospectively analyze a recent cohort of 5 years consecutive pulmonary metastasectomies at our institution to identify patients who would benefit from surgical resection.
Approximately 10 to 20% of patients with colorectal cancer will develop pulmonary metastatic disease.3 Isolated pulmonary metastases without extra-thoracic disease is, however, rare and accounts for as little as 2% of patients with metastatic colorectal carcinoma.4 For pulmonary metastases of colorectal origin, several studies have reported 5-year survival rates ranging from 27 to 61%.5 In our study, the data for survival were consistent with these previous studies with an overall estimated survival of 50.3%. Age and sex were not significant prognostic factors.
More than half of the patients presented with single lesions (30/53). Previous studies have demonstrated that the number of metastases significantly influences survival.6 Usually, in terms of patients with a single lesion have the best prognosis or the fewer metastases the better. Phannschmidt and colleagues reported that patients with up to four metastases demonstrated a better survival than patients with more than four metastases. Koga et al.7 found the cutoff value to be 3 or less metastases.
In our study, we could not find a cutoff value for the number of lesions that significantly influenced survival. Neither could we demonstrate prognostic significance between patients with unilateral or bilateral disease. However, in our study, the maximum number of colorectal metastases removed during a single surgery was three metastases, and most of the patients presented with one or two metastases. A bias to consider in this study is that perhaps only patients in good preoperative condition and few metastases (<3) are being referred to surgery, and we therefore only operate on patients with a good prognosis. Even so, no difference in survival was found between patients with one or two lesions.
Previous studies have demonstrated the DFI to be a significant prognostic factor in terms of the longer the DFI, the better survival.8 The presence of synchronous metastases as a prognostic factor with an adverse effect on survival has also been reported.9 In our study, the DFI did not influence survival, nor did the presence of synchronous metastases.
Approximately 15% of patients resected for colorectal carcinomas can be expected to have hepatic metastases at the time of exploration.10 As many as 50% will eventually develop liver metastases and liver resection, for metastatic disease is an established treatment. Several studies have reported no significant adverse effect on survival when performing pulmonary metastasectomy in the presence of previously complete liver resection.5,8 In our study, we found the presence of previously treated hepatic metastases to be an ominous prognostic factor (p = 0.001).
An interesting observation when looking at the Kaplan-Meier plot is that the survival curve seems to flatten out indicating that long-term survival is possible.
Patients with sarcoma are particularly prone to develop pulmonary metastases. In osteosarcoma, 10 to 20% of patients will have detectable pulmonary lesions at initial diagnosis, and up to 70% of patients will develop metachronous pulmonary metastases.11 Pulmonary metastases in soft tissue sarcoma are less frequent and develop in approximately 20% of patients.12
For pulmonary metastases from sarcomas, previous studies have demonstrated 5-year survival rates between 15 and 37%.13,14 Our survival data with an estimated 5-year survival of 21.7% were consistent with these previous studies. Age, sex, surgical approach, type of resection, or the presence of synchronous metastases did not influence survival significantly. Previously published significant prognostic factors include number of metastases, laterality, and DFI. None of these could be confirmed in our study.
Several studies have shown that the complete resection of pulmonary metastases from sarcomas is a significant prognostic factor.15 In our study, three patients had only explorative surgery because of widespread tumor growth detected perioperatively. Incomplete resection had a very bad prognosis, and all three patients died within 9 months after surgery.
Surgical treatment of lung metastases from melanoma is controversial as the expected outcome is much poorer than for other primary tumors. Malignant melanomas' ability to widespread dissemination causes the number of patients eligible for pulmonary metastasectomy to be very small as patients with isolated pulmonary metastases are a very small proportion of patients with disseminated malignant melanoma. Once malignant melanoma has spread to a distant site, the median survival is 8 months and 5-year survival is less than 5%.16 Previous studies with pulmonary metastasectomy from malignant melanoma have demonstrated 5-year survival rates of up to 33%17 and thus far superior to medical treatment alone. Our survival data with an estimated 5-year survival of 25.0% were consistent with these previous studies. The presence of single metastasis and complete resection are the most often published significant prognostic factors. We also found the number metastases to be significant. Two metastases or fewer were significantly associated with prolonged survival. In the International Registry of Lung Metastases,6 a DFI of more than 36 months was also found to be significant but this could not be confirmed in our study. None of the other analyzed factors in our study were significant. However, the number of patients in the melanoma group in our study is small (N = 16) so the statistical analysis must be interpreted cautiously.
Approximately 25 to 30% of patients with renal cell carcinoma will have metastatic disease at diagnosis and a further 30% of patients will eventually develop metastases with the lungs being the most common organ.18 Previous studies have demonstrated 5-year survival rates of up to 40% after pulmonary metastasectomy from renal cell carcinoma.19 Our results are consistent with these findings. Previously investigated significant prognostic factors that influence survival include complete resection, number of metastases, DFI, and lymph node status.19 In our analysis, only a DFI less than 12 months was confirmed as a significant prognostic factor with adverse effect on survival. However, because of the small number of patients (N = 10), the statistical analysis must be interpreted cautiously.
The subgroup with miscellaneous primary tumors represents such a heterogeneous group of cancers (Table 4) from which no conclusion can be drawn from this group. However, emphasis must be put on that every patient is examined carefully for the eligibility for potential pulmonary metastasectomy.
The surgical approach in pulmonary metastasectomy remains a controversial issue. Open surgery through lateral thoracotomy, median sternotomy, or even clamshell incision enables the surgeon to perform bimanual palpation of the whole lung and thereby potentially detect lesions missed by preoperative imaging. Several studies have shown the inadequacy of preoperative CT scan, even with high-resolution helical scanners, to detect all pulmonary lesions found during surgery.20
VATS is a less invasive procedure resulting in less surgical trauma and postoperative morbidity.21 In the case of repeat surgery for recurrence of pulmonary disease, it does not complicate a potential reoperation by thoracotomy. The disadvantage is the lack of tactile sensation and the risk of missing lesions that could possibly have been detected with conventional thoracotomy and bimanual palpation.
However, with the improvement in radiology and surgical techniques, several more recent studies have now been published investigating the VATS approach in pulmonary metastasectomy and demonstrating survival rates equivalent to open surgery.22,23 These studies only investigated patients with small (<3 cm) and few (<2) metastases.
At our institution, the current approach is to perform thoracoscopy in patients with few lesions (<2) located in the periphery of the lung. In the case of inability to achieve certain R0 resection, the procedure is converted to open surgery. The remaining patients will have conventional open surgery performed.
In our study, no significant difference in survival was observed between patients who had thoracoscopy or thoracotomy performed, regardless of primary tumor (colorectal, p = 0.54; sarcoma, p = 0.82; melanoma, p = 0.92; or renal cell carcinoma, p = 0.66). Hence, our current practice seems justified.
Twenty-four (18.9%) patients developed recurrence of pulmonary metastases and 49 repeat surgeries were performed ranging from one to six operations in a single patient. Sarcoma patients (10/32) were the most likely to develop recurrence followed by renal cell carcinoma (2/10) and colorectal (7/53) patients. All but one patient developed recurrence in a different lobe from where the previous resection was performed. The one patient with six repeat resections had osteosarcoma as the primary malignancy, and in two of these resections, recurrence of disease developed in a lobe where a previous resection had been performed.
The estimated 5-year survival of patients who underwent repeated surgery for recurrent pulmonary metastases did not differ significantly from those who only had single/staged surgery (colorectal p = 0.30; sarcoma, p = 0.37; melanoma, p = 0.50; or renal cell carcinoma, p = 0.55). This indicates that as long as a patient can fulfill the initial criteria for pulmonary metastasectomy, repeat surgery is not an ominous prognostic factor and surgery should be attempted. Aggressive follow-up after pulmonary metastasectomy must be conducted.
Initially, 32 patients had thoracoscopy performed, 24 had thoracoscopy converted to thoracotomy performed, and 71 had thoracotomy performed. In the thoracoscopy, group 6 patients developed recurrence (18.7%), and in the combined group of thoracoscopy converted to thoracotomy and only thoracotomy, 18 patients developed recurrence (18.9%). Hence, no difference in recurrence between the two groups could be demonstrated.
Regarding survival, when the six patients with thoracoscopy were analyzed against the other patients with recurrence where thoracotomy was performed, no significant difference in survival could be demonstrated (p = 0.34).
In addition, the thoracoscopic approach seems justified in appropriately selected patients. The question of lymph node sampling and/or involvement remains controversial. The performance of lymph node dissection during pulmonary metastasectomy is infrequent and varies between institutions, including our own. Of all the patients in The International Registry of Lung Metastases, only 4.6% of patients underwent lymph node dissection. In a recent survey by Internullo et al., among the members of European Society of Thoracic Surgeons, 55% perform mediastinal lymph node sampling, whereas 33% perform no nodal sampling at all. The rate of lymph node involvement varies between primary tumors. Phannschmidt and colleagues performed systemic lymph node dissection in concurrence with pulmonary metastasectomy in 245 patients with metastases from colorectal carcinoma, renal cell carcinoma, and sarcoma. Nodal involvement was more frequent in renal cell carcinoma (42.4%) and colorectal carcinoma (31.3%) than sarcomas (20.3%). Several studies have found the presence of positive intrathoracic lymph nodes, an ominous prognostic factor. Ercan and colleagues found a 3-year survival of 69% for patients without lymph node involvement versus 38% in patients with positive lymph nodes. Saito and colleagues reported a 5-year survival of 53.6 for patients without hilar or mediastinal node involvement versus 6.2% at 4 years for patients with positive nodes.
It remains unclear whether the removal of these lymph nodes confers a survival benefit or merely allow for a more accurate postoperative staging and guidance for additional oncological treatment. The above-mentioned authors proposed the latter.
Patients with untreated metastatic disease have a 5-year survival rate of less than 5 to 10%, and for a patient with isolated metastatic disease of the lungs, pulmonary metastasectomy is often the best hope for cure. It is a safe and effective treatment that leads to possible cure in selected patients. Regardless of primary tumor, completeness of resection is the key to improved survival. Low morbidity and mortality rates in contrast with the lack of any other effective systemic oncological treatment justify the aggressive approach of surgery. Thoracoscopic resection is a valid option in selected patients with few, peripherally located metastases. In case of recurrence of pulmonary disease and if the patient fulfils the initial criteria for pulmonary metastasectomy, repeat surgery should be performed. Aggressive postoperative follow-up is warranted. The patients should be treated in close collaboration between the medical oncologist, diagnostic radiologist, and thoracic surgeon.
However, despite numerous studies and decades of metastasectomies, the lack of randomized studies continues to make the effect of pulmonary metastasectomy questionable. Most studies have been retrospective and the biases are many: possibly only patients in good physical condition are referred, possibly only patients with slow-growing tumors are referred (time-length bias), or possibly earlier detection through more aggressive follow-up leads to earlier surgery with a seemingly longer survival. Most reports recommend pulmonary metastasectomy for a properly selected group of patients. However, the case-mix from which patients are selected for surgery is rarely described.
Whether the survival of these patients is based on selection rather than surgery is still not clear. As argued by Treasure,24 among others it remains "a common practice based on weak evidence."
Furthermore, prognostic factors that determine which patients benefit from surgery are still not clearly established. To determine how to select surgical candidates for pulmonary metastasectomy, more precisely further analysis of prognostic factors is evident, and the need for a prospective, randomized, multicenter study is clear. The recently opened PulMiCC trial25 may provide some answers.
This article has been cited 1 time(s).
Lung; Metastases/metastasectomy; Thoracoscopy/VATS; Thoracotomy
© 2011International Association for the Study of Lung Cancer
Colleague's E-mail is Invalid
Your Name: (optional)
Your Email:
Colleague's Email:
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Thoracic Oncology.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
Folder Name:
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Forgot Password?
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Keyword Highlighting
Highlight selected keywords in the article text.
Search for Similar Articles
You may search for similar articles that contain these same keywords or you may
modify the keyword list to augment your search.
Visit JTO.org on your smartphone. Scan this code (QR reader app required) with your phone and be taken directly to the site.
For additional oncology content, visit LWW Oncology Journals on Facebook.


text:
Funny: The Mystic Knights of Tir Na Nóg
- Some of Rohan and Princess Deidre's banter form the episode "Tir Na Nog".
Rohan: I'm thinking of a plan.Deidre: What is it?
- In a Blink And You'll Miss It moment in the episode "The Fire Dragon of Dare". Ivar, Angus, and Rohan are practicing with their new weapons (actually there just fiddling around). Then Deirdre calls them out on it.
Deirdre: Stop that! What are you, knights or nimrods?!
- Did they even have that word back then?
- Yes. Nimrod was a king and a hunter back before Christ, he ruled Babel and a few other cities. Of course, back in the time the show would be happening, it didn't mean an idiot, it was closer to being a tyrant.
- Did they even have that word back then?
- It's amazing what magic can do! Like turning moss into pants.
- Garrett on the receiving end of (hopefully) baby dragon spit.


text:
Visit our other Wisconsin Historical Society websites!
Refine or narrow your results by clicking any term in the gray boxes below.
Expand your results by removing any breadcrumb in a gray outlined box above. Click on the blue "X" to remove the term.
Narrow your results by entering a keyword into the search box above. Then click the "Search Within" checkbox, then click on the orange "Search" button.
If you did not find what you are looking for or you did not get any results, try changing your search term(s). See our Search Help page for more tips.
Date: 1902
Description: View looking out over the lagoon in Tenney Park.
Date: 1937
Description: The baby department, stocking clothing, toys, and accessories, at Manchester's Department Store.
Date: 1958-11-04
Description: Group portrait of attendees of a meeting for Lutheran women at St. John's American Lutheran Church. They include, from left to right: Mrs. C.O. Schwengel,...
Date: 1856
Description: Quarter-length oval portrait of Pruecius Putnam. He was born in Andover, Windsor County, Vermont, on September 25, 1813. Putnam came to Wisconsin on Novemb...
Date: 1925 ca.
Description: View from street of new Rennebohm Drug Store #1 at the corner of University Avenue and Randall Avenue, shortly after its construction.
Date: 1958-03-12
Description: Five teen boys from the West High School Fred Nelson Curling Rink team pose with brooms. Shown in the front row are Don Lautz and Rick Wheeler. In the back...
Date: 1937-06-03
Description: Pahl Tire Company, located at 208 E. Washington Avenue. Opened in 1936, moved to 202 East Washington Avenue about 1960, closed in 2013.
Date: 1899-02-15
Description: Elevated view of legislators in the Assembly Chamber of the Wisconsin State Capitol.
Date: 1922
Description: Side view of Lincoln Monument in front of Bascom Hall on the University of Wisconsin-Madison campus. A stone bench and paved walkway curves around the stat...
Date: 1948-08-17
Description: Members of the West Side Business Men's Association shown as they met for the first time at the future site of their new clubhouse and community center on...
Date: 1898 before
Description: Elevated view of a man leading a circus elephant on Main Street. On the opposite side of the street is a crowd watching from behind the iron fence on the C...
Date: 1896 ca.
Description: Looking down University of Wisconsin Drive (present-day Lakeshore Path). Large trees grows along the shoreline on the left, and on the right is a thick woo...
Description: Quarter-length oval portrait of Adna Wooster of Racine.
Date: 1956-02-14
Description: Among the church school leaders and teachers attending the Madison School of Religion at the First Congregational Church are (left to right) Mrs. Walter Sc...
Date: 1953-01-14
Description: Wisconsin legislators sit in the Assembly Chamber while listening to Governor Kohler's message.
Date: 1931 ca.
Description: Eight young dancers in costume pose onstage.
Description: Twenty-one tap dancers from the Kehl School of Dance, posed in line formation on stage.
Date: 1890 ca.
Description: Cyanotype view from Bascom Hill of main entrance to Bascom Hall (formerly Main Hall) on the University of Wisconsin-Madison campus.
Date: 1945-11-29
Description: Miss Ellen C. Sabin, president emerita of Milwaukee-Downer College, on her 95th birthday. Miss Sabin was one of America's most eminent woman in the field...
Date: 1944-10-27
Description: West High School drum majorettes in uniform at the East-West High School football game at Breese Stevens Field. From left are Carlene Doran, Dawn Rebenstor...
If you didn't find the material you searched for, our Library Reference Staff can help.
Call our reference desk at 608-264-6535 or email us at:
© 1996-2015 Wisconsin Historical Society, 816 State Street, Madison, WI 53706


text:
Beaumont/Port Arthur
The Kottonmouth Kings are back for a their 18th studio project — Sunrise Sessions. 18th you say? Yep. This group has been going strong since the early 90's and that shows a big commitment from not only the group itself, but a strong and loyal fan base.
Photos by David Block
With the summer movie season past the halfway mark, super hero fatigue is setting in and there are still more to come. Once the last masked man has left the theater, here are some fall movies to look forward to:
There's been a plethora of white rappers such as Eminem, 3rd Bass, Beastie Boys, Bubba Sparxx, House of Pain, Insane Clown Posse, Kottonmouth Kings, Paul Wall, Rehab and Vanilla Ice, just to name a few. Each has had their own niche whether it was rapping clowns, dancing or straight up lyric-slinger. But none are Mickey Avalon.
Noon on Friday, July 22 – Noon, Saturday, July 23 4305 Laurel Street, Beaumont
Hourly Drawings for Great Prizes – Come donate for your chance to win one of these great prizes:
While we harbor no disrespect for the Wall Street Journal who called us "that scrappy little paper from Southeast Texas," we prefer to think of ourselves as simple seekers of the truth. We're of the opinion that headlines and sound bites never tell the whole story. Our readers demand all the facts, facets and flavors of every story or event. And, they expect to be informed, educated and stirred to action.
For this week's New York Times crossword puzzle, pick up a copy of this week's The Examiner on newsstands now.


text:
More about this preview.

Change DPI Base size is 150
What we do and how we do it.
See last week's winners
Explore Our fabrics
Optional Filters
I'm going to use this fabric to make...
I'm looking for a fabric that is...
Receive our weekly email with news about contests, giveaways and prodution releases.
Email Address
No Thanks
© 2008-2015 Spoonflower Inc


text:
More good things happening as a result of Fr. Robert Barron's work.
Yay! Scott Hahn will be teaching at Mundelein!
May 1, 2014 by Leave a Comment
Mark Shea's Blog: So That No Thought of Mine, No Matter How Stupid, Should Ever Go Unpublished Again!
Copyright 2008-2015, Patheos. All rights reserved. Terms of Service | Patheos Privacy Policy | Website Development By Patheos Labs


text:
ATM Owl 8.25" Skateboard Deck
Item # 199044
--- Spend less for this item ---Buy more and save
Stash Points: 1,999
What is this?This is the number of points you get in The Zumiez Stash for purchasing this item. Stash points are redeemable for exclusive rewards only available to Zumiez Stash members. To redeem your points check out the rewards catalog on thestash.zumiez.com.
Turn the streets into your playground and shred with the ATM Owl 8.25" skateboard.
|More Details


text:
Not a current user? Sign up now!
Irish J1 students robbed of $5,000 by online fraudulent house rental deal
Photo by: Google Images
Two round trip flights to Ireland + two nights at the luxurious Merrion Hotel in Dublin!
Sign up to our newsletter today for a chance to win your next trip to Ireland!
Closing date: December 31st. Don't Irish Goodbye...
No thank you - I am not interested


text:
Moving Checklist For Sellers. Moving can be hectic everyone and anyone who has ever moved knows the challenges you face. Every time you move there are new hurdles to overcome. Below is a general list of reminders to help you through the process.
Plus, if you're moving out of town be sure to:


text:
Analysis: Panic At The Disco
Inexact title. See the list below. We don't have an article named Analysis/PanicAtTheDisco, exactly. We do have:
- Headscratchers/Panic At The Disco
- Heartwarming/Panic At The Disco
- Main/Panic At The Disco
- Music/Panic At The Disco
- TearJerker/Panic At The Disco
- Trivia/Panic At The Disco
- WMG/Panic At The Disco
- YMMV/Panic At The Disco
If you meant one of those, just click and go. If you want to start a Analysis/PanicAtTheDisco page, just click the edit button above. Be careful, though, the only things that go in the Main namespace are tropes. Don't put in redirects for shows, books, etc.. Use the right namespace for those.


text:
Keraplast Technologies, Ltd.
|Keraplast Technologies, Ltd. Patent applications
|Patent application number
|Nutritional Supplement - Nutritional supplements comprising keratin protein either in powder or liquid form as well as novel methods of producing soluble keratin proteins by oxidation are provided. In one embodiment of the disclosure, a soluble keratin protein product can be produced by treating an insoluble keratin source in an oxidizing solution at low pH and heat for a sufficient time to oxidize essentially all of the cysteine residues in the protein. By then raising the pH to the pKa of the proteins, or to the point at which the protein is present in the salt form, a solution of high molecular weight proteins that are in a low salt solution can be obtained. This solution is essentially free of peptides and salts that have an adverse effect on flavor and palatability, and maintains a high proportion of sulfur amino acids for beneficial health effects. The resulting protein product can be dissolved into water, juice, or a nutritional drink, or sprinkled on food. Alternatively, the protein can be provided as a liquid supplement.


text:
Welcome to the website of St Clement's C of E Academy. St Clement's has been serving the local community in the name of Christ since 1859. The first school was located in High Park Street in Nechells and moved to a new site in 1971 when the old school was deemed not fit for purpose. We now have a super school building and a fantastic multi-use games area, thanks to a grant from Sport England, which provides a fantastic learning environment for the children.
The Academy is a Sponsor Led academy and our sponsors, the Diocese of Birmingham Educational Trust, work closely in partnership with us to ensure that the children in our care achieve the best possible outcomes – both academic and personal.
We are proud that in the last year Ofsted has visited us and said: 'St Clement's is a good school where the behaviour and safety of pupils are outstanding'. We were also inspected by SIAMS, the organisation who inspects Anglican and Methodist schools, and they graded the Christian Character of the school as 'outstanding'. We could not have achieved this recognition without the support of the families who send their children to St Clement's or the local organisations such as the POD, the Aston Nechells Churches and the Titan partnership who all serve the school community with a range of activities, advice and support.
We hope you will find everything you need on the website. Please let us know if you feel there is anything we can do to improve the site, otherwise enjoy reading all about us and the things we do to make St Clement's such a great place to be.
Latest news
The Anchor News - 20th November 2015
20th November, 2015
The Anchor News - 13th November 2015
13th November, 2015
The Anchor News - 6th November 2015
6th November, 2015
Year 3 visits a quarry...
5th November, 2015
The Anchor News - 23rd October 2015
23rd October, 2015


text:
FXStreet (Guatemala) - GBP/USD is trading at 1.6577, down -0.02% on the day, having posted a daily high at 1.6598 and low at 1.6561.
GBP/USD is resting up after another punishing week to the downside, and entering new lower handles. 1.6560 gave the pair some support from a light touch decent around Yellens speech. The pair here is in neutral territory according to the hourly FXStreet OB/OS Index, while the FXStreet Trend Index is strongly bearish. Looking to a daily chart, we see that RSI is neutral at 24.09.
Support levels: 1.6560, 1.6545 1.6510 and 1.6470.
Resistance levels: 1.6600, 1.6630 16680 and 1.6710.
Related Articles
Investing News
China's Forex Reserves Dropped SignificantlyChina's forex reserves dropped by a record $93.9 billion at the end of August to $3.56 trillion because the Central Bank has been selling dollars to provide a cushion to the falling yuan
The Pros and Cons of a Fully Convertible RupeeAmid the rising economic power of India, the talks of making the Indian currency fully convertible are gaining momentum. We look at the pros and cons.
Forex Fundamentals
Chinese Yuan an Unlikely Reserve CurrencyAs the world's second largest economy, China's challenge to America's dominance includes a push to make the yuan (RMB), the world's reserve currency. Whether it can do that now is unclear.
How Currency Enforcement Helped Sink The Trans-Pacific Partnership (TTP)One particular barrier to trade that has received much attention of late and caused delays in negotiations of the TPP is exchange-rate manipulation, by which a country artificially devalues its ...
Top U.S Forex News SitesBreaking news moves forex markets. Here are the top U.S. sites for tracking forex news.
Financial News Comparison: Bloomberg Vs. ReutersAccess to financial information has grown with the expansion of digital news. Bloomberg and Thomson Reuters lead the pack, claiming a majority of the business information market.
Who Benefits From South Korea's Lowered Interest Rates?South Korea is the latest country to cut interest rates in an attempt to stimulate economic growth.
Forex Education
The Top Uses For P2P Currency ExchangePeer-to-peer (P2P) currency exchange networks offer a viable and cheaper alternative for buying and selling currencies.
Steps To Open An Offshore Forex AccountHere is a simple breakdown of how to open an offshore forex account for US-based users, including legal requirements.
Top Forex Trading AppsA brief overview of the top apps that help forex traders with on time information, charts and more.


text:
Several area schools have sent letters home to parents explaining the concern of H1N1 virus, also known as swine flu. District Web sites also are listing health tips and offering phone numbers to call for more information. Here's what some area schools are doing to address H1N1 concerns.
Several area schools have sent letters home to parents explaining the concern of H1N1 virus, also known as swine flu. District Web sites also are listing health tips and offering phone numbers to call for more information. Here's what some area schools are doing to address H1N1 concerns.
Rockford School District
The Rockford School District sent a letter to parents last week stating that school officials would ask parents to describe symptoms when they call in to keep their child home from school.
More parents and staff members have been asking questions about the virus, said Mary Fisher, health services supervisor. And district officials have been in "nearly constant communication" with the Winnebago County Health Department, she said.
She's encouraging people to practice simple protective measures, as a person would during the typical cold and flu season.
Harlem School District
The Harlem School District doesn't have any probable or confirmed cases of H1N1 virus, according to an updated post on the district's Web site.
"We had a potential scare, and that proved to be negative," said Harlem School Board President Sandi Johnson.
Superintendent Julie Morris said Friday the district had one unconfirmed case.
The Harlem site also offers tips on preventing disease and good health habits.
"We're prepared," Johnson said.
Immanuel Lutheran School
Immanuel Lutheran School does not have any probable or confirmed cases of the H1N1 virus, or swine flu. The school is working with the Boone County Health Department and is following guidelines provided by the Centers for Disease Control and Prevention, which include increased cleaning, raising awareness among students and staff and reporting all absences and the reasons for those absences to health officials.
School was in session today, said Principal Judy Schaefer. There were nine absences, none involving symptoms associated with swine flu, Schaefer said.
The school, which serves 330 students in grades pre-k through 8, did not have hot lunches delivered today, and all bus transportation was canceled. Both services are provided to Immanuel Lutheran through the Belvidere School District.
Schaefer said the lunch and bus cancellations posed little inconvenience for Immanuel Lutheran families.
"We only have about 10 students who take advantage of the bus service," she said. "They only ride the bus home after school because our start times don't line up in the morning."
Rockton School District
Teachers and administrators in the Rockton School District are taking a back-to-basics mentality with their students in an effort to be proactive in preventing the flu, said Superintendent Jean Harezlak.
Page 2 of 3 - Staff members have been submitting district absences to the Winnebago County Health Department, but as of the end of last week, school nurses have said there's no cause for alarm, she said.
Harezlak sent a letter home last week informing parents that no cases exist in the school's community, and she encouraged parents to keep sick children home and also practice good hygiene.
The three-school district neighbors the Kinnikinnick School District, and the Rockton District and Kinnikinnick feed into Hononegah High School.
The Kinnikinnick and Belvidere school districts closed their doors after suspected or confirmed cases of H1N1 virus were found.
"I am very sympathetic for the people in the Kinnikinnick District. That is a hard, hard thing to do."
Harezlak said, the end of the school year is a tough time for students to miss school because of field trips, all-school activities, and rewards promised to them for their hard work during the year, she said.
"It would be extremely disappointing," she said. "But the No. 1 priority is safety. It's day-by-day. I kind of hold my breath."
Winnebago School District
This time of year is, perhaps, the worst time for students to miss school with final exams, prom and other end-of-the-year events.
The Winnebago School District also has been reporting student-symptoms, much like other area schools.
So far, principals haven't reported any kind of crisis, said Dave Zumdahl, business manager for the district.
"Closing school is just really hard," Zumdahl said. "At the same time, you want to be careful."
Rockford College
Rockford College, a four-year liberal arts college with about 1,200 students and 259 students living in residential, on-campus housing, has had no probable or confirmed cases of the H1N1 virus. Classes were held today, and there are no immediate plans to cancel school this week, said Chuck Brown, the college's director of communications and new media.
The college has asked ten students, who are student teachers in the Belvidere and Kinnikinnick school districts, to not come to campus this week, Brown said, as a precautionary measure for their safety and the rest of the college's students and staff.
The college posted an advisory message on its Web site for students, faculty and staff last week, and has updated it as swine flu concerns rise.
Brown said the college also uses an collegewide e-mail message system to keep students and staff informed.
The college posted signs and posters on campus last week warning students and staff about the virus. The posters include information about symptoms, such as high fever and coughing, and what people should do from washing hands to avoiding people who appear to have flu-like symptoms.
Page 3 of 3 - Rock Valley College
Rock Valley College, a two-year community college serving about 8,000 students, is monitoring swine flu health concerns and what is happening in the community through increased attention to Health Department reports and staying in touch with other school leaders, said Nancy Chamberlain, the school's director of communication.
"Our Department of Public Safety is in regular contact with the Winnebago County Health Department regarding the virus in our region," Chamberlain said. "No specific communication has gone out to our students regarding the virus. Our student population is not comprised of minors, and we reserve emergency notification to our students for critical issues. We believe that these students are well-informed through the media outlets and will take precautions as the rest of the adult population."
Comments are currently unavailable on this article
Location, ST | website.com


text:
1989 Honda Accord • 249,000 miles
My 89 Accord lxi temp gauge jumps to 1/2 as soon as the key is turned and soon rises to hot as the car warms up. It never overheats, but it want to know what the engine temp really is as my daughter will be taking the car off to college.
August 7, 2013.
August 7, 2013.
I would use a manual guage to check or verify the actual temp of the motor.
It may be a bad sender unit or dash unit.
It may be a bad sender unit or dash unit.
When I disconnect the wire from the temp sending unit, it goes up to 1/2 just as if it is plugged in. It doesn't rise anymore afterwards if the wire is not connected though.
I would start by replacing the sender unit.
I actually have replaced the sender unit. The problem seems to be in the wiring between the sender unit and the gauge, Then gauge show 1/2 way to hot even when the wire to the sender unit is unplugged and even when I put the unit plugged in into ice water. Te gauge seems to be miscalibrated, but no one talks about that as a solution. Even when the motor is cold, it just goes to 1/2. I tested the gauge by grounding the sender unit wire and it went right to hot like it was supposed to.
There is no calibration of the gauge unit. If you replaced the sender, then most likely you have a failed dash unit. Make sure the connector at the back of the instrument cluster is good.
I didn't think so. How would one go about getting to the instrument cluster. Pull the dash? If so, how would I do that?
You dont think so? Did you check this already?
No, I meant I didn't think you could calibrate the gauge. I am trying to get to the gauge now.
Most likely the dash unit is bad.
So, how do I test the temp gauge? I am getting a little tired of buying parts that aren't solving my problem. Thanks.
Greetings, I have a 2002 Toyota Camry with 207,000 miles - runs well, but my IP went dead while driving seamlessly on the highway. Everything else is fine, but I took it to a ...
15 answers • 2002 Toyota Camry • 207,000 miles
I installed a new fuel pump and now my instrument cluster is not working, are they related and how do i fix the instrument cluster?
1 answer • 2000 Chevrolet Cavalier • 140 miles
2003 dodge ram 1500 my odometer says no bus the instrument cluster doesn't work all lights are on and gauges are all not working, nor does anything on the steering column. no blinkers...
11 answers • 2003 Dodge Ram • 51,000 miles
I removed the instrument cluster to change out several bulbs, however none of the gauges work after I re-installed it. I verified all three wiring harnesses are locked in and checked ...
1 answer • 1997 Ford Explorer • 148,000 miles


text:
Liger zero 60% complete by Keith60153Watch
©2012-2015 Keith60153
liger zero expected to be complete in march...original armor begins in april...set up with slots to create unlimited armor to attach to the liger.
what are you making this liger out of?
Seriously awesome work! The precision with which you use the ties is really amazing
that looks incredibly complex!
Incredible work thus far!


text:
2007 Peugeot 207 • 56,000 miles
Depollution system faulty flashed up was reset worked fine for 2 weeks. Now flashed up again and showing P0087 fault when attached to diagnostic machine. Reset again and ok for last 30 miles.
Dave Allen
October 6, 2011.
October 6, 2011.
I have a code reader and the code was PO194. I looked up the code and it says that it is a fuel rail pressure sensor that is bad I would like to know where it is so that I can change ...
5 answers • 2002 Kia Sportage • 268,200 miles
Hi took off and replaced fuel rail by mistake, now the car does not idle properly, and there is a blowing coming from the fuel rail. Any ideas of what i can do? I have a toyota runx ...
2 answers • 2006 Toyota Yaris
I have a 2002 Chrysler T+C LX 3.3ltr. that is leaking from a device on the fuel rail. What is this and why is it leaking. Is it repairable?
14 answers • 2001 Chrysler Town and Country • 120,000 miles
Engine Mechanical problem 2002 Dodge Caravan 4 cyl Two Wheel Drive Automatic 160000 miles 4 cylinder 2.4L Dodge Caravan wih Fuel Injection. 160,000 miles. The fuel rail has a port ...
2 answers • 2002 Dodge Caravan


text:
Action star plays homeless vet out to save teenage girl
Rating: R
When: Opens today
Where: Reading Gaslamp 15
Running time: 1 hour, 40 minutes
Other movie stars get into the profession for the fame, the money, the girls. Jason Statham just wants to be The Catcher in the Rye.
In film after film, going back as far as "The Transporter," he's played characters out to save a damsel in distress, out to rescue some woman in need of rescuing.
That's the setup in his latest, "Redemption." But it's more than that. And the fact that this isn't the only sort of character he's played, that he makes even relatively routine actioners like this one interesting, is why it's never been fair to compare him to muscleheads like Stallone and Schwarzenegger, Van Damme and Seagal. He's better than that.
Something happened to Sgt. Joseph Smith over in Afghanistan, something glimpsed in flashbacks partly shown as drone surveillance video. He deserted, went underground. And now he's homeless, a haunted vet on the mean surveillance-camera-covered streets of London, drinking to forget.
Isabel (Victoria Bewick) is his companion, a teenager. Until, that is, a couple of hoodlums who prey on the homeless rob him and snatch her. He aims to get her back.
Sister Cristina (Agata Buzek) runs the soup kitchen where he eats on those nights when he's sober. She's his comfort and his confessor. When he crashes into a posh apartment and realizes the owner won't be back for months, she is who he tells.
Joe lays low and heals up, puts on the apartment owner's clothes and drives his Mercedes. He takes a job, first as a dishwasher/bouncer, promoted to enforcer for the Chinese gangster (Benedict Wong) who owns the place. Sister Cristina ponders her dilemma, this damaged soul who tempts her to break her vows.
You have to make a lot of allowances for a film like this, the neat little coincidences that allow Joe to (a) earn cash he can spread among the homeless, (b) track Isabel and (c) announce he's Catholic and must keep his distance, but still lust after Sister Cristina. You have to think he's a good bloke even after we find out he's left behind a family, even after we learn his Afghan secret.
Statham, as always, keeps things interesting. He doesn't speak for the film's first 15 minutes, and when he does, he doesn't make speeches. He endures his usual beat-downs, which we endure with him because we know at some point, he's going to take out the trash.


text:
1997 Ford Windstar • 186,000 miles
My steering wheel is loose on my van. I not really sure of the problem I believe this could possibly be a lot or nut loose in the inside of it. How can I fix it?
Maxi pad
February 25, 2013.
February 25, 2013.
Have it inspected at a tire and alignment shop. Ford has way too many problems with their steering and suspension systems and you don't want to overlook a part that might be about to separate. A "loose wheel" can mean a lot of different things too. Do you have to turn the steering wheel a lot before the tires start to turn? Do you have tilt wheel and you can move the steering up and down without it locking in one position? Do you just have to keep on correcting the direction of travel? That is a sign of a worn part that could break soon leading to loss of control and a crash.
Feb 25, 2013.
Feb 25, 2013.
When I'm driving the power steering locks and the wheel gets hard and can't turn,,,so I stop and turn the car off for a few sec.problem solved but the thing is that it's starting to do ...
3 answers • 2006 Chevrolet Malibu • 76,900 miles
Upon getting my car back from being repaired after a passenger side, front end wreck ($4,300.00 PLUS in damages), my power steering seems to be going out. It's sporadic-it has quit ...
3 answers • 2005 Kia Amanti • 78,000 miles
The rack & pinion assembly, power steering pressure and return line assembly, lower ball joints were just replaced on my wife's 2000 Toyota 4Runner and a front end alignment performed...
1 answer • 2000 Toyota 4Runner • 165,000 miles
I have a 2002 Altima and I'm replacing the steering gear. I have everything ready to remove but I'm unable to disconnect the steering gear from the steering column. I have ...
8 answers • 2002 Nissan Altima • 150,000 miles